Ukuphuma uketshezi oluphuzi ngaphambi kokuya esikhathini kuwuphawu lokukhulelwa?

Abesifazane abaningi banaka kakhulu imizimba yabo phakathi nomjikelezo wokuya esikhathini. Lokhu kubasiza ukuthi babone izinguquko emizimbeni yabo, ezinye zazo ezingase zidide. Enye yalezi zihloko ezididayo abesifazane abaningi ababuza ngayo imibuzo ukushintsha kokuphuma kwesitho sangasese sowesifazane.

Omunye umbuzo ovamile ukuthi ingabe ukuphuma okuphuzi kancane ngaphambi kokuya esikhathini kuwuphawu lokukhulelwa. Kuya ngesikhathi nangezinye izimpawu ezihamba nakho, kungaba yikho noma kungabi yikho. Kwezinye izikhathi, kungase kube uphawu lwezinkinga ezinzima zezempilo.

Kulesi sihloko, sizohlola izinhlobo ezahlukene zokuphuma owesifazane angase akuqaphele phakathi nomjikelezo wakhe wokuya esikhathini. Isihloko siphinde sichaze ukuthi nini ukuphuma okuphuzi kancane kungaba wuphawu lokukhulelwa futhi nini kungase kubonise inkinga yezempilo efihlekile.

Izici Zokuphuma Okuvamile Kwesitho Sangasese Sowesifazane

Ukuphuma kwesitho sangasese sowesifazane kuyingxenye ejwayelekile yokusebenza kokuzala kowesifazane. Amalunga ahlukene ngaphakathi kwesitho sangasese sowesifazane nasezibelethweni akhiqiza futhi akhiphe lokhu kuphuma [1]. Umsebenzi oyinhloko wokuphuma kwesitho sangasese sowesifazane uwukugcina isitho sangasese sowesifazane sihlanzekile futhi sikhululekile ezifweni. Umbala, ukujiya, nenani lokuphuma kungashintsha kuye ngesigaba somjikelezo wokuya esikhathini.

Izici zokuphuma okuvamile kwesitho sangasese sowesifazane zihlanganisa:

• Okusobala Noma Okumhlophe: Ngesikhathi esiningi somjikelezo wokuya esikhathini, ukuphuma kubonakala kusobala noma kumhlophe. Kungaba wuketshezi oluncane noma olujiyile ezinsukwini ezijwayelekile kuye ngempilo yonke nokusebenza komzimba.
• Okunwebekayo Futhi Kufana Neqanda Elimhlophe: Cishe ngesikhathi sokuvuthwa kweqanda, lapho iqanda likhishwa khona, ukuphuma kungaba ukunwebeka futhi kuzizwe kufana neqanda elimhlophe [2]. Lobu buchwepheshe bokuphuma kwesitho sangasese sowesifazane busiza isidoda ukuthi sihambe kalula ngaphakathi kohlelo lokuzala.
• Iphunga Elimnene: Ukuphuma okuvamile ngokuvamile akunaphunga noma kunaphunga elincane kakhulu. Uma uqaphela iphunga elinamandla noma elingajabulisi, kungase kube isikhathi sokuthi ubone udokotela.

Izinhlobo ezahlukene zezinguquko ekuphumeni zivamile futhi zingathonywa amahomoni, izifo ezithathelwanayo, noma abanye ofakazi. Ukwazi ukuthi kuyini okuvamile kuwena kungakusiza ukubona izinguquko ezingajwayelekile kusenesikhathi.

Ukuphuma Okuphuzi Kancane Kubonisa Ini?

Kungenzeka ungakuboni kaningi ukuphuma kwesitho sangasese sowesifazane okuphuzi kancane njengokuphuma okumhlophe noma okusobala. Kungavela ngosuku olulodwa noma ezimbalwa ngaphambi kokuya esikhathini. Kodwa ingabe ukuphuma okuphuzi ngaphambi kokuya esikhathini kuyisibonakaliso sokukhulelwa noma cha?

Nazi ezinye izizathu ezingaba khona zokuthi kungani ungabona umbala ophuzi kancane ekuphumeni kwakho:

• Izinguquko Ezivamile Zomjikelezo: Ngezinye izikhathi, njengoba amahomoni eshintsha ngaphambi kokuya esikhathini, umbala wokuphuma ungashintsha kancane. Lokhu akusho ngaso sonke isikhathi ukuthi kunenkinga, futhi kujwayelekile kwenye ingxenye yabesifazane.
• Igazi Elidala: Lapho umzimba wakho ulungiselela ukuhamba kokuya esikhathini, inani elincane legazi lingahlangana noketshezi lwakho olujwayelekile. Lokhu kuhlanganiswa kwegazi lokuya esikhathini noketshezi kungalunikeza umbala ophuzi noma onsundu okhanyayo, okungafanele kukukhathaze.
• Ukutheleleka:\_Uketshezi oluphuzi lungabuye lube uphawu lokutheleleka ohlelweni lokuzala [3]. Izifo ezifana nezifo ezithathelwana ngocansi, i-bacterial vaginosis noma isifo sofuba lwesitho sangasese sowesifazane (yeast infection) zingaholela ekukhishweni koketshezi okuphuzi esithweni sangasese sowesifazane. Ezimweni eziningi, uzoba nokulunywa, ukucasuka, noma iphunga elibi elinamandla kuhambisana naleyo nfection.
• Ezinye Izinto Ezibangelayo: Ngezinye izikhathi, izinguquko emikhiqizweni yokuhlanza noma ingcindezi ingathinta nokubukeka koketshezi lwakho. Ingcindezi ingashintsha amazinga ama-hormone futhi iguqule iphethini lomjikelezo wakho ojwayelekile. Ngenxa yalokho, ungase uqaphele uketshezi oluphuzi ngesikhathi ongakulindelanga emjikelezweni wakho.

Ingabe Uketshezi Oluphuzi Lungaba Uphawu Lokukhulelwa?

Abesifazane abaningi bayazibuza ukuthi uketshezi oluphuzi ngaphambi kokuya esikhathini kuwuphawu lokukhulelwa yini noma cha. Kungase kube ngenxa yokukhulelwa noma kungabi njalo, futhi ungakuhlukanisa usebenzisa izinto eziningana.

Ukukhulelwa kubangela izinguquko eziningi zama-hormone futhi lezi zinguquko zingathinta umzimba wakho ngezindlela ezahlukene, okuhlanganisa nombala nenani loketshezi [4]. Nokho, ushintsho oluvame kakhulu ekuqaleni kokukhulelwa ukwanda koketshezi olucacile noma olumhlophe.

Lokhu kusho ukuthi uketshezi oluphuzi aluyona inqubo ecacile yokukhulelwa. Lungavela njengengxenye yomjikelezo wakho ojwayelekile noma ngenxa yokutheleleka. Ezimweni ezinjalo, kufanele ubheke ezinye izimpawu zokuqala zokukhulelwa ezithembekile kakhulu.

Ezinye Izimpawu Ezivamile Zokukhulelwa

Uma usola ukuthi ungase ukhulelwe ngenxa yezinguquko ekukhishweni kwesitho sangasese sowesifazane, kufanele ubheke nezinye izimpawu ezivamile zokukhulelwa. Kodwa khumbula ukuthi akukho siginali eyodwa engakuqinisekisa ngokuphelele ukukhulelwa, kodwa inhlanganisela yezimpawu eziningana ingakhombisa ukuthi kudingeka wenze ukuhlolwa kokukhulelwa noma ubone udokotela.

Uma ukhulelwa ekupheleni komjikelezo wakho wokuya esikhathini, umzimba wakho uzokhombisa lezi zimpawu ezilandelayo:

1. Ukungafiki kokuya esikhathini

Enye yezimpawu zokuqala ezivamile zokukhulelwa ukungafiki kokuya esikhathini. Uma umjikelezo wakho uvame ukujwayelekile kanti kokuya esikhathini akufiki ngezinsuku obukulindele ngazo, kungaba uphawu lokukhulelwa. Kodwa-ke, ukungafiki kokuya esikhathini kungabangelwa ingcindezi, ukugula, noma izinguquko emkhubeni wakho wansuku zonke.

2. Isicanucanu Nokuhlanza

Abesifazane abaningi bakhala ngokuzizwa benesicanucanu ezinsukwini zokuqala zokukhulelwa. Lokhu kuvame ukubizwa ngokuthi ukugula kwasekuseni, nakuba kungenzeka nganoma yisiphi isikhathi sosuku. Lokhu kuzwakala kungaholela ekuhlanzeni kwezinye izimo.

Unganciphisa isicanucanu sasekuseni ekuqaleni kokukhulelwa ngokwenza izinguquko ekudleni. Uma izinguquko ekudleni zingasizi, sincoma ukuthi ucabangele Ukwehlisa isicanucanu sasekuseni ngu- Conceive Plus, isithasiselo sokudla esakhiwe sisekelwe ebufakazini besayensi.

3. Ukukhathala Nokudinwa

Ukuzwa ukhathele kakhulu kunokuvamile nakho kuyisibonakaliso sokuqala sokukhulelwa. Lapho ukhulelwa, umzimba wakho usebenza kanzima ukusekela ingane ekhula nokuzivumelanisa nezinguquko ezihambisana nokukhulelwa [4]. Ngaphezu kwezinguquko zomzimba, izinguquko zama-hormone emzimbeni nazo zifaka isandla ekuzizweni ukhathele kakhulu ngesikhathi sokukhulelwa.

4. Izinguquko Emabeleni

Ezinsukwini zokuqala zokukhulelwa, amabele akho angase azwe ubuhlungu, avuvuke noma abe buthakathaka, kanti indawo ezungeze amangongolo ingase imenyezele. Lezi zinguquko zenzeka ngoba umzimba wakho ulungiselela ukukhiqiza ubisi. Nokho, amabele abuhlungu ajwayelekile nasezikhathini, ngakho lesi sici sodwa asiqinisekisi ukukhulelwa.

5. Ukuchama Kaningi

Uma uzizwa udinga ukuya endlini yangasese kaningi ezinsukwini ozilindele ngayo ukuya esikhathini, lokho kungaba uphawu lokuthi usuvele ukhulelwe. Ukukhulelwa kungakubangela ukuchama kaningi ngenxa yokwanda kokugeleza kwegazi kuya kumazinyane akho (amareni) kanye nezinguquko ezingeni lama-hormone.

6. Ukushintsha Kwemizwa

Izinguquko zama-hormone ezihlobene nokukhulelwa nazo zingathinta imizwa yakho. Ungase uzizwe unemizwa kakhulu noma uthambekele ekucasukeni kunokuvamile ngokushesha nje emva kokukhulelwa. Abesifazane abaningi abakhulelwe babhekana nezinguquko esifisweni sokudla, befisa okunye ukudla kuyilapho bethola okunye abebekuthanda kungasabathokozisi.

7. Ukuvuza Kwegazi Okuncane noma Amajaqamba

Izibiko zibonisa ukuthi omama abakhulelwe oyedwa kwabathathu baba nokuvuza kwegazi okuncane noma amajaqamba amnene ngesikhathi iqanda elichumile linamathela odongeni lwesibeletho [5]. Lokhu kuvuza kwegazi kwaziwa ngokuthi ukuvuza kwegazi kokufakelwa (implantation bleeding) futhi ngokuvamile kuncane kakhulu futhi kuthatha isikhathi esifushane.

Ezinye izinto eziningi zangaphakathi nezangaphandle nazo zingadala lezi zimpawu. Kuwukuhlakanipha ukuzisebenzisa kuphela njengesiqondiso sokuthi nini okufanele wenze ithesti lokukhulelwa noma uxhumane nodokotela ukuze uqinisekise ukukhulelwa.

Okuhlukahlukene Izindlela Zokuqinisekisa Ukukhulelwa

Uma uqaphela izimpawu ezikwenza uzibuze ukuthi mhlawumbe ukhulelwe, isinyathelo esilandelayo ukuqinisekisa ukukhulelwa kwakho ngokuhlolwa kokukhulelwa. Kunokukhetha okuningana ongakhetha kukho, futhi ungakhetha okikufanele kakhulu. Lokhu kuhlanganisa:

1. Amathesti Okukhulelwa Asekhaya

Amathesti okukhulelwa asekhaya atholakala kabanzi futhi ayindlela evame kakhulu yokuhlola ukukhulelwa. Ukuze wenze ithesti yokukhulelwa ekhaya, ungakwazi ukuthola ikhithi yokuhlola ukukhulelwa ku-inthanethi noma emtholampilo wezidakamizwa oseduze.

Lawa makhithi okuhlola asebenza ngokuthola i-hormone i-human chorionic gonadotropin (hCG) esampuleni yakho yomchamo [6]. Lo mahomoni ukhiqizwa emva kokuthi iqanda elikhulelwe linamathisele odongeni lwesibeletho. Ukuze uthole imiphumela engcono kakhulu, kunconywa ukuthi wenze ukuhlolwa emva kokuthi uphuthelwe ukuya esikhathini.

2. Ukuhlolwa Kwegazi

Udokotela wakho angakwazi ukwenza ukuhlolwa kwegazi ukuze athole ukuba khona kwe-hCG egazini. Ukuhlolwa kwegazi kunembile kakhulu futhi kungathola ukukhulelwa ngaphambi kokuhlolwa kwasekhaya.

Ungakhetha ukwenza ukuhlolwa kwegazi kwekhwalithethivu noma ukuhlolwa kwegazi kwekhwanthithethivu kokukhulelwa. Ukuhlolwa kwegazi kwekhwalithethivu kuhlola nje ukuba khona kwe-hCG egazini, kanti ukuhlolwa kwegazi kwekhwanthithethivu kukala inani eliqondile le-hCG. Udokotela wakho angancoma ukuhlolwa kwegazi uma umphumela wokuhlolwa kwakho wasekhaya ungacaci.

3. I-Ultrasound

I-ultrasound yakha isithombe sangaphakathi somzimba wakho. Ingakhombisa umbungu okhula, okwenza ibe enye yezindlela ezinembile kakhulu zokuqinisekisa ukukhulelwa. Le ndlela ngokuvamile yenziwa ehhovisi likadokotela noma ekiliniki futhi ingasetshenziselwa ukulandelela ukukhula komntwana.

Nini Okufanele Uye Kudokotela Ngenxa Yokuphuma Koketshezi Okuphuzi?

Izinguquko ekuphumeni koketshezi emgodini wesitho sangasese sowesifazane ngokuvamile zivamile, kodwa kwezinye izimo, kubalulekile ukufuna usizo lwezokwelapha ngokushesha. Isibonelo, iuma ukuphuma kwakho koketshezi okuphuzi kuhambisana nephunga eliqinile, ukuluma, noma ukucasuka, kungaba uphawu lokutheleleka. Futhi, uma uhlangabezana nobuhlungu obukhulu noma ukuqunjelwa okungapheli, kufanele uthinte udokotela wakho ngalokhu.

Kufanayo, iUma uqaphela ukopha kakhulu noma amahlule egazi, ikakhulukazi uma ukhulelwe, kufanele uxhumane nodokotela wakho ngokushesha. Udokotela wakho angasiza ukuthola ukuthi lezi zinguquko zijwayelekile noma zibangelwa okunye ukugula okuyisisekelo.

Isifinyezo Esibalulekile

Ukuphuma koketshezi emgodini wesitho sangasese sowesifazane kuyingxenye evamile yomsebenzi wokuzala kowesifazane futhi kunemisebenzi eminingi ewusizo. Umbala nokunamathela kwalokhu ketshezi kungashintsha phakathi nesikhathi sokuya esikhathini. Umbuzo ojwayelekile odida abesifazane abaningi uthi ingabe ukuphuma koketshezi okuphuzi ngaphambi kokuya esikhathini kuyinkomba yokukhulelwa.

Ukuphuma koketshezi okubomvu okunsundu noma okuphuzi okhanyayo akusona isibonakaliso esicacile sokukhulelwa futhi kungenzeka ngenxa yezizathu eziningana, kuhlanganise nezinguquko zamahomoni, igazi elidala, noma ukutheleleka. Uma usola ukuthi kungenzeka ukhulelwe, funa ezinye izimpawu zokukhulelwa eziqinisekile. Uma usuqaphele izimpawu eziningana zokuqala zokukhulelwa, indlela engcono kakhulu yokuqinisekisa ukukhulelwa wukuthatha ukuhlolwa kokukhulelwa kwakho ekhaya.

Izinsiza Ezisetshenzisiwe

1. Professional, C. C. M. (2025a, February 7). Ukuphuma koketshezi emgodini wesitho sangasese sowesifazane. Cleveland Clinic. https://my.clevelandclinic.org/health/symptoms/4719-vaginal-discharge 
2. Najmabadi, S., Schliep, K. C., Simonsen, S. E., Porucznik, C. A., Egger, M. J., & Stanford, J. B. (2021). Amaphethini kawoyela womlomo wesibeletho kanye nesikhawu sokuba nenzalo kwabesifazane abangaziwa ukuthi banezinkinga zokuzala: ukuhlaziywa okuhlanganisiwe kwamaqembu amathathu. Human reproduction (Oxford, England), 36(7), 1784–1795. https://doi.org/10.1093/humrep/deab049 
3. Rabiu, K. A., Adewunmi, A. A., Akinlusi, F. M., & Akinola, O. I. (2010). Izifo zomgudu wokuzala wabesifazane: ukuqonda nokufuna ukwelashwa phakathi kwabesifazane beminyaka yokuzala eLagos, Nigeria. BMC women's health, 10, 8. https://doi.org/10.1186/1472-6874-10-8 
4. Kepley, J. M., Bates, K., & Mohiuddin, S. S. (2023). IFizioloji, izinguquko kumama. Ku-StatPearls. StatPearls Publishing. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK539766/ 
5. Kuyini Ukubopha Kwegazi Ngemva Kokufakelwa Kwembewu? American Pregnancy Association. https://americanpregnancy.org/pregnancy-symptoms/what-is-implantation-bleeding/ 
6. Gnoth, C., & Johnson, S. (2014). Izinduku Zokwethemba: Ukunemba Kwezivivinyo Zokukhulelwa Zasekhaya Nezinto Ezintsha Ezithuthukayo. Geburtshilfe und Frauenheilkunde, 74(7), 661–669. https://doi.org/10.1055/s-0034-1368589