Usana lwethu sele luzelwe, ngoku kufuneka sijongane nenqanaba elinzima, eligcwele utshintsho, iimvakalelo ezixubeneyo kunye noloyiko.
I-puerperium lixesha elidlulayo ukusukela esiphelweni sabasebenzi kude kube ngumzuzu wokuqala wokuba sexesheni malunga.
Ngeli xesha umzimba wethu uyakufumana uthotho lweenguqu zomzimba nezengqondo ade abuyele kwimeko ebekuyo ngaphambi kokukhulelwa, okanye mhlawumbi ngekhe sifane naphambi kokukhulelwa, kodwa ngubani othi oku kubi?
Amanqanaba e-puerperium
Ngokutsho kwazo zonke iingcali, sinako ukwahlula izigaba ezithathu, ngasinye sineenguqu ezahlukeneyo kunye neempawu.
Ngokukhawuleza puerperium
Ixesha elidlulayo ukusuka ekuhanjisweni ukuya kwiiyure ezingama-24 zokuqala. Ngeli xesha xa owesifazana osandula ukuzala efuna ukubekwa esweni ngakumbi, kuba kungoku xa ezona ngxaki zinzima zinokwenzeka.
Isibeleko kufuneka singene ngamandla, ukunqanda ukopha kakhuluXa iplacenta iphuma, siya kuyibona njengendawo elukhuni phakathi kwenkaba kunye nendawo yokushicilela.
Kwiiyure ezimbini zokuqala zobomi bosana lwethu, kufanelekile ukuba siqale ukuncancisa. Iya kusinceda sobabini ukukhuthaza imveliso yobisi kunye nokukhupha iihormoni eziyimfuneko kwisibeleko ukuba sibuyele kwakwimo yangaphambi kokukhulelwa kunye nobungakanani.
I-puerperium yeklinikhi
Ukususela ngomhla we-2 ukuya kosuku lwe-10 emva kokubeleka.
Emva kweeyure ezingama-24 zokuqala ukubeleka siza kufumana isibeleko kwinqanaba lenkaba okanye into engentla. Ukusuka kulaa mzuzu wehla ngesantya esimalunga nesentimitha enye ngosuku, ukuze Ekupheleni kweli nqanaba sele sele ekuphakameni kwe-pubis.
Lixesha apho utshintsho lwehomoni lubonakala ngokukhawuleza. Ikwalixesha apho imeko yethu isesichengeni kwaye "i-maternity blues" okanye usizi lwe-puerperal lunokubonakala.
Kwakhona lixesha apho kusekwa khona ukuncelisa. Ekuqaleni kukho i-colostrum emabeleni ethu, kodwa ekupheleni kweli xesha sele sinobisi. Kule unxibelelwano Ndikuxelela yonke into ekufuneka uyazi ukwenza ukuqala kunye nokugcinwa kokuncancisa kubelula kwaye kube nempumelelo.
Ukufika emva kwexesha
Ukusuka kwiintsuku ezili-10 emva kokubeleka kude kube kubume benkqubo yokuzala kunye neyesini yokubuyela kwimeko yabo yangaphambili. "Ukuvalelwa yedwa".
Lixesha lotshintsho oluzolileyo. Siqala ukuqondana nosana kwaye suku ngalunye siziva ngcono. Emva kweeveki ezimbalwa saqala ukonwabela ukuba ngumama.
Nangona, ithiyori, lixesha eliphela xa usexesheni, akusoloko kunjalo. Xa sincancisa, ukuya exesheni kungathatha iinyanga ezininzi ukuvela.
Utshintsho lwasemva kokubeleka
Olona tshintsho lubonakalayo lwasemva kokubeleka lunokwahlulwa lube lutshintsho lwehomoni, umzimba kunye nengqondo.
Utshintsho lwehormonal
Utshintsho lwehomoni lubonakala ngokukhawuleza emva kokubeleka. Kuyimfuneko ukuba iihomoni ezintsha zivele ezithi zikhuthaze ukuveliswa kunye nokukhutshwa kobisi kwaye sibuyele ekubeni neehomoni zabasetyhini kubungakanani obuqhelekileyo ukuze umjikelo wethu wokuya exesheni uphinde uqalise.
Estrogens.
Ziyehla kakhulu emva kokubeleka, kodwa ziyonyuka kwakhona ekupheleni kwe-puerperium, nangona ukuba sincancisa kungathatha ixesha elide.
IHormones FSH kunye ne-LH
Ngokuqhelekileyo azibonakali kwiintsuku ezili-10/12 zokuqala, emva koko kuxhomekeke ekuncanciseni.
Iihormoni Placental
Bayanyamalala, ngequbuliso, Ngexesha lokusiwa kuphelile.
IProlactin
Kuyimfuneko ukukhuthaza ukugcinwa kobisi. Iphakama emva kokuhanjiswa, kodwa ifuna ukukhuthazwa kokuncancisa nokukhupha ibele ngumntwana ukugcina amanqanaba ayo kunye nokugcina imveliso yobisi.
Ioksijini
Ifuneka kakhulu kwisibeleko ukuba isivumelwano kwaye ibuyele kwindawo yayo ukuze ubisi luphume ebeleni xa umntwana elanya. Kukwakhuthazwa nakukuncanca kosana.
Utshintsho lomzimba
Ukubuyela kwesibeleko kwimeko yaso yangaphambili.
Ukusukela ngexesha lokuhanjiswa kwesibeleko kufuneka sivumelane ngokuqinileyo ukuthintela ukopha kwaye ngokuthe ngcembe ilahle ubungakanani, ukusuka kubunzima kunye nobude be-1500gr kunye ne-32 cm ukuba ilinganisa ukuphela kokukhulelwa ukuya kwi-7/8 cm kunye ne-60/80 gr edla ngokuba nayo.
Singayinceda imizimba yethu ukuba yenze olu tshintsho lukhulu. Ukuncancisa, ukuvuka nokuhamba ngokukhawuleza kwaye ngokukhawuleza ukukhupha isinyi zizinto esinokuzilawula kwaye sincede isibeleko sethu sibuyele endaweni yaso kungekudala, ukunciphisa umngcipheko wokopha kunye nosulelo.
I-endometrium okanye umphezulu wangaphakathi wesibeleko
Yindawo ecekeceke, ethi yenziwe ngumzimba wethu inyanga nenyanga, ikhule ngobukhulu kwaye ilungiselele ukuba ibe "sisibeleko" sokukhulelwa okunokubakho. Ngexesha leeveki zokuqala inika zonke izondlo ezifunwa ngumntwana wexesha elizayo.
Ngexesha lokukhulelwa iyakhula kwaye i-placenta ifakwe ngaphakathi kuyo, ishiya emva kokubeleka indawo ebizwa ngokuba yi "placental bed" eya kuthatha ixesha elide ukuphola kunayo yonke i-endometrium.
Ngexesha lokuqala kwenxalenye ye-puerperium kufuneka inyamalale loo mucosa egubungele ukukhulelwa, izitshabalalisa kunye nengaphandle egxothwa ngohlobo lweLochios.
Ukusukela ngomhla we-5 wommandla wangaphakathi wesibeleko uqala ukuvuselela kwaye Ukususela ngomhla wama-25 ukuya kowama-45 emva kokubeleka uqala ukukhuthazwa zihormoni eziqhelekileyo, ezibangela ukuba ubuyele kumjikelo wawo oqhelekileyo, Ngaphandle kwemeko yokuncancisa, inkqubo yokukhuthaza ayinakwenzeka ngenxa yesenzo sehomoni yokuncancisa.
Emva kweentlungu
Ngubani ongakhange eve oomama noomakhulu bethu bethetha ngeziphoso ezidumileyo?
Iziphoso azikho enye into ngaphandle Ukurhwaqela kwesibeleko apho kubuyela kwinkangeleko yesiqhelo. Bahlala rhoqo koomama esele benabantwana abaninzi okanye ukukhulelwa kwamawele.
Zinamandla ngakumbi kwiintsuku zokuqala, nokuba zibuhlungu kwaye ngexesha lokuthatha kwimeko yokuncancisa.
I-Loquios
Nangona uninzi lwabasetyhini lwenza impazamo kolu gazi lokuya exesheni, alunanto yakwenza noku.
Nge-lochia, zonke iintsalela ezishiyekileyo esibelekweni emva kokubeleka ziyagxothwa. Intsalela ye-endometrium yokukhulelwa, intsalela yegazi ... Njl
Iintsuku zokuqala emva kokubeleka zibomvu, kuba banegazi elininzi.
Ukususela ngomhla we-4 ukuya kowe-10 emva kokubeleka banokubonakala okupinki. Banegazi elincinci kunye neebhaktiriya ezininzi (hayi ezesifo) okanye ii-leukocytes.
Ukususela ngomhla we-10 ukuya kwiveki yesi-3 okanye yesi-4 banembonakalo emhlophe okanye emthubi. Ngoku into esiyigxothayo zii-leukocyte kunye nentsalela yokuphiliswa kwenxeba le-placental (indawo eyayibekwe kuyo i-placenta) kunye nokuphilisa onke amanxeba amancinci kumjelo wethu wokuzalwa.
Akukho mthetho unzima kwaye ukhawulezayo wesithupha malunga nexesha lokopha emva kokubeleka. Into ebalulekileyo kukuba siyibone loo nto Isixa sincipha ngokuqhubekayo kwaye ivumba, nangona likhethekile kwaye lomelele, alikho fidid okanye alithandeki.
Ubufazi, ubufazi kunye nomgangatho wethanga
Kancinci kancinci kufuneka babuyele esiqhelweni. Kubalulekile ukuqala ukuvuselelwa komgangatho we-pelvic ngokukhawuleza ngokwenza imithambo ye-Kegel.
Dibana nogqirha wakho okanye ugqirha wombelekisi kwiintsuku zokuqala zokubeleka ukuze uvavanye iimeko apho izihlunu zakho zifunyenwe khona kwaye ucebise ngezona mithambo zifanelekileyo.
Ukuthoba umzimba
Lo ngumba ohlala usikhathaza kakhulu, buyela kumanani ethu ngokukhawuleza. Apha Unokufunda ukuba unganciphisa njani umzimba ngendlela esempilweni nasemva kokubeleka.
Kubalulekile ukuba unganyanzelisi, Umzimba wethu udlulile ekukhulelweni nasekuzaleni, kunokwenzeka ukuba amanyathelo ethu angaphambili akulula ukufikelela kuwo, kodwa oko kuthetha kuphela ukuba ngoku umzimba wethu unolunye uhlobo kwaye kancinci kancinci siza kuncipha.
Utshintsho lwengqondo
Ngexesha lokukhulelwa, oomama abaninzi bavakalisa uloyiko lwabo lokuzala, kodwa bagqibe kwinqanaba elilandelayo. Amaxesha amaninzi siphupha ngomntwana opinki kunye nozolileyo osinika imvakalelo yokuthantamisa ...
Kodwa usana ngumntu omncinci ekufuneka elungele utshintsho oluninzi, sidinga ixesha lokwazana nokuqondana. Kwaye ixesha lokuziqhelanisa nemeko entsha.
Amanqanaba umama ahamba kuwo emva kokubeleka
NgokukaReva Rubin (ukuba unomdla apha unethiyori yakhe) emva kokubeleka umfazi uhamba ngamanqanaba amathathu
Inqanaba lokwamkelwa okanye ixesha lokuziphatha okuxhomekekileyo
Ngosuku lokuqala emva kokubeleka, umama uthambekele ekubeni nesimo sokuxhomekeka. Unamathandabuzo amaninzi kwaye kunzima kuwe ukuba uthathe izigqibo, ke ihlala ikhokelwa ngabantu besithathu. Uhlala ethetha ngokuzala, ngokuthelekisa ulindelo kunye nenyani.
Inqanaba lenkxaso okanye utshintsho ukusuka ekuxhomekekeni kwinkululeko
Kwiintsuku ezimbini okanye ezintathu ezizayo umama, nangona eziva engazithembanga, iqala ukuthatha inxaxheba ekukhathaleleni usana, ithatha izigqibo ezizimeleyo kwaye iqala ukuthatha uxanduva lwayo.
Lixesha apho siqala ukuthatha indima yoomama, kodwa kufuneka siqinisekiswe ukuba senza kakuhle ...
Inqanaba lokushiya okanye ukwamkela uxanduva olutsha
Akukho xesha libekiweyo, liqhele ukwenzeka xa sifika ekhaya kwaye sizifumane sedwa notata nomntwana.
Ngoku sikummandla wethu kwaye siziva sikhuselwe ngakumbi kwaye sixhotyisiwe ukulawula. Ubudlelwane kunye neqabane lethu kunye nosapho lwethu luyavela kwaye luyatshintsha.
Iimpawu zokubeleka
Ngokwesiqhelo, emva kokuzalwa komntwana, imvakalelo yovuyo ibonakala ngathi iyanyamalala ngokuthe ngcembe kwaye siqala ukuziva ukuba lonke udinwa lokuzala luwela kuthi.
Kule nto kufuneka songeze utshintsho olukhulu lwehomoni olwenzeka ngesiquphe emzimbeni wethu, iintlungu, ukungalali, iimvakalelo ezixubileyo okanye uloyiko kunye noxinzelelo malunga noxanduva lokukhulisa usana lenza ukuba kubonakale ukubonakala kobuhlungu "bomama okhulelweyo" okanye ukudakumba kwe-puerperal.
Yinto eqhelekileyo kunye neyomzimba, ebonakala ngohlobo lokutshintsha kweemvakalelo ngesiquphe, ukudakumba, ukukhala, ubuntununtunu obugqithisileyo okanye ukunciphisa ukutya.
I-80% yoomama iyasokola. Ihlala ibonakala ngomhla wesithathu okanye wesine emva kokubeleka kwaye ihlala kwiintsuku ezisi-7 ukuya kwezi-10.
Kubalulekile ukuba usapho lumazi umama. Ukuba imeko ayipheli ngelo xesha okanye iimpawu ziba nzulu, kubalulekile ukudibana nogqirha. Ukuthintela ukuba kungakhokeleli kuxinzelelo lwasemva kokubeleka.
Ukuseka ubudlelwane kunye nosana lwethu
Ubophelelo yimvakalelo yokuhlangana kunye nokuncamathisela. Ukuyila, abazali kufuneka bachithe ixesha elininzi nosana.
Ukuchukumisa, ukunxibelelana ngamehlo, ukuqondwa kwelizwi okanye ivumba kubalulekile ukukhuthaza ukuyilwa kwaloo bhondi.
Wonge umntwana, thetha naye, umculele, umbambe ngeengalo kangangoko kunokwenzeka, Ukuchonga izinto ezenziwa ngumntwana njengezenzo zokuzithandela (njengaxa ecinezela umnwe wethu), ukumbiza ngegama lakhe okanye ukumphulula kubalulekile ukuba siqale ukwazana njengenxalenye yomnye nomnye.
Kubalulekile ukuba umntwana abe nabantakwabo Masibenze bathathe inxaxheba kwezi zihlandlo, singabaphiki ukuba baphathe usana okanye babahlule kwilungu elitsha losapho.
Yiyiphi indawo enomdla uNati. Jonga, kwasekuqaleni ndifuna ukuqaqambisa eli binzana kuba libonakala libaluleke kakhulu kum: "Okanye mhlawumbi ngekhe sifane ngaphambi kokukhulelwa, kodwa ngubani othi oku kubi?" Nam ndingomnye wabo bacinga ukuba akukho nto iphosakeleyo ngokungafaniyo kwakhona, kodwa ngokwenyani asiyiyo, siziguqule kakhulu! ukuba endaweni yokuyibona njengeslabha, kufuneka sizive sinekratshi kwaye sinamandla kuba sikhulelwe ubomi sazisa isidalwa ehlabathini, ayiyonto encinci leyo.
Ingcamango kaReva Rubin inika umdla, amanqanaba esihamba kuwo, kubandakanya ne-Maternity Blues… oh uvuyo! Kumnandi nje ngokuba mfutshane 🙂, kodwa bendikuthanda ukuziva kwaye ndikonwabele.
Ngexesha lokuvalelwa kwam ndedwa kunye nomdala, kwenzeka into enomdla kakhulu kum kwaye isandibangela ukuba ndichukumiseke ... Kwakunzima kum kwaye kwakungekho nzima kum ukuseka ikhonkco. Kwandibiza ngoba wazalwa esecaleni, kwaye khange kubize kum kuba ndinenkani kakhulu kwaye ndide ndagqiba kwelokuba ndiyenze ... Kodwa into endizakuyenza: bendibhaptiziwe kwelinqanaba elitsha Ubomi bam bokuba ngenye imini ndafumana umhlobo esitratweni owayesebenzisana nam kwiprojekthi, kwaye ndathi ndakumbona ndaqonda ukuba ukuba ibingakhange ibekho ngala mathuba wokuhlangana, ngesele ndigqithile ezimbalwa iiveki ezingaphezulu ngaphandle kokwazi ngqo ukuba ndingubani ngaphambili <3. Ndiyikhumbula ngothando kuba ndicinga ukuba kunyanzelekile ukuba oomama neentsana basondele kakhulu kwaye banxibelelane, kwaye ndiyazi ukuba uninzi lunobunzima obuninzi, kulihlazo; ngethamsanqa khange yenzeke kum.
Ukwanga kunye nokuvuyisana nesithuba.
Ndiyaqonda ukuba inqanaba le-puerperium lelona ndilithandayo ukuphatha abafazi. Amaqabane amaninzi akhetha ukukhulelwa, kodwa ndiyakholelwa ukuba olona ncedo silifunayo ngoku, emva kokubeleka. Funda ukuzithanda kwaye uzinike ukubaluleka esinako, uguquko lokuba yintombi ukuya ekubeni ngumama ... Ukuqonda ukuba senze into enkulu kakhulu kwaye siqonde ukuba siyafana kwaye asikho. Lutshintsho olunzima ukwenza.
Ndiyabulela kakhulu iMacarena kunye nokundanga.