Kungani kukhona ukuphuza igazi ngaphambi kwesikhathi?

I-sikhathi somjikelezo wesikhathi yi-inqubo yemvelo evame ukuphela izinsuku ezimalunga nama-28, nakuba kungase kuhluke komunye nomunye umuntu. Lidlala indima ebalulekile empilweni yokuzala futhi lihilela izigaba eziningana ezahlukene: isigaba sesikhathi, isigaba se-follicular, ukuvuthwa kwegci, kanye nesigaba se-luteal.

Phakathi nesigaba sesikhathi, umzimba ulahla ukugqoka kwesisu, okuholela kulokho esikubiza ngokuvamile ngokuthi isikhathi. Lesi sigaba singase sihlanganise ukuphuza “ngamaphambili kwesikhathi” njengoba umzimba ulungiselela umjikelezo. Ngemva kwalokho, isigaba se-follicular siqala, siphawulwa ukukhishwa kwe-hormone yokukhuthaza ama-follicle (FSH), ekhuthaza ukukhula kwama-follicles e-ovary.

Olandelayo, ukuvuthwa kwegci kwenzeka eduze nephesenti lomjikelezo, okuqaliswe yisikhuthazo se-hormone ye-luteinizing (LH). Yisikhathi lapho iqanda likhishwa futhi lingase liqothwe. Isigaba se-luteal silandela, lapho umzimba ulungiselela khona ukukhulelwa okungenzeka. Uma i-f ertilization ingenzeki, amazinga e-hormone awe, okuholela esigabeni sesikhathi esilandelayo.

Ukuqonda ukungaguquki kwalezi zigaba kungasiza abantu baqonde ukuguquguquka emizimbeni yabo, kufaka phakathi “ukuphuza ngaphambi kwesikhathi.” Ukwazi okunjalo kuwumthombo obalulekile wokubeka iliso empilweni yokuzala nokubona noma yiziphi izinkinga ezingase zibe khona ekuqaleni.

Ukuchaza Ukuphuza Nokukhishwa

Ukuphuza nokukhishwa kuyizigaba ezivame ukusetshenziswa ukuchaza ukuphuza kwe-vaginal okungavamile, kodwa kubhekisela ekuhlangenwe nakho okuhlukile. Ukuqonda umehluko phakathi kwalezi zombili kubalulekile ekuqondeni izinkinga zempilo ezingase zibe khona.

1. Yini ukuphuza?
   Ukuphuza kubhekisela ekulahlekeni kwegazi esivela esiswini, okuvamile ukuhlotshaniswa nesikhathi. Ngokuvamile kuyindlela enkulu yokugeleza futhi ihlala isikhathi eside, kusuka ezinsukwini ezimbalwa kuya kwesonto. Ukuphuza kungase kwenzeke ngenxa yezimo zezokwelapha ezifana nama-fibroids, ukungalingani kwama-hormone, noma ukutheleleka.

2. Yini ukukhishwa?
   Ukukhishwa kubhekisela ekuphuzini okukhanyayo okwenzeka ngaphandle kwesikhathi somjikelezo wesikhathi wabesifazane. Ngokuvamile kuyakhanya kakhulu kunokuphuza okuvamile futhi kungase kubonakale njengezintathu zegazi ezingubo zangaphansi noma ephepheni lesikhungo. Ukukhishwa kungase kwenzeke phakathi kwesikhathi, ngemva kokulala, noma ngesikhathi sokukhulelwa.

3. Izimbangela Zokuphuza
   Ukuphuza kuvame ukuhlotshaniswa nesikhathi kodwa kungase kuphumelele ezinye izimo zempilo ezifana ne-polycystic ovary syndrome (PCOS), ama-uterine fibroids, noma ukutheleleka.

4. Izimbangela Zokukhishwa
   Ukukhishwa kungabangelwa ukuvuthwa kwegci, ukungaguquki kwama-hormone, ukucindezeleka, noma ukukhulelwa ekuqaleni. Kungase kwenzeke njengomphumela wecontrol yokuzala.

5. Nini Okufanele Ufuna Ukunakekelwa Kwezokwelapha
   Nakuba ukukhishwa okungavamile kuyinto evamile, ukuphuza okuqhubekayo noma okukhulu kufanele kuhlolwe yisikhungo sezokwelapha ukuze kuvinjwe izimo noma izinkinga ezingaphansi.

Izimbangela Ezivamile Zokukhishwa Ngaphambi Kwesikhathi

Ukukhishwa ngaphambi kwesikhathi noma ukuphuza okwenzeka ngaphandle komjikelezo wakho wesikhathi ovamile, kungaba yinto evamile. Izici eziningana zingase zifake isandla ekukhishweni ngaphambi kwesikhathi, futhi kubalulekile ukuqonda izimbangela ezingase zibe khona ukuhlola ukuthi kuyinto evamile noma uma kunesidingo sokunakekelwa kwezokwelapha.

1. Ukuvuthwa kwegci
   Ukukhishwa eduze nesikhathi sokuvuthwa kwegci, okwenzeka phakathi nomjikelezo wesikhathi, kuyinto evamile. Ukungaguquki kwama-hormone ngalesi sikhathi kungabangela ukuphuza okukhanyayo noma ukukhishwa njengoba iqanda likhishwa e-ovary.

2. Ukungalingani kwama-Hormone
   Ukungaguquki kwamazinga e-hormone, ikakhulukazi i-estrogen ne-progesterone, kungabangela ukukhishwa ngaphambi kwesikhathi. Lokhu kungase kwenzeke ngenxa yezimo ezifana ne-polycystic ovary syndrome (PCOS) noma izinkinga ze-thyroid.

3. Ukuphuza Kokuhlukanisa
   Ekuqaleni kokukhulelwa, abanye abesifazane bahlangabezana nokuphuza kokuhlukanisa, okwenzeka lapho iqanda eliqothwe linamathela ekugqokeni kwesisu. Lolu hlobo lokukhishwa ngokuvamile lwenzeka eduze nesikhathi lapho isikhathi sifanele futhi ngokuvamile kuyakhanya kakhulu kunesikhathi esivamile.

4. Ukucindezeleka
   Ukucindezeleka ngokomzwelo noma ngokomzimba kungaphazamisa ukukhiqizwa kwama-hormone, okuholela ekukhishweni ngaphambi kwesikhathi sakho. Ukucindezeleka kungase kuthonye umjikelezo wesikhathi ngokulibazisa ukuvuthwa kwegci noma ukubangela ukuphuza okungavamile.

5. Ukulawula Ukuzala
   Ama-contraceptives e-hormone, njengezithasiselo zokulawula ukuzala, ama-implants, noma ama-IUD, angabangela ukukhishwa, ikakhulukazi phakathi nezinyanga ezimbalwa zokuqala zokusetshenziswa. Lokhu kwenzeka njengoba umzimba ulungele amazinga e-hormone.

6. Isimo Sesisu Noma I-Cervix
   Izimo ezifana nama-fibroids, i-endometriosis, noma ama-cervical polyps angabangela ukukhishwa ngaphambi kwesikhathi. Lezi zimo zingase zibangele ukuphuza okungavamile futhi zidinga ukunakekelwa kwezokwelapha ukuze kuqondwe kahle nokuphathwa.

7. I-Perimenopause
   Njengoba abesifazane besondela e-menopause, ukungaguquki kwama-hormone phakathi neminyaka ye-perimenopausal kungabangela izikhathi ezingavamile nokukhishwa. Lokhu kungaba yingxenye evamile yokuhamba kodwa kufanele kubekelwe iliso.

Nini Okufanele Ubone Udokotela

Nakuba ukukhishwa ngaphambi kwesikhathi kuyinto evamile, kunezimo ezithile lapho kubalulekile khona ukufuna iseluleko sezokwelapha. Uma uhlangabezana nanoma yikuphi okulandelayo, kunconywa ukubona udokotela:

1. Ukukhishwa Kwezinyanga Eziningi Ezilandelayo
   Uma ukukhishwa kwenzeka njalo izinyanga eziningi noma phakathi kwezikhathi eziningi, kungase kubonise inkinga engaphansi, njengokungalingani kwama-hormone noma izimo zempilo yokuzala.

2. Ukukhishwa Okukhulu Noma Ukuphuza
   Uma ukukhishwa kuphenduka ukuphuza okukhulu, noma uma udinga ukusebenzisa okungaphezu kwepedi noma i-tampon ngosuku, kubalulekile ukufuna usizo lwezokwelapha. Lokhu kungase kubonise inkinga enzima kakhulu, njengama-uterine fibroids noma ukulahleka kokukhulelwa ekuqaleni.

3. Ubuhlungu Ohambisana Nokukhishwa
   Ukukhishwa okuhambisana nobuhlungu obukhulu besisu, ukugcwala, noma ukungakhululeki kungase kube uphawu lwezimo ezifana ne-endometriosis, ama-fibroids, noma isifo se-pelvic inflammatory (PID). Bheka udokotela ukuze uqede lezi zimo.

4. Ukukhishwa Okungachazeki Ngemva Kwezikhathi Eziphuthelwe
   Ukukhishwa ngemva kwesikhathi esiphuthelwe, ikakhulukazi uma kungenzeka ukukhulelwa, kufanele kuxoxwe nodokotela. Kungase kube ukuphuza kokuhlukanisa noma uphawu lokulahleka kokukhulelwa.

5. Ukukhishwa Ngemva Kokulala
   Ukukhishwa ngemva kokulala kungase kube uphawu lokuvuvukala kwe-cervix, ukutheleleka, noma ukukhula okungavamile. Uma lokhu kwenzeka njalo noma kubangela ukungakhululeki, kunesidingo sokunakekelwa kwezokwelapha.

6. Ukukhishwa Ngemva kwe-Menopause
   Noma iyiphi indlela yokukhishwa noma ukuphuza ngemva kwe-menopause akuvamile futhi kufanele kuhlolwe udokotela. Lokhu kungase kube uphawu lwezinkinga ezihlobene ne-menopause, umdlavuza wesisu, noma ezinye izimo ezinzima.

7. Ezinye Izimpawu Zokukhathazeka
   Uma uhlangabezana nokukhishwa kanye nezinye izimpawu ezifana nokuqabuka, ukuthandaza, ukukhathala, noma ukukhishwa okungavamile, funa iseluleko sezokwelapha ngokushesha, njengoba lezi zingase zibe izimpawu zokutheleleka noma isimo esinzima kakhulu.

Isifinyeto

Ukuqonda izimpawu zokuphuza nokukhishwa ngaphambi kwesikhathi sakho kubalulekile kuwo wonke umuntu onezikhathi. Ukukhishwa ngaphambi kwesikhathi kungase kwenzeke ngezizathu eziningi, njengokuguquka kwama-hormone noma ukuvuthwa kwegci, kuyilapho ukuphuza ngokuvamile kusho ukuthi isikhathi sakho siqala. Ukwazi le mihluko kungakusiza uqonde ukuthi umzimba wakho uzama ukukutshela ini.

Ukuqaphela umjikelezo wakho namisindo yawo kungakunika ukulawula okwengeziwe. Kubalulekile ukugcina iliso kunoma yikuphi ukuguquka okungavamile, njengoba kungase kubonise izinkinga zempilo. Ngokwesibonelo, uma ukukhishwa kwenzeka njalo noma uma ukuphuza kukhulu kunokuvamile, kubalulekile ukukhuluma nodokotela. Ukuthatha isinyathelo ekuqaleni kungase kuholele emiphumeleni emihle yempilo.

Ngamafuphi, ukuqaphela izimpawu zomzimba wakho akuyona nje into yokufaneleka; kuyindlela yokunakekela wena. Uma ubona noma yiziphi izimpawu ezikhathazayo, ungangabazi ukucela usizo. Ukuqonda umjikelezo wakho yingxenye ebalulekile yokunakekela wena, kukusiza ulawule impilo yakho ngokuqiniseka.