Ngemva kokubeletha umntwana, ingabe uzizwa ubuhlungu obuncane esiswini sakho esingezansi, njengalapho usesikhathini? Ngisho noma umntwana esephumile, ingabe isisu sakho sisakhulu kancane? Ungakhathazeki, mama, konke lokhu kuvamile. Lokhu kungenxa yokuthi isibeletho sakho siqala ukuncipha sibuyele kusayizi waso wokuqala. Ngokwezokwelapha, lokhu sikubiza ngokuthi 'ukuguquka kwesibeletho'. Namuhla, sizokhuluma ngale nqubo ebalulekile, yemvelo.
Kalula nje, kusho ukuthini lokhu kubuyiselwa kwesibeletho?
Ukuguquka kwesibeletho inqubo lapho isibeletho sakho, esikhule ukuze silingane nomntwana wakho ngesikhathi sokukhulelwa, sincipha sibuyele kusayizi waso wangaphambilini ngemva kokubeletha. Cabanga ngakho njengebhola. Isibeletho sakho sikhula kancane kancane ezinyangeni ezimbalwa ngemva kokubeletha. Kufanele sinciphe sibuyele phansi ngemva kokubeletha. Yingakho sikubiza ngokuthi ukuguquka. Le nqubo iqala ngokushesha ngemva kokubeletha futhi ihlala cishe amasonto ayisithupha. Yilapho uzwa khona ukopha nokukhishwa kwegazi ngemva kokubeletha okubizwa ngokuthi i-lochia.
Lena yingxenye ebaluleke kakhulu yenqubo yokuphulukiswa komzimba wakho. Uma ucabanga ukuthi isibeletho sakho sishintshe kangakanani nokuthi singakanani ngesikhathi sokukhulelwa, kuyinto evamile ukuthi kuthathe isikhathi ukubuyela kusayizi waso wokuqala.
Kungani le nqubo ibalulekile?
Umgomo oyinhloko walokhu ukubuyisela isibeletho kusayizi waso wangaphambi kokukhulelwa. Ngesikhathi sokukhulelwa, isibeletho sikhula ngokuphindwe kaningana ngobukhulu baso obujwayelekile. Siphinde sakhe imithambo yegazi eyengeziwe kanye nezicubu ukuze kunikezwe ukondleka komntwana okhulayo. Ngemva kokuzalwa komntwana, umzimba awusadingi lesi sikhala noma izicubu ezengeziwe.
Ngakho-ke lokho okwenziwa yile nqubo ethi "(Involution)" ukususa leso zicubu esingafuneki, ukunciphisa isibeletho, nokulungiselela umzimba ukuqala umjikelezo wakho wokuya esikhathini wanyanga zonke futhi.
Le nqubo yenzeka kanjani?
Le nqubo iqala ngemva kokubeletha i-placenta, okuyisigaba sesithathu sokubeletha. Ngemuva kwalokho isibeletho sakho siqala ukufinyela futhi, noma sinciphe. Lokhu kufinyela kunciphisa inani legazi eligeleza endaweni lapho i-placenta yayinamathele khona esibelethweni. Empeleni lokhu kuyindlela yokuzivikela yomzimba. Yilokhu okuvimbela ukuphuma kwegazi ngokweqile (Postpartum Hemorrhage).
Lokhu kufinyela yikona okubangela ukuba isibeletho sifinyele futhi izicubu ezingafuneki engizikhulumile ekuqaleni ziphume emzimbeni njenge-"Lochia". Lokhu kufinyela kuvame ukwenzeka njalo futhi kuqine kancane emahoreni okuqala ayi-12 ngemva kokuzalwa komntwana. Ungase uzizwe ukhungathekile esiswini sakho esingezansi ngalesi sikhathi. Lokhu sikubiza ngokuthi "izinhlungu zangemuva".
Lezi "zinhlungu zangemuva," noma izinhlungu zesisu eziza ngemva kokubeletha, zivame ukuhlala izinsuku ezimbalwa kuphela. Kodwa zingaba nzima kakhulu uma uncelisa noma uphuza. Futhi uma lokhu kuyingane yakho yesibili noma yesithathu, ubuhlungu bungase bube bukhulu kakhulu kunobokuqala.
Inqubo ephelele "yokuvela" ithatha cishe amasonto ayisithupha ukuqeda. Usuku nosuku, isisindo sesibeletho siyancipha, futhi isikhala saso emgodini we-pelvic naso siyancipha. Yingakho isisu sakho sisalokhu sikhulu kancane isikhashana ngemva kokuzalwa komntwana. Ngisho noma umntwana esengaphandle manje, isibeletho sisathatha isikhala esiningi esiswini sakho.
Ukuncelisa kukuthinta kanjani lokhu?
Uma uncelisa ingane yakho, isibeletho sakho siyancipha ngokushesha. Lokhu kungenxa yokuthi lapho ingane yakho imunca noma uyiphampa, umzimba wakho ukhiqiza i-hormone ebizwa ngokuthi `(Oxytocin).` Le hormone isiza isibeletho sakho siqine ngempumelelo. Yingakho uzizwa ubuhlungu kancane uma uncelisa. Kodwa futhi kusho ukuthi umzimba wakho uyalulama kahle.
Odokotela bahlola kanjani ukuthi lokhu kuzosebenza yini?
Ngesikhathi usesibhedlela, udokotela noma umhlengikazi uzoza njalo ukuzohlola ukuthi le nqubo ihamba kahle yini.
- Bazobeka izandla zabo esiswini sakho bese becindezela phansi kuso ukuze babheke phezulu kwesibeletho sakho (i-fundus). Lokhu kubizwa ngokuthi ukuhlola ukuphakama kwe-fundal.
- Baphinde bahlole ukuthi isibeletho siqinile futhi sinamaqhubu.
- Inani nombala woketshezi lwakho lwesitho sangasese sowesifazane (i-Lochia) nakho kuzohlolwa ngalesi sikhathi.
Isibonelo, uma isibeletho sakho singanciphi njengoba kulindelekile, noma uma sizwakala sithambile uma usithinta, usengozini enkulu yokopha ngemva kokubeletha. Uma lokhu kwenzeka, udokotela wakho angase akuhlikihle isisu sakho ngezandla zakhe ukuze asize isibeletho sakho sinciphe. Ngezinye izikhathi, bangakunikeza nomuthi obizwa ngokuthi i-Pitocin, oqukethe i-hormone i-oxytocin, ukuze kukhuthazwe ukuncipha.
Isibeletho sishintsha kanjani phakathi nalesi sikhathi?
Esikhathini esiningi, isibeletho sawo wonke umuntu sincipha isisindo kanye nosayizi ngesikhathi esifanayo. Kodwa-ke, ubukhulu besibeletho sakho bungahluka kancane kuye ngezici ezifana nokuthi uke waba nezingane yini ngaphambili, ukuthi uke waba namawele, nokuthi wabeletha kuphi ngesikhathi sokukhulelwa kwakho.
Nansi indlela isibeletho esivame ukwehlisa ngayo isisindo.
| Isikhathi | Isisindo sesibeletho (cishe) |
|---|---|
| Ngokushesha ngemva kokubeletha | Amagremu ayi-1,000 (cishe ikhilogramu eli-1) |
| Ngemva kwesonto | Amagremu angu-500 |
| Ngemva kwamasonto amabili | Amagremu angu-300 |
| Ngemva kwamasonto amane | Amagremu ayi-100 |
| Ngemva kwamasonto ayisishiyagalombili | Amagremu angu-60 (inani elimaphakathi) |
Futhi, nansi indlela isibeletho esibuyela ngayo emgodini we-pelvic bese sincipha.
| Isikhathi | Indawo yesibeletho |
|---|---|
| Cishe ihora ngemva kokubeletha | Ingxenye ephezulu yesibeletho (i-fundus) kufanele ibe sezingeni lomlomo wesibeletho sakho. |
| Ngemva kwalokho | Kufanele yehle cishe ngesentimitha elilodwa njalo emahoreni angama-24. |
| Cishe ngemva kwesonto | Ithambo le-pelvic, elitholakala ngaphansi kwenkinobho yesisu sakho, kufanele libe sezingeni "lethambo lakho le-Pubic". |
| Ngemva kwezinsuku eziyi-10-14 | Isibeletho kufanele sehliswe ngokuphelele emgodini we-pelvic futhi singabanjwa esiswini. |
Yiziphi izinkinga ezingavela kule nqubo?
Kunezinkinga ezimbili ezinkulu ezingaba khona: i-Subinvolution kanye ne-Postpartum Hemorrhage.
1. I-Subinvolution (isibeletho asifinyeleli kahle)
Lokhu kusho ukuthi isibeletho sakho asinciphi ngokushesha njengoba besingathanda. Ngezinye izikhathi lokhu kungenzeka ngoba imithambo yegazi lapho i-placenta yayinamathele khona ayivaleki kahle.
Uma udokotela wakho esola lokhu ngesikhathi sokuhlolwa kwesisu, angase akuncome ukuthi uhlolwe nge-ultrasound. Futhi, uma uzwa ukopha okubomvu okumnyama isikhathi esingaphezu kwesonto ngemuva kokubeletha, lokhu kungaba uphawu lwalesi simo. Kunezizathu eziningana zalokhu:
- Ukutheleleka kwesibeletho, isibonelo `(i-Endometritis)`.
- Izinto ezifana nezingcezu ze-placenta ezisele ngaphakathi kwesibeletho.
- Ubuhlungu bokubeletha sebube bukhulu kakhulu.
- Ukubelethwa ngokuhlinzwa (C-section).
2. Ukopha Ngemva Kokubeletha - PPH (Ukopha Ngemva Kokubeletha)
Lesi yisimo esibi kakhulu, esingasongela impilo. I-PPH ukuphuma kwegazi ngokweqile esibelethweni ngemva kokubeletha. Kuvame ukwenzeka lapho ukufinyela kwesibeletho kungaqinile ngokwanele ngemva kokubeletha.
I-PPH ivame ukwenzeka emahoreni angu-24 okuqala ngemva kokubeletha, kodwa ngezinye izikhathi ingozi ingaqhubeka isikhathi eside kuze kube amasonto angu-12.
Ngesikhathi usesibhedlela, odokotela nabahlengikazi bazoqapha ukulahleka kwegazi kwakho njalo. Kodwa uma uphuma igazi kakhulu kunokujwayelekile ngemva kokufika ekhaya (isibonelo, uma umanzisa iphedi elingaphezu kwelilodwa ngehora), uma uphuma amahlule amakhulu egazi, noma uma uzizwa udidekile, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. Lokhu akuyona into okufanele uyibambezele.
Kufanele uzinakekele kanjani phakathi nalesi sikhathi?
Isikhathi ngemuva kokubeletha, okungukuthi, isikhathi sokubeletha, yisikhathi lapho udinga ukuzinakekela wena kanye nomntwana wakho. Phumula ngokwanele. Thola usizo emndenini wakho nakumyeni wakho ukuze unakekele umntwana.
Lezo "zinhlungu zangemuva" engizikhulumile ekuqaleni ngezinye izikhathi zingaba nzima kakhulu, ikakhulukazi lapho uncelisa. Ungase uzwe ubuhlungu obubukhali cishe imizuzu emi-5, bese bungase buzizwe sengathi buyaphela kancane kancane. Nazi ezinye izinto ongayenza ukusiza ukulawula lobu buhlungu:
- Yenza izivivinyo zokuphefumula nokuphumula ezisetshenziselwa izinhlungu zokubeletha.
- Beka umcamelo ngaphansi kwesisu sakho bese ugcina isisu sakho siphansi.
- Hamba ngezinyawo.
- Thatha umuthi wokuqeda izinhlungu onconywa udokotela wakho. Into efana ne-ibuprofen ingasebenza kangcono kune-paracetamol, kodwa qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokuthatha noma yini.
Ukubuyela kwesibeletho esimweni saso esijwayelekile kuyinqubo ebaluleke kakhulu, yemvelo. Kodwa ngezinye izikhathi, isibeletho sidinga usizo oluncane kulolu hambo. Yingakho ithimba lezokwelapha lizokuhlola njalo esibhedlela ngemuva kokubeletha umntwana wakho. Lokhu kuhlolwa kungase kubonakale kuyinkinga kuwe, ngoba ufuna ukukhululeka nelungu lomndeni wakho elisha. Kodwa lokhu kuhlolwa kubalulekile ukuze kutholakale izinkinga ezifana ne-PPH kusenesikhathi.
Umlayezo Wokuya Nawe Ekhaya
- Ukuvuvukala kwesibeletho kuyinqubo evamile futhi yemvelo eyenzeka ngemva kokubeletha.
- Kuvamile ukuba nezinhlungu zesisu (“izinhlungu zangemuva”) izinsuku ezimbalwa ngemva kokubeletha umntwana. Lokhu kungabonakala kakhulu lapho uncelisa.
- Le nqubo yonke ivame ukuthatha cishe amasonto ayisithupha ukuqeda.
- Uma wopha kakhulu kunokujwayelekile, unamahlule amakhulu egazi, noma uzizwa unesizungu lapho usekhaya, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU).
- Uma unemibuzo noma ukungabaza ngalokhu, ungesabi ukukhuluma nodokotela wakho ngakho.
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