Uvuyo oluza nokuzisa umntwana ekhaya kunzima ukuluchaza, akunjalo? Ingqalelo yomntu wonke ikumntwana omtsha. Kodwa phakathi kwako konke oku, uziva njani njengomama omtsha? Umzimba wakho utshintshe kakhulu kwiinyanga ezisithoba ezidlulileyo, kwaye ujongene nemingeni yokubeleka. Ngoko ke, ngeli xesha emva kokuba nomntwana, ixesha 'lokubeleka emva kokubeletha', libaluleke kakhulu ekuchacheni nasekuchacheni kwakho. Namhlanje, siza kuthetha ngeli xesha, into onokuba uziva ngayo, kunye nendlela omele uzinyamekele ngayo.
Iyintoni ixesha lokuphuma emva kokuzalwa?
Ngamafutshane, ixesha emva kokubeletha lixesha emva kokuzala. Lidla ngokuthathwa njengeeveki zokuqala ezintandathu ukuya kwezisibhozo. Oko kukuthi, ixesha elithathayo ukuba umzimba wakho ubuyele kwindlela owawuyiyo ngaphambi kokukhulelwa. Nangona kunjalo, iimpawu kunye notshintsho olwenzekayo ngeli xesha lunokuhlala ixesha elide kuneeveki ezisibhozo.
Cinga ngokuba zingaphi iinguqu eziya kudlula emzimbeni nasebomini bakho ngaxeshanye ngeli xesha. Ezinye zeenguqu zezomzimba. Umzekelo, amabele akho aya kuvuvukala lubisi kwaye isini sakho siya kuqala ukopha. Ezinye zinxulumene notshintsho olukhulu kumanqanaba akho eehomoni. Ngamafutshane, ukuba nomntwana ngumceli mngeni omkhulu, emzimbeni nasengqondweni. Kunokuba nzima ukunyamekela usana olusandul’ ukuzalwa nokuqhelana nobomi obutsha ngeli xesha.
Ngoko ke, lumka kakhulu malunga nendlela oziva ngayo emva kokuba nomntwana. Ukuba uziva ngathi kukho into engalunganga, ungathandabuzi ukuxelela ugqirha wakho. Ukuba nje unomntwana akuthethi ukuba impilo yakho ayibalulekanga. Ngokuqinisekileyo kufuneka ucinge ngokuphumla kwakho kunye nempilo yakho kunye nokunyamekela umntwana.
Ugqirha wakho uza kukwenza uvavanyo emva kokubeleka emva kokuzalwa komntwana wakho. Qiniseka ukuba uya kubo. Kulapho inkqubo yakho yokuphiliswa kunye nokuchacha kwakho iya kubekwa esweni khona. Naziphi na iingxaki zinokuchongwa. Eli likwalixesha elifanelekileyo lokubuza nayiphi na imibuzo onokuba nayo kwaye uthethe ngokunyanisekileyo ngendlela oziva ngayo.
Linjani ixesha lokubuyela kwimeko yesiqhelo?
Njengokukhulelwa kwakho, ixesha lakho lokuchacha lihlukile kuwe. Akukho xesha linye lifanelekileyo kuzo zonke. Nangona kunjalo, kukho izinto eziqhelekileyo onokuzilindela.
Kwiiyure zokuqala neentsuku ezimbalwa emva kokuba umntwana wakho ezelwe, unokufumana oku kulandelayo:
- Ukushwabana kwesibeleko: Isibeleko sakho kufuneka sinciphe siye kubukhulu baso obuqhelekileyo. Oku kunokubangela ukuqaqamba kunye nokopha kwegazi kwilungu lobufazi. Ngamanye amaxesha ugqirha wakho unokusihlikihla isibeleko sakho esiswini sakho ukuze asincede sishwabane ngokukhawuleza.
- Ukutshintsha kwamanqanaba e-hormone: Oku kunokubangela izinto ezifana nobushushu, utshintsho lweemvakalelo, kunye neentloko ezibuhlungu.
- Ukuzala kwamabele:Amabele akho avelisa ubisi. Nokuba awuncancisi, amabele akho asenokudumba aze abe buhlungu.
- Ukuqaqamba kwesisu: Ukuba ubelekele kwilungu lobufazi , kuyinto eqhelekileyo ukuba uzive iintlungu kwindawo ephakathi kwelungu lobufazi kunye ne-anus (i-perineum). Malunga nama-70% abasetyhini bafumana ukukrazuka kule ndawo ngexesha lokubeleka. Kwabo baye benza utyando (C-section), unokufumana iintlungu eziqatha ngexesha lokusikwa kwesisu kangangeentsuku ezimbalwa.
- Ukudumba okubangelwa lulwelo olungaphezulu: Oku kudla ngokuba ngumphumo wolwelo olungaphezulu oluqokelelana ngexesha lokukhulelwa. Oku kudumba kufanele kunciphe kwisithuba seveki. Nangona kunjalo, ukuba ukudumba kuhamba nentlungu yesifuba okanye ubunzima bokuphefumla, kunokuba luphawu lwento enzulu ngakumbi.
- Ukudinwa: Ukubeleka, ukuzala, kunye nokunyamekela usana olusandul’ ukuzalwa kunokukushiya uzive udiniwe ngendlela ongazange uzive ngayo ngaphambili. Kuqhelekile ukuziva udiniwe iintsuku okanye iiveki emva kokuba nomntwana. Ungafumana isiqabu ngokuzama ukuphumla kangangoko unako.
Amanqanaba amathathu exesha lokuphuma emva kokubeletha
Oogqirha bahlula eli xesha libe ngamanqanaba amathathu aphambili. Ukuze ukuqonde kakuhle oku, jonga itheyibhile engezantsi.
| Isigaba | Ubude bexesha | Amanqaku abalulekileyo kunye neengozi |
|---|---|---|
| Isigaba esibukhali | Iiyure zokuqala ezi-6 ukuya kwezi-12 emva kokuzalwa | Ngeli xesha , usemngciphekweni omkhulu wokufumana iimeko ezingxamisekileyo ezifana ne-eclampsia kunye nokopha kwegazi emva kokubeletha . Uxinzelelo lwakho lwegazi, izinga lokubetha kwentliziyo, kunye nomthamo wegazi kuya kuhlolwa rhoqo esibhedlele. |
| Isigaba se-Subacute | Ukususela kwiiyure ezingama-24 emva kokubeleka ukuya kwiiveki ezi-2 ukuya kwezi-6 | Utshintsho emzimbeni lusenzeka, kodwa umngcipheko weemeko ezingxamisekileyo uphantsi. Ngeli xeshaOogqirha bagxila kwizinto ezifana ne -cardiomyopathy ( ubuthathaka bemisipha yentliziyo), ukudakumba emva kokubeletha, kunye nokungakwazi ukuzibamba komchamo. |
| Isigaba sokulibaziseka | Iiveki ezi-6 ukuya kwiinyanga ezi-6 | Utshintsho lwenzeka kancinci ngeli xesha. Eyona nto iphambili kukuba izihlunu kunye nezicubu zibuyele kwimeko yazo yangaphambi kokukhulelwa. Iimeko ezinje ngokungasebenzi kakuhle komgangatho we-pelvic , iintlungu ngexesha lokwabelana ngesondo, kunye nokuqhekeka kwesibeleko kunokufuneka zinyangwe ngeli xesha. |
Ziziphi iimpawu eziqhelekileyo zomzimba?
Umzimba wakho udlula kwiinguqu ezininzi ngexesha lokubeleka. Uninzi lwazo ziinguqu zendalo ezibangelwa ziinguqu zeehomoni.
- Intlungu kunye nobuhlungu be-perineum: Le ndawo iyanwebeka ngexesha lokubeleka, ngoko ke inokudumba kwaye ibe buhlungu kangangeeveki ezimbalwa. Ukuhlala emqamelweni, ukuhlamba ngamanzi afudumeleyo emva kokusebenzisa indlu yangasese, kunye nokusebenzisa i-sanitary pad epholileyo kunokunceda ukunciphisa oku kungakhululeki.
- Ukuphuma kwegazi kwilungu lobufazi: Emva kokubeleka (nokuba kusenziwa ngotyando), uya kufumana ukopha kwegazi kwilungu lobufazi. Oku kwaziwa ngokwezonyango njenge- lochia . Kuqala kubomvu obumnyama, kuze kube mdaka kancinci kancinci, kuze kuphele kuphume igazi elimdaka kancinci. Le nkqubo yonke ingathatha malunga neeveki ezintandathu. Khumbula, ngeli xesha, sebenzisa ii-sanitary pads kuphela endaweni yee-tampons.
- Ukuguquka kwesibeleko: Intlungu esezantsi kwesisu eyenzeka ngeli xesha ikwabizwa ngokuba "ziintlungu zasemva kokuzalwa." Nangona intlungu idla ngokuphela emva kweentsuku ezimbalwa zokuqala, inokuba nzima ngakumbi xa uncancisa.
- Ukudumba kwamabele kunye nentlungu yeengono: Lindela ukudumba kwamabele, nokuba buhlungu ubuncinane iintsuku ezimbalwa. Oomama abancancisayo banokufuna uncedo lomcebisi wokuncancisa ukuze bancede kwiimeko ezibuhlungu ezifana neengono eziqhekekileyo.
- Ukubila: Amanqanaba eehormone atshintsha kakhulu emva kokuba ufumene umntwana. Yiyo loo nto kuyinto eqhelekileyo ukubila kakhulu, ingakumbi ebusuku. Oku kufanele kuphele kwiveki okanye ezimbini.
- Ukuqhinwa:Kuqhelekile ukuba nobunzima bokuchitha indle emva kokubeleka. Ukuba ubune-epidural yokuphelisa iintlungu, inokucothisa ukuhamba kwamathumbu akho kwaye kwenze kube nzima ukuphuma indle. Ngamanye amaxesha, ukuqhina kwesisu kunokubangelwa kukoyika ukuchama. Ugqirha wakho unokucebisa ukuba uthathe izithambisi- manzi zendle ukunceda koku. Ii-hemorrhoids nazo zixhaphakile ngeli xesha.
- Ukuphola emva kotyando lotyando: Ukuba uthungwe ngotyando lwe-C, kuya kuthatha malunga neentsuku ezili-10 ukuba ulusu luphile. Uthungo lwangaphakathi lungathatha malunga neeveki ezili-12 ukuba luphile ngokupheleleyo. Ukuba kukho ukukhupha okufana nobovu kwindawo etyumkileyo okanye umkhuhlane, oku kungaba luphawu losulelo. Qaphela oku.
- Ukulahleka kweenwele: Ukulahleka kweenwele nako kuxhaphake kakhulu ngeli xesha ngenxa yotshintsho lweehomoni.
Utshintsho oluvakala engqondweni nangokweemvakalelo
Kwiiveki neenyanga emva kokuba nomntwana, kunokubakho utshintsho oluninzi lweemvakalelo oluchaphazela ingqondo yakho, uxinzelelo, kunye nendlela ovakalelwa ngayo ngomzimba wakho.
- I-Baby blues: I-baby blues luphawu oluqhelekileyo lokudakumba emva kokubeletha kunye nokuthambekela ekukhaleni ngezinto ezincinci. Nangona ezi mvakalelo zintsha zinokumangalisa, zihlala ziphela kwiiveki ezimbalwa.
- Uxinzelelo emva kokubeleka: Le yimeko yokudakumba ebangela iimvakalelo zosizi olukhulu kunye nokuphelelwa lithemba ezihlala iiveki neenyanga emva kokuba nomntwana. Ngokungafaniyo noxinzelelo losana, oku akupheli ngokwako. Kungadinga amayeza okanye unyango lokuziphatha.
- Ixhala emva kokubeleka: Le yimvakalelo yokukhathazeka kakhulu kunye nexhala elivela emva kokuzalwa komntwana. Ingahamba neempawu zomzimba ezifana nokungalali kunye nentliziyo ebalekayo. Ukudakumba emva kokubeleka kunye nexhala zinokwenzeka zombini kunye.
- Ukwehla kobunzima kunye nomfanekiso womzimba: Umzimba wakho udlule kwiinguqu ezininzi ngexesha lokukhulelwa nokubeleka. Kuqhelekile ukuba nexhala malunga nokugoba kolusu, amanqaku okunwebeka, kunye nobunzima obungaphezulu emanqeni okanye esiswini sakho.
Umzimba wakho wenze into emangalisayo. Mnike ixesha lokuphola. Uza kube ulahlekelwe ziikhilogram ezimalunga ne-4.5-9 xa ufika ekhaya uvela esibhedlele. Gxila ekutyeni ukutya okunesondlo nokuzinyamekela kakuhle.
Iingxaki ezinokwenzeka ngeli xesha
Ezinye iimeko zempilo zinokuvela emva kokuba uzele umntwana. Esibhedlele, iqela lezonyango liza kukujonga ezi meko zinzima. Nangona ezinye iimpawu ziqhelekile, ezinye zinokuba luphawu lwengxaki.
Ezinye zezona meko zinzima kakhulu ezinokwenzeka ngexesha lokubeleka zezi:
- Ukopha kwegazi emva kokubeleka
- I-preeclampsia yasemva kokubeleka
- I-Deep Vein Thrombosis (DVT)
- Ukuxhuzula kwemithambo yegazi (pulmonary embolism)
- Iimeko zengqondo ezifana nomsindo emva kokuzalwa okanye i-postpartum psychosis
- I-Sepsis - usulelo olunzima olusasazeka emzimbeni wonke
Eyona nto ingcono onokuyenza ngempilo yakho emva kokuba nomntwana kukumamela umzimba wakho. Ukuba kukho into engahambi kakuhle, nceda uthethe nogqirha wakho. Akunyanzelekanga ukuba ulinde de kube lixesha lakho elilandelayo lokuya ekliniki ukuze ubuze imibuzo yakho. Ukuchacha kwakho kunye nempilo iyonke kubaluleke kakhulu kubo.
Uzinyamekela njani emva kokuba nomntwana?
Eyona nto ibalulekileyo onokuyenza kukuzinika ixesha lokuphumla nokuphiliswa. Oku kusenokungabi lula njengoko kuvakala. Kodwa ukuphumla kunika umzimba nengqondo yakho ixesha elifunekayo ukuze uphile. Cela uncedo xa ulufuna. Kusenokuba kukunciphisa inani leendwendwe onazo, ukucela uncedo ngokugcina umntwana, okanye ukucela uncedo ngemisebenzi yasekhaya okanye ukupheka.
Ukongeza ekuphumleni, nazi ezinye iindlela zokuzinyamekela:
- Isondlo: Sela amanzi amaninzi. Zama ukutya ukutya okunempilo okufana neeproteni ezingenamafutha, iziqhamo, imifuno, kunye neenkozo ezipheleleyo. Ukusela amanzi amaninzi kunokunceda ekunciphiseni ukuqhina kwesisu.
- Ukunyamekela i-perineum: Ukuba ubeleka ngendlela eqhelekileyo, kusenokwenzeka ukuba uzive uneentlungu kangangeeveki ezimbalwa. Ugqirha wakho usenokukunika imiyalelo yokuba ungayinyamekela njani le ndawo ekhaya. Izinto ezifana nokuhlamba ngamanzi afudumeleyo (ukusebenzisa ibhotile ye-peri) emva kokusebenzisa indlu yangasese zinokunceda.
- Ukunciphisa imisebenzi yomzimba: Nangona usenokufuna ukubuyela kubungakanani bakho bangaphambi kokukhulelwa ngokukhawuleza, musa ukungxama ekuzilolongeni. Ugqirha wakho uza kukuxelela ukuba kukhuselekile nini ukuzilolonga. Ngokwesiqhelo ungaqala ukuzilolonga okulula, njengokuhamba, kwiintsuku ezimbalwa emva kokuba umntwana wakho ezelwe. Abo baye batyandwa ngotyando banokufuna ukulinda ixesha elide. Wakuba ukwazile ukuzilolonga, qala kancinci.
- Inkxaso yempilo yengqondo: Ungoyiki ukucela uncedo. Yiba nomonde ngeemvakalelo zakho. Ixesha lokubeleka emva kokubeletha linokuba nzima. Ukuba uziva ulusizi, uxinezelekile, okanye uxhalabile, thetha nomhlobo, iqabane lakho, okanye ugqirha wakho. Zininzi izixhobo zokukunceda.
Kufuneka uthethe nini nogqirha?
Ezinye iimpawu zinokuba luphawu lwengxaki enkulu. Musa ukuzityeshela iimpawu zakho okanye ube neentloni zokuthetha ngazo. Qaphela ngakumbi ezi mpawu zilandelayo. Ukuba unenye okanye ezingaphezulu kwezi, thetha nogqirha wakho ngoko nangoko.
| Iimpawu ekufuneka uziqaphele | Inkcazo |
|---|---|
| Ukopha kakhulu kwilungu lobufazi | Ukuba ilaphu lokuhlamba limanzi ngokupheleleyo kwisithuba seyure, okanye ukuba ukopha kuyanda endaweni yokuncipha imihla ngemihla. |
| Ukuphuma kwamahlwili egazi amakhulu | Ukuba udlula amahlwili egazi amaninzi amakhulu kunobukhulu bengqekembe (elinye okanye amabini aqhelekile). |
| Ifiva | Ukuba ubushushu bomzimba bungaphezulu kwe-101 Fahrenheit (38 Celsius). |
| Intlungu entsha okanye eyandayo | Ukuba intlungu iba mandundu endaweni yokuba inciphe ngokuhamba kwexesha. |
| Ukuphuma kwamanzi kwilungu lobufazi okunuka kakubi | Ukuba ulwelo oluphuma kwilungu lobufazi lunevumba elibi. |
| Intlungu kunye nokudumba emilenzeni okanye emaqatheni | Ingakumbi ukuba kukho intlungu kunye nokudumba. |
| Ubomvu okanye ukopha ngenxa yokusika i-C-section | Ukusikwa kusenokuba luphawu losulelo. |
| Ukudideka okanye utshintsho lombono | Umbono ofipheleyo okanye ukubona kabini. |
| Intloko ebuhlungu nengapheliyo | Intloko ebuhlungu engaphenduliyo nokuba sisithomalalisi sentlungu esilula. |
| Intlungu yesifuba okanye ubunzima bokuphefumla | Le yingxamiseko enkulu kakhulu. Yiya esibhedlele ngokukhawuleza. |
Kubaluleke kakhulu: Ukuba uneengcinga zokuzilimaza okanye zokuzilimaza umntwana wakho, nceda uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane okanye uthethe nelungu losapho okanye umhlobo othembekileyo ngokukhawuleza. Musa ukulwa nezi mvakalelo wedwa.
Ixesha lokubeleka emva kokuzalwa lixesha lohlengahlengiso notshintsho. Ungaziva uwedwa okanye ungakulungelanga kuba awufumani ngqalelo ifanayo neyawuyifumana ngexesha lokukhulelwa. Khumbula, awuwedwa! Udlula kwiinguqu ezininzi zomzimba nezeemvakalelo njengoko uqhelana nobomi nosana olusandul’ ukuzalwa.
Ezinye iimpawu ziqhelekile, kodwa ezinye zinokuba luphawu lwenye ingxaki. Yiba nobubele kuwe, khathalela impilo-ntle yakho kangangoko unako, kwaye ucele uncedo ukuba uyalufuna. Nokuba uzive uphilile, kubaluleke kakhulu ukuya kuzo zonke iintlanganiso zeklinikhi ezinikwa ngugqirha wakho.
Umyalezo Wokuya Ekhaya
- Ukuchacha emva kokubeletha luhambo, hayi ugqatso. Zinike ixesha.
- Utshintsho lomzimba nolweemvakalelo luqhelekile ngeli xesha. Musa ukuba neentloni ngale nto.
- Ukuphumla kubalulekile. Musa ukuthandabuza ukucela uncedo ngokugcina umntwana kunye nemisebenzi yasekhaya.
- Mamela umzimba wakho. Ungaze uyityeshele imiqondiso yesilumkiso.
- Nokuba uzive uphilile, yiya kuzo zonke iimviwo zovavanyo emva kokuzalwa ezibonelelwa ngugqirha wakho.
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