Yuav ua li cas npaj rau cev xeeb tub

2024 Tus sau: Malcolm Clapton | [email protected]. Kawg hloov kho: 2023-12-17 03:58

Kev npaj ua kom ntxaws rau cov niam txiv yav tom ntej.

Nov yog yim lub tswv yim los pab txo txoj kev pheej hmoo ntawm fetal abnormalities thiab ua kom tus niam noj qab nyob zoo thaum cev xeeb tub.

1. Mus rau hauv kev ua kis las

Yog tias koj yog ib txoj kev ua neej nyob sedentary, nws tsim nyog ntxiv kev ua si lub cev. Kev tawm dag zog ntawm siab mus rau nruab nrab siv zog ua rau muaj kev xeeb tub, tshwj xeeb tshaj yog cov poj niam rog rog.

Los ntawm kev siv koj tus kheej rau kev ua si lub cev ua ntej cev xeeb tub, koj yuav muaj peev xwm ua kom qoj ib ce ntxiv tom qab cev xeeb tub, thiab qhov no muaj txiaj ntsig zoo.

Kev ua si lub cev ua ntej thiab thaum cev xeeb tub yuav txo tau txoj kev pheej hmoo ntawm gestational diabetes mellitus, ua haujlwm luv luv thiab txo qhov kev pheej hmoo ntawm cov teeb meem.

Thaum koj tseem tsis tau cev xeeb tub, xaiv ib qho kev ua kis las uas koj xaiv, thiab txij li thawj peb lub hlis twg, txav mus rau cov dej num softer thiab kev nyab xeeb. Cov dej num tsim nyog tshaj plaws rau cov poj niam cev xeeb tub yog:

• kev cob qhia aerobic nrog nruab nrab siv;
• kev tawm dag zog kom ntxiv dag zog rau cov leeg ntawm lub plab hauv plab;
• taug kev;
• ua luam dej;
• stretching;
• ntxiv dag zog.

Cov poj niam cev xeeb tub raug qhia kom tsis txhob koom nrog kev caij tsheb kauj vab thiab caij nees, gymnastics thiab hockey, nrog rau txhua yam kev ua si uas koj tuaj yeem poob, raug mob lossis dhau pob qij txha.

2. Noj txoj cai

Txawm tias ua ntej cev xeeb tub, nws tsim nyog saib xyuas koj qhov hnyav.

Anna Kannabikh gynecologist ntawm lub chaw kho mob mobile DOC +

Kev rog dhau thiab rog hauv cev xeeb tub yog qhov muaj feem cuam tshuam rau ntau qhov tshwm sim tsis zoo (kev rho menyuam tawm, kev ua tsis zoo ntawm tus menyuam hauv plab, tseem yug menyuam), nrog rau cov teeb meem hauv cev xeeb tub (mob ntshav qab zib thaum cev xeeb tub, preeclampsia, thromboembolism).

Txhawm rau kom poob phaus, noj zaub mov zoo. Rau kev noj zaub mov kom tiav, ntxiv cov khoom noj hauv qab no:

• Cereals. Nplej, oats, buckwheat, mov, pob kws thiab legumes. Sim xaiv cov nplej tag nrho lossis cov khoom noj uas tsis tau ua tiav.
• Zaub. Hloov ntawm cov zaub ntsuab tsaus, liab thiab txiv kab ntxwv. Xaiv cov zaub mov tshiab lossis khov raws caij nyoog.
• Txiv hmab txiv ntoo. Noj tshiab, kaus poom hauv koj tus kheej kua txiv los yog dej, khov los yog qhuav txiv hmab txiv ntoo raws caij nyoog.
• Cov mis nyuj. Xaiv cov zaub mov uas muaj roj tsawg thiab nplua nuj calcium.
• Nqaij thiab ntses. Protein yog qhov tseem ceeb rau kev loj hlob ntawm tus me nyuam hauv plab thiab kev noj qab haus huv ntawm cov placenta thaum cev xeeb tub. Ua ntej cev xeeb tub, tau txais cov protein ntau txaus yuav pab kom ntev satiety thiab txo qhov hnyav.
• Yog rog. Sim txwv qhov tsis zoo ntawm cov rog trans rog. Tau txais cov roj saturated thiab unsaturated fatty koj xav tau los ntawm lard, khoom noj siv mis, ntses, zaub roj, thiab txiv ntseej.

Tsis txhob nqa mus nrog kev noj zaub mov nruj. Ib txoj kev tshawb fawb tsis ntev los no tau pom tias kev noj zaub mov tsawg hauv cov carbohydrates ua ntej thiab thaum cev xeeb tub tuaj yeem ua rau muaj kev xeeb tub hauv cov hlab ntsha neural. Yog tias tsis muaj carbohydrates txaus hauv niam cov khoom noj, qhov kev pheej hmoo ntawm tus menyuam hauv plab qaum thiab lub hlwb tsis zoo yog nce li 30%.

Nyob rau tib lub sijhawm, tus thawj coj ntawm kev tshawb fawb, Dr. Tania Desrosiers, tau sau tseg tias folate (uas suav nrog folic acid) pab tiv thaiv cov hlab ntsha neural. Txawm li cas los xij, cov vitamin no tsis yog cov vitamin nkaus xwb uas xav tau rau cov poj niam cev xeeb tub. Nyob rau theem kev npaj thiab thaum cev xeeb tub, nws tsim nyog saib xyuas lwm yam khoom muaj txiaj ntsig.

3. Noj cov tshuaj micronutrients

Kev noj zaub mov tsis zoo los ntawm cov niam ua rau muaj kev pheej hmoo ntawm kev yug me nyuam qis (tsawg dua 2.5 kg) cov menyuam mos, yug ntxov ntxov, kev loj hlob ntawm fetal retardation, kab mob perinatal thiab kev tuag, thiab kev tsis txaus ntawm qee cov as-ham ua rau muaj kev pheej hmoo ntawm congenital anomalies thiab fetal malformations.

Anna Kannabikh gynecologist ntawm lub chaw kho mob mobile DOC +

Kev noj zaub mov kom txaus yog qhov tseem ceeb rau kev xeeb tub, tab sis qee cov vitamins nyuaj kom tau txais cov khoom noj txaus los ntawm ib leeg. Tsis muaj cov vitamins thiab lwm cov ntsiab lus tuaj yeem ntxiv nrog kev pabcuam tshwj xeeb.

Koj tuaj yeem yuav cov tshuaj ntxiv nrog cov vitamins thiab cov ntsiab lus sib cais los yog xaiv qhov tsim nyog. Piv txwv li, lub "" complex yog tsim rau cov neeg uas tsuas yog xav txog ib tug me nyuam, tab sis nws kuj yog haum rau tag nrho cov trimesters ntawm cev xeeb tub thiab lactation.

Hauv qab no peb yuav saib ntau cov vitamins thiab minerals uas tsim nyog rau tus poj niam thiab tus menyuam hauv plab thaum lub sijhawm npaj, thaum cev xeeb tub thiab thaum pub niam mis.

Folic acid

Qhov tsis muaj folate, suav nrog folic acid, ua rau muaj kev pheej hmoo ntawm kev yug me nyuam ntawm cov hlab plawv thiab cov hlab ntsha neural ntawm tus menyuam hauv plab.

Cov kev tshawb fawb tau pom tias 5-methyltetrahydrofolate yog qhov zoo tshaj plaws hloov pauv rau cov hluavtaws folic acid kom ntxiv cov folate tsis txaus. Nws yog lub ntuj daim ntawv ntawm vitamin B9 (folic acid) thiab yog zoo dua absorbed. Kev tshuaj xyuas kev tshawb fawb los ntawm cov kws tshawb fawb ntawm University of Saarland hauv lub teb chaws Yelemees hais tias ntuj folate 5-methyltetrahydrofolate yog nqus tau los ntawm lub cev, tsis muaj qhov nqus siab, thiab tsis npog qhov tsis muaj vitamin B12.

Yog li ntawd, thaum xaiv ib tug vitamin complex los yog folate ntxiv, xyuam xim rau nws daim ntawv. Cov complex "Pregnoton Mama" muaj 200 mcg ntawm 5-methyltetrahydrofolate (extrafolate) thiab 200 mcg ntawm folic acid, uas ua rau kom nqus tau zoo dua piv rau kev noj cov tshuaj folic acid lossis cov khoom noj uas muaj cov vitamin no.

Hlau

Cov hlau tsis muaj peev xwm ua rau cov ntshav tsis txaus, uas yog qhov txaus ntshai rau leej niam thiab tus menyuam. Nws tuaj yeem ua rau yug ntxov ntxov, txwv tsis pub fetal loj hlob thiab ua rau qhov hnyav thaum yug.

Cov vitamin complex "" muaj liposomal hlau. Thaum xaiv cov tshuaj ntxiv, nco ntsoov ua tib zoo mloog cov duab ntawm cov hlau. Qhov tseeb yog tias cov tshuaj sulfate, fumarate thiab hlau pyrophosphate tuaj yeem ua rau muaj kev puas tsuaj rau cov mucous daim nyias nyias ntawm txoj hnyuv, tsis xis nyob, xeev siab thiab cem quav.

Liposomal hlau pab kom tsis txhob muaj cov teebmeem no. Liposome yog ib tug nano-loj, tsis muaj tshuaj lom vesicle-vesicle. Hlau tiv thaiv los ntawm cov npuas no tsis tso tawm hauv plab hnyuv thiab tsis ua rau xeev siab lossis lwm yam kev mob tshwm sim. Nyob rau tib lub sijhawm, bioavailability ntawm liposomal hlau yog 3.5 npaug ntawm bioavailability ntawm hlau pyrophosphate, 2.7 npaug ntawm ferrous sulfate thiab 4.7 npaug ntawm ferrous fumarate.

Iodine

Kev tsis muaj iodine tuaj yeem ua rau rho menyuam, yug me nyuam thiab teeb meem neurological. Tom qab 12 lub lis piam ntawm cev xeeb tub, iodine yog qhov tsim nyog rau kev tsim cov thyroid hormones hauv tus menyuam hauv plab, yog li ntawd, tom qab lub sijhawm no, nws cov nyiaj yuav tsum tau nce mus rau 150-250 mcg ib hnub.

Cov vitamin complex "Pregnoton Mama" muaj 150 mcg ntawm iodine - qhov no txaus txaus rau lub sijhawm npaj, cev xeeb tub thiab pub niam mis.

Vitamin D

Ib tug txaus npaum li cas ntawm cov vitamin no cuam tshuam rau kev tsim ntawm musculoskeletal system thiab tag nrho cov kev noj qab haus huv ntawm tus me nyuam hauv plab. Tsis tas li ntawd, vitamin D txo qhov kev pheej hmoo ntawm kev yug ntxov ntxov thiab tsis muaj qhov hnyav.

Cov qauv pom zoo rau cov poj niam yog 600 IU, txawm li cas los xij, cov tshuaj no tsis tuaj yeem pom hauv cov vitamin complexes. Qhov tseeb yog tias cov tuam txhab lag luam coj mus rau hauv tus account qhov kev noj ntawm txhua cov vitamin thiab ntxhia nrog cov zaub mov thiab txo nws cov nyiaj hauv txoj hauv kev kom tsis txhob muaj ntau dhau.

Piv txwv li, lub complex "Pregnoton Mama" muaj 5 μg (200 IU) ntawm vitamin D. Qhov seem ntawm cov vitamin D tuaj yeem tau los ntawm herring, salmon, mackerel, qe yolks, qaub cream, butter, nqaij qaib thiab nyuj daim siab. Muab cov zaub mov no tso rau hauv koj cov zaub mov nrog rau cov vitamins.

Omega-3 polyunsaturated fatty acids

Omega-3 polyunsaturated fatty acids txo qhov kev pheej hmoo ntawm kev yug ntxov ntxov, fetal tuag thiab kev nyuaj siab tom qab yug me nyuam. Tsis tas li ntawd, docosahexaenoic acid (DHA), ib hom omega-3 polyunsaturated fatty acid, muaj kev cuam tshuam loj rau fetal hlwb thiab retinal txoj kev loj hlob.

Txij li thaum omega-3 fatty acids yog qhov tseem ceeb thiab tsis tuaj yeem tsim tawm hauv lub cev, lawv yuav tsum tau txais los ntawm kev noj haus. Qhov zoo tshaj plaws ntawm omega-3s yog ntses thiab nqaij nruab deg, tab sis vim muaj ntau tus poj niam cev xeeb tub ntshai tsam noj cov ntses hiav txwv vim muaj peev xwm ntawm mercury, uas tuaj yeem ua rau tus me nyuam hauv plab, nws muaj peev xwm tau txais omega-3s los ntawm cov tshuaj ntxiv.

Cov complex "Pregnoton Mama" muaj 200 mg ntawm DHA - qhov ntau npaum li cas yog qhov tsim nyog rau kev loj hlob ntawm tus me nyuam hauv plab.

Pib noj cov vitamins thiab mineral complexes peb lub hlis ua ntej yuav xeeb tub. Qhov no yuav tsim kom muaj tag nrho cov micronutrients tsim nyog hauv lub cev.

4. Mus ntsib kws kho hniav

Cov poj niam cev xeeb tub yog cov kab mob ntau dua vim yog cov kua qaub hauv qhov ncauj, 30% ntau dua rau cov kab mob hauv lub cev thiab gingivitis (cov pos hniav los ntshav).

Txij li thaum muaj kev pheej hmoo ntawm cov kab mob hauv qhov ncauj nce ntxiv thaum cev xeeb tub, nws tsim nyog mus ntsib kws kho hniav ua ntej, kuaj xyuas qhov mob ntawm cov hniav, tshem tawm tag nrho cov teeb meem thiab sab laj txog kev ntsuas ntxiv.

Tsis tas li ntawd, ua raws li ob peb txoj cai:

• txo cov piam thaj thiab dej qab zib;
• txhuam koj cov hniav ob zaug ib hnub twg nrog cov tshuaj txhuam hniav fluoridated;
• siv txhuam hniav txhua hnub;
• Chew cov pos hniav tsis muaj piam thaj kom normalize pH hauv koj lub qhov ncauj.

5. Tshawb nrhiav txhua yam txog koj lub xeev kev noj qab haus huv

Peb lub hlis ua ntej kev xeeb tub, nws raug nquahu kom mus kawm ua ntej kev xeeb tub: kom dhau qhov kev xeem, txheeb xyuas qhov txaus ntshai thiab, yog tias ua tau, tshem tawm lawv.

Irina Lukoshkina Tus Thawj Coj ntawm Embryo Reproduction Clinic, Tus Neeg Sib Tw ntawm Kev Kho Mob Sciences, kws kho menyuam yaus, kws kho menyuam yaus-gynecologist

Raws li ib feem ntawm kev cob qhia pregravid, cov txij nkawm raug tshuaj xyuas txhua hom kev sib deev, kuaj ntshav rau kab mob siab, kab mob treponema, HIV, qhua pias, rubella, kab mob qhua pias, toxoplasma thiab lwm yam. Yog tias tsim nyog, cov txij nkawm tuaj yeem txhaj tshuaj tiv thaiv kab mob rubella, qhua pias, kab mob qhua pias.

Tsis tas li ntawd, thaum lub sijhawm npaj cev xeeb tub, nws raug nquahu kom kuaj xyuas cov thyroid caj pas.

"Kev kuaj xyuas thiab saib xyuas kev ua haujlwm ntawm cov thyroid caj pas feem ntau suav nrog kev kuaj tshuaj hormones thiab ultrasound. Cov kev ua txhaum cai uas raug txheeb xyuas tuaj yeem ua rau anovulation, infertility, spontaneous miscarriages, yug ntxov ntxov, fetal loj hlob retardation thiab perinatal teeb meem, "saib Anna Kannabikh, gynecologist ntawm DOC + mobile clinic.

6. Kuaj cov noob caj noob ces

Kev tshawb nrhiav caj ces tsuas yog tsim nyog yog tias koj lossis koj cov txheeb ze tau muaj kab mob los ntawm caj ces, tab sis txhawm rau tshem tawm cov kev pheej hmoo, lawv tuaj yeem ua rau cov neeg noj qab haus huv.

Natalya Beglyarova Tus Kws Tshaj Lij ntawm Lub Chaw rau Molecular Diagnostics (CMD), Central Research Institute of Epidemiology, Rospotrebnadzor

Qee zaum cov neeg noj qab haus huv tsis txawm xav tias lawv yog cov neeg nqa khoom ntawm qhov sib npaug ntawm chromosomal rearrangements (aberrations), uas tsis tshwm sim rau lawv tus kheej sab nraud, tab sis tuaj yeem ua lub luag haujlwm rau infertility lossis nchuav menyuam.

Natalya Beglyarova hais tias qhov tseem ceeb tshaj plaws ntawm kev kuaj ntshav hauv kev npaj cev xeeb tub yog kev txiav txim siab ntawm karyotype, lossis karyotyping.

Qhov kev kuaj mob no tso cai rau koj txheeb xyuas qhov sib tshooj lossis tsis muaj chromosome, txav lossis tig ntawm ib ntu hauv chromosome - kev ua txhaum tag nrho hauv cov qauv thiab tus lej ntawm chromosomes uas tuaj yeem ua rau rho menyuam tawm thiab yug menyuam, nrog rau ntau dua 700 kab mob, suav nrog. Down syndrome, dementia, lub cev tsis xws luag fetus.

Lub karyotype ntawm ib tug neeg tsis hloov pauv txhua lub neej, yog li txoj kev tshawb no tuaj yeem ua tiav ib zaug hauv lub neej ntawm txhua lub hnub nyoog. Hauv qee lub tebchaws, piv txwv li hauv UAE, karyotyping suav nrog hauv cov txheej txheem kev xeem ua ntej sib yuav.

Natalya Beglyarova Tus Kws Tshaj Lij ntawm Lub Chaw rau Molecular Diagnostics (CMD), Central Research Institute of Epidemiology, Rospotrebnadzor

Rau qhov kev kuaj no, ntshav yog pub dawb los ntawm cov hlab ntsha hauv chav kuaj. Ib hlis ua ntej txoj kev kawm, koj yuav tsum tau muab tshuaj tua kab mob, peb hnub - los ntawm cawv. Cov ntshav pub dawb hauv lub xeev satiety, tsis yog ntawm lub plab khoob.

7. Saib xyuas koj lub siab lub ntsws

Kev ntxhov siab, kev ntxhov siab thiab kev nyuaj siab thaum cev xeeb tub ua rau tsis zoo rau kev loj hlob ntawm tus menyuam hauv plab, nrog rau kev loj hlob ntawm tus menyuam tom qab yug menyuam. Yog li ntawd, nws yog ib qho tseem ceeb los txhim kho txoj kev xav ntawm leej niam txawm ua ntej cev xeeb tub.

Ua raws li kev ua haujlwm niaj hnub, ua kom pw tsaug zog thiab noj zaub mov zoo, ntxiv dag zog rau lub cev, sim pib kev cob qhia thiab kev xav. Tom qab qhov pib ntawm cev xeeb tub, lub siab lub ntsws ntawm tus poj niam tuaj yeem tsis ruaj khov: vim muaj kev hloov pauv hormonal, kua muag, kev chim siab, thiab kev ntxhov siab ntau ntxiv.

Txhawm rau kom tsis txhob muaj kev ntxhov siab, thaum cev xeeb tub koj yuav tsum nyob hauv ib qho chaw xis nyob, nrog kev hlub thiab kev nkag siab ntawm tib neeg. Koj tuaj yeem tham txog qhov no nrog koj tsev neeg ua ntej, daws teeb meem nrog kev ua haujlwm, yog tias muaj kev ntxhov siab feem ntau tshwm sim nyob rau ntawd, mus ntsib kws kho mob hlwb perinatal.

8. Muab tus cwj pwm phem tso tseg

Kev txiav luam yeeb thiab cawv yog qhov tseem ceeb rau kev nqa tus menyuam noj qab nyob zoo. Cov menyuam yaus uas nws niam haus luam yeeb thaum cev xeeb tub muaj peev xwm txawj ntse qis dua, teeb meem hyperactivity, thiab kev coj cwj pwm tsis zoo.

Kev haus luam yeeb yuav tsum raug tshem tawm thaum lub sij hawm npaj nyob rau hauv tsib lub voj voog. Thaum haus luam yeeb, carbon monoxide nkag mus rau hauv cov hlab ntsha, uas ua rau lub circulatory hypoxia, tuaj yeem cuam tshuam kev tsim ntawm lub txaj pw, ua rau kev laus ntxov ntxov ntawm cov placenta thiab ncua kev loj hlob ntawm fetus. Tsis tas li ntawd, thaum lub sij hawm intrauterine txoj kev loj hlob, lub fetus nyob rau hauv lub sij hawm ntawm lub thib ob mus rau lub cuaj lub lim tiam yog rhiab heev rau cawv, noj yuav ua rau malformations thiab deformities.

Anna Kannabikh gynecologist ntawm lub chaw kho mob mobile DOC +

Muab cov cwj pwm phem txawm tias nyob rau theem kev npaj, thiab koj tsis tas yuav raug kev txom nyem los ntawm kev xav txhaum thiab pheej hmoo rau kev noj qab haus huv ntawm koj tus menyuam thaum cev xeeb tub.

Xaus

Raws li kev txheeb cais, nyob rau hauv Russia tsis muaj ntau tshaj 4% ntawm cov khub niam txiv lub hom phiaj npaj rau yug me nyuam. Qhov ntsuas no yog qhov tshwm sim los ntawm qhov tsis muaj kev paub txog cov niam txiv yav tom ntej txog qhov tseem ceeb thiab cov txiaj ntsig ntawm kev npaj rau kev ua niam ua txiv.

Irina Lukoshkina Tus Thawj Coj ntawm Embryo Reproduction Clinic, Tus Neeg Sib Tw ntawm Kev Kho Mob Sciences, kws kho menyuam yaus, kws kho menyuam yaus-gynecologist

Kev npaj kom raug zoo ua rau muaj feem muaj kev xeeb tub thiab kev loj hlob ntawm fetus.

Ua kom nquag plias, noj kom raug thiab lees txais, saib xyuas koj lub cev kev noj qab haus huv thiab lub siab lub ntsws, thiab koj tuaj yeem zam ntau yam teeb meem, tiv thaiv koj tus kheej thiab koj tus menyuam.