Nthawi yovuta chitukuko yoopsa ndi miyezi

Mwachibadwa, mkazi lili ndi mwana masabata 40, kapena 10 obstetric miyezi kwa masiku 28. Nthawi imeneyi, Ndisanaumbidwe akuchita yaitali ndi zovuta njira kusinthika kuchokera awiri makolo selo palokha chamoyo. Pakati pa nthawi okwana akatswiri mimba apeza yovuta kwambiri, koma yapadera nthawi chitukuko yoopsa.

Magawo kukula intrauterine

Obstetricians kugawaniza pakati pa kubala mu magawo awiri: embryonic ndi yoopsa. Woyamba umayamba ndi umuna ndipo itha pa nthawi ya masabata 8, kupanga okwana miyezi 2. Mu siteji ya embryonic Kukula kwa mwana wosabadwayo anali olekanitsidwa pakapita nyengo:

• Blastogenesis - kumatenga kuchokera pophatikizana a gametes amuna ndi akazi kwa masabata 2 mimba. Panthawi imeneyi, maselo diploid akuyenderera Ukalawu kwa chiberekero, ndiyeno anayambitsa mu mucosa ake.
• Embryogenesis - ndi zapakati pa 2 ndi 8 sabata la gestation, imene mapangidwe a nsengwa ndi chiwalo zoyamba.

Patadutsa miyezi iwiri akubwera obstetric yoopsa nthawi, amene adzakhala mpaka yobereka. Ndisanaumbidwe ndi imatengedwa mwana wosabadwa ndi nthawi iyi. Chinthu chofunika kwambiri pa nthawi imeneyi amakhala organogenesis - mapangidwe ndi kukula kwa ziwalo ndi machitidwe thupi.

Lakutali yoopsa nthawi zotsatirazi:

• oyambirira (masabata 12-28) - matupi apangidwa, panopa kusiyanitsidwa maselo, mwachitsanzo, kusintha katundu wawo; ..
• Patapita (masabata 28 pamaso tsiku yobereka) - akuchulukirachulukira limba zimakhala, anapanga subcutaneous wosanjikiza a khungu.

Cholowa cha trimester (masabata 13) kugwa nthawi yaikulu yapadera ya chitukuko yoopsa.

Obstetric masabata 2-3

akazi ambiri n'komwe a "chidwi" malo pa nthawi ino, ndipo Ndisanaumbidwe kuoneka mavuto oyamba panjira yopita ku moyo. Kuyambira nthawi yomwe mayi pang'ono kuposa sabata ndipo amayendayenda diploid foni kudzera Ukalawu kuti chiberekero. Njira zake pangakhale mavuto: adhesions kapena ntchito osakwanira wa epithelium ciliated. Mu nkhani iyi, mwana wosabadwayo kumakhala kovuta kuti alowe mu uterine M'mimbamo, kukakamiza angagwirizanitse kwa mpanda wa mazira chubu. Mpatuko nthenda mimba Tubala.

Ngakhale kanthu kumathandiza Ndisanaumbidwe kusuntha, iye ayenera kuti alowe mu chiberekero pa nthawi yoyenera. Pamene liwiro njira kukhala mimba ectopic, ndi pansi inapita amamwalira chifukwa unavailability linagwira implantation.

Tiyeni tinene, mluza ali kuthana njira yokhayo Ukalawu kuwafika chiberekero pa nthawi yoyenera. Tsopano dzira ulumikize khoma thupi. Pakuti ichi m'pofunika kuti chiberekero anali epithelium wathanzi komanso Ndisanaumbidwe unali silamphamvu. Pa nthawi imeneyi, kusankha chachilengedwe: ngati Ndisanaumbidwe ndi wofooka kapena kudwala, izo akana akuchikazi chamoyo.

Kodi zinthu kusokoneza implantation wa mwana wosabadwayo chiyani?

nthawi yovuta ya yoopsa anayamba zimenezi pasanapite nthawi kuchokera umuna. Ndisanaumbidwe utangoyamba amakhudzidwa kwambiri zinthu zachilengedwe ndi a chamoyo akuchikazi. Akatswiri kudziwa zinthu zotsatirazi kulimbikitsa ndondomeko ya implantation wa linagwira ndi:

• mbali munthu wa kapangidwe ka chiberekero;
• Spikes chifukwa ntchito pa ziwalo zoberekera;
• zotupa la chiberekero ndi zokhudzana;
• lolemera psycho-maganizo boma;
• nkhawa thupi, kutopa;
• mowa ndi mankhwala, kusuta;
• kumwa mankhwala ena;
• endometrial matenda.

The chiopsezo Chinthu anali mkazi ndi mbiri ya mimba padera, mimba ectopic.

nthawi yovuta ya chitukuko yoopsa amafuna kusamalidwa mayi woyembekezera. Ngati mimba anali sanakonzekere, pa pang'ono uyu akuti zikhoza kuchitidwa popanda kudziwa za mkhalidwe wawo. Mu nkhani ina, mkazi ayenera bwinobwino kukonzekera lingaliro: kuyezedwa, kuchiza matenda alipo a dongosolo genitourinary, osati kutsegula nokha ntchito owonjezera ndi kusamalira asamakhale ndi nkhawa ndiponso kutonthozedwa.

Kuwopsa mu nthawi ya masabata 4-7

Ndisanaumbidwe bwinobwino angagwirizanitse khoma uterine, ndipo anapitiriza kukula kwake. Wa awiri zigawo nyongolosi idzakhala mwana wosabadwayo ndi latuluka. Zingatanthauze kuti ovuta kwambiri nthawiyi embryonic kumbuyo, koma palibe. nthawi yovuta ya chitukuko cha mwana wosabadwayo ndi mwana wosabadwayo reappear pa obstetrical nthawi ya masabata 4-7. Mayi woyembekezera akudziwa kale za mavuto awo.

Pali chitukuko yogwira Ndisanaumbidwe ndi: anapanga zoyambira za ziwalo ndi kachitidwe. Pa nthawi imeneyi, Ndisanaumbidwe ndi yovuta kwambiri kwa chilengedwe, chiopsezo amayamba kudwala. Amayi oyembekezera ayenera kusamala kuti kumvera malangizo ndi machenjezo a madotolo ndi dzisamalire, ngakhale chimfine pang'ono mwina kuika ku funso wobereka.

Nthawi yovuta mu nthawi ya masabata 8-12

Panthawi imeneyi, chikoka cha zinthu zina pa chitukuko cha mwana wosabadwayo ndi imodzi mwa ngozi yaikulu. Nthawiyi, chofunika komanso kusintha mu thupi la mayi, amene mwachangu anatsekula kuti wobereka. Anapanga pambuyo ovulation ndi corpus luteum umabala progesterone zimathandiza kuti chitukuko cha mimba. Pofika sabata ya 12, kuti "akudutsa" latuluka anu ntchito. Izi ndi zopweteka, mphindi T. K. A timadzi kuchuluka sangakhale zokwanira kuchitira zina. Kudzuka pa nkhani kuti gynecologist, ndi zosavuta kupewa: ntchito choyezera likuyesetsa progesterone zizindikiro anali pansi pa ulamuliro.

Mapangidwe latuluka n'kofunika kukhala ndi moyo wathanzi, chakudya moyenera. mankhwala kanthu ndi chilolezo dokotala ndi kuiyang'anira.

Zifukwa mu trimester

Waukulu nthawi yovuta kukhudzana yoopsa ndi mwezi chidzachitika trimester. Pa siteji yoyamba ya ofooka ndi Ndisanaumbidwe ndi mkazi monga mayi. kusokonezedwa aliyense amakhalitsa funso moyo wa mwana wosabadwayo ndi. Kuti kamodzinso osati pachiswe mimba, madokotala amalangiza kuchenjera:

• Kumwa mankhwala - nkhani za zida akhala ndi bwino kuwunikira. Mwachitsanzo, ayenera kuiwala kukonzekera monga ovomereza pa maziko ake (analgin, ndi aspirin) ngati antipyretic ndi analgesic analolera kutenga paracetamol, asidi acetylsalicylic ndi za. Monga ntchito antispasmodic Nospanum (Drotaverinum). Mwa maantibayotiki Penicillin ankaloledwa tithe.
• zitsamba mankhwala ndi mankhwala - ambiri a milandu mankhwala, gratuities saloledwa kulandira pa mimba ndi mkaka wa m'mawere. Patsogolo ntchito ndalama ngati ndi bwino kukaonana ndi dokotala.
• Kutopa, matenda psycho-maganizo - boma la mayi kumakhudza mwachindunji pa mwana, zoopsa kwambiri miyezi ya mimba.
• Thupi yaikulu - musati kuutsiriza okha kuntchito kapena kukokera yokoka. Mayi woyembekezera ayenera kupuma ndi wololera zolimbitsa thupi;
• mowa, mankhwala ozunguza bongo, kusuta - zotsatira poizoni wa ziphe amachititsa kudwala kwambiri chitukuko cha mwana wosabadwayo lapansi.
• matenda opatsirana - HIV aliyense akhoza kwambiri kuvulaza mwana wosabadwayo.

nthawi yovuta ya chitukuko cha mwana wosabadwayo ndi mwana wosabadwayo kwa chofuna mayi kusamalidwa. Ngati mulibe malangizo a dokotala ndi dzisamalire, wololera Kuchepetsa wa zoipa ndi woopsa, zovuta kwambiri miyezi onse oyambirira mimba kudzakhala bwino kwa mayi komanso mwana.

Mawu a masabata 18-22

Kodi nthawi yovuta chitukuko yoopsa anali kuyembekezera pambuyo trimester? No zochepa udindo nthawi ankaona mwezi wachisanu kapena chimodzi mimba (masabata 18-22 gestation). Nthawi imeneyi, chiberekero ikukula mofulumira, mofulumira mlingo wa pafupifupi 2 zina. matenda akuchikazi si yoopsa mwanayo, koma osafunika. Chinthu choyipa mu nthawi ino - kukatenga matenda opatsirana pogonana opatsirana (nsungu, toxoplasmosis, chlamydia, ureaplasmosis). Komabe, izi zimachitika kawirikawiri kwambiri, makamaka ngati mkazi ali ndi zonse bwenzi limodzi kugonana.

Nyengo yowopsa kwa amayi ndi kulephera khomo lachiberekero (m'bale Cin). Ichi ndi mkhalidwe umene khomo pachibelekeropo ndi Korinto sangathe kulimbana ndi kuwonjezeka katundu pa iwo. Chotsatira msanga kutsegula, zomwe nthawi zambiri kumayambitsa mimba lachibadwa. Komabe, ngati mkazi ali kuyang'aniridwa ndi dokotala, ndi kudwala amawapeza pa nthawi. Phunziro mini-ntchito: la chiberekero sutured pansi mankhwala oletsa ululu pamalopo. Zimenezi zimathandiza kuuza mwana mimba zonse yaitali.

nthawi yovuta chitukuko yoopsa mu imeneyi ya gestation masabata 18-22 'amafuna mosamala achipatala. Mkazi ataima chenjerani ndi matenda thupi ndi maganizo. Koma nthawi kuti si yoopsa mwana, ndipo ngati mayi woyembekezera mtima udindo kwa ulendo gynecologist ndi, n'zosavuta kukhala popanda zotsatira za thanzi la mwana wosabadwayo.

Kuwopsa m'mwezi wachisanu ndi chitatu wa mimba

Kwa nthawi ya masabata 28-32 kubwera nthawi yotsatira yovuta chitukuko yoopsa. Obstetrics ananena kuti nthawi imeneyi, ndi ofunika pa moyo wa mwana. Kuopsa ndondomeko msanga kubadwa kapena kutha kwa mimba kuti zambiri kumachitika chifukwa m'thupi vutoli mu thupi la mayi. zosokonezeka zotheka monga placentae abruptio, toxemia mochedwa ndipo placental insufficiency. Zonsezi zingachititse kuti imfa ya mwana wosabadwayo asanabadwe, kapena kuimitsa mu chitukuko.

Ngati mbiri ya akazi kupita padera opezeka, ulamuliro pa kuteteza kutenga mimba ayenera kuchitidwa mosamala. Patsogolo pali nthawi yambiri, kotero muyenera kuyesetsa dziwitsani mwana osachepera mpaka milungu 38. Kawirikawiri analimbikitsa hospitalization mu chipatala umayi.

nthawi payekha yovuta

Takambiranazi waukulu nthawi yovuta chitukuko yoopsa ndi sabata la gestation. Ndi pa nyengo izi zimachitika nthawi zambiri zosiyanasiyana zovuta kumvetsa zimene zingawononge moyo ndi thanzi la mwana wosabadwayo lapansi. Koma aliyense thupi zosiyana, kotero madokotala amakhala ndi ena owopsa pa mimba. Zikuphatikizapo sabata, imene:

• Zinachitika padera kapena mimba kunachitidwa;
• panali chiopsezo padera mu akazi oyambirira ndi pakati;
• Inachitika kukhala kwambiri thupi kapena psycho-maganizo kupsyinjika;
• mkaziyo anali kusamba pambuyo pathupi.

Izi zikuphatikizapo nthawi pambuyo pa mayi woyembekezera anali matenda.

Kodi muyenera kudziwa za dziko "loopsya" mimba?

Ngati dotolo kudziwa akazi pangozi pa nthawi yobvuta pa bedi zina ayenera kutsatira ndi zina kugonana kapena kugonera umayi awo kuchipatala kuyang'aniridwa ndi akatswiri padziko koloko. Pankhani ya osachepera amodzi machenjezo, muyenera yomweyo kufunsa dokotala:

• Ululu sacrum, ndi pamimba m'munsi;
• nyini (Kupaka, wamagazi, zofiirira);
• amaganiziridwa mofulumira zizindikiro za mimba;
• pakalibe perturbations kapena ntchito yoopsa mu trimester otsiriza;
• kusankha madzimadzi amniotic.

Kodi bwinobwino apulumuke nthawi yobvuta pa nthawi?

nthawi yovuta chitukuko yoopsa ndi makhalidwe awo kuchenjeza amayi oyembekezera za mavuto amene angakumane ndi zinthu za asayembekezere. Akaphunzira mimbayo ndipo anaganiza kulisunga, muyenera kutenga njira udindo mayendedwe a moyo wawo. Pofuna kupewa mavuto ndi zosavuta ngati mkazi zonse anachezeredwa ndi dokotala, kuti athe amphamvu ndi kupumula. ntchito mwakhama adzakhala ndi kuphunzitsa ena m'banja, pazipita offload tsiku lanu. Ndipo pofuna kuteteza wotuluka zinthu zoipa (matenda magwero achabechabe ndi oopsa mankhwala, poizoni).

nthawi yovuta chitukuko yoopsa - iyi ndi nthawi yoopsa kwambiri, imene mwana wosabadwayo kwambiri atengeke zinthu zachilengedwe. Pa mawu awa, ndi zolephera zimachitika mu thupi la mayi, omwe nthawi zambiri amachititsa kuti padera kapena mimba anayamba kuchepa. Muyenera sapewa "loopsya" nthawi. Kukwaniritsa zofunika zonse madokotala ndi kuteteza okha masabata yovuta, iye osati bwinobwino kupulumuka iwo, komanso kwambiri kuwonjezera mwayi wa kukhala amphamvu ndi athanzi mwana yaitali.