Ukukhulelwa: ezemidlalo, i-sauna, i-hammam, ukugeza okushisayo… ingabe siyakufanelekela lokho noma cha?

Iba neseshini ye-sauna encane, hamba imizuzu embalwa uphumule ku-hammam, ugeze kahle oshisayo, uzivocavoce kakhulu ... Ngokuvinjelwa ukukhulelwa ngesikhathi sokukhulelwa, asisazi kahle ukuthi yini okufanele uyenze noma ongayenzi uma ukhulelwe. bakhulelwe. Futhi kuyacaca ukuthi isikhathi esiningi sigcina singenzi okuningi, ngenxa yokwesaba ukulimaza impilo yengane!

Kodwa-ke, inani lezinsolo zokuvinjelwa empeleni ziyizinkolelo ezingamanga, futhi izenzo eziningi zingadumazwa ngenxa yesimiso sokuqapha esithathwe ngokwedlulele. Futhi lokhu kuzoba njalo ikakhulukazi izikhathi zezemidlalo, ukuya ku-sauna / i-hammam noma ukugeza.

I-sauna, i-hammam, ukugeza okushisayo: ucwaningo olukhulu lwesayensi luthatha isitoko

Ukuqoqa ndawonye idatha evela ezifundweni zesayensi ezingekho ngaphansi kweziyi-12, i-meta-analysis yesayensi ngale misebenzi ngesikhathi sokukhulelwa yanyatheliswa ngo-March 1, 2018 ku- “I-British Medical Journal ye-Sports Medicine".

Abacwaningi bakuveza lokho izinga lokushisa langaphakathi lomzimba (ezingeni lezitho ezibalulekile) kuthiwa liyi-teratogenic, okusho ukuthi liyingozi ku-fetus, lapho lidlula ama-39 ° C. Ngakho-ke kuyamukelwa ukuthi izinga lokushisa lomzimba eliphakathi kuka-37,2 no-39 ° C alilimazi umbungu, futhi ikakhulukazi uma ukwanda kwezinga lokushisa kungahlali isikhathi eside kakhulu.

Kulolu cwaningo olukhulu, ososayensi abavela eNyuvesi yaseSydney (Australia), ngakho-ke baqoqa idatha neziphetho zezifundo eziyi-12 ezenziwa kwabesifazane abakhulelwe abangama-347 abavezwa ukwanda kokushisa komzimba, ngenxa yokuzivocavoca umzimba, d ”i-sauna noma iseshini ye-hammam. , noma ngisho nokugeza okushisayo.

Imiphumela enembile neqinisekisayo

Izinga lokushisa lomzimba eliphakeme kakhulu elabonwa phakathi nalezi zifundo lalingu-38,9 ° C, ngaphansi nje komkhawulo obhekwa njenge-teratogenic. Ngokushesha ngemva komsebenzi (i-sauna, igumbi lomusi, ukugeza noma ukuzivocavoca), izinga lokushisa eliphakeme kakhulu lomzimba labesifazane abakhulelwe ababambe iqhaza lalingu-38,3 ° C, noma futhi. ngaphansi komkhawulo wengozi ku-fetus.

Ngokuqondile, ucwaningo lufingqa ngokunembe kakhulu izimo lapho abesifazane abakhulelwe bengenza le misebenzi ehlukene enyusa izinga lokushisa komzimba. Ngokocwaningo, kuyenzeka ukuthi owesifazane okhulelwe:

• zivocavoce imizuzu efika kwengama-35, ku-80-90% wezinga eliphezulu lokushaya kwenhliziyo yakhoe, ekushiseni okungama-25 ° C kanye nomswakama ongu-45%;
• yenza a umsebenzi wezemidlalo emanzini emanzini ka-28,8 kuya ku-33,4 ° C imizuzu engu-45 esiphezulu;
• thatha ukugeza okushisayo ku-40 ° C, noma uphumule ku-sauna engu-70 ° C nomswakama ongu-15% isikhathi esiphezulu semizuzu engu-20.

Njengoba le datha yomibili inembe kakhulu futhi ingabambeki kakhulu, futhi akulula ngaso sonke isikhathi ukwenza le misebenzi ngolwazi olugcwele lokushisa nomswakama wegumbi, sincamele ukubuza. ukukhanyisa udokotela wezifo zabesifazane.

I-sauna, i-hammam, ezemidlalo nokukhulelwa: umbono kaProf. Deruelle, ilungu le-National College of French Obstetrician Gynecologists

KuProf. Philippe Deruelle, udokotela wezifo zabesifazane kanye no-sUnobhala Jikelele Wezokubelethisa we-CNGOF, lokhu kuhlaziywa kwemeta kwezifundo eziyishumi nambili kuqinisa idolo kwabesifazane abakhulelwe: “ Sisezivumelwaneni ezihleliwe, isibonelo ngokugeza ku-40 ° C, kuyilapho empeleni, ukugeza kuphola ngokushesha, futhi umzimba awucwiliswa ngokuphelele, ngakho-ke. akuvamile ukuba sibe kulamaphrothokholi adlulele “. Kodwa-ke, ngisho nangezivumelwano ezinjalo, umkhawulo wobungozi ku-fetus (noma i-teratogenicity) awufinyelelwanga, ngakho-ke " kukhona indawo ", Kulinganisa uProfesa Deruelle, esingamenzela yena" thembela kulokhu kuhlaziywa kwemeta ukuze kuqinisekiswe abesifazane ".

Umsebenzi womzimba ngesikhathi sokukhulelwa: uphephile futhi unconywa!

KuProfessor Deruelle, lokhu kuhlaziya kuqinisekisa kakhulu njengoba kukhombisa ngokusobala lokho ukuvivinya umzimba kuphephile kakhulu " Sekuyiminyaka odokotela besebenzisa lo mphumela we-teratogenic we-hyperthermia ukutshela abesifazane abakhulelwe ukuthi bangazivocavoci, bephikisana ngokuthi ukunyuka kwezinga lokushisa komzimba kuyingozi kumntwana. », Uyazisola udokotela wezifo zabesifazane. ” Siyabona namuhla, ngalezi zifundo, ukuthi lokhu akulona neze iqiniso, nokuthi singakwazi ngempela ukwenza umsebenzi womzimba ngesikhathi sokukhulelwa, ngokuphambene nalokho! Lo msebenzi womzimba kufanele nje ushintshwe. Ngeke sikwenze lokho ebesikwenza ngesikhathi sokukhulelwa. I-physiology yabesifazane abakhulelwe idinga ukuzivumelanisa nezimo, ngokunciphisa isikhathi esincane noma ukuqina kwezemidlalo, i-sauna noma ukugeza. », Kuchaza uPhilippe Deruelle.

« Namuhla, uma bonke abesifazane baseFrance abakhulelwe benza imizuzu eyishumi yezemidlalo ngosuku ngendlela efanele, bengingaba udokotela wokubelethisa ojabule kakhulu. ", Uyanezela, eveza ukuthi futhi, lolu cwaningo luvusa iphrothokholi yemizuzu ye-35 yokusebenza ngokomzimba, ku-80-90% yezinga eliphezulu lenhliziyo yayo, engokwenyama kakhulu, futhi engavamile ukufinyelelwa. Uma kungekho bungozi ku-fetus ngaphansi kwezimo ezinjalo, ngakho-ke kuphephile ukwenza iseshini emfushane yokuhamba ngokushesha, ukubhukuda noma ukuhamba ngebhayisikili ngesikhathi sokukhulelwa.

I-sauna ne-hammam ngesikhathi sokukhulelwa: ingozi yokungakhululeki nokuzizwa ungaphilile

Uma kuziwa endabeni yokuya ku-sauna noma ku-hammam lapho ukhulelwe, uProfesa Deruelle ngakolunye uhlangothi ucophelela kakhulu. Ngoba noma ngabe, ngokusho kokuhlaziywa kwe-meta, iseshini ye-sauna ku-70 ° C imizuzu engama-20 ayikhulisi izinga lokushisa elingaphezu komkhawulo oyingozi enganeni, le ndawo evaliwe, egcwele futhi eshisa kakhulu ayijabulisi kakhulu lapho ukhulelwe. . “ I-physiology yowesifazane okhulelwe imenza ahambe ukubekezelela amazinga okushisa aphezulu kancane, ngokushesha nje lapho kuvela i-beta-HCG, ngenxa yezinguquko zemithambo yegazi nokuzizwa ukhathele », Kuchaza uSolwazi Deruelle. Uveza ukuthi nakuba kungaba mnandi ukuya e-sauna ungakhulelwe, ukukhulelwa kuyashintsha futhi kungase kwenze isimo singakhululeki kakhulue. Qaphela ukuthi i-sauna ne-hammam nazo azinconywa kubantu abanemilenze esindayo kanye nemithambo ye-varicose, njengoba lokhu kuthinta ukujikeleza kwegazi. Njengoba ukukhulelwa kuvame ukuhambisana nemilenze esindayo, kungaba ngcono ukukhululeka kumaseshini e-sauna ne-hammam.

Ukugeza, ngakolunye uhlangothi, akukho nkinga, ngoba ngisho namanzi agcinwe ku-40 ° C imizuzu engu-20 akumeleli ingozi kumntwana osesibelethweni. ” Angiphatheki kahle ukuthi abanye odokotela bayakuphikisa ukugeza », Kuvuma uSolwazi Deruelle. ” Lokhu akusekelwe kunoma yiluphi ucwaningo lwesayensi, kuwukuvinjelwa okuqondile kobaba Uyanezela. Ungazinciphisi ukugeza okuhle okushisayo ngesikhathi sokukhulelwa uma uzizwa uthanda, ikakhulukazi njengoba ingakusiza uphumule ekupheleni kokukhulelwa njengoba ukubeletha kusondela.

Sekukonke, futhi ngenxa yalokhu kuhlaziywa kwemeta eqinisekisayo yezifundo eziyi-12, kuhle ukuthi ungazinciphisi umsebenzi womzimba, iseshini (encane) ye-hammam / sauna noma ukugeza okuhle okushisayo uma ukufisa, ngokuhlala eqaphele izimpawu zomzimba wakhe kanye nokuvumelanisa imisebenzi yakhe ngokufanele. Kuwo wonke umuntu wesifazane we thola eyakho imikhawulo ngesikhathi sokukhulelwa kwakhe mayelana nokushisa.