9 DPO: i-PMS noma ukhulelwe? Ukuqonda izimpawu zokuqala: indlela yokubona umehluko

Kulabo abazama ukukhulelwa, usuku ngalunye ngemva kokuvuthwa kweqanda lungazwakala njengomdlalo wokulinda. Ngemva kwezinsuku ezingu-9 ngemva kokuvuthwa kweqanda (9 DPO), ezinye izifazane ziqala ukubona izimpawu ezibavuse umbuzo othi: Ingabe nginezimpawu ze-PMS noma sengikhulelwe? Inselelo ikuleyo nqangi yokuthi izimpawu zokuqala zokukhulelwa zifana kakhulu nezimpawu zangaphambi kokuya esikhathini, okwenza kube nzima ukuhlukanisa lezi zimo ezimbili. Lapha, sibheka izimpawu ezivamile eziba khona ku-9 DPO, indlela ezihlangana ngayo ne-PMS, kanye nezimpawu ezingase zikhombise ukukhulelwa kokuqala.

Kwenzeni ku-9 DPO?

Ezinsukwini eziyisishiyagalolunye ngemva kokuvuthwa kweqanda, iqanda elichumiswe lingase selivele lazinza (implantation) odongeni lwesibeletho, liqale izigaba zokuqala zokukhulelwa. I-implantation ngokuvamile yenzeka phakathi kuka-6–12 DPO, ngakho-ke ku-9 DPO, ezinye izifazane zingase ziqale ukubona izimpawu ezincane kakhulu zokukhulelwa ngenxa yezinguquko zamahomoni, ikakhulukazi uma i-implantation isanda kwenzeka.

Kodwa-ke, izimpawu eziningi kulesi sigaba, kungaba ngenxa ye-PMS noma ukukhulelwa, zibangelwa ukwanda kwe-progesterone. Lo muhuzuko (i-hormone) ukhuphuka esigabeni se-luteal (isigaba sangemva kokuvuthwa kweqanda), usekela ukukhulelwa okungenzeka futhi ubangele izimpawu kokubili emjikelezweni wokukhulelwa nakulowo ongenzekanga.

Izimpawu Ezivamile ku-9 DPO: i-PMS noma Ukukhulelwa?

Nazi ezinye izimpawu ezivamile ezivame ukubonakala ku-9 DPO ezingakhomba i-PMS noma ukukhulelwa kokuqala:

1. Ukukhathala: Ukukhathala ngomunye wophawu lokuqala lokukhulelwa kodwa futhi luwuphawu olwaziwayo lwe-PMS. Ku-9 DPO, ukukhathala kungavela kuzo zombili lezi zimo, ngoba i-progesterone iba sezingeni layo eliphezulu, okwenza umzimba uzizwe ukhathele futhi ungenamandla. Uma ukhulelwe, ukukhathala kungase kube namandla kancane, njengoba umzimba uqala ukukhiqiza amahomoni angeziwe ukusekela i-embryo.
2. Ubuhlungu noma Ukwethamba Kwamabele: Amabele abuhlungu noma athambile ajwayelekile kokubili ekuqaleni kokukhulelwa nasekupheleni komjikelezo ngaphambi kokuya esikhathini. Izinguquko zamahomoni ezizungeze u-9 DPO zingabangela ukuthi amabele azwakale evuvukele, ebuhlungu, noma eveza umuzwa wokuhlaba. Kodwa-ke, ngesikhathi sokukhulelwa, ezinye izifazane zithi lobu buthuntu buzwakala buhlukile—mhlawumbe bukhulu kakhulu noma bugxile kakhulu emithanjeni yobisi noma ezintanyeni zamabele [1].
3. Ukushintsha Kwemizwa: Ukuguquguquka kwemizwa kuvamile kokubili ku-PMS nasekukhulelweni ngenxa yokuguquguquka kwamahomoni. Uma uzizwa unemizwa kakhulu, uthukuthele kalula, noma uhamba nemizwelo eguqukayo, kuba nzima ukwazi ukuthi kungabe i-PMS noma uphawu lokukhulelwa kokuqala. Kwabanye, lezi zinguquko ziba namandla kakhulu ngesikhathi sokukhulelwa, ikakhulukazi uma bebona inhlanganisela yosizi nenjabulo engalindelekile.
4. Ukugubuzela Okuncane noma Ukungakhululeki esiswini: Ukubanjwa yisisu kuvame ukuxhunywa ne-PMS kodwa kungaba uphawu lokuqala lokukhulelwa, ikakhulukazi ngesikhathi se-implantation. Ezinye izifazane zikhuluma ngomuzwa wokudonswa noma wokuhuduleka owaziwa ngokuthi “ukubanjwa kwe-implantation” cishe ku-9 DPO. Nokho, lo muzwa uvame ukuba buthakathaka kakhulu futhi kulula ukuwudida nokubanjwa okuhlobene ne-PMS, okwenza kube nzima ukwazi imbangela [2].
5. Amakhanda: Amakhanda angavela ngenxa yezinguquko zamahomoni ezihambisana kokubili ne-PMS nokukhulelwa. Ukweguquka kwe-progesterone ne-estrogen ku-9 DPO kungavusa ikhanda, kungakhathalekile ukuthi ukukhulelwa kwenzekile noma cha.
6. Ukwanda Kokuzwa Iphunga noma Isicanucanu: Lesi simo asivamile kakhulu nge-PMS kodwa sihlotshaniswa kakhulu nokukhulelwa kokuqala. Ezinye izifazane ku-9 DPO zingase zibe nesicanucanu esincane noma zinamathezeleka kwezinye iphunga ngenxa yokwanda kokuqala kwe-hCG (human chorionic gonadotropin) ngemva kwe-implantation. Kodwa-ke, kuvamile ukuba nzima ukuthi umuntu abe nesicanucanu esigcwele ku-9 DPO, futhi lesi simo sivame ukuvela cishe emasontweni angu-5–6 okukhulelwa.
7. Ukuvuvukala Kwesisu Nokushintsha Kokugaya: Kokubili ukukhulelwa ne-PMS kungaholela ekuvuvukaleni kwesisu nasekungakhululekeni kokugaya ukudla ngenxa yokwanda kwe-progesterone. Ukuvuvukala, ukuqunjelwa, nokucindezeleka okuncane esiswini ku-9 DPO kungakhomba noma iyiphi yalezi zimo, ngoba i-progesterone inciphisa ijubane lokugaya ukudla futhi ibangele ukwakheka kwamagesi kokubili kumjikelezo wokukhulelwa nakulowo ongenzekanga [3].

Ukwahlukanisa Izimpawu ze-9 DPO: i-PMS noma Ukukhulelwa

Inselelo enkulu ku-9 DPO ukuthi iningi lezimpawu zokuqala zokukhulelwa lihlangana kakhulu nezimpawu ze-PMS, okwenza kube nzima ukubona umehluko. Abesifazane abanemijikelezo yokuya esikhathini emifushane, njengomjikelezo wamasuku angu-19, bangase bakuthole kunzima kakhulu ukwehlukanisa phakathi kwezimpawu ze-PMS nezokukhulelwa kokuqala ku-9 DPO ngenxa yokuhlangana kwezikhathi. Kodwa-ke, kukhona izikhombandlela ezincane okufanele uzikhumbule:

• Ubukhulu Bezimpawu Nemikhuba Engavamile: Uma ubona izimpawu ezizwakala zinamandla kakhulu kunokuvamile, noma imikhuba emisha ongayijwayele esigabeni sangaphambi kokuya esikhathini, kungase kukhombise ukukhulelwa. Isibonelo, umuzwa oqinile wamaphunga, isicanucanu esingajwayelekile, noma ukubanjwa kwesisu okuzwakala kuhluke kunokujwayelekile kwe-PMS kungakhomba ukukhulelwa.
• Isikhathi Sezimpawu: Uma ngokuvamile ungabi nezimpawu kuze kube usuku olulodwa noma amabili ngaphambi kokuya esikhathini, kodwa uzizwa lezi zimpawu zisanda ku-9 DPO, lokhu kungase kube uphawu oluncane lokukhulelwa. Izimpawu zokukhulelwa zingaqala kancane ngaphambi kwezimpawu ze-PMS ngenxa yokuqala kokukhiqizwa kwe-hCG ngemva kwe-implantation.

Ingabe Ungathatha i-Pregnancy Test ku-9 DPO?

Ku-9 DPO, kungase kube yisilingo ukuthatha i-pregnancy test yasekhaya kodwa kuvame ukuba kusemasenineni ukuthola umphumela onokwethenjelwa. Umzimba ngokuvamile udinga isikhathi esengeziwe ukuze ukhiqize izinga le-hCG elitholakalayo emchameni. I-implantation, uma yenzekile, isanda kuqalisa ukukhiqiza lo muhuzuko, ngakho-ke izinga le-hCG lingase lisabancane kakhulu ukuthi i-test ikhombise umphumela omuhle.

Ukuze uthole umphumela onembile kakhulu, kunconywa ukulinda okungenani kuze kube phakathi kuka-12–14 DPO, ikakhulukazi uma usebenzisa i-pregnancy test ebucayi yokuthola kusenesikhathi. Ukuhlola ku-9 DPO kungase kuholele emiphumeleni emibi yamanga, ngisho noma ukhulelwe. Kulabo abakhetha ukuhlola kusenesikhathi, kungcono ukuhlola ngomchamo wokuqala wasekuseni, onogxilwe kakhulu nge-hCG.

Izindaba Zempumelelo: Izimpawu ze-9 DPO Eziholele Emphumeleni Omuhle

Abesifazane abaningi babelana ngezindaba zempumelelo zezimpawu ze-9 DPO, bechaza izimpawu ezithile ezagcina ziholele ku-pregnancy test enomphumela omuhle (okuvame ukubizwa nge-BFP, okusho “big fat positive”). Izimpawu ezivame ukubalulwa kulezi zindaba zihlanganisa ukubanjwa okuncane kwesisu, ukukhathala okungajwayelekile, nokuzwa “uhlukile” uma kuqhathaniswa ne-PMS ojwayele ukuyizwa. Nakuba okuhlangenwe nakho komuntu ngamunye kuhluke kakhulu, ezinye izifazane zithi lezi zinguquko ezincane noma imizwa engajwayelekile ku-9 DPO zabenza basole ukukhulelwa ngaphambi kokuba i-test iqinisekise.

Kodwa-ke, kubalulekile ukukhumbula ukuthi ukukhulelwa ngakunye kuhlukile, futhi ezinye izifazane azinazo neze izimpawu kuze kudlule amasonto ngemva kokuphoswa kokuya esikhathini. Izimpawu ku-9 DPO zingahluka kakhulu, futhi ukungabi nazo izimpawu akusho ukuthi awukhulelwe.

Nini Okufanele Ufunisise Ukuqinisekiswa Nezinyathelo Ezilandelayo

Uma uhlangabezana nezimpawu ku-9 DPO futhi unethemba lokukhulelwa, indlela engcono kakhulu wukubekezela. Qhubeka uqapha noma yiziphi izimpawu ozibonayo futhi ulinde kuze kufike cishe ku-14 DPO ukuze uthathe i-pregnancy test ukuze uthole imiphumela enokwethenjelwa. Ngaphezu kwalokho, ukusebenzisa imikhiqizo efanele ukuzala efana nama-lubricant akhethekile noma ama-supplement anezithako ezifana no L-arginine nama-antioxidant kungase kusekele impilo yakho yokuzala kulesi sikhathi esibucayi. Ukulandelela izimpawu nemikhuba njalo ngenyanga nakho kungakusiza ukubona izinguquko ezingase zikhombise ukukhulelwa emijikelezweni ezayo. 

Ngokufingqa, izimpawu ze-9 DPO ze-PMS noma zokukhulelwa zingaba nzima ukuziqonda ngenxa yokufana kakhulu kwezimpawu ezifana nokubanjwa, ukuguquka kwemizwa, ukukhathala, nokuvuvukala kwesisu. Nakuba umehluko othile esikhathini sokuqala kwezimpawu, ubukhulu bazo, noma imizwa emisha ungase ukhombise ukukhulelwa, i-pregnancy test kuphela engakuqinisekisa. Ngokubekezela nokulalela umzimba wakho, ungakwazi ukudlula lawa mazuqanelo okuqala ngemva kokuvuthwa kweqanda ngokuqonda okukhulu futhi ngethemba lokuthola ukuqonda okucacile ezinsukwini ezizayo.

 Izinsiza

1. Nazik E, Eryilmaz G. Ukuvama kokungakhululeki okuhlobene nokukhulelwa nezindlela zokuphatha ukuwathambisa phakathi kwabakhulelwe. J Clin Nurs. 2014 Jun;23(11-12):1736-50. doi:10.1111/jocn.12323. Epub 2013 Sep 13. PMID: 24028734.
2. NHS. Ubuhlungu emhlane ngesikhathi sokukhulelwa. [Kufinyelelwe: Nov/06/2024]. Kutholakala ku: https://www.nhs.uk/pregnancy/related-conditions/common-symptoms/back-pain/
3. Longo SA, Moore RC, Canzoneri BJ, Robichaux A. Izimo Zesisu Nohlelo Lokugaya Ngesikhathi Sokukhulelwa. Clin Colon Rectal Surg. 2010 Jun;23(2):80-9. doi:10.1055/s-0030-1254294. PMID: 21629625; PMCID: PMC2967327