Ukuzala okunembile nokuzivocavoca

Uma ubheke ukuthuthukisa impilo yakho nokuzala, ungase ucabange ukuthi ukungeza kokuzivocavoca kungenye yezenzo ezinhle kakhulu ongayithatha. Futhi kuyilapho lokho kuyiqiniso ngokweqiniso, akuyona indaba yonke. Ngisho nangokuzivocavoca, into eningi kakhulu ingaba yimbi.

Ezinye izifundo zibonise ukuthi ukuzivocavoca "okuningi" kungavimbela ukwanda. Lokhu akusebenzi nje kuphela kwabesifazane abasebenzisa iphuzu lokunciphisa amazinga abo esisindo ngaphansi kwezinga eliphilile, kodwa ngisho nakwabesifazane abagcina isisindo esivamile futhi baqhubeke ukuthola imijikelezo yesikhathi evamile.

Ngakolunye uhlangothi, ukukhuluphala kungaphinde kube nokuzala okuphansi. Ukuze ulwe nokukhuluphala, kudingeke ukuba kuhlanganiswe ukudla nokuvivinya umzimba. Ukuzivocavoca njalo kunganciphisa ukucindezeleka, okubalulekile uma uzama ukubhekana nokuphelelwa amandla.

Ngakho-ke, kungakanani ukuvivinya umzimba okweqile? Futhi ukuvivinya umzimba ngokweqile kungaholela kanjani ekusaneni? Ukuze uthole imininingwane eyengeziwe mayelana nokuxhumana phakathi kokuzivocavoca nokuzala, funda le ngcaphuno evela ku- UpToDate - inkomba yekhompyutha ethembekile esetshenziswa odokotela abaningi neziguli.

"Kwesifundo esithile se-epidemiological, amahora angaphezu kuka-7 ngesonto lokuvivinya umzimba ayenobuthi obunzima bokuzibulala. Kulaba besifazane abakhona ukufaka umanyolo we-in vitro , amahora amane noma ngaphezulu okuvivinya umzimba njalo masonto onke kuye kwahlanganiswa nemiphumela empofu.

Imiphumela yokuzivocavoca okunamandla ekuzaleni ingahlobana (1) nokukhiqizwa kwe-progesterone encishisiwe phakathi nesigaba sokuqamba komjikelezo wesimiso emantombazaneni ase-ovulatory (okungukuthi, i-luteal phase defect), (2) ukuguqulwa kohlelo lokukhiqiza kwe-GnRH, i-LH ne- FSH , futhi ukukhiqizwa kwe-estradiol kanye ne-metabolism, okuholela ekukhunjweni , noma (3) izinguquko kumazinga we-leptin. Ezinye izici zingase zihlanganise ukwehla kwamandla omzimba nezinguquko ekudleni, njengokunyuka kwe-fiber nokunciphisa amafutha okudla, kwabesifazane abasebenzisa ngokuqinile.

Kusukela kumbono womphakathi, amazinga angenele okuvivinya umzimba okuhambisana nokukhuluphala kungase kube imbangela evame kakhulu yokugcoba nokuphelelwa amandla okulandelayo ngaphandle kokusebenzisa ukuvuthwa okuhambisanayo. "

Ukungenzi lutho nokuzivocavoca

Ukuzivocavoca ngokweqile kubonakala sengathi kuyaphazamisa ukuvuthwa , futhi kukhona imibono embalwa yokuthi kungani lokhu kwenzeka.

Omunye umphumela ongenzeka wokuzivocavoca ngokweqile kuyisici se-luteal defect. Isigaba sokwehlukanisa isikhathi yisikhathi phakathi kwe-ovulation kanye nesikhathi esilindelekile. Lesi sikhathi, esaziwa nangokuthi " isonto elilodwa elinde ", ngokuvamile liphakathi kwezinsuku ezingu-12 no-16.

Isigaba esincane esifundeni singaphazamisa ukukhulelwa.

Ngokuvamile, amazinga e-progesterone ahlala ephakeme ngalesi sikhathi, ukuvumela iqanda elikhulile ukuba lizinamathisele ekwileni lwe-uterine. Amazinga aphansi e-progesterone angaphazamisa iqanda elifakwe emanzini , okuholela ekunganeni.

Esinye isizathu esingahle sokusebenzisa ukungasebenzi ngokweqile ukuthi ama-hormone aphethwe ukulawula uhlelo lokuzala owesifazane - i-GnRH, i-LH, i-FSH, ne-estradiol - ishintshwe ngezindlela eziphazamisa ukuvuthwa.

Kodwa enye imbangela engaba yindlela yokukhubazeka okubangelwa ukuvivinya umzimba-ishintshwe emazingeni e-leptin, elawula ukudla nesimiso somzimba. Uma ukudla kwakho kuphansi, ungase ungadli okwanele, okungaphazamisa ukuvuthwa okuvamile .

Kungenzeka nokuthi abesifazane abasebenzisa amahora angaba ngu-7 ngeviki banamathuba amaningi okuvimbela ukudla kwabo. Ukungadli amafutha anempilo okwanele, ukulahlekelwa isisindo ngokushesha, noma ukulinganisa ngaphansi kweziqondiso zesisindo ezinconyiwe zokuphakama kwakho kungathinta ukuvuthwa.

Kuthiwani Uma Ngingaphezu Kakhulu?

Nakuba ukuzivocavoca ngokweqile kuyinkinga kwabanye besifazane, kunabesifazane abaningi abanenkinga ehlukile - hhayi ukuzivocavoca okwanele, okuholela ekukhusheni. Ukucwaninga kubonisa ukuthi ukukhuluphala ngokweqile nakho kungonakalisa ukuzala .

Izindaba ezinhle ukuthi ukulahlekelwa ngu-10% wesisindo somzimba wakho wamanje kuye kwaboniswa ukusiza ukuzala kwabesifazane abakhuluphele kakhulu. Uma i-BMI yakho ingaphezu kwengu-27, futhi uzama ukunciphisa isisindo, akufanele unqande ukuzivocavoca.

Angiyithinti ngokweqile, Kodwa Ngiyathanda Ukuzivocavoca. Kumele ngenzeni?

Ukuzivocavoca kunezinzuzo eziningi zezempilo, futhi ukulawula umzimba womuntu kungabanikeza amandla uma bezama ukubhekana nokungasebenzi. Uma kuthiwa, uma uzama ukukhulelwa, futhi isimiso sakho esijwayelekile sihilela amahora angaphezu kuka-7 wokuvivinya umzimba ngesonto, ungase uthande ukusika.

Ungase futhi uthathe ukucabangela ukufaka ezinye zokusebenza kwakho okunamandla ngefomu lokuzivocavoca.

Isibonelo, esikhundleni sokuthatha isigaba samandla aerobics ngamandla aphezulu nsuku zonke, ungashintsha ezinye zokusebenza kwakho nge-yoga elula noma ukuhamba ngokuzilibazisa. Uzokwazi ukujabulela ukuhamba nomzimba wakho, kodwa ngeke usheshe upheqa uhlelo lwakho.

Umthombo:

U-Olek, uMichael J., Gibbons, uWilliam E. "Ukukhulisa ukuzala kwemvelo emibhangqwana ehlela ukukhulelwa." Kusesikhathini. Kufinyelelwe: September 2009.