Izimpawu Zokuqala Zokukhulelwa Eziyisi-8: Okufanele Ubheke
Ukukhomba ukukhulelwa ezigabeni zokuqala kungaba yinselele, ngoba izimpawu zivame ukufana neziphawu zangaphambi kokuya esikhathini noma nezinye izinkinga zempilo. Nokho, ukwazi ukuthi yini okufanele uyibheke kungasiza kulabo abafuna ukukhulelwa ngokuzimisela. Nasekubeni kusetshenziswa izindlela zokuvimbela ukukhulelwa, ukubona izimpawu zokuqala zokukhulelwa usebenzisa izindlela zokuvimbela ukukhulelwa kubalulekile, ngoba ayikho indlela engu-100% ephumelelayo. Lapha, sichaza izimpawu eziyi-8 zokuqala zokukhulelwa okufanele uzibheke, kanye nokuqonda ukuthi izimpawu zingaqala nini nokuthi ungazihlukanisa kanjani nezinye izimo.
1. Ukukhathala Nokukhathala Okungajwayelekile
Ukuzwa ukhathele ngendlela ongajwayelekile kungesinye sezimpawu zokuqala zokukhulelwa. Ukukhuphuka kwamazinga e-progesterone kudlala indima ebalulekile ekusekeleni ukukhulelwa okukhulayo kodwa kungadala nokwanda kokozela nokukhathala. Lesi sifo singaqala masisha, phakathi kwesonto noma amabili ngemuva kokukhulelwa, futhi singaqhubeka kuze kube sekupheleni kwenyianga yokuqala njengoba umzimba ujwayela izidingo ezintsha [1]. Ukuhlanganisa isengezo sokuzala esinezakhi ezifana ne-folate, i-zinc, kanye ne-vitamin B6 esimisweni sakho singasiza ukulawula amazinga amahomoni nokusekela umzimba wakho ekuqaleni kokukhulelwa, okwenza ulungele kangcono ukuphatha izimpawu ezivamile ezifana nokukhathala nesicanucanu.
2. Isicanucanu Nesicanucanu Sasekuseni
Isicanucanu, esivame ukubizwa ngokuthi isicanucanu sasekuseni, singavela nganoma yisiphi isikhathi sosuku. Sivame ukuqala cishe evikini lesithupha lokukhulelwa, nakuba ezinye izifazane zisizwa kusenesikhathi. Lesi sifo sihlukahluka kakhulu ngobunzima baso; kwabanye kungaba ukungaphatheki kahle okuncane, kanti kwabanye kungaba isicanucanu esinzima kakhulu. Izinguquko zamahomoni, ikakhulukazi ukukhuphuka kwamazinga e-hCG (human chorionic gonadotropin), kucatshangwa ukuthi yizona ezibangela lesi sifo [2].
3. Ubuhlungu Nokuthamba Kwamabele
Ezigabeni zokuqala zokukhulelwa, izinguquko zamahomoni zingabangela ukuthi amabele abuhlungu, avuvuke noma azwe ebuhlungu uma ethintwa. Lo mphawu uvamile futhi uvame ukubonakala emasontweni okuqala ngemuva kokukhulelwa. Lo muzwa ungafana nobuhlungu bamasonto okuba nokuya esikhathini, kodwa uvame ukuthatha isikhathi eside futhi ube mkhulu ngesikhathi sokukhulelwa. Ukwanda kokugeleza kwegazi ethangeni lamabele nakho kungaholela ekumnyameni kwezingono [3].
4. Ukuchama Kaningi
Isidingo sokuchama kaningi singesinye isibonakaliso sokuqala sokukhulelwa esingaqala emasontweni okuqala. Ukwanda kokugeleza kwegazi emaphashini nasezifundeni zamathanga, okuholwa izinguquko zamahomoni, yikho okubangela lo mphawu. Ngokuhamba kokukhulelwa, isibeletho esikhulayo sifaka ingcindezi eyengeziwe esinyeni, okungenza kakhulu lesi sidingo sokuchama kaningi [4].
5. Ukuguquguquka Kwemizwa Nokuzwela Ngokwezwelo
Ukuguquguquka kwemizwa kuvame ukuhlotshaniswa nokukhulelwa ngenxa yezinguquko ezisheshayo zamahomoni ezenzeka emzimbeni. Lokhu kuhluka kwamazinga amahomoni kungaholela ekwandeni kokuzwela ngokwezwelo, ukucasuka kalula, noma imizuzu yokudabuka noma yenjabulo ngaphandle kwesizathu esicacile. Lo mphawu ungavela selokhu emasontweni ambalwa ngemuva kokukhulelwa futhi ungashintsha ngokuhamba kokukhulelwa.
6. Ukuchayeka Kwegazi Okuncane noma Ukopha Kokuzimisa Kwembewu
Abesifazane abaningi babika ukuchayeka kwegazi okuncane noma ukopha okuncane cishe ngesikhathi sokuzimisa kwembewu, okuyilapho iqanda elichumile linamathela odongeni lwesibeletho, ngokuvamile phakathi kwezinsuku eziyisi-6 kuya kweziyi-12 ngemuva kokukhulelwa. Lokhu kuphuma kwegazi kuvame ukuba kuncane kakhulu kunokuya esikhathini futhi kungabonakala njengamachashaza abomvana noma ansundu. Nakuba kungenzeki kuzo zonke izimo zokukhulelwa, kungaba esinye sezimpawu zokuqala kulabo abakuhlangabeza [5].
7. Ukuzwela Emaphungeni Nokwenyanya Okuthile Ekudleni
Ukuzwela okukhulu emaphungeni, okubizwa nge-hyperosmia, nakho kuyisibonakaliso sokuqala esivamile sokukhulelwa. Abesifazane abaningi bakuthola ukuthi sebeqalile ukwenyanya ezinye izinhlobo zokudla noma amaphunga ababewathokozela ngaphambili, okungabangela isicanucanu noma ukungakhululeki. Lokhu kuvame ukubonakala kakhulu ngesonto lesihlanu noma lesithupha lokukhulelwa, nakuba kungase kuqale ngaphambili kwezinye izimo. Lo mphawu kukholakala ukuthi uyimpembelelo yokuzivikela komzimba ukuvikela ingane ekhulayo ezintweni ezingaba yizinhlayiya ezinobuthi.
8. Izinguquko Ezingeni Lokushisa Lomzimba Eliyisisekelo
Kulabo abalinganisela izinga lokushisa lomzimba eliyisisekelo (BBT) ngenhloso yokukhulelwa, uphawu lokuqala lokukhulelwa lungaba izinga lokushisa elikhuphukele phezulu elihlala liphezulu isikhathi esingaphezu kwamasonto amabili. Ngemva kokuvuthwa kweqanda, i-BBT ivamise ukwenyuka ngenxa yokwanda kwamazinga e-progesterone, agcinwa ephezulu uma ukukhulelwa kwenzeka. Izinga lokushisa elihlala liphezulu njalo ngaphezu kwesigaba se-luteal esijwayelekile lingaba wuphawu lokuqala [6].
Izimpawu Zokukhulelwa Zivame Ukuqala Ngesikhathi Esiphi?
Kulabo abazibuza ukuthi “izimpawu zokukhulelwa ziqala ngesonto lini?”, kubalulekile ukwazi ukuthi izimpawu zingavela kusenesonto elilodwa emva kokukhulelwa. Nokho, kujwayelekile ukuthi izimpawu ezibonakalayo ziqale cishe phakathi kwesonto lesine kuya kwesithupha, okuhambisana nesikhathi sokungafiki kokuya esikhathini. Ukukhulelwa ngakunye kuhlukile, ngakho isikhathi namandla ezimpawu kungahluka kakhulu. Ezinye izifazane zingase zibe nazo zonke lezi zimpawu, kanti ezinye zingase ziqaphele ezimbalwa kuphela.
Indlela Yokwehlukanisa Izimpawu Zokuqala Zokukhulelwa ne-PMS
Eziningi zalezi zimpawu, ezifana nokukhathala, ukuguquguquka kwemizwa, nobuhlungu bamabele, zingafana ne-premenstrual syndrome (PMS). Nokho, izimpawu zokukhulelwa zivame ukuhlala isikhathi eside futhi zingase ziqine njengoba amazinga e-hormone enyuka. Kulabo abahlangabezana nalezi zimpawu futhi besola ukukhulelwa, itesthi yokukhulelwa yasekhaya inganikeza ukuqinisekiswa kusenesikhathi, cishe phakathi kwezinsuku eziyi-10 kuya kweziyi-14 emva kokukhulelwa. Ukuhlola ngomchamo wokuqala wasekuseni kungathuthukisa ukunemba ngokubamba amazinga aphezulu e-hCG.
Ukuthatha Izinyathelo Ezilandelayo
Uma lezi zimpawu zokuqala eziyisi-8 zokukhulelwa zikhona, futhi kukhona amathuba okube khona kokukhulelwa, ukuthatha itesthi yokukhulelwa kuyisinyathelo esilandelayo. Ukubona ukukhulelwa kusenesikhathi kwenza kube nokunakekelwa kwangaphambi kokubeletha ngesikhathi, okusekela uhambo lokukhulelwa olunempilo. Kulabo abasebenzela ngenkuthalo ukuzitholela ukukhulelwa, ukulandelela izimpawu kanye nezindlela ezifana nokulinganisa lokushisa komzimba okuyisisekelo kanye namakalenda okukhululeka kwamaqanda kungakhulisa ukuqaphela izimpawu zokuqala futhi kuthuthukise amathuba okuqinisekisa ngesikhathi.
Ucwaningo
- NHS UK. Ukukhathala nezinkinga zokulala ekukhulelweni. [Kufinyelelwe: 02/Nov/2024]. https://www.nhs.uk/pregnancy/related-conditions/common-symptoms/tiredness/
- Mother To Baby | Fact Sheets [Internet]. Brentwood (TN): Organization of Teratology Information Specialists (OTIS); 1994-. Isicanucanu Nokuhlanza Ekukhulelweni (NVP) 2024 Feb. Kutholakala ku: https://www.ncbi.nlm.nih.gov/books/NBK582541/
- MedicalNewsToday. Ubuhlungu bamabele nokukhulelwa: Ukuxilongwa nokwelashwa. [Kufinyelelwe: 02/Nov/2024]. Kutholakala ku: https://www.medicalnewstoday.com/articles/breast-pain-and-pregnancy
- Beyazıt A, Hakverdi AU, Gözükara KH. Umthelela wokukhulelwa ezimpawini zokuchama. Cureus. 2023 Aug 28;15(8):e44232. doi:10.7759/cureus.44232. PMID: 37772213; PMCID: PMC10523107.
- E.W. Harville, A.J. Wilcox, D.D. Baird, C.R. Weinberg, Ukopha kwaseluswini lobufakazi ezinsukwini zokuqala kakhulu zokukhulelwa, Human Reproduction, Umqulu 18, Inombolo 9, September 2003, Amakhasi 1944–1947, https://doi.org/10.1093/humrep/deg379
- Steward K, Raja A. IFiziyoloji, Ukukhululeka kwamaqanda kanye Nokushisa Komzimba okuyisisekelo. [Kubuyekezwe 2023 Jul 17]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Kutholakala ku: https://www.ncbi.nlm.nih.gov/books/NBK546686/
