Okuqukethwe
Ukuhlala kwabakhulelwe: yini ongayilindela
Ukuhlala esibhedlela sokubeletha kufanele kuqala kuvumele umama osemusha ukuba alulame ngokomzimba. Cishe izinsuku ezi-4, uzozama ukuphumula, kuyilapho evumelanisa nesigqi somntwana wakhe osanda kuzalwa. Abasebenzi abanekhono bazomsiza ukuthi ayinakekele. Uma kuziwa enganeni yokuqala, lezi zinsuku ezimbalwa zisetshenziselwa ngempela ukuthola imibono ebalulekile yokunakekela ingane yakho futhi uqale ukuncelisa kahle. Abanakekeli ngokuvamile bazimisele ukusiza umama osemusha azizwe ekhululekile endimeni yakhe entsha. Ithimba lezokwelapha lenza okungaphezu nje kokuhlinzeka ngokulandelelwa ngokomzimba nangokomzwelo. Uyamsiza kuzo zonke izinqubo zakhe zokuphatha, ameluleka ngezindlela zokumemezela isimo somphakathi. Uphinde asebenze kunethiwekhi nabahlengikazi basenkulisa ye-Maternal and Child Protection (PMI), uma kunezidingo ezikhethekile zikamama. Kodwa inhloso enkulu yalokhu kuhlala ukuqapha impilo yowesifazane osemusha nosana lwakhe. Ngempela, ngisho noma iningi lokubeletha lihamba kahle futhi yonke into ibuyela kokujwayelekile ngokushesha okukhulu, izinkinga zisengenzeka.
Ukubeletha: izimo ezihluke kakhulu namuhla
Impilo yabakhulelwe isishintshe kakhulu eminyakeni yamuva, nakuba kwezinye izimo kubukeka kufana nokulaliswa esibhedlela okujwayelekile kakhulu.
Ngemva kokuvuka ngokuvamile ekuseni (6 am noma 30 am), umhlengikazi noma umbelethisi ucela umama ukuba ahlole izinga lokushisa lakhe, ahlole umfutho wegazi lakhe neshayela bese eqhubeka, uma kudingekile, ukuze anakekele izibazi. Ntambama ibekelwe ukuvakashelwa. Abasizi bokunakekela izingane bayayinakekela ingane, kungakhathaliseki ukuthi unina ukhona noma akekho. Abanye abakhulelwe bamshiya ekamelweni likanina ebusuku, kuyilapho abanye bethi bazomhambisa. Uma uncelisa, kungcono kakhulu ukugcina ingane yakho eduze nawe. Ukubhekwa kwezokwelapha kukhona kakhulu. Ithimba lezokunakekelwa kwezempilo liza kabili ngosuku, ekuseni nakusihlwa, ukuthatha izinga lokushisa lomama osemusha, umfutho wegazi wakhe, ukuqapha ukubuya kwesibeletho kusayizi waso ojwayelekile, i-perineum, isimo sokujikeleza kwegazi (ngenxa yezingozi ze-phlebitis phakathi kwamahora angu-7. wokubeletha), amabele, isibazi se-episiotomy ...
Ezimweni eziningi, kunenqubekelaphambili yangempela ekudambiseni ubuhlungu bangemva kokubeletha. Kuyinguquko ecishe ibaluleke njengokubeletha ngaphandle kobuhlungu. Kwaze kwaba sengxenyeni yesibili yekhulu lamashumi amabili ukubona ukuvela nokwenziwa jikelele kwezindlela zokubeletha ezingenabuhlungu zokuqala. Kodwa lapho umntwana esanda kuzalwa, akekho owayenendaba ngenhlalakahle kamama wabo. Ngenhlanhla, lokhu akusenjalo namuhla.
Kukhona amaphrothokholi osekelo. Ngokuvamile, inhlanganisela ye-analgesic, uhlobo lwe-paracetamol, kanye ne-anti-inflammatory kwanele ukwenza ubuhlungu ngemva kokubeletha bunyamalale; lokhu kwelashwa kuhambisana nokuncelisa ibele. Amasekhula avela kwabaphathi bezempilo akhuthaza izingane ezisanda kuzalwa ukuthi zizuze kukho. Ngaphambi kokubhalisa bheka isibhedlela sakho sokubeletha ukuze uthole ukuthi siyawafaka yini ngoba azoshintsha impilo yakho. Uzokhathala kancane futhi utholakale kakhudlwana enganeni yakho nalabo abasondelene nawe.
Ukunakekelwa kuya ngokuya komuntu ngamunye, umama osanda kuzalwa ngokuvamile uba nenkululeko eyengeziwe ekamelweni lakhe. Ngakho-ke lapho nje imiphumela ye-epidural isigugile, uzobe usululeme futhi ungaphila cishe impilo evamile. Yazi ukuthi kunconywa ukuba uhambe ngokushesha ngangokunokwenzeka ukuze ukhuthaze ukujikeleza kwegazi wehliswe ngesikhathi sokukhulelwa, ukuvimbela noma iyiphi ingozi ye-phlebitis futhi wenze umsebenzi wezinso ube lula.
Ungakwazi ukugeza ngokujwayelekile ekuseni. Khona-ke, uma isimo sakho sikuvumela, futhi cishe njalo, akukho lutho olukuvimbela ekugqokeni nasekufakeni izimonyo. Ukwamukela izivakashi, kuba mnandi kakhulu. Uma ukhathele, ukhetha ukufunda, ukubukela i-TV noma ufuna ukugcina ubumfihlo bakho, lapho uncelisa ingane yakho isibonelo, ungangabazi ukucela ithimba lezempilo ukuthi lingavumeli izivakashi ukuba zingene ekamelweni lakho.
Inani elandayo lezibhedlela zokubeletha lifuna ukubandakanya ubaba ekunakekeleni ingane. Lezi zikhungo zimnikeza ithuba lokuhlanganyela ekamelweni likamama kanye nokudla kwakhe. Kwezinye izimo, ungakhetha amamenyu wakho futhi umeme abanye obathandayo ekudleni kwasemini noma isidlo sakusihlwa.
Ukunakekelwa ohlangothini lwengane
Siqapha ijika lesisindo sakhe okuthi, ngemva kokuwa okuvamile, liqale ukuvuka futhi ngosuku lwesithathu. Usana olusanda kuzalwa luphinde luzuze ekuhlolweni okuhlelekile kwenani elithile lezifo (ukuhlolwa kwe-Guthrie) okufanele zelashwe ngokushesha ngangokunokwenzeka: i-hypothyroidism, i-phenylketonuria, i-cystic fibrosis, njll.
Izisebenzi zokunakekela izingane nabasizi bokunakekela izingane bamnikeza ukunakekelwa okudingekayo, abakufundisa umama osemncane uma ethanda.
Uma ingane yazalwa ngokuhlinzwa, umama ukhathele kakhulu ; njengasemuva kwanoma yikuphi ukuhlinzwa, kufanele ululame ngobumnene. Simema ubaba ukuthi athathe indawo yakhe ukuze afunde, futhi, ukunakekela ingane yakhe, ukuyishintsha, ukuyigeza.
Uhlangothi lukamama lokubhekwa kwezokwelashwa
Ezinsukwini ezimbalwa zokuqala ngemva kokubeletha, ukufinyela kwesibeletho kubangela ukopha, okubizwa ngokuthi i-lochia. Lokhu kuphuma okubomvu okukhanyayo kuyinhlanganisela yamahlule amancane egazi kanye nolwelwesi lwesibeletho. Ahlala eningi kakhulu ngemva kokubeletha ngokuhlinzwa ngoba i-placenta ikhishwa mathupha. Kuzo zonke izimo, ziyahlehla, zihlala amasonto amabili bese ziphenduka zisuka kubomvu ngokugqamile zibe nsundu. Ukubuya kwama-diapers, okungukuthi, ukuqala kokuya esikhathini, kwenzeka ngemva kwamasonto angu-6 kuya kwangu-8. Njalo ekuseni umbelethisi uhlola i-lochia futhi, kanye nodokotela wezifo zabesifazane, uzama nokuvimbela noma yiziphi izingozi ezingaba khona.
Ngokushesha ngemva kokuzalwa, ukukhishwa okunzima kakhulu noma isikhathi eside kubonisa ukuphuma kwegazi. Kuseyimbangela ehamba phambili yokufa komama eFrance namuhla. Kubangelwa ukuhlukaniswa okungaphelele kwe-placenta, ukufinyela kwesibeletho okungasebenzi, ukudabuka komlomo wesibeletho noma okunye, ukuphuma kwegazi kudinga ukuvuselelwa okukhulu kakhulu kwethimba lokubeletha.
Izinkinga ze-venous zingavela kamuva. Kusukela ekuzalweni, umzimba ukhiqiza ama-anticoagulants emvelo ukuvimbela noma iyiphi ingozi yokopha. Ngezinye izikhathi amahlule amancane akheka ezithweni ezingezansi futhi angabangela i-phlebitis ezolashwa ngemithi. Bika noma yibuphi ubuhlungu, ububomvu noma i-edema ezithweni ezingezansi futhi ukhumbule ukuthi ukuvuka nokuhamba ekuseni kakhulu ngemva kokubeletha kuwukuvimbela okungcono kakhulu, ngaphandle uma kukhona ukuphikisana kwezokwelapha.
Ukushisa kungase kube uphawu lokutheleleka kwesibeletho, okuxhunyaniswa nokungangeni kahle kwesibeletho esihamba kancane ukubuyisela usayizi waso wangaphambi kokukhulelwa. Ukutheleleka kubangela iphunga elibi le-lochia. Idinga incwadi kadokotela efanele.
Izifo zomgudu womchamo, ikakhulukazi i-cystitis, zivame kakhulu phakathi nalesi sikhathi ngenxa yokuphumula kwe-sphincters, ukuhlukana kwesinye kanye nama-catheter omchamo aphindaphindiwe, ikakhulukazi ngemva kwesigaba sokuhlinzwa, kodwa futhi ngezinye izikhathi ngesikhathi sokubeletha. Uma uzwa isifiso esinamandla sokuchama esiphetha ngokushisa okubuhlungu, kufanele wazise ithimba lezokunakekelwa kwempilo, elizokunikeza ukwelashwa.
Ngemva kokuzalwa kwengane yesithathu noma ngemva kwesigaba sokuhlinzwa, ukufinyela kwesibeletho kubuhlungu kakhulu
Lokhu kubizwa ngokuthi imisele, into engokwemvelo ehambisana nokuhlehla kwesibeletho kanye nokuxoshwa kwamahlule. Ziqala phakathi namahora angu-24 zibelethe ngokwemvelo, noma phakathi namahora angu-12 ngemva kokuhlinzwa, futhi ngokuvamile zihlala izinsuku ezintathu noma ezine. Uma usezinhlungwini, tshela umhlengikazi noma umbelethisi ozophakamisa imithi efanele. Ngenkathi ulindele ukuthi zisebenze, kunezindlela ezilula zokukunikeza ukukhululeka:
– Lala ngesisu noma ngecele. Uma uzwa ukufinyela kuza, zenze ukhululeke ngangokunokwenzeka ngokucindezela umcamelo esibelethweni sakho. Kubuhlungu kancane ekuqaleni, kodwa usheshe uzwe ukukhululeka okuncomekayo.
- Nethezeka. Lapho i-spasm ifika, vala amehlo akho, phumula ngangokunokwenzeka, futhi uphefumule ngokujulile ngesikhathi sokufinyela.
– Hlaba isibeletho sakho ngokunyakazisa okuyisiyingi. Kufanele uyizwe ingena ngaphansi kweminwe yakho. Phinda njalo ngemva kwamahora amane futhi okungcono ngaphambi kokudla. I-Lochia ivame ukwanda ngemva kwalolu hlobo lokubhucunga, tshela umbelethisi ukuze angakhathazeki ngaphandle kwesizathu.
Ngemva kokuzalwa kwengane yesithathu noma ngemva kwesigaba sokuhlinzwa, ukufinyela kwesibeletho kubuhlungu kakhulu
Lokhu kubizwa ngokuthi imisele, into engokwemvelo ehambisana nokuhlehla kwesibeletho kanye nokuxoshwa kwamahlule. Ziqala phakathi namahora angu-24 zibelethe ngokwemvelo, noma phakathi namahora angu-12 ngemva kokuhlinzwa, futhi ngokuvamile zihlala izinsuku ezintathu noma ezine. Uma usezinhlungwini, tshela umhlengikazi noma umbelethisi ozophakamisa imithi efanele. Ngenkathi ulindele ukuthi zisebenze, kunezindlela ezilula zokukunikeza ukukhululeka:
– Lala ngesisu noma ngecele. Uma uzwa ukufinyela kuza, zenze ukhululeke ngangokunokwenzeka ngokucindezela umcamelo esibelethweni sakho. Kubuhlungu kancane ekuqaleni, kodwa usheshe uzwe ukukhululeka okuncomekayo.
- Nethezeka. Lapho i-spasm ifika, vala amehlo akho, phumula ngangokunokwenzeka, futhi uphefumule ngokujulile ngesikhathi sokufinyela.
– Hlaba isibeletho sakho ngokunyakazisa okuyisiyingi. Kufanele uyizwe ingena ngaphansi kweminwe yakho. Phinda njalo ngemva kwamahora amane futhi okungcono ngaphambi kokudla. I-Lochia ivame ukwanda ngemva kwalolu hlobo lokubhucunga, tshela umbelethisi ukuze angakhathazeki ngaphandle kwesizathu.
Ukwelashwa kwe-Perineal nakho kubhekwa ngokucophelela.. Ngesikhathi sokubeletha kokuqala, abesifazane abangaphezu kwesigamu bahlushwa izinyembezi zolwelwesi lwamafinyila kanye nezicubu ze-perineal. Uma kuwukudabuka okuncane, kuthungwe emizuzwini embalwa, kuyaphola emahoreni angama-48, indawo iniselwa kakhulu. Isibazi se-episiotomy sithatha isikhathi eside. Uma isibazi sibuhlungu, tshela umbelethisi ozothola ukwelashwa okufanele futhi aqaphe ukuqhubeka.
Ngemva kokuhlinzwa
Lokhu kungenelela kuthinta u-20% wokulethwa eFrance. Lapho ingane izalwa ngokuhlinzwa, imiphumela ihluke kancane. Ngokuya ngokusungulwa, umama uzohlala izinsuku ezi-4 kuya kweziyisi-9 ewodini lababelethayo. Ukuhlinzwa, ukuhlinzwa kungabangela ukuphazamiseka okuthile, njengobunzima bokunyakaza amahora angu-48 ekunceliseni kanye nokunakekelwa okufanele kunikezwe ingane. Ukungabekezelelani kwe-morphine kungabangela ukulunywa noma imihuzuko esikhumbeni. Ithimba lezokunakekelwa kwezempilo kufanele laziswe, okuyilona elizonikeza ukwelashwa ngokushesha.
Ezinsukwini zokuqala, umama osemncane uhlala elele ngaphambi kokukwazi ukusukuma ngokusekelwa umbelethisi. Okwamanje, ukulala ngomhlane kukhuthaza ukujikeleza kwegazi nokuphulukiswa. Amahora ambalwa engeziwe, imishini yezokwelapha izomsiza, kuyilapho umzimba wakhe usuqala ukusebenza ngokugcwele futhi.
– Ukumnika. Akunakwenzeka ukuthi uqalise kabusha ukudla okuvamile ngokushesha ngemva kokuhlinzwa. Yingakho sishiya ukumnika okufaka amanzi kumama osemusha. Ingasetshenziselwa futhi ukusabalalisa ama-sedative nama-antibiotics.
- I-catheter yomchamo. Ivumela umchamo ukuthi ukhishwe; isuswa ngokushesha lapho isiningi ngokwanele futhi inombala ojwayelekile, ngokushesha ngangokunokwenzeka ngemva kokubeletha.
- I-catheter ye-epidural. Ngezinye izikhathi udokotela obulala izinzwa uyishiya endaweni amahora angu-24 kuya kwangu-48 ngemva kwenqubo ukuze agcine isibulali-zinzwa esilula.
Kwezinye izibhedlela zokubeletha, ukuvimbela ingozi ye-phlebitis ngemva kwesigaba sokuhlinzwa, sijova ama-anticoagulant ngendlela ehlelekile. Lokhu kwelashwa kuthatha izinsuku ezimbalwa. Kwezinye izikhungo, lokhu kwelashwa kugcinelwe omama abanezici eziyingozi.
Umhlengikazi noma umbelethisi ushintsha ingubo kanye ngosuku futhi uqaphe ukuphulukiswa. Ngokuvamile, isilonda siyaphola ngokushesha. Uma kwenzeka ukutheleleka, kungenzeka njalo kodwa kungavamile, yonke into ibuyela ngokushesha ku-oda ngenxa yokuphuza ama-antibiotics. Uma ukusika kungazange kuthungwe nge-suture emuncayo, ama-sutures noma ama-staples azosuswa ezinsukwini ezi-5 kuya kweziyi-10 ngemuva kwenqubo. Ngendlu yangasese, kuvunyelwe ukuthatha ishawa elincane kusukela ngosuku lwesibili. Ngakolunye uhlangothi, ukugeza, sincoma ukuthi ulinde amasonto amabili.
Ithimba elilalelayo
Indima yeqembu ayigcini nje ekuqashweni kwezokwelapha komama osemncane nosana lwakhe olusanda kuzalwa.
Ukuqapha kwakhe kubuye kusetshenziswe ezingeni le-psychic futhi kusiza ukuthuthuka okufanele kobudlelwane bukamama nengane. Ngokufanayo, wenza konke ukukhuthaza indima kababa ekunakekeleni usana. Esimeni sokukhathazeka okuthile noma blues, ungangabazi ukukhuluma ngakho, ngokuzethemba konke. Uma kunesidingo, ungazuza ngosizo lwabahlengikazi be-nursery abavela ku-PMI, ngokuvamile abasebenza kunethiwekhi nezibhedlela zokubeletha, noma uhlangane nodokotela wezengqondo.
Ithimba lihlinzeka ngokusekela okubalulekile lapho encela ingane. Ngempela, ukusungulwa kokuncelisa ibele kuqala emahoreni ngemva kokuzalwa. Okufanelekile, umntwana osanda kuzalwa kufanele abekwe ebeleni ngokushesha ngangokunokwenzeka ngemva kokubeletha. Lapho umama ekhethe ukungayincelisi ingane yakhe, ithimba liyamsiza ukuba amise ukugeleza kobisi ngokuthatha izidakamizwa ezivimbela ukuncelisa. Qaphela ukuthi ngezinye izikhathi kubangela isicanucanu nokungakhululeki. Qaphela, le mithi isebenza kuphela uma ungancelisi nhlobo. Ngisho nezinsuku ezimbalwa, ukunikeza ingane yakho izinzuzo ze-colostrum, lolu bisi olunomsoco kakhulu kusukela ezinsukwini zokuqala.