Nini ongathatha ngayo ukuhlolwa kokukhulelwa ngemva kokulahlekelwa ukukhulelwa nokungafiki kokuya esikhathini ukuze uthole imiphumela enembile

Ukuqonda ukuthi uwenza nini uvivinyo lokukhulelwa ngemva kokuphuma kwesisu futhi ungakabi nokuya esikhathini kubalulekile kulabo abangaqiniseki ngokwenzekayo emzimbeni wabo. Ukuphuma kwesisu kungadala ukuguquguquka kwamahomoni, okwenza kube nzima ukwazi ukuthi uvivinyo lokukhulelwa luthola ukukhulelwa okusha noma i-hCG esele ekukhulelweni kwangaphambilini [1].

Kwabanye, amazinga e-hCG ehla ngokushesha, kanti kwabanye lo homoni uhlala amasonto. Lokhu kusho ukuthi ukwenza uvivinyo masinyane kakhulu kunganikeza umphumela ongaholela ekudidekeni. Abanye besifazane bangase babe nokuvuthwa kweqanda ngaphambi kokuba bafinyelele esikhathini sabo sokuqala, okungadala isimo lapho bengakabi nokuya esikhathini ngemva kokuphuma kwesisu kodwa sebephinde bakhulelwe bengazi.

Isikhathi obuthatha ngaso uvivinyo sibalulekile uma wenza uvivinyo lokukhulelwa ngemva kokulahlekelwa yikhaya lombungu. Ukwazi okulindelekile, ukuthi i-hCG ihlala isikhathi esingakanani emzimbeni, nokuthi uhlukanisa kanjani phakathi kwamahomoni asalayo nokukhulelwa okusha kungasiza ekutholeni imiphumela enembile kakhulu.

I-hCG Ihlala Isikhathi Esingakanani Emzimbeni Ngemva Kokuphuma Kwesisu?

I-hCG, ihomoni yokukhulelwa, isalokhu ikhona emzimbeni isikhashana ngisho noma ukukhulelwa sekuqediwe. Izinga eliphumela ngalo liyancika ekutheni ukukhulelwa bekusesezingeni elithuthukile kangakanani nokuthi umzimba uwumunca ngokushesha kangakanani lo homoni.

Abanye besifazane babona amazinga abo ehla kungakapheli nezingxenye zezinsuku, ikakhulukazi ngemva kokulahleka kokukhulelwa kusenesikhathi kakhulu. Kwabanye, i-hCG ingathatha amasonto noma isikhathi eside ukubuyela ku-zero. Yingakho abaningi bebabuza ukuthi kungani uvivinyo lokukhulelwa lusakhombisa umphumela omuhle ngemva kokuphuma kwesisu, ngenxa yokuthi amahomoni asalayo asengatholwa esivivinyweni.

Uma ukuphuma kwesisu kungakapheleli, okusho ukuthi ezinye izingcezu zesicubu sokukhulelwa zisesezibelethweni, amazinga e-hCG angase angawi njengoba bekulindelekile. Lokhu kungaholela ekutheni uvivinyo lokukhulelwa ngemva kokuphuma kwesisu luqhubeke lubonisa umphumela omuhle isikhathi eside. Kwezinye izimo, kungadingeka ukungenelela kwezokwelashwa ukuze kukhishwe isicubu esisele ukuze kuqinisekiswe ukuthi amazinga amahomoni abuyela esimweni esijwayelekile.

Ngenxa yalezi zinto, ukwenza uvivinyo lokukhulelwa masinyane ngemva kokuphuma kwesisu kungadala ukudideka. Abanye bakholelwa ukuthi sebephinde bakhulelwe kanti eqinisweni umzimba wabo usalungisa izinga lamahomoni. Uvivinyo lokukhulelwa ngemva kokuphuma kwesisu lungase lubonise imiphumela emihle amasonto amaningi, kuya ngokuthi umzimba ushesha kangakanani ukwehlisa amazinga e-hCG nokuthi kukhona yini isicubu sokukhulelwa esisalayo esibelethweni [2].

Ungawenza Nini Uvivinyo Lokukhulelwa Ngemva Kokuphuma Kwesisu?

Isikhathi esifanele sokuthi wenze nini ukuhlolwa kokukhulelwa ngemva kokulahlekelwa ukukhulelwa siyahlukahluka kumuntu nomuntu. Odokotela abaningi batusa ukulinda okungenani amasonto amabili ngemva kokulahlekelwa ukukhulelwa ngaphambi kokuhlola futhi. Lokhu kunika umzimba isikhathi sokukhipha noma iyiphi i-hCG esele.

Uma ukuhlolwa kwenziwa masinya kakhulu, kungase kukhombise umphumela omuhle wokukhulelwa ngemva kokulahlekelwa ukukhulelwa ongabangelwa ukukhulelwa okusha. Ukulinda isikhathi eside kungaqinisekisa ukuthi noma imuphi umphumela omuhle usuka ekukhulelweni okusha kunokuba usuke kumahormone asele.

Kulabo abangakayitholi inkathi yabo yokuya esikhathini ngemva kokulahlekelwa ukukhulelwa, kungase kube ngcono ukulinda isikhathi esingaba amasonto amane kuya kwayisithupha ngaphambi kokuhlola. Uma ukuhlolwa kusenikeza umphumela omuhle ngaleso sikhathi, ukuhlolwa kwegazi okulinganisa amazinga e-hCG kunganquma ukuthi i-hormone yokukhulelwa iyancipha noma iyakhula, okungase kubonise ukukhulelwa okusha [3].

Ingabe Ungakhulelwa Ngaphambi Kokuba Kubuye Ukuyesikhathini?

Yebo. Owesifazane angakhulelwa ngaphambi kokuba aqale futhi ukuya esikhathini ngemva kokulahlekelwa ukukhulelwa. Lokhu kungenxa yokuthi ukuvuthwa kweqanda kungabuya kusenesikhathi emavikini amabili nje ngemva kokulahlekelwa ukukhulelwa, ngisho noma kungakabibikho mzuliswano wokuya esikhathini okwamanje [4].

Ngenxa yalokhu, abanye besifazane bazithola sebeza nombuzo othi, akukho nkathi yokuya esikhathini ngemva kokulahlekelwa ukukhulelwa – ngingaba ngikhulelwe yini? Kungenzeka ngokuphelele ukukhulelwa ngaphambi kokuba ukuqaqamba kokuya esikhathini kubuye, ikakhulukazi kulabo abangalandeli isikhathi sokuvuthwa kweqanda.

Kulabo abangafuni ukukhulelwa masinyane, ukusebenzisa indlela yokuvikela inzalo kubalulekile ukuvimbela ukukhulelwa okungahlelwanga. Kodwa-ke, kulabo abazama ngenkuthalo ukukhulelwa, ukulandelela isikhathi sokuvuthwa kweqanda ngokushisa komzimba, izinguquko ku-mucus yasesibelethweni, noma imichilo yokuhlola ukuvuthwa kweqanda kungasiza ekwazini isikhathi esifanele sokukhulelwa.

Kwabesifazane abafuna ukuthuthukisa impilo yabo yokuzala nokwandisa ithuba lokuzala, i-Conceive Plus Women's Fertility Support inikeza ingxube ebanzi yama-vitamin abalulekile, amaminerali nama-amino acid ukuze ilungise umzimba ekuzimiseleni ukukhulelwa.

Kungani Ukuhlolwa Kwami Kokukhulelwa Kusakhombisa Umphumela Omuhle Ngemva Kokulahlekelwa Ukukhulelwa?

Abaningi bayazibuza, ngingakhombisa yini ukuthi ngikhulelwe ngemva kokulahlekelwa ukukhulelwa? Impendulo incike ekutheni i-hCG ihlala isikhathi esingakanani emzimbeni.

Ezimweni eziningi, le hormone yehla kungakapheli amasonto ambalwa. Nokho, kunemibandela embalwa engenza ukuhlolwa kokukhulelwa kuqhubeke kukhombise umphumela omuhle:

1. Ama-hormone akakabuyeli esimeni esijwayelekile: Kungathatha kufike emavikini ayisithupha ukuthi i-hCG inyamalale ngokuphelele [5].
2. Ukulahlekelwa ukukhulelwa okungaphelele: Kungenzeka kube khona izicubu ezisele esibelethweni, eziqhubeka nokukhiqiza i-hCG.
3. Ukukhulelwa okusha: Uma ukukhipha iqanda sekuke kwenzeka kwaphinde kwenzeka ukuchumana, ukukhulelwa okusha kungase kube yikho okubangela ukuthi ukuhlolwa kukhombise umphumela omuhle.

Ukuhlolwa kwegazi okulinganisa amazinga e-hCG ngokuhamba kwesikhathi kungasiza ukunquma imbangela. Uma amazinga ehla, cishe kusho ukuthi umzimba usaqeda lo m’hormone. Uma enyuka, kungabonisa ukuthi ukukhulelwa okusha kuyakhula. Kulabo abafuna ukucaca, ukusebenzisa i-pregnancy test viewer kungasiza ukuqinisekisa ukuthi umphumela omuhle ubangelwa ukukhulelwa okusha noma yi-hCG esele evela ekulahlekelweni yisisu kwangaphambilini.

Ukungafiki Kwesikhathi Ngemva Kokulahlekelwa Yisisu – Ingabe Ngingase Ngikhulelwe?

Ezinye izinsikazi zizithola sezisesimweni sokuthi azikayitholi iminyaka ngemva kokulahlekelwa yisisu bese zizibuza ukuthi zingase zikhulelwe futhi yini. Lokhu kungenzeka, kodwa akusona isizathu kuphela [6].

Ukungafiki kokuya esikhathini kungabangelwa ukungalingani kwama-hormone, ukucindezeleka, ukuguquka kwesisindo, noma eminye imbangela ethinta ukukhipha iqanda. Ezinye izinsikazi azikhiphi amaqanda ngokushesha ngemva kokulahlekelwa yisisu, okudala ukubambezeleka kokuya esikhathini. Ezinye zingaba nemijikelezo engajwayelekile isikhashana ngaphambi kokuba izinto zizinze.

Kulabo abasola ukuthi bangase bakhulelwe, ukwenza ukuhlolwa ngemva kwamaviki amane kuya kwayisithupha bengakayitholi iminyaka kungasiza ukuletha ukucaca. Uma umphumela umuhle, ukuya kudokotela kungaqinisekisa ukuthi ngabe ukukhulelwa okusha noma yi-hCG esele evela ekukhulelweni kwangaphambilini.

Ingabe Ukuhlolwa Kokukhulelwa Kuzoba Kuhle Ngemva Kokulahlekelwa Yisisu?

Kuvamile ukuthi kubuzwe, ingabe ukuhlolwa kokukhulelwa kuzoba kuhle ngemva kokulahlekelwa yisisu? Impendulo emfushane ithi yebo, kodwa kuncike ekutheni sekuphele isikhathi eside kangakanani selokhu ukuphela kokukhulelwa kwenzeke.

i-hCG ayinyamalali ngokushesha. Iyehla kancane kancane kuze kube ifinyelela ezingeni elingasabonakali. Ezinye izinsikazi zingase zibone ukuhlolwa kube kubi esontweni elilodwa, kanti kwezinye kungathatha inyanga noma ngaphezulu ngaphambi kokuba ukuhlolwa kubonise ukuthi akekho umhormoni [7].

Uma ukuhlolwa kuhlala kukhombisa imiphumela emihle ngemuva kwamaviki ayisithupha, kunconywa ukuya kudokotela. Lokhu kungase kubonise ukuthi ukulahlekelwa yisisu akuphelanga ngokuphelele, ukuthi kukhona ukukhulelwa okusha, noma, ngezikhathi ezingavamile, ukukhulelwa okungajwayelekile njenge-molar pregnancy.

Nini Ongalwenza Khona Uhlolo Lokukhulelwa Ngemva Kokulahlekelwa Yisisu Futhi Kungekho Ngesikhathi?

Kulabo abalindele ukuthi umjikelezo wabo wokuzala ubuyele, umbuzo wokuthi nini okufanele bathathe ukuhlolwa kokukhulelwa ngemva kokulahlekelwa yisisu bengakayitholi iminyaka (imizuliswano) uvame ukuvela. Isikhathi esifanele sokuhlola sincike ezimweni zomuntu ngamunye [8].

Uma kungabikho ukuya esikhathini phakathi kwamasonto amane kuya kwayisithupha ngemuva kokuphuphuma kwesisu, ukwenza ukuhlolwa kokukhulelwa kungasiza ukunquma ukuthi ukukhulelwa kwenzeke futhi yini. Uma ukuhlolwa kuphuma kuhle, umhlinzeki wezempilo angakuqinisekisa ukuthi ingabe ukukhulelwa okusha noma amahomoni asasele. Uma ukuhlolwa kuphuma kubi futhi kusengekho ukuya esikhathini, kungase kudingeke ukuhlolwa okwengeziwe ukuze kutholwe ukuthi kungani ukuya esikhathini kungakabuyeli.

Isikhathi Sesibili Ngemuva Kokuphuphuma Kwesisu – Ongakulindela

Kwabesifazane abaningi, ukuya esikhathini kwesibili ngemuva kokuphuphuma kwesisu kwehluka emijikelezweni abakujwayele. Abanye bangase babe nokopha okuningi, kanti abanye babe nokugeleza okuncane noma okungajwayelekile.

Kungathatha imijikelezo embalwa ngaphambi kokuba umzimba ubuyisele ibhalansi yamahomoni evamile. Ngalesi sikhathi, kujwayelekile ukuthi ukuya esikhathini kuhluke kancane kunangaphambi kokukhulelwa [9].

Kulabo abahlangabezana nokungajwayelekile okuqhubekayo, ukukhuluma nodokotela kungaletha induduzo futhi kunqume ukuthi ingabe kukhona yini okunye okungahambi kahle okuthinta umjikelezo wokuya esikhathini.

Okubalulekile

Ukwazi ukuthi nini okufanele kwenziwe ukuhlolwa kokukhulelwa ngemuva kokuphuphuma kwesisu nangaphandle kokuya esikhathini kusiza ukunciphisa ukudideka futhi kuqinisekise imiphumela enembile. Isikhathi sokuhlolwa sincike ekutheni i-hCG ihlala isikhathi esingakanani emzimbeni, ukuthi ukuvuthwa kwamaqanda sekuke kwenzeka yini, nokuthi ukuya esikhathini sekubuyile yini.

Kulabo abasola ukuthi bangase babe bekhulelwe futhi, ukuthatha ukuhlolwa kwamasonto amane kuya kwayisithupha ngaphandle kokuya esikhathini kungacacisa isimo. Uma ukuhlolwa kuphuma kuhle, udokotela angabona ukuthi ingabe ukukhulelwa okusha noma amahomoni asasele. Uma ukuhlolwa kuphuma kubi kanti ukuya esikhathini akukabuyi, kungase kudingeke ukuhlolwa kwezokwelashwa ukuze kuqondwe ukubambezeleka [10].

Ukubekezela kubalulekile kulesi sikhathi. Ezinye izizimba zithatha isikhathi eside ukubuyela esimeni, kanti ezinye zibuyela emijikelezweni evamile ngokushesha. Ukuqonda indlela i-hCG eziphatha ngayo nokubona amathuba okuvuthwa kwamaqanda kusenesikhathi kungenza kube lula ukuthatha izinqumo ezinolwazi mayelana nokuhlolwa kokukhulelwa ngemuva kokuphuphuma kwesisu.

Imibuzo Evame Ukubuzwa

Ngemuva kokuphuphuma kwesisu ingabe ukuhlolwa kokukhulelwa kuphuma kuhle ngenxa yamahomoni asasele?

Yebo, amazinga e-hCG angathatha amasonto ngaphambi kokubuya kuze kube nguziro, okungaholela ekutheni ukuhlolwa kokukhulelwa kuqhubeke kukhombise umphumela omuhle ngisho nangemva kokuphela kokukhulelwa.

Akubuyanga ukuya esikhathini ngemuva kokuphuphuma kwesisu, ngingakhulelwa yini uma ngingakabi nomjikelezo wesikhathi?

Yebo, ukukhishwa kweqanda (ovulation) kungabuya ngaphambi kokuya esikhathini, okusho ukuthi ukukhulelwa kungenzeka ngisho noma ungakayitholi imijikelezo.

Kufanele ngithathe nini ukuhlolwa kokukhulelwa ngemva kokulahlekelwa ukukhulelwa ukuze ngithole imiphumela enembile?

Ukulinda okungenani amasonto amabili kuya kwamane ngemva kokulahlekelwa ukukhulelwa kwehlisa ithuba lomphumela omuhle wamanga ngenxa ye-hCG esele.

Isikhathi sami sesibili ngemva kokulahlekelwa ukukhulelwa sihluke kokuvamile—ngabe kufanele ngikhathazeke?

Kujwayelekile ukuthi isikhathi sesibili sibe sinzima kakhulu, sibe lula, noma singajwayelekile njengoba umzimba ulungisa.

Ingabe ukuhlolwa kokukhulelwa kuzohlala kukhombisa ukuthi ngikhulelwe ngemva kokulahlekelwa ukukhulelwa uma kukhona izicubu ezisele esibelethweni?

Yebo, ukulahlekelwa ukukhulelwa okungaphelele kungenza i-hCG iqhubeke iphezulu, okuholela emphumeleni ohlolweni lokukhulelwa ohlale uluhle.

Izikhombo

1. American College of Obstetricians and Gynecologists. (2018). Ukulahlekelwa ukukhulelwa kusenesikhathi. Kutholakala ku: https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2018/11/early-pregnancy-loss
2. Wieringa-de Waard, M., Vos, J., Bonsel, G. J., Bindels, P. J., & Ankum, W. M. (2002). Ukuphathwa kokulahlekelwa ukukhulelwa: ucwaningo olulawulwa ngokungahleliwe lokuphathwa okulindelekile uma kuqhathaniswa nokuhlinzwa kokukhipha isisu. Ukuzalana komuntu (Oxford, England). Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/12202439/
3. Bottomley, C., & Bourne, T. (2009). Ukuxilonga ukulahlekelwa ukukhulelwa. Umkhuba ongcono & ucwaningo. I-obstetrics & gynecology yezokwelapha. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/19502113/
4. Linehan, L. A., Morris, A. G., Meaney, S., & O'Donoghue, K. (2019). Imiphumela yokukhulelwa okulandelayo kulandela ukulahlekelwa ukukhulelwa kwikota yesibili—ucwaningo lweqembu oluqhubekayo. I-European journal ye-obstetrics, gynecology, kanye ne-biology yokuzalana. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/31071653/
5. Seckl, M. J., Sebire, N. J., & Berkowitz, R. S. (2010). Isifo se-gestational trophoblastic. I-Lancet (London, England). Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/20673583/
6. Silver, R. M., Varner, M. W., Reddy, U., Goldenberg, R., Pinar, H., Conway, D., Bukowski, R., Carpenter, M., Hogue, C., Willinger, M., Dudley, D., Saade, G., & Stoll, B. (2007). Ukucubungula ukufa kosana esiswini: ukubuyekezwa kobufakazi. Ijenali yaseMelika ye-obstetrics nezifo zabesifazane. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/17466694/
7. Rai, R., & Regan, L. (2006). Ukuphindaphinda kokulahlekelwa ukukhulelwa. I-Lancet (London, England). Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/16905025/
8. Stephenson, M., & Kutteh, W. (2007). Ukuhlola nokuphatha ukulahlekelwa ukukhulelwa okuvame ukuphindwa kusenesikhathi. I-obstetrics nezifo zabesifazane ezisebenzayo. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/17304030/
9. Jaslow, C. R., Carney, J. L., & Kutteh, W. H. (2010). Izici zokuxilonga ezitholwe kwabesifazane abangu-1020 abalahlekelwe ukukhulelwa kabili kuya kokuthathu noma ngaphezulu okulokhu kuphindaphindeka. Ukuzala nokuzingela. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/19338986/
10. Macklon, N. S., Geraedts, J. P., & Fauser, B. C. (2002). Ukusukela ekukhulelweni kuya ekukhulelweni okuqhubekayo: 'ibhokisi elimnyama' lokulahlekelwa ukukhulelwa kusenesikhathi. Ukubuyekezwa kokuzalana komuntu. Kutholakala ku: https://pubmed.ncbi.nlm.nih.gov/12206468/