So wunim nsakrae a ɛba wo nipadua mu bere a woawo akokoaa akyi no? (Physical Changes After Delivery) Momma yɛnka eyinom ho asɛm!

Wunim sɛ wo nipadua no fa nsakrae pii mu bere a woawo akokoaa awie no. Eyi yɛ ade a ɛfata koraa. Nanso ɛtɔ da bi a, wubetumi ate ehu ne dadwen nka kakra efisɛ wunnim nea nsakrae yi yɛ ankasa. Enti ɛnnɛ, momma yɛnka nipadua mu nsakrae a ɛsɛ sɛ wohwɛ kwan bere a woawo akokoaa akyi ne sɛnea wubegyina ano no ho asɛm. Momma yɛnte saa nneɛma yi ase kɛkɛ, te sɛ nea yɛne yɛn adamfo bi bɛkasa.

Dɛn ne lochia? So ɛyɛ nsu a efi ɔbea no awotwaa mu no?

Yiw, ɛte saa. Sɛ wowo akokoaa wie a, titiriw sɛ wowoo no wɔ ɔbea no awotwaa mu (awo a ɛyɛ daa) a, wubenya nsu bi afi wo awotwaa mu aba. Yɛfrɛ eyi lochia . Ɛte hua te sɛ wo nna kakra, a ɛte sɛ hua a ayɛ mmerɛw na ɛyɛ nwunu kakra.

Nnansa a edi kan no, lochia no yɛ kɔkɔɔ tuntum. Ɛyɛ ade a ɛfata sɛ wɔde mogya nketenkete kakraa bi , a ɛnsõ nsen paanoo a ne kɛse te sɛ pea bɛka ho. Afei, efi da a ɛto so anan kosi da a ɛto so du no, nsu a ɛtwetwe no dan kɔla a ɛyɛ pink-brown kakra. Afei efi da a ɛto so ason kosi da a ɛto so du no, bɛyɛ nna dunan no, lochia no yɛ krim anaa kɔkɔɔ.

Ebia wubehu sɛ wowɔ lochia kakra bere a wudi kan sɔre anɔpa, bere a woyɛ adwuma a emu yɛ den, anaa bere a woma wo ba no nufu no. Wɔ wɔn a wɔayɛ wɔn C-section fam no, ebia lochia dodow no sua sen wɔn a wɔde wɔn awo a wɔde wɔn awotwaa mu wɔ nnɔnhwerew 24 akyi no. Mpɛn pii no, mogya a ɛtɔ yi gyae wɔ awo akyi adapɛn anan kosi asia. Saa bere yi mu no, ɛsɛ sɛ wode nneɛma a wɔde tew nneɛma ho di dwuma na ɛnyɛ tampon . Ɛnyɛ adwene pa sɛ wode biribiara bɛhyɛ ɔbea no awotwaa mu adapɛn asia.

So nsu bi fi kuru a wɔayɛ no oprehyɛn no mu? (Nsu a wɔde twa nsu mu) .

Sɛ wɔayɛ wo C-section anaasɛ tubal ligation , a ɛyɛ abusua nhyehyɛe ho nhyehyɛe a, ɛyɛ ade a ɛfata sɛ wobɛma nsu kakraa bi a ɛyɛ pink a ɛyɛ nsu afi baabi a wɔatwa no. Nea ɛho hia sen biara ne sɛ wobɛma kuru no ho atew na ayɛ nwunu. Fa samina ne nsu a ɛyɛ hyew hohoro kuru no yiye. Wubetumi aguare na woaguare sɛnea wotaa yɛ no. Nanso, sɛ nsu a ɛretu no annyae a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn .

So ɛyɛ ade a ɛfata sɛ nsu fi wo nufu mu?

Yiw, sɛ worenom nufu a, ebia nufusu bi bɛtwe wo nufu mu. Sɛ wuntumi mma nufu mpo a, ebia wobɛda so ara anya nufusu bi wɔ ne mfiase, nanso eyi begyae wɔ dapɛn biako anaa abien mu wɔ wo ba no awo akyi. Nufu a wode hyɛ wo bra ase no betumi aboa ma wo ho ayɛ wo hyew wɔ saa bere yi mu.

Na nufu a ɛho ahonhon ne nea ɛyɛ den (Breast engorgement) nso ɛ?

Eyi ne nea yɛfrɛ no nufu a ɛyɛ den . Wɔ saa tebea yi mu no, nufu no hohoro na sɛ woka a, ɛyɛ hyew, ɛyɛ den, na emu yɛ duru. Eyi ba efisɛ mogya a ɛkɔ nufu no mu no kɔ soro. Eyi betumi aba bere a wo nufusu afi ase reba mu, sɛ worema nufu, anaasɛ wopa aduan a wɔde bɛma wo no.

Fa no sɛ nsukorabea bi ayɛ ma. Saa ntini a ɛyɛ den yi ba bere a nufusu no boaboa ano na enni ɔkwan biara a ɔbɛfa so afi mu no.

Sɛ wode toa rema wo ba no aduan a, wubetumi anom aduru a ɛma ɛyaw ano brɛ ase sɛnea wo duruyɛfo akyerɛ wo no na aboa ma saa ɔhaw yi so atew. Wubetumi nso de nsukyenee a wɔde ahyɛ mu apete so . Bra a ɛboa a ɛnyɛ den dodo a wobɛhyɛ nso betumi aboa.

Sɛ worema nufu a , wubetumi aboa ma wɔasiw tebea yi ano denam wo ba a wobɛma no aduan mpɛn pii anaasɛ wobɛma wo nufu no so. Sɔ nneɛma yi hwɛ na ama wo ho atɔ wo yaw:

• Fa compress a ɛyɛ hyew gu so anaasɛ fa nsu a ɛyɛ hyew guare . Eyi bɛboa ma wo nufusu no aba mu ntɛm. Nanso ɛsɛ sɛ woma nufu anaa wobɔ wo ho ban ntɛm ara wɔ ɛno akyi. Sɛ eyi mmoa a, nnyɛ bio, efisɛ ebia ɔfe no bɛkɔ soro na wo nufusu no agyae sɛ ɛbɛba mu.

Sɛ woda so ara rehyia ɔhaw a, sɔ nneɛma yi hwɛ:

• Fa nsukyenee a wɔde ahyɛ mu gu so .
• Ansa na wobɛma wo ba no aduan no, fa nsa yi nufusu bi fi mu.
• Sɛnea ɛbɛyɛ a wobɛtew ɔfe so no, fa aduru bi a ekum ɔyare mmoawa te sɛ ibuprofen , sɛnea wo duruyɛfo kyerɛ no.
• Hyɛ bra pa a ɛboa .

Sɛ ɔhaw yi kɔ so a, kɔ wo duruyɛfo nkyɛn, nufusu ho ɔfotufo , kɔka kuw bi a wɔboa nufu ma nufu ho, anaa frɛ telefon a wɔde frɛ telefon a wɔde ma nufusu. Sɛ wo nufu no fã biako yɛ kɔkɔɔ na ɛwɔ akuru bi a ɛte sɛ wedge bɛn nufu no a, ebetumi ayɛ ɔyare mmoawa . Sɛ wususuw sɛ ɔyare mmoawa bi wɔ hɔ a, kɔ oduruyɛfo nkyɛn ntɛm ara .

Dɛn na ɛsɛ sɛ woyɛ wɔ ɔhaw a ɛwɔ perineal no fã no ho?

Sɛ wowo akokoaa na wotwitwa baabi a ɛda wo awotwaa ne wo akyi berɛmo ntam, a wɔfrɛ no perineum , no kakra (wɔfrɛ eyi episiotomy) , saa beae no betumi ayɛ yaw kɛse na ayɛ mmerɛw. Sitz aguaree betumi aboa ma saa ɔhaw yi so atew.Wubetumi asɔ biako ahwɛ. Ɛne sɛ, tena ahina bi a nsu bi ahyɛ mu ma mu. (Mfa nneɛma te sɛ bubble bath nhyɛ nsu no mu na amma ɔyare mmoawa no ankɔ mu.) Wubetumi nso anya ahina ketewaa bi a wubetumi de ahyɛ tiafi so. Wubetumi nso ayɛ saa ayaresa yi ama ɔhaw a akisikuru de ba no .

Sɛ yɛbɛka no tiawa a, sitz bath yɛ ɔkwan tiawa a wobɛfa so de wo awotwaa ne wo akyi berɛmo ahyɛ nsu a ɛyɛ hyew na ɛho tew mu bere tiaa bi. Eyi betumi aboa ma ɛyaw no so atew na ama ayaresa no ayɛ ntɛmntɛm.

Ɔkwan bɛn so na wobɛma perineal no ho atew?

Sɛ wɔma perineum no ho tew a, ɛbɛtew ɔhaw no so na ɛbɛtew asiane a ɛwɔ hɔ sɛ wobenya ɔyare mmoawa no so. Bere biara a wobɛkɔ tiafi anaa wobɛsesa wo pad no, fa nsu a ɛyɛ hyew hyɛ peri toa a ayaresabea no de ma wo no ma. Afei fa nsu no petepete baabi a ɛda awotwaa ne akyi berɛmo ntam no so fi soro kosi ase. Fa tiafi mu aduru popa beae no na fa wo nsa bɔ. Mfa ahoɔden ntwitwiw wo ho . Fa pad foforo di dwuma bere nyinaa na ama ɛho atew. Kɔ so siesie perineum no saa kwan yi so dapɛn biako wɔ akokoaa no awo akyi.

Awotwaa mu ntini a ɛtwetwe / Ɛyaw akyi

Wɔ nnɔnhwerew kakraa bi mu wɔ awo akyi no, ɛkame ayɛ sɛ w’awotwaa no atifi (a wɔfrɛ no fundus ) no adu wo awotwaa no mu. Ɛtra hɔ bɛyɛ da koro, afei ɛde nkakrankakra kɔ fam. Sɛ worenom nufu a, eyi betumi asi ntɛmntɛm kakra. Sɛ nsɛnnennen biara nni hɔ a, w’awotwaa no bɛsan atew akɔ ne kɛse a na ɛwɔ hɔ ansa na woanyinsɛn no (bɛyɛ sɛ pear kɛse) bɛyɛ adapɛn asia.

Ɛyaw akyi , anaa yafunu mu akisikuru ba bere a awotwaa no twetwe ma mogya a efi awotwaa no mu no gyae no. Ebia wobɛte ɛyaw yi nka kɛse sɛ wowo nkokoaa bɛboro biako a. Ɛyaw no betumi ayɛ den kakra - titiriw bere a worenom nufu - bɛyɛ simma anum, nanso ɛbɛbrɛ ase nkakrankakra.

Wubetumi asɔ akwan yi ahwɛ de atew saa ɔhaw yi so:

• Da wo yafunu so na fa pillow gu wo yafunu ase.
• Fa wo ho kɔ nantew.
• Fa aduru a wɔde kum ɛyaw a wo duruyɛfo kamfo kyerɛ.
• Fa sitz aguaree .
• Fa ade a wɔde yɛ ɔhyew gu wo yafunu so.

So wote ɛyaw bere a woretow nsu no? (Nsu a wɔtow gu a ɛnyɛ dɛ) .

Ebia wobɛte nka sɛ wo ho nyɛ wo dɛ anaasɛ wobɛte yaw bere a woretow wo ho. Ɛwom sɛ eyi yɛ ade a ɛfata de, nanso sɛ ɛyaw anaasɛ ɛyɛ den ma wo sɛ wobɛtow wo ho a , akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo .

So ɛyɛ den sɛ wobedi nsu a wɔtow gu no so? (Nea wontumi nhyɛ ne ho so) .

Bere a wo ntini mu yɛ den wɔ awo akyi no, ebia ɛbɛyɛ den ama wo sɛ wubedi wo nsu ne ɛtɔ mmere bi a wo dwensɔtwaa so bere tiaa bi. Ebia wo nsu bɛtaa atu, te sɛ bere a woreserew, wofefe, anaa woma biribi a emu yɛ duru so no. Nea ɛbɛboa ma wɔatew saa nsu a wontumi nhyɛ mu yi so no, bɔ mmɔden sɛ wobɛyɛ Kegel apɔw-mu-teɛteɛ . Ɛsɛ sɛ eyi tu mpɔn wɔ awo akyi adapɛn kakraa bi. Nanso, sɛ ɔhaw no kɔ so wɔ wo awo akyi nhwehwɛmu a edi kan akyi a, wo ne wo duruyɛfo nkasa.

Hwɛ yiye nso wɔ akisikuru ho.

Ebia dwensɔtwaa a edi kan a ɛba bere a wɔawo akokoaa akyi no bɛkyɛ nnansa kosi anan. Ebia wo duruyɛfo bɛkamfo aduru a ɛma wo nsu a ɛyɛ mmerɛw , a wubetumi atɔ wɔ nnurutɔnbea no akyerɛ wo. Eyi bɛboa ma ɔhaw a ɛba bere a ɔretu dwensɔtwaa no so atew. Fa nnuaba, nhabannuru, nhabannuru, ne aburow pii ka w’aduan ho, na ɛbɛboa ma wo dwensɔtwaa atwa ntɛm. Afei nso, hwɛ hu sɛ anyɛ yiye koraa no, wobɛnom nsu nkuruwa 10-12 da biara. Nnuru a wɔde kum ɛyaw a wɔde nnubɔne di dwuma betumi ama tebea yi asɛe kɛse, enti bɔ mmɔden sɛ wobɛtew sɛnea wɔde bedi dwuma no so. Nnuru a wɔde yɛ nnuru a wɔtɔn a wɔmfa nnuru nhyɛ mu ne aguaree a wɔde sitz bath nso betumi aboa ma ahotɔ a akisikuru de ba no afi hɔ . Sɛ akisikuru kɔ so yɛ ɔhaw a, wo ne wo duruyɛfo nkasa.

So ɛte sɛ nea wo ho fifiri dodo?

Ɛyɛ ade a ɛfata sɛ wo ho fifiri pii bere a woawo akokoaa akyi, titiriw anadwo. Nea enti a ɛte saa ne sɛ wo nipadua mu hormone dodow reyɛ nsakrae bere a woawo akokoaa awie no. Bɔ wo ho ban fi atiridii ho denam aguare a wobɛkɔ, wo ntade a wobɛsesa, ne wo mpa a wobɛsesa so. Afei nso, nom nsu pii, efisɛ bere dodow no ara sukɔm bɛde wo.

Bere bɛn na brayɛ befi ase bio?

Sɛ worenom nufu a, ebia wo bra mfi ase kosi sɛ wo ba no begyae nufu. Nanso kae sɛ, sɛ wopa wo bra bere a worenom nufu mpo a, wubetumi anyinsɛn . Sɛ wode toa rema aduan a, mpɛn pii no wo nna befi ase wɔ adapɛn asia kosi dumien akyi wɔ wo ba no akyi. Ebia nna kakraa bi a edi kan wɔ wo ba no akyi no bɛyɛ nea ɛnkɔ so kakra .

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn bere a woawo akokoaa awie no?

Sɛ wowɔ saa sɛnkyerɛnne yi bi a, ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn ntɛm ara :

• Sɛ wowɔ atiridiinini a ɛboro digrii Celsius 38 (digrii Fahrenheit 100.4) anaasɛ wote nka sɛ awɔw wom kɛse ( awɔw ) a.
• Sɛ nsu a ɛba ɔbea awotwaa mu no hua bɔne a .
• Sɛ mogya no da so ara yɛ kɔkɔɔ tuntum wɔ da a ɛto so abiɛsa no akyi a.
• Sɛ mogya a ɛtɔ kɛse (a ɛsõ sen mogya a ɛtɔ) retwam a.
• Sɛ ɛyɛ wo yaw, wo ho hyehye wo , anaasɛ ɛyɛ den sɛ wobɛtow wo ho.
• Ɛnyɛ nea ennu nnuru a wɔde kum ɛyaw mpoSɛ wo yafunu mu yɛ wo yaw kɛse anaasɛ wo yafunu mu yɛ wo yaw a.
• Sɛ wo perineum no fã yɛ kɔkɔɔ, ɛho ahonhon, ɛyɛ akuru, anaasɛ ɛyɛ yaw, anaasɛ ɛte sɛ nea nhama no abubu a.
• Sɛ nsu a ɛba ɔbea no awotwaa mu anaa mogya a ɛba no kɔ soro na ɛsɛ sɛ wode ahotew aduru bɛboro biako di dwuma dɔnhwerew biara a .
• Sɛ w’aniwa yɛ mmerɛw a .
• Sɛ wo ti yɛ wo yaw kɛse anaasɛ wotɔ piti a .
• Sɛ ɛyaw, ɛyɛ kɔkɔɔ, nsu a ɛtɔ, anaa kuru a ɛtetew mu wɔ baabi a wɔde oprehyɛn awo no kɔ soro a .
• Sɛ nan anaa nsa biako yɛ yaw sen foforo no, ɛho ahonhon, anaasɛ ɛyɛ kɔkɔɔ a .
• Sɛ mmeae a ɛyɛ hyew, ɛyɛ kɔkɔɔ, anaa ɛyɛ yaw wɔ nufu no mu a.
• Sɛ wote nka sɛ worehyia ɔhaw wɔ ahome mu a .
• Sɛ wowɔ awo akyi adwenemhaw ho sɛnkyerɛnne , te sɛ nea wuntumi nyɛ da biara da dwumadi ahorow, adwene a wubenya sɛ wubepira wo ho anaa wo ba, ne da mũ nyinaa a wobɛte nka sɛ wo ho yeraw wo, wohaw wo ho, anaa wosuro a.

Kae sɛ, sɛ wuhu biribi a ɛte sɛɛ a, nea ɛho hia sen biara ne sɛ ɛnyɛ sɛ wobɛbɔ hu, na mmom wobɛhwehwɛ aduruyɛ mu afotu ntɛm ara. Ɛnyɛ wo nkutoo na wowɔ hɔ, na mmoa wɔ hɔ bere nyinaa.

Nneɛma a ɛsɛ sɛ wokae fi eyinom nyinaa mu (Take-Home Message) .

Sɛ wowo akokoaa wie a, wo nipadua no fa nsakrae pii mu. Eyi yɛ adebɔ mu ade ankasa.

• Hwɛ nneɛma te sɛ nsu a efi ɔbea no awotwaa mu a wɔfrɛ no lochia , nufu mu nsakrae, oprehyɛn mu akuru, ne yafunu mu akisikuru kwan.
• Wubetumi agyina eyinom nyinaa ano. Ahomegye a ɛfata, aduan a ahoɔden wom, ne ahotew ho hia paa.
• Sɛ wowɔ sɛnkyerɛnne ahorow a ɛyɛ soronko (atiridiinini, ɛyaw a emu yɛ den, mogya a ɛtɔ kɛse, nsu a ɛyɛ huam, adwenemhaw) , mma wo ho nnyɛ wo hu na hwehwɛ aduruyɛfo afotu ntɛm ara .
• Sɛ wowɔ ɔhaw bi a, wo ne wo duruyɛfo, w’abusua, anaa wo dɔfo bi nkasa. Ɛnyɛ wo nkutoo na wowɔ hɔ .

Mewɔ anidaso sɛ saa nsɛm yi bɛboa wo. Mepɛ sɛ wo ne wo ba no nya akwahosan pa!

` Awo, awo akyi hwɛ, awo, nufu a ɛho ahonhon, cesarean section, mmea akwahosan, ɛna ne abofra