Ngolunye usuku ekuseni, uthisha wesikole ogama lakhe linguPriyanka wangena emtholampilo wami. Wayeneminyaka engu-38 ubudala. Lapho ngimbona, ngambona ukuthi wayenovalo kancane, kodwa futhi ejabule kakhulu futhi enethemba. Weza wahlala esihlalweni esiphambi kwami, sengathi ubambe isisu sakhe ngezandla zombili.
"Dokotela Priya," eqala kancane, "Muva nje ngithole ukuthi ngikhulelwe. Kodwa sengineminyaka engu-38 manje. Ngakho umndeni wami, omakhelwane, nezihlobo bonke bathi ukuba nezingane kule minyaka kuyinto eyingozi kakhulu ukuyenza. Ngiyesaba futhi ngikhathazekile ngempela, Dokotela. Ingabe kufanele ngesabe kangaka ngalokhu?"
Ngamomotheka ngamthulisa. "Okokuqala, ngiyakuhalalisela, Priyanka! Ungesabi ngokungadingekile. Ake sixoxe ngokukhulelwa ngemva kweminyaka engu-35 ngokwesayensi nangokulula. Khona-ke ungajabulela lolu hambo lokukhulelwa ngaphandle kokwesaba."
Kusho ukuthini ukuba ngumama uneminyaka engu-35?
Ngokwezokwelapha, ukukhulelwa uneminyaka engu-35 noma ngaphezulu kubizwa ngokuthi i-Advanced Maternal Age . Esikhathini esidlule, lokhu kwakubizwa ngokuthi "Ukukhulelwa Kwabantu Asebekhulile," kodwa lelo gama alisasetshenziswa.
Kulezi zinsuku, njengoba abesifazane bebeka phambili imfundo yabo, umsebenzi wabo kanye nokuzinza, ukuhlela ukushada nokuba nezingane ngemva kweminyaka engu-35 sekuvamile eSri Lanka nasemhlabeni wonke.
Ingabe kuyinqaba ukukhulelwa ngemva kweminyaka engu-35?
Lutho neze! Eqinisweni, abesifazane balesi sikhathi bebeletha izingane ezinempilo namuhla kunanini ngaphambili. Ngokusho kwe-US Centers for Disease Control and Prevention (CDC), izinga lokubeletha okokuqala phakathi kwabesifazane abaneminyaka engu-35-39 liphakeme ngokuphindwe kasithupha kunangeminyaka yawo-1970.
Ngisho naseSri Lanka, ngenxa yokwanda kwenani labesifazane abasebenzayo, ukuba nomntwana wokuqala noma wesibili ngemva kweminyaka engu-35 kuyinto evamile namuhla.
🚨 Amafulegi Abomvu adinga ukunakekelwa kwezokwelapha okusheshayo
Uma ukhulelwa ngemva kweminyaka engu-35, uma kuvela noma yiziphi zalezi zimpawu ezilandelayo, kufanele uye kudokotela noma esibhedlela ngokushesha ngaphandle kokulibala:
- Ukopha Kwangasese: Lokhu kungasho ukuphuphuma kwesisu noma inkinga nge-placenta ezinyangeni zokuqala zokukhulelwa.
- Ikhanda elibuhlungu kakhulu kanye nokushintsha kombono: Lezi yizimpawu eziyinhloko ze-preeclampsia, isimo esenzeka ngesikhathi sokukhulelwa.
- Ukuvuvukala okungazelelwe kwezandla, izinyawo, noma ubuso.
- Ukwehla okukhulu kokunyakaza noma ukunyakaza kombungu.
- Ubuhlungu obukhulu esiswini esingezansi noma ukuphuma koketshezi olumanzi esithweni sangasese sowesifazane ngokuzumayo.
Izingozi ezingaba khona empilweni ngokuguga
Ukuqinisekisa impilo kamama nomntwana lapho ekhulelwa ngemva kweminyaka engu-35, kubalulekile ukuqaphela izingozi ezilandelayo:
1. Ingozi ekhulayo yezinkinga zofuzo: Inani lamaqanda emizimbeni yethu liyancipha njengoba sikhula. Lokhu kusho ukuthi ingozi yokuba nomntwana onezinkinga zofuzo ze-chromosome njenge- Down Syndrome iyanda kancane kancane ngemva kweminyaka engu-35.
2. Izimo ezenzeka ngesikhathi sokukhulelwa: Njengoba umuntu ekhula, ingozi yokuthola izimo ezifana nesifo sikashukela sokukhulelwa kanye nomfutho wegazi ophakeme (i-preeclampsia) ngesikhathi sokukhulelwa iyanda.
3. Izinkinga zesibeletho: Abesifazane asebekhulile banamathuba amaningi okuba nezinkinga zesibeletho ezifana ne-fibroids noma i-endometriosis , ezingaphazamisa noma zibangele izinkinga ngesikhathi sokukhulelwa.
4. Izinkinga Ze-Placental: Izingozi ezifana nokungavuki kwe-placenta noma ukushaqeka zingase ziphakame.
Izinzuzo zokuba ngumama ngemva kweminyaka engu-35
Ngaphandle kwezingozi, kunezinye izinzuzo ezibaluleke kakhulu zokuba ngumama kule minyaka:
- Ukuzinza kwezomnotho kanye nokwezenhlalo: Lapho befika eminyakeni engama-35, abazali basuke sebesezingeni elithile lokuzinza ngokwemisebenzi noma ibhizinisi, ngakho-ke banesizinda esihle sezomnotho sokuhlinzeka ngezinsiza ezidingekayo zokwelashwa kwengane kanye nemfundo.
- Ukuvuthwa Kwengqondo: Ngenxa yokuthi banokuhlangenwe nakho okuningi empilweni kunomama abasebasha, omama abakule minyaka bangabhekana nezinselele zokukhulisa ingane ngesineke nokuhlakanipha okwengeziwe.
- Ukuhlela umndeni okuhle: Ukukhulelwa okuningi kule minyaka kuhlelwe kahle, ngakho abazali bakulungele ngokugcwele ingane.
Okumele Ukwenze Nokungafanele Ukwenze
| ✔️ Izinto okufanele uzenze (Okufanele Uzenze) | ❌ Okungafanele ukwenze |
|---|---|
| Faka izithasiselo ze-folic acid ekudleni kwakho njengoba kuqondiswe udokotela wakho ngaphambi kokukhulelwa. | Ungayeki ukuhlolwa kwangaphambi kokubeletha kanye nokuskena okunconywe udokotela wakho. |
| Yenza ukuhlolwa kofuzo ukuze kutholakale ukuthi ingane inezinkinga zofuzo yini, njengoba kuceliwe udokotela. | Yeka ngokuphelele ukubhema, ukuphuza utshwala, noma ukuthatha noma yimiphi eminye imithi yangaphandle ngaphandle kwemvume kadokotela. |
| Yidla ukudla okunempilo okucebile ngezakhamzimba ezinhle nsuku zonke futhi uhlanganyele ekuzivocavoceni okulula (isib. ukuhamba) ngemvume kadokotela. | Ungakhathazeki ngokungadingekile noma ukhathazeke ucabanga ukuthi, "Sengimdala kakhulu manje." |
❓ Eminye imibuzo ongase ube nayo (Imibuzo Ebuzwa Njalo)
Kungenzeka yini ukubeletha ngendlela evamile ngemva kweminyaka engu-35? ▼
Impela. Iningi labesifazane abangaphezu kweminyaka engama-35 liyakwazi ukubeletha ngokwemvelo. Kodwa-ke, uma kuvela izinkinga, udokotela anganquma ukwenza ukuhlinzwa (C-Section).
Ingabe kuyimpoqo ukwenza ukuhlolwa kofuzo ngesikhathi sokukhulelwa? ▼
Nakuba kungaphoqelekile, odokotela bayakuncoma kakhulu. Lokhu kuvumela abazali ukuthi babone kusenesikhathi ukuthi ingane yabo inezinkinga ze-chromosome (isib. i-Down syndrome) bese benza amalungiselelo adingekayo.
Yiluphi uhlobo oluvame kakhulu lwesifo sikashukela sokukhulelwa ngemva kweminyaka engu-35 ?
Lokhu kubizwa ngokuthi isifo sikashukela sokukhulelwa. Kwenzeka lapho amazinga ama-hormone omzimba ehla ngenxa yokumelana ne-insulin, futhi kungalawulwa ngokudla okufanele kanye neseluleko sezokwelapha.
Kungani kubalulekile ukulawula isisindo somzimba ngaphambi kokukhulelwa?
Ukugcina isisindo somzimba esinempilo (i-BMI) ngaphambi kokukhulelwa kunganciphisa ingozi yomfutho wegazi ophakeme, isifo sikashukela, kanye nezinkinga ngesikhathi sokukhulelwa.
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