Ingane yethu isivele izelwe, manje kufanele sibhekane nesigaba esiyinkimbinkimbi, esigcwele izinguquko, imizwa exubile nokwesaba.
I-puerperium yisikhathi esidlulayo kusukela ekupheleni komsebenzi kuze kube umzuzu lapho sinesikhathi sokuqala ukuya esikhathini cishe.
Ngalesi sikhathi umzimba wethu uzoguqukela ochungechungeni lwezinguquko zomzimba nezengqondo uze ubuyele esimweni owawunaso ngaphambi kokukhulelwa, noma mhlawumbe asisoze saba njengaphambi kokukhulelwa, kepha ngubani othi lokhu kubi?
Izigaba ze-puerperium
Ngokusho kwabo bonke ochwepheshe, singahlukanisa izigaba ezintathu, ngasinye sinezinguquko nezimpawu ezihlukile.
I-puerperium esheshayo
Isikhathi esidlula kusukela ekulethweni kuya emahoreni angama-24 okuqala. Ngalesi sikhathi lapho owesifazane osanda kubeletha edinga ukuqapha okwengeziwe, ngoba manje kulapho izinkinga ezinzima kakhulu zingenzeka.
Isibeletho kufanele sivumelane kakhulu, ukugwema ukopha ngokweqileLapho i-placenta iphuma, sizoyibona njengendawo eqinile phakathi kwenkaba ne-pubis.
Emahoreni amabili okuqala empilo yengane yethu, kuhle ukuthi siqale ukuncelisa. Izosisiza sobabili ukukhuthaza ukukhiqizwa kobisi futhi sikhiphe ama-hormone adingekayo ukuze isibeletho sisheshe sibuyele esimeni saso nangosayizi ngaphambi kokukhulelwa.
Umtholampilo puerperium
Kusuka osukwini 2 kuye osukwini lwe-10 ngemuva kokubeletha.
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 sekuphakeme kwama-pubis.
Yisikhathi lapho izinguquko ze-hormonal zishesha kakhulu. Futhi yisikhathi lapho imizwa yethu isengozini kakhulu futhi kungavela "ukubeletha okomama" noma ukudabuka kwe-puerperal.
Futhi yisikhathi lapho kusungulwa khona ukuncelisa ibele. Ekuqaleni kune-colostrum emabeleni ethu, kepha ekupheleni kwalesi sikhathi sesivele sinalo ubisi. Kulokhu isixhumanisi Ngikutshela konke odinga ukukwazi ukuze ukuqala nokulondolozwa kokunceliswa kube lula futhi kuphumelele.
Puerperium Late
Kusukela ezinsukwini eziyi-10 ngemuva kokubeletha kuze kube yilapho izakhiwo zohlelo lokuzala nokuzala zibuyela esimeni sazo sangaphambilini. I- "quarantine" edumile.
Yisikhathi sezinguquko ezolile. Siqala ukuzwana nengane futhi usuku ngalunye sizizwa singcono. Ngemuva kwamasonto ambalwa saqala ukukujabulela kakhulu ukuba ngumama.
Yize, ngokombono, kuyisikhathi esiphela lapho usesikhathini, lokhu akuhlali kunjalo. Lapho sincelisa, ukuya esikhathini kungathatha izinyanga ezimbalwa ukuvela.
Izinguquko ze-Postpartum
Izinguquko ezihamba phambili kakhulu zangemva kokubeletha zingahlukaniswa ngezinguquko zehomoni, zomzimba nezingokwengqondo.
Izinguquko zeHormonal
Izinguquko zeHormonal zivele ngokuzumayo ngemuva kokubeletha. Kuyadingeka ukuthi kuvele amahomoni amasha ashukumisa ukukhiqizwa nokukhishwa kobisi nokuthi sibuyele ekubeni namahomoni abesifazane ngobuningi obujwayelekile ukuze umjikelezo wethu wokuya esikhathini uphinde uqalise.
Ama-Estrogens.
Ziwa ngokucijile ngemuva kokubeletha, kepha ziyanda futhi ekugcineni kwe-puerperium, noma ngabe sincelisa zingathatha isikhathi eside.
AmaHormone FSH neLH
Cishe azibonakali ezinsukwini zokuqala eziyi-10/12, ngemuva kwalokho kuya ngokuthi uncelise.
Ama-hormone weplacental
Ziyanyamalala, kungazelelwe, ngesikhathi ukulethwa kuphela.
Iprolactin
Kuyadingeka ukukhuthaza uketshezi lobisi. Iphakama ngemuva kokubeletha, kodwa idinga ukukhuthazwa kokuncela nokukhipha ibele enganeni ukugcina amazinga ayo nokugcina ukukhiqizwa kobisi.
I-Oxytocin
Kudingeka kakhulu ukuthi isibeletho sivumelane ibuyele esimeni sayo ukuze ubisi luphume ebeleni lapho ingane incela. Kubuye kukhuthazwe ukuncela kwengane.
Izinguquko zomzimba
Ukubuyiselwa kwesibeletho esimeni saso sangaphambilini.
Kusukela ngesikhathi sokubeletha isibeletho kufanele sivumelane ngokuqinile ukugwema ukopha futhi kancane kancane ilahlekelwe usayizi, ukusuka kusisindo nobude obungu-1500gr no-32 cm obukala ekupheleni kokukhulelwa kuye ku-7/8 cm no-60/80 gr ovame ukuba nawo.
Singasiza imizimba yethu ukwenza lolu shintsho olukhulu. Ukuncelisa, ukuvuka nokuhamba ngokushesha ngangokunokwenzeka futhi ukukhipha isinye ngezikhathi ezithile kuyizinto esingazilawula futhi sisize isizalo sethu ukuthi sibuyele endaweni yaso kungekudala, ukunciphisa ingozi yokopha nokutheleleka.
I-endometrium noma indawo yangaphakathi yesibeletho
Yindawo enamafinyila, eyenziwa ngumzimba wethu inyanga ngayinye, ikhule ngosayizi futhi ilungiselele ukuba "ngumntwana" wokukhulelwa okungenzeka. Phakathi namasonto okuqala inikezela zonke izakhamzimba ezidingwa yingane yesikhathi esizayo.
Ngesikhathi sokukhulelwa iyakhula bese kufakwa i-placenta kuyo, ishiye ngemuva kokubeletha indawo ebizwa ngokuthi "umbhede obambe iqhaza" ozothatha isikhathi eside ukuphola kunayo yonke i-endometrium.
Phakathi nengxenye yokuqala ye-puerperium kufanele inyamalale leyo mucosa emboze ukukhulelwa, izilimaza kanye nengaphandle ixoshwa ngendlela yeLochios.
Kusukela ngosuku lwesi-5 leyo ndawo yangaphakathi yesibeletho iqala ukuvuselelwa futhi kusukela ngosuku 25 kuya ku-45 ngemuva kokubeletha kuqala ukukhuthazwa ngamahomoni ajwayelekile, okudala ukuthi libuyele kumjikelezo walo ojwayelekile, Ngaphandle kwesimo sokuncelisa, inqubo yokukhuthaza kungenzeka ingenzeki ngenxa yesenzo samahomoni e-lactation.
Izinhlungu zangemva kwesikhathi
Ngubani ongakaze ezwe omama bethu nogogo bekhuluma ngamaphutha adumile?
Okubi akulutho ngaphandle kokuthi ukucindezela kwesibeletho lapho kubuyela khona ekubukekeni kwaso okujwayelekile. Zivame kakhulu komama asebevele babe nezingane eziningi noma ukukhulelwa amawele.
Ziba namandla kakhulu ezinsukwini zokuqala, zibuhlungu futhi nangesikhathi sokuthatha uma uncelisa.
I-Loquios
Yize abesifazane abaningi bephutha lokhu kuphuma kwegazi ngenxa yokuya esikhathini, akuhlangene nakancane nakho.
Nge-lochia, zonke izinsalela ezisele esibelethweni ngemuva kokubeletha ziyaxoshwa. Izinsalela ze-endometrium yokukhulelwa, izinsalela zegazi ... Njll
Izinsuku zokuqala ngemuva kokubeletha zibomvu, ngoba banegazi eliningi.
Kusukela ngosuku lwesi-4 kuya kwele-10 ngemuva kokubeletha kunokubonakala okubomvana. Banamagazi amancane namabhaktheriya amaningi (hhayi ama-pathological) noma ama-leukocyte.
Kusukela osukwini lwe-10 kuya kwelesithathu noma lesi-3 banokubonakala okumhlophe noma okuphuzi. Manje esikukhiphayo ngama-leukocyte nezinsalela zokuphulukiswa kwesilonda se-placental (indawo lapho i-placenta yafakwa khona) kanye nokwelashwa kwamanye amanxeba amancane emseleni wethu wokuzalwa.
Awukho umthetho onzima futhi osheshayo wesithupha ngobude besikhathi segazi ngemuva kokubeletha. Okubalulekile ukuthi sikubone lokho inani lincipha ngokuqhubekayo futhi nephunga, noma liyinqaba futhi liqinile, aliyona i-fetid futhi ayijabulisi.
Isitho sangasese sowesifazane, isitho sangasese somzimba nesitho sangasese
Kancane kancane kufanele babuyele kokujwayelekile. Kubalulekile ukuqala ukuvuselelwa kwezitho zangasese ngokushesha okukhulu, wenze izivivinyo zeKegel.
Thintana nodokotela wezifo zabesifazane noma umbelethisi ezinsukwini zokuqala zokubeletha ukuhlola izimo lapho kutholakala khona imisipha yakho bese uncoma izivivinyo ezifanele kakhulu.
Ukwehla kwesisindo
Le yinkinga evame ukusikhathaza kakhulu, buyela esibalweni sethu ngokushesha okukhulu. Lapha Ungafunda ukuthi unganciphisa kanjani isisindo ngendlela enempilo ngemuva kokubeletha.
Kubalulekile ukuthi ungafuni kakhulu, Umzimba wethu usudlule ekukhulelweni nasekubelethweni, kungenzeka ukuthi izinyathelo zethu zangaphambilini akulula ukuzizuza, kepha lokho kusho kuphela ukuthi manje umzimba wethu usunesinye isimo nokuthi kancane kancane sizokwehlisa isisindo.
Izinguquko zengqondo
Ngesikhathi sokukhulelwa, omama abaningi baveza ukwesaba kwabo ukubeletha, kepha balungiselela isigaba esizayo. Izikhathi eziningi siphupha ngomntwana opinki futhi ozolile osinikeza umuzwa omuhle wesisa ...
Kepha ingane ingumuntu omncane okufanele ajwayele izinguquko eziningi, sidinga isikhathi sokwazana nokuqondana. Nesikhathi sokuzivumelanisa nesimo esisha.
Izigaba umama adlula kuzo ngemuva kokubeletha
Ngokusho kukaReva Rubin (uma unentshisekelo lapha unombono wakhe) ngemuva kokubeletha owesifazane udlula ezigabeni ezintathu
Isigaba sokwamukela noma isikhathi sokuziphatha okuncikile
Ngosuku lokuqala ngemuva kokubeletha, umama uvame ukuba nesimo sokuncika. Unokungabaza okuningi futhi kunzima kuwe ukwenza izinqumo, ngakho-ke ithambekele ekuqondisweni ngabantu besithathu. Uhlala ekhuluma ngokubeletha, eqhathanisa okulindelwe kwakhe neqiniso.
Isigaba sokwesekwa noma ukuguquka kusuka ekuncikeni kuye enhlanganweni
Ezinsukwini ezimbili noma ezintathu ezizayo umama, noma ezizwa engalondekile, iqala ukubamba iqhaza ekunakekelweni kwengane, yenze izinqumo ezizimele futhi iqale ukuthatha imisebenzi yayo.
Kuyisikhathi lapho siqala khona ukubamba iqhaza lomama, kepha sidinga ukuqinisekiswa ukuthi sikwenza kahle ...
Isigaba sokulahlwa noma ukwamukelwa kwemithwalo yemfanelo emisha
Asikho isikhathi esibekiwe, kuvamise ukwenzeka uma sifika ekhaya sizithole sisodwa kubaba nasenganeni.
Manje sesisendaweni yethu futhi sizizwa sivikeleke kakhulu futhi sinamandla okulawula. Ubudlelwano nomlingani wethu ngisho nemindeni yethu buyaguquka futhi buyashintsha.
I-blues yomama
Imvamisa, ngemuva kokubeletha, kuvela umuzwa wenjabulo owanyamalala kancane kancane bese siqala ukuzwa ukuthi konke ukukhathala kokubeletha kwehlela phezu kwethu.
Kulokhu kufanele sengeze ushintsho olukhulu lwe-hormonal umzimba wethu obhekana nalo ngokungazelelwe, ubuhlungu, ukungalali, imizwa exubile noma ukwesaba nokukhathazeka ngomthwalo wokukhulisa umntwana kwenza isithombe se- "maternity blues" noma usizi lwe-puerperal luvele.
Kuyinto ejwayelekile neyomzimba, ebonakala ngesimo sokushintshashintsha kwemizwelo okungazelelwe, ukudangala, ukukhala, ukuzwela ngokweqile noma ukuncipha kwesifiso.
Omama abangama-80% bayahlupheka. Imvamisa ivela osukwini lwesithathu noma lwesine lwangemva kokubeletha futhi ihlala izinsuku eziyi-7 kuya kwezingu-10.
Kubalulekile ukuthi umndeni wazi ngomama. Uma isimo singanyamalali ngaleso sikhathi noma izimpawu ziba namandla kakhulu, kubalulekile ukubonisana nodokotela. ukuyivimbela ekuholeni ekucindezelekeni kokubeletha.
Sungula isibopho nengane yethu
Isibopho umuzwa wobunye nokunamathiselwa. Ukuyidala, abazali badinga ukuchitha isikhathi esiningi nengane.
Ukuthinta, ukuxhumana kwamehlo, ukuqaphela izwi noma iphunga kubalulekile ukukhuthaza ukwakhiwa kwaleyo bhondi.
Yigone ingane, ukhulume nayo, uyiculele, uyibambe ezingalweni zayo isikhathi eside ngangokunokwenzeka, Ukubona izingqondo zezingane njengezenzo zokuzithandela (njengalapho ekhama umunwe wethu), ukumbiza ngegama lakhe noma ukumbamba kubalulekile ukuthi siqale ukuzibona njengengxenye yomunye nomunye.
Kubalulekile ukuthi uma ingane inezelamani masibenze bahlanganyele kulezi zikhathi, singabaphiki ukuthi baphulule ingane noma bahlukanise nelungu elisha lomndeni.
Yeka okuthunyelwe okuhehayo uNati. Bheka, ekuqaleni ngifuna ukugqamisa le nkulumo ngoba ibonakala ibaluleke kakhulu kimi: "Noma mhlawumbe asisoze safana ngaphambi kokukhulelwa, kepha ngubani othi lokhu kubi?" Nami ngingomunye walabo abacabanga ukuthi akukho okungalungile ngokungafani futhi, kodwa empeleni asikho, siziguqule kakhulu! ukuthi esikhundleni sokuyibona njengesilebhu, kufanele sizizwe siziqhenya futhi sinamandla ngoba sikhulelwe impilo futhi saletha isidalwa emhlabeni, okuyinto engeyona into encane.
Umbono kaReva Rubin uyajabulisa, izigaba esidlula kuzo, kufaka phakathi leyo Maternity Blues… oh injabulo! Kuyajabulisa njengoba kufushane 🙂, kepha bengikuthanda ukukuzwa nokukujabulela.
Ngesikhathi ngivalelwa ngedwa futhi nginomdala, kwenzeka into enesifiso esikhulu kimi futhi isangibangela umuzwa ojulile ... Kwakunzima futhi kwakungelula kimi ukusungula isixhumanisi. Kwangibiza ngoba wazalwa ngokuhlinzwa, futhi akuzange kungibize ngoba nginenkani kakhulu futhi angizange ngikuhlongoze ... Kodwa engizokwenza: Ngangicwiliswe kakhulu kuleso sigaba esisha sempilo yami ukuthi ngolunye usuku ngithole umngani emgwaqeni owayesebenzisana nami kuphrojekthi yomsebenzi, futhi lapho ngimbona ngabona ukuthi ukube kwakungekhona lokho kuhlangana kwamathuba, mhlawumbe ngabe ngiqhubekile amasonto ambalwa ngaphandle kokwazi kahle ukuthi ngangingubani ngaphambi kwe- <3. Ngiyikhumbula ngothando olukhulu ngoba ngicabanga ukuthi kuyadingeka kakhulu ukuthi omama nezinsana basondelane kakhulu futhi baxhumane, futhi ngiyazi ukuthi abaningi banezinkinga eziningi kakhulu, kuyihlazo; ngenhlanhla akwenzekanga kimi.
Ukwanga nokuhalalisela okuthunyelwe.
Ngiyabona ukuthi isigaba se-puerperium yisona engisithanda kakhulu ukuphatha abesifazane. Ozakwethu abaningi bakhetha ukukhulelwa, kepha ngikholelwa ukuthi usizo esiludinga kakhulu manje, ngemuva kokubeletha. Funda ukuthandana futhi uzinikeze ukubaluleka esinakho, ukuvela ekubeni yindodakazi kuya ekubeni ngumama ... Ukuqonda ukuthi senze into enhle kakhulu nokuqonda ukuthi siyefana futhi asifani. Ushintsho olunzima ukwenza.
Ngibonga kakhulu uMacarena kanye nokuhaga.