Kusamalidwa musanabadwe m'gawo lanu lachitatu

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 yachitatu imayamba kuyambira sabata 28 mpaka sabata 40.

Yembekezerani kutopa kowonjezeka panthawiyi. Mphamvu zambiri za thupi lanu zimalunjikitsidwa pakuthandizira mwana wosabadwa yemwe akukula mwachangu. Sizachilendo kumva kufunika kochepetsa zochita zanu komanso kuchuluka kwa ntchito yanu, komanso kupumula masana.

Kutentha kwa m'mimba komanso kupweteka kwa msana ndizofunanso kawirikawiri panthawiyi. Mukakhala ndi pakati, dongosolo lanu logaya chakudya limachepetsa. Izi zimatha kuyambitsa kutentha pa chifuwa komanso kudzimbidwa. Komanso, kulemera kwina komwe mumanyamula kumapanikiza minofu ndi mafupa anu.

Ndikofunikira kuti mupitilize:

• Idyani zakudya zabwino - kuphatikizapo zakudya zamapuloteni komanso ndiwo zamasamba pafupipafupi komanso pang'ono
• Pumulani pakufunika
• Chitani masewera olimbitsa thupi kapena kuyenda masiku ambiri

Mu trimester yanu yachitatu, mudzayendera asanabadwe milungu iwiri iliyonse mpaka sabata la 36. Pambuyo pake, mudzawona omwe amakupatsani sabata iliyonse.

Maulendowa atha kukhala achangu, koma amafunikirabe. Palibe vuto kubweretsa mnzanu kapena mphunzitsi wantchito.

Mukamachezera, woperekayo adza:

• Lembani inu
• Yesani mimba yanu kuti muwone ngati mwana wanu akukula monga mukuyembekezera
• Onani kuthamanga kwa magazi anu
• Tengani nyemba zamkodzo kuti muyese mapuloteni mumkodzo wanu, ngati muli ndi kuthamanga kwa magazi

Wothandizira anu amathanso kukupatsani mayeso m'chiuno kuti muwone ngati khomo lanu pachibelekeropo likuchuluka.

Pamapeto paulendo uliwonse, dokotala wanu kapena mzamba adzakuuzani zosintha zomwe muyenera kuyembekezera ulendo wanu wotsatira. Uzani wothandizira wanu ngati muli ndi mavuto kapena nkhawa. Zilibwino kukambirana za iwo ngakhale simukuwona kuti ndiwofunikira kapena zokhudzana ndi mimba yanu.

Masabata angapo tsiku lanu lisanafike, omwe akukuthandizani adzayesa mayeso omwe adzawone ngati ali ndi kachilombo ka gulu B pa perineum. Palibe zoyeserera zina za labu kapena ma ultrasound kwa mayi aliyense wapakati m'gawo lachitatu lachitatu. Mayeso ndi mayesero ena a labu owunikira mwanayo atha kuchitidwa kwa amayi omwe:

• Khalani ndi pakati pangozi, monga pamene mwana sakukula
• Mukhale ndi mavuto azaumoyo, monga matenda ashuga kapena kuthamanga kwa magazi
• Wakhala ndi mavuto m'mimba usanabadwe
• Wachedwa (ali ndi pakati kwa milungu yopitilira 40)

Pakati pa nthawi yomwe mwasankhidwa, muyenera kusamala ndi momwe mwana wanu akuyendera. Mukamayandikira tsiku lanu loyenera, ndipo mwana wanu akukula, muyenera kuzindikira kayendedwe kena kosiyana ndi koyambirira kwa mimba yanu.

• Mudzawona nthawi yogwira ntchito komanso nthawi yakukhala chete.
• Nthawi zogwira ntchito nthawi zambiri zimangoyenda ndikung'ung'udza, ndi zochepa zolimba komanso zolimba.
• Muyenerabe kumva kuti mwana akuyenda pafupipafupi masana.

Yang'anirani machitidwe mu kayendedwe ka mwana wanu. Ngati mwanayo mwadzidzidzi akuwoneka kuti akusuntha pang'ono, idyani chotupitsa, kenako mugone kwa mphindi zochepa. Ngati simukumvabe kuyenda, itanani dokotala kapena mzamba.

Itanani omwe akukuthandizani nthawi iliyonse mukakhala ndi nkhawa kapena mafunso. Ngakhale mukuganiza kuti simukudandaula pachabe, ndibwino kuti mukhale otetezeka ndikuyimbira foni.

Itanani omwe akukuthandizani ngati:

• Muli ndi zizindikilo zomwe sizachilendo.
• Mukuganiza zotenga mankhwala atsopano, mavitamini, kapena zitsamba.
• Mukutuluka magazi.
• Mwawonjeza kutuluka kwa ukazi ndi fungo.
• Muli ndi malungo, kuzizira, kapena kupweteka mukamadutsa mkodzo.
• Mumadwala mutu.
• Muli ndi kusintha kapena malo akhungu m'maso mwanu.
• Madzi anu amatuluka.
• Mumayamba kukhala ndi zopindika zanthawi zonse, zopweteka.
• Mukuwona kuchepa kwa kayendedwe ka mwana.
• Muli ndi kutupa kwakukulu ndi kunenepa kwambiri.
• Mukumva kupweteka pachifuwa kapena kupuma movutikira.

Mimba yachitatu ya mimba

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 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 yachitatu. Mu: Smith RP, Mkonzi. Netter's Obstetrics and Gynecology. Wachitatu ed. Philadelphia, PA: Elsevier; 2018: mutu 200.

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