Kwenzeka ntoni kwisibeleko sakho emva kokuba nomntwana? (Ukuguqulwa kwesibeleko)

Nangona ukhululekile ukuba nomntwana, kuyinto eqhelekileyo ukuba umzimba wakho uzive udiniwe kangangeentsuku ezimbalwa, akunjalo? Ingakumbi kuba isibeleko sakho, ebesithwele umntwana kangangeenyanga, kufuneka sinciphe sibuyele kubukhulu baso bokuqala. Namhlanje, siza kuthetha ngale nkqubo ibalulekileyo.

Yintoni i-Uterine Involution?

Ngamafutshane, ukuguquka kwesibeleko kuxa isibeleko sakho sincipha sibuyele kubukhulu baso ngaphambi kokuba ube nomntwana. Oku kwenzeka emva nje kokuba ube nomntwana kwaye kuhlala malunga neeveki ezintandathu. Kulapho uza kuba nokopha emva kokubeletha kunye nokukhupha igazi, okanye oko sikubiza ngokuba yi-lochia .

Khawuthelekelele, isibeleko sakho besikhula kangangeenyanga, sikulungele ukubonelela ngokhuseleko nokondla umntwana wakho. Ngoko ke, emva kokuba umntwana ephumile, kuyinto eqhelekileyo ukuba kuthathe ixesha ukuba sibuyele kubukhulu baso bokuqala. Oku kuncipha kwesibeleko yinxalenye ebalulekileyo yenkqubo yokuphiliswa emva kokubeleka .

Ngoko ke yintoni injongo yoku? Umjikelo wakho wokuya exesheni uza kuqala kwakhona xa isibeleko sakho sibuyela esiqhelweni. Le nkqubo ikwanceda ekususeni lonke igazi kunye nezicubu eziqokelelene kwisibeleko sakho ngexesha lokukhulelwa.

Le nkqubo yenzeka njani?

Le nkqubo yokuncitshiswa kwesibeleko iqala kwangoko xa ukhupha i-placenta. Oko kukuthi, kwinqanaba lesithathu lokubeleka. Emva koko isibeleko sakho siqala ukuncitshiswa kwakhona. Khawucinge nje, ezi zinciphiso zezona zinciphisa ukopha kwindawo apho i-placenta yayinamathele khona kwisibeleko. Le yindlela emangalisayo yokuzikhusela enokwenziwa ngumzimba wethu, ukuyeka ukopha kakhulu (ukuphuma kwegazi emva kokubeleka) .

Ezi ntlungu zibangela ukuba isibeleko siphinde sinciphe kwaye izicubu ezongezelelweyo, ezibizwa ngokuba yi-lochia, ziphume. Ezi ntlungu ziqhelekile kwaye zinamandla kwiiyure ezili-12 zokuqala emva kokubeleka. Ngeli xesha, ungaziva iintlungu esiswini sakho esisezantsi, nto leyo esiyibiza ngokuba yi -'afterpains' .

Le 'ntlungu yempundu' idla ngokuphela kwiintsuku ezimbalwa. Nangona kunjalo, usenokuziva ezi ntlungu ngakumbi xa uncancisa okanye ufunxa. Kwakhona, ukuba ukhe waba nabantwana ngaphambili, usenokuziva ezi ntlungu ngakumbi.

Kuthatha malunga neeveki ezintandathu ukuba isibeleko sibuyele ngokupheleleyo kubukhulu baso obuqhelekileyo. Njengoko ubunzima besibeleko sakho buncipha, nendawo ekwisinqe sakho iyancipha. Usenokuziva 'ufana nesisu' kangangeentsuku ezimbalwa emva kokubeleka. Oku kungenxa yokuba isibeleko sakho sisathatha indawo enkulu esiswini sakho, nangona umntwana wakho engaphandle.

Ingaba ukuncancisa kunempembelelo na koku?

Ewe, ngokuqinisekileyo! Ukuba uncancisa umntwana wakho, isibeleko sakho siya kufinyela ngokukhawuleza . Oku kungenxa yokuba xa umntwana wakho efunxa ubisi (okanye xa umpompa ubisi), umzimba wakhoIhomoni i-oxytocin iyaveliswa. Le homoni ibangela ukuba isibeleko sinciphe. Ngoko ke, ukuncancisa kuluncedo kakhulu kule nkqubo.

Oogqirha bajonga njani ukuba isibeleko sibuyela esiqhelweni?

Ngelixa usesibhedlele, ugqirha okanye umongikazi uhlala efika ukuze ajonge ukuba isibeleko sakho siyancipha na. Baza kubeka izandla zabo esiswini sakho baze bajonge phezulu kwesibeleko sakho, esibizwa ngokuba 'bubude bakho be-fundal' . Baza kujonga nokuba isibeleko sakho sinzima na. Baza kuqwalasela ne -lochia (wax) yakho ngeli xesha.

Umzekelo, ukuba isibeleko sakho asinciphi njengoko bekulindelwe, okanye ukuba sivakala sithambile, unokuba sengozini enkulu yokopha emva kokuzalwa . Kwimeko enjalo, ugqirha wakho uhlala ephulula isibeleko sakho (fundal massage) ukuze asincede sinciphe. Ngamanye amaxesha, unokunikwa iyeza elibizwa ngokuba yiPitocin® , eliyi-hormone yokwenziwa, ukuze kukhuthazwe ukuncipha kwesibeleko.

Isibeleko sitshintsha njani ngeli xesha? (Ubungakanani nobunzima)

Nangona isibeleko somntu wonke sifinyela ngexesha elifanayo, ubungakanani kunye nobunzima besibeleko sakho ngaphambi kokuba ukhulelwe bunokwahluka. Kukho izinto ezininzi ezinokuchaphazela oku:

• Nokuba ukhe waba nabantwana ngaphambili (abafazi abaninzi banesibeleko esikhulu kancinci emva kokuzalwa kwangaphambili).
• Bangaphi abantwana obazeleyo, njengamawele?
• Wamzala nini umntwana ngexesha lokukhulelwa kwakho?

Ngokwesiqhelo, ubunzima besibeleko butshintsha emva kokubeletha ngolu hlobo lulandelayo:

• Emva nje kokuzalwa: Malunga ne-1000 grams (malunga neekhilogram ezimbini).
• Kwiveki: malunga ne-500 grams.
• Kwiiveki ezimbini: malunga ne-300 grams.
• Kwiiveki ezine: malunga ne-100 grams.
• Kwiiveki ezisibhozo: malunga neegram ezingama-60 (malunga nee-ounces ezimbini).

Uyaqonda? Ngexesha lokuxinana, isibeleko sincipha ukusuka kubukhulu begrapefruit , eyazalisa yonke indawo ye-pelvic, ukuya kubukhulu bepere . Ishedyuli yesibeleko yokubuyela kwindawo ye-pelvic yile ilandelayo:

• Emva kweyure emva kokubeleka, umphezulu wesibeleko (i-fundus) kufuneka ube secaleni kwesisu sakho.
• Emva koko, umphezulu wesibeleko kufuneka wehle malunga ne-1 sentimitha ungene esiswini rhoqo emva kweeyure ezingama-24.
• Emva kweveki, umphezulu wesibeleko sakho kufuneka ube kufutshane nethambo le-pubic (i-symphysis pubis) kwisisu sakho esisezantsi.
• Kwiintsuku ezili-10 ukuya kwezili-14, umphezulu wesibeleko kufuneka ubuyele ngaphakathi kwi-pelvic cavity.

Zeziphi iingxaki ezinokuvela kule nkqubo?

Kukho iingxaki ezimbini eziphambili ezinokuvela ngexesha lokubuyiselwa kwesibeleko: isibeleko esinganciphi kakuhle kunye nokopha kakhulu emva kokubeletha.

Ukuguquka kwesibeleko

I-Subinvolution kuxa isibeleko sakho singavuthwanga kakuhle, oko kuthetha ukuba asivuthwanga. Oogqirha ngamanye amaxesha babiza oku ngokuthi "i-placental subinvolution." Oku kuxa imithambo yegazi ejikelezayo, apho i-placenta yayinamathele khona kwisibeleko, ingavali kakuhle kwaye iyalibaziseka.

Ugqirha wakho unokukukrokrela oku emva kokuhlola umphezulu wesibeleko sakho (uvavanyo lwe-fundal). Kwakhona, ukuphuma kwegazi okubomvu okumnyama ( i-lochia rubra ) okuhlala ixesha elingaphezu kweveki emva kokubeleka luphawu lwale meko. Ukuba oku kuyenzeka, ugqirha wakho unokuyalela i-ultrasound ukuze abone ukuba kwenzeka ntoni ngokwenene.

Ngamanye amaxesha, isibeleko sisenokungakwazi ukuqhubeka nokufinyela, okanye ezinye iingxaki zinokuphazamisana nale nkqubo. Nazi ezinye zezizathu zokuba i-subinvolution ingenzeka:

• Izifo zesibeleko, ezifana ne -endometritis .
• Izinto ezifana neziqwenga zeplacenta ezisele ngaphakathi kwesibeleko.
• Ukuzala ixesha elide okanye ukuchanabeka ixesha elide kwiPitocin® , nto leyo ebangela ukuba isibeleko sifinyele.
• Ukuzala umntwana ngotyando (C-section) .
• Ukunika i-anesthesia ngokubanzi, njengakwicandelo lotyando olungxamisekileyo.

Ukopha emva kokubeleka (PPH)

I-Postpartum Hemorrhage (PPH) kukuphuma kwegazi elininzi esibelekweni emva kokubeleka. Oku kunokuba yingozi ebomini , ngoko ke kufuneka ulumke kakhulu.

Malunga nama-80% eemeko ze -PPH zenzeka kuba ukushwabana kwesibeleko akunamandla ngokwaneleyo emva kokuzala. I-PPH idla ngokuvela kwiiyure ezingama-24 emva kokuzala. Nangona kunjalo, inokwenzeka ukuya kuthi ga kwiiveki ezili-12 emva kokuzala.

Ngelixa ululama esibhedlele, abasebenzi bezonyango baya kukujonga rhoqo ukuba awophi na ( i-lochia ). Ukuba wopha kakhulu, baya kunyanga ngoko nangoko.

Eyona nto ibalulekileyo kukuba, ukuba wopha kakhulu xa usekhaya, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngokukhawuleza.

Uzinyamekela njani? (Ulawulo lweentlungu zomqolo)

Emva kokufumana umntwana, kubalulekile ukuzinyamekela nokuphumla kunye nokunyamekela umntwana wakho. Fumana ixesha lokucinga ngawe kwaye ucele uncedo kusapho nakubahlobo ukuze unakekele umntwana.

'Intlungu yomqolo' ehambisana nokusikwa kwesibeleko ngamanye amaxesha inokuba qatha, ingakumbi xa uncancisa. Intlungu inokuhlala malunga nemizuzu emihlanu ize iphele kancinci kancinci. Nazi ezinye izinto onokuzenza ukulawula le ntlungu yomqolo:

• Ukuzilolonga kokuphefumla nokuphumla (njengokuzilolonga xa ubeleka).
• Lala ngesisu sakho umqamelo phantsi kwesisu sakho esisezantsi.
• Ukusela isithomalalisi sentlungu esithengiswa ngaphandle kwemvume kagqirha wakho. I-ibuprofen ingasebenza ngcono kune -acetaminophen .
• Ukuhamba kancinci.

Okokugqibela, eyona nto ibalulekileyo (Umyalezo Wokuya Ekhaya)

Ukubuyela kwesibeleko kubukhulu baso obuqhelekileyo yinkqubo ebaluleke kakhulu, yendalo. Nangona kunjalo, ngamanye amaxesha isibeleko sakho sinokufuna uncedo oluncinci kolu hambo. Yiyo loo nto abasebenzi bezonyango beya kukujonga rhoqo emva kokuba ufumene umntwana wakho. Nangona olu hlolo lusenokubonakala ngathi luyingxaki xa usaqala ukuqhelana nelungu lakho elitsha losapho, lubalulekile ekufumaneni kwangethuba iingxaki ezifana nokopha kwegazi emva kokuzalwa . Ukuba banenkxalabo malunga nendlela isibeleko sakho esiwohloka ngayo, baya kukwazisa. Ngoko ke, ungakhathazeki, yonke into iya kulunga!

Ukuqhoqhoqho kwesibeleko , emva kokubeleka, i-lochia, ukopha emva kokubeleka, ukuncancisa, ubungakanani besibeleko, ukululama