Ukulinda Kwamasonto Amabili: Ukubhekana Nezimpawu, Okulindelekile, Nalokho Okufanele Ukwazi

“Isikhathi sokulinda kwamaviki amabili” (okuvame ukufushaniswa ngokuthi i-TWW) sibhekisela esikhathini esiphakathi kokuvuthwa kweqanda nokuqala okulindelekile komjikelezo wokuya esikhathini. Kulabo abaningi abafuna ukukhulelwa, lawa maviki amabili angazwakala njengokugibela i-roller coaster ngokomzwelo, njengoba usuku ngalunye ziletha inhlanganisela yokulangazelela, ithemba, futhi kwezinye izikhathi nokukhathazeka. Isikhathi sokulinda samaviki amabili asiyona inqubo yezebiology kuphela kodwa futhi siyisikhathi esigcwele imibuzo mayelana nezimpawu nezikhathi zokuhlolwa. Ukuqonda okwenzekayo kulesi sikhathi nokufunda ukubona izimpawu ezingaba khona zokukhulelwa kokuqala kungaletha ukucaca okuthile, nakuba kubalulekile ukusondela kulezi zimpawu ngokucophelela, ngoba ziyahlukahluka kakhulu futhi azisiwo ubufakazi obuqondile bokukhulelwa.

Isisekelo Sezebiology Sesikhathi Sokulinda Kwamaviki Amabili

Isikhathi sokulinda kwamaviki amabili siqala ngokushesha ngemuva kokuvuthwa kweqanda, okuwukukhishwa kweqanda elivuthiwe ku-ovari (isidladla seqanda), okuvame ukwenzeka cishe ngosuku lwesi-14 lomjikelezo wokuya esikhathini wezinsuku ezingama-28. Ngesikhathi sokuvuthwa kweqanda, iqanda linesikhathi esingaba yihora elingu-24 sokuchumiswa isidoda. Uma ukuchumisana kwenzeka, i-zygote ekhiqizwayo iqala uhambo lwayo yehla ethubeni le-fallopian iye esibelethweni, lapho ingase ifake khona esicongweni sodonga lwesibeletho. Lokhu kufakwa yikho ekugcineni okuholela ekukhulelweni, futhi uma kuphumelela, umzimba uqala ukukhiqiza i-human chorionic gonadotropin (hCG)—ihomoni etholakala ekuhlolweni kokukhulelwa.

Izimpawu Zakuqala Nesimo Somzimba Ngesikhathi Sokulinda Kwamaviki Amabili

Kwabanye abantu, izimpawu zesikhathi sokulinda kwamaviki amabili zingafana nalezo ezitholakala ekuqaleni kokukhulelwa, kanti abanye bangase bangazizwa behlukile neze. Izinguquko ezincane emzimbeni ngesikhathi se-TWW ngezinye izikhathi zingahambisana ne-izimpawu zokukhulelwa ezifihlekile, zinikeze imikhondo ngisho nangaphambi kokuba ukuhlolwa kuqinisekise ukukhulelwa. Izimpawu ezivame ukubikwa kulesi sikhathi zifaka phakathi:

1. Ukukhathala – Ukunyuka kwezinga le-progesterone, elibalulekile ekugcineni ukukhulelwa okungenzeka, kungakwenza uzizwe ukhathele kakhulu kunokujwayelekile [1].
2. Ubuhlungu Bamabele – Ubuhlungu noma ukuvuvukala kwamabele bungavela ngenxa yezinguquko zamahomoni ngemuva kokuvuthwa kweqanda.
3. Ukubanjwa Kancane Yisisu Noma Ukopha Okuncane – Abanye abantu baba nokubanjwa yisisu okubangelwa ukungena kwe-embryo noma ukubona amabala amancane egazi, okwenzeka cishe ezinsukwini ezi-6–12 ngemuva kokuvuthwa kweqanda uma ukungena kwenzeka.
4. Isicanucanu Nokwenyanya Ukudla – Yize ngokuvamile ihlotshaniswa nokukhulelwa okuhambela phambili, abanye abantu babika isicanucanu esincane ngesikhathi sokulinda kwamaviki amabili (TWW).
5. Izinguquko zesimo sengqondo – Ukuguquguquka kwe-estrogen ne-progesterone kungaholela ekushintshashintsheni kwesimo sengqondo nasekuqiniseni imizwa [2].

Ukuhlukanisa i-PMS Nokukhulelwa Kwangasekuqaleni

Ingxenye enzima ye-TWW ukuthi eziningi zalezi zimpawu zifana kakhulu nezimpawu zangaphambi kokuya esikhathini (PMS). Lobu bufana bungenza kube nzima ukunquma ukuthi izinguquko zihlobene nokukhulelwa noma ziyingxenye nje yomjikelezo wokuya esikhathini. Ngenkathi izimpawu ze-TWW ezifana nokukhathala, ukuvuvukala, nobuhlungu bamabele zivamile ku-PMS nasekuqaleni kokukhulelwa, uhlobo olungajwayelekile noma oluqinile lwezimpawu zakho ezijwayelekile lungaba uphawu oluthambile [3].

Kodwa, kubalulekile ukukhumbula ukuthi ukungabi nazo zimpawu akusho ukuthi awukhulelwe. Abantu abaningi babika ukuthi abanaso isinguquko esibonakalayo kuze kudlule isikhathi esiphutshiwe, kanti abanye bazwa izimpawu ezinzima zisencane. Umzimba ngamunye uhlukile, futhi izimpawu zingahluka kakhulu.

Ukuphatha Izinhlangothi Zengqondo Zezinsuku Ezimbili Zamaviki Zokulinda

I-TWW ingaba yinselelo ngokwengqondo. Ukulawula okulindelekile, ukulinganisela ithemba, nokunciphisa ingcindezi konke kubalulekile ekuphileni kahle. Nakuba kujwayelekile ukunaka izimpawu ezingaba khona, kuyasiza futhi ukugxila ekuzinakekeleni nasekwenzeni eminye imisebenzi kulesi sikhathi. Ukufaka Conceive Plus Ukusekela Ukukhishwa Kwamaqanda emkhubeni wakho kungasiza ukulinganisa amahormone nokusekela ukukhishwa kwamaqanda okuvamile, okuyinto ebalulekile ohambweni lokuzama ukukhulelwa. Nawa amasu angakusiza:

• Hlala Umatasatasa Ngezenzo Ozithandayo – Ukujabulela izinto ozithandayo, ukuchitha isikhathi nabangane nomndeni, noma ukwenza imisebenzi yokuphumula kungakusiza ukudlulisa isikhathi nokunciphisa ukukhathazeka.
• Zijwayeze i-Mindfulness noma Ukuzindla – Amasu afana ne-mindfulness nokuzindla angasiza ukuthulisa ingqondo nokunciphisa ingcindezi.
• Gwema Ukuvivinya Ngokweqile – Nakuba kungase kuhehe ukuthatha izivivinyo zokukhulelwa kusenesikhathi, ukulinda kuze kube usuku okufanele kufike ngalo isikhathi sakho noma kancane ngemva kwalokho kuvame ukuletha imiphumela ethembekile kakhulu futhi kugweme ukudumala okungenzeka okubangelwa imiphumela emibi yamanga.

Isikhathi Sokuthatha Isivivinyo Sokukhulelwa

Izivivinyo zokukhulelwa zasekhaya zakhelwe ukuthola i-hCG, i-hormone yokukhulelwa. Ezinye izivivinyo zithi zithola i-hCG izinsuku eziningana ngaphambi kokuthi uphutshwe yisikhathi, kodwa ukuze uthole imiphumela enembile kakhulu, kunconywa ukulinda kuze kube usuku lokuqala lwesikhathi esiphutshiwe. Lokhu kungenxa yokuthi, noma ukutshalwa kwembryo sekwenzekile, amazinga e-hCG angase abe sephansi kakhulu ukuba abhaliswe ekuhlolweni kwangaphambi kwesikhathi. Ukuhlolwa kokukhulelwa phakathi nezinsuku ezimbili zamaviki zokulinda kungaba nenembile kakhulu uma ulinda bese usebenzisa umchamo wokuqala ekuseni, ovamise ukuba nokugxila okuphezulu kwe-hCG.

Imibono Engalungile Ejwayelekile Mayelana Nesikhathi Sezinsuku Eziyisibili Zokulinda

1. Ukuhlolwa Kusenesikhathi Kuzohlala Kubona Ukukhulelwa – Akuzona zonke izivivinyo ezibucayi ngokulinganayo, kanti namazinga e-hCG ayahluka kumuntu nomuntu. Ukuhlola kusenesikhathi kakhulu kungaholela emiphumeleni emibi yamanga.
2. Izimpawu Ezinamandla Zilingana Nokukhulelwa – Abanye abantu bacabanga ukuthi ukuba nezimpawu ezinamandla ngesikhathi se-TWW kusho amathuba aphezulu okukhulelwa. Nokho, izimpawu zodwa azithembekile njengenkomba.
3. Ukungabi Nazimpawu Kusho Ukungakhulelwa – Njengoba ukuvela kwezimpawu kungasiqinisekisi ukukhulelwa, ukungabi nazo izimpawu akusho ukuthi ukukhulelwa akuzange kwenzeke.

Ukuqonda iBhayoLoji Yokufakwa Ngempumelelo

Ukufakwa ngempumelelo, okuthi ngokuvamile kwenzeke phakathi kwezinsuku eziyi-6 kuya kweziyi-10 ngemuva kokuvuthwa kwamaqanda, kuyisinyathelo esibalulekile ekukhulelweni. Ngemuva kokufakelwa, i-zygote yahlukana yaba amaseli amaningi njengoba ihamba iya esibelethweni. Uma isifinyelele esibelethweni, umbungu kumele unamathisele odongeni lwesibeletho, inqubo esekelwa amazinga aphezulu e-progesterone. Lapho ukufakwa kuphumelela, umbungu uzothumela isignali emzimbeni ukuze uqale ukukhiqiza i-hCG, okuholela ezimpawini zalesi sikhathi sezinseku ezimbili zokulinda ezingase zifake ubuhlungu obuthambile esiswini noma amachashaza ombala wegazi. Nokho, kubalulekile ukuqaphela ukuthi lezi zimpawu aziveliseli kubo bonke abantu futhi azihlali zibonakala.

Isifinyezo: Ukuthola Ibhalansi Esikhathini Sezinsuku Eziyisibili Zokulinda

Ngokuvamile, lezi zinsuku ezi-2 zokulinda ziyisikhathi sethemba nokulangazelela, kodwa kubalulekile ukusibhekana nazo ngesineke nangozwelo kuwe uqobo. Okuhlangenwe nakho ngakunye phakathi nalesi sikhathi kuhlukile, kanti abanye bangase babe nezimpawu ze-TWW, kuthi abanye bangase bangaboni lutho olungajwayelekile. Noma ngabe ubhekene nezinselele zemizwa noma udidekile ngokuthi isikhathi esifanele sokwenza ukuhlolwa kokukhulelwa sinini, ukugcina umqondo ophilile, ukugwema ukuhlolwa ngokweqile, nokugxila ekuzinakekeleni kuwusizo ekudluliseni lezi zinsuku ezimbili. Khumbula, noma izimpawu zokukhulelwa zikhona noma azikho, konke kujwayelekile, kanti nohambo ngalunye oluya ekukhulelweni luhlukile.

Imithombo

1. E.W. Harville, A.J. Wilcox, D.D. Baird, C.R. Weinberg, Ukopha kwesitho sangasese sowesifazane ekuqaleni kakhulu kokukhulelwa, Human Reproduction, Volume 18, Issue 9, September 2003, Pages 1944–1947, https://doi.org/10.1093/humrep/deg379
2. American Pregnancy Association. (2015). Ukushintsha kwemizwa ngesikhathi sokukhulelwa. Kutholwe ngo-November 09, 2024, kusuka ku- https://americanpregnancy.org/pregnancy-health/mood-swings-during-pregnancy 
3. Foxcroft KF, Callaway LK, Byrne NM, Webster J. Ukuthuthukiswa nokuqinisekiswa kohlu lwezimpawu zokukhulelwa. BMC Pregnancy Childbirth. 2013 Jan 16;13:3. https://pmc.ncbi.nlm.nih.gov/articles/PMC3599678/