Ngaba ungaphezulu kweminyaka engama-35? Ukuba ucinga ngokuba ngumama, yazi ezi zinto! (Iminyaka Yokukhulelwa Ephambili)

Abantu abaninzi kule mihla bacinga ngokuqala usapho nokuba nomntwana kuphela xa sele bekhulile kancinci, akunjalo? Mhlawumbi ungomnye wabo. Ingakumbi ukuba ungaphezulu kweminyaka engama-35 kwaye unethemba lokuba ngumama, eli bali liza kuba libaluleke kakhulu kuwe. Kuba kufuneka silumke ngakumbi ngezinye zezinto eziza nokukhulelwa kule minyaka. Kodwa ungakhathazeki, siza kuthetha ngayo yonke into ngokulula.

Yintoni i-Advanced Maternal Age (ukuba ngumama emva kweminyaka engama-35)?

Ngamafutshane, igama elithi "ubudala bomama obuphambili" ligama lezonyango elisetyenziselwa ukuchaza xa uneminyaka engama-35 ubudala okanye ngaphezulu kwaye ukhulelwe. Lalibizwa ngokuba "kukukhulelwa kwabantu abadala," kodwa elo gama alisasetyenziswa kuba lithathwa njengegama labantu abadala. Igama elithi "ubudala bomama obuphambili" ngoku lisetyenziswa kakhulu.

Cinga ngayo njengelebheli esetyenziswa ngoogqirha ukukuxelela ukuba "kufuneka ulumke ngakumbi." Isizathu soku kukuba kukho umngcipheko ophezulu kancinci weengxaki xa ukhulelwe emva kweminyaka engama-35. Kodwa oko akuthethi ukuba ngokuqinisekileyo uza kuba nengxaki. Oomama abaninzi baneentsana eziphilileyo emva kweminyaka engama-35. Eyona nto ibalulekileyo kukuya rhoqo kuhlolo lwakho lokukhulelwa kwaye wenze uvavanyo ngokuchanekileyo. Emva koko, ukuba kukho ingxaki, inokuchongwa kwaye inyangwe ngokukhawuleza.

Zithini iingozi zokuba nomntwana emva kweminyaka engama-35?

Njengoko benditshilo ngaphambili, uninzi lwabasetyhini bazala abantwana abasempilweni ngaphandle kweengxaki emva kweminyaka engama-35. Nangona kunjalo, kukho iingxaki ezithile kunye neemeko zempilo eziphezulu kancinci. Makhe sijonge ukuba ziyintoni na:

• Uxinzelelo lwegazi oluphezulu: Uxinzelelo lwakho lwegazi lunokunyuka ngexesha lokukhulelwa.
• I-Preeclampsia: Le yimeko enzima apho uxinzelelo lwegazi lunyuka ngequbuliso ngexesha lokukhulelwa kwaye lunokuchaphazela amanye amalungu omzimba, njengezintso.
• Isifo seswekile sokukhulelwa: Isifo seswekile esikhula ngexesha lokukhulelwa kuphela, nokuba ubungenaso isifo seswekile ngaphambili.
• Ukukhulelwa okuninzi: Kukho ithuba elikhulu lokuba namawele okanye amawele amathathu kunokuba kubekho umntwana omnye nje kuphela.
• Ukuzalwa ngaphambi kwexesha okanye ukuzalwa komntwana obunzima obuphantsi: Umntwana usenokuzalwa kwiiveki ngaphambi komhla wokuzalwa okanye usenokuba nobunzima obuphantsi.
• Usana olukhulu: Ngamanye amaxesha ubunzima bomntwana bunokuba ngaphezulu kunomndilili.
• Ukuba nomntwana one-Down syndrome okanye ezinye izifo zemfuza: Umntwana unamathuba amancinci okuba nezifo ezithile zemfuza.
• Ukuphuma kwesisu okanye ukuzalwa kwesisu: Umngcipheko wokuphuma kwesisu okanye ukuzalwa kwesisu uncinci okanye uphezulu.
• Ukunikezelwa ngotyando lwe-C: Umngcipheko wokuba umntwana azalwe ngotyando lwe-C uphezulu kunokuzalwa okuqhelekileyo.

Khumbula, ezi zizinto nje eziyingozi . Impilo yakho iyonke, unyango olufumanayo ngaphambi kokukhulelwa, kunye nendlela ophila ngayo zezona zinto zigqibayo ukuba ukukhulelwa kwakho kuya kuhamba njani.

Kutheni iingxaki zisanda xa ukhulelwe emva kweminyaka engama-35 ubudala?

Kukho izizathu ezibini eziphambili zoku.

1. Umgangatho wamaqanda akho: Cinga ngale nto, xa sisebancinci, amaqanda ethu 'amatsha' kwaye asempilweni. Kodwa ngokukhula, njengayo nayiphi na into esiyisebenzisayo, umgangatho wala maqanda uqala ukwehla kancinci. Oku sikubiza ngokuba 'kukwehla komgangatho wamaqanda' . Emva koko, iintsana ezizalwa ngamaqanda 'amadala' ngamanye amaxesha zinokuba neengxaki ze-chromosome , umzekelo, i-Down syndrome. Uninzi lwezi ngxaki ze-chromosome zifunyanwa ngovavanyo lokuhlolwa kwangaphambi kokuzalwa kwi-trimester yokuqala.

2. Iimeko zonyango ezingapheliyo: Kwakhona, njengoko sikhula, sinamathuba amaninzi okuba neemeko zonyango ezingapheliyo ezifana nesifo seswekile kunye noxinzelelo lwegazi oluphezulu. Ezi meko zinokuchaphazela ukukhulelwa. Umzekelo, umfazi oneminyaka engama-38 ubudala unamathuba amaninzi okuba noxinzelelo lwegazi oluphezulu kunomfazi oneminyaka engama-28 ubudala, nokuba akakhulelwe. Ezi meko ezingapheliyo zinokuchaphazela ukukhulelwa kunye nokuzala.

Ezi ngxaki zihlala zibonakala emva kweminyaka engama-40.

Zeziphi iimvavanyo ezicetyiswayo xa umama esele ekhulile?

Oogqirha badla ngokucebisa uvavanyo lwemfuza ngaphambi kokukhulelwa kubafazi abakhulelweyo emva kweminyaka engama-35. Olu vavanyo lunokunceda ekuqinisekiseni ukuba umntwana usemngciphekweni omkhulu wokufumana ezinye iimeko zemfuza okanye ze-chromosome ezikhoyo ekuzalweni.

Uninzi lweemvavanyo lusebenzisa isampuli yegazi, i-ultrasound scan, okanye zombini. Iimvavanyo zegazi zijonga izinto ezithile egazini lakho ukuze zibone ukuba unesifo semfuza na. Ii-ultrasound scan zijonga imilinganiselo efana ne -nuchal translucency . Oku kwenzelwa ukujonga i-Down syndrome okanye ezinye iimeko ze-chromosome.

Into ebalulekileyo kukuba ezi ziimviwo zokuhlola kuphela. Oko kukuthi, zijonga kuphela ukuba kukho *amathuba* okuba nesifo semfuza.

Ukuba olu vavanyo lokuhlola lubonisa naziphi na iingxaki, ugqirha wakho uya kuyalela iimvavanyo ezithile zokuxilonga . Ezi ziquka:

• Uvavanyo lweChorionic villus (CVS): Kolu vavanyo, ugqirha uthatha isampuli encinci yeeseli kwi-placenta . Ezi seli zihlala ziqulathe ulwazi lwemfuza yomntwana.
• I-Amniocentesis: Kolu vavanyo, ugqirha ufaka inaliti esiswini sakho aze asuse isampuli yolwelo olusesibelekweni sakho (i-amniotic fluid) . Olu lwelo lungasetyenziselwa ukubona iimeko ezithile zemfuza.

Ukongeza, oogqirha banokucebisa ukuba oomama abakhulelweyo abangaphezu kweminyaka engama-35 ubudala bahlolwe rhoqo nge-ultrasound, bavavanywe kwangethuba ukuba banesifo seswekile sokukhulelwa, okanye bajongwe rhoqo ukuba abanaso na isifo se-preeclampsia.

Indlela yokunyanga ukukhulelwa emva kweminyaka engama-35?

Ngokwesiqhelo, oogqirha abakuphathi ngendlela eyahlukileyo ngenxa yobudala bakho. Nangona kunjalo, ukuba uvavanyo lwemfuza lubonisa ukuba umntwana wakho unokuba nesifo sokuzalwa, okanye ukuba unesifo seswekile sokukhulelwa, ugqirha wakho uya kuthatha amanyathelo okukukhusela. Ungathunyelwa kwingcali yamayeza oomama-abasandul' ukuzalwa . Okanye, unokufuna ukubona ugqirha wakho wokubelekisa rhoqo ukuze ajonge ukukhula kunye nokuphila kakuhle komntwana wakho.

Ngenxa yokuqhubela phambili kwezonyango nakubuchwepheshe, ukukhulelwa okuninzi emva kweminyaka engama-35 kusempilweni kwaye kuphumela kwiintsana ezisempilweni.

Ndingawunciphisa na umngcipheko wokuba neengxaki zokukhulelwa ukuba ndingaphezulu kweminyaka engama-35?

Ewe, ngokuqinisekileyo! Ukuba ungaphezulu kweminyaka engama-35 kwaye ukhulelwe (okanye uceba ukukhulelwa), kukho izinto ezimbalwa onokuzenza ngoku ukunciphisa umngcipheko weengxaki zokukhulelwa:

• Qinisekisa ukuba zonke iindlela zakho zokuthintela izifo , ezinje ngokugonywa, zenziwa ngexesha.
• Ukuba unezinye izifo ezikhoyo , zigcine zilawulwa kakuhle.
• Thatha i -vitamin yokukhulelwa rhoqo.
• Yenza ubuncinci imizuzu engama-30 yokwenza umthambo phantse yonke imihla yeveki.
• Ukuba uyatshaya kwaye/okanye usebenzisa iimveliso zecuba, yeka.
• Yeka ukusela utywala ngokupheleleyo.
• Yitya ukutya okunempilo okutyebileyo kwiziqhamo, imifuno, inyama engenamafutha, kunye neenkozo ezipheleleyo.
• Zama ukuhlala usempilweni xa ukhulelwe.

Zithini iingozi zokuphuphuma kwesisu emva kweminyaka engama-35?

Oku kusenokuvakala kuyoyikisa kancinci, kodwa amathuba okuba nomntwana osempilweni aphezulu kakhulu kunamathuba okuphuphuma kwesisu. Nangona kunjalo, umngcipheko wokuphuphuma kwesisu uyanda kancinci xa ukhula:

• Phakathi kweminyaka engama-20 ukuya kwengama-30 ubudala: amathuba okuba nesifo aphakathi kwe-9% ukuya kwi-17% (oko kuthetha ukuba abantu abayi-9 ukuya kwi-17 kwabayi-100 banokuba nesifo)
• Kwiminyaka engama-35: amathuba angama-20% (oko kukuthi umntu omnye kwaba-5)
• Kwiminyaka engama-40: amathuba angama-40% (oko kukuthi abantu aba-4 kwabayi-10)
• Kwiminyaka engama-45 ubudala: amathuba angama-80% (oko kukuthi abantu abasi-8 kwabali-10)

Icebiso elihle ngale nto livela kugqirha wakho wotyando kunye nogqirha wezifo zabesifazane. Thetha naye ngale mingcipheko.

Ngaba kukho naziphi na izibonelelo zokuba nomntwana emva kweminyaka engama-35?

Ewe, ewe! Ukuqala usapho sisigqibo somntu ngamnye. Abantu abaninzi bagqiba ekubeni nabantwana kamva ebomini. Enye yeenzuzo zokwenza njalo kukuba banamava amaninzi ebomini kunye nokuzinza kwezemali. Abantu abaninzi batshata emva kwexesha kunangaphambili. Ngenxa yoko, bayalibazisa ukuqala usapho, okanye bade balwandise. Kwilizwe elifana ne-United States, malunga nama-20% abafazi ngoku bafumana umntwana wabo wokuqala emva kweminyaka engama-35.

Lingakanani ixesha eliphakamileyo umfazi anokukhulelwa ngalo ngokwendalo?

Akukho minyaka ithile imiselweyo yoku. Ukukhulelwa okunempilo akuxhomekanga kuphela kwiminyaka yakho, kodwa nakwimpilo yakho iyonke .

Nangona kunjalo, iingcali ziyazi ukuba amathuba akho okukhulelwa ayancipha xa uneminyaka yobudala. Umzekelo, xa uneminyaka engama-40, amathuba akho okukhulelwa ngokwendalo amalunga ne-10% ngomjikelo wokuya exesheni. Kodwa ukuba ukwiminyaka yakho engama-30, elo thuba limalunga ne-25%.

Eyona nto ibalulekileyo ekufuneka uyikhumbule! (Umyalezo oya nawo ekhaya)

Uninzi lokukhulelwa emva kweminyaka engama-35 lusempilweni kwaye luphumelela. Nangona kunjalo, kulungile ukuqaphela iingxaki ezinokubangelwa kukuba ngumama osele ekhulile. Thetha nogqirha wakho malunga novavanyo lwemfuza alucebisayo kunye noko unokukwenza ukuze uhlale usempilweni.

Uninzi lwexesha, ubudala buyinto nje ebalwa xa kufikwa ekukhulelweni. Ukuba usempilweni, lawula imeko yakho yezempilo, kwaye umamele ugqirha wakho, unamathuba amaninzi okuba nomntwana osempilweni. Ngoko ke, ungakhathazeki, kwaye uyonwabele olu hambo.

Ukukhulelwa okudala , iingozi zokukhulelwa, uvavanyo lwemfuza, ukukhulelwa okunempilo, ukhathalelo lwangaphambi kokukhulelwa, ukuzala, ukuphuphuma kwesisu