Ubudlelwano Lwezocansi Ngesikhathi Sokukhulelwa: Iqiniso Nezinto Okufanele Kucatshangelwe Zona

Ulwazi Olujwayelekile Ngokuphila Ngokocansi Ngesikhathi Sokukhulelwa

Isikhathi sokukhulelwa yisikhathi esikhethekile empilweni yabesifazane esiletha izinguquko ezinkulu emzimbeni nasengqondweni. Kulesi sikhathi, abesifazane abakhulelwe bangase babe nokwesaba ukulimaza ingane yabo, okungaholela ekugwemeni ubudlelwano bocansi. Kodwa-ke, uma ukukhulelwa kuhamba kahle futhi kungekho zinkinga, kuya ezinsukwini zokugcina ezine, ukuphila ngokocansi kuvame ukuba kuphephile. Ubudlelwano bocansi ngesikhathi sokukhulelwa buyingxenye yemvelo yokuphila futhi, ngokomzimba, buvikelwe kwabesifazane abaningi. Ukukhulelwa kuletha izinguquko ezibonakalayo emzimbeni, ezihlangana nemithelela yengqondo, okuholela ekushintsheni kwesifiso socansi.

Izinguquko Nesifiso Socansi Ngesikhathi Sokukhulelwa

Ukuqala kokukhulelwa kuholela ekutheni imizwa yokuvikela nengqondo yobumama iqine, ikakhulukazi kwabesifazane abakhulelwa okokuqala, okungaholela ekwehleni kwesifiso socansi. Ngokuphambene nenkolelo evamile, azikho izifundo zesayensi ezikhombisa ukuthi ubudlelwano bocansi obujwayelekile ngesikhathi sokukhulelwa bunomthelela omubi enganeni. Njengoba umzimba ujwayela ukukhulelwa, ikakhulukazi esigabeni sesibili, isifiso socansi nesidingo sokusondelana kungakhula.

Kodwa-ke, njengoba isibeletho sikhula ezinyangeni zokugcina, izimo zobudlelwano bocansi zingaba nzima futhi kungase kube nokungakhululeki. Ezinsukwini zokugcina zokukhulelwa, isifiso sokusondelana singase siphinde sehle.

Yini Okufanele Iqaphelwe Ezinsukwini Zokugcina?

Uma kungekho mgoqo wezokwelapha, ukuphila ngokocansi kungaqhubeka kuze kube izinsuku zokugcina ezine zokukhulelwa. Kodwa-ke, eduze nesikhathi sokubeletha, kukholakala ukuthi ezinye izinto ezitholakala emanzini okuchama kowesilisa (ikakhulukazi ama-prostaglandin) zingase zisheshise izinkinga zesibeletho futhi zisheshise ukuzalwa. Ngenxa yalokho, ubudlelwano bocansi abuvamile ukunconywa ezinsukwini zokugcina ezine zokukhulelwa.

Yiziphi Izimo Okufanele Kugwemeke Ubudlelwano Bocansi?

Kwezinye izigaba zokukhulelwa noma kwezinye izimo zezempilo, kubalulekile ukugwema ubudlelwano bocansi. Kulezi zimo, ukusondelana akukhuthazwa:

• Uma uke waba nokulahlekelwa yisisu noma ukuzalwa kusenesikhathi, ukusondelana kungavinjelwa ezinyangeni zokuqala ezimbili.

• Uma kunengozi yokulahlekelwa yisisu, ukusatshiswa kokuzalwa kusenesikhathi noma uma kunokopha, ubudlelwano bocansi abuvunyelwe nhlobo; le nqubo kufanele iqhubeke kuze kube udokotela evuma.

• Uma omunye wabalingani enegciwane elithathelwana ngocansi, kufanele kugwemeke ubudlelwano kuze kube kuphothulwe ukwelashwa.

• Kwezinye izimo ezifana ne-placenta previa, lapho i-placenta ivimba indlela yokuzalwa futhi ingozi yokopha iphezulu, ubudlelwano bocansi bungaba yingozi.

Ukubaluleka Kwezempilo Yocansi Nokuvikelwa

Ngesikhathi sokukhulelwa kubalulekile ukuvikelwa ezifweni ezithathelwana ngocansi. Ubudlelwano obungenazivikelo bukhulisa ingozi yezifo eziningi ezifana ne-HIV (AIDS) futhi lezi zifo zingaba yingozi enkulu empilweni yomama nengane. Njengoba izimpawu zesifo zingavela sekwephuzile, ukuvikelwa nokuziphatha kahle ngokocansi kubalulekile nasekukhulelweni.

Imithelela Yengqondo Nokwesekwa Kwesithandwa

Isikhathi sokukhulelwa siletha izinguquko eziningi emzimbeni nasemizweni yomama. Kule nkathi, kungase kube khona izikhalo zomzimba ezifana nokuhlanza, isicanucanu, kanye nengcindezi, ukukhathazeka, ukungaqiniseki, izinguquko ebudlelwaneni nabanye kanye nemizwa eqinile. Zonke lezi zinto zingathinta ukuphila ngokocansi.

Izizathu ezivame ukwenza abesifazane bagweme ubudlelwano bocansi zihlanganisa imizwa yokuvikela, ubunzima bokujwayela izinguquko zomzimba kanye nokukhathazeka kwengqondo. Ukusekelwa nokuzwa kwesithandwa kule nkathi kungasiza owesifazane azizwe ephephile futhi kube nomthelela omuhle esikhathini sokukhulelwa. Akufanele kube khona ingcindezi noma ukuphoqelelwa kunoma yisiphi isimo uma owesifazane engafuni ubudlelwano bocansi.

Umthelela Wobudlelwano Bocansi Ekhwalithi Yokuphila Ngesikhathi Sokukhulelwa

Ubudlelwano bocansi buyingxenye ebalulekile yekhwalithi yokuphila komuntu. Izinguquko zomzimba ezihambisana nokukhulelwa, izinguquko emphakathini nasemndenini zingadala izidingo ezahlukene kulo mkhakha. Ocwaningweni, kutholwe ukuthi abesifazane abaningi baye babhekana nezinkinga zobudlelwano bocansi okungenani kanye empilweni yabo, futhi lokhu kwanda ngesikhathi sokukhulelwa. Ezinye izifundo zikhombisa ukuthi iningi labesifazane abakhulelwe (isibonelo, kufika ku-80%) bangase babe nezinkinga ezithinta ukuphila ngokocansi.

Izinga lobudlelwano kanye nekhwalithi yokuxhumana ngaphambi kokukhulelwa nakho kungathinta ngqo ukuphila ngokocansi ngesikhathi sokukhulelwa. Ubudlelwano bocansi emva kokukhulelwa buncike ekutheni abalingani bayakwazi yini ukujwayela izinguquko futhi bakwazi ukusizana. Ngisho nokukhathazeka ngokuthi "Ngizokwazi yini ukukhulelwa?" ngaphambi kokukhulelwa kungathinta ukwaneliseka nokuphila ngokocansi. Kulesi simo, ukuthola ukwesekwa kwezokwelapha kanye nokwakha ubudlelwano obunempilo nokusekelayo kubalulekile.

Imibuzo Evame Ukubuzwa

1. Ingabe ubudlelwano bocansi ngesikhathi sokukhulelwa bulimaza ingane?

Ekukhulelweni okuhamba kahle futhi okujwayelekile, akukaze kutholakale ubufakazi bokuthi ubudlelwano bocansi bulimaza ingane. Kodwa uma kunokopha noma ukusatshiswa kokuzalwa kusenesikhathi, kufanele kugwemeke ubudlelwano bocansi.

2. Ingabe kungenzeka ukuba nobudlelwano bocansi kaningi ngesikhathi sokukhulelwa?

Kuya ezinsukwini zokugcina ezine zokukhulelwa, uma konke kuhamba kahle, ukuphila ngokocansi kuvame ukuba kuphephile. Ezinsukwini zokugcina ezine noma uma udokotela exwayisa ngobungozi, kufanele kugwemeke ubudlelwano bocansi.

3. Ingabe isifiso socansi siya sehla ngesikhathi sokukhulelwa?

Kwabanye abesifazane, kwehla isifiso socansi ezinyangeni zokuqala zokukhulelwa. Ngokuhamba kwesikhathi, ikakhulukazi uma umzimba usuqale ukujwayela izinguquko, isifiso socansi singakhula futhi.

4. Ingabe ingane ingalimala ngokomzimba ngesikhathi sobudlelwano bocansi?

Ingane yakho ivikelwe ngaphakathi esibelethweni ngamanzi e-amniotic kanye nezicubu zesibeletho. Ezimweni ezijwayelekile, ubudlelwano bocansi abulimazi leli vikelwa.

5. Ingabe ubudlelwano bocansi ngesikhathi sokukhulelwa bukhulisa ingozi yokulahlekelwa yisisu?

Ngokocwaningo lwesayensi, ekukhulelweni okuhamba kahle futhi okungenabo ubungozi bokulahlekelwa yisisu, ubudlelwano bocansi abuholeli ekulahlekelweni yisisu. Kodwa uma kunengozi yokulahlekelwa yisisu noma ukusatshiswa kokuzalwa kusenesikhathi, kufanele kube sekunqamuka ubudlelwano bocansi.

6. Yiziphi izimo lapho ubudlelwano bocansi bungavunyelwe nhlobo ngesikhathi sokukhulelwa?

Uma kunengozi yokulahlekelwa yisisu, ukusatshiswa kokuzalwa kusenesikhathi, uma omunye wabalingani enegciwane elithathelwana ngocansi, uma kunokopha noma i-placenta previa, udokotela kufanele anqume ukuthi ubudlelwano bocansi bume.

7. Ingabe ubudlelwano bocansi obungenazivikelo ngesikhathi sokukhulelwa bukhulisa ingozi yezifo?

Yebo, ubudlelwano bocansi obungenazivikelo ngesikhathi sokukhulelwa bungaholela ezifweni ezithathelwana ngocansi (njenge-HIV, syphilis, chlamydia njll.). Ukuvikelwa nokuziphatha kahle ngokocansi kubalulekile ukuvikela izifo.

8. Ingabe ukuhlaba umxhwele noma ubuhlungu ngesikhathi sobudlelwano bocansi kujwayelekile?

Njengoba ukukhulelwa kuqhubeka futhi isibeletho sikhula, ezinye izimo zobudlelwano bocansi zingaba nobuhlungu. Uma ubuhlungu buqhubeka noma kunokungakhululeki, kubalulekile ukubonana nodokotela.

9. Kungani ukwesekwa kwesithandwa kubalulekile?

Izinguquko zomzimba nemizwa ngesikhathi sokukhulelwa zenza owesifazane adinge isithandwa esiqondayo nesimsekelayo ukuze azizwe ephephile. Ingcindezi noma ukuphoqelelwa kungathinta kabi ukuphila ngokocansi kanye nekhwalithi yobudlelwano.

10. Imithelela yokukhathazeka kwengqondo ithinta kanjani ukuphila ngokocansi?

Ukucindezeleka, ukukhathazeka, nobunzima bokujwayela izinguquko zomzimba kungaholela ekwehleni kwesifiso socansi. Ukuxhumana okuhle, ukwelulekwa noma ukwesekwa kochwepheshe kungasiza ekuxazululeni le nkinga.

11. Ingabe ukuphila ngokocansi kubuya kujwayelekile emva kwezinguquko zokukhulelwa?

Abesifazane abaningi nabalingani babo bangabuya ekuphileni ngokocansi uma kungekho mgoqo wezempilo emva kokubeletha. Ukuqhubeka nokuphila ngokocansi kufanele kwenziwe ngokwelulekwa ngudokotela.

12. Ingabe ukuphila ngokocansi kwabesifazane bonke ngesikhathi sokukhulelwa kuyafana?

Isipiliyoni somuntu ngamunye sihlukile. Isifiso socansi, ukubheka ukusondelana, izinguquko zomzimba, isimo sengqondo kanye nobudlelwano nesithandwa kwenza le nqubo yehluke kumuntu nomuntu.

13. Ingabe kudingeka ukwesekwa kokwelashwa kwengqondo noma ucansi ngesikhathi sokukhulelwa?

Uma kunzima ukuphila ngokocansi, abalingani bangathola usizo kochwepheshe bezokubeletha noma udokotela wezengqondo.

Imithombo

• Inhlangano Yezempilo Yomhlaba (WHO): "Sexual and Reproductive Health during Pregnancy and Childbirth"

• Inhlangano YaseMelika Yezokubeletha Nabodokotela Bezifo Zabesifazane (ACOG): "Sexuality and Sexual Activity during Pregnancy"

• Mayo Clinic: “Sex during pregnancy: What's OK and what's not?”

• CDC (Izikhungo Zokulawulwa Kwezifo Nokuvimbela): “Sexually transmitted infections and pregnancy”

• Izincwadi ezihloniphekile ezibuyekezwe ngontanga kanye nemihlahlandlela evamile evela kumagazini wamazwe ngamazwe kanye nemihlahlandlela yezokwelapha