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Ukukhulelwa yisikhathi esibucayi empilweni yowesifazane okungamvimba ekulondolozeni ubudlelwano bezocansi nomlingani wakhe. Owesifazane okhulelwe angazizwa eyeka ezenzweni zocansi ngenxa yezinguquko eziningi emzimbeni wakhe kanye nokwesaba nezinganekwane ezihlobene nomphumela omubi wokuya ocansini empilweni yomama nengane. [1]
Kodwa-ke, ukwenza ucansi ngesikhathi sokukhulelwa akulimazi uma imvamisa yayo ilinganiselwe. Futhi, isifiso sivame ukwehla ngokuthuthuka kweminyaka yobudala bokukhulelwa, mhlawumbe ngenxa yokwehla kokutholakala kokwaneliseka kwezocansi nokwanda kocansi olubuhlungu.
Kulesi sihloko, sizoxoxa ngokuhlangana kocansi nokukhulelwa. Bheka.
Ukusebenza Ngokobulili Ku-Trimester Ngayinye
Ukuya ocansini kubalulekile empilweni yomuntu nakho okunquma inhlalakahle yabo. Ukukhulelwa kuguqula umsebenzi wezocansi phakathi nokukhulelwa konke. Ngokuya kocwaningo, isimilo socansi sowesifazane okhulelwe singaphethwa ngezici ezine: i-hormonal, imizwa, ukwakheka nokwengqondo okuvame ukwehluka ku-trimester ngayinye.
1. I-trimester yokuqala
Lokhu kumakwa njengesikhathi sokuzivumelanisa nezimo lapho imizimba yabesifazane izivumelanisa nezinguquko ze-neurohormonal. Njengoba izinyanga ezintathu zokuqala zokukhulelwa zibalulekile, abesifazane bangazihoxisa kunoma yiluphi uhlobo lwezenzo zocansi, ikakhulu ngenxa yezinsumansumane zokukhulelwa kwesisu noma ukulimala kwengane.
Ucwaningo luthole ukuthi abesifazane ababengazi ngokukhulelwa kwabo ngesikhathi sokukhulelwa kwasekuqaleni babeya ocansini kakhulu uma kuqhathaniswa nalabo ababazi kwasekuqaleni. Lokhu kukhombisa ukuthi abesifazane ababenentshisekelo empilweni yabo yezocansi bangazizwa beqhubeka nenqubo kukho konke ukukhulelwa kwabo kanti labo ababengenantshisekelo bangazizwa bekugwema, okwenza ukukhulelwa kwabo kube izaba. [okubili]
2. I-trimester yesibili
Kulesi sigaba, isifiso sobulili ngokuvamile siyanda uma kuqhathaniswa ne-trimester yokuqala. [3] Lokhu kungenxa yokwehla kwezimpawu zokukhulelwa ezifana nesicanucanu, izingqinamba zokugaya ukudla, ukukhathala nezinye eziningi. Futhi, ukukhathazeka okuhlobene nokuphuphunyelwa yisisu ngesikhathi sokukhulelwa kokuqala kuncishisiwe ngemuva kwezinyanga ezintathu ezandisa ukuzethemba ngentshisekelo enkulu kwezocansi.
Ucwaningo luqokomisa ukuthi amaphupho nezocansi kuyanothiswa phakathi ne-trimester yesibili ngenxa yezinguquko eziningana zomzimba nezamahomoni njengokukhuphuka kokugeleza kwegazi ezithweni zokuzala kanye nokushesha kwesitho sowesifazane sangasese. Lesi sikhathi saziwa ngokwaneliseka okukhulu kwezocansi. [4]
3. I-trimester yesithathu
Lesi sikhathi sibonakala ngeziqephu eziphansi kakhulu zomsebenzi wezocansi. Ku-trimester wesithathu, abesifazane bangabheka izinga eliphansi kunazo zonke le-libido, ubuhlungu besifuba sebele ngesikhathi socansi. Futhi, amathuba okutheleleka maningi emasontweni angama-6-7 wosuku olulindelekile. [5]
Ucwaningo oluningi luqokomisa iphuzu lokuthi ukuya ocansini phakathi ne-trimester yesithathu kungaqala umsebenzi ngaphambi kwesikhathi esifanele. Kungakho ochwepheshe bencoma ukugwema ukuya ocansini ekuphathweni nasekuvinjelweni kwabasebenzi ngaphambi kwesikhathi.
Ucansi Lokungeniswa Komsebenzi
Lesi sihloko sinempikiswano njengoba ubufakazi bokusekela lo mbono bukhawulelwe ezifundweni ezimbalwa kuphela. Ucwaningo luthi ukuya ocansini ngaphambi nje kosuku olulindelekile kungadala ukusikwa kwabesifazane abakhulelwe kusenesikhathi. Lokhu kungenxa yesidoda sowesilisa esingasheshisa ukuvuthwa komlomo wesibeletho ngaphambi kwesikhathi saso sangempela. Futhi, eminye imisebenzi yezocansi efana nengono kanye nokukhuthaza izitho zangasese kubangela ukukhishwa kwe-oxytocin engakhuthaza ukucindezela kwesibeletho futhi iholele ekusebenzeni kwangaphambi kwesikhathi. [6]
Izinzuzo Zokwenza Ucansi Ngesikhathi sokukhulelwa
1. Ama-orgasms amakhulu
Ukukhulelwa kwandisa ukukhiqizwa kwamahomoni amabili emzimbeni: i-estrogen ne-progesterone. Lapho i-estrogen inyuka, ukugeleza kwegazi kuya endaweni ye-pelvic nakho kuyanda, okwenza owesifazane azizwe evuka kakhulu. [7]
2. Isiza ekukhulelweni ukulawula isisindo
Ukukhuluphala kokukhulelwa kuxhunyaniswe nezinkinga zokukhulelwa ezifushane nezesikhathi eside. Ukuya ocansini kusiza ukulawula isisindo ngesikhathi sokukhulelwa. Kuyindlela enhle kakhulu yokuzivocavoca engasiza abesifazane ukuthi balawule isisindo sabo sokukhulelwa. [8]
3. Yehlisa umfutho wegazi
IPreeclampsia inkinga ejwayelekile yokukhulelwa eboniswa umfutho wegazi ophakeme kanye nokulimala kwezitho ezinjengezinso nesibindi. Ucwaningo lukhombisile ukuthi ukuya ocansini okwesikhashana ngesikhathi sokukhulelwa kungakhuphula ubungozi bokukhula kwe-preeclampsia uma kuqhathaniswa nokukhulelwa okungelula. [9]
4. Kunciphisa ubuhlungu
Ubuhlungu obukhulu emuva ngesikhathi sokukhulelwa buvamile. Olunye ucwaningo luthi ucansi lungaba likhambi lemvelo lokwehlisa izinhlungu emuva uma kuqhathaniswa nemithi oyibekelwe. Futhi, i-oxytocin ekhishwe ngesikhathi socansi ingadambisa izinhlungu futhi ibangele ukuphumula.
5. Yenza ubuthongo
Ukuya ocansini kudedela i-hormone ebizwa ngokuthi ama-endorphin aziwa ukunciphisa ingcindezi futhi abangele ukulala okuhle. Ngakho-ke, ukwenza uthando kungaba yikhambi elisebenzayo lokulala okungcono, ikakhulukazi uma umama enezinkinga ezithile zokulala.
Izinkinga Zocansi Ngesikhathi Sokukhulelwa
1. Ukusebenza ngaphambi kwesikhathi
Ubulili ngesikhathi sokukhulelwa kungandisa ingozi yokusebenza ngaphambi kwesikhathi. Lokhu kubangelwa ukuvuthwa komlomo wesibeletho okudalwa yisidoda kanye nokukhishwa kwe-oxytocin ngenxa yengono kanye nokukhuthazwa kwezitho zangasese. Kodwa-ke, isifundo sidinga ubufakazi obengeziwe. [10]
2. Isifo sokuvuvukala komzimba
Ukutheleleka okuphezulu okungapheli okuphathelene nobulili kungenzeka ngesikhathi sokuqala sokuqala ngenxa yokudluliselwa kwezifo ezithathelwana ngocansi. Kodwa-ke, ubungozi buyancipha ngemuva kwamasonto ayi-12 ekhulelwe ngenxa yemingcele yemvelo eyenziwe emgodini wesibeletho. [ishumi nanye]
3. Ukuphuma kwegazi emgodleni
Ucwaningo lukhombisa ukuthi ukuxhumana kwepipi nomlomo wesibeletho ngesikhathi sokuya ocansini kungakhuphula ingozi yokopha kwengane. Olunye ucwaningo olususelwa ku-ultrasound lukhombisa ukuthi akunakwenzeka ukuthi ipipi liphazamise ukubekwa kwe-placenta. Imininingwane idinga ubufakazi obengeziwe. [12]
4. I-venous air embolism
Kuyaqabukela kepha kungasongela impilo. I-venous air embolism ibonakala ngokuvaleka kwegazi ngenxa yamabhamuza omoya emithanjeni noma enhliziyweni. Ukuya ocansini (ucansi lwama-orogenital kuphela) kungadala ukuthi kushaywe umoya esithweni sangasese bese kugudluzwa i-placenta, kubangele ukufa kukamama nombungu esikhathini esifushane. [13]
Ukuphetha
Ukuya ocansini ngesikhathi sokukhulelwa kuyinto evamile. Kunezinzuzo eziningi ezifakazelwe kanye nokwehla okungenza abesifazane abakhulelwe nabalingani babo badideke ngokuphepha kwayo ngesikhathi sokukhulelwa. Xoxa nesazi sezokwelapha ngokuphepha nezingozi zokuya ocansini ngesikhathi sokukhulelwa ngokusho kwempilo yakho yokukhulelwa.
Sneha KrishnanImithi EjwayelekileMBBS Yazi kabanzi
