Sabata la 20 mimba, palibe perturbations - chake? Kodi chimachitika n'chiyani pa siteji iyi ya mimba

Anayamba theka lachiwiri la mimba, aliyense amayi amakono ayenera kudziwa zinthu zonse zikuchitika mkati izo, ayenera kulamulira ndondomeko yonse ya mimba, kudziwa kuti iye ndi mwana wake wosabadwa kumachitika nthawi ina miyoyo yawo. Nthawiyi akubweretsa chachilendo chipatso cha masabata 20 a mimba kale kuyambira kusamukira kusuntha, izo Tingaone osati mu US, komanso mphamvu kwambiri.

Muziganiza mu nthawi iyi ya mimba

masabata 20 - kuti ndi theka mimba, amene ali kale kusintha ambiri ngati mayi woyembekezera ndi mwana wosabadwa. Ife kale akhoza kumva yogwira mtima wa nyenyeswa, iwo amaoneka ngati zodabwitsa zazing'ono, zina chikufanana "flutter agulugufe" mmimba. Akazi anayamba kumverera mwana sali yemweyo: munthu mu 16-17 TH sabata, ndi wina pa TH 21-22. kusiyana Izi akamagwira thupi la mkazi, ntchito yoopsa. More wochepa ayamba kumva yogwira pamaso plump. Pamene zikugwira ntchito mwana amapereka mayi ake kumverera kwambiri, maganizo limatuluka ndi mimba yokha chikuchitika wosaiwalika. zabwino mtima kutulutsa timadzi chimwemwe, si chifukwa cha iwo pambali mavuto monga oligohydramnios, nsengwa previa kapena toxemia mu trimester 3.

sabata la 20 mimba, palibe perturbations? Musaphwanye nkhawa, chifukwa mu nthawi ino zidzachitika infrequently kapena akhoza kutha kwa kanthawi, ndipo izi imatengedwa zachilendo kwa mimba, khalidwe mwana sayenera kalipokalipo. Komabe, tiyenera kukhala maso, ndi kusapezeka yaitali perturbation yomweyo funsani wanu azamba-gynecologist, mwinamwake iyo ikhoza kumapeto onse padera. Pa akuti zimenezi zingabweretse kubadwa yokumba, ngati akatswiri omwe wapezeka ena chosayenerera yoopsa. Izi zachitika pofuna kupewa kubadwa kwa mwana ndi kuthetsa mavuto mwachisawawa kuti moyo wa mayi ali woyembekezera ndi kutsatira pobereka.

Mayi woyembekezera ayenera kudziwa kuti mkati mphindi 30 mwana wake ayenera kusankha 20-60 perturbations. Mphamvu, kayimbidwe kotani, kayendedwe tempo zimadalira nthawi ya tsiku: zambiri yogwira yogwira usiku ndi madzulo, ndipo nthawi zina pafupifupi oyambirira maola m'mawa. Anyamata amaona yogwira kuposa atsikana.

10 mndandanda (kutanthauza munamvera wiggling kuyenda, kenako ndinayamba kukankhira, gubuduzani - amaona zambiri imodzi) patsiku imatengedwa yachibadwa wiggling kuyenda. Pakalibe perturbations 10 patsiku zikusonyeza hypoxia (mpweya akusowa) kuchitira m'pofunika kuthetsa kuti akatswiri. Lekeza ndi aakulu perturbations akusonyeza ndi zovuta malo amayi. Ngati kayendedwe yoopsa kukhala zopweteka, wosakhazikika, yogwira kuposa kale, izi zikhoza kukhala zimasonyeza oyambirira akusowa siteji mpweya; mu mwapang'onopang'ono hypoxia wiggling lotayirira kwathunthu kutha.

Tiyenera kukumbukira kuti mwanayo akhoza kusuntha pa mkokomo mokweza pamene kudya, kusowa mpweya wabwino, ndi zambiri usiku. The mwana wakhala bwino kumva motero akhoza kutani kuti mtima zinthu wake.

Makulidwe a mwana wosabadwayo, kulemera kwa mwana ndi mapangidwe a

Pa masabata 20 a mimba, kukula kwa mwana wosabadwayo ndi kale za 25 cm, ndipo zimalemera pang'ono kuposa 300 magalamu, mtunda kuchokera pamwamba pa mutu kuti tailbone mpaka masentimita 16. Mayi anga, nawonso, akuyamba kusintha kwambiri, mimba akuyamba kukula kwambiri noticeable, ndi n'zosadabwitsa, chifukwa m'katikati mwa mimba. Ngati pali kudwala, kukula kwa thupi la mwanayo kwambiri anasiyana mwakale, anawona ndi matenda chitukuko yoopsa, ndipo ngati pali kudwala sangathe kuchiritsidwa ndi mankhwala amakono, izo tikulimbikitsidwa yokumba kubadwa mkazi.

Pa masabata 20 a mimba, yoopsa kukula kuyambira tsiku ndinasintha kuchuluka, mwana kale anapanga ziwalo ndipo mwina ntchito zawo. Panali misomali, mukhoza kuona chithunzi munthu mosavuta pa. Anawona kwambiri kunenepa ndi chitukuko cha mwana, mwana ali kukula ukuwonjezeka ndi tsiku moyo wake, mayi ayenera kudya bwino, kuonetsetsa olondola chitukuko mimbayo. masabata 20 - nthawi imene khungu mwana ndi thicker, koma amakumana kwambiri wamakwinya. Tingaone zimenezi, tikafuna ultrasound.

Low placentation mu imeneyi gestation mwana

Pamene latuluka (m'mphepete ake pansi) lili masentimita 5 pansipa Os mkati, ndiye takumana ndi chodabwitsa placentation otsika. masabata 20 a mimba - ndi nthawi imene madokotala angathe oterewa malo otsika a latuluka lapansi. Koma musati mudandaule, nsengwa pamaso masabata 34 akhoza amasamukira, inu ayenera kungokhala kuwunika ndondomeko imeneyi ndi thandizo la ultrasound pa mawu a masabata 16, masabata 24-26 ndi masabata 34-36. The nsengwa ndi thupi amapangidwa pa mimba. Izo ndi ntchito yake zoteteza amapereka mwana ndi mpweya, komanso mwa mwana wake afika zakudya zonse zofunikira.

Kawirikawiri latuluka pa mimba zosiyanasiyana zachilendo amamangiriridwa kutsogolo kapena kumbuyo khoma la chiberekero, pafupi pansi pake. Ngati latuluka amamangiriridwa otsika, amaona ndi kudwala - latuluka previa, koma otsika placentation - iyi si nkhani, monga otsika, koma pali kusiyana pakati pa iye ndi kuchoka ku chiberekero.

Amachititsa otsika latuluka likhoza kulumikizidwa ndi myoma uterine, mimba angapo, hypoplasia uterine, mimba kapena posamutsa zotsatira za matenda yotupa. kudwala Zimenezi zingachititse magazi. Sikutheka pa placental otsika kupanga magulu lakuthwa ali contraindicated thupi. Low placental zingakhudze mwana wosabadwayo, choncho adzalandira zochepa mpweya ndi zakudya.

mavuto zina ziti zimene kudikira mkazi imeneyi gestation?

M'nyengo imeneyi matenda otsatirawa akhoza m'chilango mayi tsogolo:

1. Preeclampsia (ie, mochedwa toxicosis) - angayambe nthawi masabata 20-21 mimba, ngakhale nthawi zambiri amapezeka pa sabata 36-39. Toxicosis muyenera kulipira mwapadera, zingayambitse detachment wa latuluka, chifukwa angayambe intrauterine kukula retardation. Toxicosis m'pofunika liyang'anire ndi zonse funsirani wanu azamba-gynecologist za kusintha umoyo.
2. Latuluka previa. Latuluka previa zingachitike padera. Amakhala pa masabata 20 a mimba likhoza kulumikizidwa ndi magazi ndi ululu chifukwa matenda. Pa nthawi imeneyi mimba ultrasound tingasonyeze ulaliki, koma mukhoza kumapitirira ake, ndi ultrasound Mungathe kubwereza pa masabata 24.
3. Oligohydramnios chingakhale chifukwa cha retardation maganizo ndi kukula. The Timatha wosaperewera madzi angayambe pamene yoopsa kuyenda.

Belly ndi kumva mayi woyembekezera

20 Masabata oyembekezera: Kodi chimachitika kwa mkazi thupi? Komanso umayamba kusintha mofulumira kunja, ndi tsopano kutha kwa sabata la 20 kulemera mayi anawonjezera kuti makilogalamu 3, kenako 4.5 makilogalamu. Pamimba ochuluka otchuka, koma ili basi pansipa Mchombo wa, zovala ndi akadali kupsa, wayamba ikukulandani ufulu wocheza pamimba. Pa ichi nthawi ya mimba pali kusintha kaimidwe wa kusamuka kwa pakati yokoka, pali chachikulu katundu pa msana ndi sacrum ndi ntchafu dipatimenti. Baby masabata 20 a mimba ikukula mofulumira, mkazi amayamba kuona zizindikiro Tambasula pa thupi lake. Lero, mungapeze kwambiri mankhwala zodzikongoletsera ndi chilema zimenezi, osati kuthandiza kuchepetsa amamuyambitsa timabala, koma kupewa asayembekezere.

Kwa masabata 20 a mimba - palibe perturbations? Muyenera kuchita ndi ultrasound, kotero kudzakhala phokoso, kuyambira ndi kale zotheka kumva kugunda kwa mtima wake, ndipo akhoza anapereka, kuyembekezera munthu - mnyamata kapena mtsikana.

Zoyambitsa ndi njira ya yokumba mwana kubadwa

Amapanga kubadwa - kuitana ntchito pa 20, nthawizina masabata 21, ndipo mu magawo ina ya mimba. sabata la 20 mimba, palibe perturbations? Izi zikhoza kukhala chifukwa kubadwa yokumba. Chifukwa khalidwe lawo angakhalenso kumaliseche msanga madzi, kukula kwa mwana wosabadwayo ndi kuvutika, kufa kwa mayi. Iwo akhoza kutchulidwa ndi puncturing ndi zimagwira ntchito zosiyanasiyana, utsogoleli wa prostaglandin.

Ultrasound pa mimba

masabata 20 a mimba, zimene zimachitika pa US? Lero, phunziroli limatiuza zambiri za oligohydramnios, zifukwa kuchititsa toxemia, nsengwa previa, malo ndi chikhalidwe, komanso ngati kupatuka mwakale, monga placentation otsika. masabata 20 a mimba - ndi nthawi imene ndi kale zotheka kukhazikitsa kugonana mwanayo, komanso kulemera kwake, kukula ndi malo.

Lero, chifukwa kafukufuku, onani yoyenera kukula kwa nthawi gestation mwana, kulabadira chitukuko cha ziwalo mkati monga m'mimba, impso, matumbo, chiwindi, m'mapapo, mkodzo ndi ndulu. chidwi linaperekedwa akufufuza mtima, monga kuli kotheka pa mawu amenewa onani kudwala izi, monga matenda a mtima, zopatuka izi ankaona kuti ambiri.

kugonana

Ngati mimba ndi wopanda mavuto, kugonana si contraindicated. M'pofunika kupewa kuika kuti amaumiriza m'mimba, choncho pasakhale kusapeza aliyense, ziyenera kutero popanda ululu wina, popanda secretions, mwinamwake m'pofunika kuti asiye kugonana ndi kugonana ndipo funsani wanu azamba-gynecologist.

anaphonya mimba

Kunachitika kale masabata 20 a mimba, palibe perturbations kwa nthawi yaitali, ndinasiya kukula m'mimba - zonsezi zingasonyeze yoopsa kutha. Nthawi zambiri anati kwa masabata 20, koma akhoza matenda pambuyo. Ultrasound otsimikiza pakalibe anayamba kuchepa kugunda, ngati mfundo ngati zenizeni, m'pofunika kuti agwire kuchotsa mwana wosabadwayo, kuteteza matenda. Kenako, madokotala imachitika kufufuza mankhwala kudziwa chifukwa zovunda za mimba. Patapita caka cimodzi ndi hafu, mukhoza kachiwiri kukonzekera mimba.

Mayesero zofunika pa sabata 20 mimba

Patatha milungu 20 kupita kwa dokotala m'pofunika kukhala nthawi 2 mwezi. Pakuti mimba zosiyanasiyana wabwinobwino ayenera kukhala mkodzo, magazi ndi ultrasound uchitike. kusanthula mkodzo pamafunika kuzindikira matenda yotupa magazi - Kuwunika hemoglobin ndi shuga msinkhu ultrasound molondola kwambiri kusonyeza kuphwanya mwana wosabadwayo pa siteji zina za chitukuko. Ngati ndi kotheka achite amuzolengedwa magazi mayeso amene amayankha pa kaperekedwe ka alpha-fetoprotein, hCG mahomoni, chifukwa chizindikiritso yake matenda kakulidwe mwana.

sabata la 20 mimba, kudzipatula

sabata la 20 mimba ... zomverera wiggling kuyenda chifukwa maganizo yabwino kwambiri, koma palinso mphindi osasangalatsa, chifukwa mu nthawi iyi ya mimba kumaliseche amakhala wochuluka kuposa kale, ichi ndi chifukwa kuwonjezeka mu timadzi esitirojeni. Ali ndi yamkaka kapena grayish, odorless, homogeneous kugwirizana. Ngati ndi choncho, ndiye musati mudandaule. Kupatukana zikhoza kuchepetsedwa ndi ntchito chamomile msuzi ndi madzi owiritsa kukonza.

Komabe, ngati padali chikusonyeza zobiriwira kapena chikasu, ndi chinthu chosangalatsa fungo, thovu, curd, ndiye muyenera yomweyo kudziwitsa dokotala anu. Maonekedwe a wamagazi, zofiirira mawanga, komanso aliyense Kugawilidwa kwanthaka, amene anatsagana ndi ululu pamimba, ndi chifukwa kuitana "ambulansi". Zizindikiro akhoza zinayambitsa previa kapena placental abruption. Nthawi imeneyo, pamene kumaliseche wamagazi, koma osati limodzi ndi ululu, ndipo angagwe kugonana kutachitika, mukhoza kulankhula za kukhalapo kwa kukokoloka khomo lachiberekero. Komanso, matenda zosiyanasiyana amaganiziridwa ngati muli ndi kuyabwa m'dera ukazi. Mu zonse milandu, safuna kudzimvera medicate ndi dokotala yomweyo amene mankhwala ndi chithandizo choyenera, ndi mimba adzatuluka popanda matendawo.