Rimwe zuva mangwanani, mudzidzisi wechikoro anonzi Priyanka akapinda mukiriniki yangu. Aiva nemakore makumi matatu nemasere ekuberekwa. Pandakangomuona, ndakaona kuti aitya zvishoma, asiwo aifara zvikuru uye aine tariro. Akauya akagara pachigaro chiri pamberi pangu, sekunge akabata dumbu rake nemaoko ese.
"Chiremba Priya," akatanga zvishoma nezvishoma, "Ndakaziva nguva pfupi yadarika kuti ndine pamuviri. Asi ndava nemakore makumi matatu nemasere izvozvi. Saka mhuri yangu, vavakidzani, nehama dzangu vese vanoti kuva nevana pazera iri chinhu chine njodzi zvikuru kuita. Ndiri kutya uye kunetseka zvikuru, Chiremba. Ndinofanira kutya izvi here?"
Ndakanyemwerera ndikamunyaradza. "Chekutanga, makorokoto angu kwauri, Priyanka! Usatye zvisina kufanira. Ngatitaurei nezvekuva nepamuviri mushure memakore makumi matatu nemashanu nesainzi uye zviri nyore. Ipapo unogona kunakidzwa nerwendo urwu rwepamuviri pasina kutya."
Zvinorevei kuva amai vane makore makumi matatu nemashanu?
Mukurapa, pamuviri pazera remakore makumi matatu nemashanu zvichikwira unonzi Advanced Maternal Age . Kare, izvi zvainzi "Geriatric Pregnancy," asi izwi iroro harichashandiswi.
Mazuva ano, sezvo vakadzi vachikoshesa dzidzo yavo, basa ravo, uye kugadzikana kwavo, kuronga kuroora kana kuroorwa uye kuva nevana mushure memakore makumi matatu nemashanu kwave kwakajairika muSri Lanka nepasi rese.
Zvinoshamisa here kubata pamuviri mushure memakore makumi matatu nemashanu?
Kwete zvachose! Kutaura zvazviri, vakadzi vezera iri vari kubereka vana vane hutano hwakanaka nhasi kupfuura kare. Sekureva kweUS Centers for Disease Control and Prevention (CDC), kuwanda kwevana vanozvara kekutanga pakati pevakadzi vane makore 35-39 kwakapetwa katanhatu kupfuura zvakwaiva muma1970.
Kunyangwe muSri Lanka, nekuda kwehuwandu hwevakadzi vanoshanda, kuva nemwana wekutanga kana wechipiri mushure memakore makumi matatu nemashanu chinhu chakajairika nhasi.
🚨 Zviratidzo zveRed Flags zvinoda kurapwa nekukurumidza
Kana wava nepamuviri mushure memakore makumi matatu nemashanu, kana paine chimwe chezviratidzo zvinotevera chikaonekwa, unofanira kuenda kuna chiremba kana kuchipatara nekukasika pasina kunonoka:
- Kubuda ropa kubva muchibereko: Izvi zvinogona kureva kupererwa kwepamuviri kana dambudziko ne placenta mumwedzi yekutanga yekuzvitakura.
- Musoro wakakomba uye kuchinja kwemaonero: Izvi ndizvo zviratidzo zvikuru zve preeclampsia, chirwere chinoitika panguva yekuzvitakura.
- Kuzvimba kamwe kamwe kwemaoko, tsoka, kana kumeso.
- Kuderera kukuru kwemafambiro kana kufamba kwemwana ari mudumbu.
- Kurwadziwa kwakanyanya mudumbu kana kubuda kamwe kamwe kwemvura kubva munhengo yemukadzi.
Njodzi dzinogona kuitika pahutano nekukura
Kuti uve nechokwadi chehutano hweamai nemwana pavanenge vaine pamuviri mushure memakore makumi matatu nemashanu, zvakakosha kuziva nezvenjodzi dzinotevera:
1. Kuwanda kwenjodzi yekuva nematambudziko emajini: Huwandu hwemazai mumiviri yedu hunoderera nekukura. Izvi zvinoreva kuti njodzi yekuva nemwana ane matambudziko emajini emakromosomu akadai seDown Syndrome inowedzera zvishoma nezvishoma mushure memakore makumi matatu nemashanu.
2. Zvirwere zvinoitika panguva yekuzvitakura: Nekukura, njodzi yekubatwa nezvirwere zvakaita sechirwere cheshuga chepamuviri uye BP (preeclampsia) panguva yekuzvitakura inowedzera.
3. Matambudziko echibereko: Vakadzi vakuru vanowanzova nematambudziko echibereko akadai sefibroids kana endometriosis , izvo zvinogona kukanganisa kana kukonzera matambudziko panguva yekuzvitakura.
4. Matambudziko ePasi: Njodzi dzakadai sekutanga kwepasi kana kuvharika kwepasi dzinogona kuitika.
Zvakanakira kuva amai mushure memakore 35
Kunze kwenjodzi dziripo, kunewo zvimwe zvakanakira zvikuru zvekuva amai pazera iri:
- Kugadzikana kwezvehupfumi nemagariro evanhu: Pavanosvika makore makumi matatu nemashanu, vabereki vanenge vasvika padanho rakati rekuti vagadzikane panyaya dzebasa kana bhizinesi, saka vanenge vaine ruzivo rwakanaka rwezvehupfumi kuti vawane nzvimbo dzinodiwa pakurapwa nekudzidziswa kwemwana.
- Kukura Kwepfungwa: Nekuti vane ruzivo rwakawanda muhupenyu kupfuura vanaamai vadiki, vanaamai vari pazera iri vanogona kutarisana nematambudziko ekurera mwana nemoyo murefu nepfungwa.
- Kuronga mhuri zvakanaka: Kubata pamuviri kwakawanda pazera iri kunenge kwakarongwa zvakanaka, saka vabereki vanenge vakagadzirira zvakakwana mwana.
Zvinofanira kuitwa uye Zvisingafaniri kuitwa
| ✔️ Zvinhu zvekuita (Zviito) | ❌ Zvisingafaniri kuitwa |
|---|---|
| Wedzera folic acid supplements pakudya kwako sezvakarairwa nachiremba wako usati wabata pamuviri. | Usarega kuongororwa kwemwana asati aberekwa uye kuskena kwawakakurudzirwa nachiremba wako. |
| Itai bvunzo dzekuongorora majini emwana kuti muone kana aine matambudziko emajini, sezvakarairwa nachiremba. | Rega zvachose kusvuta, kunwa doro, kana kutora mimwe mishonga yekunze usina mvumo yechiremba. |
| Idya chikafu chakakwana chine zvinovaka muviri zvakanaka zuva nezuva uye ita maekisesaizi akareruka (semuenzaniso kufamba-famba) uchibvumidzwa nachiremba. | Usazvidya mwoyo zvisina kufanira kana kuti uzvidye mwoyo uchifunga kuti, "Ndakura zvakanyanya ikozvino." |
❓ Mimwe mibvunzo yaungave nayo (FAQ)
Zvinokwanisika here kuti mwana asununguke zvakanaka mushure memakore makumi matatu nemashanu? ▼
Zvechokwadi. Vakadzi vazhinji vane makore anopfuura makumi matatu nemashanu vanokwanisa kubereka vana nenzira yechisikigo. Zvisinei, kana paine matambudziko akamuka, chiremba anogona kusarudza kuita cesarean section (C-Section).
Zvinosungirwa here kuita bvunzo dzemajini panguva yekuzvitakura? ▼
Kunyange zvazvo zvisiri zvekumanikidzwa, vanachiremba vanokurudzira zvikuru. Izvi zvinobvumira vabereki kuziva nekukurumidza kana mwana wavo aine zvirwere zvema chromosome (semuenzaniso Down syndrome) uye kugadzira gadziriro dzinodiwa.
Ndeipi mhando yechirwere cheshuga chinowanzoonekwa mushure memakore makumi matatu nemashanu? ▼
Izvi zvinonzi chirwere cheshuga chepamuviri. Chinoitika kana huwandu hwemahormone mumuviri hukadzikira nekuda kwekusakwanisa kwe insulin mumuviri, uye chinogona kudzorwa nekudya kwakakodzera uye mazano echiremba.
Sei zvichikosha kudzora huremu hwemuviri usati wabata pamuviri? ▼
Kuramba uine huremu hwakanaka (BMI) usati wabata pamuviri kunogona kuderedza njodzi yeBP, chirwere cheshuga, uye matambudziko panguva yekuzvitakura.
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