Inzuzo yokuqala yesisindo se-Trimester yokuqala: Ongakulindela

-Delile

• Ngizothola isisindo esingakanani ku-trimester yokuqala?
• Ungakhathazeki kakhulu uma ungatholi ku-trimester yokuqala
• Izingozi eziza nokuthola isisindo esiningi kunokuba udokotela wakho ancoma
• Ukudla ama-calories amaningi ngesikhathi sokukhulelwa
• Ukudla nokuqina komzimba ku-trimester yokuqala
• Imihlahlandlela yesisindo sokukhulelwa isiyonke
• Udokotela wakho ungumthombo wakho ongcono kakhulu

Halala - ukhulelwe! Ngokuhambisana nokuthi yini okufanele uyibeke ebhukwini lezingane, ukuthi ungayisetha kanjani i-nursery, nokuthi ungaya kuphi enkulisa (ukuhlekisa nje - kusesekuseni kakhulu ngalokho!), Abantu abaningi bafuna ukwazi ukuthi bangalindela ukuthola isisindo esingakanani ezinyangeni eziyi-9 ezizayo.

Ngenkathi iningi lamaphawundi lizobonakala phakathi ne-trimester yesibili neyesithathu, kukhona ukuzuza kokuqala kwesisindo okuzokwenzeka emasontweni okuqala ayi-12 okukhulelwa. Eqinisweni, ngokwesilinganiso, abantu bathola amakhilogremu ayi-1 kuye kwayi-4 ku-trimester yokuqala - kepha ingahluka. Ake sibheke izici ezihilelekile.

Ngizothola isisindo esingakanani ku-trimester yokuqala?

"Lona ngomunye wemibuzo ebuzwa kakhulu ezigulini phakathi nokuvakashelwa kwabo kokuqala kokubelethisa nodokotela wabo," kusho uJamie Lipeles, MD, DO, OB-GYN nomsunguli weMarina OB / GYN.

Ngaphandle kwalokho okungenzeka ukuthi uzwile, awutholi isisindo esiningi ku-trimester yokuqala, ngesincomo esijwayelekile singamakhilogremu ayi-1 kuye kwayi-4. Futhi ngokungafani ne-trimester yesibili neyesithathu (lapho inkomba yomzimba, noma i-BMI, ingaba yinto enkulu), uLipeles uthi ukuzuza kwesisindo phakathi namasonto okuqala ayi-12 kufana ncamashi nazo zonke izinhlobo zomzimba.

Futhi uma ukhulelwe amawele, u-Lipeles uthi imihlahlandlela efanayo isebenza ekuzuzeni isisindo ngesikhathi se-trimester yokuqala. Kodwa-ke, lokhu kungashintsha phakathi ne-trimesters yesibili neyesithathu, njengoba ukukhulelwa kwamawele ngokuvamile kubangela ukuzuza okukhulu kwesisindo.

Lokho kusho, kunezikhathi lapho udokotela wakho angaba nezincomo ezihlukile emasontweni ayi-12 okuqala. "Ezigulini ezine-BMI ezingaphezu kuka-35, sivame ukuzikhuthaza ukuthi zigcine isisindo sazo se-trimester yokuqala," kusho uG. Thomas Ruiz, MD, OB-GYN e-MemorialCare Orange Coast Medical Center.

Ungakhathazeki kakhulu uma ungatholi ku-trimester yokuqala

Ukuchitha isikhathi esithe xaxa ukuqina amabhulukwe akho kunokuwakhulula ku-trimester yokuqala? Ungahle uzibuze ukuthi ukwehlisa noma ukugcina isisindo sakho kuyifulegi elibomvu.

Izindaba ezimnandi? Ukungatholi isisindo phakathi ne-trimester yokuqala akusho ukuthi kukhona okungahambi kahle. Eqinisweni, ukulahlekelwa amakhilogremu ambalwa engxenyeni yokuqala yokukhulelwa kwakho kuyinto ejwayelekile (sawubona, ukugula kwasekuseni nokuphazamiseka kokudla!).

Uma ungakaze uhlangabezane nokugula kwasekuseni, zicabange unenhlanhla. Ukuzizwa ucanuzelelwa inhliziyo futhi uhlangabezana nokuhlanza ngezikhathi ezithile nganoma yisiphi isikhathi sosuku kungakwenza ukuthi ugcine isisindo sakho noma ulahle amakhilogremu ambalwa. Ngenhlanhla, lokhu kuyancipha ku-trimester yesibili neyesithathu.

Ukuphishekela izindebe zakho lapho ubona ipuleti lakho olithandayo lamaqanda aqhekekile nebhekeni nakho kuvamile ku-trimester yokuqala. “Ngijwayele ukuhlekisa neziguli zami ngizitshele ukuthi zingaba nokuthikamezeka kokudla ku-trimester yokuqala, kodwa-ke zizokweqa ngokweqile ku-trimester yesibili neyesithathu ngokuba nezifiso zokudla ezingekho esimeni zazo ngaphandle kokukhulelwa,” kusho uLipeles.

Uma uhlangabezana nokuphazamiseka kokuhlanza noma ukudla, qiniseka ukuthi wabelana ngalolu lwazi ne-OB-GYN yakho ekuvakasheni kwakho okuvamile. Kubalulekile ukubagcina benolwazi, ikakhulukazi uma ulahlekelwa isisindo. "Ukwehla kwesisindo kusho ukuthi umzimba usesimeni sokuwohloka futhi ucindezelekile, okuholela ekushodeni kwezakhamzimba," kusho uFelice Gersh, MD, oyi-OB-GYN e-Integrative Medical Group ka-Irvin, lapho engumsunguli nomqondisi khona.

"Ngenhlanhla, umbungu usengathola izakhi zomzimba ezidingekayo ekukhuleni nasekukhuleni kwawo - umama, kepha, angalahlekelwa isisindo somzimba esibalulekile kanye namafutha asekelayo," kwengeza uGersh.

Futhi udinga ukuthi uqaphele ukuthi uthola ukwehla kwesisindo okuphawulekayo.

Enye yezimbangela ezivame kakhulu zokwehlisa isisindo yi-hyperemesis gravidarum, okuyindlela ebucayi kakhulu yokuhlanza nokuhlanza ngesikhathi sokukhulelwa. Lokhu kwenzeka cishe ngamaphesenti ama-3 okukhulelwa futhi kudinga ukwelashwa.

Izingozi eziza nokuthola isisindo esiningi kunokuba udokotela wakho ancoma

Enye yezinzuzo zokukhulelwa ukukwazi ukucupha ukucabanga kokudla kalula. (Kungenzeka ukuthi sonke siyibeke emgodini, unomphela.) Lokho kusho, kubalulekile ukuthi wazi isisindo sakho nokuthi siqhathaniswa kanjani nezincomo zokuzuza isisindo, njengoba ukuthola isisindo esiningi kuza nobungozi kokubili kuwe nasenganeni, kufaka phakathi:

• Isisindo somntwana: Lapho umama ezuza isisindo, ingane kungenzeka izuze okungaphezu kokujwayelekile esibelethweni. Lokhu kungaholela ekuzalweni komntwana omkhulu.
• Ukulethwa okunzima: Ngokuzuza okukhulu kwesisindo, uLipeles uthi ukwakheka komsele wokuzalwa kuguquliwe, kunikeze ukulethwa kwesisu okunzima kakhulu futhi okuyingozi.
• Ingozi ephakeme yesifo sikashukela sokukhulelwa: Ukuthola isisindo esiningi, ikakhulukazi ekuqaleni kokukhulelwa kwakho, kungaba uphawu lokuqala lwesifo sikashukela sokukhulelwa. Uma uthola okungaphezu kokunconywayo ku-trimester yokuqala, u-Lipeles uthi ungamangali uma udokotela wakho ekuhlolela i-glucose ngaphambi kwebanga elijwayelekile lama-27 kuya kwangu-29.

Ukudla ama-calories amaningi ngesikhathi sokukhulelwa

Ngaphandle kwesisho esidala esithi "udla okubili," i-trimester yokuqala akusona isikhathi sokulayisha ama-calories. Eqinisweni, ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, kufanele ugcine ukudla kwakho ngaphambi kokukhulelwa.

Kodwa-ke, njengoba ukukhulelwa kwakho kuqhubeka, kunconywa ukwanda kancane kancane kwama-calories. I-Academy of Nutrition and Dietetics iphakamisa uhla lwama-calories angama-2 200 kuya ku-2,900 ngosuku, kuya nge-BMI yakho ngaphambi kokukhulelwa. Lokhu kulingana nokwanda okulandelayo nge-trimester (sebenzisa ukudla kwakho ngaphambi kokukhulelwa njengesisekelo):

• I-trimester yokuqala: awekho amakhalori angeziwe
• I-trimester yesibili: udle ama-calories angama-340 ngosuku
• I-trimester yesithathu: udle ama-calories angama-450 ngosuku

Ukudla nokuqina komzimba ku-trimester yokuqala

Abaningi bethu baqala lolu hambo ngamathemba amakhulu okudla okunempilo, ukuzivocavoca njalo, nokugwema noma yini eneshalofu isikhathi eside kunokukhulelwa kwethu.

Kepha-ke, impilo iyenzeka.

Phakathi kokuphatha umsebenzi, ezinye izingane, izibopho zenhlalo, nakho konke lokho kuhambela endlini yangasese, ukuthola isikhathi - namandla - ukugcina uhlelo lwakho lokuzivocavoca ngaphambi kokukhulelwa noma ukushaya ukudla okuphefumulelwe osaziwayo kwesinye isikhathi kuyinselelo yangempela.Izindaba ezimnandi? Akudingeki ukuthi ulunge nsuku zonke ukuze ukhule ube ngumuntu onempilo.

Ngakho-ke, yini okufanele uhlose ukuyenza? Uma ukulungele, qhubeka wenza owawukwenza ngaphambi kokukhulelwa, inqobo nje uma kungabandakanyi ukulenga ubheke phansi kubha yomshayi. Imisebenzi yomzimba engukukhetha okuhle phakathi ne-trimester yokuqala ifaka:

• ukuhamba
• ukubhukuda
• ukugijima
• ukuhamba ngebhayisikili endlini
• ukumelana nokuqeqeshwa
• i-yoga

Beka umgomo wokuzivocavoca izinsuku eziningi zeviki, noma okungenani imizuzu engu-150 isonto ngalinye. Okubalulekile ukunamathela kulokho okwaziyo. Lesi akusona isikhathi sokuthatha uqeqesho lwe-marathon, ikakhulukazi uma ungakaze ugijime ngaphambili.

Ngokuya kokudla okunomsoco, lwela ukudla ukudla okunomsoco ngokudla okuhlukahlukene. Lokhu kufaka:

• okusanhlamvu okuphelele
• izithelo
• imifino
• amaprotheni anciphile
• amafutha enempilo
• imikhiqizo yobisi ephansi enjengobisi neyogathi

Njengoba umzimba wakho ungadingi amakholori angeziwe phakathi ne-trimester yokuqala, ukudla ngendlela ovame ukwenza ngayo - inqobo nje uma kunomsoco - kuyinjongo.

Imihlahlandlela yesisindo sokukhulelwa isiyonke

Ngenkathi kungekho ukukhulelwa okubili okufanayo, kuneziqondiso ezithile ezijwayelekile okufanele zilandelwe uma kukhulunywa ngokuthola isisindo kuwo wonke ama-trimesters amathathu. I-American College of Obstetricians and Gynecologists (ACOG), kanye ne-Institute of Medicine (IOM), bahlukanisa inzuzo yesisindo ngokuya ngesisindo sakho lapho uqokwa okokuqala.

Ngokuvamile, ububanzi bazo zonke izinyanga eziyi-9 buphakathi kwamakhilogremu ayi-11 nangu-40. Labo abanesisindo esiningi noma ukukhuluphala ngokweqile bangadinga ukuzuza kancane, kanti labo abanesisindo esincane bangadinga ukuzuza ngaphezulu. Ngokuqondile, i-ACOG ne-IOM bancoma la mabanga alandelayo:

• I-BMI engaphansi kuka-18.5: cishe amaphawundi angama-28-40
• I-BMI ka-18.5-24.9: cishe amaphawundi angama-25-35
• I-BMI yama-25–29.9: cishe amakhilogremu ayi-15-25
• I-BMI 30 nangaphezulu: cishe 11-20 amakhilogremu

Ngokukhulelwa okungamawele, i-IOM incoma ukuzuza okuphelele kwesisindo samakhilogremu angama-37 kuye kwangama-54.

Ukuze uthole umbono ongcono wokuthi bangaki abantu abahlala ngaphakathi kwalolu hlu, idatha ehlaziyiwe evela ezifundweni eziningana. Ithole ukuthi amaphesenti angama-21 athole ngaphansi kwesilinganiso esinconyiwe sesisindo, kanti amaphesenti angama-47 athole okungaphezulu kwenani elinconyiwe.

Udokotela wakho ungumthombo wakho ongcono kakhulu

Ngokufanelekile, uzothola udokotela ongamethemba ukuphendula imibuzo ethile ebucayi. Kepha noma ngabe lokhu kungukuqala kwakho ukuzungeza nge-OB-GYN yakho, ukuncika kubo ngolwazi nokusekelwa kuyisihluthulelo sokwehlisa ukukhathazeka ngesikhathi sokukhulelwa.

Njengoba izilinganiso zesisindo ziyingxenye yakho konke ukuvakashelwa kokubeletha, ukuqokwa ngakunye kuyithuba lokuphendula noma imiphi imibuzo noma ukukhathazeka, ikakhulukazi njengoba i-OB yakho ilandelela izinto eziningi, kufaka phakathi izinguquko zesisindo.