Ukukhulelwa Ngezikhathi Ezingajwayelekile: Ongakulindela

-Delile

• Izikhathi ezingajwayelekile nokukhulelwa
• Izikhathi ezingajwayelekile kanye ne-ovulation
• I-Polycystic ovary syndrome (i-PCOS)
• Isikhathi sokuqeda isikhathi
• Isifo sendlala yegilo
• Isisindo
• Ukucindezeleka
• Amakhithi wokubikezela we-ovulation nezikhathi ezingajwayelekile
• Ukwanda kwe-mucus yomlomo wesibeletho
• I-spike ekushiseni komzimba wakho osisekelo
• Ungalufuna nini usizo
• Ungakhulelwa kanjani ngezikhathi ezingajwayelekile
• Ingabe izikhathi ezingajwayelekile ziyayithinta impilo yokukhulelwa?
• Umbono

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Izikhathi ezingajwayelekile nokukhulelwa

Akuvamile ukuthi abesifazane babe nemijikelezo yokuya esikhathini eyahluka ngobude. Inyanga eyodwa kungaba izinsuku ezingama-28 - okuthathwa njengokujwayelekile - kanti inyanga elandelayo kungaba izinsuku ezingama-31, bese kuthi ezingama-27 ezilandelayo. Lokho kujwayelekile.

Imijikelezo yokuya esikhathini ibhekwa njengokungajwayelekile lapho iwela ngaphandle kwebanga "elijwayelekile". Imibiko yokuthi umjikelezo wokuya esikhathini ngokungajwayelekile mfushane kunezinsuku ezingama-21 noma ngaphezulu kuka-35.

Lapho ubala izinsuku zomjikelezo wakho, usuku lokuqala lokopha usuku lokuqala, futhi usuku lokugcina lomjikelezo usuku lokuqala lokopha emjikelezweni wakho olandelayo.

Kungenzeka ukuthi ukhulelwe uma unemjikelezo wokuya esikhathini ngokungajwayelekile, kodwa ungakuthola kunzima. Uma ungaqiniseki ngobude bomjikelezo wakho inyanga nenyanga, kungaba nzima ukwazi ukuthi uvuthwa nini.

Ukwenza ucansi ngesikhathi sokuzungeza i-ovulation kungakhuphula amathuba akho okukhulelwa ngoba uzodinga ukuya ocansini phakathi kwewindi lakho elivundile lokukhulelwa.Iwindi lakho elivundile libhekisa ezinsukwini ezimbalwa ngaphambi kokuvuthwa kanye nosuku ovula ngalo.

Umjikelezo wokuya esikhathini ngokungajwayelekile futhi ungaba uphawu lokuvuthwa okungajwayelekile. Ungahle ungadli njalo ngenyanga noma ungaqhamuka ngezikhathi ezahlukene inyanga nenyanga.

Funda ukuze ufunde kabanzi mayelana nezikhathi ezingajwayelekile nokukhulelwa.

Izikhathi ezingajwayelekile kanye ne-ovulation

Kungenzeka ukuthi uvule ngaphandle kokuphuma kwegazi kamuva njengenkathi. Lokhu kuvame ukwenzeka ngenxa yesibazi sangaphambilini sesibeletho noma imishanguzo ethile yamahomoni.

Kungenzeka futhi ukuba nokopha okufana nokuya esikhathini ngaphandle kwe-ovulation. Lokhu kwenzeka kakhulu lapho ulwelwesi lwesibeletho luba luqine kakhulu lube lungazinzile futhi ama-sloughs ngokwemvelo acishe.

Ulwelwesi lwesibeletho lungaqina ngaphandle kwe-ovulation uma i-hormone estrogen, ekhiqizwa ngaphambi kokuvuthwa kweqanda, iqhubeka nokufihlwa ngaphandle kokuphikiswa enye i-hormone yabesifazane, i-progesterone, ekhiqizwa ngemuva kwe-ovulation.

Kunezimbangela eziningi zokuya esikhathini okungajwayelekile, futhi izimbangela eziningi zingathinta i-ovulation noma zenze ukukhulelwa kube nzima kakhulu. Kwezinye izimo, imbangela yokuya esikhathini okungajwayelekile ayaziwa.

Ezinye izimbangela ezingathinta i-ovulation kanye namandla akho okuphatha ukukhulelwa kufaka:

I-Polycystic ovary syndrome (i-PCOS)

I-PCOS yisimo lapho umzimba wesifazane ufihla ama-androgens amaningi kakhulu. Ama-Androgens kwesinye isikhathi acatshangwa njengama-hormone ezocansi “abesilisa”. Ama-androgens amaningi kakhulu angavimbela amaqanda avuthiwe ekukhuleni nasekukhishweni ngamashubhu e-fallopian.

I-PCOS, ethinta abesifazane abangafika kumaphesenti angama-21, iyimbangela evame kakhulu yokungabi nenzalo ngenxa yokushoda kwe-ovulation. I-PCOS ingaba yisifo sofuzo, kepha ingathonywa nezici zokuphila, njengokukhuluphala ngokweqile nokuhlala phansi.

Isikhathi sokuqeda isikhathi

I-Perimenopause yisikhathi empilweni yokuzala yowesifazane lapho i-estrogen ne-progesterone kwehla ngokwemvelo. Lokhu kubangela i-ovulation engajwayelekile kanye nezikhathi ngaphambi kokuba ziyeke ngokuphelele, kukhombisa ukuya esikhathini. Imvamisa, i-perimenopause ihlala cishe iminyaka emine, kepha abanye besifazane bangadlula kuyo isikhathi eside.

Ukuqala kokuqala kwesikhathi kungama-47, kanti ama-51 abe yiminyaka yobudala besikhathi sokugcina ukuya esikhathini. Isikhathi sokunqamuka kwesikhathi siyaphela - futhi ukunqamuka kokuya esikhathini - lapho ungazange ube nesikhathi sezinyanga eziyi-12.

Izimpawu ze-perimenopause zingafaka:

• ukushisa okushisayo
• ukujuluka ebusuku
• imood
• izikhathi ezingajwayelekile

Ngenkathi kusenokwenzeka ukuthi ukhulelwe ngesikhathi sokuphela kwesikhathi, kungaba nzima kakhulu ngoba amaqanda akhishiwe azoba amadala futhi angahle asebenze kalula. Ngeke futhi ukhiphe amaqanda ngawo wonke umjikelezo.

Isifo sendlala yegilo

Indlala yakho yegilo, eyisitho esincane esimise njengovemvane ngaphansi kwentamo yakho, isiza ekulawuleni ama-hormone, phakathi kokunye, anomthelela ekukhiqizeni i-ovulation nasekusheni. Kokunye ukuhlola, cishe amaphesenti angu-14 amantombazane asakhula anezinkinga ze-thyroid nawo ayenezikhathi ezingajwayelekile.

Ezinye izimpawu zesifo se-thyroid, ezibandakanya i-hyperthyroidism ne-hypothyroidism, kungaba:

• ukuphazamiseka kwengqondo
• ukushintsha kwesisindo
• izinhliziyo ezishintshile namanani we-metabolic

Isisindo

Ukukhuluphala ngokweqile noma ukukhuluphala ngokweqile kungabeka ukusabela kwamaketanga emzimbeni wakho okuphazamisa ukusebenza kwamahomoni. Lokho kungaholela ekuvuthweni okungekho noma okungajwayelekile, okungabuye kuholele ekuyeni esikhathini noma okungajwayelekile.

Ngokuya ngocwaningo olushicilelwe kwi-BMC Women’s Health, abesifazane abanesisindo somzimba esingaphansi kuka-20 noma ngaphezulu kuka-25 babenamathuba okungenani angama-1.1 okuthola ukungahambi kahle kokuya esikhathini kunabesifazane ababene-BMIs phakathi kuka-20 no-25.

Ukucindezeleka

Ukucindezeleka kungathinta imisebenzi ehlukahlukene yomzimba, kufaka phakathi i-ovulation. Kokunye ukuhlola okubheke abafundi bezokwelapha, labo ababike amazinga aphezulu okucindezeleka okubonakalayo babenamathuba amaningi okuba nokungajwayelekile esikhathini uma kuqhathaniswa nalabo ababengazizwa becindezeleke kakhulu.

Amakhithi wokubikezela we-ovulation nezikhathi ezingajwayelekile

I-ovulation ivame ukwenzeka maphakathi nomjikelezo wakho. Uma unomjikelezo ojwayelekile wezinsuku ezingama-28, uzokhipha amaqanda cishe ngosuku lwe-14. Kepha uma izikhathi zakho zingavamile, ukubikezela ukuvuthwa kwe-ovulation kanye nesikhathi sokuya ocansini ngamathuba okukhulelwa kungaba nzima.

Amakethi wokubikezela ama-ovulation anembe kahle ekutholeni ukuqhuma kwehomoni ye-luteinizing, edala ukuvuthwa. Futhi ngenkathi zisebenziseka kalula, zidinga ukwedlula nje ngokushesha ekusakazeni kwakho komchamo, zingabiza, ikakhulukazi uma uhlola izinsuku noma amasonto ekugcineni.

Uma unezikhathi ezingajwayelekile, ungahle uthande ukulinda ukusebenzisa i-ovulation predictor kit uze ubone ezinye izimpawu zokuvuthwa. Ezinye izinto okufanele uzibheke:

Ukwanda kwe-mucus yomlomo wesibeletho

Bheka uketshezi olulula, olucacile, olufana neqanda ezingutsheni zakho zangaphansi noma lapho usula ngemuva kokusebenzisa indlu yangasese. Lokhu kuyisibonakaliso sokuthi i-ovulation iseduze.

I-spike ekushiseni komzimba wakho osisekelo

Thatha ukushisa komzimba wakho okuyisisekelo nge-basal thermometer yomzimba kuqala ekuseni, ngaphambi kokudla, ukukhuluma, noma ngisho nokuvuka embhedeni. Ishadi lokushisa kwakho inyanga yonke.

Uma uqaphela ukwanda okuncane, imvamisa uhhafu wezinga kufinyelela ezingeni eliphelele, kungenzeka ukuthi uvunile. Ngoba le ndlela ibonisa kuphela ukuthi i-ovulation isivele yenzekile, akuyona indlela enhle yokubikezela iwindi lakho elivundile. Kungakusiza ukuthi uqonde isikhathi esivamile somzimba wakho se-ovulation kumjikelezo wesikhathi esizayo, noma kunjalo.

Ungalufuna nini usizo

Bheka udokotela uma:

• Awukabi nesikhathi izinyanga ezintathu noma ngaphezulu.
• Unegazi lokuya esikhathini elihlala isikhathi esingaphezu kwesonto.
• Ungena ngephedi noma nge-tampon njalo ngehora noma amabili, ngamahora ambalwa, ngesikhathi sakho.
• Izikhathi zakho zibuhlungu kakhulu.
• Ubulokhu uzama ngokungaphumeleli ukukhulelwa unyaka owodwa futhi ungaphansi kweminyaka engama-35 noma izinyanga eziyisithupha noma ngaphezulu futhi uneminyaka engama-35 noma ngaphezulu.

Ungakhulelwa kanjani ngezikhathi ezingajwayelekile

Uma ukhipha amaqanda, unamandla okukhulelwa, kepha uma unezikhathi ezingajwayelekile, amathuba akho okukhulelwa angancipha kakhulu kunowesifazane onezikhathi ezijwayelekile.

Into ebaluleke kakhulu ukuya ocansini njalo ungazivikele. Lwela ukuya ocansini okungenani njalo ezinsukwini ezimbili kuya kwezintathu.

Uma unesimo sezempilo esiyisisekelo esithinta ukuzala, ukwelapha leso simo kungakhuphula amathuba akho okukhulelwa.

Udokotela wakho angahle anikeze i-clomiphene citrate (Clomid) ukwenza i-ovulation. I-Clomid inesikhuthazo se-ovulation. Iphinde yabonisa lapho isetshenziswa kwabesifazane abane-PCOS.

Imiphumela emibi evela ku-Clomid ingafaka:

• ukushisa okushisayo
• isisa sebele
• ukuqunjelwa esiswini
• ukukhishwa kwamaqanda amaningi emjikelezweni owodwa, okungaholela ekukhulelweni okuphindaphindwayo

Ukwehla kwesisindo noma ukuzuza kwesisindo nakho kungasiza. Ngokusho kwe-PCOS Awareness Association, ukulahlekelwa ngamaphesenti ama-5 kuya kwayi-10 esisindo somzimba wakho kungasiza ekulawuleni i-ovulation kwabesifazane abakhuluphele ngokweqile.

Thola izincomo zikadokotela wakho zokuthola noma ukwehlisa isisindo. Bangakwazi ukukunikeza izinhlelo zokudla kanye nemihlahlandlela yokuzivocavoca, noma bakukhombe kuzinsizakusebenza.

Uma izikhathi zakho ezingajwayelekile zibangelwa i-thyroid engasebenzi noma engasebenzi ngokweqile, udokotela wakho uzokunika imithi ekhulisa i-hormone yegilo noma iyivimbe.

Ucwaningo oluthile olushicilelwe kutholakala ukuthi abesifazane abane-hypothyroidism nokungazali abelashwa nge-levothyroxine (Levoxylo, Synthroid, Unithroid) bakhulelwe uma kuqhathaniswa namaphesenti angama-26 abaphathwa nge-placebo.

Ingabe izikhathi ezingajwayelekile ziyayithinta impilo yokukhulelwa?

Kungenzeka, kuya ngokuthi yini ebangela ukuya kwakho esikhathini ngokungafanele. Uma imbangela ingaziwa, ungahle ungabi nengozi eyengeziwe yezinkinga zokukhulelwa, kepha kufanele uxoxe ngezingozi ezikhona nodokotela wakho.

Abesifazane abakhulelwe abane-PCOS basengozini enkulu yokuthi:

• ukukhulelwa kwesisu
• isifo sikashukela sokukhulelwa
• preeclampsia, ukunyuka okungazelelwe kwengcindezi yegazi ngemuva kweviki lama-20 lokukhulelwa
• ukuzalwa kwangaphambi kokubeletha

Abesifazane abakhulelwe abane-hyperthyroidism engalawulwa kufanele bahambise ingane ezelwe ishonile, ingane engakazalwa, noma ingane enezinkinga zokuzalwa.

Umbono

Abesifazane abaningi babhekana nezikhathi ezingajwayelekile, ikakhulu ngenxa ye-ovulation engajwayelekile. Ngenkathi i-ovulation engapheli ingenza kube nzima ukukhulelwa, udokotela wakho angakusiza ukukhulisa ukuzala kwakho ngokuphatha imbangela eyimbangela yokuya esikhathini kwakho okungajwayelekile nokuqapha intuthuko yakho uma usukhulelwe. Lokhu kuzosiza ekuqinisekiseni ukuthi unokukhulelwa okunempilo futhi ubeletha ingane enempilo.