Kuthatha isikhathi esingakanani emva kokuphunyelwa yisisu ukuze ubuye uye esikhathini?

Ukuphuphuma kwesisu kuwumcimbi ongenaso isikhathi esichaziwe njengoba abantu abaningi becabanga. Cishe u-12% kuya ku-15% wokukhulelwa kuphetha ngokuphuphuma kwesisu ngenxa yezizathu ezifana nobudala, ukudla, njll. Ukubuyiselwa empilweni ngokuvamile kuyinqubo edinga isikhathi, okuhambisana nezinselelo zomzimba nezengqondo kwabanye abesifazane. Nakuba kujwayelekile ukugxila ekuphiliseni imizwa, kubalulekile futhi ukuqonda ukuthi umzimba wakho ubuyiselwa kanjani ngemva kokuphuphuma kwesisu. Enye yezinto ezivame ukukhathaza abesifazane ukuthi kuthatha isikhathi esingakanani ngemva kokuphuphuma kwesisu ngaphambi kokuba ubuyele esikhathini. Inqubo yokuthola isikhathi sokuqala sokuya esikhathini ngemva kokuphuphuma kwesisu ingahluka ngokuya ngezinto eziningana, okuhlanganisa isikhathi se-nyanga yakho yokugcina yokuya esikhathini nezimo zakho zempilo ezihlukile.

Ukuqonda Isikhathi Sokubuyiselwa Empilweni

Isikhathi esithathayo ukuthi ubuyele esikhathini ngemva kokuphuphuma kwesisu sincike ekutheni ukukhulelwa bekusezingeni elingakanani nokuthi umzimba wakho ubhekana kanjani nokulahlekelwa ngokomzimba. Ngokuvamile, ukuya esikhathini kubuya phakathi kwamasonto amane kuya kwayisithupha ngemva kokuphuphuma kwesisu, kodwa lokhu akusilo umthetho oqinile. Izinto ezifana namazinga amahomoni nendlela esetshenziswe ukuqedela ukuphuphuma kwesisu (kungaba ngokwemvelo noma ngenqubo ye-D&C) zingathinta lesi sikhathi. [1].

Uma ukuphuphuma kwesisu kwenzeka ekuqaleni kokukhulelwa, umzimba ungabuyela kumjikelezo ojwayelekile ngokushesha. Ngakolunye uhlangothi, ukuphuphuma kwesisu okwenzeka ezigabeni zokugcina zokukhulelwa kungabambezela ukubuyela kokuya esikhathini. Ezimeni lapho ukuphuphuma kwesisu kwenzeka ngemva kwekota yokuqala yokukhulelwa, kungathatha isikhathi eside ukuthi umzimba ukhiphe zonke izicubu zokukhulelwa futhi ulungise amazinga amahomoni ubuyele esimweni angaphambi kokukhulelwa.

Ingabe Ukuphuphuma Kwesisu Kubalwa Njengesikhathi Sokuya Esikhathini?

Cha, ukuphuphuma kwesisu akubali njengesikhathi sokuya esikhathini. Abesifazane abaningi bayazibuza ukuthi ingabe ukuphuphuma kwesisu kungabhekwa njengezinyanga. Nakuba ukuphuphuma kwesisu kuvame ukuhambisana nokopha okuningi, akufani nomjikelezo ojwayelekile wokuya esikhathini. Isikhathi sokuya esikhathini siqala lapho ungqimba lwesibeletho lukhishwa ngoba kungekho ukukhulelwa. Ngakolunye uhlangothi, ukopha ngesikhathi sokuphuphuma kwesisu kubangelwa wukuthi umzimba ukhipha izicubu zokukhulelwa kanye nongqimba lwesibeletho. Abanye abesifazane bangase bangazi nokuthi bakhulelwe kuze kube yilapho bethola izimpawu zokukhulelwa ezifihlekile. Ngakho-ke, cha, ukuphuphuma kwesisu akubali njengethuba lokuya esikhathini. Isikhathi sokuqala sokuya esikhathini ngemva kokuphuphuma kwesisu sibonisa ukuqala kokubuyela komjikelezo wakho ojwayelekile wokuzala, okukhombisa ukuthi umzimba wakho ubuyela esimeni sawo esijwayelekile.

Okuvamile Ngokuhlangenwe Nakho Nenyanga Yokuqala Yokuya Esikhathini Ngemva Kokuphuphuma Kwesisu

Lapho usuthola inyanga yakho yokuqala yokuya esikhathini ngemva kokuphuphuma kwesisu, lindela ukuthi ihluke emijikelezweni ojwayele ukuyijwayela. Abesifazane abaningi babika ukuphuma kwegazi okuningi kunokujwayelekile, okungase kuhlanganise namahlule egazi. Lokhu kwenzeka ngoba ungqimba lwe-endometrium (ungqimba lwangaphakathi lwesibeletho) lungase lube lukhudlwana ngesikhathi sokukhulelwa, okungaholela ekubeni kube nokopha okukhulu. Ezinye izifazane nazo ziba nobuhlungu besisu obukhulu nokungakhululeki ngesikhathi senyanga yokuqala yokuya esikhathini ngemva kokuphuphuma kwesisu.

Ezinye izifazane zingaphawula ukuthi inyanga yazo yokuqala yokuya esikhathini imnene kakhulu kunokujwayelekile. Nakuba lokhu kungase kubonakale kukhathaza, kuvame ukuba indlela umzimba azilungisa ngayo emuva esimeni sangaphambi kokukhulelwa. Kodwa-ke, uma uhlangabezana nokuphuma kwegazi okuncane ngokungajwayelekile okungaphezu komjikelezo owodwa, kufanelekile ukukhuluma nodokotela wakho wezempilo ukuze uqinisekise ukuthi akukho zinkinga ezifana ne-Asherman's syndrome, isimo esingavamile esingabangela ukwakheka kwesibazi esibelethweni. [2].

Umthelela Wokuzwela Nokuguquguquka Kwamahomoni

Ukuphuphuma kwesisu akukuthinti kuphela emzimbeni, kodwa kuthinta nempilo yengqondo neyomzwelo. Ukuguquguquka kwamahomoni kuvamile ngalesi sikhathi futhi kungaqinisa imizwa yokudabuka, ukukhathazeka noma ukucindezeleka. Abesifazane abaningi babika ukuthi babhekana nezimpawu ezifana nokudangala ngemuva kokubeletha ngemva kokuphuphuma kwesisu. Kubalulekile ukubona le mizwa nokufuna usizo uma iyaqhubeka.

Inyanga yokuqala yokuya esikhathini ngemva kokuphuphuma kwesisu ingabuya futhi ihambisane noguquko olunzima lwezimizwa, ikakhulukazi uma ubulindele ukukhulelwa. Kubalulekile ukuzinika isikhathi sokucubungula le mizwa nokugxila kokubili ekuphileni komzimba nasengqondweni. Uma imizwa yakho ibonakala ikudlulela noma uhluleka ukubhekana nayo, kungaba usizo ukuxhumana nochwepheshe kwezempilo ukuze uthole ukwesekwa.

Nini Ongalindela Ngakhona Ukukhishwa Kweqanda Nokuzala Ngemva Kokuphuphuma Kwesisu

Ngakho-ke, iyini impendulo kumbuzo ovame ukubuzwa othi: kudlula isikhathi esingakanani emva kokuphuphuma kwesisu ngaphambi kokuthi ubuye uye esikhathini? Kwabesifazane abaningi, inyanga yokuqala yokuya esikhathini ngemva kokuphuphuma kwesisu iwuphawu lokuthi umzimba usukulungele futhi ngokomzimba ukuthola ukukhulelwa futhi. Nokho, ukubuyela kokuya esikhathini akusho ngaso sonke isikhathi ukuthi usuvele ukhiphe iqanda. Kubalulekile ukuqonda ukuthi umjikelezo wakho wokukhishwa kweqanda ungathatha isikhathi ngaphambi kokuba ujwayeleke. Ukukhishwa kweqanda kungenzeka masinyane emavikini amabili ngemva kokuphuphuma kwesisu, kodwa isikhathi esiqondile sincike ekutheni umzimba wakho uzinza ngokomahomoni ngokushesha kangakanani. [3].

Uma unelangabi lokuzama ukuthola olunye ukukhulelwa, cabanga ukukhuluma nodokotela wakho ukuze ninqume isikhathi esingcono sokuqala ukuzama futhi. Ngenkathi ezinye izifazane zizizwa zilungele ukukhulelwa ngokushesha, ezinye zingakhetha ukulinda imijikelezo embalwa ukuze ziqinisekise ukuthi zilungile ngokomzwelo nangokomzimba.

Ukubambezeleka Kokubuyela Ekuyeni Esikhathini Ngemva Kokuphunyelwa Yisisu

Ezinye izifazane zingase zingayi esikhathini izinyanga ezimbalwa ngemva kokuphunyelwa yisisu, ikakhulukazi uma kusekhona izicubu esibelethweni noma uma amazinga amahomoni, ikakhulukazi i-hCG (human chorionic gonadotropin), engakabuyeli evamile. Uma ungalutholi ukuya esikhathini phakathi nezinyanga ezimbili (amaviki ayisishiyagalombili) ngemva kokuphunyelwa yisisu, xhumana nochwepheshe wezempilo ukuze kutholwe imbangela yokubambezeleka.

Kwezinye izimo, kungadingeka ezinye izinqubo zokwelashwa ezifana ne-D&C yesibili ukuze kukhishwe noma yiziphi izicubu ezisele ezingase zibambezela ukubuyela kokuya esikhathini. Udokotela wakho angaphinde enze izivivinyo ukuqinisekisa ukuthi azikho ezinye izinkinga zempilo ezingaphansi okubangela ukubambezeleka komjikelezo wakho.

Imicabango Yokugcina

Ukuphunyelwa yisisu kungakushiya unemibuzo eminingi, ikakhulukazi mayelana nendlela umzimba wakho olulama ngayo. Umbuzo othi isikhathi esingakanani ngemva kokuphunyelwa yisisu ngaphambi kokuthi ubuyele ekuyeni esikhathini awunawo impendulo eqondile, ngoba umzimba wowesifazane ngamunye wehluke. Ngokuvamile, ungakwazi ukulindela ukuya esikhathini okokuqala phakathi kwamaviki amane kuya kwayisithupha, kodwa kwezinye izimo kungathatha isikhathi eside. Yiba nesineke ngomzimba wakho njengoba ululama, kokubili ngokomzimba nangokomzwelo. Hlala uxhumana nodokotela wakho uma uzwa izimpawu ezingajwayelekile noma uma ungaqiniseki ukuthi nini ongakulindela ukubuyela komjikelezo wakho wokuya esikhathini.

Okokugcina, uma ungakakulungele ukuzama ukukhulelwa masinyane, cabanga ukuxoxa nodokotela wakho ngezindlela zokuvikelwa kokukhulelwa ukuze uzinike isikhathi esidingekayo sokululama ngokuphelele ngaphambi kokuzama futhi. 

Imibuzo Evame Ukubuzwa

Q. Ingabe ukuphunyelwa yisisu kubhekwa njengokuya esikhathini?

Cha, ukuphunyelwa yisisu akubhekwa njengokuya esikhathini, ngoba ukopha kuvela ekulahlekelweni izicubu zokukhulelwa.

Q. Uzoluthola nini usuku lwakho lokuya esikhathini ngemva kokuphunyelwa yisisu?

Iningi labesifazane liqala ukuya esikhathini emavikini amane kuya kwangu ayisithupha ngemva kokuphunyelwa yisisu, nakuba isikhathi esiqondile siyehluka.

Q. Ingabe ukuya esikhathini okukhanyayo ngemva kokuphunyelwa yisisu kungaba okuvamile?

Yebo, ukuya esikhathini okukhanyayo kungaba into evamile ngemva kokuphunyelwa yisisu, kodwa kubalulekile ukubheka imijikelezo yakho nokubonana nodokotela uma lokho kuphuma kancane kuqhubeka.

Imithombo

1. March of Dimes. Ukuphunyelwa yisisu. [Kubuyekezwe- February 2023]. Available Online: https://www.marchofdimes.org/find-support/topics/miscarriage-loss-grief/miscarriage 
2. Ukukhulelwa okungaphandle kwesibeletho nokuphunyelwa yisisu: ukuxilongwa nokuphathwa kokuqala. London: National Institute for Health and Care Excellence (NICE); 2023 Aug 23. (NICE Guideline, No. 126.) Available from: https://www.ncbi.nlm.nih.gov/books/NBK544906/ 
3. Reicher L, Gamzu R, Fouks Y, Isakov O, Yogev Y, Maslovitz S. Imiphumela kwesikhathi sokuya esikhathini ngemva kokuphunyelwa yisisu ngaphambi kokuzama ukukhulelwa futhi. Am J Obstet Gynecol. 2020 Sep;223(3):444.e1-444.e5. doi:10.1016/j.ajog.2020.06.051. PMID: 32883452.