Kufanele ugcine imilenze iphezulu isikhathi esingakanani ukuze ukhulelwe: Ukwandisa amathuba okukhulelwa

Ukuzama ukukhulelwa kuvame ukuholela ekuzameni izindlela namasu ahlukahlukene angakhuphula amathuba akho. Enye indlela evame ukuxoxwa ngayo ihilela ukulala phansi nokuphakamisa imilenze ngemva kocansi. Umbono uthi amandla adonsela phansi angasiza imbewu ifinyelele eqandeni. Kodwa le ndlela iyasebenza kangakanani, futhi kufanele ugcine imilenze yakho iphakeme isikhathi esingakanani ukuze ukhulelwe? Lesi sihloko sichaza isayensi, izinganekwane, nezinqubo ezinhle kakhulu ukuze sikusize wenze izinqumo ezinolwazi ohambweni lwakho lokuzala.

Umbono Wokuphakamisa Imilenze Yakho Ngemva Kocansi

Umbono wokuphakamisa imilenze noma izinqe ngemva kocansi uvela enkolelweni yokuthi amandla adonsela phansi angasiza imbewu ukuhamba kangcono iye ohlakeni lwesibeletho nasesibeleni. Njengoba imbewu imincane kakhulu futhi ukubhukuda iphikisana namandla adonsela phansi kungabonakala kunzima, kuyinto enengqondo ukucabanga ukuthi ukulala phansi nemilenze iphakeme kungayinika amathuba angcono okufinyelela eqandeni.

Ngaphezu kokuphakamisa imilenze yakho, abanye abantu batusa ukufaka umcamelo ngaphansi kwezinqe ukuze kwakheke ukugoba okuthambile okukhuthaza ukuba imbewu ihambe iye esibelethweni. Le ndlela, evame ukubizwa ngokuthi ukuphakamisa izinqe ukuze ukhulelwe, ixoxwa kabanzi phakathi kwalabo abazama ukukhulelwa.[1]

Ingabe Isayensi Iseka Ukuphakamisa Imilenze Yakho?

Ngenkathi umbono wokusebenzisa amandla adonsela phansi ukusiza ukukhulelwa udume kakhulu, ubufakazi besayensi obusekela isidingo sokuphakamisa imilenze buncane. Nokho, ezinye izifundo nezincomo zochwepheshe ziphakamisa ukuthi ukulala phansi isikhashana ngemva kocansi kungathuthukisa amathuba okukhulelwa.

• Ukunyakaza Nokushesha Kwembewu: Imbewu yamadoda inemisila eyenza ikwazi ukubhukuda kahle iye eqandeni. Eqinisweni, iqala uhambo lwayo ngokushesha ngemva kokuchama, futhi kungakapheli nemizuzu embalwa, eminye imbewu ingase ifinyelele emathubhini e-fallopian.[2]
• Amandla Adonsela Phansi Nendawo Yokuma: Noma isidoda sikwazi ukubhukuda siphikisana namandla adonsela phansi, ukulala phansi imizuzu engu‑10‑15 ngemuva kokwabelana ngesondo kungasiza ukuqinisekisa ukuthi isidoda esiningi sihlala esithweni sangasese sowesifazane, okwandisa amathuba okuchumisa ngempumelelo.
• Indawo yomlomo wesibeletho (Cervical Positioning): Kwezinye izikhundla, njengokulala emhlane (missionary) noma kusuka emuva, umlomo wesibeletho ungaba seduze kakhulu nendawo kubekwe kuyo isidoda. Ukulala unganyakazi emva kwalokho kungandisa inani lesidoda eliseduze nomlomo wesibeletho, likhulise amathuba okuqhamuka komntwana.[3]

Kumele Uyigcine Isikhathi Esingakanani Imilenze Iphezulu Ukuze Ukhulelwe?

Ngenxa yobufakazi besayensi obulinganiselwe, iningi lochwepheshe bokuzala lincoma indlela enengqondo yokuphakamisa imilenze:

• Isikhathi: Ukulala phansi namathanga ephakanyiswe kancane imizuzu engaba ngu‑10‑15 emva kokwabelana ngesondo kungaba usizo. Lesi sikhathi sivumela isidoda siqoqeke eduze komlomo wesibeletho futhi siqale uhambo laso liya eqandeni. Nokho, ukugcina imilenze iphansi isikhathi eside kakhulu akusho ukuthi kuzokwandisa amathuba akho.
• Indawo Yemilenze: Esikhundleni sokuphakamisa imilenze kakhulu odongeni, ukubeka umcamelo ngaphansi kwamathanga kungadala ukugoba okuncane okusiza ukunyakaza kwesidoda ngaphandle kokungakhululeki.
• Induduzo Nokuphumula: Inhloso enkulu wukuhlala ukhululekile futhi uphumule. Ukucindezeleka nokungezwani kungathinta ukuzala, ngakho gwema ukuzilimaza ngokuzibeka ezimeni ezinzima kakhulu noma ezingakhululekile.

Amanye Amacebiso Okukhulisa Umkhiqizo Wokuzala

Ngenkathi ugxila ekuphakamiseni imilenze kungakunikeza ukuthula kwengqondo, ukufaka namacebiso okuvundisa asekelwe isayensi kungakhulisa amathuba akho okukhulelwa:

1. Landelela isikhathi sokuvuthwa kweqanda (Ovulation): Ukuwazi ukuthi uvuthwa nini iqanda kubalulekile ukuze uhambise isikhathi socansi kahle. Izindlela zihlanganisa ovulation predictor kits, ukushadi (charting) izinga lokushisa lomzimba lasekuseni (basal body temperature), nokubheka izinguquko kumfucumfucu wesibeletho (cervical mucus).
2. Gcina Indlela Yokuphila Enempilo: Ukudla okunempilo okulinganiselayo, ukuzivocavoca njalo, ukulala okwanele, nokuphatha kahle ingcindezi kusiza impilo yokuzala iyonke.
3. Ubudlelwano bocansi obuvamile: Hlosela ukwenza ucansi njalo phakathi kwezinsuku ezi-1-2 ngesikhathi sewindi lakho lokuzala ukuze wandise amathuba okuthi isidoda sihlangane neqanda.
4. Gwema izithambisi ezivimba ukuhamba kwesidoda: Ezinye izithambisi zingaphazamisa ukuhamba kwesidoda. Khetha izithambisi ezihambisana ne-fertility uma kudingeka.
5. Hlala uphuza amanzi: Ukuphuza amanzi ngokwanele kusiza ukugcina amafinyila wesibeletho enempilo, okusiza isidoda sikwazi ukuhamba kalula.

Okubalulekile Ekugcineni

Ekugcineni, umbuzo othi kuthatha isikhathi esingakanani ukugcina imilenze iphakeme ukuze ukhulelwe ubuyela ekulinganiseni nasekuthokoziseni umzimba. Ukwenza le ndlela kungaba yingxenye yendlela ebanzi yokuzama ukukhulelwa, kodwa ukunaka isikhathi esifanele socansi, impilo enhle, nokuphathwa kwe-stress kubalulekile ngokulinganayo — mhlawumbe nangaphezulu — ekuzuzeni ukukhulelwa okuyimpumelelo.

Nakuba umbono wokuphakamisa imilenze ukuze ukhulelwe usakazekile kakhulu, lo mkhuba awumelwe ukuthi ucatshangwe njengobalulekile ngokuphelele ukuze kwenzeke ukukhulelwa. Nokho, ukulala phansi uphakamise kancane izinqe cishe imizuzu eyi-10-15 ngemva kokwenza ucansi kungasiza ukwandisa amathuba okuthi isidoda sifinyelele iqanda. Lo mkhuba olula, kanye nezinye izindlela zokwandisa i-fertility, ungakunikeza ukuzethemba ohambweni lwakho lokuzama ukukhulelwa.

Izinkomba:

1. Practice Committee of the American Society for Reproductive Medicine in collaboration with the Society for Reproductive Endocrinology and Infertility. Ikheli le-elekthronikhi: ASRM@asrm.org; Practice Committee of the American Society for Reproductive Medicine in collaboration with the Society for Reproductive Endocrinology and Infertility. Ukuthuthukisa amandla okukhulelwa ngokwemvelo: umbono wekhomiti. Fertil Steril. 2017 Jan;107(1):52-58. doi:10.1016/j.fertnstert.2016.09.029. Epub 2016 Oct 26. PMID: 28228319.
2. Lobo RA, et al. Ukukhulelwa kwe-ectopic: izimbangela zesifo, izinguquko zesifo (pathology), ukuxilongwa, ukuphathwa, nokubikezela ngamandla okuzala esikhathini esizayo. In: Comprehensive Gynecology. 7th ed. Philadelphia, Pa.: Elsevier; 2017. Kuyatholakala- https://www.clinicalkey.com/#!/content/book/3-s2.0-B9780323653992000267 
3. Faix A, Lapray JF, Callede O, et al. (2002) 'Ukuthwebula izithombe nge-magnetic resonance (MRI) socansi: ulwazi lwesibili endimeni ye-missionary nokuhlangenwe nakho kokuqala endimeni yangemuva'. J Sex Marital Ther 28: 63-76. www.ncbi.nlm.nih.gov