Poonetsetsa kuti njira yopanga intrauterine siinasokonezedwe ndikudutsa pamzerewu, machitidwe onse a amayi amtsogolo ayamba kugwira ntchito ndi katundu wambiri, popeza mwanayo amafunikira kukhala ndi zinthu zabwino zothandizira chitukuko, kupereka zakudya ndi oxygen. Koma kusintha sikukuchitika kokha ndi kachirombo kakang'ono, koma ndi amayi ake. Tiyeni tiwone zomwe asungwana amasintha panthawi ya mimba.
Toxicosis.
Pa yachiwiri - sabata lachitatu la mimba, pamene akuonedwa kuti abwera, ndipo dzira la fetal limayikidwa mu chiberekero cha mimba, thupi la mayi limapanga mahomoni omwe amateteza kuti asatuluke. Panthawiyi, chiberekero cha amayi omwe ali ndi pakati chimasintha kwambiri, chomwe chimayambitsa matenda a m'mawa, kusinthasintha kawirikawiri m'maganizo, kupsinjika maganizo, ndi kutengeka. Asayansi apeza kuti toxicosis ndi chizindikiro chakuti mudzatha kupirira mwana popanda mavuto, ndipo kubadwa kudzapambana. Ngakhale kuti kupeza koteroko kulibwino, asungwana ambiri omwe ali ndi pakati, nthawi zina sangathe kutuluka kwa nthawi yayitali kuchokera kunyumba, chifukwa nthawi zonse amazunzika chifukwa cha nseru. Koma toxicosis si yamuyaya ndipo mwezi wachitatu mahomoni m'thupi amaonetsetsa ntchito yawo.
Kulemera.
Chimodzi mwa mawonetseredwe owoneka kwambiri a mimba ndi kulemera, koma usawopsyeze, chifukwa ichi ndi njira yowonjezera ya thupi yomwe imathandiza kuti mwana wanu akule bwino. Pa nthawi yonse yomwe mayi ali ndi mimba amaika 10-13 makilogalamu, omwe 4-4.5 makilogalamu ndi kulemera kwa mwana wosabadwa, amniotic madzi, placenta, amniotic nembanemba, 1-1,5 izi ndi mimba ya chiberekero ndi mawere, 1.5 makilogalamu a magazi , 1 makilogalamu a madzi otsekula m'mimba komanso kuphatikizapo kuchuluka kwa mafuta a mai - 4 makilogalamu, omwe amapatsa mwanayo mkaka wamtsogolo. Kuyenera kudziŵika kuti kusuta ndikumwa kwa atsikana kulemera kumakhala koipitsitsa, ndipo makanda amabadwa ochepa ndipo amakhala ndi chitetezo chochepa. Kotero, amayi amtsogolo omwewo, ndibwino kuganizira njira yanu ya moyo.
Kupuma.
Thupi laling'ono mkati mwa thupi la mayi limasowa oksijeni pamphindi iliyonse, kotero msungwana wa mimba amakula monga progesterone yamadzimadzi, yomwe imayambitsa kupuma kwina kwa mitsempha yowonongeka ndi kuwonjezeka kwa lumen. Zonsezi zimapangitsa kuchuluka kwa mpweya umene amayi amapuma ndi 40 peresenti, ndipo 30 peresenti imagwiritsidwa ntchito ndi mwanayo, ndipo otsala 10% amawonongedwa ndi machitidwe a mkazi wodwala kwambiri.
Mtima ndi mitsempha ya magazi.
Chinthu chachikulu pa nthawi ya mimba chimagwera pamtima, chifukwa mwa kupweteka kwa mtima, kuchoka kwa ventricular hypertrophy ndi kuwonjezeka kwa mphindi imodzi, zinthu zonse zofunika zimaperekedwa pachiberekero. Kuwonjezera pa kupititsa patsogolo mtima, kutenga mimba kumawonjezera mphamvu ya magazi pafupifupi nthawi imodzi ndi theka, pokhudzana ndi izi, kawirikawiri kwa atsikana pamakhala vuto lowonjezeka. Kupweteka kwa m'mimba m'masabata 18 oyambirira kumachepa pang'ono, chifukwa cha zomwe mayi wakuthupi amatha kufooka ndi kulephera. Ndipo pofika pakati pa trimester yachiwiri, kuwonjezeka kwa 10mm kukuwonetsedwa. gt; Art. Pambuyo pobereka, vutoli ndilochibadwa. Koma ndi kofunika kuyang'anitsitsa kupanikizika pa nthawi ya chiberekero, popeza chiwombankhanga chapamwamba chingayambitse kuperewera kwa amayi kapena kubereka msanga.
Magazi.
Mimba imafuna kuti thupi likhale labwino kwambiri, kotero n'zosadabwitsa kuti mkazi ali ndi hemopoiesis, erythrocyte angapo, hemoglobin ndi plasma. Pamapeto pa mimba, kuchuluka kwa magazi kumawonjezeka ndi 40%. Ndikumakhala ndi mimba, pali kusintha kwa maonekedwe a magazi, kusintha kwa masitepe ake. Ngati machitidwe okhwimitsa ali ndi pakati pomwe ali ndi mphamvu zokwanira, ndiye kuti palibe njira yapadera yopitilira PH.
Matenda ndi minofu.
Pa nthawi yonse ya mimba thupi limakonzekera kubala ndipo limapanga mahomoni ngati kupumula, omwe amachititsa kuti zikhale zosiyana kwambiri ndi ziwalo za mitsempha ndi minofu kuti mwanayo apite bwino. Pachifukwa ichi, mu trimester yotsiriza, mayi wokhala ndi pakati amatha kuwonjezeka pa maulumikiro, nthawi zina pamakhala kupweteka kwapachirombo mmanja, mawondo ndi mitu. Chilichonse chimakhala chachizolowezi nthawi yobereka.
Chikopa.
Khungu la mayi wapakati limayesanso kuyesedwa, komwe kusintha kwakukulu kumachitika. Pofika pakati pa trimester yachiwiri, mkazi amatha kuona mawonekedwe a nkhope yake, pomwe mzere umachokera kumalo osungira, ndipo umakhala wakuda, ndipo umakhala wakuda. Kusintha koteroku ndiko chifukwa chakuti zida za adrenal zimapanga pigment yofanana ndi melanin. Pafupi ndi nthawi yoberekera, chiberekero chachikulu, chomwe chimapangitsa kuti khungu likhale lolimba kwambiri pamimba ndi mmbuyo. Ngati khungu la mayi wapakati ali ndi mapuloteni ambiri monga elastin, striae yomwe imabwera panthawi yomwe ali ndi mimba imatha msanga atabereka. Ngati mapuloteni sali okwanira pamenepo, mwatsoka, kutambasula zizindikiro kudzakhala kowonekera m'moyo wanu wonse.
Kusankha.
Imodzi mwa nthawi zosasangalatsa za mimba ndi kudalira chimbudzi. Pa trimester yachiwiri chiberekero chafika kale mokwanira ndipo chimayikitsa chikhodzodzo cha mayi wapakati. Kutalika kwa nthawiyi, kukakamizidwa kwambiri komwe kumayambitsa kukodza nthawi zambiri. Popeza impso sizingathetse madzi onse m'thupi la mayi wamtsogolo, amayi ambiri amavutika ndi kutupa. Zikatero, m'pofunika kuimika mlingo wa madzi okwanira patsiku ndipo osaphatikizapo diuretics ndi kukonzekera.
Mphamvu.
Msungwana aliyense wakhudzidwa amakhala ndi kusintha kosangalatsa. Kawirikawiri, zomwe ankakonda asanayambe kutenga pakati pano zimanyansidwa naye, ndipo amasankha zakudya zomwe sanadye. Koma muyenera kumvetsera kuti pali mayi wapakati, chifukwa chakudya chake chimagwira ntchito yofunikira kwambiri popanga mwanayo. Kuchokera pa zakudya ndizofunikira kutulutsa zakudya zambiri zonunkhira, zokometsera zonunkhira, mitundu yonse ya zakudya zopsereza ndi maswiti. Zakudya zake zikhale zipatso, zipatso, nyama, mkaka, masamba, masamba ndi nyemba!
Kotero, monga momwe mukuonera, kusintha kwa atsikana pa nthawi ya mimba. Chiwalo cha mayi wapakati chimakhala ndi katundu wolemetsa ndi kusintha, komabe icho chimakhalabe mkazi wokondedwa, wofunidwa ndi wokongola.