Kwenzekani emzimbeni nasengqondweni yakho ngemva kokuthola umntwana? Ake sifunde ngesikhathi sokubeletha!

Usanda kuletha umntwana omusha emhlabeni! Akuyona into enkulu nejabulisayo leyo? Kodwa ngemva kokuthola umntwana, umzimba nengqondo yakho kudlula ezinguqukweni eziningi. Lokhu yilokho esikubiza ngokuthi isikhathi sokubeletha, noma isikhathi ngemva kokubeletha. Kubalulekile ukuthi ube nolwazi oluphelele ngalokhu.

Kuyini ngemva kokubeletha? Kalula nje...

Kalula nje, isikhathi sokubeletha yisikhathi ngemva kokuthola umntwana wakho. Lokhu kuvame ukubhekwa njengeviki lokuqala eliyisithupha kuya kweyisishiyagalombili, lapho umzimba wakho usubuyele esimweni sawo sangaphambi kokukhulelwa. Kodwa-ke, izimpawu nezinguquko ezenzeka phakathi nalesi sikhathi ngezinye izikhathi zingase zihlale isikhathi esingaphezu kwamasonto ayisishiyagalombili.

Phakathi nalesi sikhathi, umzimba wakho kanye nempilo yakho kuzodlula ezinguqukweni eziningi. Ezinye zezinguquko zingokomzimba - isibonelo, amabele akho azovuvukala ubisi, futhi isitho sakho sangasese sowesifazane sizoqala ukuphuma igazi. Ezinye zibangelwa izinguquko zamahomoni . Ukubeletha umntwana kuyinselele enkulu, kokubili ngokomzimba nangokwengqondo. Khona-ke, ukunakekela usana lwakho olusanda kuzalwa kanye nokuzivumelanisa nale mpilo entsha kungaba umsebenzi onzima.

Naka indlela ozizwa ngayo ngemva kokuthola umntwana. Ungakhohlwa ukutshela udokotela wakho uma uzizwa into engavamile noma ehlukile. Ukuthi nje unengane akusho ukuthi kufanele uyeke ukunakekela impilo yakho, kubaluleke kakhulu. Ngesikhathi unakekela ingane yakho, zama ukucabanga ngokuphumula kwakho kanye nempilo yakho.

Udokotela wakho uzokunikeza izinsuku zokuhlolwa kwangemva kokubeletha. Qiniseka ukuthi uya khona. Yilapho udokotela engakwazi khona ukuqapha ukululama kwakho nokuthi uqhuba kanjani. Bangakusiza futhi ekuboneni noma yiziphi izinkinga ezingaba khona kusenesikhathi. Leli yithuba elihle lokubuza noma yimiphi imibuzo ongase ube nayo futhi ukhulume ngokwethembeka ngokululama kwakho.

Kwenzekani emzimbeni wakho? (Isimiso sokululama ngemva kokubeletha)

Isikhathi sakho sokululama, njengokukhulelwa kwakho, sihlukile kuwe. Akuwona wonke umuntu onesimiso esifanayo. Kodwa-ke, kunezinto ezithile ongazilindela.

Emahoreni ambalwa okuqala nasezinsukwini ezimbalwa ngemva kokuzalwa komntwana wakho, ungalindela:

• Isibeletho sakho sidinga ukuncipha sibuyele kusayizi waso ojwayelekile. Lokhu kungabangela ukuqaqamba kanye nokopha kwegazi esithweni sangasese sowesifazane. Ngezinye izikhathi udokotela wakho angase ahlikihle isibeletho sakho esiswini sakho ukuze asisize sinciphe ngokushesha.
• Izinguquko ezinkulu kuma-hormone. Lokhu kungabangela ukushisa okukhulu, ukushintshashintsha kwemizwelo, kanye nekhanda elibuhlungu.
• Ukuminyana kwamabele. Amabele akho akhiqiza ubisi. Ngisho noma ungancelisi, amabele akho angavuvukala kabuhlungu.
• Ubuhlungu be-perineal.Uma ubelethe ngendlela evamile, kuvamile ukuzwa ubuhlungu endaweni ephakathi kwesitho sangasese sowesifazane kanye ne-anus (perineum). Cishe amaphesenti angama-70 abesifazane abhekana nokudabuka kwesitho sangasese sowesifazane ngesikhathi sokubeletha. Kulabo abaye bahlinzwa ngokuhlinzwa, indawo lapho ukuhlinzwa kwenziwe khona izoba buhlungu kakhulu izinsuku ezimbalwa.
• Ukuvuvukala okubangelwa uketshezi olwengeziwe. Lena ngokuvamile yindlela yomzimba yokukhipha uketshezi oluqongelelekayo 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 nokunakekela ingane yakho kungakwenza uzizwe ukhathele kakhulu kunangaphambili. Kuvamile ukuzizwa ukhathele izinsuku ezimbalwa noma amasonto ngemva kokuthola umntwana. Uzozizwa ungcono uma uzama ukuphumula ngangokunokwenzeka.

Ubuwazi ukuthi kunezigaba ezintathu ze-postpartum?

Odokotela bahlukanisa isikhathi sokubeletha sibe yizigaba ezintathu eziyinhloko: isigaba esibucayi, isigaba se-subacute, kanye nesigaba sokulibaziseka.

• Isigaba esiphuthumayo: Lesi yisikhathi sokuqala samahora ayi-6 kuya kwayi-12 ngemva kokubeletha. Yilapho izimo ezifana ne-eclampsia, ukuphuma kwegazi ngemva kokubeletha, kanye nezinye izimo eziphuthumayo zezokwelapha kungenzeka kakhulu. Phakathi nalesi sikhathi, ithimba lakho lezokwelapha lizoqapha umfutho wegazi lakho, izinga lokushaya kwenhliziyo, kanye nomthamo wegazi, kanye nokubheka noma yikuphi ukuvuvukala okungavamile.
• Isigaba se-subacute: Lesi sigaba siqala cishe emahoreni angama-24 ngemva kokubeletha futhi sihlala cishe amasonto amabili kuya kwayisithupha. Umzimba wakho usashintsha, kodwa ingozi yesimo esiphuthumayo sezokwelapha iphansi. Phakathi nalesi sikhathi, odokotela bakhathazekile ngezimpawu ezifana ne-cardiomyopathy, ukucindezeleka kwangemva kokubeletha, kanye nokungakwazi ukuzibamba komchamo.
• Isigaba sokubambezeleka: Lesi sigaba sithatha amasonto ayisithupha kuya ezinyangeni eziyisithupha ngemva kokubeletha. Izinguquko phakathi nalesi sikhathi zenzeka kancane kakhulu. Into eyinhloko ukuthi imisipha nezicubu zakho zibuyele esimweni ezazikuso ngaphambi kokukhulelwa. Phakathi nalesi sigaba, odokotela bangase baphathe izimo ezinjengokungasebenzi kahle kwephansi le-pelvic, ucansi olubuhlungu, kanye nokuwa kwesibeletho.

Yiziphi izimpawu ezivamile ngemva kokubeletha umntwana?

Ngemva kokubeletha, uzobhekana nezinguquko eziningi. Eziningi zalezi izinguquko zemvelo ezibangelwa izinguquko zamahomoni. Lezi zimpawu zingaba ngokomzimba, ngokomzwelo, noma inhlanganisela yakho kokubili.

Izimpawu Zomzimba

Izimpawu zomzimba zangemva kokubeletha zithinta umzimba wakho - indlela osebenza ngayo, obukeka ngayo, kanye nendlela ozizwa ngayo. Nazi ezinye zezimpawu zomzimba ezivame kakhulu:

• Ubuhlungu nobuhlungu ku-perineum (indawo ephakathi kwesitho sangasese sowesifazane ne-anus): Le ndawo iyanwebeka futhi ngezinye izikhathi idabuke ngesikhathi sokubeletha okuvamile. Emasontweni ambalwa ngemva kokubeletha, yonke i-perineum ingase ibe buhlungu, ivuvuke, futhi ithambe uma uyithinta. Ukuhlala emcamelweni, ukugeza indawo ngamanzi afudumele, nokusebenzisa i-sanitary pad ebandayo kungasiza kulokhu kungakhululeki.
• Ukuphuma kwegazi esithweni sangasese: Ngemva kokuthola umntwana (noma ngabe ubelethwe ngokuhlinzwa), uzophuma igazi esithweni sangasese sangasese. Lokhu kubizwa ngokuthi i-lochia . Kuqala kube bomvu, kancane kancane kube nsundu, bese ekugcineni kuphele njengokuphuma kwegazi okunsundu kancane. Lonke lolu hlelo lungathatha cishe amasonto ayisithupha. Khumbula, uma uphuma igazi esithweni sangasese sangasese ngemva kokubeletha umntwana, sebenzisa i-sanitary pad kuphela (ungasebenzisi ama-tampons).
• Ukuguquka kwesibeletho: Leli igama lezokwelapha lesibeletho sakho esibuyela emuva kusayizi waso wangaphambi kokukhulelwa. Lonke lolu hlelo lungathatha cishe amasonto ayisithupha, kodwa luqala ngokushesha ngemva kokuzalwa komntwana wakho. Uma lokhu kwenzeka, ungase uzwe ubuhlungu noma ukuqaqamba ngemva kokubeletha. Ukuqaqamba kuvame ukuphela ezinsukwini ezimbalwa, kodwa kungaba nzima kakhulu uma uncelisa ingane yakho.
• Amabele agcwele ubisi kanye nezingono ezibuhlungu: Okungenani izinsuku ezimbalwa, noma ngaphezulu uma uncelisa, amabele akho angase avuvuke futhi abe buhlungu. Abanye abantu bangadinga usizo kumeluleki wokuncelisa ukuze basize ngezimpawu ezibuhlungu zokuncelisa, njengezingono eziqhekekile.
• Ukujuluka: Ama-hormone akho adlula ezinguqukweni eziningi ngemva nje kokuthola umntwana. Ngakho-ke, kuyinto evamile ukujuluka kakhulu, ikakhulukazi ebusuku. Lokhu kuyimpawu evamile futhi kufanele kuphele cishe ngesonto noma amabili.
• Ukuqunjelwa: Ubunzima bokuqunjelwa ngemva kokubeletha kuyisibonakaliso esivamile ngemva kokubeletha. Uma ube ne -epidural , inganciphisa ukuhamba kwakho kwamathumbu futhi kwenze kube nzima ukuhamba kwamathumbu. Ngezinye izikhathi, ukuqunjelwa kungabangelwa nokwesaba ukukhandleka ngesikhathi sokuqunjelwa. Abanye odokotela batusa ukuthatha izithambisi zendle ngemva kokubeletha. Ama-hemorrhoids nawo avamile phakathi nalesi sikhathi.
• Ukululama kokuhlinzwa ngokuhlinzwa: Uma unezithungo ezivela kukuhlinzwa ngokuhlinzwa ngokuhlinzwa, kuzothatha cishe izinsuku eziyishumi ukuthi isikhumba siphole. Izithungo ezijulile ezifakwa ngaphakathi zingathatha cishe amasonto ayishumi nambili ukuze ziphole ngokuphelele. Qaphela izimpawu zokutheleleka, njengokuphuma kobomvu esilondeni kanye nomkhuhlane.
• Ukulahlekelwa izinwele: Ukulahlekelwa izinwele nakho kuvamile ngemva kokubeletha, futhi kuvame ukubangelwa izinguquko zamahomoni.

Izimpawu Zemizwelo

Izimpawu zangemuva kokubeletha yinoma yini ethinta imizwa yakho, ukucindezeleka, noma indlela ozizwa ngayo ngomzimba wakho emavikini nasezinyangeni ngemuva kokuthola umntwana.

• I-Baby blues: I-Baby blues imizwa yokudabuka nokukhala njalo ngemva kokuthola umntwana. Nakuba le mizwa emisha ingase ikumangaze, ivame ukuphela emavikini ambalwa.
• Ukucindezeleka Kwangemva Kokubeletha: Lesi yisimo sokucindezeleka esibangela ukudabuka okukhulu nokuphelelwa yithemba emasontweni nasezinyangeni ngemva kokuthola umntwana. Ngokungafani nokucindezeleka komntwana, lokhu akupheli nje kuphela. Kuvame ukwelashwa ngemithi noma ngokwelashwa kokuziphatha.
• Ukukhathazeka Kwangemva Kokubeletha: Ukukhathazeka Kwangemva Kokubeletha ukukhathazeka ngokweqile okwenzeka ngemva kokubeletha. Kungabuye kuhambisane nezimpawu zomzimba ezifana nokungalali kanye nokushaya kwenhliziyo okuphezulu. Ukucindezeleka Kwangemva Kokubeletha kanye nokukhathazeka Kwangemva Kokubeletha kuvame ukwenzeka ndawonye. Lokhu kungelashwa nangemithi noma ngokwelashwa kokuziphatha.
• Ukwehla kwesisindo kanye nokubukeka komzimba: Umzimba wakho udlule ezinguqukweni eziningi ngesikhathi sokukhulelwa nokubeletha. Kuvamile ukuzizwa ukhathazekile ngokugoba kwesikhumba, izimpawu zokwelula, kanye nesisindo esengeziwe esizungeze izinqe noma isisu sakho. Zinike isikhathi sokululama. Cishe uzobe usulahlekelwe amakhilogremu angu-10 kuya kwangu-20 ngesikhathi uphuma esibhedlela. Gxila ekudleni ukudla okunomsoco nokuzinakekela. Khumbula, umzimba wakho usanda kudlula ezinguqukweni ezinkulu.

Yiziphi izinkinga ezingaba khona phakathi nalesi sikhathi? (Izinto okufanele uziqaphele)

Ezinye izimo zempilo zingaqala ngemva kokuthola umntwana wakho. Ithimba lakho lezokwelapha lizokuqapha emahoreni nasezinsukwini ngemva kokuzalwa kwengane yakho ukuze liqaphele lezi zimo ezibucayi. Ezinye izimpawu zivamile ngemva kokuthola umntwana wakho, kodwa ezinye zingaba uphawu lwenkinga.

Lezi ezinye zezimo ezimbi kakhulu ezingase zenzeke ngemva kokubeletha:

• Ukopha kwegazi ngemva kokubeletha
• I-preeclampsia yangemva kokubeletha
• Ukugoba kwegazi emthanjeni ojulile (i-Deep vein thrombosis - DVT)
• I-pulmonary embolism (ukugoba kwegazi emaphashini)
• Izimo zempilo yengqondo ezifana nokuthukuthela kwangemva kokubeletha noma i-postpartum psychosis
• I-Sepsis (ukutheleleka okusabalala emzimbeni wonke)

Into engcono kakhulu ongayenza ngempilo yakho ngemva kokubeletha ukulalela umzimba wakho.Uma kukhona okungahambi kahle, sicela ubonane nodokotela wakho. Ungalindi kuze kube yilapho uhlolwa ngemva kokubeletha unemibuzo noma ukukhathazeka. Ukululama kwakho kanye nempilo yakho iyonke kubalulekile nakodokotela.

Uzinakekela kanjani ngemva kokuthola umntwana?

Into ebaluleke kakhulu ongazenzela yona ngemva kokuthola umntwana ukuzinika isikhathi sokuphumula nokuphulukiswa. Lokhu kungase kungabi lula njengoba kuzwakala, kodwa ukuphumula okwanele kuzonika umzimba nengqondo yakho isikhathi sokuphulukiswa. Cela usizo uma uludinga. Lokhu kungasho ukunciphisa inani lezivakashi onazo, ukucela usizo ngokunakekela izingane, noma ukucela usizo ngemisebenzi yasekhaya, njengokupheka.

Ngaphandle kokuphumula, nazi ezinye izindlela ongazinakekela ngazo emavikini ambalwa ngemva kokubeletha umntwana:

• Ukudla Okunomsoco: Phuza amanzi amaningi bese uzama ukudla ukudla okunempilo njengeprotheni engenamafutha, izithelo, imifino, kanye nokusanhlamvu okuphelele. Ukuphuza amanzi amaningi kungasiza nasekuqunjelweni.
• Ukunakekela i-perineum yakho: Uma ubeletha ngesitho sangasese sowesifazane, ungase ube nobuhlungu amasonto ambalwa. Udokotela wakho kungenzeka ukuthi ukunike amathiphu okukusiza ukunakekela i-perineum yakho ekhaya. Ukusebenzisa ibhodlela le-Peri elinamanzi afudumele ngemva kokusebenzisa indlu yangasese, nokusebenzisa ama-witch hazel pads (ama-pads acwiliswe esixazululweni esikhethekile semithi) kungasiza i-perineum yakho ukuthi izizwe ingcono.
• Ukunciphisa umsebenzi womzimba: Ngisho noma ufuna ukubuyela esimweni sakho sangaphambi kokukhulelwa, ungasheshi ukuzivocavoca noma ukuqina. Udokotela wakho uzokutshela ukuthi kuphephile nini ukuthi uzivivinye. Iningi labantu lingaqala ukuhamba nokwenza izivivinyo ezilula zingakapheli izinsuku ezimbalwa ngemva kokubeletha umntwana. Labo abaye bahlinzwa ngokuhlinzwa kungadingeka balinde isikhashana. Uma usukwazi ukuzivocavoca, qala kancane ukuze ungazilimazi ngengozi.
• Ukusekelwa kwempilo yengqondo: Ungesabi ukucela usizo, futhi ubekezele ngemizwa yakho. Isikhathi sangemva kokubeletha singaba yinselele ngezindlela eziningi. Uma uzizwa udangele, ukhungathekile, ukhathazekile, noma ucindezelekile, khuluma nomngane, umlingani wakho, noma udokotela wakho ngakho. Kunezinsiza eziningi ezitholakalayo zokukusekela.

Kufanele ubonane nini nodokotela? (Qaphela lezi zimpawu!)

Ezinye izimpawu ngemva kokubeletha zingaba uphawu lwenkinga. Akufanele uzishaye indiva izimpawu zakho noma ube namahloni okukhuluma ngokuthi ukululama kwakho kuhamba kanjani. Uma unenkinga ngokululama kwakho noma indlela ozizwa ngayo, into engcono kakhulu ongayenza ukubona udokotela wakho.

Nazi ezinye zezici okufanele uzibheke:

• Ukopha okukhulu kwesitho sangasese sowesifazane. Lokhu ngokuvamile kusho ukucwilisa iphedi njalo ngehora amahora amaningana. Noma, ukopha okwandayo kunokuba kunciphe usuku nosuku.
• Ukudlula amahlule egazi amaningi amakhulu. Ihlule legazi elikhulu livame ukuba likhulu kunemali. Ukudlula ihlule legazi elilodwa elikhulu kulungile, kodwa ukudlula amaningi kungaba uphawu lwenkinga.
• Umkhuhlane ongaphezu kwama-degrees Celsius angu-38 (ama-degrees Celsius angu-101).
• Ubuhlungu obusha noma ubuhlungu obandayo. Ufuna bube ngcono ngokuhamba kwesikhathi, bungabi bubi kakhulu.
• Ukuphuma koketshezi esithweni sangasese sowesifazane okunephunga elibi.
• Ubuhlungu emilenzeni noma emaqakaleni, ikakhulukazi uma kuvuvukala.
• Ubomvu noma ukuphuma kwegazi okuvela enxebeni lokubeletha ngokuhlinzwa.
• Isiyezi noma ukushintsha kombono.
• Ikhanda elibuhlungu elibi nelingapheli.
• Ubuhlungu esifubeni noma ubunzima bokuphefumula.

Uma unemicabango yokuzilimaza wena noma ingane yakho, sicela ushayele isevisi yezokwelapha ephuthumayo ngokushesha (isib. 1990 Suwaseriya) noma ushayele inombolo yosizo lwezempilo yengqondo kazwelonke engu-1926.

Into ebaluleke kakhulu okufanele uyikhumbule (Umyalezo Wokuya Ekhaya)

Isikhathi sangemva kokubeletha yisikhathi soshintsho nokulungiswa . Ngokuvamile akukhulunywa kakhulu ngaso, ngakho-ke ungase uzizwe unesizungu futhi ungakulungele. Kodwa khumbula, awuwedwa! Nakuba ukukhulelwa kungase kubonakale kuthola ukunakwa okukhulu, isikhathi sangemva kokubeletha sibaluleke ngendlela efanayo. Ufunda ukubhekana nezinguquko eziningi, ngokomzimba nangokwengqondo, futhi uzama nokujwayela impilo nosana olusanda kuzalwa.

Ezinye izimpawu ngemva kokubeletha kufanele zilindelwe futhi akukho okufanele ukhathazeke ngazo. Kodwa-ke, ezinye zingaba izimpawu zokuthi kukhona okunye okwenzekayo. Njengoba ujwayela le mpilo entsha , yiba nomusa kuwe, ubeke phambili inhlalakahle yakho ngangokunokwenzeka, futhi ufune usizo kudokotela wakho uma kudingeka. Ngisho noma uzizwa uphilile, kubalulekile ukuya kuzo zonke izivivinyo zakho zangemuva kokubeletha. Lokhu kuzokuvumela ukuthi ubuze imibuzo futhi kusize udokotela wakho ukuthi abone noma yiziphi izinkinga ezingase ziphakame.

Ukunakekelwa kwangemva kokubeletha, isikhathi sangemva kokubeletha, ukululama kwangemva kokubeletha, impilo kamama, ngemva kokubeletha, izinguquko zamahomoni, impilo yengqondo