ʻO ka loaʻa ke kaupaona mua Trimester: He aha ka mea e manaʻo ai

Anter

• Ehia mau kaumaha e loaʻa iaʻu i ka trimester mua?
• Mai hopohopo nui inā ʻaʻole ʻoe e loaʻa i ka trimester mua
• Nā pilikia e hele mai me ka loaʻa ʻana o ke kaupaona ʻoi aku ma mua o ke kauka a ke kauka
• ʻO ka ʻai ʻana i nā calorie keu i ka wā hāpai
• ʻO ka meaʻai a me ke olakino i ka trimester mua
• ʻO nā alakaʻi kaulike hāpai hāpai holoʻokoʻa
• ʻO kāu kauka kāu kumu waiwai ʻoi loa

Hoʻomaikaʻi - hāpai ʻoe! Me nā mea e kau ai i ka papa inoa pēpē, pehea e hoʻonohonoho ai i ka nursery, a me kahi e hele ai no ke kula kamaliʻi (e hoʻomākeʻaka wale ana - he kakahiaka nui ia no kēlā!), Makemake nā poʻe he nui i ka nui o ke kaumaha a lākou e manaʻo ai e loaʻa i nā mahina 9 e hiki mai ana.

ʻOiai ka hapanui o nā paona e hana i ko lākou helehelena i ka manawa o ka lua a me ke kolu o ka trimester, aia kekahi mau loaʻa mua o ke kaupaona e hiki mai ana i nā hebedoma he 12 o ka hāpai ʻana. I ka ʻoiaʻiʻo, ma ka awelika, loaʻa i ka poʻe ka 1 a 4 mau paona i ka trimester mua - akā hiki ke ʻokoʻa. E nānā i nā mea i pili.

Ehia mau kaumaha e loaʻa iaʻu i ka trimester mua?

"ʻO kēia kekahi o nā nīnau i nīnau nui ʻia no nā mea maʻi i ka manawa o kā lākou kipa mua mua ʻana me kā lākou kauka," wahi a Jamie Lipeles, MD, DO, OB-GYN a me ka mea hoʻokumu o Marina OB / GYN.

ʻOiai paha ka mea āu i lohe ai, ʻaʻole ʻoe e hoʻonui i ka paona i ka trimester mua, me ka ʻōlelo aʻoaʻo maʻamau he 1 a 4 mau paona. A ʻaʻole like me ka ʻelua a me ke kolu o ka trimester (ke kuhikuhi ʻia ka nui o ke kino, a i ʻole BMI, a ʻoi aku paha ke kumu), ʻōlelo ʻo Lipeles ʻo ka loaʻa ʻana o ke kaupaona i nā hebedoma he 12 he like loa ia no nā ʻano kino āpau.

A inā hāpai ʻoe me nā māhoe, ʻōlelo ʻo Lipeles ua pili nā alakaʻi like i ka loaʻa ʻana o ke kaupaona i ka manawa o ka trimester mua. Eia nō naʻe, hiki i kēia ke loli i ka manawa o ka ʻelua a me ke kolu o ka trimesters, ʻoiai ʻo ka hāpai ʻana o nā māhoe he hopena ka nui o ka loaʻa o ke kaumaha.

ʻ Thatlelo ʻia, aia kekahi mau manawa ke loaʻa i kāu kauka kahi ʻōlelo ʻokoʻa no nā pule he 12 i hala. "No nā mea maʻi me ka BMI ma mua o 35, paipai pinepine mākou iā lākou e mālama i ko lākou kaumaha no ka trimester mua holoʻokoʻa," wahi a G. Thomas Ruiz, MD, OB-GYN ma MemorialCare Orange Coast Medical Center.

Mai hopohopo nui inā ʻaʻole ʻoe e loaʻa i ka trimester mua

Noho manawa hou ʻākīkī ʻana kou palule ma mua o ka hoʻokuʻu ʻana iā lākou i ka trimester mua? E haʻohaʻo ana ʻoe inā he hae ʻulaʻula ka lilo ʻana a i ʻole ka mālama ʻana i kou kaupaona.

ʻO ka nūhou maikaʻi? ʻO ka loaʻa ʻole o kekahi kaumaha i ka manawa o ka trimester mua ʻaʻole ia he mea hewa. I ka ʻoiaʻiʻo, ʻo ka lilo ʻana i kekahi mau paona i ka hapa mua o kou hāpai ʻana he hanana maʻamau (Aloha, maʻi kakahiaka a me nā hōʻole ʻai!).

Inā ʻaʻole ʻoe i ʻike i ka maʻi kakahiaka, e noʻonoʻo ʻoe iho laki ʻoe. ʻO ka nauseous a me ka ʻike ʻana i ka luaʻi i kēlā me kēia manawa i kēlā me kēia manawa o ka lā e mālama iā ʻoe i kou kaupaona a i ʻole lilo i kekahi mau paona. Mea pōmaikaʻi, maʻa mau kēia i ka trimester ʻelua a me ka ʻekolu.

Ke ʻūlū nei i kou lehelehe i ka ʻike maka ʻana i kāu pā punahele o nā hua i ʻaʻai ʻia a me ka puaʻa hoʻi ka mea maʻamau i ka trimester mua. "Hoʻomaʻamaʻa pinepine wau me kaʻu poʻe maʻi a haʻi aku iā lākou e loaʻa paha iā lākou ka ʻai i ka trimester mua, akā e hoʻonui ʻia i ka lua a me ke kolu o ka ʻekolu ma o ka loaʻa ʻana o ka ʻiʻina o ka meaʻai ma waho o ke ʻano no lākou ma waho o ka hāpai keiki," wahi a Lipeles.

Inā ʻoe e ʻike nei i ka luaʻi a i ʻole nā ​​mea ʻai ʻole, e ʻike pono e kaʻana like i kēia ʻike me kāu OB-GYN i kāu mau kipa maʻamau. He mea nui e mālama iā lākou i loko o ka loop, keu hoʻi inā e lilo ana kou kaumaha. "ʻO ke kaumaha o ke kaumaha ma ke ʻano he breakdown mode a koʻikoʻi, kahi e alakaʻi ai i kahi hemahema o nā meaola," i ʻōlelo ʻo Felice Gersh, MD, he OB-GYN ma Integrative Medical Group o Irvin, kahi ʻo ia ka mea hoʻokumu a alakaʻi.

"ʻO ka mea pōmaikaʻi, hiki i kahi embryo ke loaʻa mau nā meaola e pono ai no ka hoʻomohala ʻana a me ka ulu ʻana - akā, hiki i ka makuahine ke lilo i ka nui o ke kino momona a me nā momona kākoʻo," wahi a Gersh.

A pono ʻoe e akahele i ka ʻike ʻana i ka pohō kaumaha.

ʻO kekahi o nā kumu maʻamau o ka pohō kaumaha he hyperemesis gravidarum, ʻo ia ka ʻano nui loa o ka nausea a me ka luaʻi i ka wā hāpai. Hana ʻia kēia ma kahi o 3 pākēneka o nā hāpai keiki a koi maʻamau i ka mālama.

Nā pilikia e hele mai me ka loaʻa ʻana o ke kaupaona ʻoi aku ma mua o ke kauka a ke kauka

ʻO kekahi o nā perks o ka hāpai ʻana ke hiki ke hoʻolei i ka noʻonoʻo noʻonoʻo me ka maʻalahi. (Pono mākou e ʻōpala āpau iā ia, paʻa mau.) ʻO kēlā ʻōlelo, he mea nui e makaʻala i kou kaupaona a pehea e hoʻohālikelike ai i nā ʻōlelo paipai i ke kaupaona, ʻo ka loaʻa ʻana o ka nui o ke kaupaona e hiki mai ana me ʻoe a me ka pēpē, e like me:

• Ka waiwai hoʻonui i ka pēpē: Ke loaʻa ka kaumaha i ka makuahine, loaʻa paha i ka pēpē ka mea ʻoi aku ma mua o ka maʻamau i loko o ka ʻōpū. Hiki i kēia ke hopena i kahi pēpē nui i ka wā hānau.
• Hāʻawi paʻakikī: Me ka loaʻa nui o ke kaupaona, Wahi a Lipeles ua hoʻololi ʻia ka anatomy o ka auwai hānau, e hāʻawi ana i kahi hānau paʻakikī a weliweli hoʻi.
• ʻOi aku ka makaʻu o ka ʻōpū diabetes: ʻO ka loaʻa ʻana o ke kaupaona, keu hoʻi i ka wanaʻao o kou hāpai ʻana, hiki ke lilo i hōʻailona mua o ka diabetes diabetes. Inā loaʻa iā ʻoe nā mea i ʻoi aku ma mua o ka paepae mua, ʻōlelo ʻo Lipeles ʻaʻole e kahaha inā hāʻawi kāu kauka iā ʻoe i kahi hoʻokolohua glucose ma mua o ka pae maʻamau 27- a 29 mau pule.

ʻO ka ʻai ʻana i nā calorie keu i ka wā hāpai

ʻOiai ʻo ka ʻōlelo kahiko "ʻai ʻoe no ʻelua," ʻaʻole ʻo ka trimester mua ka manawa e hoʻouka ai i nā calorie. I ka ʻoiaʻiʻo, inā ʻaʻole i haʻi mai kāu kauka iā ʻoe i kahi ʻē aʻe, pono ʻoe e mālama i kāu ʻai ma mua o ka hāpai ʻana.

Eia nō naʻe, i ka holo ʻana o kou hāpai ʻana, paipai ʻia kahi piʻi iki o nā calorie. Hōʻike ka Academy of Nutrition and Dietetics i kahi pae o 2,200 a i 2,900 calories i ka lā, e like me kāu BMI ma mua o ka hāpai ʻana. Hoʻohālikelike kēia i ka hoʻonui aʻe o ka trimester (e hoʻohana i kāu lawe ma mua o ka hāpai ʻana ma ke ʻano he pae kumu).

• ʻO ka trimester mua: ʻaʻohe kalori hou aʻe
• ʻElua trimester: e ʻai i kahi mea hou he 340 calories i kēlā me kēia lā
• ʻO ka ʻekolu trimester: ʻai i kahi mea hou he 450 mau calorie i kēlā me kēia lā

ʻO ka meaʻai a me ke olakino i ka trimester mua

Hoʻomaka ka hapanui o mākou i kēia huakaʻi me nā manaʻolana kiʻekiʻe e ʻai me ke olakino, hoʻoikaika kino mau, a me ka hōʻalo ʻana i nā mea āpau me kahi ola lōʻihi ma mua o ko mākou hāpai ʻana.

Akā i kēlā manawa, hiki ke ola.

Ma waena o ka mālama ʻana i ka hana, nā keiki ʻē aʻe, nā kuleana kaiāulu, a me kēlā mau huakaʻi a pau i ka lumi hoʻomaha, e loaʻa ana ka manawa - a me ka ikaika - e mālama i kāu papa hana hoʻolālā ma mua o ka hāpai ʻana a i ʻole whip i kahi papa ʻaina hoʻohanohano a ka poʻe kaulana i kekahi manawa he mea nui maoli nō ia. ʻO ka nūhou maikaʻi? ʻAʻole pono ʻoe e kiʻi pololei i kēlā me kēia lā e ulu i kahi kanaka olakino.

No laila, he aha kāu e ʻimi ai? Inā kū ʻoe no ia mea, e hoʻomau i ka hana i kāu hana ma mua o ka hāpai ʻana, inā ʻaʻole pili i ke kau ʻana i luna i lalo mai kahi pae trapeze. ʻO nā hana kino i koho maikaʻi loa i ka trimester mua e komo pū me:

• hele wāwae
• ʻauʻau
• haʻalulu
• paikikala holo i loko
• hoʻomaʻamaʻa kūʻē
• yoga

E hoʻonoho i kahi pahuhopu e hoʻoikaika i ka hapa nui o nā lā o ka pule, a i ʻole ma ka liʻiliʻi he 150 mau minuke i kēlā me kēia pule. ʻO ka mea nui e hoʻopili i ka mea āu e ʻike ai. ʻAʻole kēia ka manawa e hāpai i ka hoʻomaʻamaʻa marathon, keu hoʻi inā ʻaʻole ʻoe i holo ma mua.

E pili ana i ka meaʻai, makemake e ʻai i ka papaʻai kaulike me nā ʻano meaʻai like ʻole. Pākuʻi ʻia kēia:

• palaoa holoʻokoʻa
• huaʻai
• nā mea kanu
• protein protein
• momona momona
• nā huahana waiū momona momona e like me ka waiū a me ka yogurt

ʻOiai ʻaʻole koi kou kino i nā calorie hou aʻe i ka manawa o ka trimester mua, ʻo ka ʻai ʻana e like me kāu maʻamau - inā he momona ia - ʻo ia ka pahuhopu.

ʻO nā alakaʻi kaulike hāpai hāpai holoʻokoʻa

ʻOiai ʻaʻohe like o nā hāpai ʻelua, aia kekahi mau ʻōkuhi ākea e ukali ai i ka wā e loaʻa ai ke kaumaha ma loko o nā trimesters ʻekolu. ʻO ke Kulanui ʻAmelika o nā Obstetricians a me nā Gynecologists (ACOG), me ka Institute of Medicine (IOM), hoʻokaʻawale i ka waiwai i kau ʻia ma luna o kou kaupaona ma kāu kau mua.

Ma ka laulaha, ʻo ka laulā no nā mahina 9 āpau ma waena o 11 a me 40 paona. ʻO ka poʻe me ke kaupaona a i ʻole ka momona e pono e loaʻa ka liʻiliʻi, ʻo ka poʻe me ka liʻiliʻi o ka paona e pono e loaʻa hou. ʻOi aku ke kikoʻī, paipai ka ACOG a me IOM i kēia mau pae:

• BMI ma lalo o 18.5: ma kahi o 28-40 mau paona
• BMI o 18.5-24.9: ma kahi o 25–35 paona
• BMI o 25-29.9: ma kahi o 15-25 mau paona
• BMI 30 a ʻoi aku: ma kahi o 11-20 paona

No nā hāpai keiki māhoe, paipai ka IOM i ka huina kaumaha o 37 a 54 mau paona.

No ka loaʻa ʻana o kahi manaʻo ʻoi aku ka nui o ka poʻe e noho ma waena o kēia pae, nā ʻikepili i kālailai ʻia mai kekahi mau noiʻi. Ua ʻike ʻia ua loaʻa ka 21 pākēneka ma lalo o ka nui o ke kaupaona i paipai ʻia, akā ʻo 47 pākēneka i loaʻa ma mua o ka nui i hōʻike ʻia.

ʻO kāu kauka kāu kumu waiwai ʻoi loa

Ma ke kūpono, ʻike ʻoe i kahi kauka hiki iā ʻoe ke hilinaʻi e pane i kekahi mau nīnau kūpilikiʻi koʻikoʻi. Akā inā ʻo kāu hele mua kēia me kāu OB-GYN, ke hilinaʻi nei iā lākou no ka ʻike a me ke kākoʻo ke kī o ka hōʻemi i ka hopohopo i ka wā hāpai.

Ma muli o ke ana ʻana o ke kaupaona kahi ʻāpana o kēlā me kēia kipa prenatal, ʻo kēlā me kēia manawa ke manawa kūpono e kamaʻilio i nā nīnau a i ʻole nā ​​hopohopo, ʻoiai ke nānā nei kāu OB i nā mea he nui, e like me nā loli kaumaha.