Ukuphuma koketshezi uma usukhulelwe amasonto angu-3: Okudingeka ukwazi
Emasontweni angu-3 ukhulelwe, abantu abaningi sebeqala nje ukubona izimpawu zokuqala zokukhulelwa, nakuba abanye bengase bangazi nokuthi sebenyamalele. Enye yezimpawu zokuqala kubaningi ukushintsha koketshezi lwesibeletho noma uketshezi lwesitho sangasese sowesifazane, okungakwazi ukunikeza imikhondo ngalokho okwenzeka emzimbeni. Lapha, sizohlola lokho ongakulindela mayelana noketshezi ngesikhathi sokuqala sokukhulelwa, ukuthi kwehluka kanjani ezimpawini ezivamile zangaphambi kokuya esikhathini, nokuthi yiziphi izinguquko ezingaqhubeka emasontweni azayo.
Kweni Ukwenzeka Ngoketshezi Uma Usemasontweni ama-3 Ukhulelwe?
Ngalesi sigaba, uma ukuchuma sekwenzekile, iqanda elichumayo lihamba emgodini wesibeletho (fallopian tube) lilungiselela ukungena esibayeni sesibeletho. Esikhathini sokuqala sokukhulelwa, amazinga amahomoni, ikakhulukazi i-estrogen ne-progesterone, aqala ukukhuphuka, okungaholela ekwandeni koketshezi lwesitho sangasese sowesifazane. Lokhu okubizwa ngokuthi i-leukorrhea, uketshezi oluncane, olumhlophe olufana nobisi ngokuvamile alunaphunga noma lunephunga elibuthakathaka. Ukuhlanganisa izithasiselo zokukhulisa amandla okukhulelwa eziqukethe amavithamini anjenge-folate, zinc, ne-CoQ10 kungase kusekele ibhalansi yamahomoni futhi kulungise umzimba ezigabeni zokuqala zokukhulelwa, kusize emisebenzini yemvelo ekhuthaza uketshezi olunempilo kanye nempilo enhle yokuzala. Abanye abantu bayalubona lolu ketshezi lwamasonto ama-3 ekhulelwe njengolunye lwezimpawu zokuqala zokuthi kukhona okushintshile emjikelezweni wabo [1].
Uketshezi Olumhlophe Ngaphambi Kokuya Esikhathini: Ingabe Kuyisibonakaliso Sokukhulelwa Noma Cha?
Abaningi bayazibuza ukuthi uketshezi olumhlophe ngaphambi kokuya esikhathini ingabe kuyisibonakaliso sokukhulelwa esithembekile. Nakuba uketshezi olumhlophe lungavela ezinsukwini ezisondela kokuya esikhathini, ukwanda okubambekayo kwe-leukorrhea, noma uketshezi olubonakala luthambile futhi lunamafutha kakhulu kunokujwayelekile, kungase kukhombise ukukhulelwa. Lokhu kwanda koketshezi olumhlophe kubangelwa amazinga aphezulu e-estrogen nokulungiselela komzimba ukweseka izigaba zokuqala zokukhulelwa. Nokho, ngoba izimpawu «zoketshezi ngaphambi kokuya esikhathini» nezokukhulelwa zingafanana, uketshezi lodwa akufanele luthembelwe njengeqiniso lokuqinisekisa ukukhulelwa.
Izimpawu Zokuqala Zokukhulelwa: Uketshezi Njengomkhondo
Ngenxa yokushintsha kwamazinga amahomoni, uketshezi phakathi nezimpawu zokuqala zokukhulelwa kungahluka ngobuningi nangokunamathela, ngokuvamile kuba sobala kakhulu futhi kancane kushube kunokujwayelekile. Kulabo abazibuza ukuthi ingabe uketshezi kuyisibonakaliso sokuqala sokukhulelwa, impendulo ithi yebo, ngoba ukwanda koketshezi kujwayelekile ngenxa yezinguquko zamahomoni ezidingekayo ukweseka ukukhulelwa kokuqala. Ngokungafani noketshezi oluhambisana nokuya esikhathini, uketshezi lokuqala lokukhulelwa kuvame ukuqhubeka njalo, hhayi ukuncipha kancane kancane njengokujwayelekile ngaphambi kokopha.
Ukuqhubeka Koketshezi Ekuqaleni Kokukhulelwa: Kusuka Emasontweni ama-5 Kuya Kwangu-9
Ngenkathi ukukhulelwa kuqhubeka, uketshezi kungaqhubeka nokwanda ngenxa yezinye izinguquko zamahomoni. Emasontweni ama-5 ukhulelwe, uketshezi lungase luqale ukubonakala kakhulu, abantu abaningi bebhika uketshezi oluncane, olumhlophe, noma oluphuzunge okunsundu-kunsomi kancane. Lapho ususemasontweni ama-6 ukhulelwe unoketshezi, noma emasontweni ama-6 ukhulelwe bese kuvela uketshezi, ukukhiqizwa kwemucus kungakhula, okusiza ukugcina indawo yesitho sangasese sowesifazane inempilo nokunciphisa ingozi yokutheleleka [2].
Labo abahlangabezana nobuhlungu obuncane bokubamba esiswini (cramping) kanye noketshezi olumhlophe besemavikini ama-6 bekhulelwe bangase bakhathazeke, kodwa ukuzwa ukuvala esiswini okuncane nokwanda koketshezi kuvame ukuba kujwayelekile njengoba umzimba ulungiselela ukukhulelwa okukhulayo. Lapho ususemasontweni ama-7 ukhulelwe unoketshezi, umzimba usuqophe ngokuphelele ekukhiqizeni amahomoni, kanti isibeletho (cervix) sikhulula i-mucus eningi ukuze kwakheke i-mucus plug, ezovikela isibeletho kamuva.
Lapho usufika emasontweni angu-9 ukhulelwe, uketshezi lungase lube lukhulu kakhulu. Ngokuvamile luhlala lukhanyayo ngombala, njengokumhlophe noma okuphuzi okhanyayo, futhi lunobuningi obuncane obuncibilikayo. Lolu hlobo loketshezi luyingxenye ejwayelekile yokukhulelwa kokuqala futhi ngokuvamile aludingi ukukhathazeka ngaphandle uma luhambisana nezimpawu ezifana nokuluma, iphunga elinamandla, noma ukungakhululeki, okungenzeka kubonise ukutheleleka.
Ukuhlukanisa Uketshezi Lwesikhathi Sokukhulelwa Nokokuthi Usuzoya Esikhathini
Abantu abaningi bafuna ukwazi umehluko phakathi koketshezi ngesikhathi sokukhulelwa noketshezi ngaphambi kokuya esikhathini ngoba lezi zimpawu zingazwakala zifana. Ukuqonda umehluko koketshezi ngaphambi kokuya esikhathini uma kuqhathaniswa nokuqalisa ukukhulelwa kungakusiza ukubona izimpawu zokuqala zokukhulelwa. Ngokuvamile, uketshezi olusondela esikhathini luvame ukuba lukhulu futhi lushube kancane ngaphambi kokuba usuke egazini, futhi lungaba nombala omnyama, njengokunsundu noma ophuzi osundu, njengoba umzimba ulungiselela ukukhipha ungqimba lwesibeletho. Ngokuphambene nalokho, uketshezi lokuqala lokukhulelwa kuvame ukuba lukhanyayo ngombala nangokunamathela futhi alucimi kancane njengalokhu kwenzeka ngaphambi kokuya esikhathini. Ukuqapha ubuso boketshezi, ukunamathela kwalo nobuningi balo kungakunikeza imikhondo emincane yokuthi kungenzeka ukuthi usuzoya esikhathini noma ukhulelwe.
Uketshezi Lokukhulelwa Ngaphambi Kokuthi Usale Ngasikhathi Sokuyeka Esikhathini
Abanye abantu bayabubona uketshezi lokukhulelwa ngaphambi kokuthi kuphutheke isikhathi sokuya esikhathini, okungase kubonakale njengokugeleza okuqhubekayo kwemucus emhlophe efana nobisi, ehlukile emaphethini abo ajwayelekile omjikelezo. Lokhu kungaba ngomunye wemikhondo yokuqala yokukhulelwa, ikakhulukazi uma kuhambisana nezinye izimpawu zokuqala, njengokubamba esiswini okuncane noma ubuhlungu obuthambile bamabele.
Kulabo abazibuza, ukuthi i-leukorrhea iqala nini ngesikhathi sokukhulelwa, impendulo iyahluka, kodwa abantu abaningi babona ukwanda koketshezi emasontweni okuqala ngemuva kokuchuma. Lolu ketshezi luyingxenye ejwayelekile yokukhulelwa futhi liyindlela umzimba azihlambulula ngayo ngokwemvelo endaweni yesitho sangasese sowesifazane, ukuze ugcine ungenabacteria [3].
Uketshezi Olumhlophe Ngemuva Kokulala Ngesondo: Ingabe Kuyisibonakaliso Sokukhulelwa?
Omunye umbuzo ovamile uthi, "ingabe uketshezi olumhlophe ngemuva kokulala ngesondo kuyisibonakaliso sokukhulelwa?" Nakuba uketshezi olumhlophe ngemuva kokulala ngesondo lungavela ngezizathu ezahlukene, akusona ngaso sonke isikhathi isibonakaliso esiqondile sokukhulelwa. Nokho, uma ukukhulelwa sekuvele kwenzekile, abanye bangase babone ukwanda kwe-leukorrhea ngenxa yezinguquko zamahomoni ezingaqina ngemuva kokulala ngesondo. Lolu ketshezi olumhlophe kungenzeka kube uphawu lokuqala lokukhulelwa uma luvamise ukuvela nezinye izimpawu, njengamabele abuhlungu noma isicanucanu esincane.
Imicabango Yokugcina Ngoketshezi Ekuqaleni Kokukhulelwa
Kusukela emasontweni ama-3 nje, ukukhulelwa kungaletha izinguquko ezincane koketshezi ezingakunikeza imikhondo ngalokho okwenzeka emzimbeni. Kulabo abafisa ukuhlukanisa «izimpawu zoketshezi ngaphambi kokuya esikhathini» nezokukhulelwa, kuwusizo ukunakwa umbala, ukunamathela, nobuningi. Nakuba uketshezi olumhlophe luvamile kokubili ekuqaleni kokukhulelwa nasengaphambi kokuya esikhathini, uketshezi oluhlala lukhanyayo, luthambile, futhi lungenaphunga kungase kukhombise ukukhulelwa kokuqala.
Ngenkathi ukukhulelwa kuqhubeka, ukwanda koketshezi kuvame ukuqhubeka, nezinguquko ezibonakalayo zibonakala emasontweni ama-5, ama-6, nawesi-7 ukhulelwe. Nakuba uketshezi lungafani kumuntu nomuntu, ngokuvamile kubhekwa njengokujwayelekile ngaphandle uma seluba nombala ongajwayelekile, iphunga elinamandla, noma kuhambisana nokungakhululeki, okungenzeka kubonise ukutheleleka. Ukulandelela lezi zinguquko ezincane kungakunikeza ulwazi, kodwa kubalulekile ukukhumbula ukuthi wonke ukukhulelwa kuhluke futhi uketshezi lodwa alukwazi ukuqinisekisa ukukhulelwa.
Imithombo Yolwazi
- Deutchman, M., Tubay, A. T., & Turok, D. (2009). Ukopha kwikota yokuqala yokukhulelwa (First trimester bleeding). American Family Physician, 79, 985–994. https://pubmed.ncbi.nlm.nih.gov/19514696/
- American College of Obstetricians and Gynecologists. (2019). Ukopha ngesikhathi sokukhulelwa. FAQ038. Kutholwe ngoNovemba 10, 2024, ku-https://www.acog.org/womens-health/faqs/bleeding-during-pregnancy
- March of Dimes. (2013). Ukungakhululeki okuvamile ngesikhathi sokukhulelwa. Kutholwe ngoNovemba 10, 2024, ku-https://www.marchofdimes.org/pregnancy/common-discomforts-of-pregnancy.aspx
