Ingabe Abesifazane Kumele Bakhuphe Iqanda Ukuze Bakwazi Ukukhulelwa?

Uma kukhulunywa ngokukhulelwa, abantu abaningi bazithola bezibuza, ingabe abesifazane kufanele bakhishiwe iqanda ukuze bakhulelwe? Impendulo ayilona nje u-ye noma u-cha; empeleni incike kulokho okushiwo umbuzo wakho. Ingabe uzibuza ukuthi owesifazane kufanele abe ekhishwa iqanda ngqo ngesikhathi nibheduka? Noma uyabuza ngabesifazane abangakhishi qanda nhlobo ngenxa yezizathu zezokwelashwa, ubudala, noma izinkinga zamahomoni? Ake sihlole lezi zimo zombili ukuze sicacise noma yikuphi ukudideka.

Ukukhishwa Kweqanda Nendima Yako Ekukhulelweni

Okokuqala nje: kuyini ngokunembile ukukhishwa kweqanda? Ukukhishwa kweqanda wukuphuma kweqanda elivuthiwe kwelinye lamaqanda (ovaries), ngokuvamile maphakathi nomjikelezo wokuya esikhathini. Leli qanda lihamba liye esiteshini se-fallopian, lapho lihlala khona cishe amahora angu-12 kuya kwayi-24, lilindele ukuchunyuswa yisidoda. Uma ukuchunyuswa kungenzeki, iqanda liyaphuka bese lisuswa kanye nengaphakathi lesibeletho ngesikhathi sokuya esikhathini. Ngakho-ke, ngokombono wesayensi yomzimba, ukukhishwa kweqanda kubalulekile ekukhulelweni ngoba ngaphandle kweqanda, akukho thuba lokuthi isidoda sichunyuse lutho.

Nokho, kunokunye okuncane okumele kwaziwe. Isikhathi sibalulekile kakhulu. Akudingeki ukuthi ukhishwe iqanda ngaso leso sikhathi sokubheduka ukuze ukhulelwe, kodwa kudingeka ube ngaphakathi kwefasitela lakho lokuvundeleka.

Ingabe Ungakhulelwa Uma Ungakhishi Qanda Ngesikhathi Senyama?

Lapha yikhona lapho isikhathi sokwenza izinto singena khona. Kungenzeka ukuthi uyazibuza, ingabe ungakhulelwa uma ungakhishi qanda ngaso leso sikhathi lapho nibheduka khona? Impendulo ithi yebo, kungenzeka. Kungani? Ngoba isidoda singaphila emzimbeni wowesifazane kuze kufike ezinsukwini ezinhlanu. Lokhu kusho ukuthi uma nibheduka ezinsukwini ezimbalwa ngaphambi kokuba ukhishwe iqanda, isidoda sisengaba siphila futhi silungele ukulisa qanda uma selikhishiwe. Yingakho kubalulekile kakhulu kungenzeka kunoma ubani ukhulelwe ezinsukwini ezine ngaphambi kokukhishwa kweqanda. Isidoda sihlala sizungeza, silinde umzuzu ofanele [1].

Ukuze kwandiswe amathuba okukhulelwa, kuvamise ukunconywa ukuba nibe nobulili njalo ezinsukwini ezisondela ekukhishweni kweqanda. Lokhu kunikeza isidoda ithuba elingcono lokuhlangana neqanda ngesikhathi esifanele.

Kuthiwani Ngabesifazane Abangakhishi Qanda Nhlo?

Manje, ake sicabange ngesinye isimo. Kwenze njani uma owesifazane engakhishi nhlobo iqanda ngenxa yesimo sezokwelashwa noma esinye isizathu? Kulowo mongo, ukukhulelwa ngesikhathi ungekho ekukhishweni kweqanda kuba nzima kakhulu. Ukungabi bikho kokukhishwa kweqanda kusho ukuthi akukho qanda elikhishwa, ngakho akukho lutho isidoda esingalisidala. Lokhu kungenzeka ngezizathu eziningana, njengokugula okubizwa nge-polycystic ovary syndrome (PCOS), ukuphela komsebenzi wamaqanda kusenesikhathi, noma ngisho nenqubo yemvelo yokuguga njengoba owesifazane esondela esikhathini sokuya esikhathini sokugcina [2].

Ngakho-ke, uma owesifazane engavuthisi amaqanda nhlobo, impendulo yokuthi ungakhulelwa ungavuthisi amaqanda yini ithi cha. Ukungabi bikho kokuvuthwa kwamaqanda kwenza ukuchuma ngokwemvelo kungenzeki. Nokho, kukhona izindlela zokwelashwa ezingasiza ukuvuselela ukuvuthwa kwamaqanda kwezinye izimo.

Ingabe Kungenzeka Ukukhulelwa Noma Yisiphi Isikhathi Enyangeni?

Enye imibuzo ejwayelekile ukuthi ingabe kungenzeka yini ukukhulelwa nganoma yisiphi isikhathi somjikelezo wokuya esikhathini. Pho, ingabe owesifazane angakhulelwa noma yinini? Impendulo emfushane ukuthi kuncike esikhathini sokuvuthisa iqanda. Ngokuvamile, amathuba okukhulelwa aphezulu ngesikhathi "sefasitela lokuzala," okungalezo zinsuku ezimbalwa eziholela ekutheni kube nokuvuthwa kweqanda kanye nosuku lokuvuthwa uqobo. Nokho, akusikho ukuthi akunakwenzeka ukuchuma ngaphandle kwaleli fasitela.

Isibonelo, abesifazane abanemijikelezo emifushane bangathola ukuthi bavuthisa amaqanda maduze nje lapho iperiody yabo isiphelile, okungase kwenze kube nokwenzeka ukukhulelwa ucansi lwenziwe sekugcinwa i-period. Futhi, ngenxa yokuthi imijikelezo ingahluka ngobude, ukubikezela izinsuku ezithile zokuzala kungaba nzima [3].

Indlela Ukusinda Kwesidoda Okungathinta Ngayo Amathuba Akho

Ikhono lesidoda lokusinda izinsuku ezimbalwa ngaphakathi komzimba wesifazane linikeza ukuguquguquka ekumiseni isikhathi sokukhulelwa. Noma ungase ungavuthi iqanda ngaso leso sikhathi socansi, isidoda esisasebenza singakwazi ukuchumisisa iqanda uma ukuvuthwa kwenzeka ngokushesha ngemva kwalokho. Lokhu kusho ukuthi noma ungeke ukhulelwe nhlobo uma ungavuthi amaqanda, ukukhulelwa kusenokwenzeka uma ukuvuthwa kwenzeka ngesikhathi isidoda sisasekhona.

Kubalulekile futhi ukuqaphela ukuthi ikhwalithi nempilo yesidoda kungathinta isikhathi esisinda ngaso namathuba okukhulelwa. Amazinga okuzala kwabesilisa ayehla eminyakeni yamuva, futhi sikuxoxa lokhu kwenye i-athikili.

Ukwandisa Amathuba Akho Okukhulelwa: Ukudla, Indlela Yokuphila, Nama-nutrient

Uma uzama ukukhulelwa, ukugxila kuma-nutrient afanele nezinketho zendlela yokuphila kungaletha umehluko omkhulu. Nansi incazelo ngokuningiliziwe:

• Ukudla Okunomsoco Kubalulekile: Ukudla ukudla okucebe ngama-nutrient abalulekile kusekela impilo yokuzala. I-folic acid ne-folate kubalulekile ekuhlanganisweni kwe-DNA nasekukholeni kwezicubu, okubalulekile ekukhulelweni okunempilo. I-CoQ10 neVitamin C zisebenza njengeziqeda-ukuguga, zivikele amaqanda nesidoda ekucindezelekeni okubangelwa yi-oxidation. Ngakolunye uhlangothi, iVitamin D isiza ekulinganiseni amahomoni nasekusebenzeni kwama-ovary [4].
• Indima Yama-Nutrient Abalulekile: Ama-nutrient afana no-Myo-Inositol no-D-Chiro Inositol asiza ukulawula ama-hormone futhi akhuthaze ukuvuthwa kweqanda okuvamile, ikakhulukazi kwabesifazane abane-PCOS. Kwabesilisa, i-Zinc ne-L-Arginine kubalulekile kwikhwalithi nokunyakaza kwesidoda, kusekela ukuzala okuphelele.
• Izinto Zendlela Yokuphila: I-stress, ukudla, nokuzivocavoca konke kunomthelela omkhulu ekuzaleni. I-stress ephezulu ingaphazamisa ibhalansi yama-hormone futhi mhlawumbe ibambezela noma ivimbele ukuvuthwa kweqanda. Ukugcina ukudla okunempilo nokuhlala usebenza kusiza uhlelo lokuzala olunempilo.

Ukuphetha: Iyini Impendulo Yangempela?

Ngakho-ke, ingabe abesifazane kumele bavuthe qanda ukuze bakhulelwe? Impendulo iyahlukahluka kuye ngomongo. Uma ubuza ukuthi ingabe owesifazane udinga ukuba evutha qanda ngaso leso sikhathi lapho enza ucansi, impendulo ithi cha ngoba isidoda singahlala emzimbeni izinsuku ezimbalwa futhi sihlumele iqanda uma selikhishiwe. Kodwa uma ubuza ngomfazi ongavuthi qanda nhlobo ngenxa yesimo sezokwelapha noma iminyaka, khona-ke yebo, ukuvuthwa kweqanda kuyadingeka ngoba kumele kube khona iqanda elitholakalayo ukuze lihlanganiswe nesidoda.

Imibuzo evame ukubuzwa

1. Ngingakwazi kanjani ukubona ukuthi ngiyavuthwa qanda?

Ungasebenzisa amakhithi okuqagela ukuvuthwa kweqanda, ubheke uketshezi lwe-cervix, ulandele izinga lokushisa lomzimba base (basal body temperature), noma usebenzise ama-app okubala ukuzala.

2. Iyini i-cycle engena-ovulation (anovulatory cycle)?

Lo ngumjikelezo wokuya esikhathini lapho kungakhishwa qanda, okwenza ukukhulelwa kungenzeki kulowo mjikelezo.

3. Ingabe i-stress ithinta ukuvuthwa kweqanda?

Yebo, i-stress ingaphazamisa ibhalansi yama-hormone futhi mhlawumbe ibambezela noma ivimbele ukuvuthwa kweqanda.

Izikhombo

1. Wilcox AJ, Weinberg CR, Baird DD. Isikhathi sokuba nobulili maqondana nokuvuthwa kweqanda. Imiphumela emandleni okukhulelwa, ukusinda kokukhulelwa, nobulili bengane. N Engl J Med. Available at: https://pubmed.ncbi.nlm.nih.gov/7477165/
2. Fauser BC, Tarlatzis BC, Rebar RW, Legro RS, Balen AH, Lobo R, Carmina E, Chang J, Yildiz BO, Laven JS, Boivin J, Petraglia F, Wijeyeratne CN, Norman RJ, Dunaif A, Franks S, Wild RA, Dumesic D, Barnhart K. Isivumelwano ngezici zezempilo yabesifazane zesifo se-polycystic ovary syndrome (PCOS): i-Amsterdam ESHRE/ASRM-Sponsored 3rd PCOS Consensus Workshop Group. Fertil Steril. Available at: https://pubmed.ncbi.nlm.nih.gov/22153789/
3. Fehring RJ, Schneider M, Raviele K. Umehluko ezigabeni zomjikelezo wokuya esikhathini. J Obstet Gynecol Neonatal Nurs. Available at: https://pubmed.ncbi.nlm.nih.gov/16700687/
4. Thoma ME, McLain AC, Louis JF, King RB, Trumble AC, Sundaram R, Buck Louis GM. Ukuvama kokungabi nabantwana e-United States njengoba kulinganiselwa ngendlela ye-current duration kanye nendlela yakudala eyakhiwe. Fertil Steril. Available at: https://pubmed.ncbi.nlm.nih.gov/23290741/

Thenga imikhiqizo yokusiza ukukhulelwa ku-inthanethi ku-Conceive Plus, umkhiqizo wokuzala othetshwa yizithandani nochwepheshe bezempilo emazweni angaphezu kwama-70! Yalela izithasiselo ezisezingeni eliphezulu zokukhulelwa kuwebhusayithi yethu namuhla, amakhithi amahle kakhulu okukhulelwa athengiswayo ezithandani ezizama ukukhulelwa (TTC).