Kuchengetwa kwepamuviri mumwedzi wako wekutanga

Trimester zvinoreva "mwedzi mitatu." Nhumbu yakajairwa inogara kwemwedzi gumi uye ine matatu matatu.

Yekutanga trimester inotanga kana mwana wako abatwa pamuviri. Inoenderera kuburikidza nevhiki 14 yekubata kwako. Mutapi wako wezvehutano anogona kutaura nezve nhumbu yako mumavhiki, pane kuita mumwedzi kana trimesters.

Iwe unofanirwa kuronga kushanya kwako kwekutanga kwepabonde mushure mekunge iwe waziva kuti une nhumbu. Chiremba wako kana nyamukuta acha:

• Dhonza ropa rako
• Ita bvunzo yakazara yepelvic
• Ita Pap smear netsika kutsvaga hutachiona kana matambudziko

Chiremba wako kana nyamukuta anoteerera kurova kwemoyo wemwana wako, asi anogona kutadza kuzvinzwa. Kazhinji kazhinji, kurova kwemoyo hakugone kunzwika kana kuoneka pane ultrasound kusvika kweanosvika mavhiki matanhatu kusvika manomwe.

Munguva yekushanya kwekutanga, chiremba wako kana nyamukuta achakubvunza mibvunzo nezve:

• Hutano hwako hwese
• Chero matambudziko ehutano aunayo
• Nhumbu dzakapfuura
• Mishonga, mishonga, kana mavitamini aunotora
• Kunyangwe iwe uchiita kana kwete
• Kunyangwe uchisvuta kana kunwa doro
• Kunyangwe iwe kana mumwe wako muine hutachiona kusagadzikana kana matambudziko ehutano anomhanya mumhuri yako

Iwe uchave nekushanya kwakawanda kuti utaure nezve chirongwa chekuzvara. Iwe unogona zvakare kukurukura nezvazvo nachiremba wako kana nyamukuta pakushanya kwako kwekutanga.

Kushanya kwekutanga zvakare ichave nguva yakanaka yekutaura nezve:

• Kudya zvine hutano, kurovedza muviri, uye kuita mararamiro achinja paunenge uri nepamuviri
• Zviratidzo zvakajairika panguva yekuzvitakura senge kuneta, kuora moyo, uye varicose mutsinga
• Nzira yekugadzirisa mangwanani kurwara
• Chii chaunofanira kuita nezve kusangana nekutsi kwemukadzi kubuda ropa panguva yekutanga kubata
• Zvaunotarisira pakushanya kumwe nekumwe

Iwe zvakare uchapihwa prenatal mavitamini nedare kana usiri kutotora iwo.

Mune trimester yako yekutanga, iwe unenge uine kushanya kwepabonde mwedzi wega wega. Kushanya kwacho kunogona kukurumidza, asi kuchiri kukosha. Izvo zvakanaka kuti uuye nemumwe wako kana murairidzi webasa newe.

Panguva yekushanya kwako, chiremba wako kana nyamukuta acha:

• Kurema iwe.
• Tarisa BP yako.
• Tarisa kuti fetal moyo inonzwika.
• Tora weti sampuro kuyedza shuga kana mapuroteni mumuti wako. Kana chimwe cheizvi chikawanikwa, zvinogona kureva kuti une gestational chirwere cheshuga kana kuwedzerwa kweropa kunokonzerwa nepamuviri.

Pakupera kwekushanya kwega kwega, chiremba wako kana nyamukuta anokuudza shanduko dzaunotarisira usati washanya kunotevera. Udza chiremba wako kana uine matambudziko kana zvinonetsa. Zvakanaka kutaura nezvavo kunyangwe iwe usingafunge kuti dzakakosha kana zvine chekuita nepamuviri pako.

Pakushanya kwako kwekutanga, chiremba wako kana nyamukuta achatora ropa reboka rebvunzo dzinozivikanwa seboka repamuviri. Aya maedzo anoitwa kuti awane matambudziko kana hutachiona pakutanga kwepamuviri.

Iyi pani yemiedzo inosanganisira, asi haina kuganhurirwa kune:

• Ropa rakazara kuverenga (CBC)
• Kunyorera ropa (kusanganisira Rh skrini)
• Rubella viral antigen skrini (izvi zvinoratidza kuti uri immune sei kuchirwere Rubella)
• Hepatitis pani (izvi zvinoratidza kana uine tariro yehepatitis A, B, kana C)
• Syphilis test
• HIV test (bvunzo iyi inoratidza kana uine hutachiona hunokonzera AIDS)
• Cystic fibrosis skrini (bvunzo iyi inoratidza kana uri mutakuri wecystic fibrosis)
• Kuongorora weti uye tsika

Iyo ultrasound inzira yakapusa, isingarwadze. Wande inoshandisa ruzha mafungu ichaiswa padumbu rako. Mafungu ezwi anozorega chiremba wako kana nyamukuta aone mwana.

Iwe unofanirwa kuve neiyo ultrasound yakaitwa mune yekutanga trimester kuti uwane pfungwa yezuva rako rakakodzera.

Vakadzi vese vanopihwa kuyedzwa kwemajini kuti vatarise kuremara kwekuzvara uye matambudziko emagene, senge Down syndrome kana huropi uye musana wemakondomu kuremara.

• Kana chiremba wako achifunga kuti unoda chimwe cheizvi bvunzo, taura nezve izvo zvichave zvakakunakira iwe.
• Ive neshuwa yekubvunza nezve izvo zvingabuda zvingareva iwe nemwana wako.
• Anopa chipangamazano anogona kukubatsira kuti unzwisise njodzi dzako uye miedzo.
• Pane zvakawanda zvingasarudzwa izvozvi zvekuyedzwa kwemajini. Mimwe yemiedzo iyi inotakura dzimwe njodzi kumwana wako, nepo vamwe vasina.

Vakadzi vanogona kunge vari panjodzi yakanyanya yezvinetso zvemagene izvi zvinosanganisira:

• Vakadzi vane fetus vane dambudziko remagene mune nhumbu dzakapfuura
• Vakadzi, makore makumi matatu nemashanu kana kupfuura
• Vakadzi vane nhoroondo yakasimba yemhuri yehurema hwekuzvarwa nhaka

Mune kumwe kuyedza, wako anopa anogona kushandisa iyo ultrasound kuyera kumashure kwemutsipa wemwana. Izvi zvinonzi nuchal translucency.

• Kuongororwa ropa kunoitwawo.
• Pamwe chete, izvi zviyero zviviri zvichataura kana mwana ari panjodzi yekuve ne Down syndrome.
• Kana bvunzo inonzi quadruple skrini ikaitwa mune yechipiri trimester, mhedzisiro yeese mabvunzo akajeka kupfuura kuita chero bvunzo chete. Izvi zvinodaidzwa kuti zvinosanganisira kuongorora.

Imwe bvunzo, inonzi chorionic villus sampling (CVS), inogona kuona Down syndrome uye zvimwe zvinokanganisa magene kutanga kwemavhiki gumi kuve nepamuviri.

Chiyero chitsva, chinonzi cell isina maDNA kuyedzwa, chinotarisa zvidimbu zvidiki zvemwana wako mumuenzaniso weropa kubva kuna amai. Uyu muedzo uri mutsva, asi unopa yakawanda yevimbiso yekutendeseka pasina njodzi dzekuparara.

Kune mimwe bvunzo dzinogona kuitwa mune yechipiri trimester.

Fonera mupiki wako kana:

• Iwe une huwandu hwakakura hwekusvota uye kurutsa.
• Une kubuda ropa kana kupwanya.
• Iwe wakawedzera zvinoyerera kana zvinoerera zvine hwema.
• Iwe une fivhiri, kutonhora, kana kurwadziwa kana uchipfuura weti.
• Iwe une chero mibvunzo kana zvinonetsa nezve hutano hwako kana nhumbu yako.

Kuchengetwa kwepamuviri - trimester yekutanga

Gregory KD, Ramos DE, Jauniaux ERM. Kufungidzira uye kuchengetedza kwepamuviri. Mune: .Landon MB, Galan HL, Jauniaux ERM, et al, eds. Obstetrics yaGabbe: Yakajairika uye Dambudziko Pamuviri. 7th ed. Philadelphia, PA: Elsevier; 2021: chits.

Hobel CJ, Williams J. Antepartum kuchengetedza. Mune: Hacker N, Gambone JC, Hobel CJ, eds. Hacker & Moore's Zvakakosha zveObstetrics uye Gynecology. 6th ed. Philadelphia, PA: Elsevier; 2016: chits.

Magowan BA, Owen P, Thomson A. Antenatal uye mushure mekusununguka. Mune: Magowan BA, Owen P, Thomson A, eds. Clinical Obstetrics uye Gynecology. 4th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 22.

Williams DE, Pridjian G. Obstetrics. Mune: Rakel RE, Rakel DP, eds. Chinyorwa cheMhuri Mishonga. 9th ed. Philadelphia, PA: Elsevier; 2016: chitsiko 20.

• Kuchengetwa Kwekusununguka