Ngabe ucabanga ukuthi akunakwenzeka ukukhulelwa ngesikhathi sokuya esikhathini?

Yize kunzima ukuthi owesifazane adlule esikhathini sokuya esikhathini kunzima ukusho, Kulinganiselwa ukuthi ibanga eliphakathi kweminyaka engama-45 nengama-53, kaningi kakhulu cishe ngama-51. Kodwa-ke uma kunezibalo ezithintekayo, kukhona namathuba okuthi owesifazane 'aphume ebangeni' futhi ayeke ukuya esikhathini uneminyaka engama-40 noma engama-56. Njengoba wazi, ukunqamuka kokuya esikhathini kusho ukunqamuka kokuya esikhathini futhi unikeze indlela ye-climacteric, isigaba sokushintshela ebudaleni.

Ngesinye isikhathi besivele sikhulume ngezimpawu, futhi sizosithola nakanjani isikhathi sokukwenza futhi, kepha namuhla sifuna ukugxila kakhulu engcupheni (noma kungenzeka) yokukhulelwa phakathi nesigaba esaziwa ngokuthi yi-premenopause. Yize njengoba sinjalo, kufanelekile ukukusho lokho Yize kuqukethe izinguquko zehomoni nezomzimba ezenzeka ngokwemvelo, ukunqamuka kokuya esikhathini kuza nokunye ukungakhululeki njengokuqwasha, ukushisa okushisayo, ukucasuka okungenzeka; futhi kuthinta nokwanda kwamafutha omzimba, kububanzi besinqe, njll.; kanti ngakolunye uhlangothi kukhona ukulahleka kwamathambo.

Ngakho-ke, kusho izinguquko eziningi kowesifazane, okumele azi ukuthi angazivumelanisa kanjani nesimo esisha empilweni yakhe. Ngicabanga ukuthi kusenenqwaba yamathebhu, futhi Ngaphezu kwakho konke, ngicabanga ukuthi kusenzima ngathi ukukhuluma ngale ndaba, mhlawumbe ngoba intsha yaziswa kakhulu (ngokungafani nokuvuthwa) futhi singazizwa singabalulekile lapho sishiya isikhathi esivundile. Ngokwenzayo kusobala ukuthi owesifazane angaqhubeka nokusebenza futhi azizwe emuhle futhi enempilo, kusukela eminyakeni yobudala engama-50, futhi kubalulekile ukuzinakekela njengoba kufanele ukwazisa nokujabulela isigaba ngasinye sempilo.

Ukunqamuka kokuya esikhathini akwenzeki ngobusuku obubodwa.

Ngaphambi kokulahlekelwa ukuya esikhathini unomphela singabuyela ezimeni ezithile eminyakeni eyisi-5 eyedlule: ukunqamuka kokuya esikhathini kuqala ukubonakaliswa ngezikhathi ezithile kwezimpawu ezithile njengokuma kwesitho sangasese sowesifazane, ukushintsha kwemizwelo, iziqephu zokudangala, ukuqala kokulahleka kwethambo, izinguquko eziphawulekayo kepha ezingahambelani kumjikelezo wokuya esikhathini (ukuphuma kancane kwegazi, ukopha kakhulu, imijikelezo emide noma emifushane ...)

Ngemuva kokunqamuka kokuqala kokuya esikhathini, okubonakala ngokwethulwa kokuya esikhathini kokugcina, kanye nokungabikho kokopha esikhathini. Kungazinza noma kuthathe izinyanga ezifika kwezingu-4 noma ezi-6, ngakho-ke noma ngabe okuthile okufana 'nomthetho' kutholwa kamuva, owesifazane kuzobhekwa ukuthi unqamuka esikhathini.

Ukunqamuka kokuya esikhathini kusho ukuthi impilo yowesifazane ngeke isaba yindilinga, futhi lokho kunganikeza ukuzinza okuthile, ngaphezu kwalokho ukungabikho kwe-ovulation kanye nokuya esikhathini kunika ukuthula kwengqondo ebudlelwaneni bezocansi, okuthi ngaphandle kokungabikho kokuphuma kwesitho sangasese sowesifazane kunganelisa (cha Masikhohlwe ukuthi namuhla kunezixazululo zale nkinga, uma sifuna ukuyibheka kanjalo). Phakathi kokunakekelwa okudingekayo ukwenza i-aphoyintimenti nodokotela wethu wezifo zabesifazane ukuhlola isimo nokusinikeza imininingwane esiyidingayo.

Isigaba sokugcina sesikhathi yilokho okubizwa ngokuthi yi-postmenopause, lapho ukukhiqizwa kwethu kwe-estrogen kuncishiswe kakhulu futhi silahlekelwa yilokho kuvikelwa kwemvelo kwizifo zenhliziyo nemithambo yegazi. Kungenzeka eminyakeni eminingana ngemuva kokuya esikhathini kokugcina, futhi izimpawu ezicasula kakhulu zingaba njalo, thintana nodokotela wakho akusize ubhekane nakho.

Akunakwenzeka yini ukukhulelwa ngesikhathi sokunqamuka kokuya esikhathini?

Uma sibheka ukunqamuka kokuya esikhathini njengezigaba eziningana ezesikhathi eside, singaphetha ngokuthi akunakwenzeka, ngoba ngaphandle kokuthi ama-ovari agcina umsebenzi ophansi kakhulu, asasebenza, futhi uma ungenayo intshisekelo yokukhulelwa eneminyaka engama-48, kufanele usebenzise izindlela zokuvimbela inzalo.

Sonke siyazazi izibonelo zabesifazane abakhulelwe besebekhulile ngokwemvelo, imininingwane ikhombisa ukuthi yi-0,01% kuphela yokulethwa ehambelana nalabo abaneminyaka engaphezu kwengama-47 ubudala. Iningi lalezi zimo linezingane ezinempilo ezikhula ngokujabula, yize ukujaha ingane enezinyanga ezingama-24 ekwazi ukukhubeka yehle izitebhisi, futhi ishiye ipaki ngokunganaki, akulula njengabomama abaneminyaka engama-25. Nginombono wokuthi ingane ihlale iyinjabulo emndenini, kodwa futhi kufanele sikhulume ngezingozi ezingaba khona:

Amaqanda amadala futhi adlulisa imithombo yezakhi zofuzo esezingeni eliphansi, kwandisa ubungozi be-preeclampsia, ukukhulelwa kwesifo sikashukela, i-placenta previa, ukulethwa kwe-cearean, isisindo sokuzalwa esiphansi, i-Down syndrome, njll. Yilokho isayensi nemithi okusitshela khona, Kepha uma ubucabanga ukuthi ubusuvele unqamukile futhi usukhulelwe, qala uphumule, bese uvakashela udokotela wezifo zabesifazane.

Ngakolunye uhlangothi, kuyiqiniso ukuthi ngemuva kweminyaka engama-50, kunzima kakhulu ukukhulelwa ngaphandle kokusebenzisa izindlela zokwelashwa ze- 'in vitro' noma ukunikela ngeqanda.

Lokho kusho, amathuba okuthi ungacabangi nokukhulelwa: unezingane noma abantu abadala, futhi uyazi ukuthi manje isikhathi sakho, ukuthi awumncane, kodwa umncane emoyeni nasemcabangweni. Kujwayelekile ukuthi ube nezingxabano ezithile zangaphakathi, nokuthi ukushintsha kwezinhlamvu akubangelwa nje kuphela ukunqamuka kokuya esikhathini, kodwa nokuthi kufanele ubhekane nezinkinga zezingane zakho ezikucela izeluleko. Kujabulele ukuphila nokuphila konke okusemuva kwakho, uyeke ukuhlala phansi uhlale udle uphilile, uyeke ukucabanga ngalokho owawuyikho bese uziveza kulokho oyikho.

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