Kubwezeretsedwa kwa chiberekero cha mucous, ndiko kuti, endometrium, kumafuna masabata angapo pambuyo pobereka. Nthawi yonseyi mwa mkazi wokhala ndi kachilombo koyambitsa matendawa ndi zobisika. Mkazi aliyense amafunika kudziwa mtundu wa nthenda yotani, momwe ayenera kukhalira komanso nthawi yomwe amatha kutuluka atatha kubereka.
Mu mankhwala, kuchotseratu ku chiberekero cha mkazi pakubeleka kumatchedwa lochia. Pakapita nthawi, iwo akucheperachepera, popeza pali machiritso ochepa a chilonda pamwamba pa mcosa omwe amapangidwa nthawi yopatulidwa kwa placenta.
Lochias ndi chisakanizo chokhala ndi epithelium yakufa, ntchentche kuchokera ku khola lachiberekero, maselo ndi plasma ya magazi. Pakapita nthawi, mtundu wa kusintha kwa thupi ukusintha, komwe kumachitika chifukwa cha kusintha kwawo. Kawirikawiri, khalidwe la Lochi limafanana ndi masiku ena atabereka. Pokhala m'masiku oyambirira kuchipatala cha amayi omwe amamwalira (masiku 5 mutatha kulandira zakuthupi ndi masiku asanu ndi asanu ndi atatu (7-8) mutatha kusungidwa), mkaziyo ndi kutaya kwake akulamulidwa ndi akatswiri. Komabe, atamasulidwa kunyumba, atsopano ayenera kudziyang'anira okha ndi chikhalidwe cha lochi chomwe chingathe kudziwa zambiri zokhudza zomwe zikuchitika m'mimba mwa mayi. Ngati zosayenera zikufunsani katswiri.
Kotero, kugawa kumeneku kungakhale kogawanika ndi zomwe zimachitika ngakhale kuchipatala, komanso zomwe mayiyo amaziyang'ana pakhomo.
Chipatala chakumayi
Pa maola awiri oyambirira atatha kubadwa, mayiyo ali ndi vutoli ayenera kukhala ali ndi amayi omwe ali ndi amayi omwe akugwira ntchito. Ikhoza kukhala mu bokosi kapena mu msewu pa gurney. Mu nthawi yapitayi yobereka, nkofunika kuyang'aniridwa ndi adokotala. Mwanayo atangomasulidwa, mankhwalawo ayenera kukhala amagazi, ochulukitsa (0,5% ya thupi lonse), koma osapitirira 400 ml.
Ngozi imachotsa magazi, yomwe ikhoza kuchitika maola awiri otsatira. Zimapezeka chifukwa cha mitsempha yambiri yomwe imachokera mumtambo wobadwa, ngati sutetezedwa kapena yosamalidwa bwino. Pambuyo pobereka, dokotala ayenera kufufuza mosamala kachilombo ka HIV ndi abambo. Ngati malo ophulika sanagwedezedwe mpaka kumapeto, pali hematoma ndi magazi omwe amasonkhanitsa m'magazi a vagina kapena perineum. Pankhaniyi, mayiyo akumva kupweteka kwa perineum. Dokotala ayenera kutsegula hematoma ndi kubwezeretsanso kachilomboka pansi pa anesthesia.
Ngati ma ola awiri aliwonse ali ndi amayi osamalidwa, amayiwo adasamutsidwa ku ward ya postpartum, komwe amatha masiku asanu ndi awiri (5-7). Kugawidwa kwa masiku awiri oyambirira ayenera kukhala wamagazi, okwanira mokwanira (kwa masiku atatu oyambirira pafupifupi 300 ml) ndipo mudzaze kudzaza gasket kapena kanyumba kwa maola 1-2. Amatha kuwoneka ngakhale atatha kupweteka kwa mimba ndi dokotala. Pankhaniyi, lochia ili ndi mawonekedwe, amakhala ndi fungo lopweteka, limafanana ndi kusamba kwake. Pang'onopang'ono, chiwerengero cha lochies chachepetsedwa. Zimakhala zofiira zakuda ndi brownish tinge. Kuyenda kwagawa kungapangitse.
Kutsekemera, komwe kumawonekera masiku oyambirira (nthawi zina ngakhale masabata) pambuyo pa kubala, kumabwera chifukwa cha kuchedwa kwa mbali zina za placenta. Izi zikutanthauza kuti sizinapangidwe nthawi (mu maola awiri oyambirira). Nthawi zina kutuluka magazi kumakhudzana ndi matenda m'magazi a magazi (0.2-0.3%).
Kunyumba
Mu nthawi yabwino, lochia amatuluka mkati mwa masabata asanu ndi limodzi ndi asanu ndi limodzi. Nthawi ino ndi yokwanira kubwezeretsa chiberekero atabereka. Mtengo wonse wa zosakaniza pa nthawiyi ukhale 500-1500 ml. Sabata yoyamba pambuyo pa kubala kumatsatiridwa ndi excreta, yofanana ndi mwezi wamba, koma ochulukirapo komanso ndi zokuta. Kuchuluka kwa lochies kumachepetsa tsiku lililonse. Pang'onopang'ono iwo amakhala oyera achikasu, omwe amayamba ndi ntchentche ndipo akhoza kukhala ndi magazi pang'ono. Pafupi ndi sabata lachinayi chikhalidwe chachisamaliro chotchedwa "smearing", chochepa. Pakatha masabata 6-8 amakhala ofanana ndi omwe analipo asanakhale ndi pakati.
Ngati mayi akuyamwitsa, kugawa kumeneku kumayima kale, chifukwa chakuti chiberekerocho chimakhala chofulumira kwambiri. Nthawi zina m'mimba, kupweteka kwapweteka kungamveke pakudyetsa, koma ayenera kudutsa masiku angapo.
Ngati kubadwa kunaphatikizidwa ndi gawo la misala, kupuma kumakhala kochepa kwambiri: chifukwa cha kupaleshoni, chiberekero chacheperapo.