Uma usola kancane ukuthi kungenzeka ukuthi ukhulelwe, sifisa ukwazi ngezinguquko ezincane emzimbeni wethu, akunjalo? Namuhla sizokhuluma ngesibonakaliso esimangalisayo okungenzeka ukuthi awukaze usizwe ngaso, kodwa esingabonakala ezigabeni zokuqala zokukhulelwa. Okusho ukuthi, isitho sakho sangasese sowesifazane kanye nendawo esizungezile (i-vulva) kuzophenduka umbala oluhlaza okwesibhakabhaka nonsomi. Ungakhathazeki uma ubona lokhu, sizoxoxa ngakho ngokuningiliziwe.
Iyini ngempela iChadwick Sign?
Kalula nje, uphawu lukaChadwick luwuphawu olungavela ekuqaleni kokukhulelwa. Kulapho isitho sakho sangasese sowesifazane, umlomo wesibeletho, kanye ne-vulva, okuhlanganisa ne-labia, kuba luhlaza okwesibhakabhaka noma onsomi. Ungase uqaphele lolu shintsho wena ngokwakho, noma udokotela wakho angase alubone ngesikhathi sokuhlolwa.
Lesi sibonakaliso sivame ukuvela emavikini ayisithupha kuya kwayisishiyagalombili ngemva kokukhulelwa (ukuhlangana kwesidoda neqanda). Kodwa-ke, ngezinye izikhathi singavela emavikini amane. Singaqhubeka phakathi nokukhulelwa futhi sinyamalale ngemva kokubeletha.
Into ebalulekile ukuthi lokhu kuyisibonakaliso sokukhulelwa, hhayi ubufakazi obuphelele . Lokhu kusho ukuthi umuntu onalesi sibonakaliso *angase* akhulelwe, kodwa akuyona into eqinisekile.
Kungani umbala ushintsha kanje?
Isizathu silula. Uma ukhulelwe, uhlelo lokuzala lomzimba wakho ludinga igazi elikhulu ukusekela ukukhula komntwana wakho. Lokhu kubangela ukuthi inani legazi eligeleza ezindaweni ezifana nesitho sakho sangasese sowesifazane kanye nomlomo wesibeletho likhuphuke kakhulu . Ukuze kube sobala, imithambo yegazi kulezi zindawo iba mikhulu futhi igcwale igazi. Le mithambo yegazi egcwele igazi ngaphansi kwesikhumba yilokho esikubona njengoluhlaza okwesibhakabhaka/okwesibhakabhaka.
Kunezinye izici ezimbili ezingabonakala ngalesi sikhathi. Sizibiza ngokuthi uphawu lweChadwick, olufana nabangani ababili.
| Uphawu | Umqondo nje |
|---|---|
| Uphawu lwe-Goodell | Yilapho umlomo wesibeletho sakho uthamba khona. Cabanga ngakho njengokuthamba komlomo wesibeletho ukuze umntwana aphume kalula ngesikhathi sokubeletha. Lokhu kungenxa yokwanda kwegazi. |
| Uphawu lwe-Hegar | Lokhu futhi kuwukuthamba komlomo wesibeletho. Kodwa-ke, kulokhu, ingxenye yomlomo wesibeletho eseduze nesibeletho (i-cervical isthmus) iba mnene kakhulu. |
Zombili izimpawu zikaGoodell noHager kunzima ukuzibona wedwa. Zingatholakala kuphela ngesikhathi sokuhlolwa kwangaphakathi ngudokotela.
Yiziphi ezinye izimpawu zokuqala zokukhulelwa?
Kanye nesibonakaliso sikaChadwick, kunezinye izimpawu eziningana ezivamile zokukhulelwa ezingavela. Uma unesinye noma ngaphezulu salezi zimpawu, kungase kube yisikhathi sokuhlola ukukhulelwa komchamo ekhaya noma ukubona udokotela.
| Isici | Incazelo |
|---|---|
| Ukweqa ukuya esikhathini | Esinye sezibonakaliso ezidumile nezicacile zokukhulelwa. |
| Isidingo sokuphuza njalo | Isidingo sokuchama njalo sibangelwa ukwanda koketshezi emzimbeni kanye nokusebenza kwezinso okwandisiwe. |
| Ukukhathala okukhulu (Ukukhathala) | Ukuzizwa ukhathele ngisho nangemva kokulala kahle. Lokhu kungenxa yokwanda kwamazinga ama-hormone emzimbeni. |
| Izinguquko emabeleni | Ukukhula kwebele, ukuqina, ukusinda, kanye nokuba mnyama kwesikhumba esizungeze izingono (i-areola). |
| Isicanucanu nokuhlanza | Nakuba kubizwa ngokuthi "Ukugula Kwasekuseni," lokhu kungakhululeki kungenzeka nganoma yisiphi isikhathi sosuku. |
| Izinguquko zesikhumba | Ubumnyama besikhumba kwezinye izingxenye zobuso noma zomzimba, kanye nokwakheka kwamabala okwelula ngenxa yokwelula kwesikhumba esiswini. |
Ukuphela kwendlela yokuqinisekisa ngokuqinisekile ukuthi ukhulelwe yilapho udokotela elalela ukushaya kwenhliziyo yengane noma ebona ingane nge-ultrasound scan.
Ingabe lo mbala ungenzeka ngenxa yezizathu ezingezona ezokukhulelwa?
Yebo, kungenzeka. Kunezizathu eziningana ezenza umlomo wesibeletho noma isitho sangasese sowesifazane sibe luhlaza okwesibhakabhaka, ngaphandle kokukhulelwa. Yingakho kungesona isibonakaliso esiqinisekile.
- I-Endometriosis Yesibeletho: I-Endometriosis yisimo lapho izicubu ezingaphakathi kwesibeletho (i-endometrium) zikhula ngaphandle kwesibeletho. Uma le zicubu zikhula emlonyeni wesibeletho, zingabonakala ziluhlaza okwesibhakabhaka uma udokotela ezihlola.
- I-Adenomyosis: Lokhu kwenzeka lapho ulwelwesi lwesibeletho lukhula lube udonga lwemisipha lwesibeletho. Uma lesi simo sithinta nomlomo wesibeletho, ukubukeka kwaso kungashintsha.
- I-Pseudocyesis: Lesi yisimo esiyinkimbinkimbi kakhulu sengqondo nesomzimba. Umuntu ukholelwa kakhulu ukuthi ukhulelwe, yize engakhulelwe. Ngenxa yamandla aleyo nkolelo, umzimba uqala ukubonisa izimpawu zokukhulelwa kwangempela, ngisho nesibonakaliso sikaChadwick.
Ingabe kufanele ngibone udokotela?
Impela. Uma ubona umbala oluhlaza okwesibhakabhaka/onsomi kanje esithweni sakho sangasese sowesifazane noma endaweni ezungezile, noma uma unezinye izimpawu zokukhulelwa esixoxe ngazo ngenhla, into yokuqala okufanele uyenze ukubona udokotela wakho ukuze akunike iseluleko.
Udokotela uzokwenza izivivinyo ezidingekayo futhi anqume ukuthi ushintsho lubangelwa ukukhulelwa noma esinye isimo. Ungesabi noma uzame ukuqagela izinto wedwa. Kubalulekile ukuthola ulwazi olufanele ukuze uphumule engqondweni.
Umlayezo Wokuya Nawe Ekhaya
- Uphawu lukaChadwickLokhu kusho ukuthi ngesikhathi sokukhulelwa kokuqala, isitho sangasese sowesifazane, umlomo wesibeletho, nezindawo ezizungezile ziba luhlaza okwesibhakabhaka noma onsomi ngenxa yokwanda kwegazi.
- Lokhu kumane nje kuyinkomba yokukhulelwa, akuwona ubufakazi obucacile . Kungenzeka ukuthi ukhulelwe ngaphandle kwalesi sibonakaliso, futhi lo mbala ungabangelwa nezinye izimo zezokwelapha.
- Izimpawu zikaGoodell noHegar ziyizinye izimpawu ezihlobene nokuthamba komlomo wesibeletho phakathi nalesi sikhathi.
- Uma unezinye zalezi zimpawu noma ezinye izimpawu ezingase zibonise ukukhulelwa, kubalulekile ukubona udokotela wakho ngokushesha ukuze uthole iseluleko .
- Ukukhulelwa kungaqinisekiswa kuphela ngokuhlolwa kwezokwelapha okufana nokuhlolwa komchamo/kwegazi noma nge-ultrasound scan.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Iyini isibonakaliso sikaChadwick? Ingabe yisifo?
Cha, lesi akusona isifo! I-'Chadwick Sign' yisimo semvelo lapho isitho sangasese sowesifazane, umlomo wesibeletho kanye nendawo ezungezile kushintsha kusuka kumbala wabo ojwayelekile opinki kuya 'ekushintsheni kombala okuluhlaza okwesibhakabhaka' okungajwayelekile ezimweni eziyi-100%. Lesi ngesinye sezibonakaliso zokuqala nezibaluleke kakhulu ezisetshenziswa odokotela ukuqinisekisa ukuthi owesifazane ukhulelwe ngempela (Isibonakaliso Sokuqala Sokukhulelwa)!
💬 Kungani isitho sangasese sowesifazane siphenduka sibe luhlaza okwesibhakabhaka/nsomi (Chadwick Sign) uma ekhulelwe?
Phakathi namaviki okuqala angu-6-8 okukhulelwa, ukuze kunikezwe umntwana osesiswini ukudla/i-oxygen, ama-hormone e-estrogen kanye ne-progesterone emzimbeni wowesifazane anda kakhulu, okwandisa ukugeleza kwegazi/ukuminyana kwemithambo yegazi esibelethweni nasesinqeni (indawo lapho kwenzeka khona ukuya esikhathini) ngo-100%! Uma kukhona ukugeleza kwegazi okungajwayelekile (njengokuxinana kwezimoto), lokhu kungenxa yokuthi igazi emithanjeni yalo libonakala 'liluhlaza okwesibhakabhaka/linsomi' ngesikhumba emehlweni ethu.
💬 Ingabe owesifazane angayibona/ayibone le Chadwick Sign eyedwa? Ingabe iyingozi?
Lokhu akuyingozi, lokhu kuyisibonakaliso sokukhulelwa okunempilo ngokuphelele! Kodwa kunzima kowesifazane ukukubona ngamehlo akhe, lokhu kungabonakala kuphela uma udokotela ekubheka nge-'system (Pelvic Exam)'. Kodwa-ke, uma kuluhlaza okwesibhakabhaka kanje, 1) Uma kukhona ukulahleka kwegazi/amahlule esithweni sangasese sowesifazane (Ukuphuma kwegazi esithweni sangasese sowesifazane), 2) Uma kukhona ukuqaqamba okukhulu, kusho ukuthi lokhu kukhulelwa kuzoba ukuphuphuma kwesisu (Ukuphuphuma kwesisu/ukukhulelwa kwesisu), udinga ukugijimela esibhedlela ngokushesha!
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment