Ukukhulelwa ngamaXesha aRhoqo: Yintoni Ongayilindela

Umxholo

• Amaxesha angaqhelekanga kunye nokukhulelwa
• Amaxesha angaqhelekanga kunye ne-ovulation
• Isifo sePolycystic ovary syndrome (i-PCOS)
• Ixesha lokuphuma
• Isifo se-thyroid
• Ubunzima
• Uxinzelelo
• Iikiti zokuxelwa kwangaphambili kwe-ovulation kunye namaxesha angaqhelekanga
• Ukwanda kwencindi yomlomo wesibeleko
• I-spike kubushushu bomzimba wakho
• Ufuna nini uncedo
• Ukhulelwa njani ngokungaqhelekanga
• Ngaba amaxesha angaqhelekanga achaphazela impilo yokukhulelwa?
• Imbonakalo

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Amaxesha angaqhelekanga kunye nokukhulelwa

Akuqhelekanga ukuba abafazi babe nemijikelezo yokuya esikhathini eyahlukileyo ngobude. Inyanga enye inokuba ziintsuku ezingama-28 - ethathelwa ingqalelo njenge-avareji- kwaye kwinyanga elandelayo inokuba ziintsuku ezingama-31, kwaye ezizayo ezingama-27. Yinto eqhelekileyo leyo.

Imijikelezo yokuya exesheni ithathwa njengengaqhelekanga xa iwela ngaphandle "kohlobo" oluqhelekileyo. Iingxelo zokuba umjikelo wokuya exesheni ngokungaqhelekanga yinto emfutshane kuneentsuku ezingama-21 okanye ngaphezulu kune-35.

Xa ubala iintsuku kumjikelo wakho, usuku lokuqala lokuphuma kwegazi lusuku lokuqala, kwaye usuku lokugqibela lomjikelo lusuku lokuqala lokopha kumjikelo wakho olandelayo.

Kuyenzeka ukuba ukhulelwe xa unesiqhelo esingaqhelekanga sokuya exesheni, kodwa usenokukufumanisa kunzima. Ukuba awuqinisekanga malunga nobude bomjikelo wakho ukusuka kwinyanga ukuya kwinyanga, kunokuba nzima ukwazi xa uphuma ovulation.

Ukwabelana ngesondo ngokujikeleza i-ovulation kunokunyusa amathuba akho okukhulelwa kuba kuya kufuneka ukuba ubelane ngesondo ngefestile yakho evundileyo ukuze ukhulelwe. Ifestile yakho echumileyo ibhekisa kwiintsuku ezimbalwa ngaphambi kwe-ovulation kunye nosuku ovulate ngalo.

Umjikelo wokuya esikhathini ngokungaqhelekanga unokuba luphawu lokukhutshwa ngokungaqhelekanga. Awunakho ukuvula ioyile rhoqo ngenyanga okanye unokuyikhupha ngamaxesha ahlukeneyo inyanga nenyanga.

Funda ukuze ufunde ngakumbi malunga nexesha elingaqhelekanga kunye nokukhulelwa.

Amaxesha angaqhelekanga kunye ne-ovulation

Kuyenzeka ukuba uphume ngaphandle kokuphuma kamva njengexesha. Oku kuhlala kwenzeka ngenxa yokunqongophala kwesibeleko sangaphambili okanye amayeza athile ehomoni.

Kwakhona kunokwenzeka ukuba ukuphuma kwegazi okufana nokuya esikhathini ngaphandle kwe-ovulation. Oku kwenzeka ngokubanzi xa ulwelwesi lwesibeleko lusiba lukhulu kangangokuba luye luzinze kwaye ngokwendalo luyekeke.

Umbhinqo wesibeleko unokuba sisityebile ngaphandle kwe-ovulation ukuba ihomoni estrogen, eveliswa ngaphambi kokukhutshwa kweqanda, iyaqhubeka nokufihlwa ngaphandle kokuphikiswa yenye ihomoni yabasetyhini, iprogesterone, eveliswa emva kwe-ovulation.

Zininzi izinto ezinokubangela ukuba uye exesheni ngokungaqhelekanga, kwaye uninzi lwezizathu zalo zinokuchaphazela i-ovulation okanye zenze ukuba kubenzima ukukhulelwa. Kwezinye iimeko, imbangela yokuhamba ngokungaqhelekanga ayaziwa.

Ezinye izizathu ezinokuchaphazela i-ovulation kunye nokukwazi kwakho ukukhulelwa kubandakanya:

Isifo sePolycystic ovary syndrome (i-PCOS)

I-PCOS yimeko apho umzimba wabasetyhini uthumela i-androgens eninzi kakhulu. I-Androgens ngamanye amaxesha icingelwa njenge "ndoda" yesini iihomoni. Uninzi lwee-androgens zinokuthintela amaqanda aqolileyo ukuba aphuhle kwaye akhululwe yimibhobho yesibeleko.

I-PCOS, echaphazela ukuya kuthi ga kwiipesenti ezingama-21 zabasetyhini, sesona sizathu sixhaphakileyo sokungachumi ngenxa yokunqongophala kwe-ovulation. I-PCOS inokuba sisifo sokuphazamiseka kwemfuza, kodwa inokuba nefuthe nakwindlela yokuphila, njengokutyeba kakhulu kunye nokuhlala phantsi.

Ixesha lokuphuma

I-Perimenopause lixesha kubomi bokuzala xa i-estrogen kunye neprogesterone yehla ngokwendalo. Oku kubangela i-ovulation engaqhelekanga kunye namaxesha ngaphambi kokuba ayeke ngokupheleleyo, ukubonisa ukuya exesheni. Ngokwesiqhelo, ixesha lokuphela kwexesha lihlala malunga neminyaka emine, kodwa abanye abantu basetyhini banokuhamba ixesha elide.

Ukuqala kwexesha lokuphela kwexesha ngama-47, ngama-51 ukuba yiminyaka yobudala ephakathi yokuya exesheni. Ukuphela kwexesha lokuphela kwexesha - kunye nokuyeka ukuya exesheni kuqala - xa ungakhange ube nexesha leenyanga ezili-12.

Iimpawu ze-perimenopause zinokubandakanya:

• kushushu
• ukubila ebusuku
• ukonwaba
• amaxesha angaqhelekanga

Ngelixa kusenokwenzeka ukuba ukhulelwe ngexesha lokuphela kwexesha, kunokuba nzima ngakumbi kuba amaqanda akhutshiweyo aya kuba mdala kwaye angabinakho ukusebenza. Kananjalo awunakukhupha amaqanda ngayo yonke imijikelo.

Isifo se-thyroid

Idlala lengqula lakho, elililungu elincinci elime njengebhabhathane emazantsi entamo yakho, linceda ekulawuleni iihomoni, phakathi kwezinye izinto, ezichaphazela ukuphuma kweqanda kunye nokuya exesheni. Kwisifundo esinye, phantse iipesenti ezili-14 zamantombazana akwishumi elivisayo aneengxaki zedlala lengqula nawo ayenexesha elingaqhelekanga.

Ezinye iimpawu zesifo se-thyroid, ezibandakanya i-hyperthyroidism kunye ne-hypothyroidism, ingaba:

• Ukungazinzi ngengqondo
• utshintsho lobunzima
• Ukutshintsha kwentliziyo kunye namanqanaba emetabolism

Ubunzima

Ukugqithisa kakhulu okanye ukutyeba kakhulu kunokumisela ukusabela kwikhonkco emzimbeni wakho okuphazamisa ukusebenza kwehomoni. Oko kunokukhokelela ekungabikho okanye ukungabikho mgaqweni, okungakhokelela ekuyeni exesheni okanye ngokungaqhelekanga.

Ngokophando olupapashwe kwi-BMC Women's Health, abasetyhini abanesalathiso sobunzima bomzimba esingaphantsi kwama-20 okanye ngaphezulu kwama-25 ubuncinci amaxesha angama-1.1 amathuba okuba bafumane izitenxo zokuya exesheni kunabasetyhini ababene-BMIs phakathi kwama-20 nama-25.

Uxinzelelo

Uxinzelelo lunokuba nefuthe kwimisebenzi eyahlukeneyo yomzimba, kubandakanya i-ovulation. Kwisifundo esinye esijonga abafundi bezonyango, abo baxele amanqanaba aphezulu oxinzelelo olubonakalayo banamathuba okuba nesitenxo exesheni xa kuthelekiswa nabo bangaziva benoxinzelelo olukhulu.

Iikiti zokuxelwa kwangaphambili kwe-ovulation kunye namaxesha angaqhelekanga

Ukuvuthwa ngokubanzi kwenzeka embindini kumjikelo wakho. Ukuba unomjikelezo oqhelekileyo weentsuku ezingama-28, uya kuvota malunga nosuku lwe-14. Kodwa xa amaxesha akho engavumelekanga, ukuqikelela ukuvuthwa kwexesha kunye nokulala ngexesha lokukhulelwa kunokuba nzima.

Iikiti zokuxelwa kwangaphambili kwe-ovulation zichanekile ngokuchanekileyo ekufumaneni ukunyuka kwehomoni ye-luteinizing, ebangela i-ovulation. Kwaye ngelixa kulula ukuzisebenzisa, zifuna nje ukudlula nje ngokukhawuleza kumjelo wakho womchamo, banokufumana imali eninzi, ngakumbi xa uvavanya iintsuku okanye iiveki.

Ukuba unamaxesha angaqhelekanga, unokufuna ukulinda usebenzise ikiti yokuqikelela i-ovulation de ubone ezinye iimpawu ze-ovulation. Ezinye izinto ekufuneka ujonge kuzo:

Ukwanda kwencindi yomlomo wesibeleko

Khangela ukolula okucacileyo, okucacileyo, okweqanda okumhlophe kwimpahla yakho yangaphantsi okanye xa usula emva kokusebenzisa indlu yangasese. Olu luphawu lokuba ukufuduka kweqanda kufutshane.

I-spike kubushushu bomzimba wakho

Thatha iqondo lobushushu lomzimba wakho nge-basal thermometer yento yokuqala ekuseni, ngaphambi kokuba utye, uthethe, okanye uphume ebhedini. Itshathi ubushushu bakho yonke inyanga ubude.

Xa uqaphela ukonyuka okuncinci, ngesiqingatha seqondo ukuya kuthi ga kwinqanaba elipheleleyo, usenokuba ukhuphe ioyile. Kuba le ndlela ibonisa kuphela ukuba i-ovulation sele yenzekile, ayisiyondlela elungileyo yokuqikelela iwindow yakho echumileyo. Inokukunceda uqonde ixesha eliqhelekileyo lomzimba wakho we-ovulation kwimijikelezo ezayo, nangona kunjalo.

Ufuna nini uncedo

Jonga ugqirha ukuba:

• Khange ube naxesha leenyanga ezintathu okanye nangaphezulu.
• Ukopha exesheni okuhlala ngaphezulu kweveki.
• Untywila ngephedi okanye itampon ngeyure okanye ezimbini, iiyure ezininzi, ngexesha lakho.
• Amaxesha akho abuhlungu kakhulu.
• Ube uzama ukungaphumeleli ukukhulelwa unyaka omnye kwaye ungaphantsi kwe-35 okanye kwiinyanga ezintandathu okanye ngaphezulu kwaye unama-35 okanye ngaphezulu.

Ukhulelwa njani ngokungaqhelekanga

Ukuba u-ovulation, unakho ukukhulelwa, kodwa ukuba unamaxesha angaqhelekanga, amathuba akho okukhulelwa anokuncitshiswa kunowasetyhini onamaxesha aqhelekileyo.

Into ebaluleke kakhulu kukuba neentlobano zesini ezingakhuselekanga rhoqo. Nenjongo yokuba neentlobano zesini ubuncinci rhoqo kwiintsuku ezimbini ukuya kwezintathu.

Ukuba unemeko yonyango echaphazela ukuzala, ukunyanga loo meko kunokunyusa amathuba akho okukhulelwa.

Ugqirha wakho unokumisela i-clomiphene citrate (Clomid) ukwenza i-ovulation. I-Clomid inayo yokukhuthaza i-ovulation. Ikwabonakalisile xa isetyenziswa kubafazi abane-PCOS.

Iziphumo ezivela kwiComomid zingabandakanya:

• kushushu
• ukuthamba kwebele
• isisu esiswini
• ukukhutshwa kwamaqanda amaninzi kumjikelo omnye, onokuthi ukhokelele ekukhulelweni ngokuphindaphindeka

Ukwehla kobunzima okanye ukuzuza ubunzima kunokunceda. NgokukaMbutho woLwaziso lwe-PCOS, ukuphulukana neepesenti ezintlanu ukuya kwezilishumi zomzimba wakho kunokunceda ukulawula i-ovulation kwabasetyhini abatyebe kakhulu.

Fumana iingcebiso zikagqirha wakho zokufumana okanye ukunciphisa umzimba. Banokwazi ukukunika izicwangciso zokutya kunye nezikhokelo zokuzilolonga, okanye bakukhombise kwizixhobo.

Ukuba ixesha lakho elingaqhelekanga libangelwa yi-thyroid engasebenzi okanye engasebenzi, ugqirha wakho uya kukumisela iziyobisi ezonyusa i-hormone ye-thyroid okanye ibhloke.

Olunye uphononongo olupapashwe kufunyenwe ukuba ngabafazi abane-hypothyroidism kunye nokungachumi abaye baphathwa ngechiza levothyroxine (Levoxylo, Synthroid, Unithroid) bakhulelwa kuthelekiswa neepesenti ezingama-26 baphathwa nge-placebo.

Ngaba amaxesha angaqhelekanga achaphazela impilo yokukhulelwa?

Banokuthi, kuxhomekeke kwinto ebangela ukuba sexesheni kwakho ngendlela engaqhelekanga. Ukuba unobangela awaziwa, ngekhe ubenomngcipheko okhulayo wokukhulelwa, kodwa kuya kufuneka uthethe nengozi enokubakho nogqirha wakho.

Abafazi abakhulelweyo abane-PCOS basemngciphekweni omkhulu woku:

• ukuphuma kwesisu
• isifo seswekile
• preeclampsia, ukunyuka ngequbuliso koxinzelelo lwegazi emva kweveki yama-20 yokukhulelwa
• ukuzalwa kwangaphambi kokuzalwa

Abafazi abakhulelweyo abane-hyperthyroidism engalawulekiyo kufuneka bazise umntwana oswelekileyo, umntwana ozelwe ngaphambi kwexesha, okanye umntwana onesiphene sokuzalwa.

Imbonakalo

Abasetyhini abaninzi bafumana amaxesha angaqhelekanga, ikakhulu ngenxa ye-ovulation engaqhelekanga. Nangona i-ovulation engapheliyo ingenza kube nzima ukukhulelwa, ugqirha wakho unokukunceda ukwandisa ukuzala kwakho ngokunyanga imbangela yokuhamba kwakho okungaqhelekanga kunye nokubeka iliso kwinkqubela yakho emva kokuba ukhulelwe. Oku kuya kunceda ekuqinisekiseni ukuba ukhulelwe usempilweni kwaye ubeleka umntwana osempilweni.