14 pule o ka hapai ana mai ka hapai ana
No ʻehā mahina āu e lawe nei i kahi ola hou ma lalo o kou puʻuwai. He aha ka hopena i ka pēpē i ka pule 14 o ka hāpai ʻana mai ka hāpai ʻana a pehea ka manaʻo o ka makuahine e kali ana? Hana mākou me nā gynecologists

He aha ka hopena o ka pēpē i 14 mau pule

I ka pule 14 o ka hāpai ʻana, ua hana mua ka pēpē i nā ʻiʻo maka, ua ʻike ke keiki i ke kūkulu ʻana i nā helehelena ʻakaʻaka, wini ʻo ia, haʻalulu, wehe a pani i kona waha.

ʻO nā ʻāpana o kona kino ke kokoke loa i ka mea maʻamau: ua lōʻihi nā wāwae i ka hoʻohālikelike ʻia i nā lima, a ʻaʻole nui ke poʻo i ke ʻano o ke kino holoʻokoʻa. Ua ʻike mua ʻo ia i ke ʻano o ka hoʻopaʻa ʻana a me ka hoʻoikaika ʻana e hopu i ka peni, a i ʻole ka wāwae, a i ʻole ke kaula umbilical.

ʻO ka pēpē holoʻokoʻa i kēia manawa ua uhi ʻia me kahi fluff mālie a ʻike ʻole ʻia, e nalowale ana i ka wā hānau.

Hoʻomaka ka ʻōpū, ka ʻōpū a me ka gallbladder e hana i kā lākou mau hana maʻamau, ʻo ia hoʻi, ʻike ʻia nā mea mua i loko o ka ʻōpū o ka pēpē - ka mea i kapa ʻia meconium.

Ma ka 14 o ka pule o ka hāpai ʻana mai ka hāpai ʻana, ke hana nei nā ʻōnaehana fetal āpau, koe wale nō ka hanu, ma ke ʻano maʻamau, a ke hana nei kona umauma i nā neʻe, hoʻomaʻamaʻa i nā exhalations a me nā inhalations. Hoʻokomo pū ʻia nā puʻupaʻa i ka hana, hoʻomaka lākou e hoʻokuʻu i ka mimi i loko o ka wai amniotic.

ʻO ka ultrasound fetal

"I kēia manawa, e haʻi pololei ka ultrasound iā ʻoe i ke kāne o ka pēpē i hānau ʻole ʻia, hiki i ke kauka ke nānā i ke anatomy holoʻokoʻa (e ʻike i nā hemahema nui a me nā hōʻailona o kekahi mau pathologies), e ana i nā iwi a me nā pōʻai o ke poʻo a me ka ʻōpū. , a hōʻike pū i ke kūlana o ka placenta a me ke ʻano o ke kaula umbilical," wehewehe ʻo Dinara Berezina, ke kauka wahine.

Me ka ultrasound o ka pēpē i ka pule 14 o ka hāpai ʻana, hiki ke ʻike ʻia ka neʻe ʻana o ka pēpē ma ka ʻaoʻao nānā: neʻe ʻo ia, ʻū ke keiki, hoʻololi kona helehelena. Eia naʻe, inā ʻaʻohe neʻe, ʻaʻole pono ʻoe e huhū. E ʻike paha ʻoe i nā neʻe mua i ka mahina aʻe.

Hiki ke hoʻomaopopo ʻia e nā ʻōpū inā he keiki kāne a he kaikamahine paha ʻoe, ʻoiai ʻaʻole hiki ke hana ʻia me ka hoʻokolokolo ultrasound.

Ola kiʻi

I nā pule he 14 o ka hāpai ʻana, ua like ka nui o kāu pēpē me ka avocado. Ke ulu ikaika nei. ʻO ka lōʻihi o ke keiki ma kahi o 16 cm, a ʻo ke kaumaha ma kahi o 120 g. I loko o nā pule ʻekolu e hiki mai ana, e piʻi aʻe ka ulu - e ulu ʻelua ke pēpē.

Mai ke kiʻi o ka'ōpū i ka wiki 14 o ka hāpaiʻana, hiki iāʻoe ke hoʻoholo e kali ana ke kaikamahine i kahi pēpē. Heʻoiaʻiʻo loa kēia no nā wahine wiwi, a me nā kaikamahine lohi. Ma muli o ke kumukānāwai, ua ʻike mua ʻia ko lākou ʻōpū. Pela no na makuahine me ka puhaka haiki. Hiki ke ʻike ʻia nā ʻano poepoe inā hoʻohiki ka pēpē i ka nui.

Eia nō naʻe, hiki i kekahi mau wahine ke nānā like me ka wā ma mua o ka hāpai ʻana, akā naʻe, ma hope o 3-4 mau pule, e mau ana ke ʻano a ʻike ʻia ka ʻōpū.

He aha ka mea e hana ai i ka makuahine i nā wiki he 14

I ka pule 14 o ka hāpai ʻana mai ka hāpai ʻana, manaʻo nui ka makuahine, ʻoiai ʻaʻole kēia ka hihia no nā wahine a pau. ʻAʻole pilikia ka nausea a me ka makemake pinepine e hele i ka lua i kēia manawa, akā ʻokoʻa i kekahi manawa.

ʻO nā hoʻololi maikaʻi: ʻoi aku ka maikaʻi o ka wahine ma mua o ka mea maʻamau, i ka piʻi ʻana o ka nui o ke koko, holo wikiwiki ia i ka ʻili a hoʻomaka ʻo ia e "alohi". Ma muli o kēia, ulu wikiwiki ka lauoho, a ʻoi aku ka maikaʻi o ke ʻano. Inā ʻaʻole kēia ke keiki mua a ka makuahine, a laila hiki iā ia ke manaʻo i nā neʻe mua o ka pēpē, ʻaʻole hiki ke hauʻoli.

Loaʻa ka pilikia i kekahi manawa e kēlā mau makuahine e hoʻomaka e hoʻokomo i ke kaumaha. Loaʻa kekahi i ka 5-7 kg i kēia manawa, akā ʻoi aku ka maikaʻi ʻaʻole e wikiwiki e like me ia, ua lawa ka 2-3 kg no 14 mau pule. I loko o ka wahine hāpai, pōʻeleʻele paha nā mole a me nā freckles, hiki ke hoʻonui ʻia ka pigmentation o ka ʻili, no ka laʻana, a puni nā nipples a ma ka ʻōpū.

I kēia manawa, hiki ke kahe mai ke koko mai ka ihu a me ka ʻāʻī, a me nā maʻi fungal, e like me ka thrush. Me ia mau pilikia, ʻoi aku ka maikaʻi o ka holo wikiwiki ʻana i ke kauka, no ka mea, aia ka nui o ka pilikia o ka maʻi ʻana i ka pēpē me kahi fungus. Hāʻawi pinepine ka pilikia i ka progesterone, no ka mea e hoʻomaha ai ka ʻōpū a me ka constipation, ka puʻuwai puʻuwai, ka puʻu a me nā hemorrhoids.

He aha nā manaʻo e hiki iā ʻoe ke loaʻa i ka wiki 14

I ka pule 14 o ka hāpai ʻana, ʻike ka wahine i nā manaʻo ʻoluʻolu hou (a ʻaʻole hoʻi):

  • ʻoi aku ka maikaʻi o kona ola ʻana i ka wā e hoʻomaha ai kona mau hormones;
  • ʻO ka hauʻoli hauʻoli, ʻoi aku ka maikaʻi inā ʻike ʻia nā neʻe o ka pēpē i loko o ka ʻōpū;
  • piʻi ka ʻai, a e ulu aʻe i ka wā e hiki mai ana, ʻoiai ke ulu ikaika nei ka pēpē;
  • inā ma mua ʻaʻole i māhuahua ka umauma, a laila e hoʻomaka i kēia manawa a i ʻole i nā pule ʻelua e hiki mai ana;
  • ʻAʻole lahilahi ka pūhaka, ua pōʻai mālie ka ʻōpū a ʻaʻole kūpono paha ka ʻūhā maʻamau i ka makuahine;
  • hiki ke pilikia ma muli o ka hoʻololi ʻana i ke kikowaena o ka umekaumaha a me ke kaumaha;
  • ʻAʻole hōʻoluʻolu kekahi poʻe i ka hiamoe ma ko lākou kua, pono lākou e moe ma ko lākou ʻaoʻao.

malama

ʻO ka mea maʻamau wale nō no kēia manawa ka hoʻokuʻu māmā maʻamau me ka ʻole o ka ʻala ikaika, inā ʻike ʻoe i ke koko ma ke olonā, ʻaʻole maikaʻi kēia.

Manaʻo nā kauka e hōʻike koke i ka pilikia i kāu gynecologist, akā ʻoi aku ka maikaʻi o ka pāʻani palekana a kāhea aku i kahi kaʻa kaʻa. Pono e hele i ka haukapila inā he nui ka ʻike, inā he mau koko koko i loko o lākou, a inā he nāwaliwali loa ka makuahine i ka manawa like.

ʻO ka hoʻokaʻawale ʻana ma ke ʻano o ka menstruation he hōʻailona o:

  • placenta previa a i ʻole abruption;
  • hāʻule kino;
  • ʻehaʻeha;
  • pehu;
  • nā tumors.

Hiki ke ʻike ʻia nā pōʻino inā loaʻa kekahi mau hōʻailona weliweli i ka manawa hoʻokahi, no ka laʻana, ka ʻeha ʻeha nui, ke kani ʻana o ka ʻōpū ʻaʻole nāwaliwali, a, ʻoiaʻiʻo, ke kahe ʻana o ke koko.

Inā lawe ʻia nā hana kūpono, a laila aia nā manawa āpau e mālama pono ai i ka hāpai ʻana a me ka hānau ʻana i kahi pēpē olakino.

Eha ka' ōpū

- I kēia manawa, hiki i ka wā pōkole huki ʻana i nā ʻeha i nā ʻāpana iliac (peia ke ʻano o ke kau ʻana o nā ligaments), - wehewehe ka gynecologist Dinara Berezina. - Eia naʻe, ʻaʻole maʻamau nā ʻeha a pau, pono e makaʻala ʻia ka wahine e ka ʻeha cramping, "petrification" a me ka manaʻo paʻa i ka ʻōpū o lalo.

Inā he hoʻoweliweli a ʻaʻole paha, hiki iā ʻoe ke hoʻomaopopo i kēia mau hōʻailona:

  • ʻAʻole weliweli inā aia wale ka ʻeha ma kekahi ʻaoʻao;
  • inā mālie ka ʻōpū (inā paʻakikī, kāhea mākou i ka haukapila);
  • inā ʻaʻole he periodicity ka ʻeha (inā loaʻa ia me ke alapine o 10-15 mau minuke, kāhea mākou i ka haukapila).

I kekahi mau hihia, ʻo ke kumu o ka ʻeha o ka ʻōpū he pilikia me ka ʻōpū o ka ʻōpū. ʻO ka constipation, heartburn, bloating e hoʻopilikia mau i nā makuahine hāpai a hiki ke hōʻino i ke ola.

hōʻike hou aku

Hoʻokuʻu ʻulaʻula

Huli ʻeleʻele ka hoʻokuʻu ʻana ma muli o ke koko i loko. ʻO ka mea maʻamau, ʻaʻole pono ma laila, no laila ʻo ka mea mua a mākou e hana ai, ʻo ia ke hana i kahi manawa me ke kauka.

ʻAʻole pono ke hoʻoweliweli ma muli o ka liʻiliʻi ʻana o ka brownish i kēlā manawa, i kēia lā ua kūleʻa ka lāʻau lapaʻau i nā pilikia he nui i ka wā hāpai, inā he placenta previa a i ʻole ka hoʻoweliweli o ka hāʻule ʻana. Inā ʻaʻole ʻoe e ʻae i nā mea e hele i ko lākou ala, aia nā manawa āpau e pale aku i nā pilikia a lawe maikaʻi i ke keiki i ka lā kūpono.

Nā nīnau a me nā pane kaulana

Hiki paha ke kipa i ka sauna a i ʻole ka ʻauʻau i ka wā hāpai?

Aia kekahi mau manawa koʻikoʻi i ka ulu ʻana o ke keiki, a inā i kēlā manawa i hoʻokiʻekiʻe ʻia ka mahana o ke kino o ka makuahine no kekahi manawa, hiki ke hōʻeha i ka pēpē. ʻAʻole kūpono ka pilikia i kēia hihia, no laila ua ʻōlelo nā kauka e hōʻole i ke kipa ʻana i nā ʻauʻau a me nā sauna. Pela no ka solarium. ʻAʻole ʻike maopopo ʻia ka hopena o ka radiation ultraviolet i ka pēpē i hānau ʻole ʻia, akā ʻoi aku ka maikaʻi o ka pāʻani palekana a kali iki me ia mau kaʻina hana.

He aha ke ʻano o ka glucose koko i ka wahine hāpai?

ʻOi aku ka haʻahaʻa o ka glucose no nā wahine hāpai ma mua o nā wahine hāpai ʻole - a hiki i 5,1 mmol / l. Ua wehewehe ʻia kēia e ka mea pono e pale i ka ulu ʻana o ka pancreas o ke keiki mai ka nui o ke kō i loko o ke koko o ka makuahine.

Inā he 5,1 a ʻoi aʻe paha ke kiʻekiʻe o ka glucose koko hoʻokēʻai o ka wahine, pono e kuhikuhi ka gynecologist iā ia i kahi endocrinologist nāna e kuhikuhi i kahi meaʻai me ka ʻole o nā haʻalulu maʻalahi, a i ʻole ke kuhikuhi ʻana i ka insulin.

He aha ka oligohydramnios a no ke aha ia e hana ai?

Hoʻopuka ʻia ka wai amniotic ma kahi o 12 mau lā ma hope o ka hāpai ʻana. I ka wā mua, aia ka wai i hāʻawi ʻia e ka makuahine hāpai, a ma ka 20 pule e hoʻololi ʻia e ka mimi o ka pēpē ponoʻī. Ke ulu nei ka nui o ka wai amniotic i loko o ka manawa holoʻokoʻa o ka hāpai ʻana, a ma kahi o 34-36 mau pule e hiki ai i kahi kiʻekiʻe - hoʻokahi lita.

No ka hoʻomaopopo ʻana he liʻiliʻi ka wai amniotic, hiki i nā kauka ke hoʻohana i kēia mau ʻāpana: amniotic fluid index - IAF (maʻamau 5-25 cm), hohonu o ka ʻeke kū pololei - HVK (maʻamau 2-8 cm). No laila, inā emi ka AFI ma mua o 5 knm, a emi ka HVK ma mua o ʻelua, a laila he oligohydramnios ka makuahine.

No ke aha kēia hana? Nui paha nā kumu:

• nā hemahema congenital o nā puʻupaʻa, nā māmā;

• ka chromosomal pathology;

• hoʻohana lāʻau makuahine;

• ka hoʻopaneʻe o ka ulu ʻana o ka fetal;

• ka hakakā fetal i nā hāpai he nui;

• ma ka ʻaoʻao o ka makuahine (ke hypertension arterial, diabetes, preeclampsia);

• pilikia me ka placenta (thrombosis, heart attack).

He pilikia koʻikoʻi ka Oligohydramnios i nā mahina 6 mua o ka hāpai ʻana. ʻO ia i loko o kēia manawa ke kiʻekiʻe o ka pilikia o ka congenital malformations, ka hāpai keiki, ka hānau mua ʻana a me ka nalowale o kahi keiki.

Hiki paha ke moe kolohe?

Inā maikaʻi ka hāpai ʻana, no ke aha? He ʻāpana kūlohelohe o ke ola a ʻaʻole pono ʻoe e hōʻole iā ʻoe iho no ka makaʻu e hōʻeha i kāu keiki. Na kekahi kauka e hōʻoiaʻiʻo iā ʻoe he pōmaikaʻi wale nō ke ola moe kolohe.

ʻOiaʻiʻo, ʻaʻole hōʻike ʻia ka moekolohe i nā wahine hāpai a pau. ʻO ka poʻe i hāʻule ʻole a i ʻole ka hoʻoweliweli ʻana i ka hoʻopaʻapaʻa, placenta previa, ʻike ʻia mai ka ʻāpana genital, pono lākou e pale.

ʻAʻole ʻōlelo ʻia e leʻaleʻa me kahi hoa i hoʻāʻo ʻole ʻia, no ka mea he paʻakikī nā STI i kekahi manawa a hoʻopau i ka manawa e mālama ai, a he nui nā kapu no nā wahine hāpai e pili ana i ke koho ʻana i nā lāʻau lapaʻau.

He aha ka hana inā piʻi ka mahana?

- Inā he kuni kou, pono ʻoe e nīnau i ke kauka. ʻAʻole ʻoe e hopohopo, ua ʻae ʻia nā lāʻau he nui i ka lua o ka trimester (ʻaʻole lākou e hōʻeha i ka makuahine a me ka pēpē). Akā, ʻaʻole pono e waiho ʻia kēia pilikia me ka mālama ʻole ʻia, hiki i ke kiʻekiʻe ke hoʻopōʻino, wahi a ka obstetrician-gynecologist ʻo Dinara Berezina.

Ma hope o ke kipa ʻana i ke kauka, ʻo ka hana koʻikoʻi e hiki mai ana i ka makuahine e hāpai ana, ʻo ia ke moe i lalo i kahi moe a hoʻomaha iā ia iho a inu nui i ka wai. ʻAʻohe lāʻau lapaʻau maikaʻi no nā maʻi o ka hui ARVI i ʻae ʻia no nā wahine hāpai, akā mālama ʻia lākou e ko mākou pale ʻana, pono ʻoe e hoʻomaha a ʻaʻole e hoʻopilikia iā ia.

Pehea e hoʻohaʻahaʻa ai i ka mahana? ʻAe ʻia ka Paracetamol, akā ʻoi aku ka maikaʻi i hoʻokahi manawa. A ʻoi aku ka liʻiliʻi o ka mahana ma mua o 38 ʻoi aku ka maikaʻi ʻaʻole e kīkē i lalo.

He aha ka hana inā huki ia i ka ʻōpū o lalo?

He mea maʻamau ka huki ʻana i ka ʻeha ma ka ʻōpū i ka wā hāpai. ʻO ka mea nui e hōʻoia i ka mālie o ka ʻōpū a ʻaʻole paʻakikī, a ʻaʻole hiki mai ka ʻeha i nā hoʻouka kaua. Inā pilikia wale ia, ʻōlelo nā kauka e moe i lalo a hanu mai kou ʻōpū. Hoʻoikaika kēia i ka hoʻomaha a me ka mālie.

Pehea e ʻai pono ai?

I ka lua o ka trimester, piʻi nui nā lilo o ke kino no ka ulu ʻana a me ka ulu ʻana o ka fetus, no laila ka pono o ka ʻai ʻoi aku ka nui o ka calorie. Manaʻo ʻia e ʻai ka wahine hāpai ma kahi o 2500 kilocalories i kēlā me kēia lā.

Pono ka wahine e ʻai i ka liʻiliʻi o 95 grams o ka protein i kēlā me kēia lā, a ʻo ka hapalua o ia mea e loaʻa mai nā huahana holoholona: ka ʻiʻo, nā hua manu, nā iʻa. Pono ka momona i ka ʻai i kēlā me kēia lā ma kahi o 80 grams, nona ka liʻiliʻi he 40 grams he mea kanu. ʻO 350 grams o ka carbohydrate ka mea maʻamau no ka wahine ma 14 mau pule o ka hāpai ʻana. ʻOi aku ka maikaʻi o ka hāʻawi ʻana i ka pōmaikaʻi i nā cereals, pasta, i loaʻa nā haʻalulu paʻakikī.

Akā ʻoi aku ka maikaʻi o ka poina i ka paʻakai no kekahi manawa. ʻO ka nui o kāna meaʻai e hoʻonui ai i ka inu, a e alakaʻi kēia i ka pehu. Loaʻa ka nui o ka paʻakai i loko o nā huahana semi-finished, nā meaʻai canned a me nā sausages hale hana, waiho iā lākou ma nā hale kūʻai.

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