Kubereka ndi njira yayitali, yopweteka komanso yogwiritsira ntchito mphamvu. Pambuyo pokhala ndi zowawa ndi ululu zomwe zimaphatikizapo kubadwa, akazi amawakumbukira kosatha. Chifukwa cha ichi, funso limabwera ndi momwe tingachepetsere ululu m'magetsi. Izi zimakhala zotheka ngati mayi wapakati amatsatira malamulo angapo.
Ululu mu nkhondo - zomverera
Poyembekeza kubadwa kwa mwana woyamba kubadwa, amayi amtsogolo nthawi zambiri amakhala ndi chidwi ndi mabwenzi awo omwe abereka ana, zimakhala zopweteka bwanji pa nthawi yobereka, nthawi yayitali komanso momwe zimamenyera. Tiyenera kuzindikira kuti nkhondo yoyamba, yomwe imatchedwa nkhondo, imatha kuwonekera ngakhale pa sabata la 20 la mimba. Komabe, sizitsogolera kuntchito ndipo amapatsa amayi apakati zovuta kuposa zowawa.
Zolemba zoyamba zogwira ntchito nthawi zambiri zimakhala zofanana ndi zopweteka zowonongeka, zomwe zimadziwika pa nthawi ya kusamba. Posakhalitsa, pamene chiberekero chikuyamba, zowawa zimakula kwambiri. Zodabwitsa ndizokuti kupweteka sikukhala kumidzi komwe kumakhalako ndipo nthawi zambiri kumakhala ndi khalidwe lofala. Kuyamba kwa kugwira ntchito nthawi zambiri kumadutsa:
- kuchoka kwa nkhumba;
- kutuluka kwa amniotic madzi.
Ndikumva ululu wanji mu nkhondo ngati?
Ngakhale panthawi ya kukonzekera kubereka, amayi apakati amakonda chidwi ndi madokotala pa zomwe zingafanane ndi ululu m'nkhondo, momwe zimawonekera. Osowa zam'tsogolo samapereka yankho losavomerezeka, akulozera za umunthu wa chiwalo chilichonse. Chiyambi cha kubadwa kumachitika m'njira zosiyanasiyana: Azimayi ena amamvetsa ululu m'deralo, ena amawona kupweteka m'mimba pamunsi kutalika ndi zomwe zimachitika pa nthawi ya kusamba.
Popanda kudziwa zomwe zingatheke poyerekeza ndi ululu m'nkhondo, puerperas amawafotokozera ngati "kuponyera" m'munda wa chiuno chimene chimaphatikizapo ululu. Pakapita nthawi, zowawa zimapita kumimba, zimakhala ndi khalidwe labwino. Akazi ena amamva mafupa a pelvis ndi sacrum akuyamba kusuntha. Pakapita nthawi, mphamvu imakula, nthawi yachitsulo iliyonse imakula, nthawi imakhala yochepa. Izi zikusonyeza kuti mwanayo akuyang'ana posachedwa.
Kodi pangakhale zosiyana popanda zopweteka?
Ataphunzira, ululu wotani pa nkhondo , amayi apakati amakonda chidwi ndi dokotala yemwe ali ndi mimba, za mtundu wopanda ululu. Pankhaniyi, iwo akukhudzidwa kwambiri ndi gawo loyamba - kutsegula kwa chiberekero, limodzi ndi ululu waukulu. Tiyenera kuzindikira kuti masiku ano pali njira zowonongeka zomwe zimachititsa kuti ntchito isakhale yopweteka ( epidural anesthesia ). Komabe, mkazi akhoza kuchepetsa ululu yekha, popanda kugwiritsa ntchito mankhwala.
Zotsatira za phunziroli zasonyeza kuti zowawa zomwe zimaphatikizapo kubadwa zimachokera ku ndondomeko yokha pokhapokha ndi 30%. Zotsalira 70% ndizokhudza maganizo ndi zochitika za thupi la thupi lachikazi. Mantha, nkhawa, mantha kwa mwanayo, yemwe amabwera padziko lapansi, amachulukitsa kwambiri ululu ndi kuzunzika zomwe zimawonedwa mwa mkazi pamene akubereka. M'magazi ake, kuchuluka kwa ma hormone adrenaline, kumayambitsa mitsempha ya mitsempha, minofu, ndi ululu.
Kodi mungatani kuti muthetse ululu panthawi yachisoni?
Kulankhula za momwe mungachepetse kupweteka pamene mukusemphana maganizo, madokotala amasonyeza kufunika kwa kukonzekera amayi oyembekezera. Zimayendetsedwa pa zokambirana za amayi. Amayi amtsogolo amapita kumaphunziro apadera, kumene amadziwidwa ndi njira zomwe zilipo kuti athetsere kubereka. Azimayi amaphunzira makhalidwe abwino pakubereka, kupuma . Akazi amalangizidwa kuti agwiritse ntchito masewera apadera omwe amapangitsa minofu ya pansi. Madokotala amauza amayi omwe ali ndi pakati mwatsatanetsatane zomwe angachite kuti athetsedwe. Popanda kutsutsana, sankhani:
- zosavuta zojambula;
- fitball ;
- kusambira;
- Pilates;
- kuchita yoga.
Kodi mungapume motani panthawi ya nkhondo yachiwawa?
Mwa njira zomwe zimaphunzitsa momwe mungachepetse ululu pa nthawi ya ululu, kupuma kupuma kumakhala kosiyana. Chifukwa cha kuphweka ndi kukwanitsa kugwiritsa ntchito pakuberekwa kwa mwana kumatha mayi aliyense wa pakati. Malingana ndi njirayi, mutangoyamba kumene ntchito, anthu oyenera sayenera kuyesa kupondereza ululu: simungathe kupweteka, makamaka kufuula. Zowawa zingathe kuwonjezera.
Pofuna kuchepetsa ululu wopweteka, mutangoyamba kumene, munthu ayenera kutsatira njira zotsatirazi:
- inhalation - yopangidwa kudzera m'mphuno m'makalata 4;
- lembani - pakamwa, mu akaunti 6.
Kudzitsika kuyenera kukhala kofupikitsa. Mukatulutsa mafuta, zimalimbikitsa kupukuta milomo ndi chubu. Chifukwa cha zochita zoterezi, amayi oyembekezera adzatha kutulutsa minofu momwe angathere, bata. Mapapu ali ndi okosijeni, omwe adzayenda kudzera mwazi kwa mwana. Choncho, kuthekera kwa kukhala ndi zovuta zomwe zimagwiridwa ndi mpweya wa njala wa mwana wosabadwa sizimatulutsidwa.
Yesetsani kuti mukhale osamasuka
Zatsimikiziridwa kuti pamene mayi ali pamalo ena, zowawa zimakhala zochepa kapena zowonekera. Azimayi ena ophunzitsidwa ntchito amagwiritsa ntchito masewera apadera a yoga kuti athe kusokoneza. Komabe, amayi ambiri omwe amayembekezera amawathandiza kupeza malo ochezeka kwambiri pamakani:
Pamalo oima:
- Muyenera kudalira pa tebulo la pambali pa bedi, kumbuyo kwa kama, pamagazi pang'ono. Tulutsani msana wanu ndi m'mimba. Thupi la thupi limasamutsidwa m'manja ndi miyendo. Mu malo awa, iwe umasunthira kumanzere, kumanja, kumbuyo ndi patsogolo.
- Iwo adadzigwetsa okha pamapiko awo, anayala miyendo yawo ponseponse, atatsamira pa phazi lonse. Kumbuyoko kumatsamira pakhoma.
- Miyendo imayikidwa m'kati mwa mapewa, manja amaikidwa m'chiuno. Kugwedeza mobwerezabwereza mmbuyo-patsogolo, kumanzere-kumanja.
Mu malo okhala pa fitball:
- Khalani pansi pa mpira waukulu, miyendo ikulumikizidwa kumbali, kugwada pa mawondo. Pangani jiggle. Mpirawo uyenera kukankhidwa pakati.
Zochita zolimbitsa zoletsedwa
Ululu panthawi yopangidwira ikhoza kuchepetsedwa mothandizidwa ndi zochitika zapadera zakuthupi. Zochita masewera apadera kwa amayi pakubereka mwana ayenera kusankhidwa pa siteji ya mimba. Chitani izo pakati pa zopuma. Zina mwa zochitika zogwira mtima zingadziwike:
- Miyendo yaying'ono kupatula, mikono pamtengo. Powonongeka, mikono imayimilira kumbali, imatsitsidwa ndi inhalation, kugwedeza burashi.
- Malo oyambirira ndi ofanana: zigoba zimatengedwera kumbali, kukweza phazi limodzi.
Kutaya masewera olimbitsa magawo
Pochepetsa kuchepa ululu m'chiuno, madokotala amalimbikitsa kuti misala ikhale yochepa. Pogwiritsa ntchito mimba kumunsi kuchokera kumbali mpaka kumbali, mkazi akhoza kumasula minofu osati m'mimba chabe, komanso pa perineum, ntchafu. Kukwapula manja awo ndi ziboda, zimapanga kupukuta kunja kwa ntchafu. Mukhozanso kusungunulira malo a sacrum: manja amamangidwa ndi ziboda, amachotsedwa kumbuyo, kusakaniza sacrum mumagulu ozungulira. Kudziwa momwe mungachepetsere ululu mthupi mwanu pothandizira kupaka minofu, ndibwino kuzilumikiza ndi kupuma bwino.
Bath kusinthana ndi zovuta
Kuchepetsa ululu pa nthawi ya ntchito kungakhale ndi chithandizo cha madzi. Popanda kutsutsana (kutuluka msanga kwa amniotic fluid, kuthamanga kwambiri kwa magazi), odwala matenda opatsirana pogonana amalola amayi kuti ayambe kusamba madzi ofunda. Kutentha kwa madzi kumafunika madigiri 40-45. Izi zidzakuthandizani kuchepetsa kupweteka, kuthetsa mavuto ndi kupweteka kwa minofu, khalani osangalala. Musanayambe kuchepetsa kupweteka koopsa kwambiri mwanjira imeneyi, muyenera kuonetsetsa kuti chikhodzodzo chaching'ono chimasintha.