ma keia 16th pule o ka hāpai ʻana (18 mau pule), ana ka pēpē i 17 cm a kaupaona 160 g.

Ke mau nei kona mau kino like ʻole i ke oʻo ʻana.

ʻO kona kua, kūlou i mua, pololei.

ʻO ke kino o ka fetus ma 16 mau pule, koe wale nō nā poho o nā lima a me nā wāwae o ka wāwae, ua uhi piha ʻia me kahi iho maikaʻi, ka lanugo. E hāʻule kēia i ka wā hānau akā hiki ke hoʻomau i kekahi mau ʻāpana o ke kino, keu hoʻi inā hiki iki ka pēpē. ʻO kahi waxy, mea keʻokeʻo, vernix caseosa, uhi pū kekahi i ka ʻili o ka pēpē a pale iā ia mai ka wai amniotic kahi e ʻauʻau ai. Kuhi ʻia nā manamana lima i kēlā me kēia manamanalima.

Le 16 wiki fetusneʻe ʻoi aku ʻo ia a ke hāʻawi nei kēia mau neʻe i ka hoʻonui ʻana i kona nui a me ka hana pono ʻana o kāna mau ami. Eia nō naʻe, noho mau ka hiamoe kāna hana nui, me ka ʻole o 20 mau hola o ka hiamoe o kēlā me kēia lā.

Inā he kaikamahine, ulu ākea ka lua o ka ʻōpū.

Aia ka wahine hāpai ma 18 mau wiki o ka amenorrhea (16 SG), ikaika ka hana o ka progesterone e ka placenta. ʻO kēia hormone, ka mea e kōkua ai e mālama i ka hāpai ʻana, a he hopena hoʻomaha hoʻi ia i nā mākala maʻalā, i mea e hōʻemi ai i nā hoʻoliʻiliʻi o ka kōpū i ka wā hāpai. ʻO nā ʻaoʻao ʻē aʻe o ke kālā: hoʻonāukiuki ia i nā mākala ʻoluʻolu ʻē aʻe e like me ka ʻōpū a me ka ʻōpū, a laila hoʻolohi i ka haʻalele ʻana o ka ʻōpū a me ka hele ʻana o ka ʻōpū, me ke kī o ka reflux acid a me ka constipation.

Au 4 malama o ka hāpai ʻana, hiki ke ʻike ʻia i kekahi manawa i nā kuʻikahi. Inā kaʻawale lākou a ʻeha ʻole, ʻaʻohe mea ʻē aʻe. Inā ʻaʻole, pono ke kūkā kamaʻilio i mea e hōʻalo ai i kahi hoʻoweliweli o ka lawe mua (PAD).

Inā he wahine, ʻekolu mahina hāpai, pilikia i ka reflux acid a i ʻole ka constipation, hiki ke hoʻomaikaʻi i kēia ʻano. ʻO ka ʻai ʻana i kahi papaʻai waiwai i ka fiber a loaʻa ka lawa ʻana o ka magnesium hiki ʻole ke pale aku i ka paʻa paʻa ʻana, akā hoʻoliʻiliʻi hoʻi i ka makaʻu o ka hemorrhoids hāpai. E like me ka ʻōlelo pinepine, kōkua ka hydration maikaʻi (1,5 L i kēlā me kēia lā) i ka pale ʻana i ka paʻa paʻa. Kūpono ka wai i hoʻonui ʻia me ka magnesium, no ka mea, paipai kēia mea i ka transit. ʻO Fiber kekahi hoaaloha o nā ʻōpū no ka mea mālama ia i ka wai a hoʻonui i ka lawe ʻōpū. Loaʻa ka puluniu i nā huaʻai a me nā mea kanu, ʻoi aku i ke kau. Loaʻa iā lākou i nā legume (peas, lentils, a me nā mea ʻē aʻe), i loko o nā oilseeds (nā nati, nā ʻalemona, a me nā mea ʻē aʻe) a i nā hua holoʻokoʻa (nā ʻoka, nā ʻoka, a pēlā aku.). No laila maʻalahi ka maʻalahi o nā makuahine e kali nei i ka constipation, ʻo ka mea maʻamau mai ka 4 malama o ka hāpai ʻana, hiki ke hoʻomaka e hoʻopau i kēia mau pilikia. 

E pili ana i ka reflux waikawa, hiki i nā ʻuala, nā huaʻai a me nā mea kanu ke kaupalena iā lākou. Pono ia e akahele e hōʻalo i kekahi mau meaʻai, ʻawaʻawa loa no ka ʻōpū o nā wahine hāpai: nā soda, nā mea ʻono a waiwai nui paha, kope a i ʻole nā ​​kō i hoʻomaʻemaʻe ʻia.

hapai 18 mau wiki o ka amenorrhea (16 SG), hoʻomaka ka makuahine e hiki mai ana e hoʻomaopopo i ka hāpai ʻana a pono i loko o kāna cocoon. Hiki ke kōkua i ka lomilomi Prenatal. Kono ia i ka hoʻomaha. Eia kekahi, hoʻololi nui ke kino o ka wahine hāpai i nā mahina, me ka ʻoliʻoli a me ka hōʻoluʻolu ʻole. Hāʻawi ka massage prenatal i ke kino e hōʻoluʻolu a mālama pono ʻia i ka mahalo i kahi aila mea kanu.

• e hele i ke kūkākūkā o ʻO 4th mahina, ka lua o nā kipa prenatal pono 7. Hoʻopili pū ka ʻōnaehana olakino me ke kaupaona ʻana, ka lawe ʻana i ke koko, ke ana ʻana i ke kiʻekiʻe o ka uterine, ka hoʻolohe ʻana i ka puʻuwai o ka pēpē ma o kahi Doppler a i ʻole ka pepeiao, a me kahi ninaninau āpau e ʻike ai i kahi kūpono ʻole o ka cervix. uterine Eia naʻe, e hoʻomaopopo: ʻaʻole hana kekahi mau mea hana i ka nānā ʻōnaehana ʻōnaehana i kēlā me kēia kipa, no ka mea ʻaʻole i hōʻoia ʻia kona pono i ka loaʻa ʻole o nā hōʻailona maʻi (ʻeha o ka ʻōpū, nā pāʻū, ke kahe ʻana o ke kahe. I loko o kēia kipa ʻana o ka 4 o ka malama, e kālailai ʻia nā hopena o ka loiloi piha ʻana no Down's Syndrome. Ma waho aʻe o kahi makaʻu o 21/1, e noi ʻia kahi amniocentesis, akā kūʻokoʻa ka makuahine a ka makuahine e ʻae iā ia ʻaʻole paha;
• e hana i kahi manawa no ka lua o ka ultrasound hāpai keiki e hoʻokō ʻia a puni 22 pule ;
• e ʻike e pili ana i nā mea i hoʻolako ʻia no nā wahine hāpai i kā lākou ʻaelike like. Hāʻawi kekahi i kahi hōʻemi i ka hana mai ka mahina 4;
• hoʻopau hope loa i ka hoʻopaʻa inoa ʻana i ka hale makuahine.

mai ka 16 mau pule hāpai (18 mau pule), maikaʻi e noʻonoʻo e pili ana i kou hānai ʻana i ka waiū, me ka ʻike he hiki mau ke hoʻololi i kou manaʻo i ka manawa o ka hānau ʻana. He hoʻoholo pilikino ia na ka makuahine a me ia iho e hoʻoholo. ʻAʻole pono ka hoʻomākaukau no ka hānai ʻana, ʻē aʻe ma mua o ka loaʻa ʻana o ka ʻike i mea e maopopo piha ai i ka hana ʻana o ka hānai ʻana a me ke ʻano nui o ka hānai ʻana i ka wahine ma ke koi a me kahi kūlana maikaʻi ma ka umauma. . ʻO nā hui kākoʻo Breastfeeding (Leache League, COFAM), nā mea aʻoaʻo lactation IBCLC a me nā palekeiki nā hoa pilikino o kēia ʻike.

A loaʻa iā lākou ʻO ka trimester ʻelua o ka hāpai ʻana, paʻakikī a weliweli paha ka hoʻomau ʻana i ka hana (inhalation kemika, hana i ka pō, halihali i kahi ukana kaumaha, kū lōʻihi, a pēlā aku.) , me ka hoʻēmi ʻole o ka uku. No ka hana ʻana i kēia, pono e hōʻoia ʻia ka hāpai hāpai ʻana me ka hoʻohana ʻana i ka palapala hoʻolaha hāpai a i ʻole kahi palapala olakino mai ke kauka. Pono ka palapala olakino ʻelua e wehewehe i nā kiko like ʻole o ke kūlana i kūlike ʻole me ka hāpai keiki. Hele pū me kahi leka e hōʻike ana i kēia mau helu like ʻole a me ka hoʻonohonoho hoʻonohonoho makemake ʻia, pono e hoʻouna ʻia kēia palapala olakino i ka haku hana, e ka leka i hoʻopaʻa inoa ʻia me ka ʻae o ka loaʻa. I ke kumumanaʻo, ʻaʻole hiki i ka haku hana ke hōʻole i kēia hoʻololi hana. Inā hiki ʻole iā ia ke hāʻawi iā ia i kahi hana ʻē aʻe, pono ʻo ia e hoʻomaopopo i ka makuahine i kona kākau ʻana i nā kumu e pale ai i ka hōʻano hou ʻana. Hoʻomaha ʻia ka ʻaelike hana, a loaʻa nā pōmaikaʻi i ka limahana mai kahi palapala hōʻoia o ka uku i hana ʻia i kēlā me kēia haʻawina o ka CPAM a me kahi uku hou i uku ʻia e ka luna hana.

I mea e pale aku ai i ka paʻa paʻa ʻana, koi ʻia nā lula maʻamau o ka hygienic-dietetic maʻamau: e ʻai i ka papaʻai i waiwai i ka puluniu (nā huaʻai a me nā lau ʻai, hapa piha a i ʻole nā ​​kīʻaha holoʻokoʻa), inu i ka wai lawa, hele wāwae no ka hapalua hola i kēlā me kēia lā. Inā lawa ʻole nā ​​ana, hiki ke lawe i nā laxatives. Makemake ʻia nā laxatives ʻoluʻolu: laxative ballast-type mucilage (sterculia, ispaghul, psyllium, guar a i ʻole bran gum) a i ʻole osmotic laxative (polyethylene glycol a i ʻole PEG, lactulose, lactitol a sorbitol) (1). Ma ka ʻaoʻao o ka lāʻau ʻē aʻe:

• i ka homeopathy: e lawe ʻōnaehana ʻO Sepia officinalis 7 CH et Nux vomica 5 CH, 5 mau granula o kēlā me kēia 3 manawa i ka lā ma mua o ka ʻai ʻana. Kaukaʻi ʻia i ka hiʻohiʻona o ka stool a me nā ʻōuli ʻē aʻe e pili ana, e ʻōlelo ʻia nā lāʻau ʻē aʻe: ʻO Collinsonia canadensis 5 CH 5 mau granula i ke kakahiaka a me ke ahiahi inā he hemorrhoids; ʻO Hydrastis canadensis 5 CH i nā pahu paʻakikī me ka ʻole o ka makemake e hele i ka lua (2).
• i nā lāʻau lapaʻau, mallow a me marshmallow i loko o nā mucilages e hana ma ke ʻano he laxative o ballast.