Izizathu eziyisi-6 ongase uzizwe ukhulelwe kodwa uvivinyo lokukhulelwa luphuma luyi-negative
Kuyadida futhi kukhathaze kakhulu ukuzizwa unezimpawu zokukhulelwa kodwa ubone umphumela ongakhombisi ukukhulelwa ekuhlolweni kwakho kokukhulelwa. Kodwa kungase kube iqiniso ukucabanga ukuthi ukhulelwe. Abesifazane abaningi bafuna izimpendulo lapho bezizwa bekhulelwe kodwa ukuhlolwa okuqhubeka kukhombisa ukuthi abakhulelwe. Lolu lwazi luvamile kakhulu kunalokho ongase ucabange, futhi kunezincazelo eziningana ezingaba khona zokungahambisani lokhu. Ucwaningo olubandakanya abesifazane abangu-2926 luthole ukuthi u-34.2% uthole umphumela ongakhombisi ukukhulelwa ekuhlolweni kokukhulelwa. Akugcini lapho, kodwa u-24.4% wabathola imiphumela engemihle esibhedlela ngaphambi kokuba bakhulelwe [1]. Kule ndatshana, sizobheka zonke izizathu ezingaba khona zokuthi kungani ungase uzizwe ukhulelwe kodwa ukuhlolwa kukhombise ukuthi awukhulelwe.
1. Ukuhlola Kusenesikhathi Kakhulu
Esinye sezizathu ezivamile zokuthola umphumela ongakhombisi ukukhulelwa yize uzizwa ukhulelwe, wukuhlola kusenesikhathi kakhulu. Ukuhlolwa kokukhulelwa kusebenzela ukuthola ihomoni i-hCG (human chorionic gonadotropin), eqala ukwanda ngemva kokumiswa kombungu. Nokho, uma wenza ukuhlolwa ngaphambi kokuba amazinga e-hCG akhuphuke ngokwanele ukuze atholakale, umphumela ungase ube mubi. Lokhu kuvame ikakhulukazi uma wenza ukuhlolwa kokukhulelwa izinsuku ezine ngaphambi kokuba kudlule isikhathi sakho bese uthola umphumela ongakhombisi ukukhulelwa, noma kusenesikhathi nakakhulu. Ukulinda kuze kudlule isikhathi sakho sokuya esikhathini noma ukwenza ukuhlolwa ekuseni kakhulu (nangaleso sikhathi i-hCG igxile kakhulu) kungakunikeza imiphumela enembile kakhulu.
2. Amazinga e-hCG Aphansi
Abanye besifazane bangase babe namazinga e-hCG aphansi kunokuvamile, ngisho nangemva kokumiswa kombungu esibelethweni. Lokhu kungaholela esimweni lapho ukuhlolwa kokukhulelwa kungakhombisi ukukhulelwa kodwa uzizwe ukhulelwe. Uma wenze ukuhlolwa kusenesikhathi futhi amazinga amahomoni akho engakafinyeleli ezingeni elingatholwa ukuhlolwa kokhaya, ukuphinda ukuhlolwa ngemva kwezinsuku ezimbalwa kungakunikeza umphumela onembe kakhudlwana. Kwezinye izimo, ukuhlolwa kwegazi kungase kudingeke ukuze kuqinisekiswe ukukhulelwa [2].
3. Ukubala Ngokungafanele Umjikelezo Wakho
Abesifazane abaningi ababanazo imijikelezo yokuya esikhathini ephelele. Uma ungaqiniseki ukuthi wakhishwa nini iqanda, kungenzeka ukuthi wenza ukuhlolwa ngesikhathi esingalungile. Ukukhishwa kweqanda sekwephuzile kungabambezela ukuvela kwe-hCG, okusho ukuthi kungaba usukhulelwe kodwa kuvela umphumela ongakhombisi ukukhulelwa. Ezimweni lapho ucabanga khona ukuthi ngisanda kuya esikhathini kodwa ngizizwa ngikhulelwe, kungenzeka ukuthi umjikelezo wakho uziphatha ngendlela engaqondakali, noma ube ubale kabi isikhathi iqanda elakhishwa ngaso.
4. Izimpawu Zokukhulelwa Okungamanga
Ukuguquguquka kwamahomoni okwandulela isikhathi sakho kungenza kufane kakhulu nezimpawu zokukhulelwa zakuqala. Ungase uzwe ubuhlungu obuncane ezinswini, ukukhathala, ukuvuvukala, ngisho nesicanucanu, okuyizimpawu ze-premenstrual syndrome (PMS) kanye nokukhulelwa. Ngezinye izikhathi, umzimba wakho ungaze ukukhohlise ukuthi ucabange ukuthi ukhulelwe nakuba ungalokothi. Lokhu kungenzeka ngenxa yamazinga aphezulu e-progesterone ngesikhathi somjikelezo wakho, okuyiwona nawo abangela izimpawu zokuqala zokukhulelwa [3].
5. Izimo Zempilo
Ezinye izimo zempilo zingadala izimpawu ezifanayo nokukhulelwa kodwa ezingahlobene nakho. Isibonelo, ukopha okuncane (spotting) nesicanucanu ngaphandle kokukhulelwa kungadalwa ingcindezi, izinkinga zesitho se-thyroid, noma i-polycystic ovary syndrome (PCOS). Lezi zimo zingaphazamisa ibhalansi yamahomoni akho, zikwenze uzizwe ukhulelwe nakuba ukuhlolwa kukhombisa umphumela ongemuhle.
6. Umphumela we-Hook Nezinye Izigameko Ezingavamile
Nakuba kungajwayelekile, isenzakalo esaziwa ngokuthi “hook effect” singadala umphumela ongaphumi (false negative). Lokhu kwenzeka uma amazinga e-hCG ephakeme kakhulu aze adide ukuhlolwa, kuholele emgomweni ongalungile. Lokhu kujwayeleke kakhulu ekukhulelweni kwamawele noma kwezinye izimo zempilo. Uma uqiniseka uthi, “Ngizizwa ngikhulelwe kodwa ukuhlolwa kuphuma kungelutho,” kufanelekile ukucubungula ukubuyela kudokotela wakho ukuze kwenziwe uphenyo olwengeziwe [4].
Okumele Ukwenze Okulandelayo?
Uma usola ukuthi ukhulelwe kodwa uqhubeka uthola imiphumela engemihle yokuhlolwa, kunconyiwa ukuthi ulinde izinsuku ezimbalwa bese uhlola futhi. Kwezinye izimo, ukulinda okungenani isonto elilodwa kunganikeza umphumela onembe kakhudlwana. Uma ukuhlolwa kuqhubeka kuphuma kungelutho kodwa usazizwa ukhulelwe, xhumana nodokotela wakho. Angase ancome ukuhlolwa kwegazi noma i-ultrasound ukuze akhiphe ezinye izimo futhi aqinisekise ukuthi ngabe ukhulelwe yini.
Okubalulekile Ekugcineni
Ngokufingqa, ukuzizwa ukhulelwe kodwa imiphumela yokuhlolwa iphume engemihle kuyakhathaza kodwa akuyona into engajwayelekile. Izinto eziningana, okuhlanganisa ukuhlola masisha kakhulu, amazinga aphansi e-hCG, noma ukungalingani kwamahomoni, zingadala lo mehluko. Yiba nesineke, uqhubeke uhlola, futhi funa iseluleko sezokwelashwa uma kudingeka.
Imithombo
- Zabin LS, Emerson MR, Ringers PA, Sedivy V. Intsha enemiphumela yokuhlolwa kokukhulelwa engemihle. Iqembu elisengozini elilula ukulifinyelela. JAMA. 1996 Jan 10;275(2):113-7. PMID: 8531305.
- Joana Cavaco Silva, Holly Ernst, P.A. Kusho ukuthini amazinga e-hCG aphansi? MedicanNewsToday. [Updated on July 10, 2023]. Kutholakala ku-inthanethi: https://www.medicalnewstoday.com/articles/321691
- WebMD. Stephanie Watson. Traci C. Johnson, MD Ukukhulelwa Kwamanga (Pseudocyesis). [August 12, 2022]. Available online: https://www.webmd.com/baby/false-pregnancy-pseudocyesis
- Priyadarshini S, Manas F, Prabhu S. Ukuhlolwa Kokukhulelwa Komchamo Okungaphumi (False Negative): Umphumela we-Hook Uvezwe. Cureus. 2022 Mar 2;14(3):e22779. doi:10.7759/cureus.22779. PMID: 35371840; PMCID: PMC8971111.
