Emva kokuzalwa komntwana kunye nokuhlukana kwe-placenta, malunga ne-300 ml yegazi iphuma, kwaye ngoko ubele luqala ukuvumelana, ukuyeka ukuphuma kwegazi. Ekubeni emva kokuzalwa komntwana isilonda sesisu sisifana nesilonda, kufuneka kuthathe ixesha lokubuyisela ngokupheleleyo i-mucous ( endometrium ).
Kwiintsuku ezili-10 ezizayo, igazi kunye negazi legazi liyakhululwa kwisigxina se-uterine, kwaye ukukhutshwa okwesibhakabhaka (lochia) kunokwenzeka kwiinyanga eziyi-1.5. Kwimeko evamile yokukhulelwa kwamanzi kufuneka ibe yincinci (ibhinqa litshintsha i-gasket engadluli kangangexesha eli-2 kwieyure eziyi-2), ukuba ukukhutshwa kwanda kukunyuka-mhlawumbi emva kwesisu (ikakhulukazi ukuba kukho iinxalenye eziphambili kwi-uterus kwaye akunakwenzeka ukuchithwa kwayo ngokuchanekileyo).
Imfihlelo ye-Serous ayifanele ibe ne-impurities engcolileyo, ukuba umbala wabo okanye i-odor iyashintsha, ukushisa komzimba kuphakama-ezi zibonakaliso zokuvuvukala kwi-uterine cavity (endometritis) kwaye kufuneka zidibane nodokotela. Yingakho iinyanga eziyi-1.5 umfazi enganconywanga ukuba alalane ngesondo emva kokubeletha ngenxa yokuba unako ukutshatyalaliswa ade ufikelele kwi-mucosa ye-uterine.
Ukubuyiselwa kwenyanga emva kokuzalwa
Ukuba ixesha lokuhamba emva kokungabikho lithile, kwaye loo ntokazi ayifuni isondlo, emva kweentsuku ezingama-56 emva kokuzalwa kwesibeleko sesibindi sabuyiselwa, kwaye emva kweveki 10-12 emva kokuzalwa, le ntokazi inesiqalo sokuqala. Zingafani nazo ezazingaphambi kokuzalwa (ngobunzima kunye nobude). Iinyanga ezi-2-3 ezingaqhelekanga zenyanga zenzeke, kwaye ngokuthe ngcembe umjikelezo wowesifazane uphindela kwisiqhelo.
Ukungabikho kokuya esikhathini emva kokuzalwa: izizathu
Okokuqala, ukungabikho kwenyanga emva kokuzalwa kunokubangelwa yi-amenorrhea ye-lactational. I-hormone prolactin , eyenziwa ngabasetyhini abaqhawulayo, ayikhuthazi nje kuphela ukuvelisa ubisi, kodwa inqanda ukuvuthwa kwegazi, ngaphandle kokuba yintoni enye inyanga ingenakwenzeka ukuba umama asondle umntwana. Iprolactin iphinda ikhusele umfazi ukuba angakhulelwe ukuba uyasondla umntwana emva kweeyure ezingama-3 kunye nekhefu lokulala ngaphandle kweeyure ezingama-6. Ukuba ibhinqa idla umntwana rhoqo, emva kokubeleka akukho nenyanga enye okanye ngaphezulu (ukuya kwiinyanga ezili-14), kodwa oku akunqabile.
Ngokuqhelekileyo umfazi akakwazi ukunamathela ngqo kwishedyuli enjalo, kwaye ngokusungulwa kwezilonda, ukuhlukana phakathi kokutya kunokunyuka. Nangona ukungasebenzi kakubi kubangele ukudala i-ovulation, ngoko ke ukuba akukho ixesha elide emva kokuzalwa - ungaphumuli: isizathu esilandelayo sokungabikho kokuzalwa kwinyanga nganye emva kokuzalwa kunokuqalisa ngokukhawuleza kokukhulelwa kwesibili, ngokukodwa kwimijikelezo engaphelelwanga ngokupheleleyo.
Ukuba ukuhamba kwakhe kwakuncinane emva kokuhamba (kwaye banokubuyiselwa nanini na kumama oongikazi), ke akukho prolactin ingabanciphisa, kunye nokukhulelwa. Kwaye, ukuba kukho ukulibaziseka kwinyanga yesibini emva kokubeleka, kwaye kunye neempawu ezincinci ze-toxemia, kungcono ukwenza uvavanyo lokukhulelwa.
Esinye isizathu, ngenxa yokuba akukho ntlawulo emva kwenyanga, emva kokunikezelwa, yinkqubo yokuvuvukala kwamaqanda okwenza izidumbu ze-hormonal emzimbeni. Kwizizathu ezinokubaluleka kokubhengezwa ziimvumi ze-uterus nama-ovari.
Esinye isifo esibangela ukuphazamiseka kwimijikelezo yokuya esikhathini emva kokuzalwa kukuphela kwe-endometriosis, edlalwa ngokubanzi emva kokungenelela kwintsholongwane (isigaba se-caesarean), emva kokubeleka kunye nokuphazamiseka okukhulu kunye nokuxhatshazwa kwenzalo yokuzalwa.
Ukutsho xa kufanelekile kwakhona
Ukukhulelwa ngaphambi kwesi sihlandlo kukukhokelela ekukhatyweni komama kunye nesininzi esaneleyo sezondlo eziyimfuneko kumntwana olandelayo. Kwaye ukuba umfazi engasondli umntwana, kwaye akukho zenyanga zingaphantsi kweenyanga ezintathu emva kokuzalwa, ngoko kufuneka udibane nomntwana wesifo somzimba.