Injabulo ehambisana nokuletha umntwana ekhaya kunzima ukuyichaza, akunjalo? Ukunaka kwawo wonke umuntu kusenganeni entsha. Kodwa phakathi kwakho konke lokhu, uzizwa kanjani njengomama omusha? Umzimba wakho ushintshe kakhulu ezinyangeni eziyisishiyagalolunye ezedlule, futhi ubhekane nezinselele zokubeletha. Ngakho-ke, kulokhu ngemuva kokuthola umntwana, isikhathi 'se-Postpartum', sibaluleke kakhulu ekululameni nasekululameni kwakho. Namuhla, sizoxoxa ngalesi sikhathi, ukuthi ungase uzizwe kanjani, nokuthi kufanele uzinakekele kanjani.
Iyini isikhathi sokubeletha?
Kalula nje, ngemva kokubeletha yisikhathi ngemva kokubeletha. Ngokuvamile kubhekwa njengeviki lokuqala eliyisithupha kuya kwelesishiyagalombili. Okusho ukuthi, isikhathi esithathayo ukuze umzimba wakho ubuyele endleleni owawuyiyo ngaphambi kokukhulelwa. Kodwa-ke, izimpawu nezinguquko ezenzeka phakathi nalesi sikhathi zingahlala isikhathi esingaphezu kwamasonto ayisishiyagalombili.
Cabanga ngokuthi zingaki izinguquko umzimba wakho kanye nempilo yakho ezizodlula kuzo ngesikhathi esisodwa phakathi nalesi sikhathi. Ezinye zezinguquko zingokomzimba. Isibonelo, amabele akho azovuvukala ubisi futhi isitho sakho sangasese sowesifazane sizoqala ukuphuma igazi. Ezinye zihlobene nezinguquko ezinkulu emazingeni akho ama-hormone. Ngamafuphi, ukuba nomntwana kuyinselele enkulu, ngokomzimba nangokwengqondo. Kungaba nzima futhi ukunakekela usana olusanda kuzalwa nokujwayela impilo entsha phakathi nalesi sikhathi.
Ngakho-ke, qaphela kakhulu ukuthi uzizwa kanjani ngemva kokuthola umntwana. Uma uzizwa sengathi kukhona okungahambi kahle, ungangabazi ukutshela udokotela wakho. Ukuthi nje unengane akusho ukuthi impilo yakho ayibalulekile. Ngokuqinisekile udinga ukucabanga ngokuphumula kwakho kanye nempilo yakho kanye nokunakekela ingane.
Udokotela wakho uzokunikeza ukuhlolwa kwangemva kokubeletha ngemva kokubeletha umntwana wakho. Qiniseka ukuthi uya kubo. Yilapho inqubo yakho yokuphulukiswa kanye nokululama kuzoqashwa khona. Noma yiziphi izinkinga zingatholakala. Lesi futhi isikhathi esihle sokubuza noma yimiphi imibuzo ongase ube nayo futhi ukhulume ngokwethembeka ngendlela ozizwa ngayo.
Sinjani isikhathi sokululama?
Njengokukhulelwa kwakho, isikhathi sakho sokululama sihlukile kuwe. Asikho isikhathi esifanela wonke umuntu. Kodwa-ke, kunezinto ezithile ongazilindela.
Emahoreni ambalwa okuqala nasezinsukwini ezimbalwa ngemva kokuthola umntwana, ungase uzwe okulandelayo:
- Ukufinyela kwesibeletho: Isibeletho sakho kufanele sifinyele emuva sibe usayizi waso ojwayelekile. Lokhu kungabangela ukuqaqamba kanye nokopha kwegazi esithweni sangasese sowesifazane. Ngezinye izikhathi udokotela wakho angase ahlikihle isibeletho sakho esiswini sakho ukuze asisize sifinyele ngokushesha.
- Ukushintsha kwamazinga ama-hormone: Lokhu kungabangela izinto ezifana nokushisa komzimba, ukushintshashintsha kwemizwelo, kanye nekhanda elibuhlungu.
- Ukuminyana kwebele:Amabele akho akhiqiza ubisi. Ngisho noma ungancelisi, amabele akho angase avuvuke futhi abe buhlungu.
- Ubuhlungu be-perineum: Uma uke wabeletha ngesitho sangasese sowesifazane , kuvamile ukuzwa ubuhlungu endaweni ephakathi kwesitho sangasese sowesifazane kanye ne-anus (i-perineum). Cishe abesifazane abangama-70% bazwa ubuhlungu kule ndawo ngesikhathi sokubeletha. Kulabo abaye babelethwa ngokuhlinzwa (C-section), ungase uzwe ubuhlungu obukhulu eduze kwesitho izinsuku ezimbalwa.
- Ukuvuvukala okubangelwa uketshezi olwengeziwe: Lokhu kuvame ukuba umphumela woketshezi olwengeziwe oluqongelela ngesikhathi sokukhulelwa. Lokhu kuvuvukala kufanele kwehle phakathi nesonto. Kodwa-ke, uma ukuvuvukala kuhambisana nobuhlungu besifuba noma ubunzima bokuphefumula, kungaba uphawu lokuthile okungathi sína kakhulu.
- Ukukhathala: Ukubeletha, ukubeletha, nokunakekela usana olusanda kuzalwa kungakushiya uzizwa ukhathele ngendlela ongakaze uzizwe ngayo ngaphambili. Kuvamile ukuzizwa ukhathele izinsuku noma amasonto ngemva kokubeletha. Ungathola impumuzo ngokuzama ukuphumula ngangokunokwenzeka.
Izigaba ezintathu zesikhathi sokubeletha
Odokotela bahlukanisa lesi sikhathi ngezigaba ezintathu eziyinhloko. Ukuze ukuqonde kahle lokhu, bheka ithebula elingezansi.
| Isigaba | Ubude besikhathi | Amaphuzu abalulekile kanye nezingozi |
|---|---|---|
| Isigaba esibuhlungu | Amahora okuqala angu-6 - 12 ngemva kokuzalwa | Phakathi nalesi sikhathi , usengozini enkulu yokuba nezimo eziphuthumayo njenge-eclampsia kanye nokopha kwegazi ngemva kokubeletha . Umfutho wegazi lakho, izinga lokushaya kwenhliziyo, kanye nomthamo wegazi kuzohlolwa njalo esibhedlela. |
| Isigaba se-Subacute | Kusukela emahoreni angu-24 ngemva kokubeletha kuya emavikini angu-2 - 6 | Izinguquko emzimbeni zisenzeka, kodwa ingozi yezimo eziphuthumayo iphansi. Phakathi nalesi sikhathiOdokotela bagxila ezintweni ezifana ne -cardiomyopathy ( ubuthakathaka bemisipha yenhliziyo), ukucindezeleka kwangemva kokubeletha, kanye nokungakwazi ukuzibamba komchamo. |
| Isigaba esilibazisekile | Amaviki ayisithupha kuya ezinyangeni ezi-6 | Izinguquko zenzeka kancane phakathi nalesi sikhathi. Into eyinhloko ukuthi imisipha nezicubu zibuyele esimweni sazo sangaphambi kokukhulelwa. Izimo ezinjengokungasebenzi kahle kwephansi le-pelvic , ubuhlungu ngesikhathi socansi, kanye nokuwa kwesibeletho kungadinga ukwelashwa phakathi nalesi sikhathi. |
Yiziphi izimpawu ezivamile zomzimba?
Umzimba wakho udlula ezinguqukweni eziningi ngesikhathi sokubeletha. Eziningi zalezi zinguquko zemvelo ezibangelwa izinguquko zamahomoni.
- Ubuhlungu kanye nobuhlungu be-perineum: Le ndawo iyanwebeka ngesikhathi sokubeletha, ngakho-ke ingavuvukala futhi ibe buhlungu amasonto ambalwa. Ukuhlala emcamelweni, ukugeza ngamanzi afudumele ngemva kokusebenzisa indlu yangasese, nokusebenzisa i-sanitary pad epholile kungasiza ekunciphiseni lokhu kungakhululeki.
- Ukuphuma koketshezi esithweni sangasese: Ngemva kokubeletha (ngisho nangokuhlinzwa), uzothola ukopha kwesitho sangasese. Lokhu kwaziwa ngokwezokwelapha ngokuthi i-lochia . Kuqala ngokubomvu okumnyama, bese kuba nsundu kancane kancane, bese kuphelela njengokuphuma koketshezi olunsundu kancane. Lonke lolu hlelo lungathatha cishe amasonto ayisithupha. Khumbula, phakathi nalesi sikhathi, sebenzisa ama-sanitary pad kuphela esikhundleni sama-tampon.
- Ukuvuvukala kwesibeletho: Ubuhlungu esiswini esingezansi obuvela phakathi nalesi sikhathi bubizwa nangokuthi "izinhlungu zangemuva kokubeletha." Nakuba ubuhlungu buvame ukuphela ngemva kwezinsuku ezimbalwa zokuqala, bungaba bukhulu kakhulu lapho uncelisa.
- Ukuvuvukala Kwebele Nobuhlungu Bezingono: Lindela amabele avuvukile futhi abuhlungu okungenani izinsuku ezimbalwa. Omama abancelisayo bangadinga usizo lomeluleki wokuncelisa ukuze basize ngezimo ezibuhlungu njengezingono eziqhekekile.
- Ukujuluka: Amazinga ama-hormone ashintsha kakhulu ngemva kokuthola umntwana. Yingakho kuyinto evamile ukujuluka kakhulu, ikakhulukazi ebusuku. Lokhu kufanele kuphele ngemva kwesonto noma amabili.
- Ukuqunjelwa:Kuvamile ukuba nobunzima bokukhipha indle ngemva kokubeletha. Uma ube ne-epidural yokuqeda ubuhlungu, inganciphisa ukuhamba kwamathumbu akho futhi kwenze kube nzima ukukhipha indle. Ngezinye izikhathi, ukuqunjelwa kungabangelwa nokwesaba ukuchama. Udokotela wakho angase ancome ukuthi uthathe izithambisi zendle ukuze akusize ngalokhu. Ama-hemorrhoids nawo avamile ngalesi sikhathi.
- Ukuphulukiswa ngemva kokuhlinzwa: Uma unezithungo ezivela ekuhlinzweni kwe-C, kuzothatha cishe izinsuku eziyi-10 ukuthi isikhumba siphole. Izithungo zangaphakathi zingathatha cishe amasonto ayi-12 ukuze ziphole ngokuphelele. Uma kukhona ukuphuma okufana nobomvu okuvela ekuhlinzweni noma umkhuhlane, lokhu kungaba uphawu lokutheleleka. Qaphela lokhu.
- Ukulahlekelwa izinwele: Ukulahlekelwa izinwele nakho kuvame kakhulu phakathi nalesi sikhathi ngenxa yezinguquko zamahomoni.
Izinguquko ezizwakalayo engqondweni nangokomzwelo
Emasontweni nasezinyangeni ngemva kokubeletha umntwana, kungaba nezinguquko eziningi ngokomzwelo ezithinta ingqondo yakho, ukucindezeleka, kanye nendlela ozizwa ngayo ngomzimba wakho.
- I-Baby blues: I-baby blues iyisibonakaliso esivamile sokucindezeleka kwangemva kokubeletha kanye nokuthambekela kokukhala ngezinto ezincane. Nakuba le mizwa emisha ingase imangaze, ivame ukuphela phakathi namasonto ambalwa.
- Ukucindezeleka Kwangemva Kokubeletha: Lesi isimo sokucindezeleka esibangela imizwa yokudabuka okukhulu nokuphelelwa yithemba ehlala amasonto nezinyanga ngemva kokuthola umntwana. Ngokungafani nokucindezeleka komntwana, lokhu akupheli ngokwako. Kungadinga imithi noma ukwelashwa kokuziphatha.
- Ukukhathazeka ngemva kokubeletha: Lona umuzwa wokukhathazeka okukhulu nokukhathazeka okwenzeka ngemva kokuzalwa komntwana. Kungabuye kuhambisane nezimpawu zomzimba ezifana nokungalali kanye nenhliziyo egijimayo. Ukucindezeleka ngemva kokubeletha nokukhathazeka kungenziwa kokubili ndawonye.
- Ukwehla kwesisindo kanye nokubukeka komzimba: Umzimba wakho udlule ezinguqukweni eziningi ngesikhathi sokukhulelwa nokubeletha. Kujwayelekile ukukhathazeka ngokuwohloka kwesikhumba, izimpawu zokwelula, kanye nesisindo esengeziwe ezinqeni noma esiswini sakho.
Umzimba wakho wenze into emangalisayo. Zinike isikhathi sokululama. Uzobe usulahlekelwe amakhilogremu angaba ngu-4.5-9 ngesikhathi ufika ekhaya uvela esibhedlela. Gxila ekudleni ukudla okunomsoco nokuzinakekela kahle.
Izinkinga ezingase zenzeke ngalesi sikhathi
Ezinye izimo zempilo zingavela ngemva kokubeletha umntwana wakho. Esibhedlela, ithimba lezokwelapha lizokuqapha lezi zimo ezibucayi. Nakuba ezinye izimpawu zivamile, ezinye zingaba uphawu lwenkinga.
Ezinye zezimo ezibucayi kakhulu ezingase zenzeke ngesikhathi sokubeletha yilezi:
- Ukopha kwegazi ngemva kokubeletha
- I-preeclampsia yangemva kokubeletha
- I-Deep Vein Thrombosis (DVT)
- I-embolism yamaphaphu
- Izimo zengqondo ezifana nokuthukuthela kwangemva kokubeletha noma i-postpartum psychosis
- I-Sepsis - ukutheleleka okukhulu okusakazeka emzimbeni wonke
Into engcono kakhulu ongayenza ngempilo yakho ngemva kokuthola umntwana ukulalela umzimba wakho. Uma kukhona okungazizwa kahle, sicela ukhulume nodokotela wakho. Akudingeki ulinde kuze kube yisikhathi sakho esilandelayo sokubonana nodokotela ukuze ubuze imibuzo yakho. Ukululama kwakho kanye nempilo yakho iyonke kubaluleke kakhulu kubo.
Uzinakekela kanjani ngemva kokuthola umntwana?
Into ebaluleke kakhulu ongayenza ukuzinika isikhathi sokuphumula nokuphulukiswa. Lokhu kungase kungabi lula njengoba kuzwakala. Kodwa ukuphumula kunikeza umzimba nengqondo yakho isikhathi esidingekayo sokululama. Cela usizo uma uludinga. Kungaba ukunciphisa inani lezivakashi onazo, ukucela usizo ngokunakekela izingane, noma ukucela usizo ngemisebenzi yasekhaya noma ukupheka.
Ngaphezu kokuphumula, nazi ezinye izindlela zokuzinakekela:
- Ukudla Okunomsoco: Phuza amanzi amaningi. Zama ukudla ukudla okunempilo okufana namaprotheni angenamafutha, izithelo, imifino, kanye nokusanhlamvu okuphelele. Ukuphuza amanzi amaningi kungasiza ekunciphiseni ukuqunjelwa.
- Ukunakekela i-perineum: Uma ubeletha ngendlela evamile, cishe uzozwa ubuhlungu amasonto ambalwa. Udokotela wakho cishe uzokunikeza imiyalelo yokuthi ungayinakekela kanjani le ndawo ekhaya. Izinto ezifana nokugeza ngamanzi afudumele (ukusebenzisa ibhodlela le-peri) ngemva kokusebenzisa indlu yangasese zingasiza.
- Ukunciphisa umsebenzi womzimba: Nakuba ungase ufune ukubuyela esilinganisweni sakho sangaphambi kokukhulelwa ngokushesha, ungasheshi ukuzivocavoca. Udokotela wakho uzokutshela ukuthi kuphephile nini ukuzivocavoca. Ngokuvamile ungaqala ukuzivocavoca okulula, njengokuhamba, zingakapheli izinsuku ezimbalwa ingane yakho izelwe. Labo abaye babelethwa ngokuhlinzwa kungadingeka balinde isikhashana. Uma usukwazi ukuzivocavoca, qala kancane.
- Ukusekelwa kwempilo yengqondo: Ungesabi ukucela usizo. Yiba nesineke ngemizwa yakho. Isikhathi sangemva kokubeletha singaba nzima. Uma uzizwa udabukile, ucindezelekile, noma ukhathazekile, khuluma nomngane, umlingani wakho, noma udokotela wakho. Kunezinsiza eziningi zokukusiza.
Kunini lapho udinga ukukhuluma nodokotela?
Ezinye izimpawu zingaba uphawu lwenkinga enkulu. Ungazinaki izimpawu zakho noma ube namahloni okukhuluma ngazo. Qaphela kakhulu lezi zimpawu ezilandelayo. Uma unesinye noma ngaphezulu salezi, khuluma nodokotela wakho ngokushesha.
| Izimpawu okufanele uziqaphele | Incazelo |
|---|---|
| Ukopha okukhulu kwesitho sangasese sowesifazane | Uma i-napkin yokuhlanza iba manzi ngokuphelele phakathi nehora, noma uma inani lokulahlekelwa yigazi likhuphuka esikhundleni sokuncipha usuku nosuku. |
| Ukudlula amahlule egazi amakhulu | Uma udlula amahlule egazi amaningi amakhulu kunohlamvu lwemali (olulodwa noma amabili ajwayelekile). |
| Imfiva | Uma izinga lokushisa lomzimba liphakeme kune-101 Fahrenheit (38 Celsius). |
| Ubuhlungu obusha noma obubi kakhulu | Uma ubuhlungu buba bubi kakhulu esikhundleni sokuncipha ngokuhamba kwesikhathi. |
| Uketshezi oluphuma esithweni sangasese sowesifazane olunuka kabi | Uma uketshezi oluphuma esithweni sangasese sowesifazane lunephunga elibi. |
| Ubuhlungu nokuvuvukala emilenzeni noma emaqakaleni | Ikakhulukazi uma kukhona ubuhlungu kanye nokuvuvukala. |
| Ubomvu noma ukuphuma kwegazi ngenxa yokusika ngokuhlinzwa | Ukusikeka kungaba uphawu lokutheleleka. |
| Isiyezi noma izinguquko zombono | Ukubona okufiphele noma ukubona okukabili. |
| Ikhanda elibuhlungu elinzima neliqhubekayo | Ikhanda elibuhlungu kakhulu elingaphenduli ngisho nomuthi wokuqeda izinhlungu olula. |
| Ubuhlungu besifuba noma ubunzima bokuphefumula | Lesi yisimo esiphuthumayo esibucayi kakhulu. Yiya esibhedlela ngokushesha. |
Kubaluleke kakhulu: Uma unemicabango yokuzilimaza wena noma ingane yakho, sicela uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (i-ETU) noma ukhulume nelungu lomndeni noma umngane omethembayo ngokushesha. Ungalwisani nale mizwa wedwa.
Isikhathi sangemva kokubeletha yisikhathi sokuzivumelanisa nezimo nokuguquka. Ungase uzizwe unesizungu noma ungakulungele ngoba awutholi ukunakwa okufanayo nokwakukhona ngesikhathi sokukhulelwa. Khumbula, awuwedwa! Udlula ezinguqukweni eziningi zomzimba nezingokomzwelo njengoba ujwayela impilo nosana olusanda kuzalwa.
Ezinye izimpawu zivamile, kodwa ezinye zingaba uphawu lwenye inkinga. Ziphathe kahle, unakekele inhlalakahle yakho ngangokunokwenzeka, futhi ucele usizo uma uludinga. Ngisho noma uzizwa uphilile, kubaluleke kakhulu ukuya kuzo zonke izikhathi zokubona udokotela wakho akunikeza zona.
Umlayezo Wokuya Nawe Ekhaya
- Ukululama ngemva kokubeletha kuwuhambo, hhayi umjaho. Zinike isikhathi.
- Kokubili izinguquko zomzimba nezemizwa zivamile kakhulu phakathi nalesi sikhathi. Ungabi namahloni ngalokhu.
- Ukuphumula kubalulekile. Unganqikazi ukucela usizo ngokunakekela izingane kanye nemisebenzi yasekhaya.
- Lalela umzimba wakho. Ungalokothi ungazinaki izimpawu eziyisixwayiso.
- Ngisho noma uzizwa uphilile, yiya kuzo zonke izivivinyo zangemva kokubeletha ezinikezwa udokotela wakho.
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