Umntwana wethu usefikile, futhi manje sibhekene nesikhathi esinzima, esigcwele izinguquko, imizwa exubile, nokwesaba, kodwa futhi nenjabulo kanye nokuthola okusha. Ukuqonda okwenzekayo emizimbeni nasezingqondweni zethu phakathi nala masonto kuwusizo olukhulu ekubhekaneni nenqubo ngokuthula kwengqondo okukhulu nokuzethemba.
I-puerperium yisikhathi esidlulayo kusukela ekupheleni kokubeletha kuze kube yilapho siba nesikhathi sethu sokuqala cisheEzimweni eziningi kuthatha cishe amasonto ayisithupha kuya kwayisishiyagalombili, yize Ezinye izinguquko zomzimba nezingokomzwelo zingase zihlale izinyanga eziningana.ikakhulukazi uma kunceliswa umntwana.
Phakathi nalesi sikhathi imizimba yethu izodlula ochungechungeni lwezinguquko zomzimba, zamahomoni, ezingokomzwelo, kanye nezenhlalo kuze kube yilapho sibuyela esimweni esasikuso ngaphambi kokukhulelwa, noma mhlawumbe ngeke siphinde sifane nangaphambi kokukhulelwa, kodwa Lokhu akudingeki kube yinto embi.Kuyisigaba sokulinganisela kabusha lapho imizimba yethu, ingqondo yethu kanye nempilo yethu yonke kuhlelwa kabusha ukuze kuhlanganiswe indima yethu entsha njengomama.
Izigaba ze-puerperium
Ukuze kuqondwe kangcono konke okwenzekayo, isikhathi sokubeletha sivame ukuhlukaniswa ngezigaba eziningana. Nakuba izinsuku eziqondile zingase zihluke kancane kowesifazane nowesifazane, Ochwepheshe abaningi bayavumelana ngezigaba ezintathu ezinkulungayinye yazo inezinguquko zayo kanye nezici zayo.
I-puerperium esheshayo
Yisikhathi esidlula kusukela ekuzalweni kuze kube amahora okuqala angu-24. Lesi yisikhathi lapho owesifazane osanda kubeletha edinga ukugadwa kakhulu.ngoba yilesi sikhathi lapho izinkinga ezinkulu kakhulu zingavela khona, ikakhulukazi ukopha ngemva kokubeletha kanye nezinkinga ezithile ezivela ekubulaweni yizinzwa noma umfutho wegazi.
Phakathi nalezi zikhathi, kwenziwa ukuhlolwa ngezikhathi ezithile izimpawu ezibalulekile (umfutho wegazi, ukushaya kwenhliziyo, izinga lokushisa), ukopha kowesifazane sangasese futhi kuyahlolwa ubukhulu kanye nokuvumelana kwesibelethoAbasebenzi bezempilo baphinde bahlole ukuthi azikho yini amanxeba noma izinyembezi eziphuma igazi esithweni sangasese sowesifazane, emlonyeni wesibeletho, noma e-perineumFuthi, uma kube nokuhlinzwa kokubeletha, ukusikwa kanye nokuzwela kwendawo kuyahlolwa.
Isibeletho kumele sifinyele ngamandla amakhulu ukuze kuvinjelwe ukuphuma kwegazi ngokweqile.Uma i-placenta ikhishwa, uzoyizwa njengendawo eqinile phakathi kwenkaba yakho nethambo le-pubic. Lokhu kufinyela kuvamile futhi kubonisa ukuthi isibeletho sibuyela esimweni saso esijwayelekile.
Ngaphezu kwalokho, emahoreni ambalwa okuqala, kwenziwa umzamo wokuqinisekisa ukuthi owesifazane... Vuka uhambe ngokushesha okukhulu uma nje kungekho okuphambene nokwelashwa. Lokhu kuthutha kusenesikhathi kusiza ukuvimbela i-venous thrombosis, izinkinga zokujikeleza kwegazi kanye nokugcinwa komchamofuthi kuthuthukisa ukusebenza kahle kwamathumbu.
Emahoreni amabili okuqala empilo yengane yethu, kuhle ukuthi siqale ukuncelisaKuzosisiza kokubili ukukhuthaza ukukhiqizwa kobisi kanye nokukhulula i-oxytocinLe hormone iyadingeka ukuze isibeletho sibuyele ngokushesha esimweni saso sangaphambi kokukhulelwa kanye nosayizi, kuyilapho futhi kunciphisa ingozi yokopha. Lesi sigaba siphinde sikhuthaze... ukuthintana ngqo nokwesikhathi eside kwesikhumba nesikhumbaokulawula izinga lokushisa lomntwana, oqinisa ukuphefumula kwakhe futhi okusiza ekwakheni isibopho esingokomzwelo.
Ukukhulelwa noma ukuthomba kwangaphambi kwesikhathi
Kuhlanganisa cishe kusukela osukwini lwesibili kuya kolweshumi ngemva kokubelethaLesi yisikhathi esinzima kakhulu sokuguquka komzimba, lapho umzimba wenza khona izinguquko eziningi zomzimba ezaqala emahoreni ambalwa okuqala.
Ngemuva kwamahora okuqala angama-24 ngemuva kokubeletha sizothola isibeletho ezingeni lenkaba noma okuthile ngaphezulu. Kusukela kulowo mzuzu yehla ngesilinganiso cishe sesentimitha elilodwa ngosuku, ukuze Ekupheleni kwalesi sigaba, sekuvele kusezingeni le-pubis.Ngalesi sikhathi, ukuhlolwa kokugcina esibhedlela noma ukuvakasha kokuqala nombelethisi esikhungweni sezempilo ngezinye izikhathi kwenziwa, lapho kuhlolwa khona ukuthi lokhu kuguquka kwanele yini.
Lesi yisikhathi lapho izinguquko zama-hormone ziba khona ngokuzumayo.Futhi yisikhathi lapho isimo sethu sengqondo siba sengozini kakhulu futhi ukushintshashintsha kwemizwelo okudumile kungavela "Ukucindezeleka kokubeletha" noma ukudabuka kwangaphambi kokubelethaesizoxoxa ngakho ngokuningiliziwe kamuva. Kuyisimo sesikhashana sokungakwazi ukusebenza ngokomzwelo esihlobene nokwehla okungazelelwe kwama-hormone, ukukhathala okukhulu, kanye nomthelela wendima entsha.
Kulezi zinsuku sidinga ukuqaphela kakhulu izinkinga ezingenzeka Lokhu kungafaka phakathi izifo zesibeletho (i-endometritis), i-episiotomy noma i-cesarean section, i-mastitis, izifo zomgudu womchamo, noma izinkinga zokujikeleza kwegazi (imithambo ye-varicose ebuhlungu kakhulu, i-thrombophlebitis, ama-hemorrhoids ayinkimbinkimbi). Uma uzwa umkhuhlane, ubuthakathaka obukhulu, ubuhlungu bendawo ethile, noma i-lochia enephunga elibi, kubalulekile ukubonana nodokotela ngokushesha.
Futhi yisikhathi lapho kusungulwa khona ukuncelisa ibele. Ekuqaleni, amabele ethu aqukethe i-colostrum.into ejiyile, ephuzi ecebile ngama-antibodies kanye nezakhamzimba, kodwa ekupheleni kwalesi sikhathi sesivele sinobisi oluvuthiwe. Ezinsukwini ezimbalwa zokuqala, okulandelayo kungavela: ukukhuphuka kwentengo yobisingomuzwa wesifuba esigcwele kakhulu, esishisayo, nesiqinile. Ukugoba kahle, ukuncelisa njalo, kanye nokukhipha isifuba ngendlela efanele ngokuvamile kwanele ukunciphisa lokhu kuxinana.
Kulokhu isixhumanisi Ngizokutshela konke okudingeka ukwazi ukuze uqale futhi ugcine ukuncelisa kube lula futhi kuphumelele kakhudlwana.
Puerperium Late
Kuhlanganisa isikhathi esihambayo kusukela ezinsukwini eziyi-10 ngemuva kokubeletha kuze kube yilapho izakhiwo zesistimu yokuzala kanye nezitho zangasese zibuyela esimweni sazo sangaphambiliniYaziwa kakhulu ngokuthi "i-quarantine" edumile, yize kwabanye besifazane ingxenye yokululama okuphelele idlula amasonto ayisithupha.
Yisikhathi sezinguquko ezizolile. Sesiqala ukuzwana nomntwana, futhi sizizwa singcono ngokomzimba nsuku zonke.Abesifazane abaningi baqaphela ukwehla kobuhlungu obuvela ekuhlinzweni kwe-episiotomy noma ekuhlinzweni kwe-cesarean, i-lochia encane kakhulu, nokuthi isibeletho asizwakali kahle ngaphezu kwethambo le-pubic. Ngemva kwamasonto ambalwa, siqala ukujabulela ngempela ukuba ngumama, yize ukukhathala nokuntuleka kokulala kuseyinto evamile.
Nakuba, ngokombono, kuyinkathi ephela ngokuya esikhathini, Akunjalo ngaso sonke isikhathiUma uncelisa, ukuya esikhathini kungathatha izinyanga eziningana ukuthi kubuye. Kwabesifazane abanceliswa ubisi lwebhodlela, umjikelezo uvame ukuvela cishe ngesonto lesihlanu noma lesithupha, kuyilapho uma uncelisa ubisi lwebele kuphela uma kudingeka, kuvamile ukuba nesikhathi uma kudingeka. i-amenorrhea yomzimba izinyanga eziningana. Ngisho noma kungekho ukuya esikhathini, ukuvuthwa kweqanda kungenzeka, ngakho-ke kubalulekile ukucabangela izindlela zokuvimbela inzalo ezifanele kulesi sigaba.
Esikhathini sokuphela kwesikhathi sokubeletha, kunconywa futhi ukuthi uqale noma uqinise ukuvuselelwa kwephansi le-pelvic, bukeza ukuphulukiswa kwe-episiotomies noma ukuhlinzwa kokubeletha, futhi uma kudingeka, uthole isiqondiso sokubuyela emisebenzini yomzimba neyezocansi ngokuphephile.
Izinguquko ze-Postpartum
Izinguquko eziphawuleka kakhulu ngemva kokubeletha zingahlukaniswa zibe izinguquko zamahomoni, zomzimba, zengqondo kanye nezenhlaloZonke zihlobene: okwenzeka kuma-hormone kuthinta isimo sengqondo, okwenzeka emzimbeni kuthonya indlela umama azizwa ngayo, futhi inethiwekhi yokusekela noma izimo zomndeni zingenza kube lula noma kuvimbele lokhu kuzivumelanisa nezimo.
Izinguquko zeHormonal
Izinguquko zeHormonal zivele ngokuzumayo ngemuva kokubelethaKuyadingeka ukuthi ama-hormone okukhulelwa anciphe, kuvele ama-hormone amasha akhuthaza ukukhiqizwa nokukhishwa kobisi, futhi kancane kancane sibuyele emazingeni ajwayelekile ama-hormone abesifazane ukuze umjikelezo wethu wokuya esikhathini uqalise kabusha.
Amanye ama-hormone abalulekile yilawa:
Ama-Estrogens
Ziwa kakhulu ngemva kokubelethaLokhu kungathinta isimo sengqondo, ukugcotshwa kwesitho sangasese sowesifazane, kanye nemizwa yokukhathala. Lezi zimpawu ziyanda futhi ngasekupheleni kwesikhathi sokubeletha, yize lokhu kungavamile kakhulu lapho uncelisa kuphela. Kungathatha isikhathi eside ukuzinza, ngenxa yesenzo se-prolactin.
I-FSH ne-LH
Lawa ama-hormone e-pituitary alawula umjikelezo wesibeletho. Azibonakali nhlobo ezinsukwini zokuqala eziyi-10-12 Bese kuthi-ke, amazinga abo ancike kakhulu ekunceliseni. Kwabesifazane abangancelisi, la ma-hormone ayalulama ngokushesha, futhi kanye nawo, ukukhishwa kwamaqanda; kwabesifazane abancelisa uma kudingeka, i-prolactin iphazamisa ukukhishwa kwawo futhi ingagcina ukukhishwa kwamaqanda izinyanga.
Ama-hormone weplacental
Zinyamalala ngokuzumayo okwamanje ukubeletha sekuphelilelapho i-placenta ikhishwa. Lokhu kunyamalala okungazelelwe ngokwengxenye kuchaza umuzwa wokungabi nalutho noma ukungazinzi ngokomzwelo ezinsukwini ezimbalwa zokuqala.
Iprolactin
Ungomunye wabalingiswa abaphambili besikhathi sokubeletha. Kuyadingeka ukukhuthaza uketshezi lobisi futhi ikhuphuka ngemva kokubeletha, ifinyelela amazinga aphezulu kakhulu phakathi namasonto ambalwa okuqala. Kodwa-ke, idinga ukukhuthazwa kokuncela nokukhipha ibele enganeni ukugcina amazinga ayo nokuqinisekisa ukukhiqizwa kobisi okuqhubekayo. I-Prolactin nayo inomthelela esimweni sengqondo kanye nokulala, ikhuthaza ukuphumula ngezikhathi ezimfushane.
I-Oxytocin
Kuyi-hormone yothando kanye nokufinyela. Kubalulekile ukuthi isibeletho sifinyele. ibuyele esimeni sayo ukuze ubisi luphume ebeleni lapho ingane incelaKuphinde kukhuthazwe ukuthintana kwesikhumba nesikhumba, ukubheka ingane, iphunga layo, kanye nokumunca.
Ngaphezu kwala ma-hormone ayinhloko, okulandelayo kungakhiqizwa ngesikhathi sokubeletha: izinguquko zesikhashana zomsebenzi we-thyroid (I-Postpartum hypothyroidism noma i-hyperthyroidism) ingathinta ukukhathala, isisindo, kanye nemizwa. Ngakho-ke, uma ubona izimpawu ezibucayi kakhulu njengokukhathala, ukushaya kwenhliziyo, ukwehla kwesisindo okukhulu, noma ukulahleka kwezinwele ngokweqile, kungcono ukusho lokho ngesikhathi sokuhlolwa kwakho.
Izinguquko zomzimba
Ezingeni lomzimba, isikhathi sokubeletha sibonakala nge- inqubo yokuguquka nokubuyela emuva Izitho eziningi zomzimba nezakhiwo ezashintshwa ngesikhathi sokukhulelwa ziyashintsha, ngaphandle kwendlala yebele, manje esengena esigabeni sayo somsebenzi omkhulu. Lezi zinguquko zithinta isibeletho, phansi kwe-pelvic, isikhumba, uhlelo lokujikeleza kwegazi, uhlelo lomchamo, uhlelo lokugaya ukudla, kanye nesisindo somzimba.
Ukubuyela kwesibeletho endaweni yaso yangaphambilini
Kusukela ngesikhathi sokubeletha isibeletho kufanele sivumelane ngokuqinile ukugwema ukopha futhi kancane kancane incipha ngobukhulu, isuka esisindweni nasebudeni obungaba amagremu ayi-1.000-1.500 kanye namasentimitha angaba ngu-32 elilinganisa ekupheleni kokukhulelwa iye kumasentimitha angu-7-8 kanye namagremu angu-60-80 elivame ukuba nawo.
Emahoreni ambalwa okuqala, isibeletho singazwakala ezingeni lenkaba, siqinile futhi siqinile. Usuku nosuku sehlela ngasesinqeni, ngesivinini esingaba yisentimitha elilodwa ngosuku. Ekupheleni kwesikhathi sokuzala, Bekufanele ngabe ibuyisele ubukhulu bayo obucishe bube obujwayelekile.Uma ubona ukuthi ithambile kakhulu, ibuhlungu kakhulu, noma ukuthi ukopha kuyanda ngokuzumayo, kungaba uphawu lokuthi ukuguquka akuhambi kahle futhi kufanele uthintane nodokotela.
Singasiza imizimba yethu ukwenza lolu shintsho olukhulu. Ncelisa, vuka uhambe ngokushesha okukhulu, bese ukhipha isinyi sakho njalo. Lezi yizici esingazilawula futhi ezisiza isibeletho sethu ukuba sibuyele endaweni yaso ngokushesha, okunciphisa ingozi yokopha kanye nokutheleleka.
I-endometrium noma indawo yangaphakathi yesibeletho
I-endometrium yindawo evulekile emzimbeni wethu ebangela ukuba ikhule ngosayizi njalo ngenyanga futhi ilungiselele ukuba "yisiqalo" sokukhulelwa okungenzeka. Emasontweni okuqala okukhulelwa, inikeza zonke izakhamzimba ezidingwa yingane yesikhathi esizayo.kuze kube yilapho i-placenta ithatha le ndima.
Ngesikhathi sokukhulelwa lolu ngqimba luyakhula futhi i-placenta ifakwa kulo, okushiya indawo ebizwa ngokuthi ngemva kokuzalwa "Umbhede we-placenta"okuzothatha isikhathi eside ukuphola kunezinye izingxenye ze-endometrium. Lokhu kushaqeka kungenye yemithombo eyinhloko ye-lochia.
Phakathi nengxenye yokuqala ye-puerperium kufanele inyamalale Lonke ulwelwesi lwamafinyila olwalumboze ukukhulelwa luyabhujiswa bese lukhishwa njenge-lochia. Kusukela ngosuku lwesihlanu kuqhubeke, indawo yangaphakathi yesibeletho iqala ukuvuselelwa, futhi kusukela cishe osukwini lwama-25 kuya kosuku lwama-45 ngemuva kokubelethaIqala ukukhuthazwa ama-hormone avamile, okwenza ukuthi ibuyele emjikelezweni wayo ojwayelekile, ngaphandle kwalapho incelisa, lapho inqubo yokukhuthazwa ingase ingakenzeki ngenxa yesenzo sama-hormone okuncelisa.
Izinhlungu zangemva kwesikhathi
Ngubani ongakaze ezwe omama bethu nogogo bekhuluma ngamaphutha adumile?
Okubi akulutho ngaphandle kokuthi ukufinyela kwesibeletho okusibuyisela kancane kancane esimweni saso esijwayelekileZivame kakhulu komama asebevele benabantwana abaningi, abakhulelwe ngamawele, noma lapho isibeletho sivuvukele kakhulu.
Izinsuku ezimbalwa zokuqala zinzima kakhulu, zibuhlungu ngisho nakakhulu, futhi ikakhulukazi ngesikhathi sokuncelisa uma uncelisa.Ngoba ukuncela komntwana kukhipha i-oxytocin. Nakuba kungakhululekile, lezi zinhlungu zinomsebenzi owusizo kakhulu: zisiza isibeletho ukuba sinciphe futhi zivimbele ukuphuma kwegazi. Uma ubuhlungu bubukhali, imithi yokunciphisa izinhlungu ehambisana nokuncelisa ingasetshenziswa, njalo njengoba kuyalelwe uchwepheshe wezempilo.
I-Loquios
Nakuba abesifazane abaningi bephambanisa lokhu kuphuma kwegazi nokuya esikhathini, empeleni kuhluke ngokuphelele.
I-lochia ikhipha zonke izinsalela ezisele esibelethweni ngemva kokubeletha.: izinsalela ze-endometrium ezivela ekukhulelweni, amahlule, ukukhishwa kanye namaseli okuzivikela.
- Izinsuku zokuqala ngemva kokubelethaZibomvu ngokugqamile (i-lochia ebomvu) ngoba ziqukethe inani elikhulu legazi. Inani lingafana noma libe likhulu kancane kunesikhathi esinzima.
- Kusukela ngosuku lwesine kuya kolweshumi ngemuva kokubelethaZibukeka zipinki noma zinsundu (serous lochia). Ziqukethe igazi elincane kanye nama-leukocyte amaningi kanye namagciwane angewona abangela izifo.
- Kusukela ngosuku lweshumi kuze kube yisonto lesithathu noma lesineUkubukeka kwayo kumhlophe noma kuphuzi (i-lochia emhlophe). Esikukhiphayo manje ama-leukocyte kanye nezinsalela zokuphulukiswa kwesilonda se-placenta kanye nezinye izilonda ezincane emgudwini wethu wokuzalwa.
Awukho umthetho onzima futhi osheshayo wesithupha ngobude besikhathi segazi ngemuva kokubeletha. Okubalulekile ukuthi sikubone lokho inani liyancipha kancane kancane nokuthi iphunga, nakuba lingavamile futhi linamandla, Akukubi futhi akukubiUma ukuphuma kwegazi kuba nzima kakhulu futhi, kuvela amahlule amakhulu, iphunga libi kakhulu, noma kukhona umkhuhlane, kufanele ubonane nochwepheshe wezempilo.
Isitho sangasese sowesifazane, isitho sangasese somzimba nesitho sangasese
Indawo ye-perineal isukela ezithweni zangasese zangaphandle iye endunu. Ngesikhathi sokubeletha, idlula ukwelula okuhle Futhi ngezinye izikhathi, ukudabuka okuncane noma okukhulu noma i-episiotomy. Wonke owesifazane obelethe ngesitho sangasese sowesifazane uyakubona lokhu ezinsukwini ezimbalwa zokuqala. isitho sangasese sowesifazane sivulekile kakhulu, sivuvukile, futhi siyazwela.
Kancane kancane, konke kufanele kubuyele esimweni esijwayelekile. Kubalulekile ukuqala ukuvuselelwa kwephansi le-pelvic ngokushesha okukhulu.Ukwenza izivivinyo zeKegel ezaziwayo, uma nje kungekho okuphambene nalokho. Lokhu kufinyela okuthambile nokulawulwayo kuthuthukisa ukugeleza kwegazi, kukhuthaze ukuphulukiswa, futhi kusiza ekuvimbeleni ukungakwazi ukuzibamba komchamo noma umuzwa wokusinda kwesitho sangasese sowesifazane.
Ngaphezu kokuzivocavoca kweKegel, kunconywa ukuthi:
- Geza indawo ngamanzi kanye nensipho engathathi hlangothi. kuze kube kathathu ngosuku, womise ngokumbambatha kancane, ngaphandle kokuhudula ithawula.
- Gwema ukugeza ngamanzi okucwilisa emabhavini, emachibini okubhukuda noma olwandle kuze kube yilapho kuvunyelwe uchwepheshe, ukuze unciphise ingozi yokutheleleka.
- Gcina indawo yomileukushintsha i-compress njalo.
- Sebenzisa ama-compress abandayo ezinsukwini ezimbalwa zokuqala uma kukhona ukuvuvukala noma ubuhlungu obukhulu, njalo ugoqwe ngendwangu ukuze ugweme ukulimaza isikhumba.
Xhumana nodokotela wakho wezifo zabesifazane, udokotela wezifo zomzimba ochwepheshe, noma umbelethisi ezinsukwini ezimbalwa zokuqala ngemuva kokubeletha ukuze bakwazi ukuhlola isimo semisipha yakho futhi batuse ukuvivinya umzimba okufanele kakhulu. Kwezinye izinhlelo zokunakekelwa kwempilo, ukunakekelwa kwangemva kokubeletha kuvame ukuhlanganisa... ukuhlolwa kwephansi le-pelvic kanye nesibazi se-cesarean ngochwepheshe bezokwelapha ngokuzivocavoca umzimba abakhethekile.
Amabele nokuncelisa
Ngesikhathi sokukhulelwa, amabele akhula ngobukhulu futhi alungiselela ukuncelisa. Ngesikhathi sokubeletha, I-mammary gland ingena ekukhuleni kwayo okukhulu kanye nomsebenzi wayoEzinsukwini ezimbalwa zokuqala, lapho ubisi lufika, kuvamile ukuqaphela ukuthi amabele ayaqina, ayashisa, noma abuhlungu.
Uma ingane ingakwazi ukuncelisa noma owesifazane enquma ukungancelisi, udokotela angase anikeze imithi yokuncelisa ingane. vimbela ukuncishiswa kobisiKulesi simo, umntwana kufanele anikwe ubisi lwebele losana, alandele njalo imiyalelo kadokotela wezingane.
Uma uncelisa, ukungakhululeki okuthile kuyinto evamile, kodwa Ubuhlungu obukhulu nobungapheli abuvamile. Akufanele kube nezilonda noma imifantu ejulile engonweni. Lezi zimpawu zivame ukukhombisa ukugoba okungalungile noma izinkinga ngendlela yokuncelisa, futhi kubalulekile ukufuna usizo lokuzilungisa ngokushesha okukhulu ukuze uvimbele lokho okuhlangenwe nakho ekubeni umthombo wokuhlupheka.
Isisu, i-diastasis kanye nesisindo somzimba
Ngemva nje kokubeletha, isisu sihlala sivuvukele ngoba isibeletho asikabuyeli esayizini waso ojwayelekile, njengoba udonga lwesisu selunwebekile kakhulu. Njengoba isibeletho sincipha, isisu siba buthakathaka kakhulu.
Endabeni yabesifazane abathile, ukuhlukaniswa kwemisipha yesisu se-rectusLesi yisimo esivame kakhulu esibizwa ngokuthi i-diastasis recti. Le diastasis ingaba mnene noma ibonakale kakhulu futhi ingalungiswa kancane noma ngokuphelele ngokusebenzisa izivivinyo ezithile ezinqunywe ngumbelethisi, udokotela wezifo zabesifazane, noma udokotela wezokwelapha ngokomzimba okhethekile.
Ukwehla kwesisindo
Ukubuyiselwa kwesisindo kuyindaba evame ukusikhathaza kakhulu: sifuna ukubuyela esimeni sethu ngokushesha okukhulu. Lapha Ungafunda ngendlela yokwehlisa isisindo ngendlela enempilo ngemva kokubeletha.
Ezinsukwini ezimbalwa zokuqala, isisindo sincipha ngokushesha ngenxa ukususwa koketshezi olugciniwe, ubukhulu besibeletho, kanye nesisindo somntwana kanye ne-placenta.Ngemva kwalokho, ukwehla kwesisindo kuhamba kancane. Ukuncelisa, ukugcina ukudla okunempilo, kanye nokuqala kancane kancane umsebenzi womzimba kukusiza ukuthi ubuyele esimweni esihle.
Kubalulekile ukungabi yizicebi kakhulu.Imizimba yethu isidlulile ekukhulelweni nasekubelethweni, futhi kungenzeka ukuthi izilinganiso zethu zangaphambilini ngeke kube lula ukuzifeza. Lokhu kusho ukuthi imizimba yethu manje inesimo esihlukile, esisebenza ngokulinganayo futhi esiyigugu, nokuthi kancane kancane sizothola ibhalansi yethu entsha.
Izinguquko zengqondo nezemizwa
Ngesikhathi sokukhulelwa, omama abaningi baveza izimpawu zabo ukwesaba ukubelethaKodwa zisenza sibe ngcono kakhulu esigabeni sokugcina. Sivame ukuphupha ngengane enezihlathi ezibomvu, enokuthula esilethela umuzwa omuhle wobubele, ikhaya elizolile, kanye nokuba ngumama ophelele.
Kodwa-ke, umntwana ungumuntu omncane futhi okumele azivumelanise nezinguquko eziningi. Sidinga isikhathi sokwazi nokuqondana.Nesikhathi sokuzivumelanisa nesimo esisha: ubusuku bokungalali, imithwalo yemfanelo engayeki, ukungabaza ngokuthi senza kahle yini, kanye nemizwa eminingi.
Lolu hlu lwezinguquko lwaziwa ngokuthi i-puerperium yengqondoLokhu kufaka phakathi izinguquko ezivamile ngokomzwelo, ubunzima obungaba khona (ukukhathazeka, ukucasuka, ukudabuka), kanye nezinkinga ezinkulu kakhulu njengokucindezeleka kwangemva kokubeletha. umlando wezempilo yengqondo, ikhwalithi yokusekelwa komphakathi, ulwazi lokuzalwa, noma izingcindezi zamasiko Zithinta kakhulu indlela owesifazane ngamunye abhekana ngayo nalesi sigaba.
Izigaba umama adlula kuzo ngemva kokubeletha (uReva Rubin)
Ngokusho kukaReva Rubin (uma unesithakazelo) lapha (Unayo inkolelo-mbono yakho) Esikhathini sokubeletha, owesifazane udlula ezigabeni ezintathu. Lokhu kuhlukaniswa kusiza ukuqonda ukuthi Kuvamile ukushintsha isimo sakho sengqondo nezidingo zakho. kuwo wonke amasonto ambalwa okuqala.
Isigaba sokwamukela noma isikhathi sokuziphatha okuncikile
Ngosuku lokuqala ngemva kokubeletha, umama uvame ukuba nesimo sengqondo sokuthembela kuyeUnezinsolo eziningi, ukhathele, futhi ukuthola kunzima ukwenza izinqumo, ngakho-ke Uvame ukuzivumela ukuthi aqondiswe abantu besithathuKuvamile ukuthi ahlale edinga ukukhuluma ngokuzalwa, eqhathanisa okulindelwe ngokoqobo, ebukeza okwenzekile nokuthi wazizwa kanjani.
Isigaba sokwesekwa noma ukuguquka kusuka ekuncikeni kuye enhlanganweni
Ezinsukwini ezimbili noma ezintathu ezizayo umama, noma ezizwa engalondekile, uqala ukuhlanganyela ngenkuthalo ekunakekelweni kwenganeUkwenza izinqumo ngokuzimela nokuqala ukuthatha umthwalo wemfanelo. Buza imibuzo, qaphela, zama, bese ubuza futhi.
Yisikhathi lapho siqala khona ukuthatha indima yomama, kodwa Sidinga isiqinisekiso sokuthi sikwenza kahle.Amazwi okusekela avela kubalingani, emndenini, kanye nochwepheshe bezempilo abaluleke kakhulu kulesi sigaba.
Isigaba sokulahlwa noma ukwamukelwa kwemithwalo yemfanelo emisha
Akukho sikhathi esinqunyiwe sokuqala kwalesi sigaba; ngokuvamile kwenzeka uma sifika ekhaya futhi sizithola sisodwa kakhulu nobaba nengane, ngaphandle kokuba khona njalo kwabasebenzi bezempilo.
Manje sesisendaweni yethu futhi Sizizwa sivikelekile futhi sinamandla okulawulaUbuhlobo bethu nomlingani wethu ngisho nomndeni wethu buyashintsha futhi buyashintsha; sixoxa ngemisebenzi, izikhathi, izinto eziza kuqala kanye nezindlela zokusekelana.
Kulesi sigaba, okulandelayo kungavela futhi imizwa ephikisanayo: uthando olukhulu ngomntwana, futhi ngesikhathi esifanayo, ukukhumbula izifiso zokuphila kwangaphambilini, umuzwa wokulahlekelwa ukuzimela okuthile, ukwesaba ukungakwazi ukwenza umsebenzi, noma ukukhathazeka ngomsebenzi kanye neminye imisebenzi yomuntu siqu.
Ubuhlungu bokubeletha noma ukudabuka kwangaphambi kokubeletha
Ngokuvamile, ngemva kokubeletha, kuvela umuzwa wenjabulo nokukhululeka, ophela kancane kancane. Njengoba izinsuku zihamba, siqala ukuzizwa ukuthi Konke ukukhathala ngenxa yokubeletha kanye nobusuku bokungalali kuwela phezu kwethu..
Kulokhu kufanele kungezwe i- izinguquko ezinkulu ze-hormone Imizimba yethu izwa ubuhlungu obungokomzimba ngokuzumayo, ukungalali kahle, imizwa exubile, kanye nokwesaba nokukhathazeka kokukhulisa umntwana. Konke lokhu kuholela esimweni "sokuzizwa ukhathele uma ukhulelwe" noma ukuzizwa ukhathele ngemva kokubeletha.
Kuyisenzakalo esivamile nesingokomzimba, esivela ngesimo ukushintshashintsha kwemizwa ngokuzumayo, ukudabuka, ukukhala njalo, ukuzwela okukhulu, noma ukuncipha kwesifiso sokudlaAbesifazane abaningi bazizwa benecala ngokudabuka “lapho kufanele babe ngabantu abajabule kakhulu emhlabeni,” kodwa kubalulekile ukwazi ukuthi lokhu kuyindlela evamile yokusabela.
Kulinganiselwa ukuthi phakathi kuka-50% no-80% omama Babhekana nalesi simo. Ngokuvamile sivela phakathi kosuku lwesithathu nolwesihlanu ngemuva kokubeletha (ngokuvamile ngosuku lwesithathu noma lwesine) futhi ngokuvamile sihlala cishe isonto lonke, yize ezimweni eziningi siqhubeka amasonto amaningana. Izinsuku eziyi-7 nezingama-10Ezinye izifundo zithi ukwanda kwayo kufinyelele ku-80% womama.
Kubalulekile ukuthi umndeni wazi ngomama. Uma isimo singanyamalali phakathi naleso sikhathi noma izimpawu ziba zimbi kakhulu (ukudabuka okujulile, umuzwa wokungabi nalutho, ubunzima bokunakekela ingane, imicabango emibi noma imicabango yokuzilimaza), kubalulekile ukubonisana nodokotela noma uchwepheshe ochwepheshe bezempilo yengqondo yokubeletha ukuze kuvinjelwe ukuthi kuholele ekucindezelekeni kwangemva kokubeletha.
Izici ezithinta isikhathi sokubeletha kwengqondo
Akubona bonke abesifazane ababhekana nesikhathi sokubeletha ngendlela efanayo. Kunezici ezingabangela ukwandisa noma ukunciphisa ukuqina kobunzima obungokomzwelo:
- Umlando wezinkinga zempilo yengqondoUmlando wangaphambilini wokucindezeleka, ukukhathazeka, noma ezinye izinkinga ngokomzwelo wandisa ubuthakathaka ngesikhathi sokubeletha.
- Ukuntuleka kokuxhaswa komphakathiUkuba nomlingani ohilelekile, umndeni, noma abangane abasizayo nabalalelayo kwenza umehluko omkhulu.
- Izinkinga ngesikhathi sokukhulelwa noma sokubelethaUkuzalwa okubuhlungu, ukuhlinzwa okuphuthumayo, ukulahlekelwa yisikhathi sokubeletha, noma ukungeniswa komntwana ezikhungweni zokubeletha yizinto ezingashiya uphawu.
- Ubunzima bokuncelisaUbuhlungu obukhulu, i-mastitis, izinkinga zokugoba noma ukuntuleka kokusekelwa kungabangela ukukhungatheka kanye nemizwa yecala.
- Izingcindezi zomphakathi kanye nokulindela okungenakwenzekaIsithombe esifanelekile "somama omkhulu" ongakwenza konke singasenza sizizwe singafaneleki lapho iqiniso lingahambisani naleyo modeli.
Amasu okuphatha izinguquko zemizwa
Isikhathi sangemva kokubeletha, kokubili ngokomzimba nangokwengqondo, siyisigaba sokulungisa esidinga ukunakwa nokunakekelwa. Amanye amasu angasiza yile:
- YazisaUkwazi kusengaphambili ngezinguquko ezingenzeka zomzimba nezingokomzwelo kunciphisa ukukhathazeka futhi kulungisa lokho umuntu akuzwayo.
- Ukukhuluma ngalokho okwenzeka kithiUkwabelana ngokwesaba, ukungabaza, kanye nemizwa nomlingani wakho, abangani, umndeni, noma udokotela wezokwelapha kukuvumela ukuthi uzizwe uhambisana nawe futhi uqondwa.
- Beka phambili ukuzinakekelaZama ukuphumula lapho ingane ilele, udle kahle, futhi unikeze abanye imisebenzi yasekhaya.
- Thola amanethiwekhi okusekela kanye namaqembu angemva kokubelethaUkuxhumana nabanye omama ababhekene nesimo esifanayo kusiza ukugwema ukuzizwa unesizungu futhi kubeka izinto ezithile ezikhathazayo endaweni efanele.
- Funa usizo lochwepheshe uma kudingekaUkudabuka okukhulu nokuqhubekayo, ukukhathazeka okukhulu, ukuhlaselwa uvalo, noma imicabango emibi kakhulu kuyizimpawu eziyisixwayiso ezidinga ukuhlolwa.
Sungula isibopho nengane yethu
Isixhumanisi siyi- umuzwa wobunye nokunamathelana okujulile Yakhiwa kancane kancane. Ukuze idale, kubalulekile ukuthi abazali bachithe isikhathi esiningi nomntwana, kokubili emahoreni okuqala kanye nasezinsukwini nasemavikini alandelayo.
Ukuthinta, ukuxhumana kwamehlo, ukuqaphela izwi noma iphunga kubalulekile ukukhuthaza ukwakhiwa kwaleyo bhondi. Hug umntwana, khuluma naye, mculele futhi umbambe ezingalweni zakho ngangokunokwenzeka (ngaphakathi kwalokho umndeni ngamunye okufisayo nalokho ongakwenza) kwenza kube lula lokho kuxhumana ngokomzwelo.
Ukuhlonza ukusabela kwengane njengezenzo zokuzithandela (njengalapho icindezela umunwe wethu), ukuyibiza ngamagama, noma ukuyiphulula kubalulekile kuyo Ake siqale ukubonana njengengxenye yomunye nomunyeIndima yomunye umzali nayo ibalulekile: ukuba khona kwabo kanye nokuhlanganyela kwabo ngenkuthalo ekunakekelweni kunegalelo ekwakhiweni kwesibopho esiqinile, njengoba umama ezizwa esekelwa.
Kubalulekile ukuthi, uma umntwana enabafowabo nodadewabo, Masibenze babe yingxenye yalezi zikhathiUngabancishi ithuba lokugona umntwana noma ukumgcina kude nelungu lomndeni elisha. Ukubabandakanya emisebenzini emincane, efanelana nobudala babo kusiza ekuvimbeleni umona omkhulu futhi kuqinise umuzwa wabo wokuba ngamalungu omndeni.
Zonke lezi zinguquko zomzimba, zamahomoni, kanye nezingokomzwelo zenza isikhathi sokubeletha sibe yisikhathi esiyingqayizivele, esinamandla, nesiguqulayo. Ngolwazi olucacile, inethiwekhi enhle yokusekela, kanye nokuthula kwengqondo kokucela usizo lapho kukhona okungahambi kahle, kuba lula kakhulu ukuhamba kulesi sikhathi nokuqaphela ikhono lethu elikhulu lokuzivumelanisa nezimo.