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        <div id="content-top1">Page 56 - Annelik YolculuÄŸu Gebelik ve DoÄŸum SÃ¼reci KitapcÄ±ÄŸÄ±</div>
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    <pre style="white-space:pre-line"><code>3.1. DOÄUM SONRASI BAKIM

LohusanÄ±n doÄŸum sonrasÄ± ilk 42 gÃ¼n yakÄ±ndan izlenmesi gerekir.
LohusanÄ±n, doÄŸum sonrasÄ± 3 kez doÄŸumun yapÄ±ldÄ±ÄŸÄ± hastanede, taburcu
olduktan sonra ise 3 kez aile saÄŸlÄ±ÄŸÄ± merkezlerince izlemleri yapÄ±lmalÄ±dÄ±r.

                      DOÄUM SONRASI BAKIM

             HASTANE           AÄ°LE SAÄLIÄI MERKEZÄ°

        0-1      1-6     6-24     2-5.       13-17.   30-42.
   SAATLER   SAATLER  SAATLER  GÃœNLER      GÃœNLER    GÃœNLER
DOÄUMHANE     SERVÄ°S   SERVÄ°S
                                ARASI       ARASI     ARASI

Kan uyuÅŸmazlÄ±ÄŸÄ± olan durumlarda doÄŸumu izleyen ilk 72 saat iÃ§inde
anneye 1 mL (300 ug) Rho (D) immÃ¼nglobulin kas iÃ§erisine enjekte
edilmelidir.

3.2. DOÄUM SONRASI AKINTI (LOÅÄ°)

DoÄŸumdan sonra rahimden hazne yolu ile kan ve serumun dÄ±ÅŸarÄ±ya
atÄ±lmasÄ±dÄ±r. Ortalama 10-15 gÃ¼n devam eder. Ä°lk 3 gÃ¼n doÄŸum sonrasÄ±
akÄ±ntÄ± (loÅŸi) daha kanlÄ±dÄ±r. DoÄŸumdan 4-5 gÃ¼n sonra doÄŸum sonrasÄ±
akÄ±ntÄ± (loÅŸi) pembe renk alÄ±r ve 7-8 gÃ¼n sonra ise Ã¶nce kahverengiye
sonra beyaza dÃ¶nÃ¼ÅŸÃ¼r. Kanama 3 gÃ¼nden fazla sÃ¼rerse rahimde eÅŸ
parÃ§asÄ± kalmÄ±ÅŸ olabilir. AkÄ±ntÄ± kokulu ise rahimde iltihaplanmanÄ±n
meydana geldiÄŸini gÃ¶sterir.

Dikkat!
DoÄŸum sonrasÄ±nda annenin erken dÃ¶nemde hareketlenmesi dolaÅŸÄ±mla
ilgili riskleri azaltÄ±r. DoÄŸumu izleyen ilk ayaÄŸa kalkmada annenin
tansiyon dÃ¼ÅŸÃ¼klÃ¼ÄŸÃ¼ yaÅŸama ihtimali olacaÄŸÄ±ndan mutlaka saÄŸlÄ±k
personeli yardÄ±mÄ± ve gÃ¶zetimi gerekir.

DoÄŸum sonrasÄ± akÄ±ntÄ± nedeniyle haznede mikroplar kolayca Ã¼reyebilir.
Bu nedenle lohusalÄ±k dÃ¶neminde Ã¶zellikle genital bÃ¶lge (perine)
temizliÄŸi Ã¶nemlidir. KullanÄ±lan hijyenik ped veya bezler sÄ±k sÄ±k
deÄŸiÅŸtirilmeli (gÃ¼nde 5-6 kez), tampon kullanÄ±lmamalÄ±dÄ±r.

Normal doÄŸum yapan bir anne kendini iyi hissettiÄŸinde banyo yapabilir.
Ayakta duÅŸ tercih edilmelidir. LohusalÄ±kta ve diÄŸer zamanlarda vajinal
duÅŸ (hazneyi yÄ±kama) yapÄ±lmamalÄ±dÄ±r.

Cinsel aktiviteye, annenin cinsel organÄ±nÄ±n normale dÃ¶ndÃ¼ÄŸÃ¼,
kanamasÄ±nÄ±n sona erdiÄŸi 6. haftaya kadar baÅŸlanmamalÄ±dÄ±r. Bu
dÃ¶nemde mikroplar kolay Ã¼rediÄŸinden cinsel iliÅŸkiden uzak durulmalÄ±dÄ±r.

54</code></pre>
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