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Z vidika TCM je poporodna oskrba enako pomembna kot predporodna, če ne še bolj. Z ustrezno oskrbo lahko ženska obnovi energijo, izčrpano med porodom, in se pripravi na zahtevno nego novorojenčka. Pomaga ji ohraniti in izboljšati reproduktivno zdravje za prihodnje otroke in celo za lažje doživljanje menopavze in staranja. Dobro počutje matere vpliva tudi na njeno družino. Zato ni čudno, da Kitajci posvečajo toliko pozornosti in denarja Zou Yuezhi 坐月.
Zou Yuezhi- Najbolj kritično poporodno obdobje okrevanja
V neposrednem prevodu Zou Yuezhi pomeni "mesec sedenja", kar pomeni 40 dni počitka in okrevanja v poporodni oskrbi po kitajskem običaju. Seveda Kitajci od matere ne zahtevajo le, da sedi in ničesar ne počne. Bistvo tega obdobja je, da se materi omogoči prostor in čas za okrevanje. Ker je mati porabila veliko energije in virov iz lastnega telesa za podporo rasti ploda, da ne omenjamo intenzivnega poroda.
V obdobju Zou Yuezhi je edina naloga ženske, da hrani in spoznava svojega otroka. Običajno ji mati, tašča ali obe posredujeta nekaj tehnik nege novorojenčka. Danes to delo večinoma opravlja poporodna negovalka, ki tudi pripravi hranljivo hrano za mater.
Po kitajski tradiciji se novi materi ne priporoča, da se hladi ali zmoči ali da ji piha veter, da dviguje težke predmete, niti da veliko bere ali gleda televizijo. Vse, kar po naši definiciji porablja energijo qi ali je nagnjeno k oslabitvi odpornosti, se močno odsvetuje.
Nosečnost in porod iz materinega telesa izčrpata kri in qi. Pogoste poporodne težave so:
Pomanjkanje Qi utrujenost, pogosto uriniranje, slab apetit, prebavne motnje, inkontinenca
Pomanjkanje krvi slaba proizvodnja materinega mleka, izpadanje las, omotica
Pomanjkanje jina zaprtje, prekomerno nočno potenje, nespečnost, depresija
Šibka odpornost pogosti prehladi in rdečice
Slaba prekrvavitev Bolečine v trebuhu, zadrževanje lohije (izcedka iz maternice)
Nasveti za poporodno nego TCM
Izogibajte se surovi ali hladni hrani in pijači. TCM odsvetuje uživanje hladne hrane in pijače tudi običajnim ljudem, kaj šele utrujeni in ranljivi novorojenki. Hladna in surova hrana zahteva več energije za prebavo, kar bi mater še dodatno oslabilo.
Izogibajte se ekstremnim temperaturam Optimalno okolje je za novorojenčka veliko bolj prefinjeno kot za običajne ljudi. Drugi družinski člani se bodo morali bolj prilagoditi materinim potrebam. Preveč vroče ali mrzlo, močan veter ali vlago je treba uravnavati. Vendar ne pozabite, da se NE smete neposredno izpostavljati klimatskim napravam ali ventilatorjem. Glavo, noge in trebuh naj bodo pokriti in na toplem. Lase posušite takoj po umivanju.
Izogibajte se nepotrebnim obiskovalcem ali obiskom Prvi mesec po porodu je za matere ključnega pomena za okrevanje, zdravljenje in pomlajevanje, da se pripravijo na bolj naporne mesece, ki so pred njimi. Izogibajte se obiskom v prenatrpanih krajih, ker je tam več bakterij in virusov. Morda boste želeli omejiti tudi število obiskovalcev.
Izogibajte se napornim dejavnostim Izogibajte se napornim vajam. Zaradi njih se lahko rana raztrga in upočasni celjenje. Poleg tega so mišice in vezi po nosečnosti še vedno zelo ohlapne, zato je več možnosti za poškodbe. Seveda pa tudi celodnevno sedenje ali spanje ni pravi način. Poskusite narediti nekaj preprostih razteznih vaj in ostanite aktivni..
Ustrezna hrana za poporodno nego
Hrana je vir energije in snovi, potrebnih za pravilno zdravljenje. Ne pozabite jesti rednih toplih obrokov. [Preberi več: Riž - izvor energije Qi] [Preberi več: Zdrava prehrana v tradicionalni kitajski medicini] Ni čarobne hrane, ki bi jo bilo treba jesti, le poskrbite za uravnoteženo prehrano. Začinjanje naj bo lahkotno. Vseeno pa nekatera živila vključujemo pogosteje kot običajno.
Sveži ingver - za ogrevanje, prebavo in odpornost
Črni sezam - za hranjenje ledvic. Izogibajte se mu, če imate drisko.
Črni kis - Pomaga odstraniti zastalo kri v ledvičnem sistemu.
Svinjske kračke, ribja jajca, tofu, fižol - zelo bogati s hranilnimi snovmi
Podpora TCM za okrevanje po porodu
Mnogi ljudje radi uporabljajo zeliščne dodatke za pomoč pri okrevanju. Priporočljivo je, da se posvetujete z zdravnikom TCM in recept za porodna zelišča, ki lahko pospešijo vaše okrevanje po porodu, pa tudi povečajo zalogo materinega mleka. Če se pojavijo druga telesna in čustvena neravnovesja, kot so nenormalna vaginalna krvavitev, nespečnost, depresija, izguba apetita, poiščite zdravniško pomoč.
TCM Postpartum Care Tips - Support Mothers During Confinement
From a TCM perspective, postpartum care is as important as the pregancy care, if not more. With appropriate care, a woman can recharge the energy exhaustion during pregancy and get ready for the demanding newborn care. It helps to preserve and enhance her reproductive health for future children and even for easier experience of menopause and aging. By extension, the mother’s well being also affects her family. No wonder the Chinese are paying so much, both attention and money, into Zou Yuezhi 坐月.
Zou Yuezhi- The Most Critical Postpartum Recovery Period
In direct translation, Zou Yuezhi means “sitting the month”, which is 40 days rest and recovery time in postpartum care in the Chinese custom. Of course, the Chinese are not just asking the mother to just sit and do nothing. The core idea of this period is to allow the mother room and time to recover. Because the mother has spent a lot of energies and resources from her own body to support the growth of the fetus, not to mention the intensive labouring.
During Zou Yuezhi, the woman’s only job is to feed and get to know her baby. Usually her mother or mother in law or both will pass on some newborn care techniques. Nowadays this job is mostly handled by the postnatal caregiver who also prepare nourishing food for the mother.
In the Chinese tradition, the new mother is not advised to get cold or wet or blown by wind, to lift heavy objects, not even reading or watching TV a lot. Anything that in our definition consuming Qi energy or prone to weaken the immunity are strongly discouraged.
Pregnancy and childbirth deplete Blood and Qi from the mother’s body. Common postpartum problems are:
Qi deficiency Fatigue, frequent urination, low appetite, indigestion, incontinence
Blood deficiency Poor breast milk production, hair loss, dizziness
Yin deficiency Constipation, excessive night sweats, insomnia, depression
Weak immunity Frequent cold and flus
Poor blood circulation Abdominal pain, retention of lochia (uterus discharge)
TCM Postpartum Care Tips
Avoid raw or cold food and drinks TCM advises against consuming cold food and drinks even for ordinary folks, let alone the tired and vulnerable newborn mother. Cold and raw food requires more energy for digestion that would further weaken the mother.
Avoid extreme temperature The optimal enviornment is much more refine for the newborn mother then regular folks. Other family members might need to be more adaptive to the mother’s need. Too hot or cold, strong wind or humidity should be regulated. However, do remember NOT to get direct exposure to air conditioners or fans. Keep the head, feet and abdomen covered and warm. Dry your hair immediately after washing.
Avoid unnecessary visitors or visits The first month after giving birth is crucial for mothers to recuperate, heal and rejuvenate to prepare themselves for busier months ahead. Avoiding going to crowded places because there are higher pervenelnce of bacteria and viruses. You may also wish to limit the number of visitors.
Avoid strenuous activities Strenuous exercises should be avoided. It might tear the wound and slows the healing. Also, the mucles and ligaments are still very loose after pregancy, there are more chances of injury. Of course, sitting or sleeping all day is not a way to go either. Try to do some simple stretching exercises to keep active.
Proper Food For Postnatal care
Food is the source of energy and material needed for proper healing. Remember to eat regular warm meals.
There are no magical food to eat, just keep a balanced diet. Keep the seasoning light. But still, some food we incorporate more often than usual.
Fresh Ginger – For warming, digestion and immunity
Black sesame – For Kidney system nourishing. Do avoid if one has diarrhea. [Read more: Health Benefits of Black Sesame Seeds in the view of TCM]
Black vinegar – Helps to remove stagnated blood in the Kidney system
Pig’s Trotters, Fish Eggs, Tofu, Beans – Very rich in nutrients
TCM Support for Postpartum Recovery
Many people like to use herbal supplements to aid the recovery. It is recommended that you consult with a TCM practitioner and a confinement herbs prescription that can speed up your postpartum recovery, as well as increase your breastmilk supply. If there are other physical and emotional imbalances like abnormal vigernal bleeding, insomina, depression, loss of apettite, please seek medical attention.