Kodi ndi nthawi yanji yomwe zingatheke kukonzanso mgwirizano pambuyo pokubereka?
Choyamba, ziyenera kuzindikiridwa kuti mosasamala kanthu za momwe kubadwa kunachitikira, kaya pali vuto la postpartum , musanayambe kugonana, mkazi ayenera kutsimikizira dokotala. Ndi katswiri yemwe adzayang'ane dongosolo la kubereka ndipo akhoza kupereka lingaliro pa vuto lake.
Ngati tikulankhula momveka bwino kuti zingatheke bwanji kugonana patatha kubereka, ndiye madokotala nthawi zambiri amayankha funso ili 4-6 masabata. Ino ndiyo nthawi yomwe imatengera chiberekero chachikulu. Nthawiyi imadziwika ndi kupha magazi, komwe kumatchedwa lochia.
Kugonana pa nthawiyi sikuletsedwa. Chinthuchi ndi chakuti, pakupanga chikondi panthawiyi, pali mwayi waukulu wobweretsa matenda omwe angayambitse chitukuko cha njira yotupa ya mayi.
Kuwonjezera apo, tiyenera kukumbukira kuti pa nthawi ya kugonana nthawi ya kuchira, umatine magazi amatha kuyamba, omwe amachititsa kuti mimba ikhale yochepa.
Kodi nchiyani chomwe chimatsimikizira kutalika kwa nthawi yobwezera?
Kulankhulana za momwe mungagwirire ndi kugonana mukatha kubereka, madokotala amaganiziranso kuti izi ndizobwezeretsa zakuthupi, kapena zidachitidwa ndi gawo lotsekemera .
Chinthuchi ndi chakuti ndi mitundu iwiri yobereka, njira yobwezeretsera imachitika patsiku losiyana. Pambuyo pa kubadwa kwachibadwidwe, komwe kulibe penaum, pakatha masabata 4-6 kubwezeretsa ziwalo za vagina ndi perineum.
Ngati kuperekedwa kumeneku kunkachitika ndi gawo la zakudya kapena pakakhala mipata, zomwe zimapangitsa kuti pakhale ma episiotomy, kusinthika kwa minofu kumatenga miyezi itatu.
Mbali za kugonana atatha kubala
Mayiyo atalandira chilolezo kuchokera kwa dokotala atatha kufufuza, mutha kuyambiranso kugonana. Pankhaniyi, m'pofunika kuganizira mbali zina.
Choyamba, mwamuna ayenera kusamala ndi mkazi wake. Kusiyanitsa kugonana sikovomerezeka. Ndikofunika kusankha zosankha zomwe zimaphatikizapo kulowa mkati mwa mbolo.
Chachiwiri, nthawi zambiri kugonana pakapita nthawi yobereka mwana iyeneranso kuganiziridwa.
Mosiyana, ziyenera kunenedwa kuti atabereka, khalidwe la kugonana lingasinthe. Izi zimawoneka makamaka kwa okwatirana omwe akazi awo adakhala ndi episiotomy. Pambuyo pa kubwezeretsedwa kwa ziwalo zonse za umaliseche, pangakhale kuphwanya kupukuta kwake, komwe kumakhudza mwadzidzidzi zowawa panthawi yogonana.
Kawirikawiri, amai amakhala ndi chidwi ndi funso loti ngati n'zotheka kugonana pakamwa pakatha kubereka. Malinga ndi kulankhulana kwachiyanjano kotere, madokotala nthawi zambiri amakhala chete, chifukwa Iye sagwirizana kwambiri ndi nthawi yobwezeretsa yomwe ikupezeka mu njira ya mkazi yobereka.
Choncho, ndikufuna kuti nditsimikize kuti kachilombo ka HIV kamatha kukhazikitsidwa ndi dokotala pokhapokha atayesedwa ndi mayiyo mu mpando wa amayi. Pankhaniyi, mayiyo ayenera kutsatira mwatsatanetsatane malangizo ndi ndondomeko za azimayi. Izi zidzapewa mavuto omwe angabwere chifukwa cha matenda opweteka ndi njira zopatsirana.