Kodi chimachitika pa sabata la 12 la mimba. masabata 12 a mimba: yoopsa kukula, kugonana kwa mwana, ultrasound chithunzi

12 Masabata oyembekezera - izi ndi chomaliza ya trimester. M'nthawi ya maselo kuti akhoza chooneka ndi maso, iye wapanga kale mwamuna wamng'ono, akhoza kuchita zina kuyenda. Popeza nthawi limayamba pa trimester chachiwiri cha mimba imene mkaziyo akhoza akapumule ku zizindikiro zosasangalatsa masabata woyamba ndi kukonzekera udindo trimester lachitatu. Kuyambira masabata 12 a mimba, yoopsa kukula, kugonana kwa mwana kale Tingaone pa ultrasound.

trimester

Moms ambiri m'tsogolo akufunsa kuti: "Dokotala anandipatsa masabata 12 a mimba angati miyezi izo.?". Mimba kumatenga masabata 40 - yachibadwa miyezi 9 kapena 10 mwezi (obstetric). Mu mwezi lililonse masiku 30-31, ndipo mu mwezi - bwino masabata 4 - masiku 28. Izi magawowa kuwunika chitukuko cha mwana wosabadwayo: mlungu uliwonse amakhala ndi magawo ena, zomwe zimathandiza kuti akuganiza za monyanyira pang'ono mu chitukuko akalandire chithandizo cha mwanayo.

Ngati muli masabata 12 a mimba, monga mwezi uno, akuuza tebulo.

Ngati tiyang'ana pa alionse, masabata 12 a mimba - masiku 84. Ngati kugawidwa ndi mwezi kalendala (masiku 31), ndi miyezi 2 ndi masiku 22.

Kusintha amayi thupi

Pa masabata 12 a mimba amenewa amapezeka mu thupi la mwana wosabadwayo ndi mayi? ndi zinthu zatsopano chingakhale mkazi? Ngati woyamba masabata angapo chiopsezo kuchotsa msanga mimba, ndiye Mwina akuti samoaborta kochepa. The latuluka wakhala kupangidwa, iwo amayamba kugwira ntchito mwana wake chakudya, excretion katundu kagayidwe kachakudya ndi mapuloteni kaphatikizidwe mimba. magazi mathamangidwe mu izo kumawonjezera 600 ml ya mphindi.

Progesterone - ndi timadzi chachikulu cha mimba - ayamba kutulutsa osati ndi corpus luteum, ndi latuluka. Ndi nthawi contractility a minofu yosalala chiberekero, matumbo, chikhodzodzo ndi ureter. Choncho, asiye maulendo kawirikawiri ku bafa, koma pali maloko. Kutentha - chizindikiro, amene amadandaula mkazi ndi masabata 12 a mimba. Kukula kwa mwana wosabadwayo, kugonana mwana, monga anachitira grandmothers wathu, sikumangotikhudza chiyambi cha chikhalidwe ichi zosasangalatsa. Chirichonse anafotokoza zotsatira ulesi wa progesterone pa sphincter pakati pa kum'mero ndi m'mimba.

mahomoni Estrogenic opangidwa sanaleke: nawonso, mbali yofunika kwambiri mu kukula mimba. Pa sabata 12 estriol kumawonjezera mammary nsonga zamabele, posungira madzimadzi ndi kuonjezera kuchuluka kwa mapuloteni mu thupi wamkazi.

Uterine ulusi minofu kupitiriza kukula ndi bwino, koma nthawi milungu 12 20 - makamaka intensively. kukula uterine amakhala ngati mutu wa khanda, pansi umalandira m'mimba. Mlingo wa magazi ndi buku magazi m'thupi chifukwa kusintha latsopano ayamba kuonjezera.

Kusintha maziko maganizo a Moms tsogolo: Mwamsanga kutopa, moodiness, maganizo ndi kusakhutira zonse ndi zonse. Ndi masabata 12 ngati mkazi kubadwanso, kuwongolera ake bwino ndi kuchuluka kwa dzuwa. Mu mayi uyu tsogolo anayamba maloto bwino kuti nthawi zina zodabwitsa. Ichi ndi chifukwa chakuti pa subcortex ndi mahomoni yoopsa kuti anayamba zimafala mofulumira, kuwonjezera kwambiri kuchuluka kwa masabata 12 mimbayo mwana wosabadwayo kukula. kugonana mwanayo sikumangotikhudza amene mahomoni ndendende amapangidwa ndi nsengwa ndi.

Mahomoni pa mawu amenewa

Zikhumbo ku ubongo kumapangitsa kupanga kukula timadzi, limene kuchokera sabata la 12 akuyamba kukonzekera kumaliseche amayi azikhala.

Prolactin amapangidwa kuyambira masabata 12 a mimba. zipatso kukula Komanso kumawonjezera kupanga ake: mwanayo zazikulu kwambiri, kuchuluka kwa timadzi izi mu magazi. Mothandizidwa zopangitsa prolactin mammary akukula ndipo akukonzekera mbali yaikulu: chitukuko cha colostrum ndi mkaka.

Ndi masabata 12 intensively opangidwa tochepa - ndi timadzi wa zopangitsa kwa adrenal. mankhwala amachepetsa chiwopsezo cha mayi tsogolo la thupi nkhawa ndiponso kukwaniritsa osokonekera chilengedwe kunja, kupereka mwayi mwakachetechete kubala mimba.

Kodi khalidwe

Malamulo mu nthawi imeneyi ndi amodzi pa mimba lonse. Onse ayenera kukhazikitsidwa pokonza njira yachibadwa ya gestation. Pa masabata 12 kukula pakati m'mimba si makamaka chinawonjezeka, ndipo n'zotheka kuchita ntchito m'maganizo ndi m'thupi, koma popanda zimamuchulukira ndi chogwira ntchito mopitirira muyeso, zomwe zimalimbikitsa kugwira bwino ntchito machitidwe onse ndi ziwalo. Pewani kupalasa, kusewera masewera, amene anatsagana ndi thupi kugwedeza - kudumpha ndi kayendedwe lakuthwa. Monga mukhoza kale kukuuzani kuti iye anali achibale apakati ndi mabwana, n'kofunika kuti kuteteza ku usiku, lolemera ntchito zamanja ndi zolemera ndi yaitali atakhala pa kompyuta, ntchito pa msinkhu.

Chitani: Ubwino ndi Kuipa

Makalasi ayenera kuyamba yekha atakambirana ndi dokotala. Mukhoza kuchita anati yoga thupi ndi masewera osati zotopetsa. Good chakudya, ntchito ndi zina, mpweya wabwino ndi kuyenda musanapite kukagona zimathandiza kuti maganizo, njira zonse zokhudza thupi, ndipo kale akuona mwana wanu.

zomverera watsopano pa mawu amenewa

Kuweta zizindikiro zosasangalatsa kuyamba kutha: kufooka, malaise, kusinza kawirikawiri pokodza mukusautsika zochepa. Komabe, maganizo si bwino ndipo kungakhale wodzikweza mokwiya. Chakudya zizolowezi lichitidwa phased kunja, ndi kulakalaka zachilendo kudya kusiyiratu. Koma musati asamadye kwambiri pa chimwemwe kuti matenda m'mawa ndi kusanza osaonekanso, chifukwa katundu ziwalo excretory ndipo ukuwonjezeka chimbudzi. Mothandizidwa ndi progesterone mkati, zotsatira waukulu umene - kuteteza kutenga mimba kuonekera kudzimbidwa.

Pa masabata 12 kukula pakati m'mimba si makamaka chinawonjezeka makamaka nulliparous ndi akazi ndi kulemera thupi wamkulu kuposa zachibadwa. Mu multiparous chifukwa elasticity m'munsi mwa khungu ndi minofu m'mimba umakhala noticeable. Pamene mimba angapo m'mimba ndi kukula uterine si zizigwirizana akuti: iwo kwambiri kuposa mlungu akuyembekezeka anapereka pamwezi. Kuyeza circumference m'chiuno ndi kutalika kwa ataima pamwamba chiberekero Nyini ndi kale zotheka pa maulendo akalandire chithandizo. Ayamba amasonyeza bwino mtundu wa m'michombo ndi mzere kulumikiza chifuwa ndi mphete umbilical.

Kuyambira nthawi imeneyi pali kusintha pa khungu: kungakhale totupa, ziphuphu, ukuchoka. Koma izi milandu lakutali. Nthawi zambiri, chinawonjezeka magazi timadzi estrogenic amayi thupi kumabweretsa mfundo yakuti maonekedwe a khungu bwino, kumakhaladi wamng'ono, apo pali gleam pamaso pake ndiponso manyazi pa nkhope yake. Mkazi amawoneka bwino kuposa kale. Pali otchedwa mkati chowala - chizindikiro chimene kudziwa za mimba yanu.

kulemera mayi thupi ndi wamkulu kuposa 1-2 makilogalamu - ichi ndi increment yachibadwa. Kuyambira nthawi imeneyi anali amtengo iliyonse turnout pakati ulamuliro kulemera kwake kuzindikira mwamsanga edema kubisika.

Mayi woyembekezera amayamba kuona ndi pulsation kwa msempha kuti molakwika amatenga kwa kayendedwe yoopsa. Ndi masabata 12 akuyamba bere kukulitsa, kuunika kozungulira mutu peripapillary ndi nsonga zamabele mdima, mkazi akumverera kumva kulasalasa pang'ono ndi wachifundo pa nthawi yomweyo komanso kufunika chikhalidwe chawo.

Kukula kwa mwana

ana onse ziwalo inakhazikitsidwa nthawi imeneyi. Pa masabata 12 a mimba, yoopsa kukula ndi kulemera chawonjezeka ndi pafupifupi 2 zina. Iye kale akulemera magalamu 14-15, kukula kwake - pafupifupi 10 cm. Munthu wamng'ono ali manja ndi miyendo. Baby nkhope maso ndi zikope, pakamwa, mphuno, zala unakhazikitsidwa pa misomaliyo, zoyamba poyamba minofu. Makutu mwana ali kale mu malo. mwana akhoza kutsegula ndi kutseka kamwa, miyendo wiggling zala kukoka tsinya, yawn, kutsegula ndi kutseka maso ake, akupanga Pomeza kayendedwe. ubongo amayamba unagawika hemispheres awiri nyumba wake anapanga, pali bongo. Mtima amayamba kumenya pa mlingo wa kumenyedwa 160-165 pa mphindi. The intestine watenga malo mwake mu zonse m'mimba, chiwindi umabala ya ndulu kale. maselo a mwazi ndi erythrocytes ndi kuperekedwa ndi leukocytes. Zimachitika kusasitsa mafupa ndi minofu kutonthozedwa. Anyamata anayamba kubala testosterone, ndi chithokomiro England umabala mahomoni. Umayamba ukugwirira ntchito chitetezo.

Pa masabata 12 mimbayo wosabadwa chithunzi kukuwonetsani mmene mwana wakula. Ichi ndi chithunzi choyamba cha mwanayo.

Ndi kwa nthawi limayamba kusintha chidwi kwambiri ndi zodabwitsa: mwanayo ikukula kwambiri, ntchito za ziwalo zake zonse zabwino kuti ndiye atabadwa mofulumira kwambiri acclimate ku malo kunja pamimba. Pa masabata 12 mimbayo wosabadwa pa ultrasound chithunzi akukuonetsani mwana amene wakula kwambiri kuyambira nthawi yomwe mayi.

Kodi US

maphunziro chofunika pa masabata 12 a mimba - yoopsa ultrasound ndi mtima wa zolembera seramu.

Ultrasound Kupenda amachitika pofuna kuwona:

• Kukhazikitsa mwana wosabadwayo, motero mawu;

• Ntchito ya kayendedwe mtima kuti awerenge chiwerengero cha heartbeats;

• chikhalidwe cha nsengwa ndi;

• kukhala ndi mwana wosabadwayo yachiwiri pa nkhani ya mapasa;

• Zizindikiro za anomalies chromosomal kapena malformations;

• Mayendedwe a myometrium: pamaso pa mfundo kapena Hyper ndi kuopseza kusokoneza;

• ziwalo zina m'chiuno kudziwa njira pathological.

US mu nthawi imeneyi idzachitika ndipo mwachizolowezi ukazi sensa ndipo amathandiza kudziwa pa masabata 12 a mimba kukula mwana wosabadwayo, kugonana kwa mwana, kuyeza zizindikiro zonse zazikulu. Zofunika mfundo: kudziwa tsiku lenileni la yobereka. Pa masabata 12 a mimba ultrasound chithunzi kukuwonetsani osati nyongolosi, ndi kale mwamuna wamng'ono.

Onetsetsani kuyeza parietal-coccygeal mwana wosabadwayo kukula - mtunda kuchokera coccyx kuti korona pa nthawi kutambasuka pazipita khanda. kudziwa zimenezi ikuchitika mu ndege sagittal kuti ukugawa thupi mu amachepetsa awiri ofanana.

Ultrasound si kofunika kudziwa kugonana a mwanayo. Ngakhale mawu amenewa kukhalapo kwa zipangizo zamakono n'zotheka. mbolo mnyamata limaonekera arrowhead ndi, kumaliseche atsikana - mu mawonekedwe a n'kupanga awiri.

Ambiri amafuna tikupeza, mu masabata 12 a mimba kugonana mwana ndi cholinga kukonzekera kubadwa: kugula zofunika mtundu zovala ofananira, kukonzekera wamkulu mwana mu kubadwa kwa m'bale wamng'ono kapena mlongo.

Madokotala ultrasound tione kofunika kudziwa malformations yoopsa kapena kuvutika chromosomal. Kuti tichite zimenezi, kuyeza translucency nuchal. Bwinobwino ichi chithunzi - osapitirira 2.5 mm. Ngati makulidwe - 3 mamilimita kapena kuposerapo, limasonyeza ozerezeka, Edwards, Turner, Patau ndi kuvutika ena chromosomal.

chikhomo wabwino ndi kudziwa kutalika kwa fupa m'mphuno wa mwana wosabadwayo. chiwerengerochi, ngati 2 mm kapena zambiri, 50-80% milandu, kusonyeza ozerezeka.

Pa masabata 12 a mimba ultrasound tingasonyeze ndi malformations amenewa: anencephaly - kusapezeka kwa hemispheres oziziritsa, acrania - mafupa Chigaza, ectopia za mtima - olakwika a udindo wake, umbilical chophukacho, m'mimba khoma chilema, zinaphatikizidwa mapasa, wathunthu atrioventricular chipika, pamene moyo n'zosathekadi, enaake limfaginoma khosi m'mimba khoma chilema ndi ena.

Za makhalidwe makolo ayenera kuuzidwa kusankha mokomera kutambasuka zina mimba kapena usokoneze izo. Nthawi imeneyi, mimba akadali zotheka kuchita popanda mavuto aakulu kwa mkazi.

phunziro kuvomerezedwa ndi mosakakamiza

Kudziwa makhalidwe onse pakati anagwira kusanthula magazi zikuchokera kachulukidwe wa zolembera seramu magazi akuchikazi: ufulu kagawo kakang'ono β - hCG ndi placental mapuloteni, amagwirizana ndi mimba (PAPP-A). Ultrasound molumikizana ndi phunziro iyi akutchedwa mayeso mosamala, omwe si matenda komaliza, ndi kokha ikukhudza chitukuko cha mwana ndi chromosomal chosayenerera.

matenda zolondola zikhoza kupangidwa pambuyo olanda njira akalandire chithandizo matenda. Pa mawu amenewa akhoza kuchititsa chorionic biopsy. Usaope a njirayi. Pakali pano izo imagwiridwa pansi ultrasound chiongoko ndi chiopsezo cha matenda oyamba ndi chabe.

Ena zipatala ikuchitikira popanda kuphunzira zina ultrasound sonographic. Pa pempho lanu mungachite mu masabata 12 a mimba ndi ultrasound 3D chithunzi. Pa mnyamata kapena mtsikana koma phunziro ili angasonyeze zotsatira osadalirika. Recheck molondola tikupeza kugonana mwana akhoza kukhala masabata 18-20 pa chachiwiri mosamala ultrasound.

Kupatula mokakamizidwa mkodzo mayesero ndipo magazi ndisanabadwe kwa chindoko, HIV, matenda a chiwindi, tizilombo ndi matenda bakiteriya.

Zizindikiro kuti ayenera kuchenjeza

Muyenera kudziwa zizindikiro zoopsa zimene zingachitike pa masabata 12 a mimba. Kodi n'chiyani chikuchitikira mwana pamene mwadzidzidzi limaphwanya m'mimba kapena kuoneka zoonera?

Pamene ululu pamimba m'munsi mwa chikhalidwe chosiyana ayenera yomweyo itanani ambulansi kapena kupita gynecologist lapansi. Chifukwa zowawa izi koposa zonse - kuopseza kuchotsa pa masabata 12 a mimba. Photos kusonyeza US kamvekedwe ka chiberekero, nthawi zina mapindikidwe ndi placental abruption. Koma nthawi zina ululu si kugwirizana ndi mimba. Iwo appendicitis lumbago, flatulence, matenda chakudya, colic aimpso, uterine mitsempha kupsyinjika ndi zida zina.

Kuyambira thirakiti maliseche a mumtundu ndi buku - chizindikiro kuti amafuna m'chipatala nthawi yomweyo Dipatimenti matenda achikazi. Izi zikhoza chizindikiro detachment wa latuluka, ndi mimba. Pa masabata 12 a mimba ultrasound zithunzi kusonyeza malo enieni ndi kukula kwa detachment lapansi. Zochizira zizindikiro kwa nthawi chimenecho amafuna tima mankhwala umatetezera.