Zomwe Muyenera Kudziwa Pakukhala ndi Mwana pa 40

Zamkati

• Phindu lake ndi chiyani?
• Kodi kutenga mimba kuli pachiwopsezo chachikulu cha 40?
• Kodi zaka zimakhudza bwanji chonde?
• Momwe mungapangire pakati pa 40
• Mimba ikhala bwanji?
• Kodi zaka zimakhudza bwanji ntchito ndi kubereka?
• Kodi pali chiopsezo chowonjezeka cha mapasa kapena kuchulukitsa?
• Zina zofunikira
• Tengera kwina

Kukhala ndi mwana atakwanitsa zaka 40 kwakhala chinthu chofala kwambiri. M'malo mwake, Centers for Disease Control and Preventiom (CDC) (CDC) ikufotokoza kuti milanduyi yawonjezeka kuyambira zaka za m'ma 1970, pomwe chiwerengero cha azimayi oyamba kubadwa pakati pa azimayi azaka 40 mpaka 44 kupitilira kawiri pakati pa 1990 ndi 2012.Mathews TJ, et al. (2014). Kubadwa koyamba kwa akazi achikulire kukupitilizabe kukula.

Pomwe azimayi nthawi zambiri amauzidwa kuti ndibwino kukhala ndi ana asanakwanitse zaka 35, zomwe zimafotokozedwazi zikusonyeza kuti sizikhala choncho.

Pali zifukwa zambiri zomwe amai akuyembekezera kubala ana, kuphatikizapo chithandizo chamankhwala, ntchito zoyambirira, ndikukhazikika pambuyo pake. Ngati mukufuna kudziwa momwe zimakhalira ndi kukhala ndi mwana pa 40, ganizirani za maubwino, zoopsa, ndi zina zonse zomwe muyenera kudziwa.

Phindu lake ndi chiyani?

Nthawi zina maubwino okhala ndi mwana mtsogolo amatha kupitilira omwe amakhala ndi ana mukadakwanitsa zaka 20 kapena 30.

Choyamba, mwina mudakhazikitsa kale ntchito yanu ndipo mutha kukhala ndi nthawi yambiri yolera ana. Kapenanso vuto lanu lazachuma lingakhale labwino.

Mwinanso mwakhala mukusinthana ndi ubale wanu ndipo mukufuna kukhala ndi mwana ndi mnzanuyo.

Izi ndi zina mwazabwino kwambiri zobereka mwana ali ndi zaka 40. Komabe, kafukufuku wina akuwonetsa zabwino zomwe zingakhalepo, kuphatikiza:

• kuchepetsa kuchepa kwa chidziwitsoKarim R, ndi al. (2016). Zotsatira za mbiri yakubala komanso kugwiritsa ntchito mahomoni okhalanso ozindikira pakatikati komanso mochedwa. CHITANI: 10.1111 / jgs.14658
• Kutalika kwa moyoDzuwa F, et al. (2015). Zaka zakubadwa zakubadwa pakubadwa kwa mwana womaliza komanso kutalika kwa moyo wamwamuna paphunziro la banja lalitali.
• zotsatira zabwino zamaphunziro mwa ana, monga kuchuluka kwa mayeso komanso kuchuluka kwa maphunziroBarclay K, ndi al. (2016). Zaka zakubadwa za umayi ndi zotsatira za ana: Ukalamba wobereka komanso nyengo yolimbana ndi nyengo. CHITANI: 10.1111 / j.1728-4457.2016.00105.x

Kodi kutenga mimba kuli pachiwopsezo chachikulu cha 40?

Chifukwa cha kupita patsogolo kwa ukadaulo wokhudzana ndi chonde, kutenga pathupi, ndi kubereka, ndizotheka kukhala ndi mwana mosamala ali ndi zaka 40. Komabe, kutenga mimba kulikonse pambuyo pa zaka 40 kumawerengedwa kuti kuli pachiwopsezo chachikulu. Dokotala wanu amayang'anitsitsa inu ndi mwanayo mosamala izi:

• kuthamanga kwa magazi - izi zitha kuwonjezera chiopsezo chanu chokhala ndi pakati chotchedwa preeclampsia
• matenda ashuga
• zilema zobereka, monga Down syndrome
• kupita padera
• kulemera kochepa kubadwa
• ectopic pregnancy, yomwe nthawi zina imachitika ndi in vitro feteleza (IVF)

Kodi zaka zimakhudza bwanji chonde?

Kupita patsogolo mu ukadaulo wakubala kwakhala komwe kumalimbikitsa kwambiri azimayi omwe akuyembekezera kubala ana. Zina mwazi zomwe akazi angapange ndi izi:

• chithandizo cha kusabereka, monga IVF
• mazira oundana mukadali achichepere kuti muwapeze atakula
• nkhokwe za umuna
• kuberekera

Ngakhale pazomwe mungasankhe, kuchuluka kwa chonde kwa amayi kumachepa kwambiri atakwanitsa zaka 35. Malinga ndi Office on Women's Health, gawo limodzi mwa atatu mwa mabanja omwe ali ndi zaka 35 amakumana ndi zovuta zakubereka.Kusabereka. (2018). Izi zikhoza kukhala chifukwa cha zifukwa zotsatirazi zomwe zimawonjezeka ndi zaka:

• mazira ochepa omwe atsala kuti apange manyowa
• mazira opanda thanzi
• thumba losunga mazira sangathe kumasula mazira moyenera
• chiopsezo chowonjezeka chopita padera
• mwayi wapamwamba wazikhalidwe zathanzi zomwe zitha kulepheretsa chonde

Chiwerengero cha ma cell a mazira (oocyte) nawonso chatsika kwambiri pambuyo pa zaka 35. Malinga ndi American College of Obstetricians and Gynecologists (ACOG), chiwerengerochi chimatsika kuchoka pa 25,000 ali ndi zaka 37 mpaka 1,000 ali ndi zaka 51.Kubereka kwazaka zakubadwa kumachepa. (2014). https://www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Gynecologic-Practice/Female-Age-Related-Fertility-Decline Mukamatha msinkhu, mumakhala ndi ma oocyte pakati pa 300,000 ndi 500,000.

Momwe mungapangire pakati pa 40

Zitha kutenga nthawi kuti mukhale ndi pakati, osatengera zaka. Koma ngati muli ndi zaka zopitilira 40 ndipo mwakhala mukuyesera kulephera kukhala ndi mwana mwachilengedwe kwa miyezi isanu ndi umodzi, itha kukhala nthawi yokaonana ndi katswiri wa chonde.

Katswiri wa chonde adzayesa mayeso kuti awone ngati pali zinthu zomwe zikukukhudzani kuti mukhale ndi pakati. Izi zitha kuphatikizira ma ultrasound kuti muwone chiberekero chanu ndi mazira, kapena kuyesa magazi kuti muwone malo osungira ovari.

Malinga ndi ACOG, azimayi ambiri atakwanitsa zaka 45 sangathe kutenga mimba mwachilengedwe.Kukhala ndi mwana mutakwanitsa zaka 35: Momwe ukalamba umakhudzira chonde ndi pakati. (2018). https://www.acog.org/Patients/FAQs/Having-a-Baby-After-Age-35-How-Aging-Affects-Fertility-and-Pregnancy

Ngati mukukumana ndi vuto la kusabereka, lankhulani ndi adotolo za njira zotsatirazi kuti muwone ngati akuyenera inu:

• Mankhwala osokoneza bongo. Izi zimathandiza ndi mahomoni omwe angathandize pakuyenda bwino.
• Tekinoloje yothandizira kubereka (ART). Izi zimagwira ntchito pochotsa mazira ndikuwayika feteleza mu labu musanayikenso m'chiberekero. ART itha kugwirira ntchito azimayi omwe ali ndi vuto la ovulation, ndipo itha kugwiranso ntchito kwa opatsirana. Pali kuyerekezera kopambana kwa 11 peresenti mwa azimayi azaka 41 mpaka 42.Kusabereka. (2018). Mmodzi mwa mitundu yofala kwambiri ya ART ndi IVF.
• Intrauterine insemination (IUI). Zomwe zimatchedwanso insemination yokumba, njirayi imagwira ntchito pobayira umuna m'chiberekero. IUI itha kukhala yothandiza kwambiri ngati amuna akukayikira za kusabereka.

Mimba ikhala bwanji?

Monga momwe kuwerengera kumakhala kovuta kutenga pakati pa zaka 40, kutenga pakati kumatha kukhalanso kovuta mukamakula.

Mutha kukhala ndi zowawa zambiri chifukwa chamalumikizidwe ndi mafupa omwe ayamba kutaya msinkhu ndi ukalamba. Muthanso kutenga matenda a kuthamanga kwa magazi komanso matenda ashuga. Kutopa kokhudzana ndi pakati kumatha kutchulidwa kwambiri mukamakula.

Ndikofunika kuti mulankhule ndi OB-GYN wanu pazomwe mungayembekezere mukakhala ndi pakati kutengera msinkhu wanu komanso thanzi lanu lonse.

Kodi zaka zimakhudza bwanji ntchito ndi kubereka?

Kubereka kumaliseche kumatha kuchepa atakwanitsa zaka 40. Izi zimachitika makamaka chifukwa cha chithandizo chamankhwala chomwe chitha kuonjezera chiopsezo chobadwa msanga. Mwinanso mungakhale pachiwopsezo cha preeclampsia, chomwe chingafune kuti kubereka kosaleka kupulumutsa mayi ndi mwana.

Ngati mwana wanu amabadwa kumaliseche, njirayi ikhoza kukhala yovuta mukamakula. Palinso chiopsezo chowonjezeka cha kubala mwana.

Amayi ambiri amatha kubereka ana athanzi ali ndi zaka zopitilira 40. Lankhulani ndi adotolo pazomwe mungayembekezere, ndikukhala ndi njira yobwezera. Mwachitsanzo, ngati mukukonzekera kubereka, lankhulani ndi mnzanu ndi gulu lothandizira za thandizo lomwe mungafune ngati mukufuna kubisala m'malo mwake.

Kodi pali chiopsezo chowonjezeka cha mapasa kapena kuchulukitsa?

Kukalamba mwa iko kokha sikuwonjezera chiopsezo chanu chochulukitsa. Komabe, azimayi omwe amagwiritsa ntchito mankhwala osokoneza bongo kapena IVF pakubereka ali pachiwopsezo chachikulu cha mapasa kapena kuchulukitsa.Kusabereka. (2018). Izi ndichifukwa cha momwe mankhwala amakulitsira ovulation.

Kukhala ndi mapasa kumawonjezeranso mwayi woti ana anu azikhala achichepere msanga.

Zina zofunikira

Kukhala ndi pakati mutakwanitsa zaka 40 kumatha kutenga nthawi yayitali kwa azimayi ena kuposa ena. Komabe, katswiri wanu wobereka adzafunika kugwira nanu ntchito mwachangu popeza kuchuluka kwanu kwakubala kumatsika kwambiri mzaka zanu za 40.

Ngati mukulephera kutenga pakati mwachilengedwe, mudzafunika kudziwa ngati mungayesedwe kangapo ndi njira zothandizira kubereka komanso ngati mungakwanitse kubisa mankhwalawa.

Tengera kwina

Kukhala ndi mwana pa 40 ndizofala kwambiri kuposa kale, choncho ngati mwayembekezera kukhala ndi ana mpaka pano, mudzakhala ndi anthu ambiri.

Ngakhale zovuta zimatha kutenga pakati, kukhala ndi ana azaka za 40 ndizotheka. Muyenera kukambirana ndi adotolo pazomwe mungachite pachiwopsezo musanakhale ndi banja pano.