Ukushisa kwethwele ngesikhathi sokukhulelwa: Konke Okudingeka Ukwazi

Ukukhulelwa kuletha uhla olubanzi lwezinguquko zomzimba ku-izimpawu zenyanga yokuqala yokukhulelwa, ezinye ezilindelekile kanti ezinye zingamangalisa abesifazane. Omunye umphawu okungase kungaxoxwa ngawo kakhulu umuzwa wokushisa noma wokuvutha eziphethweni zobele. Lokhu kubizwa ngokuthi umuzwa wokushisa eziphethweni zobele ngesikhathi sokukhulelwa futhi lokhu kungakhathaza, ikakhulukazi kwabesifazane abakhulelwe okokuqala abangaqiniseki ukuthi lokhu kuyingxenye ejwayelekile yokukhulelwa yini.

Kungani Iziphetho Zobele Zishisa Ngesikhathi Sokukhulelwa?

Ku-ukuhlolwa kokukhulelwa ngosuku lwe-10 dpo Ubuhlungu beziphetho zobele buvame kakhulu ngesikhathi sokukhulelwa. Cishe u-79% wabesifazane abayi-360 ocwaningweni babike ubuhlungu beziphetho zobele [1]. Esinye sezizathu eziyinhloko zomuzwa wokushisa eziphethweni zobele ngesikhathi sokukhulelwa ukushintshashintsha kwama-hormone. Ama-hormone okukhulelwa anjenge-estrogen ne-progesterone anyuka kakhulu, elungiselela umzimba ukuncelisa. Lezi zinguquko zama-hormone zingaholela ekwandeni kokuthambekela emabeleni naseziphethweni zobele, okungenza kube nomuzwa wokushisa noma wokuvutha.

Ezigabeni zokuqala zokukhulelwa, umzimba uqala ukulungiselela amabele ukukhiqiza ubisi. Ukwanda kokugeleza kwegazi emabeleni kungenza iziphetho zobele zibe nokuqaphela kakhulu, kwesinye isikhathi kuholele ekungakhululeki. Ezinye izinsikazi zibika ukuthi zizizwa kunomuzwa wokushisa eziphethweni zobele ngesikhathi sokukhulelwa kusaseku-trimester yokuqala, nakuba lokhu kuvamise ukuqashelwa kakhulu ezigabeni ezizayo njengoba umzimba uqhubeka nokuzivumelanisa [2].

Izinguquko Zamahomoni Nendima Yazo

Ukukhuphuka kwama-hormone kudlala indima ebalulekile ezinguqukweni zomzimba owesifazane azizwayo ngesikhathi sokukhulelwa. Amazinga aphezulu e-progesterone asiza ekuthuthukisweni kwemithambo yobisi, kuyilapho i-estrogen yona inikela ekukhuleni kwezicubu zobele. Lokhu kuthuthuka okusheshayo kungadala ukungakhululeki, kanti ezinye izinsikazi zichaza lo muzwa njengokushisa noma ukushaywa yizinhlayiya ezibuhlungu eziphethweni zobele.

Nakuba ukushisa kwezingono ngesikhathi sokukhulelwa kungaba buhlungu, ngokuvamile kuyingxenye evamile yokulungiselela komzimba ukuncelisa. Lo muzwa uvame ukuncipha njengoba umzimba ujwayela izinguquko zamahomoni, nakuba kungase kubuyele futhi njengoba ukukhulelwa kuqhubeka. [3].

Ukukhula kokugeleza kwegazi nokuzwela

Njengoba ukukhulelwa kuqhubekela phambili, inani legazi emzimbeni liyanda ukuze kusekelwe umbungu okhulayo. Lokhu kwanda kokugeleza kwegazi emabeleni kungadala ukuzwela okukhulu, okuholela emzweni wokushisa noma wokulangazelela (tingling). Izingono, ikakhulukazi, zingaba sengozini enkulu uma zithintwa noma zicindezelwa, okungadala ukungakhululeki emisebenzini yansuku zonke efana nokugqoka ibhulazi noma ukwenza imisebenzi yomzimba.

Kubanye besifazane, ukushisa kwezingono ngesikhathi sokukhulelwa kuba sobala kakhulu lapho izingono zivezwa ekushintsheni kwezinga lokushisa, njengokuphuma endaweni efudumele uye endaweni ebandayo. Kulezi zimo, lo muzwa ungaba namandla kakhulu kodwa ngokuvamile awunabungozi futhi uyadlula ngokuhamba kwesikhathi. [4].

Indlela yokunciphisa ukushisa kwezingono ngesikhathi sokukhulelwa

Uma uzwa ukungakhululeki, zikhona izindlela eziningana ongazisebenzisa ukuphatha lowo muzwa nokuthola ukukhululeka:

• Thambisa isikhumba njalo: Isikhumba esomile singakhulisa umuzwa wokushisa. Ukusebenzisa i-moisturizer ethambile, engenamaphunga kungasiza ukuthulisa isikhumba esicasukile.
• Gqoka izingubo ezikhululekile: Khetha amabhulazi athambile, enentambo kakotini, angenawo ucingo olusezansi. Lokhu kunciphisa ukushayisana kwesikhumba nokunciphisa ukungakhululeki.
• Gwema insipho enolaka: Insipho eqinile noma enamakha ingoma isikhumba esibucayi ezingonweni. Khetha izihlanzi ezithambile, ezingenamaphunga ukuze ugweme ukucasuka.
• Faka ama-compress abandayo: I-compress ebandayo ingasiza ukunciphisa umuzwa wokushisa ngokwehlisa ukuvuvukala nokuletha ukukhululeka kwesikhashana.

Uma ukushisa kuqhubeka noma sekuqala ukuba buhlungu kakhulu, kuhlala kuyindlela enhle ukuxhumana nomhlinzeki wakho wezempilo. Nakuba ukushisa kwezingono ngesikhathi sokukhulelwa kuvame ukuba akuyona inkinga, udokotela wakho angasiza akhiphe ezinye izinkinga ezingaba khona ezifana nokutheleleka noma izimo zesikhumba ezingase zidinge ukwelashwa.

Ingabe umuzwa wokushisa ezingonweni uphawu lokukhulelwa kusenesikhathi?

Kubanye besifazane, ukushisa ezingonweni ngesikhathi sokukhulelwa kungaba esinye sezimpawu zokuqala zokukhulelwa. Njengoba umzimba uqala ukulungiselela amabele ukuze akhiqize ubisi cishe ngokushesha ngemva kokukhulelwa, ukwanda kokuzwela nokungakhululeki ezingonweni kungavela emasontweni okuqala. Lo muzwa, kanye nezinye izimpawu ezifana nokukhathala nokuzizwa unomfutho wokuhlanza, ungaba uphawu lokuqala lokukhulelwa.

Kodwa-ke, kubalulekile ukukhumbula ukuthi ukukhulelwa ngakunye kwehluke kwabanye. Ezinye izifazane zingase zibe nezimpawu ezinzima zisasekuqaleni, kanti ezinye zingase zingaboni zinguquko kuze kube sekupheleni kokukhulelwa kwazo. Ngaphezu kwalokho, umuzwa wokushisa noma wokuluma ezingonweni ngezinye izikhathi ungadalwa ezinye izinto, njengokungalingani kwama-hormone okungehlobene nokukhulelwa.

Ngenkathi isingono esishisayo ngesikhathi sokukhulelwa sibhekwa njengento ejwayelekile, kukhona izimo ezithile lapho kubalulekile khona ukubonana nodokotela noma omunye umhlinzeki wezempilo. Uma lo muzwa wokushisa uhambisana nezimpawu ezingajwayelekile ezifana nokuphuma okungajwayelekile, ukuvuvukala, noma ububomvu, lokho kungase kubonise ukutheleleka noma enye inkinga yezokwelapha edinga ukunakwa.

Izimo ezifana ne-mastitis, ukutheleleka kwezicubu zebele, noma ukuvinjwa kwemsele wobisi nazo zingadala ukungakhululeki esingonweni. Nakuba lezi zimo zivamile kakhulu ngesikhathi sokuncelisa, ngezinye izikhathi zingavela ngesikhathi sokukhulelwa. Kulokhu, iseluleko sezokwelashwa esisheshayo siyadingeka ukuze kugwemeke izinkinga.

Imicabango Yokugcina

Ukuzwa isingono sishisa ngesikhathi sokukhulelwa kungase kungakhululeki, kodwa kuvame ukuba yingxenye ejwayelekile yokuzivumelanisa komzimba nenqubo yokukhulelwa. Njengoba amabele elungiselela ukuncelisa, izinguquko zama-hormone nokwanda kokugeleza kwegazi kungadala ukuzwela okukhulu nokungakhululeki ezingonweni.

Ngokuqonda izimbangela nokuthatha izinyathelo zokunciphisa ukungakhululeki, abesifazane abaningi bangakwazi ukuphatha izimpawu ngempumelelo. Nokho, uma unokungabaza noma uzwa sengathi izimpawu zakho azijwayelekile, ungabaze nhlobo ukuxhumana nochwepheshe wezempilo ukuze uthole ukuqinisekiswa nesiqondiso.

Imithombo

1. Buck ML, Amir LH, Cullinane M, Donath SM; CASTLE Study Team. Ubuhlungu Besingono, Umonakalo, Ne-vasospasm Emasontweni Okuqala ayi-8 Ngemva Kokubeletha. Breastfeed Med. 2014 Mar;9(2):56-62. doi:10.1089/bfm.2013.0106. Epub 2013 Dec 31. PMID: 24380583; PMCID: PMC3934541.
2. Kent JC, Ashton E, Hardwick CM, Rowan MK, Chia ES, Fairclough KA, Menon LL, Scott C, Mather-McCaw G, Navarro K, Geddes DT. Ubuhlungu Besingono Kubomama Abancelisayo: Ukuvela, Izimbangela Nezindlela Zokwelapha. Int J Environ Res Public Health. 2015 Sep 29;12(10):12247-63. doi: 10.3390/ijerph121012247. PMID: 26426034; PMCID: PMC4626966.
3. Alex A, Bhandary E, McGuire KP. I-Anatomy NeFizyoloji Yeibele Ngesikhathi Sokukhulelwa Nokuncelisa. Adv Exp Med Biol. 2020;1252:3-7. doi:10.1007/978-3-030-41596-9_1. PMID: 32816256.
4. I-athikili yesayensi yephephabhuku. A Sanghavi, Monika, A Rutherford, John D. T IFizyoloji Yemithambo Nenhliziyo Yokukhulelwa.[2014] Circulation- 1003-1008. doi:10.1161/CIRCULATIONAHA.114.009029. https://www.ahajournals.org/doi/abs/10.1161/CIRCULATIONAHA.114.009029