Ekuqaleni kokukhulelwa, omama abaningi abalindayo bangase babone ukuwohloka kwenhlalakahle, okubizwa ngokuthi i- toxicosis yokuqala . Izimpawu ezinjengobuthakathaka, ukuthukuthela, ukulala, ukukhathala okwedlulele, ukucabangela nokuhlanza kungahlanganiswa nezinguquko ze-hormone emzimbeni ngesikhathi sokukhulelwa. Sizozama ukusingatha imbangela yalesi sibonakaliso esingathandeki njengokuhlanza ngesikhathi sokukhulelwa, sijwayele imiphumela yaso emibi kanye nezindlela zokwelapha.
Izimbangela zokuhlanza ekukhulelweni
Ukuze usize ngokuphumelelayo ekuhlanzeni, udinga ukuqonda imbangela yaso, ngoba umzimba wesifazane okhulelwe usengozini kakhulu ezinhlobonhlobo zezifo. Futhi ngesikhathi sokukhulelwa, izifo ezingapheli zingaba zimbi nakakhulu. Ngakho-ke, sihlonza izimbangela eziyinhloko zokwehlukumeza nokuhlanza ngesikhathi sokukhulelwa, kanye nezibonakaliso ezihambisana nazo:
- Ukuvuthwa ekuseni ngesikhathi ukhulelwe ku-trimester yokuqala akuhlosiwe njalo nokudla ukudla, kodwa kungacasulwa ngamakha evuthayo ahlukahlukene. Kulokhu, lesi sibonakaliso cishe sihambisana nokwanda kwe-hormone yokukhulelwa ekuphenduleni ukufakelwa kombungu kanye nentuthuko yayo esebenzayo. Ukuxilongwa kwe-toxicosis yokuqala kuqinisekiswa umphumela omuhle wokuhlolwa kokukhulelwa, incazelo yesibindi esandisiwe ngesikhathi sokuhlolwa komzimba nokuboniswa kombungu ngesikhathi sokuhlolwa kwe-ultrasound. Ngesikhathi sokukhulelwa, isicanucanu nokuhlanza kungenzeka ngekuseni kuphela, kodwa nakusihlwa.
- Ukuhlanza okunomsoco, umkhuhlane kanye nesifo sohudo ngesikhathi sokukhulelwa kusho ukudla kwesifo sokudla. Uma owesifazane ecabanga ngakho kahle, uyakhumbula ukuthi wadla ngobusuku bokudla okudabukisayo. Kulesi simo, owesifazane kufanele abe esibhedlela esibhedlela esithathelwanayo, lapho ehlolwa nalapho ephathwa ngendlela efanele.
- Ukuvuthwa ngesikhathi sokukhulelwa ngemuva kokudla kungenye yezimpawu zokucindezeleka kwe-gastritis noma i-peptic ulcer. Ukuvuthwa ngegazi ngesikhathi ukhulelwe kungaba uphawu lwezinkinga ezinzima ezifana nokuphuma kwezilonda ezivulekile.
- Ukweqisa kwe-cholecystitis engapheli noma i-cholelithiasis ingabonakaliswa ngokuhlanza kwe-bile ngesikhathi sokukhulelwa. Ukuxilongwa kuqinisekisiwe lapho kuqoqwa izikhalazo kanye ne-anamnesis, kanye nokuhlolwa kwe-laboratory kanye ne-ultrasound.
Ngabe ukuhlanza kuqala nini ngesikhathi sokukhulelwa? Yini okufanele ngiyenze?
Masinyane kufanele kuthiwa ukuhlanza okuqinile njalo ngesikhathi sokukhulelwa kuyisizathu sokubhedlela. Emva kwakho konke, lapho uhlanza umzimba ulahlekelwa yiziqu eziningi zamanzi kanye ne-electrolytes, futhi uma ungatholi owesifazane uphumelele kulesi simo, khona-ke angakwazi ukuthuthukisa izigumbane ngokulahlekelwa yilazi. Ngakho-ke, ake sibone ukuthi benzeni kowesifazane uma ehlushwa isicashu noma ukuhlanza ngesikhathi sokukhulelwa:
- ngoba kuqala kudingekile ukugwema iphunga elimnandi, elingasusa lezi zimpawu;
- kufanele uhambisane nokudla okunengqondo, ngoba kubalulekile ekukhuleni okugcwele nokuthuthukiswa kwengane;
- Kunconywa ukuthatha izinkimbinkimbi ze-multivitamin kanye nezamaminerali kwabesifazane abakhulelwe, basiza ukugcwalisa ukulahlekelwa kwalabo abalahlekile ngenkathi behlanza;
- ukuhamba emoyeni omusha kufanele kufakwe embusweni wosuku lomama osemusha ozayo, kusiza ukucebisa igazi labesifazane nge-oxygen;
- uma izindlela ezingenhla zingakabi ngempumelelo, ungasebenzisa amaphilisi akhethekile ngokumelene nokuhlanza ngesikhathi ukhulelwe (Metoclopramide, Cerucal).
Njengoba sibona, ukuhlanza ngesikhathi sokukhulelwa kuyingozi kakhulu, okuholela ekulahlekelweni kwe-electrolyte nomswakama emzimbeni, futhi kungabangela ukukhipha isisu ngokuzenzakalelayo. Ngakho-ke, akufanele ukuyibuka, kepha kufanele uhambe ngokushesha kudokotela bese uthola ukwelashwa okuphumelelayo.