Constipation after childbirth
The long-awaited birth is already over, and there is a desire to dedicate all of the baby to himself, but the health does not want to get better. Many mothers are concerned about the unpleasant pathology of the gastrointestinal tract, namely, constipation. What to do with constipation after childbirth? How to get rid of such a delicate trouble? These questions torment young mummies. This problem often occurs in the postpartum period. Usually, this phenomenon takes place during pregnancy, and then smoothly flow into the postpartum period. Therefore, it was called postpartum constipation and occurs in a third of the mothers
Causes of constipation in women
вызывается рядом причин у кормящих женщин: изменением гормонального фона; Postnatal constipation is caused by a number of reasons in lactating women: a change in the hormonal background; weakening the muscles of the perineum, as well as the abdominal press and sluggishness of the birth canal; uterine pressure on the intestines; the birth of a child by cesarean section; the appearance of hemorrhoids; wrong approach in nutrition; psychological overstrain; congenital anomaly of the intestine.
Normally, the uterus will return no sooner than six weeks. Remember that during the postpartum period, the lactating woman has impaired the intestinal peristalsis and therefore the fecal masses move much more slowly
Constipation after childbirth - types and stages
Constipation in nursing arises from the violation of digestion, education, as well as the movement of feces through the intestines. The disease is characterized by stagnant phenomena of digestive waste, either in the intestine, or in the rectum itself. Distinguish and distinguish several variants of the types of the disease according to the etiology - pathogenetic trait
возникает при нарушении пищевого режима, при неполноценном рационе и малом потреблении жидкости Alimentary obstruction after childbirth occurs when eating disorders, with an inadequate diet and low fluid intake
возникает при стойких нарушениях моторики толстой кишки. Diskinetic constipation after childbirth occurs with persistent violations of the motility of the colon. The nature of the origin of such constipation is hypotonic, hypertonic, and also spastic
появляется по причине различных пороков, опухолей спинного мозга, наличии рубцов в заднем проходе Organic constipation after childbirth appears due to various defects, tumors of the spinal cord, the presence of scarring in the anus
характерно постоянное подавление позывов на дефекацию. For conditioned reflex constipation after childbirth is characterized by a constant suppression of urge to defecate. The cause is a stressful situation, and develops in women with rectal fissures, as well as paraproctitis
возникает в случае интоксикации ядами, а также медикаментами Intoxicating constipation after childbirth occurs in case of intoxication with poisons, as well as with medicines
образуются из-за нервных окончаний кишечника, которые слабо раздражены или теряют возможность воспринимать раздражение Atonic constipation after childbirth is formed due to nerve endings of the intestine, which are slightly irritated or lose the ability to perceive irritation
: The clinic distinguishes three stages of constipation :
- Compensated stage is characterized by defecation after 2-3 days, in which a woman suffering from constipation feels a complete cleansing of the intestine. Most of the women in the postpartum period with a compensated stage suffers from flatulence
- At the subcompensated stage, stool is delayed up to 5 days, and defecation is possible after the use of laxatives and measures (enema). The patient experiences flatulence, and at the time of defecation soreness
- In case of decompensated stage, stool is absent until 10 days. The act of defecation is carried out only after hypertensive enemas, as well as siphon. The patient shows all the signs of intoxication with feces, and when palpation "fecal stones" are felt,
In women after severe labor (caesarean section, multiple ruptures, superimposed seams), the toilet causes fear and great difficulties. Because of these fears and fear of toilet after childbirth turns into a whole problem. To this trouble joins and postnatal hemorrhoids. More often than not women after childbirth are disturbed by atonic and spastic constipation
Constipation after childbirth - symptoms
Symptoms of atonic constipation are drawing pains in the abdomen, gas formation, defecation with mucus and blood, nausea. With a spastic condition, there are paroxysmal pain sensations. The patient is worried by the manifestation of flatulence, lack of appetite and nausea, with defecation the bowel is emptied partially
Constipation after childbirth treatment
How to get rid of constipation after birth? We bring to your attention all kinds of laxatives, which strengthen intestinal peristalsis due to irritation of the intestinal mucosa and stimulation of nerve endings:
→ stimulants - anthraquinones (they include preparations of the buckthorn bark, senna extract, medicines from the cascara plant - Cassantranol)
→ irritating - diphenylmethanes (they include phenolphthalein, Bisacodyl)
→ osmotic laxatives that retain fluid in the lumen of the intestine (Normaze, Dufalac, Sorbitol 70%)
→ magnesium salts: sodium citrate sodium phosphate, hydroxide, laxative salt (to be administered orally and in the form of enemas)
→ laxatives (Sodium docussate or Dioctyl sulfosuccinate, calcium documate
→ oil laxatives, as well as suppositories with glycerol
→ drugs that stimulate serotonin, as well as hydroxytryptamine (5HT4) receptors (Prucalopride and Tegaserod).
→ combined laxatives, the composition of which includes Dokyusat and anthraquinones (Peri-Colace, Senekot-S).
It is important to remember that prolonged taking (up to two months) of laxatives is addictive.
During lactation, some laxatives are contraindicated, so read the instructions carefully. Effective during lactation Forlax and Fortrans, as well as preparations of lactulose - Normate, Portalalac, Dufalac.
Good reviews about the treatment of constipation with hemorrhoids are left by mothers about glycerin candles and candles with sea buckthorn. If a woman is troubled by a spastic constipation, then she can not be treated by means of senna. With these laxatives, you will cause bowel pain in the child
Traditional treatment of constipation after childbirth
In addition to laxatives, you need to revise your menu (diet number 3, table number 3), include cellulose (apples, carrots, beets, porridge, pumpkin, kefir, vegetable oil, black bread, dried fruits). Effective in the treatment of freshly prepared compote of gooseberry. It is necessary to exclude from food strong tea, rice soups, mango, blueberries, legumes, pears, walnuts, hard cheeses, white bread. Include a sufficient amount of liquid in the diet.
Compulsory treatment of delicate problem after childbirth includes decoctions of herbs anise, mountain ash, oregano, fennel, valerian root, nettle, mint, strawberry, cumin, chamomile, flax seeds (take up to one glass a day). Take this method: a quarter of a fresh glass of potato juice with water in half take before eating. This recipe is effective: boil two tablespoons of figs in a glass of water or milk. Drink on a spoon before eating.
For preventive maintenance effective physical, breathing exercises, and also massage - stroking the abdomen are effective. All this can be done lying down. Following these recommendations, you will adequately cope with the delicate problem
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