Indlela owesifazane ekhulelwa ngayo yindoda nokuthi kungani abesifazane bekhulelwa ngokwemvelo

Ukukhulelwa inqubo enhle, kodwa futhi eyinkimbinkimbi kakhulu uma uqala ukucabangisisa ngayo. Akumayelana nje nesenzo sokwabelana ngocansi—kuhlanganisa isikhathi, impilo, nezimo ezifanele ukuze konke kuhambisane kahle. Ukuqonda ukuthi owesifazane ukhulelwa kanjani ngomuntu wesilisa kubaluleke kakhulu kunoma ubani ozama ukukhulelwa. Ngokufunda izinto eziyisisekelo zokukhulelwa, kanye nolwazi oluncane olwengeziwe ngokuthi indlela yokuphila kanye nezithasiselo zokudla zingasiza kanjani, ungakhulisa amathuba akho okukhulelwa ngendlela yemvelo.

Lesi sihloko sizoxoxa ngakho konke kusukela ekutheni umuntu wesilisa umkhulelisaphi owesifazane kuya ekutheni owesifazane ukhulelwa kanjani ngomuntu wesilisa kanye nezinqubo zemvelo ezingemuva kombuzo othi kungani abesifazane bekhulelwa.

Ukukhulelwa Kwenzeka Kanjani Ngempela?

Ukukhulelwa inqubo eqala ngeqanda nesidoda. Iqala lapho owesifazane eqhamuka iqanda (ovulation), okuthi kube cishe izinsuku ezingu-14 ngaphambi kokuthi kufike esinye isikhathi sokuya esikhathini. Ngesikhathi sokuya eqandeni, elinye lama-ovari lakhe likhipha iqanda elivuthiwe liliwise eshubhini le-fallopian. Leli qanda liyakwazi ukuchunyiswa cishe phakathi kwamahora angu-12 kuya kwangu-24.

Ngasikhathi sinye, uma indoda ikhishwa inhlanyelo ngesikhathi sokwabelana ngocansi, izigidi zamangqamuzana esidoda zikhululwa emzimbeni womuntu wesifazane. Lesi sidoda sibhukula sidlule esibelethweni somlomo wesibeletho, singene esibelethweni, sikhuphuke emashubhini e-fallopian sifuna iqanda. Isidoda esisodwa kuphela esingakwazi ukuchumisa iqanda, bese lokho kumaka ukuqala kokukhulelwa. Uma ukuchunyiswa sekwenzekile, iqanda liba i-zygote, eliqala ukuhlukana libe amaseli amaningi njengoba liya ngesibeletho. Uma i-zygote ifinyelela esibelethweni, izinamathelisa emgodleni wesibeletho enqubweni ebizwa ngokuthi ukuqhotyoshelwa (implantation). Lesi sigaba siqala ngokusemthethweni ukukhulelwa [1].

Lo msebenzi wendele uchaza igxathu negxathu ukuthi umuntu wesilisa umkhulelisaphi umuntu wesifazane nokuthi kungani isikhathi sibaluleke kangaka.

Iyini Indima Yesidoda Namaqanda?

Impilo yesidoda neqanda zombili ibalulekile kakhulu uma kukhulunywa ngokukhulelwa. Isidoda somuntu wesilisa sidinga ukuba siqine, siphile kahle, futhi sikwazi ukuhamba kahle ukuze sibhukule sidlule ohlelweni lokuzala lomuntu wesifazane sifinyelele eqandeni. Kwabesifazane, ikhwalithi yeqanda ibaluleke ngokufanayo—ikakhulukazi ukuze kube nokuchunyiswa nokuqhotyoshelwa okuphumelelayo.

Ezinye izinhlanganisela zokudla zingasekela impilo yokuzala kwabobabili amadoda nabesifazane. Isibonelo, i-zinc ne-selenium kuyaziwa ukuthi zithuthukisa ikhwalithi yesidoda futhi zivikele amaseli okuzala ekulimaleni okubangelwa ama-oxidants. Lezi zinhlanganisela zokudla zisebenza njenge-antioxidants, okuyinto ebalulekile ekugcineni amaseli ephilile futhi esebenza kahle.

Kwabesifazane, i-folic acid ne-Myo-Inositol yizinhlanganisela ezimbili ezinamandla ezithuthukisa ikhwalithi yamaqanda futhi zisize ukulawula amahomoni. I-folic acid ibaluleke kakhulu ngoba yehla ubungozi beziphene zokuzalwa futhi isekele ukukhula kwamaseli anempilo. I-Myo-Inositol, ngakolunye uhlangothi, iyasiza kwabesifazane abanalesi simo se-PCOS njengoba ikhuthaza ukuvuthwa okuvamile [2].

Uma uzibuza ukuthi owesifazane ukhulelwa kanjani ngendoda noma ukuthi amadoda enza kanjani abesifazane bakhulelwe, konke kumayelana nempilo nesikhathi salezi zicubu zokuzala.

Yisiphi Isikhathi Esingcono Kakhulu Sokuqala Ukuzama Ingane?

Isikhathi sibalulekile kakhulu uma kukhulunywa ngokukhulelwa. Isikhathi esingcono kakhulu sokuzama ukukhulelwa yisikhathi esibizwa ngokuthi "iwindi lokuvundelana," elihlanganisa izinsuku ezinhlanu eziholela ekuvuthweni kosuku lokuvuthwa uqobo. Njengoba isidoda singahlala emzimbeni womfazi kuze kufike ezinsukwini ezinhlanu, ukuzelana phakathi kwalesi sikhathi kukhulisa kakhulu amathuba okukhulelwa.

Kunezindlela ezimbalwa ongazisebenzisa ukuze uthole ukuthi uvuthwa nini. Enye yezindlela ezilula kakhulu ukulandela uketshezi lwesibeletho. Ngesikhathi sokuvuthwa, uketshezi lwesibeletho lucaca, luyeluleke futhi lube lushelelayo, lufane namaqanda angakabikwa. Lokhu kwenza kube lula ukuthi isidoda siqhubekele phambili. Ungabuye ulandele izinga lokushisa lomzimba eliyisisekelo (BBT) ngoba liyakhuphuka kancane ngemva kokuvuthwa. Amakhithi okuhlola ukuvuthwa nawo ayithuluzi elihle kakhulu—ahlola ukwanda kwehomoni i-luteinizing (LH) okwenzeka ngaphambi kokuvuthwa [3].

Ukubekela isikhathi ukuzelana phakathi nalesi sikhathi sokuvundelana kuphendula umbuzo wokuthi indoda ingamkhulelisa kanjani owesifazane futhi kuqinisekisa ukuthi isidoda sihlangana neqanda ngesikhathi esifanele.

Izindlela Zokuphila Ezithinta Ukuzala

Indlela ohlala ngayo ingaba nomthelela omkhulu ekutheni ukwazi yini ukukhulelwa noma cha. Ukubhema, ukuphuza utshwala ngokweqile, nokusebenzisa izidakamizwa konke kunganciphisa amandla okuzala kwabesilisa nabesifazane. Ukudla okungalungile, amazinga aphezulu e-stress, nokungazivocavoci nakho kunomthelela omubi.

Ukugcina isisindo esinempilo kubaluleke kakhulu. Ukuba mncane kakhulu noma ukhuluphele ngokweqile kungaphazamisa ibhalansi yamahomoni, okungaholela ekuvuthweni kwamaqanda okungajwayelekile noma ikhwalithi yesidoda embi. Ukudla okunempilo okulinganiselayo okuqukethe ukudla okungakacutshungulwa kakhulu, amaprotheni anomsoco, namafutha anempilo kungaletha umehluko omkhulu.

Ezinye izakhi, njenge-Vitamin D, zibalulekile empilweni yama-hormone. Amafutha e-Omega-3 (afana ne-DHA) athuthukisa ikhwalithi yamaqanda nokunyakaza kwe-sperm. I-iron isekela ukuthuthwa komoya-mpilo egazini, okubalulekile kokubili kwabesilisa nabesifazane [4]. Ngokwenza lezi zinguquko, ungakhulisa amathuba akho okuqonda ukuthi kungani abesifazane bekhulelwa ngokwemvelo.

Indlela Ama-Supplement Angasiza Ngayo Ukuzala

Uma uzama ukukhulelwa, ama-supplement angaba indlela enhle yokusekela umzimba wakho. I-folic acid ingesinye sezakhi ezibaluleke kakhulu ngoba isekela ukuthuthuka kombungu futhi yehla ingozi yokugula kwemgogodla nengqondo (neural tube defects). I-Myo-Inositol ne-D-Chiro Inositol zinhle kwabesifazane abane-PCOS, ngoba zisiza ukulinganisa amahomoni nokulawula i-ovulation.

Kwabesilisa, i-CoQ10 ne-L-Carnitine ziwusizo kakhulu. I-CoQ10 ithuthukisa amandla kanye nokunyakaza kwe-sperm, kanti i-L-Carnitine isekela ukusebenza kwe-sperm ngokujwayelekile. Ezinye izakhi ezifana ne-zinc, i-selenium, ne-magnesium nazo zibalulekile ngoba zivikelwa amaseli okuzala futhi zithuthukise ukuzala kwesimanje [5].

Ama-supplement aqukethe lezi zithako asiza ukuphendula umbuzo wokuthi owesifazane ukhulelwa kanjani ngendoda ngokuthuthukisa impilo yokuzala kuzo zombili izinhlangothi.

Kungani Abesifazane Bekhulelwa Ngokwemvelo?

Umzimba wesifazane wakhelwe ukuzitholela ukukhulelwa ngokwemvelo uma kunezimo ezifanele. Njalo ngenyanga, uhlelo lokuzala lulungiselela ukukhulelwa okungenzeka ngokukhulula iqanda, lwenze udonga lwesibeletho lube lukhulu, futhi lukhiqize umchamo wesibeletho (cervical mucus) osiza i-sperm ukuthi iwele iye eqandeni. Lezi zinqubo zemvelo zisebenzisana ukuze zakhe indawo efanele yokukhulelwa.

Imizimba yabesilisa iphinde ibe negalelo ngokukhiqiza izigidi ze-sperm ezilungele ukuchumisela iqanda. Ukuqonda ukuthi kungani abesifazane bekhulelwa ngokwemvelo kugqamisa ukubaluleka kwesikhathi, impilo, nemijikelezo yemvelo yomzimba [6].

Ukulungiselela Ukukhulelwa Okunempilo

Ukulungiselela umzimba wakho ukukhulelwa kungaba nomthelela omkhulu. Abesifazane kufanele baqale ngokulandelela imijikelezo yabo yokuya esikhathini ukuze bakwazi ukubona ukuthi bavuthwa nini. Ukugcina umlando we-ovulation kwenza kube lula ukwazi iminyaka engcono kakhulu yokukhulelwa.

Ukuthatha amavithamini angaphambi kokukhulelwa kungesinye isinyathelo esibalulekile. La mavithamini avame ukuqukatha i-folic acid, i-Vitamin D, nensimbi, okubalulekile ekukhulelweni okunempilo. I-folic acid isekela ukukhula kokuqala komntwana esesiswini, kanti i-Vitamin D nensimbi kuqinisekisa ukuthi umzimba wakho ulungele izidingo zokukhulelwa.

Amadoda angazuza futhi ezithasiselweni eziqukethe i-zinc ne-selenium, ezithuthukisa impilo yesidoda. Ukwenza izinguquko endleleni yokuphila njengokuyeka ukubhema, ukunciphisa utshwala, nokuzivocavoca njalo kungasiza futhi [7].

Ngokuthatha lezi zinyathelo, abalingani bangakwazi ukuqonda ukuthi amadoda akhulelisa kanjani abesifazane ngenkathi bedala indawo engcono kakhulu yokukhulelwa okunempilo.

Imibono Evamile Engamanga Ngokukhulelwa

Kukhona imiqondo eminingi engalungile mayelana nokukhulelwa. Omunye wemibono emikhulu engamanga wukuthi izikhundla ezithile zocansi zingandisa amathuba okukhulelwa. Iqiniso ukuthi inqobo nje uma isidoda sifakwa eduze komlomo wesibeletho, isikhundla asinamthelela.

Omunye umbono ongamanga wukuthi ukuphakamisa imilenze emva kokulala ocansini kusiza isidoda sifinyelele eqandeni ngokushesha. Empeleni, isidoda sifinyelela emlonyeni wesibeletho emizuzwaneni embalwa ngemva kokufutha, ngakho lokhu akudingekile. Ukucindezeleka kuvame ukusolwa ngokungabi nabantwana, kodwa nakuba kungaba nendima, akuvamile ukuba yisona sizathu esiyinhloko sobunzima bokukhulelwa [8].

Okubalulekile

Ukuqonda ukuthi owesifazane ukhulelwa kanjani ngowesilisa kuhilela ukufunda ngesikhathi, isayensi yomzimba, nezinto ezithinta ukungatali. Ngokuthuthukisa impilo yakho, ukulandelela ukukhishwa kweqanda, nokusebenzisa izithasiselo ezisekela uzalo, ungakwazi ukwandisa amathuba akho okuhulelwa ngokwemvelo.

Uhambo lokuya ebuzalini lungase ludinge ukubekezela, kodwa ngokulungiselela kahle, kungenzeka ukudala izimo ezidingekayo zokukhulelwa okunempilo. Kungaba ngokwenza izinguquko ezinhle empilweni, ukulandelela umjikelezo wakho, noma ukuthola imisoco efanele, izinyathelo ezincane zingaletha umehluko omkhulu.

Ngolwazi olufanele nokulungiselela kahle, ungakwazi ukwandisa amathuba akho okuthola ukukhulelwa okunempilo nophumelele.

Imibuzo ejwayele ukubuzwa

Kuthatha isikhathi esingakanani ukukhulelwa ngokwemvelo?

Kwabaningi ababambisene, kungathatha kufike onyakeni bezama ukukhulelwa ngokwemvelo. Uma sekudlule leso sikhathi, cabanga ngokuyobonana nodokotela.

Yiziphi izithasiselo ezihamba phambili zokwandisa uzalo?

Izithasiselo eziqukethe i-folic acid, i-CoQ10, i-Vitamin D, ne-zinc zaziwa ngokwandisa uzalo.

Ngiyazi kanjani ukuthi ngikhishwa nini iqanda?

Ungakwazi ukulandelela ukukhishwa kweqanda ngokubheka umswakama wesibeletho, usebenzisa ikhithi yokubikezela ukukhishwa kweqanda, noma ukulandelela izinga lokushisa lomzimba eliyisisekelo.

Ingabe ingcindezi ingavimbela ukukhulelwa?

Ingcindezi engapheli ingaphazamisa ibhalansi yamahomoni, kodwa ingcindezi yesikhashana akunakwenzeka ukuthi ivimbele ukukhulelwa ngokuphelele.

Abashadile abazama ukukhulelwa kufanele babe nobulili kangaki?

Kunconywa ukuba nobulili njalo emuva kwezinsuku ezi-2–3 phakathi nomjikelezo wokuya esikhathini ukuze kwandiswe amathuba okukhulelwa.

Ingabe ukuya esikhathini okungajwayelekile kungathinta amathuba ami okukhulelwa?

Yebo, angenza kube nzima ukubikezela ukuvuthwa kwamaqanda, kodwa amathuluzi afana namakhithi okuvuthwa kwamaqanda angasiza. Xhumana nodokotela uma imijikelezo ingajwayelekile kakhulu.

Izinkomba

1. Wilcox, A. J., Weinberg, C. R., & Baird, D. D. (1995). Isikhathi sokuba nobulili maqondana nokuvuthwa kwamaqanda. Imiphumela emathubeni okukhulelwa, ukusinda kokukhulelwa, nobulili bengane. The New England journal of medicine. Kutholakala ku-: https://pubmed.ncbi.nlm.nih.gov/7477165/
2. Unfer, V., Carlomagno, G., Dante, G., & Facchinetti, F. (2012). Imiphumela ye-myo-inositol kwabesifazane abane-PCOS: ukubuyekezwa okuhlelekile kwezifundo ezilawulwa ngokungahleliwe. Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology. Kutholakala ku-: https://pubmed.ncbi.nlm.nih.gov/22296306/
3. Behre, H. M., Kuhlage, J., Gassner, C., Sonntag, B., Schem, C., Schneider, H. P., & Nieschlag, E. (2000). Ukubikezela ukuvuthwa kwamaqanda ngokulinganisa amahomoni emchamweni kusebenzisa i-ClearPlan Fertility Monitor yasekhaya: ukuqhathanisa nokuskenwa kwe-ultrasound yangaphakathi kwesitho sangasese sowesifazane nokulinganisa amahomoni egazini. Human reproduction (Oxford, England). Kutholakala ku-: https://pubmed.ncbi.nlm.nih.gov/11098014/
4. Ajepe, A. A., Okunade, K. S., Sekumade, A. I., Daramola, E. S., Beke, M. O., Ijasan, O., Olowoselu, O. F., & Afolabi, B. B. (2020). Ukuvama nokuthinta kombungu nonina kwesifo segazi esibangelwa ukushoda kwensimbi phakathi kwabesifazane abakhulelwe eLagos, eNigeria. PloS one. Kutholakala ku-: https://pubmed.ncbi.nlm.nih.gov/31971986/
5. Showell, M. G., Mackenzie-Proctor, R., Brown, J., Yazdani, A., Stankiewicz, M. T., & Hart, R. J. (2014). Ama-antioxidant ekungazaleni kwabesilisa. The Cochrane database of systematic reviews. Kutholakala ku-: https://pubmed.ncbi.nlm.nih.gov/25504418/
6. Eisenberg M. L. (2022). Ikusasa, okwamanje, nekusasa kokuhlaziywa kwesidoda. Fertility and sterility. Kutholakala ku-: https://pubmed.ncbi.nlm.nih.gov/34986983/
7. Jensen, T. K., Gottschau, M., Madsen, J. O., Andersson, A. M., Lassen, T. H., Skakkebæk, N. E., Swan, S. H., Priskorn, L., Juul, A., & Jørgensen, N. (2014). Ukusetshenziswa kotshwala njalo okuhlotshaniswa nokwehla kwekhwalithi yesidoda nezinguquko kumahomoni okuzala; ucwaningo lokuhlola eluphambana phakathi kwamadoda amasha aseDenmark angu-1221. BMJ open. Kutholakala ku-: https://pubmed.ncbi.nlm.nih.gov/25277121/
8. Rooney, K. L., & Domar, A. D. (2018). Ubudlelwano phakathi kwengcindezi nokungazali. Dialogues in clinical neuroscience. Kutholakala ku-: https://pmc.ncbi.nlm.nih.gov/articles/PMC6016043/