Ingabe ukuba nocansi kabili ngosuku ngesikhathi sokuvuthwa kweqanda nokuba nocansi nsuku zonke kuhle ekutholeni ukukhulelwa?

Uma nibe nocansi kabili ngosuku ngesikhathi se-ovulation, ningase nicabange ukuthi lokho kuzokwandisa amathuba enu okukhulelwa kabili, akunjalo? Kodwa ngabe kudingeka ngempela? Imibhangqwana eminingi ezama ukukhulelwa (TTC) ifuna ukwazi ukuthi ucansi “olwanele” lungakanani nokuthi ingabe ucansi lwansuku zonke luyasiza yini. Ukuqonda i-zinga lakho lempumelelo yokukhulelwa kungakuletha ekucaceleni futhi kukusize ugxile esikhathini kunokuba ugxile enanini lezikhathi. Ake sikuchaze konke, ukuze ungazizwa sengathi usacabanga ngezibikezelo nje.

Ukubeka Isikhathi Socansi Ngesikhathi se-Ovulation Kubalulekile

Ukukhulelwa kuyohambo elijabulisayo kodwa kwesinye isikhathi elididayo, njengoba iviki ngalinye liletha izinguquko ezintsha kumntwana nakumama. Uma ukhulelwe amasonto angu-30, ungase uzibuze ukuthi kusele isikhathi esingakanani ngaphambi kokuba ekugcineni uhlangane nomntwana wakho omncane. Ake sikuhlukanise lokhu ngokuya ngobude obujwayelekile bokukhulelwa, okungamasonto angu-40 ngokuvamile, futhi siphendule neminye imibuzo evamile endleleni. Isikhathi sibalulekile uma uzama ukukhulelwa, kanti i-ukulandela i-ovulation kudlala indima enkulu. Isikhathi sakho sokuba nembewu sithatha cishe izinsuku eziyisithupha—izinsuku ezinhlanu ngaphambi kwe-ovulation, usuku lwe-ovulation, nosuku olulandelayo. Kungani? Ngoba isidoda singahlala emzimbeni wakho kuze kufike ezinsukwini ezinhlanu, kodwa iqanda lihlala cishe amahora angu-12-24 kuphela ngemva kokudedelwa.

Ngakho, umgomo awuwona nje ukuba nocansi okuningi ngangokunokwenzeka. Kumayelana nokuqinisekisa ukuthi isidoda sesivele sikhona silindele iqanda. Yingakho ukuba nocansi ezinsukwini ezingaphambi kwe-ovulation ikunikeza amathuba angcono kakhulu. 

Kodwa kufanele yini nibe nocansi izikhathi eziningi ngosuku phakathi nalesi sikhathi? Cha ngempela. Akukho bufakazi obuqinile obukhombisa ukuthi ukuba nocansi kabili ngosuku ngesikhathi se-ovulation kwandisa amathuba akho. Ukuchama kakhulu kungase kwehlise isibalo semenster ngokwesikhashana kwabanye abesilisa [1].

Ithiphu Ephezulu: Zama ukugxila ekubeni nocansi kube kanye ngosuku noma ngosuku olulandelayo phakathi nesikhathi sakho sokuba nembewu. Isikhathi sibaluleke kakhulu kunezikhathi eziningi!

Ucansi Lwenziwa Kangaki Uma Uzama Ukukhulelwa (TTC)

Uyazibuza ukuthi kufanele nikwenzane ucansi kangaki uma nizama ukukhulelwa (TTC)? Ezinye iz пары zizizwa ziphoqelekile ukuba ziye ocansini nsuku zonke noma izikhathi eziningi ngosuku. Kodwa into ebalulekile ukuthi—ukuba nocansi njalo ngosuku olulandelayo phakathi nesikhathi sakho sokuba nembewu ngokuvamile kwanele.

Izifundo zibonisa ukuthi ikhwalithi yesidoda ayithuthuki uma nizithiba isikhathi eside kakhulu noma nenza ucansi kaningi kakhulu. Impilo yesidoda iphezulu lapho kukhona ibhalansi—ucansi olujwayelekile njalo emahoreni angu-24-48 lusebenza kahle kakhulu [2].

Nokho, uma nobabili nijabulela ucansi lwansuku zonke futhi aluzwakali njengomsebenzi, qhubekani! Kodwa ningazizwa sengathi kufanele.

Ithiphu ebalulekile: Sebenzisa amathuluzi afana namakit yakho yokubikezela isikhathi sokuvuthwa kwamaqanda noma uqaphele izinguquko kumafinyila e-cervix ukuze uthole izinsuku zakho ozala kakhulu ngazo. Ngale ndlela, awuchithi amandla uqagela ukuthi nilizama nini.

Ingabe Ucansi Lwansuku Zonke Luhle Ekukhulelweni?

Abantu abaningi bayazibuza, ingabe ucansi lwansuku zonke luhle ekukhulelweni? Impendulo ithi yebo nange. Luhle ngoba luqinisekisa ukuthi aniphuthelwa iwindi lokuzala, kodwa aluphoqelekile.

Ucansi lwansuku zonke lungase lungazwakali njengento eningayikwazi ukuqhubeka nenza kuni nonke, ikakhulukazi uma seluqala ukuzwakala njengomsebenzi kunokuthile okusondelana futhi kujabulise. Futhi uma sikhuluma iqiniso—uma ukhathala noma ucindezelekile, kungadala umonakalo omkhulu kunenzuzo.

Kwiningi lamacala abantu abashadile, ukuba nobulili njalo ngelinye ilanga kusebenza ngendlela efanayo. Kunikeza isidoda isikhathi sokuvuseleleka kuyilapho nisagcina amathuba enu ephakeme [3].

Ithiphu ebalulekile: Ungavumeli inqubo izwakale iyimishini. Yigcine ijabulisa futhi ingokwemvelo. Ukucindezeleka kungenza amahomoni okuzala aphazamiseke, ngakho phumula!

Izikhuthazi Zokuzala Ezisizayo

Ukuzama ukukhulelwa akukhona nje kuphela ngokuhlela isikhathi socansi. Umzimba wakho udinga ama-nutrient afanele ukuze usekele ukukwazi ukuzala. Nawa angaba nomthelela:

• I-Folic Acid: Leli kubalulekile. Isekela ukukhula kwamaseli futhi ivimbele ukungaphathi kahle komgogodla wengane ezinsukwini zokuqala zokukhulelwa [4].
• Myo-Inositol ne-D-Chiro Inositol: Kusiza ukulinganisa amahomoni nokuthuthukisa ikhwalithi yamaqanda, ikakhulukazi kwabesifazane abane-PCOS [5]. 
• I-Zinc ne-Selenium: Kwandisa ukunyakaza kwesidoda kanye nempilo yonke yokuzala [6]. 
• CoQ10: Ivikelwa amaqanda nesidoda ekucindezelekeni kwe-oxidative. Iphinda ithuthukise ukukhiqizwa kwamandla ezingeni lamaseli [7].
• L-Arginine: Iwandisa ukugeleza kwegazi ukuya ezithweni zokuzala, ithuthukise ukukwazi ukuzala kokubili amadoda nabesifazane [8].

Ama-lubricant anobungane ekuzaleni nawo angasiza. Bheka lawo anama-ion e-magnesium ne-calcium. Adala indawo elungele isidoda futhi asekele ukufakelwa kwembewu.

Ithiphu ebalulekile: Faka la ma-nutrient esikhathini sakho sansuku zonke ukuze uthole imiphumela engcono yokuzala.

Okubalulekile Ekugcineni

Ngakho, ingabe ukuba nobulili kabili ngosuku ngesikhathi sokuvuthwa kwamaqanda noma ukwenza ucansi nsuku zonke kuyadingeka? Cha impela. Ukubekezela kahle iwindi lakho lokuzala nokugcina ikhwalithi yesidoda neqanda iphila kahle kubalulekile kakhulu kunokujwayeleka kokwenza ucansi. Yehlisa amazinga okucindezeleka, ujabulele inqubo, futhi uqhubeke ngokungaguquki ngemizamo yakho.

Khumbula, akusilo umjaho—uwuhambo. Ngokuhlela isikhathi kahle, impilo enhle, nokubekezela, amathuba akho okuze uthole ukukhulelwa aphezulu.

Imibuzo evame ukubuzwa

Ingabe ukwenza ucansi kabili ngosuku kwehlisa isibalo sesidoda?

Kungase kwehlise isibalo sesidoda okwesikhashana, kodwa ebantwini besilisa abanempilo iningi, ngeke kwenze umehluko omkhulu.

Ngiyazi kanjani ukuthi ngivuthwa nini amaqanda?

Ungasebenzisa amakhithi okubikezela ukuvuthwa kweqanda, ulandele izinga lokushisa komzimba lapho uphumule (basal body temperature), noma uqaphe uketshezi lwesibeletho ukuze ubone izinguquko.

Ngingaba nocansi nsuku zonke uma ngizama ukukhulelwa?

Yebo, ungakwazi. Kodwa ukwenza ucansi usuku nosuku lwesibili kuyasebenza ngokulinganayo futhi kungazwakala kungacindezeli kangako.

Yiziphi izakhamzimba ezisiza ekukhokhelweni kokuzala?

I-folic acid, i-CoQ10, i-zinc, ne-inositol kuhle kakhulu ekusekeleni impilo yokuzala.

Ingabe wonke ama-lubricant aphephile uma uzama ukukhulelwa?

Cha. Khetha ama-lubricant ahambisana nokuzala aqukethe ama-ion e-magnesium ne-calcium ukuze asekele impilo yesidoda.

Izikhombo

1. Miyamoto, T., Tsujimura, A., Miyagawa, Y., Koh, E., Namiki, M., & Sengoku, K. (2012). Ukungazali kwabesilisa nezimbangela zako ebantwini. Advances in urology. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC3199180/
2. Bonde, J. P., Ernst, E., Jensen, T. K., Hjollund, N. H., Kolstad, H., Henriksen, T. B., Scheike, T., Giwercman, A., Olsen, J., & Skakkebaek, N. E. (1998). Ubudlelwane phakathi kwekhwalithi yesidoda nokuzala: ucwaningo olususelwe emphakathini kubahleleli bokukhulelwa kokuqala abangu-430. Lancet (London, England). Available at: https://pubmed.ncbi.nlm.nih.gov/9777833/
3. Bungum M. (2012). Ukuhlola ubuqotho be-DNA yesidoda: ithuluzi elisha ekuxilongweni nasekwelashweni kwezinkinga zokuzala. Obstetrics and gynecology international. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC3236416/
4. Czeizel, A. E., & Dudás, I. (1992). Ukuvimbela ukuvela kokuqala kokungavaleki kahle komgogodla wengqondo ngokwengeza amavithamini ngesikhathi sokucabanga nokuhlela ukukhulelwa. The New England journal of medicine. Available at: https://pubmed.ncbi.nlm.nih.gov/1307234/
5. Unfer, V., Facchinetti, F., Orrù, B., Giordani, B., & Nestler, J. (2017). Imiphumela ye-myo-inositol kwabesifazane abane-PCOS: ukuhlaziywa okuhlanganisayo kwezilingo ezilawulwa ngendlela engahleliwe. Endocrine connections. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC5655679/
6. Allouche-Fitoussi, D., & Breitbart, H. (2020). Indima ye-zinc ekuzaleni kwabesilisa. International journal of molecular sciences. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC7589359/
7. Bentov, Y., Hannam, T., Jurisicova, A., Esfandiari, N., & Casper, R. F. (2014). Ukwengeza i-Coenzyme Q10 nokungalingani kwamaseli e-oocyte kwabesifazane abahlinzekwa ukwelashwa kwe-IVF-ICSI. Clinical medicine insights. Reproductive health. Available at: https://pubmed.ncbi.nlm.nih.gov/24987272/
8. Gao, K., Jiang, Z., Lin, Y., Zheng, C., Zhou, G., Chen, F., Yang, L., & Wu, G. (2012). Ukwengeza kwezakhamzimba kokudla i-L-arginine kuthuthukisa ukukhula kwesibopho nempumelelo yokuzala kumajikazi. Amino acids. Available at: https://pubmed.ncbi.nlm.nih.gov/21691753/