Ingabe ukuthimula kuwuphawu lokukhulelwa?

Ukukhulelwa kuletha izinguquko ezihlukahlukene emzimbeni, eziningi zazo ezaziwayo, njengokuhlanza nokukhathala. Nokho, ezinye izimpawu ezingaziwa kakhulu, njengekuthimula nokuvuvukala kwekhala, nazo zingaba yingxenye yesipiliyoni sokukhulelwa. Ungase uzibuze, ingabe ukuthimula kungelinye lama\u00a0zimpawu ezifihlekile zokukhulelwa? Nakuba ukuthimula uqobo kungase kungakhombisi ngqo ukukhulelwa, kungaba umphumela wezinguquko eziningana ezenzeka ekuqaleni kokukhulelwa. Ukuthimula ekuqaleni kokukhulelwa kungase kubangelwe futhi isimo esivamile esibizwa ngokuthi i-pregnancy rhinitis. Yaziwa nangokuthi i-gestational rhinitis futhi ijwayelekile kakhulu ezinyangeni zesibili nezintathu zokukhulelwa. I-pregnancy rhinitis ithinta cishe u-20% wabesifazane abakhulelwe.

Ake siqonde ukuthi ukugwinya uthimula (ukuthimula) kungase kube uphawu lokuqala lokukhulelwa kanjani nokuthi nini kungase kukhathaze wena nempilo yengane yakho.

Izinguquko Zama-hormone Nomthelela Wazo Ohlelweni Lokuphefumula

Esinye sezizathu eziyinhloko zokuthi kungani ukuthimula nokuvuvukala kwekhala kwenzeka ngesikhathi sokukhulelwa wukuthi umzimba udlula ezinguqukweni zama-hormone. Ikakhulukazi, ukwanda kwe-estrogen ne-progesterone kungathinta izindonga ezinemucus ezingaphakathi kwekhala, kuholele ekuvuvukaleni nasekukhiqizweni okwandisiwe kwemucus. Lokhu kungadala ikhala elivinjiwe ekuqaleni kokukhulelwa, okubizwa kaningi nge-pregnancy rhinitis.

I-pregnancy rhinitis ichazwa izimpawu ezifana nokuthimula, ukuvaleka, kanye nekhala elivinjiwe ekuqaleni kokukhulelwa. Lezi zimpawu zingaqala kusenesikhathi esifushane njengenkathi yokuqala yokukhulelwa futhi ziqhubeke sonke isikhathi sokukhulelwa. Yize zicasula, lezi zimpawu ngokuvamile azinabungozi futhi zingalawulwa ngezindlela ezilula. [1].

Ukuvaleka Ikhala Ekuqaleni Kokukhulelwa

Ubudlelwano phakathi kokuvuvukala kwekhala ekuqaleni kokukhulelwa kanye nezinguquko zama-hormone bubhaliwe kahle. I-estrogen yandisa ukugeleza kwegazi ezindaweni ezinemucus, okungadala ukuvuvukala emithambekeni yekhala, okwenza kube nzima ukuphefumula ngekhala. Ngenxa yalokhu, abesifazane abaningi abakhulelwe babhekana nokuvuvukala kwekhala ekuqaleni kokukhulelwa, okuvame ukuhambisana nokuthimula noma ikhala elihlala livinjiwe.

Lokhu kuholela embuzweni othi: ingabe ikhala elivinjiwe liyimpawu yokukhulelwa? Nakuba ikhala elivinjiwe lodwa lingesona isibonakaliso esiqondile sokukhulelwa, lingaba esinye sezimpawu zokuqala abanye besifazane ababahlangabezana nazo ngenxa yokuguquka kwama-hormone. Uma uqaphela ukuvaleka kwekhala kanye nezinye izimpawu ezifana nokuphelelwa yisikhathi sokuya esikhathini, ukukhathala, noma isicanucanu, lokho kungase kube inkomba yokukhulelwa kokuqala. [2].

Ukuthimula Nezimpawu Zokuqala Zokukhulelwa

Abanye besifazane babika ukuthimula okwengeziwe ngesikhathi sokukhulelwa, ikakhulukazi kwezinyanga zokuqala ezintathu. Lokhu kuvusa umbuzo othi, ingabe ukuthimula kuyisibonakaliso sokukhulelwa? Nakuba ukuthimula kungesona isimpawu esijwayelekile sokukhulelwa njenge-morning sickness noma ubuhlungu bamabele, kungavela ngenxa yokuphendula komzimba ekwandeni kwamahomoni nasezinguqukweni ohlelweni lokuzivikela emzimbeni. Ukuthimula ekuqaleni kokukhulelwa kuvame ukuhambisana nokuvuvukala nokuxinana kwamakhala okuningi abesifazane abakwaziyo, kodwa kuyedwa akulona uphawu oluthembekile lokukhulelwa.

Ukukhulelwa kungase kubangele futhi isimiso sokuzivikela emzimbeni ukuba sibe sengozini kakhulu, okuholela ekwandeni kothambekela ekuqhamukeni kwama-allergy. Abanye besifazane bathola ukuthi bayathimula kaningi ngesikhathi sokukhulelwa, ngisho noma bengenawo umthelela wama-allergen avamile. Lokhu kuphendula kuvame ukuba akulimazi kodwa kungaba umphumela ongemnandi ohlangene nendlela umzimba ophendula ngayo ekukhulelweni.

Ingabe Ikhala Elivalekile Isibonakaliso Sokukhulelwa?

Ikhala elivuzayo nekhala elivalekile kanye nokuthimula njengesibonakaliso sokuqala sokukhulelwa kuvame ukuthathwa ngokungafanele njengomkhuhlane noma i-allergy yesikhathi sonyaka. Nokho, kwabesifazane abathile, lezi zimpawu ngempela zixhumene nezinyanga zokuqala zokukhulelwa. Uma uzibuza ukuthi ingabe ikhala elivalekile isibonakaliso sokukhulelwa, kubalulekile ukuhlela ezinye izimpawu ezihambisana nalokhu. Isibonelo, abanye besifazane bangabuza bathi, Ingaba Ukuzwa Ubanda Kuyisibonakaliso Sokukhulelwa? Ukuvaleka kwamakhala kuwukwedwa akwanele ukuqinisekisa ukukhulelwa, kodwa kungaba uphawu uma kuhlangene nezinye izimpawu zokuqala.

Ngaphezu kwalokho, ukwanda kokukhiqizwa kwamafinyila nokuvuvukala kwamakhala nakho kungadala ukuvaleka kwamakhala ekuqaleni kokukhulelwa, okwenza kube nzima ukuphefumula ngomlomo wamakhala. Lokhu kungakhathaza kakhulu ebusuku, kuphazamise ukulala futhi kubangele ukukhathala.

Ukulawula Ukuvaleka Kwamakhala Nokuthimula Ngesikhathi Sokukhulelwa

Ngenkathi ukuvaleka kwamakhala ekuqaleni kokukhulelwa nokuthimula kungaba nokungakhululeki, kunendlela eziningana zokulawula lezi zimpawu:

• Hlala umanzi emzimbeni: Ukuphuza amanzi amaningi kungasiza ukunciphisa uqumbe lwamafinyila, okwenza kube lula ukuphefumula.
• Sebenzisa i-humidifier: Ukwengeza umswakama emoyeni kungasiza ukunciphisa ukoma kwemigudu yamakhala nokunciphisa ukuvaleka.
• Sebenzisa imithi yokulwa nokungezwani komzimba nemithi yokunciphisa ukuvuvukala: Imithi efana nama-corticosteroids, ama-antihistamine, izidambisi zamangqamuzana e-mast, kanye nemithi yokunciphisa ukuvuvukala efana ne-pseudoephedrine, xylometazoline kutholwe ukuthi iyasebenza ekulawuleni ukuba namakhala avalekile ngesikhathi sokukhulelwa. [3].
• Phakamisa ikhanda lakho lapho ulele: Ukugcina ikhanda liphakeme kungavimbela udakayo ukuthi lungavimbi imigudu yamakhala ebusuku.
• Xhumana nodokotela ngaphambi kokusebenzisa imithi: Hlola njalo nodokotela wakho ngaphambi kokusebenzisa noma yimiphi imithi ethengwa ngaphandle kweresiphi noma ama-spray wamakhala ukuze uqinisekise ukuthi iphephile ngesikhathi sokukhulelwa.

Ezimweni eziningi, izimpawu ze-rhinitis yokukhulelwa, ezifana nokuthimula namakhala avalekile ekuqaleni kokukhulelwa, ziyaphela ngemva kokubeletha. Nokho, uma lezi zimpawu ziba zimbi kakhulu noma ziphazamisa impilo yakho yansuku zonke, kubalulekile ukufuna iseluleko sezokwelapha ukuze kukhishwe ezinye izimbangela ezifihlekile ezifana nokungezwani komzimba noma izifo.

Isiphetho

Naphezu kokuthi ukuthimula nokuba namakhala avalekile akwaziwa kabanzi njengezimpawu eziqinisekisayo zokukhulelwa, kungaba yingxenye yokusabela komzimba ezinguqukweni zamahomoni ezenzeka ekuqaleni kokukhulelwa. Uma uhlangabezana nezimpawu ezifana namakhala avalekile nokuthimula ekuqaleni kokukhulelwa, kungenzeka ukuthi lokhu kuhlobene nezinguquko ezenzeka emzimbeni wakho njengoba ulungiselela ukweseka ukukhulelwa.

Yize umbuzo othi ingabe ukuthimula kuwuphawu lokukhulelwa kungenzeka ungabi yinto yokuqala engakungena engqondweni uma ucabanga ngezimpawu zokukhulelwa, ukuxhumana phakathi kokuthimula nokuba namakhala avalekile ngesikhathi sokukhulelwa kukhona ngempela. Ukuqonda lezi zimpawu nokuthi ungazilawula kanjani kungakwenza kube lula futhi kukunethezele njengoba uqhubekela phambili nokukhulelwa kwakho.

Uma usola ukuthi ungase ukhulelwe futhi uhlangabezana namakhala avalekile noma ukuthimula njalo, kungcono njalo ukuqinisa ukuthi ukhulelwe ngokwenza ukuhlolwa bese uxhumana nodokotela wakho ukuze uthole izeluleko ezenzelwe wena.

Imithombo yolwazi

1. Caparroz FA, Gregorio LL, Bongiovanni G, Izu SC, Kosugi EM. I-rhinitis nokukhulelwa: ukubuyekezwa kwezincwadi. Braz J Otorhinolaryngol. 2016 Jan-Feb;82(1):105-11. doi:10.1016/j.bjorl.2015.04.011. Epub 2015 Sep 21. PMID: 26601995; PMCID: PMC9444647.
2. MedicalNewsToday. Ingabe ukuthimula ngesikhathi sokukhulelwa kungathinta ingane?. [Kufinyelelwe ngo- 10/23/2024]. Kutholakala ku-inthanethi- https://www.medicalnewstoday.com/articles/321753 
3. Kellie FJ. Izindlela ezingahlinzekiyo zokwelapha ukuba namakhala avalekile ngesikhathi sokukhulelwa. Cochrane Database Syst Rev. 2017 Aug 8;2017(8):CD011653. doi:10.1002/14651858.CD011653.pub2. PMCID: PMC6483661.