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Rodili ste sekciou? Nezanedbajte jazvu po cisárskom reze

Napísal TS 16. jún 2020

Bezbolestné kontrakcie, rýchly priebeh, či spontánna forma pôrodu. Každá z nás si svoj pôrod vysnívala už dávno pred ním, no okolnosti sa niekedy nevyvíjajú podľa našich predstáv. Nie všetky ženy majú šťastie na rýchly pôrod a mnoho detí neprichádza na svet prirodzenou cestou.

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Dnes je už cisársky rez celkom bežným operačným zákrokom, ale je dôležité, aby rodička nepodcenila svoj zdravotný stav a venovala dostatočnú pozornosť vzniknutej jazve. Ako sa o ňu starať po návrate z nemocnice?

Cisársky rez je jednou z foriem operačného vedenia pôrodu a patrí medzi najčastejšie pôrodnícke operácie. Môže mať plánovanú alebo akútnu formu. ,,Pri plánovanej forme zákroku je väčšinou dôvodom napríklad chronické ochorenie tehotnej, deformita panvy, nadmerná veľkosť plodu, priečna či šikmá polohu plodu alebo vcestná placenta,“ objasňuje Elena Drapáčová z OZ Elen. K akútnemu zákroku dochádza v priebehu pôrodu. Dôvod vzniká rýchlo, preto aj samotné rozhodnutie a vykonanie je rýchle. Najčastejšími príčinami sú nedostatok kyslíka pre plod, predčasné odlučovanie placenty a krvácanie.

Po návrate z pôrodnice

Po príchode domov je potrebné venovať zvýšenú pozornosť jazve, ktorá vznikla po operácii. ,,Starostlivosť o toto miesto je dôležitá hneď od prvých dní, aby sa zhojilo funkčne a dobre. Známky po zákroku budú na brušku viac-menej viditeľné celý život a budú mamičke pôrod pripomínať už navždy,“ hovorí pôrodná asistentka Drapáčová. ,,Mnohé ženy po pôrode cisárskym rezom nepociťujú žiadne problémy, zašitá rana sa hojí a tým pádom nemajú potrebu riešiť zvýšenú starostlivosť,“ dodáva. Neliečenie operovanej partie v budúcnosti ale môže byť príčinou gynekologických problémov alebo bolestí pohybového aparátu.

Na hojení sa podieľa niekoľko faktorov, ktorých výsledkom je normálne alebo patologicky zhojená jazva. ,,Normálne zhojená rana vyzerá nenápadne, je hladká, jemná, nesvrbí a ani si ju žena neuvedomuje, pretože splynie s okolím. Popôrodná stopa po operačnom zákroku, ktorá sa hojí patologicky môže mať niekoľko typov prejavu. Takzvanú hypotrofickú jazvu spôsobuje nedostatok kolagénu a vyzerá bledšie, je menej odolná na mechanické podnety. Jej opak – hypertrofická jazva vznikne nadprodukciou kolagénu, je vyvýšená, červená a zvyčajne sa dostane do normálu až po určitom čase,“ vysvetľuje rozdiely Elena Drapáčová. Ak ide o keloidné hojenie, najčastejšie je spôsobené nadmerným rastom tkaniva v operovanej časti bruška. ,,Takto zrastené miesto nie je len kozmetickým problémom, ale môže spôsobiť komplikácie aj z medicínskeho hľadiska. Okrem iného sa môže prejaviť aj po niekoľkých mesiacoch od pôrodu a málokedy sa časom zlepší,“ objasňuje problematiku Drapáčová.

Ako sa o seba starať

Na druhý deň po sekcii, po odstránení krytia, je dôležité dotýkať sa oblasti čerstvo operovanej časti a jej okolia jemným trením a poklepkávaním, pretože práve tak v nej rodička znova prebúdza citlivosť. ,,Mnoho žien má strach sa jazvy dotknúť, má zvláštny pocit z tejto zmeny na svojom tele. Je podstatné, aby žena dokázala prijať tento prvok ako svoju súčasť,“ hovorí pôrodná asistentka a ako osvedčený tip na regeneráciu odporúča aj sprchovanie, ktoré príjemne pôsobí na oblasť celého bruška a vôbec celého tela.

Ďalším dôležitým aspektom pri hojení je dýchanie. Podporuje mnoho funkcií v tele, zlepšuje metabolizmus, spánok, eliminuje únavu, pomáha lepšie zvládnuť psychickú aj fyzickú záťaž. Pozitívne ovplyvňuje aj hojenie a citlivosť operovanej partie po sekcii. ,,Vhodné je brušné dýchanie či už v sede, stoji, ale najúčinnejšie je v ľahu na brušku,“ odporúča Drapáčová a pripája pár ďalších rád:

  • Do pôrodnice si vezmite voľné, vzdušné nohavičky
  • Noste voľné oblečenie bez sťahovacieho lemu, ktorý by tlačil na lymfatický systém
  • Na oporu bruška pomôže brušný pás, prípadne pevná šatka, do ktorej si stiahnete bruško
  • Dôležité je natieranie jazvy vhodnými olejmi a masťami – ideálne po sprche, prípadne na noc
  • Po pôrode navštívte fyzioterapeuta, ktorý sa zaoberá lymfatickou masážou prípadne tejpovaním a odborným prístupom pomôže a poradí

Dermatológovia tvrdia, že jazvy sa hoja v priemere jeden rok. ,,Minimálne takú dobu je potrebné venovať svoju pozornosť miestu po operácii. Veľmi dôležité je aj psychologické hľadisko a schopnosť ženy akceptovať jazvu ako súčasť samej seba,“ dopĺňa odborníčka.

2 komentárov

  • Komentár Legal Steroids Com %AM, %25 %102 %2025 %01:%mar napísal Legal Steroids Com

    Each workouts involve hinging at the hips, although the deadlift relies on each the knees
    and hips, while the RDL’s entire vary of movement is from the hips.
    The deadlift includes more quad activation over the RDL and targets more glutes and hamstrings.
    Nonetheless, they differ of their mechanics and goal muscle activation. The
    SLDL is a tougher variation of the deadlift that
    emphasizes the hamstrings and glutes, but with a greater focus
    on constructing strength and power. It includes
    keeping the legs straight or almost straight while reducing the torso in the
    course of the floor. This movement requires vital hamstring and glute
    power to take care of a neutral backbone. In The End, both the one leg
    deadlift and the Romanian deadlift are useful workout routines that supply distinct benefits.

    The Romanian deadlift (RDL) is well-known for starting within the high place, whereas
    the stiff-leg deadlift is a bit more ambiguous.
    Most strength coaches agree that the Romanian deadlift
    and the stiff-leg deadlift are two different names for a similar lift.
    They could have completely different origins, and may have been performed
    in a different way in the past, however in fashionable utilization, both
    the stiff-leg deadlift and the Romanian deadlift are likely to check with
    the identical carry. While it will not be apparent at first, there are
    variations if you have a look at the Romanian deadlift vs.
    deadlift.
    This motion includes bending at both your hips and knees,
    which puts emphasis on the quads and glutes as you raise the weight off the ground.
    Besides the conventional deadlift and RDL, there are lots
    of variations you can check out. One could go nicely with you higher as a outcome of your body
    limitations and energy coaching targets. No matter what they are,
    select which one you will get pleasure from progressing in the fitness center.
    The Romanian Deadlift is a common variation that is typically confused as the standard deadlift—except you are
    lowering down, not picking up the dead weight
    from the ground. In different words, the Romanian deadlift begins on the
    high of the deadlift place. The RDL is a multi-joint exercise that places
    emphasis on the hips and knees.
    Moreover, the barbell within the stiff leg deadlift is allowed to come back off the physique, whereas the barbell is instructed to stay
    on the body for the Romanian deadlift. The stiff leg deadlift prompts the hamstrings more compared with the Romanian deadlift.
    For instance, the RDL will emphasize the downward motion of the lift (eccentric) whereas the
    traditional deadlift will emphasize the upward movement (concentric).
    Whereas both will use the identical main muscle groups, the normal deadlift will place a
    higher focus on the quads while the RDL will utilize extra of the glutes and hamstrings.

    In comparability, the quadriceps play a minimal function within the Romanian deadlift.
    The Romanian deadlift is extra of a pure hip extension movement, which
    means that the posterior chain is the first mover.
    When performing the Romanian deadlift, you have to use the overhand grip.
    With Out the use of lifting straps, this can restrict
    the load you must use.
    It engages the whole posterior chain, with a significant emphasis on the quadriceps, glutes, hamstrings, erector spinae, and even the forearms and grip muscles.

    To perform a proper deadlift, it's essential to maintain up a
    neutral backbone all through the lift, with the
    first give attention to hip and knee extension. Both the standard deadlift and
    the Romanian deadlift are valuable workout routines that
    supply unique advantages.
    Biomechanically, the Romanian deadlift is a lot like the
    conventional deadlift. As such, you’ll most likely need to go along with little a
    lighter weight and pay much more attention to utilizing correct type.
    Legend has it that the Romanian deadlift is so-called as a result of it was brought
    to the US by American coaches who saw Romanian Olympic weightlifters carry out it.
    Don’t waste your time on ineffective workout routines and inefficient workouts.

    This train challenges the core and isolates one aspect of the physique with
    a heavy load. This may help strengthen physique alignment while addressing imbalances between your left
    and proper sides. Over-hinging at the hips can result in rounding of the again and bending at
    the knees.
    When evaluating the usual deadlift vs. the Romanian deadlift,
    there are a number of subtle, however VERY IMPORTANT
    differences to consider based mostly on you and your fitness
    goals. First and foremost, both workout routines can do a
    great job of bettering both energy and muscle
    mass. One could make the argument that Kettlebell Swings are even higher for
    power improvement as a end result of the it’s a extra
    explosive motion. In conclusion, each the Romanian Deadlift (RDL) and the Deadlift are highly efficient leg-strengthening workouts that offer distinctive benefits and target different
    muscle groups.

  • Komentár Retha %AM, %20 %060 %2025 %00:%mar napísal Retha

    This "shock" is going to prime your body to train onerous and helps get your core body temperature up.
    Save your energy for the weights you are about to destroy.
    You will acquire weight and if you eat reasonable foods, will in all probability be a good quantity of muscle and just a little little bit of fats.
    As Soon As you may have dialed in on the energy it takes to maintain your weight, it’s time to add calories to your food regimen.
    If you went with mendacity leg curls at the beginning of the
    exercise, swap to seated leg curls now. Or vice versa should you opted for seated
    legs curls before. This article outlines a wonderful exercise
    for building huge quads and hamstrings, out there in your
    StrengthLog exercise tracker app. It’s a great sort of pain, mind you, nevertheless it still requires
    a certain mindset to go all-out on leg day and force your legs into hypertrophy.
    Consider it or not, not everyone wants to be
    within the gym every day. In reality, I’d guess the overwhelming majority of individuals going to the health club are just making an attempt to be wholesome and look pretty good, and that’s perfectly ok.
    Your physique wants greater than food to operate properly; it
    additionally needs water – and heaps of it!
    To do that you’ll be using descending pyramid units for a number
    of the exercises. One thing you’ll notice is that relaxation durations and reps are diversified.
    We’ve accomplished this on purpose to maximise
    the growth response. It’s the only means you’re going to add
    mass fast and create a physique to be pleased with. It’s a completely normal part of the muscle progress cycle.


    You should’ve also gained three or more kilos of physique weight.
    If you haven’t, contemplate including extra energy
    to your food plan. If you’re unaccustomed to a routine composed principally
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    in addition to your sleep and rest days. Isolation workouts done well will assasinate the goal muscle,
    much more than a compound one will, just because all your power might be
    directed to that single muscle or muscle group. After three straight weeks on this program, take one week to train with lighter weights in the vary of 12 to 15
    reps to allow for active restoration. In Distinction To plenty of celebrities that demonize eating for fun, Ritchson indulges
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    Beneath is a breakdown of an optimized weekly training plan to prioritize power and muscle growth
    while minimizing fats gain. (Yes, solely three days per week.) Each
    workout should take you about minutes, door to door.

    Rest at least ninety seconds between exercises corresponding to bicep
    curls and Romanian deadlifts, and up to 3-4 minutes on your heavier sets of bench presses and squats.
    A good guideline is to rest lengthy enough to move heavy weight, however not long sufficient to cool down. In Week 1 you’ll perform three units of every exercise per exercise, which over the course of the
    week adds as much as 9 units total for each bodypart, an excellent starting quantity
    in your purposes. With the exception of crunches for abs, you’ll do 8–12 reps per set.

    You want to construct monsterous dimension, however don’t
    be a monsterous lug head—increasing weight by very small increments like 5-pounds can surprisingly go a long way.
    While you’re training every muscle group 3x
    per week, you will still have enough restoration time
    between sessions as you’ll solely carry out a few workouts per muscle group per day.
    With a full physique workout plan, you understand exactly what you’re doing that day…everything!

    However, it does mean you must decide to training almost every day of
    the week, which can be an excessive amount of for some people.
    This break up divides your training week into two pushing, pulling, and leg workouts.
    This means every main muscle group is trained twice
    per week. Nonetheless, weekly coaching volume, i.e., the number of units
    per muscle group, is roughly the identical as example one, but that quantity is spread across two exercises as a substitute of crammed into one.
    Muscle-building is optimized when performing
    strength-training exercises (bodyweight or weightlifting) within 1 to 3 reps of failure whereas sustaining good approach.
    Anyone who's looking for a simple, low-volume,
    and effective coaching cut up for muscle-building can comply with
    a Sam Sulek workout regime. However if you are a beginner, I counsel taking a day off after every two coaching classes for the
    primary two months to get your body familiar with resistance training.


    However once more, each person’s personal wants, goals,
    and preferences must be taken into account.

    In my experience, I’ve found that males do finest starting within the 10-12% range after which cutting after
    they reach 15-17%. And girls do best beginning in the 18-20% vary after which cutting once they reach 23-25%.

    Wellness "influencers" began bragging about low vitamin A diets online—then the measles outbreak
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    Sarah Bullard is a registered dietitian and nutrition writer with a master’s diploma in vitamin. She has a background in analysis and scientific nutrition,
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    on Signos’ blog.
    Remember that our muscle tissue repair themselves most throughout sleep, however some through the day.
    To achieve muscle, you should eat more energy
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    Be Taught how to build one of the best bulking program for you, broken down from the essential to advanced methods of bulking to
    put out a training program you'll have the ability to construct from.
    However, if eating a few unhealthy meals is what it takes to
    attain your calorie surplus, then that’s what you want to do.
    So, if it takes 2,500 calories to keep your weight steady,
    you should begin consuming 3,000 per day. The workout and
    food plan routine for skinny guys, by skinny guys.

    Another factor to mention is that the gradual improve of calories at the
    start of your bulk can be slowed down much more (or sped up).
    So, should you've simply obtained off a cut, do a short maintenance phase, then you
    can start your bulking part. Total daily calorie expenditure is the amount of calories your physique consumes each day.
    If you eat at your TDEE, then you'll simply preserve your weight.
    As you turn out to be more superior, constructing muscle is
    trickier and never perfectly linear. Progressive overload and periodization need to be utilized appropriately.

    The concept is to offer your arms and shoulders loads of stimulation. Underhand lat pulldowns are
    a fantastic train for your lats and higher back. The underhand grip will interact your biceps,
    permitting you to lift more weight and build larger arms.


    Moreover, more strength allows for extra hypertrophy potential.
    You can bulk with just bodyweight coaching, however it will be more difficult to progressive overload.
    Because of that, we do not advocate dirty bulking for
    anybody. This exercise and diet plan is promoting a clean, lean bulk...or on the very least, a largely clean bulk.
    Most people who dirty bulk for a long time remorse it because
    of how a lot fats they put on and the way hard it's after to lose it.
    Simply consider how the slicing section shall be when you may have a lot
    fats to shred.
    For instance, should you lifted 3 units of 10 reps with eighty
    kg your whole load-volume for that carry could be 2,400 kg.

    When it comes to maximizing muscle mass in 12 weeks you should
    use every trick within the guide. We don’t want you to scratch the surface
    with this muscle constructing plan… we want you to straight
    up smash the partitions via. You’re right here since you need to
    build muscle and strength. Nonetheless, for a four day
    full physique plan to be efficient and sustainable, cautious attention have to
    be paid to restoration and managing intensity. The advantages of training
    like this are mainly geared towards the bodybuilder.

    You don’t have to get that close to failure on entrance
    and aspect planks. However it’s additionally okay to think of these exercises extra like drills, a stretching routine,
    or a cooldown. They’re there to teach you tips on how to
    preserve a rigid posture under load. Compare that to a
    slicing workout, the place you've less vitality, and all you have to do
    is keep your muscle measurement. Sustaining muscle requires far less
    stimulation than gaining muscle, so cutting exercises can be shorter
    and easier. However if you observe full physique coaching you shift emphasis from muscle to muscle which lets you
    maintain energy whereas decreasing fatigue.

    Goal for a balanced strategy with protein, carbs, and fat.
    Break this down into simple steps and goals that aren’t scary,
    and get began. I actually have been working with my on-line coach for 7+ years, and I’ve packed on dimension by following a barbell + body weight coaching routine.

    Like with weight coaching above, you should improve the issue
    so as to challenge your muscular tissues to adapt.
    Maybe you can do countertop push-ups for greater than 15 reps, but if you attempt to progress to a more durable variation you don’t have any surface in your home that fairly works
    so you feel caught.
    Analysis exhibits that supersets and tri-sets effectively improve coaching effectivity (2).

    We’ve all known individuals who make things more sophisticated than they need to be.

    At work, there’s the boss who requires meeting after mind-numbing meeting and procedures that rival
    a NASA rocket-launch sequence. (Come on, what quantity of steps does it really take to order new staplers?) For
    you, Workplace Area appeared more like a documentary than a comedy.


    Alan Ritchson begins the training week with an intense decrease physique exercise.
    He does not lean heavily in direction of one muscle or the other.
    As A Substitute, he ensures to get a balanced coaching session during which he focuses on all of the decrease body muscular
    tissues like quadriceps, hamstrings, glutes and calves.
    Even Bumstead would not stay at 5,000 energy year-round.
    As he gets closer to his pre-season coaching, he tapers to between three,000 and four,
    000 energy per day.
    Suggestions - My favourite protein shake for submit exercise is the Met-Rx meal alternative.
    The Berry Blast flavor has an superior taste that can not be beat.
    It has a fantastic mixture of whey and casein protein, and together with two cups of skim milk, your physique will have enough protein to last a while.
    Supplements are simply what they're named, a supplement (addition) to your workout
    and food plan.
    So, interested by tips on how to bulk successfully and need to
    determine whether the method is right for you? Below, specialists explain what bulking is, tips
    on how to bulk successfully and safely, and the important thing muscle-building tweak you may be lacking in your
    routine. When you consider bulking, you could call to mind bodybuilders or energy lifters,
    but that might solely be part of the picture. Whereas bulking does imply placing on muscle (in a nut shell), per
    Laura Girard, CPT, and it’s a way pretty much anybody can benefit from.
    Your muscle tissue can solely take so much before they
    run out of vitality and hit "failure". That’s not a foul
    thing—it’s simply the finest way your body is—but you’ll have to take a different method if you wish to bulk up.

    That allows you to give consideration to more muscular
    tissues at any given time. This workout routine is
    a superb default, but you probably can change it
    to suit you better. If an train feels unhealthy in your joints or tendons, swap it out for a different one.
    If a muscle isn’t ever getting sore, find an train that
    works it more durable. If you aren’t able to acquire strength
    on a carry, try to determine whether you’re understimulated (never sore) or over-fatigued (always sore
    and tired). These are full-body workouts, so you’ll be working 
    most of your muscles every time you work out.