Ukuqunjelwa ezinsukwini eziyishumi ngaphambi kokuya esikhathini: Okudingeka ukwazi
Ukuzwa ubuhlungu bokugwinya kudala ngaphambi kokuya esikhathini kungadala ukudideka, ikakhulukazi uma ungalindele ukuthi umjikelezo wakho wokuya esikhathini uqale emuva kwezinsuku ezimbalwa. Ukugwinya izinsuku eziyi-10 ngaphambi kokuya esikhathini kungase kuhlotshaniswe nokuchama (ovulation), ukufakwa kwembewu, noma ezinye izinguquko zamahomoni kuye ngomjikelezo wakho. Nakuba ukugwinya izinsuku eziyi-10 ngaphambi kokuya esikhathini kungase kukwenze ukhathazeke, kunezizathu ezahlukene zokuthi lokhu kwenzeke. Ukuqonda izimbangela ezingaba khona kungasiza ukunciphisa ukukhathazeka futhi kukunike umbono ngalokho umzimba wakho ongase ube kukhona.
Ukuguquguquka Kwamahomoni Nokugwinya Kusenesikhathi
Esinye sezizathu ezivame kakhulu zokuzizwa ubuhlungu bokugwinya izinsuku eziyi-10 ngaphambi kokuya esikhathini ukuguquguquka kwamahomoni. Isigaba se-luteal, esenzeka ngemuva kokuchama (ovulation) nangaphambi kokuya esikhathini, singavusa ubuhlungu bokugwinya njengoba amazinga e-progesterone enyuka. Lobu buhlungu bungazwakala bufana nobuhlungu bokugwinya ngesikhathi sokuya esikhathini kodwa ngokuvamile buvela kungakabi khona ukuphuma kwegazi okuhambisana nokuya esikhathini. Ezinye izifazane zibona lezi zimpawu zisasekuqaleni, bezwa ubuhlungu bokugwinya izinsuku eziyi-12 ngaphambi kokuya esikhathini noma ngisho nokugwinya izinsuku eziyi-11 ngaphambi kokuya esikhathini [1]. Kwezinye izimo, imijikelezo emifushane, efana ne-umjikelezo wezinsuku eziyi-19, ingabangela nokungajwayeleki kokuhamba kokuya esikhathini, lapho ukuguquguquka kwamahomoni kungaholela ekugwinyweni okuvame kakhulu noma kusenesikhathi.
Ubuhlungu Bokufakwa Kwembewu: Isichasiso Esingenzeka
Uma uzama ukukhulelwa, ubuhlungu bokufakwa kwembewu kolunye uhlangothi noma kuzo zombili bungaba yisizathu sokugwinya kusenesikhathi. Ukufakwa kwembewu kuvame ukwenzeka phakathi kwezinsuku eziyi-6 kuya kweziyi-12 ngemuva kokuchama (ovulation), lapho iqanda elichumile linamathela odongeni lwesibeletho. Lokhu kungaholela ekungakhululeki okuncane ngisho nokuphuma kwegazi okuncane kweminye imizi, okungenza kube lula ukudideka nezimpawu zangaphambi kokuya esikhathini. Ubuhlungu bokufakwa kwembewu ngokuvamile buba buncane, kodwa bungazwakala kolunye noma kuzo zombili izinhlangothi zesisu esingezansi. Kulabo abaqapha umjikelezo wabo ngokuseduze, ukugwinya izinsuku eziyi-10 ngaphambi kokuya esikhathini kungaba uphawu lokukhulelwa kusenesikhathi [2].
Uqala Ngosuku Olungaki Ngaphambi Kokuya Esikhathini Ukuzizwa Ubuhlungu Bokugwinya?
Ubuhlungu bokukuya esikhathini, obwaziwa nangokuthi i-dysmenorrhea, buvamile, futhi isikhathi obuqala ngaso siyahluka. Ezinye izifazane ziba nobuhlungu izinsuku ezingu-3 ngaphambi kokuya esikhathini, kanti ezinye zingase zibone ubuhlungu izinsuku ezingu-5 ngaphambi kokuya esikhathini noma ngisho ubuhlungu izinsuku ezingu-9 ngaphambi kokuya esikhathini. Amandla nobude balobu buhlungu buya ngokuhluka kumuntu nomuntu. Kulabo abanomjikelezo omude, ubuhlungu bokuqala bungavela kusenesikhathi, njengokuthi ubuhlungu buqale izinsuku ezingu-12 ngaphambi kokuya esikhathini, kanti kwabanye kungase kungabikho nhlobo ukungakhululeki kuze kudlule izinsuku ezimbalwa ngaphambi kokuthi baqale ukuya esikhathini.
I-Premenstrual Syndrome (PMS)
Enye imbangela ejwayelekile yokuba nobuhlungu bokukuqunjelwa kudala ngaphambi kokuya esikhathini yi-premenstrual syndrome (PMS). Izimpawu ze-PMS zingaqala kufika ezinsukwini ezimbili ngeviki ngaphambi kokuya esikhathini, zibangele ukungakhululeki emzimbeni nasemizweni, okuhlanganisa nobuhlungu bokuqunjelwa. Uma uba nokopha kanye nokuqunjelwa isonto ngaphambi kokuya esikhathini, kungase kube inhlanganisela ye-PMS nokuchaphazeka okuncane (spotting). Nakuba lezi zimpawu zivame ukuba sezingeni elithambile, zingaba nzima futhi ziphazamise impilo yakho yansuku zonke. [3].
Ukungabi Nombuhlungu Ngaphambi Kokuya Esikhathini: Ingabe Kujwayelekile Lokhu?
Kuyathakazelisa, nakuba izifazane eziningi zibuhlungu ngaphambi kokuya esikhathini, kujwayelekile futhi ukuthi ezinye zingabi nobuhlungu nhlobo ngaphambi kokuya esikhathini. Umjikelezo ngamunye wokuya esikhathini uhlukile, futhi ukuqunjelwa akuhlali kuwuphawu oluqinisekile lokuthi sekusondela ukuya esikhathini. Ukungabi nokubuhlungu kokuqunjelwa akusho ukuthi kukhona inkinga\; kungasho nje ukuthi umzimba wakho uphendula ngendlela ehlukile ezinguqukweni zamahomoni kulowo mjikelezo othile.
Uma Ukuqunjelwa Kuvela Izinsuku Ngaphambi Kokuya Esikhathini
Uma usuzwa ubuhlungu bokukuya esikhathini izinsuku ezingu-9 ngaphambi kokuya esikhathini, kungase kuhlobene nezinto ezahlukene ezifana nokungalingani kwamahomoni, ingcindezi yokucindezeleka, noma ngisho nezinguquko ekudleni. Ukucindezeleka, ikakhulukazi, kwaziwa ngokuthinta umjikelezo wokuya esikhathini, okungenzeka kubangele ukuqunjelwa kwasekuqaleni noma ngisho ukubambezeleka kokuya esikhathini uqobo. Ngokufanayo, ukuqunjelwa izinsuku ezingu-11 ngaphambi kokuya esikhathini kungase kuhlobane nokuvuthwa kweqanda, ikakhulukazi uma umjikelezo wakho ungajwayelekile.
Ukubhula Iqanda (Ovulation) Nokuqunjelwa Maphakathi Nomjikelezo
Izifazane eziningi zibona ukuqunjelwa izinsuku ezingu-10 ngaphambi kokuya esikhathini ngenxa yokuvuthwa kweqanda (ovulation), okuwumsebenzi ojwayelekile womjikelezo wokuya esikhathini. Lokhu kuqunjelwa, okwenzeka ngesikhathi esaziwa ngokuthi i-mittelschmerz, kungavela cishe izinsuku ezingu-10 kuya kwezi-14 ngaphambi kokuthi kokuqala kokuya esikhathini. Lobu buhlungu, obuvame ukuzwa ohlangothini olulodwa lwesisu, bubonisa ukukhululwa kweqanda esibelethweni. Lobu buhlungu buvamise ukuba buncane futhi budlule masinyane kodwa kwesinye isikhathi bungadidaniswa nobuhlungu bokuqala bokufika kokuya esikhathini. [4].
Ukuqunjelwa Kwasekuqaleni Nokukhulelwa Okungenzeka
Kulabo abazama ukukhulelwa, ukuqunjelwa kwasekuqaleni kungaba uphawu oluthembisayo lokukhulelwa. Yize kungavamile, ezinye izifazane ziba nokubuhlungu bokukuqunjelwa izinsuku ezingu-2 ngaphambi kokuya esikhathini okungase kuhlobane nokukhulelwa kwasekuqaleni kunokuthi kube wuphawu lokusondela kokuya esikhathini. Kanye nalobu buhlungu, ezinye izimpawu ezifana nesicanucanu, ukukhathala, nobuhlungu noma ubuhlungu ebeleni zingase zikhombise ukuthi kukhona ukukhulelwa.
Ngakolunye uhlangothi, izinsuku eziningaki ngaphambi kokuya esikhathini lapho uqala khona ukuqunjelwa kungahluka kakhulu, okwenza kube inselele ukuhlukanisa phakathi kokuhlungu kokukhulelwa kokuqala nokuhlungu kwe-premenstrual. Kuphinde kungenzeka ukuthi ungabi nokuqunjelwa nhlobo ngaphambi kokuya esikhathini kodwa usukhulelwe, okwenza lolu daba ludideke nakakhulu kulabo abazama ukukhulelwa. Ngaphezu kwalokho, ezinye izifazane zingase zibe ubuhlungu be-ovulation obubangelwa i-endometriosis, okungase kwenze isithombe sezimpawu sidideke nakakhulu.
Okubalulekile
Ukuqunjelwa ngaphambi kokuya esikhathini kungabangelwa izinto ezihlukahlukene, okuhlanganisa ukuguquguquka kwamahormone, ukuvuleka kwamaqanda (ovulation), ukufakelwa embungeni wesibeletho (implantation), ngisho nengcindezi yengqondo. Kungakhathaliseki ukuthi uba nokuhlungu kwenkonondo izinsuku eziyi-9 ngaphambi kokuya esikhathini, izinsuku ezi-3 ngaphambi kokuya esikhathini, noma ukuqunjelwa izinsuku eziyi-10 ngaphambi kokuya esikhathini, ukuwuqonda umongo wezimpawu zakho kungasiza ukucacisa imbangela yawo engaba khona. Nokho, uma uhlangabezana nokuqunjelwa okukhulu ngokungajwayelekile noma okuqhubekayo, kuhlale kuyicebo elihle ukubonana nochwepheshe bezempilo ukuze kukhishwe ematheni noma yiziphi izimo ezingaphansi.
Nakuba ukuqunjelwa ngaphambi kokuya esikhathini kujwayeleke kubantu abaningi, ukulandelela umjikelezo wakho nezimpawu zakho kuzokunikeza ukuqonda okubalulekile mayelana nempilo yakho yokuhamba kokuya esikhathini. Kungakhathaliseki ukuthi uba nokuhlungu kwenkonondo (cramps) ekuqaleni komjikelezo noma awunakho nhlobo ukuqunjelwa ngaphambi kokuya esikhathini, umzimba womuntu ngamunye wehluka, futhi ukwazi lokho okuvamile kuwena kuzokusiza uqaphele uma kukhona okungazizwa kahle.
Imithombo
- Nur Indah Noviyanti, Gusriani, Ruqaiyah, Nasrudin A. Mappaware, Mardiana Ahmad. Umthelela wehormone ye-estrogen ekuveleni kwe-premenstrual syndrome (PMS) emantombazaneni asemancane ePesantren Darul Arqam Makassar. Gaceta Sanitaria. Volume 35. Supplement 2, 2021. Amakhasi S571-S575, ISSN 0213-9111. https://doi.org/10.1016/j.gaceta.2021.10.103.
- Bann S, Goshtasebi A, Shirin S, Prior JC. Ucwaningo lokubuka isikhathi esingonyaka esigxile ekubuhlungu bokuya esikhathini (menstrual cramps) nasekuvuleni kwamaqanda (ovulation) kwabesifazane abaphilile, abavula amaqanda ngendlela ejwayelekile. Sci Rep. 2022 Mar 18;12(1):4738. doi:10.1038/s41598-022-08658-3. PMID: 35304559; PMCID: PMC8933502.
- Gudipally PR, Sharma GK. Premenstrual Syndrome. [Kubuyekezwe ngo-2023 Jul 17]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Kutholakala ku: https://www.ncbi.nlm.nih.gov/books/NBK560698/
- Brott NR, Le JK. Mittelschmerz. [Kubuyekezwe ngo-2023 May 1]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Kutholakala ku: https://www.ncbi.nlm.nih.gov/books/NBK549822/
