memasuki fasa kesuburan semula<\/span>.<\/p>\nJadi janganlah hairan jika seorang wanita hamil semula setelah mula melakukan jima\u2019 bersama suami. Apabila wanita itu mengalami kelewatan haid, maka segeralah melakukan ujian UPT atau ultrasound untuk mengesahkan kehamilan.<\/p>\n
Namun ada juga wanita yang mengalami kitaran haid yang tidak tetap, selepas melahirkan anak. Jika berasa letih, sakit pada payudara, rasa loya dan muntah, bolehlah berjumpa dengan doktor untuk pengesahan.<\/p>\n
Selain itu ibu yang menyusukan mungkin juga mengalami tanda kehamilan apabila mengalami kekeringan dan sakit pada puting payudara secara tiba-tiba. Walaubagaimanapun ia bukanlah tanda kehamilan yang pasti.<\/p>\n
Bagi wanita yang mendapat nutrisi yang cukup dan rehat yang diperlukan<\/strong>, tentu tidak ada masalah untuk menyusukan anak dan hamil dalam masa yang sama. Doktor akan monitor<\/em> pertambahan berat badan wanita hamil<\/span> setiap kali datang untuk pemeriksaan antenatal bagi memastikan mereka cukup nutrisi yang diperlukan.<\/p>\nBayangkan menyusukan anak memerlukan tenaga dan kalori yang banyak dari tubuh wanita itu. Dicampur dengan kehamilan pula, yang mana setiap makanan yang diambil oleh ibu akan dikongsikan bersama anak dalam rahem. Anak kecil pula sedang aktif dan perlu dipantau aktivitinya menyebabkan wanita ini kepenatan. Ditambah lagi dengan kepenatan akibat pekerjaan di tempat kerja. Sungguh mujahadah wanita-wanita ini.<\/p>\n
Kadangkala ibu hamil yang menyusukan anak akan merasa sakit perut akibat pengecutan rahem (uterine contractions<\/em>) namun ia tidak merbahaya. Ini kerana badan mengeluarkan hormone oxytocin<\/strong> ketika menyusukan bayi, bagi menggalakkan pengeluaran susu dan dalam pada masa yang sama menyebabkan rahem mengecut.<\/p>\nNamun rahem hanya akan mengecut sepenuhnya oleh hormone oxytocin selepas umur kehamilan 37 minggu. Jika wanita itu sihat dan kehamilannya tidak bermasalah, maka penyusuan tidak akan menyebabkan pengecutan rahem secara berlebihan.<\/p>\n
Doktor tidak menggalakkan penyusuan jika <\/strong>kehamilan itu mempunyai masalah seperti :<\/p>\n\n- mengalami sakit perut yang terlalu kuat atau terdapat pendarahan dari vagina<\/li>\n
- pernah mengalami kelahiran anak pra matang<\/li>\n
- pernah mengalami keguguran ketika hamil<\/li>\n<\/ul>\n
Ini kerana wanita ini mempunyai rahem yang sangat sensitif terhadap hormone oxytocin, dibimbangi penyusuan akan menyebabkan banyak hormone itu akan dikeluarkan dan merangsang rahem untuk mengecut.<\/p>\n
Ada wanita yang mengadu pengeluaran susu semakin berkurang apabila kehamilan memasuki usia 5-6 bulan. Selain itu payu dara akan mengeluarkan semula susu awal kolostrum untuk bayi yang bakal dilahirkan.<\/p>\n
Oleh kerana kuantiti susu semakin sedikit dan rasa susu kolustrum agak berlainan, ramai anak-anak yang menyusu ini telah mengurangkan penyusuan mereka. Pemakanan mereka harus digantikan dengan makanan lembut yang berkhasiat.<\/p>\n
Nasihat Pemakanan<\/h3>\n
Bagi ibu yang bekerja dan terpaksa menjaga anak yang sedang membesar, mungkin berasa penat ketika pulang ke rumah. Kepenatan sebegini akan mengurangkan pengeluaran susu. Mereka memerlukan tenaga yang banyak untuk bekerja, dan melayan anak yang sedang membesar ketika pulang dari rumah. Selain itu mereka juga memerlukan lebih tenaga untuk pengeluaran susu dan membesarkan anak yang berada dalam rahem.<\/p>\n
Wanita yang hamil memerlukan lebih kurang 200-400 kalori tambahan untuk bayi dalam rahem dan jika menyusukan anak bilangan kalori yang lebih diperlukan iaitu antara 600-800 kalori tambahan dalam sehari. Ia harus diambil dalam pemakanan seimbang pada waktu yang kerap dan mengandungi daging, susu, karbohidrat dan sayur-sayuran.<\/span><\/p>\nJika tidak, wanita itu akan berasa lemah kerana mereka baru saja menghabiskan nutrient yang disimpan semasa kehamilan yang lalu dan terpaksa menghabiskan lagi baki simpanan nutrient untuk kehamilan seterusnya di samping untuk penghasilan susu.<\/p>\n
Pemakanan mereka harus kaya dengan zat besi, folic acid, kalsium dan vitamin D <\/span>bagi tumbesaran bayi dalam rahem dan pengeluaran susu. Jika tidak, mereka harus mengambil supplemen berbentuk pil bagi menampung keperluan ini.<\/p>\nPastikan cukup rehat ketika kehamilan berusia beberapa bulan pertama dan beberapa bulan terakhir, sebelum melahirkan. Kalau mampu mintalah bantuan jiran atau saudara bagi menjaga anak kecil yang aktif untuk beberapa jam agar dapat berehat.<\/p>\n
Wallahu a\u2019lam.<\/p>\n
Susunan : Dr Zubaidi Hj Ahmad (270811)<\/p>\n
Rujukan:<\/p>\n
\n- Merchant K et al (1990) \u201cMateral and fetal responses to the stresses of lactation concurrent with pregnancy and of short recuperative intervals\u201d. <\/em>Am J Clin Nutr 52:280-88.<\/li>\n
- Mohrbacher N & J Stock (1997) \u201cBreastfeeding Answer\u201d Book<\/em>, Revised Edition. La Leche League International.<\/li>\n
- Moscone SR & MJ Moore (1993) \u201cBreastfeeding during pregnancy\u201d<\/em>. J Hum Lactation 9(2), 83-88.<\/li>\n
- Neville MC & MR Neifert (1983) \u201cLactation: physiology, nutrition and breast-feeding\u201d.<\/em> Plenum Press.<\/li>\n
- Newton N & M Theotokatos (1973) \u201cBreastfeeding during pregnancy in 503 women: does a psychobiological weaning mechansim exist in humans?\u201d<\/em> Emotion and reproduction 20B:845-849.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"
\u201cHamil lagi..??!!\u201d \u201cIsh abang ni. Macam tak percaya pulak. Yang buat saya mengandung adalah abang. Abang jangan buat-buat tak percaya pulak\u201d. Saya nak tergelak mendengar perdebatan suami-isteri itu. \u201cDoktor, macam mana ni, anak saya baru masuk umur satu tahun. Masih lagi menyusu badan.\u201d keluh si isteri. \u201cMaaf puan, saya tak buat pengguguran bayi. Saya takut …<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[186,6],"tags":[803,273,4765,1945,911,2756,4859,4114,4858,4849,4835,3774,2531,4541,4516,504,3773,16,3767,1638,1168,2296,4370,4779,4738,4124,3584,4857,4748,175,4747,510,3997,4145,2800,711,3068,129,4745,4740,452,338,1376,846,1001,4742,1887,5478,1518,1403,1357,24,1358,212,671,1481,4850,421,4854,1608,3108,4852,4780,1697,4513,4514,1477,639,4798,4373,4743,4840,4515,3768,1581,967,3382,5474,4372,4853,477,4520,4749,3383,1984,4861,1388,3371,650,4838,3959,4517,1688,4617,230,4836,3585,1545,278,4837,2557,244,108,3708,1827,2614,434,3107,4374,4464,1806,1991,1685,399,4744,748,3504,4184,2673,3769,2245,4856,3061,3717,3942,2626,4511,2433,2210,4381,1158,2778,3135,2805,1631,4737,144,4799,539,1577,3776,3777,2500,1976,3775,3545,2288,4094,1939,946,3643,4519,2198,1339,44,4753,3673,3716,775,1580,1515,3911,2469,2603,2327,1282,450,2067,2559,766,2847,101,4739,4750,1783,382,4751,1201,5477,1160,3718,2463,2880,951,1864,1316,4741,4677,1299,1164,69,1478,4126,1679,3770,648,3771,272,1409,2420,4236,4044,4510,4521,1843,3772,308,4752,1985,3018,4235,178,4096,1610,4586,4512,3797,2348,4098,4860,2842,611,3413,4369,2597,4764,4746,2944,3259,2670,3153,4863,622,4371,3350,451,2161,3030,4855,1317,4841,4864],"class_list":["post-2042","post","type-post","status-publish","format-standard","","category-perancangan-keluarga","category-pregnancy","tag-air","tag-air-mani","tag-ali","tag-anak","tag-anemia","tag-antacid","tag-antasid","tag-aspirin","tag-ayperi","tag-balik","tag-bangun-malam","tag-barah-hati","tag-barah-rahim","tag-baru","tag-batin","tag-batu-karang","tag-beku","tag-bengkak","tag-bentuk-badan","tag-berat-badan","tag-berdebar-debar","tag-berjalan","tag-berjauhan","tag-berlubang","tag-bertahan","tag-besar","tag-biodex","tag-bishkek","tag-bleeding","tag-bmi","tag-buang-rahem","tag-buasir","tag-cair","tag-cancer","tag-cecair","tag-cervix","tag-cesarean","tag-clomid","tag-colon","tag-colonoscopy","tag-colustrum","tag-dc","tag-darah","tag-darah-pekat","tag-diabetes","tag-dubur","tag-ed","tag-ekf","tag-ekstrak-kacip-fatimah","tag-endometriosis","tag-erectile-dysfunction","tag-estrogen","tag-ezerex","tag-faraj","tag-farmasi-2","tag-fibroid","tag-gastik","tag-gastrik","tag-gastritis","tag-gatal","tag-gaya-hidup","tag-gelusil","tag-gempal","tag-gemuk","tag-gold","tag-gunung","tag-haid","tag-hamil","tag-hari","tag-hari-kelepasan","tag-hemoroid","tag-herpes","tag-hirudin","tag-hodoh","tag-hormon","tag-hospital","tag-hubungan","tag-hubungan-intim","tag-hujung-minggu","tag-hulu","tag-hysterectomy","tag-iateri","tag-intermenstrual","tag-intim","tag-isteri","tag-jamban","tag-jantung","tag-jernih","tag-jimak","tag-jogging","tag-jom","tag-jumaat","tag-kahwin","tag-kambing","tag-kanser","tag-kegel","tag-kembar","tag-kemoterapi","tag-kemurungan","tag-kemut","tag-kencing","tag-kencing-manis","tag-keputihan","tag-kerja","tag-kesan-sampingan","tag-kesihatan","tag-kesuburan","tag-keturunan","tag-kiataran-haid","tag-kira","tag-kitaran-haid","tag-klimaks","tag-klinik","tag-kolestrole","tag-kolon","tag-kondom","tag-kualiti","tag-kuat","tag-kulit","tag-kurang-menarik","tag-kurus","tag-kyrgystan","tag-lahir","tag-lama","tag-lebih","tag-lembu","tag-lintah","tag-loya","tag-loya-dan-muntah","tag-lubang","tag-luka","tag-makan","tag-malam","tag-mammogram","tag-mandul","tag-mani","tag-mati-pucuk","tag-mengira","tag-menyusu-ketika-hamil","tag-merah","tag-mesra-alam","tag-mesra-tubuh","tag-minyak","tag-minyak-lintah","tag-mood-yang-tidak-menentu","tag-mudah","tag-muntah","tag-nafas","tag-najis","tag-nicu","tag-nikah","tag-orgasme","tag-otak","tag-ovari","tag-oxytocin","tag-pad","tag-pangkal-rahim","tag-panjang","tag-pap-smear","tag-payudara","tag-pcos","tag-pe","tag-pedih","tag-pemakanan","tag-pemeriksaan","tag-pendarahan","tag-pengecutan-rahem","tag-penyakit","tag-perut","tag-phytoestrogen","tag-pil-hormone","tag-pil-perancang","tag-polyps","tag-postmenstrual","tag-pramatang","tag-premature-ejaculation","tag-premenstrual","tag-progestrone","tag-proxeed-plus","tag-psoriasis","tag-puas","tag-punggung","tag-radioterapi","tag-rahim","tag-rambut","tag-ranjang","tag-rectum","tag-ringan","tag-ruam","tag-sakit-jantung","tag-sakit-kepala","tag-sakit-payudara","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\u201cSalam doktor. Saya berumur 23 tahun, telah berkahwin selama 3 tahun. Masalah saya ialah saya adalah pesakit jantung berlubang, malangnya saya telah keguguran sebanyak dua kali sepanjang perkahwinan itu. Menurut doctor, keguguran kali pertama keguguran disebabkan saya terlalu lemah untuk meneruskan kehamilan, sementara keguguran kedua berlaku dengan sendiri kerana\u2026","rel":"","context":"In "Wanita"","block_context":{"text":"Wanita","link":"https:\/\/drzubaidi.com\/blog\/category\/koleksi-artikel\/wanita\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":6515,"url":"https:\/\/drzubaidi.com\/blog\/clomid-untuk-hamil-kembar\/","url_meta":{"origin":2042,"position":2},"title":"CLOMID UNTUK HAMIL KEMBAR","author":"drzubaidi","date":"27\/09\/2014","format":false,"excerpt":"\u00a0 \u201cSalam. Saya hendak bertanya, adakah doctor membuat rawatan untuk mendapat anak kembar? Saya tidak ada masalah untuk hamil dan kitaran haid saya tetap dan normal. 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