Kafukufuku Akuwonetsa Theka La Akazi Sadziwa Zambiri Zokhudza Kupanga Khanda

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Ngakhale simukukonzekera kutenga pakati posachedwa, mungafune kulingalira zophunzira pang'ono za sayansi yopanga ana. Kafukufuku watsopano wasonyeza kuti chiwerengero chodabwitsa cha amayi a msinkhu wobereka akuyenerabe kudziwitsidwa za zoyambira za uchembere wabwino. Kafukufuku wofalitsidwa mu Januware 27 ya Chonde & Woberekera anapeza kuti pafupifupi 50 peresenti ya amayi a msinkhu wobereka anali asanakambitsepo za uchembere wabwino ndi chipatala ndipo pafupifupi 30 peresenti amapita kwa opereka uchembere wabwino osaposa kamodzi pachaka kapena sanakambepo.

Kafukufukuyu adachitidwa ndi ofufuza ku Yale School of Medicine ndipo kutengera kafukufuku wosadziwika pa intaneti womwe udachitika mu Marichi 2013 azimayi 1,000 azaka zapakati pa 18 ndi 40 oyimira mitundu yonse komanso madera aku US Kafukufukuyu akuphatikizanso zotsatirazi zikuluzikulu Kumvetsetsa kwa amayi za kubereka ndi mimba:

-Azimayi makumi anayi pa 100 aliwonse omwe adafunsidwa adawonetsa kuti ali ndi nkhawa ndi kuthekera kwawo kukhala ndi pakati.

-Half samadziwa kuti ma multivitamini okhala ndi folic acid amalimbikitsidwa azimayi azaka zoberekera kuti apewe kupunduka.

-Oposa 25 peresenti samadziwa za zotsatira zoyipa za matenda opatsirana pogonana, kunenepa kwambiri, kusuta, kapena kusamba kosakhazikika pa kubereka.

-Mmodzi mwa magawo asanu samadziwa za zotsatira zoyipa za ukalamba pa kupambana kwa uchembere, kuphatikizapo kuchulukitsidwa kwa padera, kusokonezeka kwa chromosomal, ndi kutalika kwa nthawi kuti akwaniritse kutenga pakati.

-Hafu ya omwe adayankha amakhulupirira kuti kugonana kangapo patsiku kumawonjezera mwayi wokhala ndi pakati.

-Akazi opitilira gawo limodzi mwa atatu amkazi amakhulupirira kuti malo ogonana ndikukweza m'chiuno kumatha kuwonjezera mwayi wokhala ndi pakati.

-Ama 10% okha azimayi adadziwa kuti kugonana kuyenera kuchitika dzira lisanafike, osati pambuyo pake, kuti athetse mwayi wokhala ndi pakati.

Pamene amayi ambiri amachedwetsa kukhala ndi pakati mpaka patapita nthawi m'moyo, ndikofunika kudziwa zenizeni mwamsanga kuti thupi lanu likhale lokonzekera kubereka mwana mukamaliza. chitani sankhani kuti mukufuna. "Kukonzekera nokha kukuthandizani kuti mukhale ndi pakati mwachangu, kukhala ndi pakati pa thanzi komanso kubereka kosavuta, komanso kumapangitsa kuti mukhale munthu wathanzi," akutero Sheryl Ross, MD, ob-gyn ku Saint John's Health Center. "Chofunika kwambiri chomwe mungachite kwa inu nokha ndi ana aliwonse amtsogolo ndikukhala athanzi tsopano"Ndiye ngati mukuganiza kuti mukufuna kukhala ndi mwana nthawi ina-kaya m'miyezi isanu ndi inayi kapena mzaka 10-akatswiri athu ali ndi malangizo ofunikira kuti akuthandizeni kuyambitsa thupi lanu la mwana.

Ngati Mukufuna Mwana...Pakali pano

Konzani kusanachitike kwa mwana wakhanda gyno. Mukakhala ndi pakati, sikuti mudzangokhala munthu wamkati mwa inu, komanso kuti muwonjeze kuchuluka kwamagazi anu, kuphukira chiwalo chowonjezera, ndikuti mahomoni anu azikwera kwambiri kuposa momwe angadzakhalire m'moyo wanu wonse . Izi zimafuna kukonzekera kwambiri, mwakuthupi komanso mwamaganizidwe. Lankhulani ndi doc yanu za mbiri yanu yazachipatala, ngati mungafune mayeso amtundu wa magazi kapena magazi musanayese kutenga pakati. Muyeneranso kulankhula za mankhwala aliwonse omwe mungakhale mukumwa, monga anti-depressants, popeza ena sali otetezeka kumwa pa nthawi ya mimba ndipo muyenera kuwasiya pang'onopang'ono.

Chotsani mapiritsi miyezi itatu kapena inayi musanayese. "Ndikofunika kwambiri kudziwa ndikumvetsetsa kusamba kwanu," akutero a Ross. Muyenera kuphunzira momwe mungadziwire mukamadwala chifukwa cha ntchofu ya m'chiberekero, kutentha kwa thupi, ndi nthawi; kutalika kwa kuzungulira kwanu; ndi momwe "wabwinobwino" amamvera ngati iwe. Amalimbikitsa pulogalamu ya Mwina Baby kuti ikuthandizireni kudziwa ziwerengero zonsezi, makamaka ngati mukugonana kuti muchepetse mwayi wokhala ndi pakati.

Pezani anzanu amayi. "Limbikitsani kulumikizana kwa azimayi ena ali ndi pakati komanso kupitirira thandizo, kulera ana, komanso kucheza," akutero a Danine Fruge, M.D., akatswiri azaumoyo azimayi komanso oyang'anira azachipatala ku Pritikin.

Pezani mwamuna wanu. Kafukufuku waposachedwapa akusonyeza kuti thanzi la mwamuna likhoza kusokoneza ubwino wa umuna wake ndipo thanzi la mwana wake. “Ayenera kudya zakudya zopatsa thanzi ndi kusiya kusuta, makamaka udzu,” akutero Ross, akumawonjezera kuti chamba chimakhudza mphamvu ya ubwamuna wa mwamuna. [Tweet izi!]

Chitani cheke chamagazi. Amayi ambiri amayamba kutenga pakati ndi matenda a insulin (pre-diabetes) kenako amatenga matenda ashuga pakubereka. Izi zitha kubweretsa zovuta pakubereka, chiopsezo chachikulu chobereka mwadzidzidzi ndi magawo a C, kugona mchipatala kwa nthawi yayitali, komanso chiopsezo chachikulu cha mwana wanu kukhala ndi matenda ashuga ngakhale matenda amtima ali mwana. Chifukwa chake ngati mayesero anu am'magazi abweranso akuwonetsa kuchuluka kwa magazi m'magazi, ngati mwapezeka kale kuti muli ndi matenda ashuga kapena matenda ashuga, kapena ngati matenda ashuga akupezeka m'banja lanu, lankhulani ndi adotolo momwe angayendetsere bwino.

Kupsyinjika kochepa. Ngati mukuyesera kutenga pakati ndipo sizichitika nthawi yomweyo, ndikosavuta kupsinjika… zomwe zingakulepheretseni kugundana. Mu kafukufuku wa 2011 wofalitsidwa mu Zolemba Za Chonde ndi Chofooka, ochita kafukufuku anapeza kuti pamene mkazi ali ndi nkhawa kwambiri, mwayi wake woyembekezera mwezi umenewo "ndiwochepa kwambiri." Koma akazi atachepetsa kupsinjika m'miyoyo yawo, kubereka kwawo kunabwereranso pamiyezo yomwe amayembekeza msinkhu wawo. "Kusabereka kwenikweni sikupezeka kawirikawiri, kumangokhudza pafupifupi 10% ya azimayi," akutero a Ross. Amayi ambiri amatenga pakati pa miyezi itatu ndi isanu ndi umodzi kuti atenge mimba. Koma ngati mwachepetsa nkhawa zanu ndipo mwakhala mukuyesera kwa miyezi isanu ndi umodzi popanda mwayi, Ross akuti muyang'ane ndi dokotala wanu.

Ngati Mukufuna Mwana...mu Zaka 5 mpaka 10 Zikubwerazi

Onjezerani chakudya chanu. Ross amalimbikitsa zakudya za ku Mediterranean kwa odwala ake chifukwa amagogomezera kwambiri za mbewu, nsomba, ndiwo zamasamba, ndi mafuta athanzi, monga mitundu yomwe imapezeka mtedza ndi maolivi, imapatsa thupi lanu zonse zofunikira kuti likhale ndi mwana wathanzi ndikusunga amayi mu mawonekedwe apamwamba. Kafukufuku wasonyeza kuti zakudya za ku Mediterranean zimachepetsa chiopsezo chanu chodwala matenda a mtima, sitiroko, ndi matenda ashuga, komanso zimalumikizana ndi moyo wautali. Kafukufuku wa 2013 adawonetsa kuti amayi omwe amadya kwambiri omega-3 fatty acids, mtundu womwe umapezeka mu nsomba, amabereka ana omwe ali ndi ma IQ apamwamba komanso chiopsezo chochepa cha kuchita masewera olimbitsa thupi.

Tengani multivitamin. Ngakhale akatswiri akuti muyenera kuyesa kupeza zakudya zanu zonse kuchokera pachakudya chopatsa thanzi, muyenera kuganizira zowonjezera zowonjezera ngati mukuyesera kutenga pakati. "Folic acid, yomwe imapezeka m'mizere ndi ndiwo zamasamba, ndi imodzi mwazinthu zofunikira kwambiri kwa azimayi pazaka zawo zobereka," atero a Alane Park, M.D., ob-gyn ku Good Samaritan Hospital ku Los Angeles. Mcherewo umatha kuteteza zopindika za neural tube ngati msana bifida pakupanga fetus. Tengani 800mcg tsiku lililonse kapena 400mcg ngati mukutsatira zakudya zaku Mediterranean, Ross akuti. Amalimbikitsanso 500mg ya mafuta a nsomba ndi 2,000mg ya vitamini D3 kwa odwala ake. Vitamini D ndi wofunikira kwa amayi ndi makanda, chifukwa amathandiza kwambiri chitetezo cha mthupi. Ndipo ngati simunatero, muyenera kusiya kusuta ndi kuchepetsa kumwa mowa kamodzi patsiku.

Samalani kwambiri ndi ABS anu. "Mphamvu zazikulu zimapangitsa thanzi kukhala ndi thanzi pothandizira kuthandizira kulemera kwa mwanayo ndikusunga malumikizidwe anu ndi mitsempha yolumikizana, kuphatikiza pamenepo imatha kuchititsanso kubereka mwachangu komanso kosavuta," akutero a Ross. Ndipo amayi omwe amayamba ndi minofu yamphamvu kwambiri amatha kuchira mofulumira kuchokera ku diastis - kulekanitsa pakati pa mimba yanu yomwe imapezeka pafupifupi 50 peresenti ya amayi omwe ali ndi pakati - zomwe zimatsogolera kumimba yosalala mofulumira pambuyo pa mwana. Chifukwa simukuyenera kugwiritsira ntchito minofu yanu mutatha trimester yanu yoyamba, ndikofunikira kuti mukhale ndi nyonga tsopano. Ross amalimbikitsa Pilates kapena yoga kamodzi kapena kawiri pa sabata. [Twitani nsonga iyi!]

Konzani cardio yanu. Mimba imayika zovuta zambiri pa ziwalo zanu zonse. Impso zanu ndi chiwindi zimayenera kusefa magazi kawiri, ndipo mapapu anu tsopano akupuma kwa awiri ngakhale akuchulukirachulukira pamene mwana akukula ndikusuntha chifanizo chanu. Koma chiwopsezo chenicheni ndi mtima wanu. "Mimba tsopano imawonedwa ngati mayeso oyamba azimayi a mtima," akutero Fruge. "Ndipo ngati atenga kuthamanga kwa magazi, cholesterol, kapena kunenepa kwambiri ali ndi pakati, ndiye kuti ali pachiwopsezo chotenga matenda amtima amtsogolo ndipo adzafunika kuwunika mtima kwa moyo wake wonse." Ross akuwonetsa kuti azichita masewera olimbitsa thupi kasanu pa sabata kwa mphindi 45 mpaka 60 nthawi imodzi, kupanga kusakaniza kwa cardio ndi mphamvu.

Sungani moyo wanu wogonana wathanzi. Ngakhale kuyezetsa magazi kwanthawi zonse kuli upangiri wabwino kwa aliyense, Ross akuti ndizofunikira kwambiri kwa amayi omwe amaganiza zokhala ndi ana. Kuphatikiza pa mayeso anu apachaka, ndikofunikira kuwona gyno nthawi iliyonse mukakhala ndi bwenzi latsopano kuti muwone matenda opatsirana pogonana omwe angayambitse kubereka kwanu kapena kupatsira mwana.

Osadikira motalika kwambiri. Azimayi ambiri amalingalira kuti adzatha kutenga mimba nthawi iliyonse yomwe akufuna. Zowona, kubereka kwa amayi kumakwera pazaka zake zoyambirira za 20 ndikuyamba kuchepa azaka pafupifupi 27. "Tikuwona azaka 46 akubereka mapasa, ndipo ndizosocheretsa pang'ono," akutero a Ross. "Muli ndi zenera la chonde lomwe limatha zaka zapakati pa 40, ndipo pambuyo pake kuperewera padera ndikoposa 50%." Fuge akuchenjeza kuti chithandizo chamankhwala sichinthu chamatsenga chomwe apangidwira, mwina: "Makamaka ngati mukuganiza kuti mungafune kukhala ndi ana opitilira m'modzi, samalani kuti mudalire chithandizo chamankhwala chifukwa ngakhale ndi amakono kwambiri mankhwala palibe chitsimikizo." Kwa amayi opitirira zaka 30, in vitro fertilization (IVF) imagwira ntchito pafupifupi 30 peresenti ya nthawiyo, ndipo ngati muli ndi zaka 40-kuphatikiza, chiwerengerocho chimatsikira pafupifupi 11 peresenti.

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