Ukubuyiselwa emva kokubeletha, ngcono impilo

Ngokushesha ngemva kokubeletha, owesifazane angase athole izinguquko ezithile esimweni sakhe sempilo. Yikuphi phakathi kwabo okujwayelekile, futhi okudinga ukuhlolwa okunye nokwelashwa? Thola yonke imininingwane esihlokweni esithi "Ukubuyisela emuva kokubeletha, ngcono impilo".

Ukubonwa kwamama

Ngokushesha ngemva kokubeletha, owesifazane uzwa ubuthakathaka obunamandla, ukudabuka ngemva kokuvula imisipha ye-perineum, izinkinga ezibuhlungu zesisu, uphawula ngokuchichima okuvela emthonjeni wesisu. Engxenyeni ebalulekile ye-puerperas, ukuqala kwesikhathi se-postpartum kuhambisane nesibindi esiphelela imizuzu engu-5 (lokhu kungenxa yokukhululwa okuphawulekayo kwemikhiqizo yemetrikhi yamangqamuzana emisipha egazini). I-palpitation enamandla ingase ivele ngokuzama kancane ngokomzimba. Ngokuvamile kukhona ukunyuka okuncane kokushisa komzimba emahoreni angu-12 alandelayo ngemva kokubeletha (kufika ku-37.5 ° 0 ngenxa yokweqa isimiso sezinzwa ezizimele noma ukukhishwa kwemikhiqizo ye-muscle egazini.) Ngokuvamile, izinga lokushisa eliphakeme liqhubeka ngamahora amaningana futhi lijwayelekile ngaphandle kokwelashwa. uxhumane nengane "isikhumba sikhumba." Emaminithini angu-30 okuqala ngemva kokubeletha, noma ngisho nangcono - ngokushesha ngemva kokuzalwa kwe-crumb (ngaphambi kokuboshwa kwembambo), umntwana osanda kuzalwa usekelwa umama esiswini, bese efakwa Okunamathiselwe kokuqala kufakwe esifubeni.

Amahora amabili okuqala umama omusha usendlini yokubeletha, ngoba ngalesi sikhathi ukuthi izinkinga zivame ukubangelwa ukuphulwa kwesibeletho esihambisana nokuphuma kwegazi okukhulu, kanye nezinkinga ezihlobene ne-anesthesia ngesikhathi sokubeletha. Odokotela baqaphelisisa isimo salo wesifazane esibhedlela, baqhuba ukuhlolwa komsele wokuzalwa. Uma kunesidingo, ubuqotho bezicubu bubuyiselwa. Ngalesi sikhathi, akuvunyelwe ukuvuka, ngoba owesifazane usenamandla kakhulu futhi angakwazi ukulahlekelwa. Ngaphezu kwalokho, ukuphumula okuphelele kubalulekile ukuyeka ukuphuma kwamanzi emikhumbi yendawo engaphansi (indawo lapho i-placenta yayifakwe ngaphambili kwesibeletho). Kubalulekile ukunamathisela iphakethe leqhwa kwisisu esingaphansi ukuvimbela ukuphuma kwegazi, njengoba lokhu kuvuselela ukuhlukunyezwa kwesisu, okungabangela ukungathandeki kowesifazane ngenxa yemiphumela yokubandayo nokucindezela okuqinile esiswini esingaphansi. Ngemuva kwamahora amabili, i-puerpera kwi-gurney ithunyelwa esigodini somnyango we-postpartum. Emakhaya amaningi okubeletha, umama osemncane usegumbini elihlangene nomntwana. Ukuqala ukuphakama kumfazi kunconywa emahoreni angu-4-6 emva kwezinhlobo.

Izinkinga ezingenzeka

Ngeshwa, injabulo yokuxhumana nengane ingafakela izinzwa ezithile ezingathandeki noma izinkinga ze-postpartum period. Abaningi besifazane ezinsukwini zokuqala emva kokubeletha bakhathazekile ngokucindezela ubuhlungu emathunjini aphansi. Lezi zizwa zibangelwa ukuchotshozwa kwemisipha yebele, ngenxa yokwehla okukhulu ngobukhulu bayo emva kokubeletha. Kungakapheli izinyanga eziyi-1.5-2 lesi sibeletho kufanele sibuyisele ubukhulu bayo (okungukuthi, ukwehla kusuka ku 1000 g kuya ku-50 g). Izindlela zokuvimbela izibeletho kubo bonke abesifazane zinezinga elihlukile: kwabanye abantu abadlula ngokungaqondakali, omunye ukhumbuza isimo somfutho wegazi ophezulu wesibeletho ngesikhathi sokukhulelwa, kanti abanye banezinhlungu ezinkulu ezidinga ukusetshenziswa kwezidakamizwa ze-spasmolytic. Ngokuvamile izakhi zokuhlukunyezwa kakhulu ze-uterine zitholakala ekuzalweni kabusha, okuhlotshaniswa nokukhiqizwa okunamandla kwe-oxytocin kanye nokugqama okukhulu kwemisipha yomzimba ngesikhathi sokusebenza okuphindaphindiwe. Futhi, inothi le-puerperas ukuthi lezi zinzwa ezibuhlungu ziqinisa uma zibeletha umntwana, njengokuncelisa emzimbeni kuqala ukuthuthukisa i-hormone oxytocin, okusiza nje ukunciphisa isisu. Izindwangu ze-postpartum uterine ngokuvamile azidingi imithi. Kuphela ngezikhathi ezithile, ngobuhlungu obunzima, ama-antispasmodics (isib., NO-SHPA) noma imithi yobuhlungu imisiwe. Abanye abantu basizwa ishayela eshisayo, ephumuzayo. Abesifazane abaningi ezinsukwini zokuqala emva kokubeletha bakhathazekile mayelana nobuhlungu futhi bahlaselwa e-perineum. Lokhu akubangelwa ukuqhuma noma ukucutshungulwa kwezicubu zomzimba. Izinzwa ezibuhlungu zibangelwa ukugqama kwemisipha yokubeletha ngesikhathi sokubeletha, kanye nokuhlukunyezwa okungenzeka kanye ne-hematomas (i-hemorrhages). Ukuqeda noma ukunciphisa ubuhlungu kuzosiza ngezikhathi ezithile ku-perineum yephakeji ye-ice ehlanganiswe ku-diaper. Ngokuvamile le mizwa idlula eyedwa izinsuku ezimbalwa. Enye into uma kukhona igebe noma isigaba se-perineum. Khona-ke ubuhlungu buzokhathaza isikhathi eside - cishe izinsuku ezingu-10-14: lesi yisikhathi esidingekayo sokuphulukiswa okuphelele kwezicubu. Phakathi nalesi sikhathi, kunconywa ukuba ugweme ukuhlala okuhlelekile: ukuphazamiseka okungazelelwe, isibambo nokuphakamisa isisindo (Yebo, ngaphandle komntwana), njengoba lokhu kungaholela ekuhlukeni kwamalungu, ukuqhubeka kwesikhathi sokuphulukiswa. Ngempelasonto yokuqala emva kokubeletha, lo wesifazane uphathwa ngezimboni ku-perineum ngezixazululo ze-disinfectant (i-green brillant, i-potassium permanganate). Kumele futhi wenze ukugeza okuhlanzekile ngemuva kokuvakashela endlini yangasese. Izinto zokwaziswa zanamuhla ezisebenziselwa ukuhlukumeza kanye nokuhlukumezeka komzimba zikhuthaza ukuphulukiswa ngokushesha futhi kufushane isikhathi lapho umuntu engakwazi ukuhlala izinsuku ezingu-7-10.

Izinkinga ngokuvuthwa nezitshalo

Abanye besifazane emahoreni wokuqala emva kokubeletha bangase babe nezinkinga zokuvuthwa, lapho isifiso sigcwele, futhi akusikho isifiso sokuya endlini yangasese. Lesi simo sihlotshaniswa ne-vestide hypotension ngenxa yokucindezela okuqinile kwezindonga zaso ngekhanda lomntwana ngesikhathi sokubeletha. Futhi ekukhuleni kwengane, kube lula amathuba enkinga enjalo. Isikhwama esigcwele asivumeli isibeletho ukuba sivumelwano futhi singabangela ukutheleleka kwamagciwane. Ukuze kuvikelwe izinkinga kunconywa ukuvakashela indlu yangasese njalo ngamahora angu-2-3, ngisho noma kungenaso isifiso sokuvota. Uma ungenalo ukugcoba zingakapheli amahora angu-8 ngemuva kokubeletha, udinga ukuthatha isinyathelo. Okokuqala, kufanelekile ukuzama ukubangela ukuvuthwa okungaguquguquki ngokuvula ukugeleza kwamanzi ebhodini noma eshaweni. Ngezinye izikhathi kuyasiza ukufudumala: zama ukubeka ibhodlela lamanzi ashisayo phansi kwesisu imizuzu engu-20-20. Uma konke lokhu kungaphumeleli, kufanele uxhumane nomhlengikazi wakho - kuzosiza ukususa umchamo nge-catheter elithambile yerabha.

Ngaphezu kwezinkinga zokugaya, umama omusha angase abe nezinkinga ngesitokisi. Ngokuvamile isihlalo kufanele kulindeleke ngosuku lwesithathu emva kokuzalwa. Ukuze ungabi nokuqothulwa, umuntu kufanele abambelele ekudleni okucebile kwe-fibre, adle imikhiqizo yobisi olumuncu (kangcono kune-kefir ejwayelekile ejwayelekile ne-shelf iDemo life), umlimi okhishwa emculweni, i-compotes kusuka kuma-apricot omisiwe, izithelo ezomisiwe, ama-beet abilisiwe. Uma zonke izinkinga ezifanayo nezihlalo ziphakama futhi ngosuku lwesine lokuhlala esibhedlela sokubeletha kwakungekho ukuthungwa kwamathumbu, kufanele usebenzise ikhandlela lexative (ne-glycerin), futhi uma lokhu kungakusizi, cela umhlengikazi enze i-enema. Kodwa lapho uhambela odokotela be-perineum okufanayo akukhuthazi ukuba nesihlalo ngezinsuku zokuqala ezingu-3-4 futhi ucele ukunamathela ekudleni okukhethekile. Kusukela kokudla komama osemncane, umuntu kufanele akhiphe ukudla okunezifucu ezidliwayo, ikakhulukazi i-fibre eyamafutha, okungaholela ekukhuleni kwamathumbu emathunjini (ukusika): i-bran, ubhontshisi, amantongomane, izithelo ezomisiwe, isinkwa esivela kufulawa omningi, iparele, ibhali, ukunye okunye okuncane, i-oatmeal, i-millet, imifino eluhlaza nezithelo. Ngemuva kokuhlukunyezwa ngamunye kudingekile ukukhiqiza ukugeza okuhlanzekile kwe-perineum, mhlawumbe amanzi amancane apholile.

Impela inkinga yangempela ibuye ibonakale ngemva kokuzalwa kwama-hemorrhoids (varicose veins of the rectum) kanye nokuphahlaza emgodleni, okubangela ukukhathazeka okukhulu kowesifazane. Ukuqubuka kwe-rectum kuphakama ngenxa yokweluleka okuqinile kwe-anus emangcwabeni ngesikhathi sokuzama. Isimbangela se-hemorrhoids yikwanda lokucindezeleka kwangaphakathi kwesisu nangesisindo esikhwameni esincane nemizamo, ukuchichima kwegazi emithanjeni ye-rectum, okwandisa kakhulu ivolumu, izindonga zazo zokuqothula nezindwangu zakhiwa. Uma kwenzeka inkinga efanayo, ungabi namahloni bese uzama ukubhekana nakho ngokwakho. Qiniseka ukuthi utshela udokotela wakho ngakho. Angakwazi ukubeka amafutha okukhethekile nama-suppository angama-rectal avunyelwe ngesikhathi se-lactation. Ngaphezu kwalokho, kunconywa ukuthi imithetho yokuhlanzeka ngokwemvelo emva kokusebenza komzimba wesilonda kanye nokuvuthwa, ukudla okuvimbela ukuqothulwa, ukwehlukanisa ama-douches ezigodini, ukuvinjelwa komzimba - lezi zinyathelo zizosiza ukunciphisa ukungakhululeki.

Ukukhishwa kwindlela yokuzala

Ngemva kokubeletha, umama osemusha uyaqaphela ukuthi kukhona okuyimfihlo okuvela emthonjeni wezocansi (lochia). Ziyigazi kusukela ezitsheni zendawo engaphansi, ama-clots egazi, izibhamu zezitsha ezincane. Ezinsukwini ezimbalwa zokuqala ngemva kokuzalwa, i-lochia ifana nama-mens amancane, ukubona indawo ebomvu futhi ingaqukatha ama-clots amaningi. Kancane kancane, inani labo liqala ukwehla. Ngosuku lokuqala emva kokubeletha, umama osemusha kunconywa ukuba asebenzise amathayi. Lokhu kwenziwa ukuqapha inani lokulahlekelwa kwegazi, ngakho-ke kungenzeka ukuthi usebenzise ama-gaskets. Uma kukhona ukuphuma okukhulu kwegazi, i-diaper isheshayo igxilwe ngegazi, lokhu kufanele kubikwe ngokushesha kudokotela, njengoba lokhu kungase kube uphawu lwe-postpartum hemorrhage (livela emanzini ase-placenta esibelethweni). Ezimweni ezinjalo, i-ultrasound yesibeletho ivame ukusebenza, futhi uma kukhona ubufakazi bokuthi kukhona izinsalela zezicubu ezisezintweni, kudingeke ukuthi kutholakale isidumbu esiswini (ukuhlunga).

Ekupheleni kwesonto lokuqala emva kokubeletha (ngokuvamile okuqala ngosuku lwesine), i-lochia kancane kancane ishintsha uhlamvu lwayo - iba yi-serous-sucronic. okungukuthi, ngobuningi bungaba nemithambo ye-mucus, uthole umbala obomvu obomvu noma obala obala. Inani labo libuye lancipha kancane kancane. Cishe izinsuku ezingu-10-14 emva kokubeletha, i-lochia iba yi-serous, cishe i-transparent (ibe nombala omhlophe ophuzi). Ukukhipha okuphelele ngemuva kokubeletha kuyayeka emva kwamasonto ama-5-6 emva kokubeletha. Ngezinye izikhathi, ngisho nasesibhedlela sokubeletha, i-lousy ingahle ibambezeleke emgodini wesibindi. Ngokujwayelekile kungabonakala nge-ultrasound kwesibeletho, esenziwa yibo bonke abesifazane esibelethweni izinsuku ezingu-2-3 emva kokuzalwa. Lesi simo sinengozi ngokujoyina ukutheleleka kanye nokuvela kwengcindezi enkulu ye-postpartum period - endotritis postpartum (ukuvuvukala kwe-uterine mucosa). Ngakho-ke, nganoma yikuphi ukukhuphuka kokushisa komzimba (ngenhla ku-37.5 ° 0, ubuhlungu obunzima esiswini esingaphansi kufanele butshele ngokushesha udokotela.

Izinguquko emgodini we-mammary

Okushiwo ngokukhethekile kufanele kwenziwe ngezinguquko ezenzeka ezinhlambini zamabele ezinsukwini zokuqala emva kokuzalwa. Ngisho nangesikhathi sokukhulelwa, izimbungulu ze-mammary ziqala ukulungiselela isimo se-lactation. Ngemuva kokubeletha, baqala ukuthuthukisa i-colostrum yokuqala (izinsuku ezingu-2-3 zokuqala), bese ubisi lwesikhashana, futhi emva kwezinsuku ezingu-10-14 - ubisi lwebele oluvuthiwe. Ezinsukwini zokuqala ezingu-2-3 emva kokubeletha, lona wesifazane akajabuli ngokukhethekile emangcwabeni amancane. Phakathi nalesi sikhathi, ingane kufanele isetshenziswe esifubeni kaningi, nakuba kubonakala sengathi akukho lutho kuyo. I-coolostrum inikezwe ngokoqobo ngokwehla ngokudonsa, kancane, kodwa ngokwanele ingane, iqukethe ukugxila kwezakhi nemithi yokuzivikela (izifo ezithathelwanayo), ngakho-ke kuyadingeka ingane. Ngosuku lwesi-2-4, ukuphuza ubisi lwebele kuqala. Kulesi simo, izigulane ezincelisayo zigcwala, zikhula ngokukhulu. Kungase kube nobunzima obukhulu, ukuxubha nokuxubungula esifubeni, ukwanda okuncane kokushisa komzimba kuya ku 37-37.5 ° C. Into ebaluleke kakhulu kule nkinga ukubeka ingane esifubeni kaningi, ukuze i-middlesection ihambe ngokufanayo. Kubaluleke kakhulu ukuthi ingane isetshenziswe kahle (ingane akumele iqonde nje ingono, kodwa futhi ingxenye enkulu ye-areola, akufanele kube khona ukushaya, ukuphuma kwengane kucindezelwe esifubeni, ingane izwakala igwinya). Uma ngemuva kokuncelisa ingane isalokhu sinzima kakhulu, kunezimpindi, okokuqala ngemuva kokubeletha kungenzeka ukuthi ubonise ubisi oluncane (ngesandla noma epompo lesifuba), kodwa kungakapheli ukukhipha okuphelele, kodwa kuphela ukuzwa ukukhululeka. Kamuva, lapho ingane iqala ukusikhulula ngokuphelele isifuba futhi ekugcineni kusungulwe i-lactation, ngeke kube nesidingo sokuyiveza. Kanti futhi ekuvimbeleni ubisi lwe-milk stagnation (lactostasis), izinsuku zokuqala ezimbalwa kufanele zilinganise ukudliwa kwamanzi kuya ku-800 ml ngosuku.

Okokuqala, ngenxa yokuthi umama akahlali njalo ebeka ingane esifubeni kahle, amaqanda angabumba, okwenza ubuhlungu obukhulu ngesikhathi sokudla. Ukuvimbela lokhu kuzosiza inqubo efanele yokufaka isicelo esifubeni, ukuphazamisa ama-douche endaweni yezinhlayiya ze-mammary, ukwelashwa kwama-nipples ngemuva kokudla nokuphulukisa amafutha (BAPANTEN, D-PANTHENOL) noma ukwehla kobisi lwebele. Ungagcoki isifuba ngesipho ngaphambi kokudla okunye: kubhubhisa ifilimu evikelayo emasosini nasezinsikeni, kukhuthaza ukuhlukumezeka futhi, mhlawumbe, ukutheleleka kokuqhekeka okuphumela. Uma kunjalo nokho kukhonjelwa ukuthi amaqabunga kanye nokudla okubangela ubuhlungu obungenakubekezeleka, ungasebenzisa okwesikhashana amakhethi akhethiwe e-silicone ezinsikeni. Lapho ukuphazamiseka kuphulukiswa (futhi lokhu kwenzeka ngokushesha), ungabuyela endleleni evamile yokudla. Into ebaluleke kunazo zonke ukuqiniseka komama ukuthi uyakwazi ukondla ingane yakhe ngokugcwele nangobisi lwebele. Uma kukhona ukuqiniseka okuqinile kulokhu, khona-ke noma yikuphi ubunzima obuyobe bukhululekile futhi buxazululwe.

Ngemva kokubeletha, abanye besifazane bayamangala ngokubukeka kabi kwesisu sabo. Esikhundleni sokuma, sithuthuka kakhulu, esichazwa usayizi we-uterine okhulisiwe. Esikhundleni sokuhlala emkhatsini wesisu, isakhiwo esilungile sakhiwe ngenxa yokugqithiswa kwemisipha yodonga lwesisu ngesikhathi sokukhulelwa. Ngokuphelele ubukhulu besibeletho bubuyiselwa amasonto ambalwa emva kokubeletha, okuholela ekuncipheni okuthile esiswini. Ukuze ubuyisele ukuqina kwezinsipho zomzimba, kunconywa ukuqeqeshwa okukhethekile, okungaqala ukuqala esibhedlela sokubeletha ngokungabikho kokuphikisana. Izinga lokubuya komuntu wesifazane endaweni enhle isisu ngokweqile futhi kuxhomeke esimweni sokuqala semisipha yomshini wokucindezela, izinga lokuhlukunyezwa kwesisu ngesikhathi sokukhulelwa (isisindo somntwana, i-polyhydramnios, ukukhulelwa okuningi), inzuzo yesisindo esiphelele sokukhulelwa, ukudla okunomsoco kanye nokusebenza komzimba emva kokubeletha. Ngokwelula kakhulu kwemisipha, udokotela oya khona uyancoma ukuthi owesifazane agqoke ibhande le-postpartum. Manje uyazi ukuthi ukubuyisa kwenzeka kanjani emva kokuzalwa, ukuthuthukisa impilo kamama wakho kuzosiza ukuphumula okuqhubekayo.