Uvuke ekuseni unesicaphucaphu ube ungazi ukuba ukhulelwe? Okanye ngokuchaseneyo, mhlawumbi kwenzeka kuwe ukuba ube nesiphumo esihle ekuvavanyeni ukukhulelwa kwaye ulinde ukungahambi kakuhle okungazange kwenzeke. Siqala nini isicaphucaphu xa ukhulelwe? mhlawumbi yisigidi seerandi umbuzo… okanye isitshisa kunye nokudumba kwamabele.
Inyaniso kukuba iimpawu zokukhulelwa ziyimfihlakalo, abafazi abakhulelweyo abaninzi baye bafumana amava athile kwimeko nganye. Mhlawumbi ngokukhulelwa omnye kwakukho ukuhlanza kunye nokungahambi kakuhle kwaye ukukhulelwa okulandelayo kwadlula ngaphandle kwemvakalelo embi okanye isifo. Into eyaziwayo kukuba ukukhawula ngandlela thile kuchaphazela into ephilayo, eguqukayo ukuziqhelanisa nobomi obutsha obukhulayo. Kwaye oku kuyaphawuleka ngandlela thile...
Kutheni i-nausea iqala ekukhulelweni?
Ngaphandle siqala nini isicaphucaphu xa ukhulelwe, okanye i-bloating kunye nesisu esibuhlungu, into ebalulekileyo kukuba ukwazi ukuba emva kokukhulelwa kukho i-hormonal revolution. Emva kokuba iqanda lidibene nedlozi, kuqalisa umjikelo omnye. I-embryo ihamba phantsi kwi-fallopian tubes ukuya kwisibeleko. Okwangoku, ihomoni ebizwa ngokuba yi-chorionic gonadotropin, ebizwa ngokuba yi-hormone yokukhulelwa, iqala ukuveliswa.
Le hormone, eyaziwa ngokuba yi-hCG, iveliswa ziiseli eziya kuthi kamva zibe yi-placenta. Inkqubo igqitywe ngendlela engakholelekiyo: ngaphambi kokuba i-placenta yenziwe ngokupheleleyo, umzimba uthumela umyalezo kwindawo ye-ovarian follicles, apho amaqanda akhululwa khona. Emva koko kwandisa ukuveliswa kwe-estrogen kunye neprogesterone, iihomoni ezinoxanduva lokwakha i-vascular lining kwiindonga zesibeleko. Isibeleko siya kuyondla i-embryo okanye ngaphambi kokuba i-placenta yenziwe.
Amanqanaba e-hCG okanye i-gonadotropin anxulumene ngokusondeleyo iimpawu zokukhulelwa. Kuyaziwa ukuba xa i-nausea iqala ekukhulelweni, kunye nezinye iimpawu, kungenxa yokuba amanqanaba aphezulu. Oku kwenzeka malunga neeveki ezili-10 ukuya kwezili-12, nangona ngenxa yokuba ihomoni iqala ukunyuka ngokukhawuleza nje ukuba kukhawulwe, iimpawu zinokuvela kwangethuba. Kungenxa yolu lwando lwesiquphe ukuba i iimpawu zokukhulelwa Ezinye ii-radicals zenzeka kwi-trimester yokuqala, ngakumbi kwinyanga yesibini neyesithathu.
Amanqanaba e-gonadotropin kunye neempawu
Ekukhulelweni okuqhelekileyo, amanqanaba e-gonadotropin aphindwe kabini zonke iintsuku ezingama-2-3 kwizigaba zokuqala, kunye nokunyuka ubuncinane kwe-60% nganye iintsuku ezimbini. Nangona kunjalo, ukwanda kuya kuxhomekeka ekuphuhlisweni komfazi ngamnye. Kukho abafazi abaqala ukukhulelwa kunye namanqanaba aphezulu kakhulu e-gonadotropin ngelixa abanye beqala kwinqanaba eliphantsi, elixhomekeke kwimpendulo yento nganye ephilayo ekuchumeni.
Ngokophando oluninzi, isicaphucaphu kunye nokugabha ingaphendula kumanqanaba ale hormone. Abasetyhini abanamanqanaba aphezulu banokuba neempawu ezinamandla ngelixa abo banamanqanaba asezantsi, ngaphantsi. Abasetyhini abanesifo esinzima sasekuseni (hyperemesis gravidarum) baziwa ngokuba namanqanaba aphezulu chorionic gonadotropin yabantu kunabanye abafazi abakhulelweyo. Kwenzeka okufanayo kwabo bahamba ngokukhulelwa okuninzi. Aba ngokuqhelekileyo ngabasetyhini abanokugula kwasekuseni ngenxa yokuba amanqanaba abo ehomoni aphezulu kunokukhulelwa okuqhelekileyo.
Ngaphandle kwe-hCG, ukunyuka kwe-estrogen kunye nezinye iihomoni eziqhelekileyo zokukhulelwa nazo zinefuthe. Kwenzeka nini isicaphucaphu xa ukhulelwe ikwanxulumene nokunyuka kwehomoni ngokubanzi. Ukuguqulwa kwehomoni eveliswa kwezi nyanga zisithoba kubangela ukusabela emzimbeni kwaye ukubonakala kweempawu mhlawumbi yeyona nto ibonakalayo. Zenzeka ngakumbi kwi-trimester yokuqala ngenxa yokutshintsha kwehomoni kunye nokulungelelaniswa komzimba. Xa ukunyuka kwehomoni kuqhelekileyo, iimpawu zivame ukuncipha.
Ngenxa yesi sizathu, i-trimester yesibini lixesha apho abafazi abakhulelweyo bafumana amandla kwaye bayonwabela kakhulu. Kwi-trimester yesithathu, ngakolunye uhlangothi, umzimba unzima kwaye kunokwenzeka ukuba ube nokugcinwa kwamanzi kunye neengxaki zesisu ngenxa yobukhulu bomntwana.