Aia ma aneʻi ʻO ka hebedoma 30 o ka hāpai ʻana, ʻo ia hoʻi ka malama 7 o ka hāpai ʻana. ʻO ke kaumaha o ka pēpē ma 32 mau pule 1,5 kg a ana iā 37 cm. I loko o kēia malama 7 o ka hāpai ʻana, ua lawe ʻo ia i 500 g.

I loko o kāna mau wā ala, neʻe ʻo ia i kahi mea nui, akā e pau koke ʻo ia i kahi e hana i nā neʻe ākea.

ʻO ka ʻōpū ma 30 mau puleale ʻo s i ka wai amniotic a leʻaleʻa e omo i kona manamana nui.

Hoʻololi ʻo ia i kahi lewa kani i haku ʻia o nā leo o ke kino o kona makuahine - ka puʻuwai, ka ʻōpū o ka ʻōpū, kahe o ke kahe o ke koko, nā leo - a me nā leo o ka placenta - kahe o ke koko. He kani kani ko kēia mau kāʻei kua o 30 a 60 decibels (1). TO 32 pule ʻike pū ka pēpē i nā leo, kekeke, a lele i ka wā lohe i kahi walaʻau nui.

Pāleʻele kona ʻili ma muli o ka momona momona o ka subcutaneous i ulu. E hoʻohana ʻia kēia mālama momona i ka wā hānau ma ke ʻano he mālama nutrient a me ka hoʻonānā wela.

Inā hānau ʻia ʻo ia i SG30, loaʻa i ka pēpē kahi manawa kūpono e ola ai: 99% no ka hānau mua ma waena o 32 a 34 mau pule e like me nā hopena o Epipage 2 (2). Eia naʻe, koi ʻia ka mālama nui ma muli o kona ʻano makua ʻole, ʻo ia hoʻi ka pulmonary.

I kēia hopena o 7 malama o ka hāpai ʻana, lumbopelvic pain, acid reflux, constipation, hemorrhoids, varicose veins he mau maʻi pinepine. ʻO nā hopena āpau o nā phenomena mechanical - ka uterus e hoʻonui ana i kahi ākea, kaomi i nā ʻokena a hoʻololi i ke kaulike o ke kino - a me nā homone.

Hoʻoikaika pinepine ka loaʻa kālā ʻO ka trimester ʻelua o ka hāpai ʻana me ka awelika o 2 kilo i kēlā me kēia mahina.

Ke hoʻonui nei hoʻi ka luhi, ʻoi aku ka paʻakikī o nā pō.

ʻO Edemas i nā kuʻekuʻe wāwae, no ka paʻa ʻana o ka wai, pinepine i ke kauwela. E akahele naʻe, inā ʻike ʻia lākou a hele pū me ka loaʻa koke o ke kaupaona. Hiki iā ia ke hōʻailona o preeclampsia, kahi pilikia hāpai hāpai e koi ai i ka lāʻau wikiwiki.

ʻAʻole ʻike ʻia ma ke ʻano he pilikia hāpai keiki ka carpal tunnel Syndrome, kahi e hoʻopili ai i ka 20% o nā makuahine e kali ana, pinepine i Hapaha 3. Hōʻike kēia maʻi iā ia iho e ka ʻeha, paraesthesia, kani i ka manamana nui a me nā manamana mua ʻelua o ka lima i hiki ke hoʻomālamalama i ka forearm, clumsiness i ka hopu ʻana i kahi mea. ʻO ia ka hopena o ke kaomi ʻana o ke aʻalolo waena, ke aʻalolo i hoʻopili ʻia i loko o ke ana o ka carpal a hāʻawi i kona ʻike i ka manamana nui, ka index a me ka manamana waena a me ka neʻe ʻana i ka manamana nui. I ka wā hāpai, pili kēia compression i ka hormone-dependant tenosynovitis o nā flexor tendons. Inā paʻakikī ka ʻeha e lawe a hōʻoluʻolu ʻole ka hōʻoluʻolu, ʻo ke kau ʻana i kahi mālamana a i ʻole ke komo ʻana i nā corticosteroids e hoʻomaha ai ka makuahine i ka wā ma mua.

Hiki ʻole, loaʻa ka wahine hāpai i ka paona i kēia mau mahina 9. Hoʻonui ka hoʻonui ʻana i ke kaupaona no ka hapaha 3. He mea maʻamau kēia no ka mea ke kaupaona a me ka nui o ka fetus ma 32 mau pule kūlohelohe. Hoʻololi ka loaʻa ʻana o ke kaumaha i ka wā o ka hāpai ʻana mai ka wahine a ka wahine a pili i kāna BMI mua (helu nui kino) a me nā maʻi hāpai i loaʻa iā ia. Eia nō naʻe, he mea nui e ʻai i ka papaʻai kaulike a pale i ka haki ʻana iā ia. ʻO ka pule 32 o amenorrhea, 30 SG. ʻO ka keu kaupaona i ka wā o ka hāpai ʻana ʻaʻole maikaʻi ia no ka pēpē a no ka makuahine hoʻi, no ka mea hiki ke alakaʻi i nā maʻi e like me ke kiʻekiʻe o ke koko a me ka maʻi kō. Eia kekahi, ke hōʻike nei kēia mau pathologies i kahi pilikia o ka lawe manawa ʻole a i ʻole ʻāpana cesarean. ʻOiai ke kaumaha nui ka wahine hāpai, ʻo ka mea nui ʻo ia e mālama i kāna kaulike ʻai a lawe ʻo ia i nā mea momona kūpono i kona kino a i kāna pēpē, e like me nā huaora, hao, folic acid a i ʻole omega 3. Inā hana ʻaʻole nā ​​hemahema i kēia manawa, maikaʻi kēia no ka ulu ʻana o ka ʻōpū. Hoʻohui, hoʻemi ia i ka pilikia o ka pilikia i ka wā hānau. 

ʻAʻole ia e koi ʻia, ʻoiai weliweli paha, e hāhai i kahi papaʻai paʻakikī i ka wā hāpai, e pale pono i kēia mau hemahema. Eia nō naʻe, hiki ke hoʻokumu ʻia kahi papaʻai olakino, me ka ʻōlelo aʻoaʻo a kāu kauka. ʻOi aku ia o ka papaʻai kaulike ma mua o ka papaʻai kūpono. E kōkua kēia i ka makuahine e hāpai i kona kaupaona a hāʻawi i nā meaʻai kūpono e kūpono i nā pono o ka pēpē.  

• i ke kolu a me ka hope loa ultrasound hāpai keiki. ʻO ke kumu o kēia hoʻokolohua ultrasound hope loa e nānā i ka ulu ʻana o ka bpēpē ma 30 mau pule hāpai, kona ikaika, kona kūlana, ka nui o ka wai amniotic a me ke kūlana kūpono o ka placenta. I ka hanana o ka intrauterine ulu retardation (IUGR), hypertension, makuwahine vascular maʻi a i ʻole nā ​​mea ʻē aʻe komplication o hāpai keiki i hiki ke hoʻololi i ka ulu ʻana o ka pēpē, kahi Doppler o nā aʻa uterine, nā moku o ka umbilical cord a me nā cerebral vessel kekahi. hāpai i waho;
• kāinoa no kahi hālāwai ʻikepili e pili ana i ka hānai ʻana i nā waiū no nā makuahine e makemake ana e hānai. ʻO nā ʻōlelo aʻo i hāʻawi ʻia i ka wā o ka hoʻomākaukau no ka hānau hānau maʻamau kekahi manawa ʻaʻole lawa, a he mea nui ka ʻike maikaʻi no ka hānai ʻana i ka umauma maikaʻi.

ma keia Hapaha 3, makaʻala i ka meaʻai māmā. ʻO ia ke kumu o nā paona keu o ka hāpai keiki.

Inā ʻaʻole ʻoe i kēia manawa, hoʻopukapuka i kahi uluna makuahine. He mea pono nō kēia duffel hapalua mahina ma mua o ka hānau ʻia ʻana o ka pēpē. Kau ʻia ma hope o ke kua a ma lalo o nā lima, hiki ke pale i ka moe ʻana ma hope o ka pāʻina ʻana, kahi kūlana i ka reflux acid. Ke moe nei i kou ʻaoʻao, hoʻokahi wēlau o ka pale ma lalo o ke poʻo a ʻo kekahi e hāpai ana i ka wāwae, hoʻomaha ia i ke kaumaha o ka kōpū. He mea pono nō hoʻi ia i ka lā hānau.

ʻO ka ʻauʻau ʻana, ka hele wāwae ʻana, ke yoga a me nā haʻuki hoʻomaʻamaʻa mau e hiki nō - a paipai ʻia ke ʻole ka contraindication lāʻau lapaʻau - ma 30 SG. Kōkua lākou i ka pale ʻana i nā maʻi ʻōpū (ʻeha ma hope, nā wāwae kaumaha, paʻa paʻa), mālama i ke kino o ka makuahine i ke olakino maikaʻi no ka hānau keiki a ʻae i ka noʻonoʻo e hoʻolele.

Si ka pēpē ma 32 WA ʻAʻole i kū i lalo i lalo, nā gynecologists (3) paipai e lawe i kēia kūlana i mea e hāʻawi ai i ka natura i mea hoʻonui: e kiʻi i nā ʻehā āpau, nā lima e kū i ka lihi o kahi moe, hoʻomaha a hanu. I kēia kūlana, ʻaʻole paʻa hou ka pēpē i ke kuamoʻo a he wahi lumi hou aʻe kāna e neʻe ai - a huli paha. E hoʻāʻo hoʻi i ke kūlana kuli-umauma: kukuli i luna o kou wahi moe, nā poʻohiwi ma ka moena a me nā puʻupuʻu i ka lewa. A i ʻole ka mea i kapa ʻia he kūlana India: e moe ana ma kou kua, e kau i ʻelua a i ʻole ʻekolu mau uluna ma lalo o ka ʻūpā i 15 a 20 knm ke kiʻekiʻe o ka pūhaka ma mua o nā poʻohiwi (4).