Ukuqala kobunzima beTrimester yokuqala: Yintoni onokuyilindela

Umxholo

• Ndiza kufumana ubunzima obungakanani kwikota yokuqala?
• Sukuba nexhala kakhulu ukuba awufumani kwikota yokuqala
• Umngcipheko oza nokufumana ubunzima obungaphezulu kogqirha
• Ukutya iikhalori ezongezelelweyo ngexesha lokukhulelwa
• Ukutya kunye nokuqina kwinyanga yokuqala
• Izikhokelo zobunzima bokukhulelwa ngokubanzi
• Ugqirha wakho ngowona mthombo wakho

Ndiyakuvuyela - ukhulelwe! Ngokudibanisa nento yokubeka irejista yabantwana, indlela yokuseka i-nursery, nalapho ungaya khona kwisikolo sabantwana abasaqalayo (ukuhlekisa nje - kuselithuba kakhulu oko!), Abantu abaninzi bafuna ukwazi ukuba bangakanani ubunzima abanokulindela ukubufumana Kwiinyanga ezili-9 ezizayo.

Ngelixa uninzi lweeponti luzakwenza ukubonakala kwazo kwikota yesibini neyesithathu, kukho ubunzima bokuqala bokufumana ubunzima obuza kwenzeka kwiiveki zokuqala ezili-12 zokukhulelwa. Ngapha koko, kwi-avareji, abantu bafumana i-1 ukuya kwi-4 yeeponti kwi-trimester yokuqala-kodwa iyahluka. Makhe sijonge izinto ezichaphazelekayo.

Ndiza kufumana ubunzima obungakanani kwikota yokuqala?

UJamie Lipeles, MD, DO, OB-GYN kunye nomsunguli we-Marina OB / GYN uthi, "Lo ngowona mbuzo ubuzwayo kwizigulana ngexesha lotyelelo lwabo lokuqala lokufika.

Ngaphandle kwento onokuba uyivile, awufumani bunzima buninzi kwikota yokuqala, kunye nengcebiso esemgangathweni eyi-1 ukuya kwi-4 yeepawundi. Kwaye ngokungafaniyo nekota yesibini neyesithathu (xa ubunzima bomzimba, okanye i-BMI, inokuba yinto ethe kratya), uLipeles uthi ukuzuza ubunzima kwiiveki ezili-12 zokuqala kufana kakhulu kuzo zonke iintlobo zomzimba.

Kwaye ukuba ukhulelwe amawele, u-Lipeles uthi izikhokelo ezifanayo ziyasebenza ekuzuzeni ubunzima ngexesha lekota yokuqala. Nangona kunjalo, oku kungatshintsha ngexesha lesibini nakwelesithathu itrimester, njengoko ukukhulelwa kwamawele kukhokelela ekuzuzeni ubunzima obukhulu.

Oko kwathiwa, kukho amaxesha apho ugqirha wakho unokuba nengcebiso eyahlukileyo kwiiveki zokuqala ezili-12. "Kwizigulana ezine-BMI ezingaphezulu kwama-35, sihlala sizikhuthaza ukuba zigcine ubunzima bazo kwitrimester yokuqala," utshilo uG. Thomas Ruiz, MD, OB-GYN kwiziko lonyango i-MemorialCare Orange Coast.

Sukuba nexhala kakhulu ukuba awufumani kwikota yokuqala

Ukuchitha ixesha elininzi ukuqina ibhulukhwe yakho kunokuba uyikhulule kwikota yokuqala yokuqala? Usenokuzibuza ukuba ukulahleka okanye ukugcina ubunzima bakho yiflegi ebomvu.

Iindaba ezimnandi? Ukungafumani bunzima ngexesha lekota yokuqala akuthethi ukuba kukho into engalunganga. Ngapha koko, ukuphulukana neeponti ezimbalwa kwisiqingatha sokuqala sokukhulelwa kwakho kuyinto eqhelekileyo (molo, ukugula kwasekuseni kunye nokuthintela ukutya!).

Ukuba awukaze ube nakho ukugula kwasekuseni, zithathe njengethamsanqa. Ukuziva unesicaphucaphu kunye nokugabha ngamanye amaxesha ngalo naliphi na ixesha losuku kunokubangela ukuba ugcine ubunzima okanye ulahle iiponti ezimbalwa. Ngethamsanqa, oku kuhlala kuncipha kwikota yesibini neyesithathu.

Ukusukela imilebe yakho kumbono weplate oyithandayo yamaqanda aqhekeziweyo kunye nebhekoni kuqhelekile nakwikota yokuqala. "Ndihlala ndiziqhula nezigulana zam kwaye ndibaxelela ukuba banokubanakho ukungathandi ukutya kwikota yokuqala, kodwa ke baya kuthi bagqithe kwikota yesibini neyesithathu ngokuba neminqweno yokutya ngaphandle kwabo bekhulelwe," utshilo uLipeles.

Ukuba ufumana ukugabha okanye ukungavumi ukutya, qiniseka ukuba wabelana ngolu lwazi kunye ne-OB-GYN yakho kutyelelo lwakho lwesiqhelo. Kubalulekile ukuba uwagcine kwiluphu, ngakumbi ukuba ulahla ubunzima. "Ukwehla kwesisindo kuthetha ukuba umzimba ukwimo yokonakala kwaye unoxinzelelo, olukhokelela ekusweleni kwezakhamzimba," utshilo uFelice Gersh, MD, i-OB-GYN kwiQela eliHlanganisiweyo lezoNyango lika-Irvin, apho angumsunguli nomlawuli.

"Ngethamsanqa, umbungu usenokufumana izakhamzimba ezifunekayo ekukhuleni nasekukhuleni kwakhe - umama, nangona kunjalo, angaphulukana nobunzima bomzimba kunye namafutha axhasayo," wongeza uGersh.

Kwaye kufuneka ulumke xa ufumana amava okuphulukana nobunzima.

Esinye sezona zinto zixhaphakileyo ekunciphiseni ubunzima bomzimba yi-hyperemesis gravidarum, yeyona ndlela iqatha kakhulu isicaphucaphu nokugabha ngexa lokukhulelwa. Oku kwenzeka malunga neepesenti ezi-3 zokukhulelwa kwaye kufuna unyango.

Umngcipheko oza nokufumana ubunzima obungaphezulu kogqirha

Enye yeendlela zokukhulelwa kukuba nakho ukukhupha umda ngokutya ngokulula. (Kufanele ukuba sonke siyikhuphe, ngokusisigxina.) Oko kwathiwa, kubalulekile ukuba ubazi ubunzima bakho kunye nendlela ethelekiswa ngayo neengcebiso zokufumana ubunzima, njengoko ukufumana ubunzima obuninzi kuza nobungozi kuwe nakumntwana, kubandakanya:

• Ukutyeba komzimba kusana: Xa umama ezuza ubunzima, umntwana unokufumana ngaphezulu kunesiqhelo esibelekweni. Oku kunokubangela ukuba umntwana abe mkhulu xa ezalwa.
• Ukuhanjiswa nzima: Ngokufumana ubunzima obukhulu, uLipeles uthi i-anatomy yomjelo wokuzalwa itshintshiwe, ivelisa ubunzima obunobungozi kunye nobungozi.
• Umngcipheko ophezulu wesifo seswekile: Ukufumana ubunzima obuninzi, ngakumbi xa ukhulelwe, kunokuba luphawu lokuqala lwesifo seswekile. Ukuba ufumana okungaphezulu kokucetyiswayo kwikota yokuqala yokuqala, uLipeles uthi ungothuki xa ugqirha wakho ekunika uvavanyo lwe-glucose ngaphambi kwenqanaba eliqhelekileyo lama-27 ukuya kuma-29.

Ukutya iikhalori ezongezelelweyo ngexesha lokukhulelwa

Ngaphandle kwento endala ethi "utya ezimbini," ikota yokuqala yokuqala ayiloxesha lokulayisha kwiikhalori. Ngapha koko, ngaphandle kokuba ugqirha wakho ukuxelele ngenye indlela, kuya kufuneka ugcine ukutya kwakho ngaphambi kokukhulelwa.

Nangona kunjalo, njengoko ukukhulelwa kwakho kuqhubeka, ukonyuka kancinci kweekhalori kuyacetyiswa. I-Academy yeZondlo kunye neDietetics iphakamisa uluhlu lwama-2,200 ukuya kuma-2,900 ngosuku, kuxhomekeke kwi-BMI yakho ngaphambi kokukhulelwa. Oku kulingana noku kwanda kulandelayo ngekota nganye (sebenzisa ukubamba kwakho ngaphambi kokukhulelwa njengesiseko):

• Ikota yokuqala: akukho calories ezongezelelweyo
• Ikota yesibini: yitya iikhalori ezongezelelweyo ezingama-340 ngosuku
• Ikota yesithathu: yitya iikhalori ezongezelelweyo ezingama-450 ngosuku

Ukutya kunye nokuqina kwinyanga yokuqala

Uninzi lwethu luqala olu hambo ngamathemba aphezulu okutya impilo, ukuzilolonga rhoqo, kunye nokuthintela nantoni na eneshelufu ixesha elide kunokukhulelwa kwethu.

Kodwa emva koko, ubomi buyenzeka.

Phakathi kokulawula umsebenzi, abanye abantwana, uxanduva lwasentlalweni, kunye nazo zonke ezo hambo ukuya kwigumbi langasese, ukufumana ixesha-kunye namandla-ukugcina ishedyuli yakho yovavanyo ngaphambi kokukhulelwa okanye ukubetha isidlo esiphefumlelweyo esidumileyo ngamanye amaxesha ngumceli mngeni wokwenene. Iindaba ezimnandi? Akunyanzelekanga ukuba uyifumane ngokuchanekileyo yonke imihla ukuze ukhule ube ngumntu ophilileyo.

Ke, kufuneka ujonge ntoni? Ukuba ulungele oko, qhubeka usenza into obukade uyenza ngaphambi kokuba ukhulelwe, okoko nje ingabandakanyi ukuxhoma intloko ujonge ezantsi kwibar yomculo. Imisebenzi eyenziwa ngokhetho oluhle ngexesha lekota yokuqala ibandakanya:

• ukuhamba
• ukuqubha
• ukubaleka
• ibhayisekile yangaphakathi
• uqeqesho lokuchasa
• iyoga

Misela iinjongo zokuzilolonga iintsuku ezininzi zeveki, okanye ubuncinci imizuzu eyi-150 veki nganye. Into ebalulekileyo kukunamathela kwinto oyaziyo. Eli ayiloxesha lokuthatha uqeqesho lwe-marathon, ngakumbi ukuba awuzange ubaleke ngaphambili.

Ngokubhekisele kwisondlo, jolisa ukutya ukutya okunezinto ezahlukeneyo kunye nokutya okwahlukeneyo. Oku kubandakanya:

• amazimba
• isiqhamo
• imifuno
• Iprotheni engacacanga
• amafutha aphilileyo
• iimveliso zobisi ezinamafutha asezantsi ezinje ngobisi kunye neyogathi

Kuba umzimba wakho awufuni iikhalori ezongezelelweyo ngexesha lekota yokuqala, ukutya ngendlela oqhele ukwenza ngayo - ukuba isondlo - yeyona njongo.

Izikhokelo zobunzima bokukhulelwa ngokubanzi

Nangona kungekho ukukhulelwa okubini okufanayo, kukho izikhokelo eziqhelekileyo zokulandela xa kuziwa ekufumaneni ubunzima kuzo zontathu ii-trimesters. I-American College ye-Obstetricians kunye ne-Gynecologists (i-ACOG), kunye ne-Institute of Medicine (IOM), ikwahlulahlula ubunzima bomzimba ngokusekwe kubunzima bakho ngexesha lakho lokuqala.

Ngokubanzi, uluhlu lwazo zonke iinyanga ezili-9 luphakathi kweephawundi ezili-11 ukuya kuma-40. Abo banesisindo okanye ukutyeba okungaphezulu banokufuna ukufumana okuncinci, ngelixa abo banobunzima obuncinci banokufuna ukufumana ngaphezulu. Ngokukodwa, i-ACOG kunye ne-IOM bayacebisa la mabakala alandelayo:

• I-BMI ingaphantsi kwe-18.5: malunga neepawundi ezingama-28-40
• I-BMI ye-18.5-24.9: malunga neeponti ezingama-25-35
• I-BMI ye-25-29.9: malunga neeponti ezili-15-25
• I-BMI 30 nangaphezulu: malunga neeponti ze-11-20

Ukukhulelwa kwamawele, i-IOM icebisa ukuba ufumane ubunzima bobunzima obungama-37 ukuya kuma-54 eepawundi.

Ukufumana umbono ongcono wokuba bangaphi abantu abahlala kolu luhlu, idatha ehlalutyiweyo evela kwizifundo ezininzi. Kufumanise ukuba iipesenti ezingama-21 zifumene ngaphantsi kwenani elicetyiswayo lobunzima, ngelixa iipesenti ezingama-47 zifumene ngaphezulu kunexabiso elicetyiswayo.

Ugqirha wakho ngowona mthombo wakho

Ngokufanelekileyo, uya kufumana ugqirha onokumthemba ukuba aphendule imibuzo ethile engathandekiyo. Kodwa nokuba oku kukuqala kwakho ukuhamba-hamba ne-OB-GYN yakho, ukuthembela kubo ngolwazi kunye nenkxaso kubalulekile ekunciphiseni uxinzelelo ngexesha lokukhulelwa.

Kuba imilinganiselo yesisindo yinxalenye yotyelelo lwaphambi kokubeleka, ukuqeshwa nganye lithuba lokujongana nayiphi na imibuzo okanye inkxalabo, ngakumbi kuba i-OB yakho ilandelela izinto ezininzi, kubandakanya notshintsho lobunzima.