Ngenkinga efana nokucindezeleka kokuhamba kwesikhathi , wonke umama omusha wesihlanu uyafika. Yakha ukwephulwa ngenxa yezinguquko emsebenzini wesimiso se-hormonal, ukulungiswa komzimba. Cabanga ngalesi simo ngokuningiliziwe, faka izimbangela eziqondile, ukubonakaliswa, thola ukuthi ungaphuma kanjani ekucindezelekeni kwe-postpartum ngokushesha.
Ukucindezeleka Kwangemva Kwesonto - Izimbangela
Ngokusho kwe-static, ukucindezeleka ngemva kokubeletha kuvela ku-15-20% kuwo wonke ama-puerperas. Ngesikhathi esifanayo, ayiveli ngokushesha. Lo mcimbi uhlotshaniswa nokulungiswa kancane kancane kwemvelo. Ngakho izinga le-progesterone egazini lomama liqala ukwehla kancane kancane. Ngesikhathi esifanayo, ukuhlushwa kwe-prolactin kwanda. Ngokushesha, leli hormone likhuthaza ukuqala kwenqubo ye-lactation - ukuhlanganiswa kobisi ngama-glands.
Ngaphandle kokuguqulwa kwama-hormonal ngenhla emzimbeni, izici ezivusa ukuthuthukiswa kokucindezeleka kwangemva kokubeletha kungaba:
- ukutholakala kwezifo ezingapheli;
- ukuwohloka kwesimo emndenini;
- ukungaqondi ngezihlobo nabangane;
- okuhlangenwe nakho okuqhubekayo kwengane, okuyinto ecindezela umsebenzi wesimiso sezinzwa.
Ukucindezeleka kwe-postpartum kubonakala kanjani?
Ezimweni zokuqala zokuthuthukiswa, ukwephulwa ngokuvamile akuzizwanga. Ngaphezu kwalokho, omama abaningi babhala izibonakaliso zokuqala zokukhathala ngemuva kokubeletha, ukuguqulwa komzimba kuzimo ezintsha nemithwalo yemfanelo. Ngenxa yalokhu, lesi sifo sitholwa uma umama eqala ukwehla kwabanye, njalo ubonisa ukunganaki kwakhe. Ukucindezeleka kwe-Postpartum kuqala, izimpawu zazo zilandelayo:
- ukuthuthukiswa kwemizwa yokucindezeleka;
- i- alarm njalo;
- kunciphise isithakazelo ekuphileni;
- ukucasula;
- ukubonakala komqondo wokuhlukanisa nomntanakho;
- ukudabuka;
- ukwehlisa ukuzethemba;
- ukungabi nesithakazelo ekuphileni obuseduze.
Kumele kuqaphele ukuthi akunakwenzeka ngaso sonke isikhathi ukuthi owesifazane alobe zonke izibonakaliso ezibalwe uphawu lokuphulwa okunjalo njengokucindezeleka kokuthunyelwa komzimba. Kodwa-ke, ngisho nokuba khona kweziningana - isizathu sokuya kudokotela. Ukuntula ukwelashwa okufanele, usizo oluvela ezihlotsheni nabangane, kungasusa isimo, okuzodinga ukwelashwa esibhedlela, ukuphathwa kwezokwelapha.
Ukucindezeleka kwe-postpartum kuqala nini?
Ngemva kokunquma ukuthi ukucindezeleka kokuthunyelwa kwe-postpartum, izibonakaliso zalesi sifo, kufanele kuthiwa kuvame ukuqhubeka emva kwesikhathi esithile ngemuva kokuvela kwengane. Mayelana nokuqedwa kokukhulelwa, i-progesterone iqala ukuhlanganiswa ngevolumu encane. Ngesikhathi esifanayo, ukuhlushwa kwama-endorphin kunciphisa - izinto ezibangela ukujabula, imizwa ephakeme. Konke lokhu kuthinta umsebenzi wesimiso sezinzwa.
Ngokuqondene nesikhathi lapho ukucindezeleka kokuphuma kokubeletha kuqala khona, odokotela ababizi isikhathi esithile. Ngokusho kokubheka kanye nedatha ye-static, iningi labesifazane libhekene namasonto amathathu kuya kwangu-6 emva kokuzalwa komntwana. Kulokhu, izimpawu zikhula kancane kancane. Ngenxa yalokhu, lapho ekhuluma nodokotela, iziguli eziningi zithola kunzima ukukhumbula usuku lapho kuvela khona izimpawu zokuqala zokucindezeleka.
Ukudabuka kwe-postpartum kungakanani?
Ukukhathala kokuntula njalo kwemizwelo, imizwa yokucindezeleka, omama bavame ukuthakazela odokotela ukuthi ukucindezeleka kudlulela isikhathi esingakanani ngemuva kokubeletha. Odokotela abanikeli impendulo ethile kulo mbuzo. Lokhu kubangelwa ukuthi imvelo ngayinye ingumuntu ngamunye. Ukugeleza kokuphazamiseka nakho kunezinto ezikhethekile. Uma kungekho ukwelashwa okudingekayo, isimo sokucindezeleka singadlulela ezinyangeni ezingu-3-4 futhi sithole inkambo engapheli. Lesi simo sithuthukiswa yiqiniso lokuthi ngemva kokubona ukuthuthukiswa, isimo semvelo, umama uphendukela kudokotela.
Ungabhekana kanjani nokucindezeleka kokuphuma kwe-postpartum?
Omama abaningi baye bezwa ngalendlela efana nokucindezeleka kwe-postpartum, indlela yokubhekana nayo - abazi. Ngenxa yalokhu, ukungabikho kokwelashwa isikhathi eside kudala isimo futhi kungabangela ukukhathazeka okukhulu emsebenzini wesimiso sezinzwa, ukuphazamiseka kwengqondo. Ukuvimbela lokhu, kumele:
- qaphela kahle imizwa yakho;
- ukuqapha isimo somzwelo;
- zama ukuchitha isikhathi esiningi emoyeni omusha.
Ungabhekana kanjani nokucindezeleka kokuphuma kokubeletha ngokwakho?
Omama abaningi bathuthuka ukucindezeleka ngemva kokubeletha, indlela yokubhekana nayo - hhayi wonke umuntu owaziyo. Kunzima ukukwenza yedwa. Umama udinga ukusekelwa njalo othandekayo, umndeni nabangane, izintombi. Kubonakala ukuthi ukwandisa ukukhulumisana nabangane nabangane, ukwenza izinto ozithandayo, izinto zokuzilibazisa zithinta kahle isimo somzwelo. Ukukhuluma ngokuthi ungasusa kanjani ukucindezeleka kokuhamba kwesikhathi, odokotela babiza imithetho elandelayo okumelwe ibonwe:
- Sabalalisa imithwalo yemfanelo. Umama osemncane akufanele akwazi ukuthatha yona. Kubalulekile ukusungula imithetho emisha, ukuhleleka ngokweqile isimiso nsuku zonke. Uma kunokwenzeka, amanye amacala kufanele anikezwe umyeni, ugogo nomkhulu noma umkhulu.
- Qaphela umbuso wosuku. Umama kufanele azikhethele isikhathi, okuzokwenzelwa ukuphumula nokulala.
- Yenza ukudla. Umama udinga amavithamini acebile kanye nezingxenye zokudla okunomsoco. Labo besifazane abancancisayo, kufanele baqaphe njalo ukudla, baphuze amanzi amaningi (itiye, ubisi) ukuze banganciphisi ukushisa .
- Xoxa nabangani, izihlobo, obambelela nabo ngaphambi kokubeletha. Phakathi kwezindaba zansuku zonke futhi unakekela ukunakekelwa kwengane, udinga ukuthola isikhathi sokukhuluma nomngani wakho othandekayo, wabelane ngokuhlangenwe nakho kwakhe kanye nemizwelo naye.
Izidakamizwa zokucindezeleka ekucindezelekeni kwe-postpartum
Uma kukhona ukwephulwa okuqinile, lapho kungenakwenzeka ukubhekana ngokuzimela ngenjabulo, ukwesaba nemizwelo, umama kufanele axoxe nodokotela usizo. Ukucindezeleka kwe-postpartum, ukwelashwa okwenziwe ngabanye, ngezinye izikhathi kudinga ukuqokwa kwemithi. Odokotela basebenzisa izidakamizwa zokucindezeleka , phakathi kwazo:
- Zoloft;
- Fluvoxamine;
- Luvox.
Kubalulekile ukucabangela iqiniso lokuthi ingxenye yento esebenzayo yemithi ifaka ubisi lwebele. Ngenxa yalokhu, lapho ukondla, ungazitholi, sebenzisa izidakamizwa ngaphandle kwemithi. Umuthi kufanele uthathwe kuphela esilinganisweni esiboniswa udokotela. Ukuhambisana nemvamisa kanye nobude besikhathi sokwamukelwa kahle kuthinta ukusebenza komuthi.
Ukucindezeleka kwesikhathi eside kokuthutha
Uma owesifazane engaboni ukuthuthuka phakathi nezinyanga ezintathu, uhlale ecindezelekile, lokhu kusho ukuthi ukucindezeleka kwangemva kokubeletha kudonsela phambili. Amacala anjalo ajwayelekile, ngoba iningi loomama aluboni ukuthi kuyadingeka ukufuna usizo kudokotela. Nsuku zonke kukhona isimo esibucayi: ukuhluleka okuqhubekayo, ukukhala, ukubhubhisa akubonakali nje kuphela esimweni somntwana, kodwa futhi kungaba yingozi emndenini. Indlela yokuphuma kwalesi simo ingase kube ukuqokwa kokwelashwa okufanele.
Ungakugwema kanjani ukucindezeleka kwe-postpartum?
Ukuvimbela ukucindezeleka kwangemva kokubeletha kuyindlela ephumelelayo yokulwa nokuphulwa okunjalo. Le nqubo ihlanganisa:
- ukuphumula okuvamile;
- ukuhamba emoyeni omusha;
- ukuxhumana njalo nabangane nezihlobo;
- ukuguquka ngezikhathi ezithile kwesimo;
- umsebenzi wokuzilibazisa ozithandayo.