Kule mihla, abantu abaninzi baxakeke yimfundo nomsebenzi wabo, ngoko ke bacinga ngomtshato nabantwana kade kancinci. Mhlawumbi nawe ungumntu osondela kwiminyaka engama-40, okanye mhlawumbi ungumntu onethemba lokuba ngumama emva kweminyaka engama-40. "Ingaba kunokwenzeka ukuba nomntwana kule minyaka?", "Ngaba kukho iingozi?", "Ndingenza ntoni?", njl. Kufuneka unemibuzo emininzi engqondweni yakho. Ungakhathazeki, masithethe ngayo yonke into ngokucacileyo nangokulula.
Kuthetha ukuthini ngokwenene ukukhulelwa xa uneminyaka engama-40 ubudala?
Ngokwezonyango, ukukhulelwa emva kweminyaka engama-35 kubizwa ngokuba "yiminyaka yokukhulelwa ephucukileyo." Kodwa oko akuthethi ukuba awunakuba nomntwana osempilweni. Enyanisweni, izinga lokuzalwa kwabasetyhini abaneminyaka engama-40-44 liye landa kwihlabathi liphela ukusukela ngeminyaka yoo-1990.
Kodwa kufuneka siqonde inyani. Khawuthelekelele, umfazi omnye kwabane abasempilweni abakwiminyaka yabo yama-20 nama-30 (25%) unethuba lokukhulelwa ngexesha lomjikelo wenyanga oqhelekileyo wokuya exesheni. Kodwa xa eneminyaka engama-40 ubudala, elo thuba liyehla liye komnye kwabalishumi (10%). Oko kuthetha ukuba kunzima kancinci, kodwa akunakwenzeka .
Ngokufanayo, umngcipheko wokuphuphuma kwesisu uyanda kancinci xa ukhula. Ukuba umfazi ukhulelwa eneminyaka engama-40 ubudala, umngcipheko wokuphuphuma kwesisu umalunga nama-40%. Kodwa kumntu oneminyaka engama-20 ubudala, lo mngcipheko ungaphantsi kwe-15%. Musa ukothuka ngala manani. La manani enzelwe ukuqonda, hayi uloyiko.
Kutheni ukuzala kuncipha xa abantu bekhula?
Kukho izizathu ezininzi eziphambili zoku. Masibone ukuba zeziphi.
1. Ubuninzi kunye nomgangatho weqanda ophantsi
Ngamafutshane, njengoko ukhula, amaqanda akho nawo ayaguga. Khawuthelekelele, xa intombazana izalwa, ifika kweli hlabathi inamaqanda amalunga nesigidi, inani eliza kulidinga ubomi bayo bonke. Xa ifikelela ekufikiseni, elo nani liye lehla laya kuma-300,000. Xa ineminyaka engama-37 ubudala, kusele ama-25,000 kuphela. Ukwehla kwemveliso yamaqanda kuthetha ukwehla kwamandla okukhulelwa.
Ayipheleli apho, kodwa namaqanda amadala aseleyo anokuba neechromosomes ezingaqhelekanga. Esi sesona sizathu siphambili sokuba umngcipheko wokuphuphuma kwesisu kunye neengxaki ezithile kumntwana uyanda xa ekhulelwe ekhulile.
2. Ezinye iingxaki zempilo
Phakathi kweminyaka engama-25 ukuya kwengama-40 ubudala, abanye abafazi banokuba neemeko ezifana ne-endometriosis kunye ne-uterine fibroids, ezinokuthi ziphazamise nokukhulelwa komntwana.
3. Imeko yesidoda seqabane
Nangona oku kungathethwa rhoqo, ubudala beqabane bubalulekile. Njengoko amadoda ekhula, isantya kunye nokuma kwesidoda sawo kunokutshintsha kancinci. Nangona kunjalo, olu tshintsho alwenzeki ngokukhawuleza njengoko lwenzeka kumaqanda abafazi. Le meko idla ngokuba yinto ebalulekileyo emva kweminyaka engama-60.
Zithini iingozi zokukhulelwa emva kweminyaka engama-40?
Ukuqonda yeyona ndlela ilungileyo yokuzikhusela. Ngoko ke, masiqaphele iingozi zempilo ezinokuvela ngeli xesha. Oku akuthethi ukuba ezi zinto ziya kwenzeka kuye wonke umntu, kodwa umngcipheko uphezulu kakhulu.
| Umngcipheko/Ingxaki | Icacisiwe ngokulula |
|---|---|
| I-Preeclampsia | Ukunyuka ngequbuliso koxinzelelo lwegazi ngexesha lokukhulelwa, okubonisa iimpawu zokonakala kwamalungu angaphakathi. Oku kunokuba yingozi kumama nakumntwana. |
| Isifo Seswekile Sokukhulelwa | Imeko yesifo seswekile esenzeka ngexesha lokukhulelwa kuphela. Oku kubangela ukunyuka kwamanqanaba eswekile egazini. |
| I-Placenta Previa | I-placenta igubungela inxalenye okanye ngokupheleleyo ukuvulwa kwesibeleko (isibeleko). Oku kunokubangela ukopha kakhulu ngexesha lokukhulelwa kunye nokuzala. |
| Utyando lwe-Caesarean (C-Section) | Oomama abakhulelweyo emva kweminyaka engama-40 banamathuba amaninzi okuba babeleke ngotyando kunokuba bebeleke ngendlela eqhelekileyo. |
| Iingozi ezinokubakho kumntwana | Umngcipheko wokuba nomntwana onobunzima obuphezulu bokuzalwa (i-macrosomia) kunye nokukhubazeka kwe-chromosome efana ne -Down Syndrome uyanda ngokukhula. (Umzekelo, umngcipheko uyanda ukusuka kwintsana enye kwi-1,480 eneminyaka engama-20 ukuya kwintsana enye kwi-85 eneminyaka engama-40.) |
Kodwa ayizizo ngaphandle kweenzuzo zayo!
Akulunganga ukujonga icala elibi layo yonke into kuphela. Kukwakho neenzuzo zokuba ngumama ofika emva kwexesha.
- Uzinzo lomsebenzi kunye nemali: Kule minyaka, kusenokwenzeka ukuba uzinze emsebenzini wakho kwaye uqine ngokwezimali. Ngenxa yoko, ukulungele kakuhle ukwabela ixesha kunye nemali yomntwana.
- Ukukhula kwengqondo: Njengoko ukhula, usenokuba ukulungele ngakumbi ukuthwala uxanduva lomntwana ngenxa yamava obomi owafumanayo.
- Iziphumo zemfundo ezingcono: Ezinye izifundo zibonise ukuba abantwana boomama abanabantwana kamva bafumana iziphumo zemfundo ephakamileyo.
Ngoko ke ulungiselela njani olu hambo?
Ukuba ucinga ngokuba nomntwana emva kweminyaka engama-40, kubaluleke kakhulu ukucwangcisa kwangaphambili.
Into yokuqala neyona ibalulekileyo ekufuneka uyenze, ngaphambi kokuba ucinge ngokuba nomntwana, kukubona ugqirha wosapho lwakho uze uthethe naye ngaloo nto. Angakuhlola impilo yakho aze akunike iingcebiso ezifunekayo.
Ukongeza, qaphela ezi zinto:
1. Indlela yokuphila enempilo: Yeka ngokupheleleyo ukusebenzisa utywala, icuba, nezinye iziyobisi. Yitya ukutya okunesondlo.
2. Iivithamini zangaphambi kokuzalwa: Qala ukuthatha iivithamini ezine-`(i-Folic Acid)` ngokwengcebiso kagqirha wakho. Ezi zinceda ukuthintela iingxaki ezithile kwinkqubo yemithambo-luvo yomntwana.
3. Funa ingcebiso kagqirha: Thetha ngokukhululekileyo nogqirha wakho malunga nobunzima bakho, ukutya okutyayo, kunye nezinye iingxaki zempilo.
4. Qaphela iindlela zanamhlanje: Ukuba unengxaki yokukhulelwa ngokwendalo, ugqirha wakho unokucebisa unyango lwanamhlanje.
- Ukuchumisa kwiVitro (IVF): Okukwaziwa ngokuba yi "in vitro fertilization," le yindlela apho amaqanda kunye nesidoda zichumiswa kwilebhu kwaye i-embryo ifakwa kwisibeleko.
- Ukugcinwa kwe-Oocyte Cryopreservation: Oku kukugcinwa kwamaqanda eqandisiwe. Ungawafumana amaqanda akho usemncinci, uwagcine efrijini, kwaye uwasebenzise kamva kwi-IVF xa kufuneka.
Thetha nogqirha wakho ngezi ndlela uze ufumane ukuqonda okungcono.
Umyalezo Wokuya Ekhaya
- Ukuba ngumama emva kweminyaka engama-40 kuyinto eqhelekileyo kule mihla. Akwenzeki, kodwa kunokuba nzima ngakumbi kunaxa uselula.
- Umngcipheko wokuphuphuma kwesisu kunye neengozi zempilo kumntwana nakumama ziyanda kancinci njengoko iminyaka ikhula. Kubalulekile ukuqaphela oku, ungoyiki.
- Inyathelo elibalulekileyo ekufuneka ulithathe kukubona ugqirha kwaye ufumane iingcebiso ngaphambi kokuba ukhulelwe ngaphambi kokuba ucinge ngokuba nomntwana.
- Kubaluleke kakhulu ukulandela indlela yokuphila enempilo kunye nokulandela iingcebiso ezinikwe ngugqirha wakho.
- Ukuba unengxaki yokukhulelwa ngokwendalo, thetha nogqirha wakho ngeendlela zonyango zanamhlanje ezifana ne-IVF.
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