Uketshezi Lwesitho Sangasese Olufana Nobisi Nolumanzi: Lusho Ukuthini Kumjikelezo Wakho Wokuya Esikhathini

Ukuchichima kwangasese kowesifazane kuyinxenye yemvelo nenempilo yesistimu yokuzala yabesifazane, kodwa uhlobo, ubunjani, nenani kungahluka phakathi nomjikelezo wakho wokuya esikhathini. Enye yezinhlobo ezivame kakhulu zokuchichima uketshezi olunobisi olunamanzi, okwezinye izikhathi kungadala ukudideka noma ukukhathazeka. Kulesi sihloko, sizohlukanisa ukuthi izinhlobo ezahlukene zokuchichima zisho ukuthini, kungani zenzeka, nokuthi kufanele unake nini noma yiziphi izinguquko.

Kuyini uketshezi olumhlophe olunamanzi olunobisi?

Uketshezi olumhlophe olunamanzi olunobisi kuwukutholakala okuvamile ezigabeni ezahlukene zomjikelezo wokuya esikhathini. Lolu hlobo lokuchichima luvame ukubonakala ngesikhathi noma ngemva kokuvuthwa kweqanda futhi lungahluka ngobunjani nangombala kusukela kokuncane okulula okunjengobisi kuya kokuningi okunobisi okumhlophe. Ngokuvamile kuwuphawu lwamafinyila esibeletho anempilo futhi lusebenza ngokuvikela ngokugcina impilo yesitho sangasese sowesifazane [1].

Indima yamafinyila esibeletho emjikelezweni wokuya esikhathini

Kuyo yonke imijikelezo yokuya esikhathini kowesifazane, umzimba wakhe ukhiqiza izinhlobo ezahlukene zamafinyila esibeletho ukusiza ekuzaleni, ekuthambiseni, nasekugcineni impilo yomgudu wangasese. Lezi zinguquko ebunjani nasokuqineni zisiza ukukhombisa ukuthi ukuphi emjikelezweni wakho.

• Uketshezi olunamanzi ngesikhathi sokuvuthwa kweqanda: Cishe ngesikhathi sokuvuthwa kweqanda, abesifazane bangase babe noketshezi olunamanzi olusiza ukuhamba kwesidoda ludlule esibelethweni. Lolu hlobo loketshezi luvame ukuba lucacile noma lube mhlophe njengobisi, futhi luthathwa njengamafinyila esibeletho akhulisa ukuzala.
• Uketshezi olunzima olunobisi olumhlophe ngemva kokuvuthwa kweqanda: Ngemva kokuvuthwa kweqanda, amafinyila esibeletho avame ukuba nzima futhi abe nobisi kakhulu, ekhombisa ukudlulela esigabeni se-luteal somjikelezo. Lolu hlobo lokuchichima aluvamile ukuba nokuzala kalula ngoba lukhombisa ukuthi iwindi lokuvuthwa kweqanda selidlulile [2].

Kusho ukuthini uketshezi olumhlophe olunobisi ngemva kokuvuthwa kweqanda?

Uma uqaphela uketshezi olumhlophe olunobisi ngemva kokuvuthwa kweqanda, lokhu ngokuvamile kuwuphawu lokuthi izinga le-progesterone liyakhuphuka. I-progesterone yenza amafinyila esibeletho aqine, okuholela ekwakhekeni kwalolu ketshezi. Ngokuvamile kuwuphawu lokuthi ukuvuthwa kweqanda sekwenzekile, futhi umzimba wakho ulungiselela amathuba okukhulelwa.

Kwezinye izimo, abesifazane bangazibuza, "Kusho ukuthini uketshezi olumhlophe olunobisi ngemva kokuvuthwa kweqanda?" Lokhu kungase futhi kube uphawu lokukhulelwa kokuqala, nakuba ukuchichima kukodwa kungesona isibonakaliso esiqinisekile. Uma kukholakala ukuthi kukhona ukukhulelwa, ezinye izimpawu, njengokungafiki kokuya esikhathini noma ubuhlungu noma ukuvuvukala kwamabele, kufanele nazo zibhekwe. Abanye abesifazane bangazibuza, 'Ingabe uketshezi olunamanzi uphawu lokukhulelwa?' Nakuba kungaba yingxenye evamile yomjikelezo wokuya esikhathini, ukwanda koketshezi olunamanzi kungase futhi kubonise ukukhulelwa kokuqala ngenxa yezinguquko zama-hormone.

Ukuchichima Okufana Ne-"Cream" Esithweni Sangasese Sabesifazane: Nini Okujwayelekile?

Isitho sangasese esikhishwa uketshezi olufana nobisi oluthambile ngokuvamile asidali ukukhathazeka, inqobo nje uma kungekho ezinye izimpawu ezifana nokuluma, ukushisa, noma iphunga elingathandeki. Ubunjalo balo "cream" bungahluka kuye ngamazinga ama-hormone, ukuphuza amanzi, nempilo yomzimba jikelele. Iningi labesifazane lithola ukuchichima okumhlophe okuncane, okufana ne-"cream", ngezikhathi ezahlukene zomjikelezo, ikakhulukazi ngesikhathi sokuvuthwa kweqanda noma emva kokuvuswa ngokocansi.

Izimpawu Zokuchichima Okumanzi Ngesikhathi Sokuvuthwa Kweqanda

Ngesikhathi sokuvuthwa kweqanda, kujwayelekile ukuba nokuchichima okumanzi okungezikhathi okungabonakala kuncane, kucace noma kube kancane kumhlophe njengobisi. Lolu hlobo lokuchichima lubonisa ukuthi umzimba wakho usezigabeni zawo eziphezulu kakhulu zokuzala, okwenza kube lula ukuthi isidoda sihamba sidlule emlonyeni wesibeletho.\_Ukusebenzisa ama-lubricant abungane nokuzala noma ama-supplement kungasiza ikhwalithi yomswakama womlomo wesibeletho, kuthuthukise indawo ezungeze isidoda ngesikhathi sokuvuthwa kweqanda.

• Ukuchichima okumanzi ngesikhathi sokuvuthwa kweqanda kwesinye isikhathi kubizwa nge-"watery cm", noma umswakama womlomo wesibeletho (cervical mucus), futhi kungesinye isibonakaliso esithembekile sokuvuthwa kweqanda kwabesifazane abalandela ukusebenza kahle kokuzala kwabo.
• Lolu kuchichima, uma lumanzile, lucacile, luyasheleleka futhi lufana noqanda olungaphekiwe, okwenza lubemuhle kakhulu ekusizeni ukunyakaza kwesidoda.

Ukuchichima Okumhlophe Okuncane Kanjengobisi Nokuchichima Okunamathayo

Ngenkathi kwesinye isikhathi ukuchichima kungaba mancane futhi kumhlophe njengobisi, kwezinye izikhathi kungaba kujiye noma kufane nokunamathayo. Ukuchichima okufana nokunamathayo kungenzeka ezinsukwini ezilandelayo emva kokuvuthwa kweqanda, lapho umswakama womlomo wesibeletho uqala ukoma futhi ujiye. Lolu shintsho lubangelwa ukuguquguquka kwamazinga ama-hormone njengoba umzimba uphuma esigabeni sokuvuthwa kweqanda.

Ukuchichima Okumhlophe Kanjengobisi vs. Ukuchichima Okumhlophe Okujiye Kakhulu

Ukuchichima kwesitho sangasese esifazane okumhlophe njengobisi ngokuvamile kujwayelekile futhi kungavela ezigabeni ezahlukene zomjikelezo. Nokho, ukuchichima okumhlophe, okumanzi kakhulu kodwa okuncane kungase kubonise okuthile okungaphezu kwalokho. Isibonelo, uma lolu hlobo lokuchichima luhambisana nokuluma noma ukushisa, lungase lubonise isikhunta (yeast infection) noma ukungalingani kwezinhlobonhlobo zamagciwane endaweni yesitho sangasese.

Kubalulekile ukwehlukanisa phakathi kokuchichima okuvamile, okunempilo nokuchichima okungase kubonise inkinga, njengokutheleleka. Ukuchichima okuvamile ngokuvamile akunaphunga futhi akuhambisani nezinye izimpawu ezingakhululekile.

Ukubaluleka Kokuphuza Amanzi Nokudla Ekufanele Kwenhlanzeko Yesitho Sangasese Sabesifazane

Ukuphuza amanzi kudlala indima ebalulekile ekugcineni i-slime yesibeletho (cervical mucus) enempilo. Ukoma komzimba kungaholela ekushintsheni ekubunjweni nasebuningini bokukhishwa kwelungu lobufazi. Ukuphuza amanzi anele phakathi nosuku kungasiza ukuqinisekisa ukuthi umzimba wakho ukhiqiza izinga elanele lokukhishwa okumhlophe nokumanzi, okudingekayo ukuze kube nokuthambisa kahle kwesitho sangasese sowesifazane nempilo yonke [3].

Ufanele Ukhathazeke Nini?

Ngenkathi ukukhishwa okumhlophe, okumanzi, oku-cream kuvame ukuba uphawu oluhle, kubalulekile ukwazi ukuthi nini okufanele uthintane nochwepheshe bezempilo. Ezinye izimo lapho ungase ufune ukufuna iseluleko sezokwelapha zihlanganisa:

• Ukukhishwa okunephunga elingajabulisi: Uma ukukhishwa kunephunga elibi, kungase kubonise ukutheleleka njengokuthi i-bacterial vaginosis.
• Ukukhishwa okuhambisana nobuhlungu noma ukuluma: Lokhu kuhlanganiswa kwezimpawu kungase kubonise isifo sofuba lwesitho sangasese sowesifazane (yeast infection) noma ukutheleleka okudluliselwa ngobulili (STI).
• Izinguquko kumbala noma ekubunjweni: Uma ukukhishwa kwakho kushintsha kungazelelwe kube kujiye kakhulu, kube phuzi, luhlaza, noma mpunga, kungase kube yisikhathi sokuvakashela udokotela ukuze kususwe ukutheleleka.

Isiphetho

Izinhlobo ezahlukene zokukhishwa kwelungu lobufazi, njengokukhishwa okumhlophe okumanzi, oku-cream, zivamile kuyo yonke imijikelezo yokuhlelwa kokuya esikhathini. Izinguquko ekukhishweni, kusukela ekukhishweni okumhlophe okufana nobisi, okuncanyana, kuye ekukhishweni okumhlophe oku-cream, okujiye ngemuva kokuvuthwa kwamaqanda, ngokuvamile zihlotshaniswa nezinguquko zamahomoni futhi zivame ukuba izimpawu ezinhle zohlelo lokuzala olusebenzayo kahle. Ukuqonda uhlobo nesikhathi sokukhishwa kwakho kungakusiza futhi ukulandelela ukukwazi kwakho ukukhulelwa nokubona izinkinga zempilo ezingase zivele.

Uma uhlangabezana nezimpawu zokukhishwa okumanzi ngesikhathi sokuvuthwa kwamaqanda (ovulation) noma ukukhishwa okucacile, okumanzisa, kungenzeka ukuthi kuyinkomba yokuthi usesewindini lakho lokukhulelwa. Nokho, uma uqaphela izimpawu ezingajwayelekile ezifana nobuhlungu, ukubaba noma ukuluma, noma ushintsho kombala noma iphunga, ungabambezeli ukuxhumana nomhlinzeki wezempilo ukuze uhlolwe kahle. Ukuphuza amanzi ngokwanele nokugcina indlela yokuphila enempilo kungasekela impilo yesitho sangasese sowesifazane, kukusize ukutolika kangcono izimpawu zomzimba wakho kuwo wonke umjikelezo wakho wokuya esikhathini.

Imithombo:

1. Bishop GB. Ukukhishwa kwelungu lobufazi. Ku: Walker HK, Hall WD, Hurst JW, ngabahleli. Izindlela Zokwelapha: Umlando, Ukuhlolwa Komzimba, Nokuhlolwa Kwelabhorethri. Usuku lokushicilelwa lwe-3. Boston: Butterworths; 1990. Isahluko 172. Kutholakala kuvela ku: https://www.ncbi.nlm.nih.gov/books/NBK281/ 
2. MedicalNewsToday. Okufanele ukwazi nge-slime yesibeletho (cervical mucus) nokukhishwa kwesitho sangasese okukhombisa ukukhulelwa. [Kufinyelelwe 25-Oct-2024]- https://www.medicalnewstoday.com/articles/323503 
3. Dall'Asta M, Laghi L, Morselli S, Re MC, Zagonari S, Patuelli G, Foschi C, Pedna MF, Sambri V, Marangoni A, Danesi F. Ukudla ngaphambi kokukhulelwa nendawo yangasese yangaphakathi kwabesifazane abakhulelwe abangamaCaucasian: Ucwaningo lokuhlola. Front Mol Biosci. 2021 Jul 28;8:702370. doi:10.3389/fmolb.2021.702370. PMID: 34395531; PMCID: PMC8356051.