Ukubeletha kuyinkimbinkimbi eyinkimbinkimbi futhi engalindelekile, inkambo nokuphela okungeke kwabikezelwa. Kuhle uma ugijima kahle futhi ngaphandle kwezinkinga, kodwa ngezinye izikhathi ukuzalwa kulukhuni yi-crotch ruptures, i-placenta eyengeziwe noma ukwanda kwezinga lokushisa esikhathini sokuqala noma sekupheleni kwesikhathi sokuhamba kwesikhathi. Kulesi sihloko sizocabangela izimbangela zokushisa emva kokubeletha nendlela yokubhekana nayo.
Ukushisa ngemuva kokuzalwa - izizathu
Inqubo yokubeletha idinga amandla amaningi futhi ithatha iningi lomsebenzi ovela kwabesifazane abasebenza, okunciphisa ikhono lomzimba lokulwa nezifo ezehlukene. Ngakho-ke, ukwanda kwezinga lokushisa ngemva kwamahora amabili emva kokubeletha okungaphezu kwe-37.5 ° C kungahlanganiswa nokunamathiselwe kokutheleleka. Kungaba ukutheleleka kakhudlwana kokuphefumula kwesandulela ngculaza, ukutheleleka komsele wokuzala nge-infection ye-nosocomial engenzeka noma ukusebenza kwe-pathogen enomzimba emzimbeni kamama. Ukwanda kwezinga lokushisa kuya ku-38 ° emva kokubeletha kubhekwa njengokwenyama, okwenzekayo ngokuphendula ukuvuvukala kwezigulane ze-mammary futhi kubonakala ngezinsuku 2-4, futhi akufanele kubangele ukukhathazeka. Lokhu lokushisa kungabamba phakathi nesikhathi lapho igciwane le-mammary ligcwalisa khona.
I-postpartum endometritis, ukuxilongwa nokuphathwa
Ukwanda kwezinga lokushisa ngemuva kokubeletha liphakeme kune-38 ° C kungase kube uphawu lwe-endometritis ye-postpartum. Izindlela zokuhlola eziqinisekisa ukutholakala kwe-endometritis yizinto ezilandelayo:
- ngemuva kokubeletha, izinga lokushisa eliphezulu livela ezinsukwini zokuqala ezingu-1-2 emva kokuzalwa. Ukushisa ngemuva kokubeletha kufinyelele ku-38-39 ° futhi hhayi nje kuphela kunganciphisi, kodwa kungakwandisa;
- ukukhuphuka kokushisa kuhambisane nezinhlungu esiswini nase-perineum;
- ngenkathi ejwayelekile ye-postpartum period ngosuku lwe-5th-6th, ukukhishwa kwegazi kukhishwa indawo yokugcoba, futhi esimweni se-endometritis, kutholakala ngokugcwele ngemva kokusebenza kuqhubeka.
Ezimweni ezinjalo, ukuphathwa okusheshayo kwe-antibiotic therapy kuyadingeka (imithi elwa namagciwane amaningi ayenziwa).
Ukushisa okuphakemeyo ngemva kokuzalwa - i-mastitis
Kwamanye omama abancane, ukuqala kwe-lactation kungahambisana nokuphakama kokushisa, okuyinto evamile ngemva kwezinsuku ezingu-4-7 ngokushintsha kombala ngebisi lwebele. Uma owesifazane onosuku lwama-7 enomkhuhlane ngemva kokubeletha ngaphezu kuka-38.5 °, okuhambisana nosizi, ukuqinisa nokubomvu kwezigulane ze-mammary, usuvele ukhuluma nge-mastitis (ukuvuvukala kwesifuba). Emfanekisweni womtholampilo we-mastitis, zonke izibonakaliso zenqubo yokuvuvukala zikhona: umkhuhlane, izikhukhula, ubuthakathaka kanye ne-malaise. Ukwelashwa kwesifo sofuba kwenzeka ku-primiparas ngenxa yobisi obunamafutha emithonjeni yezinyosi ze-mammary - i-lactostasis ene-attachment elandelayo yokutheleleka kwebhaktheriya. Ukuvimbela ukuthuthukiswa kwe-mastitis, udinga ukuveza izibonakaliso zokuqala ze-lactostasis ukuveza ubisi lwebele ngemuva kokondla ubisi noma ukusebenzisa ipompo lesifuba. Ngokuvamile ukwelashwa kwezidakamizwa ze-mastitis zesenzo esiningi. Ukuvimbela okuphumelela kakhulu kwe-lactostasis ukusetshenziselwa ingane njalo esifubeni.
Ezinye izimbangela zemfiva emva kokubeletha
Uma izinga lokubanda likhuphuka ngesonto noma inyanga ngemva kokubeletha, izizathu zalo zingase zihluke kakhulu. Ngakho, uma kuzalwa kwenzeka
Sihlolisise imbangela yomkhuhlane ngemuva kokubeletha. Ngingathanda ukungeza ukuthi esinye isizathu sokuba izinga lokushisa likhuphuke ngesikhathi se-postpartum yi-banal i-ARVI, engabonakala yizimpawu zomtholampilo: impumu egijima, ukukhwehlela, ukushaywa amehlo emehlweni.