Kusamalira asanabadwe m'miyezi itatu yoyambirira

Trimester amatanthauza "miyezi itatu." Mimba yokhazikika imakhala pafupifupi miyezi 10 ndipo imakhala ndi ma trimesters atatu.

Trimester yoyamba imayamba mwana wanu akangobadwa. Ikupitilira sabata la 14 la mimba yanu. Wothandizira zaumoyo wanu akhoza kuyankhula za kutenga pakati kwanu m'masabata, osati miyezi kapena miyezi itatu.

Muyenera kukonzekera ulendo wanu woyamba musanabadwe mutangodziwa kuti muli ndi pakati. Dokotala wanu kapena mzamba:

• Jambulani magazi anu
• Chitani mayeso athunthu m'chiuno
• Chitani zipsera za Pap ndi zikhalidwe kuti mufufuze matenda kapena mavuto

Dokotala wanu kapena mzamba adzamvetsera kugunda kwa mwana wanu, koma mwina sangamve. Nthawi zambiri, kugunda kwa mtima sikungamveke kapena kuwonedwa pa ultrasound mpaka milungu 6 kapena 7.

Paulendo woyambawu, dokotala wanu kapena mzamba adzakufunsani mafunso okhudza:

• Thanzi lanu lonse
• Mavuto aliwonse azaumoyo omwe muli nawo
• Mimba zam'mbuyomu
• Mankhwala, zitsamba, kapena mavitamini omwe mumamwa
• Kaya mumachita masewera olimbitsa thupi kapena ayi
• Kaya mumasuta kapena mumamwa mowa
• Kaya inu kapena mnzanu muli ndi mavuto amtundu kapena matenda omwe amapezeka m'banja lanu

Mudzakhala ndi maulendo ambiri kuti mukalankhule za dongosolo lobadwira. Muthanso kukambirana ndi dokotala kapena mzamba paulendo wanu woyamba.

Ulendo woyamba ukhalanso nthawi yabwino kukambirana za:

• Kudya wathanzi, kuchita masewera olimbitsa thupi, ndikusintha moyo wanu mukakhala ndi pakati
• Zizindikiro zodziwika panthawi yoyembekezera monga kutopa, kutentha pa chifuwa, ndi mitsempha ya varicose
• Momwe mungasamalire matenda am'mawa
• Zoyenera kuchita pokhudzana ndi magazi ukazi nthawi yapakati
• Zomwe mungayembekezere paulendo uliwonse

Mudzapatsanso mavitamini oberekera ndi chitsulo ngati simukuwamwa kale.

M'nthawi yanu yoyamba ya trimester, mudzakhala ndi ulendo wobadwa nawo mwezi uliwonse. Maulendowa atha kukhala achangu, koma amafunikirabe. Palibe vuto kubweretsa mnzanu kapena mphunzitsi wantchito.

Mukamacheza, dokotala kapena mzamba:

• Lembani inu.
• Onani kuthamanga kwa magazi anu.
• Fufuzani kumveka kwa mtima wa fetal.
• Tengani nyemba zamkodzo kuti muyese shuga kapena mapuloteni mumkodzo wanu. Ngati zonse mwazi zapezeka, zitha kutanthauza kuti muli ndi matenda ashuga kapena kuthamanga kwa magazi komwe kumachitika chifukwa cha mimba.

Pamapeto paulendo uliwonse, dokotala wanu kapena mzamba adzakuuzani zosintha zomwe muyenera kuyembekezera ulendo wanu wotsatira. Uzani dokotala wanu ngati muli ndi vuto kapena nkhawa. Palibe vuto kukambirana za iwo ngakhale simukuwona kuti ndiwofunika kapena kuti ndiwokhudzana ndi mimba yanu.

Paulendo wanu woyamba, dokotala wanu kapena mzamba adzakoka magazi pagulu la mayeso omwe amadziwika kuti ndi gulu la amayi obereka. Kuyesaku kumachitika kuti apeze zovuta kapena matenda koyambirira kwa mimba.

Gulu ili la mayeso limaphatikizapo, koma silingokhala ndi:

• Kuwerengera kwathunthu kwa magazi (CBC)
• Kulemba magazi (kuphatikizapo Rh screen)
• Rubella virus antigen screen (izi zikuwonetsa momwe mulili ndi matenda a Rubella)
• Gulu la hepatitis (izi zikuwonetsa ngati muli ndi chiyembekezo cha matenda a chiwindi a A, B, kapena C)
• Chiyeso cha chindoko
• Kuyezetsa magazi (kuyesa uku kukuwonetsa ngati muli ndi kachilombo koyambitsa Edzi)
• Chithunzi cha cystic fibrosis (kuyesa uku kukuwonetsa ngati ndinu wonyamula cystic fibrosis)
• Kusanthula kwamkodzo ndi chikhalidwe

Ultrasound ndi njira yosavuta yopanda ululu. Wendo yemwe amagwiritsa ntchito mafunde akumveka adzaikidwa pamimba pako. Mafunde amvekere amalola dokotala kapena mzamba kuti awone mwanayo.

Muyenera kukhala ndi ultrasound yoyamba mu trimester yoyamba kuti mudziwe tsiku lanu.

Amayi onse amapatsidwa kuyesedwa kwa majini kuti awone ngati ali ndi vuto lobadwa ndi mavuto amtundu wawo, monga Down syndrome kapena ubongo ndi zovuta zapakhosi.

• Ngati dokotala akuganiza kuti mukufuna mayesero aliwonsewa, kambiranani za omwe angakhale abwino kwa inu.
• Onetsetsani kufunsa za zomwe zotsatirazi zingatanthauze kwa inu ndi mwana wanu.
• Mlangizi wa majini atha kukuthandizani kumvetsetsa zoopsa zanu ndi zotsatira za mayeso.
• Pali zosankha zambiri tsopano zoyesa majini. Ena mwa mayeserowa amakhala ndi zoopsa kwa mwana wanu, pomwe ena alibe.

Amayi omwe atha kukhala pachiwopsezo chachikulu pamavuto amtunduwu ndi awa:

• Amayi omwe ali ndi mwana wosabadwa yemwe ali ndi mavuto amtundu wawo m'mimba zoyambirira
• Amayi, azaka 35 kapena kupitirira
• Amayi omwe ali ndi mbiri yolimba yabanja yolemala yobadwa nayo

Pachiyeso chimodzi, wothandizira wanu amatha kugwiritsa ntchito ultrasound kuti ayese kumbuyo kwa khosi la mwana. Izi zimatchedwa transuchency ya nuchal.

• Kuyezetsa magazi kumachitidwanso.
• Pamodzi, njira ziwiri izi ziziwitsa ngati mwana ali pachiwopsezo chokhala ndi Down syndrome.
• Ngati mayeso otchedwa `` quadruple screen '' achitika m'gawo lachiwiri lachitatu, zotsatira zamayeso onsewa ndizolondola kuposa kuyesa nokha. Izi zimatchedwa kuwunika kophatikiza.

Chiyeso china, chotchedwa chorionic villus sampling (CVS), chimatha kuzindikira matenda a Down syndrome ndi matenda ena amtundu wamasabata 10 ali ndi pakati.

Kuyezetsa kwatsopano, kotchedwa kuyesa kwa DNA kopanda ma cell, kumayang'ana tizigawo ting'onoting'ono ta majini a mwana wanu mchitsanzo cha magazi ochokera kwa mayi. Chiyesochi ndi chatsopano, koma chimapereka lonjezo lochuluka molondola popanda zoopsa zapadera.

Palinso mayesero ena omwe angachitike mu trimester yachiwiri.

Itanani omwe akukuthandizani ngati:

• Muli ndi mseru wambiri komanso kusanza.
• Mukutaya magazi kapena kupunduka.
• Mwachuluka kutulutsa kapena kutulutsa ndi fungo.
• Muli ndi malungo, kuzizira, kapena kupweteka mukamadutsa mkodzo.
• Muli ndi mafunso kapena nkhawa zilizonse zokhudzana ndi thanzi lanu kapena mimba yanu.

Kusamalira mimba - trimester yoyamba

Gregory KD, Ramos DE, Jauniaux ERM. Kulingalira komanso kusamalira amayi asanabadwe. Mu: .Landon MB, Galan HL, Jauniaux ERM, et al, eds. Obstetrics a Gabbe: Mimba Yachibadwa ndi Mavuto. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: chap.

Hobel CJ, Williams J. Antepartum chisamaliro. Mu: Wolowa mokuba N, Gambone JC, Hobel CJ, eds. Hacker & Moore's Essentials of Obstetrics and Gynecology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2016: mutu 7.

Magowan BA, Owen P, Thomson A. Antenatal komanso chithandizo chobereka pambuyo pobereka. Mu: Magowan BA, Owen P, Thomson A, eds. Zachipatala Obstetrics ndi Gynecology. Wolemba 4. Philadelphia, PA: Elsevier; 2019: mutu 22.

Williams DE, Pridjian G. Obstetrics. Mu: Rakel RE, Rakel DP, olemba. Buku Lophunzitsira La Banja. 9th ed. Philadelphia, PA: Elsevier; 2016: chap 20.

• Kusamalira Amayi Asanabadwe