Ubufazi bakho emva kokuzalwa komntwana akukoyiki njengoko ucinga

Umxholo

• Yothusa! Umgangatho wakho we-pelvic sisihlunu kwaye kufuneka uzilolonge
• Yintoni nomgangatho we-pelvic?
• Umgangatho we-pelvic ugcwele isimanga. Nantsi into ekufuneka uyazi
• 1. Ukungakwazi ukuzibamba emva kokubeleka ngu njengesiqhelo - kodwa okwexesha elimiselweyo
• 2.Kunqabile kakhulu kuwe ukuba ube ‘wakhululeka’ emva kokuba nomntwana
• 3. Iintlungu ezingapheliyo ziqhelekile, kodwa oko akuthethi ukuba kulungile
• 4. Ii-Kegels ayisosisombululo esinye
• 5. Ukwabelana ngesondo akufuneki kube buhlungu emva kokuba uphinde wachacha
• 6. Imiqondiso yezilumkiso inokuthula
• 7. Unyango lomzimba wepelvic lusondele kodwa akufuneki lube lolungenelelayo
• 8. Ungabona i-pelvic floor therapist ngaphambi kokuba kubekho ingxaki
• Abazali bokwenene bayathetha

Konke kuqala ngomgangatho wakho we-pelvic - kwaye siya kukuxelela yonke into ofuna ukuyifumana. (Umchithi: Siya ngaphaya kweKegels.)

Umzekeliso nguAlexis Lira

Ndizokuvuthela ingqondo yakho. Sele ulungele?

Awumiselwanga ukuba uzichamele ubomi bakho bonke emva kokuba unomntwana.

Kukuthintela okuqhelekileyo-okanye mhlawumbi, ngokufanelekileyo, isilumkiso-sithethwe kubantu abakhulelweyo: Yiba nosana kwaye ulungele ukwamkela ubomi belizwekazi elalalisiweyo, phakathi kwezinye izinto ezingathandekiyo. Ingcinga esisiseko yokuba ukuzalwa komntwana kukujongela phantsi kumgangatho we-pelvic kwaye yiyo loo nto kunjani.

Ewe, iindaba ezimnandi, loo nto ngamafutha amakhulu NOPE.

Yothusa! Umgangatho wakho we-pelvic sisihlunu kwaye kufuneka uzilolonge

Ngoku, kuninzi ukubingelelwa ngokwasemzimbeni umzimba oya kudlula kuwo ukuze ukhule kwaye uzalwe umntwana. Kwaye ngamanye amaxesha, ngenxa yokukhulelwa, ukwenzakala okunxulumene nokubeleka, okanye ezinye iimeko ezikhoyo, iimpembelelo zokubeleka ziya kuhlala nomntu wokuzalwa ngaphaya kwesigaba sasemva kokubeleka. Ngokunokwenzeka ebomini.

Nangona kunjalo, ye uninzi ukuhambisa okungalunganga kwilungu lobufazi kunye nokuhlinzwa, umbono wokuba uyakuchama ngonaphakade xa uhleka okanye ukhohlela yintsomi- kwaye iyingozi kuloo nto. Awuyi kuchama rhoqo, okanye awunyanzelekanga ukuba ubekho, ngonyango olunikezelweyo kumgangatho wakho we-pelvic.

Yabona, umgangatho we-pelvic ufana nawo nawuphi na umsipha emzimbeni wakho (kodwa indlela epholileyo kuba iphatha i-sh t t yomsebenzi wamandla amakhulu). Dlula ngaphaya kwayo yonke into "edityanisiweyo-kwi-yakho-lobufazi" isicheme, kwaye uya kuqala ukubona ukuba iyasabela, iyachacha, kwaye ifanelwe kukuqwalaselwa, njengebicep okanye idolo.

"Umgangatho we-pelvic yinto ebaluleke kakhulu kwimizimba yethu, ngakumbi kubafazi," utshilo oyingcali yezempilo yamanina uRyan Bailey, PT, DPT, WCS, umseki weLindelo lePelvic Health eNew Hampshire. Wonke umntu kufuneka ayazi, nangaphambi kokuba akhulelwe.

Ngale nto ithe…

Yintoni nomgangatho we-pelvic?

Umgangatho wakho we-pelvic, ngokufutshane, uyamangalisa. Ihleli njenge-hammock ngaphakathi kwendawo yakho engqonge, iqhagamshela kwisinyi sakho, urethra, ubufazi, i-anus, kunye ne-rectum. Isinyi sakho, amathumbu, kunye nesibeleko zihlala kuwo, kunye necrisscrosses ngaphambili-ngasemva nangapha nangapha ukusuka kwithambo lakho le-pubic ukuya kwi-tailbone.

Iyakwazi ukuhla inyuka; lawula ukuvulwa nokuvalwa komchamo wakho, ubufazi kunye ne-anus; kwaye iqulethe inethiwekhi etyebileyo yezicubu ezinxibelelanayo kunye nefascia.

Ngamanye amagama, yi-BFD. Ubandakanya umgangatho wakho we-pelvic xa uchama, ubundlobongela, ulala ngesondo, u-orgasm, sukuma, hlala phantsi, wenze umthambo-ngayo yonke into. Kwaye ichaphazeleka kakhulu bubunzima bokukhulelwa kunye nengozi yokuzalwa kwelungu lobufazi (okanye ukutyhala ngaphambi kwecandelo le-C elingacwangciswanga), njengoko lisolula, lide, kwaye lifumana ukonakala kwethishu ethambileyo.

Umgangatho we-pelvic ugcwele isimanga. Nantsi into ekufuneka uyazi

1. Ukungakwazi ukuzibamba emva kokubeleka ngu njengesiqhelo - kodwa okwexesha elimiselweyo

Ngenxa yohambo umgangatho wakho we-pelvic ubukhulelwe kunye nokuhanjiswa, kuya kuba buthathaka emva kokuzalwa. Ngenxa yoko, unokuba nengxaki yokubamba umchamo, ngakumbi xa uhleka okanye ukhohlela, kangangeeveki ezintandathu emva kokubeleka, utshilo u-Erica Azzaretto Michitsch, PT, DPT, WCS, umseki-mbumba weSolstice Physiotherapy kwisiXeko saseNew York.

Ukuba ufumene ukonzakala, okanye unenqanaba lesibini lokulila okanye nangaphezulu, unokufumana ukungangqinelani ukuya kuthi ga kwiinyanga ezintathu emva kokubeleka. “Ngaba sifuna ukuba yenzeke? Hayi, ”utshilo uBaley. "Kodwa kunokwenzeka." Ukuba akukho kukrazuka okanye ukwenzakala ngqo kumgangatho we-pelvic, "akufuneki kubekho ukuchama kweebhulukhwe" ngeenyanga ezintathu.

2.Kunqabile kakhulu kuwe ukuba ube ‘wakhululeka’ emva kokuba nomntwana

Uluvo lokuba "ukhululekile," ayisiyiyo into ehlaselayo, eyoyikisayo ngokwesini. Ayichanekanga ngokwezonyango! “Kunqabile ukuba umntu 'akhululeke' emva kokuzalwa. Ithoni yomgangatho wethanga lakho iphezulu ngenene, ”ucacisa watsho uKara Mortifoglio, PT, DPT, WCS, ongumseki-mbumba weSolstice Physiotherapy kwisiXeko saseNew York.

Imisipha yomqolo iyaqina xa ukhulelwe kwaye yolulwe ngokuzalwa. Ngenxa yoko, "izihlunu zihlala ziqiniswa ngenxa yokuphendula," emva kokuzalwa uMortifoglio uthi. Ukutyhala okwandisiweyo, ukukrazula, ukuthunga, kunye / okanye i-episiotomy yonyusa uxinzelelo kuphela, ngokudumba okungakumbi kunye noxinzelelo kuloo ndawo.

3. Iintlungu ezingapheliyo ziqhelekile, kodwa oko akuthethi ukuba kulungile

Zininzi iintlobo zeentlungu ezingapheliyo umntu anokuzifumana ngexesha lokukhulelwa nasemva kokubeleka. NgokukaBailey, nayiphi na intlungu ehlala ixesha elingaphezulu kweeyure ezingama-24 ngexesha lokukhulelwa-nokuba iyenzeka kuphela ngentshukumo ethile-ayamkelekanga kwaye ifanelwe kukuqwalaselwa. I-Postpartum, umgca wexesha ucace ngakumbi kunikwe inani lezinto eziguquguqukayo.

Kukhuselekile ukuba emva kokuba uphilile kwaye uqala ukwenza imisebenzi yesiqhelo (ish), naphi na ukusuka kwiiveki ukuya kwiinyanga ezininzi emva kosana, iintlungu ezingapheliyo kunye nokungonwabi akufuneki kungakhathalelwa.

Thetha ne-OB-GYN yakho kunye / okanye intloko ngqo kwi-pelvic floor therapist eqinisekisiweyo kwimpilo ye-pelvic. (Ewe kunjalo, zikhona ii-PT ezikhethekileyo kumgangatho we-pelvic, njengokuba ezinye ii-PT zigxile emagxeni, emadolweni, nasezinyaweni. Oku ngakumbi apha ngezantsi!)

4. Ii-Kegels ayisosisombululo esinye

Ngoku, okona kumangalisa kuko konke: I-Kegels ayisiyonto yokulungisa umlingo. Ngapha koko, banokwenza umonakalo ongaphezulu kokulungileyo, ngakumbi ukuba kuphela kwendlela ozibandakanya ngayo nomgangatho wakho we-pelvic.

"Ukuba unoxinzelelo oluncinci lokungakwazi ukuzibamba, kwaye uxelelwe ukuba, 'Hamba uye kwenza uKegels,' ayonelanga," utshilo ugqirha wezempilo yamabhinqa uDanielle Butsch, PT, DPT, wePhysical Therapy kunye namaZiko oNyango lweMidlalo eConnecticut. “Abantu abaninzi kufuneka behlise uloliwe, hayi abaqeqeshi. Kuya kufuneka ukhulule izicwili kwaye wenze umsebenzi wesandla [ukuyiphumza]. Awudingi ukuba [izigulana] zibaleke. ”

Wongeza ngelithi, “Naxa uKegels are kufanelekile, ngekhe sithi, ‘Yenza nje uKegels.’ Asiphathi nantoni na enye into enje. ”

Umzekelo, ukuba ubune-quad engqingqwa, ubuya kuqhubeka uyomeleza? Akunjalongo noko.

Ngamanye amaxesha kufuneka womeleze, kodwa ngamanye amaxesha kufuneka wolule. Umgangatho wakho we-pelvic awufani, kunzima ukufikelela kuwo, utshilo. Iyandikhathaza le nto. Abasetyhini baxelelwa ukuba benze iKegels. Kwaye emva koko, ukuba ayisebenzi, banikwa utyando lwesinyi. Xa kukho indawo enkulu ngokupheleleyo phakathi kwezi ndlela zimbini, kwaye kulapho [umgangatho wentloko] unyango lomzimba luhlala khona. "

5. Ukwabelana ngesondo akufuneki kube buhlungu emva kokuba uphinde wachacha

Okukwintsusa, kufuneka ulungele. Kwaye xa "ukulungele" kuxhomekeke ngokupheleleyo. "Abantu baziva benoxinzelelo olukhulu [lokuba baqhubeke ngesondo emva kokuba benomntwana], kodwa amava omntu wonke ahluke kakhulu kwaye wonke umntu uphilisa ngokwahlukileyo," utshilo u-Azzaretto Michitsch.

Ngaphandle kokoma okunxulumene nehomoni (into enokwenzeka), ukukrazula kunye / okanye i-episiotomy inokuchaphazela ixesha lokubuyisela kunye nokuthuthuzela, kwaye izicwili ezibomvu zinokubangela iintlungu ezinamandla ngokufakwa.

Zonke ezi meko zinako kwaye kufuneka zijongiswe ngumguli womzimba wethambo. "Umgangatho we-pelvic kufuneka uphumule ukuze uvumele naluphi na uhlobo lokufakwa," utshilo u-Azzaretto Michitsch. Ikwabandakanyeka kwi-orgasm. “Ukuba izihlunu zangaphantsi zomqolo ziqinile okanye zinethoni ephezulu yezihlunu, unokuba nengxaki yokugcwala. Ukuba izihlunu azomelelanga, ukufakwa akunakuba yingxaki, kodwa uvuthondaba lunokuba njalo, ”uyongeza.

6. Imiqondiso yezilumkiso inokuthula

Umonakalo wepelvic okanye ukuthoba amandla kwezihlunu zeplavic akusoloko kubonakala ngendlela efanayo. Kuphela kukwiimeko ezigabadeleyo apho uya kubona i-hernia okanye uzive usanda xa usula.

Emva kweeveki ezintandathu emva kokubeleka, bhukisha i-OB-GYN yakho ukuba unazo naziphi na ezi mpawu zilandelayo:

• imvakalelo yobunzima kwindawo yakho engqonge
• uxinzelelo kwindawo yakho engqonge
• imvakalelo yokuhlala kwinto ethile xa uhleli kodwa akukho nto ikhoyo
• ukuvuza emva kokuchama
• ubunzima bokuchama
• ukuqhina okuzinzileyo
• ubunzima bokudlulisa intshukumo nokuba sele ithambile kwaye ayidibananga

7. Unyango lomzimba wepelvic lusondele kodwa akufuneki lube lolungenelelayo

Ndiyazi, ndiyazi, ndiyazi. Umgangatho we-pelvic PT uya kufuna ukusebenza kumgangatho wakho we-pelvic ngokusebenzisa iqabane lakho lobufazi kwaye zonke ezo ntlobo ziyothusa / zoyikisayo / zinamandla. Ngowona mqobo mkhulu kumgangatho we-pelvic ekuthethwa ngawo kwaye uphathwe njengezinye izihlunu emzimbeni wakho.

Ukuba unomdla, nangona kunjalo, yazi oku: akufani novavanyo lweklinikhi. Akukho speculum okanye iithotshi.

"Olona hlaselo silufumanayo luvavanyo olunye ngomnwe," utshilo uBontsch. Ngale ndlela, "sinokuvavanya ukuba womelele kangakanani kwaye uza kubamba ixesha elingakanani kwisivumelwano - amandla akho kunye nonyamezelo-kwaye sikwavavanya ukuba uyakwazi njani ukuphumla."

Unyango olwenziwe ngesandla luza kubandakanya ukufakwa komnwe, kodwa i-PT ye-pelvic inokusebenza nawe kwimithambo yomzimba, ubuchule bokubonisa, kunye nokunyakaza komzimba / ukuma ngokusekwe kwiimfuno zakho.

8. Ungabona i-pelvic floor therapist ngaphambi kokuba kubekho ingxaki

Ukuba uye wenziwa utyando egxalabeni, ngaba ungagoduka emva koko, ukubuyiswa kwakho ngu-DIY, kwaye ubone ugqirha kube kanye emva kweeveki ezintandathu? Akunjalongo noko. Uya kuphinda uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphinde uphumelele.

"Abantu abaleka imarathon banononophelo ngakumbi kunabafazi emva [kokubeleka]," utshilo uBaley. “Wonke umntu kufuneka afune i-pelvic therapist [emva kokuzalwa] ngenxa yotshintsho olukhulu. Kuyamangalisa ukuba umzimba wethu utshintsha kangakanani kwiiveki ezingama-40. Kwaye kumcimbi weeyure okanye iintsuku emva kokuzalwa, sahluke ngokupheleleyo kwakhona. Singasathethi ke ngabanye bethu ukuba baye benza utyando olukhulu esiswini [ngoqhaqho]. ”

UAzzaretto Michitsch uyavuma: “Yiya kwingcali yethambo lomqolo uze ubuze,‘ Ndiqhuba njani? Unjani undoqo wam? Umgangatho wam we-pelvic? 'Buza imibuzo ofuna ukuyibuza, ngakumbi ukuba i-OB-GYN yakho ayiyiphenduli. Zonke ezi zinto zinokuqwalaselwa. Akukho sizathu sokungafuni uncedo ukuba awuqinisekanga. "

Oko kwathiwa, ngelixa i-PT ye-pelvic kufuneka ifumaneke kwisigulana ngasinye sasemva kokubeleka (njengaseFrance), ayisoloko ifumaneka ngenxa ye-inshurensi, ngenxa yoko ezinye izigulana ziya kufuna ukuphuma epokothweni. Thetha nomboneleli wakho wezonyango kwaye ubone oko kukusebenzelayo. Ukuba ukhangela umntu kwindawo yakho, qala apha okanye apha.

Abazali bokwenene bayathetha

Oomama bokwenyani babelana ngamava abo kunye nokubuyiswa komgangatho we-pelvic.

"Ndaya kunyango lomzimba kwimicimbi yam yangemva (enkosi, bantwana) kwaye ndafumanisa oyena nobangela wazo zonke iintlungu ngumgangatho we-pelvic. Ayikho into efana nokwenza iiKegels ngelixa umntu enomnwe phaya phezulu. Kodwa malunga neenyanga ezine kamva ndiqhuba kakuhle kwaye andinazo iintlungu phantse njengakuqala. Ngubani owaziyo ukuba akufuneki uchame qho xa uthimla? Ndihlala ndicinga ukuba kuza nokuba nabantwana. ” -Linnea C.

“Ukuchacha kwam emva kokuba unyana wam ezelwe ngo-2016 kwakunzima ngokwenene. Ndinengxaki yokuhamba iiveki ezininzi, andikwazi ukwenza umsebenzi omninzi kangangeenyanga, kwaye khange ndizive ndibuyela kum de kube malunga nonyaka emva kokubeleka. Xa ndakhulelwa yintombi yam kwi-2018, ndafumana umboneleli omtsha owandixelela ukuba ebezakundithumela kunyango lomzimba we-pelvic kwaye ngekhe ndizuze. Intombi yam yazalwa ngoFebruwari kulo nyaka kwaye ukubuyela kwam empilweni ngoku sele kubhetele kakhulu. ” -U-Erin H.

“Bendingazi ukuba ndinengxaki yokungasebenzi kakuhle kwe-pubic symphysis kunye neyam yokuqala kude kube sekupheleni, xa ingcali yam ibone ukuba zingakanani iintlungu zokukhwaza ebendizama ukuziqengqa ngexesha le-ultrasound. Oko kwacacisa kakhulu! Yayingumbono ovuthayo, okrelekrele owanciphisa kuphela kancinci kunye nonyango lomzimba lwangaphambi kokubeleka. Ukuba bendisazi ukuba kwenzeka ntoni, kwaye ibingaqhelekanga ukuba kolu hlobo lwentlungu, ngendenze izinto ngokwahlukileyo.

-Keema W.

UMandy Major ngumama, intatheli, i-postpartum doula PCD (DONA), kunye nomsunguli weNethiwekhi ye-Motherbaby, indawo eku-intanethi yenkxaso yasemva kokubeleka. Mlandele @ nontsikelelo.com.