Kusakwanira kwa Mkodzo Panthawi Yobereka

Mawu Oyamba

Kodi mumadziwa kuti amayi ambiri obadwa kumene amakhala ndi vuto la mkodzo akabereka? Nkhani yodziwika bwinoyi imatha kukhudza kwambiri moyo watsiku ndi tsiku. Kusintha kwa timadzi ta m'thupi, kuvutika kwa thupi pobereka, ndi kupanikizika kwa chikhodzodzo zonse zimayambitsa vutoli.

M'nkhaniyi, tiwona zomwe zimayambitsa, mitundu, ndi zotsatira za kusadziletsa kwa mkodzo pambuyo pobereka. Mupezanso mayankho othandiza, kuphatikiza ntchito ya Matewera akuluakulu popereka chitonthozo ndi chithandizo kwa amayi atsopano.

Zomwe Zimayambitsa Kusakwanira kwa Mkodzo Panthawi Yobereka

Kusintha kwa Mahomoni

Pa nthawi yomwe ali ndi pakati, kusintha kwa mahomoni kumathandiza kuti thupi likhale lokonzekera kugwira ntchito ndi kubereka. Komabe, kusinthasintha kwa mahomoni kumeneku, makamaka hormone relaxin, imatha kufooketsa minofu ya m'chiuno, yomwe imagwira ntchito yofunika kwambiri pakuwongolera chikhodzodzo. Relaxin imawonjezera kusinthasintha m'dera la pelvic, zomwe zimapangitsa kuti thupi lizitha kulandira mwana yemwe akukula. Ngakhale kuti izi ndi zofunika pakubala, zimachepetsanso mphamvu ndi chithandizo cha chikhodzodzo. Chifukwa chake, amayi obadwa kumene amavutika kulamulira chikhodzodzo chawo panthawi yobereka. Zosinthazi nthawi zambiri zimakhala zosakhalitsa, koma popanda njira zoyendetsera bwino, zimatha kuyambitsa kusapeza bwino.

Kuvuta Kwathupi Kuchokera Kutumiza

Kaya ndi nyini kapena cesarean, kubereka kumapangitsa kuti minofu ya pansi pa chiuno ndi chikhodzodzo ikhale yovuta. Pakubereka kwa ukazi, minofu ndi minofu ya m'chiuno imatha kutambasulidwa, kufooka, kapena kung'ambika, zomwe zingakhudze kulamulira kwa chikhodzodzo. Kuphatikiza apo, kugwiritsa ntchito mphamvu, episiotomies, kapena kugwira ntchito kwanthawi yayitali kumatha kukulitsa vutoli, zomwe zimabweretsa zovuta zina. M'magawo opangira opaleshoni, ngakhale kuti pangakhale zovuta zochepa kwambiri pamtunda, minofu ya m'mimba yomwe imathandizira chikhodzodzo ikhoza kufooka. Pamene thupi lichira, chikhodzodzo ndi minofu ya m'chiuno imatha kuvutika kuti ipezenso mphamvu zomwe zidalipo kale, zomwe zimapangitsa kuti mkodzo usamayende bwino.

Kuwonjezeka kwa Kupanikizika Pachikhodzodzo

Pa nthawi yomwe ali ndi pakati, mwana wosabadwayo amaika chitseko chachikulu pa chikhodzodzo. Kupanikizika kumeneku, kuphatikizapo kusintha kwa mahomoni, kungakhudze kwambiri ntchito ya chikhodzodzo. Pambuyo pobereka, chitsenderezochi chikhoza kupitirira, makamaka ngati mayi ali ndi mwana wamkulu kapena anali ndi zowawa za nthawi yaitali. Ngakhale mwanayo atabadwa, minofu ya m’chiuno ingatenge nthaŵi kuti ibwerere ku mkhalidwe wake wapakati, ndipo chikhodzodzo chingapitirize kumva zotsatira za kupsyinjika. Izi nthawi zambiri zimabweretsa kutuluka kwa mkodzo, makamaka poyetsemula, kutsokomola, kapena kuchita masewera olimbitsa thupi.

Mitundu ya Urinary Incontinence Postpartum

Stress Incontinence

Kusadziletsa kwapang'onopang'ono ndi njira yodziwika kwambiri ya postpartum mkodzo incontinence. Kumachitika pamene kupanikizika kowonjezereka kwa chikhodzodzo—monga kuseka, kutsokomola, kapena kuchita nyonga—kuchititsa mkodzo kutayikira. Izi nthawi zambiri zimakhala chifukwa cha kufooka kwa minofu ya m'chiuno panthawi yomwe ali ndi pakati komanso pobereka, zomwe zimapangitsa kuti zikhale zovuta kulamulira chikhodzodzo pazochitika zachilendo. Kupsinjika maganizo kumakhala kochepa, koma nthawi zina kumakhala koopsa komanso kawirikawiri, makamaka pazochitika zomwe zimaphatikizapo kusuntha kapena kusintha kwadzidzidzi.

Limbikitsani Incontinence

Kusadziletsa kumafuna kukodza mwadzidzidzi komanso kwakukulu, zomwe nthawi zambiri zimayambitsa kutayikira kosadziwika. Kusadziletsa kwamtunduwu kumachitika pamene minofu ya chikhodzodzo imagwira ntchito mosasamala. Kulakalaka kwadzidzidzi kumatha kukhala kokulirapo, ndipo azimayi omwe ali ndi vuto losadziletsa angavutike kuti afike kuchimbudzi munthawi yake. Azimayi obereka amatha kukumana ndi vuto la kusadziletsa chifukwa cha kusintha kwa mahomoni kapena kuwonongeka kwa mitsempha panthawi yobereka, zomwe zingayambitse chikhodzodzo kuphulika. Izi zingakhale zokhumudwitsa kwambiri, chifukwa zingamve ngati thupi silingathe kulamulira bwino ntchito zake.

Mixed Incontinence

Kusadziletsa kosakanikirana ndi kuphatikiza kwa kupsinjika maganizo ndi kulimbikitsa kusadziletsa. Mtundu umenewu ukhoza kukhala wovuta kwambiri kuuwongolera, chifukwa umaphatikizapo kupanikizika kwa thupi pa chikhodzodzo ndi chilakolako chosalamulirika chokodza. Azimayi omwe ali ndi vuto la kusadziletsa amatha kukhala ndi vuto lodziwa nthawi yomwe kutayikirako kumachitika chifukwa cha nkhawa (monga kutsokomola kapena kuseka) kapena chifukwa chofuna kukodza mwadzidzidzi. Izi zingapangitse kuti zikhale zovuta kupeza ndondomeko yothandizira mankhwala, chifukwa mitundu yonse iwiri ya kusadziletsa iyenera kuchitidwa panthawi imodzi.

Momwe Incontinence ya Postpartum Imakhudzira Moyo Watsiku ndi Tsiku

Kukhudza Maganizo

Kusadziletsa kwa mkodzo pambuyo pobereka kungakhudze kwambiri mkhalidwe wamaganizo wa mkazi. Amayi ambiri ongobadwa kumene amachita manyazi, akuda nkhaŵa, kapena kukhumudwa ndi mkhalidwewo. Kusalidwa kwa anthu okhudzana ndi kusadziletsa kungapangitse kuti zikhale zovuta kupempha thandizo, zomwe zimabweretsa kudzipatula. Kusokonezeka maganizo kumeneku kungawononge kudzidalira kwawo, maubwenzi awo, ndi thanzi lawo lonse. Kudetsa nkhaŵa kosalekeza za kutayikira kungapangitsenso kukhala kovuta kusangalala ndi zaka zoyambirira za umayi, zomwe ziyenera kudzazidwa ndi chisangalalo ndi mgwirizano ndi mwanayo.

Mavuto Othandiza

Kusamalira kusadziletsa posamalira mwana wakhanda kungakhale kovuta kwambiri. Amayi ongobadwa kumene amakumana kale ndi maudindo osiyanasiyana, kuyambira pakudya mpaka kusintha matewera, ndikuwonjezera kusadziletsa pamndandanda kumatha kukhala kolemetsa. Kuda nkhawa nthawi zonse ndi kutayikira kumatha kusokoneza zochitika zatsiku ndi tsiku monga kuchita masewera olimbitsa thupi, kugula zinthu, kapena kupita kumaphwando. Kwa ena, kuopa ngozi zochititsa manyazi kungawalepheretse kuchita nawo zinthu zapagulu, kuwalekanitsanso. Izi zingasokonezenso chitukuko cha moyo wathanzi ndi chizoloŵezi chokhazikika pambuyo pobereka.

Zokhudza Ubwino Wathupi

Kusadziletsa pambuyo pobereka kungawonongenso thanzi la mkazi. Kulephera kuchita masewera olimbitsa thupi kapena kuchita zinthu zachibadwa kungachedwetse kuchira ndikulepheretsa kukonzanso thupi. Mwachitsanzo, amayi amatha kupewa kuchita zinthu zolimbitsa thupi monga kuyenda, kuthamanga, kapena kuchita masewera olimbitsa thupi chifukwa choopa kutayikira. Kusachita masewera olimbitsa thupi kumeneku kumatha kulepheretsa kuti minofu ya m'chiuno isakhale yolimba komanso kuchira, zomwe zimapangitsa kuti pakhale vuto la kusadziletsa kwa nthawi yayitali. Azimayi omwe sangathe kuchita masewera olimbitsa thupi nthawi zonse amathanso kuvutika ndi kuchepetsa thupi kapena kubwezeretsa mphamvu.

Njira Zogwira Ntchito Zowongolera Kusakwanira kwa Postpartum Incontinence

Zochita Zolimbitsa Thupi za M'chiuno (Zolimbitsa Thupi za Kegel)

Zochita za Kegel ndi imodzi mwa njira zothandiza kwambiri zothanirana ndi kusadziletsa kwa mkodzo pambuyo pobereka. Zochita izi zimatsata minofu ya m'chiuno, yomwe imathandizira chikhodzodzo, chiberekero, ndi rectum. Polimbitsa minofu imeneyi, amayi amatha kuwongolera chikhodzodzo ndikuchepetsa zizindikiro za kusadziletsa. Zochita zolimbitsa thupi za Kegel ndizosavuta kuchita ndipo zimatha kuchitikira kunyumba, zomwe zimawapangitsa kukhala njira yabwino kwa amayi atsopano. Ndikofunikira kuzichita pafupipafupi kuti muwone zotsatira, ndipo dokotala angapereke chitsogozo cha momwe angachitire molondola.

Kusintha kwa Moyo Wathu

Kuphatikiza pa masewera olimbitsa thupi, kusintha kwa moyo kungathandize kuthana ndi vuto la postpartum incontinence. Kukhala ndi hydrated ndikofunikira, koma ndikofunikira kuti musapitirire madzi. Kumwa madzi mosadukiza tsiku lonse kumapangitsa kuti chikhodzodzo chisavutike. M’pofunikanso kupewa zinthu zimene zimalimbikitsa chikhodzodzo monga caffeine, mowa, ndi zakudya zokometsera, zomwe zingawonjezere changu chamkodzo. Kukhalabe wonenepa mwa kudya zakudya zopatsa thanzi kumatha kutsitsa chikhodzodzo ndikuwongolera zizindikiro pakapita nthawi. Kupita kuchimbudzi pafupipafupi—kukodza panthaŵi yake—kungathandizenso kupewa ngozi zachikhodzodzo.

Chithandizo chamankhwala

Kwa amayi omwe zizindikiro zawo zimapitirirabe ngakhale kusintha kwa moyo wawo, chithandizo chamankhwala chingakhale chofunikira. Mankhwala, monga anticholinergics, angathandize kuchepetsa kupweteka kwa chikhodzodzo ndikuwongolera kulamulira chikhodzodzo. Thandizo la thupi, kuphatikizapo njira za biofeedback, zingathandize kubwezeretsa minofu ya m'chiuno. Mankhwalawa ndi osasokoneza ndipo amatha kukhala othandiza kwa amayi ambiri omwe amakumana ndi vuto losadziletsa. Nthawi zina, wothandizira zaumoyo angalimbikitse ma pessaries kapena zida zina kuti apereke chithandizo chowonjezera cha chikhodzodzo.

Njira Zopangira Opaleshoni

Njira zopangira maopaleshoni nthawi zambiri zimawonedwa ngati njira yomaliza yoletsa kukodza mkodzo, makamaka pakakhala zizindikiro zowopsa kapena zosalekeza. Njira monga opaleshoni yopangira gulaye, pomwe gulaye yothandizira imayikidwa kuzungulira chikhodzodzo kuti ichepetse kutulutsa, imatha kupereka mpumulo kwa nthawi yayitali. Komabe, opaleshoni imakhala ndi zoopsa ndipo iyenera kukambidwa bwino ndi wothandizira zaumoyo. Nthawi zina, njira zowononga pang'ono monga jakisoni kapena kukondoweza kwa minyewa kumatha kuganiziridwa kuti ndikubwezeretsa kuwongolera kwa chikhodzodzo.

Udindo wa Matewera Pakuwongolera Kusakwanira kwa Mkodzo wa Postpartum

Chitonthozo ndi Luntha

Matewera akuluakulu amapereka njira yothandiza kwa amayi omwe ali ndi vuto la kutsekula mkodzo pambuyo pobereka. Matewerawa amapangidwa kuti azitonthozedwa ndi kuzindikira, kulola amayi kuti azigwira ntchito zawo za tsiku ndi tsiku popanda kuopa kutayikira. Matewera apamwamba amatha kuyamwa bwino ndipo amatha kuvala kwa nthawi yayitali, kuwonetsetsa kuti amayi amakhala otetezeka pamene akuwongolera kusadziletsa kwawo. Kuonjezera apo, matewera amakono akuluakulu amapangidwa ndi zipangizo zofewa zomwe zimachepetsa chiopsezo cha kupsa mtima kwa khungu, zomwe zimawapangitsa kukhala omasuka kugwiritsa ntchito nthawi yaitali.

Kusankha Matewera Oyenera

Posankha matewera akuluakulu oti agwiritse ntchito pambuyo pobereka, ndikofunikira kusankha zoyenera komanso mulingo woyenera. Thewera liyenera kupereka absorbency yokwanira kuti athe kuthana ndi kuchuluka kwa kutayikira komwe kumachitika ndi munthuyo. Iyeneranso kukhala yokwanira bwino, yotetezedwa kuti ipewe kutayikira ndikuwonetsetsa kuti itonthozedwa kwambiri. Yang'anani zinthu zomwe zimapangidwa makamaka kuti zigwiritsidwe ntchito pambuyo pobereka, popeza zimapereka zinthu monga zinthu zopumira mpweya komanso zowonjezera zowonjezera zomwe zimafunikira kwambiri. Zofewa, zokometsera khungu zimachepetsa kupsa mtima, kuonetsetsa chitonthozo tsiku lonse.

Kuyerekeza: Matewera vs. Pads

Ngakhale mapepala angawoneke ngati njira yabwino, matewera akuluakulu nthawi zambiri amakhala njira yabwino yothetsera vuto la mkodzo pambuyo pobereka. Matewera amapereka absorbency yapamwamba, kuteteza kutayikira bwino kuposa mapepala okhazikika. Amaperekanso chivundikiro chabwino komanso chitonthozo, makamaka panthawi yovala nthawi yayitali. Kwa amayi obadwa kumene omwe akukumana ndi kutayikira kawirikawiri kapena kusadziletsa kwambiri, matewera angapereke njira yodalirika komanso yochenjera. Matewera satha kusuntha kuchoka pamalo ake ndipo amapereka chitetezo chochulukirapo kuti asatayike, kuwapangitsa kukhala abwino kwa nthawi yayitali.

Onetsani	Madiapers	Achikulire
Kusamva	Zapamwamba, zopangidwira kugwiritsidwa ntchito kwa nthawi yayitali	Zochepa, nthawi zambiri zopepuka
Zokwanira	Zotetezeka, zoyenera	Ikhoza kusuntha panthawi yogwiritsira ntchito
Kufotokozera	Kuphimba kwathunthu kwa kupewa kutayikira	Kuphimba kwakung'ono, kumatha kutayikira m'mphepete
Chitonthozo	Zinthu zofewa, zopumira kuti zitonthozedwe	Zitha kuyambitsa kuyabwa pakapita nthawi
Gwiritsani Ntchito Case	Zabwino kwambiri pakulephera kudziletsa pafupipafupi kapena kwambiri	Oyenera kutulutsa mkodzo pang'ono kapena kuwona
Mwanzeru	Amapereka chitetezo chanzeru pakuvala kwanthawi yayitali	Ochepa wanzeru ponena za kupewa kutayikira

Kuwongolera Kwanthawi yayitali ndi Kuchira kuchokera ku Postpartum Incontinence

Kutsata Kupita patsogolo ndi Kuchira

Kuyang'anira kupita patsogolo ndikofunikira pakuwongolera kusadziletsa kwa mkodzo pambuyo pobereka. Kutsatiridwa nthawi zonse ndi wothandizira zaumoyo kumatsimikizira kuti zosintha zilizonse zikutsatiridwa, ndipo kusintha kungapangidwe ku mapulani a chithandizo ngati pakufunika. Amayi ambiri amapeza kuti kusadziletsa kwawo kumakula pakapita nthawi pamene alimbitsa minofu ya m'chiuno mwa masewero olimbitsa thupi ndi kusintha kwa moyo. Kusunga zizindikiro ndi kupita patsogolo kungathandize amayi kukhala okhudzidwa ndikuyang'ana paulendo wawo wochira.

Ma Network Support ndi Upangiri

Kusadziletsa kwa postpartum kumatha kufooketsa malingaliro, ndipo kufunafuna chithandizo ndikofunikira kuti muchiritse. Magulu othandizira, uphungu, kapena kuyankhula ndi bwenzi lodalirika kapena wachibale kungathandize kuchepetsa kudzipatula komanso nkhawa. Azimayi ambiri amapindula ndi chichirikizo chamaganizo cha ena amene akukumana ndi zokumana nazo zofananazo. Thandizoli lingathandizenso amayi kuthana ndi malingaliro aliwonse oyipa okhudzana ndi kusadziletsa komanso kuwathandiza kumva kuti ali ndi mphamvu zothana ndi vuto lawo.

Kupewa Kubwereza

Kulimbitsa minofu ya m'chiuno mwa kuchita masewera olimbitsa thupi nthawi zonse komanso kukhala ndi kulemera kwabwino kungathandize kupewa kubwereza kwa postpartum incontinence. Kusamala za kaimidwe, kupeŵa kunyamula katundu wolemera, ndi kukhalabe okangalika kumathandizanso kukhalabe ndi thanzi lachikhodzodzo kwa nthaŵi yaitali. Kuchita masewera olimbitsa thupi nthawi zonse komanso kusamalira mosamala minofu ya m'chiuno kungathandize amayi kuti ayambenso kulamulira matupi awo komanso kuchepetsa chiopsezo cha nthawi yayitali yokhudzana ndi kusadziletsa.

Mapeto

Kusadziletsa kwa mkodzo pambuyo pobereka ndi vuto lomwe amayi ambiri amakumana nalo, koma sikuyenera kukhala vuto losatha. Pomvetsetsa zomwe zimayambitsa, mitundu, ndi zotsatira zake, amayi amatha kuthana ndi vutoli ndikuwongolera moyo wawo. Kuchokera pakuchita masewera olimbitsa thupi apansi mpaka pa matewera achikulire oyenera, pali njira zingapo zomwe zilipo. Kufunafuna thandizo la akatswiri ndikumanga malo othandizira ndikofunikira. Ndi njira yoyenera, amayi obadwa kumene angathe kuyambiranso kulamulira ndi kukumbatira umayi ndi chidaliro ndi chitonthozo.

Chiaus  amapereka mankhwala apamwamba kwambiri opangidwa kuti apereke chitonthozo ndi kudalirika poyang'anira kusadziletsa kwa postpartum. Matewera awo amathandiza amayi obadwa kumene kukhala otetezeka, kumapangitsa kukhala kosavuta kulamulira kusadziletsa pamene akusamalira mwana wawo.

FAQ

Q: Kodi postpartum urinary incontinence ndi chiyani?

Yankho: Kusadziletsa kwa mkodzo pambuyo pobereka kumatanthauza kuchucha kwa mkodzo pambuyo pobereka, komwe kumabwera chifukwa cha kusintha kwa mahomoni, kupsinjika kwa thupi, komanso kupanikizika kwa chikhodzodzo pa nthawi yapakati.

Q: Kodi matewera angathandize bwanji kuthana ndi vuto la postpartum incontinence?

Yankho: Matewera amapereka chitonthozo ndi nzeru, kupereka kuyamwa kodalirika kwa amayi atsopano omwe ali ndi vuto la mkodzo pambuyo pobereka, kuwalola kuchita ntchito zawo za tsiku ndi tsiku molimba mtima.

Q: Kodi kusadziletsa kwa mkodzo pambuyo pobereka kumatenga nthawi yayitali bwanji?

Yankho: Kwa amayi ambiri, kusadziletsa kwa mkodzo pambuyo pobereka kumayenda bwino pakapita nthawi, makamaka pakapita miyezi yochepa thupi likachira. Komabe, kuchita masewera olimbitsa thupi nthawi zonse ndikugwiritsa ntchito zinthu monga matewera kungathandize kuthana ndi zizindikiro bwino.

Q: Kodi pali mitundu yosiyanasiyana ya postpartum incontinence?

A: Inde, kusadziletsa kwa postpartum kungakhale kupsinjika maganizo, kukhumba kusadziletsa, kapena kusakaniza zonsezi. Mtundu uliwonse ungafunike njira zowongolera zosiyanasiyana, monga kuchita masewera olimbitsa thupi m'chiuno kapena kugwiritsa ntchito matewera akuluakulu kuti athandizire.

Q: Kodi ndiyenera kulingalira liti kugwiritsa ntchito matewera pa postpartum incontinence?

A: Ngati kutayikira kumakhala pafupipafupi kapena koopsa, matewera amatha kupereka yankho lanzeru komanso lomasuka pothana ndi zizindikiro mukamagwira ntchito zina monga kuchita masewera olimbitsa thupi m'chiuno kapena chipatala.