Okufanele Ukwazi Ngokuthola Umntwana eneminyaka engama-40

-Delile

• Ziyini izinzuzo?
• Ingabe ukukhulelwa kusengcupheni enkulu engama-40?
• Ubudala buyithinta kanjani inzalo?
• Ungakhulelwa kanjani lapho uneminyaka engama-40
• Ukukhulelwa kuzoba njani?
• Ingabe iminyaka yobudala ibathinta kanjani abasebenzi nokubeletha?
• Ingabe kukhona ingozi eyengeziwe yamawele noma yokuphindaphinda?
• Okunye ukucatshangelwa
• Ukudla okudlela endlini

Ukuba nomntwana ngemuva kweminyaka engama-40 sekuyinto eyejwayelekile. Eqinisweni, iCenters for Disease Control and Preventiom (CDC) (CDC) ichaza ukuthi izinga lenyukile kusukela ngawo-1970, ngenani labantwana abazalwa okokuqala ngqa kwabesifazane abaneminyaka engama-40 kuya kwengama-44 ngaphezulu kokuphindeka kabili phakathi kuka-1990 no-2012.UMathews TJ, et al. (2014). Ukuzalwa kokuqala kwabesifazane asebekhulile kuyaqhubeka nokukhula.

Ngenkathi abesifazane bevame ukutshelwa ukuthi kungcono babe nezingane ngaphambi kweminyaka engama-35, idatha iphakamisa okunye.

Kunezizathu eziningi zokuthi kungani abesifazane belinde ukuthola izingane, kufaka phakathi ukwelashwa kokuzala, imisebenzi yokuqala, nokuzinza kamuva empilweni. Uma ufisa ukwazi ukuthi kunjani ukuba nengane eneminyaka engama-40, cabanga ngalo lonke uhla lwezinzuzo, ubungozi, namanye amaqiniso odinga ukuwazi.

Ziyini izinzuzo?

Kwesinye isikhathi izinzuzo zokuba nengane kamuva empilweni zingadlula lezo zokuba nezingane lapho uneminyaka engama-20 noma engama-30.

Kokunye, kungenzeka ukuthi usuvele usungule umsebenzi wakho futhi unganikela ngesikhathi esithe xaxa ekukhuliseni izingane. Noma isimo sakho sezezimali singaba ngcono kakhulu.

Kungenzeka futhi ukuthi ube noshintsho esimweni sobudlelwano bakho futhi ufuna ukuba nengane nomlingani wakho.

Lezi ngezinye zezinzuzo ezivame kakhulu zokuthola ingane eneminyaka engama-40. Kodwa-ke, olunye ucwaningo luphakamisa ezinye izinzuzo ezingaba khona, kufaka phakathi:

• kunciphise ukwehla kwengqondoUKarim R, et al. (2016). Umphumela womlando wokuzala nokusetshenziswa kwehomoni okungajwayelekile ekusebenzeni kokuqonda maphakathi nesikhathi sokuphila sekwephuzile. INGXENYE: 10.1111 / jgs.14658
• isikhathi eside sokuphilaIlanga F, et al. (2015). Iminyaka yobudala bomama ngesikhathi sokuzalwa kwengane yokugcina kanye nempilo ende yabesifazane esifundweni somndeni sempilo ende.
• imiphumela engcono yezemfundo ezinganeni, njengezikolo zokuhlolwa eziphakeme kanye namazinga okuthweswa iziquUBarclay K, et al. (2016). Iminyaka yobudala bomama kanye nemiphumela yenzalo: Iminyaka yokuguga nokuzala. INGXENYE: 10.1111 / j.1728-4457.2016.00105.x

Ingabe ukukhulelwa kusengcupheni enkulu engama-40?

Ngenxa yentuthuko kwezobuchwepheshe ezungeze ukuzala, ukukhulelwa, kanye nokubeletha, kungenzeka ukuthi ube nengane ngokuphepha uneminyaka engama-40. Kodwa-ke, noma yikuphi ukukhulelwa ngemuva kweminyaka engama-40 kubhekwa njengengozi enkulu. Udokotela wakho uzokuqapha wena nengane eduze kulokhu okulandelayo:

• umfutho wegazi ophakeme - lokhu kungakhuphula ubungozi benkinga yokukhulelwa ebizwa nge-preeclampsia
• isifo sikashukela sokukhulelwa
• ukukhubazeka kokuzalwa, njenge-Down syndrome
• ukukhulelwa kwesisu
• isisindo sokuzalwa esiphansi
• ukukhulelwa kwe-ectopic, okwenzeka kwesinye isikhathi nge-in vitro fertilization (IVF)

Ubudala buyithinta kanjani inzalo?

Ukuthuthuka kwezobuchwepheshe bezenzalo kube yimbangela yokunyuka kwabesifazane abalinde ukuthola izingane. Ezinye izinketho ezitholakala kwabesifazane zifaka:

• imishanguzo yokungazali, njenge-IVF
• ukuqandisa amaqanda lapho usemncane ukuze ukwazi ukuwathola uma usumdala
• ama-sperm banks
• ukuzimela

Ngisho nazo zonke lezi zinketho ezitholakalayo, izinga lokuzala lowesifazane lincipha kakhulu ngemuva kweminyaka engama-35. Ngokusho kweHhovisi Lezempilo Labesifazane, ingxenye eyodwa kwezintathu zemibhangqwana eneminyaka engama-35 iba nezinkinga zokuzala.Ukungabi nenzalo. (2018). Lokhu kungabangelwa yizici zobungozi ezilandelayo ezanda ngokukhula:

• ambalwa amaqanda asele ukuze avundise
• amaqanda angenampilo
• amaqanda awakwazi ukukhipha amaqanda ngokufanele
• ingozi eyengeziwe yokuphuphuma kwesisu
• amathuba aphezulu ezimo zezempilo ezingathiya ukuzala

Isibalo samangqamuzana amaqanda (ama-oocyte) nawo wehle kakhulu ngemuva kweminyaka yobudala engama-35. Ngokwe-American College of Obstetricians and Gynecologists (ACOG), inani lehla lisuka ku-25,000 lineminyaka engama-37 laya kwengu-1 000 kuphela lineminyaka engama-51.Ukwehla kokuzala okuhlobene nobudala besifazane. (2014). https://www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Gynecologic-Practice/Female-Age-Related-Fertility-Decline Ngesikhathi sokuthomba, unama-oocyte aphakathi kwama-300,000 no-500,000.

Ungakhulelwa kanjani lapho uneminyaka engama-40

Kungathatha isikhathi esithile ukukhulelwa, kungakhathalekile ukuthi uneminyaka emingaki. Kepha uma uneminyaka engaphezu kwengu-40 ubudala futhi uzama ngokungaphumeleli ukuthola ingane ngokwemvelo izinyanga eziyisithupha, kungaba yisikhathi sokubona uchwepheshe wenzalo.

Isazi sokuzala sizokwenza izivivinyo ukubona ukuthi ngabe zikhona yini izinto ezithinta ikhono lakho lokukhulelwa. Lokhu kungafaka ama-ultrasound ukubheka isibeletho sakho nama-ovari, noma ukuhlolwa kwegazi ukuhlola indawo yakho yokugcina ama-ovarian.

Ngokusho kwe-ACOG, iningi labesifazane ngemuva kweminyaka engama-45 abakwazi ukukhulelwa ngokwemvelo.Ukuba nengane ngemuva kweminyaka yobudala engama-35: Ukuthi ukuguga kukuthinta kanjani ukuzala nokukhulelwa. (2018). https://www.acog.org/Patients/FAQs/Having-a-Baby-After-Age-35-How-Aging-Affects-Fertility-and-Pregnancy

Uma uhlangabezana nokungabi nenzalo, khuluma nodokotela wakho ngalezi zinketho ezilandelayo ukusiza ukunquma ukuthi ngabe okulungile yini kuwe:

• Izidakamizwa zokuzala. Lokhu kusiza ngamahomoni angasiza nge-ovulation ephumelelayo.
• Ubuchwepheshe bokuzala obusizwayo (i-ART). Lokhu kusebenza ngokususa amaqanda nokuwafaka umquba ebhodini ngaphambi kokuwafaka esibelethweni. I-ART ingasebenzela abesifazane abanezinkinga ze-ovulation, futhi ingasebenzela abasebenza ngokwesivumelwano. Kulinganiselwa ukuthi amaphesenti angu-11 ezinga lempumelelo kwabesifazane abaneminyaka engama-41 kuya kwengama-42.Ukungabi nenzalo. (2018). Enye yezinhlobo ezivame kakhulu ze-ART yi-IVF.
• Ukufakwa ngaphakathi kwe-intrauterine (IUI). Ebizwa nangokuthi ukukhuleliswa okufakelwayo, le nqubo isebenza ngokujova isidoda esibelethweni. IUI ingasiza kakhulu uma kusolwa ukungabi namuntu kwabesilisa.

Ukukhulelwa kuzoba njani?

Njengoba nje ngokwezibalo kunzima kakhulu ukukhulelwa ngemuva kweminyaka engama-40, ukukhulelwa nakho kungaba inselele njengoba ukhula.

Ungaba nokuqaqamba nobuhlungu obuningi ngenxa yamajoyinti namathambo asevele aqala ukulahlekelwa isisindo ngobudala. Ungahle uthonywe kakhulu umfutho wegazi ophakeme nesifo sikashukela sokukhulelwa. Ukukhathala okuhlobene nokukhulelwa kungabonakala kakhulu njengoba ukhula, futhi.

Kubalulekile ukukhuluma ne-OB-GYN yakho mayelana nokuthi yini enye ongayilindela ngesikhathi sakho sokukhulelwa ngokuya ngeminyaka yakho nempilo yakho yonke.

Ingabe iminyaka yobudala ibathinta kanjani abasebenzi nokubeletha?

Ukulethwa kwesitho sangasese sangasese kungaba mancane amathuba okuba ube neminyaka engama-40. Lokhu ikakhulukazi kungenxa yokwelashwa okuzala okungakhuphula ubungozi bokuzalwa ngaphambi kwesikhathi. Ungaba futhi engozini eyengeziwe ye-preeclampsia, engadinga ukulethwa kwe-cearean ukusindisa bobabili umama nengane.

Uma ingane yakho ibeletha ngesitho sangasese sowesifazane, le nqubo ingaba yinselelo enkulu njengoba ukhula. Kukhona nengozi eyengeziwe yokubeletha ingane ishonile.

Abesifazane abaningi baletha ngempumelelo izingane ezinempilo ezineminyaka engaphezu kwengama-40 noma ngaphezulu. Khuluma nodokotela wakho mayelana nokuthi yini ongayilindela, bese uqhamuka nohlelo lokulondoloza. Isibonelo, uma uhlela ukulethwa kwesitho sangasese sowesifazane, khuluma nomlingani wakho kanye neqembu lokusekela mayelana nokuthi yiluphi usizo oludingayo uma udinga ukulethwa ngokuhlinzwa esikhundleni salokho.

Ingabe kukhona ingozi eyengeziwe yamawele noma yokuphindaphinda?

Ubudala ngokwabo abunyusi ubungozi bokuphindaphindeka. Kodwa-ke, abesifazane abasebenzisa izidakamizwa zokuzala noma i-IVF ukukhulelwa basengozini enkulu yamawele noma yokuphindaphinda.Ukungabi nenzalo. (2018). Lokhu kungenxa yendlela imithi ekhulisa ngayo i-ovulation.

Ukuba namawele kwandisa nengozi yokuthi izingane zakho zizokhula ngaphambi kwesikhathi.

Okunye ukucatshangelwa

Ukukhulelwa ngemuva kweminyaka yobudala engama-40 kungathatha isikhathi eside kwabanye besifazane kunabanye. Noma kunjalo, uchwepheshe wakho wokuzala uzodinga ukusebenza nawe ngokushesha ngoba izinga lokuzala kwakho lehla kakhulu kuma-40s akho.

Uma ungakwazi ukukhulelwa ngokwemvelo, uzofuna ukubheka ukuthi ingabe ukulungele ukuzama okungaba kaningi ngemithi yokwelapha futhi uma unezindlela zokufihla ukwelashwa.

Ukudla okudlela endlini

Ukuba nengane eneminyaka engama-40 kuvame kakhulu kunakuqala, ngakho-ke uma ulinde ukuba nezingane kuze kube manje, uzoba nenkampani eningi.

Naphezu kwezinselelo ezingathatha ukukhulelwa, ukuba nezingane eminyakeni engama-40 ngokuqinisekile kungenzeka. Uzofuna ukukhuluma nodokotela wakho ngazo zonke izici zakho zobungozi ngaphambi kokuqala umndeni kulesi sigaba sempilo yakho.