Pamene kugonana kutheka pambuyo mimba?

Pamene kugonana kutheka pambuyo mimba? Tiyeni tipeze monga zambiri nuance m'nkhani ino. Ndithudi, izi ndi nthawi yaikulu - kupeza udindo wa amayi. Koma ngati madona kumbukirani kuti azimayi kukhala iwo sitileka akazi? Wokongola, wokondedwa ndi osangalatsa?

Ambiri mwa iye amene amanena kuti moyandikana wa woyamba atabadwa ngati "kugonana kwa nthawi yoyamba."

Ena Moms m'chipatala kulota za mmene iwo adzakhala anagonana kachiwiri. Ndipo ndithu, maloto awa chikukwaniritsidwa. Koma madona cha mtundu umenewu, tsoka, si kokwanira. Kafukufuku akusonyeza kuti pafupifupi 50% ya amayi kumene anaonekera m'miyezi iŵiri pambuyo maonekedwe a mwana sangathe tikhazikitse kugonana. N'zochititsa chidwi kuti 18% ya amayi apakati vutoli sangathe kuthetsedwa kwa chaka! Ndipo komabe, monga simungathe kugonana pambuyo mimba?

Pamene?

Kotero kugonana pambuyo mimba, ndi zofunika kuyamba kuchita palibe kale kuposa masabata asanu sikisi pambuyo pa kubadwa. Ndipotu, pa nthawi chiberekero pang'onopang'ono umabwerera kwa kukula wapachiyambi, ikani latuluka kuphatikana amachiritsa. Ndipo ndithu, pamene latuluka umatilekanitsa khoma uterine, bala mosalekeza amakhalabe malo ake. Ndipo ngati likulowerera pa matenda kugonana, choncho akhoza kutha endometritis (uterine kutupa).

Kugonana pambuyo mimba adakwaniritsidwa, nyini tilolere mawonekedwe akale: chifukwa atabadwa mwana, izo lidakali. Childs, masabata asanu ndi awiri pambuyo pa kubadwa onse ndi dekhetsa. Kuti ndondomeko anali bwino kwambiri madotolo ndi gynecologists amalangiza kuchita Kegel kokoka, amene kulimbitsa nyama perineum ndi nyini.

Amadziwika kuti gynecologist atumwi wotsiriza Arnold Kegel anawalenga makamaka azimayi amene ali postpartum anaonekera musanaganizire pokodza. Ndiponso, anapezeka kuti mtengo kumawonjezera kamvekedwe kugonana, kumawonjezera magazi, ndipo ngakhale limakupatsani kulamulira pamalungo.

Muyenera kupeza zomwe minofu muyenera kuchita? Yesani ndi kusunga mkodzo mtsinje pamene kukodza. Minofu umene munachitira zimenezo, wotchedwa minofu ya perineum lapansi. Tsopano muyenera kuchita ntchito zazikulu: kuphunzira kwa pazipita kumasuka ndi kutambasula, poyamba pang'onopang'ono kenako mosathamanga mofulumira. Kugonana pambuyo mimba zosangalatsa, kuwaphunzitsa monga siyingawapweteke. Zochita akuchita ndi pakama, ndi poyenda, ndi kuonera TV.

cesarean

Ndipo pamene inu mukhoza kugonana pambuyo mimba, imene inatha mu gawo cesarean? Zingatanthauze kuti pambuyo mavuto yobereka ayenera osadzuka. Anthu ambiri amaganiza kuti mu nkhani iyi, kugonana akhoza mwachindunji chinkhoswe. Ndithudi, nyini si kusanduka chikuni. Only placental chilonda zarubtsovyvaetsya komanso pambuyo yobereka yachibadwa.

Komanso, chilonda amene anaonekera pa chiberekero amachiza kwa pafupi masabata asanu ndi limodzi. N'zochititsa chidwi kuti msoko kuti ili pa khungu la pamimba, akhoza chilonda kale kwambiri.

Ine sindikufuna kapena simungathe?

Nthawi zambiri, dokotala limapatsa kugonana, koma mkazi ndi chidwi ndi iwo. Musaphwanye kuthamangira oterewa frigidity. Muyenera kudziwa chimene chija kugonana. Ndipotu zifukwa angakhale onse zolaula ndi ili mu kuya kwa chikumbumtima cha.

Tipitirize kuganizira za pamene inu mukhoza kugonana pambuyo mimba. Nthawi zambiri, blunting cha chilakolako chogonana ndi mtundu wa chodabwitsa achilengedwe. Ndipotu, bola ngati mwanayo amafunikira chisamaliro nthawi zonse akuchikazi, monga sangaonekerenso lokha, zotsatirazi Bakuman safunikira kholo. N'chifukwa chake amayi mu thupi amachepetsa chiwerengero timafunika (timadzi zosangalatsa). Chifukwa, pali chinawonjezeka ukazi dryness, ngakhale pa ntchito yapamwamba kwambiri kugonana. Chabwino, ngati kubadwa zinali zovuta kwambiri, atsopano zopezeka mayi Subconsciously akufuna kubwezera kwa bwenzi kuwawa ufa.

Kugonana pambuyo mimba, anthu ambiri safuna kuti pa zifukwa zotsatirazi:

• Galeta kutopa (nthawi zina pamodzi ndi chakukhosi mwamuna wake, amene safuna kuthandiza pambuyo ana akhanda kuyang'ana), m'mawu akuti madona: "Ine ndine tsopano nthawi amagonana!".
• Zinthu unattractiveness zawo. Ndithudi, pambuyo maonekedwe a mwana wa munthu wodziwika wamkazi nthawi zambiri, kutaya mawonekedwe. Komabe, anthu ambiri ndi kusintha kukoma.
• Postpartum maganizo. Mtundu wa maganizo amapezeka pafupifupi 10% ya atsikana. Iye akhoza kuchepetsa libido.

Ndipo zambiri achitsikana chabe ndi mantha copulate. Iwo amakhala nkhawa funso lomwelo: "Kodi tili kugonana pambuyo mimba" Iwo akhoza kuona Mwachitsanzo, kuti:

• ndondomeko kumakhala kovuta, kapena bala si anachedwa monga kuyenera. Kuti asamaope izi, inu muyenera kuwona dotolo. Ndipotu yekha katswiri kungatithandize kudziwa chikhalidwe cha thupi pambuyo pa kubadwa.
• Panthawi yofunika kwambiri kwa mwana n'kudzuka. Kuopa zosasangalatsa mkazi, ndipo iye sangakhoze kumasuka. Pankhaniyi bwino kupempha wantchito kapena agogo maola ochepa athawe ndi mwana msewu.
• Idzakhala mimba zapathengo latsopano. M'pofunika kumbukirani kuti pali njira zambiri za kulera. Tikufuna kusankha njira yabwino.

zolera

Monga tanenera kale, mu ndemanga iyi ife tiyang'ana pa kugonana pambuyo mimba. Pamene n'zotheka ndi zofunika pamene iwo atero - ndi funso tili ndi chidwi. Choncho, mwa kuzindikira kuti amayi mpaka msambo Sichinatsitsidwe anachira, mpaka iye ndi yoyamwitsa, woyembekezera, palibe njira. Si choncho! Komanso, mpaka mkombero sakubwerera mwakale, mimba watsopano Sitiyenera kuiŵala. Msambo uonekere pa tsiku la makumi awiri ndi chitatu atabadwa, ndipo mwina siziwoneka nthawi ya mkaka wa m'mawere, koma nuance izi sizikutanthauza kuti ndinu inshuwaransi ndi mimba. Kodi kuchita tsopano?

The njira kalendala chilibe ntchito. Iye ndi nthawi mwachizolowezi amagwira ntchito pokhapokha pa 50% milandu, komanso nthawi osasamba, musati muyang'ane pa iye. Pankhani mankhwala timadzi madokotala si maganizo omwewo. Ena amanena kuti mahomoni kulowa mkaka mayi, ndi oopsa kwa mwana, pamene ena amalimbikira kuti panopa m'thupi kulera pa mwanayo sadzakhala ndi asatengere. Muyenera kusankha, koma simungathe perekani lokha mankhwala yekha. Ndi mwayi wapadera dokotala katswiri. Mfundo njirayi ndi odalirika komanso zothandiza pa 97-99%.

Choncho, mankhwala m'thupi chikuyendetsedwera motere:

• Pakamwa (mapiritsi kumwedwa tsiku ndi tsiku, ndipo ndithudi, pa wina ndi nthawi yomweyo).
• Jekeseni (kulera zosiyanasiyanazi jekeseni). Apa, zizindikiro ndi contraindications ndi amodzi kuti miyala, koma mawonekedwe ena ntchito (zochita mankhwala kwa masabata 8 mpaka 12).
• Kulera zosiyanasiyanazi kapisozi amene anaikapo pansi pa khungu, anaika pa phewa lake. Ndi chomveka kwa zaka zisanu, koma nthawi zonse ndi zotheka kuthetsa.

zokolola Intrauterine ndi 98%, koma angagwiritsidwe ntchito atatha kubereka palibe kale kuposa masabata asanu, malinga amayi matenda palibe matenda aakulu.

Kulera chotchinga (spermicides, makondomu, chifundamtima) amayendera 85-97%. A kuphatikiza kwambiri ndi spermicides ndi diaphragms (spermicide pamaso ka chifundamtima umagwiritsidwa ntchito mzikiti ake).

"Choyamba" chikondi zinachitikira

Moms ambiri amati kugonana choyamba pambuyo mimba ndi lofanana ndi "kugonana woyamba kwambiri." Mfundo ayenera kudziwa mkazi, kuwotchedwa ndi chilakolako. Pajatu umafuna mwachikondi pazipita ndi chipiriro kuti kutsitsimutsa mwacikondi. Kumene, woyamba adzakhala ndi kuuza mkazi wanga osati bedi, komanso zapakhomo.

Amadziwika kuti kuchotsa minofu kukungika anakhumba kutikita (makamaka ndi ntchito mafuta zofunika). Muyenera kusankha malo amene mukhoza pamanja kusintha kuya ndi malowedwe mlingo, chotero aima "wokwera." Kuchepetsa ukazi dryness ambiri ntchito angakhale angelo wapadera ndi lubricants, anagula kugonana-shopu. Nkofunika kuti mayi ankadziwa pempho lake. Mwa njira, ndi maso mwamuna kuli chabe kuposa akazi.

Ambiri amanena kuti ndi chitsitsimutso cha kugonana yomalizira nthawi positi-Natal , ndipo akuyamba chigawo chatsopano banja.

mimba

Anthu ambiri amafunsa kuti, pamene inu mukhoza kugonana pambuyo mimba? Musanthule mfundo imeneyi. Pafupifupi mkazi aliyense anakhalapo mimbayo. Kapena kupereka mimba zachipatala, amene tsopano ayamba otchuka. Ndithudi, odwala ndi mafunso: "Kodi muyenera pambuyo mimba chabe kuchita zinthu ngati anafunika kudziteteza ndi chochita pambuyo mimba mankhwala?" Mafunso zovomerezeka ndithu ndi yovomerezeka. Kumene, malamulo onse ayenera kufotokozera dokotala, koma nthawi zina sikuti nthawi kuti atiuze za iwo, ndipo ngakhale "amaiwala".

mimba zachipatala

Ndipo zimene ndandanda wagonana pambuyo mimba kuchipatala? Amadziwika kuti mimbayo ikuchitika ntchito mankhwala popanda madokotala kusokonezedwa. N'chifukwa chake amatchedwa mimba pharmacological.

Pakuti kukhazikitsa ntchito "Mifegin", kutanthauza steroid antiprogestagennym njira. "Mifegin" kumathera mimba ndi ofanana padera.

Ambiri, mimba mankhwala amachitidwa pa outpatient maziko, ndipo pambuyo kutenga mankhwala wodwala abwelela kunyumba. Kupewa mavuto, mkazi ayenera kachiwiri kuonekera mu chipatala antenatal, kumene adzatenga ulamuliro wa US. Amadziwika kuti pambuyo kutulutsidwa kwa mimba mankhwala lekani kwa masabata atatu.

Madona akulangizidwa kupewa nthawi imeneyi ku kugonana. Mukamaliza kugonana ndi masewera olimbitsa thupi, amene angathe zimawonjezera magazi uterine. Komanso, pambuyo mimba mankhwala (komanso pambuyo opaleshoni Komabe) chiberekero zikuwoneka ngati pachilonda, Nthawi zambiri zofunika kuti kumuchiza iye. Ndipo ngati mulibe kutsatira malangizo akuchipatala, kuwonjezera chiopsezo kutupa ziwalo zoberekera za amayi. Komanso kuwuluridwa ndi ngalande khomo lachiberekero pambuyo mimba ya medicament ndi, umene ndi matenda uterine M'mimbamo mosavuta mkatikati.

Zovuta kuchita kugonana pambuyo mimba zachipatala. Pambuyo kuchotsa vuto ndi chidwi zambiri kumabweretsa anasintha a kuzungulira kusamba kwina kulikonse, kapena kuyenda. N'chifukwa chake mukalandire ovulation (dzira kusasitsa) pambuyo masiku khumi pambuyo mimba mankhwala, kuti si kukusalani n'zotheka kukhala woyembekezera.

Kumene, muyenera kukumbukira kuti mayesero mimba sangatithandize pa matenda ake. Ndipotu, kwa zaka zina (mwezi a) pambuyo mimba ya magazi amazungulira chorionic gonadotropin (hCG), pa zifukwa zimene anatsimikiza ndi mimba. Ndipotu chimake ichi, mayeso akhoza kupereka wabodza zabwino.

Nthawi zambiri, monga ulamuliro, atapewa pamaso pa msambo lotsatira, zomwe kawirikawiri imayamba mu masabata anayi.

Mavuto pambuyo mimba mankhwala

Kotero kugonana pambuyo mimba mankhwala osiyanasiyana umachitikira pambuyo kutha kwa magazi. Apo ayi mavuto osiyanasiyana angayambe:

• Magazi pambuyo mimba zachipatala, amene kungafune alowererepo opaleshoni (kuchipala ndi uterine M'mimbamo).
• mimba Ectopic (ntchito mwamsanga chofunika),
• Mimba patsogolo kapena analephera mimba zachipatala (imafunanso kuchipala ndi uterine M'mimbamo).
• Maonekedwe a kutupa mu ziwalo wamkazi maliseche (ululu kugonana).

malangizo General

Pambuyo mimba mankhwala, mkazi amayenera kupewa ubwenzi, komanso kuti tizigwira bwino malangizo awa:

• Daily kuwunika kutentha thupi.
• Iwo analetsedwa amasamba, ndi dziwe losambira.
• Chikhodzodzo ndi matumbo ayenera anadzikhuthula zonse.
• Ukhondo malamulo ayenera kusunga.
• Izo ziyenera kuthetsedwa funso kulera. Ndipotu, zabwino ndi piritsi "mini-piritsi" kapena IUD.

mimba ectopic

Ndipo pamene kugonana kutheka pambuyo mimba ectopic? Nthawi zambiri, bala padziko wachiritsidwa mwezi usanathe, pali pamalo amacheka zipsera wandiweyani kuti sadzatha kugwetsera pa kugonana.

Mwa njira, mungathe sindichita kugonana pa mwezi ngati cholinga cha kupewa matenda. Pambuyo kutupa kuonongeka minofu ndi kulenga chilengedwe yabwino kukula ndi kubereka mabakiteriya, amene Mulimonsemo dala m'mimba purulent ndondomeko. Ndipo chotero nuance kusokoneza mankhwala ndipo ndikofunikira kukonzanso ntchito.

Komanso, minofu ovulalawo sadzamva kupereka chotchinga chokwanira tizilombo toyambitsa matenda amene amakhala mu nyini. Choncho kugonana kungachititse kuti zikamera matenda, zimene zimawononga pansi-kupyolera mu chiberekero, machubu ndi thumba losunga mazira.

anaphonya mimba

Choncho, kugonana pokhapokha kumanga mabala onse akhoza kuchita pambuyo mimba ectopic. Ndipo zimene anaphonya mimba? O, izi ndi mtundu yoopsa nkhani zosangalatsa, amene udzasokonezedwa. Kusokoneza nthawi imene kuchipala. Mkazi pambuyo ndondomeko ayenera kusiya okwerera chitonthozo kugonana kwa masabata osachepera limodzi kapena awiri. Izi ndi nyengo zofunika khomo pachibelekeropo chatsekedwa, ndipo pamwamba mkati chakuwangisa.

Kumene, kugonana mudzakhala osangalala pokhapokha mimba anaphonya. Koma kuchokera ziyenera anasiya kwa nyengo zina za nthawi, kuyambira pa khomo pachibelekeropo tidutse ndipo pamwamba pake mkati ndi yaikulu lotseguka bala. Kodi izo zinachokera kuti? Inde, monga adachotsedwa ndi kumtunda kwa mucosa ndi dzira ndi zipolopolo.

Chifukwa, osiyanasiyana ndi tizilombo tizilombo mosavuta kutuluka nyini kuti chiberekero, ndipo kuchokera kumeneko mu makope zokhudza zonse. Nthawi zambiri, mabakiteriya imene ingakhudze kuoneka aakulu njira yotupa ndi matenda ziwalo zosiyana (chiberekero, timachubu, mazira).

zogonana yekha imathandizira malowedwe mabakiteriya mu uterine patsekeke. Popewa matenda ndi kusala nyini kapena nthawi yochepa. Othandiza kudikira kuti kutseka kwa chiberekero ndi machiritso a padziko lamkati.

Pokhapokha amamuyambitsa timabala mabala mkati akhoza copulate. zoletsa zina zosangalatsa amorous pambuyo anaphonya mimba kumeneko.

N'zochititsa chidwi kuti pambuyo curettage kwa masabata awiri, mukhoza kuchita kumatako komanso sikolakwika. Ngati mtundu wa mimba inatha mu mankhwala padera kapena kutaya mimba, muyenera kupewa kugonana mpaka magazi chokwanira, zomwe zingatenge pafupi masabata awiri.

kugonana

Ndipotu, dokotala aliyense amauza mayi yemwe ali ndi kubadwa kwachibadwa kuti mwa kubadwa kwachilengedwe masabata asanu ndi limodzi asanakhale ndi moyo wokhudzana ndi kugonana sangathe kukonzanso. Inde, izi sizikutanthauza kuti mapeto a nthawi ino, mutha kuchita zachiwerewere nthawi yomweyo. Choyamba muyenera kupita kwa azimayi, kotero kuti akutsimikizira kuti ntchito yobwezeretsa ziwalo zogonana za akazi zakwaniritsidwa.

Nchifukwa chiyani ndiletsedwa kuthana nawo atangobereka? Kwa mayi chiberekero cha chiberekero pa nthawiyi chimaululidwa, ndipo mazira ndi chilonda chopitirira - ndizotheka kutenga matenda mosavuta.

Ndipo ngati mukuganiza kuti amayi ambiri avutika ndi episiotomy (kudula kwa perineum) ndi kugwedeza, kugonana kumaloledwa kokha pambuyo pochiritsidwa. Pankhaniyi, sizingowonjezereka pokhapokha, komanso kachilombo ka HIV. Zimadziwika kuti ngakhale m'matchalitchi atatha kubadwa amaloledwa kulowa pakangopita masiku makumi anayi, ndipo izi ziri pansi pa milungu isanu ndi umodzi.

Kawirikawiri, kuchita zinthu zosangalatsa pambuyo pobereka kumaletsedwa, ngati pali zotayira, kutupa kwa sutures kapena ziwalo za akazi, ululu waukulu. Zimakhala zosavuta kukomana ndi munthu yemwe amadziwa kuti atatha kubadwa ndiletsedwa kugonana chifukwa cha kufooka kwa thupi.

Tiyeni tikambirane za makhalidwe abwino. Ngati pali vuto la maganizo, mungakhale bwanji? Azimayi ena amaopa kuyamba kugonana kachiwiri, sawopa zowawa zokha. Ngakhale zitatha, kukambirana koyamba kwa ambiri kumakhala kovuta.

Komabe, ziyenera kudziwika kuti amayi ambiri atabadwa amayamba kumva zowawa zatsopano. Chinthu chachikulu sichiyenera kuchita mantha, kuchita mosamala komanso mokoma mtima. Kawirikawiri, gulu lirilonse limadzipangira okha, kuti ayambe kuchita zosangalatsa pambuyo pobereka, koma malangizo a madokotala sangathe kunyalanyazidwa mulimonsemo.