Ukuphuma kwegazi kokufakelwa okubambezelelekileyo: ukuqonda izimbangela zakho nalokho ongakulindela

Ukopha kwe-implantation kuwumcimbi wemvelo abanye abesifazane abawuhlangabezana nawo ekuqaleni kokukhulelwa. Nakuba ngokuvamile kwenzeka cishe ezinsukwini ezi-6 kuya kwezi-12 ngemva kokukhulelwa, kukhona izikhathi lapho abesifazane bebika ukuhlangabezana nokopha kwe-implantation okwephuzile. Lokhu kungadala ukukhathazeka, ikakhulukazi uma kuhambisana nokuchaphaza noma ukopha okuncane. Ukuqonda izizathu zalokhu nokuthi kuhluke kanjani kwezinye izinhlobo zokopha kubalulekile ekunciphiseni ukukhathazeka.

Kuyini Ukopha Kwe-Implantation?

Ukopha kwe-implantation kwenzeka lapho iqanda elichumile linamathela odongeni lwesibeletho. Njengoba lo msebenzi uphazamisa imithambo yegazi emincane ku-endometrium, ungaholela ekopheni okuncane noma ekuchaphazeni. Iningi labesifazane bahlangabezana nalokhu kopha kungakadluli sikhathi eside ngemva kokukhulelwa, futhi kuvame ukudideka nokuthi mhlawumbe sekuqalile ukuya esikhathini. Nokho, uma i-implantation yenzeka sekuhambe isikhathi kunalokho okulindelekile, kungaholela ekuchaphazeni ngemva kokubambezeleka kokuya esikhathini, okungadida labo abalandela umjikelezo wabo [1].

Izimbangela Zokopha Kwe-Implantation Okwephuzile

Isikhathi se-implantation singahluka kumuntu nomuntu, kanti nakuba i-implantation esheshayo ivame kakhulu, ne-implantation esuke isiphuzile ingenzeka. Ukopha kwe-implantation okwephuzile kungase kwenzeke ngoba iqanda elichumile lithathe isikhathi eside ukuhamba emathubeni ama-fallopian bese lizinza odongeni lwesibeletho. Kungenzeka futhi ukuthi ukuguquguquka kwamahomoni noma ukungajwayelekile okuncane emjikelezweni wokuya esikhathini kungalibazisa lo msebenzi.

Ukopha kwe-implantation okwephuzile ngokuvamile kuba kuncane futhi akumele kuthathe isikhathi eside. Uma ukopha kunzima noma kuqhubeka isikhathi eside, kubalulekile ukubonana nochwepheshe kwezempilo ukuze bakhiphe amanye izimo, njengokuphuma komntwana esesiswini (miscarriage) noma ukukhulelwa kwaseshubhini (ectopic pregnancy).

Kumele Ukuchaphaza Kuthathe Isikhathi Esingakanani?

Uma uhlangabezana nokuchaphaza futhi uzibuza ukuthi ukuchaphaza kumele kuthathe isikhathi esingakanani, impendulo ingancika ezintweni ezahlukene, kuhlanganise nobangela. Ezimweni zokopha kwe-implantation, ukuchaphaza ngokuvamile kuthatha amahora ambalwa kuya ezinsukwini ezimbalwa. Kuvamise ukuba kukhanye kakhulu kunejwayelo lakho lokuya esikhathini futhi kungase kubonakale njengokuphuma koketshezi okupinki, onsundu, noma okubomvu obukhanyayo.

Ukuchaphaza okuthatha isikhathi eside kunalokho okulindelekile, ikakhulukazi uma kuhambisana nobuhlungu noma ukopha okuningi, kungase kubonise olunye udaba. Kulabo abanemijikelezo engajwayelekile, ukuhlukanisa phakathi kokopha kwe-implantation nokuya esikhathini kwangempela kungaba yinselelo, ikakhulukazi uma kwenzeka ukuchaphaza ngemva kokubambezeleka kokuya esikhathini.

Enye imibuzo evamile abaningi abesifazane abanayo ukuthi, ukuchaphaza kungahlala isikhathi esingakanani uma kuhlobene nokopha kwe-implantation. Ngokujwayelekile, ukuchaphaza akumele kudlule ezinsukwini ezingu-1 kuya kwezi-3. Uma ubona ukuthi ukuchaphaza kuyaqhubeka isikhathi eside, kubalulekile ukunaka ezinye izimpawu. Uma ukuchaphaza kuhambisana nokugwinya okungamahlalakhona, ukungakhululeki okukhulu, noma izikhwepha zegazi ezinkulu, kubaluleke kakhulu ukufuna iseluleko sezokwelashwa ukuze kukhishwe izinkinga ezingaba khona [2].

Ukuqaphela Umehluko Phakathi Kokopha Kwe-Implantation Nokopha Kokuya Esikhathini

Enye yezinto ezinzima kakhulu maqondana nokopha kwe-implantation ukuthi kungadideka kalula nokopha kokuya esikhathini, ikakhulukazi uma kwenzeka sekuhambe isikhathi. Uma uhlangabezana nombuzo othi ukuchaphaza kwegazi kuthatha isikhathi esingakanani, kuwufanele umqondo wokuthi ukopha kwe-implantation kukhanya kakhulu futhi kuthatha isikhathi esifushane kunejwayelo lakho lokuya esikhathini. Kuvame ukuchazwa ngokuthi “ukuchaphaza” kunokuba kube ukugeleza okuphelele. Ngokuphambene nalokho, ukopha kokuya esikhathini kwakamuva kuvame ukuthatha isikhathi eside, ngokuvamile phakathi kwezinsuku ezingu-3 kuya kwezi-7, futhi kuhambisana nokugeleza okukhulu nokubuhlungu obukhulu besisu.

Uma uhlangabezane nokuchaphaza ngemva kokubambezeleka kokuya esikhathini, ungase uzibuze ukuthi ngabe ukopha kwe-implantation noma umjikelezo ovamile obambezelekile. Ukuchaphaza ngemva kokubambezeleka kokuya esikhathini kungabangelwa izinto eziningana, okuhlanganisa ukungalingani kwamahomoni, ingcindezi, noma ngisho nezimpawu zokuqala ezifihlekile zokukhulelwa. Nakuba kungavamile, abanye abesifazane bangase babone ukuchaphaza ngemva kokuphuthelwa kokuya esikhathini ngenxa yokuthi i-implantation yenzeke sekuhambe isikhathi kunokujwayelekile [3].

Kufanele Ukhathazeke Na?

Ezimweni eziningi, ukopha kwe-implantation okwephuzile akuyona imbangela yokukhathazeka. Kuyingxenye evamile yenqubo yokuqala yokukhulelwa. Nokho, kubalulekile ukulandela izimpawu zakho. Ukuchaphaza okuncane okungathathi isikhathi eside ngokuvamile akulimazi. Uma ukuchaphaza kuqhubeka ngaphesheya kwezinsuku ezimbalwa, noma uma kushintsha kube ukopha okuningi, xhumana nodokotela wakho noma umhlinzeki wezempilo ukuze bakhiphe ezinye izimbangela, njengokuphuma komntwana esesiswini noma ukukhulelwa kwaseshubhini.

Kubalulekile futhi ukuhlukanisa ukopha kwe-implantation nezinye izinhlobo zokuchaphaza noma ukopha okungase kuvele ngenxa yezinye izifo zomzimba. Ngokwesibonelo, ukuchaphaza kungase kwenzeke ngenxa yokungalingani kwamahomoni, ukusetshenziswa kwemithi yokuvimbela inzalo, noma izimo ezifana nesifo se-polycystic ovary syndrome (PCOS).

Okubalulekile Ekugcineni

Nakuba ukopha kwe-implantation okwephuzile kungadida, ngokuvamile kuwumcimbi wemvelo nongabeki ingozi ekuqaleni kokukhulelwa. Ukuqonda ukuthi ukuchaphaza kumele kuthathe isikhathi esingakanani kanye nezimpawu ezijwayelekile zokopha kwe-implantation kuzokusiza ukukuhlonza kangcono. Ukuchaphaza okukhanyayo akufanele kudlule izinsuku ezimbalwa futhi akufanele kuhambe nokungakhululeki okukhulu. Uma uhlangabezana nokuchaphaza ngemva kokubambezeleka kokuya esikhathini, kungenzeka ukuthi i-implantation yenzeke sekuhambe isikhathi kunokujwayelekile, kodwa ukubheka isikhathi nobukhulu bokuchaphaza kubalulekile.

Kukhumbule, umzimba womfazi ngamunye uhlukile, futhi lokho okuvamile kumuntu oyedwa kungase kungabi njalo komunye. Uma unokukhathazeka mayelana nokuchaphaza noma noma yiziphi izimpawu ezingajwayelekile, kuhlala kungcono ukubonana nochwepheshe wezempilo ukuze uqinisekise impilo yakho nokuthula kwengqondo.

Imithombo Yolwazi

1. E.W. Harville, A.J. Wilcox, D.D. Baird, C.R. Weinberg, Ukopha kwasesithweni sangasese sowesifazane ekuqaleni kakhulu kokukhulelwa, Human Reproduction, Umqulu 18, Inombolo 9, Septhemba 2003, Amakhasi 1944–1947, https://doi.org/10.1093/humrep/deg379 
2. Hasan R, Baird DD, Herring AH, Olshan AF, Jonsson Funk ML, Hartmann KE. Amaphethini nezinto ezibikezelayo zokopha kwasesithweni sangasese kowesifazane esigabeni sokuqala sokukhulelwa. Ann Epidemiol. 2010 Jul;20(7):524-31. doi:10.1016/j.annepidem.2010.02.006. PMID: 20538195; PMCID: PMC2884141.
3. Kolstad HA, Bonde JP, Hjøllund NH, Jensen TK, Henriksen TB, Ernst E, Giwercman A, Skakkebaek NE, Olsen J. Iphethini lomjikelezo wokuya esikhathini nokwazala: ucwaningo lokulandela phambili lokukhulelwa nokulahleka kokuqala kombungu emibhangqwaneni engu-295 eyayihlelela ukukhulelwa kokuqala. Fertil Steril. 1999 Mar;71(3):490-6. doi:10.1016/s0015-0282(98)00474-9. PMID: 10065787.