Isidoda Siya Kuphi Ngesikhathi Sokukhulelwa: Ukuqonda Uhambo Lwaso

Lapho owesifazane ekhulelwa, kwenzeka izinguquko eziningi emzimbeni wakhe, ikakhulukazi ohlelweni lokuzala. Enye yemibuzo evame ukubuzwa ithi: isidoda siya kuphi ngesikhathi sokukhulelwa? Njengoba ukukhulelwa sekwenzekile, isidoda asisenandima yaso yokuqala yokuchumisa iqanda, kodwa sisalandelela indlela ethile yokusebenza emzimbeni.

Indlela Isidoda Esihamba Ngayo Ngesikhathi Sokukhulelwa

Uma owesifazane ekhulelwa, umlomo wesibeletho wenza izinguquko ezinkulu. Uyaqina futhi uvalwe ngomucu ovimbayo, osebenza njengodonga lokuvikela umbungu othuthukayo emabhaktheriya nakwezinye izinto zangaphandle—kufaka phakathi isidoda. Pho-ke, isidoda siya kuphi ngesikhathi sokukhulelwa?

Ukuvinjelwa Umucu Ovimbayo Womlomo Wesibeletho

Umlomo wesibeletho uvalwe ngokuqinile ngenhlama ewugqinsi yomucu (mucus plug), okuyiyo evimba isidoda ekungeneni esibelethweni. Lokhu kusho ukuthi isidoda esikhishwa ngesikhathi sokwabelana asikwazi ukuwela umgudu wesitho sangasese sowesifazane [1].

Ukuhlala Esithweni Sangasese Sowesifazane

Iningi lesidoda lihlala emgodini wesitho sangasese sowesifazane bese ekugcineni likhishwa emzimbeni. Imvelo yesitho sangasese sowesifazane ngokwemvelo iyaphula bese isusa isidoda phakathi kwamahora ambalwa kuya ezinsukwini [2].

Ukumuncwa Umzimba Womfazi

Ezinye izinhlamvu zesidoda zingangelwa yizicubu zesitho sangasese sowesifazane nezomlomo wesibeletho. Lena inqubo yemvelo lapho umzimba ulahla khona isidoda esingasadingeki noma esingaphezulu ngezindlela zawo zokusebenza ezijwayelekile.

Kususwa Ngokuchichima Kwemvelo Komzimba

Uhlelo lokuzala lwesifazane luyazihlambulula ngokwalo. Uketshezi, kuhlanganise noketshezi lwesidoda, lukhishwa ngokwemvelo ngokuhamba kwesikhathi. Noma yisiphi isidoda esisele sivamise ukuphuma ngokujwayelekile ngokukhipha uketshezi esithweni sangasese sowesifazane [3].

Ingabe isidoda singalithinta ukukhulelwa?

Abantu abaningi bayazibuza ukuthi ingabe isidoda sinendima yini uma ukukhulelwa sekuqinisekisiwe. Impendulo emfushane ithi cha—ukuthi isidoda siya kuphi ngesikhathi sokukhulelwa akunandima enkulu ekukhuleni komntwana esibelethweni. Nokho, isidoda siqukethe ama-prostaglandin, okuyizinto ezifana namahomoni ezingase zithinte umlomo wesibeletho, ikakhulukazi ezigabeni zokugcina zokukhulelwa. Emibhangqwaneni ezama ukukhulelwa, ukusebenzisa isicwebeziso esihambisana nokukhulisa inzalo esifana ne-Conceive Plus Isicwebeziso Sokuzala kungandisa induduzo futhi kusekele ukunyakaza kwesidoda, okwenza kube wusizo ohambweni lwenu lokuzama ukukhulelwa.

Ama-prostaglandin asiza ukuthambisa nokuvuthisa umlomo wesibeletho ukulungiselela ukubeletha, yingakho odokotela abanye bethi ukwenza ucansi sekwephuzile ekukhulelweni kungasiza ukuqalisa ukubeletha ngokwemvelo. Nokho, ucwaningo lubonisa ukuthi yize isidoda siqukethe ama-prostaglandin, inani elamukelwa ngomzimba ngesikhathi socansi lincane kakhulu uma liqhathaniswa namaprostaglandin asetshenziswa ekugqugquzeleni ukubeletha emithini. Ngakho-ke, nakuba kungase kunikele kancane ezinguqukweni zomlomo wesibeletho, akunakwenzeka ukuthi kubangele ukubeletha ngqo [4].

Ngaphezu kwalokho, isidoda kanye nolwelo lwesidoda akulimazi umbungu okhula ngoba akungeni esibelethweni ngenxa kwesivalo samafinyila esivikela. Nokho, uma kukhona ingozi yokubeletha ngaphambi kwesikhathi noma ubuthaka komlomo wesibeletho, udokotela angancoma ukugwema ucansi ukuze kugwenywe ukuvuselelwa komlomo wesibeletho okungadingekile.

Sekukonke, noma isidoda singawuthinti kakhulu umkhuba wokukhulelwa, ukuba sikhona esidodeni kungase kube nemithelela emincane emzimbeni emlonyeni wesibeletho, ikakhulukazi ngesikhathi umzimba ulungiselela ukubeletha.

Ingabe ukwenza ucansi kuphephile ngesikhathi sokukhulelwa?

Ezimweni eziningi, ukwenza ucansi kuphephile phakathi nokukhulelwa konke inqobo nje uma umhlinzeki wezempilo engeluleki okunye. Ezinye izimo lapho kunganconywa khona ukugwema ucansi zihlanganisa:

• Umlando wokubeletha ngaphambi kwesikhathi
• I-placenta previa (isimo lapho i-placenta imboza khona umlomo wesibeletho)
• Ingozi yokuphuma kwesisu noma ezinye izinkinga zokukhulelwa

Okubalulekile

Uma ukukhulelwa sekwenzekile, isidoda asisenandima enhlanganisweni, futhi umzimba unazo izindlela zokusiqeda ngokwemvelo. Isidoda siya kuphi ngesikhathi sokukhulelwa? Sihlala emgodini wesitho sangasese sowesifazane, siphuke sibe yizicucu, siqamukiswe izicubu, noma sikhiphwe emzimbeni. Ukuqonda lo mkhuba wemvelo kungasiza ukucacisa ukukholelwa okungamanga nokududisa abashadikazi abalindele ingane ngokuphepha kokusondelana ngesikhathi sokukhulelwa.

Uma ulambatha ulwazi mayelana nesikhathi sokuhlolwa kokukhulelwa ngemuva kocansi, kungenzeka ubuze nokuthi kudlule isikhathi esingakanani ngemuva kocansi kufanele uhlolwe ukukhulelwa ukuze uqinisekise imiphumela enembile.

Izinkomba:

1. Becher N, Adams Waldorf K, Hein M, Uldbjerg N. Iphulagi lamafinyila omlomo wesibeletho: ukubuyekezwa okuhlelekile kwezincwadi. Acta Obstet Gynecol Scand. 2009;88(5):502-13. doi: 10.1080/00016340902852898. PMID: 19330570.
2. Morrison AI. Ukuhlala kwesidoda esithweni sangasese sowesifazane nasemlonyeni wesibeletho. Br J Vener Dis. 1972 Apr;48(2):141-3. doi: 10.1136/sti.48.2.141. PMID: 5032772; PMCID: PMC1048291.
3. Sakkas D, Ramalingam M, Garrido N, Barratt CL. Ukukhethwa kwesidoda ekukhulelweni kwemvelo: yini esingayifunda kuMother Nature ukuze sithuthukise imiphumela yokuzalanisa okusisiziwayo? Hum Reprod Update. 2015 Nov-Dec;21(6):711-26. doi: 10.1093/humupd/dmv042. Epub 2015 Sep 19. PMID: 26386468; PMCID: PMC4594619.
4. Kavanagh J, Kelly AJ, Thomas J. Ucansi ukuze kuthambe umlomo wesibeletho nokuvuselelwa kokubeletha. Cochrane Database Syst Rev. 2001;2001(2):CD003093. doi: 10.1002/14651858.CD003093. PMID: 11406072; PMCID: PMC7017007.