Umjikelezo wokuya esikhathini uhlala ezinsukwini ezingu-21 kuya kwezingu-35, lapho kuguqulwa khona inani emzimbeni, okubangelwa yisenzo samahomoni. Ukuqala komjikelezo kungukuqala kokuphuma kwesikhatsi, okuvame ukuba kungadluli izinsuku ezingu-7. Qhubeka umjikelezo kuze kube sekuya esikhathini esizayo. Isigaba ngasinye somjikelezo sivela ngaphansi kwethonya lamahomoni ahlukahlukene ahlinzeka ukusebenza kwendlela yokuzala yabesifazane. Kuwo wonke owesifazane, ubude bomjikelezo wonke kanye nobude besikhathi sokuya esikhathini ngabanye, kanti umgomo oyinhloko wezempilo ukuhlala njalo nokungabi khona kwemizwa ebuhlungu. Noma yikuphi ukuphulwa komjikelezo wokuya esikhathini ekuguleni komzimba kubhekwa njengezimo ezidinga ukuxilongwa nokuphathwa. Izimbangela zemijikelezo yokuya esikhathini zingahlukahluka, ezivela ekucindezelekeni nasebuthakatheni bokuzikhukhumeza nokuphela kwezifo ezinzulu. Esimeni ngasinye, ukutholakala okungahle kwesikhathi kokungajwayelekile kungavimbela ukuthuthukiswa kwezifo ezinzima, isibonelo, izicubu ezimbi.
Izimbangela zokungahambisani nokuya esikhathini
Izimbangela kanye nokwelapha ukwephulwa komjikelezo wesivivinyo kungenziwa kuphela ochwepheshe, ngokusekelwe ekuhloleni okuphelele. Izimbangela ezivame kakhulu zokungahambisani nomzimba zikhona izifo ezivuvukalayo noma ezithathelwanayo ezithombeni zobulili, ukuphazamiseka kwe-hormonal, izifo zesimiso se-nervous and endocrine. Ngokufanayo, ukuphazanyiswa kungabangelwa yizici zangaphandle, ukucindezeleka, izinguquko ezimweni zezulu, ukwedlula amandla, ukwehla ngokuzumayo noma ukwanda kwesisindo somzimba, ukutholakala kwezitho zomzimba zomlomo. Kukhona nokuphazamiseka okusebenzayo komjikelezo, okuvela kumpawu yobudala noma umphumela othile emzimbeni. Isibonelo, emva kokubeletha noma ukukhipha isisu, ukungenelela kokuhlinzeka, ngesikhathi kuhlanganiswa umjikelezo wamantombazane, kanye nasesikhathini samadoda asebesilisa. Phakathi nokuphulwa okunjalo kubalulekile ukubonisana nodokotela ozofika ozosiza ukunquma ukuthi yikuphi ukwephulwa okuvamile nokuthi yikuphi okudinga ukungenelela.
Ngokuhlukile kufanele kuqaphele ukuthi izimbangela zokuphulwa komjikelezo wesimiso kumantombazane angeke zihlotshaniswe nokwakheka komjikelezo. Phakathi neminyaka emibili yokuqala emva kokuqala kokuthutha (isikhathi sokuqala esikhathini), umjikelezo wokuya esikhathini usungulwe kuphela, ngakho-ke ukwehluka okuhlukahlukene kuyakuvunyelwa. Kodwa ngemuva kokuba umjikelezo usungulwe, ukuphulwa kuyisenzakalo sokuvakashela kudokotela. Futhi isizathu sokuhlolwa siqala kakhulu noma siphuzile kakhulu, i-amenorrhea (ukungabikho kokuya esikhathini) kuya eminyakeni engu-16 noma ngemuva kokuqala kokuthutha.
Ukuze kutholakale ukutholakala kanye nokwelashwa kokungahambisani nomzimba kuyadingeka ukutadisha umlando wesifo (anamnesis), ukuhlolwa okujwayelekile, izifundo ze-hormonal, i-endometrial nokuhlolwa kocansi. Ungase futhi udinga ukuhlolwa kwe-endocrinologist, i-neurologist ngisho ne-cardiologist. Kwezinye izimo, izimbangela zokuphulwa zihlobene, futhi imbangela enkulu ayikwazi ukuqiniswa. Isibonelo, i-tonsillitis engapheli ingathinta isistimu yokuzala futhi ibangele ukuvuvukala kwama-ovari, okuzokwenza ukuthi kuthinte ukwenziwa kwamahomoni, okuzokwenza umjikelezo uphinde uthinte uhlelo lwe-endocrine. Ngisho nokuhlolwa okuphelele, kunzima ukusungula ukuthi yiyiphi imbangela yalezi zinkinga, kodwa noma kunjalo ukuphulukisa zonke izifo ezikhona, kuyokwazi ukuvimbela ukuthuthukiswa okuqhubekayo kokuvuvukala kwama-ovari, isimiso se-endocrine, futhi, ngenxa yalokho, kulungise umjikelezo wesimiso. Ukwelashwa kwezifo zokuya esikhathini
Ukujwayelekile kokulala, ukuzivocavoca okulinganiselayo, okuhlangene nokuphumula okuphelele, ukuzivocavoca, ukuhamba ngaphandle, ukudla okunempilo kanye namavithamini uma ukungahambisani nokuhamba kwesikhathi kuzosiza ekuthuthukiseni yonke imvelo nokusheshisa ukubuyiswa komjikelezo.