Kusamalidwa musanabadwe m'miyezi itatu yapitayi

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

Wothandizira zaumoyo wanu akhoza kuyankhula za kutenga pakati kwanu m'masabata, osati miyezi kapena miyezi itatu. Trimester yachiwiri imayamba sabata la 14 ndipo imadutsa sabata la 28.

Mu trimester yanu yachiwiri, mudzakhala ndi ulendo wobereka mwezi uliwonse. Maulendowa atha kukhala achangu, koma amafunikirabe. Palibe vuto kubweretsa mnzanu kapena mphunzitsi wantchito.

Maulendo pa trimester iyi ndi nthawi yabwino kukambirana za:

• Zizindikiro zodziwika panthawi yapakati, monga kutopa, kutentha pa chifuwa, mitsempha ya varicose, ndi mavuto ena wamba
• Kulimbana ndi kupweteka kwa msana ndi zowawa zina ndi zowawa panthawi yapakati

Mukamacheza, omwe amakupatsani adza:

• Lembani inu.
• Yesani mimba yanu kuti muwone ngati mwana wanu akukula monga mukuyembekezera.
• Onani kuthamanga kwa magazi anu.
• Nthawi zina tengani mkodzo kuti muyese shuga kapena mapuloteni mumkodzo wanu. Ngati imodzi mwazi zipezeka, zitha kutanthauza kuti muli ndi matenda ashuga kapena kuthamanga kwa magazi komwe kumachitika chifukwa cha mimba.
• Onetsetsani kuti katemera wina wachitika.

Pamapeto paulendo uliwonse, omwe akukuthandizani azikuuzani zosintha zomwe muyenera kuyembekezera ulendo wanu wotsatira. Uzani wothandizira wanu ngati muli ndi mavuto kapena nkhawa. Palibe vuto kukambirana za mavuto aliwonse kapena nkhawa, ngakhale simukuwona kuti ndizofunikira kapena zokhudzana ndi mimba yanu.

Kuyesedwa kwa hemoglobin. Ikuyesa kuchuluka kwa maselo ofiira m'magazi anu. Maselo ofiira ochepa kwambiri angatanthauze kuti muli ndi kuchepa kwa magazi. Ili ndi vuto lodziwika pathupi, ngakhale kuli kosavuta kukonza.

Kuyesedwa kwa shuga. Kufufuza ngati pali matenda a shuga omwe angayambike panthawi yapakati. Pachiyeso ichi, dokotala wanu adzakupatsani madzi okoma. Patatha ola limodzi, magazi anu adzatengedwa kuti muwone kuchuluka kwa shuga wamagazi. Ngati zotsatira zanu sizachilendo, mudzakhala ndi mayeso owalekerera a shuga.

Kuwunika kwa antibody. Zimachitika ngati mayi alibe Rh. Ngati mulibe Rh, mungafunike jakisoni wotchedwa RhoGAM pafupifupi milungu 28 yakubadwa.

Muyenera kukhala ndi ultrasound pafupifupi masabata 20 mutakhala ndi pakati. Ultrasound ndi njira yosavuta yopanda ululu. Wendo yemwe amagwiritsa ntchito mafunde akumveka adzaikidwa pamimba pako. Mafunde amvekere amalola dokotala kapena mzamba kuti awone mwanayo.

Izi ultrasound zimagwiritsidwa ntchito poyang'ana momwe thupi limakhalira. Mtima, impso, miyendo, ndi ziwalo zina zidzawonetsedwa.

Ultrasound imatha kuzindikira zovuta za fetus kapena zofooka zobadwa pafupifupi theka la nthawi. Amagwiritsidwanso ntchito kudziwa kugonana kwa mwanayo. Pambuyo pa njirayi, ganizirani ngati mukufuna kudziwa izi kapena ayi, ndipo muuzeni wopereka wa ultrasound zomwe mukufuna zisanachitike.

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 wothandizira wanu akuganiza kuti mukufunikira imodzi mwa mayeserowa, 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 pakuyesa kwamtundu. Ena mwa mayeserowa amakhala pachiwopsezo, pomwe ena alibe.

Amayi omwe atha kukhala pachiwopsezo chachikulu pamavutowa ndi awa:

• Amayi omwe ali ndi mwana wosabadwa yemwe ali ndi zovuta zina m'mimba yapitayi
• Amayi azaka 35 kapena kupitirira
• Amayi omwe ali ndi mbiri yolimba yabanja yolemala yobadwa nayo

Mayesero ambiri amtunduwu amaperekedwa ndikukambidwa mu trimester yoyamba. Komabe, mayesero ena amatha kuchitidwa mu trimester yachiwiri kapena amachitika koyamba mu trimester yoyamba ndi yachiwiri.

Pakuyesa kwazithunzi zinayi, magazi amatengedwa kuchokera kwa mayi ndikutumizidwa ku labu.

• Kuyesaku kumachitika pakati pa sabata la 15 ndi 22 la mimba. Zimakhala zolondola kwambiri zikachitika pakati pa masabata a 16 ndi 18.
• Zotsatira zake sizimazindikira vuto kapena matenda. M'malo mwake, amuthandiza adotolo kapena mzamba kusankha ngati pakufunika kuyesa kwina.

Amniocentesis ndi mayeso omwe amachitika pakati pa masabata 14 mpaka 20.

• Omwe amakupatsani kapena wokuthandizani amalowetsa singano m'mimba mwanu komanso mu thumba la amniotic (thumba lamadzi ozungulira mwanayo).
• Kutulutsa madzi pang'ono kumatumizidwa ku labu.

Itanani omwe akukuthandizani ngati:

• Muli ndi zizindikilo zomwe sizachilendo.
• Mukuganiza zotenga mankhwala atsopano, mavitamini, kapena zitsamba.
• Mukutuluka magazi.
• Mwawonjezera kutuluka kwa nyini kapena zotulutsa ndi fungo.
• Muli ndi malungo, kuzizira, kapena kupweteka mukamadutsa mkodzo.
• Mukumva kupweteka pang'ono kapena kupweteka pang'ono m'mimba.
• Muli ndi mafunso kapena nkhawa zilizonse zokhudzana ndi thanzi lanu kapena mimba yanu.

Kusamalira mimba - trimester yachiwiri

Gregory KD, Ramos DE, Jauniaux ERM. Kulingalira komanso kusamalira amayi asanabadwe. Mu: Gabbe SG, Niebyl JR, Simpson JL, et al, olemba. Obstetrics: Mimba Yachibadwa ndi Mavuto. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 6.

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

Smith RP. Kusamalira pafupipafupi: trimester yachiwiri. Mu: Smith RP, Mkonzi. Netter's Obstetrics and Gynecology. Wachitatu ed. Philadelphia, PA: Elsevier; 2018: mutu 199.

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