Impilo Ngemuva Kokulethwa

-Delile

• Siqonde ekhaya ngemuva kokubeletha
• Impilo yengane yakho
• Ukondla ingane yakho
• Ukudla kwangemva kokubeletha
• Imisebenzi yomzimba
• Ukuzivocavoca umzimba
• Ucansi
• Impilo yengqondo ngemuva kwengane
• Ukudla okudlela endlini

Izithombe zeCavan / i-Getty Izithombe

Ngemuva kwezinyanga zokulindela, ukuhlangana nengane yakho okokuqala ngokuqinisekile kuzoba ngesinye sezikhathi ezikhumbuleka kakhulu empilweni yakho.

Ngaphezu kokulungiswa okukhulu kokuba ngumzali, uzophinde uhlangane nesethi entsha yezimpawu zomzimba nezingokomzwelo eziqala lapho ingane izelwe. Lezi zimpawu kungenzeka zingafani nanoma yikuphi oke wabhekana nakho ngaphambili.

Isifo esivame kakhulu ongasithola ngemuva kokuzalwa ukukhishwa okubizwa nge-lochia. Lokhu kukhishwa kwegazi kubukeka kufana nesikhathi sokuya esikhathini futhi kungathatha amasonto ayi-8 ngemuva kokuzalwa.

Abantu futhi bajwayele ukuzwa imizwa enamandla yokucinana kwesibeletho njengoba isibeletho sincipha sibuyele ngosayizi owawungaphambi kokukhulelwa.

Ezinye izimpawu zizohluka kuye ngomuntu nomuntu, kuya ngendlela oletha ngayo nokuthi unquma ukuncelisa. Lezi zimpawu zifaka:

• ukopha
• ukukhipha
• ukuvuvukala kwamabele
• ubuhlungu besizalo

Abaningi bazizwa bengaqiniseki ngokuthi yini abangayilindela futhi bazibuze ukuthi yini okubhekwa “njengokujwayelekile” ngemuva kokubeletha. Iningi labantu liyalulama ngokugcwele ngemuva kokubeletha.

Noma kunjalo, kunezinkinga ezithile kanye nezimpawu ezingavamile kakhulu okufanele uziqaphele.

Siqonde ekhaya ngemuva kokubeletha

Ubude bokuhlala kwakho esibhedlela buzoya ngesipiliyoni sakho sokuzalwa. Ezinye izikhungo zokubelethisa zivumela abantu abathola ukuzalwa okungenamithi ukuba bahambe ngosuku olufanayo ababelethayo.

Izibhedlela eziningi, noma kunjalo, zidinga ukuhlala okungenani ubusuku obungu-1. Abantu abazalwe ngokuhlinzwa kufanele balindele ukuhlala esibhedlela ubusuku obungu-3, ​​ngaphandle kwalapho kukhona ezinye izinkinga.

Ngenkathi usesibhedlela, uzokwazi ukufinyelela kodokotela bezingane, abahlengikazi bokunakekelwa kwabakhulelwe, kanye nababonisi be-lactation. Bonke bazoba nemininingwane eminingi nezeluleko ngawe mayelana nohambo lomzimba nolungokomzwelo oluzayo.

Zama ukusebenzisa leli thuba ukubuza imibuzo mayelana nezinguquko emzimbeni nangemva kokubeletha nokuncelisa.

Izibhedlela ezinamayunithi okubeletha nokubeletha zinenkulisa lapho ingane yakho izogadwa futhi igcinwe ihlanzekile. Noma kulinga ukugcina ingane eceleni kwakho 24/7, sebenzisa le nsiza ukuzama ukuphumula, uma ungakwazi.

Izibhedlela eziningi zizodinga ukuthi ube nokuhamba kwamathumbu ngaphambi kokuba ukwazi ukuphuma esikhungweni. Uzonikezwa isithambisi sendle ngemuva kokubeletha ukuze unciphise ubuhlungu bokuhamba kwamathumbu kokuqala ngemuva kokuzalwa.

Uma ukhombisa noma yiziphi izimpawu zokutheleleka, njengomkhuhlane, kungadingeka uhlale esikhungweni kuze kube yilapho lezo zimpawu zixazululwa. Umbelethisi wakho noma udokotela obelethayo angenza isivivinyo esifushane ngaphambi kokuba uhambe, ukuze nje uqiniseke ukuthi uyiqalile inqubo yokwelashwa.

Uma ukhetha ukubelethela ekhaya, umbelethisi wakho uzoba ngumbonisi oyinhloko wokunakekelwa kwakho ngemuva kokubeletha. Umbelethisi wakho uzokuhlola nengane ukuze aqiniseke ukuthi wonke umuntu uphilile ngaphambi kokungena ngezikhathi phakathi kwamasonto ngemuva kokubeletha kwakho.

Impilo yengane yakho

Isivivinyo sokuqala sezokwelapha ingane yakho ezoba naso esibhedlela sibizwa ngokuthi yi-APGAR test. Kwenzeka ngokushesha nje lapho bezalwa.

Ukuhlolwa kwe-APGAR okwenziwe emizuzwini emi-5 ukuya kwengu-10 emva kokuzalwa kunembe kakhulu. Kodwa-ke, odokotela abaningi futhi barekhoda njalo isilinganiso seminithi eli-1 le-APGAR. Isilinganiso se-APGAR sincike ezintweni ezinhlanu:

• Audaba
• Pulse
• Grimace
• Aubuciko
• Rugqozi

Isilinganiso esiphezulu sili-10, futhi noma yimaphi amaphuzu aphakathi kuka-7 no-10 athathwa njengejwayelekile. Isilinganiso esiphansi se-APGAR singakhombisa ukuthi ingane kungenzeka ukuthi icindezelekile ngesikhathi sokuphela kwenqubo yokuzalwa.

Ngesikhathi usesibhedlela, ukuzwa nokubona kwengane yakho nakho kuzohlolwa. Ingane yakho nayo izohlolelwa uhlobo lwegazi layo. Ezinye izifundazwe zinemithetho noma izincomo ezigunyaza izingane ukuba zithole imijovo ethile noma imishanguzo ngaphambi kokuba baphume esibhedlela.

Konke okunye okuhlangenwe nakho kwengane esibhedlela kuzoya ngesisindo sabo sokuzalwa nokuthi banjani emva kokuzalwa.

Ezinye izingane ezingathathwa njengezikhathi ezigcwele (ezizalwe ngaphambi kwamasonto angama-37) noma ezizalwa zinesisindo esiphansi sokuzalwa zigcinwa ukuze zibhekwe egunjini lokunakekelwa kwabasanda kuzalwa (NICU) ukuqinisekisa ukuthi ziyakwazi ukuzivumelanisa nempilo ngemuva kwesibeletho.

I-jaundice esanda kuzalwa, efaka ukuphuzi kwesikhumba, ijwayelekile. Cishe amaphesenti angama-60 ezingane ezisanda kuzalwa zithola i-jaundice, ngokusho kukaMashi kaDimes. Izingane ezine-jaundice zizodinga ukwelashwa nge-incubator.

Ngaphambi kokuba uphume esibhedlela, uzodinga ukwenza i-aphoyintimenti nodokotela wezingane ngaphandle kwesibhedlela ukukala nokuhlola ingane. Lokhu kuqokwa kweviki elingu-1 kungumkhuba ojwayelekile.

Ukondla ingane yakho

I-American Academy of Pediatrics (AAP) incoma ukuthi izingane zinceliswe ibele kuphela ezinyangeni eziyisithupha zokuqala zempilo.

Abancoma ukuncoma ukuncelisa kuze kube yiminyaka emibili noma ngaphezulu noma ngaphezulu ngenxa yezinzuzo ezinkulu.

Ukuqala kungakapheli ihora elingu-1 lokuzalwa kunikela ngezinzuzo ezinkulu futhi.

Ukuncelisa ibele kungokuhlangenwe nakho okukhulu ngokomzimba kini nobabili. Ngesikhathi sokukhulelwa kwakho, ungaqaphela ukuthi i-areola yakho iba mnyama futhi izingono zakho zikhula ngosayizi. Izinsana ezisanda kuzalwa azikwazi ukubona kahle, ngakho-ke lokhu kuzozisiza zithole isifuba sakho futhi zidle okokuqala.

Ubisi lokuqala olungena esifubeni sakho lubizwa ngokuthi yi-colostrum. Lubisi luncane futhi lunombala onamafu. Uketshezi luqukethe amasosha omzimba abalulekile azosiza ukusungula amasosha omzimba wengane yakho.

Ezinsukwini ezi-4 zokuqala zokuphila kwengane, lonke ubisi lwakho luzongena, lubangele amabele akho ukuba avuvuke. Kwesinye isikhathi amapayipi obisi ayavaleka, abangele isimo esibuhlungu esibizwa ngokuthi i-mastitis.

Ukuqhubeka nokondla ingane nokugcoba ibele lakho nge-compress eshisayo kungavala umgudu futhi kunciphise ubungozi bokutheleleka.

Izinsana zivame “ukondla amaqoqo.” Lokhu kusho ukuthi kwesinye isikhathi kungahle kube nomuzwa wokuthi badla cishe njalo. Ukondliwa kwamaqoqo kuyinto ejwayelekile futhi kwenzeka kakhulu emasontweni ambalwa okuqala.

Akuwona wonke umuntu okwazi ukuncelisa. Abanye banokukhubazeka kwesifuba noma kwengono okuvimbela ukuncelisa okwanele noma ukubambeka okufanele. Kwesinye isikhathi izimo ezithile zokwelashwa ziyakwenqabela ukuncelisa.

Ukondla ingane ngebhodlela kuzodinga ukubhekisisa ukuthi zidla kangakanani nokuthi zivame kangaki. Uma ungakwazi ukuncelisa ibele, noma uma ukhetha ukuncelisa ingane yakho ubisi oluthambile ngesinye isizathu, xoxa ngalesi sinqumo nodokotela wezingane.

Bangakusiza ufunde ukuthi malini futhi luhlobo luni lwefomula olungcono kakhulu ukusetshenziselwa ingane.

Ukudla kwangemva kokubeletha

Uhlelo lokudla lomzali oncelisayo lufana nanoma yiluphi uhlelo olulinganiselwe kahle. Izofaka:

• i-fiber-rich carbs
• amafutha enempilo
• izithelo
• amaprotheni
• imifino

Uma uncelisa, ungazithola uzizwa ulambile njalo. Lokhu kukhombisa ukuthi udinga ukusebenzisa ama-calories amaningi ukwenzela amakhalori alahlekile ekwenzeni ubisi lwengane yakho.

Ngokuya nge, uzofuna ukudla cishe ama-2,300 kuya kuma-2,500 kilojoule ngosuku. Lokhu kuzoya ngomzimba wakho, amazinga womsebenzi, nezinye izinto. Xoxa ngezidingo zakho zekhalori nodokotela wakho.

Qhubeka nokuthatha amavithamini akho ngaphambi kokubeletha ngenkathi uncelisa. Ukuphuza amanzi amaningi nakho kubalulekile.

Futhi qhubeka nokukhawulela izinto ozigweme ngesikhathi sokukhulelwa, ikakhulukazi:

• utshwala
• i-caffeine
• izinhlanzi eziphakeme ze-mercury, njenge-tuna ne-swordfish

Ngenkathi ungadingi ukugwema ngokuphelele utshwala noma i-caffeine, iMayo Clinic yeluleka ukukhumbula inani olisebenzisayo nesikhathi osisebenzisa. Lokhu kuzosiza ekugcineni ingane ekuvezweni kulezi zinto ezingaba yingozi.

Ungahle uthande ukugxumela ngqo ohlelweni lokudla oluzobuyisela "umzimba wakho wangaphambi kwengane." Kodwa into ebaluleke kakhulu ongayenza emasontweni ambalwa okuqala ngemuva kokubeletha ukuphulukisa nokubuyisela amavithamini namaminerali okungenzeka ukuthi ulahlekile ngesikhathi sokubeletha.

Imisebenzi yomzimba

Ngesikhathi senqubo yokuphulukisa, qiniseka ukuthi umzimba wakho usukulungele ngaphambi kokuqalisa kabusha imisebenzi ethile yomzimba. Uma ngabe une-episiotomy, izinyembezi zangasese, noma ukulethwa kwe-cearean ngesikhathi sokuzalwa, isikhathi ngaphambi kokuthi uqale kabusha imisebenzi ethile singahluka.

Khuluma nombelethisi wakho noma u-OB-GYN ekuqokweni kwakho kokulandela mayelana nokuthi ungabuyela kanjani emsebenzini ophephile.

Ukuzivocavoca umzimba

I-American College of Obstetricians and Gynecologists (ACOG) ithi abantu abaningi bangaqala ukuzivocavoca ezinsukwini ezimbalwa nje zokubeletha.

Umsebenzi olinganiselayo we-aerobic, njengokugijima nokubhukuda, unganciphisa namathuba akho okuba nokudangala kwangemva kokubeletha.

Kepha uma ubenezinkinga ngesikhathi sokubeletha, khuluma nodokotela wakho bese usulwa ngaphambi kokuba uqale noma iyiphi inqubo yokuzivocavoca.

Ungazicindezeli ngokuzivocavoca umzimba ngaphambi kokuba uzizwe sengathi umzimba wakho usulungile.

Ucansi

Odokotela ngokuvamile bayeluleka ukuthi balinde cishe amasonto ayisithupha ngemuva kokuzalwa kwesitho sangasese sowesifazane, kanye namasonto ayisishiyagalombili ngemuva kokubeletha, ngaphambi kokuya ocansini.

Izinguquko zeHormone ngesikhathi sokukhulelwa futhi isenzo sokubeletha uqobo singenza ucansi lungakhululeki ekuqaleni.

Futhi qaphela ukuthi ngokushesha ngemuva kokubeletha nangaphambi kokuba umjikelezo wakho wokuya esikhathini uqale, kungenzeka ukuthi uphinde ukhulelwe futhi.

Qiniseka ukuthi ukhethe indlela yokulawula ukubeletha ngaphambi kokuya ocansini nomlingani wakho okwazi ukukukhulelisa.

Impilo yengqondo ngemuva kwengane

Olunye uphawu lokuphila kwangemva kokubeletha ongalulindeli ukushintsha kwemizwelo.

AmaHormone kusukela ekubelethweni nasekunceliseni angahlangana nokukhathala kanye nomthwalo wokuba ngumzali wokwenza okuhlangenwe nakho okunzima kwengqondo.

Ngenkathi i- "baby blues" nokucindezeleka kwangemva kokubeletha komtholampilo kwabelana ngezimpawu eziningi, akuyona into efanayo.

Kuyinto evamile ukuzizwa ukhihla isililo, ubuthakathaka ngokomoya, futhi ukhathele phakathi namasonto ambalwa okuqala umntwana ezelwe. Ekugcineni, uzoqala ukuzizwa uzithanda wena futhi.

Uma uqala ukuba nemicabango yokuzibulala noma imicabango yokulimaza ingane, ungahle ube nokucindezeleka kwangemva kokubeletha (PPD). Ukukhathazeka okukugcina uphapheme noma okwenza inhliziyo yakho igijime, noma imizwa eyeqile yecala noma yokungabi nalutho, kungakhombisa nokuthi usizo luyadingeka.

Zinike imvume yokufinyelela kwabanye. Abantu ababa nezimpawu zokudangala kwangemva kokubeletha, ngokwe-CDC. Awuwedwa.

Imvamisa, ukucindezeleka kwangemva kokubeletha kungahambisana nesimo esibizwa nge-postpartum psychosis. Lesi yisimo esiphuthumayo futhi sibonakala ngokukhohlisa nokuphambana.

Uma uzizwa nganoma yisiphi isikhathi sengathi uhlangabezana nezimpawu zokudangala kwangemva kokubeletha noma i-postpartum psychosis, usizo luyatholakala.

Uma uhlala e-United States, iNational Suicide Prevention Lifeline ingafinyelelwa ku-800-273-8255. Bangakweluleka amahora angama-24 ngosuku, izinsuku eziyi-7 ngeviki.

Ukudla okudlela endlini

Ngesikhathi usulungele ukuhlolwa kwakho kwangemva kokubeletha emasontweni ayisithupha kuya kwayisishiyagalombili ngemuva kokubeletha, ungaqala ukuzizwa ufana nawe ngokomzimba.

Kodwa uma nganoma yisiphi isikhathi ngemuva kokuphuma esibhedlela ukuphuma kwegazi kwakho kube kusinda, uba nemfiva engaphezu kuka-100.4 ° F (38 ° C), noma ubona ukukhishwa okufana nobofu okuvela kokunye okusikilile, shayela udokotela wakho.

Akukaze kube buhlungu ukuthola ukuthula kwengqondo nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.