Ngingakhulelwa kanjani uma nginomjikelezo wokuya esikhathini ongajwayelekile futhi ngibhekane nokukhishwa kweqanda okungajwayelekile

Uma uzibuza ukuthi ngingakhulelwa kanjani uma imijikelezo yokuya esikhathini yami ingajwayelekile, awuwedwa. Abesifazane abaningi babhekana nale nselelo. Imijikelezo engajwayelekile ingakwenza kube nzima ukwazi ukuthi uvula amaqanda nini, kodwa okuhle wukuthi, nakanjani kungenzeka ukukhulelwa. Udinga nje ukwazi izinyathelo ezifanele, ube njalo uqhubeke, futhi ungadilizeli ithemba [1].

Kungani Imijikelezo Yokuya Esikhathini Ingajwayelekile?

Imijikelezo yokuya esikhathini ingaba engajwayelekile ngenxa yezizathu eziningi. Kwesinye isikhathi kuba ngenxa yokuthi ama-hormone ayaphazamiseka. Kwesinye isikhathi kungaba i-stress noma izinto ezifana nokuzivocavoca ngokweqile. Izifo ezifana ne-PCOS (polycystic ovary syndrome) ziyimbangela evamile yemijikelezo engajwayelekile. Izinselelo ze-thyroid, kungaba isebenza kakhulu noma ingasebenzi kahle, nazo zingawuphazamisa umjikelezo wakho. Ukuba nesisindo esiphezulu noma esiphansi kakhulu nakho akusizi—kungaphazamisa ibhalansi yomzimba wakho.

Ngisho nezinto ezilula, njengendlela yokuphila ematasa kakhulu, zingaholela ku-ovulation engajwayelekile. Ngakho-ke izimbangela ziyahluka, kodwa zinezinto ezifanayo: zingaphazamisa amandla akho okukhulelwa uma zingalawulwa [2].

Ingabe Uyakwazi Ukukhulelwa Uma Imijikelezo Yokuya Esikhathini Ingajwayelekile?

Yebo, nakanjani uyakwazi. Ukuba nemijikelezo engajwayelekile yokuya esikhathini akusho ukuthi awukwazi ukukhulelwa. Kwenza nje kube nzima ukuyibikezela ngoba awukwazi njalo ukwazi ukuthi uvula amaqanda nini. Kodwa i-ovulation isenzeka kwabesifazane abaningi, noma ngabe isesheduli engajwayelekile.

Ukusebenzisa ama-supplement anezithako ezifana ne-myo-inositol noma i-CoQ10 kungasiza kakhulu ngokulinganisa ama-hormone nokuthuthukisa ikhwalithi yamaqanda. Kusiza ikakhulukazi uma ubhekene nezinselelo zokuthi wenzeni ukuze ukhulelwe uma imijikelezo yakho yokuya esikhathini ingajwayelekile [3].

Uyalandelela Kanjani I-Ovulation Uma Imijikelezo Ingajwayelekile?

Ukulandelela i-ovulation uma umjikelezo wakho udidekile kungazwakala kunzima. Kodwa kuyenzeka. Qala ngamakhithi okubikezela i-ovulation (OPKs). Ahlolela i-hormone ye-luteinizing (LH) emchameni wakho, enyuka ngaphambi kwe-ovulation. Ezinye izifazane ezine-PCOS zingathola imiphumela emibi yamanga, ngakho ungazithembeli kuzo zodwa.

Ukubhala phansi izinga lokushisa komzimba wesisekelo (BBT) enye indlela enhle. Ulinganisa nje izinga lokushisa kwakho njalo ekuseni ngaphambi kokuba uvuke embhedeni. Uma ubona ukukhuphuka okuncane, kuvame ukusho ukuthi i-ovulation isanda kwenzeka.

Ukuhlola i-cervical mucus enye indlela elula. Uma ibukeka icacile futhi inwebeka, ifana nohlanga lweqanda, cishe usuzovula amaqanda. Uma ufuna imiphumela enembile kakhulu, udokotela wakho angakwenza ukuhlolwa kwegazi noma i-ultrasound ukuqinisekisa ukuthi i-ovulation yenzeka nini [4].

Lokho Okudlayo Nama-supplement Owathathayo Kubalulekile

Ukudla ukudla okufanele nokuthatha ama-supplement kungaletha umehluko omkhulu. I-folic acid isekela ukuthuthuka kweqanda futhi ibalulekile ekukhulelweni okunempilo. I-vitamin D isiza ukulinganisa ama-hormone akho. Izithako ezifana ne-myo-inositol ne-d-chiro-inositol zimangalisile ekuthuthukiseni i-ovulation, ikakhulukazi kwabesifazane abane-PCOS.

Ama-antioxidant afana ne-CoQ10 avikela amaqanda ekulimaleni, okungathuthukisa ikhwalithi yawo. Amaminerali afana ne-calcium ne-magnesium agcina yonke into isebenza kahle, kuhlanganise nesistimu yakho yokuzala. Ukudla okunempilo okuhlanganisa la ma-nutrient kubalulekile ekwandiseni amathuba akho okukhulelwa [5].

Izinguquko Zendlela Yokuphila Ezisiza Ngempela

Izinguquko zendlela yokuphila zibalulekile njengama-supplement. Ukugcina isisindo sakho ebangeni elinempilo kungenza izimangaliso ngoba ukuba mncane kakhulu noma ukuvuvukala ngokweqile kungaphazamisa umjikelezo wakho. Ukuzivocavoca kuhle nakho, kodwa ungakwenzi ngokweqile—ukuzivocavoca okuthambile okufana ne-yoga noma ukuhamba kuhamba phambili.

Ingcindezi nayo ingenye enkulu. Ingcindezi enkulu kakhulu ingaphazamisa ngokuphelele amahomoni akho. Ukuzilolonga ingqondo, ukuzindla, noma ngisho nokuthatha isikhathi sokuphumula kungasiza ukulawula izinkinga zokuthi ungakhulelwa kanjani uma umjikelezo ungajwayelekile. Futhi, vele, gwema ukubhema bese uzama ukunciphisa ikhofi [6].

Kwenzenjani Uma Kubonakala Sengathi Akukho Okusebenzayo?

Uma izinguquko zendlela yokuphila zinganele, ungaphelelwa ithemba. Izindlela zokwelapha zokuzala zingasebenza kahle kakhulu. Imithi efana ne-Clomid ivame ukusetshenziswa ukukhuthaza ukuvuthwa kweqanda. I-Letrozole elinye inketho, ikakhulukazi uma i-PCOS ingxenye yenkinga. Ezimeni eziyinkimbinkimbi kakhulu, kunganconywa amahomoni ajovwayo ukusiza ama-ovary akho akhiqize amaqanda.

Khuluma nochwepheshe bokuzala—bangakuhola bakusize uthole isixazululo esingcono kakhulu. Kuhlale kukhona indlela yokuqhubekela phambili [7].

Kungani Kubalulekile Ukubhekana Nezinkinga Ezingaphansi

Imijikelezo yokuya esikhathini engajwayelekile ngokuvamile ikhombisa izinkinga ezingaphakathi ezingase zidinge ukunakwa. Isibonelo, i-PCOS ayibangeli nje imijikelezo engajwayelekile; ingaholela futhi ekutheni kube nzima ukukhulelwa uma ingalawulwanga kahle. Ngokufanayo, izinkinga zesitho se-thyroid zingathinta umzimba wakho wonke, hhayi umjikelezo wakho wokuya esikhathini kuphela.

Ngisho namazinga aphezulu e-prolactin, ihomoni esiza ekunceliseni, angadala imijikelezo yokuya esikhathini engajwayelekile uma ephuma ebangeni elijwayelekile. Ukulungisa lezi zinkinga kungathuthukisa amathuba akho okukhulelwa kuyilapho kukwenza uphile kangcono ngokuphelele [8].

Izinyathelo Zokwandisa Amathuba Akho

Uma imijikelezo yakho ingalindelekile, ukwenza ucansi njalo—nsuku zonke ezimbili noma ezintathu—sonke isikhathi somjikelezo wakho kuqinisekisa ukuthi kuhlala kukhona isidoda esilungele ngesikhathi sokuvuthwa kweqanda. Kubashadile abahamba nemijikelezo engajwayelekile, ukugcina umzamo oqhubekayo nokuba nokuqonda isikhathi esingcono kakhulu sokukhulelwa kungaba kubalulekile, njengoba kunjalo nalabo abazibuza ngokuthi ngingamkhulelisa kanjani unkosikazi wami, lapho ukuhlela ngokucophelela kanye nempilo yokuzala kudlala indima ebalulekile ekwandiseni umthamo wokuzala.

Ama-lubricant ahambisana nokukhulelwa aqukethe ama-ion awusizo afana ne-calcium ne-magnesium angabuye enze kube lula ukuthi isidoda sifinyelele eqandeni.

Ungakhohlwa izithasiselo zangaphambi kokukhulelwa ezine-DHA ne-folic acid. Zilungiselela umzimba wakho ukukhulelwa futhi zixhase impilo enhle yokuzala [9].

Kufanele Ubone Nini Udokotela?

Uma usuzame ukukhulelwa unyaka wonke (noma izinyanga eziyisithupha uma uneminyaka engaphezu kuka-35), sekuyisikhathi sokubona udokotela. Ngisho noma ungazami kakhulu, ukuhlela okungajwayelekile kokuya esikhathini kufanelwe ukuhlolwa ukuze kukhishwe noma yiziphi izinkinga ezibucayi. Ukuhlolwa kwegazi okulula kungakhombisa ukuthi uyayenza yini i-ovulation, futhi udokotela wakho angancoma ukwelashwa okuhlelwe ngezidingo zakho [10].

Ngenkathi uzama ukukhulelwa unezindilinga ezingajwayelekile, kubalulekile futhi ukuqonda ukuthi ungakhulelwa isikhathi eside kangakanani ngokuphepha, njengoba izici ezahlukene zithinta isikhathi sokukhulelwa nempilo ejwayelekile yomama nengane.

Okufanele ukukukhumbule

Ukukhulelwa uma unokuya esikhathini okungajwayelekile kungazwakala njengomzabalazo onzima, kodwa akukude nokwenzeka. Ngokulandelela i-ovulation, ukudla kahle, ukuthatha izithasiselo, nokwenza izinguquko endleleni ophila ngayo, ungakhulisa amathuba akho. Uma kudingeka, ungalibali ukuxhumana nochwepheshe wezokuzala. Khumbula, sonke isinyathelo osithathayo sikusondeza eduze kwenhloso yakho. Hlala unethemba futhi uqhubeke phambili. Umbuzo othi “ngikhulelwa kanjani uma nginohlelo lokuya esikhathini olungajwayelekile” uvamile, futhi uma usebenzisa indlela efanele, kungenzeka ngokuphelele.

Imibuzo ejwayelekile

Ngikhulelwa kanjani uma nginohlelo lokuya esikhathini olungajwayelekile?

Ungakhulelwa ngokulandelela i-ovulation, ukwenza izinguquko endleleni ophila ngayo, nokuthatha izithasiselo ezifanele zokulinganisa amahormone akho.

Ingabe ungakhulelwa uma unokuya esikhathini okungajwayelekile?

Yebo, abesifazane abaningi abanokuya esikhathini okungajwayelekile bayakhulelwa. Kungenzeka kudinge umzamo omkhulu, kodwa kungenzeka ngokuphelele.

Iyiphi indlela engcono kakhulu yokulandelela i-ovulation uma unokuya esikhathini okungajwayelekile?

Sebenzisa inhlanganisela yezindlela ezifana nama-OPK, i-BBT, nokuhlola umswakama wesibeletho. Ukuze uthole ukunemba okuphezulu, xhumana nodokotela wakho.

Ukwenza kanjani ukuze ukhulelwe uma unomjikelezo ongajwayelekile?

Gxila ekuthandaneni njalo, ekudleni okunomsoco olinganiselayo, nasekulapheni noma yiziphi izinkinga zempilo ezingase zibangele lokhu kungajwayeleki.

Yini ebangela ukungajwayeleki kwe-ovulation?

Izimbangela ezivamile zihlanganisa i-PCOS, izinkinga ze-thyroid, ingcindezi, nezinto zendlela yokuphila ezifana nokushintsha kakhulu kwesisindo noma ukuzivocavoca ngokweqile.

Izinkomba

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2. Giallauria, F., Palomba, S., Vigorito, C., Tafuri, M. G., Colao, A., Lombardi, G., & Orio, F. (2009). Ama-androgen ku-polycystic ovary syndrome: indima yokuzivocavoca nokudla. Ijenali ethi Seminars in reproductive medicine. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/19530064/
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5. Bentov, Y., Hannam, T., Jurisicova, A., Esfandiari, N., & Casper, R. F. (2014). Ukuthatha isithasiselo se-Coenzyme Q10 nokungajwayeleki kwenani lamachromosome kuma-oocyte kwabesifazane abadlula ekwelashweni kwe-IVF-ICSI. Ijenali ethi Clinical medicine insights. Reproductive health. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/24987272/
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