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Fight against locks after the delivery
August 14, 2012
After childbirth, at last behind, and young mother can devote wholly the life to troublesome, but very pleasant care of the kid. But rather often the woman has some problems with health at this time. Some unpleasant phenomena which took place during pregnancy smoothly "flow" also in puerperal weeks, forcing the woman to feel considerable discomfort. It is about puerperal locks which are shown approximately at a third of young mothers.
In spite of the fact that the uterus pressure upon intestines is not observed any more, manifestation of disturbances of work of intestines is provoked by other problems. In particular, at the woman of a muscle of an abdominal cavity who just gave birth to the kid very sluggish, patrimonial ways injured in the course of appearance of the baby on light not completely began to live. Besides many the woman after the birth of the child suffer from one trouble – puerperal hemorrhoids that, in turn, aggravates a situation with locks. Besides, very often locks after the delivery disturb those women who transferred Cesarean section.
Types and stages of locks
The lock is an effect of disturbance in the course of education and the subsequent advance on intestines a calla. At development of a lock there is a stagnation of waste of digestion in intestines or in a rectum. It is accepted to distinguish several types of locks according to an etio-pathogenetic sign. Alimentary locks are shown if the person breaks a feeding schedule, it has a defective diet or he uses not enough liquid. At diskinetichesky locks motility of a large intestine is broken, and, such locks can be hypotonic, hypertensive, spastic. If at the patient the organic lock takes place, then various defects and tumors of a spinal cord, and also existence of hems and other educations in an anus and in an anorectal zone become its reason.
Conditioned-reflex locks are shown on condition of continuous suppression of desires on defecation, at stressful situations, and also in case of existence of the neuropsychogenic reasons. This type of locks sometimes develops at patients with rectal cracks and paraproctites. Locks of intoksikatsionny type are shown in a case by intoxications poisons or medicines.
From the point of view of a clinical picture there are three stages of locks. At the compensated stage the act of defecation happens in 2-3 days, and at the same time the patient feels that intestines were emptied not completely. About a half of patients suffers from a meteorism and an abdominal pain. At the subcompensated stage the chair is late from 3 to 5 days. At the same time defecation happens only after acceptance of purgatives or an enema. The meteorism is in most cases shown, the abdominal pain disturbs, at defecation of people feels morbidity.
Lack of a chair on 10 and is characteristic more than a day of a dekompensirovanny stage of a lock. The act of defecation happens only after hypertensive or siphon enemas. The patient has symptoms of fecal intoxication, and in the course of a palpation in a stomach "fecal stones" are found.
The reasons of locks in a puerperal period
There are several reasons defining manifestation of locks after the delivery. First of all, very sharp difference of a hormonal background which happens after the delivery can influence changes in work of intestines. At the birth of the kid at the woman stretch and prelum abdominale muscles, and also crotches are strongly weakened.
In the first days after the delivery on intestines the uterus which is still rather increased continues to press. To the normal size a uterus to return only 6-8 weeks later. At the same time intestines also stay "in the movement": it is gradually displaced in usual situation after moved in the course of incubation of the child. In a puerperal period at the woman the intestines peristaltics is very often broken, and fecal masses moves more slowly.
Women who transferred difficult delivery or Cesarean section on a body have just put stitches. Because of their morbidity, and also fear that seams after operation or an epiziotomiya will disperse, young mother cannot natuzhitsya to such an extent to adjust a chair. As not less problematic phenomenon it is possible to consider hemorrhoids, the morbidity arising at which it becomes frequent a barrier to establishing normal defecation after the delivery.
Locks after the delivery quite often arise and as an effect of the wrong approach to food of the nursing mother. As not less important factor it is necessary to consider also the constant psychological tension which is connected with new efforts and cares. Besides, congenital anomalies of intestines can be the cause of puerperal locks.
Having bungled features after the delivery
At women in puerperal weeks diskinetichesky locks of different types mainly develop. If mother who just gave birth to the kid is disturbed by an atonic lock, then in this case there is a decrease in a tone of a muscular wall of intestines. As a result a physical activity of intestines gradually is slowed down, becomes sluggish. Generally atonic locks are after the delivery characteristic of women who gave birth to the kid by means of Cesarean section. Intestines quite so react to almost any surgery made in an abdominal cavity. Some errors in food also provoke atonic locks at just given rise women.
Spastic locks after the delivery arise on condition of increase of a tone of intestines. As a result, the gut is clamped, and activity of intestines becomes unproductive. This type of a lock at young mothers mainly arises as an effect of psychological factors.
Characteristic symptoms at an atonic lock are abdominal pains which have the pulling character. Overflow of intestines, high level of gas generation is also constantly felt. Young mother can complain of appetite loss, periodic nausea, feeling of slackness and apathy. At defecation there is plentiful, initially dense and firm fecal masses, morbidity is felt. If in process there are cracks, then the kcal can leave with bloody streaks or with slime.
Symptoms of a spastic lock are shown by pristupoobrazny pain, and, pain most often arises at the left. The patient is disturbed by continuous manifestations of a meteorism, she has no appetite, nausea periodically disturbs. The woman becomes irritable. Desires on defecation arise not once in day, but at the same time intestines are emptied not completely.
Are shown at recently given rise women and the locks arising as an effect of lengthening of a large intestine. Such lock – an effect of too long passing a calla on the extended intestines. Fecal masses at the same time very firm, and symptoms is similar to signs of a spastic lock.
How to avoid a lock in a puerperal period
To avoid emergence of a puerperal lock, and also to get rid of already arisen problems, it is necessary to develop the correct menu, first of all. At the same time considering what products can be used in the course of breastfeeding of the baby. At locks it is useful for the feeding mother to include in a diet buckwheat, millet and pearl-barley cereal, muesli, vegetable oils, black bread. It is very important to use enough vegetables every day. At once after the delivery it is useful for woman to eat beet and carrots, a vegetable marrow, pumpkin, to drink compote from dried fruits.
It is useful at locks and easy gooseberry berries compote. That to prepare it, it is necessary to take one tablespoon of berries and one glass of water. After that broth prepares 10 minutes. At the same time it is not necessary to include in the menu strong tea, soups of a mucous consistence, semolina and rice porridge, bilberry, pears, bean, walnuts, white loaf as these products have the fastening action. Considerably also firm grades of cheese can slow down intestinal activity.
For normalization of functions of intestines it is necessary to drink enough liquid: it can be both usual water, and compote or rather weak tea. After awakening it is necessary to drink on an empty stomach a glass of cold water in the morning: such method effectively helps to stimulate work of intestines. One more recommendation – to drink before going to bed a glass of warm water in which juice of a third of a lemon is dissolved.
Treatment of a lock after the delivery
If the woman is strongly disturbed by locks after the delivery, then she can accept purgatives. However in that case it is necessary to remember that long and too frequent use of such drugs (treatment by purgatives for one-two months several times in a week) can lead to accustoming development. As a result, increase in a dose of a purgative as the effect of treatment gradually decreases can be required over time, and manifestations of a lock become more expressed. In this case it is both about medicamentous means, and about grass broths.
During breastfeeding some laxatives are contraindicated to the woman. Therefore before an initiation of treatment obligatory consultation of the doctor is required. As a rule, in the period of a lactation drugs forlaks and fortrans are appointed. Lactulose drugs – to Normaza, Dyufalak, Portalak are often used in such cases. Glyceric candles, and also candles with a sea-buckthorn are sometimes appointed if the woman suffers also from hemorrhoids.
If at the woman the spastic form of a lock developed, it cannot accept means which are created on the basis of Senna. Such drugs activate a tone of a muscular wall of a gut that is inadmissible at spastic locks. Besides, such medicamentous means can provoke intestines pains at the child.
It is possible to treat locks after the delivery and by means of different broths of herbs, and also other national recipes which help to cope with a problem effectively. If the spastic form of a lock is diagnosed for the woman, then approximately for half an hour before acceptance of food it is recommended to drink a quarter of a glass of juice of potatoes half divorced with water. It is important that juice was fresh. Young mother will also suit the following recipe: it is necessary to boil two tablespoons of the crushed fig berries in one glass of milk or waters. Such broth in a warm look is accepted on one tablespoon several times a day.
For treatment of a spastic lock it is possible to prepare grass broth. For this purpose equal parts of fruits of an anise, root of a valerian, grass of a nettle gonochoristic, leaves of a peppermint and wild strawberry, flowers of a camomile pharmaceutical mix up. One tablespoon of such collecting is filled up in a thermos and filled in with boiled water. After one and a half hour insisting mix is filtered and accepted twice a day after food on a half-glass.
Other recipes are applied to treatment of an atonic form of a lock. Effective impact is made by infusion of fruits of caraway seeds, fennel and an anise. It is necessary to mix raw materials in equal parts, to fill in with boiled water and to filter in twenty minutes. It is necessary to accept infusion on a third of a glass three times a day approximately in 30 minutes before food. It is important that seeds of plants were completely ripened.
For preparation of one more infusion which is applied to treatment having bungled after the delivery, it is necessary to take equal parts of fruits of a mountain ash ordinary, herbs of a marjoram and a nettle gonochoristic, leaves of blackberry gray and fennel fruits. One tablespoon of such collecting is filled in with one glass of boiled water and insisted about one and a half hour in a thermos. Young mother has to drink infusion three times a day after acceptance of food on a third of a glass.
If the lock long does not pass, it is possible to use flax broth for treatment. One cup of seeds needs to be boiled in one glass of water and to insist several hours. Broth is drunk before going to bed.
Physical exercises against locks
Fine method of disposal of puerperal locks are some physical exercises. Besides, such method – the safest for the feeding mother. By means of correctly picked up complex of physical exercises it is possible not only to stimulate more intensive reduction of a uterus, but also to avoid risk of development of hernia of the average line of a stomach, and also to improve a tone of muscles of a prelum abdominale. Besides, physical activity – an excellent way to lose those extra kilos which collected during incubation of the child. At the same time only 10 minutes are enough to carry out simple exercises, repeating them, whenever possible, 2-3 times a day.
In the first days after the child's birth the woman in lying situation can already carry out breathing exercises. It is important to breathe most deeply, pulling in a stomach on an exhalation. In several days it is possible to enter into a complex gradually and other exercises. In a prone position the woman strongly presses knees to each other. At the same time on a breath of a muscle of a pelvic bottom strongly strain, on an exhalation – relax. When performing other exercise in a prone position on a breath it is necessary to raise the left hand and the right leg up, on an exhalation – to lower. Then exercise repeats with other leg and a hand. It is necessary to repeat not less than five times each of the described exercises.
In a standing position of a leg to put on width of shoulders, to extend forward hands. Legs do not come off a floor, at the same time the right hand is taken away as much as possible back. These movements are made on a breath, return to a starting position – on an exhalation. Exercise serially repeats in both parties. Similar exercise – turns of a trunk in the parties with the hands linked in the lock before. Effectively also retraction of a stomach and crotch on a breath in situation on all fours. At the same time the breath needs to be held for several seconds then to relax.
Approximately in two weeks after the delivery such complex of gymnastics is after the delivery supplemented with several more exercises. In a standing position to raise hands to shoulders, at the same time elbows need to be exposed forward. From such position the woman raises the right leg bent in a knee and tries to touch the left elbow by a knee. Exercise repeats several times in both parties. It is possible to complicate this exercise a little later: legs are a little placed in the parties, and muscles of a crotch strain during a raising of knees.
All young mothers who did not transfer Cesarean section can carry out such simple exercises, and did not receive deep gaps in the course of the child's birth.
Those who suffers from atonic locks after awakening can pound skin about a navel in the morning, and also on the left side from it. The movements have to go towards area of a groin. Such massage needs to be done for five minutes, having a little bent legs. If the spastic lock takes place, then it is necessary to make quiet movements, stroking a stomach clockwise. At the movements it is possible to press a little a stomach.
Young mother has to watch that a long time not to feed the child in the same situation. Therefore the pose needs to be changed constantly.
Though locks after the delivery are rather unpleasant phenomenon, but at the correct approach to treatment and some correction of way of life it is possible to get rid of them quickly enough.
Section: Childbirth and puerperal period