Ingabe uneminyaka engaphezu kwengu-35? Uma ucabanga ngokuba ngumama, yazi lezi zinto! (Iminyaka Yokubeletha Ethuthukile)

Abantu abaningi kulezi zinsuku bacabanga ngokuqala umndeni nokuba nomntwana kuphela lapho sebekhulile kancane, akunjalo? Mhlawumbe ungomunye wabo. Ikakhulukazi uma uneminyaka engaphezu kwengu-35 futhi unethemba lokuba ngumama, le ndaba izoba yinto ebaluleke kakhulu kuwe. Ngoba sidinga ukuqaphela kancane ngezinye zezinto ezihambisana nokukhulelwa kule minyaka. Kodwa ungakhathazeki, sizoxoxa ngakho konke kalula.

Kuyini Ubudala Bokubeletha Obuthuthukisiwe (ukuba ngumama ngemva kweminyaka engu-35)?

Kalula nje, igama elithi "ubudala bomama obuthuthukisiwe" liyigama lezokwelapha elisetshenziswa ukuchaza lapho uneminyaka engu-35 noma ngaphezulu futhi ukhulelwe. Lalivame ukubizwa ngokuthi "ukukhulelwa kwabantu abadala," kodwa lelo gama alisasetshenziswa ngoba libhekwa njengegama labantu abadala. Igama elithi "ubudala bomama obuthuthukisiwe" manje selisetshenziswa kakhulu.

Cabanga ngakho njengelebula odokotela abalisebenzisayo ukukutshela ukuthi "kudingeka uqaphele kakhudlwana." Isizathu salokhu ukuthi kunengozi enkulu kancane yezinkinga uma ukhulelwa ngemva kweminyaka engu-35. Kodwa lokho akusho ukuthi uzoba nenkinga nakanjani. Omama abaningi banezingane ezinempilo ngemva kweminyaka engu-35. Into ebaluleke kakhulu ukuya njalo ekuhlolweni kwakho kokubeletha futhi wenze ukuhlolwa ngendlela efanele. Ngemuva kwalokho, uma kunenkinga, ingatholakala futhi yelashwe ngokushesha.

Yiziphi izingozi zokuba nomntwana ngemva kweminyaka engu-35?

Njengoba ngishilo ngaphambili, iningi labesifazane lizala izingane ezinempilo ngaphandle kwezinkinga ngemva kweminyaka engama-35. Kodwa-ke, kunezinkinga ezithile kanye nezimo zempilo eziphakeme kancane. Ake sibheke ukuthi ziyini:

• Umfutho wegazi ophezulu: Umfutho wegazi wakho ungase ukhuphuke ngesikhathi sokukhulelwa.
• I-Preeclampsia: Lesi yisimo esibi lapho umfutho wegazi ukhuphuka khona ngokuzumayo ngesikhathi sokukhulelwa futhi ungathinta ezinye izitho zomzimba, njengezinso.
• Isifo sikashukela sokukhulelwa: Isifo sikashukela esikhula ngesikhathi sokukhulelwa kuphela, noma ngabe awuzange ube nesifo sikashukela ngaphambili.
• Ukukhulelwa okuningi: Kunethuba elikhulu lokuzala amawele noma amawele amathathu kunokuba kube nomntwana oyedwa nje.
• Ukuzalwa ngaphambi kwesikhathi noma ukuzalwa kwesisindo esiphansi: Ingane ingazalwa amasonto ambalwa ngaphambi kosuku lokuzalwa noma ingaba nesisindo esiphansi sokuzalwa.
• Umntwana omkhulu: Ngezinye izikhathi isisindo somntwana singase sibe ngaphezu kwesilinganiso.
• Ukuba nengane ene-Down syndrome noma ezinye izifo zofuzo: Ingane inamathuba amancane okuba nezinkinga ezithile zofuzo.
• Ukuphuphuma kwesisu noma ukuzalwa kwengane ifile: Ingozi yokuphuphuma kwesisu noma ukuzalwa kwengane ifile incane noma iphezulu.
• Ukubeletha ngokuhlinzwa kwe-C: Ingozi yokuthola umntwana ngokuhlinzwa kwe-C iphakeme kunokubeletha okuvamile.

Khumbula, lezi yizingozi nje . Impilo yakho iyonke, ukunakekelwa kokubeletha okutholayo, kanye nendlela yakho yokuphila yizona zinto ezinquma ngempela ukuthi ukukhulelwa kwakho kuzohamba kanjani.

Kungani izinkinga zanda uma ukhulelwa ngemva kweminyaka engu-35?

Kunezizathu ezimbili eziyinhloko zalokhu.

1. Ikhwalithi yamaqanda akho: Cabanga ngakho, lapho sisebancane, amaqanda ethu 'amasha' kakhulu futhi anempilo. Kodwa njengoba sikhula, njenganoma yini esiyisebenzisayo, ikhwalithi yala maqanda nayo iqala ukwehla kancane. Yilokhu esikubiza ngokuthi 'ukwehla kwekhwalithi yamaqanda' . Ngemuva kwalokho, izingane ezizalwa ngamaqanda 'amadala' anjalo ngezinye izikhathi zinamathuba amancane okuba nokukhubazeka kwe-chromosome , isibonelo, i-Down syndrome. Okuningi kwalokhu kukhubazeka kwe-chromosome kutholwa ngokuhlolwa kokukhulelwa ku-trimester yokuqala.

2. Izimo zezokwelapha ezingamahlalakhona: Futhi, njengoba sikhula, sinamathuba amaningi okuthola izimo zezokwelapha ezingamahlalakhona ezifana nesifo sikashukela kanye nomfutho wegazi ophakeme. Lezi zimo zingathinta ukukhulelwa. Isibonelo, owesifazane oneminyaka engu-38 ubudala unamathuba amaningi okuba nomfutho wegazi ophakeme kunowesifazane oneminyaka engu-28 ubudala, noma engakhulelwe. Lezi zimo ezingamahlalakhona zingathinta ukukhulelwa kanye nokubeletha.

Lezi zinkinga zivame ukubonakala ngemva kweminyaka engama-40.

Yiziphi izivivinyo ezinconywayo zokukhula komama?

Odokotela bavame ukuncoma ukuhlolwa kofuzo ngaphambi kokubeletha kwabesifazane abakhulelwe ngemva kweminyaka engu-35. Lokhu kuhlolwa kungasiza ekunqumeni ukuthi ingane isengozini enkulu yini yokuthola izimo ezithile zofuzo noma ze-chromosome ezikhona lapho izalwa.

Ukuhlolwa okuningi kusebenzisa isampula yegazi, i-ultrasound scan, noma kokubili. Ukuhlolwa kwegazi kubheka izinto ezithile egazini lakho ukuze kubonakale ukuthi unesifo sofuzo yini. Ukuhlolwa kwe-ultrasound kubheka izilinganiso ezifana ne -nuchal translucency . Lokhu kwenzelwa ukuhlola i-Down syndrome noma ezinye izimo ze-chromosome.

Into ebalulekile ukuthi lezi zivivinyo zokuhlola kuphela. Okusho ukuthi, zifuna kuphela *amathuba* okuba nesifo sofuzo.

Uma lokhu kuhlolwa kokuhlolwa kubonisa noma yikuphi ukukhubazeka, udokotela wakho uzoyala ukuhlolwa okuqondile kokuxilonga . Lokhu kufaka phakathi:

• Ukuhlolwa kwe-Chorionic villus (CVS): Kulolu vivinyo, udokotela uthatha isampula encane yamaseli avela ku-placenta . Lawa maseli ngokuvamile aqukethe ulwazi lwezakhi zofuzo lomntwana.
• I-Amniocentesis: Kulolu vivinyo, udokotela ufaka inaliti esiswini sakho bese esusa isampula yoketshezi olusesibelethweni sakho (i-amniotic fluid) . Lolu ketshezi lungasetshenziswa futhi ukuthola izimo ezithile zofuzo.

Ngaphezu kwalokho, odokotela bangase batuse ukuthi omama abakhulelwe abangaphezu kweminyaka engu-35 ubudala bahlolwe njalo nge-ultrasound, bahlolwe kusenesikhathi isifo sikashukela sokukhulelwa, noma bahlolwe njalo nge-preeclampsia.

Indlela yokwelapha ukukhulelwa ngemva kweminyaka engu-35?

Ngokuvamile, odokotela abakuphathi ngendlela ehlukile ngenxa yobudala bakho. Kodwa-ke, uma ukuhlolwa kofuzo kubonisa ukuthi ingane yakho ingase ibe nesifo sokuzalwa, noma uma uba nesifo esifana nesifo sikashukela sokukhulelwa, udokotela wakho uzothatha izinyathelo zokukuvikela. Ungathunyelwa kuchwepheshe wezokwelapha umama nomntwana . Noma, kungadingeka ukuthi ubonane nodokotela wakho wokubelethisa njalo ukuze ahlole ukukhula kwengane yakho kanye nenhlalakahle yayo.

Ngokuthuthuka kwezokwelapha kanye nobuchwepheshe, ukukhulelwa okuningi ngemva kweminyaka engu-35 kunempilo futhi kuphumela ezinganeni ezinempilo.

Ngingayinciphisa yini ingozi yami yezinkinga zokukhulelwa uma ngingaphezu kweminyaka engama-35?

Yebo, impela! Uma uneminyaka engaphezu kwengu-35 futhi ukhulelwe (noma uhlela ukukhulelwa), kunezinto ezimbalwa ongazenza njengamanje ukuze unciphise ingozi yakho yezinkinga zokukhulelwa:

• Qiniseka ukuthi zonke izinkonzo zakho zokuvimbela , njengokugoma, zenziwa ngesikhathi.
• Uma unezinye izimo zezokwelapha ezikhona , zigcine zilawulwa kahle.
• Thatha i -vitamin yokukhulelwa njalo.
• Yenza okungenani imizuzu engama-30 yokuzilolonga umzimba cishe izinsuku eziningi zesonto.
• Uma ubhema futhi/noma usebenzisa imikhiqizo kagwayi, yeka.
• Yeka ukuphuza utshwala ngokuphelele.
• Yidla ukudla okunempilo okucebile ngezithelo, imifino, inyama engenamafutha kanye nokusanhlamvu okuphelele.
• Zama ukuhlala usesigabeni sesisindo esinempilo ngesikhathi sokukhulelwa.

Ziyini amathuba okuphuphuma kwesisu ngemva kweminyaka engu-35?

Lokhu kungase kuzwakale kusabisa kancane, kodwa amathuba okuba nomntwana onempilo empeleni aphezulu kakhulu kunamathuba okuphuphuma kwesisu. Kodwa-ke, ingozi yokuphuphuma kwesisu iyanda kancane njengoba ukhula:

• Phakathi kweminyaka engama-20 nengama-30 ubudala: amathuba angu-9% kuya ku-17% (lokho cishe abantu abayi-9 kuya ku-17 kwabayi-100)
• Lapho uneminyaka engu-35: amathuba angu-20% (lokho kusho umuntu oyedwa kwabahlanu)
• Lapho uneminyaka engu-40: amathuba angu-40% (lokho kungabantu abane kwabayi-10)
• Lapho uneminyaka engu-45: amathuba angu-80% (lokho kungabantu abangu-8 kwabayi-10)

Iseluleko esingcono kakhulu salokhu sivela kudokotela wakho wezifo zabesifazane kanye nodokotela wezifo zabesifazane. Khuluma naye ngalezi zingozi.

Ingabe zikhona izinzuzo zokuba nomntwana ngemva kweminyaka engu-35?

Yebo, kunjalo! Ukuqala umndeni kuyisinqumo somuntu siqu. Abantu abaningi banquma ukuba nezingane kamuva ekuphileni. Enye yezinzuzo zokwenza kanjalo ukuthi banolwazi oluningi empilweni kanye nokuzinza ngokwezimali. Abantu abaningi bashada sekwephuzile kunakuqala. Ngenxa yalokho, bahlehlisa ukuqala umndeni, noma bawukhulise. Ezweni elifana ne-United States, cishe abesifazane abangama-20% manje bathola ingane yabo yokuqala ngemva kweminyaka engama-35.

Ingakanani iminyaka ephezulu owesifazane angakhulelwa ngayo ngokwemvelo?

Akukho minyaka ethile yalokhu. Ukukhulelwa okunempilo akuxhomekile eminyakeni yakho kuphela, kodwa nasempilweni yakho iyonke .

Kodwa-ke, ochwepheshe bayazi ukuthi amathuba akho okukhulelwa ayancipha njengoba ukhula. Isibonelo, lapho uneminyaka engu-40, amathuba akho okukhulelwa ngokwemvelo angaba ngu-10% ngomjikelezo wokuya esikhathini. Kodwa uma useminyakeni yakho yokuqala yama-30, lawo mathuba angaba ngu-25%.

Into ebaluleke kakhulu okufanele uyikhumbule! (Umyalezo Wokuya Ekhaya)

Ukukhulelwa okuningi ngemva kweminyaka engu-35 kunempilo futhi kuyaphumelela. Kodwa-ke, kuhle ukuqaphela izinkinga ezingase zihambisane nokuba ngumama okhulelwe sekwephuzile. Khuluma nodokotela wakho mayelana nokuthi yiziphi izivivinyo zofuzo azincomayo nokuthi yini ongayenza ukuze uhlale uphilile.

Esikhathini esiningi, ubudala buyinombolo nje uma kukhulunywa ngokukhulelwa. Uma unempilo enhle, uphatha izimo zakho zezokwelapha, futhi ulalele udokotela wakho, kungenzeka kakhulu ukuthi ube nomntwana onempilo. Ngakho-ke, ungakhathazeki, futhi ujabulele lolu hambo.

Ukukhulelwa okudala, izingozi zokukhulelwa, ukuhlolwa kofuzo, ukukhulelwa okunempilo, ukunakekelwa kwangaphambi kokubeletha, ukuzala, ukuphuphuma kwesisu