Ingabe ngezinye izikhathi uvuza umchamo omncane ngephutha uma uhleka kakhulu, ukhwehlela, noma uthimula? Ingabe ngezinye izikhathi ugijimela endlini yangasese kodwa ugcina ushaya umchamo kusenesikhathi? Empeleni lokhu kuyinto evamile omama abaningi ababhekana nayo ngesikhathi sokukhulelwa. Ngakho-ke asikho isizathu sokuba namahloni noma sokwesaba lokhu. Esikhathini esiningi, lesi simo singesesikhashana. Konke kubuyela esimweni esijwayelekile zingakapheli izinyanga ezimbalwa ngemva kokuzalwa kwengane. Ngakho-ke ake sixoxe ngalokhu ngokuningiliziwe namuhla.
Kuyini ukungakwazi ukuzibamba?
Kalula nje, ukungakwazi ukuzibamba ngomchamo ukulahlekelwa ukulawula esinyeni sakho. Lokhu kungabangelwa ukufisa ukuchama okungazelelwe, okunamandla, noma ukuvuza komchamo ngokungazi ngesikhathi uya endlini yangasese. Ngezinye izikhathi, isidingo sokuya endlini yangasese kaningi siwuphawu lwalesi simo. Ukukhulelwa nokubeletha kuyizimbangela ezimbili eziyinhloko zalesi simo.
Izindaba ezinhle ukuthi lokhu kungakhululeki ngesikhathi sokukhulelwa kuvame ukuba okwesikhashana . Ngokuvamile kuzophela zingakapheli izinyanga ezimbalwa umntwana ezelwe.
Yiziphi izinhlobo ze-thrush ezivame kakhulu ngesikhathi sokukhulelwa?
Kunezinhlobo ezimbili eziyinhloko zalesi simo esingazibona ngesikhathi sokukhulelwa. Kubaluleke kakhulu ukuthi uqaphele lezi ezimbili.
| Uhlobo lokungakhululeki | Indlela okwenzeka ngayo kanye nezibonelo |
|---|---|
| Ukungakwazi ukuzibamba komchamo okubangelwa ukucindezeleka (SUI) | Lolu uhlobo oluvame kakhulu lokungakwazi ukuzibamba umchamo ngesikhathi sokukhulelwa. Kwenzeka lapho isinyi sakho sicindezelwa noma sicindezelwa, okubangela ukuba umchamo uvuze. Lokhu kungenzeka uma ukhwehlela, uthimula, uhleka, noma wenza imisebenzi elula yomzimba njengokuhamba. |
| Ukuvimbela Ukungakwazi Ukulawula Umchamo (UUI) | Yilapho imisipha yesinye sakho ifinyela ngokuzumayo ngaphandle kokulawula kwakho. Lokhu kukwenza uzizwe unesifiso esiphuthumayo nesingenakulawuleka sokuchama. Ngisho noma ugijimela endlini yangasese, ungase uvuza amaconsi ambalwa omchamo ngaphambi kokuba ufike lapho . |
Kuvamile kangakanani lokhu ngempela?
Lokhu kuvame kakhulu kunalokho ongakucabanga. Phakathi kuka-40% no-50% wabesifazane babhekana nalokhu ngesikhathi sokukhulelwa. Ikakhulukazi ku-trimester yesithathu yokukhulelwa, isisindo somntwana siyakhula, okubeka ingcindezi enkulu esinyini. Ngakho-ke, lesi simo sivame kakhulu phakathi nalesi sikhathi. Kodwa-ke, singavela nganoma yisiphi isikhathi ngesikhathi sokukhulelwa.
Le nkinga ingavela noma ibe yimbi kakhulu ngemva kokubeletha. Le ngozi iphezulu kakhulu ezimweni zokubeletha ngesitho sangasese sowesifazane.
Kungani lokhu kwenzeka ngesikhathi sokukhulelwa nangemva kokubeletha?
Ngesikhathi sokukhulelwa, umzimba wakho uyashintsha ukuze uvumelane nomntwana wakho okhulayo. Kodwa lezi zinguquko zingalimaza ukulawula kwakho isinyi. Ake sibheke izizathu zalokhu.
- Ukwandiswa kwesibeletho: Isibeletho sakho sitholakala ngemuva kwesinye. Njengoba ingane yakho ikhula, isibeletho sakho siyakhula. Lokhu kucindezela esinyeni sakho. Lokhu kunciphisa inani lomchamo isinye sakho esingawubamba.
- Izinguquko zama-hormone: Ngesikhathi sokukhulelwa, ama-hormone afana ne-progesterone abangela imisipha yakho yaphansi kwe-pelvic ukuba iphumule futhi ibe buthaka. Le misipha isiza ukubamba isinye sakho endaweni yaso. Le misipha idinga ukukhululeka ukuze ivule isikhala sengane yakho futhi ilungiselele ukubeletha. Kodwa lapho le misipha ibuthakathaka, kungaba nzima "ukuzibamba" uma uzizwa udinga ukuchama.
- Ukubeletha: Imizwa yesinqe ingonakala, ikakhulukazi ngesikhathi sokubeletha kwesitho sangasese sowesifazane. Ngezinye izikhathi, ukubeletha nge-forceps nakho kungalimaza le misipha. Futhi, ukusunduza isikhathi eside ngesikhathi sokubeletha kwandisa ingozi yokulimala kwemizwa.
- Ukuncipha Kwezitho Zesitho Sesitho Sesitho Sangasese Sowesifazane (i-POP): Ngezinye izikhathi ngesikhathi sokukhulelwa noma sokubeletha, imisipha yephansi lesitho iba buthakathaka kangangokuthi ayikwazi ukubamba izitho endaweni yazo. Isibonelo, isinyi singawa phansi. Lesi simo sibizwa nangokuthi "i-cystocele". Lokhu kungabangela nezinkinga ngokulawula umchamo.
Into ebalulekile ukuqonda ukuthi eziningi zalezi zizathu zingokwemvelo futhi ziyingxenye yenqubo yomzimba yokulungiselela ukwamukela umntwana.
Yiziphi ezinye izinto eziyingozi ezithinta lesi simo?
Ngaphezu kokukhulelwa nokubeletha, ezinye izici eziningana zingandisa ingozi yalesi simo.
- Isisindo somzimba: Uma i-body mass index yakho (BMI) ingaphezu kuka-25 (isisindo esingaphezulu) noma ingaphezu kuka-30 (isisindo esingaphezulu), le ngozi ingaphindeka kabili. Ukwehlisa isisindo ngezinye izikhathi kungasiza ekulawuleni lesi simo.
- Ubudala: Labo abaneminyaka engaphezu kwengu-30 ubudala ngesikhathi sokubeletha kokuqala banamathuba amaningi okuthuthukisa i-SUI kunalabo abangaphansi kweminyaka engu-30.
- Ukubeletha ngesitho sangasese sowesifazane: Ukubeletha ngesitho sangasese sowesifazane kungenzeka kakhulu ukuthi kubangele ukungalawuleki komchamo ngemva kokubeletha kunokubeletha nge-cesarean (C-section).
- I-Episiotomy: Lokhu kuwukusika okuncane eduze komgodi wesitho sangasese sowesifazane ukuze kube lula ukubeletha. Nakuba ngaphambili kwakucatshangwa ukuthi kunciphisa izingozi ezifana nezinkinga zokulawula umchamo, manje sekutholakale ukuthi kwenza imisipha yephansi le-pelvic ibe buthaka.
- Isisindo somntwana: Uma umntwana enesisindo esingaphezu kwamakhilogremu angu-4 (amakhilogremu angu-9) ngesikhathi ezalwa, ingozi yokulimala kwemizwa ngesikhathi sokubeletha inganda.
- Ukudla kanye nendlela yokuphila: Okunye ukudla neziphuzo kungavuselela isinyi. Iziphuzo ezine-caffeine (ikakhulukazi ikhofi), utshwala, neziphuzo ezine-carbonated zingabangela isinyi ukuthi sifinyele futhi kwandise isidingo sokuchama ngokushesha. Kunjalo nangokudla okubabayo, okune-asidi. Ezinye izifundo zikhombisile ukuthi ukubhema nakho kwandisa le ngozi.
Yini esingayenza ngalokhu?
Kunezinto eziningana ongazenza ukuze uthuthukise ukulawula kwakho umchamo ngesikhathi sokukhulelwa. Ukuzama lokhu kungaba impumuzo enkulu.
1. Ukwenza Ukuzivocavoca kweKegel
Lena yindlela ebaluleke kakhulu futhi ephumelelayo. Ukuzivocavoca nge-Kegel kuqinisa imisipha yephansi le-pelvic ebamba isinye sakho endaweni yaso. Uma le misipha iqinile, ikusiza ukulawula umchamo wakho.
Kanjani ngempela ukuzivocavoca kweKegel?
Cabanga uzama ukuyeka ukuchama ngokuzumayo ngenkathi uchama. Noma uzama ukuvimba ukuvuza kwegesi. Yilokho okudingeka ukwenze uma uqinisa imisipha yakho.
1. Thola imisipha efanele: Okokuqala, thola leyo misipha.
2. Qinisa futhi ubambe: Manje qinisa leyo misipha bese uyibamba imizuzwana eyi-10. Qaphela ukuthi ungaqinisi imilenze yakho, izinqe, noma imisipha yesisu phakathi nalesi sikhathi.
3. Khululeka: Bese ukhulula imisipha ngokuphelele.
4. Phinda: Yenza lokhu izikhathi ezingu-15. Lowo ngumjikelezo owodwa. Zama ukwenza cishe imijikelezo emihlanu yalokhu ngosuku.
Okubalulekile:Uma ukhala noma ulimele ngesikhathi sokubeletha, qiniseka ukuthi ucela iseluleko kudokotela wakho mayelana nokuthi kufanele ulinde kuze kube yilapho amanxeba ephola ngaphambi kokuqala ukuzivocavoca kweKegel.
2. Izinguquko endleleni yokuphila
Ngaphezu kokuzivocavoca kwe-Kegel, ukushintsha imikhuba yakho yansuku zonke nakho kungenza umehluko omkhulu.
- Gwema i-caffeine nokudla okunezinongo: Shintshela eziphuzweni noma emanzini angena-caffeine. Nciphisa ukudla okunezinongo nokune-asidi ngangokunokwenzeka.
- Nciphisa ukuphuza uketshezi ebusuku: Ukunciphisa uketshezi ngemva kokudla kungasiza ekunciphiseni inani lezikhathi okufanele uvuke ngazo ebusuku ukuze uye endlini yangasese.
- Yidla ukudla okune-fiber ephezulu: Ukuqunjelwa kungavinjelwa ngokudla ukudla okune-fiber ephezulu. Ukuzikhandla ngesikhathi sokuhamba kwamathumbu nakho kungacindezela esinyeni futhi kubangele ukuvuza komchamo.
- Gcina isisindo esinempilo: Ukulondoloza isisindo esinempilo kunganciphisa ukucindezeleka kwesinye.
- Ukuqeqeshwa Kwesinye: Bhala phansi idayari yokuthi uzizwa nini unesifiso sokuchama nokuthi uchama nini. Bese uhlela ukuya endlini yangasese ngaphambi kokuba uzizwe unesifiso sokuchama. Zama kancane kancane ukwandisa isikhathi phakathi kohambo oluya endlini yangasese. Lokhu kuzoqeqesha imisipha yakho ye-pelvic ukuthi ibambe umchamo.
Ngesikhathi wenza lezi zinto, ungasebenzisa ama-pad noma izingubo zangaphansi ezikhethekile (izingubo zangaphansi zokungakwazi ukuzibamba). Lokhu akumelwe ube namahloni ngakho, izinkulungwane zabanye omama zidlula kulolu lwazi njengawe.
Ingabe lomchamo uyaphuma? Noma kukhona okunye?
Kubalulekile ukunaka okuphuma esithweni sakho sangasese ngesikhathi sokukhulelwa. Wazi kanjani ukuthi umchamo, uketshezi lwesitho sangasese sangasese, noma uketshezi lwe-amniotic?
| Uhlobo lokukhishwa | Ungayibona kanjani? (Umbala, iphunga, ukuthungwa) |
|---|---|
| Umchamo | Ngokuvamile inombala onamanzi, ophuzi okhanyayo noma ocacile. Ngezinye izikhathi ingaba nephunga elincane elifana ne-ammonia . |
| Ukukhishwa Kwesisu | Kungaba mhlophe, kube phuzi, kube nsundu, kube luhlaza, noma kube mpunga. Uma kukhona ukutheleleka, kungaba nephunga elibi, njengephunga lenhlanzi . Uma kukhulu, kufana nobisi, noma kunegwebu, nakho kuyisibonakaliso sokutheleleka. |
| Uketshezi lwe-Amniotic | Lolu uketshezi oluzungeze ingane yakho. Yilokhu amanzi akho aphula. Luwuketshezi olucacile noma olunombala wotshani olungenaphunga . Ngezinye izikhathi lungaba nsundu noma lube luhlaza. Lungase lunuke njengomchamo, kodwa kufanele ukhathazeke uma lunganuki njenge-ammonia. |
Isexwayiso: Uma unenkinga ngokukhishwa koketshezi, ungalokothi ukushaye indiva. Bona udokotela wakho ngokushesha. Ikakhulukazi uma usola ukuthi ukukhishwa koketshezi lwesitho sangasese sowesifazane, kungaba yisimo esiphuthumayo.
Kufanele ngimbone nini udokotela?
Kuhlale kungumqondo omuhle ukwazisa udokotela wakho ngezinkinga zokulawula umchamo ngesikhathi sokukhulelwa, kodwa kubaluleke kakhulu ukufuna iseluleko sezokwelapha kulezi zimo.
- Uma le nkinga iqhubeka ngisho nangemva kwamasonto ayisithupha noma ngaphezulu ngemva kokubeletha.
- Uma lokhu kungakhululeki kuphazamisa impilo yakho yansuku zonke . Isibonelo, uma ugwema imicimbi yomphakathi ngenxa yokwesaba ukuvuza komchamo, noma uma ungathandi ukuphuma.
- Uma unokungabaza ngokuphuma koketshezi.
Udokotela wakho angenza ukuhlolwa ngokomzimba futhi, uma kudingeka, akuthumelele ukuhlolwa okufana nokuhlolwa komchamo (`Ukuhlolwa Komchamo`), `ukuskena kwe-Ultrasound`, `i-Cystoscopy`, noma `ukuhlolwa kwe-Urodynamic`.
Iningi labantu liphinde lilawule isinyi zingakapheli izinyanga ezintathu kuya kweziyisithupha ngemva kokuthola umntwana. Kodwa kwabanye abantu, kungathatha isikhathi eside. Kuncike ezintweni eziningi, njengohlobo lokubeletha kwakho kanye nesisindo somntwana wakho.
Umlayezo Wokuya Nawe Ekhaya
- Ubunzima bokulawula umchamo wakho ngesikhathi sokukhulelwa kuyinto evamile futhi evamile. Ungabi namahloni ngakho noma uzizwe unesizungu.
- Lesi simo sivame ukuba sesikhashana futhi sibuyela esimweni esijwayelekile ezinyangeni ezimbalwa ngemva kokubeletha.
- Ukuzivocavoca kwe-Kegel kuyisisombululo esingcono kakhulu nesisebenza kahle kakhulu salokhu. Ngokwenza lokhu njengomkhuba wansuku zonke, uzozwa umehluko omkhulu.
- Ungalawula lesi simo ngokwenza izinguquko ezincane ekudleni kwakho nasendleleni yakho yokuphila (ukunciphisa i-caffeine, ukudla ukudla okune-fiber eningi).
- Khuluma nodokotela wakho ngokukhululekile ngalokhu kungakhululeki. Bangakunikeza iseluleko esingcono kakhulu.
- Uma unemibuzo mayelana nokukhishwa kwesisu, funa iseluleko sezokwelapha ngokushesha.
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