Te tiaki whanau i to marama tuatahi

Ko te tikanga o te Trimester "3 marama." Ko te haputanga tuturu ka neke ake i te 10 marama ka toru nga waahanga.

Ka tiimata te toru marama tuatahi ka hapu ana to peepi. Kei roto tonu i te wiki 14 o to haputanga. Ka korero pea to kaiwhakarato hauora mo to haputanga i roto i nga wiki, kaua ki nga marama me nga waahanga whakapaipai.

Me whakarite e koe to haerenga mai i to whanautanga tuatahi i muri tata mai ka mohio kua hapu koe. Ko to taakuta, ko te kaiwhakawhanau ranei:

• Tuhia to toto
• Whakamahia he whakamatautau tuuturu katoa
• Mahia he Pap Pap me nga ahurea ki te rapu mate ka raru ranei

Ma to taakuta, ma te kaiwhakawhanau ranei e whakarongo te tangi o te ngakau o to peepi, engari kaore pea e taea te whakarongo. Ko te nuinga o nga wa, kaore e taea te rongohia te paoho o te manawa, te kitea ranei i runga i te ultrasound tae atu ki te 6 ki te 7 wiki.

I tenei haerenga tuatahi, ka paatai ​​to taakuta, wahine whakawhanau ranei ki a koe:

• To hauora katoa
• He raru hauora kei a koe
• Tuhinga o mua
• Nga rongoa, otaota, huaora ranei ka tangohia e koe
• Ahakoa e korikori ana koe
• Ahakoa kaipaipa koe me te inu waipiro ranei
• Ahakoa he raru ira koe, to hoa ranei, he raru hauora e rere ana i roto i to whanau

He maha nga haerenga ka korerohia e koe mo te mahere whanau. Ka taea hoki e koe te korero ki to taakuta, ki to kaiwhakawhanau ranei i to haerenga tuatahi.

Ko te haerenga tuatahi he waa pai ki te korero:

• Ko te kai hauora, ko te whakakori tinana, ko te whakarereke i te noho a te wahine i a koe e hapu ana
• Nga tohu noa i te wa e hapu ana penei i te ngoikore, te mamae o te ngakau, me nga uaua varicose
• Me pehea te whakahaere i nga mate o te ata
• He aha te mahi mo te whakaheke toto i te wa e hapu ana koe
• He aha taau e tumanako ai ia haerenga

Ka whakawhiwhia hoki ki a koe nga huaora whanau me te rino mena kaore ano koe kia tango.

I to huringa tuatahi, ka tae mai to haerenga mai i ia marama. He tere pea nga haerenga, engari he mea nui tonu. He pai noa kia haria to hoa, to kaiako kaiako ranei.

I o haerenga, ma to taakuta, ma te kaiwhakawhanau ranei:

• Paunahia koe.
• Tirohia to toto.
• Tirohia te tangi o te ngakau o te kopu.
• Tangohia he tauira mimi hei whakamatautau i te huka, i te pūmua ranei i roto i to mimi. Mena ka kitea tetahi o enei, ko te tikanga he mate huka hapu koe, he toto toto ranei na te haputanga.

I te mutunga o ia haerenga, ma to taakuta, ma te kaiwhakawhanau ranei koe e korero ki a koe he aha nga whakarereketanga ka puta i mua o to haerenga mai. Korero atu ki to taakuta mena he raru koe, he raru ranei. He pai noa iho te korero mo ratou ahakoa kaore koe e mohio he mea nui ratou, he whanaunga ranei ki to haputanga.

I to haerenga tuatahi, ka tohi to toto i to taakuta, tapuhi ranei mo tetahi roopu whakamatautau e mohiotia ana ko te paati whanau. Ka mahia enei whakamatautau kia kitea nga raru, nga mate ranei i te tiimatanga o te wa hapu.

Kei roto i tenei panui o te whakamātautau, engari kaore i te whaainga noa ki:

• He tatau toto totika (CBC)
• Patopato toto (tae atu ki te mata Rh)
• Rubella mata antigen viral (e whakaatu ana tenei i te aukanga o koe i te mate Rubella)
• Paewhiri Hepatitis (he tohu tenei mena he pai koe mo te mate ate kakā A, B, C ranei)
• Whakamatautau Hyphilis
• Whakamatau HIV (ma tenei whakamatau e whakaatu mena he pai koe ki te mate kino e pa ana ki te mate AID)
• Mata Cystic fibrosis (ka kitea i tenei whakamatautau mena he kaikawe koe mo te fibrosis cystic)
• He wetewete me te ahurea mimi

He ngawari te ultrasound, he tikanga kore mamae. He toka e whakamahi ngaru oro ana ka whakanohoia ki to kopu. Ma te ngaru o te tangi e tuku te taakuta, te kaiwhakawhanau ranei kia kite i te peepi.

Me mahi e koe he ultrasound i te marama tuatahi kia mohio ai koe mo te waa kua whakaritea.

Ka whakawhiwhia nga waahine katoa ki te whakamatautau iranga hei tirotiro mo nga ngoikoretanga o te whanautanga me nga raru iranga, penei i te Down syndrome, te roro ranei me te koina o te tuaiwi

• Mena kei te whakaaro to taakuta e hiahia ana koe ki tetahi o enei whakamatautau, korerohia ko wai te mea pai mo koe.
• Kia mahara ki te paatai ​​he aha nga hua ka puta mo koe me to peepi.
• Ka taea e te kaitohutohu a-ira te awhina i a koe ki te mohio ki o morearea me nga hua o te whakamatautau
• He maha nga waahanga inaianei mo te whakamatautau ira. Ko etahi o enei whakamatautau ka raru pea to peepi, ko etahi kaore.

Ko nga waahine he nui ake te tuponotanga mo enei raru o te ira:

• Nga waahine kua whai koha me nga raru o te ira i roto i nga haputanga o mua
• Nga Wahine, 35 nga tau neke atu ranei te pakeke
• Nga waahine me te hitori o te whanau pakari o nga whanau whakapapa

I roto i te whakamatautau kotahi, ka taea e to kaiwhakarato te whakamahi i te ultrasound hei ine i te tua o te kaki o te peepi. Ka kiia tenei ko te translucency nuchal.

• Ka mahia ano he whakamatautau toto.
• Ma enei mahinga e rua e whakaatu mena kei te tupono pea te peepi kei peepi te mate Down.
• Mena he whakamatautau ka kiia ko te mata tapawha te mahi i te huringa tuarua, ko nga hua o nga whakamatautau e rua ka tika ake i te mahi i nga whakamatautau anake. Ka huaina tenei ko te tirotiro tuitui.

Ko tetahi atu whakamatautau, e kiia ana ko te chorionic villus sampling (CVS), ka kitea te mate Down me etahi atu momo whakapapa tae atu ki te 10 wiki ki te haputanga.

Ko te whakamatautau hou, e kiia ana ko te whakamatautau DNA koreutu mo te pūoro, ka rapu i nga waahanga iti o nga ira o to peepi i roto i te tauira toto mai i te whaea. He hou ake tenei whakamatautau, engari he maha nga oati mo te tika me te kore e pa he.

Arā ano etahi atu whakamatautau ka taea te mahi i te waahanga tuarua.

Karangahia to kaiwhakarato mena:

• He nui te whakapairuaki me te ruaki i a koe.
• He whakaheke toto ranei to korua.
• Kua nui ake to tangohanga, kua tukuna ranei te haunga.
• He kirika koe, he wiri, he mamae ranei ina puta koe i te mimi.
• He paatai ​​taau, he awangawanga ranei mo to hauora, mo to haputanga ranei.

Te manaaki haputanga - trimester tuatahi

Gregory KD, Ramos DE, Jauniaux ERM. Tuhinga o mua me te atawhai i mua i te whanautanga. I roto i: .Whakarohia te MB, Galan HL, Jauniaux ERM, et al, eds. Gabbe's Obstetrics: Nga Maamaa me nga Whakanuia Raru. Ed 7. Philadelphia, PA: Elsevier; 2021: chap 5.

Hobel CJ, Williams J. Antepartum tiaki. I roto i: Hacker N, Gambone JC, Hobel CJ, eds. Hacker & Moore's Essentials of Obstetrics and Gynecology. 6 ed. Philadelphia, PA: Elsevier; 2016: chap 7.

Magowan BA, Owen P, Thomson A. Te tiaki tamariki me te whakawhanau whanau. I roto i: Magowan BA, Owen P, Thomson A, eds. Nga Hauora Hauora me te Hinengaro. 4th ed. Philadelphia, PA: Elsevier; 2019: chap 22.

Williams DE, Pridjian G. Tuhinga o mua. I roto i: Rakel RE, Rakel DP, eds. Pukapuka-a-tuhi mo te Rongoa Whanau. 9th ed. Philadelphia, PA: Elsevier; 2016: chap 20.

• Te Tiakitanga o mua