13 неделя беременности

  • Развитие плода
  • Ощущения будущей мамы
  • Мед. обследование
Развитие плода на 13 неделе беременности
Размер плода: 7,4 см
Вес плода: 22 г

С окончанием первого триместра остаются позади многие страхи. Риски замирания развития эмбриона или отслойки резко сокращаются, отступает абсолютное большинство симптомов токсикоза, тошнота проходит или беспокоит только при появлении неприятных запахов. Тринадцатая неделя открывает самый комфортный и легкий период беременности: малыш растет очень быстро, живот увеличивается, но еще не вызывает дискомфорт, а у женщины становится больше сил и энергии. Мы расскажем, что происходит в этот период, как выглядит ребенок и о чем стоит позаботиться будущей маме.

На 13 неделе беременности развитие ребенка переходит от закладки органов и систем организма к их совершенствованию и усложнению. Эмбрион к этому сроку весит примерно 14-10 г, размер плода достигает 6,5-8 см. Во втором триместре он будет расти, а в третьем — набирать массу. Части его тела — длина конечностей, форма туловища, размер головы — с каждым днем становятся более пропорциональными. Прорисовываются черты лица, теперь плод все больше становится похожим на младенца. Активно формируется опорно-двигательная система, а значит, ребенок будет «забирать» кальций из организма мамы. В верхней и нижней челюсти уже появились зачатки 20 молочных зубов. Вокруг грудины формируются ребра.

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Развитие ребенка

В строении организма также происходят значительные перемены:

  • кишечник полностью смещается в брюшную полость, внутри него появляются ворсинки, которые в дальнейшем будут отвечать за переваривание пищи и усвоение полезных веществ;
  • включается в работу поджелудочная железа, синтезирующая инсулин;
  • начинается «автономный» процесс кроветворения, а через маленькое сердце малыша каждый день перекачивается около 23 л крови;
  • у девочек формируются яйцеклетки в яичниках, у мальчиков появляется генитальный бугорок и предстательная железа;
  • строится голосовой аппарат.

Уже в конце первого триместра меняется моторика и «образ жизни» малыша. Он постоянно заглатывает околоплодные воды и замечает изменения в их вкусе. Ребенок постоянно находится в движении, прерываясь только на время сна, тем не менее ощущения в животе пока слишком слабые, чтобы беременная женщина могла их почувствовать. Ребенок сосет большой палец, кувыркается, гримасничает, зевает, хмурится и улыбается. К этому сроку он в полной мере чувствует состояние мамы, реагирует на раздражители вроде яркого света и громких звуков. Его слух развит на высоком уровне, а значит, стоит начать разговаривать с малышом.

К 13 неделе беременности желтое тело исчерпывает свои ресурсы, а его функцию почти полностью берет на себя плацента. Этот орган до дня родов будет обеспечивать плод питательными веществами и кислородом, защищать от агрессивного внешнего воздействия, токсичных веществ и инфекций. С началом функционирования плаценты женщина замечает существенное улучшение самочувствия: токсикоз ослабевает или уходит полностью, вместе с ним отступают сонливость и слабость, сил становится больше. При отсутствии угрозы для беременности и каких-либо других противопоказаний во втором триместре будущая мама сможет заниматься специальной йогой и аква-аэробикой, подолгу гулять и в целом вести более активный образ жизни.

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Ощущения в животе

К концу первого триместра можно заметить следующие изменения в организме:

  • увеличение молочных желез — грудь «наливается», к концу беременности каждая железа весит до 400-800 г, этот процесс обусловлен действием гормонов и подготовкой к лактации в будущем;
  • с каждым днем живот становится все больше, но его размеры зависят от комплекции будущей мамы: у одних округляется живот, у других лишь слегка увеличивается в объеме талия;
  • могут возникнуть сложности с пищеварением: растущая матка давит на кишечник, а прогестерон замедляет его перистальтику, из-за чего нередко возникают запоры.

Иногда беременные женщины замечают головные боли. Их провоцируют многие факторы: гормональные перестройки, увеличение объема жидкости в организме, подавление иммунитета, общее напряжение, нехватка сна. Справиться с таким неприятным состоянием помогут регулярные прогулки, соблюдение режима работы и отдыха, достаточное потребление питьевой воды. Если боли частые, стоит обсудить с врачом безопасные медикаменты. Как правило, беременным разрешен в крайне ограниченных количествах парацетамол и запрещены любые препараты, содержащие аспирин. В любом случае без разрешения терапевта или гинеколога, ведущего беременность, принимать лекарства нельзя.

Выделения

На 13 неделе нормальными считаются выделения бесцветные или чуть белесые, однородной консистенции, без неприятного запаха. По сравнению с предыдущими неделями они могут стать более жидкими и обильными: это обусловлено изменением соотношения прогестерона и эстрогена. Творожистые сгустки, зеленоватые и желтые включения — повод для обращения к врачу: это может быть молочница, локальное воспаление или присоединенная инфекция. Пугаться желтых и прочих выделений не нужно, важно лишь следовать назначениям доктора. При появлении коричневых выделений, даже скудных или мажущих, необходима экстренная госпитализация: такой симптом сигнализирует о раздражении шейки матки и может оказаться и признаком отслойки плаценты, опасной и для плода, и для мамы. 

Боли

В начале второго триместра матка постоянно увеличивается, что создает нагрузку на удерживающие ее связки, мышцы и соседние органы. Ощущение распирания, дискомфорта и давления на 13 неделе не являются опасными. Стоит обеспокоиться в том случае, если боль приобретает ноющий характер, становится ритмичной и отдает в поясницу и бедра. В этом случае обязательно незамедлительное обращение к врачу.

Риски

На тринадцатой неделе беременности рисков для беременности становится намного меньше. При своевременной постановке на учет в женской консультации будущая мама проходит полное обследование, которое позволит держать ее состояние под контролем. Из-за ослабевания иммунитета женщина становится более чувствительной к простуде. При появлении ее симптомов — насморка, слабости, незначительного повышения температуры — нужно обратиться к врачу, чтобы составить схему лечения. Как правило, назначаются народные средства и безопасные препараты, позволяющие предотвратить или остановить повышение температуры.

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Здоровье женщины

Питание

Рекомендации относительно питания на 13 неделе беременности те же, что и в предыдущие месяцы. Будущей маме стоит свести к минимуму быстрые углеводы, есть достаточно белка, необходимого для строительства организма плода, свежих овощей и фруктов, злаков, богатых микроэлементами, пить больше чистой воды. Справиться с запорами поможет включение в ежедневный рацион продуктов, содержащих большое количество клетчатки. К ним относятся яблоки, свекла, сухофрукты, отруби. Чтобы избавиться от болей, связанных со вздутием живота и метеоризмом, нужно исключить из своего меню капусту, бобы и черный хлеб.

В период с 12 до 14 недели беременности обычно назначается первый плановый скрининг. Он включает биохимический и генетический анализ крови и расширенную УЗ-диагностику, позволяющую оценить развитие ребенка, проверить состояние матки и отсутствие патологий. Направление на такое обследование дает врач женской консультации, он же уточнит дату проведения скрининга и расскажет о подготовке к нему. 


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