Isisu Samasonto angu-20: Ongakulindela Nokuthi Usinakekele Kanjani

Usuvele uqede ingxenye yohambo lokukhulelwa futhi isisu sakho samasonto angu-20 manje sesibonakala kakhulu. Umzimba wakho ulungiselela ubuzali. Lesi sisu esikhulayo sibonisa ukukhula okunempilo komntwana okukhona ngaphakathi kwakho. Kulungile ngokuphelele ukuzizwa unemizwa kakhulu njengoba ubona lezi zinguquko ezinkulu emzimbeni wakho.

Emavikini angu-20, isibeletho sakho usayizi wesibeletho usukhule kahle kakhulu, usucishe ufinyelele ezingeni lenkinobho yesisu sakho. Ngemuva kwalesi sandiso, ungase uzwe ukunyakaza komntwana wakho kaningi. Kule ndatshana, ake sihlole ukuthi yini ongayilindela emavikini angu-20 okukhulelwa. Funda kabanzi ngokuthuthuka komntwana wakho, izinguquko zomzimba ongase uzizwe uzihlangabezana nazo, izimpawu ezivamile, nokuthi ungawunakekela kanjani umthubi wakho okhulayo.

Ukuthuthuka Komntwana Wakho Emavikini angu-20

Umntwana wakho usukhule waze wafana nosayizi kabhanana. Isisu samasonto angu-20 sisho umntwana onobude obulinganiselwa ku-6.5 kuya ku-8 amasentimitha ukusuka ekhanda kuya ezinqeni, onesisindo esingaba phakathi kwama-9 kuya ku-10.2 ounces. Umzimba walona mntwana omncane uthuthuka ngokushesha.

Isikhumba somntwana wakho manje sivikelwe izinwele ezincane, ezilula ezibizwa ngokuthi i-lanugo kanye nento emhlophe, ebanzi eyaziwa ngokuthi i-vernix. Lezi zingqimba zokuvikela zisiza ukuvikela isikhumba somntwana wakho esibucayi ngesikhathi eseketshezini le-amniotic. Kuyamangaza, iminwe yomntwana wakho eyingqayizivele manje iyakheka, isici esizohlala nabo impilo yonke [1].

Imizwa yomntwana wakho nayo iyathuthuka. Manje banezindlala zokunambitha ezisebenzayo futhi bangase babe sebeziqeqesha nomkhuba wokumunca. Kungenzeka ubone umntwana wakho emunca uzipho ngesikhathi sokuhlolwa kwakho okulandelayo nge-ultrasound! Lo mntwana omncane usaba namandla kakhulu, emunca uketshezi lwe-amniotic futhi ethuthukisa imijikelezo ejwayelekile yokulala nokuvuka.

Izinguquko Ezomzimba Esiswini Sakho Samasonto angu-20

Usayizi wesibeletho emavikini angu-20 usenza ubonakale “ukhulelwe” obala. Manje cishe usuwonyusile cishe amapawundi ayi-10. Isisindo esinconywayo okufanele usithole ngesikhathi sokukhulelwa sincike esisindweni sakho ngaphambi kokukhulelwa. Ngakho-ke, uma uqale unesisindo esijwayelekile, ungakhuluphala phakathi kwamapawundi angama-25 kuya kwangama-35 kulo lonke ukhulelwe. Ekuqaleni kokukhulelwa kwakho, kungenzeka ukuthi wazibuza, 'isibeletho sami sikhulu kangakanani emavikini angu-12,' kodwa manje emavikini angu-20, isisu sakho esikhulayo siyisibonakaliso esicacile sokukhula komntwana wakho.

Isisu esikhulayo siyinkomba yokuthi umntwana wakho unempilo futhi uyakhula. Kulesi sigaba, umntwana wakho omncane ulinganiselwa phakathi kwamayintshi angu-6.5 kuya ku-8 ukusuka ekhanda kuya ezinqeni futhi unesisindo esingaba phakathi kwama-ounces angu-9 kuya ku-10.2. Ungase uqaphele ukuthi inkinobho yesisu sakho iyaqhamuka njengoba isibeletho sakho sicindezela odongeni lwesisu.

Khumbula, ukukhulelwa ngakunye kuyingqayizivele. Izinto ezifana nokuphakama kwakho, amathoni emisipha, nokuthi lokhu ukukhulelwa kwakho kokuqala noma cha zingathinta indlela ophatha ngayo umntwana wakho. Ungakhathazeki uma usayizi wesibeletho sakho emasontweni angama-20 wehluka kowabanye – qiniseka nje ukuthi wena nomntwana wakho ninempilo.

Izimpawu Ezivamile Emasontweni Angama-20

Lapho usukhulelwe amasonto angama-20, kungenzeka ukuthi uhlangabezane nezinhlobo ezahlukene zezimpawu njengoba umzimba wakho uqhubeka ukuzivumelanisa nokukhulelwa.

• Omunye wemizwa ejabulisa kakhulu ezokwenzeka kuwe ukuzwa ukunyakaza kokuqala komntwana wakho. Lokhu kwaziwa ngokuthi i-quickening. Ungase uzwe umuzwa wokudidizela, ukungqongqoza noma ukugingqika okuthambile esiswini sakho esingezansi. Le mizwa ivamise ukuqala ngesonto le-16 bese iba sobala kakhulu kuze kube isonto lama-25. Nokho, omama abakhulelwa okokuqala bangase bangayizwa kuze kufike cishe emasontweni angama-20.
• Isifiso sakho sokudla singakhula njengoba umzimba wakho udinga ukudla okunothe okwengeziwe ukuze umntwana wakho okhula athole ukudla okwanele. Uzodinga cishe amakhalori angu-300 kuya ku-350 engeziwe ngosuku ku-trimester yesibili. Kodwa ukuzonda okuthile ekudleni akuvamile kakhulu. Lokhu kwenzeka kuphela ku-60% wabesifazane abakhulelwe. Lalela umzimba wakho futhi uzame ukukhetha ukudla okunomsoco lapho kungenzeka ukuze ubesinobukhulu besibeletho esinempilo emasontweni angama-20 [3].
• Ezinye izimpawu ezivamile kulesi sigaba zifaka
• Ukukhathala
• Ikhanda elibuhlungu, kanye
• Ukuvuvukala okuncane emilenzeni nasonyaweni.

Khumbula, ukukhulelwa ngakunye kwehluke kancane kokunye. Ngakho-ke, kulungile ukuba nezinye izimpawu futhi.

Ukunakekela isisu sakho sangesonto lama-20 lokukhulelwa

Njengoba isisu sakho sangesonto lama-20 lokukhulelwa sikhula, kubalulekile ukuthi uzinakekele wena nomntwana okhula esibelethweni.

• Ukuzivocavoca ngomzimba ngomunye wemisebenzi engcono kakhulu ongazenzela yona wena nomntwana wakho omncane. Kukusiza ukuzuza isisindo esifanele futhi kukulungiselele ubunzima bokubeletha. Zama ukwenza imizuzu engu-150 yokuzivocavoca kwenhliziyo nemithambo yegazi ngesonto kanye nezinsuku ezi-2 kuya kwezi-3 zokuzivocavoca kwamandla [4].
• Ukuhamba ngezinyawo kuwukuzivocavoca okuhle kakhulu okungacindezeli umzimba kwabesifazane abakhulelwe. Zama ukuhamba imizuzu engu-30 ngosuku, kathathu kuya kahlanu ngesonto. Uma usaqala ukuzivocavoca, qala ngemizuzu eyi-10 bese wengeza kancane kancane isikhathi sakho.
• I-yoga ethambile ingaba umngane wakho omkhulu ngesikhathi sokukhulelwa. Isiza ukunweba imisipha, ukunciphisa izinhlungu zokukhulelwa, nokwehlisa umfutho wegazi. Zilolongela i-yoga izikhathi ezintathu kuya kwezinhlanu ngesonto cishe imizuzu engama-30. Kodwa-ke, gwema i-hot yoga, njengoba ingakhuphula izinga lokushisa komzimba wakho lifinyelele emazingeni ayingozi [2].

Khumbula ukuhlala uphuza amanzi anele futhi ulalele umzimba wakho. Uma uzizwa unonya, ushisa kakhulu, noma uba nanoma yiziphi izimpawu ezingajwayelekile, yeka ukuzivocavoca. Hlala uthintana nomhlinzeki wakho wezempilo ngaphambi kokuqala noma yiluphi uhlelo lokuzivocavoca olusha ngesikhathi sokukhulelwa. Ngaphezu kwalokho, ukuthatha ama-vitamin angaphambi kokubeletha aqukethe izakhi zomzimba ezifana ne-folic acid, insimbi ne-DHA kungase kusekele ukukhula komntwana wakho nempilo yakho yonke jikelele kulesi sigaba.

Okubalulekile

Njengoba ukukhulelwa kwakho kuqhubekela emkhawulweni wamasonto angu-20, umzimba wakho wenza izinguquko eziningi kakhulu. Ukukhula kobukhulu besibeletho eneminyaka engu-20 amasonto kuwuphawu oluhle lokukhula komntwana wakho omncane. Kusukela ekuzweni ukunyakaza komntwana wakho okokuqala kuze kube ukubona isisu sakho sesiba sobala kakhulu, izinto eziningi zizokwenzeka. Khumbula ukuthi uzinakekele ngalesi sikhathi ngokudla okunempilo, uhlelo lokuzivocavoca olusebenzayo, nokuqonda izidingo zomzimba wakho.

Ake sibheke phambili ezinyangeni ezizayo. Ngokuzwa ukuthi yini ongayilindela nokuthi ungayinakekela kanjani inxeba lakho elikhulayo, ungajabulela lesi sikhathi esikhethekile ngokuzethemba. Hlala uthintana nomhlinzeki wakho wezempilo nganoma yiziphi izinkathazo noma imibuzo.

 Izikhombo

1.  Catherine Donaldson-Evans, Jennifer Wu, M.D., F.A.C.O.G. Amasonto angu-20 ukhulelwe. WhatToExpect[Internet]. September 3, 2024. Kutholakala ku- https://www.whattoexpect.com/pregnancy/week-by-week/week-20.aspx 
2. Karen Miles,  Layan Alrahmani, M.D., ob-gyn, MFM. Ishadi lokukhula: ubude nesisindo somntwana esiswini, isonto ngesonto. Pub-  Nov 29, 2022. Available from- https://www.babycenter.com/pregnancy/your-body/growth-chart-fetal-length-and-weight-week-by-week_1290794 
3. American Pregnancy Association, amasonto angu-20 ukhulelwe-  https://americanpregnancy.org/healthy-pregnancy/week-by-week/20-weeks-pregnant/ 
4. Gascoigne EL, Webster CM, Honart AW, Wang P, Smith-Ryan A, Manuck TA. Umsebenzi womzimba nemiphumela yokukhulelwa: ukubuyekezwa kochwepheshe. Am J Obstet Gynecol MFM. 2023 Jan;5(1):100758. doi:10.1016/j.ajogmf.2022.100758. Epub 2022 Sep 26. PMID: 36174931; PMCID: PMC9772147.