Duba jikinka, jaririnka, da sauransu
Barka zuwa mako 34 na ciki. Ga wasu mata masu ciki (amma ba duka ba), jariran zasu fara farawa a cikin ciki a wannan makon, suna karatun su babban fita.
Your Trimester: Na uku rukuni
Wakuna don zuwa: 6
Kuna Wannan Yau
A makonni 34, ruwan hawan mahaifa a cikin mahaifa ya iya isa iyakarta. (Yana tasowa tsakanin lokaci da mako 36 , sannu a hankali yana raguwa bayan haka.) Kuma ga wasu mata, wannan ma yana kusa da lokacin hasken wuta, ko faduwa, na iya faruwa.
Haskewa shine lokacin da jariri ya canza matsayinta a cikin hanyar haihuwa. Wannan ba wai kawai ya karanta jariri ba don bayarwa, zai iya taimakawa matsa lamba a kan diaphragm, ƙwaƙwalwar ƙwannafi da kuma numfashi. Abin takaici, wannan taimako zai iya zo tare da sake dawowa: matsa lamba mai yawa a kan mafitsara.
Idan ciki ba zato ba tsammani, kada ka firgita. "Babu cikakkiyar daidaita tsakanin lokacin da jariri ya sauko kuma lokacin da aiki ya fara," in ji Allison Hill, MD, wani aikin OB-GYN mai zaman kansa a Birnin Los Angeles.
Your Baby Wannan Week
Kwancen jaririnka 5 zuwa 5½-labaran yana ci gaba da cika, da kuma muryarta-waxy, takalma mai tsabta da ke rufe jikin fatar jikin jariri-yana raguwa. Vernix ba wai kawai kare lafiyar jariri daga sakamakon bushewa na ruwa mai amniotic ba, yana aiki a matsayin mai laushi wanda zai taimaki jariri ta motsa ta hanyar hanyar haihuwa. Kuna iya lura da wasu lokuta akan jariri a ranar haihuwarta.
Kada ku yi sauri don tsaftace shi; yana ci gaba da kare tsarin rigakafin jariri sau ɗaya ko an haifi ta.
Duk da yake yana da gaskiya cewa ba za a dauki nau'in jariri na tsawon shekaru 17 da haihuwa ba har tsawon makonni 39 , waɗanda aka haife su a makonni 34 suna da ciwon daji da kyau kuma suna da kyau.
A Ofishin Doctor ɗinku
Shan twins?
Wannan yana iya kasancewa ziyararku ta ƙarshe. Matsakancin juna biyu a ciki yana bada kimanin mako 35 . Ga kowa da kowa, wannan mako-mako na bincike-mako zai kunshi daidaito gwaje-gwajen da matakan. Duk da haka, idan an dauke ka da mummunar haɗari kuma ba su da wata sanarwa na biophysical (BPP) da aka yi a makon da ya gabata, zai iya faruwa a wannan ziyara.
BPP jarrabawa ne kawai wanda yake dauke da cikakken bayani da kuma jarrabawar gwajin da ba ta damewa ba . Mai bada sabis na kiwon lafiya zai saka idanu da kuma ci gaba da matakan hawan mahaifa, ciki har da ƙwayar tsohuwar jariri, motsa jiki, da kuma motsa jiki. Wani lokaci ana amfani da buzzer don tayar da jaririn don jarraba, wanda zai dauki sa'a daya don yin. Bayan likitan ku ko kuma ungozoma ya sake duba sakamakon gwajin ku, zai yanke shawara idan yana da kyakkyawan ra'ayin da za ku ceci jaririn nan da nan fiye da yadda aka tsara.
Ra'ayoyin Musamman
Idan kana dauke da takalma , ma'anar cewa jaririnka na baya-da / ko ƙafa-farko, wannan ba yana nufin cewa jaririnka zai kasance a cikin wannan matsayi ba zuwa ranar haihuwa. A gaskiya ma, "a wannan lokacin a cikin ciki, kimanin kashi 14 cikin dari na jarirai ne mai fadi, amma ta mako 36 , wannan adadin ya kai kashi 9," in ji Dokta Hill .
Duk da haka, mai bada sabis na kiwon lafiya zai iya yin abin da za ku iya yi don taimakawa juya jariri da abin da zai iya faruwa idan jariri bata juya ba.
A yau, mafi yawan 'ya'ya masu haifa sun haifa ta hanyar ɓangaren Cesarean , amma zubar da ciki na haifa guda ɗaya na iya zama wani zaɓi wani lokaci.
Da farko, likitanku ko kuma ungozoma na iya ba da wata alama ce ta ɗabi'ar CAP (ECV) , wanda ake kira hanyar hannu-ciki, don samun jaririn a cikin matsayi mafi kyau. Wannan yana faruwa a tsakanin makonni 32 da mako 37 . A nan, mai bada ku (kuma mai yiwuwa mataimaki) ya shafi matsa lamba mai ƙarfi zuwa ga ciki cikin ƙoƙari na ƙarfafa jariri ya juya. Za a iya ba da maganin terbutaline na miyagun ƙwayoyi, wanda ya rage ƙwayoyin uterine da kuma / ko wani abu mai tsauri don toshe ciwo. Wani lokaci ana yin amfani da duban dan tayi a matsayin jagora.
Fiye da rabi na ƙoƙarin ECV sun yi nasara, a cewar Cibiyar Kwalejin Kwararrun Ƙwararru ta Amirka da Gynecologists. Koyarwar: Wasu jariran da aka samu nasara sun sake dawowa zuwa filin jirgin kafin ranar haihuwa.
Akwai wasu hanyoyi a gida don sa jaririn ya juya cewa zaka iya ƙoƙari. Duk da haka, yana da muhimmanci a tuntuɓi mai bada sabis na kiwon lafiya kafin kokarin waɗannan:
Gwada wani abu mai mahimmanci: Sanya saitin kankara ko jakar nau'i na daskararre wanda aka nannade cikin zane mai haske a kan ciki, inda jaririn yake.
Yi amfani da nauyi: Kwanƙwasa a ƙasa tare da tarihin matashin kai a ƙarƙashin kwatangwalo don minti 10 zuwa 15 kowace rana.
Shine haske: Shirya hasken haske a kasusuwan ku don karfafa jariri don ya zo ga haske (kuma, don haka ya juya fuska).
Ka yi la'akari da wannan haɗuwa mai mahimmanci: A cewar rahoto a cikin Journal of Maternal-Fetal & Neonatal Medicine , haɗuwa da acupuncture tare da haɓakawa zai iya zama tasiri don magance breech gabatar. Acupuncture ya shafi shigar da allurar fata a cikin wasu ƙananan maki zuwa (ba tare da jin dadi ba) ya motsa yaron ya motsa. Saukowa ya haɗa da kayan zafi da kuma yin amfani da zafi zuwa sassan jiki don karfafawa da wannan.
L zuwa cikin gyaran maganin chiropractic: Wani ƙwararren ƙwararren ƙira zai iya zama da wuya ga jariri ya fita daga cikin matsayi. Duk da haka, samun daidaitattun tsarin chiropractic zai iya gyara wannan halin. A gaskiya ma, wata rahoto a Jaridar Manipulative and Physiological Therapeutics ta gano cewa kashi 82 cikin dari na masu aiki suna da nasara wajen juya yara tare da kula da chiropractic.
Makomar Doctor ta gaba
Tsakanin makonni 35 zuwa 37 na ciki, mai ba da sabis na kiwon lafiya zai baka kariya don strep na B-band (wanda ake kira GBS ko beta strep). Wannan kamuwa da kwayar cuta ta kwayar cuta a cikin jikin ku na haihuwa ya kasance a kusan kashi hudu cikin dukan mata masu lafiya. Duk da yake ba shi da wani haɗari a gare ku, zai iya haifar da ciwon huhu ko manceitis a cikin jariri. Idan kun gwada tabbatacce ga GBS, za ku sami maganin rigakafi a lokacin aiki don kare ɗanku.
Kulawa
Kayi magana da ma'aikacin lafiyar ku game da warkarwa na perineal? Idan haka ne, kuma kuna da sha'awar farawa, wannan shine mako don farawa. Wannan aikin yana taimaka wajen kara yawan filastik na perineum (yankin tsakanin farji da kuma anus), da rage yiwuwar samun raunuka da kwaskwarima , da haɗuwa ga perineum yayin bazawa.
Don shawo, kai ko abokinka zai sanya yatsunsu biyu a cikin farjin ka kuma yi amfani da matsa lamba a ƙasa na minti biyu. "Sa'an nan kuma amfani da irin wannan matsa lamba a kowane gefen don ƙarin minti huɗu," in ji Dokta Hill. "Domin mafi kyau sakamakon, yi yau da kullum don sauraran ku." Yayin da ya kamata ka sami sauƙi daga kai tsaye daga likitanka ko kuma ungozoma, a nan akwai wasu shawarwari masu sauki:
Yi amfani da damfara mai dumi: Sanya wankin wanke a kan perineum na kimanin minti 10 kafin kausa.
Wanke hannuwanku: Duk wanda yake yin gyare-gyare yana da hannu mai tsabta (tare da tsararren ƙwallon ƙafa).
Nemo matsayi mai kyau: Wasu mata sun fi so su zauna a kan gado tare da gwiwoyi sunyi koyi tare da bangon tare da taimakon wani tuni.
Yi amfani da lube: "Yi amfani da man fetur mai sayar da ruwa, mai amfani da bitamin E, ko almond mai kai tsaye a kan yatsun ka (ko abokin abokinka) kafin kausa. Wannan ya sa mashin ya fi dacewa kuma yana tsabtace perineum, "in ji Dokta Hill. Koma kamar yadda ake bukata.
Gwada shi a cikin wanka: Matsayinka zai iya sa sauya ta fi sauƙi, kuma ruwan zafi zai iya taimakawa fata.
Don Abokai
Shin, kun lura da abokinku na tsabtatawa mai yawa kwanan nan? Wannan fashewar makamashi ta kungiya tana kiransa nesting kuma ana tsammanin zama hanya ne na hanzari wanda iyaye mata za su shirya don haihuwa. Wasu mata suna ganin wannan buƙata a gida kusa da yanzu, yayin da wani ya taɓa gani a baya ko a'a.
A matsayin abokin tarayya, aikinka ne don tabbatar da cewa mace mai ciki a rayuwarka ba ta shawo kan kanta. Mace masu ciki a wannan lokaci a cikin ciki bai kamata hawa hawa ba, amfani da kayan tsaftacewa mai tsabta kamar bugun jini, ko ya dauke abubuwa masu nauyi. Bada taimakon da taimako a duk lokacin da ake bukata.
Kuma ba ya cutar da shiga cikin labarun da kanka: Ka sa iyalan iyaye ta zama dan sauki a kan kanka ta hanyar ajiyewa a kan kayan cin abinci da baza a iya cinyewa ba da kuma tsararren gidaje a yanzu. A lokaci guda, sanya wasu kayan ci gaba don ci gaba da ajiyewa a cikin firika.
Jerin Lissafi na Tutu
Ci gaba da shan bitamin .
Ci gaba da shan ruwa na karfe takwas zuwa 12 a rana.
Ci gaba da yin abubuwan da ke Kegel yau da kullum.
Fara yau da kullum maganin perineal.
Watan Karshe: Week 33
Ana zuwa: Week 35
> Sources:
> Allison Hill, MD Imel ɗin sadarwa. Oktoba, Nuwamba 2017.
> Kwalejin Amirka na Obstetricians da Gynecologists. Idan jaririnka ne Breech. https://www.acog.org/Patients/FAQs/If-Your-Baby-Is-Breech#external
> Ƙungiyar Harkokin Ciki ta Amirka. Ƙungiyar B Strep Kamuwa: GBS. http://americanpregnancy.org/pregnancy-complications/group-b-strep-infection
> Maris na Dimes. Mace da yawa da haihuwa: Yin la'akari da Jiyya. http://www.uicivf.org/uploads/March_of_Dimes_multiple_pregnancy_and_birth1.pdf
> Neri, I, Airola G, Contu G. Acupuncture tare da haɓakawa don magance breech gabatarwa: binciken da aka yi nazari. J Maternal Fetal Neonatal Med. 2004 Afr, 15 (4): 247-52. https://doi.org/10.1080/14767050410001668644
> Pistolese RA. Dandalin yanar gizo: fasaha mai chiropractic da abubuwan da ke ciki. J Manipulative Physiol Ther. 2002 Jul-Aug; 25 (6) E1-9. > http://dx.doi.org/10.1067/mmt.2002.126127