Kwenzekani esibelethweni sakho ngemva kokuthola umntwana? (Ukuguqulwa kwesibeletho)

Ngisho noma ukhululekile ngokuba nomntwana, kuyinto evamile ukuthi umzimba wakho uzizwe ukhathele izinsuku ezimbalwa, akunjalo? Ikakhulukazi njengoba isibeletho sakho, esibe sithwele umntwana izinyanga eziningi, sidinga ukuncipha sibuyele kusayizi waso wokuqala. Namuhla, sizokhuluma ngale nqubo ebalulekile.

Kuyini Ukuguqulwa Kwesibeletho?

Kalula nje, ukuguquka kwesibeletho yilapho isibeletho sakho sincipha sibuyele kusayizi esasiyiwo ngaphambi kokuba ube nomntwana. Lokhu kwenzeka ngokushesha ngemva kokuthola umntwana wakho futhi kuhlala cishe amasonto ayisithupha. Yilapho uzozwa khona ukopha nokuphuma kwegazi ngemva kokubeletha, noma lokho esikubiza ngokuthi i-lochia .

Cabanga nje, isibeletho sakho besikhula izinyanga eziningi, silungele ukunikeza ingane yakho isivikelo nokondla. Ngakho-ke, ngemva kokuphuma kwengane, kuyinto evamile ukuthi ithathe isikhathi esithile ukuze ibuyele kusayizi wayo wokuqala. Lokhu kuncipha kwesibeletho kuyingxenye ebalulekile yenqubo yokuphulukiswa kwangemva kokubeletha .

Ngakho-ke yini inhloso yalokhu? Umjikelezo wakho wokuya esikhathini uzoqala futhi uma isibeletho sakho sibuyela esimweni esijwayelekile. Le nqubo isiza futhi ukususa lonke igazi nezicubu ezengeziwe eziqongelele esibelethweni sakho ngesikhathi sokukhulelwa.

Le nqubo yenzeka kanjani?

Le nqubo yokufinyela kwesibeletho iqala ngokushesha nje lapho ukhipha i-placenta. Okusho ukuthi, esigabeni sesithathu sokubeletha. Ngemuva kwalokho isibeletho sakho siqala ukufinyela futhi. Cabanga nje, lokhu kufinyela yikona okunciphisa ukuphuma kwegazi endaweni lapho i-placenta yayinamathele khona esibelethweni. Empeleni lena yindlela emangalisayo yokuzivikela umzimba wethu onayo, yokumisa ukuphuma kwegazi ngokweqile (ukuphuma kwegazi ngemva kokubeletha) .

Lokhu kufinyela kubangela ukuthi isibeletho siphinde sifinyele futhi izicubu ezengeziwe, ezibizwa ngokuthi i-lochia, ziyaphuma. Lokhu kufinyela kwesibeletho kuvamile kakhulu futhi kunamandla emahoreni okuqala ayi-12 ngemva kokubeletha. Phakathi nalesi sikhathi, ungase uzwe ubuhlungu esiswini sakho esingezansi, okuyilokho esikubiza ngokuthi 'ubuhlungu bangemva kokubeletha' .

Lobu 'buhlungu bezinqe' buvame ukuphela phakathi nezinsuku ezimbalwa. Kodwa-ke, ungase uzizwe lobu buhlungu kakhulu uma uncelisa noma uphuza. Futhi, uma uke waba nezingane ngaphambili, ungase uzizwe lobu buhlungu kakhudlwana.

Kuthatha cishe amasonto ayisithupha ukuthi isibeletho sibuyele ngokuphelele kusayizi waso ojwayelekile. Njengoba isisindo sesibeletho sakho sincipha, nesikhala esisesinqeni sakho se-pelvic siyancipha. Ungase uzizwe 'ufana nesisu' izinsuku ezimbalwa ngemva kokubeletha. Lokhu kungenxa yokuthi isibeletho sakho sisathatha isikhala esikhulu esiswini sakho, noma ngabe ingane yakho iphumile.

Ingabe ukuncelisa ingane kunomthelela kulokhu?

Yebo, impela! Uma uncelisa ingane yakho, isibeletho sakho sizofinyela ngokushesha . Lokhu kungenxa yokuthi lapho ingane yakho imunca ubisi (noma uma uphampa ubisi), umzimba wakhoKukhiqizwa i-hormone i-oxytocin. Le hormone ibangela ukuthi isibeletho sifinyele. Ngakho-ke, ukuncelisa kuwusizo olukhulu kule nqubo.

Odokotela bahlola kanjani ukuthi isibeletho sibuyela esimweni esijwayelekile?

Ngesikhathi usesibhedlela, udokotela noma umhlengikazi uzovame ukuza ukuzohlola ukuthi isibeletho sakho sincipha kanjani. Bazobeka izandla zabo esiswini sakho babheke ingxenye ephezulu yesibeletho sakho, ebizwa ngokuthi 'ukuphakama kwe-fundal' yakho . Bazohlola futhi ukuthi isibeletho sakho sizizwa sinzima yini. Bazonaka ne -lochia (wax) yakho ngalesi sikhathi.

Isibonelo, uma isibeletho sakho singanciphi njengoba kulindelekile, noma uma sizwakala sithambile, ungase ube sengozini enkulu yokopha ngemva kokubeletha . Kulesi simo, udokotela wakho uvame ukuhlikihla isibeletho sakho (i-fundal massage) ukuze asisize sinciphe. Ngezinye izikhathi, unganikezwa umuthi obizwa ngokuthi i-Pitocin® , okuyi-hormone yokwenziwa, ukuze ukhuthaze ukuncipha kwesibeletho.

Isibeletho sishintsha kanjani phakathi nalesi sikhathi? (Usayizi nesisindo)

Nakuba isibeletho sawo wonke umuntu sifinyela ngesikhathi esifanayo, ubukhulu nesisindo sesibeletho sakho ngaphambi kokuba ukhulelwe kungahluka. Kunezici eziningana ezingathinta lokhu:

• Kungakhathaliseki ukuthi uke waba nezingane ngaphambili (abesifazane abaningi banesibeletho esikhulu kancane ngemva kokubeletha kwangaphambilini).
• Bangaki abantwana owaba nabo, njengamawele?
• Kunini lapho ukhulelwe khona lapho ubelethe khona umntwana?

Ngokuvamile, isisindo sesibeletho siyashintsha ngemva kokubeletha kanje:

• Ngemva nje kokuzalwa: Cishe amagremu ayi-1000 (cishe amakhilogremu amabili).
• Ngesonto: cishe amagremu angu-500.
• Emasontweni amabili: cishe amagremu angu-300.
• Emasontweni amane: cishe amagremu ayi-100.
• Emasontweni ayisishiyagalombili: cishe amagremu angu-60 (cishe ama-ounces amabili).

Uyaqonda? Phakathi nalokhu kufinyela, isibeletho sincipha sisuka kusayizi wegrephuphu , owagcwalisa wonke umgodi we-pelvic, siye kusayizi wepheya . Uhlelo lwesibeletho lokubuyela emuva emgodini we-pelvic lumi kanje:

• Cishe ihora ngemva kokubeletha, ingxenye ephezulu yesibeletho (i-fundus) kufanele ibe senkabeni yesisu sakho.
• Ngemva kwalokho, ingxenye engaphezulu yesibeletho kufanele yehle cishe ngesentimitha elilodwa esiswini njalo emahoreni angu-24.
• Ngemva kwesonto elilodwa, ingxenye engaphezulu yesibeletho sakho kufanele ibe seduze nethambo le-pubic (i-symphysis pubis) esiswini sakho esingezansi.
• Ezinsukwini eziyi-10 kuya kweziyi-14, ingxenye engaphezulu yesibeletho kufanele ibuyele ngaphakathi komgodi we-pelvic.

Yiziphi izinkinga ezingavela kule nqubo?

Kunezinkinga ezimbili eziyinhloko ezingavela ngesikhathi sokululama kwesibeletho: isibeletho esinganciphi kahle kanye nokopha ngokweqile ngemva kokubeletha.

Ukuguquka kwesibeletho

I-Subinvolution yilapho isibeletho sakho singanciphi kahle, okusho ukuthi asinciphi. Odokotela ngezinye izikhathi bakubiza lokhu ngokuthi "i-placental subinvolution." Lokhu kwenzeka lapho imithambo yegazi ejikelezayo, lapho i-placenta yayinamathele khona esibelethweni, ingavali kahle futhi iyabambezeleka.

Udokotela wakho angase akusole lokhu ngemva kokuhlola ingxenye engenhla yesibeletho sakho (ukuhlolwa kwe-fundal). Futhi, ukuphuma kwegazi okubomvu okumnyama ( i-lochia rubra ) okuhlala isikhathi esingaphezu kwesonto ngemuva kokubeletha kuyisibonakaliso salesi simo. Uma lokhu kwenzeka, udokotela wakho angase akucele ukuthi kwenziwe i-ultrasound ukuze abone ukuthi kwenzekani ngempela.

Ngezinye izikhathi, isibeletho singase singakwazi ukuqhubeka nokufinyela, noma ezinye izinkinga zingase ziphazamise le nqubo. Nazi ezinye zezizathu zokuthi kungani kungase kwenzeke i-subinvolution :

• Ukutheleleka kwesibeletho, njenge -endometritis .
• Izinto ezifana nezingcezu ze-placenta ezisele ngaphakathi kwesibeletho.
• Ukubeletha isikhathi eside noma ukuchayeka isikhathi eside ku- Pitocin®, okubangela ukuthi isibeletho sifinyele.
• Ukubeletha umntwana ngokuhlinzwa (C-section) .
• Ukunikeza isidambisi-zinhlungu esijwayelekile, njengasekuhlinzweni okuphuthumayo.

Ukopha Kwangemva Kokubeletha (PPH)

Ukopha Kwangemva Kokubeletha (PPH) ukopha ngokweqile esibelethweni ngemva kokubeletha. Lokhu kungaba yingozi empilweni , ngakho-ke kudingeka uqaphele kakhulu.

Cishe u-80% wezimo ze -PPH zenzeka ngoba ukufinyela kwesibeletho akunamandla ngokwanele ngemva kokubeletha. I-PPH ivame ukwenzeka zingakapheli amahora angu-24 ngemva kokubeletha. Kodwa-ke, ingavela kuze kube amasonto ayi-12 ngemva kokubeletha.

Ngesikhathi usalulama esibhedlela, abasebenzi bezokwelapha bazokuhlola njalo ukuthi awuboni yini ukopha ( i-lochia ). Uma unesifo sokopha kakhulu, bazokwelapha ngokushesha.

Into ebaluleke kakhulu ukuthi, uma wopha kakhulu usekhaya, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha okukhulu.

Uzinakekela kanjani? (Ukuphathwa kobuhlungu emhlane)

Ngemva kokuthola umntwana, kubalulekile ukuzinakekela nokuphumula kanye nokunakekela umntwana wakho. Thola isikhathi sokucabanga ngawe futhi ucele usizo emndenini nakubangane ukuze unakekele umntwana.

'Ubuhlungu bomhlane' obuhambisana nokufinyela kwesibeletho ngezinye izikhathi bungaba bukhulu, ikakhulukazi lapho uncelisa. Ubuhlungu bungase buhlale cishe imizuzu emihlanu bese buphela kancane kancane. Nazi ezinye izinto ongazenza ukuze ulawule lobu buhlungu bomhlane:

• Ukuzivocavoca kokuphefumula nokuphumula (njengokuzivocavoca kwezinhlungu zokubeletha).
• Lala ngesisu sakho umcamelo ungaphansi kwesisu sakho esingezansi.
• Ukuthatha umuthi wokuqeda ubuhlungu othengiswa ngaphandle kwemithi onconywe udokotela wakho. I-Ibuprofen ingasebenza kangcono kune -acetaminophen .
• Ukuhamba kancane.

Okokugcina, into ebaluleke kakhulu (Umyalezo Wokuya Ekhaya)

Ukubuyela kwesibeletho kusayizi waso ojwayelekile kuyinqubo ebaluleke kakhulu, yemvelo. Kodwa-ke, ngezinye izikhathi isibeletho sakho singadinga usizo oluncane kulolu hambo. Yingakho abasebenzi bezokwelapha bezokuhlola njalo ngemva kokubeletha umntwana wakho. Nakuba lokhu kuhlolwa kungase kubonakale kuyinkinga uma usanda kujwayela ilungu lomndeni wakho elisha, kubalulekile ekutholakaleni kusenesikhathi kwezinkinga ezifana nokopha kwegazi ngemva kokubeletha . Uma benokukhathazeka ngokuthi isibeletho sakho siyancipha kanjani, bazokwazisa. Ngakho-ke, ungakhathazeki, konke kuzolunga!

Ukuminyana kwesibeletho , ngemva kokubeletha, i-lochia, ukuphuma kwegazi ngemva kokubeletha, ukuncelisa, ubukhulu besibeletho, ukululama