Ukweqa emva kokubeletha: izimbangela nezenzo

Ukubeletha umzuzwana ukuthi lo wesifazane walinda ngokuthuthumela izinyanga ezingu-9, ngemuva kwalokho, ekugcineni angambona ingane esithandekayo kakade. Manje ulindele isikhathi se- postpartum, ehambisana nokuphuma kwegazi. Nakuba lokhu kuyindlela ejwayelekile yokusebenza ngokomzimba eyenziwa emzimbeni womama, kungase kube yingozi.

Ukweqa emva kokubeletha kuqala ngesikhathi sokuhlukana kokuzalwa. Ubude bayo buxhomeke kakhulu ekuziphatheni komuntu wesifazane nangendlela umntwana azalwa ngayo.

Isikhathi se-postpartum sihlukaniswe ngezigaba ezimbili:

• Isikhathi sokuqala ngamahora amabili okuqala ngemuva kokususwa kwe-placenta. Ngalesi sikhathi, izindonga zesisu ziyanciphisa kakhulu, ngakho-ke lona wesifazane unegazi elikhulu kakhulu. Njengomthetho, ngalesi sikhathi umthamo wokudliwa yi-0.5% wesisindo somama ekubelethweni.

• Isikhathi sekwephuzile siqala ngemuva kokuphelelwa amahora amabili kusukela ngesikhathi sombutho we-placenta futhi kuqhubeka ngokwesilinganiso cishe ngezinsuku ezingu-30-40.

Ukweqa emva kokubeletha kubizwa ngokuthi lochia. Ngosuku lokuqala lokwabiwa, okuningi kakhulu. Ngokuhamba kwesikhathi, lapho isilonda esibonakalayo, esakhiwe ngemuva kokuba i-placenta isuswe, iqala ukuphulukisa, inani lochia liyancipha. Futhi njengoba sekushiwo kakade, ngemva kwenyanga badlula ngokuphelele.

Ngesikhathi sokuphulukiswa kwesilonda, ukwakheka kwezinguquko zomhlaba, ngenxa yalokho umbala wokukhulelwa nawo uguqukile. Ekuqaleni, banombala obomvu obomvu, futhi emva kwesikhashana baqala kancane kancane. Ukuze unqume ngokuhamba kwesikhathi izinkinga ze-postpartum, kubalulekile ukuqapha ngokucophelela ubuningi nombala we-lochia. Ngakho-ke, uma owesifazane ecabanga ukuthi kukhona okungahambi kahle ngemfihlo, kufanele ngokushesha aye kudokotela, futhi uma kungenzeka, yilowo owambuka esibhedlela.

Abomama abaningi abasha bacabanga ngephutha ukuthi emva kokuzalwa konke okwesabekayo sekuphelile - impilo yabo akekho noyedwa okusongelayo. Kodwa lokhu akusikho konke - kuze kube yilapho isibeletho sithatha ubukhulu bayo besandulela, kunengozi yokucindezeleka kokuhamba kwesikhathi. Omunye wabo yi-hypotonic ukuphuma kwegazi. Isikhathi sokuqala se-postpartum kubhekwa njengesikhathi esiyingozi kakhulu ekubukeni kwesimo esinjalo. Ngakho-ke, lapho izibonakaliso zokuqala zobuthakathaka kanye nosizi, kuqala owesifazane kufanele azise udokotela ngalokhu.

Kunezimbangela eziningana ezibangela ukuphuma kwegazi ngemva kokubeletha:

• Nciphisa ithoni yesibeletho (hypotension).

• Ukuphuma kwesibeletho nomlomo wesibeletho.

• Ukuphulwa kwenqubo yegazi coagulability.

• Ukuphulwa komsebenzi wesibeletho, okubangela ukunciphisa.

Ukwelashwa kwesisu se-postpartum kuhlukaniswe ngokuthi:

• I-Mechanical - yilokho okubizwa okuthiwa i- uterine massage, ngosizo lwalo mphumela oqondile kuyo.

• Imithi - ngezidakamizwa ezisika isibeletho.

• Ukwelashwa kokusebenza kusetshenziswa ezimweni lapho ezinye izinhlobo zezinhlobo zingasasiza.

Ukuze ugweme ukuphuma kwegazi ngemva kokubeletha, umama omncane kudingeka alandele izincomo eziningana:

• Ungalutholi leso sifo ngokushesha, ngokushesha nje lapho isifiso sokuya endlini yangasese. Futhi ngosuku lokuqala emva kokubeletha kubalulekile ukukwenza njalo amahora amathathu.

• Ukubeletha kuyindlela engcono kakhulu yokugqugquzela ukukhululwa kwe-oxytocin, okusiza kakhulu lesi sibeletho ukuba sivumelane ngokushesha.

• Futhi, i-puerpera kufanele ilale isikhathi eside kakhulu esiswini sayo. Lokhu kuhle ekusizeni inkontileka yesibeletho.

Isikhathi se-postpartum sifihla izingozi eziningana. Ngakho-ke, wonke owesifazane udinga ukwazi ukuthi ukuphuma kwegazi ngemuva kokubeletha kudlulela isikhathi esingakanani, ngabe uhlobo lwama-secretions kufanele lube luni, nokuthi yikuphi okudingeka kwenziwe ukuze kuvinjelwe ukulahlekelwa okukhulu kwegazi.