Ingabe ukuchama kakhulu kuwuphawu lokukhulelwa?

Ukukhulelwa kwaziwa ngokubangela izinguquko ezahlukene emzimbeni, ezinye zazo ezaziwa kakhulu, njengokuthi uzoqala nini ukuba nesicanucanu sasekuseni noma ukukhathala. Nokho, abesifazane abaningi baphinde babhekane nokuchama kaningi ngesikhathi sokukhulelwa. Lokhu kuholela embuzweni: ukuchama kakhulu ingabe kuyisibonakaliso sokukhulelwa? Impendulo emfushane ithi yebo, kungaba njalo. Ukuchama kaningi kungesinye sezimpawu zokuqala futhi ezivamile kakhulu zokukhulelwa.

Kungani Ukuchama Kaningi Kwenzeka Ngesikhathi Sokukhulelwa?

Ukwanda kwemvamisa yokuchama ngesikhathi sokukhulelwa kubangelwa ikakhulukazi izinguquko zama-hormone. Ikakhulukazi, ihomoni i-hCG (human chorionic gonadotropin), ekhiqizwa yindawo yesibeletho emva kokunamathela kwesibungu, inendima ebalulekile. Yandisa ukugeleza kwegazi esifundeni samaphaphu esezansi futhi ishukumisa izinyongo ukuthi zisebenze kahle kakhulu, okiholela ekuchameni kaningi ngesikhathi sokukhulelwa.

Ezigabeni zokuqala, lesi sidingo sokuchama njalo ngesinye isikhathi singamangaza abesifazane abaningi. Uma uzibuza ukuthi ukuchama kaningi ingabe kuyisibonakaliso sokukhulelwa, impendulo ithi yebo, ikakhulukazi uma kuhambisana nezinye izimpawu ezifana nokuphuma kwegazi okuncane nokuzizwa unesicanucanu, okungabonisa ukukhulelwa kwasekuqaleni [1].

Ukuchama Kaningi Kuqala Nini Ekuqaleni Kokukhulelwa?

Pho-ke, ukuchama kaningi kuqala nini ekuqaleni kokukhulelwa? Kwabesifazane abaningi, isifiso esikhulayo sokuchama singaqala kusenesikhathi esifushane, ngokuvamile cishe emasontweni ayisithupha ekukhulelweni. Lokhu kubangelwa inhlanganisela yezinguquko zama-hormone nesisu esikhulayo esicindezela umchamo. Njengoba ukukhulelwa kuqhubeka, isibeletho esikhulayo siyaqhubeka sicindezela umchamo, okwenza uye endlini yangasese kaningi.

Akuyona into engajwayelekile ukuthi abesifazane babhekane nokuchama kaningi ekuqaleni kokukhulelwa kungakafiki naphakathi kwenyanga. Lokhu kwesinye isikhathi kungaba esinye sezimpawu zokuqala, okubenza bathathe ukuhlolwa kokukhulelwa [2].

Indima yama-hormone nokugeleza kwegazi

Njengoba kushiwo, amahomoni adlala indima ebalulekile ezimpawini zokuqala zokukhulelwa, kuhlanganise nokuchama kaningi ekuqaleni kokukhulelwa. Amazinga aphezulu e-progesterone ne-hCG akhuthaza ukugeleza kwegazi okuningi kuya ezinsinini, ezenza zisebenze kangcono ekusuleni udoti egazini. Lokhu kuholela ekwandeni kokukhiqizwa komchamo ekuqaleni kokukhulelwa, okuwugqozi womzimba lokukhipha udoti ngokushesha okukhulu kokubili kumama nasembungwini okhula.

Ngaphezu kwalokho, njengoba isibeletho siqala ukukhula, sibeka ingcindezi eyengeziwe esinyeni. Lokhu kucindezela kunciphisa ikhono lesinye lokugcina umchamo, kuholele ekuchameni kaningi ekuqaleni kokukhulelwa. Ngesikhathi setrimester yesibili, abanye besifazane bangase bazwe ukukhululeka njengoba isibeletho sikhuphukela phezulu, sinciphisa ingcindezi esinyeni. Nokho, ngesikhathi setrimester sesithathu, njengoba usana lukhula kakhulu, imvamisa yokuchama ingase yande futhi [3].

Ingabe Ukuchama Kakhulu Kuyisibonakaliso Esiqinisekile Sokukhulelwa?

Nakuba ukuchama kaningi kungaba uphawu lokukhulelwa, akulona ubufakazi obuqondile ngokwalo. Kukhona nezinye izimo ezingabangela ukwanda kokuchama, njengokutheleleka emgudwini womchamo (UTI) noma ukuphuza uketshezi ngokweqile. Kubalulekile ukubheka isithombe esiphelele nokucatshangelwa ezinye izimpawu zokuqala zokukhulelwa, njengezinhlungu zamabele, ukukhathala nokuhlanza.

Kulabo abazibuza, ukuthi ukuchama kakhulu ingabe kuyisibonakaliso sokukhulelwa, kubalulekile ukukhumbula ukuthi ukuchama kaningi kuyisinye sezimpawu eziningi ezingase zikhombise ukukhulelwa. Nokho, uma kuhlangene nezinye izimpawu zokuqala zokukhulelwa, kungaba wuphawu lokuthi owesifazane ukhulelwe.

Ukuphatha Ukuchama Kaningi Ngesikhathi Sokukhulelwa

Ukubhekana nokuchama kaningi ekuqaleni kokukhulelwa kungaba yinkinga, ikakhulukazi uma kuphazamisa imisebenzi yansuku zonke noma ukulala. Nawa amacebiso okusiza ukuphatha lesi sifo esivamile:

• Hlala unamanzi emzimbeni: Nakuba ukuya endlini yangasese kaningi kungakhathaza, kubalulekile ukuthi unganciphisi ukuphuza uketshezi. Ukuhlale umzimba unamanzi kubalulekile kokubili kumama nasesaneni, ikakhulukazi ekuqaleni kokukhulelwa.
• Nciphisa uketshezi ngaphambi kokulalaUkunciphisa isidingo sokuvuka kaningi ebusuku uye endlini yangasese, zama ukunciphisa ukuphuza uketshezi emahoreni ambalwa angaphambi kokulala.
• Khipha isinye ngokupheleleUkugoba kancane phambili lapho uchama kungasiza ukuqinisekisa ukuthi isinye sikhishwa ngokuphelele, okunciphisa isidingo sokugijima njalo endlini yangasese.

Uma uhlangabezana nokuchama ngokweqile kuhlangene nokungakhululeki, ukushisa noma ubuhlungu, kubalulekile ukubona uchwepheshe bezempilo ukuze bakhiphe ezingaba izifo ezifana ne-UTI, ezingenza kube nezinkinga zokuchama ezihlobene nokukhulelwa.

Ezinye izimpawu zokuqala zokukhulelwa okufanele uzicabangele

Ngaphezu kokuchama njalo, ezinye izimpawu zingase zikhombise ukukhulelwa. Isicanucanu, esivame ukubizwa ngokuthi isicanucanu sasekuseni, ukukhathala, nokuguquka kwemizwa kuyizimpawu zokuqala ezivamile. Uma uhlangabezana nokuchama kaningi ekuqaleni kokukhulelwa, kubalulekile ukulalela umzimba wakho nanoma yiziphi ezinye izimpawu, ezifana nokopha kancane nokuzizwa unesicanucanu, ezingase zibonise ukukhulelwa kwasekuqaleni.

Naphezu kokuthi umchamo wokuqala wokukhulelwa ungakhungathekisa, ungomunye nje wezinguquko eziningi ezenzeka njengoba umzimba uvumelana nosana olukhulayo.

Okubalulekile

Ukuchama njalo kuwuphawu oluvamile oluhlangenwe nakho ngabesifazane abaningi ngesikhathi sokukhulelwa, ikakhulukazi ezigabeni zokuqala. Uma uzithola uzibuza, ukuthi ukuchama kakhulu ngabe kuwuphawu lokukhulelwa na, kuyasiza futhi ukubheka nezinye izimpawu. Ukwanda kokuchama ekuqaleni kokukhulelwa kudalwa ikakhulukazi izinguquko zamahomoni, ukwanda kokugeleza kwegazi, kanye nesisu esikhulayo esicindezela isinye.

Uma usola ukuthi ukuchama njalo okuhambisana nezinye izimpawu zokuqala zokukhulelwa kungasho ukuthi ukhulelwe, ukuthatha ukuhlolwa kokukhulelwa noma ukubonana nochwepheshe bezempilo kungakuqinisekisa lokho. Khumbula, izinguquko zomchamo ekuqaleni kokukhulelwa, okuhlanganisa nokuvakashela indlu yangasese kaningi, ziyingxenye ejwayelekile yenqubo njengoba umzimba wakho uzivumelanisa nokusekela impilo entsha ekhula ngaphakathi kwakho.

 Imithombo:

1. Ikhasi lewebhu. Geetha Maddukuri. Ukuphuthuma kokuchama. Merck Manual Consumer Version. Merck Manual 2024. [2024/09]. Iyatholakala ku-inthanethi- https://www.merckmanuals.com/home/kidney-and-urinary-tract-disorders/symptoms-of-kidney-and-urinary-tract-disorders/urinary-urgency 
2. Beyazıt A, Hakverdi AU, Gözükara KH. Umthelela wokukhulelwa ezimpawini zokuchama. Cureus. 2023 Aug 28;15(8):e44232. doi:10.7759/cureus.44232. PMID: 37772213; PMCID: PMC10523107.
3. I-athikili yejenali. A Sanghavi, Monika, A Rutherford, John D. T Cardiovascular Physiology of Pregnancy.[2014] Circulation- 1003-1008. doi:10.1161/CIRCULATIONAHA.114.009029. https://www.ahajournals.org/doi/abs/10.1161/CIRCULATIONAHA.114.009029