Kusintha ndi Kusokonezeka kwa Kugona Kumatha kupyolera mu Choyamba, Chachiwiri, ndi Chachitatu cha Trimester
Kaya ndinu woyamba, wachiwiri, kapena wachitatu, kapena pamene mukuyamba ntchito, kutenga mimba kumakhudza kwambiri momwe mungathe kugona. Kusintha kwa mahomoni kungasinthe mtundu wa tulo ta mkazi wamimba. Mavuto osagonana amatha kuwonjezereka, ndipo zatsopano zikhoza kuwonetsa nthawi iliyonse ya mimba, kuyambitsa mavuto atsopano. Onaninso momwe mungagone bwino mimba, kuphatikizapo mahomoni, njira zothetsera mavuto, komanso malo abwino oti muthetse kupweteka kwa msana komanso kusowa tulo.
Zotsatira za Mimba pa Kugona
Zotsatira zambiri za mimba pa tulo sizingatheke: kusintha kumachitika muyeso, kuchuluka, komanso momwe kugona kulili. Kwa omwe ali ndi vuto lalikulu la kugona, izi zikhoza kuipiraipira. Komanso, pali mavuto ambiri ogona omwe amayamba kuwonekera pa nthawi ya mimba. Ngakhale nkhaniyi ingayambe mwamsanga atangomaliza kumene, nthawi zambiri amayamba kuchulukitsa nthawi ndi nthawi pamene mimba ikupita. Pafupifupi amayi onse amaona kuti kuwuka kwa usiku kwawonjezeka, makamaka pa trimester yachitatu. Pangakhale kusokonekera kwa thupi, kusintha kwa maganizo, ndi kusintha kwa mahomoni-zonse zomwe zimakhudza kugona ndipo zimapangitsa kuti munthu asagone mokwanira komanso asatope.
Momwe Hormones Amasinthira Kugona
Monga mayi alionse amene ali ndi mimba amatha kuwonetsa, pali kusintha kwakukulu kwa mahomoni komwe kumakhala ndi mimba. Kusintha uku kumakhudza mbali zambiri za thupi ndi ubongo, kuphatikizapo maganizo, mawonekedwe a thupi, ndi kagayidwe kake.
Mahomoni amasintha zimakhala zofanana ndi kugona, kapena kugona .
Progesterone imachepetsa minofu yofewa ndipo imathandizira kuti nthawi zambiri mumveke, kukhumudwa, komanso kusokonezeka kwa m'mimba. Zonsezi zingakhale zosokoneza kugona. Zimathandizanso kuchepa usiku, ndipo zimachepetsa kuchuluka kwa kayendedwe ka maso kawirikawiri (REM), malo ogona omwe amadziwika bwino ndi maloto.
Komanso, amachepetsa nthawi yomwe imafunika kuti agone.
Mahomoni ena ofunika pa mimba, estrogen ingakhudze kugona ngati mitsempha ya magazi ikuluikulu kudzera mu njira yotchedwa vasodilation. Izi zingachititse kutupa kapena kupweteka m'mapazi ndi miyendo, ndipo zingapangitse kuwonjezereka kwa mphuno komanso kusokoneza kupuma pamene mukugona. Komanso, monga progesterone, estrogen ikhoza kuchepetsa kuchuluka kwa kugona kwa REM.
Mahomoni ena angasinthe pamene ali ndi mimba, ndi zotsatira zosiyana. Kafukufuku wasonyeza kuti msinkhu wa melatonin uli wapamwamba pa nthawi ya mimba, ndipo kuchuluka kwa ma prolactini m'thupi kungachititse kuti phokoso la pang'onopang'ono liyambe kugona . Usiku, mpweya wotchedwa oxytocin ukhoza kuyambitsa kusokoneza komwe kumasokoneza tulo. Kuwonjezeka kwa oxytocin kumathandizanso kuti anthu azigwira ntchito usiku komanso kubereka.
Kafukufuku Akuvumbula Kusintha kwa Mchitidwe Wogona Kugona Mimba
Mchitidwe wa tulo umasintha kwambiri pa nthawi ya mimba. Maphunziro ndi polysomnography asonyeza momwe makhalidwe ogona amasinthira. Imodzi mwa nkhaniyi ndi yakuti nthawi imene wagona ali pabedi, kapena kugona bwino , pang'onopang'ono imachepa. Izi makamaka chifukwa cha kuchuluka kwa kuwuka usiku.
- First Trimester (Masabata 12 Oyamba) : Pakati pa sabata 10 panthawi ya mimba, nthawi yokwanira ya kugona imawonjezeka ndi nthawi yayitali usiku komanso nthawi zamadzulo. Kugona kumakhala kosavuta ndi kuwuka kowonjezereka, ndipo kuchuluka kwa mawonekedwe akuya kapena pang'onopang'ono kugona kumachepa. Amayi ambiri amadandaula za khalidwe labwino la kugona.
- Second Trimester (Masabata 13 mpaka 28) : Kugona kumayamba kusintha bwino ndi kugona bwino komanso nthawi yocheperapo ikagona usiku. Pofika kumapeto kwa trimester yachiwiri, chiwerengero cha kudzutsidwa usiku uwonjezeka.
- Thiratu Trimester (masabata 29 mpaka nthawi) : Azimayi omwe amatha kutenga mimba kumapeto kwa usiku amabwera kudzuka usiku ndipo amakhala ndi nthawi yochuluka usiku. Amakhalanso ndifupipafupi masana, kotero kugona mokwanira kumachepetsanso. Kuphatikizanso, kugona kumakhala kowala komanso nthawi zambiri kugona 1 kapena 2 kugona .
Matenda Okhoza Kugona M'kugona
Kodi ndi mavuto otani omwe amapezeka panthawi yoyembekezera? Kupatula kusintha kwa njira za kugona ndi kugona monga momwe tafotokozera pamwambapa, palinso zizindikiro zofunikira komanso matenda omwe angawoneke mimba. Azimayi omwe ali ndi vuto lalikulu la kugona monga kugona kwa mpweya kapena matenda osapumitsa miyendo angapeze kuti imaipira pathupi. Komanso, amayi ena amavutika ndi matenda ogona kwa nthawi yoyamba m'miyoyo yawo pamene ali ndi mimba. Matendawa akhoza kuthyoledwa ndi trimester ndikumaliza ndi zotsatira za ntchito ndi kubereka:
First Trimester
Mwezi woyamba wa mimba ukhoza kufooketsa ndi kugona mofulumira usana . Kafukufuku wasonyeza kuti amayi omwe ali aang'ono kapena omwe ali ndi zida zochepa zachitsulo asanakhale ndi pakati adakula kutopa. Kufikira 37.5% a amayi apakati pamasabata 6 mpaka 7 akudandaula za kugona. Izi zikuganiziridwa kuti zikugwirizana ndi kuchuluka kwa ma progesterone a hormone, komanso kugona kwagona kwagona. Kusintha kwa thupi ndi zizindikiro zosiyanasiyana kungapangitsenso kuchepetsa tulo, kuphatikizapo: kunyoza ndi kusanza (matenda a m'mawa), kuwonjezeka kwafupipafupi m'makina, kupweteka kwa m'mbuyo, kutulutsa bere, kuwonjezeka kwa chakudya, ndi nkhawa. Nkhawa zingakhale zovuta makamaka ngati mimba siidakonzedwe kapena ngati alibe thandizo. Izi zingayambitse kugona .
Second Trimester
Nkhani yabwino ndi yakuti tulo timapindula pa nthawi yachitatu ya mimba. Nthenda ndi mafupipafupi amayamba kuchepa monga mphamvu zamagetsi ndi kugona bwino. Chakumapeto kwa nthawiyi, amayi akhoza kupeza zosiyana siyana (zotchedwa Braxton-Hicks contractions) kapena ululu wa m'mimba zomwe zingasokoneze tulo. Kuonjezera apo, kusuntha kwa mwana, kutsekemera, ndi kupopera chifukwa cha kusokonezeka kwa msana kungakhudze kugona. Azimayi ambiri ali ndi mphamvu zowonjezera komanso kusintha maganizo pa nthawiyi.
Trimester yachitatu
Kugona kumakhala kosalekeza ndi kusokonezeka pa trimester yomaliza. Kafukufuku akuwonetsa kuti 30.3% a amayi apakati adzakhala ndi tulo tokhazikika panthawiyi, ndipo maulendo angapo a usiku amakhudza 98 peresenti ya iwo. Nkhani zomwe zimakhudza kugona nthawi imeneyi ndi zambiri, kuphatikizapo:
- Kuthamanga mobwerezabwereza
- Mitundu ya malamulo
- Kupuma pang'ono
- Kuthamangitsani
- Kukanika thupi pamgedi
- Ululu wammbuyo
- Chisoni chophatikizana
- Matenda a Carpal (kutaya m'manja)
- Chikondi cha m'mimba
- Kuyabwa
- Maloto ovomerezeka kapena zoopsa
- Nkhawa
Mavuto onsewa angabweretse kugona tulo, ndipo kugona kwa masana kungakhudze amai 65%. Zingakhale zovuta kupeza malo abwino ogona, ndipo mungafunike kugwiritsa ntchito pilito kuti mupereke thandizo lumbar kuti muchepetse ululu wammbuyo. Kuonjezera apo, chizoloŵezi cha matenda obisala ndi matenda osapumula amayamba. Amayi ambiri adzalandira kupweteka kwa mphindi kapena matenda a reflux operewera m'mimba (GERD) . Azimayi ena amakonda kugwiritsa ntchito mtolo wa wedge kuti achepetse zizindikirozi. Komanso pamakhala nthawi yomwe mimba imayambira , yomwe imakhudza nthawi yogona kapena yachizungu .
Ntchito ndi Kutumiza
N'zosadabwitsa kuti kugwira ntchito ndi kubereka kungasokoneze kugona. Chifukwa cha kukwera kwa oxytocin komwe kumakhala usiku, amayi ambiri amatha kupanikizika kwambiri komwe kumayambira usiku. Kupwetekedwa ndi nkhawa zomwe zikukumana nazo zimagwirizanitsidwa ndi contractions pamene kugwira ntchito kungasokoneze kugona, ndipo mankhwala omwe akugwiritsidwa ntchito panthaŵiyi angakhudze kugona. Mwamwayi, amayi ambiri omwe ali ndi pakati samatha kugona akugwira ntchito, ngakhale pogwiritsa ntchito zipatala.
Mawu ochokera
Kugona kungasinthe kwambiri pa trimesters yaikulu ya mimba. Mahomoni amakhudza kapangidwe ka tulo, ndipo matenda omwe amapita nawo kumimba angapangitse kuti asokoneze tulo. Mwamwayi, mavuto ambiri okhudzana ndi kugona tulo panthawi yomwe ali ndi mimba amatha kukonza msanga mwana ataperekedwa. Ngati mukupeza kuti mukuvutika kugona mukakhala ndi pakati, lankhulani ndi dokotala wanu. Nthaŵi zina, kutumizira dokotala wogona ndi ogona angakhale othandiza kukambirana za matenda okhudza kugona monga kugona tulo, kusowa tulo, ndi matenda osapumitsa miyendo. Ngati mukuvutika, yesetsani kupeza thandizo lomwe mukufuna kuti mukhale ndi tulo.
Chitsime:
Kryger, MH et al . "Mfundo Zothandiza Pogona Mankhwala." ExpertConsult , kope lachisanu, 2011, pp. 1572-1576.