Ngiyakwazi kanjani ukwazi ukuthi izimpawu zami zokuqala zokukhulelwa zingokoqobo?

Ukuthola ukuthi ukhulelwe kungenye yezikhathi ezijabulisa kakhulu ezimpilweni zabesifazane. Ezimweni eziningi, abesifazane bathola ukuthi bakhulelwe ngezimpawu zokuqala zokukhulelwa [1]. Nokho, lezi zimpawu zingadida futhi zikwenze ubuze imibuzo enjengokuthi, “Ngiyazi kanjani ukuthi izimpawu zami zokuqala zokukhulelwa ziyiqiniso?”

Kulesi sihloko, sizoxoxa ngezimpawu ezivamile owesifazane azizwayo ezigabeni zokuqala zokukhulelwa. Lesi sihloko siphinde sibe ngumhlahlandlela wokuthi nini okufanele uye ekuthatheni ukuhlolwa kokukhulelwa ukuze uqinisekise ukuthi izimpawu zakho zokukhulelwa ziyiqiniso.

Izinguquko Ekuqaleni Kokukhulelwa Emzimbeni

Ukukhulelwa kuqala lapho iqanda elivundisiwe lifakwa esibelethweni [2]. Ukufakelwa kwembryo kubangela izinguquko ezahlukene emzimbeni, ezifana nokukhishwa kwe-human chorionic gonadotropin (hCG) ne-progesterone [3]. Lezi zinguquko ngokuvamile ziqala cishe amasonto amabili kuya kwelinye ngemuva kokuvundiswa.

Kubantu besifazane abaningi, lesi yisikhathi lapho belindele khona ukuya esikhathini. Njengoba ukukhulelwa kumisa umjikelezo wokuya esikhathini, ukungayi esikhathini kuyisibonakaliso sokuqala sokuthi kungenzeka ukhulelwe. Kulesi sigaba, kubalulekile ukuphawula ezinye izimpawu zokuqala, ezifana nokuhlanza noma ukukhathala. Nokho, khumbula ukuthi lezi zimpawu zingafana nesifo sangaphambi kokuya esikhathini (PMS), ngakho azisoloko zisho ukukhulelwa [4].

Izimpawu Ezivamile Zokukhulelwa Kokuqala

Lokho ozokuzizwa ezigabeni zokuqala zokukhulelwa kungahluka kulokho okunye abesifazane abangakuzwa. Nokho, kukhona ezinye izimpawu ezivamile ezizwakalwa iningi labesifazane kulesi sikhathi. Lezi yilezi:

1. Ukungayi Esikhathini

Abesifazane abaningi babhekana nokungayi esikhathini njengophawu lokuqala nolucacile kakhulu lokukhulelwa [5]. Uma umjikelezo wakho wokuya esikhathini ujwayelekile bese ngokuzumayo ungayi esikhathini olulandelayo, lokhu kungaba inkomba eqinile yokuthi ukhulelwe.

Nokho, ukucindezeleka, izinguquko ezisheshayo ekudleni, noma ezinye izimo zempilo zingaphazamisa neshadi lakho lokuya esikhathini futhi zibangele ukuthi ungayi esikhathini. Uma umjikelezo wakho wokuya esikhathini ungasimami, kungaba nzima kuwe ukubona lesi sifo sokuqala sokukhulelwa.

2. Isicanucanu noma i-morning sickness

Imibiko ibonisa ukuthi abesifazane abaningi bazwa isicanucanu ngesikhathi setrimester yokuqala yokukhulelwa [6]. Lokhu kungaqala masinyane phakathi namasonto amabili ngemva kokukhulelwa. Lesi sifo sivamile ekuseni, yingakho sibizwa ngokuthi i-morning sickness, kodwa ungase usizwele noma yisiphi isikhathi sosuku.

Abanye abesifazane bazizwa behlanza kodwa bengakhonzi, kanti abanye bangase babe nakho kokubili. Imbangela eqondile yokuhlanza ayikacaci ngokuphelele, kodwa ixhunywe ekuguqukeni kwamahomoni ngesikhathi sokukhulelwa.

3. Ukukhathala

Ukuzizwa ukhathele kakhulu nakho kuwuphawu oluvamile lokuqala lokukhulelwa. Amazinga e-progesterone aqala ukukhuphuka masinyane ngemva kokukhulelwa, kanti izifundo zibonisa ukuthi amazinga aphezulu aleli homoni angakwenza uzizwe ulethargic, ulele futhi uphelelwe amandla [7].

Enye indlela yokuthi uzizwe ukhathele ukuthi umzimba wakho uqala ukusebenza kanzima ukusekela ingane ekhula. Uma uzizwa ukhathele ngendlela ongajwayele ukujwayele yona ezinsukwini ezilandelayo ocansini olungavikelekile, kuwumqondo omuhle ukuphumula kakhulu nokubheka nezinye izimpawu.

4. Amabele abuhlungu noma avuvukele

Uma usufinyelele ekukhulelweni, umzimba wakho ulungiselela ukuncelisa, futhi lokhu kungabangela ukuthi amabele akho azwe ebuhlungu, esindayo, noma evuvukele. Ungase futhi uqaphele ukuthi amabele akho amancane (izinzwane zebele) azwela kakhulu noma indawo ezungezile, ebizwa ngokuthi i-areola, iba mnyama kakhulu ngombala [8].

Lezi zinguquko zingenzeka ekuqaleni kokukhulelwa futhi zivame ukuba olunye lwezimpawu zokuqala abesifazane abaningi abazibonayo lapho befuna izinguquko zokukhulelwa emzimbeni.

5. Ukuya endlini yangasese kaningi

Uma uzithola usudinga ukuya endlini yangasese kaningi kunokujwayelekile, kungase kube uphawu lokukhulelwa [9]. Izinguquko zamahomoni zandisa ukugeleza kwegazi emithanjeni yamanzi yakho, okwenza ikhiqize umchamo omningi.

Lesi sifo singavela ekuqaleni kokukhulelwa futhi siqhubeke njengoba ingane ikhula. Ezinsukwini zokuqala, sibangelwa ukukhiqizwa komchamo okwandayo, kodwa esigabeni esilandelayo, usayizi wesibeletho owandayo ucindezela isinye, okwenza uzizwe ufuna ukuya endlini yangasese kaningi.

6. Ukulangazelela ukudla noma ukwenyanya ukudla okuthile

Abesifazane abaningi abakhulelwe babe neminqweno yokudla engajwayelekile noma bazithole sebeqala ngokuzumayo ukungasakuthandi ukudla okuthile noma amaphunga athile. Izifundo zibonisa ukuthi le minqweno nokushintsha kombono mayelana nokudla kubangelwa ukuguquka kwamahomoni [10]. Isibonelo, ungase uhehekelwe amaswidi noma okudliwa okunosawoti kodwa uthole ukuthi iphunga likakhofi noma lenyama alikwenzi kahle.

7. Ukuguquguquka kwemizwa

Izinguquko zamahomoni ngesikhathi sokukhulelwa zingathinta imizwa yakho, okuholele ekushintshashintsheni kwemizwa kaningi. Ungazizwa ujabule ngomzuzu owodwa bese uzizwa ucasukile noma ukhala ngomzuzu olandelayo. Lokhu kujwayelekile ngokuphelele ezinyangeni zokuqala zokukhulelwa ngoba kuwumphumela wokuzivumelanisa komzimba nesimo sokukhulelwa.

8. Ukuphuma Kwegazi Okuncane Noma Ukuphuma Kwegazi Ngesikhathi Sokuzimisa Kwamaqanda

Ezinye izifazane ziba nokuphuma kwegazi okuncane ngesikhathi iqanda lizimisa esibelethweni. Lokhu kubizwa ngokuthi ukuphuma kwegazi ngesikhathi sokuzimisa kwamaqanda futhi kuvamise ukwenzeka cishe ezinsukwini ezingu-6 kuya kweziyi-12 ngemva kokukhulelwa [11]. Ukuphuma kwegazi kuvamise ukuba kuncane kakhulu kunokuya esikhathini okuvamile futhi kuhlala usuku olulodwa noma amabili kuphela. Akuzona zonke izifazane eziba nale nkinga, ngakho uma ungenalo leli phawu, lokho akusho ukuthi awukhulelwe.

9. Ukudumba Noma Izinguquko Ekugayweni Kokudla

Izinguquko zamahomoni ngesikhathi sokuqala sokukhulelwa zinganciphisa ukusebenza kahle kohlelo lwakho lokugaya ukudla, okungaholela ekudumbini noma ekubhinyekeni. Lezi zimpawu zingafana nezesifo sangaphambi kokuya esikhathini (PMS), ngakho kungase kube nzima ukubona umehluko ngaphandle kokucabangela ezinye izimpawu noma ukuya ekwenzeni ukuhlolwa kokukhulelwa.

Ukwazi Kanjani Uma Izimpawu Zakho Zokukhulelwa ZiyiQiniso?

Uma usola ukuthi kungenzeka ukhulelwe ngenxa yezimpawu zokuqala zokukhulelwa, indlela engcono kakhulu yokuqinisekisa wukwenza ukuhlolwa kokukhulelwa wasekhaya. Ungakwazi thenga amakhithi okuhlola ukukhulelwa asekhaya ezitolo zamakhhemisi ezikufuphi nawe noma ku-inthanethi. La makhithi okuhlola abona ihomoni i-hCG, ekhiqizwa ngemva kokuba iqanda elichumiswe linamathisele esibelethweni.

Ukunemba kokuhlolwa kokukhulelwa kuncike ekutheni ulwenza nini lolo hlolo. Ochwepheshe batusa ukwenza izivivinyo zokukhulelwa zasekhaya ngemuva kokuphuthelwa yisikhathi sokuya esikhathini. Ukuhlola kusenesikhathi kakhulu kungase kunikeze umphumela ongamanga othi awukhulelwe ngoba amazinga akho e-hCG angase angabi phezulu ngokwanele ukuthi atholakale.

Uma uthola umphumela othi awukhulelwe kodwa usenazo izimpawu, linda izinsuku ezimbalwa bese uphinda uzihlola. Uma usengaqiniseki ukuthi izimpawu ozizwayo ziyiqiniso yini, ungaya futhi ekwenzeni ukuhlolwa kwegazi noma i-ultrasound ukuze kuqinisekiswe ukukhulelwa.

Ufikeni Uma Udinga Ukubonana Nodokotela?

Uma uqaphela izinguquko ezisheshayo emzimbeni wakho kodwa ungaqiniseki ukuthi zibangelwa ukukhulelwa noma isifo esithile, kuhle ukubonana nodokotela. Angaqinisekisa ukuthi ukhulelwe ngokuhlolwa kwegazi noma i-ultrasound.

Uma unezimpawu ezinzima, ezifana nokopha kakhulu noma ubuhlungu obukhulu, ukulawulwa kwezokwelapha ngokushesha kuba kubalulekile. Ukubonana ekuqaleni kokukhulelwa nakho kubalulekile njengoba udokotela wakho engakuhola ekunakekelweni kwangaphambi kokubeletha kwasekuqaleni, okuhlanganisa izinguquko ekudleni kwakho nendlela ophila ngayo ukuze ube nokukhulelwa okunempilo.

Isiphetho

Izimpawu zokuqala zokukhulelwa zingakusiza ulungiselele isinyathelo esilandelayo, kungaba ukuqinisekisa ukukhulelwa kwakho ngesivivinyo noma ukubonana nodokotela. Abesifazane bavame ukubuza ukuthi ngiyakwazi kanjani ukuthi izimpawu zami zokuqala zokukhulelwa ziyiqiniso. Iningi labesifazane libhekana nokuphoswa yizikhathi zokuya esikhathini, isicanucanu, nokukhathala njengalezona zimpawu zokuqala zokukhulelwa.

Izivivinyo zokukhulelwa zasekhaya zikusiza uqinisekise ukuthi lezi zimpawu zibangelwa ukukhulelwa noma zihlobene nanye into, njenge-premenstrual syndrome. Uma izivivinyo zasekhaya zingakusebenzeli, kukhona nezinye izindlela ezinembile kakhulu zokuqinisekisa ukukhulelwa kwakho, okuhlanganisa izivivinyo zegazi ne-ultrasound. Ukuba nolwazi olunembile mayelana nalapho usukhulelwe khona kungakusiza ulungiselele izinselele ezahlukene ngesikhathi sokukhulelwa.

Imithombo Esetshenzisiwe

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2. Kim, S., & Kim, J. (2017). Uhlolojikelele lwezindlela zokufakwa kwembungu. Development & Reproduction, 21(4), 351–359. https://doi.org/10.12717/dr.2017.21.4.351 
3. Nwabuobi, C., Arlier, S., Schatz, F., Guzeloglu-Kayisli, O., Lockwood, C., & Kayisli, U. (2017b). hCG: Imisebenzi yomzimba nokusetshenziswa kwezokwelapha. International Journal of Molecular Sciences, 18(10), 2037. https://doi.org/10.3390/ijms18102037 
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7. Noreika, D., Griškova-Bulanova, I., Alaburda, A., Baranauskas, M., & Grikšienė, R. (2014). I-progesterone nomsebenzi wokujikeleza engqondweni: Ingabe kukhona umphumela? BioMed Research International, 2014, 741758. https://doi.org/10.1155/2014/741758 
8. Alex, A., Bhandary, E., & McGuire, K. P. (2020). Isakhiwo somzimba nokusebenza kwezifuba ngesikhathi sokukhulelwa nangesikhathi sokuncelisa. Advances in experimental medicine and biology, 1252, 3–7. https://doi.org/10.1007/978-3-030-41596-9_1 
9. Chen, H. J., Hsiao, S. M., Yang, C. F., Lee, C. N., Wang, Y. W., Guo, D. W., & Chang, S. R. (2022). Isinye esisebenza kakhulu ngesikhathi sokukhulelwa: Ucwaningo olubheke phambili lwesikhathi eside. Medicina (Kaunas, Lithuania), 58(2), 243. https://doi.org/10.3390/medicina58020243 
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