Kutenga Mimba Ndi Nthawi Yachilendo: Zomwe Muyenera Kuyembekezera

Zamkati

• Nthawi zosasamba komanso mimba
• Nthawi zosasintha ndi ovulation
• Matenda a Polycystic ovary (PCOS)
• Nthawi yomaliza
• Matenda a chithokomiro
• Kulemera
• Kupsinjika
• Makiti olosera za kutha kwa nthawi yoziziritsa komanso nthawi zosasinthasintha
• Kuwonjezeka kwa ntchofu ya khomo lachiberekero
• Chingwe chakutentha m'thupi lanu
• Nthawi yoti mupemphe thandizo
• Momwe mungatengere mimba nthawi zosasinthasintha
• Kodi kusakhazikika kumakhudza thanzi la mimba?
• Chiwonetsero

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Nthawi zosasamba komanso mimba

Si zachilendo kuti akazi azisamba mosiyanasiyana m'litali. Mwezi umodzi ukhoza kukhala masiku 28 - omwe amawerengedwa kuti ndi owerengeka - ndipo mwezi wotsatira akhoza kukhala masiku 31, ndipo ena otsatira 27. Izi ndizabwinobwino.

Kusintha kwa msambo kumawerengedwa kuti ndi kosazolowereka akagwa kunja kwa "zachilendo". Malipoti akuti kusamba mosasamba ndi komwe kumafupika kuposa masiku 21 kapena kupitilira 35.

Mukamawerenga masiku anu, tsiku loyamba lakutuluka magazi ndi tsiku loyamba, ndipo tsiku lomaliza lazungulilo ndi tsiku loyamba lakutuluka magazi munyengo yanu yotsatira.

Ndizotheka kutenga pakati mukakhala ndi msambo wosasamba, koma mwina zitha kukhala zovuta. Ngati simukudziwa kutalika kwa kuzungulira kwanu mwezi ndi mwezi, zingakhale zovuta kudziwa nthawi yomwe mukuphulika.

Kugonana kwakanthawi mozungulira ovulation kumatha kukulitsa mwayi woti utenge mimba popeza uyenera kuchita zogonana pazenera lako lachonde kuti ukhale ndi pakati. Windo lanu lachonde limatanthauza masiku ochepa musanavutike komanso tsiku lomwe mumatulutsa dzira.

Kusamba mosasamba kumatha kukhalanso chizindikiro cha kusakhazikika kwa mazira. Simungathe kutota mwezi uliwonse kapena mutha kutulutsa nthawi zosiyanasiyana mwezi ndi mwezi.

Pemphani kuti muphunzire zambiri za nthawi zosadziwika ndi mimba.

Nthawi zosasintha ndi ovulation

N'zotheka kutulutsa mazira popanda kutaya magazi ngati nthawi. Izi zimachitika kawirikawiri chifukwa chakumapeto kwa chiberekero kapena mankhwala ena am'thupi.

Ndizothekanso kukhala ndi magazi ngati akusamba osakhwima. Izi zimachitika kwambiri nthawi yomwe chiberekero chimakhala cholimba kwambiri chimakhala chosakhazikika ndipo mwachilengedwe chimachotsedwa.

Mimba ya chiberekero imatha kukhala yolimba popanda ovulation ngati hormone estrogen, yomwe imapangidwa isanachitike ovulation, imapitilizabe kutulutsidwa popanda kutsutsidwa ndi mahomoni ena achikazi, progesterone, omwe amapangidwa pambuyo pa ovulation.

Pali zifukwa zambiri zomwe zimayambitsa kusamba nthawi zonse, ndipo zifukwa zambiri zimatha kukhudza ovulation kapena kupangitsa kuti kukhala ndi pakati kukhale kovuta kwambiri. Nthawi zina, chifukwa cha kusamba kosadziwika sikudziwika.

Zina mwa zifukwa zomwe zingakhudze ovulation ndi kuthekera kwanu kutenga mimba ndizo:

Matenda a Polycystic ovary (PCOS)

PCOS ndimkhalidwe womwe thupi lachikazi limatulutsa ma androgens ambiri. Androgens nthawi zina amaganiza kuti ndi "amuna" ogonana amuna kapena akazi okhaokha. Ma androgen ambiri amatha kuteteza mazira okhwima kuti asatuluke ndikutulutsidwa ndimachubu.

PCOS, yomwe imakhudza azimayi 21 pa 100, ndiye chifukwa chofala kwambiri chosabereka chifukwa chosowa ovulation. PCOS itha kukhala matenda amtundu, koma imathanso kukhudzidwa ndimikhalidwe yamoyo, monga kukhala wonenepa kwambiri komanso kukhala pansi.

Nthawi yomaliza

Nthawi yowerengera nthawi ndiyo nthawi yobala ya amayi pomwe estrogen ndi progesterone zimachepa mwachilengedwe. Izi zimayambitsa ovulation osasamba komanso nthawi isanakwane palimodzi, kuwonetsa kusamba. Nthawi zambiri, kusintha kwa nthawi imatha pafupifupi zaka zinayi, koma azimayi ena amatha kupyola nthawi yayitali.

Kutha kwa msambo ndi 47, pomwe 51 amakhala azaka zapakati pa msambo. Nthawi yomaliza imatha - ndipo kusamba kumayamba - pomwe simunakhalepo ndi miyezi 12.

Zizindikiro zakumapeto kwa nthawi imatha kuphatikiza:

• kutentha
• thukuta usiku
• kutha
• nthawi zosasintha

Ngakhale ndizotheka kutenga pakati panthawi yomwe imatha, zimatha kukhala zovuta chifukwa mazira omwe amamasulidwa amakhala achikulire ndipo sangakhale opindulitsa. Mwinanso simungamasule mazira ndi kuzungulira kulikonse.

Matenda a chithokomiro

Chithokomiro chanu, chomwe ndi kachiwalo kakang'ono koboola gulugufe m'munsi mwa khosi lanu, kamathandizira kuwongolera mahomoni omwe, mwa zina, amakhudza ovulation ndi msambo. Pakafukufuku wina, pafupifupi atsikana 14 pa atsikana 100 aliwonse omwe ali ndi vuto la chithokomiro amakhalanso ndi nthawi yosakhazikika.

Zizindikiro zina za matenda a chithokomiro, monga hyperthyroidism ndi hypothyroidism, atha kukhala:

• Kusokonezeka m'maganizo
• kulemera kumasintha
• mtima wosintha ndi kagayidwe kachakudya mitengo

Kulemera

Kulemera kwambiri- kapena kunenepa kwambiri kumatha kuyambitsa unyolo mthupi lanu womwe umasokoneza ntchito yamahomoni. Izi zitha kupangitsa kuti munthu asapezeke nthawi yayitali kapena osakhazikika, zomwe zimathandizanso kuti azikhala akusamba kapena osasamba.

Malinga ndi kafukufuku wofalitsidwa mu BMC Women's Health, azimayi omwe ali ndi index ya thupi yochepera 20 kapena kupitilira 25 anali ndi mwayi wocheperako nthawi 1.1 poyerekeza ndi azimayi omwe anali ndi ma BMIs pakati pa 20 ndi 25.

Kupsinjika

Kupsinjika kumatha kukhudza ntchito zosiyanasiyana zamthupi, kuphatikiza kuyamwa. Pakafukufuku wina yemwe amayang'ana ophunzira asukulu zamankhwala, omwe adanenapo zakupsinjika kwakanthawi amakhala ndi vuto lakusamba poyerekeza ndi omwe sanadzimve kupsinjika.

Makiti olosera za kutha kwa nthawi yoziziritsa komanso nthawi zosasinthasintha

Kutulutsa mazira kumachitika pakatikati pa kuzungulira kwanu. Ngati muli ndi kuzungulira kwamasiku 28, mumatha kusungunuka pafupifupi tsiku la 14. Koma nthawi yanu ikakhala yosasinthasintha, kulosera kutulutsa mazira ndi nthawi yokhudzana ndi mwayi wokhala ndi pakati kumatha kukhala kovuta.

Zida zotsegulira ma ovulation ndizolondola pozindikira kuchuluka kwa mahomoni a luteinizing, omwe amayambitsa ovulation. Ndipo ngakhale kuti ndiosavuta kugwiritsa ntchito, kufuna kungodutsa mwachangu mumtsinje wanu, amatha kukhala okwera mtengo, makamaka mukamayesa masiku kapena milungu kumapeto.

Ngati mumakhala ndi nthawi zosafunikira, mungafune kudikirira kuti mugwiritse ntchito chida chotengera ovulation mpaka mutawona zina za ovulation. Zinthu zina zofunika kuziyang'ana:

Kuwonjezeka kwa ntchofu ya khomo lachiberekero

Fufuzani kutulutsa koyera, koyera, kofanana ndi dzira pazovala zanu zamkati kapena mukapukuta mutatha kusamba. Ichi ndi chizindikiro kuti ovulation ili pafupi.

Chingwe chakutentha m'thupi lanu

Tengani kutentha kwa thupi lanu koyambira ndi chotengera choyambira thupi m'mawa, musanadye, kuyankhula, kapena kutuluka pabedi. Tchani kutentha kwanu mwezi wonse.

Mukawona kuwonjezeka pang'ono, nthawi zambiri mwina theka la digiri kufika pamlingo wonse, mutha kukhala kuti mwakonzeka. Chifukwa njirayi imangowonetsa kuti ovulation yachitika kale, si njira yabwino kulosera zenera lanu lachonde. Zitha kukuthandizani kuti mumvetsetse nthawi yomwe thupi lanu limakhalira ndi ovulation m'mbali zamtsogolo, komabe.

Nthawi yoti mupemphe thandizo

Onani dokotala ngati:

• Simunakhalepo ndi miyezi itatu kapena kupitilira apo.
• Mumakhala ndi magazi kusamba komwe kumatenga nthawi yopitilira sabata.
• Mukukwera pad kapena tampon ola lililonse kapena awiri, kwa maola angapo, munyengo yanu.
• Nthawi zanu zimakhala zopweteka kwambiri.
• Mwakhala mukuyesera kuti musakhale ndi pakati chaka chimodzi ndipo muli ochepera zaka 35 kapena miyezi isanu ndi umodzi kapena kupitilira apo ndipo muli 35 kapena kupitilira apo.

Momwe mungatengere mimba nthawi zosasinthasintha

Ngati mukuwotchera mazira, mumatha kutenga pakati, koma ngati muli ndi nthawi zosasamba, mwayi wanu woyembekezera ukhoza kukhala wocheperako kuposa mayi wokhala ndi nthawi yanthawi zonse.

Chofunikira kwambiri ndikumagonana mosadziteteza. Cholinga chogonana osachepera masiku awiri kapena atatu aliwonse.

Ngati muli ndi vuto lachipatala lomwe limakhudza kubereka, kuthandizira vutoli kumatha kukulitsa mwayi wanu woyembekezera.

Dokotala wanu akhoza kukupatsani clomiphene citrate (Clomid) kuti apange ovulation. Clomid ili ndi vuto lolimbikitsira ovulation. Iwonetsanso ikamagwiritsidwa ntchito mwa amayi omwe ali ndi PCOS.

Zotsatira za Clomid zingaphatikizepo izi:

• kutentha
• chikondi cha m'mawere
• Kutupa m'mimba
• Kutulutsa mazira angapo mozungulira kamodzi, komwe kumatha kubweretsa mimba ndi kuchulukitsa

Kuchepetsa thupi kapena kunenepa kungathandizenso. Malinga ndi PCOS Awareness Association, kutaya 5 mpaka 10 peresenti ya kulemera kwanu kumatha kuthandizira kutulutsa mazira kwa azimayi onenepa kwambiri.

Pezani malingaliro a dokotala wanu kuti muchepetse kapena muchepetse kunenepa. Atha kukupatsirani mapulani azakudya ndi malangizo a zochita masewera olimbitsa thupi, kapena kukulozerani chuma.

Ngati nthawi yanu yosawerengeka imayamba chifukwa cha chithokomiro chosagwira ntchito kapena chokwanira, dokotala wanu adzakupatsani mankhwala omwe amachulukitsa chithokomiro kapena kutseka.

Kafukufuku wina yemwe adafalitsa anapeza kuti azimayi omwe ali ndi hypothyroidism komanso osabereka omwe amathandizidwa ndi levothyroxine (Levoxylo, Synthroid, Unithroid) amatenga pakati motsutsana ndi 26% omwe amalandila placebo.

Kodi kusakhazikika kumakhudza thanzi la mimba?

Angathe, kutengera zomwe zikuyambitsa msambo wanu. Ngati chifukwa chake sichikudziwika, mwina simungakhale ndi chiopsezo chowonjezeka cha zovuta zapakati, koma muyenera kukambirana ndi dokotala zomwe zingachitike.

Amayi apakati omwe ali ndi PCOS ali pachiwopsezo chachikulu cha:

• kupita padera
• matenda ashuga
• preeclampsia, kukwera mwadzidzidzi kwa magazi pambuyo pa sabata la 20 la mimba
• asanabadwe asanabadwe

Amayi oyembekezera omwe ali ndi hyperthyroidism osalamulirika amabereka mwana wobadwa atamwalira, mwana wakhanda asanabadwe, kapena mwana wopunduka.

Chiwonetsero

Amayi ambiri amakhala ndi nthawi zosasamba, makamaka chifukwa cha kusakhazikika kwa ovulation. Ngakhale kutulutsa mazira pafupipafupi kumatha kukupangitsani kukhala kovuta kutenga pakati, dokotala wanu akhoza kukuthandizani kuti mukhale ndi chonde pothana ndi zomwe zimayambitsa kusamba kwanu mosalekeza ndikuwunika momwe mukuyendera mukakhala ndi pakati. Izi zithandizira kuti mukhale ndi pakati komanso kubereka mwana wathanzi.