Ngabe izinduna ziwuphawu lokukhulelwa?

Ukukhulelwa kuletha izinguquko eziningi emzimbeni wakho, ezilindelekile nezingenalindelekile. Uzilungiselela ukwanda kwesisindo, isicanucanu sasekuseni, nokuvuvukala kwamadolo nezithende. Kodwa ngokuzumayo kuvela okusha—izinduna. Yebo, izinduna zokukhulelwa ziyenzeka ngempela. Futhi siyazi ukuthi zidida futhi zingakhulumi kahle.

Abesifazane abaningi bayazibuza, ‘ingabe izinduna izimpawu zokukhulelwa?’ noma, ngokucacile, ‘ingabe ukuqhamuka kwezinduna kunguphawu lokukhulelwa?’ Inani elikhulayo lezinduna, ikakhulukazi ezigabeni zokuqala zokukhulelwa, lishiya abaningi bezibuza ukuthi ingabe lokhu kungesinye seziphawu zokuqala zokuthi bayalindela.

Izinguquko Zamahomoni Emzimbeni

Kuningi okwenzeka emzimbeni wakho. Ngesikhathi sokukhulelwa, amahomoni akho asebenza ngokweqile. Ukuqhuma kwamazinga amahomoni afana ne-progesterone kwenza izinto eziningi emzimbeni wakho. Ibalulekile ekugcineni ukukhulelwa kuphephile, futhi ingakhuthaza izindlala zikawoyela esikhunjeni sakho. Lokhu kuholela ekwandeni kokukhiqizwa kwesebamu, okungavala imithambo yesikhumba futhi kubangele izinduna [1]. Ngakho-ke, ukuphendula umbuzo othi, "ingabe izinduna zingaba uphawu lokukhulelwa?"—yebo, zingaba yikho nakanjani. 

Njengoba izinguquko kwamahomoni zingaholela ekuchaphazelekeni kwesikhumba, zingadala nobuhlungu bemisipha, okushiya abaningi bezibuza, ingabe ubuhlungu bomzimba bunguphawu lokukhulelwa?

Kodwa ngaphambi kokuba uqale ukuhlanganisa izinto, kubalulekile ukuqaphela ukuthi akuwona wonke umuntu wesifazane ozoba nezinduna zokukhulelwa. Izinguquko kwamahomoni zithinta abantu ngendlela ehlukene, yingakho abanye bengaba nokuchaphazeleka esikhunjeni kuyilapho abanye bengaboni lutho olushintshayo esikhunjeni sabo nhlobo. Futhi uma uzibuza, "Ingabe izinduna uphawu lokukhulelwa kokuqala?"—kungenzeka, kodwa akusilo uphawu oluqinisekile. Ezinye izimpawu zokuqala ezifana nokukhathala, isicanucanu, nokuphoswa wukuya esikhathini ziwuphawu oluthembekile kakhulu.

Izinduna Ngaphambi Kokuya Esikhathini Noma Ukukhulelwa

Manje, ungase uzibuze, ingabe izinduna izimpawu zokukhulelwa noma ziyizinduna ezidalwa ukuya esikhathini nje? Umbuzo onengqondo lowo, ngoba izinduna zangaphambi kokuya esikhathini ziyinkinga ejwayelekile kubantu abaningi. Ihomoni i-progesterone futhi iyona enecala lapha. Iyakhuphuka kakhulu ngemva kokuvuthwa kweqanda futhi ibangele izinkinga ezifanayo zesikhumba noma ukhulelwe noma awukhulelwe [2]. 

Ngakho-ke, uma uzama ukuhlukanisa phakathi kwezinduna ezingaphambi kokuya esikhathini nezinduna eziwuphawu lokukhulelwa, indawo lena ayicaci kahle. Noma izinduna zingaba uphawu lokukhulelwa, akusona isiqiniseko. Ukuhlolwa kokukhulelwa yikho okunokwethenjelwa kakhulu ukuze uqinisekise. Uma uhlangabezana nezimpawu zokuqala futhi ufuna ukuqinisa ukusola kwakho, i-Conceive Plus Ukuhlolwa Kokukhulelwa iyindlela enokwethenjelwa yokuzihlola ngaphambi kokuthi uphuthelwe yisikhathi sakho sokuya esikhathini.

Izinganekwane Nezinkolelo Ezingalungile

Kukhona izinganekwane zasendulo ezihambisana nombono wokuthi izinduna zuphawu lokukhulelwa. Enye yezinganekwane ezihlekisayo ukuthi izinduna zokukhulelwa zingabikezela ubulili bengane yakho. Le nganekwane ithi uma uhlaselwa izinduna, kungenzeka ukuthi uzothola ingane yentombazane, kanti isikhumba esihlanzekile sisho umfana. Nokho, akukho bufakazi besayensi obusekela lokhu [3]. 

Izinduna ngesikhathi sokukhulelwa ziyinto evamile kakhulu futhi zibangelwa ama-hormone kuphela. Azikwazi neze ukubikezela ubulili bengane yakho. Ngakho, nakuba kujabulisa ukucabangacabangana, isikhumba sakho ngeke sethule ubulili lomntwana wakho omncane.

Ukuphatha Izinduna Zokukhulelwa Ngokuphephile

Ngakho-ke, ubhekene nalezi zinduna ezikhathazayo—kuthiwani manje? Uma uhehwa wukufinyelela emikhiqizweni yakho ejwayelekile yokunakekela isikhumba, cabanga kabili. Imikhiqizo eminingi elwa nezinduna iqukethe izithako ezingaphephile ngesikhathi sokukhulelwa. Ama-retinoid, ngokwesibonelo, awavunyelwe ngenxa yokuxhunyaniswa kwawo nezinkinga zokuzalwa. Ngisho neminye yemikhiqizo ongayithola ngaphandle kadokotela efana ne-salicylic acid ne-benzoyl peroxide kufanele isetshenziswe ngokucophelela​ [4]. Kunalokho, khetha izinketho eziphephile. 

• Izihlanzi ezithambile, ezingafaki uwoyela kanye nama-moisturizer ayizihlobo zakho ezinkulu njengamanje.
• Bheka imikhiqizo ebhalwe ngokuthi non-comedogenic. Le mikhiqizo ayivali izimbotshana zesikhumba.
• Uhlelo oluhle lokunakekela isikhumba lungasiza ukulawula izinduna ngaphandle kokubeka ingane yakho engozini.

Kuthi uma izinduna zakho zibucayi kakhulu? Xhumana nomhlinzeki wakho wezempilo. Angakwazi ukuncoma ukwelashwa okuphephile ngesikhathi sokukhulelwa, njengamanye ama-antibiotic okugcoba esikhunjeni. Gwema ukuzelapha, ngoba eminye imikhiqizo ebonakala ingenabungozi ingaba nemiphumela ongayilindele ngesikhathi sokukhulelwa.

Izinzuzo: Akuzukuhlala Kuze Kube Nphakade

Nansi indaba emnandi—izinduna zokukhulelwa ngokuvamile azihlali unomphela. Kowesifazane abaningi, isikhumba sabo siye sihlanzeke njengoba izinga lama-hormone lizinzile, okungenzeka kamuva ngesikhathi sokukhulelwa noma emva kokubeletha [5]. Vele, okuhlangenwe nakho komuntu ngamunye kwehluka, kodwa iningi lithola ukuthi isikhumba sabo ekugcineni sibuyela esimeni esasikhona ngaphambi kokukhulelwa.

Okufanele Ukukukhumbule

Izinduna ngesikhathi sokukhulelwa ziyinto evamile kodwa ekhathazayo ehlotshaniswa nokushintsha kwama-hormone emzimbeni wakho. Nakuba kungadumazi ukubhekana nezinduna phezu kwakho konke okunye okwenzekayo, qiniseka ukuthi kuyinto ejwayelekile ngesikhathi sokukhulelwa kubantu abaningi. Ngakho-ke, sibuyisele embuzweni othi, "ingabe izinduna zuphawu lokukhulelwa?"—yebo, zingaba njalo, kodwa ziyingxenye nje eyodwa kwezinhlobonhlobo zezimpawu. Isinyathelo esingcono kakhulu ukuthi wamukele imikhuba emnene yokunakekela isikhumba bese uxhumana nodokotela noma umhlinzeki wakho wezempilo uma ukhathazeka.

Khumbula, nakuba i-acne ingacasula, iyingxenye encane kuphela yalolu hambo olude. Umzimba wakho ukhulisela ukuphila okusha. Futhi kungekudala uzobe umatasa ukunakekela lowo omncane, hhayi isikhumba sakho.

Imibuzo evame ukubuzwa

1. Ingabe i-acne iwuphawu lokukhulelwa?

Yebo, i-acne ingaba uphawu lokukhulelwa. Ukukhuphuka kwamazinga e-progesterone kungabangela isikhumba sikhiqize uwoyela omningi. Lokhu kuholela ekubibitheni kwezimbotshana nasekuqubukeni kwamabala. Nokho, i-acne yodwa ayikwazi ukuba wuphawu oluqinisekile. Kubalulekile ukubheka ezinye izimpawu zokuqala zokukhulelwa.

2. Ingabe i-acne ingaba uphawu lokukhulelwa kokuqala?

Yebo, i-acne ingaba uphawu lokukhulelwa kokuqala. Izinguquko kumahomoni zingaba imbangela yokuqhuma kwamabala esikhumbeni ngekhefu lokuqala lokukhulelwa. Nokho, akuwona wonke owesifazane okhulelwe othola i-acne. Ngakho-ke kungcono ukuthembela nakwezinye izimpawu.

3. Ingabe ukuqubuka kwamabala kuwuphawu lokukhulelwa, noma kuwumkhuba wami ojwayelekile wamabala ngaphambi kokuya esikhathini?

Kungaba nzima ukuhlukanisa phakathi kwe-acne oyitholayo ngaphambi kokuya esikhathini ne-acne ehlobene nokukhulelwa. Zombili zibangelwa izinguquko zamahomoni. Ngakho-ke, uma ubuzama ukukhulelwa, cabanga ngokwenza ukuhlolwa kokukhulelwa ukuze uqinisekise.

4. Ngingayelapha kanjani i-acne yokukhulelwa ngokuphepha?

Ukuze welaphe i-acne ngesikhathi sokukhulelwa ngokuphepha, sebenzisa imikhiqizo yokunakekela isikhumba emnene, engavimbi izimbotshana zesikhumba (non-comedogenic). Gwema imithi equkethe ama-retinoids noma i-salicylic acid, ngoba ayelulekeki ngesikhathi sokukhulelwa. Xhumana nodokotela wakho ngaphambi kokusebenzisa noma yimiphi imithi ye-acne.

5. Ingabe amabala obuso angaba uphawu lokukhulelwa, futhi ingabe akhombisa ubulili bomntwana?

Amabala obuso angaba uphawu lokukhulelwa ngenxa yezinguquko kumahomoni, kodwa awakhombisi ubulili bomntwana. Inganekwane yokuthi i-acne ngesikhathi sokukhulelwa ibikezela ukuthi kuzalwa intombazane ayisekelwe yisayensi. I-acne iwukuphendula nje ezinguqukweni zamazinga amahomoni, kungakhathaliseki ubulili bomntwana.

6. Ngizoba nesikhathi esingakanani ngibhekene ne-acne yokukhulelwa?

I-acne ngesikhathi sokukhulelwa ngokuvamile ithuthuka njengoba amazinga amahomoni ezinza, okungenzeka kwenzeke esikhathini esithile kamuva ekukhulelweni noma ngemva kokubeletha. Nakuba ukubhekana ne-acne ngesikhathi sokukhulelwa kungakhathaza, iningi labesifazane lithola ukuthi isikhumba sabo sibuyela kokujwayelekile ngemva kokubeletha.

Imithombo yolwazi

1. Chien AL, Qi J, et al. “Ukwelashwa kwe-acne ngesikhathi sokukhulelwa.” J Am Board Fam Med. 2016;29(2):254-62 Kutholwe ku https://www.aad.org/public/diseases/acne/derm-treat/pregnancy 
2. Lawrence E. Gibson, M.D.- Iyiphi indlela engcono kakhulu yokwelapha i-acne ngesikhathi sokukhulelwa?- https://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/expert-answers/pregnancy-acne/faq-20058045 
3. Kumar P, Magon N. Amahomoni ngesikhathi sokukhulelwa. Niger Med J. 2012 Oct;53(4):179-83. doi: 10.4103/0300-1652.107549. PMID: 23661874; PMCID: PMC3640235. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3640235/
4. Kutlu Ö, Karadağ AS, Ünal E, Kelekçi KH, Yalçınkaya İyidal A, Topaloğlu Demir F, Aksoy B, Çölgeçen E, Tosun M, Emre S, Tatlıparmak A, Demirseren DD, Kaya Özden H, Öztürk M, Özlü E, Chen W. I-acne ngesikhathi sokukhulelwa: Ucwaningo olubheke phambili olunamaziko amaningi, oluyisweqe olufundwe kanye kubagulayo abangu-295 eTurkey. Int J Dermatol. 2020 Sep;59(9):1098-1105. doi: 10.1111/ijd.14999. Epub 2020 Jun 20. PMID: 32562263.
5. Jee SB, Sawal A. Izinguquko zendlela umzimba osebenza ngayo kwabesifazane abakhulelwe ngenxa yezinguquko kumahomoni. Cureus. 2024 Mar 5;16(3):e55544. doi: 10.7759/cureus.55544. PMID: 38576690; PMCID: PMC10993087.