August 14, 2012
- Lindinet 20
- Postpartum
- Alcoholic drinks worsen sleep quality
- Instructions for Gino-tardiferon
After childbirth Finally behind us, and a young mother can fully devote his life troublesome, but very nice care of the baby. But quite often the woman at this time there are some health problems. Some unpleasant events that occurred during pregnancy, smooth "flow" and in postnatal week, forcing a woman to experience significant discomfort. We are talking about post-partum constipation That occur in about a third of young mothers.
Despite the fact that the pressure of the uterus on the intestines is not observed, the manifestation of disorders of the intestines trigger other problems. In particular, just given birth a baby female abdominal muscles is very sluggish, birth canal, injured in the course of the emergence of the baby into the world is not yet fully healed. In addition, many women after childbirth suffer more from one trouble - postpartum Hemorrhoids That, in turn, aggravates the situation with constipation. In addition, very often constipation after childbirth disturb those women who have suffered cesarean section .
Types and stages of constipation
Constipation - A consequence of the violations in the process of formation and subsequent promotion of stool through the intestines. With the development of constipation is a stagnation of waste digestion in the intestine or rectum. To distinguish several types of constipation according to the etiology and pathogenetic basis. Nutritional constipation occur in the event that a person violates the food regime had a defective diet or it uses very little liquid. At dyskinetic constipation impaired motility of the colon, wherein such bolts may be hypotonic . hypertonic . spastic . If the patient has a place organic constipation, it becomes the cause of a variety of tumors and malformations of the spinal cord, as well as scarring and other entities in the anus and in the anorectal area.
Conditioned reflex constipation occur when the condition of constant suppression of urges to defecate, in stressful situations, as well as in the case of nerve psychogenic reasons. This type of constipation sometimes occurs in patients with rectal fissures and paraproctitis . Constipation intoxication type manifested in the case of intoxication with poisons or medicines.
From the standpoint of the clinical picture, there are three stages of constipation. At compensated stage defecation takes place in 2-3 days, while the patient feels that the intestines are not emptied completely. Approximately half of the patients suffering from flatulence and abdominal pain. At subcompensated step stool is delayed for a period of from 3 to 5 days. This defecation occurs only after the adoption of laxatives or enemas. In most cases appears bloating, worried about abdominal pain, defecation person feels pain.
To decompensated constipation stage characterized by the absence of a chair for 10 days or more. The act of defecation occurs only after hypertonic or siphon enemas. The patient shows signs of fecal intoxication, and in abdominal palpation revealed "fecal stones."
Causes of constipation in the postpartum period
There are several reasons that determine the manifestation of constipation after childbirth. First of all, a change in bowel habits can affect a very sharp drop in hormonal levels that occurs after birth. At birth, the baby of a woman stretched and greatly weakened abdominal muscles and the perineum.
In the first days after birth continues to put pressure on the intestines uterus, which has increased sufficiently. To return to the normal size of the uterus is only after 6-8 weeks. At the same time the intestines and remains "on the move", he gradually shifted to its normal position after being moved in the process of carrying a child. In the postpartum period, women are very often disturbed intestinal motility, stool and move more slowly.
In women who have had a difficult birth or cesarean section, the body has just been imposed seams. Because of their pain, and fear that the sutures after surgery or an episiotomy will disperse, the young mother can not natuzhitsya to such an extent as to establish a chair. No less problematic phenomenon can be considered as hemorrhoids, pain arising in which, often becomes an obstacle to the establishment of normal bowel movement after birth.
Constipation after childbirth often arise as a consequence of a wrong approach to nutrition nursing mother. An equally important factor to be considered and a constant psychological stress, which is associated with new troubles and cares. Moreover, the cause of postpartum constipation can be congenital bowel.
Features constipation after childbirth
The women in the postnatal weeks mainly developed dyskinetic constipation of various kinds. If you have just given birth to baby mom worried atonic constipation , In this case there is a decrease in muscle tone of the intestinal wall. As a result, the motor activity of the intestine gradually slows down, it becomes sluggish. Basically atonic constipation after childbirth are typical for women who have given birth to a baby by caesarean section. It just so gut reacts to almost any surgical operations performed in the abdominal cavity. Some errors in the diet also provoke atonic constipation in women just given birth.
Spastic constipation after birth, provided there are toning the intestines. As a consequence, the gut is clamped, and the activity of the intestine becomes unproductive. This type of constipation in young mothers mainly arises as a consequence of psychological factors.
Typical symptoms in atonic constipation are abdominal pain, which are drawing the character. Also, there is a constant overflow of the intestine, a high level of gas production. Young mother may complain of loss of appetite, nausea, periodic, and a feeling of lethargy apathy . When defecation go abundant initially tight and solid stool, felt soreness. If there are cracks in the process, the stool can go with bloody or streaked with slime.
The symptoms of spastic constipation manifested paroxysmal pain, and the pain most often occurs on the left. Patients concerned about persistent manifestations of flatulence, it does not have the appetite, nausea periodically worried. A woman becomes irritable. Urging to stool occur more than once a day, but the bowel is not completely emptied.
It occurs in new mothers and constipation arising as a consequence of the extension of the large intestine. Such a lock - a consequence of too long passage of feces along the elongated intestine. Stool with a very solid, and the symptoms are similar to symptoms of spastic constipation.
How to avoid constipation postpartum
To avoid postnatal constipation, as well as get rid of the already existing problems, it is necessary first of all to develop a proper menu. Thus considering what products can be used in the process breast-feeding baby. If constipation is useful to include a nursing mother in the diet of buckwheat, millet and barley porridge, cereals, vegetable oil, black bread. It is important to eat enough each day of vegetables. Immediately after birth the woman has a useful beets and carrots, zucchini, pumpkin, drink compote of dried fruits.
It is useful for constipation and light compote of gooseberries. To prepare it, you need to take one tablespoon of berries and a glass of water. Thereafter preparing broth 10 minutes. At the same time should not be included in the menu of strong tea, soups mucous consistency, semolina and rice pudding, blueberries, pears, beans, walnuts, white bread, as these products have a fastening action. Significantly slow intestinal activity can also be hard cheeses.
To normalize bowel function should drink plenty of fluids: it can be as ordinary water and weak tea or a fruit compote. After waking up in the morning on an empty stomach to drink a glass of cold water: this method effectively helps to stimulate bowel movements. Another recommendation - before bedtime drink a glass of warm water in which a solution of lemon juice thirds.
Treatment of constipation after childbirth
If a woman is severely bothered constipation after childbirth, it may take laxatives. However, in this case, it should be remembered that long and too frequent use of these drugs (treatment of laxatives over a month or two several times a week) can lead to addiction. As a result, over time, it may require increased doses of laxatives, as the effect of treatment gradually decreases, and constipation symptoms become more pronounced. In this case we are talking about both medication and a herbal teas.
During breastfeeding, some women are counter laxatives. Therefore, before starting treatment requires mandatory medical consultation. As a rule, during lactation prescribers forlaks and Fortrans . Often used in such cases, formulations of lactulose - Normase . Dufalac . Portalak . Sometimes appointed glycerin suppositories , and Candles with sea buckthorn in that case, if the woman is suffering from hemorrhoids and more.
If a woman has developed a form of spastic constipation, it can not accept funds that are based on Senna. Such preparations are stepping up the tone of the muscular wall of the colon, which is unacceptable in spastic constipation. In addition, these medications can trigger bowel pain in the child.
Treat constipation after childbirth can and using various concoctions of herbs, as well as other people's recipes, which help to deal effectively with the problem. If a woman diagnosed with spastic form of constipation, then about half an hour before a meal is recommended to drink a quarter cup of potato juice, half diluted with water. It is important that the juice was fresh. The young mother also suit the following recipe: you have to boil two tablespoons of crushed berries figs in a glass of milk or water. This broth is in the form of heat take one tablespoon several times a day.
For the treatment of spastic constipation can be prepared herbal decoction. To do this, mix equal parts of the fruits of anise, valerian root, herbs, nettle, peppermint leaves and forest strawberries, chamomile flowers. One tablespoon of the collection is poured into a thermos and pour boiling water. After a ninety minute infusion mixture filtered and taken twice a day after meals for half a glass.
For the treatment of atopic forms of constipation used other recipes. Effective influence has fruit infusion of caraway, fennel and anise. Mix the raw materials should be in equal parts, pour boiling water and strain after twenty minutes. Accept infusion to a third cup three times a day for about 30 minutes before a meal. It is important to plant seeds are ripe,.
For the preparation of yet another infusion, which is used to treat constipation after childbirth, need to take equal parts of the fruits of mountain ash, marjoram and nettle, blackberry leaves and bluish fruits of fennel. One tablespoon of this collection pour a glass of boiling water and insist about half an hour in a thermos. Young mother should drink the infusion three times daily after meals for a third cup.
If constipation persists for a long time, it can be used to treat a decoction of flax. One cup of seeds should be boiled in one cup of water and infuse for several hours. Broth drink before bedtime.
Exercise against constipation
An excellent method of getting rid of constipation are some postnatal exercise. In addition, such a method - the most safe for nursing mothers. With properly chosen set of physical exercises can not only stimulate uterine contractions more intense, but also to avoid the risk of hernia midline of the abdomen, as well as to improve the tone of the abdominal muscles. In addition, physical activity - a great way to lose those extra kilos that have accumulated during childbearing. In this simple exercise enough to perform only 10 minutes, repeating them, if possible, 2-3 times per day.
Already in the first days after birth the woman in the supine position can perform breathing exercises. It is important to breathe deeply as possible, pulling the belly as you exhale. After a few days in the complex can be gradually introduced and other exercises. In the supine woman strongly presses his knees together. This inspiratory muscles of the pelvic floor too annoying, as you exhale - relax. In carrying out another exercise in the supine position on inspiration you need to raise your left arm and right leg up on the exhale - omitted. Then repeat the exercise with the other leg and arm. Repeat each exercise should be described at least five times.
In a standing position to put his feet shoulder-width apart, arms extended forward. The legs do not come off the floor, while the right hand is given the most back. These movements are made to inhale, return to starting position - exhale. Exercise is repeated alternately in both directions. A similar exercise - the body turns to the side with his hands clasped in front of the castle. Effectively and retraction of the abdomen and perineum inspiratory position on all fours. At the same time you need to hold your breath for a few seconds, then relax.
About two weeks after the delivery of such complex gymnastics after birth complemented by several other exercises. In a standing position raise hands to the shoulders, with your elbows should be put forward. From this position the woman raises the right leg bent at the knee, and tries to touch the left elbow knee. Exercise is repeated several times in both directions. Later, this exercise can be a bit more difficult: his feet are placed slightly to the side, and perineal muscles tighten during lifting knees.
These simple exercises can perform all the young mothers who have not transferred caesarean section, and did not get the deep gaps in the process of giving birth.
Those who suffer from atonic constipation, after waking up in the morning, you can rub the skin around the navel, as well as his left. Movement should go towards the groin. This massage should be done within five minutes, slightly bent legs. If there is a spastic constipation, it is necessary to make a soft movement, stroking the abdomen in a clockwise direction. When motion may be a little pressed on the stomach.
Young mother must see to it that a long time not to feed the child in the same position. So you need to constantly change position.
Though constipation after childbirth are quite unpleasant phenomenon, but with the right approach to the treatment and correction of a lifestyle you can get rid of them fast enough.
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