Ukukhipha isisu kuyisiphazamiso esibi emzimbeni wesifazane, kungakhathaliseki ukuthi isikhathi sokukhulelwa siphila nokuthi siyaphazanyiswa kanjani. Ngisho nokukhipha isisu, ngaphandle kokungenelela kokuhlinzwa, kungaba nemiphumela ethile. Ngakho-ke, uma unqume ngesinyathelo esinjalo, owesifazane kufanele ahlole zonke izinkinga ezikhona, futhi, eqinisweni, abuyele kumchwepheshe ongcono, hhayi kuphela ekufezeni inqubo, kodwa nangokulawula okulandelayo ngokubuyiswa komzimba. Inyanga zonke emva kokukhipha isisu kufakazela ukubuyiselwa komsebenzi wama-ovari, kodwa akusiyo njalo uhlelo lokuzala lubuyiselwa ngaphandle kwezinkinga. Noma yiziphi izimpawu zokungajwayelekile, kufaka phakathi ukubambezeleka ezinyangeni emva kokukhipha isisu, kuyisikhathi sokubiza udokotela. Ngisho nalapho emva kokukhipha isisu, ukuqala esikhathini, kufanelekile ukuqhubeka nokuqapha isimo kuze kube yilapho umjikelezo wesimeni ubuyiselwa ngokugcwele.
Yithinta ukuthini ukuphumula kokuya esikhathini emva kokukhipha isisu?
Izazi zikhomba izici ezilandelayo eziyinhloko ezithinta izinga lokubuyiselwa komzimba emva kokukhipha isisu:
- ubudala kanye nesimo sempilo yowesifazane;
- ukutholakala kwezifo zesimiso sokuzala;
- ukutholakala kwezifo ze-hormonal;
- isikhathi sokuqeda ukukhulelwa;
- indlela yokukhipha isisu;
- ukulethwa ngempumelelo ngaphambi kokukhipha isisu;
- izinga lobuchwepheshe lodokotela;
- ikhwalithi yezidakamizwa ezisetshenziselwa ukukhipha isisu.
Indima enkulu ekuvimbeleni ukuthuthukiswa kwezifo ezibi kakhulu ezihambisana nokukhipha isisu ukufinyelela okufika ngesikhathi kudokotela lapho kukhona ukwephulwa komjikelezo wokuya esikhathini. Ukuze wenze lokhu, Yebo, udinga ukwazi ukuthi izinyanga emva kokukhipha isisu kuqale, futhi yikuphi ukwehluka okuyisizathu sokukhathazeka.
Ukuya esikhathini kuqale nini emva kokukhipha isisu?
Ukukhipha isisu kususelwa ekuvimbeleni ama-receptors we-progesterone, okuholela ekwenqatsweni kweqanda lesisu. Njengomthetho, lokhu akuthinti ukuzala nokujikeleza kokuya esikhathini. Ngemuva kwezinsuku ezingakanani inyanga izoqala emva kokukhipha isisu kuncike kumjikelezo ngamunye wokuya esikhathini. Ukwenqatshwa kweqanda lokubeletha kubhekwa njengosuku lokuqala lomjikelezo, ngakho-ke, kusukela kulokhu, ukuqala komjikelezo olandelayo kubalwa. Inyangazonke emva kokukhipha isisu kungaqala ngokubambezeleka kwezinsuku ezingu-10, ezimweni ezingavamile ngemva kwezinyanga ezimbili ukukhipha isisu. Ukulibaziseka okunjalo kungabhekwa njengesijwayelekile uma kuphela izifo zobulili kanye nokukhulelwa okuphindaphindiwe okufakiwe. Uma izinyanga emva kokukhipha isisu kuqale ngaphandle kokulibaziseka, kodwa ukuphaphazeka okuqhubekayo nokuqhubekayo kuyadingeka, umgogodla we-uterine kufanele uhlolwe ukukhipha ukuthuthukiswa kwe-endometriosis. Ukuphazamiseka kwe-hormonal nakho kungabiza ukuthutha isikhathi eside noma ezinye izimpikiswano zomjikelezo.
Inyanga emva kokukhipha isisu
Ukukhipha isisu okubizwa ngokuthi ukukhipha isisu kubizwa ngokuthi ukukhipha isisu ezinyathelweni zokuqala ngokufisa ukuphuma. Le nqubo ihilela umphumela wamagciwane esibelethweni, ngakho-ke, kukhona ingozi yokulimala kanye nezinkinga. Umjikelezo wesisu emva kokukhishwa kwesisu okubuyiselwa kancane kuvuselelwe ezinyangeni ezingu-3-7. Kubesifazane ababeletha, lo mjikelezo ubuyiselwa ngaphakathi kwezinyanga ezingu-3-4. Cishe inyanga ngemva kokukhipha isisu, izinyanga zokuqala ziqala. Njengoba nje ngokuqeda ukwelashwa kokukhulelwa, izinsuku zokuya esikhathini zibalwa ngesisekelo somjikelezo ngamunye. Isibonelo, uma umjikelezo unamazinsuku angu-28, khona-ke ukuya esikhathini kufanele kuqale izinsuku ezingu-28 ngemuva kokukhipha isisu. Ngenxa yokukhishwa komsebenzi we-ovarian, ukuya esikhathini ezinyangeni zokuqala kungase kube nzima kunokuba kuvamile. Isizathu sokuvakashela udokotela kungukushintsha kombala wokugeleza kokuya esikhathini, ukubonakala kwephunga elimnandi, okungaba uphawu lwesifo esithathelwanayo. Ukusuka kwegazi, okuvela ezinsukwini zokuqala emva kokuqedwa kokukhulelwa, akusiyo esikhathini. Njengomthetho, lokhu kungumphumela wokukhipha isisu, okubangelwa izigungu zesisu. Uma uphepha kakhulu futhi ubuhlungu, kuyadingeka ukubonana nodokotela.
Uma ukukhishwa isisu kwenziwa ngasekupheleni, ngokuhlinzwa, ingozi yezinkinga kungaba phezulu ngokwanele. Ezimweni ezinjalo kuyadingeka ukuba uhlolwe njalo kusukela kudokotela oya khona kuze kube yilapho umjikelezo wesimiso ubuyiselwa ngokugcwele.
Kufanele kuqaphele ukuthi noma yiluphi uhlobo lokukhipha isisu lubangela ukwehluleka kwe-hormonal futhi kungaholela ezifweni zesisu. Futhi ngenxa yezinkinga ze-hormone, kunengozi enkulu yokukhulelwa okuphindaphindiwe ngaphambi kokuqala kokuya esikhathini. Ngakho-ke, ngokuqala kabusha kocansi, kubalulekile ukunakekelwa kokubeletha kusengaphambili. Ukuqokwa kwezibeletha zomlomo ngemuva kokukhipha isisu, kungasi nje kuphela okuvimbela ukukhulelwa, kodwa futhi kuyasiza ukubuyisela isizinda semvelo. Kodwa kuphela udokotela oya khona angachaza ukukhulelwa kwe-hormonal, ngokucabangela zonke izici zomzimba wesifazane. Futhi, emva kokukhipha isisu, ukuhlolwa okuvimbela akufanele kuphuthelwe futhi iseluleko sochwepheshe kufanele sihlehliswe uma kuvela izimpawu zokukhathazeka. Izinyathelo ezinjalo zizonciphisa kakhulu ingozi yokungabi nabantwana kanye nezifo zobulili.