Ukuzizwa Ubandayo Ekuqaleni Kokukhulelwa: Izimbangela Nezeluleko
Ngesikhathi sokuqala sokukhulelwa, kujwayelekile ukuthi uzwe izimpawu ezahlukene, kodwa ezinye izifazane zingase zithole imizwa engagwegwesi njengokuzwa ubanda. Nakuba lokhu kungaxoxwa kakhulu njengezinye izimpawu, abesifazane abaningi abakhulelwe babika ukuthi bazizwa bethuthumela, ikakhulukazi ngesikhathi se-trimester yokuqala. Ukuzwa ubanda ekuqaleni kokukhulelwa kungamangaza, kodwa kuvame ukuba kuhlobene nezinguquko zamahhormoni noma izinguquko ekugelezeni kwegazi njengoba umzimba wakho uzivumelanisa nokusekela ingane ekhula. Ake sicubungule ukuthi kungani lokhu kwenzeka nokuthi ungakuphatha kanjani.
Izimbangela Zokuzizwa Ubanda Ekuqaleni Kokukhulelwa
1. Izinguquko Zamahlomoni
Izinguquko zohlelo lwamahlomoni ezenzeka ekuqaleni kokukhulelwa, ikakhulukazi ukwanda kwe-estrogen ne-progesterone, zingathinta ikhono lomzimba wakho lokulawula izinga lokushisa. Nakuba lawa mahlomoni elungiselela umzimba wakho ingane, kwesinye isikhathi angakwenza uzizwe ubanda ngokungajwayelekile, ikakhulukazi ezandleni nasezinyaweni [1].
2. Ukwanda Kokugeleza Kwegazi
Umthamo wegazi lakho uyanda kakhulu ngesikhathi sokukhulelwa ukuze unikeze umoya-mpilo nokudla okusabalalisa emntwaneni okhulayo. Njengoba ukujikeleza kwegazi lakho kugxila ekusekeleni ingane esesiswini, kungase kushiye izingxenye zomzimba ezifana nezandla nezinyawo zibanda kunokujwayelekile. Lokhu kungafaka isandla kulowo muzwa wokuthi "izandla nezinyawo zibanda" ekuqaleni kokukhulelwa [2].
3. Isicanucanu Sasekuseni Namandla Aphansi
Uma uhlangabezana nesicanucanu nokuhlanza, okuyinto evamile ekuqaleni kokukhulelwa, umzimba wakho ungase ungakwazi ukugcina ukudla okwanele. Lokhu kushoda kokudla kungakushiya ungenawo amandla anele okukhiqiza ukushisa, okwenza uzizwe ubanda. Inhlanganisela ye-metabolism ehamba kancane nokushoda kokudla okunomsoco ingenza kube nzima ukugcina umzimba ufudumele. Uma uzibuza ukuthi isicanucanu sasekuseni siqala masinyane kangakanani, sikuxoxa lokho kwenye indatshana.
4. Ukusebenza Kwe-Thyroid
I-thyroid engasebenzi kahle ngokwanele (i-hypothyroidism) ingesinye isizathu esingaba khona sokuzwa ubanda ngesikhathi sokukhulelwa. I-thyroid isiza ukulawula i-metabolism, futhi uma ingasebenzi ngokwanele, ungase uzwe ukukhathala, isikhumba esomile, nomuzwa wokuthi ubanda njalo. Uma lesi sifo siqhubeka, kuwufanele ukukhuluma nodokotela mayelana nokuhlolwa kwe-thyroid.
5. I-Anemia
Ukushoda kwensimbi, noma i-anemia, kuvamile ngesikhathi sokukhulelwa. Uma ingenayo insimbi eyanele, umzimba wakho ulwelwa ukukhiqiza amaseli egazi abomvu anele okuletha umoya-mpilo, okukushiya uzizwa ubanda, ubuthaka futhi ukhathele. I-anemia ingenza umzimba wakho uhluleke ukulawula izinga lokushisa, okungenza ube nomuzwa wobanda ekuqaleni kokukhulelwa.
Ukulawula Ukuzwa Ubanda Ekuqaleni Kokukhulelwa
Uma ubhekene nokuzwa umuzwa wobandayo ekuqaleni kokukhulelwa, kukhona izinto ezimbalwa ezilula ongazenza ukuze uhlale ufudumele. Ukwelapha umuzwa wobanda ngesikhathi sokukhulelwa kudinga indlela ehluke kancane [3]:
- Gqoka Izingqimba Eziningi: Ukugqoka izingqimba eziningi zezingubo, ikakhulukazi ezingxenyeni zomzimba ezifana nezandla nezinyawo, kungasiza ukugcina ukufudumala. Khetha amasokisi afudumele, amabhulankete, noma ama-robe akhululekile ukuze ulwe nokubanda.
- Qhubeka Uhamba: Ukuzivocavoca okulula njengokuhamba noma i-yoga yabakhulelwe kungakhulisa ukujikeleza kwegazi futhi kukusize ufudumale. Qiniseka nje ukuthi awuzikhandli ngokweqile, ikakhulukazi ezinyangeni zokuqala zokukhulelwa.
- Phuza Iziphuzo Ezifudumele: Ukuphuza iziphuzo ezifudumele, ezingekho ne-caffeine njenge-ti yezitshalo (herbal teas), kungakunikeza ukufudumala ngaphakathi nokunethezeka.
- Yidla Ukudla Okunothe Ngensimbi: Faka ukudla okunensimbi eningi ekudleni kwakho kwansuku zonke, njengezithelo eziluhlaza ezinamagxolo (leafy greens), ubhontshisi, ne-cereal enothulisiwe. Uma ukhathazekile nge-anemia, xoxa nodokotela wakho mayelana nezithasiselo zensimbi.
Nini Okufanele Ubone Udokotela
Noma ukuzizwa ubanda ekuqaleni kokukhulelwa kuvame ukuchazwa izinguquko zamahomoni noma ukuntuleka okuncane kokudla okunomsoco, kubalulekile ukulandelela noma yiziphi izimpawu ezengeziwe. Uma uhlale uzizwa ubanda uhambisana nokukhathala okukhulu, isikhumba esiphaphathekile, noma isiyezi, kungase kubonise inkinga enzima njengokungasebenzi kahle kwe-thyroid (hypothyroidism) noma i-anemia, zombili lezi ezidinga ukunakwa kodokotela.
Okubalulekile Ekugcineni
Noma kungase kungabi khona njengamanye amasimpawu okukhulelwa, ukuzizwa ubanda kungaba yingxenye evamile yokukhulelwa kokuqala ngenxa yezinguquko zamahomoni, ukulungiswa kokugeleza kwegazi, noma izinkinga ezifana ne-anemia. Uma uthola ukuthi uyazizwa ubanda ekuqaleni kokukhulelwa, khumbula ukuthi kuvamise ukuba kwesikhashana, kodwa uma kuhambisana nokukhathala okukhulu noma isiyezi kungase kubonise isidingo sokuxoxa nomhlinzeki wakho wezempilo. Uma uzibuza ukuthi, "ukubanda kuyimpawu yokukhulelwa na?" impendulo ithi yebo—kungenzeka kube yikhona, nakuba kuhlale kuhlakaniphe ukubonisana nodokotela uma ukhathazekile. Ukuhlala ufudumele ngezindlela ezilula ezifana nokugqoka izingqimba zezingubo nokugcina ukudla okunempilo kungasiza ukunciphisa lobu bunzima.
Imithombo:
- Parents. Kungani Ungase Uzizwe Ubanda Ngesikhathi Sokukhulelwa—Futhi Okufanele Ukwenze Ngakho. [Kuvuselelwe ngo-9 Agasti 2023]. Kutholwe ngo-29 Septhemba 2024- https://www.parents.com/pregnancy/my-body/are-the-chills-normal-during-pregnancy/
- Li N, Cai L, Heizhati M, Wang L, Li M, Zhang D, Abulikemu S, Yao X, Hong J, Zou B, Zhao J. Ukuchayeka kukamama ezigabeni zokubanda kakhulu ngesikhathi ekhulelwe kuhlotshaniswa nengcindezi yegazi ephakeme kanye nesifo soxinzelelo lwegazi ezinganeni zakhe kamuva empilweni. J Clin Hypertens (Greenwich). 2020 Oct;22(10):1884-1891. doi:10.1111/jch.14015. Epub 2020 Aug 20. PMID: 32815665; PMCID: PMC8029659.
- Erebara A, Bozzo P, Einarson A, Koren G. Ukulapha umkhuhlane ojwayelekile ngesikhathi sokukhulelwa. Can Fam Physician. 2008 May;54(5):687-9. PMID: 18474699; PMCID: PMC2377219.
