Isingeniso
Ubuwazi yini ukuthi omama abaningi abasanda kubeletha baba nenkinga yokungakwazi ukuchama ngemva kokubeletha? Le nkinga evamile ingathinta kakhulu impilo yansuku zonke. Ukushintsha kwama-hormone, ukukhandleka komzimba okuvela ekubelethweni, nokucindezela kwesinye isinye kunomthelela kulesi simo.
Kulesi sihloko, sizohlola izimbangela, izinhlobo, kanye nemithelela yokungakwazi ukuzithiba komchamo kwangemva kokubeletha. Uzothola nezixazululo ezisebenzayo, okuhlanganisa indima ye amanabukeni abantu abadala ekunikezeni induduzo nokweseka omama abasha.
Izimbangela Zokungakwazi Ukuchama Ngesikhathi Sokubeletha
Izinguquko Zamahomoni
Ngesikhathi sokukhulelwa, izinguquko zamahomoni zisiza ukulungiselela umzimba ukuzala nokubeletha. Kodwa-ke, lokhu kushintshashintsha kwamahomoni, ikakhulukazi i-hormone relaxin, kungenza buthaka imisipha yaphansi ye-pelvic, edlala indima ebalulekile ekulawuleni esinyeni. I-Relaxin ikhulisa ukuguquguquka esifundeni se-pelvic, okwenza umzimba ukwazi ukumumatha umbungu okhulayo. Nakuba lokhu kubalulekile ekuzalweni, kunciphisa amandla nokusekelwa kwesinye. Ngenxa yalokho, omama abasha bangase babe nobunzima bokulawula esinyeni sabo phakathi nenkathi yangemva kokubeletha. Lezi zinguquko zivame ukuba ezesikhashana, kodwa ngaphandle kwamasu okuphatha afanele, zingabangela ukungakhululeki okukhulu.
I-Physical Strain from Delivery
Kungakhathaliseki ukuthi kungokwangasese noma ngokuhlinzwa, ukubeletha kubeka ubunzima obukhulu emisipha yaphansi ye-pelvic nesinye. Ekubelethweni kwesitho sangasese sowesifazane, izicubu ze-pelvic floor kanye nezicubu zingase zinwebeke, zibe buthakathaka, noma zidabuke, okungase kuthinte ukulawulwa kwesinye. Ukwengeza, ukusetshenziswa kwe-forceps, i-episiotomies, noma ukusikwa isikhathi eside kungase kubhebhethekise lokhu kucindezeleka, okuholela kwezinye izinkinga. Ezingxenyeni zokuhlinzwa, nakuba kungase kube nomthelela omncane oqondile endaweni ye-pelvic, imisipha yesisu esekela isinye isengaba buthakathaka. Njengoba umzimba ululama, isinye kanye nemisipha ye-pelvic ingase ibe nzima ukubuyisela amandla ayo angaphambili, okuholela ekungakwazini komchamo.
Umfutho Okhuphukile Wesinye
Ngesikhathi sokukhulelwa, i-fetus ekhulayo ibeka ingcindezi enkulu esinyeni. Lokhu kucindezela, kuhlangene nezinguquko zehomoni, kungathinta kakhulu umsebenzi wesinye. Ngemva kokubeletha, lokhu kucindezela kungase kuqhubeke, ikakhulukazi uma umama enomntwana omkhulu noma esikwa isikhathi eside. Ngisho nangemva kokuzalwa komntwana, izicubu ze-pelvic floor zingathatha isikhathi ukubuyela esimweni sazo sangaphambi kokukhulelwa, futhi esinyeni singase siqhubeke nokuzwa imiphumela yokucindezela. Lokhu kuvame ukuholela ekuvuzeni komchamo, ikakhulukazi lapho uthimula, ukhwehlela, noma wenza imisebenzi yomzimba.
Izinhlobo ze-Urinary Incontinence Postpartum
I-Stress Incontinence
I-Stress incontinence yindlela evame kakhulu yokungakwazi ukuzithiba komchamo kwangemva kokubeletha. Kwenzeka lapho ukwanda kwengcindezi esinyeni—njengokuhleka, ukukhwehlela, noma ukuzikhandla ngokomzimba—kubangela ukuvuza komchamo. Lokhu kuvame ukuba umphumela wemisipha ye-pelvic floor ebuthaka ngesikhathi sokukhulelwa nokubeletha, okwenza kube nzima ukulawula isinye phakathi nemisebenzi evamile. Ukungakwazi ukuzithiba ekucindezelekeni ngokuvamile kuthambile, kodwa kwezinye izimo, kungase kube kubi kakhulu futhi kuvame, ikakhulukazi phakathi nemisebenzi ehilela ukunyakaza komzimba noma izinguquko ezingazelelwe zokucindezela.
Khuthaza Incontinence
I-incontinence ibonakala ngesidingo esisheshayo nesinamandla sokuchama, okuvame ukuholela ekuvuzeni okuzenzakalelayo. Lolu hlobo lwe-incontinence lwenzeka lapho imisipha yesinye ifinyela ngokuzenzakalelayo. Isifiso esizumayo singaba namandla, futhi abesifazane ababhekene nesifiso sokungakwazi ukuzibamba bangase babhekane nobunzima bokufinyelela endlini yokugezela ngesikhathi. Abesifazane bangemva kokubeletha bangase babe nesifiso sokungakwazi ukuzibamba ngenxa yokushintshashintsha kwama-hormone noma ukulimala kwezinzwa ngesikhathi sokubeletha, okungabangela ukuba esinyeni siqhume kabi. Lokhu kungakhungathekisa ikakhulukazi, njengoba kungase kuzwe sengathi umzimba awukwazi ukulawula imisebenzi yawo evamile.
I-Incontinence Ehlanganisiwe
I-Incontinence exubile iyinhlanganisela yakho kokubili ukucindezeleka nokugqugquzela ukungakwazi ukuzibamba. Lolu hlobo lungaba inselele ngokukhethekile ukululawula, njengoba luhilela kokubili ukucindezela komzimba esinyeni kanye nesifiso esingalawuleki sokuchama. Abesifazane abanenkinga yokungakwazi ukuzithiba okuxubile bangase babe nobunzima bokunquma ukuthi ukuvuza kungenxa yengcindezi (njengokukhwehlela noma ukuhleka) noma uma kungenxa yesidingo esisheshayo nesiphuthumayo sokuchama. Lokhu kungenza kube nzima kakhulu ukuthola uhlelo lokwelapha olusebenzayo, njengoba zombili izinhlobo zokungakwazi ukuzithiba zidinga ukubhekwana nazo kanyekanye.
Ukuthi I-Postpartum Incontinence Kuthinta Kanjani Impilo Yansuku zonke
Umthelela Wemizwelo
Ukungakwazi ukuzithiba komchamo kwangemva kokubeletha kungathinta kakhulu inhlalakahle engokomzwelo yowesifazane. Omama abaningi abasha bazizwa benamahloni, bekhathazekile, noma bekhungathekile ngalesi simo. Ukucwaswa komphakathi okuhambisana nokungakwazi ukuzithiba kungenza kube nzima ukufuna usizo, okuholela ekubeni nomuzwa wokuzihlukanisa. Lokhu kuhlukumeza ngokomzwelo kungaba nomthelela omubi ukuzethemba kwabo, ubudlelwano, kanye nempilo yengqondo isiyonke. Ukukhathazeka njalo mayelana nokuvuza kungenza kube inselele ukujabulela izigaba zokuqala zobumama, okufanele zigcwale injabulo nobudlelwane nengane.
Izinselele Ezisebenzayo
Ukulawula ukungakwazi ukuzithiba kuyilapho unakekela usana kungaba inselele enkulu. Omama abasanda kuzalwa sebebhekene nenqwaba yemithwalo yemfanelo, kusukela ekudleni kuya ekushintsheni amanabukeni, nokwengeza ukuphathwa kokungakwazi ukuzithiba ohlwini kungase kubonakale kunzima. Ukukhathazeka njalo ngokuvuza kungaphazamisa imisebenzi yansuku zonke efana nokuzivocavoca, ukuthenga, noma ukuya emicimbini yomphakathi. Kwabanye, ukwesaba izingozi ezihlazisayo kungase kubavimbele ekuhlanganyeleni emisebenzini yomphakathi, kubahlukanise nakakhulu. Lokhu kungase futhi kuphazamise ukuthuthukiswa kwesimiso esinempilo nesilinganiselayo ngemva kokubeletha.
Umthelela Emihleni Engokwenyama
Ukungakwazi ukuzithiba kwangemva kokubeletha nakho kungathinta impilo yomzimba yowesifazane. Ukungakwazi ukuzivocavoca noma ukuhlanganyela emisebenzini evamile kungabambezela inqubo yokuphulukisa futhi kuvimbele ukuvuselelwa ngokomzimba. Isibonelo, abesifazane bangagwema imisebenzi engokomzimba njengokuhamba, ukugijima, noma ukuqeqeshwa kwamandla ngenxa yokwesaba ukuvuza. Lokhu kuntuleka kokuzivocavoca umzimba kungavimbela imisipha yaphansi ye-pelvic ekubeni iqiniswe futhi ilulame, okunomthelela ezindabeni zokungakwazi ukuzithiba isikhathi eside. Abesifazane abangakwazi ukuvivinya umzimba njalo bangase bathwale kanzima ukulawula isisindo noma baphinde bathole amandla ayisisekelo.
![amanabukeni]( "diapers")
Amasu Asebenzayo Okuphatha Ukungaziphathi Kwangemuva Kokubeletha
Ukuzivocavoca Kwe-Pelvic Floor (I-Kegel Exercises)
Ukuzivocavoca kwe-Kegel kungenye yezindlela eziphumelela kakhulu zokulawula ukungakwazi ukuzithiba komchamo wangemva kokubeletha. Lezi zivivinyo ziqondise imisipha ye-pelvic floor, esekela isinye, isibeletho, kanye ne-rectum. Ngokuqinisa le misipha, abesifazane bangathuthukisa ukulawula isinye futhi banciphise izimpawu zokungakwazi ukuzithiba. Ukuzivocavoca kwe-Kegel kulula ukuwenza futhi kungenziwa ekhaya, okwenza kube inketho ekahle komama abasha. Kubalulekile ukuzenza njalo ukuze ubone imiphumela, futhi umhlinzeki wezokunakekelwa kwempilo anganikeza isiqondiso sendlela yokwenza ngendlela efanele.
Izinguquko Zendlela Yokuphila
Ngaphezu kokuzivocavoca kwe-pelvic floor, izinguquko zendlela yokuphila zingasiza ekulawuleni ukungakwazi ukuzilawula kwangemva kokubeletha. Ukuhlala u-hydrated kubalulekile, kodwa kubalulekile ukuthi ungafaki amanzi ngokweqile. Ukuphuza amanzi njalo usuku lonke kuqinisekisa ukuthi esinyeni asicasuki. Kubalulekile futhi ukugwema izinto ezicasula esinyeni njenge-caffeine, utshwala, nokudla okubabayo, okungase kubhebhethekise ukuphuthuma komchamo. Ukugcina isisindo esinempilo ngokudla ukudla okulinganiselayo kungathatha ingcindezi esinyeni futhi kuthuthukise izimpawu ngokuhamba kwesikhathi. Ukuvakasha njalo endlini yangasese—ukuchama okunesikhathi—kungasiza ekuvimbeleni izingozi zesinye.
Ukwelashwa Kwezokwelapha
Kwabesifazane abanezimpawu eziqhubekayo naphezu kokushintsha kwendlela yokuphila, ukwelashwa kungase kudingeke. Imithi, efana ne-anticholinergics, ingasiza ekunciphiseni ama-spasms esinyeni futhi ithuthukise ukulawula isinye. Ukwelashwa ngokomzimba, okuhlanganisa amasu e-biofeedback, kungasiza ukubuyisela imisipha ye-pelvic floor. Lezi zindlela zokwelapha azihlaseli futhi zingasebenza kwabesifazane abaningi abahlangabezana nokungakwazi ukuzithiba okumaphakathi kuya kokunzima. Kwezinye izimo, umhlinzeki wezempilo angase ancome ama-pessaries noma amanye amadivaysi ukuze anikeze ukwesekwa okwengeziwe kwesinye.
Izinketho Zokuhlinza
Izinketho zokuhlinzwa ngokuvamile zibhekwa njengendlela yokugcina yokungakwazi ukuzithiba komchamo wangemva kokubeletha, ikakhulukazi ezimeni zezimpawu ezinzima noma eziqhubekayo. Izinqubo ezifana nokuhlinzwa ngendwayimane, lapho isihlilingi esisekelayo sibekwe eduze kwesinye ukuze kuncishiswe ukuvuza, kunganikeza impumuzo yesikhathi eside. Kodwa-ke, ukuhlinzwa kunezingozi futhi kufanele kuxoxwe kahle nomhlinzeki wezempilo. Kwezinye izimo, izinqubo ezihlasela kancane njengomjovo noma ukuvuselela imizwa kungabhekwa ukuze kubuyiselwe ukulawula esinyeni.
Iqhaza Lamanabukeni Ekulawuleni Ukungakwazi Ukuchama Kwangemva Kokubeletha
Induduzo Nokuhlakanipha
Amanabukeni abantu abadala anikeza ikhambi eliwusizo komama abasha ababhekene nokungakwazi ukuzithiba komchamo ngemva kokubeletha. Lawa manabukeni aklanyelwe ukunethezeka nokuhlakanipha, okuvumela abesifazane ukuba benze imisebenzi yabo yansuku zonke ngaphandle kokwesaba okuqhubekayo kokuvuza. Amanabukeni ekhwalithi ephezulu anikeza i-absorbency enhle kakhulu futhi angagqokwa isikhathi eside, okuqinisekisa ukuthi omama bazizwa bevikelekile ngenkathi belawula ukungakwazi ukuzithiba. Ukwengeza, ama-diaper anamuhla aklanyelwe ngezinto ezithambile ezinciphisa ingozi yokucasuka kwesikhumba, okwenza kube inketho ekhululekile yokusetshenziswa isikhathi eside.
Ukukhetha Amanabukeni Alungile
Uma ukhetha ama-diaper omdala ozowasebenzisa ngemva kokubeletha, kubalulekile ukukhetha izinga elifanele kanye ne-absorbency level. I-diaper kufanele inikeze i-absorbency eyanele yokusingatha inani lokuvuza okutholwa ngumuntu. Kufanele futhi ibe nokunethezeka, ukulingana okuvikelekile ukuvimbela ukuvuza nokuqinisekisa ukunethezeka okukhulu. Bheka imikhiqizo eklanyelwe ngokukhethekile ukusetshenziswa kwangemva kokubeletha, njengoba ihlinzeka ngezici ezifana nezinto eziphefumulayo kanye nama-padding eyengeziwe lapho idingeka khona kakhulu. Izinto ezithambile, ezilungele isikhumba zinciphisa ukucasuka, ziqinisekisa ukunethezeka usuku lonke.
Ukuqhathanisa: Amanabukeni vs. Amaphedi
Nakuba amaphedi angase abonakale eyindlela elula, ama-diaper amadala ngokuvamile ayisixazululo esisebenza kahle sokungakwazi ukuchama kwangemva kokubeletha. Amanabukeni anikeza i-absorbency ephakeme, evimbela ukuvuza ngokuphumelelayo kunamaphedi avamile. Baphinde banikeze ukumbozwa okungcono nokunethezeka, ikakhulukazi ngesikhathi sokuguga okunwetshiwe. Kumama abasha ababhekene nokuvuza okuvamile noma ukungazinzi kahle, ama-diapers anganikeza isisombululo esinokwethenjelwa nesiqondayo. Amanabukeni mancane amathuba okuthi asuke endaweni futhi anikeze ukuvikeleka okwengeziwe ekuvuzeni, okuwenza alungele ukusetshenziswa isikhathi eside.
| Faka |
Abantu Abadala |
Amaphedi |
| I-Absorbency |
Okuphezulu, okudizayinelwe ukusetshenziswa isikhathi eside |
Okumaphakathi, ngokuvamile ukugeleza okulula |
| Fit |
Ivikelekile, ilingana kahle |
Iyakwazi ukushintsha ngesikhathi sokusetshenziswa |
| Ukuhlanganisa |
Ukufakwa okugcwele kokuvimbela ukuvuza |
Ukumboza okuncane, kungase kuvuze emaphethelweni |
| Induduzo |
Izinto ezithambile, eziphefumulayo zokunethezeka |
Ingabangela ukucasuka ngokuhamba kwesikhathi |
| Sebenzisa Ikesi |
Kuhle kakhulu ekungakwazini ukuzithiba kaningi noma okunzima |
Ifanele ukuvuza okuncane komchamo noma ukubona |
| Ukuqonda |
Inikeza ukuvikeleka okuhlakaniphile kokuguga okunwetshiwe |
Ukuqonda kancane mayelana nokuvimbela ukuvuza |
Ukuphathwa Kwesikhathi Eside Nokululama Kusuka Ku-Postpartum Incontinence
Ukulandelela Inqubekelaphambili Nokubuyisela
Inqubekelaphambili yokuqapha ibalulekile ekulawuleni ukungakwazi ukuzithiba komchamo wangemva kokubeletha. Ukulandelela njalo nomhlinzeki wezempilo kuqinisekisa ukuthi noma yikuphi ukuthuthukiswa kuyalandelelwa, futhi ukulungiswa kungenziwa ezinhlelweni zokwelashwa njengoba kudingeka. Abesifazane abaningi bathola ukuthi ukungakwazi ukuzithiba kwabo kuba ngcono ngokuhamba kwesikhathi njengoba beqinisa imisipha yaphansi ye-pelvic ngokuzivocavoca nokuguqula indlela yokuphila. Ukulandelela izimpawu nenqubekelaphambili kungasiza abesifazane bahlale bekhuthazekile futhi begxile ohambweni lwabo lokululama.
Ukusekela Amanethiwekhi Nokwelulekwa
Ukungakwazi ukuzithiba kwangemva kokubeletha kungase kuqede imizwa, futhi ukufuna ukusekelwa kuyisihluthulelo sokululama. Amaqembu okusekelana, ukwelulekwa, noma ukukhuluma nomngane omethembayo noma ilungu lomndeni kungasiza ekunciphiseni imizwa yokuhlukaniswa nokukhathazeka. Abesifazane abaningi bayazuza ekusekelweni okungokomzwelo kwabanye ababhekana nokuhlangenwe nakho okufanayo. Lokhu kusekelwa kungasiza futhi abesifazane ukuthi babhekane nanoma yimiphi imizwelo engemihle ehambisana nokungakwazi ukuzithiba futhi kubasize bazizwe benamandla okulawula isimo sabo.
Ukuvimbela Ukuphindaphinda
Ukuqinisa imisipha ye-pelvic floor ngokusebenzisa ukuvivinya umzimba okungaguquki nokugcina isisindo esinempilo kungasiza ekuvimbeleni ukuphindaphinda kokungakwazi ukuzithiba kwangemva kokubeletha. Ukuqaphela ukuma, ukugwema ukuphakamisa okunzima, nokuhlala umatasa nakho kuyasiza ekugcineni impilo yesinye isikhathi eside. Ukuzivocavoca okuvamile nokunakekelwa okucabangelayo kwemisipha ye-pelvic floor kungasiza abesifazane ukuba baphinde balawule imizimba yabo futhi banciphise ingozi yezinkinga zesikhathi eside ezihlobene nokungakwazi ukuzithiba.
Isiphetho
Ukungakwazi ukuzithiba komchamo kwangemva kokubeletha kuyindaba evamile omama abaningi abasanda kubeletha ababhekana nayo, kodwa akudingekile ukuba kube inselele ehlala njalo. Ngokuqonda izimbangela zaso, izinhlobo, kanye nemithelela, abesifazane bangaphatha lesi simo futhi bathuthukise izinga lempilo yabo. Kusukela ekuzilolongeni kwe-pelvic floor kuya kumanabukeni alungile abantu abadala, kunezixazululo ezihlukahlukene ezitholakalayo. Ukufuna usizo lochwepheshe kanye nokwakha indawo esekelayo kubalulekile. Ngendlela efanele, omama abasha bangaphinde balawule futhi bamukele ubumama ngokuzethemba nokunethezeka.
I-Chiaus inikeza imikhiqizo yekhwalithi ephezulu edizayinelwe ukunikeza ukunethezeka nokuthembeka ekulawuleni ukungakwazi ukuzithiba kwangemva kokubeletha. Amanabukeni abo asiza omama abasha bazizwe belondekile, okwenza kube lula ukulawula ukungakwazi ukuzithiba kuyilapho benakekela ingane yabo.
FAQ
Umbuzo: Kuyini ukungakwazi ukuchama kwangemva kokubeletha?
A: Ukungakwazi ukuzithiba komchamo kwangemva kokubeletha kubhekisela ekuvuzeni komchamo okuzenzakalelayo ngemva kokubeletha, okuvame ukubangelwa izinguquko zamahomoni, ubunzima bomzimba, kanye nokucindezela kwesinye ngesikhathi sokukhulelwa.
Q: Amanabukeni angasiza kanjani ekulawuleni ukungaziphathi kahle kwangemva kokubeletha?
IMP: Amanabukeni anikeza ukunethezeka nokuqonda, anikeze ukumunca okuthembekile komama abasha ababhekana nokungakwazi ukuzithiba komchamo wangemva kokubeletha, okubavumela ukuba benze imisebenzi yabo yansuku zonke ngokuzethemba.
Q: Kuthatha isikhathi esingakanani ukungakwazi ukuzibamba komchamo ngemuva kokubeletha?
IMP: Kwabesifazane abaningi, ukungakwazi ukuzithiba komchamo wangemva kokubeletha kuba ngcono ngokuhamba kwesikhathi, ngokuvamile phakathi nezinyanga ezimbalwa lapho umzimba ululama. Kodwa-ke, ukuzivocavoca okuqhubekayo kwe-pelvic floor nokusebenzisa imikhiqizo efana namanabukeni kungasiza ukuphatha izimpawu ngempumelelo.
Q: Ingabe zikhona izinhlobo ezahlukene zokungakwazi ukuzithiba kwangemva kokubeletha?
IMP: Yebo, ukungakwazi ukuzithiba kwangemva kokubeletha kungase kube ukungakwazi ukuzithiba kwengcindezi, ukungakwazi ukuzithiba, noma inhlanganisela yakho kokubili. Uhlobo ngalunye lungadinga amasu okuphatha ahlukene, njengokuzivivinya kwe-pelvic noma ukusebenzisa amanabukeni abantu abadala ukuze asekelwe.
Q: Kunini lapho kufanele ngicabange khona ukusebenzisa ama-diapers ekungakwazini kokubeletha kwangemva kokubeletha?
IMP: Uma ukuvuza kuba kaningi noma kuba nzima, amanabukeni anganikeza isixazululo esihlakaniphile nesinethezekile sokuphatha izimpawu ngenkathi usebenza kwezinye izindlela zokwelapha ezifana nokuzivocavoca phansi kwe-pelvic noma ukungenelela kwezokwelapha.
