Kugonana kwa abambo akatha kubadwa kumakhudza zinthu zambiri, zomwe malo otsiriza amakhala ndi chikhalidwe cha ntchito, kuuma kwawo ndi kupsinjika. Zikakhala kuti kubadwa kwachirengedwe kumachitika mwachizolowezi, popanda mavuto ndi njira zothandizira zamankhwala, nthawi imene chiberekero chimamasulidwa ku magazi owonjezera ndi masabata 4 mpaka 6. Panthawiyi, chiberekero chimabwerera ku dziko lakale pambuyo pa kusintha kwake ndikukwera mpaka kukula kwake, ndipo ziphuphu zowonongeka panthawi yobereka zimabwezeretsedwa. Kugonana musanayambe, mwachitsanzo, sabata itatha kubereka ndikutaya mtima kwambiri.
Ndi liti pamene mungagone kugonana mukatha kubadwa?
Pambuyo pobereka, mutha kugonana kokha pokhapokha mutatha nthawi yoti thupi lachikazi libwezeretsedwe.
Panthawiyi, kugonana sikuletsedwa chifukwa chomwe tidzakambirana pansipa.
1. Kukhoza kutenga kachilombo ka HIV
Pambuyo pobereka, kachilombo ka HIV kakakhala koopseza kachilombo ka HIV, chiberekero kapena chiberekero. Pambuyo pa matenda a chiberekero, kutupa kwake kumachitika - endometritis. Endometritis ndilo vuto lalikulu lomaliza kubereka.
2. Mwazi umatuluka pambuyo pobereka
Madokotala amalimbikitsa kudikirira pakapita milungu isanu ndi umodzi atabadwa, mwinamwake panthawi ya kugonana angayambe kuuluka kuchokera kuonongeka panthawi yobereka mitsempha.
Ngati zovuta zinachitika panthawi ya kubala, ndiye kuti nthawi yodziletsa kugonana iyenera kukhala ngati ikufunikira kuti machiritso onse a mayiyo abereke. Kuchiritsidwa kwathunthu kwa amayi obadwa mthupi kumatha kukhala miyezi ingapo, malingana ndi kuchuluka kwa mavuto omwe achitika panthaŵi ya kuvutika. Mayi amatha kukhala wokonzeka kuchita zogonana, koma dokotala yemwe akupezekapo ayenera kutsimikizira kuti akuchira.
Mayi safuna kugonana atatha kubala
Zimapezeka kuti amayi ena atangotenga zogonana amamva kupweteka kuti agone. Kutalika kwa zowawa zoterezi sizingathetsedwe bwino. Malinga ndi chiwerengero, pafupifupi theka la amayi omwe abereka ana atatu miyezi itatu pambuyo poti chidziwitso chobadwira chimasokonezeka panthawi yogonana.
Kugonana patangotha kubereka kwa amayi ambiri kumapweteka chifukwa cha zifukwa zina zomwe sitinaziganizirepo. Zosangalatsa zopweteka kapena kupweteka pa nthawi yobereka zikatha kubereka zingayambitsidwe chifukwa cha mthunzi wambiri, zomwe nthawi zina zimasintha kusintha kwa chiberekero. M'madera a sutures panthawi yogonana, ululu ukhoza kuchitika chifukwa cha kupanikizika kwa penile, motero ndibwino kuti mufewetse malowa ndi mafuta odzola a zida zamtengo wapatali. Komanso pakapita nthawi, nthawi yayitali, khungu limakhala lovutikira kwambiri pakhomo la chiberekero.
Atabereka, mgwirizano wa pakati pa ziwalo zoberekera za mwamuna ndi mkazi umasintha. Pa nthawi ya kubala, umaliseche umatambasulidwa, kuti apatsire mwana kudzera m'mitsinje yazimayi, kubweretsa ukazi mumtendere, kapena kukhala waulesi. Patapita nthawi, chiberekero chidzakhalanso cholimba ndi kukula kwake. Kufulumizitsa njira imeneyi ndizotheka ndi chithandizo cha machitachita a Kegel. Izi zimayenera kuchitidwa zonse zisanafike ndi pambuyo pobereka. Ngati mkazi nthawi zambiri amachita machitachita a Kegel, ndiye kuti mavuto othetsa mawere sangakhalepo konse, monga minofu yophunzitsidwa idzagwiritsidwa ntchito mofulumira ndikumangirira pambuyo pobereka.
Zizindikiro izi zimasintha mu mawonekedwe ndi kusinthana kwa chiwerewere zimayambanso kudetsa nkhawa mwamuna. Pakati pa kugonana, mwamuna sangamve ngati makoma a vaginja, koma kumbukirani kuti izi ndizochitika zochepa komanso posakhalitsa zonse zidzabwerera kuzinthu zachilendo.
Kodi mwamuna kapena mkazi atatha kubadwa - kudzera mu kuchuluka kwake?
Kugonana patatha kubereka kungathe kuchitika mu masabata asanu ndi limodzi, tapeza kale. Koma ngati mayi atha kupwetekedwa ndi tizilombo toyambitsa matenda (izi zikhoza kusonyeza kupweteka kwa perineum), ngakhale ngati zooneka siziwonekere, ndiye kuti kudziletsa kumatha miyezi iwiri.
Nthawi zina, kupweteka panthawi yogonana kumatha kumverera chifukwa cha kusintha kwa chibadwa cha umaliseche, chomwe chinachitika kupyolera mukufunikira kwa opaleshoni nthawi yobereka. Nthawi zina madokotala amayenera kuchita ntchito yomanganso kuti athe kukhazikitsa moyo wokhudzana ndi kugonana kwa okwatirana.
Azimayi omwe anabala ndi matenda odwala mthupi mwawo ndi ophweka, chifukwa chiberekero chawo sichinasinthe, ndipo chiberekero ndi chiberekero zimakhala zofanana ndi zomwe zinalipo asanakhale ndi pakati. Koma palinso mavuto ena omwe amagwirizanitsa ndi chiberekero, chifukwa cha iwo kubwezeretsedwa kwa moyo wokhudzana ndi kugonana kumatha nthawi yayitali kuposa ya amayi omwe akubala mwachibadwa.
Amayi ambiri omwe anabala, ziribe kanthu momwe kubala kwachitika, akukhalabe ndi mavuto. Choyamba, ichi ndi kusowa kwa mahomoni a estrogen, omwe angabweretse kupsinjika kwa postpartum.
Komanso, ubweya wouma umawoneka, koma izi zikhoza kuthetsedwa mosavuta ndi mafuta ndi mafuta. Chinthu chachikulu ndi chakuti mafutawa alibe mahomoni omwe amawoneka ngati mayi akuyamwitsa.
Pakati pa kugonana atabereka, vutoli liyenera kusankhidwa kuti likhale losangalatsa kwa mayiyo, chifukwa ngati pangakhale zovuta panthawi ya ululu kapena sutures mu perineum, ululu ukhoza kuchitika panthawi yogonana. Kugonana kwachibadwidwe kapena kamene sikanatha kubadwa chifukwa chokhazikika mu perineum kapena mu chiberekero sikuvomerezedwa, mpaka kuchiza kwa zilonda zam'tsogolo.
Kusamvana kumakhala kosagonana pakamwa pakatha kubereka, kapena maliseche. Mitundu ya kugonana imeneyi ingathe kuthandizidwa, popanda kuyembekezera kutha kwa masabata asanu ndi limodzi.
Tiyeneranso kukumbukira kuti atatha kubadwa, amayi ena sakhala ndi mavuto pa nthawi yogonana, ndipo ngakhale mosemphana maganizo, amanena kuti kukopa kwa mwamuna wake kwakhala kolimba, ndipo chiwonongeko chikuwonekera bwino!
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