Mmawa wina, mphunzitsi wa kusukulu dzina lake Priyanka anabwera ku chipatala changa. Anali ndi zaka 38. Nditangomuona, ndinazindikira kuti anali ndi mantha pang'ono, komanso anali wokondwa kwambiri komanso woyembekezera. Anabwera nakhala pampando patsogolo panga, ngati kuti akugwira mimba yake ndi manja onse awiri.
"Dokotala Priya," anayamba pang'onopang'ono, "Posachedwapa ndapeza kuti ndili ndi pakati. Koma tsopano ndili ndi zaka 38. Chifukwa chake banja langa, anansi anga, ndi achibale anga onse akunena kuti kukhala ndi ana pa msinkhu uwu ndi chinthu choopsa kwambiri kuchita. Ndikuopa kwambiri komanso ndikuda nkhawa, Dokotala. Kodi ndiyenera kuchita mantha kwambiri ndi izi?"
Ndinamwetulira ndipo ndinamutonthoza. "Choyamba, ndikukuthokozani Priyanka! Musachite mantha mosayenera. Tiyeni tikambirane za kutenga mimba mutakwanitsa zaka 35 mwasayansi komanso mosavuta. Kenako mutha kusangalala ndi ulendo uwu wa mimba popanda mantha."
Kodi kukhala mayi kumatanthauza chiyani uli ndi zaka 35?
M'zachipatala, mimba ili ndi zaka 35 kapena kuposerapo imatchedwa Advanced Maternal Age . Kale, izi zinkatchedwa "Geriatric Pregnancy," koma mawu amenewo sagwiritsidwanso ntchito.
Masiku ano, pamene akazi akuika patsogolo maphunziro awo, ntchito zawo, ndi kukhazikika kwawo, kukonzekera kukwatira ndi kukhala ndi ana atatha zaka 35 kwakhala kofala kwambiri ku Sri Lanka ndi padziko lonse lapansi.
Kodi n'zachilendo kutenga mimba mutakwanitsa zaka 35?
Ayi ndithu! Ndipotu, akazi a msinkhu uno akubereka ana athanzi masiku ano kuposa kale lonse. Malinga ndi bungwe la US Centers for Disease Control and Prevention (CDC), chiwerengero cha amayi obadwa koyamba pakati pa azaka zapakati pa 35-39 ndi chokwera kasanu ndi kamodzi kuposa momwe chinalili m'zaka za m'ma 1970.
Ngakhale ku Sri Lanka, chifukwa cha kuchuluka kwa akazi ogwira ntchito, kukhala ndi mwana woyamba kapena wachiwiri pambuyo pa zaka 35 ndi chinthu chofala masiku ano.
🚨 Zizindikiro zofiira zomwe zimafuna chithandizo chamankhwala mwachangu
Mukatenga mimba mutakwanitsa zaka 35, ngati zizindikiro zotsatirazi zikuwonekera, muyenera kupita kwa dokotala kapena kuchipatala nthawi yomweyo:
- Kutuluka Magazi M'mimba: Izi zingatanthauze kutaya mimba kapena vuto la placenta m'miyezi yoyambirira ya mimba.
- Mutu waukulu komanso kusintha kwa masomphenya: Izi ndi zizindikiro zazikulu za preeclampsia, matenda omwe amapezeka panthawi ya mimba.
- Kutupa mwadzidzidzi kwa manja, mapazi, kapena nkhope.
- Kuchepa kwakukulu kwa kayendedwe ka mwana wosabadwayo kapena kayendedwe kake.
- Kupweteka kwambiri m'mimba kapena kutuluka mwadzidzidzi kwa madzi ochokera kumaliseche.
Mavuto omwe angakhalepo pa thanzi ndi ukalamba
Pofuna kuonetsetsa kuti mayi ndi mwana ali ndi thanzi labwino akamatenga mimba akakwanitsa zaka 35, ndikofunikira kudziwa zoopsa izi:
1. Kuwonjezeka kwa chiopsezo cha mavuto a majini: Chiwerengero cha mazira m'thupi lathu chimachepa ndi ukalamba. Izi zikutanthauza kuti chiopsezo chokhala ndi mwana wokhala ndi mavuto a majini a chromosome monga Down Syndrome chimawonjezeka pang'onopang'ono munthu akakwanitsa zaka 35.
2. Zinthu zomwe zimachitika panthawi ya mimba: Ndi zaka, chiopsezo cha matenda monga matenda a shuga a mimba ndi kuthamanga kwa magazi (preeclampsia) panthawi ya mimba chimawonjezeka.
3. Mavuto a m'chiberekero: Azimayi okalamba amakhala ndi vuto la m'chiberekero monga fibroids kapena endometriosis , zomwe zingasokoneze kapena kuyambitsa mavuto panthawi ya mimba.
4. Mavuto a m'mimba mwa mayi: Mavuto monga placenta previa kapena kusweka kwa mimba kungabwere.
Ubwino wokhala mayi pambuyo pa zaka 35
Kupatula zoopsa zake, palinso zabwino zina zofunika kwambiri zokhala mayi pa msinkhu uwu:
- Kukhazikika pa zachuma ndi chikhalidwe cha anthu: Pofika zaka 35, makolo amakhala atakhazikika pamlingo winawake pankhani ya ntchito kapena bizinesi, kotero amakhala ndi mbiri yabwino yazachuma kuti apereke zinthu zofunika kuti mwana alandire chithandizo chamankhwala ndi maphunziro.
- Kukhwima Maganizo: Popeza ali ndi zokumana nazo zambiri pamoyo kuposa amayi aang'ono, amayi a msinkhu uwu amatha kukumana ndi zovuta zolerera mwana moleza mtima komanso mwanzeru.
- Kukonza banja bwino: Mimba yambiri ya msinkhu uwu imakonzedwa bwino, kotero makolo amakhala okonzeka mokwanira kwa mwana.
Zoyenera kuchita ndi zosayenera kuchita
| ✔️ Zinthu zoti muchite (kuchita) | ❌ Zosayenera kuchita |
|---|---|
| Onjezani zakudya zowonjezera za folic acid muzakudya zanu monga momwe dokotala wanu walangizira musanayambe kutenga pakati. | Musamalumphe kupita kukayezetsa mwana asanabadwe kapena kusanthula komwe dokotala wanu wakupatsani. |
| Chitani mayeso oyezetsa majini kuti mudziwe ngati mwanayo ali ndi mavuto a majini, monga momwe dokotala walangizira. | Siyani kusuta fodya, kumwa mowa, kapena kumwa mankhwala ena aliwonse akunja popanda chilolezo cha dokotala. |
| Idyani zakudya zopatsa thanzi zokhala ndi michere yabwino tsiku lililonse ndipo muchite masewera olimbitsa thupi pang'ono (monga kuyenda) movomerezedwa ndi dokotala. | Musadandaule mosayenera kapena kukhala ndi nkhawa poganiza kuti, "Ndakalamba kwambiri tsopano." |
❓ Mafunso ena omwe mungakhale nawo (FAQ)
Kodi n'zotheka kubereka mwana wabwinobwino mutakwanitsa zaka 35? ▼
Inde. Azimayi ambiri azaka zopitirira 35 amatha kubereka mwachibadwa. Komabe, ngati pali vuto lililonse, dokotala angasankhe kuchita opaleshoni ya opaleshoni (C-Section).
Kodi ndi kofunikira kuchita mayeso oyesa majini panthawi ya mimba? ▼
Ngakhale kuti sikofunikira, madokotala akulimbikitsa kwambiri. Izi zimathandiza makolo kuzindikira msanga ngati mwana wawo ali ndi vuto la chromosome (monga Down syndrome) ndikukonzekera zofunikira.
Kodi mtundu wa matenda a shuga wofala kwambiri wa mimba mukatha zaka 35 ndi uti? ▼
Izi zimatchedwa matenda a shuga a mimba. Zimachitika pamene kuchuluka kwa mahomoni m'thupi kumachepa chifukwa cha kukana insulin, ndipo zimatha kulamulidwa ndi zakudya zoyenera komanso upangiri wa dokotala.
N’chifukwa chiyani ndikofunikira kuchepetsa thupi musanayambe kutenga mimba?
Kusunga kulemera kwabwino kwa thupi (BMI) musanayambe kutenga mimba kungachepetse chiopsezo cha kuthamanga kwa magazi, matenda a shuga, ndi mavuto ena panthawi ya mimba.
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