Umbuzo wokuthi uma isikhathi sokuya esikhathini siqala yini emva kokuzalwa, kujabulisa abesifazane abaningi, ikakhulukazi emva kokuzalwa kwengane yokuqala, lapho kungekho okuhlangenwe nakho futhi kunzima ukuqonda ukuthi yiziphi izinguquko emzimbeni ezihle futhi okufanele zivelele. Ake sibone ukuthi izazi zithini mayelana nokubuyiselwa komjikelezo wokuya esikhathini emva kokubeletha, yiziphi izici ezithinta le nqubo nokuthi yini okufanele isatshwe.
Inkathi iqala nini emva kokulethwa?
Ukujwayelekile komjikelezo wokuya esikhathini kubonisa ukubuyiswa kwesistimu yokuzala, futhi ngenxa yalokho, kungenzeka ukuthi umklamo olandelayo uzoba khona. Kodwa esimweni ngasinye ngabanye akunakwenzeka ukusho ngokunemba ngokuqondile lapho inyangazonke emva kokulethwa kuzofika, ngoba kuxhomeke ezinkathini eziningi. Indima eyinhloko idlalwe yindlela yokunakekela ingane, kuncike ekutheni impilo yowesifazane, isimo se-endocrine system.
Ifika nini emva kokuncelisa emva kokuncelisa?
Lapho ukondla, i-hormone prolactin ikhiqizwa, okuvimbela ukuvuthwa ngokucindezela ukwenziwa kwamahomoni emaqanda amaqanda. Ngaphambilini, kwakucatshangwa ukuthi umjikelezo wokuya esikhathini kufanele ubuyiselwe ngemuva kokuyeka ukuncelisa. Kodwa ngesigqi samanje sokuphila, kunezici eziningi ezithinta ukukhiqizwa kweprolactin, futhi, ngenxa yalokho, umjikelezo wesimeni ungadlula isikhathi eside ngaphambi kokuphela kokuncelisa ingane. Izinto ezibaluleke kakhulu ezithinta ukukhiqizwa kweprolactin zidla izidakamizwa ze-hormonal kanye nendlela yokudla.
Amadoda emva kokubeletha azofika nini ekunceliseni ingane?
Njengomthetho, ngokudla okunjalo, umjikelezo wokuya esikhathini ubuyiselwa emuva konyaka ngemuva kokuzalwa kwengane. Kodwa kuyadingeka ukuba uqaphele, njengoba ukwehluleka ekudleni kungaholela ekunciphiseni kwezinga le prolactin nokubuyiselwa isikhathi ngaphambi komsebenzi wama-ovari.
Ngemuva kokuzalwa, izikhathi zokuya esikhathini ziqala ngokuncelisa ngokubeletha ngokwemigomo?
Ukondla umbuso kubangele ukuphazamiseka kokukhiqizwa kweprolactin, ngakho ukuya esikhathini kungase kutholakale ezinyangeni ezimbalwa.
Ukudla okuxubekile kuvela nini emva kokuzalwa?
Njengomthetho, ngokusetshenziswa okungeziwe kokuhlanganiswa okufakelwayo, umjikelezo wokuya esikhathini ubuyiselwa emuva kwezinyanga 3-4 emva kokuzalwa.
Ngemuva kokuzalwa, izikhathi zokuya esikhathini ziqala ngokudla okufakelwayo?
Uma kungabikho ukubeletha, kuthatha izinyanga ezi-1 kuya kwezingu-2.5 ukubuyisela umjikelezo wokuya esikhathini.
Bafika nini ngenyanga emva kokudiliva okuphindaphindiwe?
Ukubuyiselwa komjikelezo wokuya esikhathini akuthinteki inani lokuzalwa kwangaphambilini. Kodwa indlela yokudla, ubudala kanye nempilo, ikakhulukazi yezocansi, ingathinta kakhulu ukujwayela kokuya esikhathini. Uma ukuya esikhathini akuqali ngesikhathi okufanele uhambe kudokotela.
Izikhathi zifika nini emva kokuzalwa kokuzalwa?
Kulesi simo, indlela yokudla idlala indima ebalulekile. Uma kungekho ukuncelisa isisu somjikelezo wokutakula kuyothatha cishe amasonto ayishumi.
Yini okufanele uyenze uma kwenzeka izikhathi ezingavamile emva kokubeletha?
Njengomthetho, emva kokuqala kokuya esikhathini, ukujikelezwa kufanele kuqinisekiswe, nakuba kungenzeka ukubuyisela emuva kokuya esikhathini. Uma, emva kokuya esikhathini sesithathu, lo mjikelezo uhlala ungavamile, kubalulekile ukubona udokotela.
Zingaki izinyanga ezidlule emva kokuzalwa?
Njengomthetho, emva kokuzalwa isikhathi sokuya esikhathini asishintshi, kodwa izinkathi zingaba buhlungu kakhulu futhi zivame kakhulu. Isikhathi eside ngemva kokubeletha singaya emigqeni embalwa yokuqala, kepha uma esikhathini esizayo sibuyela esikhathini esijwayelekile, kufanelekile ukubona udokotela. Ngesinye isikhathi, ukubuza ukuthi sekuyizinyanga ezingakanani emva kokuzalwa, abesifazane bafuna ukubona ukuthi uqala kusukela ngosuku lokuqala emva kokuzalwa futhi kungadlulela ezinyangeni eziyi-1.5-2. Lezi zibizwa ngokuthi i-lochia. I-Lochias ayihlangene nokujikeleza kokuya esikhathini, ngoba yimbangela yokulimala ku-endometrium yesibeletho nokugcina kuze ibuyiselwe.
Kungani kungabikho inyanga zonke emva kokubeletha?
Ukungabi nenyanga emva kokuzalwa, nokudla okufakelwayo kungabonisa izifo zesimiso sokuzala. Futhi, ukuntuleka kokuya esikhathini kufanele kume lapho ukuncelisa ibele kuyama. Isizathu sokungabikho kwenkathi noma umjikelezo ongavamile ngemuva kokuqala kokuya esikhathini kungase kube i-endometriosis, i-postpartum pathologies, ukuvuvukala kwama-ovari, ukuphazamiseka kwe-hormone, kanye nokwakhiwa kwesisu.
Kubalulekile ukukhumbula ukuthi ukubuyiselwa komjikelezo wokuya esikhathini akusho ukuthi umzimba ulungele ukukhulelwa okulandelayo. Ukuqala kokukhulelwa okuphindaphindiwe ngaphambi kokuqala kokuya esikhathini kuvamile, okuyinto engalungile neze kumzimba wesifazane ophelile noma kumntwana ozayo. Njengoba wazi, kuthatha okungenani iminyaka engu-2-3 yokuthola okuphelele emva kokubeletha, futhi kuphela lapho ungahlela ukukhulelwa okulandelayo. Ngakho-ke, ukunakekelwa kokubeletha kusengaphambili, ngaphandle kokulinda lapho inyangazonke izohamba ngemva kokubeletha.