Ukuphuma uketshezi ngaphambi kweperiodi vs ukukhulelwa kokuqala: Ukwazi uketshezi olufana nengxenye ecacile yeqanda nezinye izinhlobo

Ukuphuma koketshezi esithweni sangasese sowesifazane kuyinto ehlangatshezwana nayo yibo bonke besifazane, futhi ukubukeka kwakhona nokuthungwa kungashintsha kakhulu phakathi nomjikelezo wokuya esikhathini. Kodwa kuphi lapho ukuphuma koketshezi esithweni sangasese kowesifazane kujwayelekile khona? Kunini lapho kuyuphawu lwalunye uhlobo lwesimo? Futhi ngokukhethekile, ungakuhlukanisa kanjani phakathi kokuphuma koketshezi ngaphambi kokuya esikhathini vs ukukhulelwa kwasekuqaleni? Ngokungangabazeki, ukuphuma koketshezi kunikeza izinkomba eziningi ngokunakekelwa kwakho kokuzala, inzalo, ngisho nezimpawu zokuqala zokukhulelwa. Ngakho-ke, ake sibheke izinhlobo ezahlukene zokuphuma koketshezi, ukuthi zingasho ukuthini, nokuthi ungaziluqonda kangcono kanjani.

Kuyini Ukuphuma Koketshezi Okuvamile Ngaphambi Kokuya Esikhathini?

Kujwayelekile ngokuphelele ukuqaphela ukuphuma koketshezi ngaphambi kokuya esikhathini. Eqinisweni, izifazane eziningi zikuzwa lokhu njengengxenye yomjikelezo wazo wanyanga zonke. Ngezinye izikhathi kuba uketshezi olunamathelayo ngaphambi kokuya esikhathini noma ngisho uketshezi olumhlophe olunobisi ngaphambi kokuya esikhathini, kokubili okubangelwa izinguquko zamahomoni ezenzeka ngaphambi kancane kokuya esikhathini. Ungase uqaphele nokuthi ukuphuma koketshezi ngaphambi kokuya esikhathini kwakho kuba kujiye noma kuvelele kakhulu, okuyindlela yemvelo yomzimba wakho yokulungiselela isikhathi sakho sokuya esikhathini [1].

Ukuphuma koketshezi ngaphambi kokuya esikhathini kuvame ukuba kujiye futhi kwesinye isikhathi kunamathele ngenxa yokwenyuka kwamazinga e-progesterone. Ezinye izifazane ziyaqaphela ukwanda kokuphuma koketshezi ngaphambi kokuya esikhathini, futhi akuyona into okufanele ukhathazeke ngayo – lena yingxenye yemvelo yomjikelezo. Lokho kuphuma koketshezi ngaphambi nje kokuya esikhathini kuvame ukuba uphawu lokuthi isikhathi sakho sokuya esikhathini sesiseduze, futhi usuphuma esigabeni sokuvuthwa kwamaqanda (ovulatory phase) ungena esigabeni se-luteal [2].

Ukuphuma Koketshezi Ngaphambi Kokuya Esikhathini vs Ukukhulelwa Kwangoko – Ungakuhlukanisa Kanjani?

Kulungile, nansi indawo lapho izinto zingaqala ukudida kancane. Ukuhlukanisa phakathi kokuphuma koketshezi ngaphambi kokuya esikhathini vs ukukhulelwa kwasekuqaleni kungaba nzima ngoba kuvame ukubukeka kufane. Nokho, uma ukhulelwe, ungase uhlangabezane nokuphuma koketshezi okumhlophe okuqhubekayo ngaphambi kokuya esikhathini okungaba uphawu lokukhulelwa, okuvame ukuba noketshezi olujiyile kunokujwayelekile okubonayo ngaphambi kokuya esikhathini. Izifundo zibonisa ukuthi ukwanda kokuphuma koketshezi esithweni sangasese sowesifazane kungesinye sezimpawu zokuqala zokukhulelwa, okubangelwa amazinga akhuphukayo e-estrogen ne-progesterone [3].\xa0Uma uzama ukuqinisekisa izimpawu zokuqala zokukhulelwa ndawonye nezinguquko ekuphumeleleni koketshezi, ukusebenzisa i-early response pregnancy test kungasiza ukuthola ukukhulelwa ngisho nangaphambi kokuthi uphuthelwe isikhathi sakho sokuya esikhathini.

Uma ubona uketshezi olucwebezelayo njengophawu lokuthi uzoya esikhathini, kuvamise ukuba uphawu lokuthi isikhathi sakho sesiseduze. Kodwa uma uqaphela uketshezi olucwebezelayo ngaphambi kokuya esikhathini njengophawu lokukhulelwa, ikakhulukazi uma luqhubeka isikhathi eside futhi lungomi njengokujwayelekile, kungaba uphawu lokukhulelwa kwasekuqaleni [4].

Uketshezi Olufana Neqanda Elingapheki Lisho Ukuthini?

Wake waqaphela uketshezi olufana neqanda elingapheki waze wazibuza ukuthi lisho ukuthini? Pho, uketshezi olufana neqanda elingapheki lisho ukuthini ngempela? Lolu hlobo loketshezi luvela ngesikhathi ovuthayo futhi lungenye yezimpawu ezicacile zokuthi umzimba wakho usewindenini yokuchuma. Uketshezi olufana neqanda elingapheki ngaphambi kokuya esikhathini luvamise ukubonakala lucwebezelile, lweluleke futhi luskilidi, lufane neqanda elingapheki. Lolu hlobo loketshezi luvame ukubizwa ngokuthi uketshezi olufana neqanda elingapheki futhi lukhombisa ukuthi uvuthayo – yisona sikhathi esihle kakhulu sokuchuma uma uzama ukukhulelwa [5].

Uketshezi olufana neqanda elingapheki lisho ukuthini ngemithamo yakho yokuzala? Ngamafuphi, lisho ukuthi usezigabeni zakho ezikhulisa amathuba okuchuma kakhulu. Lolu hlobo loketshezi lufana neqanda elingapheki lisho ukuthi umzimba wakho usukulungele ukusiza isidoda sidlule esibelethweni sifinyelele eqandeni. Uma uzama ukukhulelwa, ukuthi uketshezi olufana neqanda elingapheki lisho ukuthini kumane nje kuwumzimba wakho okukutshela ukuthi sekuyisikhathi sokusebenza!

Ithiphu Eyinhloko: Uma uqaphela uketshezi olufana neqanda elingapheki ngaphambi kokuya esikhathini, futhi uzama ngenkuthalo ukukhulelwa, qiniseka ukuthi uzama ngalesi sikhathi, ngoba yiso isikhathi esingcono kakhulu sokuchuma ngempumelelo.

Uketshezi Lwesibeletho Olufana Negobolondo Leqanda Luhlala Isikhathi Esingakanani?

Ngakho, usuqaphele lokhu kukhipha okushubayo bese uyazibuza, isikhathi eside kangakanani uketshezi lwesibeletho olufana negobolondo leqanda elingapheki? Ngokuvamile, luhlala cishe izinsuku ezi-3 kuya kwezi-5, kodwa lungahluka kowesifazane oyedwa kuya komunye. Ungase ubone uketshezi olufana neqanda elingapheki isikhathi esifushane noma isikhathi eside kuye ngomjikelezo wakho. Lolu ketshezi lokuzala lubalulekile ekukhulelweni, ngakho ukwazi ukuthi zingaki izinsuku uketshezi lwesikhathi sokuvuthwa kwamaqanda oluhlala kuzo kungakusiza ukuhlela kangcono uma uzama ukukhulelwa [6].

Umbuzo ovame ukubuzwa uthi kuhlala isikhathi esingakanani uketshezi lwesikhathi sokuvuthwa kweqanda? Ngokuvamile, lungahlala kusukela ezinsukwini ezi-2 kuya kwezi-7. Lobu bukhulu buya ngokuguquguquka kwamahomoni akho, kodwa kubalulekile ukuqaphela lezi zinguquko ukuze uqonde kangcono amandla akho okukhulelwa [7].

Uketshezi olufana nobulweqe beqanda ngemva kocansi – kusho ukuthini?

Wake wabona uketshezi olufana nobulweqe beqanda ngemva kocansi? Kujwayelekile, ikakhulukazi uma ube nocansi ngesikhathi sakho sokuzala. Ngokujwayelekile kuba wuhlanganiso loketshezi lwasentendeni yomlomo wesibeletho nesidoda. Uma uvuthwa iqanda, umzimba wakho ngokwemvelo ukhiqiza uketshezi oluningi ukusiza isidoda siqubhe phakathi komlomo wesibeletho singene esibelethweni. Ngesikhathi sokuvuthwa kweqanda, ii-lubricant ehambisana nokuzala ingasiza ukusekela ukuhamba kwesidoda phakathi koketshezi lwasentendeni olusafanelekile, okwandisa amathuba okukhulelwa. Ngezinye izikhathi uzophinde uqaphele ukwanda kokuphuma uketshezi ngaphambi kokuya esikhathini njengoba umzimba wakho ulungiselela ukuya esikhathini.

Ngezinye izikhathi, abesifazane bangase babe nolunye uketshezi olufana nobulweqe beqanda oluxubene negazi. Nakuba kungase kubonakale kusabisa, kungaba nje ukuchaphazeleka kwegazi kancane ngesikhathi sokuvuthwa kweqanda, okungavamile ukuba yingozi [8].

Uketshezi olwelulekayo nolunamathelayo ngaphambi kokuya esikhathini

Njengoba usuka esigabeni sokuvuthwa kweqanda ungene esigabeni se-luteal, uketshezi lwakho luyashintsha. Ungase ubone uketshezi olwelulekayo ngaphambi kokuya esikhathini, okuyinto eyenzeka njengoba umzimba wakho ushintsha usuka efasiteleni lawo elikhululeke kakhulu lokuzala. Ngemva kokuvuthwa kweqanda, uketshezi lungaba njengokuphuma okukhanyayo okunjengobulweqe beqanda – lujiye kakhulu futhi lungasheleli kakhulu.

Njengoba usondela ngesikhathi sakho sokuya esikhathini, uketshezi ngaphambi kokuya esikhathini kuvame ukuba unamathele noma kome ngenxa yokwanda kwe-progesterone. Kulesi sigaba usuke usungasekho efasiteleni lakho lokukhulelwa, kodwa le mikhuba yokuphuma uketshezi ikunikeza ukuqonda ukuthi ukuphi emjikelezweni wakho. Ngezinye izikhathi abesifazane bangase babone uketshezi olunombala ofana nesikhuphasha seqanda, kodwa ungethuki – lokhu nakho kuyindlela evamile yoketshezi lwasentendeni yomlomo wesibeletho [9].

Ngemva kokuya esikhathini, ungase ubone ngisho nokuphuma uketshezi olufana nobulweqe beqanda ngemva kokuya esikhathini. Lokhu kusho nje umzimba wakho ulungisa isimo ngemva kokuchitheka kodonga lwesibeletho, futhi akukhona okumele ukhathazeke ngakho.

Ukuphuma uketshezi kungakutshela ini ngokwempilo yakho?

Ngaphandle kokukutshela ngokuvula iqanda nokukwazi ukukhulelwa, uketshezi lwesitho sangasese sowesifazane lungakunikeza nezinye izinkomba mayelana nempilo yakho. Uketshezi olunempilo kufanele lungabi nephunga elinamandla, nakuba lungase lube nephunga elincane elithambile. Uma wake wabona ukuthi uketshezi lwakho luqala ukuba nephunga elibi, luba luhlaza, lube nsundu okwesibhakabhaka, noma luhambisana nokuluma noma ukucasuka, lokhu kungaba uphawu lokutheleleka, futhi kufanele uthintane nochwepheshe wezempilo.

Futhi, ukugcina iso ezinguqukweni zoketshezi kungaba indlela enhle yokubona ukukhulelwa kusenesikhathi. Uma uketshezi lakho lihlala linjalo, limhlophe, linobisi futhi lingomi ngesikhathi elivame ukoma ngaso, lokhu kungaba uphawu lokukhulelwa kwasekuqaleni, njengoba sesike sakusho ngaphambili mayelana nokuba noketshezi olumhlophe ngaphambi kokuya esikhathini njengesibonakaliso sokukhulelwa [10].

Okufanele Ukhumbule Ekugcineni

Ukuqapha uketshezi lwesitho sangasese sowesifazane kukunika ukuqonda okubalulekile ngomzimba wakho, kungakhathaliseki ukuthi kuhlobene nokukwazi kwakho ukukhulelwa, umjikelezo wokuya esikhathini, noma ngisho nezimpawu zokuqala zokukhulelwa. Kungakhathaliseki ukuthi ubona uketshezi ngaphambi kokuya esikhathini, ubona uketshezi okufana neqanda elimhlophe, noma uzama ukuqonda umehluko phakathi koketshezi ngaphambi kokuya esikhathini nokuqalisa ukukhulelwa, ukunaka lezi zinguquko kungakusiza uqonde okwenzekayo ngaphakathi komzimba wakho.

Uma uzibuza ukuthi uketshezi lomlomo wesibeletho olufana neqanda elimhlophe luhlala isikhathi esingakanani, khumbula ukuthi ngokuvamile luhlala izinsuku ezingu-3 kuya kwezi-5, nakuba lokhu kungenzeka kwehluke kuye ngomzimba wakho nomjikelezo wakho. Ukuqonda la maphethini kungakusiza uhlele kangcono, kungaba ukuze uthathe ikhono lokukhulelwa noma nje ukulandelela impilo yakho yokuhamba kokuya esikhathini.

Imibuzo Evame Ukubuzwa

Uketshezi lomlomo wesibeletho olufana neqanda elimhlophe luhlala isikhathi esingakanani?

Imvamisa, uketshezi lomlomo wesibeletho olufana neqanda elimhlophe luhlala izinsuku ezingu-3 kuya kwezi-5 ngesikhathi sokuvula iqanda, kodwa lungahlala isikhathi eside noma esifushane kuye ngomjikelezo wakho.

Ingabe ukwanda koketshezi ngaphambi kokuya esikhathini kusho ukukhulelwa?

Kwezinye izikhathi, yebo. Ukwanda koketshezi ngaphambi kokuya esikhathini kungaba uphawu lokukhulelwa kwasekuqaleni, ikakhulukazi uma kuhlala kumhlophe okufana nobisi futhi kungomi njengoba kuvame ukwenza.

Kusho ukuthini uketshezi olufana neqanda elimhlophe ngemva kocansi?

Uketshezi olufana neqanda elimhlophe ngemva kocansi luvamise ukuba kujwayelekile futhi luba inhlanganisela yomchamo wesibeletho (cervical mucus) kanye nesidoda. Luvame kakhulu uma usenkathini yokuvula iqanda (ovulation).

Kusho ukuthini uketshezi olucacile ngaphambi kokuya esikhathini?

Ukuba noketshezi olucacile oluyisibonakaliso sokuya esikhathini kuvamise ukusho ukuthi isikhathi sakho sesiseduze, kodwa uma luqhubeka lukhona futhi luqhubeka lucacile, kungase kube uphawu loketshezi olucacile ngaphambi kokuya esikhathini olubonisa ukukhulelwa.

Ingabe uketshezi olunamathelayo ngaphambi kokuya esikhathini kujwayelekile?

Yebo kunjalo, uketshezi olunamathelayo ngaphambi kokuya esikhathini lujwayelekile ngokuphelele njengoba umzimba wakho ulungiselela ukuya esikhathini ngokukhiqiza i-progesterone eningi.

Izinkomba

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7. Critchley, H. O. D., Babayev, E., Bulun, S. E., Clark, S., Garcia-Grau, I., Gregersen, P. K., Kilcoyne, A., Kim, J. J., Lavender, M., Marsh, E. E., Matteson, K. A., Maybin, J. A., Metz, C. N., Moreno, I., Silk, K., Sommer, M., Simon, C., Tariyal, R., Taylor, H. S., Wagner, G. P., … Griffith, L. G. (2020). Ukuya esikhathini: isayensi nomphakathi. Ijenali yaseMelika ye-obstetrics ne-gynecology. Kutholakala ku: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7661839/
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