Emma Miller
Nawa amanye amathiphu okuthi ungahlangabezana kanjani nokulindelwe kokuncipha kwesisindo. Odokotela batusa ukuthi abesifazane bazuze phakathi kuka-5 no-18 kg ngesikhathi bekhulelwe, kuya nge-BMI yabo yangaphambi kokukhulelwa. Kodwa-ke, ukubuyekezwa kuka-2017 ku-Journal of the American Medical Association (JAMA) kubika ukuthi abesifazane abaningi abakhulelwe bathola okungaphezu kwalokho okufanele.
Kulolu cwaningo, abacwaningi babike ukuthi cishe ingxenye, i-47%, yabesifazane abangaphezu kwezigidi ezingu-1.3 abafakwe ekubuyekezweni bathole okungaphezu kokunconywayo, futhi cishe ingxenye yesine yazuza kancane. Futhi ukususa lawo makhilogremu abuhlungu ngesikhathi sokukhulelwa kungaba nzima. Kodwa bekezela.
Ngokuvamile, omama abasanda kubeletha bangalindela ukunciphisa umzimba ngesikhathi bekhulelwe “phakathi nonyaka wokubeletha,” kusho uCraig Salcido, MD, udokotela wokubelethisa nodokotela wezifo zabesifazane eMission Hospital. Nawa amanye amathiphu okuthi ungahlangabezana kanjani nezilindelwe zokulahlekelwa isisindo futhi ubuyele esisindweni sakho esivamile ngemva kokukhulelwa.
Izinyathelo zokuqala zokulahlekelwa isisindo ngemva kokukhulelwa
Izinyathelo zokuqala ziqala ngisho nangaphambi kokuba ukhulelwe. “Inani lesisindo owesifazane asizuzayo ngesikhathi ekhulelwe lincike kulezi zici ezilandelayo: inkomba yesisindo somzimba wangaphambi kokukhulelwa (BMI), inani lokukhulelwa kwangaphambilini, izinga lokuzivocavoca umzimba, kanye nemikhuba yakhe yokudla,” kusho uCraig Salcido, MD. udokotela wokubelethisa. I-internist esibhedlela saseMishini.
Kodwa ngokusho kwe-Institute of Medicine, ukuba ne-BMI enempilo ngaphambi kokukhulelwa nokulandela iziqondiso zokuzuza isisindo kungenza kube lula ukwehlisa isisindo ngemva kokubeletha.
Ongakulindela ngemva kokubeletha
“Abesifazane bavame ukuncipha ngokushesha ngemva kokubeletha ngenxa yokulahlekelwa i-placenta kanye noketshezi lwe-amniotic,” kusho uSalcido. Futhi lokhu kungenzeka kuqhubeke esigabeni sokuqala sangemva kokubeletha: “Lindela ukulahlekelwa isilinganiso samakhilogremu angu-3 kuya kwangu-6 phakathi namasonto amabili okuqala ngemva kokubeletha njengoba umzimba wakho ukhipha uketshezi oluningi.
Kodwa ngemva kwalokho, cishe uzogcina isisindo esisele sangemva kokukhulelwa. Manje, ungase ulingeke ukuba uqale ukubala ama-calories bese uzama ukwehlisa isisindo ngokushesha. Kodwa uma uncelisa, lokhu kuzoba nzima ngoba omama abancelisayo badinga ama-calories engeziwe angama-500 ngosuku.
Nokho-ke kuphephile ukuqala ukudla nokuzivocavoca ngesikhathi uncelisa,” kusho uSalcido. Udinga nje ukunikeza umzimba wakho isikhathi esanele sokululama kuqala. Uzodinga amasonto amane kuya kwayisithupha: Amasonto amane: Uma ube nokuzalwa ngokwemvelo, ungakhuluma nodokotela wakho mayelana nokubuyela ohlelweni lokuzivocavoca olusesilinganisweni emasontweni amane ngemva kokubeletha.
Amaviki ayisithupha: Uma ngabe uhlinzwe ngokuhlinzwa, u-Salcido weluleka ukuthi ulinde amasonto ayisithupha ngaphambi kokuqala ukubala amakhalori kanye nokuzivocavoca ukuze wehlise isisindo. “Ukwehla kwesisindo esingaba ngu-0.5 kg ngesonto kuphephile futhi ngeke kuphazamise ubisi lwakho uma uncelisa,” usho kanje. Ngakho-ke, ungabuyela esisindweni sakho sangaphambi kokukhulelwa ngemva kwamaviki angu-20 noma izinyanga ezingu-5.
Indlela yokulahlekelwa isisindo ngemva kokukhulelwa
Ukuncelisa ibele kungasiza ekunciphiseni isisindo. Ocwaningweni olulodwa lwango-2015 olwanyatheliswa kuyi- Preventive Medicine , omama baseMelika abancelisa ibele kuphela okungenani izinyanga ezintathu balahlekelwa isisindo futhi babenethuba elihle lokubuyela esisindweni sabo sangaphambi kokukhulelwa unyaka owodwa ngemva kokubeletha uma kuqhathaniswa nomama abangazange bancelise ibele kuphela noma cha. konke.
Nakuba lokhu kukhuthaza, ezinye izifundo zibonise imiphumela engqubuzanayo. Sekukonke, kubonakala sengathi uma uncelisa isikhathi eside, kuba yimpumelelo kakhulu ekusizeni ukuthi wehlise isisindo. Ngokuqondene nokuthi yikuphi ukudla okusebenza kangcono kakhulu, uSalcido uthi: “Indlela ephephile nelula kunazo zonke yokwehlisa isisindo ngesikhathi sokukhulelwa iwukudla ukudla okuncane usuku lonke esikhundleni sokudla okuthathu okukhulu ukuze usheshise umzimba wakho.”
Uncoma ukuthi uhlale uqala usuku lwakho ngesidlo sasekuseni, ukhethe ukudla okulula okunempilo njengamantongomane, nokuphuza amanzi amaningi usuku lonke. Ngaphezu kwalokho, njengoba kulindelekile, kuwukuhlakanipha ukunamathela izithelo nemifino. "Khumbula ukudla izithelo nemifino eminingi - zisiza ekuhlinzekeni umzimba wakho ngemisoco ebalulekile futhi ziphule amafutha," usho kanje.
Kodwa uma uzithola uhlangabezana nezifiso ezifanayo nalezo owawunazo ngesikhathi ukhulelwe, awuwedwa. “Abanye besifazane bangase baqhubeke nokuba nezifiso ngemva kokubeletha ngenxa yoshintsho emazingeni amahomoni,” kusho uSalcido. Izifiso zingabandakanya noma yini kusuka kushukela kuya ku-caffeine kuya kumaprotheni. U-Salcido uthi umthetho omuhle wesithupha wezifiso zangemva kokubeletha uwukuphatha ngendlela obungenza ngayo uma ukhulelwe: konke ngokulinganisela. Ngaphezu kwalokho, “lokhu kulangazelela ngokuvamile kuyaphela phakathi nezinyanga eziyisithupha zokubeletha,” esho.
