Umbuzo wokuba ixesha lokuya esikhathini sele liqala emva kokuzalwa, lithandwa ngabasetyhini abaninzi, ngokukodwa emva kokuzalwa komntwana wokuqala, xa kungenamava kwaye kunzima ukuqonda ukuba utshintsho olwenziwe emzimbeni lufanelekile kwaye lufanele lube luvalo. Makhe sibone ukuba zithini iingcali malunga nokubuyiselwa komjikelezo wesini emva kokubeletha, zeziphi izinto ezichaphazela le nkqubo kunye nokokufuneka ukuba ukoyike.
Ixesha liqala nini emva kokuhanjiswa?
Ukuqhelaniswa komjikelezo wokuya esikhathini kubonisa ukubuyiswa kwenkqubo yokuzala, kwaye ngenxa yoko, unokwenzeka ukuba ukhulelwe emva koko. Kodwa kwimeko nganye ayinakukwazi ukuthetha ngokuchanekileyo ngokuthe ngqo xa inyanga zonke emva kokuziswa kuza, kuba kuxhomekeke kwizinto ezininzi. Indima ephambili idlalwe yindlela yokondla umntwana, kuxhomekeka kakhulu kwimpilo yowesifazane, isimo se-endocrine system.
Liza nini emva kokuncelisa emva kokuncelisa?
Xa kubelelwa, i-hormone prolactin iveliswa, okuthintela i-ovulation ngokunciphisa ukuveliswa kwama-hormone kuma-ovari. Ngaphambili, kwakukholelwa ukuba umjikelezo wesini kufuneka ubuyiselwe emva kokuyeka ukuncelisa. Kodwa ngesingqisho sesimanje sobomi, kukho izinto ezininzi ezichaphazela ukuveliswa kweprolactin, kwaye ngoko ke, umjikelezo wokuya esikhathini unokufumana ixesha elide ngaphambi kokuphela kokuncelisa. Izinto ezibalulekileyo ezichaphazela ukuveliswa kweprolactin zizidakamizwa zamachiza kunye nendlela yokondla.
Baya kuba nini emva kokuba ukuhanjiswa kwezibeleko beza kuncelisa?
Njengomthetho, kunye nokutya okunjalo, umjikelezo wesini uvuselelwa malunga nonyaka emva kokuzalwa komntwana. Kodwa kuyimfuneko ukuba uqaphele, njengoko ukungaphumeleli kokutya kungakhokelela ekunciphiseni kwinqanaba leprolactin kunye nokubuyiswa kwangaphambi komsebenzi wee-ovari.
Xa emva kokuzalwa, ixesha lokuya esikhathini liqala ngokuncelisa ngentsholongwane ngokwemigangatho?
Ukutya kwi-regime kubangela ukuphazanyiswa kwemveliso yeprolactin, ngoko ukuhamba kwimihla kungaphinda kufike kwiinyanga ezimbalwa.
Ukutya okuxubekileyo kuvela nini emva kokuzalwa?
Njengomthetho, kunye nokusetyenziswa okongeziweyo kwemixube yokufakelwa, umjikelezo wesini ubuyiselwa emva kweenyanga 3-4 emva kokuzalwa.
Xa emva kokuzalwa, ixesha lokuya esikhathini liqala ngokusondeza kokufakelwa?
Xa kungabikho kokuncelisa, kuthatha iinyanga ezi-1 ukuya kwe-2.5 ukubuyisela umjikelezo wesini.
Baya kufika nini emva kwenyanga emva kokuthunyelwa ngokuphindaphindiweyo?
Ukubuyiselwa kwimijikelezo yokuya esikhathini akuchaphazeli inani lokuzalwa kwangaphambili. Kodwa indlela yokondla, ubudala kunye nempilo, kwaye ngokukodwa kwizitho zangasese, inokuchaphazela ngokuthe tye ukuhlala kwimihla. Ukuba isisu asiqali ngexesha oya kugqirha.
Ngakanani ixesha lokuya esikhathini emva kokuzalwa kokuzalwa?
Kule meko, indlela yokutya idlala indima ebalulekileyo. Ukuba akukho nto yokuncelisa i-cycle yokubuyisela izakuthatha malunga neveki ezili-10.
Yintoni enokuyenza xa ixesha elingavumelekanga livela emva kokubeleka?
Njengomthetho, emva kokuqalisa kwenyanga yesithathu, umjikelo kufuneka uqulunqwe, nangona kunokwenzeka ukubuyisela emva kokuqala kokuya esikhathini. Ukuba, emva komva wesithathu, umjikelezo uhlala ungavumelekanga, kubalulekile ukubona ugqirha.
Zingaphi iinyanga emva kokuzalwa?
Njengomthetho, emva kokuzalwa ixesha lokuya esikhathini aliguquki, kodwa amaxesha anokuba nzima kakhulu kwaye aqheleke rhoqo. Ixesha elide emva kokubeletha liyakwazi ukuhamba kwiimjikelezo ezimbalwa zokuqala, kodwa ukuba ukuhamba kwimihla kamva kungabuyiselwa kwinto eqhelekileyo, kuyafaneleka ukuba ubone ugqirha. Ngamanye amaxesha, ukubuza ukuba zingaphi iinyanga emva kokuzalwa, abesetyhini bathetha ukubona indawo eqala ukususela ngosuku lokuqala emva kokuzalwa kwaye lunokufikelela kwiinyanga ezi-1.5-2. Ezi zibizwa ngokuba yi-lochia. ULochias akanalo nantoni na nomjikelezo wesini, ekubeni zibangelwa umonakalo kwi-endometrium yesibindi kwaye idlulileyo de ibuyiselwe.
Kutheni kungekho nenyanga emva kokubeleka?
Ukungabi nenyanga emva kokuzalwa, kunye nokutya okufakelwayo kunokubonisa izifo zenkqubo yokuzala. Kwakhona, ukungabikho kokuya esikhathini kufuneka kumeke xa ukunyamezela ukuyeka. Isizathu sokungabikho kwexesha okanye umjikelezo ongavumelekanga emva kokuqalisa kwesisu kunokuphela kwe-endometriosis, i-postpartum pathologies, ukuvuvukala kwama-ovari, ukuphazamiseka kwe-hormonal, kunye nokubunjwa kwe-tumor.
Kufanelekile ukukhumbula ukuba ukubuyiswa komjikelezo wesini akuthethi ukuba umzimba ulungele ukukhulelwa okulandelayo. Ukuqala kokukhulelwa okuphindaphindiweyo ngaphambi kokuqala kokuya esikhathini kuyaqhelekileyo, okungekho mthethweni kumntu wesifazane okhulelwe okanye kumntwana ozayo. Njengoko uyazi, kuthatha ubuncinane iminyaka engama-2-3 ukubuyisela okupheleleyo emva kokubeleka, kwaye ke ngoko unokucwangcisa ukukhulelwa okulandelayo. Ngoko ke, unakekele ukukhulelwa kwangaphambili, ngaphandle kokulinda xa inyanga nganye iza kulandela emva kokubeletha.