Iimboniselo: 0 uMbhali: Ixesha lokupapasha loMhleli weSiza: 2025-10-16 Imvelaphi: Isiza
Ngaba ubusazi ukuba oomama abaninzi abatsha bafumana ukuchama komchamo emva kokubeleka? Lo mbandela uqhelekileyo unokuchaphazela kakhulu ubomi bemihla ngemihla. Ukutshintsha kweHormonal, uxinzelelo lomzimba olusuka ekuzalweni, kunye noxinzelelo lwesinyi zonke zinegalelo kule meko.
Kweli nqaku, siza kuphonononga izizathu, iintlobo, kunye neempembelelo zokungaphumeleli komchamo emva kokubeleka. Uya kufumana izisombululo ezisebenzayo, kubandakanya indima ye iidiaper zabantu abadala ekunikeni intuthuzelo kunye nenkxaso koomama abatsha.
Ngexesha lokukhulelwa, utshintsho lwamahomoni lunceda ukulungiselela umzimba ngokusebenza kunye nokunikezelwa. Nangona kunjalo, oku kuguquguquka kwehomoni, ngakumbi ihomoni ye-relaxin, inokwenza buthathaka izihlunu zomgangatho we-pelvic, ezidlala indima ebalulekileyo kulawulo lwesinyi. I-Relaxin yonyusa ukuguquguquka kwingingqi ye-pelvic, ivumela umzimba ukuba ubambe umntwana okhulayo. Nangona oku kubalulekile ekuzalweni komntwana, kukwanciphisa amandla kunye nenkxaso yesinyi. Ngenxa yoko, oomama abatsha banokufumana ubunzima ekulawuleni isinyi ngexesha lokubeleka. Olu tshintsho luhlala luhlala lwexeshana, kodwa ngaphandle kwezicwangciso zokulawula ezifanelekileyo, lunokubangela ukungonwabi okukhulu.
Nokuba lilungu lobufazi okanye ngoqhaqho, ukubeleka kubeka uxinzelelo olukhulu kwizihlunu zomgangatho we-pelvic kunye nesinyi. Ekuhanjisweni kwelungu lobufazi, izihlunu zomgangatho we-pelvic kunye nezicubu zinokuthi zolule, zibe buthathaka, okanye zikrazuke, ezinokuchaphazela ulawulo lwesinyi. Ukongeza, ukusebenzisa i-forceps, i-episiotomies, okanye ukubeleka ixesha elide kunokuwenza mandundu olu xinzelelo, okukhokelela kwezinye iingxaki. Kumacandelo otyando, ngelixa kunokubakho impembelelo engaphantsi ngokuthe ngqo kumgangatho we-pelvic, izihlunu zesisu ezixhasa i-bladder zisenokuthi zibe buthathaka. Njengoko umzimba uphilisa, isinyi kunye nezihlunu ze-pelvic zinokuba nzima ukufumana amandla azo angaphambili, okukhokelela ekungangeni komchamo.
Ngexesha lokukhulelwa, umntwana okhulayo ubeka uxinzelelo olukhulu kwisinyi. Olu xinzelelo, ludibene notshintsho lwehomoni, lunokuchaphazela kakhulu umsebenzi wesinye. Emva kokubeleka, olu xinzelelo lusenokuqhubeka, ingakumbi ukuba umama ebenosana olukhulu okanye ubeleke ixesha elide. Nasemva kokuba umntwana ezelwe, izihlunu ze-pelvic floor zingathatha ixesha ukubuyela kwimeko yazo yangaphambi kokukhulelwa, kwaye isinyi sinokuqhubeka siva iziphumo zoxinzelelo. Oku kuhlala kukhokelela ekuvuzeni komchamo, ngakumbi xa uthimla, ukhohlela, okanye usenza imisebenzi yomzimba.
Ukungakwazi ukuzibamba ngoxinzelelo lolona hlobo luxhaphakileyo lokungaphumi komchamo emva kokubeleka. Kwenzeka xa ukwanda koxinzelelo kwi-bladder-njengokuhleka, ukukhohlela, okanye ukusebenza komzimba-kubangela ukuvuza komchamo. Oku kudla ngokuba ngumphumo wobuthakathaka bemisipha ye-pelvic ngexesha lokukhulelwa kunye nokubeletha, okwenza kube nzima ukulawula isinyi ngexesha lemisebenzi eqhelekileyo. Ukungakwazi ukuzibamba ngoxinzelelo ngokuqhelekileyo kuthambile, kodwa kwezinye iimeko, kunokuba nzima kwaye rhoqo, ngakumbi ngexesha lemisebenzi ebandakanya intshukumo yomzimba okanye utshintsho olukhawulezileyo kuxinzelelo.
Ukungakwazi ukuzibamba kwe-urgence kubonakala ngesidingo esikhawulezileyo nesinamandla sokuchama, nto leyo edla ngokukhokelela ekuvuzeni okunganyanzelekanga. Olu hlobo lwe-incontinence lwenzeka xa izihlunu ze-bladder zixhamla ngokungazithandi. Umnqweno okhawulezileyo unokuba mkhulu, kwaye abafazi abafumana incontinence banokuba nzima ukufikelela kwigumbi lokuhlambela ngexesha. Abasetyhini bePostpartum banokufumana i-incontinence ngenxa yokutshintsha kwehomoni okanye ukonakala kwemithambo-luvo ngexesha lokubeleka, okunokubangela ukuba isinyi singasebenzi kakuhle. Oku kunokudanisa ngakumbi, njengoko kunokuziva ngathi umzimba awulawuli imisebenzi yawo eqhelekileyo.
Ukungakwazi ukuzibamba okuxubeneyo kukudibanisa zombini uxinzelelo kunye nokukhuthaza ukungazinzi. Olu hlobo lunokuba ngumngeni ngakumbi ukulawula, njengoko lubandakanya zombini uxinzelelo lomzimba kwi-bladder kunye nomnqweno ongalawulekiyo wokuchama. Abasetyhini abanengxaki yokungakwazi ukuzibamba okuxubeneyo banokuba nobunzima ekuqondeni ukuba ukuvuza kungenxa yoxinezeleko (njengokukhohlela okanye ukuhleka) okanye xa kungenxa yesidingo esikhawulezileyo nesingxamisekileyo sokuchama. Oku kunokwenza kube nzima ukufumana isicwangciso sonyango esisebenzayo, njengoko zombini iintlobo zokungaphumeleli kufuneka ziqwalaselwe ngaxeshanye.
Ukungaphumi komchamo emva kokubeleka kunokuchaphazela kakhulu impilo-ntle yeemvakalelo yowesifazane. Oomama abaninzi abasandul’ ukuzalwa baziva beneentloni, bexhalabile, okanye bekhathazekile ngale meko. Ibala lentlalo elijikeleze ukungakwazi ukuzibamba linokwenza kube nzima ukufuna uncedo, nto leyo ekhokelela ekubeni ube likheswa. Oku kuchaphazeleka ngokweemvakalelo kunokuchaphazela kakubi ukuzithemba kwabo, ubudlelwane kunye nempilo yengqondo iphela. Ukukhathazeka rhoqo malunga nokuvuza kunokukwenza kube nzima ukonwabela amanqanaba okuqala okuba ngumama, ekufuneka azaliswe luvuyo kunye nobudlelwane nomntwana.
Ukulawula ukungakwazi ukuzibamba ngoxa unyamekela usana olusandul’ ukuzalwa kunokuba ngumngeni omkhulu. Oomama abatsha sele bejongene noluhlu lweembopheleleko, ukusuka ekutyiseni ukuya ekutshintsheni i-diapers, kunye nokongeza ukulawulwa kwe-incontinence kuluhlu kunokuziva kunzima. Ukuhlala uxhalabile malunga nokuvuza kunokuphazamisa imisebenzi yemihla ngemihla enje ngokwenza umthambo, ukuthenga, okanye ukuya kwimisitho yasekuhlaleni. Kwabanye, uloyiko lweengozi ezihlazisayo lunokubathintela ekubeni nenxaxheba kwimisebenzi kawonke-wonke, lubabeke amakheswa ngakumbi. Oku kunokuphazamisana nophuhliso lwendlela enempilo kunye nelungeleleneyo emva kokuzalwa komntwana.
Ukungakwazi ukuzibamba kwasemva kokubeleka nako kunokuchaphazela impilo yomzimba yowesifazane. Ukungakwazi ukusebenzisa okanye ukubandakanyeka kwimisebenzi eqhelekileyo kunokulibazisa inkqubo yokuphulukisa kunye nokuthintela ukuvuselelwa komzimba. Ngokomzekelo, abafazi banokuphepha imisebenzi yomzimba efana nokuhamba, ukubaleka, okanye ukuqeqeshwa kwamandla ngenxa yokoyika ukuvuza. Oku kungabikho kokusebenza komzimba kunokuthintela imisipha yomgangatho we-pelvic ekuqiniseni nasekubuyiseleni kwakhona, igalelo kwimiba ye-incontinence yexesha elide. Abasetyhini abangakwaziyo ukwenza umthambo rhoqo banokuzabalaza nokulawula ubunzima okanye bafumane amandla angundoqo.

Imithambo yeKegel yenye yezona ndlela zisebenzayo zokulawula ukungakwazi ukuzibamba komchamo emva kokubeleka. Olu qheliselo lujolise kwimisipha yomgangatho we-pelvic, exhasa isinyi, isibeleko kunye ne-rectum. Ngokuqinisa le misipha, abafazi banokuphucula ukulawulwa kwe-bladder kunye nokunciphisa iimpawu zokungazinzi. Imithambo yeKegel kulula ukuyenza kwaye inokwenziwa ekhaya, ibenze ibe lukhetho olulungele oomama abatsha. Kubalulekile ukuba uzenze rhoqo ukuze ubone iziphumo, kwaye umboneleli wezempilo unokubonelela ngesikhokelo malunga nendlela yokwenza ngokuchanekileyo.
Ukongeza kwimisebenzi yomgangatho we-pelvic, utshintsho lwendlela yokuphila lunokunceda ukulawula ukungazinzi emva kokubeleka. Ukuhlala u-hydrated kubalulekile, kodwa kubalulekile ukuba ungagqithisi amanzi. Ukusela amanzi rhoqo imini yonke kuqinisekisa ukuba isinyi asicaphuki. Kwakhona kubalulekile ukuphepha izinto ezicaphukisa isinyi ezifana necaffeine, utywala, kunye nokutya okuneziqholo, ezinokuthi ziqhubele phambili ukukhawuleza kokuchama. Ukugcina ubunzima obunempilo ngokutya ukutya okunokulinganisela kunokuthatha uxinzelelo kwi-bladder kunye nokuphucula iimpawu ekuhambeni kwexesha. Ukutyelela rhoqo kwigumbi lokuhlambela—ukuchama ngexesha—kunokunceda ekuthinteleni iingozi zesinyi.
Kwabasetyhini abaneempawu eziqhubekayo nangona kukho utshintsho kwindlela yokuphila, unyango lwezamayeza lunokuba yimfuneko. Amayeza, afana ne-anticholinergics, anokunceda ukunciphisa i-spasms ye-bladder kunye nokuphucula ukulawulwa kwe-bladder. Unyango lomzimba, kubandakanywa ubuchule be-biofeedback, lunokunceda ukubuyisela imisipha yomgangatho we-pelvic. Olu nyango aluna-invasive kwaye lunokusebenza kubasetyhini abaninzi abafumana ukungazinzi okuphakathi ukuya kokubi. Kwezinye iimeko, umboneleli wezempilo unokuncoma iipessaries okanye ezinye izixhobo zokubonelela ngenkxaso eyongezelelweyo kwi-bladder.
Iinketho zotyando zithathwa njengelinge lokugqibela lokungakwazi ukuzibamba emva kokubeleka, ngakumbi kwiimeko zeempawu ezinzima okanye eziqhubekayo. Iinkqubo ezinjengotyando lwe-sling, apho i-sling exhasayo ibekwe malunga ne-bladder ukunciphisa ukuvuza, inokubonelela ngokukhululeka kwexesha elide. Nangona kunjalo, utyando lunomngcipheko kwaye kufuneka luxoxwe ngokucokisekileyo kunye nomboneleli wezempilo. Kwezinye iimeko, iinkqubo zokuhlasela okuncinci njengezitofu okanye ukuvuselela imithambo-luvo zinokuthathelwa ingqalelo ukubuyisela ulawulo lwesinyi.
I-diapers yabantu abadala inikezela ngesisombululo esisebenzayo koomama abatsha abajongene nokungabikho komchamo emva kokubeleka. Ezi diapers zenzelwe induduzo kunye nokuqonda, zivumela abafazi ukuba baqhube imisebenzi yabo yemihla ngemihla ngaphandle koloyiko oluqhubekayo lokuvuza. Iidiapers ezikumgangatho ophezulu zibonelela nge-absorbency egqwesileyo kwaye zinokunxitywa ixesha elide, ziqinisekisa ukuba oomama baziva bekhuselekile ngelixa belawula ukungazinzi kwabo. Ukongeza, i-diapers yabantu abadala banamhlanje bayilwe ngezinto ezithambileyo ezinciphisa umngcipheko wokucaphuka kwesikhumba, zibenze babe lukhetho olukhululekileyo lokusetyenziswa ixesha elide.
Xa ukhetha i-diapers yabantu abadala ukwenzela ukusetyenziswa kwasemva kokubeleka, kubalulekile ukukhetha ukulingana okufanelekileyo kunye nenqanaba lokuxhamla. I-diaper kufuneka inike i-absorbency eyaneleyo yokusingatha ubuninzi bokuvuza okufunyanwa ngumntu. Kufuneka kwakhona ibe nendawo ekhululekile, ekhuselekileyo yokukhusela ukuvuza kunye nokuqinisekisa ukukhululeka okukhulu. Jonga iimveliso ezenzelwe ngokukodwa ukusetyenziswa emva kokubeleka, njengoko zibonelela ngeempawu ezifana nezixhobo eziphefumlayo kunye neepadi ezongezelelweyo apho zifuneka kakhulu. Izinto ezithambileyo, ezilungele ulusu zinciphisa ukucaphuka, ziqinisekisa intuthuzelo yonke imini.
Nangona iipads zibonakala ziyindlela efanelekileyo, i-diapers yabantu abadala idla ngokuba sisisombululo esisebenzayo sokungabikho komchamo emva kokuphuma. I-diapers inikezela nge-absorbency ephezulu, ikhusela ukuvuza ngokufanelekileyo kuneepads eziqhelekileyo. Bakwabonelela ngokhuseleko olungcono kunye nentuthuzelo, ngakumbi ngexesha lokunxiba ixesha elide. Oomama abatsha abajongene nokuvuza rhoqo okanye ukungazinzi kakhulu, i-diapers inokunika isisombululo esinokwethenjelwa nesilumkileyo. I-diapers ayinakwenzeka ukuba isuke kwindawo kwaye ibonelele ngokhuseleko olungakumbi malunga nokuvuza, okwenza ukuba ilungele ukusetyenziswa kwexesha elide.
| Faka | zeDiapers zabantu abadala | iiPads |
|---|---|---|
| Ukufunxa | Ephakamileyo, eyenzelwe ukusetyenziswa kwexesha elide | Phakathi, rhoqo ukwenzela ukuhamba okukhaphukhaphu |
| Fit | Ikhuselekile, ifanelekile | Iyakwazi ukutshintshwa ngexesha lokusetyenziswa |
| Ukhuseleko | Ukhuseleko olupheleleyo lokuthintela ukuvuza | Ukugquma okuncinci, kunokuvuza emaphethelweni |
| Intuthuzelo | Izinto ezithambileyo, eziphefumlayo zokuthuthuzela | Inokubangela ukucaphuka ngokuhamba kwexesha |
| Sebenzisa Ityala | Eyona nto ingcono kukungaxhali rhoqo okanye kakhulu | Ilungele ukuvuza komchamo okanye ukubonwa |
| Ingqiqo | Ibonelela ngokhuseleko olulumkileyo lokunxiba okwandisiweyo | Ingqondi encinci malunga nokuthintela ukuvuza |
Ukubeka iliso kwinkqubela phambili kubalulekile ekulawuleni ukungakwazi ukuzibamba komchamo emva kokubeleka. Ukulandelela rhoqo kunye nomboneleli wezempilo kuqinisekisa ukuba naluphi na uphuculo luyalandelwa, kwaye uhlengahlengiso lunokwenziwa kwizicwangciso zonyango njengoko kufuneka. Abasetyhini abaninzi bafumanisa ukuba ukungazinzi kwabo kuyaphucuka ngokuhamba kwexesha njengoko besomeleza izihlunu zabo ze-pelvic ngokuzilolonga kunye nokutshintsha indlela yokuphila. Ukugcina umkhondo weempawu kunye nenkqubela phambili kunokunceda abafazi bahlale benomdla kwaye begxile kuhambo lwabo lokubuyisela.
Ukungakwazi ukuzibamba emva kokubeleka kunokumkhathaza ngokweemvakalelo, kwaye ukufuna inkxaso ngundoqo wokubuyisela. Amaqela enkxaso, ingcebiso, okanye ukuthetha nomhlobo omthembileyo okanye ilungu losapho kunganceda ekunciphiseni imvakalelo yokuziva ulilolo kunye nexhala. Amabhinqa amaninzi ayangenelwa kwinkxaso engokweemvakalelo yabanye abatyhubela amava afanayo. Le nkxaso inokunceda abasetyhini ukuba bamelane nazo naziphi na iimvakalelo ezimbi ezinxulumene nokungakwazi ukuzibamba kwaye zibancede bazive bexhotyisiwe ukulawula imeko yabo.
Ukomeleza imisipha yomgangatho we-pelvic ngokuzilolonga ngokuqhubekayo kunye nokugcina ubunzima obunempilo kunokunceda ukuthintela ukuphindaphinda kokungahambi kakuhle emva kokubeleka. Ukuqaphela ukuma, ukuphepha ukuphakamisa ubunzima, kunye nokuhlala usebenza kuluncedo ekugcineni impilo yexesha elide lesinyi. Ukuzivocavoca rhoqo kunye nokunyamekelwa kwengqondo kwimisipha yomgangatho we-pelvic kunokunceda abafazi baphinde balawule imizimba yabo kunye nokunciphisa umngcipheko wemiba yexesha elide enxulumene nokungazinzi.
Ukungaphumeleli kokuchama emva kokubeleka ngumba oxhaphakileyo ojongene noomama abaninzi abatsha, kodwa akufuneki kube ngumngeni osisigxina. Ngokuqonda izizathu zayo, iintlobo, kunye neempembelelo, abafazi banokulawula le meko kwaye baphucule umgangatho wobomi babo. Ukusuka kwi-pelvic floor exercises ukuya kwi-diapers yabantu abadala abalungileyo, kukho izisombululo ezahlukeneyo ezikhoyo. Ukufuna uncedo lobuchule kunye nokwakha indawo exhasayo kubalulekile. Ngendlela efanelekileyo, oomama abatsha banokuphinda balawule kwaye bamkele ubumama ngokuzithemba kunye nentuthuzelo.
I-Chiaus ibonelela ngeemveliso ezikumgangatho ophezulu ezilungiselelwe ukunika intuthuzelo kunye nokuthembeka ekulawuleni ukungazinzi emva kokubeleka. Amanabukeni abo anceda oomama abatsha bazive bekhuselekile, nto leyo eyenza kube lula ukulawula ukungakwazi ukuzibamba ngelixa benyamekela usana lwabo.
IMPENDULO: Ukungakwazi ukuzibamba komchamo emva kokubeleka kubhekiselele ekuvuzeni komchamo okuzenzekelayo emva kokubeleka, okudla ngokubangelwa kukutshintsha kwehomoni, ukuxinezeleka komzimba, kunye noxinzelelo lwesinyi ngexesha lokukhulelwa.
A: Ama-diapers anika induduzo kunye nokuqonda, ukubonelela nge-absorbency ethembekileyo komama abatsha abajongene nokungahambi komchamo emva kokubeleka, okubavumela ukuba baqhube imisebenzi yabo yemihla ngemihla ngokuzithemba.
A: Kubafazi abaninzi, ukungazinzi komchamo emva kokubeleka kuphucula ngokuhamba kwexesha, ngokuqhelekileyo kwiinyanga ezimbalwa njengoko umzimba uphilisa. Nangona kunjalo, ukuzivocavoca okuqhubekayo komgangatho we-pelvic kunye nokusebenzisa iimveliso ezifana ne-diapers kunokunceda ukulawula iimpawu ngokufanelekileyo.
IMPENDULO: Ewe, i-postpartum incontinence inokuba kukungakwazi ukuzibamba koxinzelelo, ukukhuthaza ukungakwazi ukuzibamba, okanye ukuxuba zombini. Uhlobo ngalunye lunokufuna izicwangciso zokulawula ezahlukeneyo, ezifana nokuzivocavoca kwe-pelvic okanye ukusebenzisa i-diapers yabantu abadala ukuxhasa.
A: Ukuba ukuvuza kuba rhoqo okanye kunzima, i-diapers inokubonelela ngesisombululo esilumkileyo nesikhululekileyo ukulawula iimpawu ngelixa usebenza kwezinye iindlela zonyango ezifana nokuzivocavoca kwe-pelvic floor okanye ukungenelela kwezonyango.