Isikhathi sokuqala sokukhulelwa

-Delile

• Kwenzekani emzimbeni wowesifazane phakathi ne-trimester yokuqala?
• Kwenzekani embungwini ngesikhathi se-trimester yokuqala?
• Yini engalindelwa kudokotela?
• Ngingahlala kanjani ngiphilile phakathi ne-trimester yokuqala?
• Okufanele ngikwenze
• Yini okufanele uyigweme
• Yini enye okufanele ibhekwe phakathi ne-trimester yokuqala?
• Ungabatshela nini abangane bakho, umndeni nomqashi wakho
• Lapho ufuna ukubelethela khona
• Uma unokukhulelwa okuyingozi kakhulu
• Ukukhokhela ukunakekelwa

Yini i-trimester yokuqala?

Ukukhulelwa kuthatha cishe amasonto angama-40. Amaviki ahlelwe aba ama-trimesters amathathu. I-trimester yokuqala yisikhathi esiphakathi kokukhulelwa kweqanda ngesidoda (ukukhulelwa) neviki le-12 lokukhulelwa.

Umzimba wowesifazane uhamba ngezinguquko eziningi phakathi namasonto okuqala ayi-12 okukhulelwa. Abesifazane bavame ukuqala ukukhathazeka ngaphezulu:

• okudliwayo
• yiziphi izinhlobo zokuhlolwa kokubeletha okufanele bazicabangele
• bangathola isisindo esingakanani
• bangaqinisekisa kanjani ukuthi ingane yabo ihlala iphilile

Ukuqonda isonto lokukhulelwa isonto nesonto kungakusiza wenze izinqumo ezinolwazi futhi ulungiselele izinguquko ezinkulu ezizayo.

Kwenzekani emzimbeni wowesifazane phakathi ne-trimester yokuqala?

Ku-trimester yokuqala, umzimba wowesifazane uhamba ngezinguquko eziningi. Umzimba ukhipha ama-hormone athinta cishe zonke izitho zomzimba. Uphawu lokuqala lokuthi kungenzeka ukuthi ukhulelwe alunaso isikhathi. Njengoba amasonto ambalwa okuqala edlula, abanye besifazane babhekana nalokhu okulandelayo:

• ukukhathala
• isisu esibuhlungu
• ukuphosa
• ukushintsha kwemizwelo
• amabele amathenda
• isilungulela
• ukuzuza kwesisindo
• ikhanda
• izifiso zokudla okuthile
• ukucasukela ekudleni okuthile
• ukuqunjelwa

Ungadinga ukuphumula kakhulu noma udle ukudla okuncane ngalesi sikhathi. Abanye besifazane, noma kunjalo, abazizwa nakancane kulezi zimpawu.

Kwenzekani embungwini ngesikhathi se-trimester yokuqala?

Usuku lokuqala lokukhulelwa kwakho futhi lusuku lokuqala lokuya esikhathini kwakho kokugcina. Cishe ezinsukwini eziyi-10 kuye kwezingu-14 ngemuva kwalokho, kukhishwa iqanda, lihlanganiswe nesidoda, bese kuba nokukhulelwa. Ingane ikhula ngokushesha phakathi ne-trimester yokuqala. Umbungu uqala ukukhula ubuchopho nomgogodla, bese izitho ziqala ukwakheka. Inhliziyo yengane nayo izoqala ukushaya phakathi ne-trimester yokuqala.

Izingalo nemilenze kuqala ukuqhakaza emasontweni ambalwa okuqala, kuthi kuphela amasonto ayisishiyagalombili, iminwe nezinzwane ziqale ukwakheka. Ekupheleni kwe-trimester yokuqala, izitho zocansi zengane sezakhiwe. Ngokusho kweHhovisi Lezempilo Labesifazane, ingane manje icishe ibe ngamasentimitha ama-3 ubude futhi isisindo cishe esisodwa.

Yini engalindelwa kudokotela?

Lapho uqala ukufunda ukuthi ukhulelwe, yenza i-aphoyintimenti nodokotela wakho ukuze uqale ukunakekela ingane ekhulayo. Uma ungekho kumavithamini angaphambi kokubeletha, qala ngokushesha. Ngokufanelekile, abesifazane bathatha i-folic acid (kumavithamini abeletha) unyaka ngaphambi kokukhulelwa. Abesifazane ngokujwayelekile babona udokotela wabo kanye ngenyanga phakathi ne-trimester yokuqala.

Ngesikhathi sokuvakasha kwakho kokuqala, udokotela uzothatha umlando ogcwele wezempilo futhi enze ukuhlolwa okuphelele komzimba kanye nokhalweni. Udokotela futhi:

• yenza i-ultrasound ukuqinisekisa ukukhulelwa
• yenza ukuhlolwa kwePap
• thatha umfutho wegazi
• ukuhlola izifo ezithathelwana ngocansi, i-HIV, nesifo sokusha kwesibindi
• ulinganisela usuku lwakho lokulethwa noma "usuku olufanele," olucishe lube yizinsuku ezingama-266 kusukela osukwini lokuqala lwesikhathi sakho sokugcina
• isikrini sezinto ezinobungozi njenge-anemia
• hlola amazinga e-thyroid
• hlola isisindo sakho

Cishe emasontweni ayi-11, udokotela uzokwenza isivivinyo esibizwa ngokuthi yi-nuchal translucency (NT) scan. Isivivinyo sisebenzisa i-ultrasound ukukala ikhanda lengane nobukhulu bentamo yengane. Izilinganiso zingasiza ekutholeni ithuba lokuthi ingane yakho izalwe inesifo sofuzo esaziwa njenge-Down syndrome.

Buza udokotela wakho ukuthi kunconyelwa noma cha ukuhlolwa kofuzo ekukhulelweni kwakho. Ukuhlolwa kofuzo ukuhlolwa okusetshenziselwa ukuthola ubungozi bengane yakho kwizifo ezithile zofuzo.

Ngingahlala kanjani ngiphilile phakathi ne-trimester yokuqala?

Kubalulekile ukuthi owesifazane azi ukuthi enzeni nokuthi yini okufanele ayigweme ngenkathi ekhulelwe ukuze azinakekele yena kanye nengane yakhe ekhulayo.

Okufanele ngikwenze

Nazi izinyathelo ezinhle zempilo yomuntu siqu ongazithatha ngesikhathi sokuqala sokuqala:

• Thatha amavithamini ngaphambi kokubeletha.
• Vocavoca umzimba njalo.
• Sebenzisa iphansi lakho le-pelvic ngokwenza izivivinyo zeKegel.
• Yidla ukudla okunezithelo, imifino, izinhlobo ezinamafutha aphansi kanye nefayibha.
• Phuza amanzi amaningi.
• Yidla amakhalori anele (cishe ama-calories angama-300 ngaphezu kokujwayelekile).

Yini okufanele uyigweme

Lezi zinto kufanele zigwenywe phakathi ne-trimester yokuqala:

• ukuvivinya umzimba kanzima noma ukuqeqesha amandla okungadala ukulimala esiswini sakho
• utshwala
• i-caffeine (akukho indebe eyodwa yekhofi noma itiye ngosuku)
• ukubhema
• izidakamizwa ezingekho emthethweni
• inhlanzi eluhlaza noma ukudla kwasolwandle okubhemayo (ayikho i-sushi)
• ushaka, i-swordfish, i-mackerel, noma i-white snapper fish (banamazinga aphezulu e-mercury)
• amahlumela aluhlaza
• udoti wekati, ongathwala isifo esifakwayo esibizwa nge-toxoplasmosis
• ubisi olungasetshenziswanga noma eminye imikhiqizo yobisi
• inyama yokudla noma izinja ezishisayo

Yini enye okufanele ibhekwe phakathi ne-trimester yokuqala?

Izinguquko zomzimba zinikeza okuningi ongacabanga ngakho phakathi ne-trimester yokuqala, kepha ukuba nengane kuzothinta nezinye izingxenye zempilo yakho. Kunezinto eziningi okufanele uqale ukucabanga ngazo ezinyangeni ezimbalwa zokuqala zokukhulelwa kwakho ukuze ukwazi ukulungiselela ikusasa.

Ungabatshela nini abangane bakho, umndeni nomqashi wakho

I-trimester yokuqala yisikhathi esivame kakhulu sokulahlekelwa ukukhulelwa (ukukhulelwa kwesisu), ngakho-ke ungafuna ukulinda ukukhulelwa ukuze ungene ku-trimester yesibili.

Ungase futhi uthande ukubheka ukuthi uzoqhubeka usebenza noma cha noma uzoyeka umsebenzi wakho njengoba ukukhulelwa kwakho kuqhubeka, futhi uma umqashi wakho ekuhlinzeka ngekhefu lokubeletha elingakhokhelwa ngokuzalwa nokunakekelwa kwengane yakho esanda kuzalwa.

Lapho ufuna ukubelethela khona

Ungahle uthande ukuqala ukubheka lapho ungathanda ukuletha khona ingane yakho lapho sekuyisikhathi sokubeletha. Abesifazane bangakhetha ukubelethela esibhedlela, esikhungweni sokuzalwa, noma emakhaya abo. Kufanele ulinganise ubuhle nobubi bendawo ngayinye bese uxoxa ngayo nodokotela wakho.

I-American Congress of Obstetricians and Gynecologists (ACOG) ikholelwa ekutheni izibhedlela nezikhungo zokubelethisa yizona ndawo eziphephe kakhulu zokubeletha. Uma kunesimo esiphuthumayo, isibhedlela sinakho konke ukubhekana nalesi simo.

Uma unokukhulelwa okuyingozi kakhulu

Ukukhulelwa okuyingozi kakhulu kusho ukuthi kunethuba elikhulu lezinkinga. Izici ezingenza ukuthi ukukhulelwa kwakho kube sengozini enkulu zifaka:

• ngisemncane
• engaphezu kweminyaka engama-35 ubudala
• ukukhuluphala ngokweqile
• ukuba nesisindo esiphansi
• ukuba nomfutho wegazi ophakeme, isifo sikashukela, i-HIV, umdlavuza noma okunye ukuphazamiseka komzimba
• ukukhulelwa amawele noma ukuphindaphindeka

Abesifazane abanokukhulelwa okuyingozi kakhulu bangadinga ukuvakashela udokotela kaningi futhi kwesinye isikhathi bangadinga udokotela oqeqeshwe ngokukhethekile. Ukuba nokukhulelwa okuyingozi kakhulu akusho ukuthi uzoba nezinkinga.

Ukukhokhela ukunakekelwa

Abesifazane abaningi bakhathazeka ngezindleko zezindleko zezokwelapha ngesikhathi sokukhulelwa. Izindaba ezinhle ukuthi kunezinketho ezitholakalayo kuzo zonke izifundazwe e-United States ukusiza ukukhokhela ukunakekelwa. Lapho nje uthola ukuthi ukhulelwe, kufanele wenze i-aphoyintimenti yokubonana nomhlinzeki wakho wezokunakekelwa kwempilo, umbelethisi noma udokotela (kwezinye izindlela zokwelashwa, bobabili basehhovisi elilodwa). Izinketho zomshuwalense wezempilo zishintshile ngokuhamba kwesikhathi, futhi iningi linikeza abesifazane abakhulelwe izinketho eziningi. Izinkampani zomshuwalense ziyafunda kubalulekile ukuhlinzeka ngosizo lokubeletha ukuvimbela ukunakekelwa kwezempilo okubiza kakhulu kamuva. Izibhedlela zasendaweni, imitholampilo, nezinye izinhlelo zikahulumeni ziyatholakala ukusiza nge:

• ukudla
• okunomsoco
• ukwelulekwa
• ukufinyelela mahhala ezinsizakalweni zezempilo kwabesifazane abakhulelwe