Uketshezi lomlomo wesibeletho olufana nobumhlophe beqanda kodwa kungekho ukugxuma kwe-LH: lusho ukuthini

Uketshezi lomlomo wesibeletho kuwuphawu olubalulekile lokuthi owesifazane ukuphi emjikelezweni wakhe. Ngokuvamile uketshezi lomlomo wesibeletho kubonakala njengoketshezi olunamathelayo, olumhlophe, olujiyile ezinsukwini ezijwayelekile [1]. Kodwa ngesikhathi sokuvuthwa kweqanda, luba mncane, lube lushelelezi, lufane neqanda elimhlophe.

Uketshezi lomlomo wesibeletho olufana neqanda elimhlophe 12 dpo cervical mucus kuyisibonakaliso sokuthi umzimba wakho unamandla okukhulelwa futhi ulungiselela ukukhulula iqanda. Nokho, ngezinye izikhathi abesifazane babona uketshezi lomlomo wesibeletho olufana neqanda elimhlophe kodwa kungekho kugxuma kwe-LH, okungaholela ekudidekeni mayelana nokukwazi ukukhulelwa.

Kusho Ukuthini Uketshezi Lomlomo Wesibeletho Olufana Neqanda Elimhlophe?

Uketshezi lomlomo wesibeletho olufana neqanda elimhlophe (EWCM) lisho ukuphuma koketshezi okufana neqanda elimhlophe ngaphambi noma phakathi nokuvuthwa kweqanda. Lungenye yezimpawu ezithembekile kakhulu zokuvuthwa kweqanda noma ukukhululwa kweqanda.

Ukucaca nokweluleka koketshezi kwenza isidoda sikwazi ukuhlala isikhathi eside ohlelweni lokuzala, okwandisa amathuba okukhulelwa [2].

Nazi ezinye izinto ezisemqoka mayelana nokuphuma koketshezi lomlomo wesibeletho okufana neqanda elimhlophe:

• Lokhu ketshezi okufana neqanda elimhlophe kuvamise ukubonakala ezinsukwini ezimbalwa ngaphambi kokuvuthwa kweqanda.
• Ukuminyana koketshezi lomlomo wesibeletho okufana neqanda elimhlophe ngemva kokuvuthwa kweqanda kuvumela isidoda ukuthi sibhukude kumlomo wesibeletho kowesifazane.
• Amahomoni okukhulelwa athonya izici zokuphuma koketshezi emlonyeni wesibeletho noma uketshezi lokuvuthwa kweqanda ngemva kokuvuthwa kweqanda.

Ingabe Ukuphuma Koketshezi Okufana Neqanda Elimhlophe Kungenzeka Ngaphandle Kokugxuma Kwe-LH?

I-LH imele i-luteinizing hormone, ebhekele ukukhululwa kwamaqanda avuthiwe emaqandeni ngesikhathi sokuvuthwa kweqanda [3]. Ukugxuma kwe-LH kuwukuthi lapho amazinga e-LH enyuka ngaphambi kokuvuthwa kweqanda, futhi lolu zinga olukhuphukile luqala inqubo yokuvuthwa kweqanda [4].

Njengokwenyuka kwamazinga e-LH, izinguquko koketshezi lomlomo wesibeletho nazo zenzeka ngaphambi nje kokuvuthwa kweqanda. Uketshezi luba mancane, lube lushelelezi, lube sengathi iqanda elimhlophe. Kodwa kungenzeka yini ukuba noketshezi lomlomo wesibeletho olufana neqanda elimhlophe kodwa kungabikho kugxuma kwe-LH?

Ukuba noketshezi lomlomo wesibeletho olufana neqanda elimhlophe ngaphandle kokuba nokugxuma kwe-LH kungase kubonise ukuthi ukuvuthwa kweqanda akukenzeki. Ngokuvamile, ukungalingani kwamahomoni noma ukucindezeleka kungabambezela ukuvuthwa kweqanda, kuholele ezinguqukweni koketshezi lomlomo wesibeletho ngaphandle kokwenyuka kwe-LH.

Izizathu Zokungabikhona Kwegxuma le-LH

Ukugxuma kwe-LH kwenzeka ngaphambi nje kokuvuthwa kweqanda lapho kusiza ukukhululwa kweqanda elivuthiwe emaqandeni. Kodwa-ke, kunezinto eziningi ezingalithinta kabi izinga le-LH noma zivimbe ukugxuma kwe-LH. Lezi yilezi:

• I-Polycystic Ovary Syndrome (PCOS): I-PCOS kuyisifo esivamile samahomoni esingaphazamisa isikhathi sokuvuthwa kweqanda [5]. Abesifazane abane-PCOS bavame ukuba bangabi nalelo gqugquzela le-LH ngenxa yokungalingani kwamazinga amahomoni. Lokhu kungenza kube nzima emzimbeni ukukhulula iqanda.
• Ukucindezeleka Nokukhathazeka: Amazinga aphezulu okucindezeleka angathinta kabi amazinga e-LH. Ukucindezeleka ngokomzwelo noma ngokomzimba kungaphazamisa ukusebenza okuvamile kohlelo lokuzala, kuholele ekungajwayelekile kokuvuthwa kweqanda.
• Izifo ze-Thyroid: Izinkinga ze-thyroid, ezifana ne-hypothyroidism noma i-hyperthyroidism, zingathinta ukukhiqizwa kwama-hormone okuzala [6]. Lokhu kungalingani kungaholela ekungabikhoni kwegagasi le-LH, okwenza kube nzima ukuthi abesifazane bavuthe amaqanda.
• Izinkinga Zesisindo Somzimba: Ukuba ngaphansi kwesisindo esifanele noma ukusinda kakhulu kungathinta ukulawulwa kwama-hormone, okuholele ekungabikhoni kwegagasi le-LH. Izinga lamafutha omzimba libalulekile ekukhiqizweni kwama-hormone okuzala, adingekayo ekuvutheni kwamaqanda okuvamile.

Yini Eboniswa Izinguquko Ezihlukahlukene Uketshezi Lwasemgodini Wesitho Sangesese Sowesifazane Lukukhombisa Ntoni?

Umzimba wakho ukuveza ngezimpawu ezigxile ezigabeni ezahlukene zomjikelezo wakho. Ake sihlole izimfanelo ezihlukile zoketshezi oluhlukahlukene nokuthi zikhombisa ini:

1. Uketshezi Lokuhamba Kokuya Esikhathini

Ukuphuma koketshezi kokuya esikhathini yilo hlobo oluvame kakhulu loketshezi lwasemgodini wesitho sangasese sowesifazane abesifazane abaluzwa. Kuvela njalo ngenyanga ekuqaleni komjikelezo wokuya esikhathini, ngokuvamile kuqhubeke izinsuku ezingu-3 kuya kwezi-7.

Uketshezi luqukethe igazi, ulwelwesi lwesibeletho, nendwangu efile. Ukugeleza kungahluka, kusukela ekuphumeneni okuncane kuya ekugelezeni okuningi, kuye ngomuntu ngamunye. Lokhu kuphuma koketshezi kuvame ukuhambisana nokubanjwa noma ukungakhululeki.

2. Uketshezi Lokuvuthwa Kwamaqanda

Ukuphuma koketshezi ngesikhathi sokuvuthwa kwamaqanda kuyinye inhlobo yoketshezi lwasemgodini wesitho sangasese sowesifazane, eyaziwa ngokuthi "uketshezi lomlomo wesibeletho olufana neqanda elimhlophe." Abesifazane bavame ukukhathazeka ngokuthi lolu ketshezi ngesikhathi sokuvuthwa kwamaqanda lubukeka kanjani.

Uketshezi lomlomo wesibeletho olufana neqanda elimhlophe, njengoba igama lisikisela, lubonakala njengoketshezi olucacile nolushelelayo. Lolu ketshezi luvame ukuvela cishe ngesikhathi owesifazane evuthayo amaqanda, ngokuvamile ngosuku lwe-14 lomjikelezo wokuya esikhathini.

3. Ukuphuma Koketshezi Ekukhulelweni Kokuqala

Abesifazane abalandelela umjikelezo wabo wokuzala bavame ukuzibuza ukuthi uketshezi ekukhulelweni kokuqala lubukeka kanjani noma yiziphi izimfanelo zokuphuma koketshezi ngemva kokuvuthwa kwamaqanda uma bekhulelwe.

Ukuphuma koketshezi okuvamile ngesikhathi sokukhulelwa noma uketshezi lwesonto lokuqala lokukhulelwa kuvame ukuba wuketshezi oluncane, olufana nobisi, olumhlophe. Lolu ketshezi olumhlophe ngesikhathi sokukhulelwa, olubizwa ngokuthi i-leukorrhea, luvamile futhi lusiza ukugcina isitho sangasese sowesifazane sihlanzekile ngokukhipha amaseli afile namagciwane.

Ukuphuma koketshezi emgodini wesitho sangasese sowesifazane ngesikhathi sokukhulelwa kuyanda njengoba ukukhulelwa kuqhubeka ngenxa yezinguquko emahomonini. Nokho, uma uketshezi olufana neqanda elimhlophe ekukhulelweni kokuqala lunephunga elinamandla, lubangela ukulunywa noma ukushisa, noma luguqule umbala, kunconywa ukuthi ubone umhlinzeki wezempilo.

Izinguquko Ekukhishweni Koketshezi Lomlomo Wesibeletho

Izinguquko ekukhishweni koketshezi lomlomo wesibeletho ziyingxenye evamile yomjikelezo wokuzala kowesifazane. Nakhu ukuthi izinguquko ezahlukene ekukhishweni koketshezi lomlomo wesibeletho zisho ini:

1. Izinguquko Ngemva Kokuvuthwa Kweqanda

Izinguquko Ngemva Kokuvuthwa Kweqanda noma uketshezi ngemva kokuvuthwa kweqanda lungaba lujiye, futhi ezinye izifazane zingabona uketshezi olumhlophe ngemva kokuvuthwa kweqanda uma bekhulelwe, okuwuphawu lokuqala lokukhulelwa.

Ukuqonda umehluko phakathi kokukhishwa koketshezi ngesikhathi sokuvuthwa kweqanda nokukhishwa koketshezi ngesikhathi sokukhulelwa kubalulekile. Ukukhishwa ngesikhathi sokuvuthwa kweqanda kuvame ukuba sobala futhi kunwebeke, kanti uketshezi ngesikhathi sokukhulelwa luvamise ukuba lujiye futhi lube mhlophe.

2. Ukukhishwa Okufana Nejeli ne-Mucus Plug

Ezinye izifazane zingase zibe nokukhishwa koketshezi okufana nejeli kwikota yokuqala yokukhulelwa ngenxa yokwanda kokukhiqizwa kwe-cervical mucus. Lokhu kukhishwa okufana nejeli kuvame ukwenzeka ngaphambi kokwakheka kwe-mucus plug, esiza ukuvikela isibeletho ekuthelelekeni.

3. Ukukhishwa Koketshezi Kwesibili Nakwesithathu Kwikota Yokukhulelwa

Njengoba ukukhulelwa kuqhubeka, uketshezi oluqinile olumhlophe ngesikhathi sokukhulelwa luba into evamile, ikakhulukazi kwikota yesibili nethathu yokukhulelwa. Uketshezi olumhlophe ngesikhathi sekota yesithathu yokukhulelwa lungaba lujiye ngenxa yokwanda kwamazinga e-estrogen. Lolu hlobo loketshezi luhlala lujwayelekile inqobo nje uma lungenaphunga elibi noma lungabangeli ukucasuka.

Kufanele Uyobona Nini Udokotela?

Ngenkathi izinguquko ku-cervical mucus zivame ukuba zijwayelekile, ezinye izimpawu zingase zikhombise inkinga. Isibonelo, uma uqaphela uketshezi oluluhlaza ngesikhathi sokukhulelwa noma uhlangabezana nephunga elingajabulisi, lokhu kungaba uphawu lokutheleleka.

Uma uzama ukukhulelwa, bheka izimpawu zokuvuthwa kweqanda nokukhulelwa ngokubheka uketshezi oluphuma esithweni sangasese. Hlala uxhumana nochwepheshe bezempilo uma ungaqiniseki ngezinguquko ku-cervical mucus ekukhishweni koketshezi kokukhulelwa kokuqala.

Isiphetho

I-cervical mucus iyingxenye ebalulekile yokuqonda ukukwazi kwakho ukuzala nempilo yakho yokuzala. I-egg-white cervical mucus ngokuvamile ibonisa ukuvuthwa kweqanda. Nokho, uma uyibona ngaphandle kokuthi kube khona ukwanda kwe-LH, kungabangelwa izinto ezahlukene, okuhlanganisa ukucindezeleka noma ukungalingani kwamahomoni.

Izinguquko kutshati ye-cervical mucus nazo kufanele zibhekisiswe uma usukhulelwe. Isibonelo, kumele wabelane ngesimo sakho nodokotela uma uqaphela uketshezi olunombala oluhlaza ngesikhathi sokukhulelwa.

Imithombo esetshenzisiwe

1. Najmabadi, S., Schliep, K. C., Simonsen, S. E., Porucznik, C. A., Egger, M. J., & Stanford, J. B. (2021). Amaphethini e-cervical mucus newindi lokuzala kwabesifazane abangaziwa ukuthi banenkinga yokungazali. Human Reproduction (Oxford, England), 36(7), 1784-1795. https://doi.org/10.1093/humrep/deab049 
2. I-Cervical Mucus nokukhulelwa kokuqala. American Pregnancy Association. https://americanpregnancy.org/getting-pregnant/cervical-mucus/ 
3. Nedresky, D., & Singh, G. (2022b, September 26). I-Physiology ye-Luteinizing Hormone. StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK539692/ 
4. Maman, E., Adashi, E. Y., Baum, M., & Hourvitz, A. (2023). Ukubikezela ukuzala iqanda: Umbono omusha enhlanganisweni endala. Scientific Reports, 13(1), 1-10. https://doi.org/10.1038/s41598-023-47241-2 
5. Ndefo, U. A., Eaton, A., & Green, M. R. (2013). Isifo Se-Polycystic Ovary Syndrome. Pharmacy and Therapeutics, 38(6), 336. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737989/ 
6. Brown, E. D., Hall, J. E., & Shekhar, S. (2022). I-Thyroid Hormone Axis nokuzala kowesifazane. Ijenali Yamazwe Ngamazwe Yezesayensi Yamangqamuzana, 24(12), 9815. https://doi.org/10.3390/ijms24129815