Ukukhipha isisu kukuphazamiseka okukhulu kumzimba wowesifazane, kungakhathaliseki ukuba ixesha lokukhulelwa kunye nendlela yokuphazamiseka. Nokuba isisu sokukhupha isisu, ngaphandle kokungenelela kwongxamnye, kunokufumana imiphumo ethile. Ngoko ke, xa unqume kwisinyathelo esinjalo, umfazi kufuneka aqikelele zonke iingxaki ezinokwenzeka, kwaye, ngokuqinisekileyo, uye kwi-ingcali efanelekileyo, kungekhona nje kuphela ekufezeni inkqubo, kodwa nangenxa yokulawula okulandelayo emva kokubuyiselwa komzimba. Inyanga zonke emva kokukhipha isisu kubungqina bokubuyiselwa komsebenzi wama-ovari, kodwa akusoloko inkqubo yokuzala ibuyiselwa ngaphandle kweengxaki. Naziphi na iimpawu zokungaqhelekanga, kuquka ukulibaziseka kwiinyanga emva kokukhipha isisu, sisihlandlo sokubiza udokotela. Nangona emva kokukhipha isisu, ukuya esikhathini, kuyafaneleka ukuqhubeka nokubeka iliso kwimeko kuze kube yimihla yokubuyela kwimizuzu.
Yintoni echaphazela ukubuyiswa kwesisu emva kokukhipha isisu?
Iingcali zichonga ezi zinto zilandelayo zichaphazela izinga lokubuyiswa komzimba emva kokukhipha isisu:
- ubudala kunye nemeko yempilo yowesifazane;
- ubukho bezifo zenkqubo yokuzala;
- ukungena kweengxaki ze-hormonal;
- ixesha lokuphela kokukhulelwa;
- indlela yokukhipha isisu;
- ukuhanjiswa ngempumelelo ngaphambi kokukhipha isisu;
- nqanaba lobugcisa logqirha;
- umgangatho weziyobisi ezisetyenziselwa ukukhipha isisu.
Inendima enkulu ekukhuseleni ukuphuhliswa kwezifo ezinzulu ezibandakanya ukukhipha isisu kukufikelela ngexesha elifanelekileyo kumgqirha phambi kwayo nayiphi na ukuphulwa komjikelezo wesini. Ukwenza oku, kunjalo, kufuneka ukwazi ukuba emva kweenyanga emva kokukhipha isisu kuqale, kwaye kukuphi ukuphazamiseka okubangela ukukhathazeka.
Ngaba ukuya kwinyanga kuya kuqala emva kokukhipha isisu?
Ukukhipha isisu kususelwe ekunqandeni i-progesterone, ekhokelela ekugatheni iqanda lomntwana. Njengomthetho, oku akuchaphazeli ukuzala kunye nomjikelezo wesini. Emva kweentsuku ezingakanani inyanga iya kuqala emva kokukhupha isisu kuncike kumjikelezo womntu ngamnye. Ukwenqatshelwa kweqanda lomntwana kubonwa njengosuku lokuqala lomjikelezo, ngoko ke, ukususela kulo, ukuqala komjikelezo olandelayo kubalwa. Inyanga zonke emva kokukhipha isisu kunokuqala ngokulibaziseka kweentsuku ezili-10, kwiimeko ezinqabileyo ezinyangeni ezimbini emva kokukhipha isisu. Ukulibaziseka okunjalo kunokuba kuthathwa njengesiqhelo kuphela ukuba izifo zesifo somzimba kunye nokukhulelwa ngokuphindaphindiweyo kungabandakanywa. Ukuba inyanga emva kokukhishwa kwesisu kuqaliswe ngaphandle kokulibaziseka, kodwa ukuphaphaka kwexesha elide nokugqithisileyo kufuneka kuhlolwe ukuba kungabandakanyi ukuphuhliswa kwe-endometriosis. Iingxaki zeHormonal nazo zingabiza ukuhamba kwexesha elide okanye ezinye iingxaki zomjikelezo.
Ngenyanga emva kokukhishwa kwesisu
Ukukhishwa kwezisu kweminye kuthiwa ukukhipha isisu kumanyathelo okuqala ngophulo lokuphuma. Le nqubo ibandakanya umonakalo osebenzayo kumbhobho, ngoko ke kukho umngcipheko wokulimala kunye neengxaki. Umjikelezo wesisemva emva kokukhishwa kwesisu kuvuselelwa kwiinyanga ezi-3-7. Kubasetyhini ababelethayo, umjikelo ubuyiselwa kwiinyanga ezili-3-4. Phantse ngenyanga emva kokukhishwa kwesisu, iinyanga zokuqala ziqala. Njengoko kunye nokupheliswa kwezonyango zokukhulelwa, iintsuku zokuya esikhathini zibalwa ngesiseko somjikelezo ngamnye. Ngokomzekelo, ukuba umjikelo unemihla engama-28, ngoko ukuya kwinyanga kufuneka kuqale iintsuku ezingama-28 emva kokukhipha isisu. Ngenxa yokunciphisa umsebenzi we-ovari, ukuhamba kwinyanga ezinokuqala kunokuba kunqongophe ngaphezu kokuqhelekileyo. Isizathu sokutyelela ugqirha ngumtshintsho kumbala wokuhamba kwexesha, ukubonakala kwefuthe elibukhali, okungaba ngumqondiso wesifo esithathelwanayo. Ukukhulelwa kwamanzi, kubonakala kwiintsuku zokuqala emva kokupheliswa kokukhulelwa, akusesikhatsini. Njengomthetho, oku kungumphumo wokukhipha isisu, okubangelwa zizikhwama zesisu. Xa kuphuma igazi elinzima kunye nelibuhlungu, kuyimfuneko ukunxibelelana nodokotela.
Ukuba ukukhipha isisu kwenziwe ngokukhawuleza, ngokugqithiseleyo, umngcipheko weengxaki ziya kuba phezulu ngokwaneleyo. Kwiimeko ezinjalo kuyimfuneko ukuba ihlolwe rhoqo ukusuka kwirejista ukuya kwixesha lokubuyela kwimihla.
Kubalulekile ukuba uqaphele ukuba nayiphi na uhlobo lokukhupha izisu kubangela ukungaphumeleli kwe-hormonal kwaye kungakhokelela kwizifo zesisu. Kwakhona ngenxa yeengxaki ze-hormone, kukho umngcipheko ophezulu wokukhulelwa ngokuphindaphindiweyo ngaphambi kokuqala kokuya esikhathini. Ngoko ke, ngokuqalisa kwakhona umsebenzi wesondo, kuyimfuneko ukunyamekela ukukhulelwa kwangaphambili. Ukutyunjwa kwe-contraceptive ngomlomo emva kokukhipha isisu, kungekhona nje ukuvimbela ukukhulelwa, kodwa kunceda kwakhona ukubuyisela imvelaphi ye-hormonal. Kodwa kuphela ugqirha oya kwiinkqubo zokukhusela i-hormone, ngokuqwalasela zonke iimpawu zomzimba wesifazane. Kwakhona, emva kokukhipha isisu, iimviwo zokukhusela akufanele ziphosakele kwaye iingcebiso zengcali kufuneka zihlehliswe xa kubonakala iimpawu zokuxhalabisa. Amanyathelo anjalo aya kunciphisa kakhulu umngcipheko wokungabikho kokugula kunye nezifo zomzimba.