Kungani kukhona ukuphuma kwegazi ngesikhathi sokuvuthwa kwegci?

Ukukhishwa kweqanda kuyingxenye ebalulekile yesiqondiso somjikelezo wokuya exeshini lapho iqanda likhishwa khona ezibelethweni. Lokhu kuvame ukwenzeka phakathi nomjikelezo, cishe izinsuku ezingu-14 ngaphambi kokuba owesifazane abe nesikhathi sakhe esilandelayo. Ukuqonda ukukhishwa kweqanda kubalulekile kubesifazane abafuna ukukhulelwa, njengoba kuyisikhathi esifanele sokuqothana kwenzeke.

Phakathi nokukhishwa kweqanda, ukwanda kwamahomoni—ikakhulukazi i-luteinizing hormone (LH) ne-follicle-stimulating hormone (FSH)—kubangela ukuthi ibelethwe ikhiphe iqanda elivuthiwe. Lo mqondo uletha izinguquko ezibonakalayo emzimbeni, njengokwanda kokushisa komzimba okuyisisekelo kanye nokuhlukahluka koketshezi lomphimbo, oluya luba lubuthakathaka futhi lube sobala ukuze kusize isidoda sihambe.

Abanye abesifazane bangase baphawule ukopha okukhanyayo okubizwa ngokuthi ukopha kokukhishwa kweqanda ngalesi sikhathi. Lokhu kuhlukile ekopha kwesikhathi futhi kungenzeka ngenxa yezinguquko zamahomoni noma ukuqhekeka kwe-ovarian follicle. Nakuba ukopha kokukhishwa kweqanda kuvame ukungabi yinkinga, kungase kuhluke ngombala nangenani. Uma ubona ukopha okungavamile phakathi nokukhishwa kweqanda okungapheli noma kuza nobuhlungu, kuhle ukukhuluma nodokotela ukuze uqede noma yikuphi ukukhathazeka.

Indlela yokubona ukopha kokukhishwa kweqanda?

• Isikhathi Sokopha: Ukopha kokukhishwa kweqanda kuvame ukwenzeka phakathi nomjikelezo, cishe izinsuku ezingu-10 kuya kwezingu-16 ngaphambi kwesikhathi sakho esilandelayo, lapho iqanda likhishwa khona ebelethweni.

• Inani Lokopha: Ukopha kuvame ukuba lukhanyayo kuya ekubonakaleni, kuncane kakhulu kunesikhathi esivamile, futhi kungase kuqhubeke kusuka emahoreni ambalwa kuya ezinsukwini ezingu-1-2.

• Umbala Wegazi: Igazi lingase libe lukhanyayo ngombala, kusuka opinki kuya obomvu obumnyama, ngokungafani negazi elibomvu elikhanyayo elibonwa ngesikhathi sokuya exeshini.

• Ukuhlukahluka Koketshezi Lomphimbo: Ukopha kokukhishwa kweqanda kuvame ukuhambisana neqophelo loketshezi lomphimbo elikhiqizayo, olucacile, oluthambile, futhi olufana neqanda eliqandisiwe.

• Ubuhlungu: Abanye abesifazane bahlangabezana nobuhlungu obukhanyayo ngesikhathi sokukhishwa kweqanda, okungase kuhambisane nokubonakala noma ukopha okukhanyayo.

• Awekho Amanye Amaphawu Okuya Exeshini: Ukopha kokukhishwa kweqanda ngokuvamile akuzi nezimpawu zesikhathi esivamile njengokukhula, ukuhlukahluka kwesimo sengqondo, noma ukopha okukhulu.

• Ukuhlukahluka Kwamahomoni: Kubangelwa ukwehla kwamazinga e-estrogen ngemuva kokukhishwa kweqanda, okungase kubangele ukopha okukhanyayo kwabanye abesifazane.

• Landelela Umgijimisi Wakho: Ukugcina ulandelela umjikelezo wakho wokuya exeshini kanye nezimpawu kungakusiza ukwahlukanisa ukopha kokukhishwa kweqanda kwamanye amazimbangela okubonakala.

Uma ukopha kuqhubeka, kunzima kakhulu, noma kuhambisana nobuhlungu obukhulu, kuyaqondakala ukubona umhlinzeki wezinsizakalo zempilo ukuze uthole ukuhlolwa okwengeziwe.

Izimbangela zokopha ngesikhathi sokukhishwa kweqanda

1. Ukuhlukahluka kwamahomoni

Ukukhishwa kweqanda kubangela izinguquko zamahomoni, ikakhulukazi ukwehla kwamazinga e-estrogen ngemuva kokuba iqanda likhishwe. Lokhu kungase kube yimbangela yokubonakala noma ukopha okukhanyayo, okuvamise ukuba yingxenye yento engalimi.

2. Ukuqhekeka kwe-Follicle

Njengoba i-follicle evuthiwe iqhekeka ukuze ikhiphe iqanda, ingase ibe yimbangela yokopha okuncane. Lokhu ngokuvamile kuyincane futhi kuphela ngokushesha.

3. Ukulahleka kwe-Endometrial

Abanye abesifazane bahlangabezana nokulahleka okuncane kwe-uterine lining ngesikhathi sokukhishwa kweqanda, okubangela ukopha okukhanyayo noma ukubonakala. Lokhu kuvame ukubonakala kakhulu kwabesifazane abanezimijikelezo ezingavamile.

4. Ukuvuvukala kwe-Cervical

Ukukhishwa kweqanda kungase kube yimbangela yezinguquko e-cervix, okwenza kube lula ukulimala. Ukuya ocansini noma ukuhlolwa kwe-vaginal ngalesi sikhathi kungase kulimale i-cervix, kubangele ukopha okuncane.

5. I-Polycystic Ovary Syndrome (PCOS)

Abesifazane abane-PCOS bangase bahlangabezane nokukhishwa kweqanda okungavamile, okubangela ukwanda kwamahomoni okungakwazi ukubikezelwa kanye nokopha okungavamile ngesikhathi sokukhishwa kweqanda.

6. I-Endometriosis

Ezimweni ze-endometriosis, inyama efana ne-uterine lining ikhula ngaphandle kwe-uterus. Lokhu kungase kube yimbangela yokopha ngesikhathi sokukhishwa kweqanda ngenxa yezinguquko zamahomoni ezithinta inyama engavamile.

Ukubonakala kokukhishwa kweqanda vs. Isikhathi

Uhlangothi	Ukubonakala kokukhishwa kweqanda	Isikhathi
Isikhathi	Phakathi nomjikelezo, izinsuku ezingu-10–16 ngaphambi kwesikhathi esilandelayo	Ngokuvamile yonke imijikelezo engu-21–35, kuye ngomjikelezo
Ubude	Amahora ambalwa kuya ezinsukwini ezingu-1–2	Izinsuku ezingu-3–7
Ukugeleza	Kukhanyayo, ngokuvamile opinki noma obomvu obumnyama	Kunzima, igazi elibomvu elikhanyayo
Izimpawu ezihambisanayo	Awekho amaphuzu aphawulekayo (ngokungavamile ubuhlungu obukhanyayo)	Ubuhlungu, ukukhathala, ukuhlukahluka kwesimo sengqondo, ukukhula
Imbangela	Izingoquko zamahomoni, ukwehla kwe-estrogen ngemuva kokukhishwa kweqanda	Ukulahleka kwe-uterine lining

Nini okufanele ufuna iseluleko sezokwelapha

Kufanele ufuna iseluleko sezokwelapha uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ezihlobene nokopha noma ama-ovarian cysts:

• Ukopha okunzima noma okuqhubekayo: Uma ukopha kunzima kunokujwayelekile noma kuqhubeka isikhathi eside kunokulindelekile, kungase kubonise isimo esinzima esidinga ukunakekelwa.

• Ubuhlungu obukhulu be-Pelvic: Ubuhlungu obukhulu noma obukhulu be-pelvic, ikakhulukazi uma buqala ngokuzumayo, kungase kubonise izinkinga ezinjengokuqhekeka kwe-ovarian noma ukuqhekeka kwe-cyst, ezidinga ukunakekelwa kwezokwelapha ngokushesha.

• Izikhathi ezingavamile: Uma uhlangabezana nezimijikelezo yokuya exeshini engavamile noma ukopha phakathi kwezikhathi, kubalulekile ukubona umhlinzeki wezinsizakalo zempilo ukuze uqede izinkinga eziyisisekelo ezinjengokungalingani kwamahomoni noma ama-fibroids.

• Ubuhlungu ngesikhathi sokuya ocansini: Uma uhlangabezana nobuhlungu ngesikhathi noma ngemuva kokuthinta ucansi, kungase kube uphawu lwama-ovarian cysts, i-endometriosis, noma ezinye izinkinga zempilo yokuzala.

• Ukukhula nokungahambi kahle: ukukhula okuqhubekayo, isicanucanu, noma ukungahambi kahle okungapheli kungase kuhlobene nama-ovarian cysts noma ezinye izimo ezithinta ama-ovary.

• Ukuqhuma: Ukuqhuma, kanye nobuhlungu be-pelvic noma ukungahambi kahle, kungase kubonise ukutheleleka, okudingayo ukusebenta kwezokwelapha ngokushesha.

Imininingwane ebalulekile

• Ukopha kokukhishwa kweqanda kuyikubonakala okukhanyayo okwenzeka phakathi nomjikelezo, ngokuvamile ngenxa yezingoquko zamahomoni noma ukuqhekeka kwe-follicle.

• Ukopha kokukhishwa kweqanda vs. isikhathi: Ukopha kokukhishwa kweqanda kulula, kufushane, futhi akunazo izimpawu zesikhathi esivamile njengokukhathala nokukhula.

• Izimbangela ezivamile zokopha kokukhishwa kweqanda zihlanganisa izingoquko zamahomoni, ukuqhekeka kwe-follicle, i-endometriosis, ne-PCOS.

• Funani iseluleko sezokwelapha uma ukopha kunzima, kuqhubeka isikhathi eside, noma kuhambisana nobuhlungu obukhulu noma ezinye izimpawu ezikhathazayo.

Imibuzo Evamile

1. Ingabe kuyinto evamile ukopha ngesikhathi sokukhishwa kweqanda?

   Yebo, ukopha okukhanyayo noma ukubonakala ngesikhathi sokukhishwa kweqanda kuyinto evamile kwabanye abesifazane ngenxa yezingoquko zamahomoni noma ukuqhekeka kwe-follicle.

2. Ingabe ukopha kokukhishwa kweqanda kusho ukuthi sekwephuzile ukukhulelwa?

   Cha, ukopha kokukhishwa kweqanda akunakuthinta ikhono lakho lokukhulelwa; ngokuvamile kwenzeka ngesikhathi sefasitela lakho elikhiqizayo, okuyisikhathi esifanele sokuzama ukukhulelwa.

3. Ingabe ukucindezeleka kungabangela ukopha kokukhishwa kweqanda?

   Yebo, ukucindezeleka kungabangela ukungalingani kwamahomoni futhi ngaleyo ndlela ukopha kokukhishwa kweqanda.