Ngaba ngamanye amaxesha uvuza umchamo kancinci ngempazamo xa uhleka kakhulu, ukhohlela, okanye uthimla? Ngaba ngamanye amaxesha ukhawuleza uye kwindlu yangasese kodwa ugqibela uchama kwangethuba? Oku kuyinto eqhelekileyo eyenzeka koomama abaninzi ngexesha lokukhulelwa. Ngoko ke akukho sizathu sokuba neentloni okanye ukoyika oku. Uninzi lwexesha, le meko yeyokwexeshana. Yonke into ibuyela kwisiqhelo kwiinyanga ezimbalwa emva kokuba umntwana ezelwe. Ngoko masithethe ngale nto ngokweenkcukacha namhlanje.
Yintoni ukungakwazi ukuzibamba?
Ngamafutshane, ukungakwazi ukuzibamba komchamo kukulahlekelwa lulawulo kwisinyi sakho. Oku kunokubangelwa kukunqwenela ngamandla ukuchama ngequbuliso, okanye ukuvuza komchamo ngokungaziboniyo ngelixa usiya kwindlu yangasese. Ngamanye amaxesha, imfuneko yokuya kwindlu yangasese rhoqo luphawu lwale meko. Ukukhulelwa nokuzala zezona zizathu zimbini eziphambili zale meko.
Iindaba ezimnandi zezokuba oku kungakhululeki ngexesha lokukhulelwa kudla ngokuba kokwexeshana . Kuza kuphela emva kweenyanga ezimbalwa umntwana ezelwe.
Ziziphi iintlobo ze-thrush eziqhelekileyo ngexesha lokukhulelwa?
Kukho iintlobo ezimbini eziphambili zale meko esinokuzibona ngexesha lokukhulelwa. Kubaluleke kakhulu ukuba uzazi ezi zimbini.
| Uhlobo lokungonwabi | Indlela eyenzeka ngayo kunye nemizekelo |
|---|---|
| Ukungakwazi ukuzibamba komchamo ngenxa yoxinzelelo (SUI) | Olu lolona hlobo luqhelekileyo lokungakwazi ukuzibamba umchamo ngexesha lokukhulelwa. Kwenzeka xa isinyi sakho siphantsi koxinzelelo okanye uxinzelelo, okubangela ukuba umchamo uvuze. Oku kunokwenzeka xa ukhohlela, uthimla, uhleka, okanye wenza imisebenzi elula yomzimba efana nokuhamba. |
| Ncedisa ukungalawuleki komchamo (UUI) | Kulapho izihlunu zakho zesinyi zifinyela ngequbuliso ngaphandle kolawulo lwakho. Oku kukwenza uzive unqwenela ukuchama ngokukhawuleza, okungalawulekiyo. Nokuba ubaleka uye kwindlu yangasese, usenokuvuza amathontsi ambalwa omchamo ngaphambi kokuba ufike apho . |
Kuqheleke kangakanani oku ngokwenene?
Oku kuqheleke kakhulu kunokuba unokucinga. Phakathi kwama-40% nama-50% abafazi bahlangabezana noku ngexesha lokukhulelwa. Ingakumbi kwi-trimester yesithathu yokukhulelwa, ubunzima bomntwana buyanda, nto leyo ebeka uxinzelelo olukhulu kwisinyi. Ke ngoko, le meko ixhaphake kakhulu ngeli xesha. Nangona kunjalo, inokwenzeka nangaliphi na ixesha ngexesha lokukhulelwa.
Le ngxaki inokubakho okanye ibe mandundu emva kokubeleka. Le ngxaki iphezulu kakhulu xa kubelekwa kwilungu lobufazi.
Kutheni oku kwenzeka ngexesha lokukhulelwa nasemva kokubeleka?
Ngexesha lokukhulelwa, umzimba wakho uyatshintsha ukuze ulungele umntwana wakho okhulayo. Kodwa olu tshintsho lunokuba yingozi kulawulo lwakho lwesinyi. Makhe sijonge izizathu zoku.
- Ukwandiswa kwesibeleko: Isibeleko sakho sisemva kwesinyi sakho. Njengoko umntwana wakho ekhula, isibeleko sakho siyakhula. Oku kubeka uxinzelelo kwisinyi sakho. Oku kunciphisa umchamo onokubanjwa sisinyi sakho.
- Utshintsho kwihomoni: Ngexesha lokukhulelwa, iihomoni ezifana ne-progesterone zibangela ukuba izihlunu zakho zomgangatho we-pelvic zikhululeke kwaye zibe buthathaka. Ezi zihlunu zinceda ukubamba isinyi sakho endaweni yaso. Ezi zihlunu kufuneka ziphumle ukuze zenze indawo yomntwana wakho kwaye zilungiselele ukuzala. Kodwa xa ezi zihlunu zibuthathaka, kunokuba nzima "ukuzibamba" xa uziva ufuna ukuchama.
- Ukuzala: Imithambo-luvo yesinqe ingonakala, ingakumbi ngexesha lokubeleka kwilungu lobufazi. Ngamanye amaxesha, ukuzala nge-forceps kunokonakalisa le misipha. Kwakhona, ukutyhala ixesha elide ngexesha lokubeleka kwandisa umngcipheko wokonakala kwemithambo-luvo.
- Ukuqhawuka Kwamalungu Esitho Sangasese (i-POP): Ngamanye amaxesha ngexesha lokukhulelwa okanye lokubeleka, izihlunu zomgangatho wesitho sangasese ziba buthathaka kangangokuba azikwazi ukubamba amalungu endaweni yazo. Umzekelo, isinyi sinokuwa. Le meko ikwabizwa ngokuba yi-"cystocele". Oku kunokubangela iingxaki ngokulawula umchamo.
Into ebalulekileyo kukuqonda ukuba uninzi lwezi zizathu zendalo kwaye ziyinxalenye yenkqubo yomzimba yokulungiselela ukwamkela umntwana.
Ziziphi ezinye izinto ezibangela umngcipheko ezichaphazela le meko?
Ukongeza ekukhulelweni nasekubelekeni, kukho nezinye izinto ezininzi ezinokunyusa umngcipheko wale meko.
- Ubunzima bomzimba: Ukuba i-body mass index yakho (BMI) ingaphezulu kwama-25 (ubunzima obugqithisileyo) okanye ingaphezulu kwama-30 (utyebile kakhulu), le ngozi inokuphindwa kabini. Ukunciphisa umzimba ngamanye amaxesha kunokunceda ukulawula le meko.
- Ubudala: Abo baneminyaka engaphezu kwama-30 ubudala ngexesha lokuzalwa kokuqala banamathuba amaninzi okuba ne-SUI kunabo bangaphantsi kwama-30.
- Ukunikezelwa kwesisu: Ukunikezelwa kwesisu kunokubangela ukungakwazi ukuzibamba emva kokubeletha kunokunikezelwa kwesisu ngotyando (C-section).
- I-Episiotomy: Olu luqhekezo oluncinci olukufutshane nomngxuma welungu lobufazi ukuze kube lula ukuzala. Nangona ngaphambili kwakucingwa ukuba kunciphisa iingozi ezifana neengxaki zokulawula umchamo, ngoku kufunyaniswe ukuba lubuthathaka izihlunu zomgangatho we-pelvic.
- Ubunzima bomntwana: Ukuba umntwana unobunzima obungaphezulu kweekhilogram ezi-4 (iikhilogram ezili-9) ekuzalweni, umngcipheko wokonakala kwemithambo-luvo ngexesha lokubeleka unokwanda.
- Ukutya kunye nendlela yokuphila: Ezinye ukutya neziselo zinokuvuselela isinyi. Iziselo ezine-caffeine (ingakumbi ikofu), utywala, kunye neziselo ezine-carbonated zinokubangela ukuba isinyi sinciphe kwaye zonyuse isidingo sokuchama ngokukhawuleza. Kunjalo nangokutya okuneziqholo, okune-asidi. Ezinye izifundo zibonise ukuba ukutshaya nako kuyawunyusa lo mngcipheko.
Singenza ntoni ngale nto?
Zininzi izinto onokuzenza ukuphucula ulawulo lwakho lomchamo ngexesha lokukhulelwa. Ukuzama ezi zinto kunokuba luncedo kakhulu.
1. Ukwenza iKegel Exercises
Le yeyona ndlela ibalulekileyo nesebenzayo. Ukuzilolonga ngeKegel kuyawomeleza amathambo omgangatho we-pelvic agcina isinyi sakho endaweni yaso. Xa la mathambo eqinile, ayakunceda ukulawula umchamo wakho.
UKegel wenza njani umthambo?
Khawuthelekelele uzama ukuyeka ukuchama ngequbuliso ngelixa uchama. Okanye uzama ukunqanda ukuvuza kwegesi. Yiloo nto ekufuneka uyenze xa uqinisa izihlunu zakho.
1. Chonga izihlunu ezichanekileyo: Okokuqala, fumana ezo zihlunu.
2. Qinisa kwaye ubambe: Ngoku qinisa ezo zihlunu uze uzibambe imizuzwana eli-10. Lumka ungaqinisi imilenze yakho, iimpundu, okanye izihlunu zesisu ngeli xesha.
3. Phumla: Emva koko phumza izihlunu ngokupheleleyo.
4. Phinda: Yenza oku izihlandlo ezili-15. Ngumjikelo omnye lowo. Zama ukwenza malunga nemijikelo emihlanu yalo mjikelo ngemini.
Kubalulekile:Ukuba kukho naziphi na iinyembezi okanye ukwenzakala ngexesha lokubeleka, qiniseka ukuba ucela ingcebiso kugqirha wakho malunga nokuba kufuneka ulinde de amanxeba aphole ngaphambi kokuba uqale umthambo weKegel.
2. Utshintsho kwindlela yokuphila
Ukongeza kwimithambo yeKegel, ukutshintsha imikhwa yakho yemihla ngemihla kunokwenza umahluko omkhulu.
- Ziphephe iicaffeine nokutya okuneziqholo: Tshintshela kwiziselo okanye emanzini angena-caffeine. Nciphisa ukutya okuneziqholo nokune-asidi kangangoko unako.
- Nciphisa ulwelo olusetyenziswa ebusuku: Ukunciphisa ulwelo olusetyenziswa emva kwesidlo sangokuhlwa kunokunceda ukunciphisa amaxesha ekufuneka uvuke ngawo ebusuku ukuze uye kwindlu yangasese.
- Yitya ukutya okunefayibha eninzi: Ukuqunjelwa kungathintelwa ngokutya ukutya okunefayibha eninzi. Ukuzibophelela ngexesha lokuhamba kwamathumbu nako kunokubangela uxinzelelo kwisinyi kwaye kubangele ukuba umchamo uvuza.
- Gcina ubunzima obusempilweni: Ukugcina ubunzima obusempilweni kunokunciphisa uxinzelelo kwisinyi.
- Uqeqesho Lwesinyi: Gcina idayari yakho xa uziva unqwenela ukuchama kwaye xa uchama. Emva koko, cwangcisa ukuya kwigumbi lokuhlambela ngaphambi kokuba uzive unqwenela ukuchama. Zama kancinci kancinci ukwandisa ixesha phakathi kohambo oluya kwigumbi lokuhlambela. Oku kuya kuqeqesha izihlunu zakho ze-pelvic ukuba zibambe umchamo.
Ngelixa usenza ezi zinto, ungasebenzisa iipads okanye iimpahla zangaphantsi ezikhethekileyo (iimpahla zangaphantsi zokungakwazi ukuzibamba). Oku akunanto yakwenza neentloni, amawaka abanye oomama badlula kolu lwazi njengawe.
Ingaba lo mchamo uyaphuma? Okanye yinto eyahlukileyo?
Kubalulekile ukuqaphela oko kuphuma kwisini sakho ngexesha lokukhulelwa. Ungazi njani ngokuqinisekileyo ukuba ngumchamo, ulwelo oluphuma kwisini, okanye ulwelo oluphuma kwi-amniotic fluid?
| Uhlobo lokukhupha | Ungayibona njani? (Umbala, ivumba, ubunjani) |
|---|---|
| Umchamo | Ihlala inamanzi, inombala otyheli okanye ocacileyo. Ngamanye amaxesha inokuba nevumba elifana nele-ammonia . |
| Ukukhupha ulwelo kwi-Vaginal | Inokuba mhlophe, ibe mdaka, ibe mdaka, ibe luhlaza, okanye ibe ngwevu. Ukuba kukho usulelo, inokuba nevumba elibi, njengevumba lentlanzi . Ukuba ityebile, ifana nobisi, okanye inegwebu, ikwaluphawu losulelo. |
| Ulwelo lwe-Amniotic | Olu lulwelo olujikeleze umntwana wakho. Olu lulwelo oluphuma emanzini akho. Lulwelo olucacileyo okanye olunombala wengca olungenavumba . Ngamanye amaxesha lunokuba mdaka okanye luhlaza. Lunokunuka njengomchamo, kodwa kufuneka ukhathazeke ukuba alunuki njenge-ammonia. |
Isilumkiso: Ukuba unenkxalabo malunga nokukhupha okuphumayo, ungaze ukutyeshele. Bona ugqirha wakho ngoko nangoko. Ingakumbi ukuba ukrokrela ukuba kukukhupha okuphuma kwilungu lobufazi, kunokuba yingxamiseko.
Ndifanele ndimbone nini ugqirha?
Kusoloko kuyinto entle ukwazisa ugqirha wakho ngemiba yokulawula umchamo ngexesha lokukhulelwa, kodwa kubaluleke kakhulu ukufuna ingcebiso kagqirha kwezi meko.
- Ukuba le ngxaki iyaqhubeka nokuba emva kweeveki ezintandathu nangaphezulu emva kokubeleka.
- Ukuba oku kungakhululeki kuphazamisa ubomi bakho bemihla ngemihla . Umzekelo, ukuba uyayiphepha imicimbi yoluntu ngenxa yokoyika ukuvuza komchamo, okanye ukuba unomdla wokuphuma.
- Ukuba unamathandabuzo malunga nokuphuma kolwelo.
Ugqirha wakho angenza uvavanyo lomzimba aze, ukuba kuyimfuneko, akuthumelele iimvavanyo ezifana novavanyo lomchamo (`Uvavanyo lomchamo`), `i-Ultrasound scan`, `i-Cystoscopy`, okanye `uvavanyo lwe-Urodynamic`.
Uninzi lwabantu luphinda lulawule isinyi kwiinyanga ezi-3 ukuya kwezi-6 emva kokuba nomntwana. Kodwa kwabanye abantu, kungathatha ixesha elide. Kuxhomekeke kwizinto ezininzi, njengohlobo lokuzala kwakho kunye nobunzima bomntwana wakho.
Umyalezo Wokuya Ekhaya
- Ukuba nobunzima bokulawula umchamo wakho ngexesha lokukhulelwa kuyinto eqhelekileyo kwaye ixhaphakile. Musa ukuba neentloni ngayo okanye uzive unesizungu.
- Le meko idla ngokuba yeyokwexeshana kwaye ibuyela kwisiqhelo emva kweenyanga ezimbalwa emva kokubeleka.
- Ukuzilolonga ngeKegel sesona sisombululo silungileyo nesisebenzayo koku. Ngokwenza oku njengesiqhelo semihla ngemihla, uya kuziva umahluko omkhulu.
- Ungayilawula le meko ngokwenza utshintsho oluncinci kwindlela otya ngayo nendlela ophila ngayo (ukunciphisa i-caffeine, ukutya ukutya okune-fiber eninzi).
- Thetha ngokukhululekileyo nogqirha wakho ngale ntlungu. Banokukunika icebiso elihle kakhulu.
- Ukuba unamathandabuzo malunga nokukhululwa esibhedlele, funa ingcebiso kagqirha ngoko nangoko.
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