Ukukhulelwa kwexesha emva kwexesha abafazi banemibuzo emininzi. Ukukhulelwa kuthintela njani umzimba? Yiyiphi le nto ethetha ngayo ngomgangatho weplavic? Unokuqala nini ukusebenzela ukukhupha isisindo somntwana? Uza kuqala nini ukufumana ixesha lakho kwakhona? USylvia Brown, umbhali we-Post-Pregnancy Handbook, uphendula le mibuzo kunye nabanye abaninzi kule dilesi exoxa.
Umbuzo:
Yintoni eyona nto ibalulekileyo abafazi abafanele bayayazi malunga noko kwenzeka ntoni kumzimba wabo emva kokukhulelwa?
Impendulo:
Ibhinqa ngalinye liya kuphendula ngokungafani nemiphumo yokukhulelwa nokubeletha . Njengokukhuphuka kweentaba okanye ukuhamba nge-scuba, kunzima ukwazi ukuba umzimba wakho uza kuhlangabezana njani de ube nakho. Kuninzi kuxhomekeke ekubeni ukhathele kangakanani ekupheleni kokukhulelwa kwakho, nokuba unesityebi okanye ezinye izondlo, kwaye uluhlobo olunjani lokubeletha oye wahamba ngalo: Icandelo leC ? Episiotomy okanye ikhefu? Umsebenzi omdala ?
Ukukhulelwa kunye nokubeletha kunomdla ongathandekiyo wokubangela iingxaki ezincinane zempilo ezincinane - ukubuyisela ubuhlungu, ubuhlungu, ukugqithwa kunye nemithanjeni ye-varicose, ukubiza ezimbalwa - okanye ukubonakalisa ezidlulileyo. Ukufutshane nesiqingatha sabamama abatsha banenkxalabo yezempilo enye kwiiveki emva kokubeleka. Into ebaluleke kakhulu ukuyikhumbula kukuba i-postpartum period yithuba loguquko apho kufuneka sizinakekele.
Umngeni omnye ongenakugwemeka ojongene nawo bonke oomama abatsha bahlangabezana nokukhathala. Kuthatha iiyure ezisixhenxe ukuya kwezi-8 zokulala okungapheliyo ngeveki ukuqala ukubonisa iimpawu zokulahlwa kokulala, kunye nokukhathala kungenye yezizathu ezibalulekileyo zokudakumba. Amathiphu am mathathu ekunqobeni ukukhathala kukuba:
- Cwangcisa ngaphambi kokuba umntwana azalwe. Ngubani oza kunceda ngemisebenzi yasendlini? Ngubani oza kunyamekela abantwana abadala? Ubani oya kukwazi ukushiya umntwana kunye nokuphuma kwindlu ngekhefu elifutshane? Buza abahlobo bakho ukuba bancede abantwana okanye bancede njengendawo yesipho somntwana, okanye mhlawumbi umntu athenge, upheke ukutya kwaye uhlambe izitya.
- Kulala xa unako. Ngokufanelekileyo, kufuneka ube ne-naps emini kwiiveki ezimbalwa zokuqala. Ukuba umntwana usele, hlala yonke into uze ulale. Akukho nto ibaluleke ngaphezu kokuphumla kwakho.
Phuma. Thatha ixesha lakho. Phuma endlwini ukuze wenze uhlobo oluthile lomsebenzi "omdala" ngalunye usuku, nangona nje imizuzu engama-45 kuphela. Uya kumangaliswa ngokukhawuleza oku kungakuphakamisa.
Umbuzo: Yintoni abafazi abangayenza ngaphambi kokukhulelwa ukuze bancede baqinisekise ukuba lula ukukhulelwa kwe-post?
A: Cwangcisa, cwangcisa, cwangcisa. Ndihlala ndikumangaliswa ukuba bangaphi abantu abasetyhini bacinga ukuba xa bezalwa umntwana, baya kukhwela ukuya ekuphumeni kwelanga. Ngelishwa, iikholeji zokulungiselela ukubeletha ezininzi azilumkisi oomama bokamva ngokwaneleyo abaza kufikelela kuyo.
Umbuzo: Kuthatha ixesha elide ukuthatha umzimba womfazi ukuba ubuyele kwimeko yawo yokukhulelwa?
A: Iiveki zokuqala ezintandathu zixesha lokuphulukisa, ukuphindaphinda kunye nokubuyiselwa . Kuthatha izitho zesini somzimba iintsuku ezi-6 ukuya kwiinyanga ezi-2 ukubuyela kubukhulu babo bokuqala kunye nomsebenzi. I-hormone yokukhulelwa ihlaziye , eyenza ukwanda kunye nokunyaniseka kwezicubu ezinxulumene - iigaments, izihlunu - ziya kuhlala kumzimba omama omtsha ukuya kwiinyanga ezi-5. Yingakho amajoyina omtsha athathaka kakhulu - ama-50 ekhulwini anamava ebuhlungu - kwaye kutheni nawuphi na umsebenzi ochaphazelekayo ubeka uxinzelelo olukhulu kumgangatho weplavic kunye nezitho zangasese.
Iprolactin , i-hormone evelisa ubisi kubamncelise, inomphumo ofanayo. Kwimizuzu engama-66 yabasetyhini, imisipha yomzimba isahlukileyo kwaye kuthatha ubuncinane iiveki ezingama-6 ukuphilisa. Ngenxa yezizathu, kubalulekile ukunciphisa umzimba kumgangatho we-pelvic kunye nokuzivocavoca ngesisu, ukuhamba nokubhukuda-emva kokuyeka ukuphuma kwegazi - iinyanga ezimbini okanye iiveki ezili-10 emva kwecandelo le-C. Iiveki ezisibhozo emva kokubeleka, ungaqalisa ukukothula kwiiseshoni zemizuzu engama-15, ukwakhiwa kwemizuzu emi-5 ngeveki. Unokuqala ukudlala i-tennis, ibhayisikili kwaye wenze i-aerobics engaphantsi kwe-4 ukuya kwi-5 emva kokubeletha.
Ngokumalunga nesisindo, kuxhomekeka kakhulu kubukhulu bakho ngaphambi kokuba ukhulelwe. Phantse okwesithathu kwabamama abatsha "ababengamahlunu" ngaphambi kokukhulelwa baze bafumane ama-25 ukuya kwi-30 iipounds ziza kubuyela kwisisindo sabo esifanayo malunga neenyanga ezintathu emva kokubeleka. Oomama abalupheleyo, oomama wesithathu okanye wesine, okanye abafazi abangaphezu kwamandla amaninzi baya kulahleka ubuninzi babo bunzima obunzima phakathi kweenyanga ezintathu no-6 emva kokubeletha. Abafazi abangaphezu kwamandla amaninzi baya kulahlekelwa ubuninzi babo ubunzima obunzima obunzima ukuya kwiinyanga ezili-6 ukuya kwezi-9 emva kokubeleka. Bafumana inzuzo enkulu kuncinci ukususela kweenyanga ezi-5.
Abanye besetyhini bafumana ukuba iingxaki ezincinane zempilo ezinjengeziqhumane, iintsholongwane ze-varicose, izigulane zokuphuma kwegazi kunye ne-pigmentation yolusu zihlala ziinyanga. Ukubaluleka kwezokwelapha kubalulekile kulezi zizathu kuba kukho into enokuthi yenziwe rhoqo ukuyiyeka. Ubundlobongela obungenakuzixhalabisa ixesha elithile, ingakumbi ukuba unamaqela amaninzi. Hlola kunye nezobugqirha bakho bezempilo ukuze uqiniseke ukuba awunaso isitshixo esingathandekiyo. Izinto ezininzi zokubilisa kunye nomonde kubalulekile.
Ekugqibeleni, abanye abafazi bafumana ukuba imiba yomzimba wabo iyatshintsha ngokusisigxina emva kokubeleka, njengendlela yokunqanda inqweliswa, ukunyathela inyawo, ubungakanani bebele okanye ubunwele bezinwele.
Umbuzo: njani ukufumana ukuhlukana kokuzalwa kwabesifazane ababenokuzalwa ngokubeleka kwabafazi nabanikezwa ngamacandelo e-C ?
A: Ngemva kokuzalwa kwesisu, umama omtsha unokufumana ingxaki kumzimba wakhe wesini, ingakumbi ukuba unayo i-episiotomy okanye i-eprootomy, kunye nama-hemorrhoids. Kwakhona unokuziva ebuhlungu obuhlungu obuhlungu emva kokuba i-coccyx yakhe yafuduswa. Angathatha ixesha elide ukuba afune ukulala ngesondo kwakhona.
Emva kwecandelo le-laarean , umama omtsha unokufumana ubunzima njengoko imisebenzi yakhe yokugaya ibuyela kwizinto eziqhelekileyo ngenxa yegesi efihliweyo. Ingqumbo yakhe inokutsha kwaye iyatshise. Intlungu kunye nokuvutha komlilo kunokuhlala kwiiveki ezi-6 ukuya kwezi-8. Uya kufuneka alinde ixesha elide ukuqala inkqubo yohambo: malunga neveki ezili-10.
Umbuzo: Kufuneka kube nini ixesha elide phakathi kwamabhinqa phakathi kokukhulelwa? Kutheni oku kubalulekile?
A: Kwakhona, oku kuxhomekeke kwinani lokukhulelwa oye wayenalo, uhlobo lokuzalwa obenalo, ukuba ukhathele kangakanani kunye nendlela umzimba wakho ufumane ngayo. Kuyathakazelisa ukuqaphela ukuba kwiintlanga zakudala, iintsana zihlala zihleli phakathi kweminyaka emi-2, njengoko oomama bancelisa rhoqo malunga nonyaka. Kuyacaca ukuba, ngokuphinda ufumane ngokugcwele kwakho ukukhulelwa kwangaphambili, ngcono ukukhulelwa kwakho okuzayo kuya kuziva.
Umbuzo: Ngaba ukuba nosana kuthetha ukuba ukunyaniseka kwexesha elizayo kulindeleke?
A: Nangona inyaniso ukuba oomama abathathu abatsha bafumana uhlobo oluthile loxinzelelo lwe-urinary okanye lomzimba lokungaxinzelelekanga, njengokwenyuka emva kokukhwehlela, ukunyunyuza, ukuhleka okanye umphumo ophezulu njengokungena, kwiiveki emva kokubeleka, kukho akunaso isizathu sokulindela iingxaki zexesha elizayo ngokungabikho.
Ngelishwa, abaninzi abasetyhini abakwaziyo ngokwaneleyo malunga nomgangatho wabo weplavic. Ngaphambi kokuzalwa, silungiselela imizimba yethu ukuba ivule kodwa sikhohlwe ukuba ukuvalwa kufuna umzamo. Le nkqubo ibalulekile ukuba ube ngumfazi kwakhona njengetoni yeplavic echaphazela ngqo umgangatho wesini.
Ngexesha lokukhulelwa, ubunzima bombele bukhula ngamaxesha angama-20 ukuya kuma-30. Njengoko ikhula, isibeletho siqhubezela i-bladder phantsi. Ukongezelela, izihlunu kunye nemigqa edla ngokuqhelekileyo izithintelo zokuzala kunye nokugaya kubonakala buthathaka ngaphantsi kwemiphumo yokuphucula. Ukubeleka kuza kwandula kwaye kuphazamise ezi zihlunu, kungakhathaliseki ukuba ibhinqa lilungiselela njani ukuhanjiswa. Emva kokuziswa kwesisu, i-pelvic floor ilahlekelwa malunga neepesenti ezingama-50 yethoni yayo. I-Episiotomi, iinyembezi kunye nokungaqhelekanga ngexesha lokuxoshwa konke kudibanisa umonakalo. Ukuba imisipha yomgangatho we-pelvic ayibuyiselwa kwitheyali yayo efanelekileyo, i-sphincters ayikwazi ukubetha ngokufanelekileyo kwi-vestile - kwaye kwezinye iimeko ekuvuleleni, ukudala ukuvuza.
Ngoko ke kubalulekile ukuba uqalise ukunyanzelisa umzimba we-pelvic phantsi kweentsuku emva kokubeleka kwaye usebenzise le mizuzu engama-9 ngosuku kwiiveki ezi-6 zokuqala. Ukuzilolonga kwepelvic kumgangatho kunceda kakhulu ekukhawulezeni inkqubo yokuphulukisa emva kwe-episiotomy okanye ukukrazula. Musa ukuqalisa inkqubo yovavanyo kuze kube yilapho iplasvic yakho iphinde ithole 'itoni yayo. Ingcali yakho yezempilo kufuneka ihlole ithoni yakho yeplasvic kwisithuba sakho sokugqibela. Ukuba abayifuni, cela oko!
Umbuzo: Ingaba ibhinqa liyakulindela ukuba isisu sakhe siqine kwaye siphinde siphinde siphinde siphinde sikhulelwe? Oku kungafezwa njani?
A: Njengoko ndichaze ngasentla, akufanele uqale umsebenzi omkhulu wesisu kuze kube yile:
- Umgangatho wakho we-pelvic unamandla kwakhona. Ukuba akunjalo, izihlunu zesisu ziya kuhlalisa kwizitho zamathumbu, ezize zithwale phantsi kwiplasvic. Ukuba imisipha yomgangatho we-pelvic ayibuthathaka kakhulu ukubonelela ngenkxaso eyimfuneko, ukucoca, ukunyuka kwesisu kunye nomsebenzi wesondo uya kuthinteka, imeko eyaziwa njenge-prolapse.
- Izibini ezimbini ezihambayo ezihambayo zesisu zomzimba zingaphantsi kobuninzi bomnwe obuncinane. Oku kuthetha ukuba kwiiveki zokuqala ezi-6 ukuya kwezi-8-10 ukuba unayo icandelo le-C - kufuneka ubenze ubenze, ulandelelanise izibeleko zesisu.
Kwiinyanga ezi-2 emva kokubeleka, ungaqala umsebenzi wesisu, uqale ngokuzilolonga umzimba. Ukuba unesigaba se-C, bambelela kumzimba womzimba malunga neenyanga ezi-8 emva kokubeleka. Gwema ukuhlala ngokugcwele, "ibhayisikili" okanye "iisisi." Gxininisa kwi-obliques, enomsebenzi wokuba ungene kuyo, phakamisa uphinde udibanise isisu ngexesha uxhasayo. Kuya kuthatha ixesha ukubonisa iisifuba zesisu, kodwa bangaqeqeshwa ukuba baphinde baphinde baphinde baphawule.
Umbuzo: Ziziphi iimpawu zokulumkisa zokudandatheka kwangemva kokuphuma okanye kwengqondo? Kufuneka nini umfazi ufuna uncedo kule miqathango? Kudala kangakanani na emva kokubeleka ezi ngxaki?
A: Kukho iintlobo ezintathu eziphambili zeempendulo zengqondo ekubelekeni:
- Iingqungquthela zengane zenzeka phakathi kwosuku lwesibini nolweshumi elinanye, kwaye zibangelwa ngokugqithiseleyo okukhulu kwe-hormonal body of body mother's body. Ichaphazela ama-80 ekhulwini kwabasetyhini kuwo onke amanqanaba eentlalo, kungakhathaliseki ukuba bafana namava okuzalwa. Iimpawu eziqhelekileyo ziintlungu, kaninzi kungekho sizathu esicacileyo, ukuguquguquka kwemizwelo, ukuxhamla, ukukhathazeka, ukukhathazeka, ukuphazamiseka, kunye neendlela zokulala zokulala. Le meko ihlala kwiiyure ezingama-24 ukuya kwiintsuku ezisixhenxe. Ngenxa yokuba akusilo kugula, kunokunyangwa ngokuphumla kunye nenkxaso. Omnye umzali unendima ebalulekileyo yokudlala ukukhusela umama omtsha ngokuphazamiseka okungaphandle kwaye enze ukuba azive esithandwa kwaye eyanconywa.
- Ininzi yeempendulo zokudandatheka zidla ngokubangelwa ukudinwa . Phantse bonke oomama abatsha bafumana iintlungu, ukuvalelwa, ukuzodwa, ukuvalelwa, ukukhubeka, ukukhohlwa okanye iimpawu ezahlukahlukeneyo ezixhatshazwayo. Ezi zivame ukuvela kwiinyanga ezine zokuqala emva kokubeleka. Umehluko omkhulu kunye nokudakumba kokugqithiswa kwangemva kwezinto ezichazwe apha ngezantsi kukuba zivela ngokukhawuleza kwaye zilungiswa ukulala okungaphezulu, ukutya okunomsoco okanye ukutya okunomsoco, inkxaso nenkxaso ngoncedo lwekhaya kunye nokuzonwabisa.
- Ukudandatheka kwangemva kokubeleka kukugula kwesifo sengqondo esichaphazela oomama abatsha kwaba-10, kwaye kufuneka baphathwe ngamachiza kunye neyeza. Kwimizuzu engama-40 yamatyala, uxinzelelo emva kokubeleka luqala emva kokuba umama omtsha abe kuye kwiveki ezintandathu. Ngoko ke kunzima ukuxilonga. Oomama abatsha kufuneka bavuyiswe! Akukho ukunyamezela okanye ukuqonda kubasetyhini abangafanelanga lo mfanekiso. Nangona ezinye iimpawu zifana neempembelelo ezibangelwa ukukhathala kunye neengxaki zesondlo, umbahluko omkhulu kukuba kwimeko yokudakumba kwangemva kokubeleka, le miva ihlala ikhona.
Ibhinqa liyakwazi ukuhlaselwa ngokukrakra, iingcamango ezingenangqondo kunye neengcamango, kunye nezinga eliphezulu lokukhutshulwa. Kukho ukuxinezeleka kwangemva kokubeleka kwiimeko apho ibhinqa lineengxaki zengqondo zangaphambili, okanye ukuba unina, unina okanye udade uye wahlangabezana nale ngxaki. Ukunyanzeliswa kokungaphenduki, emva kokubeleka kungaqhubeka iminyaka.
I-Psyperperal Psysis isifo esibi kakhulu sengqondo esichaphazelayo malunga no-1 kwabasetyhini abayi-1 000, ngokuqhelekileyo bahamba malunga neveki ezimbini emva kokubeletha. Kubangela ukukhathazeka kabuhlungu ngokomzwelo, ukuhlaziya, ukudideka, ukulahlekelwa kwememori kunye nokuziphatha okugqithisileyo. Kufuneka i-hospital hospital. Ngonyango olungileyo, abaninzi abafazi baphila ngokupheleleyo.
Umbuzo: Kufuneka nini na ukuba abesifazane balindele ukuba bahambe kwakhona?
A: Oku kuxho mekeke ukuba uncelisa okanye awuyi. Ukuba awunamncelisi, ixesha lakho lokuqala liza kwenzeka malunga neenyanga ezimbini emva kokubeleka. Nangona kunjalo, akukho ndlela yokwazi xa usuqala ukuvusa kwakhona: ipesenti ezingama-90 zabesetyhini aziyi kuhamba phambi kwexesha lokuqala. Ukukhulelwa kubalulekile xa ulala ngesantya emva kokubeleka.
Ukuba uncelisa, ixesha lakho liphinde liqalise nanini na ixesha liqala malunga neenyanga ezimbini emva kokubeleka. Abanye abafazi bafumana ithuba lokubuyela emva kokuba beyeka ukuncelisa. Kubalulekile ukwazi ukuba ukunyamezela akuyona indlela yokukhulelwa. Kuvakalelwa kwintsana eyamanayo yokuthumela umyalezo kwingqondo ukucima i-hormone ekhuthaza i-ovulation. Ukusebenza kolu xhoxho kuxhomekeke kumandla kunye nobukhulu bokusondeza. Ukuncelisa ukusetyenziswa njengendlela yokukhulelwa, umntwana uya kufuneka anakekele ixesha elizeleyo, malunga neeholide.
Umbuzo: Kuze kube nini emva kokubeleka kufuneka ukuba abesifazane balinde ngaphambi kokulala ngesondo kunye / okanye ukusebenzisa i-contraceptive? Yiyiphi inzala yokubeleka eyona nto ibhetele kumfazi osandul 'ukuzala? Ziziphi iintlobo zokukhulelwa kwe-contraceptives akufanele zisetyenziswe ngabasetyhini abasandul 'ukuzala?
A: Uninzi lwabasebenzi bezempilo luyabakhuphaza abafazi ukuba balala ngesondo emva kokuqala kokubeletha kuba izitho zobulili azizange ziphiliswe. Uninzi oomama abatsha bathi isondo sinento engafanelekanga kwiingqondo zabo ngeli nqanaba. Abaninzi abasetyhini abancancisayo bafumana ukuba ukuqhagamshelana nomntwana wabo kuzalisekisa ngokupheleleyo.
Uninzi lwezempilo lincoma ukukhusela izithintelo zokukhusela - iikhondom kunye nesidoda-kubantwana besondlo. Kwiinyanga ezimbalwa zokuqala emva kokubeleka, iindonga zesisu ziyakwandiswa kwaye imisipha yomzimba iyakhonkcola, oku kuthetha ukuba i-diaphragm ayikwazi ukuyenza njengemqobo efanelekileyo.
Qinisekisa ukuba unesibetho esitsha esilungele iinyanga ezi-2 ukuya kwezi-3 emva kokubeletha. Ukuba ukhetha ukuba ne-IUD efakwe, uza kufuneka ulinde de ukuba ubele luphiliswe ngokupheleleyo.
Iprogram yodwa yepilisi yokukhulelwa engahambisani nokuncelisa i-progesterone mini-pilisi, eyenza ngokuthintela ukuveliswa kwe- mucus yomlomo wesibeleko . I-Ovulation iyakwenzeka, kodwa i-uterine yarner ayiyi kuvumelana nokufakelwa kweqanda. Le pilisi inezinga lokungaphumeleli kweepesenti ezi-1 ukuya kwi-3, kunye nenengozi yokwanda kokukhulelwa kwe-ectopic kunye nokuphuma kwegazi. Kumele kuthathwe yonke imihla ngexesha elifanayo.
Abanye besetyhini banokukhetha ukusebenzisa i-contraceptive ye-injection efana ne-Depo-Provera, ehlala kwiinyanga ukuya kwiinyanga ezintathu.