Njira zochizira matenda amisala pochiza matenda a mimba atapita padera
Kutaya mimba ndi chochitika chomwe sichimangokhudza maganizo okha komanso thupi. Pambuyo poti munthu wataya mimba, thupi limachira: kutuluka magazi kumatha kwa masiku angapo mpaka milungu ingapo, mahomoni amasinthasintha mofulumira, mphamvu zimachepa, ndipo anthu ena amamva kupweteka m'chiuno, kupweteka m'munsi mwa msana, kapena kufooka kwa minofu ya m'mimba ndi pansi pa chiuno. Ndi pamenepa kuti physiotherapy ikhoza kukhala gawo lofunika kwambiri la chisamaliro cha munthu amene wataya mimba—osati "kufulumizitsa zinthu" mwamphamvu, koma m'malo mwake kulimbikitsa kuchira kotetezeka, pang'onopang'ono, komanso payekhapayekha.
Nkhaniyi ikufotokoza njira zodziwika bwino zochiritsira thupi zomwe zimagwiritsidwa ntchito posamalira odwala omwe atenga mimba, nthawi yoyambira, ndi zizindikiro zochenjeza. Chofunika: kuchira kwa aliyense n'kosiyana. Nthawi zonse funsani dokotala wa ana oyembekezera/azimayi ndi dokotala wa ana oyembekezera, makamaka ngati kutaya mimba kunabwera chifukwa cha matenda a D&C, mavuto, kapena matenda ena.
Chifukwa chiyani physiotherapy ndi yofunikira pambuyo poti mimba yapita?
Mwakuthupi, pambuyo poti mimba yapita, thupi likhoza kukumana ndi izi:
- Kupweteka m'chiuno ndi m'munsi mwa msana chifukwa cha kusintha kwa mahomoni, kupsinjika kwa minofu, kapena momwe thupi lilili panthawi ya kupweteka/kutuluka magazi.
- Kufooka kwa minofu ya m'mimba, kuphatikizapo minofu ya m'mimba ndi minofu ya pansi pa chiuno.
– Kusagwira bwino ntchito kwa pansi pa chiuno: anthu ena angamve kulemera mu nyini, kuvutika kugwira mkodzo, kapena kupweteka panthawi yogonana, makamaka ngati adakhalapo ndi pakati kale.
- Kutopa ndi kuchepa kwa thanzi chifukwa cha kutaya magazi, kusowa tulo, kupsinjika maganizo, komanso kusintha kwa zochita.
- Kulephera kupuma bwino komanso kukhala ndi kaimidwe kabwino: mapewa omangika, kupuma pang'ono, komanso kaimidwe kokhala ngati "wodzigudubuza" nthawi zambiri kumachitika munthu akakhala ndi nkhawa kwambiri.
Physiotherapy imathandiza kubwezeretsa kuyenda, kuchepetsa ululu, kukonza njira zopumira, kuphunzitsa mphamvu ndi kukhazikika, komanso kuthandizira kulamulira thupi panthawi yochira.
Kodi ndi liti pamene kuli kotetezeka kuyamba kuchita masewera olimbitsa thupi?
Kawirikawiri, njira zochiritsira thupi zochepa zimatha kuyamba pamene vuto lalikulu lakhazikika ndipo mukumva bwino. Komabe, nthawi yeniyeni imadalira:
- nthawi ya mimba panthawi yochotsa mimba,
- kodi panali njira zilizonse zachipatala (monga curettage),
- kuchuluka kwa magazi,
- kuchuluka kwa ululu,
- kukhalapo kwa magazi m'thupi kapena matenda.
Yambani pang'onopang'ono ndipo siyani kuchita masewera olimbitsa thupi ngati magazi akutuluka, ululu waukulu ukuwonjezeka, chizungulire, kapena zizindikiro zachilendo zikuwonekera.
Zizindikiro zoopsa: funani thandizo lachipatala nthawi yomweyo ngati
- kutuluka magazi ambiri (monga kusintha pedi yodzaza ola lililonse kwa maola angapo),
- malungo, kuzizira, kapena fungo losasangalatsa kuchokera kumaliseche,
- kupweteka kwambiri m'mimba/m'chiuno komwe kumakulirakulira,
- chizungulire chachikulu, kufooka kwambiri, kupuma movutikira, kapena kuthamanga kwa mtima,
- zizindikiro za kuvutika maganizo kwambiri kapena maganizo odzivulaza.
Njira zothandiza za physiotherapy pambuyo pochotsa mimba
1) Maphunziro ndi kuyang'anira (kuwunika) kwa akatswiri ochizira matenda a thupi
Gawo loyamba la chithandizo cha thupi ndikuwunika momwe mulili: kupweteka, kupuma, kaimidwe ka thupi, mphamvu ya minofu ya m'chiuno ndi yapakati, komanso (ngati kuli koyenera) magwiridwe antchito a pansi pa chiuno. Katswiri wa za thupi amathandizanso kukhazikitsa zolinga zenizeni: kubwerera ku kuyenda kopanda ululu, kukonza tulo, kukhala wokhoza kugwira ntchito, kapena kubwerera pang'onopang'ono ku masewera.
Kwa anthu ena, kungouzidwa kuti kusintha kwa thupi pambuyo poti mimba yapita ndi "kwachibadwa" kungathandize kuchepetsa nkhawa, zomwe nthawi zambiri zimawonjezera kupsinjika kwa minofu ndi ululu.
2) Kuchita masewera olimbitsa thupi opumira ndi kupuma momasuka
Pambuyo poti mimba yapita, thupi nthawi zambiri limakhala "tcheru", zomwe zimapangitsa kuti lizipuma pang'ono. Kupuma movutikira kumathandiza kuyambitsa dongosolo la mitsempha la parasympathetic, kuchepetsa kupsinjika, komanso kuthandizira kugwira ntchito kwa pansi pa chiuno.
Zitsanzo za machitidwe:
- Kugona ndi mawondo opindika.
Pumirani pang'onopang'ono kudzera m'mphuno mwanu, mukumva mimba yanu ikukulirakulira.
- Pumirani mpweya wautali kudzera pakamwa panu, mukumva nthiti zanu "zikugwa".
Chitani izi kwa mphindi 3-5, kamodzi kapena kawiri patsiku. Ngati mukumva chizungulire, chepetsani mphamvu.
3) Yambitsani pang'onopang'ono pansi pa chiuno
Pansi pa chiuno ndi gulu la minofu yomwe imathandiza kulamulira chikhodzodzo, kuthandiza ziwalo za m'chiuno, komanso kugwira ntchito mogwirizana ndi kupuma ndi minofu ya m'mimba yozama. Pambuyo poti mimba yapita, anthu ena amakumana ndi pansi pa chiuno cholimba (osati chofooka), kotero chithandizo sichimakhala nthawi zonse "cholimbitsa."
Njira zomwe akatswiri a physiotherapists amagwiritsa ntchito nthawi zambiri:
– Kupumula pansi pa chiuno: pamene mukupuma, ganizirani kuti pansi pa chiuno “pakufewa ndi kugwa”.
– Kuchepetsa pang'onopang'ono (Kegel): kuchepetsa pang'onopang'ono kwa masekondi 2-3 kenako kupumula kwa masekondi 6-8, kubwerezabwereza nthawi 5-8, ngati sikuwonjezera ululu ndipo sikuwonjezera kutuluka magazi.
– Kugwirizana kwa kupuma–pansi pa chiuno: kutulutsa mpweya mukakakamizika pang'ono, kokerani mpweya mukatulutsa.
Ngati mukumva kupweteka kwambiri, kutentha, kapena kuvutika kukodza mutatha kuchita masewera olimbitsa thupi, siyani ndikufunsa dokotala.
4) Maseŵero olimbitsa thupi oteteza minofu ya m'mimba
Cholinga chake ndi kuyambitsa transversus abdominis (minofu ya m'mimba yozama) popanda kuwonjezera kwambiri kuthamanga kwa magazi m'mimba.
Zitsanzo za njira:
– Kulowetsa m'mimba pang'ono: pamene mukutulutsa mpweya, ganizirani mchombo wanu “ukuyandikira pang'onopang'ono msana wanu” popanda kugwira mpweya wanu.
– Kupendekeka pang'ono kwa chiuno: kugwedeza chiuno pang'ono kuti muchepetse kupsinjika kwa msana.
– Kusintha kwa tizilombo takufa (kopepuka kwambiri): sunthani mwendo umodzi kapena mkono umodzi wokha, yang'anani kwambiri mpweya ndi kukhazikika kwa chiuno.
Maseŵero olimbitsa thupi amenewa amathandiza kukhala ndi kaimidwe ka thupi, kuchepetsa ululu wa msana, komanso kupereka maziko asanabwerere ku maseŵero olimbitsa thupi okhwima.
5) Kusuntha pang'onopang'ono m'chiuno ndi m'munsi mwa msana
Kupweteka m'chiuno ndi kupweteka kwa m'chiuno kungayambitse kuuma kwa minofu ya m'chiuno. Njira zodziwika bwino zoyendetsera minofu ndi izi:
– Ng'ombe ya mphaka yochedwa msana.
- Kusintha mawonekedwe a mwana (ngati kuli bwino) kuti azitha kutambasula msana.
- Kutambasula chiuno pang'ono kuti muchepetse kupsinjika kwa msana.
Kutambasula kuyenera kumveka ngati kukoka bwino, osati kupweteka. Pewani kugwira mpweya wanu, ndipo siyani ngati magazi akutuluka kwambiri.
6) Masewero olimbitsa thupi obwezeretsa magazi m'thupi ndi mphamvu: kuyenda ndi kuchita masewera olimbitsa thupi pang'ono
Kuyenda nthawi zambiri ndiye "mankhwala" otetezeka komanso ogwira mtima kwambiri:
- Yambani ndi mphindi 5-10 pa mphamvu yochepa.
- Onjezani nthawi pang'onopang'ono malinga ndi kulekerera.
- Ikani patsogolo kukhazikika kuposa liwiro.
Kwa anthu ena omwe ali ndi vuto la kuchepa kwa magazi m'thupi pambuyo pochotsa mimba, katswiri wa physiotherapist angathandize kupanga pulogalamu yochitira zinthu zomwe sizingakupangitseni chizungulire kapena kufooka.
7) Chithandizo chamanja ndi kasamalidwe ka ululu (monga momwe zasonyezedwera)
Ngati ululu wa msana/chiuno ukupitirira, katswiri wa physiotherapist angagwiritse ntchito:
- chithandizo cha minofu yofewa ya msana, matako, ndi ntchafu,
- kusuntha mafupa pang'onopang'ono,
- maphunziro okhudza momwe thupi limakhalira mukakhala pansi, mukugona, komanso mukunyamula zinthu.
Njira monga kupopera kofunda kungathandize kumasula minofu, pomwe kupopera kozizira nthawi zina kumathandiza kupweteka kwambiri—kusankha kumadalira momwe thupi limayankhira.
8) Kubwerera ku zochita za tsiku ndi tsiku ndi masewera
Kubwerera kuntchito, kusamalira nyumba, kapena kulera ana kungakhale kovuta. Akatswiri ochizira matenda a thupi angaphunzitse:
- njira yolumikizira chiuno popinda,
- momwe mungadzukire pabedi ndi matabwa ozungulira kuti muchepetse kupanikizika m'mimba,
- kupita patsogolo kuchokera ku kuchita masewera olimbitsa thupi pang'ono kupita ku kuchita masewera olimbitsa thupi pang'ono (monga kuchita masewera olimbitsa thupi pang'ono, kuchita masewera olimbitsa thupi pang'ono, kupita ku kuchita masewera olimbitsa thupi amphamvu).
Pa masewera amphamvu (kuthamanga, kulumpha), nthawi zambiri amalangizidwa kudikira mpaka thupi litakhazikika bwino ndipo palibe zizindikiro za pansi pa chiuno (kusadziletsa, kulemera, kupweteka). Kukonzeka kumatsimikiziridwa ndi kuwunika kwa munthu payekha.
Chithandizo chamaganizo monga gawo la kuchira mwakuthupi
Kuchiza ndi thupi si njira yoloŵa m'malo mwa uphungu wa maganizo, koma thupi ndi malingaliro zimalumikizana. Ululu nthawi zambiri umawonjezeka panthawi ya kupsinjika maganizo, ndipo kuchita masewera olimbitsa thupi popuma kapena kuyenda pang'onopang'ono kungathandize kuchepetsa kupsinjika maganizo. Ngati mukumva chisoni kwa nthawi yayitali, nkhawa yaikulu, kapena kuvutika kugwira ntchito tsiku ndi tsiku, chithandizo cha akatswiri azaumoyo wamaganizo chimalimbikitsidwa kwambiri.
Kutseka
Kuchira mutapita padera ndi njira yoyenera ndipo imafunika kusamalidwa. Njira zothandizira thupi—kuyambira kupuma movutikira, kuchita masewera olimbitsa thupi pang'onopang'ono m'chiuno ndi m'mimba, kuyenda pang'onopang'ono m'chiuno ndi m'munsi mwa msana, mpaka mapulogalamu oyenda pang'onopang'ono—zingathandize kuchepetsa ululu, kukonza magwiridwe antchito, ndikubwezeretsa chidaliro m'thupi lanu. Chofunika kwambiri ndikuyamba msanga, kuyang'anira momwe thupi lanu limayankhira, ndikugwirira ntchito limodzi ndi dokotala wanu komanso katswiri wa zamaganizo kuti apange dongosolo lotetezeka.
Ngati mukufuna, nditha kusintha nkhaniyi kuti ikhale yothandiza kwambiri pa pulogalamu yochita masewera olimbitsa thupi ya milungu iwiri (tsiku ndi tsiku, mphindi 10-15) yokhala ndi malire oimitsa, kapena mtundu wasayansi wokhala ndi maumboni azachipatala.
