Ukubuyiselwa kwesibeletho esinamahloni, okungukuthi, i-endometrium, kudinga amasonto ambalwa emva kokubeletha. Yonke le nkathi kuwesifazane oqhamukayo ovela kumgogodla womzimba kunemfihlo. Njalo owesifazane udinga ukwazi ukuthi yikuphi uhlobo lokukhipha, ukuthi yini okufanele abe nayo nokuthi kungakanani isikhathi sokuphuma ngemuva kokubeletha.
Emithini yezokwelapha, ukukhishwa kwendlela yokubeletha yowesifazane ekubelethweni kubizwa ngokuthi lochia. Ngokuhamba kwesikhathi, ziba ngaphansi, njengoba kukhona ukuphulukiswa kancane kancane kwesilonda esibucayi se-mucosa esakhiwe ngesikhathi sokuhlukaniswa kwe-placenta.
I-Lochias iyinhlanganisela ehlanganisa i-epithelium efa, i-mucus evela emgodini wesibeletho somlomo wesibeletho, amaseli ne-plasma yegazi. Ngokuhamba kwesikhathi, umbala wokuguqulwa kwamanzi, okubangelwa izinguquko ekubunjweni kwawo. Ngokuvamile, uhlamvu lukaLochi luhambisana nezinsuku ezithile emva kokubeletha. Ukuhlala ezinsukwini zokuqala esibhedlela sokubeletha (ezinsukwini ezingu-5 emva kokulethwa kwemvelo kanye nezinsuku ezingu-7-8 ngemuva kwesigaba se-cearean), owesifazane nokukhishwa kwakhe kulawulwa ochwepheshe. Kodwa-ke, ngemuva kokukhishwa ekhaya, omusha kumele baqaphele isimo nesimo se-lochi esingatshela okuningi ngezinqubo ezenzeka esibelethweni sowesifazane. Uma kwenzeka okungavamile kufanele uthintane nochwepheshe.
Ngakho-ke, ukwabiwa kungahlukaniswa ngokomzimba kube yilokho okwenzeka ngisho nasesibhedlela, futhi lokho owesifazane obukayo ekhaya.
Isibhedlela sesisu
Phakathi namahora amabili okuqala emva kokubeletha, owesifazane osebenza kufanele abe esigcini sokubeletha lapho kubanjwa khona abasebenzi. Kungaba ebhokisini noma emgodini ku-gurney. Kule nkathi yokuqala yokuhamba kwesikhathi, kubalulekile ukuthi iqondiswe ngabasebenzi bezokwelapha. Ngokushesha ngemuva kokukhululwa kwengane, ukukhishwa kufanele kuvame ukuba negazi, kukhulu (0.5% kwesisindo somzimba esiphelele), kodwa hhayi ngaphezu kuka-400 ml.
Ingozi iphuma, engenzeka emahoreni amabili alandelayo. Kwenzeka ngenxa yezinsalela zomzimba emgodini wokuzalwa, uma kungenjalo kuqhutshwa noma kukhonjiswe kahle. Ngemva kokubeletha, udokotela kufanele ahlole ngokucophelela umlomo wesibeletho kanye nesisu. Uma indawo yokuphuka ingagciniwe kuze kube sekupheleni, kukhona i-hematoma negazi eqoqa emaqenjini e-vagina noma e-perineum. Kulokhu, lo wesifazane uzwa ukuqhuma ku-perineum. Udokotela kumele avule i-hematoma futhi aphinde aphule ukuphuka ngaphansi kwe-anesthesia jikelele.
Uma amahora angu-2 egumbini lokubeletha lingenasidingo, lo wesifazane wadluliselwa esigcemeni somnyango we-postpartum, lapho ezochitha khona izinsuku eziyisi-5-7 ezilandelayo. Ukunikezwa kwezinsuku ezingu-2-3 zokuqala kumele kube negazi, okwanele (ngezinsuku ezintathu zokuqala mayelana ne-300 ml) futhi ugcwalise ngokuphelele igesi noma i-diaper amahora angu-1-2. Bangabonakala ngisho nangemva kokulunywa kwesisu ngesidakamizwa. Kulokhu, i-lochia inokubonakala kwezindwangu, ibe nephunga elimnandi, lifana nokukhishwa kokuya esikhathini. Kancane kancane, inani le-lochies liyancipha. Baba obomvu obomvu ngendwangu ebomvu. Ukuhamba kwesabelo kungakhulisa.
Ukweqa, okungabonakala ezinsukwini zokuqala (ngezinye izikhathi ngisho namaviki) emva kokubeletha, kuvela ekubambekeni kwezingxenye ze-placenta. Lokhu kusho ukuthi akuzange kunqunywe ngesikhathi (emahoreni amabili okuqala). Ngezinye izikhathi ukuphuma kwamanzi kuhlotshaniswa neziphazamiso ohlelweni lwegazi (ama-0.2-0.3% wamacala).
Ikhaya
Esimweni esihle, i-lochia iphuma zingakapheli amasonto angu-6-8. Lesi sikhathi sanele ukubuyisela isisu emva kokuzalwa. Ivolumu yenani eliphelele lemikhiqizo kule nkathi kufanele kube ngu-500-1500 ml. Isonto lokuqala emva kokubeletha lihambisana ne-excreta, efana neyenyanga evamile, kodwa eningi kakhulu futhi enezindwangu. Ubuningi bama-lochies buthaka nsuku zonke. Kancane kancane baba mhlophe okwesibhakabhaka, okubangelwa yi-mucus futhi bangase babe negazi elincane. Cishe ngesonto le-4 uhlobo lwama-secretions "smearing", oluncane. Ngamaviki ayisithupha kuya ku-8 bafana nalokho ababekhona ngaphambi kokukhulelwa.
Uma owesifazane ebeletha, isabelo siyeka ngaphambili, ngoba inqubo yokuthola isisu isheshe. Esikhathini esisodwa esiswini, izinhlungu zomzimba zingase zizwakale ngesikhathi sokudla, kodwa kumele zidlule izinsuku ezimbalwa.
Uma ukuzalwa kuhambisane nesigaba sokudla, ukuphumula kuyashesha kakhulu: ngenxa yesiguli sokuhlinzwa, lesi sibeletho sincipha kakhulu.