Ukuya esikhathini - kuyini?
Enye yezinqubo eziyinkimbinkimbi kunazo zonke emzimbeni wesifazane, izinguquko ezishintshayo ohlelweni lwe-endocrine nokuzala. Iqala ku-cortex ye-cerebral: ihlanganisa umsebenzi we-hypothalamus, ama-hormone ezocansi kanye nezitho ze-endocrine (ama-ovari, ama-adrenals ne-gland gland) futhi aqeda esibelethweni. Ukujikeleza kokuya esikhathini ngokuvamile kubhekwa njengenkathi kusukela ngosuku lokuqala lokuya esikhathini ukuya ekuqaleni kwalokhu okulandelayo. Isikhathi sokujikeleza siyizinsuku ezingu-21 -35, ukukhishwa kuqhubeka kusukela ezinsukwini ezimbili kuya kwezingu-7 (futhi ezinsukwini zokuqala ziningi kakhulu), ukulahleka kwegazi okuphakathi kuka 20-40 ml ngosuku. Ku-60% wabesifazane, lo mjikelezo unsuku ezingu-28. Kungenxa yobude besikhathi esijwayelekile ukuthi kungokwesiko ukugxila ekunqumeni i-ovulation - isikhathi lapho iqanda lishiya i-ovary futhi lingakhulelwa. Ukubaluleka kokuphila komjikelezo ukuqinisekisa ukusebenza kahle kokubeletha, ukulungiselela umzimba wokukhulelwa. Uma ukukhulelwa kungenzeki kulo mjikelezo futhi iseli lamaqanda alizange lisetshenziswe, ungqimba olusebenzayo lwe-mucosa lwe-uterine lunqatshiwe, futhi ukubonakala kungumphumela wokwenqatshwa kwe-endometrium "engadingekile."
Isimo esikhethekile
Kukholelwa ukuthi ukuqina ngesikhathi sokuya esikhathini akusho ukuthi kube yingozi, nakuba imisebenzi yezemidlalo esebenzayo ihlehliselwa phambili ngelinye ilanga: imithwalo ezinsukwini zokuqala zomjikelezo ingabangela ubuthakathaka, ubuhlungu esiswini esingaphansi noma ngemuva, isizungu. Ezinsukwini zokuqala zomjikelezo, kungcono ukhethe ukuzivocavoca umzimba - isibonelo, yoga. Phakathi nezikhathi, ukuphuma kwamanzi kuyoba namandla - kodwa ngeke ulahlekelwe igazi elingaphezu kokujwayelekile. Inani legazi elifihla i-endometrium (i-lining of the uterus) lifanayo njalo ngenyanga, kungakhathaliseki ukuthi uhamba kangakanani. Ngesikhathi sokusebenza ngokomzimba, i-palpitation iyanda, okusho ukujikeleza kwegazi.
Isigaba somjikelezo wokuya esikhathini:
1) I-Follicular: i-estrogens iningi, i-follicle ripens.
2) I- ovulatory: ukubola kwe-follicle evuthiwe, ukukhululwa kweqanda, umzimba ophuzi uqala ukukhiqiza i-progesterone (enye ye-hormone esemqoka yokukhulelwa), iqanda lilungele ukukhulelwa.
3) Luteynovaya: ukukhulelwa akuzange kwenzeke, izinga lama-hormone awela, i-endometrium inqatshiwe, enye iqala ukuphuma.
Ukuqala kokuhamba esikhathini sokuqala kukhuluma ngokuthuthukiswa ngokocansi: okusho ukuthi lokhu kungukuqala kwesikhathi sokubeletha. Isilinganiso seminyaka sokuqala kokuya esikhathini sekuyiminyaka engu-11-14, itholakala ngokuqondile esimweni sempilo nokuzalwa. Izinyanga zokuqala zingaba zingavamile, kodwa kancane kancane lo mjikelezo uzosungulwa. Inqubo ephikisanayo - ukuqedwa komsebenzi wokuzala (ukuyeka esikhathini sokuya esikhathini) kuya eminyakeni engu-52-57 - nakho kuzoba kancane kancane.
Ukuphulwa komjikelezo
Ukuphazamisa umjikelezo wokuya esikhathini kungenza izinto eziningi: ukushisa okukhulu noma ukubandayo, ukushaywa kwejet, i-malaise noma ukucindezeleka okukhulu, ukukhipha isisu - konke lokhu kuthinta umsebenzi wama-ovari. Ukuzivocavoca kakhulu nokudla okuqinile kuphazamisa umjikelezo wokuya esikhathini. Iphesenti ye-estrogen (i-hormone yabesifazane) emzimbeni ihlobene ngokuqondile namafutha amaningi. Uma sishisa ama-khalori amaningi, sithathwa yizemidlalo noma imikhawulo yokudla, ibhalansi ingaphazanyiswa - izinga le-estrogen liyokwehla, futhi ukuya esikhathini kungavamile (ezimweni ezingavamile, bangase bayeke ngokuphelele). Nakuba isikhathi somjikelezo wesifazane ngamunye singumuntu ngamunye futhi sincike ezintweni eziningi, ukwehluka okuvela kwisilinganiso esijwayelekile, ikakhulukazi uma kuhlangene nenkathi ebuhlungu noma i-premenstrual syndrome, kungakhuluma ngezinkinga ezihlukahlukene futhi kwenze kube nzima ukukhulelwa ingane. Uma ukwephulwa kuyisimo esisodwa futhi kumjikelezo olandelayo akuzange kwenzeke futhi - cishe, akukho isizathu sokukhathazeka. Uma ukungalingani kwe-hormonal kuqhubeka izinyanga ezimbalwa noma kuphinda njalo, kungcono ukubonana nodokotela. Kuzo zonke izimo zokwephulwa komjikelezo umjozi wezinzwa uzokunikeza i-ultrasound yezingxenye zomzimba, isifundo sephrofayli ye-hormonal (ukuhlolwa kwegazi okhethekile), ukuhlolwa kokuxilongwa kwesimo sokuma kwangaphakathi kwesibeletho. Ukuvakashela ku-gynecologist kufanele kube njalo, okungenani njalo ezinyangeni eziyisithupha. Ukuya esikhathini esikhulu: ukukhishwa akukwenzeki kancane ngosuku lwe-2-3 lomjikelezo, i-gasket ejwayelekile ihlala amahora angu-2-3. Ukwehla kwesisu: kuthatha izinsuku ezingaphansi kwezinsuku ezintathu, i-gasket eyodwa ihlala isigamu sosuku noma ngaphezulu. Ukungena ngaphakathi, ikakhulukazi lapho kuhlangene nokuya esikhathini, kungase kube enye yezimpawu ze-endometriosis - qiniseka ukuxoxa ngalokhu nodokotela wakho. Kamuva (emva kweminyaka engu-13-14) ukuqala kokuya esikhathini, cishe, kukhuluma ngezinga elikhulayo lama-hormone wesilisa. Umjikelezo kuleli cala uvamise ukungavamile, uhlangane, kodwa ngokukhululeka isikhathi eside. Umjikelezo omfushane (izinsuku ezincane ezingaphansi kwezinsuku ezingu-21) noma njalo (njalo kaningi ngenyanga) ukuphuma kwamamitha ngezikhathi ezahlukene kungabonisa ukungasebenzi kwamathambo ama-ovari, ukuphazamiseka kwe-endocrine noma izifo zezocansi.
Umbuzo wokuhlanzeka
Ekuseni, ngemuva kokulala, noma emva kokuhlala isikhathi eside endaweni yokuhlala, ukuphuma kungase kubonakale kunomningi futhi kunzima. Lokhu kuyinto evamile: amahora amaningana wawungenalutho, futhi igazi lokuya esikhathini, okufaka phakathi kwamaseli e-epithelium, izinhlayiya ze-endometriyamu kanye nemfihlo yokugcina i-uterine, ayikwazanga ukugeleza ngokukhululekile kusuka emkhathini, ngenxa yalokho eyaluphika futhi yakha ama-clots. Ekukhethweni kwakho - ama-pads, amathampu noma izinkinobho ezikhethekile ezihambisana nezimo ezinamathemikhali - amakhokhethi okuya esikhathini, afakwa ngaphakathi kwesifazane bese eqoqa igazi. Njengoba imvelo efudumele futhi enomswakama yenza ama-bacteria ithuba lokukhiqiza, kubalulekile ngesikhathi sokuya esikhathini ukugcina inhlanzeko ngokucophelela: ama-tampons nama-gaskets kufanele ashintshwe njalo emahoreni amabili noma ngabe ukukhishwa akukona kakhulu. Ama-tampons ne-pads akhanjiswa akuyona into engcono kakhulu: angabangela ukucasuka. Kodwa ungabi nishiseka kakhulu, uhlanza ngokucophelela isisu - libhubhisa microflora yayo yemvelo.
O, kubuhlungu!
Ukuya esikhathini esibuhlungu, noma i-dysmenorrhea, kuvamile kakhulu kunalokho esikuthandayo: abangaphezu kwesigamu sabesifazane bayabakhangisa, futhi u-10% awunalo inhlanhla ukuthi izinyanga zonke zibavimbela ekuhambeni impilo evamile ezinsukwini ezingu-3-4 zomjikelezo ngamunye. Ubuhlungu nokungazinaki ngesikhathi sokuya esikhathini kubangelwa yi-prostaglandins - izigcawu zangasese zangasese, okwalesi sikhathi esithengisa izinto ezibangela ukuphazamiseka ezindaweni zezibeletho, i-pelvis, emuva nangamathumbu ngendlela, izinhlungu zokubeletha zifana nobuhlungu obuningi ngokuphindaphindiwe ngesikhathi sokuya esikhathini. Zibuye zenze ubukhulu bokuzwela kweziphetho zezinzwa - ngakho-ke izinketho zokuzikhohlisa ziyizimele: abanye bazizwa ubuhlungu obukhulu noma buhlungu nje, kanti abanye basuke behluleka ukuphuma embhedeni.
Imibuzo evelele mayelana nokuya esikhathini
Ngingakwazi yini ukuya ocansini ngalesi sikhathi?
Yebo, kodwa kungcono ukusebenzisa ikhondomu - ama-microbes angangena emgodini ovulekile obelethweni.
Ngingakhulelwa ngesikhathi sokuya esikhathini?
Cha, ungakwazi ukukhulelwa ngesikhathi sokuvuthwa: kuzokwenzeka ngaphambi noma ngemuva kokuya esikhathini, kanti isidoda sigcina ukusebenza kwayo amahora angu-36 kuphela. Uma lo mjikelezo uhlala izinsuku ezingaphezu kwengu-25, i-ovulation ingase iphuze, ngosuku lweshumi nesishiyagalolunye nesishiyagalolunye lomjikelezo, kodwa ukukhulelwa kulokhu kuzokwenzeka ngaphambi kokuya esikhathini, lapho kungenzeka khona, kodwa kuyoba nzima.
Ngabe ukukhulelwa kungaqhubeka ngenyanga?
Uma owesifazane etholakala ukuthi une-ovarian ukukhubazeka, i-polycystic ovary syndrome noma i-bicornic uterus, ngesikhathi sokukhulelwa, kungase kube nokubonakala okuvamile phakathi kwamasonto angu-12 okuqala, ngezinsuku lapho kufanele kube khona isikhathi sokuya esikhathini. Uma i-spotting ihambisane nobuhlungu esiswini, udinga ukubonisana nodokotela. Lokhu kungaba uphawu oluphephile lobuthakathaka bezindonga zemikhumbi noma ukwethulwa kweqanda esibelethweni, noma uphawu lwezinkinga.
Indlela yokubhekana ne-PMS?
Ncishisa inani losawoti elidliwe - ukuze uketshezi aluhlali emzimbeni. Gwema ushokoledi, kodwa ukhethe ukudla okune-potassium ne-zinc (ubhanana, ama-apricot omisiwe, isinkwa okusanhlamvu, imbewu yamathanga) no-vitamin E (amantongomane, i-salmon, i-yolk).
Yisho ukuthini umjikelezo ongavamile?
Mayelana nokuphazamiseka kwe-hormonal, ukwehla umsebenzi we-ovarian, ukucindezeleka. Cishe, i-dysmenorrhea iyodlula ngemuva kokuzalwa kokuqala: kukholelwa ukuthi kuphela ukukhulelwa nokuzalwa kwengane umzimba wesifazane uvuthwa ekugcineni. Ngezinye izikhathi kukhona i-dysmenorrhea yesibili: kulokhu, nangemva kokuzalwa, ubuhlungu bokuya esikhathini kuyoqhubeka, kodwa kuzobangelwa ukuphazamiseka ekusebenzeni komzimba - lokhu kungase kube uphawu lwe-endometriosis noma izifo ezivuthayo ezithombeni zomzimba. Qinisekisa ukuthi uthintana nomjozi wezifo zomoya: uzohlola futhi aqoke izivivinyo ezengeziwe. Ukuze ubhekane nezinzwa ezibuhlungu kuzosiza imithi yobuhlungu (isibonelo, ibuprofen) futhi, ngokungaqondakali, umsebenzi omzimba wokukhanya, isibonelo ukuhamba. Incazelo yalokhu ilula: ngesikhathi sokunyakaza, ukujikeleza kwegazi esifundeni sezintambo kukhula, imisipha ithola oksijithali okwedlulele, futhi ukwehla kwe-spasms kwehla.
Umbuzo wokukhulelwa kokukhulelwa
Uma uthatha amaphilisi okuvimbela ukubeletha okuvimbela iqanda ukuba lingaphumi ku-ovary futhi likhule, khona-ke unezinzuzo ezimbili. Okokuqala, ingozi yobuhlungu ingaphansi kakhulu, okwesibili, uma kunesidingo, ungakwazi ukulawula isikhathi somjikelezo wakho: ukusheshisa noma ukuyeka ukuqala kokuya esikhathini (kodwa kungcono ukungasebenzisi kabi futhi usebenzise izindlela ezinjalo zokulungiswa okungaphezu kwesisodwa izinyanga eziyisithupha). Uma uthatha amaphilisi angama-monophasic, kwanele ukuthatha amaphakethe amabili ngokulandelana (khona-ke elinye ukuphuma kwamanzi ngeke lilahleke) noma uyeke ukuthatha izinsuku ezimbalwa ngaphambi kokuba iphakheji iqede futhi uqale ukuthatha iphilisi emusha ngesonto. Uma uthatha amaphilisi esigaba esithathu, kulokhu, kufanele uxhumane nomjozi wezifo zokwelapha ukuze ukhethe isifunda sokushintsha umjikelezo.
Ngaphambi nangemva kokubeletha
Ukungabikho kwesinye isikhathi (uma kwenzeka ukuhluleka komjikelezo kungenakuqhathaniswa nawe) kuyoba omunye wezibonakaliso zokuqala nokuthembeka kakhulu zokukhulelwa okufikile. Emva kokubeletha kwengane, uma ungenalo isisu, ukuya esikhathini kuqalisa isilinganiso samasonto angu-6-8. Ukuya esikhathini sokubeletha kungase kungabi yisikhathi eside - kuyofika isikhathi se-amorrhea okuthiwa i-lactational. Umjikelezo uvuselelwa ngabanye: lokhu kungenzeka ezinyangeni ezimbili ngemuva kokubeletha noma ngonyaka kamva, futhi kwezinye izimo kungase kungabi isikhathi eside. Kukhona umbono (nakuba ungaqinisekisi ngokwesayensi) ukuthi ukuqala kabusha komjikelezo kuhlotshaniswa nokucabangisisa kwalowo wesifazane kunokuba nomzimba wakhe: uzothola futhi amathuba amaningi uma ukhumbuza mayelana nokuya esikhathini ongakabonanga isikhathi eside noma ngisho nokuthola nje.
Omama abancane
I-amenorrhea yokusebenzisana ingcono ukuthi ingasetshenziswanga njengendlela yokukhulelwa, indlela ayithembekile kakhulu. Ukuze uvikeleke ngokuphumelelayo ekukhulelwe, ukuncelisa kufanele kube njalo, kudingekile, ngaphandle kokuchitha isikhathi eside (ngaphezulu kwamahora amabili), kufaka phakathi ubusuku, ngaphandle kokusetshenziswa kwamabhodlela, ama-pacifiers nokudla okuhambisanayo. Ukukhula kwengane akufanele kudlule izinyanga ezingu-6. Kodwa-ke, ungathola ukuthi ukhulelwe, futhi ungalindeli owokuqala emva kokuzalwa kokuya esikhathini: ngaphambi kokuqala kokuya esikhathini, ukuvuthwa kuzokwenzeka kakade, ngakho-ke ukukhulelwa kuyakwenzeka.