Masiku oyambirira pambuyo pa kubereka ndi nthawi yosangalatsa, kuphatikizapo mavuto ambiri. Mayi wamng'onoyo akungoyamba kumene ntchitoyi. Taganizirani nthawiyi, tidzanena za zomwe zimachitika ku thupi, momwe mungakhalire mu chipatala cha amayi omwe ali ndi amayi.
Kodi chimachitika n'chiyani atabereka kuchipatala?
Masiku oyambirira pambuyo pa kubala, monga nthawi yonse yoyambirira yobereka, nthawi zambiri amatsatizana ndi mavuto. Maola awiri oyambirira kuchokera pamene mwanayo akuoneka, mkaziyo ali mu ndodo, kuyembekezera kuchoka kwa moyo pambuyo pake. Ngati izi zitachitika, mayi wamng'onoyo amatumizidwa ku ward postpartum. Panthawiyi, amayenera kupita kukaonana ndi dokotala yemwe ali ndi chidwi chokhala ndi moyo wabwino, amayesa kukayezetsa, akuyesa vutoli.
Tsiku loyamba atabala, mkazi wobereka amapatsidwa mpumulo. Kawirikawiri mwana wakhanda amalekanitsidwa ndi mayi. Amabweretsa mwanayo kuti azidyetsa. Madzulo mwanayo ali pabedi losiyana adasiyidwa ndi ward pamodzi ndi amayi ake. Akazi amapatsidwa ndondomeko zowonjezereka, amaphunzitsa momwe angagwiritsire ntchito chimbudzi cha ziwalo zoberekera za mwana, akambirane za kuchuluka kwa chakudya.
Kodi muyenera kuchita chiyani kuchipatala mukatha kubadwa?
Nthawi yoyamba yoberekera kumapeto kwa milungu isanu ndi umodzi ndi itatu pambuyo pa kuwoneka kwa zinyenyeseni. Masiku oyambirira amadziwika ndi kuwonjezeka kwa chiberekero cha uterine myometrium, zomwe zimayambitsa maonekedwe a lochia - kumagazi kumaliseche, okhala ndi maselo a maselo a posterior, endometrium. Choncho chiberekero chiyesera kudziyeretsa, kuti chibwezeretse chiyeso chake choyambirira.
Masiku ano mayi amayenera kuyang'anitsitsa thanzi lake nthawi zonse. Poyankhula za momwe angakhalire atabereka pakapita kuchipatala, madokotala amatha kunena kuti kukhazikitsidwa kwa malangizowo onse ndi malangizo awo ndizofunikira kuti pakhale nthawi yowonongeka bwino. Pa nthawi imodzimodziyo, muyenera kulipira nthawi yanu, panthawi yomweyo mukulankhulana ndi mwana wakhanda, kulankhulana ndi kumusamalira.
Kudyetsa chakudya m'masiku oyambirira pambuyo pa kubala
Chakudya chotsatira pambuyo pa kubadwa m'masiku oyambirira chigawidwe. Pa nthawi yomweyi chakudyacho chimakhala ndi tizilombo toyambitsa matenda komanso mavitamini, omwe amathandiza kubwezeretsa mphamvu pambuyo pobereka. Ndi bwino kukumbukira kuti pakuoneka kwa mwana, mayi ayenera kuganiziranso zakudya zake, makamaka pamene akuyamwitsa. Kwa amayi oterewa, pali mndandanda waukulu wa zakudya zomwe siziletsedwa kudya kuyambira tsopano. Nawa ena mwa iwo:
- ndiwo zamasamba ndi zipatso;
- nyemba;
- wokondedwa;
- zipatso zofiira;
- zipatso za citrus;
- mkate wakuda;
- khofi;
- mankhwala omwe ali ndi zowonjezera komanso mankhwala ena.
Kodi ndingapereke chiyani kwa mayi kuchipatala atatha kubereka?
Chakudya pambuyo pa kubala kwa mayi kuchipatala chasankhidwa kuganizira zofooka za thupi lachikazi. Menyu yalinganizidwa kuti ibwezeretse mphamvu zambiri. Koma pafupifupi samawoneka ngati amayi amadya kunyumba. Pambuyo pa kuonekera kwa mwanayo, achibale ndi achibale amagwiritsa ntchito mwayi uliwonse kuti awone mwanayo mwamsanga mwamsanga masiku oyamba atabadwa. Koma maulendo obwera kwa amayi oyembekezera akuletsedwa. Chifukwa cha ichi, amakakamizika kupatsira mapulogalamu - amayi amafunsidwa kubweretsa "kunyumba". Pali mndandanda wololedwa wa mankhwala kuchipatala mutatha kubereka, zomwe zikuphatikizapo:
- tchizi;
- mankhwala opangira mkaka;
- zipatso zokaphika (maapulo);
- yogula wopanda mafuta wopanda zowonjezera;
- phokoso lokoma la zipatso zouma;
- msuzi wobiriwira wowala;
- phala: mpunga, oatmeal, mapira.
Pofotokoza zomwe mungadye kuchipatala mutatha kubereka, madokotala amakumbutsa kuti:
- Zakudya zizikhala maola 4;
- magawo ang'onoang'ono;
- Ndikofunika kuyang'anira madzi okwanira (osachepera 1.5-2 malita a madzi tsiku lililonse).
Masiku oyambirira pambuyo pa kubala - kusamalira mwana
Kusamalira mwana wakhanda mu chipatala atatha kubala kumayamba kuchita namwino. Kawirikawiri zimachitika kuti pali mipata mu perineum mwa mayi, momwe kayendetsedwe kake kaliletsedwa. Ngati kubadwa kunali kozolowereka, m'masiku oyambirira pambuyo pa kubala namwino amayamba kuwonetsa ndi kuphunzitsa momwe angasamalire mwana, kuyambira momwe angagwire mwanayo m'manja mwake. Njira yoyenera ndi chimbuzi, chomwe chimachitika tsiku ndi tsiku. Zikuphatikizapo:
- kusamba;
- mphuno ndi diso;
- chithandizo cha khungu;
- kusamba;
- umbilical chord mankhwala.
Kulira pambuyo pobadwa masiku oyambirira
Tsiku loyamba atabereka kunyumba ya amayi akuyamana ndikumverera ndi mgwirizano, chimwemwe, ndi kukwaniritsa chochitika chofunika chotere. Izi zikugwirizana ndi kuwonjezeka kwa endorphins m'magazi. Zimayambitsa chisangalalo cha amayi, chisangalalo. Koma kawirikawiri chodabwitsachi chikhoza kuphimbidwa ndi zotsatira za kubadwa komwe puerpera ingakumane nayo. Zina mwa izo ndi:
- Zovuta pakukonza. Kwa maola asanu ndi atatu atatha kubereka, mkaziyo ayenera kutulutsa chikhodzodzo. Ngati izi sizichitika, thupi lidzasokoneza chiberekero cha chiberekero, kubwezeretsa. Pamene kukodza kumaphatikizidwa ndi kupweteka, kutenthedwa, zosangalatsa zosangalatsa - ndikofunikira kudziwitsa dokotala.
- Zodabwitsa zapadera. Zimayambitsidwa ndi makina amphamvu a uterine myometrium. Kwa masiku makumi angapo kuchokera pamene mwanayo akuonekera, limba limachepetsa kukula kwa nthawi pafupifupi 20. Tiyenera kukumbukira kuti ululu ukhoza kuwonjezeka pakuyamwitsa. Chowonadi chimachitika chifukwa cha oxytocin, yomwe imapangitsa kuti majekeseni a uterine apangidwe.
- Ululu mu dera la perineal. Zimagwirizanitsidwa ndi zoopsa ndi kupwetekedwa kwa mitsempha ya mimba. Patatha masiku angapo amatha okha (masiku 3-4).
- Mavuto ndi chitseko. Amagwiritsidwa ntchito ngati kutambasula minofu ya pansi pamimba ndi pamimba, zomwe zimalepheretsa kuchita zachibadwa.
Kodi ultrasound atatha kubala bwanji kuchipatala?
Ultrasound pambuyo yobereka mu chipatala cha amayi omwe amamera amayi amaikidwa kuti apitirize kufufuza chiberekero cha uterine. Kafukufukuyu amathandiza kuti azindikire njira yobereka, kuti adziwitse mavuto okhudza kubadwa pachiyambi. Ndikoyenera kuti tipange phunziro ngati pali kukayikira kwa kutha kwa uterine Ngati palibe, njirayi imayikidwa masiku 3-4 kuchokera pamene mwana wabadwa.
Pogwiritsa ntchito kugwiritsira ntchito, njira ya m'magetsi imagwiritsidwa ntchito - mayesero amachitidwa poika khungu kumbuyo kwa khoma la m'mimba. Samalani mosamala uterine cavity. Kawirikawiri amagawanika, amakula mokwanira. Mosiyana, ziwalo za m'mimba zimayesedwa chifukwa chosasowa magazi. Ngati paliponse, opaleshoni ya opaleshoni ikhoza kulamulidwa.
Atatulutsidwa kuchipatala atabereka?
Funso lina la amayi oyembekezera limalongosola mwachindunji kuti ndi angati omwe ali kuchipatala atatha kubereka. Madokotala sangakhoze kupereka yankho lolondola ku funso ili. Mlandu uliwonse umakhala wapadera - njira yowonetsera yobereka imapezeka pamitundu yosiyanasiyana. Zinthu zomwe zimakhudza zowonongeka ndi izi:
- njira yoperekera (zachirengedwe, zoperewera );
- mkhalidwe wa amayi ndi mwana;
- popanda mavuto.
Pamene njira yobereka ikanakhala yopanda mavuto, mwanayo ndipo masiku oyambirira pambuyo pa kubadwa kwa amayi omwe ali ndi vuto lodzimva, amachokera ku bungwe la zachipatala akhoza kuchitika masiku 3-4. Pamene opaleshoniyi inagwiritsidwa ntchito ndi gawo loperewera, mkaziyo anatulutsidwa kunyumba osati masiku oposa 7-10. Panthawiyi, mayiyo akuyang'aniridwa ndi madokotala chifukwa cha chiopsezo chachikulu cha matenda opatsirana pambuyo pake (uterine magazi).
Masiku oyambirira pambuyo pa kubadwa kwa nyumbayo
Tsiku loyamba pambuyo pa kubadwa kwa nyumba kumakhala ndi zovuta zina. Chifukwa cha kusowa kwa chidziwitso, mkazi wa primipara akusowa thandizo komanso malangizo kuchokera kwa okondedwa ake. Madokotala amalimbikitsa kukonzekera bwino kufika kwa munthu watsopano m'banja. Kwa mwanayo ayenera kukhala ndi mbali yapadera ya ngodya, pakati ndi chophimba. Mayi ayenera kutsatira zotsatila ndi malangizo a madokotala omwe amaperekedwa madzulo.
Kodi mayi amafunikira chiyani atabereka kunyumba?
Zonse mwakamodzi n'zosatheka kupeza. Chifukwa cha ichi, amayi ambiri akugulira zinthu zofunika komanso zofunika kuti azisamalira mwanayo. Musaiwale za inu nokha. Choncho, atabereka nyumba, ambiri amapitirizabe kuchipatala, apitirize kumwa mankhwala olembedwa ndi dokotala. Pazinthu zofunika kuti muzisamalira mwana, mndandanda wa iwo ukhoza kupitilira kwamuyaya. Pankhaniyi, pali ena omwe akusowa choyamba:
- mipira ;
- opukuta mvula;
- mkasi;
- magudumu a thonje ndi timitengo;
- pipettes;
- mavitamini ndi mafuta;
- mapulogalamu, lazhonki.
Msoko ukasamalira kubereka
Asanayambe kumwa mankhwala, namwinoyo amauza mkazi momwe angagwiritsire ntchito zibowo pambuyo pa kubadwa kwa nyumbayo. Chitani njirayi kasachepera 2 pa tsiku. Asanayambe kukhazikitsa, chimbuzi chakunja chamkati chikufunika. Monga mankhwala ophera tizilombo toyambitsa matenda, gwiritsani ntchito masamba a diamondi kapena njira yochepa ya madzi a potassium permanganate. Pa nthawi imodzimodziyo, m'pofunika kusamba ndi madzi osavuta mutapita kuchimbudzi.
Kusamalira mwanayo pambuyo pa chipatala
Kusamalira mwanayo pambuyo poyeretsa kuchokera kuchipatala chakumayi kumakhala pamapewa a amayi. Ndikofunika kuti musaiwale kugwira chimbudzi, chomwe chimaphatikizapo:
- Kusamalira maso. Chophika cha potoni, chosemphana ndi madzi owiritsa, sitseni maso onse kutsogolo kuchokera kunja kupita ku mlatho wa mphuno.
- Kukwapula. Kuchitidwa ngati n'kofunikira, mutatha kuchitapo kanthu kolakwika. Atsikana - kuchokera kutsogolo kupita kumbuyo, onetsetsani. Dya msuzi ndi chikhomo ndi kusuntha kusunthira.
- Kusintha zotsalira za umbilical chingwe. Gwiritsani ntchito mowa mankhwala, peroxide, wobiriwira bwino.
- Kusamalira makutu. Ubweya wa thonje umakulungidwa mu bendera, wothira mafuta osakaniza mafuta komanso kuyeretsedwa kwa zilonda zamkati.
- Kusamalira mphuno. Zowonjezera zouma zopangidwa ndi ulusi wofiira wa cotton.
- Kusamalira marigolds. Dulani musakhale ochepa, kuti musayambe kupweteka. Gwiritsani ntchito ziwombankhanga kapena apadera, lumo laling'ono kwa ana .