Kujwayelekile yini ukuya esikhathini kabili ngenyanga? (kanye neminye imibuzo ejwayelekile eyi-9)

-Delile

• 2. Kungokwemvelo yini ukuya esikhathini kabili ngenyanga?
• 3. Yini engabambezela ukuya esikhathini?
• 4. Yini engadala ukuya esikhathini okungajwayelekile?
• 5. Kungenzeka yini ukuya esikhathini ngesikhathi ukhulelwe?
• 6. Kunjani ukuya esikhathini?
• 7. Kungaba yini ukuya esikhathini okumnyama?
• 8. Ngabe ukuya esikhathini ngamahlule kuyinto ejwayelekile?
• 9. Kusho ukuthini ukuya esikhathini okubuthaka noma okumnyama kakhulu?
• 10. Ingabe ukuya esikhathini kuyayilungela impilo yakho?

Ukuya esikhathini ukuphuma kwegazi okuvame ukwenzeka kwabesifazane kanye ngenyanga, ngenxa yokushaywa ulwelwesi lwangaphakathi lwesibeletho, i-endometrium. Ngokuvamile, ukuya esikhathini kokuqala kwenzeka phakathi kweminyaka eyi-9 nengu-15, kuthi isilinganiso seminyaka sibe yiminyaka eyi-12 ubudala, futhi kuyeka ukwenzeka ngesikhathi sokuya esikhathini, cishe iminyaka engama-50 ubudala.

Uhlelo lokuzala lwabesifazane lusebenza njalo ngenyanga ukukhiqiza nokuqeda iqanda, okungukuthi, lizilungiselela ukukhulelwa. Uma owesifazane engaxhumani nesidoda, ngeke kube nokukhulelwa futhi, cishe ezinsukwini eziyi-14 ngemuva kokukhishwa kweqanda, kuvela ukuya esikhathini. Kusukela lapho kuya phambili, inyanga ngayinye, umjikelezo omusha uqala, ukuze isibeletho siphinde silungiselelwe i-ovulation entsha yingakho ukuya esikhathini kwehla njalo ngenyanga.

2. Kungokwemvelo yini ukuya esikhathini kabili ngenyanga?

Kungaba yinto ejwayelekile ukuthi ukuya esikhathini kufika kabili ngenyanga ngemijikelezo emifushane, ikakhulukazi ezinyangeni zokuqala, njengoba umzimba wentokazi isazihlela ezingeni lamahomoni. Kungenzeka futhi ukuthi ukuya esikhathini kuba ngokungajwayelekile futhi kuza ngaphezu kwesikhathi esingu-1 ngenyanga ngemuva kokubeletha, emijikelezweni yokuqala yokuya esikhathini. Kwabesifazane abavuthiwe, lolu shintsho lungabangelwa:

• I-uterine myoma;
• Ukucindezeleka ngokweqile;
• Umdlavuza;
• I-Polycystic ovary;
• I-ovary cyst;
• Ukusetshenziswa kweminye imithi;
• Izinguquko zeHormonal nezingokomzwelo;
• Ukuhlinzwa kwe-ovari kanye ne-tubal ligation.

Ngakho-ke, uma lolu shintsho lwenzeka kaningi, kubalulekile ukwazisa udokotela wezifo zabesifazane ngezinsuku ezithile lapho ukuya esikhathini kufika nazo zonke izimpawu ezihambisanayo, ukuze ukwazi ukubona imbangela yokungalingani kokuya esikhathini.

3. Yini engabambezela ukuya esikhathini?

Ukuya esikhathini okwephuzile kwabesifazane abanempilo esebenzayo yocansi kuvame ukuhlotshaniswa nokukhulelwa, kepha lokhu akulona iqiniso ngaso sonke isikhathi. Izici ezinjenge-ovarian cysts, izifo esibelethweni, i-anemia, ushintsho ngokwengqondo njengokucindezelwa nokukhathazeka, izinguquko ezinhlelweni, imikhuba emibi yokudla, ukudla okungalingani noma ukucindezela kokucabanga ukuthi kungaba ukukhulelwa, kungaba yimbangela yalokhu ukubambezeleka kokuya esikhathini.

Uma lokhu kwenzeka njalo, izinyanga eziningi, kufanele kufunwe udokotela wezifo zabesifazane ukuze ahlole kangcono imbangela yokulibaziseka.

Ukuqonda kangcono izimbangela eziyinhloko ezingadala ukuya esikhathini noma ukuphuza ukuya esikhathini.

4. Yini engadala ukuya esikhathini okungajwayelekile?

Ukuya esikhathini ngokungajwayelekile kungenzeka eminyakeni emibili yokuqala ngemuva kokuya esikhathini, njengoba umzimba usafunda ukubhekana namahomoni, okujwayele ukwenziwa njalo ngemuva kweminyaka yobudala eyi-15. Kulezi zimo, amanye amakhambi asekhaya asiza ukulawula ukuya esikhathini angasetshenziswa.

Kodwa-ke, uma kunokungahambi kahle okuphawulekayo nokuqhubekayo kokugeleza kokuya esikhathini, kufanele kuhlolisiswe, ngoba kungaphazamisa inqubo ye-ovulation. Phakathi kwezimbangela ezivame kakhulu ukuba khona kwezimila, ama-cysts, ukungalingani ekukhiqizeni ama-hormone nokucindezeleka.

Ukwelashwa kusekelwe ekusetshenzisweni kwansuku zonke kwamaphilisi ukulawula ukuhamba kokuya esikhathini, okusiza ukulinganisela noma yikuphi ukwehluleka ekukhiqizeni ama-hormone, kepha icala ngalinye kufanele lihlolwe ngudokotela wezifo zabesifazane.

5. Kungenzeka yini ukuya esikhathini ngesikhathi ukhulelwe?

Ukuya esikhathini ekukhulelweni kokuqala kuyinto ejwayelekile futhi kungenzeka ezinyangeni ezintathu zokuqala.Kubizwa nangokuthi ukweqa ukopha, njengoba ama-hormone abesifazane ejwayele ukusebenza ukwenza ukuya esikhathini, futhi noma ekhulelwe, ukopha kwesinye isikhathi kuyenzeka, okwenza owesifazane athole ukukhulelwa kamuva.

Ezinye izimbangela ezingadala ukopha ekukhulelweni yilezi:

• Ukunamathela kweqanda elikhulelwe odongeni lwesibeletho;
• Ukuya ocansini okukhulu kakhulu;
• I-Transvaginal ultrasound noma ukuhlolwa kokuthinta;
• Ezimweni zokusiza ukukhiqiza kabusha;
• Ukusetshenziswa kwezidakamizwa ze-anticoagulant, njenge-heparin noma i-aspirin;
• Ubukhona be-fibroids noma i-polyps;
• Ukutheleleka esithweni sangasese noma emlonyeni wesibeletho;
• Ukuqala kokubeletha uma ukukhulelwa kungaphezu kwamasonto angama-37 ubudala.

Uma ukopha kwenzeka kwesinye sezimbangela, kungenzeka ukuthi udokotela ancoma ukuphumula izinsuku ezimbalwa nokuthi owesifazane ugweme ukuya ocansini kuze kuphele ukopha.

Kwabanye besifazane, ikakhulukazi uma umthamo wegazi ukhulu kakhulu noma uhambisana ne-colic, kungaba yisisu, futhi kufanele welashwe ngokushesha. Funda ukuthi ungabona kanjani uma ukuphuma kwegazi ekukhulelweni kunzima.

6. Kunjani ukuya esikhathini?

Ukuya esikhathini ngemuva kokubeletha kuzoncika ekutheni ngabe owesifazane uyancelisa noma cha. Ngemuva kokuzalwa kwengane, owesifazane uphuma igazi elingahlala kuze kufike ezinsukwini ezingama-30, kuyehluka kuye ngomzimba ngamunye kanye nezimo owesifazane abhekene nazo.

Omama abancelisa ibele kuphela bangaya onyakeni owodwa bengayi esikhathini, kepha uma bengancelisi, bangaba nemijikelezo yokuya esikhathini njalo ngenyanga elandelayo emva kokubeletha. Okuvame kakhulu ukuthi ukubuya kokuya esikhathini akujwayelekile, ukwazi ukufika kusenesikhathi futhi ngaphezu kwesisodwa ngenyanga, kodwa ezinyangeni ezi-3 kuye kwezi-6 kufanele alawulwe kakhulu, njengoba kwakunjalo ngaphambi kokukhulelwa.

7. Kungaba yini ukuya esikhathini okumnyama?

Ukuya esikhathini okumnyama, onsundu noma "kwekhofi" kungenzeka ngezimbangela ezahlukahlukene, kufaka phakathi:

• Ukuguqulwa kwepilisi yokulawula ukubeletha;
• Izinguquko zeHormonal ngenxa yemithi;
• Izingcindezi nezici ezingokwengqondo;
• Izifo ezithathelwana ngocansi;
• Izifo, ezinjenge-fibroids ne-endometriosis;
• Ukukhulelwa okungenzeka.

Kodwa-ke, kujwayelekile futhi ukuthi abanye besifazane babe nezikhathi ezimnyama kakhulu ezinsukwini ezi-2 ezedlule, ngaphandle kokudinga ukuba uphawu lwenkinga. Thola okwengeziwe ngezimbangela ezinkulu zokuya esikhathini okumnyama.

8. Ngabe ukuya esikhathini ngamahlule kuyinto ejwayelekile?

Ukuya esikhathini kwamagundane kungenzeka ngezinsuku lapho ukugeleza kukhulu kakhulu, kubangele igazi ukuba lijiye ngaphambi kokushiya umzimba wowesifazane. Kuyisimo esivame kakhulu, kepha uma amahlule egazi evela emakhulu kakhulu noma ngamanani aphezulu kubalulekile ukubonisana nodokotela wezifo zabesifazane.

Qondisisa kangcono ukuthi yiziphi izimo lapho ukuya esikhathini kungafika nezicucu.

9. Kusho ukuthini ukuya esikhathini okubuthaka noma okumnyama kakhulu?

Ukuya esikhathini okubuthakathaka kakhulu, njengamanzi, kanye nokuya esikhathini okunamandla kakhulu, njengezizathu zekhofi kukhombisa ushintsho lwehomoni okufanele luhlolwe ngudokotela wezifo zabesifazane.

10. Ingabe ukuya esikhathini kuyayilungela impilo yakho?

Ukuya esikhathini kungumcimbi ophindwa njalo ngenyanga kwabesifazane abaseminyakeni yobudala bokuzala, awuyona ingozi empilweni futhi ungokomzimba futhi kulindeleke. Kwenzeka ngenxa yomjikelezo wabesifazane wokuya esikhathini, odlula ngezikhathi ezahlukahlukene kuyo yonke inyanga.

Ngaphansi kwezimo ezijwayelekile, ukuya esikhathini akukubi empilweni yakho, kepha kungashiwo ukuthi ukuya esikhathini okunzima kwabesifazane abane-anemic kungaletha ezinye izinkinga, lapho-ke, kungakhonjiswa ukuthi kusetshenziswa iphilisi lokusebenzisa eliqhubekayo ukugwema ukuya esikhathini.