Kwi-reception kwi-gynecologist kuyimfuneko ukuhamba ngeveki-6 yeveki yokukhulelwa. Ngethuba lokutyelela kokuqala, ugqirha uya kuqhuba uvavanyo olucokisekileyo: vavanya imeko yomlomo wesibeleko kunye nesisini, fumana ubungakanani bentsimbi, hlola ubungakanani bakho kwaye ulinganise uxinzelelo lwegazi. Lungisa ukuthetha kunye nalo gqirha ubuncinane kanye ngenyanga. Zama ukusungula umnxeba, unganqikazi ukubuza imibuzo enomdla kuwe. Ukuba igosa ngesizathu esithile asibangeli ukuzithemba, iya kwesinye (usetyenziswe nodokotela oyintloko) kwi-polyclinic efanayo okanye kwikliniki yangasese.
Inkqubo yokuqala
Okokuqala, ugqirha uya kukuxelela ngemithetho yokutya kwakho, urhulumente, umsebenzi ovumelekileyo womzimba ngexesha leemvavanyo kunye neemvavanyo ngexesha lokukhulelwa. Ugqirha uya kubhala isilathiso sokuhlolwa kwegazi: impendulo ye-Wasserman (i-RW, ekufumaneni ukusuleleka kwe-syphilitic), i-HIV, i-hepatitis B kunye ne-C. Igazi lithathwa kwiimvini kwisisu esingenanto. Ngomso uya kusela kuphela amanzi ambalwa.
Musa ukulibala: isidlo sakusihlwa siphelileyo, kungenjalo ukuphendula okungalunganga kunokwenzeka. Ukuhlolwa kwegazi kumahomoni kuya kunceda ukuchonga okanye ukuchasisa ubukho besifo (hypothyroidism, goiter), ukukhusela ukuphuhliswa kwayo. Iqela legazi kunye neR Rh nolu hlobo lugqitywe ngophando lwegazi ukusuka kwidini. Ukuba unayo i-Rh, kwaye umyeni wakho unesimo esihle seR Rh, kufuneka ufumane ukuhlolwa kwegazi kwiintsholongwane ezimbini kwiiveki ezimbini. Uvavanyo lwegazi lwegazi luya kuvumela ukuvavanya umsebenzi wezitho ezininzi zangaphakathi: izintso, isibindi, i-pancreas. Ukongezelela, kuya kubonisa ukuba yiziphi i-micronutrients ulahlekileyo. I-Smear kwi-microflora kunye neqondo lokuhlanjululwa kwindlela yokulala nayo ayifuni!
Ngo kuncedwa kwezi nkqubo, iimviwo kunye nokuhlalutya ngexesha lokukhulelwa, ugqirha uyavavanya ukuba kukho nayiphi na inkqubo yokuvuvukala emzimbeni, kwaye uyakwazi ukufumanisa ezinye izifo zezilwanyana zesini somzimba. Ukuba iziphumo zentsimbi ziyaneliseki, qiniseka ukuba uthatha i-smear yezifo ezithathelwana ngesondo. Igazi emlonyeni oza kuthatha ngenyanga. Uhlalutyo lwezonyango lufunekayo ukuvavanya ubungakanani kunye nobungakanani beeseli zegazi - i-erythrocytes, iiseli zegazi ezimhlophe, iiplatelet. Ngombolo encinci yeeseli ezibomvu zegazi (iiprotheyini ezinesinyithi ezijongene ne-oksijini ebophayo), ugqirha unokusolisa i-anemia.
Ukuhlolwa kwonyango wamazinyo kuyimfuneko. Inyaniso kukuba xa amazinyo ekukhulelwa ahlala esengozini. Isizathu - ukungabikho kwekhalsiyam emzimbeni, kuba umntwana uthatha isabelo esifanelekileyo. I-Ultrasound icwangciselwe iiveki ezi-6 ukuya ku-12. Kuqhutyelwa ngenjongo yokumisela indawo yeqanda lomntwana, ukuxilonga ukukhulelwa okukodwa okanye ukukhulelwa okuphindaphindiweyo, ukuqikelela ubungakanani kunye nokukhula, isakhiwo seqanda lomntwana kunye nombungu, ukuxilongwa kweengxaki zokukhulelwa. Ngaphambi kwenkqubo, kufuneka uphuze malunga ne-300-500 ml ye-liquid ngaphandle kwegesi 30 imizuzu ngaphambi kokuvavanywa. Njalo thabatha i-diaper ecocekileyo okanye ithawula kunye nawe. Ukulinganisa, ukulinganisa uxinzelelo lwegazi, ukuphakama kwe-uterine fundus, ukuphulaphula intliziyo yesisu, uhlalutyo lwamanzi - konke oku kufuneka kwenziwe ngenyanga.
Cinga ukhulule!
I-trimester yesibini inomama abaninzi abalindayo bathi "igolide." I-Toxicosis ayisekho ubuhlungu, kwaye ubukhulu bomzimba abuyi kubangela ubunzima obukhethekileyo. Lungiselela abadlulayo-esitratweni ukuba bakhuze. Akumangalisi ukuba ukhanya ngovuyo! Ugqirha mhlawumbi ngowokuqala ukuphawula oku. Uqhubeka uhambela rhoqo - nganye iveki ezine. Iwesibini ye-ultrasound (phakathi kwe-17 neye-22 iveki) iya kunika ithuba lokukwazi ngesondo somntwana. Ingcali iza kufunda isakhiwo somzimba wengane, yabona ukuba kukho ukungabikho kwentlungu yeenkqubo zangaphakathi zomzimba, vavanya i-amniotic fluid kunye ne-placenta.
Ukulungela
Ngenyanga yesibhozo-lesibhozo, kuya kufuneka utyelele ugqirha kanye emva kweeveki ezimbini, ngomhla wesithoba-kanye kanye ngeveki. Ngaphambi kokufika ngamnye kugqirha kuyimfuneko ukudlulisa uhlalutyo lomchamo.
Ngeli xesha, uya kuziva ngathi ungumfundi obalaseleyo wokulungiselela ukubeleka. Iinkqubo ezininzi, kunye neentlobo zemviwo kunye neemvavanyo ngexesha lokukhulelwa kwekota yokuqala ziya kuphinda ziphindwe. Ugqirha uya kujonga uxinzelelo, ubukho beprotheni kunye noshukela egazini, ukuphakama kwe-uterine fundus, isikhundla, ubukhulu kunye nomsebenzi wentliziyo womntwana. Uphinda uhlaziye iimvavanyo zegazi: i-biochemical, i-AIDS kunye ne-syphilis, i-swab yesini. Uviwo lwe-US kwiveki yama-34-36 luya kuhlola i-placenta "yokuguga." Ugqirha uya kujonga kwindawo yakhe, ahlole imeko yentsana.
I-Cardiotocography izakuvumela ukuba ulandele umsebenzi wezinhliziyo zeziqhekeza kunye nomsebenzi onesivumelwano esibelethwayo. Ukuba idilesi yokunikezelwa eyakhiwe ngumgogeni wenjenje sele isemva, ngoko uya kuchitha i-cardiotocography imihla ngemihla ukuba ugqibe ukuba ngaba ufuna ukuya esibhedlele ngaphambi kokuba kuvele iimfazwe.
I-Rubella, i-cytomegalovirus, i-toxoplasmosis kunye ne-chlamydia izifo ezingabangela izifo kumntwana. Thatha uphando!
Jonga izibonakaliso ezimbini: izixhobo zengqungquthela zeglasi G kunye neengqungquthela zeklasi. Ubungqina bokuqala bokuthintela unyango, okwesibini - malunga nenkqubo eqaqambileyo.
Ngomntwana, imeko yingozi xa umama ozayo efumana intsholongwane okokuqala ngethuba lokukhulelwa. Oku kuboniswa yinani elikhulu lamagciwane omgangatho weklasi.
Ama-80% abantu abhekana nokusuleleka ku-infernal infections, oko kukuthi i-antibodies i-class G ithi.
Baza kubonisa ntoni?
Ukufunda iimvavanyo, kunjalo, akuwona umsebenzi wakho. Kodwa ngubani owathi umama ozayo akafanele aqonde isantya seeseli ezibomvu zegazi okanye izinga elivumelekileyo lentshukela emzimbeni?
Ukulinganiswa koxinzelelo
Isiphumo esiphezulu ngu-120/70 mm Hg. Ubugcisa.
Uvavanyo lwegazi lomnwe
Isiqhelo seeseli ezibomvu zegazi asikho ngaphantsi kwama-3800 x 10; amaseli ezimhlophe -4-10,000 / l; izinga le-hemoglobin liyi-120-160 g / l. Kufuneka unike esi sihlalutyo phambi kokutyelela okuthe ngqo kwi-gynecologist.
Inqanaba leswekile
Ukuba izinga leshukela legazi alidluli kwi-6.6 mmol / l, ngoko yonke into ihlelekile kwaye akukho zizathu zokukhathazeka. Amanani aphakamileyo abonisa ukuphulwa kwe-carbohydrates metabolism, isifo sikashukela esingaba sisifo.
Urinalysis
Inani elinyukayo leukocytes emcinini lubonisa inkqubo yokuvuvukala - ukusuleleka kwe-urinary tract tract. Kufuneka uphulukiswe ngaphambi kokuziswa. Ukubonakala kumchamo weprotheni kubonisa ukuphulwa komsebenzi wezintso kunye ne-gestosis enokwenzeka.