Kusho Ukuthini Ukubambezeleka Kokuya Esikhathini Ngezimpawu Zokuya Esikhathini?

Ukuphuthelwa isikhathi, ngisho nangemva kokuzwa izimpawu zokuya esikhathini, kungase kubonise izinto eziningi. Lesi simo singadida noma yimuphi umfazi futhi sivuse umbuzo othi: ingabe lokhu kungasho ukukhulelwa?

Kwezinye izimo, ungase uzwe izimpawu zokuya esikhathini ezifana neminyakazo ebuhlungu, ukuvuvukala esiswini, noma ubuthambile emabeleni, kodwa kungabi bikho ukuphuma kwegazi [1]. Lezi zimpawu ngaphandle kokopha zisho ukuthi kunamathuba amaningi okuthi usuvele ukhulelwe. Nokho, izimpawu zokuya esikhathini ngaphandle kokuthi kuphume igazi zingabuye zibonise ezinye izinkinga ezingaphakathi.

Kule ndatshana, sizochaza ukuthi isikhathi esibambezelelekile unezimpawu zokuya esikhathini singabonisa kanjani ukukhulelwa, ezinye izimpawu zokukhulelwa, nezimo zezempilo ezingabangela ukuphuthelwa isikhathi.

Isikhathi esibambezelelekile unezimpawu zokuya esikhathini: Ingase ibe yikhulelo na?

Enye yezizathu eziningi ezingabangelwa ukuhlehliswa kwesikhathi unezimpawu zokuya esikhathini ukukhulelwa. Uma ukhulelwe, umzimba wakho uqala ukukhiqiza amahomoni afana ne-progesterone kanye ne-human chorionic gonadotropin noma i-hCG [2]. Lawa mahomoni angadala izimpawu ezifana naleyo ozijwayele ngesikhathi sokuya esikhathini.

Ngokwesibonelo, iminyakazo ebuhlungu esiswini esingezansi oyijwayele ngesikhathi sokuya esikhathini ingavela nasekuqaleni kokukhulelwa njengoba isibeletho silungela usana olukhulayo [3]. Ubuhlungu noma ubuthambile obuchweni lwebele buvame kakhulu nasekuqaleni kokukhulelwa ngoba amahomoni okukhulelwa enza izicubu zamabele zizwele kakhulu [4].

Lezi zimpawu zingazwakala njengokugula kwangaphambi kokuya esikhathini (PMS), kodwa ukuphuthelwa isikhathi ube unezimpawu ze-PMS kungase kubonise ukuthi ukhulelwe.

Yiziphi izimpawu zokuqala zokukhulelwa?

Uma uhlangabezana nezimpawu zokuya esikhathini kanti isikhathi sakho sehlehlile kunokujwayelekile, kufanele ubheke izimpawu zokuqala zokukhulelwa emzimbeni wakho. Lezi zimpawu zingakutshela ukuthi ngempela ukhulelwe noma ukuthi izimpawu zokukhulelwa ngaphambi kokuphoswa kwesikhathi zibangelwa okuthile okukhathazayo.

Ezinye izimpawu ezivamile zokuqala zokukhulelwa okufanele uzibheke zihlanganisa:

1. Isicanucanu noma isifo sakusasa: Ukuzwa isicanucanu noma ukuhlanza, ikakhulukazi ekuseni, kungenzeka ekuqaleni kokukhulelwa. Uye uzwe le mizwa ngenxa yokwanda kokukhiqizwa nokukhululwa kwe-hCG ngesikhathi sokukhulelwa [5].
2. UkukhathalaIzinguquko ezihlukahlukene zamahomoni zenzeka emzimbeni kungakadluli sikhathi eside usanda kukhulelwa. Lezi zinguquko zenzelwe ukulungiselela umzimba ukukhulelwa okunempilo, kodwa kwesinye isikhathi zingabangela ukukhathala.
3. Izinguquko Emabeleni: Izinguquko zamahomoni ekuqaleni kokukhulelwa zithinta futhi izicubu zamabele. Amabele akho angase azwakale evuvukele, ebuhlungu noma esinda, futhi indawo ezungeze iminze yakho, ebizwa ngokuthi ama-areola, ingaqala ukubonakala imnyama [4].
4. Ukuguquguquka Kwesimo Sengqondo: Izinguquko zamahomoni ezinsukwini zokuqala zokukhulelwa zingadala ukushintsha okusheshayo esimweni sengqondo noma emizweni. Lezi zinguquko zesimo sengqondo zingathinta nesifiso sakho sokudla, futhi ungase ufise okunye ukudla noma uzizwe unengeka ezinye izinto ozijwayele ukudla.
5. Ukuchitheka Kwegazi Ngesikhathi Sokufakelwa (Implantation Bleeding): Abanye abesifazane baba nokuchitheka kwegazi okuncane kombala opinki noma onsundu ezinsukwini ezimbalwa ngemva kokuvuthwa kwamaqanda. Abesifazane bavame ukukudida lokhu nokuhamba kokuya esikhathini okuncane kakhulu, kodwa empeleni kubangelwa ukufakelwa iqanda elikhulelwe esibelethweni.

Khumbula ukuthi umzimba womfazi ngamunye uhlukile futhi indlela osabela ngayo ekukhulelweni ingahluka. Lokhu kusho ukuthi ukungabi nalezi zimpawu akusho ukuthi awukhulelwe.

Ungakuqinisekisa Kanjani Ukukhulelwa?

Indlela engcono kakhulu yokuqinisekisa ukuthi ukhulelwe ngemva kokubona izimpawu zokuqala zokukhulelwa wukuthatha ukuhlolwa kokukhulelwa. Nansi imikhakha emibili eyinhloko yokuhlolwa ongayikhetha:

1. Ukuhlolwa Kokukhulelwa Kwasekhaya: Hikhithi yokuhlola ukukhulelwa yasekhaya ithola ukuba khona kwe-hCG emchamweni wakho. Lezi zithuluzi zokuhlola kulula ukuzisebenzisa, futhi ungathola imiphumela emizuzwini usekhululekile ekhaya lakho. Ukuwenza la mahlolo ngokulandela imiyalelo enikeziwe kungakunikeza imiphumela enembile kuze kufike ku-99% mayelana nokukhulelwa kwakho.

2. Ukuhlolwa Kwegazi: Ukuze kuqinisekiswe ukukhulelwa ngokuhlolwa kwegazi, kudingeka uvakashele ehhovisi likadokotela noma esibhedlela. Lokhu kuhlolwa kungathola amanani amancane e-hCG futhi kuqinisekise ukukhulelwa kusenesikhathi kunokuhlolwa komchamo. Ukuhlolwa kwegazi kungabuye kunikeze inani le-hCG eliqondile, elisiza ukulandelela intuthuko yokukhulelwa.

Ezinye Izimbangela Zokungayi Esikhathini

Uma uhlangabezana nokubaba esiswini, ubuhlungu noma ubuhlungu emabeleni kodwa ungayi esikhathini futhi imiphumela yokuhlolwa kokukhulelwa ikhombisa ukuthi awukhulelwe, omunye wale migomo elandelayo angaba imbangela yalokhu:

1. Ukucindezeleka: Ubufakazi bubonisa ukuthi amazinga aphezulu okucindezeleka angaphazamisa umjikelezo wakho wokuya esikhathini, kubangele ukuthi uphuzise ukuya esikhathini noma weqe umjikelezo [6]. Ukucindezeleka kungaphazamisa amazinga amahomoni alawula umjikelezo wokuya esikhathini ojwayelekile.
2. Ukungalingani KwamahomoniIzimo ezifana ne-polycystic ovary syndrome (PCOS) noma izinkinga ze-thyroid zingathinta ibhalansi yamahomoni akho, okubangela ukubambezeleka kokuya esikhathini.
3. Izinguquko esisindweni: Imibiko ikhombisa ukuthi ukwehla okusheshayo kwesisindo, ukuzuza, noma ukuba mncane kakhulu kungathinta iphethini yomjikelezo wakho wokuya esikhathini [7]. Lokhu kungaholela ekuvuthweni kwamaqanda okuphuzayo noma ukuya esikhathini okubambezelekile.
4. Imithi: Ezinye izinhlobo zokulawula inzalo, kuhlanganise izinto zokuvimbela inzalo eziqukethe ama-hormone, zingathinta ngqo ibhalansi yama-hormone akho, futhi ungaba nokungajwayelekile ekuyeni esikhathini.
5. Isikhathi sangaphambi kokuyeka ukuya esikhathini (Perimenopause): Uma ususemashumini amane eminyaka (40s), ukuya esikhathini okuphuzayo noma okuphuthwayo kungase kube ngenxa yokuguquka kwemvelo ukuya esikhathini sokuyoma kokuya esikhathini (menopause).

Okubalulekile Ekugcineni

Abesifazane abazama ukubeletha bavame ukuqaphela kakhulu izimpawu umzimba wabo owenza zona zokukhulelwa. Kuleso simo, ukuhambela kade kokuya esikhathini nezimpawu ezivamile zokuya esikhathini kungakhulisa ukudideka kwabo.

Noma umjikelezo wokuya esikhathini obambezelelekile onokuzizwa sengathi uya esikhathini ungase ukhombise ukukhulelwa, akusona isizathu esisodwa kuphela. Kuwumqondo omuhle ukwenza ukuhlolwa kokukhulelwa ngemva kokuphoswa isikhathi sokuya esikhathini ukuze uqinisekise ukuthi ukhulelwe yini noma cha.

Uma ukuhlolwa kokukhulelwa kukhombisa ukuthi awukhulelwe, cabangela ezinye izinto ezifana nokucindezeleka, ukungalingani kwama-hormone, noma izinguquko kwendlela ophila ngayo ezingase zithinte umjikelezo wakho. Uma uzithola udidekile, xhumana nodokotela wakho ukuze uqonde ukuthi kwenzekani emzimbeni wakho futhi uqinisekise inhlalakahle yakho yokuzala.

Imithombo esetshenzisiwe

1. Weon, H. W., & Son, H. K. (2023b). Ukuhlaziywa kwezimpawu zokuya esikhathini, imibono mayelana nokuya esikhathini, ukucindezeleka ngokomzimba nokucindezeleka ngokwengqondo ngokuya ngezigaba zomjikelezo wokuya esikhathini. Iranian Journal of Public Health. https://doi.org/10.18502/ijph.v52i6.12958 
2. Magon, N., & Kumar, P. (2012b). Ama-hormone ngesikhathi sokukhulelwa. Nigerian Medical Journal, 53(4), 179. https://doi.org/10.4103/0300-1652.107549 
3. Ukuqaqanjelwa ngesikhathi sokukhulelwa. American Pregnancy Association. https://americanpregnancy.org/healthy-pregnancy/pregnancy-concerns/cramping-during-pregnancy/ 
4. Dominkovic, M. D., Ivanac, G., Bojanic, K., Kralik, K., Smolic, M., Divjak, E., Smolic, R., & Brkljacic, B. (2020). Ukuhlola ukuxhumana kobuhlungu bamabele, ukukhulelwa, ne-Body Mass Index nokunwebeka kwezicubu zamabele kwabesifazane abanempilo: Umehluko we-glandular nowamafutha. Diagnostics, 10(6), 393. https://doi.org/10.3390/diagnostics10060393 
5. Isicanucanu ngesikhathi sokukhulelwa: Ingabe kuwinto enhle? (n.d.-b). Mayo Clinic. https://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/expert-answers/nausea-during-pregnancy/faq-20057917 
6. Clinic, C. (2024a, June 27). Ingabe ukucindezeleka kungakwenza uphuthe isikhathi sokuya esikhathini? Cleveland Clinic. https://health.clevelandclinic.org/can-stress-cause-you-to-skip-a-period 
7. Itriyeva, K. (2022). Imiphumela yokukhuluphala kakhulu emjikelezweni wokuya esikhathini. Current Problems in Pediatric and Adolescent Health Care, 52(8), 101241. https://doi.org/10.1016/j.cppeds.2022.101241