Yini Incazelo ye-BFP Nokuxhumana Kwayo Nokukhulelwa

Abanye abantu abashadile bachitha amahora befunda amaqiniso ezokwelapha noma izindaba eziku-inthanethi ngesikhathi bezama ukukhulelwa, kodwa abaningi basahlale bebuza incazelo ye-BFP. Lelo gama lamagama amathathu, Big Fat Positive, livela ezinqolobaneni zezithangami, izingxoxo, namabhulogi. Livame ukuvela lapho abantu abangalindi beseyazibuza ukuthi ngabe lesi sikhathi yiso abebesilindele yini. Izingxoxo ngezinye izikhathi zixhumanisa le nkulumo nomqondo we-BFP pregnancy ukuze kugcizelelwe injabulo ephuma emphumeleni oqinisekisiwe. Ukuthola ukuqonda kula magama kunganika abantu amandla okuzizwa belungile futhi bengakhungatheki kakhulu [1].

Ukuqonda Izisekelo

Ingxoxo ngezindaba zokuzala ingaba nzima. Ivame ukuba namagama amafushane amasha (acronyms), izindaba zempumelelo ezabelwana ngazo, namazwana okweseka mayelana nezingqinamba ezingase zivele. Abanye abantu babamba imininingwane ngokushesha, kanti abanye badideka yisizungu semininingwane eminingi. Kuncike emlandweni wabo, ezinkolelweni zomuntu siqu, nasekutheni umuntu ngamunye ujula kangakanani emiphakathini eku-inthanethi. Amanye amagama amafushane agqamile ukwedlula amanye. Amanye agxile ekuhlolweni kokukhishwa kweqanda noma ekudleni okukhethekile, kanti ambalwa nje ayimigomo ejwayelekile evela yonke indawo.

Imijikelezo, isikhathi, izikhwama zokuhlola, nokuguquguquka kwama-hormone kungaba yizo zihloko eziyinhloko. Abantu ababhala phansi izinsuku futhi baqaphele izinguquko ezincane emizimbeni yabo bangakhetha ukunemba, kanti abanye balinganisa nje iwindi elijwayelekile lokukhishwa kweqanda futhi bathembele ezindleleni ezilula. Ayikho indlela eyodwa ephelele kuwo wonke umuntu. Leli phazili liyakhula libe nzima nakakhulu lapho abantu abashadile noma ngabanye benendlela ehlukile yokuphila, amashejuli wansuku zonke, noma izici zezempilo ezithinta ukuzala. Abaningi bagcina bethola ukuthi amagama afana ne-“BFP,” “DPO,” noma “iwindi lokuzala” acacisa indlela edidayo futhi abasize babelane ngolwazi nabanye abaphakathi kwesimo esifanayo [2].

Ngezinye izikhathi imiyalezo emifushane ithunyelwa emiphakathini yabazama ukukhulelwa: “Ngitholile umphumela wokuhlolwa, kuyi-BFP!” noma “Ngithemba i-BFP maduze.” Abanye bakufunda lokhu bejabule, abanye bemangele noma belangazelela, kuya ngezimo zabo. Ukufunda izibuyekezo ezinjalo kungavusa umuzwa wobunye nenhloso esabelwana ngayo.

Incazelo ye-BFP Emiphakathini Yabazama Ukukhulelwa

Incazelo ye-BFP ivame kuchazwa ngokuthi “Big Fat Positive,” ekhomba umphumela omuhle ekhulwini lokuhlolwa kokukhulelwa. Kuyigama lokugubha elingavela ezimeni eziningi ezahlukene. Abanye bakhuluma ngalo nje bephonsa amazwi, njengokuthi: “ukukhona omunye olindele ukubona i-BFP yakhe kule nyanga?” Abanye bayabelana ngayo bejabule kakhulu ngemva kokulinda isikhathi eside noma ukudangala.

I-BFP ngokuvamile ibonisa uphawu lokuqala lokuthi umzimba usuqalile ukukhiqiza ama-hormone athile, ikakhulukazi i-hCG (i-human chorionic gonadotropin). Le hormone ikhiqizwa kuphela ngemva kokuthi iqanda elixutshwe selizinzile ngempumelelo, ngakho abaningi bathatha ukuhlolwa okuhle njengomgubho omkhulu. Abantu bangase basaqinisekisa futhi esibhedlela noma baphinde bahlole emva kwezinsuku ezimbalwa, kodwa le nkulumo iveza injabulo yangempela. Umbono we-BFP pregnancy uxhumene nalokhu ngokugcizelela ukuthi umphumela omuhle ukhombisa ukuqala okungenzeka kwesigaba esisha sempilo [3].

Umthelela Wemizwa Kumphumela Omuuhle

Igagasi lemizwa elingalindelekile lingavuka uma umuntu ebona umugqa omuhle wokuhlolwa. Izimpendulo ziyahlukahluka kakhulu kumuntu nomuntu. Abanye bazwa injabulo esheshayo, kanti abanye bazizwe beqaphela, ikakhulukazi uma sebehlangabezane nobunzima phambilini. Isikhathi naso siyabaluleka. Umuntu obezama isikhathi eside, izinyanga noma iminyaka, angasabela ngendlela ehlukile kumuntu okhulelwe ngendlela engahleliwe. Le ndaba ingaletha ukukhululeka, noma ingavusa ukukhathazeka okuncane mayelana nezinyathelo ezilandelayo [4].

Abantu emiphakathini yokuzala ngezinye izikhathi bachaza izinyembezi zenjabulo, injabulo exutshwe nokukhathazeka, noma nokwenqaba uma besaba ukuthi ukuhlolwa kungase kungabi khona kahle. Isisindo esingokomzwelo siyaqina kakhulu uma sekuke kwaba nokulahlekelwa yizisu phambilini noma izinkinga zokuzala. Nokho, abaningi bamukela ithemba naphezu kokungabaza okusasele. Ukukhuthazwa yizithandani noma abangane nakho kungasiza ukunciphisa ukukhathazeka okuvela kanye nalolu shintsho olukhulu.

Abanye bangabelana ngomphumela ngokushesha. Abanye bakhethe ukuthula kuze kube udokotela eseqinisekisile konke. Akekho umzila oyedwa onembile noma ongafanele. Uhambo lomuntu ngamunye lungolwakhe, olwakhiwe isizinda sakhe, izinkolelo, nezinto aseke wazidlula. Ngisho nalabo ababona umugqa omncane omuhle bangazizwa kushaya uvalo olukhulu njengoba amathuba eqala ukuvuleka emqondweni wabo.

Ukuqaphela Izimpawu Zokuqala

Abanye abantu babona izimpawu ezithambile ngaphambi kokuthi noma iyiphi ukuhlolwa iqinisekise ukukhulelwa. Ukuhlaba okuncane noma ukopha okuncane kungase kubonise ukuthi iqanda elixutshwe liyahlala odongeni lwesibeletho. Ubuhlungu noma ukuvuvukala kwamabele kungaba esinye isibonakaliso, kwesinye isikhathi kufane nezimpawu ezivamile zokuya esikhathini kodwa kube sezingeni eliphezulu kancane. Abanye bangabona ukuvuka kokukhathala okungazelelwe noma ukungasathandi kahle ukudla abakade bekuthanda. Abanye futhi bakhuluma ngokuzwela okukhulu emimoyeni. Ngaphezu kwalokho, ubujamo besibeletho ngezinye izikhathi bungathinta izimpawu zokuqala zokukhulelwa noma indlela iqanda elixutshwe elizinza ngayo.

Ushintsho lwamahomoni lungahluka kakhulu, ngakho akuwona wonke umuntu ozoba nokuhlangenwe nakho okufanayo. Omunye umuntu angadlula emasontweni ambalwa okuqala engazisoli lutho olungajwayelekile. Omunye umuntu angasho ukuthi unomuzwa ongokuzwela wokuthi kukhona okuguqukile. Kubalulekile ukukhumbula ukuthi izimpawu zokuqala, uma zikhona, zingase zisacashile. Ukucindezeleka noma ukulangazelela kungaholela ekucabangeni ngokweqile ngobuhlungu obuncane noma izingcindezi ezincane. Ukuhlola ngesikhathi esifanele kusalokhu kuyindlela ethembeke kakhulu kunokuthembela emizwa engahleliwe noma ezifisweni zokudla [5].

Ukumisa Isikhathi Sokuhlolwa Kokukhulelwa Kwakho

Ukunquma isikhathi sokuhlola kunganciphisa ukudideka. Ukuhlola kusenesikhathi kakhulu kuyimbangela evamile yokudabuka uma umphumela ongemuhle ungase uguquke kamuva ube muhle. Abanye abantu bahlola kaningi ngosuku, benethemba lokubona umugqa uba mnyama. Abanye balinda kuze kufike usuku okumele kuqale ngalo isikhathikathi sabo sokuya esikhathini, bethemba ukuthi amazinga e-hCG maningi amathuba okuthi atholakale ngokusobala ngaleso sikhathi. Lezi zinqumo zomuntu ngamunye zincike ezingeni lokubekezela nasekutholakaleni kwezimali [6].

Umchamo wasekuseni uvame ukunconywa ukuhlolwa ngoba uvame ukuba nokugxila okuphezulu kwamahomoni okukhulelwa. Nokho, imikhiqizo eminingi yesimanje yokuhlola ithi iqondile noma ngasiphi isikhathi sosuku, inqobo nje uma imiyalelo ilandelwa kahle. Uma kuvela umugqa obuthuntu, ukuphinda ukuhlola ngemva kwezinsuku ezimbili noma ezintathu kungakhombisa ukuthi izinga lamahomoni liyakhuphuka yini. Uma ukudideka kuqhubeka, uchwepheshe wezokwelapha angaphakamisa ukuhlolwa kwegazi ukuze kutholwe izilinganiso eziqondile. Lowo mkhondo unganciphisa ukuqagela futhi uphelise ukungabaza okuqhubekayo.

Ukudla Nezimivithamini Zokuzala

Ukudla okunempilo kunamandla okuthuthukisa ukusebenza kokuzala. Imikhuba yokudla elinganiselayo equkethe ukudla okucebe ngezondlo isiza ukugcina imijikelezo ijwayelekile, ukuzinza kwamahomoni, nokuphila kahle jikelele. I-folic acid (evame ukutholakala emitshwaleni eluhlaza, emantongomane nasezigayweni eziqinisisiwe) yaziwa ngokusiza ekuthuthukiseni kahle umbungu nasemkhubeni wokwakheka kwe-DNA. Ivame ukugcizelelwa kulabo abahlose ukukhulelwa noma asebekhulelwe ngoba isekela izinqubo ezibalulekile ezigabeni zokuqala kakhulu.

I-Myo-inositol ne-D-chiro inositol sezidonse ukunaka ngenxa yendima yazo ekulawuleni i-insulin nasekukhuthazeni ibhalansi yamahomoni, okungasiza ikakhulukazi kwezinye izinkinga, njengemijikelezo engajwayelekile. Enye ingxenye enamandla i-CoQ10, eyaziwa ngezici zayo zama-antioxidant angavikela amaseli (okuhlanganisa amaqanda nesidoda) ekucindezelekeni okungafuneki okubangelwa i-oxidative stress. Le mikhakha yokudla kwesondlo kwesinye isikhathi itholakala ndawonye kumafomula aklanyelwe ngokukhethekile impilo ye-ukuzala okuphezulu.

Amavithamini C no-E nawo aziwa ngemisebenzi yawo njengezivikeli-mahhadla (antioxidants). I-vitamin D isebenza ngokubambisana nezinhlelo zomzimba, isekela ukusebenza kahle kwama-ovari kanye nezinqubo jikelele zokugaya nokusebenzisa ukudla. Khonamanjalo, amavithamini B asiza ekukhiqizeni amandla nasekubuyiselweni kwamangqamuzana, edlala indima yokusekela emandleni okuvelisa inzalo. Nokho, akukho siqinisekiso somphumela ofanayo kubo bonke. Umzimba ngamunye uhlukile, ngakho imiphumela ingahluka [7].

Izinguquko Zendlela Yokuphila Ezingenza Umehluko

Imikhuba yokuphila ingase futhi inqume ngokushesha kangakanani umuntu angabona khona lowo Big Fat Positive. Ukunyakaza komzimba okuvamile kusiza ekulawuleni isisindo, ekulinganiseni amahomoni nasekuthuthukiseni ukugeleza kwegazi. Izivivinyo ezifana nokwelula kancane noma ukuzivocavoca okungenawo umthelela omkhulu ziwusizo kulabo abafuna ukunyakaza okuthambile, kanti imikhuba eqinile ifanele abantu abasemzimbeni omuhle. Ukuphumula okwanele kubalulekile, ngoba ukungalali kahle okuqhubekayo kungaphazamisa imijikelezo yamahomoni [8].

Ingcindezi ivame ukungena buthaka, ikakhulukazi kubabhangqi noma kubantu asebelokhu bethembele ekutholeni i-BFP isikhathi eside. Abanye babhekana nayo ngokuzilolonga ukucabanga okujulile (mindfulness) noma ngokubhala idayari. Abanye banciphisa imithwalo yemfanelo noma bakhulume ngobala nabaxhumanisi noma othisha ngakho ukukhathazeka ngokungabi nabantwana. Ukwehlisa noma ukuyeka izinto ezifana nokubhema notshwala obuningi nakho kwakha indawo enobungane kakhulu ekukhulelweni. Ukunciphisa ukusetshenziswa kwekhofi elinokhofi omningi nakho kungaba usizo, yize izinga eliphakathi nendawo livame ukwamukelwa yizinkombandlela ezahlukene.

Okubalulekile Ekugcineni

Ukuqonda incazelo ye-BFP kungenza izingxoxo ngomntanazo zibe lula ukuthi abantu bazifinyelele, ikakhulukazi kulabo abafuna ukucaca. Leli gama limelela umphumela ophozithivu, ovame ukubhekwa njengesigaba esibalulekile ohambweni lomzali onethemba. Ababukeli bangalihlanganisa nomqondo obanzi wokukhulelwa kwe-BFP, okubakhumbuza ukuthi umphumela ngamunye omusha wokuhlolwa ungalivula isahluko esisha esijabulisayo. Yize kunezinyathelo eziningi eziholela kulowo mugqa ekuhlolweni okwenziwa ekhaya – njengokucabangela isikhathi esifanele, ukwesekwa kokudla okunempilo, nokulungisa indlela yokuphila – ukubona i-BFP kusazwakala njengomzuzu ojabulisayo. Kwabanye, le ndlela ihlanganisa izihibe, ukungabaza, noma ngisho nenhliziyo ehlukumezekile, kodwa uphawu oluhle lungavuselela ithemba. Izinhlobo ezahlukene zezindlela nezinhlelo zingaqondisa abantu endleleni abayifunayo, noma ngabe bafuna iqoqo elithembekile lama-supplement noma belungisa izindlela zabo zansuku zonke. Kuyasiza ukugcina umbono obanzi futhi uthembele kunethiwekhi yabantu abakusekelayo ngenkathi ulinda lowo mphumela wokuhlolwa ongashintsha impilo [9].

Imibuzo evame ukubuzwa

Ingabe umphumela wokuhlolwa onomugqa ophozithivu ongacacile usabhekwa njengosemqoka?

Umugqa omncane ophozithivu ungase ngempela ubonise ukukhuphuka kwamahomoni okukhulelwa. Ukuhlola futhi ngemva kwesikhawu esifushane kuvame ukubonisa ukuthi lowo mugqa uyanda yini noma uba sobala kakhulu. Le ndlela yehlisa ukudideka mayelana nokuthi incazelo yokuqala yahlala ilungile yini.

Kwenzenjani uma imiphumela yokuhlola ephindaphindiwe iqhubeka ingalungile?

Abanye abantu badinga isikhathi esithe xaxa nje. Uma imiphumela engemihle iqhubeka ivela emva kwesikhathi eside sokuzama, kungase kube kuhle ukucela iseluleko kudokotela ukuze kutholwe noma yiziphi izinkinga eziyisisekelo.

Isikhathi esifanele sokusebenzisa ukuhlolwa kokukhulelwa sasekhaya sinini?

Abaningi bakhetha ukulinda kuze kube usuku abakulindele ukuthi kufike ngalo isikhathi sokuya esikhathini noma ngosuku olulandelayo. Lesi sikhathi sisiza ukuqinisekisa ukuthi amazinga amahomoni aphezulu ngokwanele ukuze atholakale iningi lamakhithi ajwayelekile.

Ingabe ukudla okunempilo kuphela kungaqinisekisa impumelelo yokukhulelwa?

Ukudla okunempilo kanye nezithasiselo eziwusizo kungasiza ukulungiselela umzimba ukuthi ulungele ukukhulelwa, kodwa awekho umuntu oyedwa noma into eyodwa engathembisa ukukhulelwa ngokushesha. Ijini, isikhathi, iminyaka, nezimo zomzimba nakho kudlala indima ebalulekile.

Kungani kwezinye izikhathi kuphuma igazi kusenesikhathi?

Ukuphuma igazi okuncane kusenesikhathi kungenzeka uma iqanda elichumiswe linamathiselwa odongeni lwesibeletho. Le nqubo ingahambisana nokuphuma kwegazi okuncane, okuthi abanye bakubize ngokuthi “ukuphuma igazi kokuzimisa kweqanda elichumiswe”. Akusona sonke isiguli esikuzwa lokhu.

Izikhombo

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2. Lynch, C. D., Jackson, L. W., & Buck Louis, G. M. (2006). Estimation of the day-specific probabilities of conception: current state of the knowledge and the relevance for epidemiological research. Paediatric and perinatal epidemiology. Available at: https://pubmed.ncbi.nlm.nih.gov/17061968/
3. Wilcox, A. J., Baird, D. D., & Weinberg, C. R. (1999). Time of implantation of the conceptus and loss of pregnancy. The New England journal of medicine. Available at: https://pubmed.ncbi.nlm.nih.gov/10362823/
4. Verhaak, C. M., Smeenk, J. M., Evers, A. W., Kremer, J. A., Kraaimaat, F. W., & Braat, D. D. (2007). Women's emotional adjustment to IVF: a systematic review of 25 years of research. Human reproduction update. Available at: https://pubmed.ncbi.nlm.nih.gov/16940360/
5. Gnoth, C., Godehardt, D., Godehardt, E., Frank-Herrmann, P., & Freundl, G. (2003). Time to pregnancy: results of the German prospective study and impact on the management of infertility. Human reproduction (Oxford, England). Available at: https://pubmed.ncbi.nlm.nih.gov/12923157/
6. Barnhart, K. T., Sammel, M. D., Rinaudo, P. F., Zhou, L., Hummel, A. C., & Guo, W. (2004). Symptomatic patients with an early viable intrauterine pregnancy: HCG curves redefined. Obstetrics and gynecology. Available at: https://pubmed.ncbi.nlm.nih.gov/15229000/
7. Lerchbaum, E., & Obermayer-Pietsch, B. (2012). Vitamin D and fertility: a systematic review. European journal of endocrinology. Available at: https://pubmed.ncbi.nlm.nih.gov/22275473/
8. Kloss, J. D., Perlis, M. L., Zamzow, J. A., Culnan, E. J., & Gracia, C. R. (2015). Sleep, sleep disturbance, and fertility in women. Sleep medicine reviews. Available at: https://pubmed.ncbi.nlm.nih.gov/25458772/
9. Practice Committee of the American Society for Reproductive Medicine ebambisene ne Society for Reproductive Endocrinology and Infertility. Ikheli likagesi: ASRM@asrm.org, & Practice Committee of the American Society for Reproductive Medicine ebambisene ne Society for Reproductive Endocrinology and Infertility (2017). Optimizing natural fertility: a committee opinion. Fertility and sterility. Available at: https://pubmed.ncbi.nlm.nih.gov/28228319/