Kulezi zinsuku, abantu abaningi bamatasa ngezinto ezifana nemfundo nomsebenzi, ngakho-ke bacabanga ngomshado nezingane sekwephuzile. Mhlawumbe nawe ungumuntu osondela eminyakeni engu-40, noma mhlawumbe ungumuntu onethemba lokuba ngumama ngemva kweminyaka engu-40. "Kungenzeka yini ukuba nomntwana kule minyaka?", "Ingabe zikhona izingozi?", "Kufanele ngenzeni?" Kunemibuzo eminingi engqondweni yakho. Ungakhathazeki, ake sixoxe ngakho konke ngokucacile nangokulula.
Kusho ukuthini ngempela ukukhulelwa uneminyaka engama-40?
Ngokwezokwelapha, ukukhulelwa ngemva kweminyaka engu-35 kubizwa ngokuthi "ubudala obuthuthukisiwe bomama." Kodwa lokho akusho ukuthi awukwazi ukuba nomntwana onempilo. Eqinisweni, izinga lokuzalwa kwabesifazane abaneminyaka engu-40-44 belilokhu likhula emhlabeni wonke kusukela ngawo-1990.
Kodwa futhi sidinga ukuqonda iqiniso. Cabanga nje, owesifazane oyedwa kwabane abanempilo abaseminyakeni yabo yama-20 nama-30 (25%) unethuba lokukhulelwa ngesikhathi somjikelezo wenyanga ojwayelekile wokuya esikhathini. Kodwa lapho eneminyaka engama-40, lelo thuba lehla liye koyedwa kwabayishumi (10%). Lokho kusho ukuthi kunzima kancane, kodwa akunakwenzeka .
Ngokufanayo, ingozi yokuphuphuma kwesisu iyanda kancane ngokweminyaka. Uma owesifazane ekhulelwa eneminyaka engu-40, ingozi yokuphuphuma kwesisu icishe ibe ngu-40%. Kodwa kumuntu oneminyaka engu-20, le ngozi ingaphansi kuka-15%. Ungakhathazeki ngalezi zibalo. Lezi zenzelwe ukuqwashisa, hhayi ukwesaba.
Kungani ukuzala kuncipha njengoba iminyaka ikhula?
Kunezizathu eziningana eziyinhloko zalokhu. Ake sibone ukuthi ziyini.
1. Ukwehla kwenani lamaqanda kanye nekhwalithi yawo
Kalula nje, njengoba ukhula, amaqanda akho nawo ayaguga. Cabanga nje, lapho kuzalwa intombazane, ifika kuleli zwe inamaqanda angaba yisigidi, inani elizolidinga impilo yayo yonke. Ngesikhathi ifika esikhathini sokuthomba, lelo nani selinciphile laya ku-300,000. Lapho ineminyaka engu-37, kusele cishe angu-25,000 kuphela. Ukunciphisa ukukhiqizwa kwamaqanda kusho ukwehla kwamandla ayo okukhulelwa.
Akukhona lokho kuphela, kodwa namaqanda amadala asele nawo anamathuba amaningi okuba nama-chromosome angavamile. Lesi yisona sizathu esiyinhloko esenza ingozi yokuphuphuma kwesisu kanye nezinkinga ezithile kumntwana ikhule ekukhulelweni okudala.
2. Ezinye izinkinga zempilo
Phakathi kweminyaka engama-25 nengama-40, abanye besifazane bangase babe nezimo ezifana ne-endometriosis kanye ne-uterine fibroids, ezingaphazamisa nokukhulelwa kwengane.
3. Isimo sesidoda somlingani
Nakuba lokhu kungaxoxwa ngakho kaningi, iminyaka yomlingani nayo ibalulekile. Njengoba amadoda ekhula, isivinini kanye nesimo sesidoda sawo kungashintsha kancane. Kodwa-ke, lolu shintsho alwenzeki ngokushesha njengoba lwenzeka ngamaqanda abesifazane. Lesi simo sivame ukuba sibi kakhulu ngemva kweminyaka engama-60.
Yiziphi izingozi zokukhulelwa ngemva kweminyaka engu-40?
Ukuqwashisa kuyindlela engcono kakhulu yokuzivikela. Ngakho-ke, masiqaphele izingozi zempilo ezingase zivele phakathi nalesi sikhathi. Lokhu akusho ukuthi lokhu kuzokwenzeka kuwo wonke umuntu, kodwa ingozi iphakeme kakhulu.
| Ingozi/Inkinga | Kuchazwe kalula |
|---|---|
| I-Preeclampsia | Ukwanda okungazelelwe komfutho wegazi ngesikhathi sokukhulelwa, okubonisa izimpawu zokulimala kwezitho zangaphakathi. Lokhu kungaba yingozi kumama kanye nengane. |
| Isifo Sikashukela Sokukhulelwa | Isimo sesifo sikashukela esenzeka ngesikhathi sokukhulelwa kuphela. Lokhu kubangela ukwenyuka kwamazinga kashukela egazini. |
| I-Placenta Previa | I-placenta imboza ingxenye noma ngokuphelele imbobo yesibeletho (isibeletho). Lokhu kungabangela ukopha ngokweqile ngesikhathi sokukhulelwa kanye nokubeletha. |
| Ukuhlinzwa Kwesibeletho (Ukuhlinzwa Kwesibeletho) | Omama abakhulelwa ngemva kweminyaka engama-40 banamathuba amaningi okubeletha ngokuhlinzwa kunokubeletha okuvamile. |
| Izingozi ezingaba khona enganeni | Ingozi yokuba nomntwana onesisindo esiphezulu (i-macrosomia) kanye nokukhubazeka kwe-chromosome njenge- Down Syndrome iyanda njengoba iminyaka ikhula. (Isibonelo, ingozi iyanda kusukela koyedwa ku-1,480 wezingane ezineminyaka engu-20 kuya koyedwa ku-85 wezingane ezineminyaka engu-40.) |
Kodwa akusikho ngaphandle kwezinzuzo zako!
Akukuhle ukubheka uhlangothi olumnyama lwazo zonke izinto kuphela. Kukhona nezinzuzo zokuba ngumama ophuzile.
- Ukuzinza emsebenzini kanye nezezimali: Kule minyaka, cishe uzozinza emsebenzini wakho futhi uqine ngokwezimali. Ngakho-ke, usesimweni esihle sokwabela isikhathi nemali yengane.
- Ukuvuthwa kwengqondo: Njengoba ukhula, ungase ulungele ngokwengqondo ukuthwala imithwalo yemfanelo yengane ngenxa yokuhlangenwe nakho kokuphila okutholayo.
- Imiphumela engcono yemfundo: Ezinye izifundo zikhombisile ukuthi izingane zomama abanezingane kamuva zithola imiphumela ephakeme yemfundo.
Ngakho-ke ulungiselela kanjani lolu hambo?
Uma ucabanga ngokuba nomntwana ngemva kweminyaka engu-40, kubaluleke kakhulu ukuhlela kusenesikhathi.
Into yokuqala nebaluleke kakhulu okufanele uyenze, ngaphambi kokuthi ucabange ngokuba nomntwana, ukubona udokotela womndeni wakho bese ukhuluma ngakho. Angahlola impilo yakho futhi akunike iseluleko esidingekayo.
Ngaphezu kwalokho, qaphela lezi zinto:
1. Indlela yokuphila enempilo: Yeka ngokuphelele ukusebenzisa utshwala, ugwayi, nezinye izidakamizwa. Yidla ukudla okulinganiselayo.
2. Amavithamini Angaphambi Kokubeletha: Qala ukuthatha amavithamini aqukethe `(i-Folic Acid)` ngokweseluleko sikadokotela wakho. Lokhu kusiza ukuvimbela ukuphazamiseka okuthile ohlelweni lwezinzwa lomntwana.
3. Funa iseluleko sezokwelapha: Khuluma nodokotela wakho ngokukhululekile ngesisindo sakho, ukudla okudlayo, kanye nanoma yiziphi ezinye izinkinga zempilo.
4. Qaphela amasu esimanje: Uma unenkinga yokukhulelwa ngokwemvelo, udokotela wakho angase akuphakamisele izindlela zokwelapha zesimanje.
- Ukuvundiswa kwe-In Vitro (IVF): Okwaziwa nangokuthi "ukuvundiswa kwe-in vitro," lena yindlela lapho amaqanda nesidoda kufakwa khona umanyolo elabhorethri bese umbungu ufakwa esibelethweni.
- Ukugcinwa Kwamaqanda Aqandayo: Lokhu kuwukuqandisa amaqanda. Ungawathola amaqanda akho usemusha, uwagcine efrijini, bese uwasebenzisa kamuva ukuze asetshenziswe nge-IVF uma kudingeka.
Khuluma nodokotela wakho ngalezi zindlela ukuze uthole ukuqonda okungcono.
Umlayezo Wokuya Nawe Ekhaya
- Ukuba ngumama ngemva kweminyaka engu-40 kuyinto evamile kulezi zinsuku. Akuyona into engenakwenzeka, kodwa kungaba nzima kakhulu kunasebuntwaneni.
- Ingozi yokuphuphuma kwesisu kanye nezingozi zempilo enganeni nakunina ziyanda kancane njengoba iminyaka ikhula. Kubalulekile ukuqaphela lokhu, ungesabi.
- Isinyathelo esibaluleke kakhulu okudingeka usithathe ukubona udokotela bese uthola ukwelulekwa ngaphambi kokukhulelwa ngaphambi kokucabanga ngokuba nomntwana.
- Kubaluleke kakhulu ukulandela indlela yokuphila enempilo nokulandela iseluleko esinikezwa udokotela wakho.
- Uma unenkinga yokukhulelwa ngokwemvelo, xoxa nodokotela wakho ngezindlela zesimanje zokwelapha njenge-IVF.
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