Aia ma aneʻi He 28 pule o ka hapai. Ke kaumaha o ka pēpē i 30 pule (he pule o ka amenorrhea) he 1,150 kg a he 35 knm kona kiekie. ʻAʻole hikiwawe kona ulu ʻana, akā ʻoi aku ka wikiwiki o ka piʻi ʻana o kona kaumaha i kēia 3rd trimester.

He ʻeleu loa ʻo ia: kīkī a kīkī paha i ka iwi ʻaoʻao a i ʻole ka ʻōpū, ʻaʻole ʻoluʻolu mau i ka makuahine. No laila, mai kēia 7 malama o ka hapai ana eha malalo o ka iwi aoao hiki ke puka mai. Hiki i ka makuahine i ka wā e hiki mai ana ke ʻike i kahi puʻupuʻu e neʻe ana ma kona ʻōpū: kahi wāwae liʻiliʻi a lima liʻiliʻi paha. Eia naʻe, liʻiliʻi ka lumi o ka pēpē e neʻe ai, ʻoiai inā kona nui ma 30 SA liʻiliʻi ka loli ma mua o nā hapaha mua.

Ke holo nei kona mau manaʻo. Ua hamama kona mau maka i ka hapanui o ka manawa. Hoʻopili ʻo ia i ka hoʻololi ʻana o ke aka a me ka mālamalama, a i ka hoʻomaʻamaʻa ʻana o ka lolo a me ka retina, hiki iā ia ke ʻike i nā aka a me nā ʻano. Hoʻomaka ʻo ia e ʻike i ka honua a puni iā ​​​​ia: kona mau lima, kona mau wāwae, ka waihona o ka placenta. Mai keia ʻO ka pule 28 o ka hāpai keiki e hele pū ana kona manaʻo hoʻopā i kēia ʻike maka.

Hoʻomaʻemaʻe ʻia kona mau ʻono a me kona ʻala ma o ka lawe ʻana i ka wai amniotic. Eia kekahi, piʻi ka permeability o ka placenta me ka manawa, e hoʻonui ana i ka olfactory a me ka ʻono o nā palettes. 28 wiki fetus. Ua hōʻike ʻia nā haʻawina e hoʻomaka ana ka ʻono o ka pēpē ma ka ʻōpū (1).

ʻOi aku ka maʻamau o kāna mau hanu hanu. Hāʻawi lākou iā ia e inhale i ka wai amniotic e kōkua ai i ka oʻo ʻana o ka māmā. I ka manawa like, ke hoʻomau nei ka huna ʻana o ka surfactant, kēia mea nāna e hoʻopaʻa i ka pulmonary alveoli, i mea e pale ai i kā lākou hoʻihoʻi ʻana i ka wā hānau. Hiki ke ʻike ʻia i loko o ka wai amniotic, hiki i nā kauka ke nānā i ke ʻano o ka māmā o ka pēpē i ka wā o ka hoʻoweliweli o ka hānau mua ʻana.

Ma ka pae cerebral, hoʻomau ka hana o ka myelination.

6 mahina hāpai keiki, hōʻike ka pālākiō i ka 8 a 9 kg i ka awelika no ka wahine hāpai. 

ʻO nā pilikia digestive (constipation, acid reflux), venous (manaʻo i nā wāwae kaumaha, varicose veins, hemorrhoids), hiki ke ʻike a hoʻoikaika pinepine ʻia ke koi pinepine ʻana me ka loaʻa ʻana o ke kaumaha a me ke kaomi ʻana o ka ʻōpū ma nā ʻōpū a puni.

Ma lalo o ka hopena o ka hoʻonui ʻana i ka nui o ke koko, ʻoi aku ka wikiwiki o ka puʻuwai (10 a 15 mau beats / min), pōkole ka hanu pinepine a hiki i ka makuahine ke kau i ka ʻeha liʻiliʻi ma muli o ka hāʻule o ke koko, hypoglycemia. a i ʻole ka luhi wale.

Au Hapaha 3, ʻike ʻia nā kaha kikoʻī ma nā ʻaoʻao o ka ʻōpū a puni ka piko. ʻO ia ka hopena o ka distension mechanical o ka ʻili i hui pū ʻia me ka nāwaliwali o ka collagen a me nā elastin fibers ma lalo o ka hopena o nā hormones hāpai. ʻOi aku ka maʻalahi o kekahi ʻano ʻili ma mua o nā mea ʻē aʻe, ʻoiai ka hydration i kēlā me kēia lā a me ka loaʻa ʻana o ke kaumaha.

ʻo ia ka pule 30 o ka amenorrheaE ka 28th pule o ka hapai a me ka eha o ka opu me ke kaumaha ma ka opu lalo, ka eha o ke kua, ka eha ma ka puuwai a me ka puuwai. No laila, ʻeha ma ka ʻōpū o lalo hiki ke ʻike ʻia e ka makuahine. Hoʻopili ʻia ma lalo o ka huaʻōlelo "pelvic pain syndrome i ka hāpai ʻana", ʻo lākou ke kumu nui o ka ʻeha i nā wahine hāpai me ka prevalence o 45% (2). ʻO nā kumu like ʻole e makemake i ke ʻano o kēia maʻi:

• ʻO ka impregnation hormonal o ka hāpai ʻana: ʻo ka estrogen a me ka relaxin ke alakaʻi i ka hoʻomaha ʻana o nā ligaments a no laila micromobility abnormal i nā hui;
• nā pilikia mechanical: hoʻonui ʻia ka ʻōpū a me ke kaumaha e hoʻonui i ka lumbar lordosis (pū maoli o ke kua) a alakaʻi i ka ʻeha haʻahaʻa a me ka ʻeha ma nā hui sacroiliac;
• ʻO nā mea metabolic: ʻo ka hemahema o ka magnesium e hoʻoikaika i ka ʻeha lumbopelvic (3).

E like me ka hao a i ʻole ka waikawa folic, hiki i ka makuahine ke pale i nā hemahema mineral. ʻEono mahina hāpai, pono e lawa ka magnesium. Pono kēia mineral no ke kino ma ka laulā a pono e hoʻonui i ka wā hāpai (ma waena o 350 a me 400 mg / lā). Hoʻohui hou, ʻike kekahi mau wahine hāpai i ka nausea i ka hopena o ka luaʻi ʻana, hiki ke alakaʻi i ke kaulike ʻole o nā mineral i loko o kona kino. Hāʻawi wale ʻia ka Magnesium e ka meaʻai a i ʻole ka wai i hoʻonui ʻia me nā minerala. I ka huki ʻana o ka pēpē i nā kumuwaiwai o kona makuahine, pono ia e hāʻawi i ka magnesium i ka nui. ʻO ka ʻōpū ma 28 mau pule pono ia no ka ulu ʻana o kona mau ʻiʻo a me kona ʻano puʻupuʻu. ʻO ka makuahine e hiki mai ana, ʻo ka lawe ʻana i ka magnesium kūpono e pale iā ia mai ka cramps, constipation a me nā hemorrhoids, nā poʻo a i ʻole ke kaumaha ʻino. 

Loaʻa ka Magnesium i nā lau ʻōmaʻomaʻo (nā pīni ʻōmaʻomaʻo, spinach), nā kīʻaha holoʻokoʻa, ke kokoleka ʻeleʻele a i ʻole nā ​​​​nati (almonds, hazelnuts). Hiki ke kuhikuhi ʻia ka hoʻohui ʻana o ka Magnesium no ka wahine hāpai e kāna kauka, inā loaʻa ʻo ia i ka cramps a i ʻole nā ​​​​hōʻailona ʻē aʻe e pili ana i ka hemahema o ka magnesium.

• hele i ke kipa o ka malama 7 o ka hapai. Na ke kauka maʻi e hana i nā loiloi maʻamau: ke ana ʻana i ke koko, ke kaupaona ʻana, ke ana ʻana i ke kiʻekiʻe o ka ʻōpū, ka nānā ʻana i ka vaginal;
• e hoʻomau i ka hoʻomākaukau ʻana i ka lumi o ka pēpē.

Keia hapaha 3 ʻike pinepine ʻia e ka hoʻi mai o ka luhi. No laila he mea nui e mālama a hāʻawi iā ʻoe iho i manawa e hoʻomaha ai.

ʻO ka meaʻai kaulike me ka magnesium, ka piʻi ʻana o ke kaumaha, ka hoʻoikaika kino maʻamau ma mua a i ka wā o ka hāpai ʻana (ka hale hoʻomaʻamaʻa wai no ka laʻana) e ʻōlelo ʻia e pale i ka hāpai ʻana o ka maʻi ʻeha pelvic. Hiki i nā kāʻei hāpai ke hāʻawi i kahi hōʻoluʻolu ma o ka lanakila ʻana i ka hyperlaxity o nā ligaments a me ka hoʻoponopono ʻana i ke kūlana (pale i ka makuahine mai ka piʻi nui ʻana). E noʻonoʻo e pili ana i ka osteopathy a i ʻole acupuncture.