Ukugabha Ngesikhathi Ngiya Esikhathini: Ingabe Ngikhulelwe Noma Kungenye Inkinga?

Ukuhlanza ngesikhathi uya esikhathini kungakuthola ungakulindelanga. Kuyacasula, akukhululekile, futhi, sikhuluma iqiniso, kuyadida kancane. Uma uke wazithola kulesi simo, cishe uke wazibuza uthi, “ngiyahlanza ngisesikhathini, ingabe ngikhulelwe?” Lowo umbuzo ofanele. Ekugcineni, ezinye izimpawu zokuqala zokukhulelwa zingazwakala zimangazelela zifana nalokho okwenzayo ngesikhathi uya esikhathini. Kodwa kunokuningi kulokhu kunokuphendula ngo-yebo noma cha nje. Ake sikuhlukanise sibone ukuthi kwenzekani.

Okugqamile

1. Isicanucanu ngesikhathi uya esikhathini sivame ukubangelwa izinguquko zamahomoni, ikakhulukazi ukukhululwa kwama-prostaglandins, angathinta uhlelo lwakho lokugaya ukudla.
2. Ukuhlanza ngesikhathi uya esikhathini akusho ngaso sonke isikhathi ukuthi ukhulelwe, kodwa ukopha okulula kakhulu noma okungajwayelekile kungase kubonise ukopha kokufakelwa (implantation bleeding).
3. Izimpawu zokuqala zokukhulelwa, ezifana nokukhathala, isicanucanu, nokubuhlungu noma ukuzwela kwamabele, kwesinye isikhathi zingahlangana nezimpawu zokuya esikhathini, okwenza kube nzima ukubona umehluko.
4. Ukusekelwa kokudla okunomsoco, okuhlanganisa i-folic acid, i-magnesium, ne-CoQ10, kungasiza ukuthuthukisa ukuzala nokulawula ukungakhululeki ngesikhathi sokuhamba kokuya esikhathini.
5. Imithi yasekhaya efana netiye likaginger, ukudla okunempilo okulinganiselayo, nokuphathwa kwengcindezi ingasinciphisa kahle isicanucanu ngesikhathi sokuhamba kokuya esikhathini.
6. Isicanucanu esingapheli noma esibi kakhulu ngesikhathi sokuhamba kokuya esikhathini singase sikhombise izimo ezifihlekile ezifana ne-endometriosis noma isifo sokuvuvukala kwezitho zangasese zangaphakathi (pelvic inflammatory disease) futhi kufanele sihlolwe udokotela.

Kungani Abesifazane Bezizwa Benesicanucanu Ngesikhathi Beya Esikhathini?

Ukuba semkhathini kuza nezinselele ezanele—imihuzuko, ukuguquguquka kwemizwa, ukukhathala, futhi ngezinye izikhathi ngisho isicanucanu. Kodwa kungani lokhu kwenzeka? Konke kuqala ngamahomoni akho.

Umsoli Wamahomoni: Ama-Prostaglandins

Ama-prostaglandins yilezi zakhi ezincane ezifana namahomoni ezikhishwa umzimba wakho ngesikhathi wokuya esikhathini. Zinomsebenzi oyinhloko owodwa: ukusiza isibeletho sakho sicindezeleke ukuze sikhiphe ungqimba laso. Nakuba lokho kubalulekile ekuyeni esikhathini, ama-prostaglandins angaphambuka. Angathinta isisu namathumbu, okuholele ekucanucaleni, uhudo, noma ngisho nokuhlanza [1]. Uma wake waba nemihuzuko emibi ekwenze wazizwa ugula, ama-prostaglandins cishe abe yimbangela. 

Izinguquko zamahomoni phakathi nomjikelezo wokuya esikhathini zingabangela isicanucanu nokukhathala, ngendlela efanayo nalapho ezinye izifazane ziba nokuzizwa zigula zikhathele ngesikhathi sokuvulavula, okuvame ukuhlotshaniswa nokuguquguquka kwamazinga e-estrogen ne-progesterone.ukuzizwa ugula futhi ukhathele ngesikhathi sokuvulavula, okuxhunyaniswa ngokuvamile nokuguquguquka kwamazinga e-estrogen ne-progesterone.

Ukuqaqamba Okukhulu Kungenza Kubanzima Nakakhulu

Singakhulumi kancane—ukuqaqamba kwesisu ngesikhathi sokuya esikhathini kungaba buhlungu kabi. Kwabanye besifazane, lobu buhlungu bungaba bukhulu kangangokuthi bubangele isicanucanu. Lokhu kwaziwa ngokuthi i-dysmenorrhea, okuyigama elisho nje “izikhathi ezibuhlungu”. Uma ubuhlungu sebudlula, umzimba wakho ungaphendula ngokukwenza uzwe isicanucanu noma uze ulahle.

Ingabe Isicanucanu Ngesikhathi Sokuyobhula Singaba Uphawu Lokukhulelwa?

Manje, yilapho izinto ziba nzima khona. Ezinye izimpawu zokuya esikhathini nezokukhulelwa ziyefana, okungenza kube nzima ukuqonda ukuthi kwenzekani. Uma uzizwa unesicanucanu ngesikhathi noma ngemuva kokuya esikhathini, kujwayelekile ukuzibuza: uma ngizwa isicanucanu ngemuva kokuya esikhathini ngingaba ngikhulelwe na?

Ingabe Lokhu Ukopha Kokufakelwa?

Enye ingxenye wukuthi lokho okucabanga ukuthi ukuya esikhathini kungase kube ukopha kokufakelwa. Lokhu kwenzeka iqanda elivundisiwe lapho linamathiselwa eludongeni lwesibeletho, ngokuvamile cishe phakathi kwezinsuku eziyi-6–12 ngemuva kokuvuthwa kweqanda [2]. Ukopha kokufakelwa (implantation bleeding) kuvame ukuba kuncane futhi kufushane kunokujwayelekile kokuya esikhathini. Uma uphinde uzwe isicanucanu, kungase kube uphawu lokukhulelwa kusenesikhathi.

Kuthiwani Ngangesicanucanu Sasekuseni?

Isicanucanu sasekuseni (morning sickness) ngokuvamile asiqali ngokushesha ngemuva kokuvundiswa, kodwa abanye besifazane bazwela kakhulu izinguquko zama-hormone futhi bangase babe nesicanucanu kusenesikhathi. Yize sibizwa nge-“morning sickness”, singavela noma yisiphi isikhathi sosuku. Uma uphinde uzwe ukukhathala noma ubuhlungu bamabele, kungase kube yisikhathi sokuthatha ukuhlolwa kokukhulelwa.

Ukukhathala Nezinye Izimpawu Zokuqala Zokukhulelwa

Ukukhathala kuyimpawu evamile kokubili ekuyeni esikhathini nasekuqaleni kokukhulelwa, kodwa ukukhathala ngenxa yokukhulelwa kuvame ukuba kubi kakhulu. Uma uthola kunzima ukudlula usuku lwakho ungazelele ekutheni udinge ukulala, kungase kufanele ucabange ukuthi kungenzeka ukhulelwe [3].

Indlela Yokuhlukanisa Phakathi Kwezimpawu Zokuya Esikhathini Nezokukhulelwa

Pho, ungakwazi kanjani ukubona ukuthi lokho okwenzekayo kuwukuya esikhathini nje noma okunye okungaphezulu? Nansi eminye imikhondo yokusiza uhlukanise.

Ubuhlungu Bamabele

Ubuhlungu bamabele buvela ngesikhathi sokuya esikhathini ngenxa yezinguquko zama\-hormone, kodwa ekukhulelweni bungazwakala bukhulu kakhulu. Ungase futhi uqaphele ukuba mnyama endaweni ezungeze amabele (ama-areola) noma ukuvuvukala okuthile.

Ukuqaqamba Nokopha

Iminyakazo yokuhlaselwa wokuya esikhathini ivamise ukuba yibukhali futhi ibe namandla kakhulu. Iminyakazo yokufakelwa iqanda, ngakolunye uhlangothi, imnene futhi ayihlali isikhathi eside. Kanti lapho ukuya esikhathini kuhilela ukugeleza kwegazi okuqhubekayo, ukopha kokufakelwa iqanda kuvame ukuba kuncane futhi kube amabala kuphela [4].

Izinguquko Ezibanzi Emzimbeni Wakho

Qaphela nezinye izinguquko emzimbeni wakho. Uyakhathele kakhulu kunejwayelekile yini? Ingabe unenanzelo yokudla okuthile noma ukufisa okuthile? Konke lokhu kungakhomba ekukhulelweni.

Ingabe Ikhono Lakho Lokuzala Lingase Lithinte Indlela Ozizwa Ngayo?

Isicanucanu ngesikhathi noma ngemuva kokuya esikhathini singase singabi yimpawu nje kuphela; singase futhi sibe uphawu lwezinkinga zokuzala ezisengaphakathi. Ukungalingani kwama-hormone, ukucindezeleka, noma izimo ezifana ne-PCOS zingaphazamisa umjikelezo wakho futhi zenze kube nzima ukukhulelwa [5].

Izakhi-mzimba Ezisekela Ukuzala Futhi Zinciphise Izimpawu

Uma uzama ukukhulelwa, ukugxila ekudleni kwakho nasekumunceni kwakho izakhi-mzimba kungaba nomthelela omkhulu. Amanye ama-vithamini namaminerali abaluleke kakhulu empilweni yokuzala:

• I-Folic Acid: Ebalulekile ekukhuleni kwamaseli anempilo futhi idlala indima ebalulekile ekuvimbeleni izinkinga zomgogodla wengane ekukhulelweni kokuqala.
• Myo-Inositol: Isiza ukulawula ama-hormone futhi ithuthukise ikhwalithi yamaqanda, ikakhulukazi kwabesifazane abane-PCOS.
• Magnesium: Yaziwa ngokunciphisa iminyakazo futhi isize ukulinganisa ama-hormone.
• CoQ10: I-antioxidant enamandla evikela amaqanda futhi ithuthukise ikhwalithi yawo.

Ukuze wuthuthukise ngokwemvelo umkhono wakho wokuzala futhi ubhekane nezimpawu ezifana nesicanucanu, cabanga ngemikhiqizo esekela ukuzala efana ne-Conceive Plus Ukusekela Ukuzala Kwabesifazane, ehlanganisa lezi zakhi-mzimba ezibalulekile zibe isithasiselo esilula ukusisebenzisa.

Ukulawula Isicanucanu Ngesikhathi Sokuya Kwesikhathi

Uma isicanucanu ngesikhathi sokuya esikhathini sikwenza uzizwe ubhajwe, ungakhathazeki. Kukhona izindlela ezisebenzayo zokunciphisa ukungakhululeki futhi uzizwe unjengokwakho.

Lungisa Ukudla Kwakho

Ukudla kwakho kudlala indima enkulu endleleni ozizwa ngayo. Ukudla ukudla okuncane, okuvamile kakhulu kungasiza ukuzinzisa ushukela wegazi futhi kunciphise isicanucanu. Gxila ekudleni okune-magnesium okuningi njenge-spinach, amantongomane nebhhanana ukuze uthobe iminyakazo. Gwema ukudla okunamafutha noma okunezinongo—lokho kuzokwenza izinto zibe zimbi nakakhulu [6].

Zama Imithi Yezitshalo Zemvelo

Imithi yemvelo efana nejinja ne-peppermint imnandi kakhulu ekudambiseni isicanucanu. Kulabo abanezicanucanu ezihlobene nezinguquko zama-hormone, ukuhlola izinzuzo ze-vitamin B6 yokugula kwasekuseni kunganikeza ukukhululeka, ikakhulukazi esigabeni sokuqala sokukhulelwa lapho isicanucanu siphakeme khona. Inkomishi yetiye lejinja elifudumele noma ama-lozenge e-peppermint angasiza kakhulu uma isisu sakho singakhululekile.

Lawula Ukucindezeleka

Ukucindezeleka kunendlela efihlakele yokwenza konke kubi kakhulu, kuhlanganise nesicanucanu. Zama ukufaka ebudlelwaneni bakho bezinsuku zonke izindlela zokwehlisa ukucindezeleka ezifana ne-yoga, ukuzindla, noma ukuphefumula okujulile.

Ukuzivocavoca Okuthambile

Noma ukholelwa noma awukholwa, ukuzivocavoca okuthambile kungasiza. Ukuhamba kancane noma ukuzelula okukhanyayo kungathuthukisa ukujikeleza kwegazi futhi kunciphise imijiko, okungasiza ukwehlisa isicanucanu [7].

Kufanele Ulithathe Nini i-Test Yokukhulelwa

Uma usaqhubeka uzibuza ukuthi isicanucanu singasho ukukhulelwa yini, ukwenza i-test yokukhulelwa kuyindlela elula kunazo zonke yokuthola impendulo. Ama-home pregnancy test aklanyelwe ukuthola i-hCG emchamweni wakho, okuyihomoni umzimba wakho oyikhiqizayo ngesikhathi ukhulelwe. Ukuze uthole imiphumela enembile kakhulu, yenza i-test cishe isonto ngemva kokuphuthelwa wukuya esikhathini.

Uma i-test ibuya ingakhombisi ukukhulelwa kodwa izimpawu zakho ziqhubeka, linda izinsuku ezimbalwa bese uphinda wenza i-test. Amazinga amahomoni ayahlukahluka, kanti ukwenza i-test kusenesikhathi kakhulu kungaholela kumphumela ongamanga ongakhombisi ukukhulelwa.

Kufanele Ubone Udokotela Nini?

Yize isicanucanu ngesikhathi sokuba nokuya esikhathini sivamise ukuba into ongakhathazeki kakhulu ngayo, kukhona izikhathi lapho kufanelekile ukubonana nochwepheshe bezempilo. Uma izimpawu zakho zinzima noma zingapheli, lokho kungase kubonise ukuthi kukhona inkinga eyimvelaphi.

Izimpawu Okufanele Uziqaphele

• Ukugabha okuqhubekayo okukuvimbela ekugcineni umzimba wakho unomswakama owanele.
• Ubuhlungu besisu obukhulu noma obuya buba bubi kakhulu.
• Ukuphuma okungajwayelekile esithweni sangasese sowesifazane, umkhuhlane, noma ukuthuthumela.
• Izimpawu zezifo ezifana ne-endometriosis noma isifo sokuvuvukala kwezitho zangasese zangaphakathi.

Udokotela angasiza ekutholeni noma yiziphi izinkinga eziyisisekelo futhi ancome ukwelashwa okubhekana kokubili nesizathu esiyinhloko kanye nezimpawu zakho [8].

Kungani Lolu lwazi Lubalulekile

Ukuqonda izimpawu zakho kungaletha umehluko omkhulu endleleni obhekana ngayo nempilo yakho. Noma ngabe ubhekene nezimpawu ezijwayelekile zokuya esikhathini, usola ukukhulelwa, noma udlula ezinselele zokungakhuleli kalula, ukuba nolwazi kukusiza ukuthi uzithathele izinqumo.

Okubalulekile Ekugcineni

Isicanucanu ngesikhathi sokuba nokuya esikhathini singase sibonakale njengenye nje into engathandeki, kodwa kubalulekile ukulalela umzimba wakho. Uma wake wazithola uzibuza ukuthi, ngiyagabha ngesikhathi ngiku-period ingabe ngikhulelwe, kuhle ukucabangela wonke amathuba. Kusukela ekuguquguqukeni kwamahomoni kuya ezimpawini zokuqala zokukhulelwa, ziningi izizathu ezingenza uzizwe ngendlela ozizwa ngayo.

Thatha isikhathi sokubheka izimpawu zakho. Uma kukhona okungahambi kahle, unganqikazi ukwenza ukuhlolwa kokukhulelwa noma uxhumane nodokotela. Futhi uma uzama ukukhulelwa, khumbula ukuthi ukusekela impilo yakho yokuzala ngamavithamini, imisoco efanele kanye nezinguquko zokuphila kungaba nomthelela omkhulu.

Imibuzo evame ukubuzwa

Ingabe kungenzeka ukuthi ukhulelwe kodwa usaqhubeka uya esikhathini?

Hhayi ngempela. Nakuba ungabi nokuya esikhathini kweqiniso ngesikhathi ukhulelwe, abanye besifazane babe nokuchitheka kwegazi okuncane, okungadidaniswa nokuba wukuhamba kwesikhathi.

Kungani ngizizwa nginesicanucanu ngesikhathi sokuya esikhathini sami?

Imvamisa kubangelwa ama-prostaglandins, asiza isibeletho sakho ukuthi sincindezeleke kodwa futhi angathinta isisu sakho namathumbu.

Ngiyibona kanjani umehluko phakathi kokukhulelwa nokuba ne-PMS nje?

Qaphela amandla nobude bezimpawu zakho. Izimpawu zokukhulelwa ezifana nesicanucanu nokukhathala zivame ukuba nzima kakhulu futhi zihlale isikhathi eside kuneze-PMS.

Ngingenzenjani ukuze nginciphise isicanucanu ngesikhathi sokuya esikhathini?

Dla ukudla okunesisindo esifanele, uphuze itiye likagingeri, bese uzama amasu okuphumula afana ne-yoga ukuze unciphise isicanucanu.

Isicanucanu ngesikhathi sokuya esikhathini ingaba uphawu lwenkinga yezempilo na?

Kungaba kunjalo, ikakhulukazi uma kuqinile noma kungapheli. Izimo ezifana ne-endometriosis noma i-PID zingadala isicanucanu futhi kufanele zihlolelwe udokotela.

Izinkomba

1. Dawood M. Y. (2006). I-dysmenorrhea yokuqala: inqubekelaphambili ekuqondeni i-pathogenesis nokuphathwa kwayo. Obstetrics and gynecology. Kuyatholakala ku: https://pubmed.ncbi.nlm.nih.gov/16880317/
2. Norwitz, E. R., Schust, D. J., & Fisher, S. J. (2001). Ukufakelwa kweqanda kanye nokusinda kokukhulelwa kokuqala. The New England journal of medicine. Kuyatholakala ku: https://pubmed.ncbi.nlm.nih.gov/11794174/
3. Behrenz, K. M., & Monga, M. (1999). Ukukhathala ngesikhathi sokukhulelwa: ucwaningo lokuqhathanisa. American journal of perinatology. Kuyatholakala ku: https://pubmed.ncbi.nlm.nih.gov/10458531/
4. Wilcox, A. J., Weinberg, C. R., O'Connor, J. F., Baird, D. D., Schlatterer, J. P., Canfield, R. E., Armstrong, E. G., & Nisula, B. C. (1988). Izinga lokuvame ukuvela kokulahleka kwangokuqala kokukhulelwa. The New England journal of medicine. Kuyatholakala ku: https://pubmed.ncbi.nlm.nih.gov/3393170/
5. Azziz R. (2018). Isifo sezinso ezinamaphilisi (Polycystic Ovary Syndrome). Obstetrics and gynecology, 132(2). Kuyatholakala ku: https://pubmed.ncbi.nlm.nih.gov/29995717/
6. Ghazzawi, H. A., Alhaj, O., Bragazzi, N., Alnimer, L., & Jahrami, H. (2023). Izimpawu zomjikelezo wokuya esikhathini zihlotshaniswa nokudla okunomsoco: Imiphumela yokuhlaziywa kwenethiwekhi kusukela ku-inthanethi yocwaningo. Women's health (London, England). Kuyatholakala ku: https://pmc.ncbi.nlm.nih.gov/articles/PMC10350787/
7. Haskell, W. L., Blair, S. N., & Hill, J. O. (2009). Umsebenzi womzimba: imiphumela empilweni nokubaluleka kwawo kunqubomgomo yezempilo yomphakathi. Ijenali i-Preventive medicine. Kuyatholakala ku: https://pubmed.ncbi.nlm.nih.gov/19463850/
8. Smolarz, B., Szyłło, K., & Romanowicz, H. (2021). I-Endometriosis: I-epidemiology, Ukuhlukaniswa, I-pathogenesis, Ukwelashwa kanye Nezofuzo (Ukubuyekezwa Kwemibhalo). Ijenali yamazwe omhlaba yesayensi yamangqamuzana. Kuyatholakala ku: https://pmc.ncbi.nlm.nih.gov/articles/PMC8508982/