Ukuvuthwa Uma Ungenayo Isikhathi Sakho
Ungakwazi yini ukukhulelwa ngaphandle kokuba nezinyanga ezinyangeni? Yebo, kungenzeka. Kodwa akunakwenzeka. Uma ungatholi isikhathi sakho , lesi yisizathu esihle sokubona umjozi wakho wezifo. Kukhona okuvamile-nezinye izizathu ezingezona ezivamile-lokhu okungahle kwenzeke. Yini engakwenza ungatholi isikhathi sakho? Ungabe ukhulelwe futhi ungazi?
Izikhathi zakho zithini ngokukhulelwa?
Futhi, uma ufuna ukukhulelwa, udokotela wakho angakusiza kanjani ukuba ukhulelwe uma ungaqedi?
Isikhathi Sakho Sithinta Kanjani Ngokukhulelwa?
Inkathi yakho iyisibonakaliso esicacile kunazo zonke ukuthi isimiso somzimba womzimba wakho sizama ukuzama ukusebenza okungenani. Kubonisa ukuphela komjikelezo owodwa wokuya esikhathini. Uhlelo lwezokuzala luyinkimbinkimbi, kanti ngenkathi ungafunda incazelo eningiliziwe yokuthi isebenza kanjani , nansi ukuphazamiseka okusheshayo nokulula kwento eyenzeka njalo ngenyanga (uma uthola izikhathi zakho).
Ekuqaleni komjikelezo wakho wanyangazonke, ama-hormone aqondile athi ama-ovari akho aqale ukuthuthukisa iqanda. Iqanda, noma i-oocyte , iqukethe ngaphakathi kwe-follicle . Le follicle ifana ne-bubble encane. Amafutha, izakhi, kanye neqanda elingafakiwe liqukethwe ngaphakathi kwe-follicle.
Amahomoni avuselela i-follicle neqanda ukuba likhule. Lokhu kuqhubeka izinsuku ezingu-12 kuya kwezingu-14, nakuba inombolo yezinsuku ingahluka. Ekugcineni, iqanda lifinyelela ekuvuthweni.
I-follicle iqhuma ivulekile, futhi iqanda likhishwa e-ovary. Lokhu kubizwa ngokuthi i-ovulation . Iqanda kuphela lihlala amahora angu-12 kuya kwangu-24.
Uma uye ocansini zingakapheli izinsuku ezinhlanu zokuvuthwa , kungase kube khona isidoda esilindele ohlelweni lokuzala. Iqanda linempilo emfushane, kodwa isibindi singasinda ohlelweni lwesibalo sokubeletha izinsuku ezinhlanu.
Ukulala ngokobulili ngosuku oluthile lokuvuthwa, ngisho nangosuku olulandelayo , kungaholela ekukhulelwe. Uma i-sperm cell ikhiqiza iqanda, uzokhulelwa.
Ngemuva kokuvuthwa kwe-ovulation, i-progesterone ye-hormone ibangela uketshezi lwesisu sakho ukulungiselela iqanda elikhulelwe, noma umbungu. Ukwakhiwa kwesibeletho kubizwa ngokuthi i -endometrium . Ngezinsuku ezizayo eziyishumi kuya kwezingu-15, i-endometrium izokwakha, ikhudlwana futhi ishintshe isakhiwo sayo sezinto eziphilayo ukuze kube kahle nje embryo.
Uma ukhulelwe, i-embryo izozifaka emgqeni we-uterine phakathi kwezinsuku eziyisikhombisa nezinsuku eziyishumi emva kokuvuthwa. Lokhu kuzokwenza ama-hormone ahlukahlukene alungiselele umzimba ukukhulisa ukukhulelwa. Uma ungazange ukhulelwe, i-hormone progesterone izoqala ukwehla. Amazinga aphansi okuthiwa i-progesterone ekugcineni azofakazela ukuthi i-endometrium iphule futhi ixoshe. Lesi yisikhathi sakho.
Njengoba i-endometrium ixoshwa, umzimba wakho uqala ukukhulula ama-hormone ukuqala ukuvota kwenyanga elandelayo, ucabanga ukuthi unemijikelezo evamile. Isikhathi sakho sibonisa ukuphela komjikelezo owodwa. Uma uthola isikhathi sakho, cishe kungenzeka (kepha ungaqiniseki) ukuthi uke wavula phakathi kwamasonto amabili adlule. Ukuvuthwa kuyadingeka ukuze ukhulelwe.
Uma uthola izikhathi zakho njalo, cishe u-ovulating njalo.
Ungakwazi yini ukuvula ngaphandle kokuthola isikhathi sakho?
Uma ungatholi isikhathi sakho, cishe awunayo i-ovulating njalo. Kunemibandela eminingi lokhu okungase kwenzeke (okuningi kunalokho ngezansi). Kodwa-ke, lokhu akusho ukuthi ngeke uzame ngokuzumayo ngaphandle kokuthola isikhathi kuqala.
Njengoba kukhulunywe ngenhla, ukuhamba esikhathini kubonisa ukuphela komjikelezo owodwa. Uma ukuvuthwa kwenzeka, futhi ungakhulelwa, uzothola isikhathi sakho. Kodwa asho ukuthi okwamanje awunayo imijikelezo evamile. Ungakwazi, ngokuya ngesizathu sokuthi kungani ungaqedi ukuya esikhathini, ngokuzumayo uqale umjikelezo wokuya esikhathini.
Ukuphela komjikelezo wakho kubonakaliswe yisikhathi sakho kuqala, kodwa azikho izimpawu ezibonakalayo ukuthi umzimba wakho uqale umjikelezo. Ungavumbela futhi ungazi. Uzokwazi kuphela ukuthi uvotshwe uma uthola isikhathi sakho noma, uma ulala ocansini ngaphakathi kwefasitela lakho elivundile , ukhulelwa.
Ungase ungaboni ukuthi ukhulelwe okwesikhashana, noma kunjalo, kusukela ungakatholi isikhathi sakho. Ngeke ube nesikhathi sokuba "sekwephuzile" uma ungazange uthole eyodwa.
Izizathu 13 Ungase Ungabi Nayo Izikhathi Zakho
Isikhathi sezokwelapha ngenxa yokuntuleka kwemijikelezo yesikhombisa yi-amenorrhea. Kungaba yini isizathu sokuthi awutholi isikhathi sakho?
1. Ungakhulelwa . Uma uke waba nezinkathi ezivamile, bese uvele ungaze uthole isikhathi sakho, ungakhulelwa. Lokhu kungenzeka into yokuqala owacabanga ngayo ngenkathi isikhathi sakho sephuzile, futhi kungenzeka ukuthi usuvele uthathe ukuhlolwa kokukhulelwa .
Kodwa kuthiwani uma ukuhlolwa kwakho kokukhulelwa kungalungile? Ungakwazi yini ukukhulelwa? Yebo. Akuvamile, kodwa kungenzeka ukuthi ukhulelwe futhi uthole ukuhlolwa kokukhulelwa okungalungile . Bheka udokotela wakho ukuze ulandele futhi uqiniseke, futhi uze wazi ukuthi ungakhulelwe ( gwema iziphuzo ezidakayo, isibonelo).
2. Uncelisa . Ukuncelisa ingane kuphela kungavimbela izikhathi zakho ukuba zingene. Lokhu ngezinye izikhathi kuthiwa "ukuncelisa ukuhlanza kuhlanzekile." Uzohamba isikhathi esingakanani ngaphandle kwesikhathi lapho uncelisa? Kuncike ekutheni ukondla kangakanani ne-biology yakho.
3. Indlela yakho ekhethiwe yokulawula ukubeletha uyeke isikhathi sakho . Ezinye izinhlobo zokulawula ukubeletha zingamisa isikhathi sakho. Udokotela wakho kufanele akutshele ukuthi lokhu kungenzeka uma besimemezela.
Kuzothatha isikhathi esingakanani isikhathi sakho ukubuyela emva kokuyeka ukuthatha isilawuli sokuzalwa ? Kuxhomeke emzimbeni wakho kanye nokukhetha kokukhulelwa kwakho. Nge-Depo-Provera, eyaziwa nangokuthi "ukulawulwa kokubeletha," ukujikeleza kokuya esikhathini sekuvame ukubuyela emuva ezinyangeni eziyisithupha emva kokujola kokugcina (uma uthola le mijovo okungenani ngonyaka owodwa).
4. Imithi oyithatha imise imijikelezo yakho . Ukulawulwa kokuzalwa akuyona kuphela imithi engamisa isikhathi sakho. Eminye imithi engayimisa imijikelezo yakho ihlanganisa ezinye izidakamizwa zengqondo, i-chemotherapy, imithi yokwelashwa, kanye nemishanguzo yegazi.
5. Ukhuluphele . Ukukhuluphala komzimba kungenye yezimbangela ezivame kakhulu zokungazalwa. Abesifazane abakhuluphele bangathola imijikelezo engavamile yokuya esikhathini , futhi kwezinye izikhathi, izikhathi zabo zingase zime ngokuphelele. Ukulahlekelwa isisindo kungase kuqale kabusha noma kulandele imijikelezo yakho.
6. Unesisindo esiphansi . Ngokukhuluphala, amafutha amanengi akhipha ukulinganisela kwe-hormonal evamile emzimbeni. Uma owesifazane engaphansi komzimba, ukuntuleka kwamafutha kungaphonsa umjikelezo wakhe wokuzala. Uma lokhu kuyinkinga, ukuletha isisindo sakho kufanele kuqalise kabusha imijikelezo yakho.
7. Ungumdlali . Ungaba umgijimi onesisindo esicatshangwa ukuthi "sivamile." Nokho, akusilo isisindo sakho esithinta ngempela umjikelezo wakho wokuzala-kungumuthi wamafutha. Abagijimi bangase babe nephesenti eliphakeme lemisipha kanye nephesenti elincane lamafutha omzimba. Lokhu kungabangela imijikelezo yabo yokuya esikhathini engavamile noma yeke ngokuphelele. Ukuzivocavoca ngokweqile nakho kungabangela ukuba isikhathi sakho sibe yisikhathi esingavamile noma simise.
8. Ungaphansi kwamazinga aphezulu okucindezeleka . Ukucindezeleka kungenza ube ukweqa isikhathi noma ezimbili. Kodwa-ke, kungavamile kakhulu ukucindezeleka yedwa ukwenza umjikelezo wakho wokuya esikhathini unqume izinyanga.
9. Unayo i-PCOS . I-Polycystic ovarian syndrome (i-PCOS) iyimbangela evamile yokungabi nabesifazane abangenalutho. Esinye sezibonakaliso eziyinhloko yizikhathi ezingavamile noma ezingekho.
10. Unayo insufficiency eyinhloko ye-ovarian . Eyaziwa nangokuthi ukwehluleka kwe-ovarian ngaphambi kwesikhathi, ukungakwazi ukusebenza kwe-ovarian okuyisisekelo (POI) kungabangela owesifazane ukuba nezinkathi ezingavamile noma ezingekho. Ngezinye izikhathi, owesifazane onama-POI uzohamba izinyanga noma ngisho neminyaka ngaphandle kwesikhathi, kuphela ukuze aqale kabusha ngaphandle kokuchaza. I-POI yayivame ukubizwa nangokuthi "ukuphuma esikhathini sokuqala," kodwa ngemva kokuya esikhathini, ukuya esikhathini akubuyanga.
11. Unokungalingani kwamanye ama-hormonal . I-PCOS ne-POI yizimo ezimbili kuphela ezikhona ezingabangela izinkinga ze-ovulation. Ezinye izimo ezingabangela ukungalingani noma ukungabi nesikhathi zihlanganisa ukungalingani kwe-thyroid, endometriosis , isimo sengqondo esingelashwa (njengesifo sikashukela), kanye ne-hyperprolactinemia.
12. Kunenkinga yokwakhiwa kwesibeletho sakho . Ukwehlukaniswa kwesibeletho kungabangela ukuba isikhathi sakho singabi njalo noma simise ngokuphelele. Lokhu kungenzeka ngemuva kweD & C noma ukuhlinzwa kwesibeletho.
13. Ungena esikhathini sokuya esikhathini . Lokhu ngezinye izikhathi ukwesaba kokuqala abesifazane abakhona lapho beyeka ngokuzumayo isikhathi sabo, ngisho noma beyiminyaka neminyaka kude nabo ukuba babe ngokoqobo. Ngesikhathi ukuphuma esikhathini sokuqala kungenzeka, ngaphandle uma uneminyaka engama-45 noma ngaphezulu, kungenzeka ukuthi ukuyeka esikhathini sokuqala kuyimbangela yokuntuleka kwesikhathi sakho.
Uma Ufuna Ukukhulelwa Kodwa Ungenayo Izikhathi
Odokotela ngokuvamile batusa ukuzama ukukhulelwa unyaka owodwa (noma izinyanga eziyisithupha, uma uneminyaka engu-35 noma ngaphezulu ) ngaphambi kokuthola ukuhlolwa kokuzala . Noma kunjalo, lokhu akusebenzi uma unezibonakaliso noma izimpawu zenkinga yokuzala .
Uma ungayitholi isikhathi sakho, kungenzeka ukuthi ubhekene nokungaqiniseki. Qinisekisa ukuthi wena nomlingani wakho bahlolwa . Kungase kube nezizathu ezingaphezu kweyodwa ukuthi awukakhombisi, futhi ukungasebenzi komuntu kuvame kakhulu kunalokho ongaqaphelayo. Kuye ngokuthi kungani ungenayo i-ovulating, futhi uma kunezinye izinkinga zokuzala, izinyathelo zokwelapha zibandakanya ukuguqula indlela yokuphila, ukulahlekelwa isisindo noma ukuzuza, ukuguqulwa kwemithi, ukwelashwa kwesimo esingokwemvelo sezokwelapha, noma imithi yokwelapha .
Uma Ungenakufuna Ukukhulelwa
Uma ungafuni ukukhulelwa, akufanele uthembele ekutheni unakho ukujikeleza kokuya esikhathini njengokulawulwa kokuzalwa. Lokhu kuyiqiniso noma ngabe uke wabhekwa njengengenasifo (ngaphandle uma udokotela wakho ekutshela okungenjalo).
Njengoba kubonisiwe ngenhla, kuye ngokuthi kungani ungakutholi isikhathi sakho, kungenzeka ukuthi ugqugquzele futhi ungayitholi isikhathi kuqala "njengesilumiso" ovuthiwe futhi. Khuluma nodokotela wakho mayelana nokukhetha okuhle kokukhulelwa kwakho.
> Imithombo:
> Amenorrhea: Izifo nemibandela. www.mayoclinic.org/diseases-conditions/amenorrhea/basics/causes/con-20031561.
> Nelson LM. Ukungakwazi ukusebenza kwe-Ovarian Primary. I-New England Journal of Medicine. 2009; 360 (6): 606-614. i-doi: 10.1056 / NEJMcp0808697.