Amafinyila Emchameni Ngesikhathi Sokukhulelwa: Kutshoni Lokhu?

Ukukhulelwa kuletha izinguquko eziningi emzimbeni, eziningi ezingamangaza noma zikhathaze. Enye yalezi zinto ukubona amafinyila emchameni ngesikhathi sokukhulelwa. Nakuba kungase kubonakale kuyinto engajwayelekile, ukuphuma amafinyila ngesikhathi sokukhulelwa kuvame ukuba yingxenye ejwayelekile yezinqubo zomzimba. Ukuqonda ukuthi kungani amafinyila evela, asho ukuthini, nokuthi nini okufanele ubheke usizo lodokotela kungakunikeza ukuthula kwengqondo futhi kusize ukuqinisekisa ukukhulelwa okunempilo.

Lesi sihloko sichaza izimbangela, imiphumela, nezinto ezingase zikhathaze ezihlobene namafinyila emchameni ngesikhathi sokukhulelwa, sikulethela ulwazi oludingekayo ukuze uhlale unolwazi nokuzola.

Ayini Amafinyila Futhi Kungani Evela Emchameni?

Amafinyila ayinto eshelelayo, efana nejeli ekhiqizwa izicubu ezikhiqiza amafinyila ezingxenyeni ezahlukene zomzimba, kuhlanganise nomgudu womchamo, umlomo wesibeletho, nesitho sangasese sowesifazane. Ngesikhathi sokukhulelwa, amafinyila adlala indima ebalulekile ekuvikeleni ingane ekhula kanye nasekugcineni impilo enhle yokuzala jikelele [1].

Amafinyila emchameni angabonakala kanje:

• Imicu emincane, emhlophe, noma ephuzi kancane
• Amahlule ahlanzekile noma afiphele
• Ukuma okufana nejeli okuhluziwe nomchamo

Uma ukhulelwe, umzimba ukhiqiza amafinyila amaningi emgodini womlomo wesibeletho ngenxa yezinguquko zamahomoni. Lawa mafinyila amaningi kwesinye isikhathi angadlulela emchameni, ikakhulukazi uma uthola ukuphuma uketshezi esithweni sangasese ngasikhathi sinye.

Uma ubona ukuphuma kwamafinyila kodwa ungakhulelwe, kungase kube ngenxa yezinye izimbangela, njengoba kuchaziwe esihlokweni sethu esithi mucus plug not pregnant nokuthi ngabe kukhona yini okumele ukhathazeke ngakho.

Izimbangela Zokuba Namafinyila Emchameni Ngesikhathi Sokukhulelwa

Kunezizathu eziningi ezingenza uqaphele amafinyila emchameni ngesikhathi sokukhulelwa. Eziningi zalezi zizathu azinabungozi futhi ziyingxenye yokuphendula kwemvelo komzimba ekukhulelweni. Nokho, ezinye izimo zingase zidinge ukunakwa udokotela.

1. Ukwanda Kokukhiqizwa Kwamafinyila Emgodini Womlomo Wesibeletho

Ngesikhathi sokukhulelwa, amazinga akhuphukayo e-estrogen ne-progesterone abangela ukuthi umlomo wesibeletho ukhiqize amafinyila amaningi. Lawa mafinyila asiza ukwakha i-mucus plug, okuyisithiyo esivikela esivala umlomo wesibeletho futhi sivikele ezifweni. Njengoba i-mucus plug yakheka, kungakhishwa amafinyila amancane bese abonakala emchameni wakho. Lokhu ngokuvamile kujwayelekile futhi akulimazi.

2. Ukuphuma Uketshezi Esithweni Sangasese

Abesifazane abakhulelwe bavame ukuba ne-leukorrhea, okuwuketshezi oluncane, olubonakala luyobisi olumhlophe oluvela esithweni sangasese sowesifazane olusiza ukugcina isitho sangasese sihlanzekile futhi sivikelekile ezifweni. Lolu ketshezi lungahlangana nomchamo, okwenze kubonakale imicu yamafinyila lapho uchama. I-leukorrhea ivame ukwanda njengoba ukukhulelwa kuqhubeka, ikakhulukazi kumasonto wesibili nowesithathu okukhulelwa [2].

3. Ukushoda Ngamanzi Emzimbeni

Uma umzimba wakho ungenawo amanzi anele, umchamo uba sigcwele kakhulu futhi ungabonakala ufiphele noma uhlanganiswe nomucu. Ukuphuza amanzi anele kubaluleke kakhulu ngesikhathi sokukhulelwa ukuze kusekelwe umthamo wegazi owandayo nempilo jikelele.

4. Ukutheleleka Komgudu Womchamo (UTIs)

Abesifazane abakhulelwe basengozini enkulu yokutheleleka komgudu womchamo ngenxa yezinguquko zama-hormone nengcindezi yesibeletho esikhulayo ebhamuzini lomchamo [3]. Izimpawu ze-UTI zifaka:

• Umchamo ofiphele noma ogcwele umucu
• Iphunga elinamandla noma elibi
• Umuzwa wokushisa uma uchama
• Isidingo sokuya endlini encane kaningi noma ngokuphuthumayo

Uma usola i-UTI, xhumana nomhlinzeki wakho wezempilo ngokushesha. Ukutheleleka okungelashwa kungaholela ezinkingeni, okuhlanganisa ukutheleleka kwezinso noma ukubeletha ngaphambi kwesikhathi.

5. Ukutheleleka Kwebhamuza Lomchamo ne-Cystitis

Ukutheleleka kwesinye, okubizwa ngokuthi i-cystitis, nakho kungaholela ekubonakaleni komucu emchameni ngesikhathi sokukhulelwa. Izimpawu ziyafana nalezo ze-UTI, futhi ukwelashwa okusheshayo ngamaphilisi okubulala amagciwane kuvame ukuba kubalulekile ukuvimbela izinkinga.

6. Amatshe Ezinso

Yize zingavamile kakhulu, amatshe ezinso angabangela ukuthi kube nomucu negazi emchameni. Amatshe ezinso ngesikhathi sokukhulelwa angaba buhlungu kakhulu futhi angase adinge ukungenelela kwezokwelapha. Izimpawu zamatshe ezinso zihlanganisa ubuhlungu obukhulu emhlane noma esiswini, isicanucanu, kanye negazi emchameni.

Nini Okufanele Ufunze Usizo Lwezokwelashwa

Nakuba umucu emchameni ngesikhathi sokukhulelwa ujwayelekile, ezinye izimpawu zidinga ukuhlolwa udokotela ukuze kukhishwe ukutheleleka noma izinkinga. Funza usizo lwezokwelashwa uma uhlangabezana nalezi zimpawu:

• Umchamo onuka kabi
• Ukushisa noma ubuhlungu uma uchama
• Igazi emchameni
• Izinhlungu ezingezansi esiswini noma izinhlungu emhlane
• Umkhuhlane noma umzimba othela amakhaza

Umhlinzeki wakho wezempilo angahlola umchamo ukuze athole noma yiziphi izinkinga ezingaphakathi futhi ancome ukwelashwa okufanele uma kudingeka.

Ukulawula Nokunciphisa Umucu Emchameni Ngesikhathi Sokukhulelwa

Uma umucu emchameni wakho uhlobene nezinguquko zokukhulelwa ezijwayelekile, akukho ukwelashwa okukhethekile okudingekayo. Nokho, ungathatha izinyathelo zokugcina impilo yomchamo neyasesithweni sangasese sowesifazane:

1. Hlala unomsoco ngamanzi: Ukuphuza amanzi amaningi kusiza ukugcina umchamo ulula futhi kukhiphe ubuthi emzimbeni, okunciphisa ingozi yokutheleleka. Zama ukuphuza okungenani izinkomishi zamanzi ezi-8-10 ngosuku. Ukugcina ukukhulelwa okunempilo futhi kudinga ukudla okunempilo, kanti ukuthatha i-imithi ye-prenatal equkethe i-DHA kungasekela impilo kamama nengane esesibelethweni ngokuhlinzeka ngomzimba ngama-nutrient abalulekile.
2. Zilolongise ekuhlanzeni kahle umzimba: Hlale uzisula usuka phambili uye emuva ngemuva kokusebenzisa indlu yangasese ukuze uvimbele amagciwane ekungeni emgudwini womchamo.
3. Gqoka izingubo eziphefumulayo: Khetha izingubo zangaphansi zendlalai (cotton) futhi ugweme amabhulukwe aminyene ukuze indawo yesitho sangasese ihlale yomile futhi kunciphe ukucasuka.
4. Chama njalo: Ungayibambi imchamo isikhathi eside, njengoba lokhu kungandisa ingozi yokutheleleka.
5. Gwema izinto ezicasulayo: Gwema amasipho anamakha, ama-douche, namasiprayi okuhlanzeka kwabesifazane, njengoba angaphazamisa ibhalansi yemvelo yamagciwane esithweni sangasese sowesifazane.

I-Mucus Plug nomsebenzi wayo ngaphambi kokubeletha

Njengoba usondela ekugcineni kokukhulelwa kwakho, ungase uqaphele ukwanda kokuphuma kwesikhwehlela njengoba i-mucus plug iqala ukukhishwa. Lokhu kuwuphawu lokuthi umzimba wakho ulungiselela ukubeletha. I-mucus plug ingabonakala njengengqoqo elijiyile, elifana nejele, kwesinye isikhathi linezintambo zegazi (okwaziwa ngokuthi i-bloody show). Lokhu kuyingxenye evamile yenqubo, ekhombisa ukuthi ukubeletha kungase kuqale ezinsukwini noma emasontweni ambalwa [4].

Hlala unolwazi, hlala unempilo

Ukubona isikhwehlela emchameni ngesikhathi ukhulelwe kungaba into ongayilindele, kodwa ezimweni eziningi kuwukuphendula okuvamile ekushintsheni kwamahomoni, ekwandeni kokukhiqizwa kwesikhwehlela somlomo wesibeletho nasekukhipheni uketshezi lwesitho sangasese sowesifazane. Ukuqonda izimbangela nokwazi ukuthi nini okufanele ufune usizo lwezokwelashwa kungakusiza ukuphatha impilo yakho ngokuzethemba. Kungaba ngenxa yezinguquko zokukhulelwa ezingeyingozi noma ngenxa yokutheleleka okungenzeka, ukuba nolwazi ngesikhwehlela emchameni ngesikhathi ukhulelwe kuqinisekisa ukuthi wena nengane yakho niyahlala ninempilo kulo mzila wokukhulelwa.

Izinkomba:

1. American Pregnancy Associated. Isikhwehlela somlomo wesibeletho kanye nokuqala kokukhulelwa (https://americanpregnancy.org/getting-pregnant/cervical-mucus/). Kufinyelelwe ngo-15/12/2024.
2. National Health Service. Ukuhlela umndeni kwemvelo (ukuqaphela ukuzala). (https://www.nhs.uk/conditions/contraception/natural-family-planning/) Kufinyelelwe ngo-15/12/2024.
3. Planned Parenthood. Iyini indlela yesikhwehlela somlomo wesibeletho (cervical mucus) ku-FAMs https://www.plannedparenthood.org/learn/birth-control/fertility-awareness/whats-cervical-mucus-method-fams Kufinyelelwe ngo-15/12/2024.
4. Khaskheli M, Baloch S, Baloch AS, Shah SGS. Ukuphuma kwento esithweni sangasese sowesifazane ngesikhathi sokukhulelwa kanye nemiphumela emibi kumama nasengane esanda kuzalwa. Pak J Med Sci. 2021 Sep-Oct;37(5):1302-1308. doi:10.12669/pjms.37.5.4187. PMID: 34475902; PMCID: PMC8377920.