Yiziphi izimpawu nezibonakaliso zokuqala zokukhulelwa?

Abesifazane abafuna ukukhulelwa bavame ukuzizwa bejabule kodwa futhi bedidekile ngokwazi kahle ukuthi baye bakhulelwa nini. Uma nawe ufuna ukukhulelwa, ukubona kusenesikhathi izimpawu zokuqala zokukhulelwa kungakusiza ukucacisa ukudideka kwakho.

Lapho usukhulelwe, okusho ukuthi iqanda elichumile lifakwa esibelethweni, umzimba wakho wenza izinguquko eziningi zamahomoni nezomzimba. Lezi zinguquko ziveza amasignali nezimpawu ezithize ezikhombisa ukuthi ukhulelwe [1].

Kule ndatshana, sizoxoxa ngezinye izimpawu zokuqala ezivamile zokukhulelwa, ukuthi yini ebangela lezi zimpawu, nokuthi yisiphi isikhathi esingcono kakhulu sokwenza ukuhlolwa kokukhulelwa.

Yiziphi Izimpawu Zokuqala Zokukhulelwa?

Nawa amanye amasignali nezimpawu ezivamile zokuqala zokukhulelwa kanye nencazelo yokuthi yini ebangela la masignali nezimpawu:

1. Ukungayi Esikhathini

Uma umjikelezo wakho wokuya esikhathini uvamile bese ngokuzumayo isikhathi sakho sehluleka noma siyanyamalala, lokho kungaba uphawu lokuthi ukhulelwe. Lapho umzimba uthola ukuthi kukhona ukukhulelwa, ukhulisa amahomoni i-progesterone ne-human chorionic gonadotrophin (hCG). Lawa mahomoni avimbela ungqimba lwesibeletho ukuba luphume, okwenza kungabikho ukuya esikhathini ngesikhathi sokukhulelwa [2].

Nokho, ezinye izifazane zisengase zibe nokopha okuncane noma amabala egazi phakathi nezinyanga zokuqala zokukhulelwa, isibonelo, ukopha kokufakelwa uma iqanda elichumile lifakwa esibelethweni [3]. Ngakho-ke, akulona icebo elihle ukuthembela kuphela ekungayweni esikhathini njengophawu lokukhulelwa.

2. I-Morning Sickness

Isicanucanu noma i-morning sickness singavela nganoma yisiphi isikhathi sosuku futhi siyisona sici esivamile kakhulu ekuqaleni kokukhulelwa. Imvamisa siphela ekupheleni kwe-trimester yokuqala.

Ezinye izifazane zingase futhi zibe nesicanucanu esiphelezelwa ukuhlanza. Izibalo zikhombisa ukuthi izinguquko zamahomoni ekuqaleni kokukhulelwa, ikakhulukazi ukwenyuka kwamazinga e-hCG, zingaba imbangela yokuzwakala usinda ekuseni (morning sickness) ku-trimester yokuqala [4].

3. Amabele Abuhlungu noma Avuvukele

Izinguquko ezintweni zamabele zenzeka kaningi phakathi nomjikelezo wokuya esikhathini, kodwa ezinye izinguquko ezithize zingaba uphawu lokukhulelwa. Ungase uqaphele ukuthi amabele akho azizwa ebuhlungu, eqhuqhazelayo noma evuvukele kakhulu kunokujwayelekile.

Ezinye izifazane zingabuye ziqaphele ukuba mnyama kwe-areolas, okuwuphawu oluvamile lokukhulelwa. Lezi zinguquko ezithweni zamabele zithonywa ukwanda kwamahomoni e-estrogen ne-progesterone ezinsukwini zokuqala zokukhulelwa.

4. Ukukhathala

Kuvamile ukuzizwa ukhathele noma uphelelwe amandla ezinyangeni zokuqala zokukhulelwa. Njengoba umzimba wakho wenza izinguquko eziningi ukweseka umntwana okhulayo, udinga amandla amaningi.

Amazinga aphezulu e-progesterone angakwenza uzizwe ukhathele kakhulu. Uma, ekupheleni komjikelezo wakho wokuya esikhathini, uthola ukuthi udinga ukuphumula noma ukulala kakhulu kunokuvamile, lokhu kungaba uphawu lokukhulelwa kwasekuqaleni.

5. Ukuchama Kaningi

Ukukhulelwa kwandisa ukukhiqizwa kwegazi emzimbeni kamama ukuze kusekele izitho zakhe zokuzala ne-fetus ekhula [5]. Ukwanda kokugeleza kwegazi ngesikhathi sokukhulelwa kusho ukuthi izinso zakho zisebenza kanzima ukuhlunga uketshezi olwengeziwe. Lokhu kungabangela ukuchama njalo, ikakhulukazi emasontweni okuqala.

Ukuchama njalo kwenzeka kuyo yonke inkathi yokukhulelwa, kodwa ezigabeni zokugcina, ikakhulukazi kubangelwa isibeletho esikhulayo, esandeka sidlule usayizi ojwayelekile wesibeletho, sicindezele isinye.

6. Izifiso Zokudla Noma Ukungasithandi Ukudla Okuthile

Izinguquko ezihlobene nokukhulelwa emzimbeni zingashintsha nomuzwa wakho wokunambitha nowokunuka. Ungase uqale ukufisa kakhulu ukudla noma iziphuzo ezithile, noma uzizwe unokwenyanya okukhulu ekudleni obukade ukuthanda. Lezi zimpawu nazo zibangelwa izinguquko zama-hormone ekuqaleni kokukhulelwa, njengokwanda kwe-hCG ne-estrogen.

7. Ukubanjwa Yizinkaba Okuthambile Nokopha Okuncane

Ukubanjwa yizinkaba okuncane nokopha okuncane nakho kungenzeka ekuqaleni kokukhulelwa. Ezinye izifazane ziba nokubanjwa yizinkaba okuthambile esiswini njengoba isibeletho siqala ukunwebeka futhi sikhule. Abesifazane bangadida ukopha okuncane noma okungamachashazi nokuba nesikhathi esincane, kodwa eqinisweni kwenzeka ngenxa yokufakelwa kweqanda elichumile esibelethweni futhi kubizwa nangokuthi ukopha kokufakelwa [3].

Kufanele Uthathe Nini Ukuhlolwa Kokukhulelwa?

Ngakho, usubona izimpawu nezibonakaliso eziningi zokukhulelwa; okulandelayo kuyini? Ochwepheshe batusa ukuthi uma uqala ukuqaphela izimpawu zokukhulelwa, kanye nokungafiki kokuya esikhathini, yikhona isikhathi esifanele sokwenza ukuhlolwa kokukhulelwa.

Uma usukhulelwe, umzimba wakho wengeza ukukhiqizwa nokukhululwa kwe-hormone ye-hCG. Izivivinyo zokukhulelwa zisebenza ngokuthola i-hormone ye-hCG emchameni nasegazini.

Kunezinketho ezimbili ezivamile zokuhlola ukukhulelwa:

• Ukuhlolwa Kokukhulelwa Ekhaya: Izivivinyo zokukhulelwa zasekhaya zikusiza ukuthi uthole ukukhulelwa kwakho usekhaya lakho. Okudingeka ukukwenze nje wukuthi thenga ikhithi yokuhlola ukukhulelwa futhi ulandele imiyalelo esencwadini ukuze wenze ukuhlolwa. Lokhu kuhlolwa ngokuvamile kubandakanya ukucwilisa i-strip yokuhlola emchameni ukuze kutholakale ukuba khona kwe-hCG. Iningi lamakhithi okuhlola ukukhulelwa asekhaya likunikeza imiphumela enembile kufika ku-99%.

• Ukuhlolwa Kokukhulelwa Emtholampilo: Izivivinyo zokukhulelwa esibhedlela noma emtholampilo ngokuvamile zihlola ukuba khona kwe-hormone ye-hCG egazini, okucacile kakhulu kunokuvivinya komchamo. Nokho, le nketho ingabiza futhi ilethe ukungakhululeki okukhulu kunezilokhu zokuhlolwa kokukhulelwa zasekhaya.

Uma uthola imiphumela yokuhlolwa kokukhulelwa emibi kodwa usamava izimpawu zokuqala zokukhulelwa, kufanele uphinde wenze lolu vivinyo ngemva kwesikhawu sezinsuku ezimbalwa. Kodwa-ke, uma uthola umphumela omuhle, kunconywa ukuthi uxhumane nochwepheshe ukuze aqinisekise ukukhulelwa futhi uqale ukunakekelwa kwangaphambi kokubeletha.

Izimpawu Okufanele Uzibheke Ngesikhathi Sokukhulelwa

Ngenkathi izimpawu zokuqala zokukhulelwa kumantombazane asemasha zivame ukuba mnene, kubalulekile ukuba wazi ngezimpawu ezixwayisayo ezingase zidinge ukunakwa kodokotela. Lezi zihlanganisa:

• Ukopha okuningi
• Izinhlungu ezinzima esiswini
• Isicanucanu nokuhlanza okukhulu
• Ukuvuvukala okungazelelwe noma ubuhlungu emilenzeni
• Ukubona kungenzeki kahle noma izinhloko ezibuhlungu kakhulu
• Ubuhlungu lapho uchama noma igazi emchameni

Uma wazi kahle kokubili izimpawu ezijwayelekile nezingajwayelekile zokukhulelwa, lokho kungakusiza ukuba ube nolwazi oluphile kahle kakhulu. Uma wake wazizwa ukhathazekile nganoma yini oyizwayo, ungazibambezeli ukuxhumana nomhlinzeki wakho wezempilo. Khumbula ukuthi ukutholwa kusenesikhathi nokuphathwa kwezingqinamba zokukhulelwa kungaqinisekisa impilo nokuphepha kwakho nengane yakho.

Okubalulekile Ekugcineni

Owesifazane ozama ukukhulelwa ufisa ukuthola izindaba ezijabulisayo zokukhulelwa kwakhe masinyane nje esanda kukhulelwa. Ukubona izimpawu zokuqala zokukhulelwa kuyindlela esebenzayo yokubona ukuthi ukhulelwe yini nokuthi umzimba wakho wenza izinguquko ezihlobene nokukhulelwa.

Izimpawu zokuqala zokukhulelwa kwabesifazane abaningi zihlanganisa ukungafiki kokuya esikhathini, isicanucanu, ubuhlungu noma ukuzwela kwamabele, ukukhathala, ukuya njalo endlini yangasese, ukulangazelela okudla okuthile, kanye nokubona izinhlungu esiswini noma ukopha okuncane. Uma uqala ukubona eziningi zalezi zimpawu, kufanele uye uyohlolwa ukukhulelwa ukuze uqinisekise ukuthi ukhulelwe yini.

Imithombo Esetshenzisiwe

1. Ertmann, R. K., Nicolaisdottir, D. R., Kragstrup, J., Overbeck, G., Kriegbaum, M., & Siersma, V. (2022c). Inani lokubikezela lezimpawu ezivamile ekuqaleni kokukhulelwa mayelana nezingqinamba ezilandela ekukhulelweni nasemzuzwini wokuzalwa. I-Acta Obstetricia Et Gynecologica Scandinavica, 102(1), 33–42. https://doi.org/10.1111/aogs.14474 
2. Cole, L. A. (2010). Imisebenzi yemvelo ye-hCG nezinhlayiya ezihlobene ne-hCG. I-Reproductive Biology and Endocrinology, 8(1), 102. https://doi.org/10.1186/1477-7827-8-102 
3. Kuyini Ukopha Kokufakelwa Embungwini? American Pregnancy Association. https://americanpregnancy.org/pregnancy-symptoms/what-is-implantation-bleeding/ 
4. Lee, N. M., & Saha, S. (2011). Isicanucanu nokuhlanza ngesikhathi sokukhulelwa. I-Gastroenterology Clinics of North America, 40(2), 309–334. https://doi.org/10.1016/j.gtc.2011.03.009 
5. Soma-Pillay, P., Nelson-Piercy, C., Tolppanen, H., & Mebazaa, A. (2016c). Izinguquko zomzimba ngesikhathi sokukhulelwa. Ijenali Ye-Cardiovascular yaseNingizimu Afrika/Ijenali Ye-Cardiovascular yaseNingizimu ne-Afrika, 27(2), 89–94. https://doi.org/10.5830/cvja-2016-021