Ukuvuvukala kwesisu ngemva kokuvuthwa kweqanda: Ukuqonda izimbangela zalo nokuthi lingasho ukuthini

Ukugobeka kwesisu (bloating) kuyisimpawu esivamile kwabesifazane abaningi phakathi nomjikelezo wokuya esikhathini, kodwa kwabanye kungavela nangemva kokuvuthwa kweqanda, okwenza kubuzwe ukuthi kubangelwa yini nokuthi kungase kube uphawu lokukhulelwa kokuqala yini. Abesifazane abaningi babhekana nokungakhululeki, kuhlanganise nokugobeka kwesisu ngemva kokuvuthwa kweqanda, okungaholela kwezinye izikhathi ekubuzweni ukuthi ingabe lokhu kuwuphawu lokukhulelwa kokuqala noma yingxenye evamile yomjikelezo wokuya esikhathini. Lapha, sibheka izizathu zokugobeka kwesisu ngemva kokuvuthwa kweqanda, ukuthi kungani ungase uzizwe ugcwele umoya esiswini, nokuthi lokho kungasho ukuthini ngomjikelezo wakho noma ukukhulelwa okungenzeka.

Indima Yamahomoni Ekubeni Namahora Ovuthwa Kweqanda Nokugobeka Kwesisu

Ukufukamela iqanda (ovulation) wumqondo lapho iqanda likhishwa khona esibelethweni, ngokuvamile maphakathi nomjikelezo wokuya esikhathini. Lo mcimbi uphushwa ukuguquguquka kwamahomoni, ikakhulukazi ukwenyuka kwe-estrogen kanye ne-luteinizing hormone (LH), okulungiselela umzimba amathuba okukhulelwa. Ngemva nje kokuvuthwa kweqanda, amazinga e-progesterone ayakhuphuka ukusekela ukuhlangana kwembewu neqanda (fertilization) okungenzeka nokukhulelwa kokuqala. Nokho, i-progesterone ingadala nezinye izimpawu zomzimba, okuhlanganisa ukugobeka kwesisu nokuzwa ugcwele esiswini. Lokhu kugobeka kwesisu ngemva kokuvuthwa kweqanda, okuthi “ngabe sengikhulelwe na?” kuvamile kwabesifazane abaningi futhi kungaqhubeka esigabeni se-luteal, ingxenye yesibili yomjikelezo [1].

Izimbangela Ezivamile Zokugobeka Nokubaba Kwesisu Ngemva Kokuvuthwa Kweqanda

Kwababuza ukuthi, “Ingabe ukugobeka kwesisu ngemva kokuvuthwa kweqanda kuwuphawu lokukhulelwa?” kubalulekile ukuqaphela ukuthi yize ukugobeka nokubaba okuncane kwesisu kungasho imiphumela ehlukahlukene, akusho ngokuqinisekile ukuthi ukhulelwe. Nazi ezinye zezimbangela ezivame kakhulu:

1. Ukushintsha Kwamahomoni: Ukunyuka kwe-progesterone ngemva kokuvuthwa kweqanda kunganciphisa ijubane lokugaya ukudla, okuholela ekugobekeni kwesisu, ukugcwala komoya, ngezinye izikhathi nokubaba kwesisu. Njengoba ukusebenza kwamathumbu kuncipha, umoya nokugobeka kwesisu kungabonakala kakhulu, ikakhulukazi kwabesifazane abazwelayo ekushintsheni kwamahomoni.
2. Ukugcinwa Kwamanzi Emzimbeni: Ngemva kokuvuthwa kweqanda, umzimba ungagcina amanzi amaningi ngenxa yokushintsha kwamahomoni, okudala umuzwa wokugobeka nokungakhululeki. Lokhu kugcinwa kwamanzi kungadala umuzwa wokuvuvukala noma wokuba nzima, ikakhulukazi esiswini, okuvame ukungahlukaniswa nezimpawu zokuqala zokukhulelwa.
3. Izinguquko Kumende Wesibeletho: Uma ukuhlangana kwembewu neqanda kwenzekile, iqanda elikhulelwe liqala ukuhamba liye esibelethweni ukuze lizimbe (implantation), okwenza umende wesibeletho ube mncane uqinise. Lona msebenzi ungafaka isandla ekugobekeni okuncane nokubaba kwesisu. Kodwa-ke, lezi zimpawu zona zodwa aziwubufakazi obuqinisekile bokukhulelwa futhi zivame ukuzwa esigabeni se-luteal esijwayelekile.
4. Uphawu Olungase Lube Lokukhulelwa Kokuqala: Kwabanye, ukugobeka nokubaba kwesisu ngemva kokuvuthwa kweqanda kungaba ngempela uphawu lokukhulelwa kokuqala, ikakhulukazi uma kuhambisana nezinye izimpawu ezifana nobuhlungu kwamabele, ukukhathala, noma isicanucanu. Ukuzimbelela kweqanda esibelethweni kwenzeka cishe ezinsukwini ezi-6–12 ngemva kokuvuthwa kweqanda, futhi abanye besifazane babika ukuzizwa bekhukhumele esiswini noma benezinhlungu ezincane ngalesi sikhathi. Kodwa futhi kubalulekile ukucabangela ukuthi lezi zimpawu zingavela ngenxa yokuphendula okuvamile komzimba ekushintsheni kwamahomoni, ngisho noma kungekho ukukhulelwa. Ukuzwa izinhlungu zokubaba esiswini ekuqaleni kokukhulelwa ngokuvamile kuhlotshaniswa nokuzimbelela kweqanda, okungadala ukungakhululeki okuncane okufana nobuhlungu bokuya esikhathini.

Ukugcwala Komoya Nokugobeka: Ingabe Lona Upho U Lokukhulelwa?

Abesifazane abaningi bayazibuza, “Uma ngizizwa ngigcwele umoya esiswini ngemva kokuvuthwa kweqanda, ingabe sengikhulelwe?” Nakuba kuyiqiniso ukuthi ukugobeka nokugcwala komoya esiswini kungaba izimpawu zokuqala zokukhulelwa, akuzona izinkomba ezikhethekile zakhona kuphela. I-progesterone ikhuphuka ngokwemvelo ngemva kokuvuthwa kweqanda noma ukhulelwe noma awukhulelwe, okuvamise ukuholela ekungakhululeki kwamathumbu njengomoya esiswini nokugobeka. Ukukhulelwa kungakhulisa le miphumela ngoba amazinga e-progesterone aqhubeka nokukhuphuka ekuqaleni kokukhulelwa ukuze kugcinwe isimo esinempilo emgodini wesibeletho, okwenza ukugaya kudle kunciphe kakhulu [2].

Nokho, kubalulekile ukugwema ukukhipha iziphetho ngokusekelwe kulezi zimpawu kuphela. Ukugcwala komoya esiswini nokugobeka kwesisu kuphela akuwona amamaki okuthembekile okukhulelwa, ngoba kuvamile futhi ezinsukwini ezandulela ukuya esikhathini.

Indlela Yokunciphisa Ukugobeka Kwesisu Ngemva Kokuvuthwa Kweqanda

Ukuzwa ukugobeka nokubaba kwesisu ngemva kokuvuthwa kweqanda kungaba ukungakhululeki, kodwa ezinye izinguquko endleleni ophila ngayo zingasiza ukunciphisa lezi zimpawu:

1. Gcina Umzimba Umanzile: Ukuphuza amanzi amaningi kungasiza ukunciphisa ukugcinwa kwamanzi emzimbeni, ngoba ukoma kuvame ukwenza umzimba ubambe amanzi amaningi, okwenza ukugobeka kube kubi kakhulu.
2. Lungisa Ukudla Kwakho: Ukunciphisa usawoti ekudleni nokugwema ukudla okwaziyo ukudala umoya (njengebhontshisi, imifino ye-cruciferous, neziphuzo ezinegesi) kungasiza ukunciphisa ukugobeka nomoya esiswini. Ukudla ukudla okuncane kodwa kaningi kungasiza futhi ukuze amathumbu agaye ukudla kalula.
3. Ukuzivocavoca Ngokuvamile: Imisebenzi emnene efana nokuhamba ngezinyawo, ukwelula imisipha, noma i-yoga ingasiza ekugayeni ukudla nasekunciphiseni ukugobeka. Ukuzivocavoca kukhuthaza nokugeleza kwe-lymph, okunganciphisa ukugcinwa kwamanzi emzimbeni.
4. Imithi Yemvelo (Herbal Remedies): Ezinye izithelo zemvelo ezifakwa emanzini njenge-ginger noma itiye le-peppermint zingaba nemiphumela emnene yokuthambisa amathumbu, zisize ekunciphiseni ukugobeka nomoya esiswini. Njalo xhumana nodokotela wakho ngaphambi kokuzama imithi emisha, ikakhulukazi uma ucabanga ukuthi ungase ukhulelwe. (Kulowo mongo ukusebenzisa izithasiselo eziphephile ekukhulelweni eziqukethe i-ginger eziklanyelwe ukunciphisa isicanucanu sakusasa kungasiza ukuphatha izimpawu zokugobeka)

Nini Okufanele Ucabangisise Ngokuhlolwa Kokukhulelwa

Uma uzwa ukugobeka nokubaba kwesisu ngemva kokuvuthwa kweqanda futhi usola ukuthi ungase ukhulelwe, indlela engcono kakhulu ukuhlala ulinde kuze kufike isikhathi sokuthi uhambe esikhathini ngaphambi kokuba wenze ukuhlolwa kokukhulelwa. Izivivinyo zokukhulelwa zasekhaya zenzelwe ukuthola i-human chorionic gonadotropin (hCG), ihomoni ekhiqizwa ngemva kokuba iqanda elikhulelwe lizimbele esibelethweni, okugcina kwenzeka cishe ezinsukwini ezi-6–12 ngemva kokuvuthwa kweqanda. Ukuhlola kusenesikhathi kungaholela emiphumeleni emibi yamanga (false negative), ngoba i-hCG idinga isikhathi ukuze ikhuphuke ezingeni elitholakalayo.

Abesifazane abanye babona ukopha okuncane kokuzimbelela kweqanda (implantation bleeding) cishe ngesikhathi abelindele khona ukuya esikhathini, okungadidaniswa nokuhamba kokuya esikhathini okukhanyayo. Uma uhlangabezana nokuchaphazeleka kwegazi okuncane kanye nezinye izimpawu zokuqala zokukhulelwa, kuyafaneleka ukwenza ukuhlolwa. Kodwa khumbula ukuthi ukuhlola kusenesikhathi kungaba nemiphumela engacacile. Ukulinda kuze kudlule isikhathi sokuhamba esikhathini ngokujwayelekile kuletha imiphumela ethembeke kakhulu.

Ezinye Izimbangela Ezingenzeka Zokugobeka Nokungakhululeki Ngemva Kokuvuthwa Kweqanda

Nakuba ukugobeka nokubaba kwesisu esigabeni se-luteal kuvame ukubangelwa ukushintsha kwamahomoni, kubalulekile ukuvala ezinye izimbangela uma izimpawu ziba zimbi kakhulu noma zihlala isikhathi eside. Izifo ezifana nesifo samathumbu esicindezelayo (irritable bowel syndrome, IBS) noma i-endometriosis zingalingisa lezi zimpawu futhi zingakhuliswa ukushintsha kwamahomoni. Uma ukugobeka nokubaba kwesisu ngesikhathi sokuvuthwa kweqanda kuqina kakhulu noma kuhambisana nezinye izimpawu ezingajwayelekile, ukuxhumana nomhlinzeki wezempilo kungasiza ukuthola izimbangela ezingaba khona nokukunika ukuthula kwengqondo.

Ukuqonda Izimpendulo Zomzimba Wakho Ngemva Kokuvuthwa Kweqanda

Kwababuza ukuthi ukugobeka kwesisu ngemva kokuvuthwa kweqanda kuwuphawu lokukhulelwa yini, kuwufanele ukunaka ukuthi nakuba kungaba yimpawu yokuqala, akusona isiqiniseko futhi kufanele kucatshangelwe kanye nezinye izimpawu nemiphumela yokuhlolwa. Kwabanye, ukugobeka kungaba isikhumbuzo esincane sokushintsha kwamahomoni okwenzeka ngemva kokuvuthwa kweqanda, kanti kwabanye kungase kube uphawu lokukhulelwa kokuqala. Ukunaka izimpawu zomzimba wakho zomjikelezo ngamunye kungakusiza ukuwahumushela kangcono le miyalezo ngokuhamba kwesikhathi [3].

Ngokufingqa, nakuba ukugobeka kwesisu ngemva kokuvuthwa kweqanda kungazwakala kungakhululekile, kuyinto ejwayelekile ngenxa yokwenyuka kwe-progesterone nezinguquko ebhalansi yoketshezi emzimbeni. Kwababuza ukuthi, “Uma ngigcwele umoya esiswini ngemva kokuvuthwa kweqanda, ingabe sengikhulelwe?” kungase kube njalo, kodwa lezi zimpawu zona zodwa aziwuphawu oluqinisekile. Umjikelezo womuntu ngamunye uhlukile, futhi ukulandelela izimpawu sakho kanye neseluleko sikadokotela kungasiza ukucacisa lokho ongakulindela.

Izinsiza

1. Reed BG, Carr BR. The Normal Menstrual Cycle and the Control of Ovulation. [Updated 2018 Aug 5]. In: Feingold KR, Anawalt B, Blackman MR, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-. Kutholakale ku- https://www.ncbi.nlm.nih.gov/books/NBK279054/ 
2. MedicalNewsToday. What to know about bloating during ovulation. [Accessed- 02/Nov/2024]. Kutholakala ku-inthanethi- https://www.medicalnewstoday.com/articles/bloating-during-ovulation 
3. White CP, Hitchcock CL, Vigna YM, Prior JC. Fluid Retention over the Menstrual Cycle: 1-Year Data from the Prospective Ovulation Cohort. Obstet Gynecol Int. 2011;2011:138451. doi:10.1155/2011/138451. Epub 2011 Aug 8. PMID: 21845193; PMCID: PMC3154522.