Ngemva kokuzalwa kwengane nokuhlukaniswa kwe-placenta, cishe i-300 ml yegazi iphuma, bese isibeletho siqala ukuvumelanisa, simise ukuphuma kwegazi. Kusukela emva kokubeletha kwengane isibeletho sesibeletho sinjengokubonakala kwesilonda, kuyathatha isikhathi ukubuyisela ngokugcwele umcibisholo wayo ( endometrium ).
Phakathi nezinsuku ezingu-10 ezizayo, igazi kanye nama-clots wegazi angakhululwa emgodini we-uterine, futhi ukukhishwa okwesibhakabhaka (lochia) kunokwenzeka ezinyangeni eziyi-1.5. Esikhathini esivamile ukukhulelwa kwamanzi kufanele kube okuncane (owesifazane uguqula i-gasket okungenani izikhathi ezingaphezu kwe-1 emahoreni amabili), uma ukukhulelwa kukhula - mhlawumbe ukuphuma kwesisu (ikakhulukazi uma kunezingxenye ezitholakala embelethweni futhi kungenakwenzeka ukukhishwa kwayo ngendlela efanele).
Imicucu ye-serous ayifanele futhi ingenalo ukungcola okungcolile, uma umbala wabo noma iphunga layo liguquka, ukushisa komzimba kuphakama - lezi zibonakaliso zokuvutha emgodini we-uterine (endometritis) futhi kufanele uxhumane nodokotela. Yingakho izinyanga ezingu-1.5 owesifazane enganconywa ukuba abe nobulili ngemuva kokubeletha ngenxa yokuthi kungenzeka ukuthi alethe ukutheleleka kuze kube yilapho i-mucosa ye-uterine ibuyiselwe.
Ukubuyiselwa kwenyanga emva kokuzalwa
Uma isikhathi se-postpartum singenazo izinto ezithile, kanti owesifazane akabelethi, bese kuthi ngemva kwezinsuku ezingu-56 ukuzalwa isibindi sesisu sibuyiselwe, futhi ngemva kwamasonto 10-12 emva kokuzalwa, owesifazane unenkathi yokuqala yokuya esikhathini. Bangase bahluke kulabo ababengaphambi kokuzalwa (ngokuqina nangesikhathi). Izinyanga ezingu-2-3 ezingajwayelekile ngezikhathi zonke zingenzeka, bese kancane kancane umjikelezo wesifazane uphindela evamile.
Ukungabi nokuya esikhathini emva kokuzalwa: izimbangela
Okokuqala, ukungabikho kwenyanga emva kokuzalwa kungabangelwa i-amenorrhea ye-lactational. I-hormone prolactin , ekhiqizwa abesifazane abahlambalaza, ayigcini nje ekugqugquzela ukhiqizwa ubisi, kodwa ibuye ivimbele ukuvuthwa, ngaphandle kwalokho okungekho nyanga okwenzekayo kuze kube yilapho umama edla umntwana. I-prolactin iphinde ivikele owesifazane ekukhulelwe uma edla umntwana njalo emahoreni amathathu ngekhefu lokulala ngaphandle kwamahora ayisithupha. Uma owesifazane ebeletha ingane njalo, emva kokubeletha akukho nenyanga eyodwa noma ngaphezulu (ezinyangeni ezingu-14), kodwa lokhu akuvamile.
Ngokuvamile owesifazane akakwazi ukunamathela ngqo esimisweni esinjalo, futhi ngokusungulwa kwezilonda, ukuphuka phakathi kokudla okukhulayo kunganda. Ngisho nokulimala okwanele kunokwanele ukudala ukuvuthwa kwegazi, ngakho-ke uma kungekho isikhathi eside emva kokuzalwa - ungaphumuli: isizathu esilandelayo sokungabikho kokuzalwa kwenyanga zonke ngemuva kokuzalwa kungase kuqale ukukhulelwa okwesibili, ikakhulukazi emjikelezweni ongakagunyaziwe ngokuphelele.
Uma ukuya esikhathini kwaba okungenani uma usuhambe (futhi bangabuyiselwa nganoma yisiphi isikhathi ngisho nakumama abahlengikazi), ke akukho prolactin engabanciphisa, nokukhulelwa. Futhi, uma kube nokulibaziseka ngenyanga yesibili ngemuva kokubeletha, ngisho nezimpawu ezincane ze-toxemia, kungcono ukwenza ukuhlolwa kokukhulelwa.
Esinye isizathu, ngenxa yokuthi asikho inyanga zonke emva kokubeletha, yizinqubo zokuvuvukala kwama-ovari ezenza izifo ze-hormonal zibe emzimbeni. Kulezi zizathu ezingadingeka ukukhuluma ngazo yizicubu zesisu kanye nama-ovari.
Esinye isifo esibangela ukuphazanyiswa komjikelezo wokuya esikhathini emva kokubeletha yi-endometriosis, evame ukuvela ngemva kokuhlinzwa okuhlinzekwa esibelethweni (isigaba sofuzo), ngemuva kokubeletha nokuhlukunyezwa nokuhlukumeza okuningi kwenzalo yokuzalwa.
Ukusho ukuthi kufanele imbuyiswe nini ngempela
Ukukhulelwa ngaphambi kwalesi sikhathi kuholela ekukhathaleni komama kanye nesilinganiso esinganele semithamo edingekayo enganeni elandelayo. Futhi uma owesifazane engamondli umntwana, futhi azikho izinyanga ezingaphezu kwezinyanga ezingu-2-3 emva kokuzalwa, khona-ke kufanele uthintane nomjozi wezifo zamasosha.