I-mucus plug uma ungakhulelwe: ingabe kufanele ukhathazeke ngayo?

Isikhiye samafinyila yigama abaningi besifazane abalixhumanisa nokukhulelwa. Siwukuqoqwana okuwugqinsi kwamafinyila esibeletho okwakheka emasontweni okuqala okukhulelwa ukuvikela isibeletho emaphathini amagciwane nasezinfeksheni [1]. Isikhiye samafinyila siphuma eduze kwezinsuku zokubeletha, futhi siyinkomba yokuthi usuku lokuzalwa selusondela.

Nokho, ezinye izifazane ziyasithola isikhiye samafinyila emgodini wesitho sangasese sowesifazane ngisho noma zingakhulelwe. Lokhu kungabavuselela imibuzo eminingi engqondweni uma bengazi ukuthi kuyini isikhiye samafinyila nokuthi lingakheka nini.

Kule ndatshana, sizohlolisisa ukuthi kuyini isikhiye samafinyila, liyini iqhaza laso ngesikhathi sokukhulelwa, futhi yiziphi izimbangela zokuba kube khona isikhiye samafinyila kodwa ungakhulelwe.

Yini Isikhiye Samafinyila?

Isikhiye samafinyila siyigxube elikhulu lamafinyila elakheka esibelethweni emasontweni okuqala okukhulelwa. Isikhiye samafinyila ngokuvamile siwugqinsi, sifana nejele, futhi singaba sobala, simhlophe, noma sibe nombala obomvu kancane ngenxa yegazi.

Sisebenza njengodonga lokuvikela emseleni wesitho sangasese sowesifazane futhi sivimbele amagciwane noma izinto eziyingozi ekungeneni esibelethweni [2]. Lesi sikhiye sibalulekile ekugcineni ingane iphephile esibelethweni. Lesi sikhiye samafinyila sivame ukuphuma esigabeni sokugcina sokukhulelwa, futhi siyinkomba yokuthi umzimba wakho ulungiselela ukubeletha [3].

Abesifazane Basithola Kanjani Isikhiye Samafinyila?

Abesifazane asebevele badlule enhluphekweni yokubeletha nokuzala kungenzeka basazi kahle isikhiye samafinyila. Abesifazane abakhulelwe bavame ukusibona siphuma njengoba umzimba wabo ulungiselela ukubeletha.

Ezimweni eziningi, abesifazane basibona lesi sikhiye samafinyila ephepheni lasethoyilethi noma endishini yangasese ngemva kokusebenzisa indawo yokuzikhulula. Abanye bangazizwa kukhona okuphuma kancane kodwa bangasiboni isikhiye ngqo. Kwabesifazane abalindele ingane, ukuba khona kwesikhiye samafinyila kuyinto ejwayelekile nelindelekile ohambweni lokukhulelwa.

Ukuthola Isikhiye Samafinyila Kodwa Ungakhulelwe

Ezinye izingane zabesifazane zingabona uketshezi olufana namafinyila olubukeka lufana nesikhiye samafinyila ngisho noma zingakhulelwe. Lokhu kungamangaza futhi kwehlise umoya kwesinye isikhathi ngoba iningi labesifazane lixhumanisa isikhiye samafinyila nokukhulelwa kuphela.

Ukubona isikhiye samafinyila ungakhulelwe akuyona into okufanele ukhathazeke ngayo ngoba ukwakheka kwamafinyila emseleni wesitho sangasese sowesifazane kuwumsebenzi ojwayelekile womzimba [4]. Amafinyila esibeletho akhona ngisho noma ungakhulelwe. Kwezinye izimo nje kuphela, njengasekukhulelweni, la mafinyila angabonakala ewugqinsi kakhulu noma ebonakala kakhulu.

Ukuvame Nini Ukwenzeka Ukuphuma Okufana ne-Mucus Plug?

Kunezimo eziningana lapho owesifazane engase abe nokuphuma okunjengoketshezi okufana ne-mucus plug. Lokhu kuhlanganisa:

1. Ukuvuthwa kweqanda

Ngesikhathi sokuvuthwa kweqanda, kuba nezinguquko ezahlukene eketshezini lesibeletho, okungenza ukuthi likhanye kakhulu kuwe. Lokhu ketshezi kuba mancane, kweluleke ukuze lisize isidoda lidlule esibelethweni liyofinyelela iqanda ukuze kufinyeleleke ekuchumiseni [5]. Cishe ngesikhathi sokuvuthwa kweqanda, uketshezi lungabonakala lunzima, lweluleke futhi lucace, lufane ne-mucus plug.

2. Ushintsho Lwamahomoni

Ushintsho lwamahomoni, njengolwenzeka ngesikhathi somjikelezo wokuya esikhathini noma ngesikhathi usebenzisa amakhambi okulawula ukuzala aqukethe amahomoni, lungabangela ushintsho eketshezini lesibeletho. Lawa mashintsho angawenza uketshezi lwesibeletho lubonakale lufana ne-mucus plug abesifazane abayithola ngesikhathi bekhulelwe.

3. Izifo noma Ukucasuka

Ezinye izifo zesitho sangasese sowesifazane noma ukucasuka zingaholela ekwandeni kokukhiqizwa nokuphuma koketshezi [6]. Kulezi zimo, ungase uhlangabezane nezimpawu ezifana nokuluma, ukushisa, kanye nephunga elingajabulisi ngaphezu kokuba uketshezi lwesibeletho lube lukhulu. Uma ubona lezi zimpawu, kuwumqondo omuhle ukuya kudokotela wezempilo.

4. Izimo Zempilo Yesibeletho

Izimo ezithinta isibeletho, njengama-polyps noma ukuvuvukala kwesibeletho, kwesinye isikhathi zingadala ukuphuma okunjengoketshezi. Kulezi zimo, uketshezi lungase lubonakale lufana ne-plug kodwa aluhlobene nokukhulelwa.

5. Ngemva kokuhlinzwa noma Ezinye Izinqubo Zokwelashwa

Uma owesifazane enze inqubo esibelethweni, njengokuthathwa kwesampula (biopsy) noma ukwelashwa kwamangqamuzana angajwayelekile, angase abone uketshezi olufana ne-plug emgodini wesitho sangasese sowesifazane. Lokhu kukhishwa kuvame ukuba yingxenye yenqubo yokuphola evamile.

Ingabe Kujwayelekile Ukubona Ukuphuma Koketshezi Uma Ungakhulelwe?

Ezimweni eziningi, ukuqaphela ukuphuma koketshezi ngaphandle kokukhulelwa kujwayelekile ngokuphelele futhi kuyingxenye yenqubo zemvelo zomzimba. Uketshezi lwesibeletho lushintsha phakathi nomjikelezo wokuya esikhathini ngenxa yamahomoni afana ne-estrogen ne-progesterone.

Nokho, ezimeni lapho uzwa ukungakhululeki, iphunga elinamandla, noma umbala ongajwayelekile uhambisana nokuphuma koketshezi, lokho kungase kubonise inkinga efihlekile edinga ukunakwa kwezokwelashwa.

Yini isikhathi okufanele Ufunisise Udokotela?

Kubalulekile ukunaka izici zomchamo wesibeletho. Umchamo ojwayelekile uvame ukuba sobala noma umhlophe, awunaphunga, futhi awubangeli ukucasuka.

Nokho, uma amafinyila enamaqabunga egazi, ephuzi noma eluhlaza, noma enuka kabi, kungenzeka ukuthi akujwayelekile. Ngokufanayo, ubuhlungu noma ukuluma okuhambisana namafinyila nakho kuwuphawu lokuthi kungenzeka kukhona izinkinga ezingasemuva, futhi kufanele uxhumane nodokotela wakho ukuze ahlole ngokuningiliziwe.

Isiphetho

Iningi labesifazane abakhulelwe libona i-mucus plug osukwini olusondelene nosuku lokubeletha. Iwumqulu omkhulu, ofana nejeli, owakheka emgodini womlomo wesibeletho ukuvikela ukungena kwezinto eziyingozi esibelethweni nokuvikela usana olukhulayo.

Nokho, kungenzeka ukuthi ubone i-mucus plug ungekho ekhulelwe. Lokhu kungenxa yokuthi ukwakheka kwamafinyila omlomo wesibeletho kuyinqubo ejwayelekile yomzimba. Zenzeka izinguquko kumafinyila omlomo wesibeletho ezifundeni ezahlukene zomjikelezo wokuya esikhathini, okwenza abonakale njengama-mucus plug akhulelwekayo.

Ezinye izimo zempilo zingaholela futhi ekutheni kube nokuphuma okufana ne-mucus plug kanye nezinye izimpawu ezifana nobuhlungu nokucasuka. Ezimeni ezinjalo, kunconywa ukuthi ubheke usizo lochwepheshe ukuze kukhishwe izimbangela ezingasemuva.

Imibuzo evame ukubuzwa

1. Kungani abesifazane bebona i-mucus plug ngesikhathi sokuvuthwa kweqanda?

Ngesikhathi sokuvuthwa kweqanda, umzimba wenza izinguquko ezahlukene kumafinyila omlomo wesibeletho ukusiza isidoda sikwazi ukuhamba sidlule emlonyeni wesibeletho. Lezi zinguquko kwesinye isikhathi zingenza amafinyila abonakale njengo i-mucus plug owesifazane ayithola ngokuvamile ngesikhathi sokukhulelwa.

2. Yini ebangela ukuphuma okungajwayelekile kwamafinyila omlomo wesibeletho?

Ukuphuma okungajwayelekile kwamafinyila emlonyeni wesibeletho kungabangelwa ukutheleleka, ukucasuka, noma izimo ezifana namapolyp omlomo wesibeletho. Kuvame ukuba nezici ezingajwayelekile, njengombala ophuzi noma oluhlaza, iphunga eliqinile, noma kuhambe nokuluma noma ubuhlungu.

Imithombo esetshenzisiwe

1. Professional, C. C. M. (2024g, May 1). I-Mucus Plug. Cleveland Clinic. https://my.clevelandclinic.org/health/symptoms/21606-mucus-plug 
2. Hansen, L. K., Becher, N., Bastholm, S., Glavind, J., Ramsing, M., Kim, C. J., Romero, R., Jensen, J. S., & Uldbjerg, N. (2013). I-mucus plug yomlomo wesibeletho ivimba, kodwa ayivali ngokuphelele, ukudlula kwamagciwane akhuphukayo asuka esithweni sangasese sowesifazane ngesikhathi sokukhulelwa. Acta Obstetricia Et Gynecologica Scandinavica, 93(1), 102–108. https://doi.org/10.1111/aogs.12296 
3. I-Mucus Plug: Konke Okufanele Ukwazi. (2024, April 11). WebMD. https://www.webmd.com/baby/what-to-about-mucus-plug 
4. Katz, D. F. (1991). Amafinyila omlomo wesibeletho womuntu: ukuvuselelwa kocwaningo. American Journal of Obstetrics and Gynecology, 165(6), 1984-1986. https://doi.org/10.1016/S0002-9378(11)90559-6 
5. Najmabadi, S., Schliep, K. C., Simonsen, S. E., Porucznik, C. A., Egger, M. J., & Stanford, J. B. (2021c). Amaphatheni wamafinyila omlomo wesibeletho kanye nefesitela elizalayo kwabesifazane abangaziwa ukuthi banokungazali: ukuhlaziywa okuhlanganisiwe kwezinhlelo ezintathu. Human Reproduction, 36(7), 1784–1795. https://doi.org/10.1093/humrep/deab049 
6. Professional, C. C. M. (2024u, September 9). Ukuphuma koketshezi esithweni sangasese sowesifazane. Cleveland Clinic. https://my.clevelandclinic.org/health/symptoms/4719-vaginal-discharge