Pakadutsa masabata 30, chiberekero chimakhala pafupifupi 0,75 malita a amniotic madzi, ndipo chipatsocho chimakhala pafupifupi masentimita 38 ndipo chimakhala pafupifupi 1400 g. Mutu wa mwana umakula ndikufika pamutu wa akulu 60%. Masomphenyawo akupitilizidwa kukhala abwino, omwe, komabe, ndi kovuta kulingalira zabwino ngakhale nthawi itatha kubadwa. Kamwana kakang'ono kamasunthira, koma kayendedwe kameneka kali kosiyana, chifukwa akuyenera kugwiritsa ntchito danga mu chiberekero mochulukira, zomwe zimakhala zochepa kwa mwana wakula.
Kalendala yoyembekezera: masabata 30 - kusintha kwa mkazi.
Chiberekero chikupitirira kukula, ndipo placenta imakula. Mukhoza kuwonjezerapo zonse kuyambira 11.5 mpaka 16 kg pa nthawi yonse yapakati ya mimba. Pofuna kusintha maganizo ndi kutopa, samangopita nanu nthawi zonse, komanso kumawonjezera. Mkhalidwe wa kupsinjika kwa ena ndi wofanana ndipo umafotokozedwa ndi kusintha kwa mahomoni kumayambiriro kwa mimba, chifukwa chomwe mankhwala opangidwa ndi magazi amasintha. Komabe, ngakhale kuti simungathetse vutoli, ndi bwino kufunsa dokotala, chifukwa nthawi zina zotsatira zake zingakhale zakubadwa msanga.
Pamwamba pa nembanemba.
Mukawerenga za momwe thupi la mkazi limangidwiritsidwira kuchokera kumayambiriro oyambirira a mimba, ndiye kuti mukudziwa kuti amniotic madzi ali m'chikhodzodzo cha fetus chomwe chiri ndi placenta ndi membrane ya fetal. Zikuganiziridwa kuti fetal chikhodzodzo sichiyenera kugwa asanabadwe, koma zonse zimachitika, chotero, poona kuti pali zakumwa zambiri, nthawi yomweyo funani thandizo. Kuopsa kwa kuchoka kwa feteleza ndikutanthauza kuti mwanayo akhoza kuyambitsa matenda omwe chipolopolo chimatetezera.
Kalendala ya Mimba: Mantha amodzi omwe ali ndi pakati pa sabata 30.
Ululu, sindingathe kupirira.
Kuwopa ndi nambala imodzi mu chiwerengero cha mantha a trimester yachitatu. Koma inu mukukumbukira: aliyense yemwe anabala iwe, anakumana, kotero iwe sungakhoze kukhala wosiyana. Mwina, mfundo imodzi ingakuthandizeni: musamangoganizira zowawa, ganizirani nthawi imene mwana wanu adzabadwa. Ndipo, ndithudi, pali njira zambiri zogonjetsera ululu, maphunziro opadera akuchitika, makamaka amayi amtsogolo ali okonzeka kupirira ululu.
Ndidzaswa popanda episiotomy.
Nthawi zina kukula kwa ubini ndi kochepa kwambiri kusiyana ndi kukula kwa mutu wa fetus, perineum ya pulogalamuyo imadulidwa, mwachitsanzo, yowonjezereka ndi njira zothandizira. Ubwino wa njirayi ndikuti mungapewe kuwonongeka kosafunikira kwa magazi, kuphatikizapo zipserazo sizikhala zosazindikirika kusiyana ndi momwe ziriri zowonongeka.
Gwiritsani ntchito mitundu itatu ya episiotomy:
- Periniotomy nthawi zambiri amagwiritsidwa ntchito ndi madokotala, pakadali pano mzere wodulidwa umachokera kumbuyo kwa kumbuyo kwa ma labia, osati kufika ku anus. Komabe, pali chiopsezo chotulukira ku rectum.
- Zomwe zimachitika m'mbuyo mwa episiotomy. Danga ladulidwa ndi madigiri 45, ngati kuli koyenera kutalika. Komanso, palibe ngozi yogwira anus.
- Pokhala ndi episiotomy yowonongeka, kupangika kwake ndi 2 cm kuposa kuposa kale. Chifukwa chakuti amachiza malo osokoneza bongo nthawi yaitali komanso oipa, mitundu imeneyi imagwiritsidwa ntchito mocheperapo.
Pakalipano, ndondomekoyi siyingatchedwe kuti ndiyomwe, chifukwa imayendetsedwa pokhapokha pazisonyezo. Pewani episiotomi, mwachitsanzo, mothandizidwa ndi kusisita. Muyenera kuuzidwa za izi ndi dokotala yemwe adzatenge.
Ndidzasintha nthawi yobereka .
Zomwe zinachitikira pa nkhaniyi zimakhala zofanana ndi amayi 70%. Koma osachepera 40 peresenti amakumana ndi vutoli pakubereka, komanso simukuchititsa manyazi madokotala, ndipo simukuyenera kuchita manyazi.
Sindifuna njira zamakono komanso zosangalatsa .
Kuti muchotse mantha awa, muyenera kungokambirana ndi amene angatenge, njira yonse. Ngati pali mwayi wosankha dokotala ndi namwino amene mumamukhulupirira, ndiye kuti palibe chifukwa chodandaula.
Ndipo mwadzidzidzi muyenera kuchita zosokoneza .
Chimodzi mwa mantha ochepa omwe ali olondola. Mwamwayi, chifukwa chosowa gawo losungirako, nthawi zambiri anthu omwe sali okonzeka maganizo, amayi omwe anali kukonzekera kuchita zonse zomwezo, nthawi zambiri amakumana. Ambiri mu nkhaniyi ali ndi nkhawa kwambiri kuti sanamvere. Koma kodi izi zikukonzekera? Pambuyo pa zonse, ndi izi apa, pakuti zomwe zinali zonsezi.
Sindidzakhala ndi nthawi yopita kuchipatala.
Si ambiri omwe amakumana ndi kubereka mwamsanga, komabe ngati pali chikhumbo, mukhoza kuwerenga zazochitikazo ndikukonzekera.
Masabata 30 a mimba: maphunziro othandiza.
Ndi nthawi yogula chilichonse chimene mukusowa nthawi yoyamba mutatha kubala. Kuyambira pa zovala mpaka pacifiers. Makamaka zimakhudza "njira" monga woyendayenda, chifuwa, ndi zina zotero.
Funso kwa katswiri.
Kodi chingwecho chiyenera kusungidwa m'tsogolomu?
Msolo wamagazi uli ndi maselo ambirimbiri, omwe amagwiritsidwa ntchito pochiza khansa ya magazi ndi matenda ena. Kunja kwina, zitini zapadera za mitsempha ya magazi zakhazikitsidwa, koma ntchito iyi ndi yokwera mtengo kwambiri. Kuonjezerapo, mwayi woti mudzafunikire kuikapo ntchito yoterewu ukhoza kunenedwa kuti ndi wosayenerera. Choncho musayese zosangalatsa zosafunikira.