Yini Ebangela Ukuphathwa Yikhanda Langemva kokubeletha futhi Kulashwa Kanjani?

-Delile

• Kungani kuvela ikhanda ngemuva kokubeletha?
• Ingabe ukuncelisa ibele kubangela ikhanda elingemva kokubeletha?
• Uhlobo luni lwekhanda onalo ngemuva kokubeletha onalo?
• Ukuphathwa yikhanda okuyinhloko
• Ukuphathwa ikhanda kwesibili
• Ungalufuna nini usizo
• Ziphathwa kanjani izinhlungu zangemva kokubeletha?
• Ukwelapha ikhanda eliyinhloko
• Ukwelapha ikhanda lesibili
• Ungakuvimbela kanjani ukuphathwa ikhanda ngemuva kokubeletha
• Ngabe ikhanda elibuhlungu ngemuva kokubeletha lizophela?

Ziyini izinhlungu zangemva kokubeletha?

Ukuphathwa ikhanda ngemuva kokubeletha kwenzeka kaningi kwabesifazane. Kokunye ukuhlola, amaphesenti angama-39 abesifazane ababelethayo babhekana nekhanda phakathi nesonto lokuqala ngemuva kokubeletha. Udokotela wakho angakunika ukuxilongwa ikhanda ngemuva kokubeletha uma uhlangabezana nekhanda nganoma yisiphi isikhathi emavikini ayisithupha ngemuva kokubeletha ingane yakho. Kunezizathu eziningana ongathola ngazo ikhanda ngemuva kokubeletha, futhi izindlela zokwelashwa zizohluka ngokuya ngohlobo onalo.

Kunezinhlobo eziningi zekhanda ongahle ube nazo ngesikhathi sakho sokubeletha futhi ziba namandla. Izinhlungu zangemva kokubeletha zingahlukaniswa ngezigaba ezimbili:

• ukuphathwa yikhanda okuyinhloko, okubandakanya ukungezwani kwekhanda lokuqaqamba kanye ne-migraines
• ikhanda lesibili, elidalwa yisimo esingaphansi

Funda ukuze ufunde kabanzi mayelana nokuphathwa ikhanda ngemuva kokubeletha nokuthi ungakuphatha kanjani ngokuphepha.

Kungani kuvela ikhanda ngemuva kokubeletha?

Ezinye izimbangela zekhanda eliyinhloko esikhathini sokubeletha zifaka:

• umlando womuntu siqu noma womndeni we-migraines
• ukushintsha amazinga e-hormone
• ukuncipha kwesisindo okuhlobene nokwehla kwezinga le-hormone
• ukucindezeleka
• ukungalali
• ukoma komzimba
• ezinye izici zemvelo

Ezinye izinhlungu zesibili zangemva kokubeletha zingabangelwa:

• preeclampsia
• ukusetshenziswa kwe-anesthesia yesifunda
• i-cortical vein thrombosis
• eminye imithi
• ukuhoxa kwe-caffeine
• meningitis

Ingabe ukuncelisa ibele kubangela ikhanda elingemva kokubeletha?

Ukuncelisa ibele akunikeli ebuhlungwini be-postpartum ngqo kepha ungaba nekhanda ngenkathi uncelisa ngezizathu ezimbalwa ezihlukile:

• Amahomoni akho angaguquguquka ngenkathi uncelisa, okuholela ekuphathweni ikhanda.
• Ungase ukhishwe ngokomzimba noma ngokomzwelo ngezidingo zokuncelisa, okuholela ekhanda.
• Ukuntuleka kokulala noma ukuphelelwa amanzi emzimbeni kungadala ingcindezi noma ikhanda elibuhlungu le-migraine.

Kufanele ukhulume nodokotela wakho uma unekhanda elijwayelekile noma elibi ngenkathi uncelisa.

Uhlobo luni lwekhanda onalo ngemuva kokubeletha onalo?

Uhlobo lwekhanda langemva kokubeletha onalo lingahluka. Ezinye zivame kakhulu kunezinye. Ucwaningo oluthile lubike ukuthi eqenjini labo lesampula labesifazane abangama-95 abanezinsizi zangemva kokubeletha:

• cishe isigamu sasinenkinga noma ikhanda elibuhlungu
• Amaphesenti angama-24 ayephethwe yikhanda elihlobene ne-preeclampsia
• Amaphesenti ayi-16 abephethwe yikhanda ebangwa yi-anesthesia yesifunda

Ukuphathwa yikhanda okuyinhloko

Ukungezwani

Akuyona into engavamile ukuzwa ikhanda lokucindezeleka. Ngokuvamile, lezi zinhlungu zekhanda zimnene. Ikhanda lakho lingaqaqamba nhlangothi zombili ebhandeni elizungeze ikhanda lakho. Ikhanda lingahlala imizuzu engama-30 noma lihlale isikhathi esingangesonto. Ikhanda elibuhlungu lingadalwa yingcindezi kanye nezimo zemvelo, njengokuntula ukulala noma ukoma.

Migraine

I-Migraines yizinhlungu ezinzima, ezihlaba ikhanda ezivame ukwenzeka ohlangothini olulodwa lwekhanda lakho. Zingabandakanya nezimpawu ezifana nesicanucanu, ukuhlanza nokuzwela kwizibani nemisindo. Bangakushiya ungakwazi ukusebenza amahora noma izinsuku.

I-American Migraine Association ithi owesifazane oyedwa kwabane uzoba ne-migraine emasontweni amabili okuqala ngemuva kokubeletha. Lokhu kungabangelwa ukwehla kwamahomoni okwenzeka ezinsukwini ezilandelayo zokubeletha. Ungase uthambekele kakhulu ku-migraine ngenxa yokunakekelwa kwengane yakho ngehora nosuku.

Njengezinkinga zekhanda lokungezwani, izici zemvelo zingadala i-migraine.

Ukuphathwa ikhanda kwesibili

Ukuphathwa yikhanda kwesibili ngemuva kokubeletha kwenzeka ngenxa yesinye isimo sezempilo. Izimbangela ezimbili ezivame kakhulu yi-preeclampsia noma i-anesthesia yesifunda.

Preeclampsia

IPreeclampsia yisimo esibi kakhulu esingenzeka ngaphambi noma ngemuva kokubeletha. Yilapho une-high blood pressure futhi mhlawumbe namaprotheni emchameni wakho. Kungaholela ekuqulekeni, ekuqulekeni, noma, okushiywe kungalashwa, ukufa.

Ukuphathwa yikhanda okubangelwa yi-preeclampsia kungaba nzima futhi kunga:

• ishayela
• iba yimbi ngomsebenzi womzimba
• zenzeka ezinhlangothini zombili zekhanda lakho

Ungase futhi ube:

• umfutho wegazi ophakeme noma amaprotheni emchameni wakho
• umbono uyashintsha
• ubuhlungu besisu
• ukuncipha kwesidingo sokuchama
• ukuphelelwa umoya

IPreeclampsia yisimo esiphuthumayo sezokwelapha. Xhumana nodokotela wakho ngokushesha uma usola i-preeclampsia.

Ukukhanda ikhanda ngemuva

Ukusetshenziswa kwe-anesthesia yesifunda ngesikhathi sokubeletha kunemiphumela emibi engaba khona. Enye yalezi zinhlungu zekhanda ngemuva.

Ukuphathwa ikhanda lokubhoboza ngemuva kwangemuva kungenzeka uma uthola i-epidural noma umgogodla obeka ngephutha isikhathi sakho ngaphambi kokubeletha. Lokhu kungaholela ekhanda elibuhlungu ngamahora okuqala angama-72 elandela inqubo, ikakhulukazi uma umile noma uhleli umile. Ungase futhi uhlangabezane nezinye izimpawu ezinjengalezi:

• ukuqina kwentamo
• isicanucanu nokuhlanza
• ushintsho lokubona nokuzwa

Udokotela kufanele abheke ukwelashwa kwalesi simo. Amacala amaningi angaxazululwa ngezindlela zokwelashwa ezilandelanayo ngaphezulu kwamahora angama-24 kuye kwangama-48. Ukwelashwa okulondolozayo kungafaka:

• ukuphumula
• ukuphuza amanzi amaningi
• i-caffeine

Kungadingeka ukwelapha lesi simo ngokwelashwa okuthe xaxa, okufana ne-epidural blood patch.

Ungalufuna nini usizo

Ngenkathi ukuphathwa ikhanda kuyinto eyenzeka ngokujwayelekile, kufanele uqaphele izimpawu zekhanda elingemva kokubeletha. Xhumana nodokotela wakho ngokushesha uma uphathwa yikhanda:

• zinzima
• ukuphakama ngamandla ngemuva kwesikhathi esifushane
• kuhambisana nezinye eziphathelene nezimpawu ezifana nomkhuhlane, ukuqina kwentamo, isicanucanu noma ukuhlanza, izinguquko ezibukwayo, noma izinkinga zokuqonda
• shintsha ngokuhamba kwesikhathi noma lapho ungena kwesinye isikhundla
• akuvuse ebuthongweni
• kwenzeka ngemuva kokuvivinya umzimba

Udokotela wakho uzoxoxa ngezimpawu zakho futhi ahlole. Ungadinga izivivinyo ezengeziwe nezinqubo zokuxilonga ikhanda lesibili.

Ziphathwa kanjani izinhlungu zangemva kokubeletha?

Ukwelashwa kwekhanda kuncike ohlotsheni.

Ukwelapha ikhanda eliyinhloko

Ukungezwani kanye nokuqaqanjelwa yikhanda kungalashwa ngama-anti-inflammatories angaphezulu kwe-the-counter, afana ne-naproxen (Aleve) ne-ibuprofen (Advil). Eziningi zazo kuphephile ukuzithatha ngenkathi uncelisa, ngaphandle kwe-aspirin.

Xhumana nodokotela wakho uma uthatha olunye uhlobo lomuthi wezinhlungu zekhanda futhi ufuna ukunquma ukuthi kuyahambisana yini nokuncelisa.

Ukwelapha ikhanda lesibili

Ukuphathwa ikhanda okwesibili kufanele kuphathwe udokotela wakho njalo futhi kungabandakanya ukwelashwa okukhulu kakhulu kunekhanda eliyinhloko. Kufanele uxoxe ngezingozi zokwelashwa kwekhanda lesibili uma uncelisa.

Ungakuvimbela kanjani ukuphathwa ikhanda ngemuva kokubeletha

Ukuzinakekela kuyindlela ebalulekile yokuvimbela ukungezwani nokuqaqanjelwa yikhanda. Lokhu kungashiwo kalula kunokukwenza ezinsukwini zokuqala zokunakekela usana olusanda kuzalwa.

Nawa amathiphu ambalwa wokuvimbela ukuvela kwekhanda eliyinhloko:

• Phumula ngokwanele. Zama ukulala lapho ingane yakho yehla ubuthongo bese ucela umlingani wakho noma umngane ukuthi agade ingane phakathi kokuphakelwa.
• Phuza uketshezi oluningi. Thambisa ibhodlela lamanzi elikhulu noma uqiniseke ukuthi unengilazi yamanzi eceleni kwakho.
• Yidla ukudla okunempilo njalo. Thenga efrijini lakho kanye nephenti ngokudla okunomsoco okulungele ukukulungisa nokudla.
• Zama ukukhululeka ukunciphisa ukucindezeleka. Thatha uhambo olulula, funda incwadi, noma uxoxe nomngani ukunciphisa ukucindezeleka.

Ngabe ikhanda elibuhlungu ngemuva kokubeletha lizophela?

Kunezimbangela eziningi zekhanda langemva kokubeletha. Ngaphandle kwesizathu, ukuphathwa ikhanda ngemuva kokubeletha kufanele kuphele kungakapheli amasonto ayisithupha noma ngaphezulu kokubeletha ingane yakho.

Imvamisa, ukuphathwa yikhanda ngemuva kokubeletha kungukuphikisana noma ikhanda elibuhlungu, ongalelapha ekhaya noma ngosizo lukadokotela wakho. Ukuphathwa yikhanda kwesibili okunzima kakhulu kufanele kubonwe udokotela wakho ngokushesha futhi kungadinga izinga eliphakeme lokwelashwa ukuvimbela izimpawu ezimbi kakhulu ukuthi zingaveli.