I kēia mau lā, nui ka poʻe e paʻahana nei i kā lākou hoʻonaʻauao a me ka hana, no laila ke noʻonoʻo nei lākou i ka male ʻana a me nā keiki i kahi manawa lohi iki. Malia paha ʻo ʻoe kekahi e kokoke ana i ka makahiki 40, a i ʻole he mea paha ʻoe e manaʻolana nei e lilo i makuahine ma hope o 40. "Hiki anei ke loaʻa kahi pēpē i kēia makahiki?", "Aia kekahi mau pilikia?", "He aha kaʻu e hana ai?", a pēlā aku. Pono ʻoe e loaʻa i nā nīnau he nui i loko o kou manaʻo. Mai hopohopo, e kamaʻilio kākou e pili ana i nā mea āpau me ka maopopo a me ka maʻalahi.
He aha ka manaʻo maoli o ka hāpai ʻana i kou mau makahiki he 40?
I ka ʻōlelo lapaʻau, ua kapa ʻia ka hāpai ʻana ma hope o 35 mau makahiki he "makahiki makuahine kiʻekiʻe." Akā, ʻaʻole ia manaʻo ʻaʻole hiki iā ʻoe ke loaʻa kahi pēpē olakino. ʻO ka ʻoiaʻiʻo, ua piʻi ka nui o ka hānau ʻana no nā wahine he 40-44 makahiki ma ka honua holoʻokoʻa mai ka makahiki 1990.
Akā, pono nō hoʻi kākou e hoʻomaopopo i ka ʻoiaʻiʻo. E noʻonoʻo, hoʻokahi o nā wahine olakino ʻehā i ko lākou mau makahiki 20 a me 30 (25%) i loaʻa ka manawa kūpono e hāpai ai i ka wā o ka menstruation maʻamau o kēlā me kēia mahina. Akā i ka hiki ʻana i ka makahiki 40, hāʻule kēlā manawa kūpono i hoʻokahi wale nō o ka ʻumi (10%). ʻO ia hoʻi, he mea paʻakikī iki ia, akā ʻaʻole hiki ʻole .
Pēlā nō, piʻi iki ka pilikia o ka hāʻule ʻana o ka pēpē me ka makahiki. Inā hāpai ka wahine i ka makahiki 40, ʻo ka pilikia o ka hāʻule ʻana o ka pēpē ma kahi o 40%. Akā no kekahi ma ko lākou mau makahiki he 20, ʻoi aku ka liʻiliʻi o kēia pilikia ma mua o 15%. Mai hopohopo i kēia mau helu. No ka hoʻomaopopo ʻana kēia, ʻaʻole no ka makaʻu.
No ke aha e emi ai ka hānau keiki me ka makahiki?
Aia kekahi mau kumu nui no kēia. E nānā kākou i ke ʻano o lākou.
1. Ua emi ka nui a me ka maikaʻi o ka hua manu
I ka ʻōlelo maʻalahi, i kou wā ʻelemakule, ʻelemakule pū kāu mau hua. E noʻonoʻo, i ka wā e hānau ʻia ai ke kaikamahine, hele mai ʻo ia i kēia ao me kahi miliona mau hua, ka nui e pono ai no kona ola a pau. I ka wā e hiki ai ʻo ia i ka wā ʻōpio, ua emi kēlā helu i kahi 300,000. I ka makahiki 37, aia wale nō ma kahi o 25,000 i koe. ʻO ka emi ʻana o ka hana hua, ʻo ia hoʻi ka emi ʻana o ka hiki ke hāpai.
ʻAʻole wale kēlā, akā ʻoi aku ka nui o nā hua kahiko i koe i loaʻa nā chromosomes ʻē. ʻO kēia ke kumu nui e hoʻonui ai i ka pilikia o ka hāʻule ʻana o ka hāpai keiki a me kekahi mau pilikia no ka pēpē i nā hāpai ʻelemakule.
2. Nā pilikia olakino ʻē aʻe
Ma waena o 25 a 40 mau makahiki, hiki i kekahi mau wahine ke loaʻa i nā kūlana e like me ka endometriosis a me nā fibroids uterine, hiki ke hoʻopilikia i ka hāpai ʻana i kahi keiki.
3. Ke kūlana o ka sperm o ka hoa
ʻOiai ʻaʻole i kūkākūkā pinepine ʻia kēia, he mea nui nō hoʻi ka makahiki o ka hoa. I ka wā e ʻelemakule ai nā kāne, hiki ke loli iki ka wikiwiki a me ke ʻano o kā lākou sperm. Eia naʻe, ʻaʻole hiki koke kēia loli e like me ka hana ʻana me nā hua o nā wahine. ʻO ka maʻamau, lilo kēia kūlana i mea nui ma hope o 60 mau makahiki.
He aha nā pilikia o ka hāpai ʻana ma hope o 40 mau makahiki?
ʻO ka ʻike ka pale maikaʻi loa. No laila, e makaʻala kākou i nā pilikia olakino e kū mai ana i kēia manawa. ʻAʻole kēia e ʻōlelo e hiki mai ana kēia i nā kānaka a pau, akā kiʻekiʻe loa ka pilikia.
| Pilikia/Paʻakikī | Ua wehewehe maʻalahi ʻia |
|---|---|
| ʻO ka preeclampsia | ʻO ka piʻi koke ʻana o ke koko i ka wā hāpai, e hōʻike ana i nā hōʻailona o ka hōʻino ʻia ʻana o nā ʻōpū o loko. Hiki i kēia ke lilo i mea weliweli no ka makuahine a me ke pēpē. |
| Maʻi diabetes hāpai | He ʻano maʻi diabetes e loaʻa wale ana i ka wā hāpai. ʻO kēia ke kumu e piʻi ai ke kiʻekiʻe o ke kō koko. |
| ʻO ka Placenta Previa | Uhi hapa a piha paha ka placenta i ka puka o ka ʻōpū (cervix). Hiki i kēia ke hoʻoulu i ke kahe koko nui i ka wā hāpai a me ka hānau ʻana. |
| ʻOki ʻoki Cesarean (ʻoki C) | ʻOi aku ka nui o ka hana ʻana o ka ʻoki cesarean i nā makuahine hāpai ma hope o 40 mau makahiki ma mua o ka hānau maʻamau. |
| Nā pilikia hiki ke loaʻa i ke keiki | ʻO ka pilikia o ka loaʻa ʻana o kahi pēpē me ke kaumaha hānau kiʻekiʻe (macrosomia) a me nā ʻano chromosomal e like me Down Syndrome e piʻi aʻe me ka makahiki. (No ka laʻana, piʻi ka pilikia mai hoʻokahi i loko o 1,480 mau pēpē i ka makahiki 20 a i hoʻokahi i loko o 85 mau pēpē i ka makahiki 40.) |
Akā, ʻaʻole ia me ka ʻole o kona mau pono!
ʻAʻole maikaʻi ke nānā wale aku i ka ʻaoʻao pōʻeleʻele o nā mea āpau. Aia kekahi mau pono o ka lilo ʻana i makuahine i ka wā lohi.
- ʻO ke kūpaʻa ʻoihana a me ke kālā: I kēia makahiki, ua paʻa paha ʻoe i kāu hana a ikaika hoʻi i ke kālā. No laila, ua kūpono ʻoe e hoʻokaʻawale i ka manawa a me ke kālā no kahi keiki.
- ʻOʻo noʻonoʻo: Me ka makahiki, ʻoi aku kou mākaukau noʻonoʻo e lawe i nā kuleana o kahi keiki ma muli o nā ʻike ola āu e loaʻa ai.
- Nā hopena hoʻonaʻauao maikaʻi aʻe: Ua hōʻike kekahi mau noiʻi ua loaʻa i nā keiki a nā makuahine i loaʻa nā keiki nā hopena hoʻonaʻauao kiʻekiʻe ma hope.
No laila pehea ʻoe e hoʻomākaukau ai no kēia huakaʻi?
Inā ʻoe e noʻonoʻo ana e loaʻa kahi keiki ma hope o 40 mau makahiki, he mea nui loa ia e hoʻolālā ma mua.
ʻO ka mea mua a koʻikoʻi loa āu e hana ai, ma mua o kou noʻonoʻo ʻana e loaʻa kahi keiki, ʻo ia ke ʻike i kāu kauka ʻohana a kamaʻilio e pili ana i ia mea. Hiki iā ia ke nānā i kou olakino a hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo e pono ai.
Eia kekahi, e makaʻala i kēia mau mea:
1. He nohona olakino: E hoʻōki loa i ka hoʻohana ʻana i ka waiʻona, nā cigarette, a me nā lāʻau lapaʻau ʻē aʻe. E ʻai i ka ʻai kaulike.
2. Nā Wikamina Prenatal: E hoʻomaka i ka lawe ʻana i nā wikamina i loaʻa ka `(Folic Acid)` e like me ke aʻo a kāu kauka. Kōkua kēia i ka pale ʻana i kekahi mau maʻi i loko o ka ʻōnaehana nerve o ka pēpē.
3. E ʻimi i ke aʻo lapaʻau: E kamaʻilio ākea me kāu kauka e pili ana i kou kaumaha, ka ʻai, a me nā hopohopo olakino ʻē aʻe.
4. E makaʻala i nā ʻano hana hou: Inā pilikia ʻoe i ka hāpai ʻana ma ke ʻano kūlohelohe, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau hou.
- In Vitro Fertilization (IVF): ʻIke ʻia hoʻi ʻo "in vitro fertilization," he ʻano hana kēia e hoʻomomona ʻia ai nā hua manu a me ka sperm i loko o kahi keʻena hoʻokolohua a hoʻokomo ʻia ka embryo i loko o ka uterus.
- ʻO ka mālama ʻana i ka oocyte: ʻO kēia ka hoʻopaʻahau ʻana i nā hua. Hiki iā ʻoe ke kiʻi i kāu mau hua i kou wā ʻōpiopio, e mālama iā lākou i loko o ka pahu hau, a hoʻohana iā lākou ma hope no ka IVF ke pono.
E kamaʻilio me kāu kauka e pili ana i kēia mau ʻano hana a e loaʻa ka ʻike maikaʻi aʻe.
Leka Lawe-Home
- He mea maʻamau ka lilo ʻana i makuahine ma hope o 40 mau makahiki i kēia mau lā. ʻAʻole hiki ʻole, akā hiki ke lilo i mea paʻakikī iki ma mua o ka wā ʻōpiopio.
- ʻO ka pilikia o ka hāʻule ʻana o ka pēpē a me nā pilikia olakino i ka pēpē a me ka makuahine e piʻi iki aʻe me ka makahiki. He mea nui e makaʻala i kēia, mai makaʻu.
- ʻO ka hana nui loa āu e pono ai e hana, ʻo ia ke ʻike i ke kauka a loaʻa i ka ʻōlelo aʻoaʻo ma mua o ka hāpai ʻana ma mua o ka noʻonoʻo ʻana e pili ana i ka loaʻa ʻana o kahi keiki.
- He mea nui loa ka hahai ʻana i kahi nohona olakino a me ka hahai ʻana i nā ʻōlelo aʻoaʻo a kāu kauka.
- Inā pilikia ʻoe i ka hāpai ʻana ma ke ʻano kūlohelohe, e kūkākūkā i nā ʻano lapaʻau hou e like me IVF me kāu kauka.
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