Ke lilo ʻana i makuahine ma hope o 35: ʻO ka mea e pono ai ʻoe e ʻike

I kekahi kakahiaka, ua hele mai kekahi kumu kula ʻo Priyanka kona inoa i loko o koʻu keʻena lapaʻau. He 38 ona makahiki. I koʻu ʻike ʻana iā ia, ua ʻike koke au ua hopohopo iki ʻo ia, akā ua hauʻoli nui hoʻi a me ka manaʻolana. Ua hele mai ʻo ia a noho i lalo ma ka noho i mua oʻu, me he mea lā e paʻa ana i kona ʻōpū me nā lima ʻelua.

"E Kauka Priya," hoʻomaka mālie ʻo ia, "ua ʻike koke nei au ua hāpai au. Akā, he 38 koʻu mau makahiki i kēia manawa. No laila, ke ʻōlelo nei koʻu ʻohana, nā hoalauna, a me nā hoahānau he mea weliweli loa ka hānau ʻana i nā keiki i kēia makahiki. Makaʻu a hopohopo nui wau, e Kauka. Pono anei wau e makaʻu nui no kēia?"

Ua minoʻaka au a hōʻoluʻolu iā ia. "ʻO ka mea mua, hoʻomaikaʻi iā ʻoe, e Priyanka! Mai makaʻu pono ʻole. E kamaʻilio kākou e pili ana i ka hāpai ʻana ma hope o 35 ma ke ʻano ʻepekema a maʻalahi hoʻi. A laila hiki iā ʻoe ke hauʻoli i kēia huakaʻi hāpai me ka makaʻu ʻole."

He aha ke ʻano o ka lilo ʻana i makuahine i ka makahiki 35?

Ma nā ʻōlelo lapaʻau, ʻo ka hāpai ʻana i ka makahiki 35 a ʻoi paha ua kapa ʻia ʻo Advanced Maternal Age . I ka wā ma mua, ua kapa ʻia kēia ʻo "Geriatric Pregnancy," akā ʻaʻole hoʻohana hou ʻia kēlā huaʻōlelo.

I kēia mau lā, ʻoiai ʻo nā wāhine e hoʻokau nui ana i kā lākou hoʻonaʻauao, ʻoihana, a me ke kūpaʻa, ua lilo ka hoʻolālā ʻana e mare a loaʻa nā keiki ma hope o 35 mau makahiki i mea maʻamau ma Sri Lanka a me ke ao holoʻokoʻa.

He mea kupanaha anei ke hāpai ma hope o 35 mau makahiki?

ʻAʻole loa! ʻO ka ʻoiaʻiʻo, ke hānau nei nā wāhine o kēia au i nā pēpē olakino i kēia lā ma mua o ka wā ma mua. Wahi a nā US Centers for Disease Control and Prevention (CDC), ʻo ka nui o nā hānau mua ma waena o nā wāhine 35-39 makahiki he ʻeono manawa kiʻekiʻe ma mua o ka makahiki 1970.

ʻOiai ma Sri Lanka, ma muli o ka piʻi ʻana o ka nui o nā wāhine hana, ʻo ka hānau ʻana i kā lāua keiki mua a ʻelua paha ma hope o ke 35 mau makahiki he mea maʻamau ia i kēia lā.

🚨 Nā hae ʻulaʻula e pono ai ke kōkua koke ʻia e ke kauka

I ka wā e hāpai ai ma hope o 35 mau makahiki, inā ʻike ʻia kekahi o kēia mau hōʻailona, ​​​​pono ʻoe e hele koke i ke kauka a i ʻole ka haukapila me ka hoʻokaʻulua ʻole:

• Ke kahe koko ʻana o ka wahine: ʻO ke ʻano paha kēia he hāʻule ʻana o ka ʻōpū a i ʻole he pilikia me ka placenta i nā mahina mua o ka hāpai ʻana.
• ʻO nā poʻo ʻeha koʻikoʻi a me nā loli o ka ʻike: ʻO kēia nā hōʻailona nui o ka preeclampsia, kahi kūlana e kū mai ana i ka wā hāpai.
• Ka pehu koke ʻana o nā lima, nā wāwae, a i ʻole ka maka.
• Ka emi nui ʻana o nā neʻe ʻana a i ʻole nā ​​​​neʻe ʻana o ka fetal.
• ʻEha nui ma ka ʻōpū lalo a i ʻole ke kahe koke ʻana o ke wai mai ka vagina.

Nā pilikia olakino hiki ke loaʻa me ka makahiki

I mea e hōʻoia ai i ke olakino o ka makuahine a me ke keiki i ka wā e hāpai ai ma hope o 35 mau makahiki, he mea nui e makaʻala i nā pilikia e hiki mai ana:

1. Hoʻonui ʻia ka pilikia o nā pilikia genetic: Ke emi nei ka nui o nā hua i loko o ko kākou kino me ka ʻelemakule. ʻO ke ʻano kēia, ʻo ka pilikia o ka loaʻa ʻana o kahi keiki me nā pilikia genetic chromosomal e like me Down Syndrome e piʻi mālie ma hope o 35 mau makahiki.
2. Nā kūlana e kū mai ana i ka wā hāpai: Me ka makahiki, piʻi aʻe ka pilikia o ka loaʻa ʻana o nā kūlana e like me ka maʻi diabetes gestational a me ke koko kiʻekiʻe (preeclampsia) i ka wā hāpai.
3. Nā pilikia o ka ʻōpū: ʻOi aku ka nui o nā wahine ʻelemakule e loaʻa i nā maʻi ʻōpū e like me fibroids a i ʻole endometriosis , hiki ke hoʻopilikia a hoʻoulu paha i nā pilikia i ka wā hāpai.
4. Nā Pilikia Placental: Hiki ke kū mai nā pilikia e like me ka placenta previa a i ʻole ka abruption.

Nā pōmaikaʻi o ka lilo ʻana i makuahine ma hope o 35

Ma waho aʻe o nā pilikia, aia kekahi mau pono waiwai nui o ka lilo ʻana i makuahine i kēia makahiki:

• Ke kūpaʻa waiwai a me ka nohona: I ka piha ʻana o nā makahiki 35, aia nā mākua i kahi pae o ke kūpaʻa ma ke ʻano o ka hana a ʻoihana paha, no laila he ʻike waiwai maikaʻi ko lākou e hoʻolako i nā pono e pono ai no ka mālama olakino a me ka hoʻonaʻauao ʻana o ke keiki.
• Ka ʻOʻo Noʻonoʻo: No ka mea, ʻoi aku ko lākou ʻike ma ke ola ma mua o nā makuahine ʻōpio, hiki i nā makuahine i kēia makahiki ke kū i nā pilikia o ka hānai ʻana i kahi keiki me ke ahonui a me ka naʻauao.
• Hoʻolālā ʻohana maikaʻi: ʻO ka hapa nui o nā hāpai ʻana i kēia makahiki ua hoʻolālā maikaʻi ʻia, no laila ua mākaukau piha nā mākua no ke keiki.

Nā mea e pono ai a me nā mea ʻaʻole e pono ai

Nā kumu ʻepekema (Nā Kuhikuhi)

• 📚 Hāpai - NHS
• 📚ʻO ka makahiki makuahine kiʻekiʻe a me nā hopena hāpai maikaʻi ʻole: He loiloi ʻōnaehana a me ka meta-analysis - PMC