Emva kokuzala umntwana, ngaba uziva intlungu encinci esiswini sakho esisezantsi, njengaxa usexesheni? Nangona umntwana ephumile, ingaba isisu sakho sisakhulu kancinci? Ungakhathazeki, mama, konke oku kuqhelekile. Oku kungenxa yokuba isibeleko sakho siqala ukuncipha sibuyele kubukhulu baso bokuqala. Ngokwezonyango, oku sikubiza ngokuba yi-'uterus involution'. Namhlanje, siza kuthetha ngale nkqubo ibalulekileyo, yendalo.
Ngamafutshane, kuthetha ukuthini oku kubuyiselwa kwesibeleko?
Ukuguquka kwesibeleko yinkqubo apho isibeleko sakho, esikhule ukuze silungele umntwana wakho ngexesha lokukhulelwa, sincipha sibuyele kubukhulu baso bangaphambili emva kokubeleka. Cinga ngaso njengebhola. Isibeleko sakho sikhula kancinci kancinci kwiinyanga emva kokuba unomntwana. Kufuneka sinciphe sibuyele ezantsi emva kokubeleka. Yiyo loo nto siyibiza ngokuba yi-involution. Le nkqubo iqala emva nje kokubeleka kwaye ihlala malunga neeveki ezintandathu. Kulapho ufumana ukopha emva kokubeleka kunye nokukhupha okubizwa ngokuba yi-lochia.
Le yinxalenye ebaluleke kakhulu kwinkqubo yokuphiliswa komzimba wakho. Xa ucinga ngobukhulu kunye nokuba isibeleko sakho sitshintshe kangakanani ngexesha lokukhulelwa, kuyinto eqhelekileyo ukuba kuthathe ixesha ukubuyela kubukhulu baso bokuqala.
Kutheni le nkqubo ibalulekile?
Eyona njongo iphambili yoku kukubuyisela isibeleko kubungakanani baso bangaphambi kokukhulelwa. Ngexesha lokukhulelwa, isibeleko sikhula ngokuphindwe kaninzi kubukhulu baso obuqhelekileyo. Sikwaphuhlisa imithambo yegazi eyongezelelweyo kunye nezicubu ukuze kubonelelwe ngondlo kumntwana okhulayo. Emva kokuba umntwana ezelwe, umzimba awusadingi le ndawo okanye izicubu ezongezelelweyo.
Ngoko ke into eyenziwa yile nkqubo ``(Involution)`` kukususa loo tissue ingafunekiyo, ukunciphisa isibeleko, nokulungiselela umzimba ukuba uqalise kwakhona umjikelo wakho wokuya exesheni wenyanga.
Le nkqubo yenzeka njani?
Le nkqubo iqala emva kokuba ubelethe i-placenta, elilinqanaba lesithathu lokubeleka. Emva koko isibeleko sakho siqala ukufinyela kwakhona, okanye sinciphe. Oku kufinyela kunciphisa umlinganiselo wegazi oya kwindawo apho i-placenta yayinamathele khona kwisibeleko. Oku yindlela yokuzikhusela yomzimba. Oku kukuthintela ukopha kakhulu (Postpartum Hemorrhage).
Ezi zithintelo zezona zibangela ukuba isibeleko sinciphe kwaye izicubu ezingafunekiyo endizikhankanyileyo ngaphambili ziphume emzimbeni njenge-"Lochia". Ezi zithintelo zihlala ziqhelekile kwaye zinamandla kancinci kwiiyure ezili-12 zokuqala emva kokuba umntwana ezelwe. Usenokuziva unentlungu esiswini sakho esisezantsi ngeli xesha. Sizibiza ngokuba "ziintlungu emva".
Ezi "ntlungu zasemva kokubeletha," okanye iintlungu zesisu eziza emva kokubeleka, zihlala iintsuku ezimbalwa kuphela. Kodwa zinokuba qatha ngakumbi xa uncancisa okanye ufunxa. Kwaye ukuba lo ngumntwana wakho wesibini okanye wesithathu, intlungu inokuba qatha ngakumbi kuneyokuqala.
Inkqubo epheleleyo "yokuvela" ithatha malunga neeveki ezintandathu ukugqitywa. Imihla ngemihla, ubunzima besibeleko buyancipha, kwaye nendawo yaso kwi-pelvic cavity nayo iyancipha. Yingakho isisu sakho sisakhula kancinci okwethutyana emva kokuba umntwana ezelwe. Nangona umntwana engaphandle ngoku, isibeleko sisathatha indawo eninzi esiswini sakho.
Ukuncancisa ibele kuyichaphazela njani le nto?
Ukuba uncancisa umntwana wakho, isibeleko sakho siyancipha ngokukhawuleza. Oku kungenxa yokuba xa umntwana wakho encanca okanye umpompa, umzimba wakho uvelisa ihomoni ebizwa ngokuba yi-`(Oxytocin).` Le homoni inceda isibeleko sakho siqine ngakumbi. Yiyo loo nto uziva ubuhlungu ngakumbi xa uncancisa. Kodwa ikwathetha ukuba umzimba wakho uphola kakuhle.
Oogqirha bajonga njani ukuba oku kuza kusebenza?
Ngelixa usesibhedlele, ugqirha okanye umongikazi uza kuza rhoqo ukujonga ukuba le nkqubo ihamba kakuhle na.
- Baza kubeka izandla zabo esiswini sakho baze basicinezele phantsi ukuze bajonge phezulu kwesibeleko sakho (i-fundus). Oku kubizwa ngokuba kukujonga ukuphakama kwe-fundal.
- Bajonga nokuba isibeleko siqinile kwaye sinamaqhuqhuva.
- Ubungakanani kunye nombala wokukhupha kwakho incindi kwilungu lobufazi (iLochia) nazo ziya kuhlolwa ngeli xesha.
Umzekelo, ukuba isibeleko sakho asinciphi njengoko kulindelekile, okanye ukuba sivakala sithambile xa usichukumisa, usengozini enkulu yokopha emva kokuzalwa. Ukuba oku kuyenzeka, ugqirha wakho unokusihlikihla isisu sakho ngezandla zakhe ukunceda isibeleko sakho sinciphe. Ngamanye amaxesha, banokukunika iyeza elibizwa ngokuba yiPitocin, equlethe ihomoni i-oxytocin, ukukhuthaza ukuncipha.
I-uterus itshintsha njani ngeli xesha?
Uninzi lwexesha, isibeleko somntu wonke silahlekelwa bubunzima nobukhulu ngexesha elifanayo. Nangona kunjalo, ubukhulu besibeleko sakho bunokwahluka kancinci ngokuxhomekeke kwizinto ezifana nokuba ukhe waba nabantwana ngaphambili, nokuba ubunawo amawele, kunye nokuba wazala phi ngexesha lokukhulelwa kwakho.
Nantsi indlela isibeleko esidla ngokulahlekelwa ngayo ubunzima.
| Ixesha | Ubunzima besibeleko (malunga) |
|---|---|
| Emva nje kokubeleka | Iigrama ezili-1,000 (malunga nekhilogram e-1) |
| Emva kweveki | Iigram ezingama-500 |
| Emva kweeveki ezimbini | Iigram ezingama-300 |
| Emva kweeveki ezine | Iigram ezili-100 |
| Emva kweeveki ezisibhozo | Iigram ezingama-60 (ubungakanani obuqhelekileyo) |
Kwakhona, nantsi indlela isibeleko esibuyela ngayo kwi-pelvic cavity size sinciphe.
| Ixesha | Indawo yesibeleko |
|---|---|
| Malunga neyure emva kokubeleka | Inxalenye ephezulu yesibeleko (i-fundus) kufuneka ibe kwinqanaba lomlomo wesibeleko sakho. |
| Emveni kwalonto | Ifanele yehle malunga ne-1 centimeter rhoqo emva kweeyure ezingama-24. |
| Emva kweveki malunga neveki | Ithambo lesinqe, elingaphantsi kweqhosha lesisu sakho, kufuneka libe kwinqanaba "lethambo le-Pubic" yakho. |
| Emva kweentsuku ezili-10-14 | Isibeleko kufuneka sithotywe ngokupheleleyo kwi-pelvic cavity kwaye singabanjwa esiswini. |
Zeziphi iingxaki ezinokuvela kule nkqubo?
Kukho iingxaki ezimbini eziphambili ezinokubakho: i-Subinvolution kunye ne-Postpartum Hemorrhage.
1. I-Subinvolution (isibeleko asinciphisi kakuhle)
Oku kuthetha ukuba isibeleko sakho asinciphi ngokukhawuleza njengoko besingathanda. Ngamanye amaxesha oku kunokwenzeka kuba imithambo yegazi apho i-placenta yayinamathele khona ayivali kakuhle.
Ukuba ugqirha wakho ukrokrela oku ngexesha lovavanyo lwesisu, banokucebisa ukuba uhlolwe nge-ultrasound. Kwakhona, ukuba ufumana ukopha okubomvu okumnyama kangangeveki emva kokubeleka, oku kungaba luphawu lwesi simo. Kukho izizathu ezahlukeneyo zoku:
- Iintsholongwane zesibeleko, umzekelo `(Endometritis)`.
- Izinto ezifana neziqwenga zeplacenta ezisele ngaphakathi kwesibeleko.
- Intlungu yokubeleka sele igqithisile.
- Ukuba ndibe notyando lwebele (C-section).
2. Ukopha Emva Kokubeletha - PPH (Ukopha Emva Kokubeletha)
Le yimeko embi kakhulu, enokuba yingozi ebomini. I-PPH kukuphuma kwegazi elininzi esibelekweni emva kokuzalwa. Idla ngokuvela xa ukushwabana kwesibeleko kungenamandla ngokwaneleyo emva kokuzalwa.
I-PPH idla ngokuvela kwiiyure ezingama-24 zokuqala emva kokubeleka, kodwa ngamanye amaxesha umngcipheko ungaqhubeka ixesha elide kangangeeveki ezili-12.
Ngelixa usesibhedlele, oogqirha kunye nabahlengikazi baza kujonga ukulahleka kwegazi rhoqo. Kodwa ukuba uphuma igazi ngaphezu kwesiqhelo emva kokuba ufike ekhaya (umzekelo, ukuba umanzisa i-pad engaphezulu kwesinye ngeyure), ukuba uphuma amahlwili egazi amakhulu, okanye ukuba uziva unesizungu, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko. Le ayisiyonto ufanele uyilibazise.
Ufanele uzinyamekele njani ngeli xesha?
Ixesha emva kokuzala umntwana, oko kukuthi, ixesha lokubeleka, lixesha apho kufuneka uzinyamekele wena kunye nomntwana wakho. Phumla ngokwaneleyo. Fumana uncedo kusapho lwakho nakumyeni wakho ukuze unyamekele umntwana.
Ezo "ntlungu emva" endizikhankanyileyo ngaphambili ngamanye amaxesha zinokuba nzima kancinci, ingakumbi xa uncancisa. Usenokuziva iintlungu ezibukhali kangangemizuzu emi-5, emva koko zisenokuvakala ngathi ziyaphela kancinci kancinci. Nazi ezinye izinto onokuzenza ukunceda ukulawula le ntlungu:
- Yenza umthambo wokuphefumla nokuphumla osetyenziselwa iintlungu zokubeleka.
- Beka umqamelo phantsi kwesisu sakho uze ulale ngomqolo.
- Thatha uhambo.
- Sela isithomalalisi sentlungu esicetyiswa ngugqirha wakho. Into efana ne-ibuprofen ingasebenza ngcono kune-paracetamol, kodwa qiniseka ukuba uthetha nogqirha wakho ngaphambi kokuba uthathe nantoni na.
Ukubuyela kwesibeleko kwimo yaso yesiqhelo yinkqubo ebaluleke kakhulu, yendalo. Kodwa ngamanye amaxesha, isibeleko sidinga uncedo oluncinci kolu hambo. Yiyo loo nto iqela lezonyango liza kukujonga rhoqo esibhedlele emva kokuba ufumene umntwana wakho. Olu hlolo lusenokubonakala luyingxaki kuwe, kuba ufuna ukukhululeka nelungu lakho elitsha losapho. Kodwa olu hlolo lubalulekile ukuze kufunyanwe iingxaki ezifana ne-PPH kwangethuba.
Umyalezo Wokuya Ekhaya
- Ukuguquka kwesibeleko yinkqubo eqhelekileyo neyokwemvelo eyenzeka emva kokuzalwa komntwana.
- Kuqhelekile ukuba nentlungu yesisu ("iintlungu emva kokuzala") kangangeentsuku ezimbalwa emva kokuzala umntwana. Oku kunokubonakala ngakumbi xa uncancisa.
- Le nkqubo yonke idla ngokuthatha malunga neeveki ezintandathu ukugqitywa.
- Ukuba wopha kakhulu kunesiqhelo, unamahlwili egazi amakhulu, okanye uziva unesizungu xa usekhaya, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko.
- Ukuba unemibuzo okanye amathandabuzo malunga noku, ungaze woyike ukuthetha nogqirha wakho ngako.
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