Ukuqunjelwa ekuqaleni kokukhulelwa: izimbangela, isikhathi sokuqhubeka, nokuthi nini okufanele ufune usizo

Ukubanjwa yizihlabo (cramping) ekuqaleni kokukhulelwa kuwumuzwa ojwayelekile ongabangela ukukhathazeka kubomama abaningi abalindele. Nakuba kujwayelekile ukuthi abesifazane bazizwe bekhululekile kancane ezigabeni zokuqala zokukhulelwa, kujwayelekile futhi ukuzibuza ukuthi yini evamile nokuthi yini okungenzeka idinge ukunakwa kodokotela. Lesi sihloko sichaza izimbangela nemvelo yokubanjwa yizihlabo ekuqaleni kokukhulelwa, ukuthi yini ebhekwa njengokuvamile, nokuthi nini lapho kungaba ukuhlakanipha ukubonana nochwepheshe bezempilo.

Kungani Izihlabo Zivela Ekuqaleni Kokukhulelwa?

Lapho owesifazane ekhulelwa, umzimba wakhe wenza izinguquko ezisheshayo ukuze umamukele futhi usekele umbungu okhula ngaphakathi. Isibeletho siqala ukunwebeka, bese imisipha nemigqa emithambile ezizungezile ziyajwayela ukuze kwenziwe isikhala sengane ekhulayo. Lezi zinguquko zingaholela ekubanjweni yizihlabo ekuqaleni kokukhulelwa njengoba umzimba uzijwayeza indima yawo entsha.

Abesifazane abaningi bayazibuza, “Ingabe uthola izihlabo uma ukhulelwe? Noma uthola izihlabo uma usukhulelwe?” Yebo, izihlabo zivame ukuba yingxenye ejwayelekile yokukhulelwa kokuqala njengoba isibeletho sikhula futhi izinguquko zamahomoni ziqala ukusebenza. Lezi zihlabo zokukhulelwa ekuqaleni kokukhulelwa zingahluka ngobukhulu, kanti lo muzwa ungahluka kwezozikhathi zokuya esikhathini. Nokho, uma izihlabo zibuhlungu kakhulu noma zihlala isikhathi eside, kubalulekile ukuzihlola ngokucophelela [1].

Izinhlobo Zezihlabo Ekuqaleni Kokukhulelwa

Izihlabo zokukhulelwa zingahluka ngomuzwa nangendawo. Ngenkathi abanye besifazane bengase bazwe imivimbo emincane noma ubuhlungu obuthambile, abanye bangazizwa bekungakhululekile kakhulu kancane. Izihlabo zangasemasithini ekuqaleni kokukhulelwa ziwuvamise ukuzwa esiswini esingezansi noma endaweni yesinqe futhi zingafana nobuhlungu bokuya esikhathini. Ukuqonda lezi zinhlobo zezihlabo kungasiza abantu abakhulelwe bahlukanise phakathi kwezimpawu ezijwayelekile nezinto ezingase zikhathaze.

1. Isibeletho Esinandayo Nesikhulayo: Njengoba isibeletho sinwebeka, izihlabo ezincane noma imizwa yokudonswa zivamile. Lolu hlobo lwezihlabo luvamise ukuba buthaka futhi luyanyamalala lodwa.
2. Izihlabo Zokufakelwa (Implantation): Ngemuva nje kokukhulelwa, ngesikhathi iqanda elikhulelwe lifakwa esithanjeni sesibeletho, abanye besifazane bangazizwa izihlabo ezincane. Lo muzwa wokufakelwa uvamise ukuba mfushane. Ukuzwa izihlabo izinsuku ezingu-10 ngaphambi kokuya esikhathini kungaba uphawu lokuqala lokukhulelwa ngenxa yokufakelwa.
3. Izinguquko Ekugayweni Kokudla: Izinguquko zamahomoni ngesikhathi sokuqala sokukhulelwa zinganciphisa isivinini sokugaya, okuholele ekuzaleni umoya esiswini, ukuvuvukala, ngisho nobuhlungu besisu njengophawu lokukhulelwa.

Izihlabo Zihlala Isikhathi Esingakanani Ekuqaleni Kokukhulelwa?

Isikhathi izihlabo eziqhubeka ngaso siyahluka kuye ngembangela. Izihlabo ezincane zingavela zinyamalale phakathi nesikhathi sokuqala sokukhulelwa njengoba umzimba uqhubeka uzijwayeza ukukhulelwa. Kulabo abazibuza, “izihlabo zihlala isikhathi esingakanani ekuqaleni kokukhulelwa?” “izihlabo zihlala isikhathi esingakanani ngesikhathi sokuqala sokukhulelwa?” noma "izihlabo zihlala isikhathi esingakanani ngesikhathi sokuqala sokukhulelwa?," impendulo incike esimeni sempilo somuntu nezigaba ezithile zokukhulelwa.

Ngokuvamile, izihlabo ezithambile ezihlobene nokunwebeka kwesibeletho zingaqhubeka zifika ngezikhathi phakathi nezigaba zokuqala zozinyanga ezintathu zokuqala. Nokho, izihlabo akufanele zihlale njalo noma zibe nzima kakhulu. Emibuzweni enjengokuthi, “Izihlabo zokuqala zokukhulelwa kufanele zihlale isikhathi esingakanani?” umthetho ojwayelekile ukuthi izihlabo ezithambile kufanele zihlale imizuzu embalwa kuya emahoreni ambalwa kuphela futhi zingaphazamisi imisebenzi yakho yansuku zonke. Uma izihlabo ziqhubeka noma ziba zimbi, kunconywa ukufuna iseluleko sikadokotela.

Izihlabo Ezivamile vs. Ezikhathazayo: Yini Ejwayelekile?

Iningi lamacala ezihlabo ngesikhathi sokukhulelwa alilimazi, kodwa kubalulekile ukuqaphela izimpawu ezingase zikhombise inkinga. Ingabe izihlabo zivamile ngesikhathi sokuqala sokukhulelwa? Yebo, izihlabo ezincane ngokuvamile ziyuphawu olujwayelekile lokukhulelwa kokuqala, ikakhulukazi uma zifana nobuhlungu bokuya esikhathini futhi zingahambisani nokopha.

Ngakolunye uhlangothi, ubuhlungu obukhulu, izihlabo ezihambisana nokopha okuningi, noma izihlabo eziba zimbi ngokuhamba kwesikhathi zingaba izimpawu zezinkinga. Imibuzo evamile ifaka, “Ingabe izihlabo zesisu uphawu lokuqala lokukhulelwa?” kanye nokuthi "Ingabe ubuhlungu besisu uphawu lokuqala lokukhulelwa?" Izihlabo zesisu zingaba uphawu, kodwa ubuhlungu obukhulu noma obubukhali bungadinga ukuhlolwa ngokucophelela ukuze kukhishwe izinkinga ezifana nokukhulelwa kwe-ectopic noma ukulahlekelwa ukukhulelwa (miscarriage). U-90% wokukhulelwa kwe-ectopic kwenzeka emgodini we-fallopian, okungaba imbangela yezihlabo.

Ukuqonda Izihlabo Zokukhulelwa Nezinye Izimpawu

Lapho kubhekwa izimpawu zokukhulelwa, izihlabo zivame ukuba ezinye zezimpawu zokuqala, ikakhulukazi emasontweni okuqala. Izihlabo, zihambisana nesicanucanu, ubuhlungu noma ukuzwela kwamabele, nokukhathala, ziyizimpawu ezivame ukubikwa. Abanye abantu bangase babe nezihlabo ezincane ngenxa yezinguquko zamahomoni.

Nokho, uma uzibuza, “Ingabe ubuhlungu besisu uphawu lokukhulelwa?” noma "Ingabe ubuhlungu besisu bangaphakathi uphawu lokukhulelwa?" khumbula ukuthi akuwona wonke ubuhlungu besisu obukhombisa ukukhulelwa. Izinkinga zokugaya ukudla, ukucindezeleka, ngisho nokudla okuthile kungasiza ekubangeleni ubuhlungu besisu, okwenza kubaluleke ukuthi ucabange ngomongo nezinye izimpawu. Ukuthatha amavithamini okukhulelwa noma izithasiselo aqukethe imisoco ebalulekile efana ne-folic acid nensimbi kungasiza ukusekela izidingo zomzimba wakho ngesikhathi sokuqala sokukhulelwa.

Isikhathi Izihlabo Zokukhulelwa Eziqhubeka Ngaso: Ongakulindela

Kulabo abazibuza, “Izihlabo zokukhulelwa zihlala isikhathi esingakanani?” noma "Izihlabo zihlala isikhathi esingakanani ekuqaleni kokukhulelwa?" izihlabo ezincane kufanele zibe zesikhashana, zihlale imizuzu embalwa kuya emahoreni ambalwa ngesikhathi. Lokhu kungakhululeka okuncane kuvamise ukuba kwesikhashana futhi akudingi ukwelashwa okukhethekile. Uma izihlabo ziqhubeka ngaphezu kwalokho okuzwayo njengokujwayelekile, ukubonana nochwepheshe bezempilo kuyisinyathelo esiphephile sokuqinisekisa ukuthi konke kuhamba kahle.

Ingabe Ungaba Nezihlabo Ekuqaleni Kokukhulelwa?

Yebo, umbuzo othi ingabe ungaba nezihlabo ekuqaleni kokukhulelwa noma ungabanjwa izihlabo ekuqaleni kokukhulelwa? uwumbuzo ovamile, futhi impendulo ngokuvamile ithi yebo. Kujwayelekile ukuzizwa izihlabo ezithambile ngenxa yokukhula kwesibeletho nezinguquko zamahomoni. Umbuzo othi “Ingabe ubamba izihlabo uma ukhulelwe?” uvame ukuphendulwa ngenkulumo ethi yebo, uma nje izihlabo zithambile futhi zingahambisani nobuhlungu obukhulu noma ukopha.

Nini Izihlabo Zokukhulelwa Eziyinkinga?

Nakuba izihlabo ezivela ekukhulelweni zivamile, izinhlobo ezithile zobuhlungu akufanele zinganakwa. Ubuhlungu obukhulu noma obubukhali, ikakhulukazi ohlangothini olulodwa, bungaba uphawu lokukhulelwa kwe-ectopic, lapho iqanda elikhulelwe lifakelwa ngaphandle kwesibeletho. Enye into okufanele uyibheke izihlabo ezinzima ezihambisana nokopha kwangamasitho, okungase kudinge ukunakwa ngokushesha.

Uma uzibuza, “Kujwayelekile yini ukuba nezihlabo ekuqaleni kokukhulelwa?” kubalulekile ukukhumbula ukuthi izihlabo ezincane, ezingaveli njalo, ngokuvamile zijwayelekile. Nokho, ubuhlungu obungajwayelekile noma izihlabo eziqhubekayo kufanele zihlolwe.

Izihlabo Ezilula: Uphalafini Ojwayelekile Wokuqala Kokukhulelwa

Kulabo abathakazelisayo, “Ingabe izihlabo ezilula zivamile ekuqaleni kokukhulelwa?” impendulo ithi yebo, ezimweni eziningi. Izihlabo ezincane zingenye yezindlela umzimba owenza ngayo izinguquko zokwamukela ukukhulelwa. Lezi zihlabo ezilula, ezivame ukuzwakala njengomuzwa wokudonswa okuncane esiswini esingezansi, ngokuvamile azikhombisi nkinga. Nokho, ukuhlala uqaphela ezinye izimpawu ezihambisana nezihlabo kuyahlakanipha.

Izihlabo Zesisu Njengophawu Lokuqala Lokukhulelwa

Izihlabo ezithambile zesisu zingempela zibe ezinye zezimpawu zokuqala zokukhulelwa. Kulabo abazibuza, “Ingabe izihlabo zesisu uphawu lokukhulelwa?” noma ubuhlungu besisu bangaphakathi ingabe uphawu lokukhulelwa? impendulo ivame ukuba yebo. Lezi zihlabo zokuqala zichazwa kwesinye isikhathi njengomuzwa wokudonswa noma ukunwebeka kunokuba ubuhlungu obubukhali. Nokho, ngoba ubuhlungu besisu bungaba nezinye izimbangela eziningi, kubalulekile ukucabangela nezinye izimpawu zokukhulelwa [2].

Ubuhlungu Besisu Nokukhulelwa Kokuqala: Yini Ejwayelekile?

Kulabo abazibuza, “Ingabe ubuhlungu besisu uphawu lokukhulelwa?” impendulo incike esimeni. Ubuhlungu besisu bungahambisana nezinguquko ekugayweni kokudla, njengokuvuvukala noma ukuqunjelwa, okungamaphalafini avamile ngesikhathi sokukhulelwa. Ngaphezu kwalokho, ingabe ubuhlungu besisu uphawu lokukhulelwa kokuqala? Yebo, ubuhlungu obuncane besisu uvame ukuba yingxenye yemvelo yokukhulelwa kokuqala njengoba umzimba uzivumelanisa. Nokho, ubuhlungu obukhulu noma obuhlala isikhathi eside kufanele buphenywe ngokujulile.

Nini Ukufuna Usizo Ngezihlabo Zokuqala Zokukhulelwa

Nakuba iningi lezihlabo ngesikhathi ukhulelwe lithambile futhi lingakhathazi, kukhona izikhathi lapho kunconywa khona iseluleko sezokwelapha. Izihlabo ezinzima, ukopha okuningi, noma izihlabo ezingathambiseki ngokuhamba kwesikhathi zingase zikhombise isidingo sokunakwa kodokotela. Uma uzibuza, “Izihlabo zokuqala zokukhulelwa zihlala isikhathi esingakanani?” noma uhlangabezana nanoma yiziphi ezinye izimpawu ezingajwayelekile, kungcono ukhethe ukuvikela ngokubonana nochwepheshe bezempilo.

Isiphetho

Izihlabo ekuqaleni kokukhulelwa ziyinto evamile futhi ngokuvamile ziwuphawu lokuthi umzimba uyazivumelanisa nendima yawo entsha. Izihlabo ezincane ngesikhathi ukhulelwe ngokuvamile azilimazi, futhi zivame ukuzwakala njengobuhlungu obuthambile bokuya esikhathini noma umuzwa wokunwebeka esiswini esingezansi. Nokho, ubuhlungu obuqhubekayo noma obukhulu akufanele bunganakwe, futhi ukubonana nochwepheshe bezempilo kungakunikeza induduzo noma ukunakekelwa okudingekayo.

Kusukela ekuqondeni ukuthi izihlabo zokuqala zokukhulelwa zihlala isikhathi esingakanani kuya ekwazini ukuhlukanisa phakathi kwezihlabo ezijwayelekile nezinkinga ezingase zibe khona, ukwazi imininingwane kungasiza omama abalindele bazizwe benethemba futhi bephephile emasontweni okuqala okukhulelwa. Ngokubona izimpawu nokulalela imizimba yabo, abesifazane bangahamba lolu hambo ngokukhululeka nangesibindi esengeziwe.

Imithombo:

1. Ertmann RK, Nicolaisdottir DR, Siersma V, Overbeck G, Strøyer de Voss S, Modin FA, Lutterodt MC. Factors in early pregnancy predicting pregnancy-related pain in the second and third trimester. Acta Obstet Gynecol Scand. 2023 Oct;102(10):1269-1280. doi:10.1111/aogs.14670. Epub 2023 Sep 28. PMID: 37771202; PMCID: PMC10541159.
2. Zachariah SK, Fenn M, Jacob K, Arthungal SA, Zachariah SA. Management of acute abdomen in pregnancy: current perspectives. Int J Womens Health. 2019;11:119-134 https://doi.org/10.2147/IJWH.S151501