Into ekufuneka uyazi malunga nokuba nosana kwi-40

Umxholo

• Ziziphi iinzuzo?
• Ngaba ukukhulelwa ku-40 ingozi ephezulu?
• Ukudala kukuchaphazela njani ukuchuma?
• Ukhulelwa njani kwi-40
• Kuza kuba njani ukukhulelwa?
• Ubudala buchaphazela njani ukubeleka kunye nokuhanjiswa?
• Ngaba kukho umngcipheko owonyukayo wamawele okanye wokuphindaphindeka?
• Ezinye izinto eziqwalaselwayo
• Yise kude

Ukuba nosana emva kweminyaka engama-40 kuye kwaba yinto eqhelekileyo. Ngapha koko, amaZiko oLawulo lweZifo kunye noThintelo (CDC) (CDC) ucacisa ukuba inqanaba lenyukile ukusukela ngee-1970s, ngenani lokuzalwa okokuqala phakathi kwabasetyhini abaneminyaka engama-40 ukuya kwengama-44 ngaphezulu kokuphindeka kabini phakathi kuka-1990 no-2012.UMathews TJ, et al. (2014). Ukuzalwa kokuqala kwabafazi abadala kuyaqhubeka nokukhula.

Ngelixa abafazi behlala bexelelwa ukuba kungcono ukuba babe nabantwana ngaphambi kweminyaka eyi-35, idatha iphakamisa enye into.

Kukho izizathu ezininzi zokuba kutheni abantu basetyhini belinde ukuba nabantwana, kubandakanya unyango lokuchuma, amakhondo omsebenzi kwangoko, kunye nokuzinza kamva ebomini. Ukuba unomdla malunga nokuba kunjani ukuba nosana kwi-40, cinga lonke uluhlu lwezibonelelo, umngcipheko, kunye nezinye iinyani ekufuneka uzazile.

Ziziphi iinzuzo?

Ngamanye amaxesha izibonelelo zokuba nomntwana kamva ebomini zinokugqwesa ezo zokuba nabantwana xa ukwiminyaka yama-20 okanye engama-30.

Kokunye, usenokuba sele uwusungulile umsebenzi wakho kwaye unokuchitha ixesha elininzi ukhulisa abantwana. Okanye imeko yakho yezemali inokuba ngcono.

Usenokuba notshintsho kwimeko yakho yobudlelwane kwaye ufuna ukuba nosana kunye neqabane lakho.

Ezi zezinye zeenzuzo eziqhelekileyo zokuba nomntwana xa uneminyaka engama-40. Nangona kunjalo, olunye uphando lubonisa ezinye izibonelelo ezinokubakho, kubandakanya:

• ukunciphisa ukuncipha kwengqondoUKarim R, et al. (2016). Iziphumo zembali yokuzala kunye nokusetyenziswa kwehomoni engaphandle ekusebenzeni kwengqondo phakathi kunye nasemva kwexesha lobomi. INGXELO: 10.1111 / jgs.14658
• ubomi obudeIlanga F, et al. (2015). Ukongezwa kweminyaka yoomama ekuzalweni komntwana wokugqibela kunye nexesha elide labasetyhini kwisifundo sobomi obude bentsapho.
• iziphumo ezingcono zemfundo ebantwaneni, ezinje ngamanqaku aphezulu ovavanyo kunye namazinga okuphumelelaIBarclay K, et al. (2016). Iminyaka yobudala boomama kunye neziphumo zenzala: Ukuguga nokuzala kunye nexesha lokuthelekisa. INGXELO: 10.1111 / j.1728-4457.2016.00105.x

Ngaba ukukhulelwa ku-40 ingozi ephezulu?

Ngenxa yenkqubela phambili kwitekhnoloji ejikeleze ukuchuma, ukukhulelwa, kunye nokuhanjiswa, kunokwenzeka ukuba ngokukhuselekileyo ube nosana kwiminyaka engama-40. Nangona kunjalo, nakuphi na ukukhulelwa emva kweminyaka engama-40 kuthathwa njengomngcipheko omkhulu. Ugqirha wakho uya kukujonga kunye nomntwana ngokusondeleyo kwezi zinto zilandelayo:

• uxinzelelo lwegazi oluphezulu- oku kunokwandisa umngcipheko wokukhulelwa okubizwa ngokuba yi-preeclampsia
• isifo seswekile
• iziphene zokuzalwa, ezinjenge-Down syndrome
• ukuphuma kwesisu
• ubunzima bokuzalwa obuphantsi
• ukukhulelwa kwe-ectopic, ngamanye amaxesha eyenzeka nge-vitro fertilization (IVF)

Ukudala kukuchaphazela njani ukuchuma?

Inkqubela phambili kwitekhnoloji yokuzala ibingunobangela wokunyuka kwabasetyhini abalinde ukuba nabantwana. Olunye ukhetho olufumanekayo kwabasetyhini lubandakanya:

• Unyango lokuchuma ukungachumi, njenge-IVF
• ukuqanda amaqanda xa umncinci ukuze ufumaneke xa umdala
• isidoda iibhanki
• ukuzimela

Nokuba zonke ezi zikhetho ziyafumaneka, inqanaba lokuchuma komfazi lincipha kakhulu emva kweminyaka engama-35. NgokweOfisi yezeMpilo yabaseTyhini, isinye kwisithathu sezibini emva kweminyaka engama-35 zinamava okuzala.Ukungachumi. (2018). Oku kunokubalelwa kwezi zinto zilandelayo zomngcipheko owonyukayo ngokobudala:

• ambalwa amaqanda ashiye ukuchumisa
• amaqanda angenampilo
• ii-ovari azikwazi ukukhupha amaqanda ngokufanelekileyo
• ukwanda komngcipheko wokuphuma kwesisu
• amathuba aphezulu eemeko zempilo ezinokuthintela ukuchuma

Inani leeseli zamaqanda (ii-oocyte) nawe uye wehla kakhulu emva kweminyaka engama-35. Ngokwe-American College of Obstetricians kunye neGynecologists (ACOG), inani liyehla ukusuka kuma-25,000 kubudala beminyaka engama-37 ukuya kuma-1 000 xa uneminyaka engama-51.Ukwehla kokuzala okuhambelana nobudala babasetyhini. (2014). https://www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Gynecologic-Practice/Female-Age-Related-Fertility-Decline Ngexesha lokufikisa, unee-oocyte eziphakathi kwama-300,000 kunye nama-500,000.

Ukhulelwa njani kwi-40

Kungathatha ixesha ukukhulelwa, nokuba ungakanani na. Kodwa ukuba ungaphezulu kweminyaka engama-40 kwaye uzama ukungaphumeleli ukuba nosana ngokwendalo iinyanga ezintandathu, isenokuba lixesha lokuba ubone ingcali yenzala.

Ingcali yenzala iya kuqhuba iimvavanyo ukubona ukuba ngaba zikhona na izinto ezichaphazela amandla akho okukhulelwa. Oku kunokubandakanya ii-ultrasound ukujonga isibeleko sakho kunye namaqanda, okanye kuvavanyo lwegazi ukujonga indawo yakho yokugcina i-ovari.

Ngokuka-ACOG, uninzi lwabasetyhini emva kweminyaka eyi-45 abanakukhulelwa ngokwendalo.Ukuba nomntwana emva kweminyaka engama-35: Ukuguga kukuchaphazela njani ukuchuma kunye nokukhulelwa. (2018). https://www.acog.org/Patients/FAQs/Having-a-Baby-After-Age-35-How-Aging-Affects-Fertility-and-Pregnancy

Ukuba ufumana ukungachumi, thetha nogqirha wakho ngezi ndlela zilandelayo zokunceda ubone ukuba ikulungele na:

• Iziyobisi zokuchuma. Olu ncedo ngamahomoni anokunceda ngokuphumelela kwe-ovulation.
• Uncediso lwetekhnoloji yokuzala (ART). Oku kusebenza ngokususa amaqanda kunye nokufaka isichumiso kwilebhu ngaphambi kokuwafaka kwakhona esibelekweni. I-ART inokusebenzela abantu ababhinqileyo abanemicimbi ye-ovulation, kwaye inokuthi isebenze nakwi-surrogate. Kuqikelelwa ukuba iipesenti ezili-11 zempumelelo kwabafazi abaneminyaka engama-41 ukuya kuma-42.Ukungachumi. (2018). Olunye lweentlobo eziqhelekileyo ze-ART yi-IVF.
• Ukufakwa ngaphakathi kwi-intrauterine (IUI). Ikwabizwa ngokuba kukusasaza okwenziweyo, le nkqubo isebenza ngokujova isidoda esibelekweni. IUI inokuba luncedo ngakumbi ukuba umntu uyacingelwa ukungachumi.

Kuza kuba njani ukukhulelwa?

Kanye njengoko kunzima ngokwezibalo ukukhulelwa emva kweminyaka engama-40, ukukhulelwa nako kunokuba ngumceli mngeni njengoko uneminyaka yobudala.

Unokuba neentlungu ezininzi kunye neentlungu ngenxa yamalungu kunye namathambo asele eqala ukuphulukana nobunzima kunye nobudala. Unokuba sesichengeni sokufumana uxinzelelo lwegazi kunye nesifo seswekile. Ukukhathala okunxulumene nokukhulelwa kunokubhengezwa ngakumbi njengoko ukhula, nawe.

Kubalulekile ukuba uthethe ne-OB-GYN yakho malunga nenye into onokuyilindela ngexesha lokukhulelwa kwakho ngokusekwe kubudala bakho nakwimpilo yakho iyonke.

Ubudala buchaphazela njani ukubeleka kunye nokuhanjiswa?

Ukuhanjiswa kwelungu lobufazi kunokuba kuncinci emva kweminyaka engama-40. Oku ikakhulu kungenxa yonyango lokuchuma olunokunyusa umngcipheko wokuzalwa ngaphambi kwexesha. Unokuba semngciphekweni owandayo we-preeclampsia, enokuthi inyanzele ukuhanjiswa kwe-cesarean ukusindisa bobabini umama nosana.

Ukuba umntwana wakho uhanjiswa ngesondo, le nkqubo inokuba ngumceli mngeni omkhulu njengoko ukhula. Kukho umngcipheko okhulayo wokuzalwa kwakhona.

Abasetyhini abaninzi bazisa ngempumelelo iintsana ezisempilweni ngaphezulu okanye ngaphezulu kweminyaka engama-40. Thetha nogqirha wakho malunga nento onokuyilindela, uze necebo lokulondoloza. Umzekelo, ukuba ucwangcisa ukuhanjiswa kwesini, thetha neqabane lakho kunye neqela lenkxaso malunga noluphi uncedo oluya kuludinga ukuba ufuna ukuhanjiswa kwe-cesarean endaweni yoko.

Ngaba kukho umngcipheko owonyukayo wamawele okanye wokuphindaphindeka?

Ubudala ngokwabo abunyusi umngcipheko wokuphindaphindeka. Nangona kunjalo, abasetyhini abasebenzisa iziyobisi zokuchuma okanye i-IVF ukukhulelwa basemngciphekweni omkhulu wamawele okanye wokuphindaphinda.Ukungachumi. (2018). Kungenxa yendlela amayeza anyusa ngayo i-ovulation.

Ukuba namawele kwandisa umngcipheko wokuba iintsana zakho ziya kuba ngaphambi kwexesha.

Ezinye izinto eziqwalaselwayo

Ukukhulelwa emva kweminyaka engama-40 kungathatha ixesha elide kubafazi abathile kunabanye. Okwangoku, ingcali yakho yokuzala kuya kufuneka isebenze nawe ngokukhawuleza kuba inqanaba lokuchuma lakho lehla kakhulu kwi-40s yakho.

Ukuba awukwazi ukukhulelwa ngokwendalo, uyakufuna ukuthathela ingqalelo ukuba ngaba ulungele ukuzama okuninzi ngeendlela zonyango kunye nokuba unendlela yokugubungela unyango.

Yise kude

Ukuba nosana kwi-40 kuqheleke kakhulu kunakuqala, ke ukuba ulinde ukuba nabantwana kude kube ngoku, uya kuba nenkampani eninzi.

Ngaphandle kwemiceli mngeni onokuyithatha ukukhulelwa, ukuba nabantwana kwi-40 yakho ngokuqinisekileyo kunokwenzeka. Uya kufuna ukuthetha nodokotela wakho malunga nayo yonke imingcipheko yakho ngaphambi kokuba uqale usapho kweli nqanaba lobomi bakho.