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C nn king "chuyn y" khi mang bu?

19-09-2008 00:05:00

Th thai ma no tt nht?

Ti thng nghe bn b i trc ni rng cn phi king hon ton quan h trong nhng ngy mang bu. Ti mi c ln u nn khng hiu bit lm, rt lo lng.
Tr li: Tht ra th bn c th lm chuyn y bt k lc no trong nhng ngy thng mang thai. Bi v thai nhi c bo v rt k lng bi ti mng v nc i. Nhng nh l vi iu kin bn khng c tin s bt thng no i vi vic mang bu nh l tng sy thai, sinh non, hoc bnh a x cng chng hn. Tuy nhin, thng thng th cc Bs s khuyn bn nn king c trong khong 3 thng u ca thai k. V ba thng cui, khi thai ln, vic quan h cng nn cn thn, v kh nng thai nhi b nh hng cng l kh ln. Bn cn c bit quan tm, v nn king c trong trng hp bn c cc du hiu ca nhng chng sau: - Nhau thai qun quanh c thai nhi (thng c gi l trng hoa qun c) - Ra mu m o bt thng, khng r nguyn nhn - B chut rt nhiu - C t cung yu - m o m sm. Trong qu trnh quan h, bn cn quan tm v ch ti nhng bt thng (nu c) xy ra cho c th. V d nh chy mu m o v cn ngay lp tc ti gp Bs c t vn.

Mt iu na cng quan trng khng km, l cc t th quan h ph hp. Bn khng nn s dng cc t th truyn thng m c th tham kho mt s cc t th di y, v la chn cho mnh t th thch hp nh. - Ngi v bn trn: Nu bn trn, bn c th iu khin c sc p ca bn ln bng v cm nhn c nng su ca s thm nhp. - Quay lng v pha chng. T th ny chng bn s m bn t pha sau, gi cho bng bu trnh c nhng tc ng v gim nhng c hch mnh ca ng x. Giai on ny thch hp khi ngi v mang bu to. - V qu bng cch chng tay xung, chng qu ng sau v. T th ny s khin cho c hai cm thy d chu hn. - V nm nga mp ging, ngi chng c th ng di ging. T th ny gip v khng b sc p ca chng ln bng.

- Chng ngi trn gh, v ngi trn chng, quay mt i din hoc quay lng li, chn di sn nh. T th ny gip ngi v iu khin c mc thm nhp ca ng x. Read more: http://afamily.vn/suc-khoe/2008091805163191/Co-nen-kieng-chuyen-ay-khi-mangbau/#ixzz1PFFkGF00

Tnh dc v cc giai on ca thai k


C rt nhiu cp v chng lo lng v s an ton tnh dc khi mang thai v thng cm thy ngi ngng khi trao i chuyn ny vi bc s. y l vic lm rt cn thit v n s khin bn cm thy thoi mi v hnh phc khi tip tc duy tr quan h tnh dc.

i vi mt ngi mang thai bnh thng th khng c l do v th cht no c th ngn cn hay nh hng ti sinh hot tnh dc. Quan h tnh dc khi mang thai cng khng gy nguy him ti thai nhi bi thai nhi c bo v chc chn bi cc thnh ca t cung cng nh ca ti nc. Trong trng hp bn tng xy thai hoc c vn v c t cung th nn trnh sinh hot tnh dc trong nhng thng u mang thai. Hoc nu nhau thai nm qu thp th bn cng khng nn quan h tnh dc. V hy ngh bc s cho bn nhng li khuyn. C mt s nh khoa hc cho rng ph n c thai khng nn quan h tnh dc ng hu mn v n c th dn ti vic tng nguy c nhim trng m o v nc i. Trong nhng tun u mang thai , ph n thng cm thy nhu cu tnh dc gim do s nh hng xu ti thai nhi hoc do cm thy mt mi, c bit l i vi nhng ngi kh th thai hay tng xy thai. Trong sut giai on u mang thai (3 thng u), di s iu khin ca cc hc mn, c th ngi ph n c nhng thay i. Nhng thay i ny khin ngi m tng lai cm thy kh b kch thch hay thm ch th vi tnh dc. Nhiu ngi chng khng thch nghi ngay c vi iu v cm thy mnh b b ri, thm ch, c ngi cn ghen t vi em b. V vy, ngi chng nn hiu iu ny l ht sc bnh thng v khng nn p buc hay i hi khi ngi ph n khng mun. Trong giai on th hai ca thai k (3 thng tip theo), nhng ham mun tnh dc thng tng cao do lng mu lu thng tng v ngi ph n s cm thy rt sung mn. Bn c th tn dng khong thi gian ny. Tuy nhin, thai cng pht trin i hi bn phi cng sng to ra nhng t th quan h ph hp. Nng lng ca ngi ph n c phc hi v tnh trng bun nn, nn s gim hoc ngng hn. Lng mu i qua cc b phn ca c th s gia tng, ngc s tr nn mm v x hn, v vy cn nh nhng v cn thn khi chm vo n. Lng mu chy xung vng xng chu tng lm ngi m tr nn d b kch thch, d xut hin ham mun tnh dc. Nhiu ngi n ng cm thy v mnh rt hp dn trong thi k ny v h cho rng v mnh

nhit tnh hn trong chuyn y. ng thi, vic quan h tnh dc khi ngi v mang thai c th lm cho ngi chng nhy cm hn, h c th cm nhn c mt s sng mi ang ln dn ln trong c th ngi v v cm thy mt s gn gi m trc y cha tng c. Nhng bn cnh cng c khng t nhng ngi n ng cn phi c thi gian thch nghi vi nhng thay i trn c th v mnh. Vo giai on mang thai cui cng (3 thng cui), bn s bt u au lng v au chn. y l thi im m bn s gp mt s kh khn trong quan h tnh dc v bn cn c bit ch n t th quan h. Hy sng to ra bt k t th no m khng p lc ln bng v ngc. Mc d vic quan h tnh dc bng ming c th khin nhiu ph n cm thy khng thoi mi nhng y li chnh l mt bin php ph hp khin c hai c th tn hng c nhng khoi cm m hon ton khng nh hng ti thai nhi. Quan h tnh dc khin vic tr d tr nn d dng hn tuy nhin mt khi mng nhy b ph v th khng nn c hot ng giao hp. i vi mt s cp v chng, vic mang thai c th lm cho h lo lng, cng thng v c th dn ti vic c cm gic khng tho mn. Hy trao i mt cch ci m vi chng sao cho anh y c th hiu c nhng g khin bn thy thoi mi v nhng g khng nh! Nhiu cp v chng quyt nh on tuyt vi tnh dc trong sut qu trnh mang thai. Liu y c phi l gii php ph hp v c th thc hin c khng bn? iu quan trng l cc bn trao i vi nhau v nhng cm gic v nhu cu ca mi ngi. Hy nh rng c rt nhiu cch th hin tnh yu v cm xc nh vut ve, u ym hay cc ng tc massage ... Mi ngi u c mt c th khc nhau v hu ht ngi ph n u tri qua nhng thng ngy mang thai. S chm sc v chia s gia ngi v v ngi chng trong quan h tnh dc l mt trong cc yu t quan trng to nn hnh phc. Hy lm theo nhng g bn cho l ng v khin bn cng nh chng bn cm thy thoi mi nht.
Vo cui thai k, nhiu ph n hong s khi thy kt qu siu m l "x ha bnh rau". Thc ra, y l hin tng "canxi ha" - s lng ng canxi gia bnh rau v c t cung, xut hin nhng thai gn thng. iu ny ch ni ln s trng thnh ca thai ch khng c ngha l bnh rau b thoi ha. S canxi ha nh hng khng ln n qu trnh trao i cht ca bnh rau. V s trao i cht xy ra ti cc h huyt nm gia bnh rau, trong khi canxi ch lng ng quanh rim cc mi rau (bnh rau c 8-12 mi nh). Ngoi vn trn, khi i siu m, nhiu thai ph thng t ra cc cu hi nh thai nhi l trai hay gi, c my tun tui, c khe khng, i c l g, cn siu m trong nhng thi im no... Sau y l li gii p cho tng cu hi : 1. C th xc nh gii tnh thai nhi mt cch tng i chnh xc t tun 28 cc thai trai, dng vt th hin r kh sm (trong 3 thng u). Lc ny, tinh hon tuy hnh thnh nhng cn nm trong bng v phi n tun th 28 mi di

chuyn n bu. Khi thai nh, hnh nh dng vt v m vt kh ging nhau. Ch khi no nhn r c 3 thnh phn l 1 dng vt v 2 tinh hon, bc s mi c th khng nh thai l trai. Kt lun thai trai ng tin hn kt lun thai gi, bi trong nhiu trng hp, tinh hon cha di chuyn xung bu sau 28 tun thai. Lc ny, khi nhn hnh nh siu m, bc s d on nhm l thai gi. 2. Kt lun tui tht ca thai qua siu m l mt vic khng d dng Sau khi siu m bit kch thc, hnh dng ca thai nhi, bc s xc nh tui thai da vo mt bng i chiu (bng ny cho bit cc ch s ca thai nhi bnh thng trong cc tui khc nhau). Nh vy kt lun tui thai qua siu m khng hn l chnh xc, n ch cho bit thai tng ng vi cc thai bnh thng tui bao nhiu. Sai s ca vic xc nh tui thai qua siu m t l thun vi tui thai. Trong 3 thng u, sai s nm trong gii hn 1 tun; 3 thng gia: 2 tun, 3 thng cui: 3 tun. V vy, tt nht l ngi m nh c ngy u tin ca ln hnh kinh cui cng v xc nh tui thai k t ngy ny. Vic t xc nh c tui thai da vo k kinh cng gip bc s kt lun thai c pht trin trong gii hn bnh thng hay khng (bng cch so snh hnh nh siu m thc t vi nhng ch s m cc thai nhi bnh thng tui phi c). 3. Kt qu siu m khng th khng nh chc chn l thai khe hay yu Kt qu siu m ch cho ta cc thng s v kch thc nh ng knh lng nh, chiu di xng i, ng knh bng..., ch khng nh l ti thi im , t l c th ca thai nhi c cn i v tng xng vi tui thai hay khng. Da vo siu m, bc s cha th bit thai nhi c tim n mt cn bnh nan y no khng. 4. ng qu lo lng khi kt qu siu m ghi l "i c" Trong trng hp ny, ng l bc s phi ghi l "s cn m ca dch i khng u". Vic khng nh i c hay khng ch c th xc nh khi i v (phi nhn thy tn mt). Bc s xc nh i c bnh thng khng da trn s lng v cn m ca dch i; trong yu t cn m t quan trng hn. Lng dch i nhiu hay t u gi nhng bt thng. Tuy nhin, kt lun bt thng phi do cc bc s chuyn ngnh sn a ra. 5. Mt s thi im nn tin hnh siu m thai

- Chm kinh 2-3 tun: Xem thai c nm ng trong bung t cung khng. Nn gi kt qu lm cn c so snh sau ny. - Tun 9-13: Xem khong sng sau da gy nhm xc nh cc biu hin ca hi chng Down. - Tun 20-22: Siu m tng quan 25-30 pht xem kch thc c th, v tr cc ph tng, nh gi s cn i thai nhi. - Tun 37-38: Khng nh ln cui s pht trin tng xng ca thai nhi trc khi sinh. -------------------Nhiu b m thch nhn thy con nn thng xuyn i siu m trong thai k. Nhng theo nhn nh ca gii chuyn khoa, ch cn ba ln l bit b c vn hay khng, l vo cc tun l th 12, 22 v 32. i khi bn st rut ch n cuc hn nhn mt con. Siu m chnh l khonh khoc m ly, y ngc nhin th v, cch thc gip ngi sp lm cha m ho nhp vi bo thai. Nguyn tc ca siu m l thit b t trn da pht ra nhng ln sng siu m xuyn qua m, i su vo trong c tn hiu. Sau mt ln nhn, du hiu c phn tch bi mt h thng tin hc, chuyn ti ra nh xut hin trn mn hnh.

Thi im cn siu m ln u l tun th 12 (hay mang thai c 2 thng ri). Mc ch l xc minh phi thai c tt khng, c mt hay hai thai trong cng mt ci nhau; ghi ngy thng tnh trc ngy sinh. Ln siu m ny cng xc minh tnh trng sc kho ca phi thai (o tim thai), t cung n, gin ra nh th no ( tnh n chuyn sinh kh).

Ln th 2 l khi mang thai 4 thng ri hay tun th 22. Bc s s kim tra s pht trin ca a b, o cc chi th, chiu di t u n xng ct, ng knh ca s no, bng, xc nh s hin din ca cc c quan.

Ln siu m th 3 (tun l th 32 hay 7 thng ri) nhm pht hin thm mt s khc thng v hnh thi, hnh dng cu to thai nhi do siu m ln trc khng thy. T ln th 2 v th 3, bc s kho st s lu thng mu trong dy rn, cc ng mch trong t cung, nht l i vi cc b m c du hiu bnh l v huyt qun (tiu ng, suy thn, huyt p); kim tra v tr, t th ca bo thai; xem khi lng nc i... Siu m nhiu ln vn d c ri ro v bc x lun nh hng n cc lp m. C nhng vng rt nhy cm vi sng siu m, bc s gi y l nhng vng mm nh

mt, tuyn sinh dc. y li l vng hay b "soi" nht khi bc s c gia tng sng ln mt v c quan sinh dc khng v mc ch y khoa m ch li ra hnh nh ca bo thai. Cc chuyn gia cho rng, siu m l k thut y khoa, ch thc hin khi cn chn on, khng nn coi n l chuyn chp nh xem chi

Siu m 3 chiu s tt hn? o chiu di, ng knh, nhng ng ct ca bo thai so snh vi nhng kch thc bnh thng... tt c c thc hin qua siu m 2 chiu, gi l 2D, trng v en. i vi mt s cha m, hnh nh nh th rt kh xem. T nhng thp nin 90, siu m 3D to li hnh nh c cht lng hn, bo thai xut hin bt ng nh mt a b ch thc, ln hay nh ty theo thi gian mang thai. T khi xut hin siu m 3D, ngi ta rt c cm tnh vi k thut ny.

Theo chuyn gia siu m, siu m 3D khng dng pht hin. Kch thc no, thc hin nhng ng ct no... u l vic ca siu m 2D. Khng nn tin rng 3D tt hn 2D. Siu m 3D ch dnh cho nhng trc nghim b sung khi c tnh trng bnh. BN HI LNG VI THNG TIN TRN CH !? CHC M TRN CON VUNG !

(Cc) ngun
BS Nguyn Mnh Tr, Sc Khe & i Sng

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