Ingabe isisindo sinomthelela owodwa noma ozimele wokukhulelwa kokukhulelwa?
Emashumini eminyaka amuva nje, ososayensi baye benza ucwaningo oluningi ukuze baphenye ukuhlobana phakathi kokukhuluphala nokukhulelwa kwesisu , futhi kubonakala sengathi kucace ukuthi isisindo sinendima ebalulekile.
Kodwa ingabe ukukhuluphala, ngaphakathi kwayo ngokwayo, kubangela ukuphuma kwesisu? Umbuzo odokotela abaningi, ososayensi, ngisho nabesifazane abasengozini, bavame ukuhlukumeza umgwaqo phakathi kwalokho okushiwo ucwaningo nalokho esikusho ukuthi kusho.
Okushiwo Ucwaningo
Ngokombono wezokucwaninga, ukukhuluphala (okuchazwe njenge-index mass mass ngaphezu kuka-30) kuhlotshaniswa nokulinganiselwa kwamaphesenti angama-67 kwandisa ingozi yokukhulelwa kokukhulelwa, kuhlanganise nokukhulelwa kwesisu nokukhulelwa kwesisu okuphindaphindiwe . Ngokuphambene nalokho, ezinye izifundo ziye zabonisa ukuthi ukwehlisa isisindo kunganciphisa ingozi yokukhulelwa kwesisu kumama abakhuluphele, ngisho nalabo abanomlando wokukhulelwa kwesisu.
Izifundo eziningi zibandakanye abesifazane abane-polycystic ovary syndrome (i-PCOS), isimo lapho abesifazane besengaphezu kwesisindo. Ngisho phakathi kwaleli qembu labesifazane, kwakukhona ubudlelwane obucacile phakathi kwamazinga okunciphisa umzimba kanye namazinga okukhulelwa kwesisu.
Ngenxa yalokhu nezinye izicucu zobufakazi, i-American College of Obstetricians kanye ne-Gynecologists (i-ACOG) okwamanje ikhuthaza ukuthi odokotela banikeze ukweluleka kokudla okunomsoco kwabesifazane abakhuluphele abahlela ukukhulelwa.
Ukubeka Ucwaningo Ukuba Nengqondo
Ngenkathi inhlangano phakathi kokukhuluphala nokukhulelwa komzimba ibonakala ibonakala ngokucacile, akuyona yonke into emnyama neyomnyama.
Ukubeka ucwaningo ngendlela enengqondo, kubalulekile ukukhumbula ukuthi iningi labesifazane abakhuluphele ngokweqile abanalo ukuhlukumeza. Ngaphezu kwalokho, abakhuluphele abesifazane abaye baphumula ngokweqile bavame ukuba nokukhulelwa okulandelayo okuphumelelayo, hhayi ngokungafani nabesifazane besisindo esivamile. Njengalokhu, awukwazi ukudweba ngqo phakathi kokukhuluphala ngokweqile njengoba imbangela nokukhulelwa kwesisu njengengozi; ayikho.
Ngenkathi ukukhuluphala kungakwazi ukuhlanganisa noma yiliphi inani lezinto ezibeka ingozi ezihlobene nokukhulelwa, kungaba yinye yezimbalwa, ezibalulekile ezibangela ekulahlekelweni.
Kungenzeka ukuthi ukukhuluphala kuhlotshaniswa nomfutho wegazi ophezulu ongenza kube nzima ukwenza i- preeclampsia . Noma, lokho kukhuluphala kungenza ukuthi isifo sikashukela sikwazi ukulawula, sandisa ingozi yezinkinga emavikini ayisishiyagalombili okuqala. Ngokuqinisekile phakathi kwabesifazane abane-PCOS, asebevele begijima engozini enkulu yokukhulelwa kwesisu, ukukhuluphala ngokweqile kubandakanya isimo esivele sinzima. Kanjalo uguga nokukhuluphala.
Ekugcineni, kungase kube khona izizathu zokukhulelwa kokukhulelwa, futhi, ngenkathi sivame ukugxila ezintweni ezifana nesisindo nokubhema, akuyona inhloso 'yokumangalela' lona wesifazane. Kungenxa yokuthi lezo yizinto esizikwazi kakhulu ukuzishintsha. (Ngokuphambene, akekho owazi ukuthi yini ebangela i-preeclampsia noma i-PCOS, futhi kukhona izinto ezimbalwa esingayenza ukuze sizigweme.)
Kungokugxila kulezi zinto ezingaguquguqukayo esingayithuthukisa izinkinga.
Ukukhulelwa nokulahlekelwa kwesisindo
Isisindo somzimba yisifundo esibucayi besifazane abaningi. Kuyinto abaningi abayilwa nazo zonke izimpilo zabo, bavame ukubhekana nokucindezeleka, ukukhathazeka nokuzihlonipha. Ngenxa yalokhu, abesifazane abanesisindo sokudla ngokweqile bazozibeka icala ngokuqondene nezimo zezokwelapha ezingathinta owesifazane kunoma yisiphi isisindo.
Ukuthatha umhlalaphansi kuyisibonelo esihle.
Uma ufuna ukulahlekelwa isisindo ngaphambi kokuba ukhulelwe, zama ukwenza kanjalo ngaphansi kokuqondiswa kukadokotela noma isondlo sokudla okuhlangenwe nakho ekukhulelweni. Ngokwemigomo, kungcono ukwedlula ukulahleka kwesisindo njengendlela yokuphila enempilo kunokuba uphendule imizamo yakho enombolweni ethize noma ukugqoka.
Ngokwenza kanjalo, ukulahlekelwa isisindo kuba yingxenye yenqubo eqhubekayo kunomcimbi oqala futhi uphela. Yebo, kuzoba khona up and down, kodwa, njengo mama ngokwawo, kungokuhamba kancane futhi okuqinile phezu lapha-futhi-manje. Izinto ezifana nezidlo zokuphazamiseka kanye nezinhlelo zokuphuza isisindo ngokushesha zingenza nje ukwazi ukukhulelwa ngokunciphisa ikhwalithi lamaqanda akho, kusho abacwaningi baseYunivesithi yase-Aberdeen eNgilandi.
Okokugcina, uma ukhuluphele kakhulu futhi uke wahlukunyezwa, vimbela isilingo sokuzibeka icala. Ngokombiko ovela ku-ACOG, izinga lokukhubazeka e-US, kungakhathaliseki ukuthi liyisisindo, lingagijima kusuka kunoma yikuphi ukusuka kuma-17% kwabesifazane abangaphansi kuka-30 kuya phezulu kwamaphesenti angu-40 ngesikhathi ufinyelela ku-40.
Ngokudabukisayo, ukukhulelwa kwesisu kungenzeka kunoma ubani. Kodwa, ezimweni eziningi, owesifazane uzothatha umntwana wakhe kuze kube yisikhathi ngaphandle kokucindezeleka uma ezama futhi. Gxila empilweni yakho, futhi uthole ukwesekwa okudingayo ukukusiza kulolu hlelo. Lezi, kanye nokunakekelwa kwezempilo okuqhubekayo, kuzothuthukisa amathuba akho okukhulelwa okuphephile nokungenazinkinga.
> Imithombo:
> I-American College of Izifo Zezifo Nezifo ZamaGynecologists. "Ukuzivocavoca Bulletin No 156: Ukukhuluphala Ekukhulelweni." I-Obstet Gynecol. 2015: 126 (6): e112-e126. I-DOI: 10.1097 / AOG.0000000000001211.
> Bautista-Castaño, I .; UHenriquez-Sanchez, uP .; U-Alemán-Perez, uN. et al. Ukukhuluphala KwamaMama Ekukhulelweni Kwangaphambi Kokuqala kanye Nengozi Yemiphumela Emibi. " PLoS ONE. 2013; 8 (11): e80410. I-DOI: 10.1371 / iphephandaba.pone.0080410.
> Pandey, S .; I-Pandey, i-S.; Maheshwari, A. et al. "Umthelela wokukhuluphala kwesifazane ngomphumela wokunakekelwa kokuzala." J Hum Reprod Sci. 2010; 3 (2): 62-7. I-DOI: 10.4103 / 0974-1208.69332.