Puerperium: ndi chiyani, chisamaliro ndi zomwe zimasintha m'thupi la mkazi

Zamkati

• Zomwe zimasintha mthupi la mkazi
• 1. Mabere olimbikira
• 2. Mimba yotupa
• 3. Kuwonekera kwa magazi ukazi
• 4. Colic
• 5. Kusapeza bwino m'dera loyandikana
• 6. Kusadziletsa kwamkodzo
• 7. Kubwerera kwa msambo
• Chisamaliro chofunikira panthawi ya puerperium

Puerperium ndi nthawi yobereka yomwe imayamba kuyambira tsiku lobadwa mpaka nthawi yobwerera ya mkazi, pambuyo pathupi, zomwe zimatha kutenga masiku 45, kutengera momwe kuyamwitsa kumachitikira.

Puerperium imagawidwa m'magawo atatu:

• Nthawi yomweyo pambuyo pobereka: kuyambira 1 mpaka 10 tsiku la postpartum;
• Puerperium omaliza: dwa 11 mpaka tsiku la 42 atabereka mwana;
• Puerperium yakutali: kuyambira tsiku la 43 pambuyo pobereka.

Munthawi ya puerperium mayiyu amatha kusintha kwamankhwala, thupi komanso malingaliro. Munthawi imeneyi nkwachilendo kuti mtundu wa "msambo" uwoneke, womwe umakhala magazi abwinobwino omwe amabwera chifukwa chobereka, omwe amatchedwa lochia, omwe amayamba kwambiri koma amachepa pang'onopang'ono. Mvetsetsani bwino zomwe lochia ali komanso zomwe ndi zofunika kuzisamala.

Zomwe zimasintha mthupi la mkazi

Munthawi ya puerperium, thupi limasintha zina zambiri, osati kokha chifukwa kuti mayi salinso ndi pakati, komanso chifukwa amafunika kuyamwitsa mwana. Zina mwa zosintha zofunika kwambiri ndi izi:

1. Mabere olimbikira

Mabere, omwe panthawi yoyembekezera anali osavuta komanso opanda vuto lililonse, nthawi zambiri amakhala olimba chifukwa amadzaza mkaka. Ngati mayiyo alephera kuyamwitsa, adotolo atha kupereka mankhwala oti aumitse mkaka, ndipo mwanayo ayenera kumwa mkaka wa mwana, ndikuwonetsa adotolo.

Zoyenera kuchita: kuti muchepetse kusapeza bwino kwa bere, mutha kuyika mabere otentha pachifuwa ndikuyamwitsa maola atatu aliwonse kapena mwana akafuna. Onani kalozera wathunthu woyamwitsa oyamba kumene.

2. Mimba yotupa

Mimba imakhalabe yotupa chifukwa chiberekero sichinafike kukula kwake, chomwe chimachepa tsiku lililonse, ndipo chimakhala chopanda pake. Amayi ena amathanso kutuluka paminyewa yam'mimba, yotchedwa diastasis yam'mimba, yomwe imayenera kukonzedwa ndikuchita masewera olimbitsa thupi. Mvetsetsani bwino chomwe diastasis m'mimba ndi momwe mungachiritsire.

Zoyenera kuchita: kuyamwitsa ndikugwiritsa ntchito lamba wam'mimba kumathandizira chiberekero kubwerera kukula kwake, ndipo kuchita zolimbitsa thupi zolondola kumathandizira kulimbitsa pamimba, kulimbana ndi vuto lakumimba. Onani zina zomwe muyenera kuchita mukangobereka mwana ndikulimbitsa pamimba mu kanemayu:

3. Kuwonekera kwa magazi ukazi

Kutulutsa kwa chiberekero kumatuluka pang'onopang'ono, ndipo pachifukwa ichi kumatuluka magazi ofanana ndi kusamba, komwe kumatchedwa lochia, komwe kumakhala kovuta kwambiri m'masiku oyamba koma komwe kumatsika tsiku lililonse, mpaka kumangosowa kwathunthu.

Zoyenera kuchita: tikulimbikitsidwa kugwiritsa ntchito chophatikizira chapakatikati chakukula kwakukulu ndi mphamvu yayikulu yakutengera, ndikuwonetsetsa nthawi zonse fungo ndi mtundu wamagazi, kuzindikira mwachangu zizindikilo za matendawa monga: kununkhira koyipa ndi mtundu wofiyira wopitilira 4 masiku. Ngati zizindikirozi zilipo, muyenera kupita kwa dokotala posachedwa.

4. Colic

Mukamayamwitsa mwana nkwachibadwa kwa amayi kupsinjika kapena kusapeza bwino m'mimba chifukwa chazipatso zomwe zimabwezeretsa chiberekero kukula kwake komanso zomwe zimalimbikitsidwa ndi njira yoyamwitsa. Chiberekero chimachepa pafupifupi 1 cm patsiku, motero kusapeza kumeneku sikuyenera kupitilira masiku 20.

Zoyenera kuchita: kuyika compress yotentha pamimba kumatha kubweretsa chitonthozo pamene mayi akuyamwitsa. Ngati zili zomangika mkazi atha kutulutsa mwana pachifuwa kwa mphindi zochepa ndikuyambiranso kuyamwitsa vuto likamachepako.

5. Kusapeza bwino m'dera loyandikana

Zovuta izi ndizofala kwambiri mwa azimayi omwe amabereka bwino ndi episiotomy, yomwe idatsekedwa ndimitengo. Koma mayi aliyense amene wabereka mwinanso amatha kusintha nyini, yomwe imakulanso ndikutupa m'masiku ochepa atangobereka.

Zoyenera kuchita: sambani malowo ndi sopo mpaka katatu patsiku, koma musasambe mwezi umodzi usanathe. Nthawi zambiri malowa amachira mwachangu ndipo pakatha milungu iwiri mavutowo amatha kwathunthu.

6. Kusadziletsa kwamkodzo

Kusadziletsa kumakhala kovuta pambuyo pobereka, makamaka ngati mayiyo wabereka bwino, koma zimatha kuchitika ngati atasiya. Kusadziletsa kumawoneka ngati kofulumira kukodza, komwe kumakhala kovuta kuwongolera, ndikutuluka kwa mkodzo mu kabudula wamkati.

Zoyenera kuchita: Kuchita masewera olimbitsa thupi a Kegel ndi njira yabwino kwambiri yoyendetsera mkodzo wanu bwinobwino. Onani momwe machitidwewa amachitikira pakusagwirizana kwamikodzo.

7. Kubwerera kwa msambo

Kubwerera kwa msambo kumadalira ngati mkaziyo akuyamwitsa kapena ayi. Mukamayamwa mkaka wokha, msambo umakonda kubwerera pafupifupi miyezi isanu ndi umodzi, koma nthawi zonse amalimbikitsidwa kugwiritsa ntchito njira zowonjezera zakulera kuti mupewe kutenga pakati munthawi imeneyi. Ngati mayi sayamwitsa, msambo umabwereranso pafupifupi mwezi umodzi kapena iwiri.

Zoyenera kuchita: onetsetsani ngati kutuluka magazi pobereka ndikwabwinobwino ndikuyamba kugwiritsa ntchito njira yolerera pomwe dokotala kapena namwino akuti akuuzeni. Tsiku lomwe msambo umabwerera liyenera kudziwika kuti uwonetsere dokotala nthawi ina. Dziwani nthawi yoti mudandaule za Kutaya magazi pambuyo pa kubereka.

Chisamaliro chofunikira panthawi ya puerperium

Nthawi yomwe yatha kubereka ndikofunikira kuti mudzuke ndikuyenda m'maola oyamba mutabadwa ku:

• Kuchepetsa chiopsezo cha thrombosis;
• Kupititsa patsogolo matumbo;
• Thandizani kuti azimayi akhale athanzi.

Kuphatikiza apo, mayiyu amayenera kukakumana ndi dokotala wothandiza anthu obereketsa kapena azimayi pakatha masabata 6 kapena 8 atabereka, kuti aone ngati chiberekero chikuchira bwino komanso kuti palibe matenda.