a cikin wannan Mako na 16 na ciki (makonni 18), jaririn yana auna 17 cm kuma yana auna 160 g.

Gabobinsa daban -daban na ci gaba da balaga.

Bakinsa, har zuwa lanƙwasa, ya miƙe.

Jikin Ubangiji tayi a makonni 16, ban da tafin hannu da tafin ƙafa, gaba ɗaya an rufe shi da tarar ƙasa, lanugo. Wannan zai fadi lokacin haihuwa amma yana iya dorewa a wasu sassan jiki, musamman idan jaririn ya iso da wuri. Wani kakin zuma, fari, vernix caseosa, shima yana rufe fatar jaririn kuma yana kare shi daga ruwan amniotic wanda yake wanka a ciki. A kan kowane yatsun yatsun hannunsa.

Le Sati 16 tayiyana ƙara motsawa kuma waɗannan ƙungiyoyi suna ba da gudummawa ga haɓaka yawan ƙwayar tsokarsa da ingantaccen aikin haɗin gwiwarsa. Koyaya, bacci shine babban aikinsa, ba tare da kasa da awanni 20 na barcin yau da kullun ba.

Idan yarinya ce, kogon farji yana faɗaɗa.

Lokacin da mai ciki take Makonni 18 na amenorrhea (16 SG), samar da sinadarin progesterone ta wurin mahaifa yana da tsanani. Wannan hormone, wanda ke taimakawa kula da ciki, shima yana da tasirin shakatawa akan tsokoki masu santsi, musamman don rage ƙanƙancewar mahaifa yayin daukar ciki. Wani gefen tsabar kudin: yana haifar da annashuwa ga sauran tsokar tsoka kamar ta ciki ko hanji, sannan a rage jinkirin ɓarna na ciki da wucewar hanji, tare da mabuɗin ƙwanƙwasa acid da maƙarƙashiya.

Au 4th watan ciki, yana yiwuwa a riga an ji wasu ƙanƙara. Idan sun keɓe kuma ba masu raɗaɗi ba, babu abin da ya saba. Idan ba haka ba, tuntuɓi ya zama dole don kawar da duk wata barazanar isar da lokacin haihuwa (PAD).

Idan mace, ciki wata uku, yana fama da matsalar gurɓataccen acid ko maƙarƙashiya, yana yiwuwa a inganta wannan yanayin. Cin abinci mai wadataccen fiber da samun isasshen sinadarin magnesium ba zai iya hana maƙarƙashiya kawai ba, har ma yana rage haɗarin basur na ciki. Kamar yadda aka saba faɗi, isasshen ruwa (1,5 L a kowace rana) yana taimakawa hana maƙarƙashiya. Ruwan da aka wadata da sinadarin magnesium yana da kyau, saboda wannan alamar alama tana inganta sufuri. Fiber kuma aboki ne na hanji saboda yana riƙe da ruwa kuma yana hanzarta jigilar hanji. Ana samun fiber mafi yawa a cikin 'ya'yan itatuwa da kayan marmari, zai fi dacewa a cikin kakar. Hakanan ana samun su a cikin kayan lambu (wake, lentil, da sauransu), a cikin kayan mai (goro, almond, da sauransu) da kuma hatsi gaba ɗaya (hatsi, bran, da sauransu). Don haka a sauƙaƙe mata masu juna biyu da ke fama da maƙarƙashiya, galibi daga ciki 4th watan ciki, za su iya fara rage waɗannan matsalolin. 

Game da reflux acid, dankali, 'ya'yan itatuwa da kayan marmari na iya iyakance su. Ya rage don yin taka tsantsan don guje wa wasu abinci, mai yawan acidic ga ciki na mata masu juna biyu: sodas, kayan yaji ko mawadaci masu yawa, kofi ko ma ingantattun sugars.

masu ciki da Makonni 18 na amenorrhea (16 SG), mahaifiyar gaba zata fara fahimtar ciki kuma tana buƙatar kasancewa a cikin akwatinta. Tausa kafin haihuwa na iya taimakawa. Yana gayyatar shakatawa. Hakanan, jikin mace mai juna biyu yana canzawa sosai cikin watanni, tare da rabon farin ciki da rashin jin daɗi. Tausa kafin haihuwa yana ba da damar kwantar da jiki da wadataccen abinci godiya ga man kayan lambu.

• je zuwa shawara na Watanni 4th, na biyu daga cikin 7 ziyartar tilas na haihuwa. Gwajin likita a tsari ya haɗa da aunawa, ɗaukar hawan jini, auna tsayin mahaifa, sauraron zuciyar jariri ta hanyar Doppler ko kunne, da gwajin farji don gano yiwuwar ɓarkewar mahaifa. mahaifa. Lura, duk da haka: wasu masu aikin ba sa yin gwajin farji na yau da kullun a kowane ziyarar, saboda ba a tabbatar da fa'idarsa ba idan babu alamun asibiti (ciwon ciki, ƙanƙara, zubar jini). A lokacin wannan ziyara ta wata 4, za a yi nazarin sakamakon binciken da aka haɗa don cutar Down's syndrome. Bayan haɗarin 21/1, za a ba da shawarar amniocentesis, amma uwar da za ta kasance tana da 'yanci ta yarda da shi ko a'a;
• yi alƙawari don duban dan tayi na biyu da za a yi a kusa makonni 22 ;
• gano game da tanadi ga mata masu juna biyu a cikin yarjejeniyarsu ta gama gari. Wasu sun tanadi rage aikin daga watan 4;
• kammala rijista a dakin haihuwa.

daga Ciwon mako 16 (makonni 18), yana da kyau ku yi tunanin yadda kuka sha nono, da sanin cewa koyaushe zai yiwu ku canza tunanin ku a lokacin haihuwa. Yanke shawara ce ta kut -da -kut wacce ta rataya a wuyan uwa da kanta. Babu wani shiri da ya zama dole don shayarwa, ban da samun bayanai domin cikakken fahimtar yadda shayarwar take aiki musamman ma mahimmancin shayarwa akan buƙata da kyakkyawan matsayi a nono. . Ƙungiyoyin tallafi na shayarwa (Leache League, COFAM), masu ba da shawara na shayarwa na IBCLC da ungozoma sune abokan haɗin gwiwar wannan bayanin.

Kuma suna da 2 trimester na ciki, ci gaba da aiki yana da wahala ko haɗari (inhalation sinadarai, aikin dare, ɗaukar nauyi mai nauyi, tsawan tsayi, da sauransu), labarin L.122-25-1 na Dokar Kwadago ya ba da damar samun fa'ida daga daidaita aikin. , ba tare da an rage albashi ba. Don yin wannan, dole ne a tabbatar da lafiyar ciki ta amfani da fom na shelar ciki ko takardar shaidar likita daga likita. Dole ne takardar shaidar likita ta biyu ta bayyana wurare daban -daban na matsayin da bai dace da juna biyu ba. Tare da wasiƙar da ke bayyana waɗannan abubuwa daban -daban da kuma tsarin aikin da ake so, dole ne a aika wannan takardar shaidar likita ga mai aiki, ta wasiƙa mai rijista da zai fi dacewa tare da karɓar karɓa. A ka'idar, mai aiki ba zai iya ƙin daidaita wannan aikin ba. Idan ba zai iya ba shi wani aiki ba, dole ne ya sanar da mahaifiyar a rubuce a kan dalilan da ke hana sake sakewa. Daga nan aka dakatar da kwangilar aikin, kuma ma'aikaci yana amfana daga garantin albashin da ya kunshi alawus na yau da kullun daga CPAM da ƙarin albashin da mai aiki ya biya.

Don hana maƙarƙashiya, ana buƙatar ƙa'idodin tsabtace-abinci na yau da kullun: cin abinci mai wadataccen fiber ('ya'yan itatuwa da kayan marmari, cikakke ko cikakken hatsi), sha ruwa mai yawa, tafiya na rabin sa'a kowace rana. Idan ma'aunin bai isa ba, yana yiwuwa a ɗauki laxatives. An fi son ƙananan laxatives: laƙabi irin na mucilage (sterculia, ispaghul, psyllium, guar ko bran gum) ko laxative osmotic (polyethylene glycol ko PEG, lactulose, lactitol ko sorbitol) (1). A gefen madadin magani:

• a cikin homeopathy: ɗauka da tsari Sepia officinalis 7 CH et Farashin 5CH, Granules 5 na kowane sau 3 a rana kafin abinci. Dangane da bayyanar ɗaki da sauran alamun alaƙa, za a ba da shawarar wasu magunguna: Collinsonia canadensis 5 CH 5 granules safe da yamma idan akwai basur; Hydrastis canadensis 5 CH idan akwai takunkumi mai wuya ba tare da sha'awar zuwa bayan gida ba (2).
• a cikin maganin ganye, mallow da marshmallow sun ƙunshi mucilages waɗanda zasu yi aiki azaman laxative na ballast.