Ngenye intsasa, utitshala wesikolo ogama linguPriyanka weza ekliniki yam. Wayeneminyaka engama-38 ubudala. Ndathi ndakumbona, ndabona ukuba wayenexhala kancinci, kodwa wayevuya kakhulu kwaye enethemba. Weza wahlala esitulweni esiphambi kwam, ngokungathi ubambe isisu sakhe ngezandla zombini.
“Gqirha Priya,” waqala kancinci, “Ndisandula ukufumanisa ukuba ndikhulelwe. Kodwa ngoku ndineminyaka engama-38. Ngoko ke usapho lwam, abamelwane, kunye nezalamane zonke zithi ukuba nabantwana kule minyaka kuyingozi kakhulu. Ndiyoyika kakhulu kwaye ndixhalabile, Gqirha. Ngaba ndifanele ndoyike kangaka ngale nto?”
Ndancuma ndaza ndamthulisa. "Okokuqala, ndiyakuvuyisana nawe Priyanka! Ungoyiki ngokungeyomfuneko. Masithethe ngokukhulelwa emva kweminyaka engama-35 ngokwesayensi nangokulula. Emva koko ungonwabela olu hambo lokukhulelwa ngaphandle koloyiko."
Kuthetha ukuthini ukuba ngumama xa uneminyaka engama-35 ubudala?
Ngokwezonyango, ukukhulelwa xa uneminyaka engama-35 nangaphezulu kubizwa ngokuba yi- Advanced Maternal Age . Ngaphambili, oku kwakubizwa ngokuba yi-"Geriatric Pregnancy," kodwa elo gama alisasetyenziswa.
Kule mihla, njengoko abafazi bebeka phambili imfundo yabo, umsebenzi wabo, kunye nokuzinza, ukucwangcisa ukutshata nokuba nabantwana emva kweminyaka engama-35 kuye kwaxhaphaka kakhulu eSri Lanka nakwihlabathi liphela.
Ngaba kuyamangalisa ukukhulelwa emva kweminyaka engama-35?
Akunjalo konke konke! Enyanisweni, abafazi abakule minyaka bazala abantwana abasempilweni namhlanje kunangaphambili. Ngokutsho kwe-US Centers for Disease Control and Prevention (CDC), ukwanda kokuzalwa okokuqala phakathi kwabasetyhini abaneminyaka engama-35-39 kuphezulu ngokuphindwe kathandathu kunokuba kwakunjalo ngeminyaka yoo-1970.
KwanaseSri Lanka, ngenxa yokwanda kwenani labasetyhini abasebenzayo, ukuba nomntwana wokuqala okanye wesibini emva kweminyaka engama-35 yinto eqhelekileyo namhlanje.
🚨 Iiflegi ezibomvu ezifuna unyango olukhawulezileyo
Xa ukhulelwa emva kweminyaka engama-35 ubudala, ukuba kukho naziphi na kwezi mpawu zilandelayo ezibonakala, kufuneka uye kugqirha okanye esibhedlele ngokukhawuleza ngaphandle kokulibazisa:
- Ukopha Kwangasese: Oku kunokuthetha ukuphuphuma kwesisu okanye ingxaki kwi-placenta kwiinyanga zokuqala zokukhulelwa.
- Intloko ebuhlungu kakhulu kunye notshintsho lombono: Ezi ziimpawu eziphambili ze-preeclampsia, imeko eyenzeka ngexesha lokukhulelwa.
- Ukudumba ngequbuliso kwezandla, iinyawo, okanye ubuso.
- Ukuncipha okukhulu kweentshukumo okanye iintshukumo zomntwana ongekazalwa.
- Intlungu ebuhlungu esiswini esisezantsi okanye ukuphuma ngequbuliso kolwelo olumanzi oluvela kwilungu lobufazi.
Iingozi ezinokubakho kwimpilo xa ukhula
Ukuqinisekisa impilo kamama nomntwana xa ekhulelwe emva kweminyaka engama-35, kubalulekile ukuqaphela le mingcipheko ilandelayo:
1. Umngcipheko okhulayo weengxaki zemfuza: Inani lamaqanda emizimbeni yethu liyehla xa sikhula. Oku kuthetha ukuba umngcipheko wokuba nomntwana oneengxaki zemfuza ze-chromosome ezifana ne -Down Syndrome uyanda kancinci kancinci emva kweminyaka engama-35.
2. Iimeko ezenzeka ngexesha lokukhulelwa: Njengoko ukhula, umngcipheko wokukhula kwezifo ezifana nesifo seswekile sokukhulelwa kunye noxinzelelo lwegazi oluphezulu (i-preeclampsia) ngexesha lokukhulelwa uyanda.
3. Iingxaki zesibeleko: Abafazi abadala banamathuba amaninzi okuba neengxaki zesibeleko ezifana ne-fibroids okanye i-endometriosis , ezinokuphazamisa okanye zibangele iingxaki ngexesha lokukhulelwa.
4. Iingxaki zePlacental: Iingozi ezinje nge-placenta previa okanye ukuqhawuka kwesisu zinokubakho.
Iingenelo zokuba ngumama emva kweminyaka engama-35
Ngaphandle kweengozi, kukwakho nezinye iingenelo ezibaluleke kakhulu zokuba ngumama kule minyaka:
- Uzinzo kwezoqoqosho nakwezentlalo: Xa beneminyaka engama-35 ubudala, abazali bakwinqanaba elithile lozinzo ngokwemisebenzi okanye kwishishini, ngoko ke banemvelaphi elungileyo kwezoqoqosho yokubonelela ngezibonelelo ezifunekayo zonyango nemfundo yomntwana.
- Ukukhula Ngengqondo: Ngenxa yokuba banamava amaninzi ebomini kunoomama abancinci, oomama abakule minyaka banokujamelana nemingeni yokukhulisa umntwana ngomonde nangobukrelekrele.
- Ucwangciso-ntsapho olufanelekileyo: Uninzi lokukhulelwa kule minyaka lucwangciswe kakuhle, ngoko ke abazali bakulungele ngokupheleleyo umntwana.
Izinto ekufuneka zenziwe nezo kufuneka zingayenzi
| ✔️ Izinto onokuzenza (Zenze) | ❌ Izinto ongazifuniyo |
|---|---|
| Yongeza izongezo ze-folic acid ekutyeni kwakho njengoko ugqirha wakho eyalele ngaphambi kokuba ukhulelwe. | Musa ukulibazisa uhlolo lwangaphambi kokubeleka kunye neeskeni ezicetyiswe ngugqirha wakho. |
| Yenza uvavanyo lokuhlola i-genetic ukuze ubone ukuba umntwana uneengxaki ze-genetic, njengoko ugqirha ecebisile. | Yeka ngokupheleleyo ukutshaya, ukusela utywala, okanye ukusebenzisa nayiphi na eminye imithi yangaphandle ngaphandle kwemvume kagqirha. |
| Yitya ukutya okunesondlo okutyebileyo kwizakhamzimba ezilungileyo yonke imihla kwaye wenze umthambo olula (umz. ukuhamba) ngemvume kagqirha. | Musa ukukhathazeka ngokungeyomfuneko okanye ukhathazeke ucinge uthi, "Ndimdala kakhulu ngoku." |
❓ Eminye imibuzo onokuba nayo (FAQ)
Ngaba kunokwenzeka ukuba umntwana abeleke ngendlela eqhelekileyo emva kweminyaka engama-35 ubudala? ▼
Ngokuqinisekileyo. Uninzi lwabasetyhini abaneminyaka engaphezu kwama-35 ubudala bayakwazi ukuzala ngokwendalo. Nangona kunjalo, ukuba kukho naziphi na iingxaki ezivelayo, ugqirha unokugqiba ekubeni enze i-cesarean section (C-Section).
Ngaba kunyanzelekile ukwenza uvavanyo lofuzo ngexesha lokukhulelwa? ▼
Nangona kungengomthetho, oogqirha bayayicebisa kakhulu loo nto. Oku kuvumela abazali ukuba babone kwangethuba ukuba umntwana wabo uneengxaki ze-chromosome (umz. i-Down syndrome) baze benze amalungiselelo afunekayo.
Loluphi uhlobo oluqhelekileyo lwesifo seswekile sokukhulelwa emva kweminyaka engama-35 ?
Oku kubizwa ngokuba sisifo seswekile sokukhulelwa. Sivela xa amanqanaba ehomoni emzimbeni ehla ngenxa yokunganyamezelani ne-insulin, kwaye sinokulawulwa ngokutya okufanelekileyo kunye neengcebiso zonyango.
Kutheni kubalulekile ukulawula ubunzima bomzimba ngaphambi kokukhulelwa? ▼
Ukugcina ubunzima bomzimba obusempilweni (BMI) ngaphambi kokukhulelwa kunokunciphisa umngcipheko woxinzelelo lwegazi oluphezulu, isifo seswekile, kunye neengxaki ngexesha lokukhulelwa.
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