70% ya amayi oyembekezera amadwala m’mawa. Nayi momwe mungachitire

Ngati mwakhala mukuwononga nthawi yabwino ndi bafa yanu pansi kapena kukhala ndi zakudya zopatsa thanzi za saltines, muli pagulu labwino. Matenda am’mawa ndi ofala kwambiri – amakhudza kulikonse kuyambira 70% mpaka 90% ya amayi oyembekezera – ndipo ngakhale ali ndi dzina lolakwika, amatha kugunda nthawi iliyonse masana kapena usiku.

Izi ndi zomwe muyenera kudziwa za chifukwa chake matenda am’mawa amachitika, nthawi yayitali bwanji, komanso momwe mungapezere mpumulo kuti muthanenso.

Kodi matenda am’mawa ndi chiyani?

Matenda am’mawa ndikumverera kwa nseru, nthawi zina kumatsagana ndi kusanza, komwe amayi ambiri amakhala nawo panthawi yomwe ali ndi pakati – nthawi zambiri mu trimester yoyamba. Matendawa ndi ofala ndipo, pokhapokha ngati ali ovuta kwambiri, siwowopsa kwa inu kapena mwana wanu. Koma zikhoza kupangitsa moyo kukhala womvetsa chisoni ndi kukhala vuto ngati simungathe kusunga chakudya kapena madzi ndi kuyamba kuonda.

Matenda am’mawa amayamba pafupifupi sabata lachisanu kapena 6 la mimba ndipo amakula kwambiri mwezi wotsatira. Zimatha kwa amayi ambiri pakadutsa masabata 14 mpaka 20.

Zimagunda mosiyana pang’ono kwa aliyense – mwachitsanzo, membala wa BabyCenter Community Bellepaix akugawana kuti: “Ndili ndi masabata a 8 mawa. Ndinali ndi nkhawa koma osadwala. M’mawa uno ndinadutsa pakhomo ndipo ndinayenera kuyenda mofulumira kupita kuchimbudzi.”

Koma membala wa KRAMV akuti: “Ndili ndi khanda langa loyamba, nseru yanga yonse inatha pafupifupi milungu 10. Ndi ena aŵiri anga inatenga nthawi yaitali (pafupifupi masabata 14 ndi masabata 16).”

Ndikwachilendonso kukhala ndi matenda a m’mawa pang’ono, kapena kusakhalapo konse: “Ndi mimba zanga zitatu zam’mbuyomu, sindinakhalepo ndi matenda am’mawa kapena zizindikiro zina kupatula kutopa,” akutero membala wa Community Monicaxaei.

Pezani maupangiri atsiku ndi tsiku, upangiri wothandizidwa ndi akatswiri, komanso cholozera chapamimba chothandizira kuti mulembe masiku anu ovuta. Tsitsani pulogalamu yaulere ya BabyCenterItsegula zenera latsopano kukhala sitepe imodzi patsogolo pa gawo lililonse.

Kodi zizindikiro za matenda am’mawa ndi ziti?

Zizindikiro za matenda am’mawa ndi awa:

Ngati nseru ndi kusanza kwanu kuli koopsa kotero kuti simungathe kusunga kalikonse – kuphatikizapo madzi – mukhoza kukhala ndi hyperemesis gravidarum (HG). Sichifala kwambiri, ndipo pafupifupi 3% ya amayi apakati amadwala HG – koma ndizovuta kwambiri ndipo mungafunikire kuthandizidwa ndi madzi a IV ndi mankhwala kuchipatala.

Lankhulani ndi dokotala wanu nthawi yomweyo ngati:

• Mumataya mapaundi awiri kapena kuposerapo
• Mumamva mseru ndi kusanza kwa nthawi yoyamba pambuyo pa masabata 9 a mimba
• Muli ndi nseru ndi kusanza pambuyo pa milungu 20 ya mimba
• Inu mumasanza magazi
• Mumamva chizungulire mukayima
• Muli ndi zizindikiro za kutaya madzi m’thupi, kuphatikizapo mkodzo wakuda kapena kukodza pafupipafupi
• Muli ndi ululu m’mimba, kutentha thupi, mutu, kapena kutupa kutsogolo kwa khosi
• Simungathe kusunga zakumwa zilizonse kwa maola 12 kapena zolimba zilizonse kwa maola 24

Kodi ndizabwinobwino kukhala ndi matenda am’mawa tsiku lonse?

Inde, matenda am’mawa amatha kuchitika nthawi iliyonse, ndipo kwa ambiri, amatha tsiku lonse.

Pali zambiri zachilendo: Amayi ena omwe ali ndi matenda am’mawa amamva zizindikiro nthawi zonse, pomwe ena matenda am’mawa amakhala ovuta kwambiri m’mawa ndipo amatha pambuyo pake.

Amayi ena amamva bwino masana ndipo amadwala m’mawa usiku, zomwe zimachitikira membala wa TTM424. “Ndimamva bwino kwambiri m’mawa, koma kamodzi 5-6 pm ikuzungulira, ndikumva bwino kwambiri. Ndimangokhalira kugona pafupifupi 8 kapena 9 pm Kugona ndi chinthu chokha chomwe chimapangitsa kuti chichokere, “adalemba.

Kodi ndizabwinobwino kukhala ndi matenda am’mawa nthawi yonse yoyembekezera?

Ndizosazolowereka, koma amayi ochepa oyembekezera amakhala ndi matenda am’mawa omwe amatha mpaka wachiwiri – komanso wachitatu – trimester.

Lankhulani ndi wothandizira zaumoyo wanu ngati nseru kapena kusanza kwanu kupitirira masabata 20 a mimba. Kudwala kwa m’mawa kumatha kukupangitsani kukhala omvetsa chisoni, ndipo vuto lalikulu kwambiri lingayambitse kutaya madzi m’thupi ndikulepheretsani kulemera kwabwino.

Nthawi zina nseru ndi kusanza kungakhale chizindikiro cha vuto lina lachipatala, osati kutenga pakati, choncho ndibwino kuti mufufuze matenda am’mawa omwe amatenga nthawi yayitali. (Izi ndizofunikira makamaka ngati matenda anu am’mawa ayambiranso atatha milungu ingapo.)

Nchiyani chimayambitsa matenda am’mawa?

Mutha kudzudzula matenda am’mawa chifukwa chophatikiza kusintha kwathupi komwe kumachitika m’thupi lanu. Zina zomwe zingayambitse ndi izi:

• Anthu chorionic gonadotropin (hCG). Hormoni iyi imakwera mofulumira kumayambiriro kwa mimba. Palibe amene akudziwa kuti hCG imathandizira bwanji nseru, koma zikuwoneka kuti imatero chifukwa nthawi yake ndi yoyenera: Mseru umakonda kukwera nthawi yomweyo ngati kuchuluka kwa hCG.
• Kumverera kwa GDF15. Mu kafukufuku winaItsegula zenera latsopanoofufuza adapeza kuti amayi omwe ali ndi matenda am’mawa kwambiri anali ndi GDF15 yochulukirapo, mahomoni otulutsidwa ndi mwana wanu yemwe akukula. Koma amayi omwe adapezeka ndi GDF15 yochuluka asanatenge mimba sanachitepo kanthu mwamphamvu.
• Estrogen. Estrogen ndi chifukwa china chotheka chifukwa imakweranso mofulumira kumayambiriro kwa mimba. Kuwonjezeka kwa estrogen kumatha kupangitsa kuti munthu amve kununkhiza komanso kumva kununkhira (komanso kudana ndi zakudya) komwe amayi ambiri amakumana nawo mu trimester yoyamba.
• Kukhala ndi mimba ndi ma multiples. Ngati muli ndi pakati kapena mapasa ambiri, mumakhala ndi nseru kapena kusanza pa nthawi ya mimba. Izi zitha kukhala kuchokera kumagulu apamwamba a hCG, estrogen, kapena mahomoni ena m’dongosolo lanu. Mwinanso mungakhale ndi matenda am’mawa kwambiri. Kumbali ina, sizotsimikizika – amayi ena onyamula mapasa amakhala ndi nseru pang’ono kapena alibe.

Kodi matenda am’mawa ndi chizindikiro chabwino?

Izo zikhoza kukhala. Kafukufuku wina wapezaItsegula zenera latsopano kutsika kwapathupi kwa amayi omwe ali ndi matenda am’mawa kapena hyperemesis gravidarum. Koma amayi ambiri omwe ali ndi mimba yabwino kwambiri amakhala ndi nseru pang’ono kapena alibe nthawi yoyamba ya trimester yawo yoyamba.

Ngati mwana wanu kapena placenta sikukula bwino, mukanakhala ndi mahomoni ocheperapo m’thupi lanu. Kotero ngati mahomoni ndi omwe amachititsa nseru, kudwala kwa m’mawa kungakhale chizindikiro chakuti thupi lanu likuchita zomwe zikufunikira kuti mukhale ndi mimba. Izi sizimapangitsa kukhala kosangalatsa, komabe!

Kodi mankhwala ena am’mawa ndi ati?

Kusintha kosavuta ndi njira zingathandize kuchepetsa zizindikiro za matenda am’mawa, makamaka ngati muli ndi vuto lochepa.

Koma ngati sakugwira ntchito kwa inu, dziwitsani wothandizira zaumoyo wanu. Pali mankhwala otetezeka komanso ogwira mtima omwe mungatenge matenda a m’mawa ngati mankhwala achilengedwe ndi kusintha kwa moyo sikuthandiza.

Zochizira kunyumba ndi njira zina zochizira matenda am’mawa

Ngati muli ndi nseru komanso kusanza pang’ono, njira izi zingakuthandizeni:

• Pewani zoyambitsa monga kutentha, fungo lamphamvu la chakudya, ndi zonunkhira. Zakudya zokazinga, zonenepa, ndi zokometsera zingayambitsenso nseru.
• Idyani zakudya zochepa nthawi zambiri. M’mimba yopanda kanthu kungapangitse nseru, choncho idyani kasanu kapena kasanu kamodzi patsiku. Musanadzuke pabedi, idyani zokhwasula-khwasula monga tositi youma kapena crackers.
• Imwani zakumwa zoziziritsa kukhosi, zoziziritsa kukhosi. Gwiritsani ntchito udzu ngati kumathandiza. Ginger ale wopangidwa ndi ginger weniweni amatha kuchepetsa nseru. Amayi ena amapezanso zakumwa zowawasa, monga mandimu, zokopa. “Pakadali pano ndikupulumuka ndi timitengo ta Iced Sprite ndi pretzel pakati pa chakudya,” akutero membala wa Community MamaFancyPants.
• Yesani peppermint kapena ginger hard candy. Kuyamwa maswiti olimba kungathandize. Amayi ena amapezanso mpumulo ku tiyi ya ginger kapena peppermint, yomwe nthawi zambiri imakhala yotetezeka pamimba.
• Tengani vitamini wanu woyembekezera usiku. Kutenga vitamini wanu woyembekezera ndi chakudya musanagone kumachepetsa nseru. Ngati mukuchita nseru, funsani wothandizira wanu kuti akupatseni vitamini wina woyembekezera.
• Aromatherapy: Mafuta onunkhira monga citrus kapena peppermint amachepetsa mseru. Gwiritsani ntchito chounikira kuti mudzaze chipindacho ndi fungo la mafuta a citrus kapena timbewu tonunkhira, kapena ikani dontho limodzi kapena awiri pa mpango womwe mumayenda nawo kuti mukanunkhize mukayamba kunjenjemera. (Mafuta ofunikira ndi amphamvu kwambiri, kotero mumangofunika madontho ochepa.)
• Magulu a Acupressure: Chovala chofewa cha thonjechi chimagulitsidwa m’masitolo ogulitsa mankhwala. Mukayiyika, batani la pulasitiki limakankhira kumalo acupressure pansi pa dzanja lanu.
• Acupuncture: Ganizirani zowona katswiri wa acupuncturist yemwe wakumanapo ndi nseru pa nthawi yapakati.
• Kukweza: Funsani wothandizira wanu za mankhwalawa, omwe amagwiritsa ntchito chipangizo chokometsa pansi pa dzanja lanu ndi mphamvu yamagetsi yochepa. Chipangizocho ndi chotetezeka kwa amayi apakati, ngakhale chingayambitse kupsa mtima komwe chimakhudza khungu. (Nthawi zambiri amabwera ndi gel kuti ateteze izi.)
• Hypnosis: Ngakhale palibe umboni wotsimikizirika wosonyeza kuti zimathandiza ndi matenda am’mawa, zasonyezedwa kuti ndizothandiza polimbana ndi nseru panthawi ya mankhwala a chemotherapy.

“Kwa ine, kugona kumapangitsa kusiyana kwakukulu. Ndikagona pang’ono, matenda oipitsitsa ndi tsiku lotsatira. Ndikagona kwambiri, ndimakhala bwino, “akutero amayi a Community TayMon. “Ndizovuta, ndipo zimamveka ngati zikupitirira mpaka kalekale. Koma zimakhala bwino potsirizira pake. Mudzasangalala ndi ma snuggles obadwa kumene musanadziwe.”

Mankhwala am’mawa

Ngati mankhwala achilengedwe a m’mawa sakuthandizani, funsani wothandizira wanu za mankhwala oletsa mseru. Zowonjezera zambiri ndi mankhwala amaonedwa kuti ndi otetezeka kuti atenge matenda am’mawa.

Mankhwala Ogulitsira (OTC):

• Vitamini B6. Kutenga vitamini B6 (yemwenso amadziwika kuti pyridoxine) kwasonyezedwa kuti kumachepetsa nseru mwa amayi ena oyembekezera. Ndi zotetezeka ndipo zimapezeka pa kauntala. Yang’anani ndi wothandizira wanu kaye kuti muwone kuchuluka kwake komwe mungatenge komanso ngati kuchuluka kwa vitamini wanu woyembekezera kumawerengedwa ngati imodzi mwamankhwala. Wothandizira wanu anganene kuti muyambe kumwa 10 mpaka 25 mg, katatu kapena kanayi pa tsiku.
• Doxylamine imapezeka m’zinthu zothandizira kugona ngati Unisom, ndipo imagwiritsidwanso ntchito pochiza nseru ndi kusanza pa nthawi ya mimba.
• Kuphatikiza vitamini B6 ndi doxylamine nthawi zambiri amalangizidwa ngati chithandizo choyambirira cha matenda am’mawa. Wothandizira wanu atha kukupangirani mlingo wa OTC, kapena angakupatseni mankhwala omwe amagulitsidwa pansi pa dzina la Diclegis ndi Bonjesta (kutulutsa kotalikirapo).
• Mankhwala a Reflux monga Pepcid nthawi zina zimathandiza ngati nseru yanu yayamba chifukwa cha kutentha pamtima.

“Tsopano ndikulumbirira B6!” akutero membala wa Community Skaitlynn. “Ndinali ndi nseru yoyipa ndi yoyamba ndipo idabwereranso kachiwiri. B6 inapanga kusiyana kwakukulu.”

Mankhwala:

Wothandizira wanu atha kukupatsani amodzi mwamankhwala omwe ali pansipa ngati mankhwala ena alibe mphamvu.

• Metoclopramide (Reglan)
• Promethazine (Phenergan)
• Prochlorperazine (Compazine)
• Trimethobenzamide (Tigan)
• Ondansetron (Zofran)

Kodi ndiyenera kudya chiyani ndikadwala m’mawa?

Zakudya zina zingathandize kuchepetsa nseru – kapena kuchepetsa kudwala:

• Zakudya zokhala ndi mapuloteni ambiri: Zakudya zokhala ndi zomanga thupi monga mtedza, nyama yowonda, mazira, tofu, ndi yogati zingakuthandizeni kukhazika mtima pansi.
• Ma carbohydrate ovuta: Ganizirani za buledi wambewu, mpunga wabulauni, pasitala watirigu, ndi masamba okhuthara.
• Zakudya zomwe zili ndi vitamini B6: Mtedza, nyemba zobiriwira, kaloti, kolifulawa, mbatata, nyama yowonda, ndi nsomba ndi magwero abwino a vitamini ameneyu, amene asonyeza kuti amachepetsa nseru mwa amayi ena.
• Zakudya zopanda pake: Yesani zakudya za BRATT – ndizo nthochi, mpunga, maapulosi, tositi, ndi tiyi. Sikuti zakudyazi ndizochepa chabe, komanso zimakhala zosavuta kugayidwa. (nthochi zilinso ndi B6 yolimbana ndi nseru.)
• Chakudya chozizira: Kununkhira kophika kumatha kubweretsa nseru, kotero zakudya zozizira zimatha kukhala zokopa mpaka matenda anu am’mawa adutsa.
• Zakudya zopangidwa ndi ena: Apanso, chifukwa kuphika kungayambitse nseru, amayi ena amapeza mosavuta kudya zakudya zomwe sanadzikonzere okha. Pezani zotengerako kuchokera kumsika kapena malo odyera, kapena funsani wokondedwa kuti aziphika.