Chifukwa Chake Mumakhala ndi Thukuta La Usiku Wa Postpartum ndi Momwe Mungathanirane Nawo

Zamkati

• Nchiyani chimayambitsa thukuta usiku pambuyo pobereka?
• Ndani amatuluka thukuta usiku pambuyo pobereka?
• Kutuluka thukuta usiku kumatenga nthawi yayitali bwanji?
• Kodi mungathetse bwanji kutuluka thukuta usiku pambuyo pobereka?
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Ngati muli ndi pakati, mukuganiza zokhala ndi pakati, mudangokhala ndi mwana, kapena mukungofuna * kudziwa * zomwe muyenera kuyembekezera pambuyo poberekatsiku lina, mwina muli ndi mafunso ambiri. Ndi zachilendo! Ngakhale kuti mwina mukudziwa zina mwazomwe zachitika posachedwa (werengani: kugwera pansi panthawi yobadwa) kapena mukudziwa kuti zovuta zina zimakhalitsa (monga matenda amisala ndi nkhawa - dzina 'latsopano' la kupsinjika mtima pambuyo pobereka), palizambiri za postpartum siteji yomwe imakhalabe chete. (Zokhudzana: Zotsatira Zapamimba Zodabwitsa Zomwe Ndi Zachilendo)

Mwachitsanzo, nditabereka mwana wanga woyamba mwezi watha wa Juni ndikupita kunyumba usiku woyamba ndi mwana wanga wamkazi, ndinadabwa kwambiri kuti ndikadzuka pakati pausiku kuti ndimudyetse, ndinaliwakhathamira kwambiri. Ndinali nditagwira thukuta kupyola zovala zanga, masheya athu, ndipo ndinali ndikupukuta mikanda mthupi langa. Zomwe sindinadziwe panthawiyo: Kutuluka thukuta usiku pambuyo pobereka kumachitika kawirikawiri pambuyo pobereka. M'malo mwake, kafukufuku wina akuwonetsa kuti 29% ya azimayi amakumana ndi zotentha pambuyo pobereka, zomwe zimakonda kuchitika usiku.

Koma nchiyani chimapangitsa kuti amayi atsopano azinyowa usiku uliwonse, thukuta lalikulu bwanji, ndipo mungatani kuti muzizire? Apa, akatswiri amafotokoza (ndipo musadandaule-pali mausiku owuma owoneka!).

Nchiyani chimayambitsa thukuta usiku pambuyo pobereka?

Chabwino, pali zifukwa zazikulu ziwiri. Choyamba: Kutuluka thukuta usiku ndi njira ya thupi lanu yochotsera madzimadzi owonjezera. “Mayi woyembekezera amakhala ndi chiwonjezeko cha 40 peresenti m’chiŵerengero cha mwazi wochirikiza mimbayo,” akutero Elaine Hart, M.D., dokotala wa pachipatala cha Ana pa Yunivesite ya Loma Linda. Akangobereka, safunikiranso kuchuluka kwa magazi kumeneko. Ndiye masiku oyamba kapena masabata mutabereka? Magazi amenewo amabwezeretsedwanso ndi thupi lanu ndikutuluka mumkodzo kapena thukuta, akutero.

Chifukwa chachiwiri? Kutsika mwachangu kwa estrogen. The placenta, chiwalo chomwe chimapangidwa panthawi yapakati kuti chithandizire mwana wanu wokula, chimapangitsa ma estrogen ndi progesterone komanso milingo kukhala yayikulu kwambiri m'moyo wanu musanabadwe, akufotokoza Dr. Hart. Mukangotulutsa nsengwa (yomwe, BTW, muyenera kuchita mukamabereka mwana wanu), kuchuluka kwa mahomoni kumatsika ndipo kumatha kuyambitsa kutentha ndi thukuta usiku pambuyo pobereka, chimodzimodzi ndi zomwe azimayi otha msinkhu amatha kukumana ndi mayendedwe a estrogen, akutero.

Ndani amatuluka thukuta usiku pambuyo pobereka?

Pomwe mayi aliyense yemwe wangobereka angadzuke pakati pausiku atanyowa kwathunthu, pali azimayi ena omwe ali pachiwopsezo chambiri kuposa ena kukhala ndi mwana. Choyamba, ngati munali ndi ana opitilira m'modzi (moni, mapasa kapena atatu!), Mumakhala ndi placenta wokulirapo komanso ochulukirapo owonjezera magazi - motero kuchuluka kwa mahomoni (kenako kutsika) kwamadzimadzi ndi madzimadzi ochulukirapo kutaya mwana akabadwa, akufotokoza Dr. Hart. Poterepa, mutha kutuluka thukuta kwambiri komanso kwanthawi yayitali kuposa munthu yemwe anali ndi mwana m'modzi yekha.

Komanso: Ngati mumasunga madzi ambiri panthawi yomwe muli ndi pakati (werengani: kutupa), mutha kutuluka thukuta kwambiri usiku mutabereka chifukwa mumangotaya madzi ambiri, atero a Tristan Bickman, MD gyn ndi wolemba waNdani! Khanda.

Pomaliza, kuyamwitsa kumatha kukulitsa thukuta. "Tikamayamwitsa, tikupondereza mazira athu ambiri," akufotokoza Dr. Bickman. "Ovary akaponderezedwa sapanga estrogen, ndipo kusowa kwa estrogen kumeneku kumayambitsa kutentha ndi kutuluka thukuta usiku." Kuchulukitsa kwa prolactin, timadzi timene timayambitsa kukula kwa tiziwalo timene timatulutsa mammary pa nthawi ya mimba,komanso amachepetsa estrogen. (Zokhudzana: Amayi Awa Adayimitsa Kuyamwitsa Khanda Lawo Maola 16 Mu Mpikisano wa 106-Mile Ultramarathon)

Kutuluka thukuta usiku kumatenga nthawi yayitali bwanji?

Kudzuka ndikutsuka masamba m'mawa uliwonse pamwamba pa kusamalira mwana wakhanda kumatha kukalamba-mwachangu. Ngakhale kutuluka thukuta usiku pambuyo pobereka kumatha kukhala milungu isanu ndi umodzi, ndiomwe amakhala oyipitsitsa m'masabata awiri oyamba atabadwa, malinga ndi Dr. Bickman. Ngakhale kuyamwitsa kumachepetsa kuchuluka kwa estrogen, thukuta usiku pambuyo pobereka siliyenera kukhala kwakanthawi pomwe mukuyamwitsa. "Ndi mkaka wopitilira muyeso, thupi lanu limazolowera kuponderezedwa ndi estrogen ndipo kuwotcha kwa azimayi ambiri sikovuta," akutero Dr. Hart.

Inemwini, ndidapeza kuti thukuta langa limatha pafupifupi milungu isanu ndi umodzi, ndikucheperachepera mpaka pomwe, tsopano nditakhala miyezi itatu nditabereka, sindinathenso kutuluka thukuta pakati pausiku. (Zokhudzana: Chifukwa Chake Ndimakana Kudzimva Kuti Ndili Ndi Mlandu Wogwira Ntchito Ndikumagona Khanda Langa)

Ngati mukudzuka mutanyowa pambuyo pa masabata asanu ndi limodzi kapena mukuwona kuti zinthu zikuipiraipira? Gwiritsani ntchito dokotala wanu wamkulu kapena ob-gyn. Hyperthyroidism, yochulukitsa mahomoni a chithokomiro a thyroxine, amatha kukhala ndi zizindikilo monga kutentha kwa kutentha ndi thukuta, atero Dr. Hart.

Kodi mungathetse bwanji kutuluka thukuta usiku pambuyo pobereka?

Palibe tani yomwe mungachite thukuta usiku mukabereka, koma dziwani kuti "ndizosakhalitsa ndipo zimakhala bwino pakapita nthawi," akutsimikizira Dr. Bickman.

Nthawi zambiri mpumulo wabwino umabwera m’njira ya chitonthozo: kugona ndi mazenera otseguka kapena choyatsira mpweya kapena fanizira, kuvala zovala zochepa, ndi kugona m’malaya okha.

Ngati mukuda nkhawa kuti mulowerera m'mapepala anu, lingalirani zinthu zokulitsa chinyezi ngati nsungwi. Cariloha Bedding ndi Ettitude zimapereka nsungwi zofewa, zopumira bwino zopangidwa ndi nsungwi, zokutira zamatumba, ndi zina zambiri (zomwe, TBH, ndizodabwitsa ngati mukuchita thukuta usiku pambuyo pobereka).

Malingaliro ena awiri: pa counter estrogen, monga cohosh wakuda, yemwe angathandize ndi kunyezimira, kapena mwina kudya zakudya zokhala ndi soya, akutero Dr. Hart.

Ndipo musaiwale kuti ngati mukukula thukuta usiku ukangobadwa kumene, kukhala wopanda madzi-popeza thupi lanu likuchotsa madzi pang'onopang'ono kwambiri - ndiyofunika. Osachepera mutha kuwonjezera vinyo pamndandanda wazakumwa tsopano?!

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