Ukuphuma Okunsundu Ngesikhathi Sokukhulelwa: Kuyinto Ejwayelekile Noma Kuyinto Okubalulekile?

Kusho ukuthini ukuphuma okunomsundu ngesikhathi sokukhulelwa?

Ake siqale ngesisekelo. Ukuphuma okunomsundu kusho nje ukuphuma emgudwini wobulili okunezinga elincane legazi elidala. Lapho igazi libhekana nomoya, liyona umbala ngokuzenzakalelayo—inqubo eyenza libe nsundu ngokukhanyayo noma ngokumnyama, ngezinye izikhathi libukeke njengezinhlamvu zekhofi.

Lokhu empeleni kuyisibonakaliso esihle. Igazi elibomvu libonisa ukopha okusebenzayo, okusha, okungaba yinto eyinkimbinkimbi kakhulu. Igazi elinsundu libonisa ukuthi ukopha sebe kuphelile, futhi kuthatha isikhathi esithile ukuba liphume emzimbeni wakho. Cabanga ngakho njengoba umzimba wakho wenza okuthile “kokuhlanza indlu.” Ukuphendula umbuzo, ingabe ukuphuma okunomsundu kuyinto evamile yini ngesikhathi sokukhulelwa, ngokuvamile kuyimpendulo ethi “yebo,” kodwa ukuqonda kungani kwenzeka kuyisihluthulelo sokuthula kwengqondo yakho.

Kuyinto evamile yini ukuphuma okunomsundu ekuqaleni kokukhulelwa? Kuyinto ejwayelekile (futhi ngokuvamile ayilimazi)

Isikhathi sokuqala sokukhulelwa singamagama ashintshashintshayo ngokomahomoni nangokomzimba, futhi yisikhathi esivamile kakhulu sokuba nokopha okuncane. Nasi izizathu ezivame kakhulu zale ukuphuma okunombala onsundu okhanyayo ekuqaleni kokukhulelwa.

Ukuphuma Ngenxa Yokufakwa Kweqanda Ezingutsheni Zomlomo Wesibeletho

Esinye sezibonakaliso zokuqala kakhulu zokukhulelwa kungaba ukuphuma ngenxa yokufakwa kweqanda ezingutsheni zomlomo wesibeletho. Lokhu kwenzeka lapho iqanda elihlanganiswe namadlozi liqhuba ezingutsheni zomlomo wesibeletho ezicebile, ezinamanzi egazi. Le nqubo ingahambisa inani elincane legazi elidala, okuholela ekopha okuncane okubomvu noma okunomsundu.

• Kwenziwa nini: Ngokuvamile cishe ezinsukwini eziyi-10 kuye kweziyi-14 ngemuva kokukhwelana, ngokuvamile ngesikhathi lapho ubuzobe ulindele khona isikhathi sakho umthombo.
• Kubukeka kanjani: Ukuphuma okuncane kakhulu—kunganele ukugcwalisa iphedi yokungcola—okuvame ukuba bomvu noma okunomsundu. Ngokuvamile kuhlala kusuka emahoreni ambalwa kuya ezinsukwini ezimbalwa.

Abantu abaningi bayadumazeka ukuphuma ngenxa yokufakwa kweqanda ezingutsheni zomlomo wesibeletho njengesikhathi esilula ngaphambi kokuba bathole isivivinyo sokukhulelwa esiqinisekile.

Ukucasuka Komlomo Wesibeletho

Ngokuphila kwakho konke, umlomo wesibeletho uyashintsha kakhulu. Ukwanda kwama-hormone nokugeleza kwegazi okwandisiwe kwenza indawo yonke ibe novivi kakhulu futhi ibe neziqu. Leli viki elikhulu yilona olubangela ukuthi kube nokucasuka komlomo wesibeletho ngesikhathi sokukhulelwa.

Lokhu kusho ukuthi ngisho nokungqubuzana okuncane kungadala imithambo yegazi emincane ebusweni bomlomo wakho wesibeletho ukuba iphuke futhi iphume kancane. Izimbangela ezivamile zihlanganisa:

• Ubulili: Kuyinto evamile kakhulu ukubona ukuphuma okuthile okunsundu ngemuva kobulili ngesikhathi sokukhulelwa. Umlomo wesibeletho ungaba lula ukuyithinta, udale ukuphuma okungalimazi.
• Ukuhlolwa Kwesitho Sangasese noma Ukuhlolwa Okubalulekile: Ukuhlolwa kwePap, ukuhlolwa komgudu wobulili, noma i-transvaginal ultrasound probe kungadala ukucasuka okuncane nokopha okulandelayo.

Lolu hlobo lokopha okubomvu ngesikhathi sokukhulelwa ngokuvamile kuyinto elula kakhulu futhi iyazilungisa yona ngosuku olulodwa noma ngaphezulu.

Ukushintsha Kwama-Hormone

I-cocktail ye-hormonal yasekuqaleni kokukhulelwa inamandla. Njengoba umzimba wakho uzivumelanisa, lezi zinguquko zingadala ukuphuma okuncane ngaphandle kwesizathu esithile. Kuyinto nje enye yenguquko emangalisayo umzimba wakho okhulelwe ngayo.

Ukuphuma Okunsundu Ekupheleni Kokukhulelwa: Ingabe Ukubeletha Kusemnyango?

Njengoba usondela usuku lwakho lokuzalwa, ungase uqaphele izinguquko ekukhuphukeni kwakho futhi. Kulokhu, ukuphuma okunomsundu ekupheleni kokukhulelwa kungaba yisibonakaliso esijabulisayo sokuthi umzimba wakho ulungiselela ukubeletha.

I-Mucus Plug kanye Nokuphuma Kwegazi

Kuyo yonke impilo yakho yokukhulelwa, i-plug enamathelayo yama-mucus ivimba umlomo wesibeletho, ivikela isibeletho sakho nengane yakho emagciwaneni. Njengoba umlomo wesibeletho wakho uqala ukuthamba, ukuncipha (efface), nokuvuleka (dilate) ukulungiselela ukuzalwa, le-plug ingahamba.

Lapho ulahlekelwa yi-mucus plug yakho, ungase ubone isidumbu sokuphuma esicacile, esiphuzi, noma esinemisoco ebomvu noma emnyama. Lokhu kungenzeka amasonto, izinsuku, noma amahora nje ngaphambi kokuba kuqale ukubeletha.

I “bloody show” yisibonakaliso esiqinisekile sokuthi ukubeletha kusondele. Ivame ukuxubana ne-mucus kusuka ku-plug, kodwa iqukethe igazi eliningi njengoba umlomo wesibeletho uvuleka futhi unciphile, ubangela imithambo emincane ukuba iphuke.

Ukuqonda umehluko ku-bloody show vs mucus plug kungasiza:

• Mucus Plug: Ngokuvamile ucacile noma uphuzi, ugciniwe, futhi njenge-jelly. Ingalahleka konke ngesikhathi esisodwa noma ngama-bits amancane ngokuhamba kwesikhathi. Ingaba ne-tinged nge-brown encane noma ephuzi.
• Bloody Show: Kubonakala kakhulu bomvu, obomvu, noma obunsundu. Kuyisibonakaliso esicacile sokuthi izinguquko zomlomo wesibeletho ziyenzeka futhi ukubeletha kungaba ngamahora noma ezinsukwini ezimbalwa umthombo.

Ukubona lokhu ukuphuma okunomsundu ekupheleni kokukhulelwa ngokuvamile kuyisibonakaliso esamukelwe sokuthi uzobona ingane yakho kungekudala!

Nini Okubalulekile Ngokuphuma Okubomvu: Ukuqonda Izibonakaliso Zokuxwayisa

Noma izimo eziningi zingalimazi, kubalulekile ukwazi nini okubalulekile ngokuphuma okubomvu. Izimo ezithile zingadala ukopha, futhi ngokuvamile zihambisana nezinye izimpawu ezivelele kakhulu. Khumbula, lezi zimakwe kakhulu, kodwa ukwazi kusho ukulungela.

Isifo Esiphathisayo

Ukuva igama elithi “isifo esiphathisayo” kuyethusa, kodwa kubalulekile ukwazi amaqiniso. Noma ukuphuma okubomvu kungaba yisibonakaliso sokuqala, isifo esiphathisayo ngokuvamile sibonakala ngezibonakaliso ezinkulu. Ngokwe-American College of Obstetricians and Gynecologists (ACOG), cishe izikhathi eziyi-10 zokukhulelwa okwaziwayo ziphela ngezifo eziphathisayo, ngokuvamile ekuqaleni kokukhulelwa umthombo.

Izimpawu ezibalulekile zokugcinwa kwesifo ezizobhekwa zihlanganisa:

• Ukuphuma okuba kukhulu futhi kube bomvu kakhulu.
• Ukubuhlungu okunamandla okufana nesikhathi esiswini sakho esingezansi.
• Ukudlula kwamahlophe noma izicubu.
• Ukulahleka okungazelelwe kwezimpawu zokukhulelwa njengokuhlanza noma ubuhlungu besifuba.

Ukuphuma okubomvu okukhanyayo ngokwehlukana, ngaphandle kobuhlungu noma ukuphuma okukhulu, akuvamile ukuba yisibonakaliso sesifo esiphathisayo.

Ukukhulelwa Kwangaphandle Komlomo Wesibeletho

Ukukhulelwa kwangaphandle komlomo wesibeletho kuyisimo esiyingqayizivele kodwa esibi lapho iqanda elihlanganiswe namadlozi liqhakaza ngaphandle komlomo wesibeletho, ngokuvamile etubeni lokuphuma kwamaqanda. Kuyisimo esiphuthumayo sezokwelapha esidinga ukunakwa ngokushesha.

Izimpawu eziyinhloko zokukhulelwa kwangaphandle komlomo wesibeletho ziningi kunokuphuma nje. Ngokuvamile zihlanganisa:

• Ubuhlungu obubukhali, obuklabayo, ngokuvamile ohlangothini olulodwa lwesisu noma isitho sangasese.
• Ubuhlungu bamahlombe (obubangelwa ukopha kwangaphakathi okucasula i-diaphragm).
• Isiyezi, ubuthakathaka, noma ukujaha.
• Ingcindezi yesikhumba.

Uma unayo noma yikuphi ukuphuma okubomvu okuhambisana nalezi zimpawu, kufanele ufune usizo lwezokwelapha ngokushesha.

Izifo

Ngezinye izikhathi, imbangela ayihlobene nokukhulelwa ngokwakho kodwa ngenxa yezifo ezikhona. Izimo ezifana ne-bacterial vaginosis (BV), isifo semvubelo, noma izifo ezidluliselwa ngokocansi njenge-trichomoniasis zingacaphukisa umlomo wesibeletho noma ulwelwesi lomgudu wobulili, okuholela ekopha.

Bheka ezinye izimpawu zezifo, njengalezi:

• Ukuphuma okunukubeza okubi noma okufana nenhlanzi.
• Ukuphuma okuluhlaza noma okuphuzi.
• Ukulunywa noma ukubhecwa komgudu wobulili.
• Ubuhlungu lapho umchama.

Izinkinga Ze-Placenta (Ekupheleni Kokukhulelwa)

Esikhathini sesibili noma sesithathu sokukhulelwa, ukuphuma kungase kuhlobane ngezinye izikhathi ne-placenta. Izimo ezifana ne-placenta previa (lapho i-placenta imboza umlomo wesibeletho) noma i-placental abruption (lapho i-placenta ihlukana nodonga lomlomo wesibeletho) ziyizinto ezinkulu. Noma kunjalo, lezi zimo ngokuvamile zihlanganisa ukuphuma okubalulekile, okubomvu okukhanyayo, hhayi ukuphuma okubomvu okuncane umthombo. I-placental abruption futhi ngokuvamile ihambisana nobuhlungu obukhulu besisu kanye nokufinyela.

Okufanele Ukwenze: Isicelo Esicacile

Ngakho-ke, ubone ukuphuma okuthile okubomvu. Manje? Impendulo kumbuzo wokuthi ingabe ukuphuma okunomsundu kuyinto evamile yini ngesikhathi sokukhulelwa ngokuvamile iyimpendulo ethi yebo, kodwa ukuthula kwengqondo yakho kuyinto ebalulekile.

Uma ukuphuma kulula, okufushane, futhi ungenazo ezinye izimpawu, cishe akuyona into okufanele ukhathazeke ngayo. Qaphela ukuthi kwenzeke nini, kwakubukeka kanjani, nokuthi ubukwenzani ngaphambi kwalokho (isib., ngemuva kobulili). Yitshele udokotela wakho noma umbelethisi ekuqokweni kwakho okulandelayo.

Shayela Udokotela Wakho Noma Umbelethisi Ngokushesha Uma…

Thembela umqondo wakho. Kuhlale kungcono ukuba uqaphele kakhulu lapho ukhulelwe. Ungesabi ukushayela umhlinzeki wakho wezempilo, ikakhulukazi uma uhlangabezana nanoma yini elandelayo:

• Ukuphuma kuba kukhulu (ukugcwalisa iphedi emahoreni ayi-1) noma kube bomvu kakhulu.
• Uhlangabezana nobuhlungu obukhulu besisu noma ubuhlungu besisu obuqhubekayo.
• Uzakuthwa isiyezi, ubuthakathaka, noma ubuhlungu emhlane.
• Uzakudlula amahlophe amakhulu (amakhulu kuno-quarter) noma yini efana nezicubu.
• Ukuphuma kunukubeza okunamandla, okubi.
• Uzakuba nomkhuhlane noma ubizwe.

Lolu hlu luphatha ngqo umbuzo wokuthi nini okubalulekile ngokuphuma okubomvu. Ithimba lakho lokunakekela likhona ukukusekela; lingathanda kakhulu ukuthi ushayele futhi kube akuyona into kunokuba ulinde ekhaya uzikhathaze.

Okokugcina Ongakuthatha

Into ebaluleke kakhulu ongayenza ukuthi uhlale uvumelana nomzimba wakho futhi uxhumane nomhlinzeki wakho wezempilo. Noma lesi sihloko singakusiza uqonde izimbangela zokuphuma okubomvu, asikwazi ukufaka indawo yengxoxo nodokotela owaziyo kanye nomlando wakho wokukhulelwa.