Kusho ukuthini uma ubuhlungu bokuqanda busezinhlangothini zombili?

Iphethini yobuhlungu noma ukubanjwa yizintambo ngesikhathi sokuchuma iyahlukahluka phakathi kwabesifazane kuya ngezici zomuntu ngamunye. Abanye abesifazane bakuthola kuwubuqhuqhuva obuncane, kodwa kubabuhlungu kakhulu futhi kuyacasula kwabanye. Ngokufanayo, abanye abesifazane baba nokubanjwa ngesikhathi sokuchuma ezinhlangothini zombili, kanti abanye bakuzwa ohlangothini olulodwa kuphela.

Kulesi sihloko, sizohlola izimbangela, izimpawu, nokuphathwa kobuhlungu ngemva kokuchuma. Sizobuye sikhulume nangemibandela yezempilo ebangela ukubanjwa yizintambo ema-ovarini, okufana nokubanjwa ngesikhathi sokuchuma.

Kungani Kubakhona Ukubanjwa Yizintambo Ngesikhathi Sokuchuma?

Ukuchuma kuyinqubo lapho ama-ovari ekhulula iqanda elivuthiwe, elilungele ukuthelelwa. Le nqubo ngokuvamile yenzeka maphakathi nomjikelezo wokuya esikhathini.

Ama-ovari aqukethe ama-follicle amaningi, futhi i-follicle ngayinye iqukethe iqanda elingakavuthwa. Ekuqaleni komjikelezo ngamunye wokuya esikhathini, cishe ama-follicle angu-11 kuya kwangu-20 aqala ukuvuthwa [2]. Ngesikhathi sokuchuma, elinye lama-follicle avuthiwe e-ovari liqhuma ukuze likhulule iqanda, okungenza kube nobuhlungu besikhashana noma ukungakhululeki.

Njengoba ama-ovari ekhona emaceleni womabili e-pelvis futhi i-ovari eyodwa kuphela ekhulula iqanda emjikelezweni owodwa wokuya esikhathini, abesifazane ngokuvamile bazwa ubuhlungu noma ukubanjwa yizintambo ngesikhathi sokuchuma ohlangothini olulodwa.

Izimbangela Zokuchina Ngesikhathi Sokuvuthwa Kwamaqanda

Izinguquko ezilandelayo ngesikhathi sokuchuma zingafaka isandla ekubanjweni yizintambo ngesikhathi sokuchuma:

• Ukukhula Kwe-Follicle Okuphezulu: Ngaphambi nje kokuchuma, ama-follicle ema-ovari afinyelela ekukhuleni kwawo okuphezulu, okungelula ama-ovari futhi kubangele ubuhlungu [3].
• Ukuqhuma Kwe-Follicle: Ngemva kokuthola uphawu oluvela emzimbeni ngesimo sokwanda kwehomoni ye-luteinizing (LH), elinye lamangqamuzana ama-follicle avuthiwe liqhuma likhulule iqanda ngaphakathi ema-ovari. Lokhu kuqhuma kwama-follicle nokukhululwa kweqanda kungadala ubuhlungu.
• Ukukhululwa Koketshezi: Ngaphezu kweqanda, ama-follicle nawo aqukethe inqwaba yama-enzyme nezinye iziqukathi zoketshezi ezisekela inqubo yokuvuthwa kweqanda. Lapho i-follicle iqhuma ngesikhathi sokuchuma, ukukhululwa kwalokhu ketshezi esikhaleni se-ovari kungavusa ukucasuka futhi kungaholela ekubanjweni yizintambo. Uketshezi negazi okukhululwa ngesikhathi sokuchuma kungacasula ungqimba lwangaphakathi lwesisu, kuholele ekubanjweni yizintambo ukuchina ngemva kokuvuthwa kwamaqanda [4].
• Izinguquko Zama-hormone: Ukuvuthwa kwamaqanda yisikhathi sezinguquko ezisheshayo zama-hormone emzimbeni. Amazinga e-LH akhuphuka masinyane, futhi kuba nokwehla ngokuzumayo kwamazinga e-estrogen ngaphambi nje kokuvuthwa kwamaqanda [5]. Lezi zinguquko zama-hormone nazo zingafaka isandla ekuchineni noma ekungakhululeki.

Izimpawu Zokuchina Ngesikhathi Sokuvuthwa Kwamaqanda

Ungakwazi ukwehlukanisa ukuchina okuhlobene nokuvuthwa kwamaqanda nezinye izimbangela zobuhlungu esiswini ngezici ezilandelayo:

• Ukuchina Ohlangothini Olulodwa: Ubuhlungu bokuvuthwa kwamaqanda buvame ukwenzekakwenzeka ohlangothini olulodwa, kuye ngokuthi yisiphi isizalo esikhipha iqanda. Abanye abesifazane bangase bazwe ubuhlungu ngemva kokuvuthwa kwamaqanda ohlangothini olushintshashintshayo emijikelezweni ehlukene. Isibonelo, ngenyanga eyodwa bangase bazwe ubuhlungu bokuvuthwa kwamaqanda ohlangothini lwesobunxele, kuthi ngenyanga elandelayo kube ubuhlungu bokuvuthwa kwamaqanda ohlangothini lwesokudla.
• Ukuchina Kuzo Zombili Izinhlangothi: Ezimweni ezingajwayelekile, abesifazane bangase babhekanebhekane nokuchina ngesikhathi sokuvuthwa kwamaqanda kuzo zombili izinhlangothi. Kuyivelakancane kodwa kungenzeka ukuthi womabili ama-ovari akhiphe iqanda emjikelezweni ofanayo. Lokhu kubizwaLesi simo sibizwa ngokuthi i-hyperovulation, futhi singabangela ukuchina ngesikhathi sokuvuthwa kwamaqanda kuzo zombili izinhlangothi.
• Ukuphuma Amabala Egazi Ngesikhathi Sokuvuthwa Kwamaqanda: Abanye abesifazaneAbanye abesifazane babika ukuchina nokuphuma amabala egazi ngesikhathi sokuvuthwa kwamaqanda. LUkopha okuncane kungenzeka ngesikhathi sokuvuthwa kwamaqanda ngenxa yezinguquko ezisheshayo zama-hormone, njengokukhuphuka kwe-LH noma ukuhla kwe-estrogen. Lezi zinguquko zama-hormone zingaholela ekuchithweni okuncane kakhulu kwengubo yesibeletho futhi ziphelele ekuphumeni kwegazi okuncane.

Ubuhlungu Bokuvulavula Ohlangothini Lwesokudla Noma Lwesobunxele

Ubuhlungu bokuvuthwa kwamaqanda bunganqamula inqondo kowesifazane abaningi ngoba abuvamile ukwenzeka esizalweni esifanayo emjikelezweni ngamunye. Isizalo ozokuzwa kuso ubuhlungu sincike ekutheni ukuvuthwa kwamaqanda kuzokwenzeka kusiphi isizalo.

Ngezinye izikhathi ungase uthole ukuthi kuvuthwa amaqanda kuhambisana nobuhlungu ohlangothini lwesokudla izinyanga ezimbalwa zilandelana ngaphambi kokuba uzwe ubuhlungu esizalweni sangakwesobunxele. Lobu buhlungu bokuvuthwa kwamaqanda ohlangothini olulodwa noma ukuchina ohlangothini olulodwa bubonisa ukuthi ukuvuthwa kwamaqanda kuqhubeka kwenzeka esizalweni sangakwesokudla. Nokho, ungase ube nobuhlungu be-mittelschmerz kuzo zombili izinhlangothi, okungase kubhekisele ku-hyperovulation noma ekukhishweni kwamaqanda amabili, elilodwa lisuka kusizalo ngasinye.

Ukwethulwa ngokubonakalayo, njengedayagramu, njengen idayagramu yobuhlungu bokuvulavula, kungasiza ekuboneni kahle indawo yokungakhululeki nasekuhlukiseni lobu buhlungu kobunye ubuhlungu besisu.

Ubuhlungu Ngemva Kokuvulavula

Ezinye izifazane zingaqhubeka nokuzwa ubuhlungu bama-ovary ngemuva kokuvulavula, obuvame ukuba buthambile futhi besikhashana. Lokhu kungenxa yokucasuka okusele noma izinguquko zama-hormone.

Nokho, lobu buhlungu ngokuvamile abuqhubeki isikhathi eside kangako. Isibonelo, ukuqaqanjelwa emva kwezinsuku ezingu-4 ngemuva kokuvulavula azivamile futhi zingase zihlobene nokukhulelwa kokuqala, ukuguquguquka kwama-hormone, noma ezinye izimo ezingaphansi.

Indlela Yokuphatha Ubuhlungu Bokuvulavula?

Ezinye izindlela ezisebenzayo zokuphatha ubuhlungu bokuvulavula zihlanganisa:

1. Izindlela Zemvelo

Kukhona uhlu olude kakhulu lwezindlela zemvelo zokuphatha ubuhlungu bokuvulavula, kodwa ezinye ezisetshenziswa kakhulu zihlanganisa ukwelashwa ngokushisa, ukuphuza amanzi amaningi, nokuphumula. Ukubeka iphedi efudumele esiswini esingezansi kungasiza ekunciphiseni ukuqunjelwa. Izifundo zibonisa ukuthi ukuphuza amanzi amaningi kunganciphisa amandla obuhlungu bokuya esikhathini [6]. Ngakho-ke, kungase kusize futhi ebuhlungwini bokuvulavula. Ukuphumula kusiza futhi ekunciphiseni ingcindezi nasekuthuthukiseni ukuphathwa kobuhlungu.

2. Imithi

Imithi yokunciphisa ubuhlungu etholakala ngaphandle kadokotela efana ne-ibuprofen noma i-acetaminophen kanye nemithi ye-mittelschmerz ebhalwe udokotela ivame ukusebenza kahle ekuphatheni mittelschmerz. Ezimeni ezinzimaezimeni ezinzima, ungase udinge ama-hormonal contraceptives ukuze kucindezelwe ukuvulavula futhi kugwemeke ubuhlungu.

3. Xhumana Nodokotela

Uma ukuqunjelwa noma ukuqaqanjelwa ngesikhathi sokuvulavula kubi kakhulu, kuqhubeka izinsuku eziningana, noma kuhambisana nezinye izimpawu ezifana nokopha kakhulu, umkhuhlane, noma isicanucanu, kubalulekile ukubonana nochwepheshe bezempilo. Lezi zimpawu ngokuvamile zikhomba izinkinga ezihlobene nesibeletho. Udokotela uzohlola isimo sakho futhi akunike uhlelo lokuphatha ukuze kuthuthukiswe isimo sakho.

Ukuhlukanisa Ubuhlungu Bokuvulavula Nezinye Izimo

Ubuhlungu esiswini esingezansi ngeke kube njalo ngenxa yokuvulavula. Ezinye izimo zezempilo ezingabangela ubuhlungu obufanayo noma obunzima kakhulu esiswini esingezansi zihlanganisa:

1. I-Appendicitis

Ubuhlungu esiswini esingezansi ngakwesokudla ngezinye izikhathi bungadidaniswa ne-appendicitis. Ngokungafani nobuhlungu bokuvulavula ohlangothini lwesokudla, ubuhlungu be-appendicitis buvame ukuphelezelwa umkhuhlane, isicanucanu, nokulahlekelwa isifiso sokudla [7]. Ngakho-ke, ngokucophelela ngokubuka zonke izimpawu, ungakwazi ukuhlukanisa ubuhlungu be-appendicitis nobuhlungu bokuvulavula.

2. I-Endometriosis

I-Endometriosis yisimo kwabesifazane lapho amaseli afana nawasesibelethweni eqala ukukhula kwezinye izingxenye zesistimu yokuzala [8]. Abesifazane abane-endometriosis bangahlangabezana nobuhlungu be-ovulation obuhlobene ne-endometriosis, obunamandla futhi obude kakhulu kunokuqaqamba kwe-ovulation okuvamile.

3. Ama-cyst ema-ovary

Ama-cyst ema-ovary avamile kakhulu futhi angadala ubuhlungu obufana nkubuhlungu be-ovary. HNokho, esimweni se-cyst enkulu noma eqhumile, ubuhlungu ngokuvamile buba buqinile futhi buqhubeke isikhathi eside.

Ezinye izimpawu ze-ovulation

Ukuqaqamba kwesikhathi se-ovulation kungakhathaza, kodwa futhi kukusiza ukuthola izinsuku zakho ze-ovulation. I-ovulation yisikhathi lapho uzala kakhulu; ngakho-ke, ukuthola i-ovulation nokuhlela ukulala ocansini okungenazo izivikeli kuleso sikhathi kungathuthukisa kakhulu amathuba akho okukhulelwa [9].

Nazi ezinye izimpawu ze-ovulation ezingakusiza ukuthola izinsuku zakho ze-ovulation:

• Izinguquko kumafinyila esibeletho: Amafinyila esibeletho ngezinsuku ze-ovulation acaca, ayeluleka, futhi afane neqanda elimhlophe. Lokhu kusiza ukuthi isidoda sihambe kalula sisuke esithweni sangasese siye ngaphakathi esibelethweni.
• Ukukhuphuka kwezinga lokushisa lomzimba eliyisisekelo: Izinga lokushisa lomzimba wakho lapho uphumule, elibizwa nangokuthi izinga lokushisa lomzimba eliyisisekelo, liyakhuphuka kancane ngemva kwe-ovulation. Ukuqapha izinga lokushisa lomzimba eliyisisekelo kungakusiza ukulandelela izinsuku zakho ze-ovulation.
• Ukuzwela kwamabele: Izinguquko kuma-hormone esigabeni se-ovulation somjikelezo wokuya esikhathini zingaholela ekwandeni kokuzwela nokubuhlungu ezicutshini zamabele. Ungase futhi ubone indawo ezungeze incelishe imnyama kancane ngezinsuku ze-ovulation, okuyuphawu olujwayelekile lwe-ovulation.
• Ukopha okuncane: Ezinye izifazane ziphinde zibone ukopha okuncane ngemva kwe-ovulation. Lokhu kuphaphatheka kwegazi kuncane kakhulu futhi kwehluke kakhulu egazini lesikhathi sokuya esikhathini. Kuphinde kube lula ukwehlukanisa igazi le-ovulation negazi lesikhathi sokuya esikhathini ngoba livela cishe amasonto angu-2 ngaphambi kosuku olulindelekile lokuqala kwesikhathi.

Isiphetho

Ukukhishwa kweqandaUkuqaqamba kwesisu ngesikhathi i-ovulation, noma i-mittelschmerz, kuwuphawu oluvamile lwe-ovulation olubhekene nabo abaningi besifazane. Lobu buhlungu ngokuvamile buyabekezeleleka futhi buyalawuleka, kodwa ukuqonda izimbangela nezimpawu kungasiza ukuhlukanisa ubuhlungu be-ovulation obujwayelekile nezinye izimo zezokwelapha.

Ukubanjwa uhlangothi olulodwa, ukubanjwa yisisu kwe-ovulation kuzo zombili izinhlangothi, ukubanjwa yisisu ngemva kocansi ngesikhathi se-ovulation, noma ubuhlungu ngemva kwe-ovulation ezinye zezimpawu ezijwayelekile ze-ovulation. Nokho, uma uhlangabezana nobuhlungu obukhulu noma obungapheli esifubeni esingezansi noma esiswini esingezansi, sincoma ukuthi ubone udokotela wakho ukuze athole imbangela eyisisekelo.

Uma uhlela ukukhulelwa, ukubona ubuhlungu be-ovulation futhi zinye izimpawu ze-ovulation zingakusiza ukwandisa kakhulu amathuba akho okukhulelwa.

Imibuzo Evame Ukubuzwa

1. Iqanda likhishwa isikhathi esingakanani ngemva kobuhlungu be-ovulation?

Iqanda ngokuvamile likhishwa eduze kakhulu nesikhathi lapho ubuhlungu be-ovulation buqala khona, ngokuvamile kungakapheli amahora ambalwa. Ukulandelela lobu buhlungu kungasiza kulabo abalangazelela ukukhulelwa, ngoba likhombisa isikhathi esiphezulu sokukwazi ukukhulelwa kowesifazane.

1. Ingabe ukubanjwa yisisu ngesikhathi se-ovulation kusho ukuthi ukhulelwe?

Ukubanjwa yisisu ngesikhathi se-ovulation akuyona inkomba yokukhulelwa ngoba kuthatha isikhathi ukuthi kufezelekile ukufakelwa kwesidoda eqandeni elikhishwe ngesikhathi se-ovulation kanye nokunamathiselwa kweqanda elifakelwe odongeni lwesibeletho. Lokhu kusho ukuthi ukukhulelwa kwenzeka cishe ngemva kwezinsuku eziyi-10 ze-ovulation.

Imithombo Esetshenzisiwe

1. Brott, N. R., & Le, J. K. (2023b, May 1). Mittelschmerz. StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK549822/ 
2. Professional, C. C. M. (2024m, July 3). Isigaba se-Follicular. Cleveland Clinic. https://my.clevelandclinic.org/health/body/23953-follicular-phase 
3. Ubuhlungu be-Ovulation. (2024, May 1). Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/9134-ovulation-pain-mittelschmerz 
4. Mittelschmerz - Izimpawu nezimbangela. (n.d.). Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/mittelschmerz/symptoms-causes/syc-20375122 
5. Holesh, J. E., Bass, A. N., & Lord, M. (2023i, May 1). I-Physiology, Ukukhishwa kwamaqanda (Ovulation). StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK441996/ 
6. Torkan, B., Mousavi, M., Dehghani, S., Hajipour, L., Sadeghi, N., Rad, M. Z., & Montazeri, A. (2021). Indima yokuphuza amanzi ebukhululeni ubuhlungu nokuphazamiseka kokuya esikhathini phakathi kwabesifazane abanezinkinga zobuhlungu bokuya esikhathini okuqala: ucwaningo olunesici sokuzama. BMC Women S Health, 21(1). https://doi.org/10.1186/s12905-021-01184-w 
7. Di Saverio, S., Podda, M., De Simone, B., Ceresoli, M., Augustin, G., Gori, A., Boermeester, M., Sartelli, M., Coccolini, F., Tarasconi, A., Angelis, N. D., Weber, D. G., Tolonen, M., Birindelli, A., Biffl, W., Moore, E. E., Kelly, M., Soreide, K., Kashuk, J., . . . Catena, F. (2020). Ukuxilongwa nokwelashwa kwe-acute appendicitis: ukubuyekezwa kuka-2020 kwemihlahlandlela ye-WSES yaseJerusalema. World Journal of Emergency Surgery, 15(1). https://doi.org/10.1186/s13017-020-00306-3 
8. Chauhan, S., More, A., Chauhan, V., & Kathane, A. (2022). Endometriosis: Uhlolojikelele Lokuxilongwa Kwezifo, Ukwelashwa, kanye Ne-pathogenesis. Cureus. https://doi.org/10.7759/cureus.28864 
9. Healthdirect Australia. (n.d.-b). Ukukhishwa kwamaqanda (ovulation) nokuzala. Pregnancy Birth and Baby. https://www.pregnancybirthbaby.org.au/ovulation-and-fertility