Pambuyo pobereka, amayi amayamba nthawi yopuma, yomwe ndi yofunika kwambiri kuposa kubadwa komweko. Panthawiyi, mayi yemwe akusowa thandizo amafunika kuchipatala mosamala ndi kudziyang'anira yekha kuti ateteze mavuto omwe amabwera pambuyo pobereka komanso kuti apulumuke.
Kodi nthawi yayitali yotenga nthawi yatha?
Nthawi yoberekera ikuyamba ndi kubadwa kwa placenta ndipo imakhala nthawi yaitali mpaka masabata asanu pambuyo pa kubadwa. Panthawiyi, chiberekero chiyenera kuchepa kukula kwake, kapangidwe kawo ndi mkati mwa endometrium. Panthawi imeneyi, ntchito yamagulu ya mammary imayambira - kuchokera ku chitukuko cha mkaka, mpaka mkaka wapamwamba. Ntchito ya ziwalo zonse ndi machitidwe a mkazi omwe adasokonezeka ndi mimba (makamaka ntchito ya impso) yabwezeretsedwa. Nthawi yeniyeni yobereka pambuyo pake imakhala yosavuta, ndipo njira yake imadalira momwe ntchitoyo inatsirizidwira, komanso momwe ntchito ya postpartum yokha imayendetsera.
Pambuyo pa nthawi yoberekera, nthawi yake, zotheka
Kuyambira kubadwa kwa placenta, mkaziyo amakhala maola angapo akuyang'aniridwa ndi dokotala: pa nthawi ino chiberekero chimayamba kugwira ntchito ndipo kuyang'ana kuchokera kumtunda wobadwa kumachepa. Kusokonekera koyambirira komanso koopsa kwambiri pa nthawi imeneyi kumatuluka m'magazi atabereka, omwe nthawi zambiri amachokera kumalo otsetsereka m'mimba mwa uterine kapena kupezeka kwa ziwalo za chiberekero pakubereka.
Pambuyo pa maola ochepa mpata wotuluka magazi umachepetsedwa, koma nthawi yopuma pambuyo pa nthawi ya mchigawo imafuna kuyang'anitsitsa mosamala kwambiri, chifukwa kutuluka m'magazi kumachitika osati chifukwa chophwanya chiberekero, koma chifukwa cha kusiyana kwa sutures pachiberekero.
M'masiku ochepa otsatirawa, chiberekero chimatulutsa mgwirizano, ndipo nthawi zambiri umagazi wamagazi ndi zotsekedwa zimalowetsedwa ndi mchere wotchedwa lochia. Ngati zovuta za chiberekero zimakhala zofooka, ndipo zowonjezera magazi zimaphatikizapo m'kati mwake, ndiye kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tingagwirizane ndi zovuta zina - postpartum endometritis ndi postpartum sepsis.
Mbali za nthawi ya postpartum ndi kuti, kuwonjezera pa kusintha kwa chiberekero, kusintha kwa mammary gland kumayambira. M'masiku oyambirira, chimdima chobiriwira chimapezeka mwa iwo. Ngati pali kuphulika kwa kutuluka kwake ndi kusauka, lactostasis n'zotheka ndi kuwonjezeka kwa kutentha kwa thupi, kupweteka ndi kutupa kwa chifuwa, chomwe chimapita pambuyo pa kuchepa. Koma ndi matendawa, matenda ena a nthawi yoberekera ndi yotheka - mastitis, yomwe imafuna chithandizo choyenera cha mankhwala. Matenda a mastitis pa nthawi yoberekera nthawi yoyamba, ndiyomwe amaletsa kuyamwa kwa mkaka panthawi yoberekera komanso kusamba ndi nsomba yofunikira tsiku lililonse, kutsuka pachifuwa ndi madzi otentha ndi sopo mpaka kawiri pa tsiku.
Azimayi ambiri amakhala ndi zakudya zopweteka kwambiri zomwe zimafunikira kusamalidwa bwino. Ndipo vuto lina lomwe lingatheke pambali ya mazira a mammary ndi hypogalactia (mkaka sungaperekedwe mokwanira kuti umudyetse mwanayo), kupewa zomwe zingakhale chakudya chokwanira cha mkazi komanso kuwonetsera mkaka nthawi zonse.
Mavuto ena omwe amabwera pambuyo pathupi amatha kusokonezeka maganizo, matenda opweteka a mimba, mitsempha ya varicose ya mitsempha ndi thrombophlebitis ya miyendo ndi mapepala, matenda a ubongo ochokera ku sacral plexus.
Kodi nthawi ya postpartum itatha bwanji gawo loperewera?
Ma physiology of childbirth ndi postpartum period mu gawo la sevenda ali ndi zenizeni zake: placenta imachotsedweratu, koma pambuyo pathupi endometritis nthawi zambiri chifukwa cha kuphwanya mphamvu contractile ya chiberekero ndi kupuma kwa magazi kapena lousy mumtunda. Postpartum nthawi itatha gawo la kanseri zingakhale zovuta ndi zotsatira za matenda a anesthesia, ndi kutupa kwapatsiku kumalo a chiberekero pamimba kapena m'mimba, piritonitis, matenda osokoneza bongo chifukwa chosowa chithandizo pa nthawi yobereka.
Patangopita nthawi yochepa, nthawi yake, zovuta
Kutha kwa nthawi yoyambilira yobereka kuchokera pa nthawi ya placenta kupita kumapeto kwa masiku 8-12 mutatha kubereka, ndipo kuyambira masabata awiri mpaka asanu mutatha chiphaso, nthawi yochedwa postpartum imatha. Panthawi imeneyi, kuchira kwa chiberekero cha uterine chimapitirira, mkaka umaperekedwa kwa mwanayo. Mavuto m'nthawi ino nthawi zambiri amakhala kupitilira kwa mavuto oyambirira, ngakhale kuti postpartum mastitis ikhoza kuchitika nthawi iliyonse - chifukwa cha kuphwanya malamulo a ukhondo komanso kusagwiritsidwa ntchito kosayenera kwa mwanayo.