Kutentha atabadwa. Zovuta za postpartum akazi

Kubadwa kwa mwana - ndondomeko zofunika imene mkazi ayenera kukhala kuyang'aniridwa okhwima madokotala. Komabe, pambuyo mayi kubadwa ayenera sudzasiyidwa yekha. Ndipotu, poyamba, ndiye inu mukhoza kuona zosiyanasiyana mavuto, amene savuta kupewa kuposa kuthana nawo mtsogolo. Pazifukwa zina pali kutentha atabadwa komanso zimene zikutanthauza - ndizo za izo tsopano ndipo ine ndikufuna kuti ndiyankhule.

Kodi chimachitika pambuyo pobereka

Poyamba, tisaiwale kuti ngakhale ndondomeko kubadwa zinayenda bwino ndipo popanda mavuto, kuti si chifukwa kumasuka. Ndipotu zofunika kwambiri komanso ali woyamba maola 24 pambuyo pa kubadwa, mwana anabadwa. Panthawi imeneyi, iwo angayambe mavuto osiyanasiyana. Ndipo mmodzi wa iwo - kutentha atabadwa. Choncho, banja loyambirira la masiku, madokotala kwambiri kuyan'anila thanzi la osati mwana, komanso amayi. Madokotala nthawi fufuzani digiri ya chidule cha chiberekero, chikhalidwe chifuwa, kufufuza ndi kufotokozera chikhalidwe cha kumaliseche kwa. Ngati panali matabwa, iwo mokakamiza ankachitira nthawi. Ndipo, ndithudi, katatu konse tsiku umayi muyeso thupi kutentha. Ndipotu, izi ndi chizindikiro chofunika kwambiri, zimene mwina chizindikiro vuto nthawi. Ngakhale liwiro ndi chikhalidwe cha kuwonjezeka kutentha ndi kale kupanga matenda waukuluwo.

The m'chigulugulu ndi kupatuka

ndi, Kodi kutentha yachibadwa atabadwa? N'chimodzimodzi ndi munthu wathanzi, - 36,6-37 ° C. Komabe, apa tiyenera kuganizira makhalidwe a lililonse chamoyo payekha. Ndipotu pali anthu amene ali m'khola yachibadwa kutentha - 37 ° C, ndi kwa ena ndi chizindikiro chachikulu cha mavuto.

Komabe, vuto limene kutentha thupi kukwera, si nthawi zonse amasonyeza maonekedwe a mavuto:

1. Ngati pali wina nthawi kuwonjezeka thupi kutentha pankhondo yoyamba maola angapo pambuyo pa kubadwa (koma osati kuposa 37,5 ° C).
2. Ngati pali kuwuka mu kutentha thupi ndi za 2-5 masiku pambuyo ndondomeko kubadwa (saposa 38 ° C). A kusintha zizindikiro adzakhala kumayambitsa mavuto ndi mabere.
3. Ngati adzakhala ankaona kudumpha zodziwitsa mu thupi kutentha (saposa 38 ° C) kugwirizana ndi kuchuluka kwa mkaka.

Nthawi zina kutentha yobereka zingasonyeze zosiyanasiyana zosokonezeka. M'pofunikanso kukumbukira kuti ayambe mu nthawi ya postpartum kumatenga za 5-8 masabata. Komanso pa nthawi imeneyi, mayi wamng'ono m'pofunika kuti aziona kwambiri thanzi ndi ntchito za kusintha kutentha thupi.

Chimayambitsa kutentha thupi wofatsa

Nthawi zina zimachitika kuti mkazi anali kunyamula atatha kubereka kutentha 37 ° C. Ngati dona chilichonse umapweteka, ndi chikhalidwe ichi kwambiri sichiyambitsa kusapeza, osadandaula. Pambuyo kuwonjezeka pang'ono mitengo mwina chifukwa cha zinthu zachilengedwe zotsatirazi:

• Mahomoni uyenderere kuti akukumana thupi yomweyo pambuyo pa kubadwa.
• Kupanikizika boma, nthawi zambiri zikadzatha zinachitikira.
• Kufika kwa mkaka wa m'mawere. Zimenezi pafupifupi nthawi zonse limodzi ndi malungo, amene pang'onopang'ono umatsika.
• Kutentha limatuluka m'thupi akhoza kuyankha imfa lalikulu la madzi, amene anakumana ndi akazi mu nyengo ya postpartum.

mastitis

Ngati madona kutentha ananyamuka pa nthawi yobereka, kungasonyeze matenda monga mastitis. Ndi, poyamba, sizachilendo pakati achitsikana. Kotero, Dziwani kuti mastitis - ndi kudwala ya m'mawere minofu. Kuyambitsa majeremusi zosiyanasiyana ndi tizilombo toyambitsa matenda ena kuti alowe pachifuwa kudzera ming'alu mu nipple ndipo ali poyendetsedwa m'magazi. Zizindikiro zazikulu mu nkhani iyi:

• Kuchuluka chiwerengero cha thupi kutentha (kwa 38-39 ° C).
• Kuzizira.
• Mutu.
• Ndipo, ndithudi, kuwawa pachifuwa chake.

Muyenera kukumbukira kuti akuyamwitsa ngati mlandu adzakhala pang'ono kutupa, khungu akhoza redden. Komanso linaphwanya yachibadwa mkaka panopa. Athane ndi vuto angakhale ndi mankhwala, koma opaleshoni kungakhale koyenela ena, Zikavuta kwambiri.

metroendometritis

Zovuta za postpartum akazi zingachititse kutukusira kwa uterine mucosa. Kumachitika mu nkhani ya kuchulukana mu parturient thupi precipitates clogging magazi aumirira khomo lachiberekero, nsengwa akuzengereza particles, ndi exacerbation la matenda zachizoloŵezi. Pankhaniyi, kutentha limapezeka pafupifupi 2-4 masiku pambuyo pa kubadwa, anali pafupifupi 39 ° akalozera C. Pankhaniyi, mkaziyo amamva kuzizira, pali kusowa chilakolako kugona chisokonezo ndi mwachipembedzo. Pa palpation cha kupweteka m'munsi pamimba ndi kuchisonyeza. Khalidwe masankhidwe: iwo kukhala mitambo, kununkha, chiwerengero chawo akhoza kwambiri kuwonjezera kapena kuchepa. vutolo likhoza kutha mothandizidwa ndi mankhwala. Nthawi zina muyenera kusambitsana chiberekero.

lactostasis

Ngati madona postpartum malungo, izo kungakhale umboni wa kudwala ichi monga lactostasis (kunyanyala mabere madona). Pa matenda ake pali stagnation mkaka mu bere. The zifukwa vuto ndi mwachilungamo losavuta: pochitika limodzi kapena angapo feedings. Koma pa lactostasis ingapezeke kudzali pamene yatsekera mkaka ducts, m'goli rastsezhivanii, komanso kutenthedwa kapena overcooling pachifuwa. kutentha ndi musalumphe 39 ° C. Symptomatology Mwamsanga pasanapite nthawi kuchokera pachifuwa kuda. Ngati vuto limeneli si kumenyana, amatha mu mastitis.

mavuto ena

Ngati mkazi amasunga kutentha atatha kubereka 38 ° C, kungasonyeze amodzi mwa matenda otsatirawa:

1. Thrombophlebitis. Pankhaniyi, mkazi kuvutika mtsempha, imbaenda blockage awo a magazi kuundana. Dziwani kuti matenda amakwiya metroendometritis tafotokozazi. kuwerenga thupi kutentha kukwera mu masabata awiri, mwezi atabadwa mwana. zodabwitsazi limodzi ndi malungo ndi kutupa miyendo.
2. Pelveoperitonit. Izi kutupa mu mafupa a chiuno a linga m'mimba. Kutentha Mwina kuuka kwa 41-42 ° C. Zizindikiro zina ndi monga nseru, kusanza, kupweteka kwambiri chiberekero, kuzizira. mkazi mwadzidzidzi chikhalidwe worsens.
3. Mungasankhe. Ichi ndi kutukusira kwa minofu adipose padziko chiberekero. Kutentha akhoza kukwera pa mlingo 40 ° C. Nthawi zambiri kuzizira, nseru, kusanza, kupweteka pa defecation ndi pokodza.

Mulimonsemo, tiyenera kukumbukira kuti vuto la kukaikira ndi bwino nthawi yomweyo kupempha thandizo dokotala. Ndipotu, ngati kupeza vuto pamaso zikhoza kuchitika nthawi yochepa.