Ngokushesha ngemva kokubeletha, abesifazane baqala isikhathi sokuhamba kwesikhathi, okubaluleke kakhulu kunokuzalwa ngokwakho. Ngalesi sikhathi, owesifazane odingayo udinga ukwelashwa ngokucophelela nokuziqapha ukuze kuvikelwe ukuthuthukiswa kwezinkinga ngemuva kokubeletha nokuphila ngalesi sikhathi ngokwemigomo evamile.
Isikhathi esivamile se-postpartum sihlala isikhathi esingakanani?
Isikhathi se-postpartum siqala ngokuzalwa kwe-placenta futhi sinesikhathi sokulinganisa samasonto angu-8 ngemva kokubeletha. Phakathi nalesi sikhathi, lesi sibeletho kufanele sinciphise usayizi ojwayelekile, isakhiwo saso kanye nengqimba yangaphakathi ye-endometrium ibuyiselwe. Phakathi nalesi sikhathi, umsebenzi wezinhlamvu zamathambo uqala - kusukela ekuthuthukiseni i-colostrum, kuze kube nobisi obuphezulu. Umsebenzi wezinhlaka zonke nezinhlelo zowesifazane owaphazamiseka ngokukhulelwa (ikakhulukazi izinso zokusebenza) kubuyiselwa. Isikhathi esivamile se-postpartum asikho izinkinga, futhi inkambo yayo ixhomeke ekusebenzeni komsebenzi, nokuthi isikhathi se-postpartum ngokwayo senziwa kanjani.
Isikhathi sokuqala se-postpartum, inkambo yayo, izinkinga ezingenzeka
Kusukela ekuzalweni kwe-placenta, lona wesifazane unamahora amaningana ngaphansi kokuqondiswa kukadokotela: ngalesi sikhathi umbele uqala ukuvumelanisa futhi ukutholakala kwenzalo yokuzalwa kunciphisa. Ukuhlukumeza kokuqala nokuyingozi kakhulu kule nkinga kuphuma esikhathini sokuhamba kwesikhathi, okuvame ukuvela emanzini ase-placenta emgodini we-uterine noma ukutholakala kwezinambuzane zomuthi wesisu ngesikhathi sokubeletha.
Ngemuva kwamahora ambalwa amathuba okugaya wehla, kodwa isikhathi sokuhamba ngemuva kwesigaba se-caesarean sidinga ukunakekelwa okuqaphile, ngoba ukuphuma kulo akukona nje ngenxa yokwephulwa kwesisu, kodwa ngenxa yokungafani kwe-sutures esibelethweni.
Ezinsukwini ezimbalwa ezalandela, lesi sibeletho sivumelanisa ngokushesha, futhi ukuvuthwa kwamanzi kanye namagqabhagqagqabha okuvame ukuguqulwa kuyasuswa yizicucu ezithandwa kakhulu (lochia). Uma ukuhlukana kwesibeletho kunobuthakathaka, futhi ama-blood clots aqoqa emgodleni wawo, khona-ke ukutheleleka kwe-microbial kungajoyina ukuvela kwezinye izinkinga ezinkulu - i-endpartritis ye-postpartum ne-postpartum sepsis.
Izici ze-postpartum period yilokho, ngaphezu kwezinguquko esibelethweni, izinguquko ezinyangeni ze-mammary ziqala. Ezinsukwini zakuqala, i-colostrum enamandla ivela kubo. Uma kukhona ukwephulwa kokuphuma kwayo futhi kulukhuni, i-lactostasis inokwenzeka ngokunyuka kwamazinga okushisa komzimba, ubuhlungu nokuvuvukala kwesifuba, okudlula emva kokunciphisa. Kodwa ngokutheleleka, esinye isifo se-postpartum period kungenzeka - isifo sofuba, okudinga ukwelashwa okufanele. I-prophylaxis ye-mastitis esikhathini sokuhamba kwesikhathi, okokuqala, ukuvimbela ukuqina kwesibisi sebele ngesikhathi se-postpartum kanye nokuhlanzeka ngokwemvelo nge-shower yansuku zonke, ukugeza isifuba ngamanzi afudumele nesepha kuze kube izikhathi ezimbili ngosuku.
Njengoba kunesidlo esingalungile, abesifazane abaningi bangase babe nezinsalela ezibuhlungu ezikudinga ukunakekelwa okufanele. Futhi enye inkinga engenzeka engxenyeni yezinhlayiya ze-mammary yi-hypogalactia (ubisi aluklanyelwe ngokwanele ukondla umntwana), ukuvimbela okungaba ukudla okuphelele kowesifazane kanye nokubonakaliswa njalo kobisi.
Ezinye izinkinga zokuhamba ngemva kokubeletha zihlanganisa ukucindezeleka kokuhamba ngemva kokubeletha, izifo ezivuthayo zezifo, i-varicose veins ye-hemorrhoids ne-thrombophlebitis yemilenze nesifuba, izinkinga ze-neurological ezivela kwi-sacral plexus.
Isikhathi se-postpartum emva kwesigaba se-cearean?
I-physiology yokubeletha kanye ne-postpartum period kwisigaba sokulahla sinokuzikhethela kwayo: i-placenta isusiwe ngokuphelele, kodwa i-endometritis ngemuva kokubeletha ivame kakhulu ngenxa yokuphulwa komthamo wesivumelwano esibelethweni nesigxili segazi noma i-lousy emgodleni wayo. Isikhathi se-postpartum ngemuva kwesigaba se-caesarean singaba nzima ngemiphumela ye-anesthesia, nokuvuvukala okuthelelekile endaweni yesiguli esihlokweni sesisu noma esiswini, i-peritonitis, isifo sokudakwa ngenxa yokwehluleka kokufiphala esikhathini sokuhamba kwesikhathi.
Isikhathi esilandelayo sokuhamba kwesikhathi, inkambo yayo, izinkinga ezingenzeka
Ubude besikhathi sokuqala emva kokubeletha kusukela ngesikhathi se-placenta babuyela emuva ezinsukwini ezingu-8-12 emva kokubeletha, futhi kusukela emavikini amabili ukuya kwangu-8 ngemuva kwe-placenta, isikhathi se-postpartum sekwephuzile senziwa. Phakathi nalesi sikhathi, ukutholakala kohlobo lwe-uterine mucosa kuyaqhubeka, ubisi luyakhiqizwa ingane. Izinkinga kule nkathi zizovame ukuqhubeka nezinkinga zesikhathi sokuqala, nakuba i-postpartum mastitis ingenzeka nganoma yisiphi isikhathi - ngenxa yokuphulwa kwemithetho yomuntu siqu yokuhlanzeka nokusetshenziswa okungalungile kwengane.