Ukuya esikhathini - yintoni na?
Enye yeenkqubo eziyinkimbinkimbi kunomzimba womfazi, utshintsho olujikelezayo kwiinkqubo ze-endocrine kunye nokuzala. Iqala kwi-cortex ye-cerebral: ibandakanya umsebenzi we-hypothalamus, i-hormone yesondo kunye neengxowa ze-endocrine (i-ovaries, i-adrenals kunye ne-thyroid gland) kwaye iphela kwisibeletho. Umjikelezo wokuya esikhathini uya kuthathwa njengexesha ukusuka ngomhla wokuqala wokuya esikhathini ukuya ekuqaleni kwexesha elilandelayo. Umjikelo wemizuzu ingama-21 -35 iintsuku, ukukhutshwa kokugqibela kuqhubeka kwiintsuku ezi-2 ukuya kwii-7 (kwaye ezinsukwini zakuqala zininzi kakhulu), ukulahleka kwegazi kumyinge 20-40 ml ngosuku. Kwi-60% yabasetyhini, umjikelezo unentsuku ezingama-28. Kulexesha eliqhelekileyo eliqhelekileyo ukuba lijolise ekuqaliseni i-ovulation - ixesha apho iqanda lishiya i-ovary kwaye lingazaliswa. Ukubaluleka kwezinto eziphilayo kwimijikelezo kukuqinisekisa ukusebenza kakuhle, ukulungiselela umzimba ukukhulelwa. Ukuba ukuzala akuzange kwenzeke kulo mjikelezo kwaye iseli leqanda alizange lifakwe, umgca osebenzayo we-uterine mucosa unqatshelwe, kwaye ukuphawula kuyisiphumo sokwenqatshwa kwe-endometrium "engadingekile."
Imeko ekhethekileyo
Kukholelwa ukuba ukunyameka ngexesha lokuya esikhathini akuyi kuba yingozi yempilo, nangona imisebenzi yezemidlalo esebenzayo ihlehliselwa kwenye imini: ukunyuka kwimihla yokuqala yomjikelezo kunokubangela ubuthathaka, intlungu kwisisu esingaphantsi okanye ngasemva, isiyezi. Kwiintsuku zokuqala zomjikelezo, kungcono ukhethe ukuzivocavoca ukuzithoba - umzekelo, yoga. Ngexesha leeseshoni, ukuphuma kwamanzi kuya kuba namandla - kodwa awuyi kulahleka igazi elingaphezulu kunexesha eliqhelekileyo. Isixa segazi esithumela i-endometrium (umgca wesibeletho) sinye nyanga zonke nyanga, kungakhathaliseki ukuba uhamba kangakanani. Ngethuba lokusebenza ngokomzimba, i-palpitation yanda, oku kuthetha ukujikelezwa kwegazi.
Isigaba somjikelezo wesini:
1) Iifolda: i-estrogens ihamba phambili, i-follicle ripens.
2) I- ovulatory: ukuphuka kwintambo egciniweyo, ukukhululwa kweqanda, umzimba ophuzi uqala ukuvelisa i-progesterone (enye yeehomoni eziphambili zokukhulelwa), iqanda likulungele ukuchumisa.
3) Luteynovaya: ukukhulelwa akuzange kwenzeke, izinga lama hormone liwa, i-endometrium iyalahlwa, enye iqala ukuphuma.
Ukuqalisa kokuqala kwesithwathwa kuthetha ngesiphakamiso sesondo: into yokuba oku kuqalwe ngexesha lokuphila lokubeletha. Umyinge weminyaka yokuqala kokuya esikhathini uneminyaka eyi-11-14, ixhomekeke ngqo kwiimeko zempilo kunye nokuzalwa. Iinyanga zokuqala zingaphantsi, kodwa kancane kancane umjikelo uya kusekwa. Inkqubo echaseneyo - ukuphela komsebenzi wokuzala (ukuyeka umyeni) kwiminyaka eyi-52-57-kuya kuhamba ngokuthe gqolo.
Ukunyanzeliswa komjikelo
Ukuphazamisa umjikelezo wesini kunokubangela izinto ezininzi: ukushisa okukhulu okanye ukubandisa, i-jet lag, i-malaise okanye uxinzelelo olunzima, ukukhupha isisu - konke oku kukuchaphazela umsebenzi wee-ovari. Ukuzilolonga okunzulu kunye nokutya okuqinileyo kunokuchaphazela umjikelezo wesini. Ipesentiji ye-estrogen (ihomoni yebhinqa) emzimbeni ihambelana ngokuthe ngqo kunye nobunzima bomzimba. Ukuba sitshisa ezininzi iikhalori, ukutshatyalaliswa yimidlalo okanye izithintelo zokutya, ibhalansi ingaphazamiseka - izinga le-estrogen liza kuncipha, kwaye ukuhamba kwimihla engavumelekanga (kwiimeko ezinqabileyo, banokuyeka ngokupheleleyo). Nangona ubude bomjikelo ngamnye wesibini bubuntwini kwaye buxhomekeka kwiimeko ezininzi, ukuphambukiswa kwinqanaba eliqhelekileyo, ngakumbi xa lidibaniswe nexesha elibuhlungu okanye i-premenstrual syndrome, kunokuthetha ngeengxaki ezahlukahlukeneyo kwaye kwenza kube nzima ukukhulelwa umntwana. Ukuba ulwaphulo lusetshenzisiwe kwaye umjikelezo olandelayo awuzange kwenzeke kwakhona-mhlawumbi, akukho sizathu sokukhathazeka. Ukuba ukungalingani kwe-hormonal kuqhubeka kwiinyanga eziliqela okanye kuphinda kuphindwe rhoqo, kungcono ukudibana nodokotela. Kuzo zonke iziganeko zokuphulwa komjikelezo umjobi wezifo zonyango uza kukunika i-ultrasound yeenxalenye zeplavic, isifundo seprophoni ye-hormone (ukuhlolwa kwegazi okhethekileyo), uviwo lokuxilonga lombuso wokuma kwangaphakathi kwesibeletho. Ukutyelela kwi-gynecologist kufuneka kube rhoqo, ubuncinane kwiinyanga ezintandathu. Ukwenyuka kwexesha: ukukhutshwa kungabi ngaphantsi komhla wesi-2-3 womjikelezo, i-gasket ejwayelekile iphela iiyure eziyi-2-3. I-Scarce isisu: ihlala engaphantsi kweentsuku ezi-3, enye i-gasket ihlala isigxina somhla okanye ngaphezulu. Ukuqhelana phakathi kwabantu, ngakumbi xa kudibaniswa nokuya esikhathini, kungaba yinye yeempawu ze-endometriosis - qi niseka ukuxoxa ngale ngogqirha. Kamva (emva kweminyaka engama-13 ukuya kwe-14 ukuya kwe-14) ukuqala kokuya esikhathini, mhlawumbi, kuthetha ngokunyusa izinga lama-hormone wesini. Umjikelo kulo mzekelo uvame ukungaqhelekanga, udibeneyo, kodwa uninzi olude lukhutshwa. Umjikelo omfutshane (iintsuku ezingaphantsi kweentsuku ezingama-21) okanye ngokuphindaphindiweyo (ngokuphindaphindiweyo kwinyanga enye) ukuphuma kwexesha ukuya kwimizuzu eyahlukeneyo kunokubonisa ukungasebenzi kwamathambo amaqanda, iziphazamiso ze-endocrine okanye izifo zezesondo.
Umbuzo wococeko
Ekuseni, emva kokulala, okanye emva kokuhlala ixesha elide kwindawo yokuhlala, ukukhutshwa kungabonakala kuninzi kwaye kunzima. Oku kuqhelekileyo: iiyure eziliqela ungenasiphako, kunye negazi lokuya esikhathini, kubandakanyeka kwiiseli ze-epithelium, iincinci ze-endometrial kunye nezikhuselo ze-uterine, ayikwazi ukuhamba ngokukhululeka ukusuka kwisini, ngenxa yoko yalujika kwaye yenze iinqamlezo. Xa ukhetha - iipads, iitamponi okanye izithako ezikhethiweyo ze-silicone - iifowuni zesisu, ezifakwe kwisisini kwaye ziqokele igazi. Ekubeni indawo efudumalayo kunye nefuthe yenza ukuba iibhaktheriya zibe yithuba elihle lokuzalisa, kubalulekile ngexesha lokuya esikhathini ukuya kuhlambulula ucoceko ngokucokisekileyo: iifampu kunye neerkkts kufuneka zitshintshwe rhoqo iiyure ezingama-2 nangona ukukhutshwa kungaphumi kakhulu. Iitamponi kunye neepads ezithintekisiwe azizona ezikhethileyo: ziyakucasula. Kodwa ungabi nentshiseko, uhlambe ngokucokisekileyo umfazi-uyonakalisa i-microflora yayo yemvelo.
O, buhlungu!
Ukuhamba kwesisu, okanye i-dysmenorrhea, kuqhelekileyo kunokuba sithanda: ngaphezulu kwehafu yabasetyhini bayabakhangisa, kwaye i-10% ayinathamsanqa kangangokuba inyanga zonke ziyabakhusela ekukholeni ubomi obuqhelekileyo kwisithuba seentsuku eziyi-3-4 kumjikelezo ngamnye. Ubuhlungu kunye nokuphazamiseka ngexesha lokuya esikhathini kubangelwa yi-prostaglandins - iingqungquthela zokuvalwa kwangaphakathi, okwangoku ngeli xesha lithengisa izinto ezibangelwa ukungcoliswa kwemvelo kwiindawo zesibindi, i-pelvis, i-back and bilini ngendlela, iintlungu zokubeleka zifana nokubuhlungu ngokuphindaphindiweyo ngexesha lokuya esikhathini. Ziyakwandisa ubuchule bokuphela kwezibilini - ngoko ke ukhetho lokunyanzelisa luyodwa: abanye banokuva nje kuphela intlungu ebuhlungu okanye ukungahambi kakuhle, kwaye abanye banakukwazi ukuphuma ebhedeni.
Imibuzo evelele malunga nokuya esikhathini
Ngaba ndinokwenza ngesondo ngeli xesha?
Ewe, kodwa kungcono ukusebenzisa ikhondom - ii-microbes zingena kwi-ywn evulekileyo yombeleko.
Ngaba ndiyakhulelwa ngexesha lokuya esikhathini?
Hayi, unakho ukukhulelwa ngexesha lokuvuthwa: kuya kwenzeka ngaphambi okanye emva kokuya esikhathini, kwaye isilwanyana sigcina ukusebenza kwayo iiyure ezingama-36 kuphela. Ukuba umjikelo uhlala ngaphezu kweentsuku ezingama-25, i-ovulation ingase ifike emva kwexesha, ngomhla we-18-20 womjikelo, kodwa ukukhulelwa kule ngxaki kuya kwenzeka ngaphambi kokuya esikhathini, ukuba kunokwenzeka ntoni, kodwa kuya kunqongophala.
Ngaba ngexesha lokukhulelwa liyaqhubeka ngenyanga?
Ukuba ibhinqa ifunyenwe ukuba i-ovarian dysfunction, i-polycystic ovary syndrome okanye i-bicornic uterus, ngexesha lokukhulelwa, kunokuthi kubekho indawo ebonakalayo ngexesha leveki ezi-12 zokuqala, ngeentsuku apho ixesha lokuya esikhathini lifuneka. Ukuba i-spotting ihambelana nentlungu esiswini, udinga ukubonisana nodokotela. Oku kunokuba ngumqondiso okhuselekileyo wobuthathaka beendonga zeempahla okanye ukufakwa kweqanda kwisisu, okanye uphawu lweengxaki.
Indlela yokujongana ne-PMS?
Ukunciphisa inani leetyuwa eligqityiweyo - ukwenzela ukuba umbane awuhlali emzimbeni. Gwema i-tsholetele, kodwa khetha ukutya okunotye kwi-potassium kunye ne-zinc (ubhanana, ama-apricot omisiwe, isonka sezonkwa, imbewu ye-pumpkin) kunye ne-vitamin E (i-nati, i-salmon, i-yolk).
Uthini umjikelezo ongaqhelekanga?
Ngeengxaki ze-hormone, ukunciphisa umsebenzi we-ovarian, uxinzelelo. Oku kunokwenzeka ukuba, i-dysmenorrhea iya kudlula emva kokuzalwa kokuqala: kukholelwa ukuba kuphela ekukhulelwe nasekuzalweni komntwana umzimba wesibini umvuthwa ekugqibeleni. Ngamanye amaxesha kukho i-dysmenorrhea yesibini: kule meko, kwaye emva kokuzalwa, intlungu yokuya esikhathini iya kuqhubeka, kodwa iya kubangelwa ukuphazamiseka kwimisebenzi yomzimba - oku kungabonakalisa uphawu lwe-endometriosis okanye izifo ezivuthayo ezithombeni ze-pelvic. Qiniseka ukuba udibane nomgulane wezilwanyana: uya kuhlola kwaye aqeshe iimviwo ezongezelelweyo. Ukujamelana nokuvakalelwa koluhlungu kuya kunceda imithi yeentlungu (umzekelo, ibuprofen) kwaye, ngokukrakra ngokwaneleyo, umsebenzi owenzela ukukhanya, umzekelo ukuhamba. Inkcazo yale nto ilula: ngexesha lokuhamba, ukujikeleza kwegazi kwintsimi ye-pelvic kwanda, imisipha ifumana i-oksijeni engaphezulu, kwaye i-spasms iyancipha.
Umbuzo wokukhulelwa
Ukuba uthatha iipilisi zokulawula ukuzala ezithintela iqanda ukuba lingaphuma kwi-ovary kwaye lizalise, ngoko uncedo olubini. Okokuqala, umngcipheko weentlungu ungaphantsi, okwesibini, ukuba kuyimfuneko, unokulawula ixesha lokujikeleza kwakho: ukukhawulezisa okanye ukuyeka ukuqala kokuya esikhathini (kodwa kungcono ukuba ungasebenzisi kakubi kwaye uphendule kwiindlela ezinjalo zokuguqulwa okungaphezu kwesinye inyanga ezintandathu). Xa uthatha iiphilisi zamanophasi, zanele ukuthabatha iipakethi ezimbini ezilandelelanayo (emva koko enye igazi iya kulahlwa) okanye uyeke ukuthatha iintsuku ezimbalwa ngaphambi kokuba ipakethe iphephe kwaye iqale ukuthabatha iipilisi ukusuka kwintsha evekini. Ukuba uthabatha iipilisi zesigaba esithathu, kulo mzekelo, kufuneka udibane nomgulane wezilwanyana ukuba ukhethe isiphaluka sokutshintsha umjikelezo.
Ngaphambi nangemva kokubeletha
Ukungabikho kwesinye isikhathi sokuya esikhathini (ukuba imeko yokusilela komjikelezo ayinakuchasana nawe) iya kuba yinto yokuqala kunye neyona ntsingiselo ethembekileyo yokukhulelwa efikile. Emva kokuzalwa komntwana, ukuba ungasondli, isisu siyaqalisa kwakhona kwiiveki ezi-6-8. Ukuya kwesisu kunokusasaba ixesha elide - kuza kuza ixesha elibizwa ngokuba yi-amenctrhea ye-lactational. Umjikelo uhlaziywa ngokwawo: oku kuya kwenzeka emva kweenyanga ezimbini emva kokubeleka okanye kunyaka ozayo, kwaye kwezinye iimeko kungenakude. Kukho imbono (nangona ingaqinisekanga ngokwesayensi) ukuba ukuqala kwakhona komjikelezo kudibaniswa ngakumbi kunye nomfazi wesigxina kunokuba kunye ne-physiology yakhe: uya kubuyiselwa xa kunokwenzeka ukuba ukhumbule malunga nokuya esikhathini ongakubonanga ixesha elide okanye ukufumana nje.
Oomama abaselula
I-amenorrhea yokusebenzisana ilungele ukuba ingasetyenziswanga njengendlela yokukhulelwa, indlela ayixhomekekanga kakhulu. Ukukhusela ngokuphumelelayo ekukhulelwe, ukuncelisa kufuneka kube rhoqo, ngokufunekayo, ngaphandle kwexesha (ngaphezulu kweeyure ezimbini), ukuquka ubusuku, ngaphandle kokusetyenziswa kweebhotile, i-pacifiers kunye nokutya okuncedisayo. Ubudala bomntwana akufanele kudlule iinyanga ezintandathu. Nangona kunjalo, unokufumanisa ukuba ukhulelwe, kwaye ungalindelanga wokuqala emva kokuzalwa kokuya esikhathini: ngaphambi kokuqala kokuya esikhathini, ukuvuthwa kwe-ovulation kuya kuvela, kwaye ngoko ke ukukhulelwa kuya kwenzeka.