Ukuthi Izimo Zakho Zangempela Zokukhulelwa Zenzani Nengabe Ungenakukwazi Ukuzibona
Ukukhulelwa emva kweminyaka engu-35 kungase kube nzima nakakhulu kuneminyaka engu-25 ... kodwa akunakwenzeka . Ungase ucabange okungenani abangane abambalwa abakhulelwe ngemuva kweminyaka engu-35, noma ngemuva kokungu-40 .
Kodwa-ke, uma ufuna ukuqonda ukuthi kungani ukukhulelwa emva kweminyaka engu-35 kunzima kakhulu, funda ngezinkinga ezihlukahlukene zokukhulelwa emva kweminyaka engu-35, futhi uthole ukuthi iziphi izingqinamba zakho zangempela ekukhulelweni- ukugcina ukufunda!
Ukuzala kanye nobudala
Akungabazeki ukuthi ubonile izici eziningi ezibhekene nabesifazane abalinde kuze kube ngemva kweminyaka engu-35 ukuba nabantwana futhi babe nenkinga yokukhulelwa.
Into yokuqala yokwazi ukuthi abesifazane (nabesilisa) babo bonke ubudala bangabhekana nokuphelelwa amandla. Imibhangqwana engama-20 yawo ingaba yinto engenasiphelo njengamabhangqwana asekuqaleni kwawo-40. Ubudala buyinto eyodwa kuphela yokuzala.
Ake sicabange ukuthi ukuzala komfazi kuhle. Ukuthi okuwukuphela kwento okumelwe ukhathazeke ngayo yile minyaka yakhe.
Ukuzala kubangelwa abesifazane abaningi ema-20s. Ukunciphisa kancane kancane kodwa okuphawulekayo kuqala cishe kuneminyaka engama-32. Yebo, izimpikiswano zakho zokukhulelwa ezingama-33 azifani kangako njengoba zazingu-28. Lapho useneminyaka engama-37 ubudala, ukuzala kuqala ukwehla ngesivinini esikhulu kakhulu.
Ngokwesibonelo, olunye ucwaningo luye lwathola ukuthi kunoma iyiphi inyanga yakho amathuba okukhulelwa eneminyaka engu-30 angamaphesenti angaba ngu-20. Qhathanisa lokho ezinkingeni zakho ezineminyaka engu-40 : ama-5% kuphela.
Ungakudibanisi lokhu ngezinkinga zakho zokuthola konke okukhulelwe.
Lesi yisibalo senyanga , hhayi ngonyaka.
Futhi, izifundo eziningi zilwabalazela ukuhlukanisa ukuthi ukukhulelwa kunciphisa ngenxa yokuzala noma ngenxa yamabhangqwana anezocansi ezingavamile.
Ucwaningo oluthile lwamabhangqwana angu-782 lubhekene nezinkinga zokukhulelwa ngokususelwa ngosuku lokulala ngokocansi ngaphambi kokuvuthwa. Labesifazane basebenzise ukushisa komzimba we-base baseshayo ukulandelela ukuvota.
Kwabesifazane ababili abancane nabancane, izinsuku ezimbili ngaphambi kokuvuthwa kwaba usuku lwabo oluvundile kakhulu .
Kwabesifazane abaneminyaka engu-19 kuya ku-26, ubulili ekuvuneni kwabo kunamathuba angu-50 okuholela ekukhulelweni.
Kwabesifazane abaneminyaka yobudala engama-35 kuya ku-39, izinkinga zazingamaphesenti angama-29.
I-Caveat ebalulekile ekukhuleni komuntu kanye nobudala
Ngenkathi sikhuluma ngomphumela wesigaba samantombazane, kubalulekile ukukhuluma ukuthi indaba yobudala bomlingani wakho nayo.
Ukuzala komuntu akusho ukwehla ngendlela efanayo yokuzala kwesifazane, kodwa iminyaka yobudala ibalulekile .
Khumbula ucwaningo olukhulunywe ngenhla, oluthola abesifazane abaneminyaka engama-35 kuya ku-39 banamathuba angu-29 okukhulelwa ngosuku lwabo oluvundile kakhulu?
Lelo cwaningo lathola ukuthi uma umlingani wesifazane ekhulile eminyakeni emihlanu ubudala, izinkinga zabo zehlelwa ngamaphesenti angu-15.
Okuyisisekelo, izinkinga zabo zincenye.
Khumbula ukuthi lezi zingqinamba zokukhulelwa. Ngenxa yokuthi ukhulelwa akusho ukuthi uzozala.
Izinga lokungathathi umhlalaphansi liphakeme kunomama nabomdala asebekhulile.
Ingozi Ekhulayo Yokukhubazeka Kokuzalwa Nokuthatha Isisu
Ubudala buyandisa amathuba okuthola izakhi zofuzo.
Lesi sizathu sokwandisa ingozi yezingane ze-Down Syndrome kubesifazane abangaphezu kweminyaka engama-35.
Lapho uneminyaka engu-25, owesifazane ongu-1 250 uzobeletha ingane ene-Down Syndrome.
Lapho uneminyaka engama-30, kuyingozi engu-1 ku-952.
Ngeminyaka engu-35, ithuba liyi-1 ku-378.
Ingozi yakho yokukhulelwa kwesisu ibuye ikhule neminyaka yobudala.
Amaphesenti angaba ngu-10 okukhulelwa aqeda ukukhulelwa kwesisu kwabaneminyaka engama-20.
Ngasekuqaleni kweminyaka engu-30, amaphesenti angu-12 abesifazane abhekana nokuhlukunyezwa.
Ngemuva kweminyaka yobudala engama-35, amaphesenti angu-18 okukhulelwa azophela ekutheni akhulelwe isisu.
Futhi, ekuqaleni kweminyaka engu-40, amaphesenti angu-34 okukhulelwa aphela ekukhulelweni komzimba.
Okwenza Ukhula luyeke
Abesifazane bazalwa nabo bonke amaqanda abayobe benakho. Inani eliphakeme kakhulu lama-oocyte (noma amaqanda) livela lapho ingane yentombazane isekhona ku-utero.
Emasontweni angaba ngu-20 ukubeletha, intombazane encane ihamba ngamaqanda ayisithupha kuya kweziyisikhombisa emaqanda ayo.
Ekuzalweni kwakhe, uzozalwa ngamaqanda angaphezu kwesigidi. Ngesikhathi sokuthomba, kuphakathi kuka-300 000 kuya ku-500 000.
Kusukela kule namba enkulu yamaqanda, ama- 300 kuphela azoke avuthiwe futhi akhululwe enkambisweni eyaziwa ngokuthi i-ovulation.
Abanye abantu bacabanga ukuthi ukuphela komama kuyisiqalo sokuncipha kwenzalo. Lokhu akunjalo. Amandla ethu okuzala ekunciphiseni ukuphuza kancane kancane. Ama-ovari ayasebenza kangako ekukhiqizeni amaqanda avuthiwe, aphilile.
Njengoba ukhula futhi usondele eduze nokuya esikhathini, ama-ovari akho azophinde aphendule kahle amahomoni anesizathu sokubangela ukuvunguza. Lokhu kufaka phakathi izidakamizwa zokuzala , futhi kungani ukwelashwa kokuzala kungaphumeleli kakhulu kwabesifazane abanezinqolobane eziphansi ze-ovarian .
Kuthiwani uma uhlala ngendlela enempilo ? Kuthiwani uma uvivinya umzimba, udla kahle , ugcine isisindo esinempilo , futhi ugweme imikhuba emibi yezempilo?
Ngisho noma kunjalo, uzothola ukwehlisa kwemvelo ngokweminyaka.
Ngalokho kusho, imikhuba emibi yezempilo ingaba nethonya elibi ekukhuliseni. Isibonelo, ukubhema kutholakale ukusheshisa inqubo yokuguga yemvelo kubesifazane.
Ukwelapha Ukwelashwa Ukuphumelela Amanani Emva kweminyaka engu-35
Mhlawumbe ucabanga ukuthi ungasebenzisa nje imithi yokwelapha . Njengoba i- IVF iyatholakala, kungani ukhathazeka ngeminyaka yobudala?
Ngeshwa, akusebenzi ngaleyo ndlela.
Njengoba nje umzimba wakho ungaphenduli kahle ama-hormone akho (kulabo abathintekayo ukuvuthwa kwegazi), umzimba wakho ngeke uphendule ngisho namahomoni omuthi wokuzala .
Ngokwezibalo eziqoqiwe yiSikhungo Sokulawulwa Kwezifo, iphesenti yokuzalwa okuphilayo kusukela ezinkambisweni ze-IVF besebenzisa amaqanda omama wehla ngokukhula.
Izinga lokuzalwa eliphilayo, emva kokuphathwa kwe-IVF, ...
- Amaphesenti angu-41.5 kwabesifazane abangaphansi kuka-35
- Amaphesenti angu-31,9 abesilisa abaneminyaka engu-35 kuya ku-37
- Amaphesenti angu-22.1 kwabesifazane abaneminyaka yobudala engu-38 kuya ku-40
- Amaphesenti angu-12,4 kwabesifazane abaneminyaka engu-41 kuya ku-42
- Amaphesenti angu-5 kwabesifazane abaneminyaka engu-43 kuya ku-44
- Amaphesenti angu-1 kwabesifazane asebekhulile kuneminyaka engu-44 ubudala
Izindaba ezinhle ukuthi ngenkathi ama-ovarie angasebenzi kanye nabesifazane beseminyakeni yobudala, lesi sibeletho asibonakali sibhekene naso ngokuphawulekayo ngokuguga. Abesifazane abangakwazi ukukhulelwa ukusebenzisa amaqanda abo bangakwazi ukuvula iqanda le-donor IVF .
Kungakhathaliseki ubudala, abesifazane abasebenzisa i-egg donor IVF banethuba lokukhulelwa ngamaphesenti angu-51. Lezi zinkinga zingcono kunabesifazane abasebasha abasebenzisa i- IVF ngamaqanda abo.
Zikhona Izithako Zokuguqula Ukuguga Kwama-Ovarian?
Uma ubulokhu ufuna ulwazi mayelana nokukhulelwa emva kweminyaka engu-35, noma ikakhulukazi ngemva kweminyaka engu-40, akungabazeki ukuthi uthola izithako zokudla kanye "nemithi yokwelapha" ethembise ukuba "uguqule" ukuguga kwama-ovarian.
Iqiniso likhona okwamanje alukho izithako eziqinisekisiwe noma ukwelapha okuzala okungahle kuguqule noma "ukulungisa" ukuguga kwama-ovarian. Iningi lalemikhiqizo ethengiswayo ayinakho ucwaningo emva kwabo, izifundo ezibuthakathaka kuphela zokuzivuselela, noma ziyizinganekwane zakudala. Kunezinhlobo zamawebusayithi afuna ukuthi abantu abesilisa nabesifazane bahlaselwe isifiso sokuba nomntwana.
I-DHEA supplementation ingase ithuthukise impumelelo ye-IVF kwabesifazane abaneminyaka yobudala yokuzala. Kodwa-ke, ngenkathi izifundo ezimbalwa ezincane zithole ukuthuthukiswa kwentengo yokuphumelela, abanye abatholanga izinzuzo. Ngaphezu kwalokho, i-DHEA supplementation ingabangela ukungalingani kwe-hormonal. Akufanele kuthathwe ngaphandle kokuqondiswa kwe-endocrinologist yokuzala.
I-Coenzyme Q10, noma i-CoQ10, itholakale ukuthuthukisa ikhwalithi yeqanda kuma-aging amagundane. Kodwa akukho cwaningo olubonisa lokhu kubantu okwamanje.
Ukwengeza owodwa kokuzala ukuthi owesifazane wesifazane kufanele athathe, kungakhathaliseki ubudala, yi- folate, noma i-folic acid. Ngenkathi kufanele ukhulume nodokotela wakho njalo ngaphambi kokuba uthathe isisombululo sokuzala , ukuthola u-folate okwanele kubalulekile ekugwemeni ukukhubazeka okuthile okubeletha futhi kungadlala indima ekuvimbeleni ukulahleka kokukhulelwa.
Yini Okufanele Uyenze Uma Ungeke Ukwazi Ukulandela Ngemva Kwama-35?
Uma ucabanga ukuthi awunayo izimpawu noma izici zobungozi bokungasebenzi, ungaqala ukuzama ukukhulelwa ngendlela engokwemvelo . Qinisekisa ukuthi ufunde mayelana nokukhulelwa emva kuka-35 .
Kodwa-ke, uma ungakhulelwe emva kwezinyanga eziyisithupha, bheka udokotela wakho.
Abesifazane abangaphansi kweminyaka engama-35 ubudala bavame ukutshelwa ukuba bazame unyaka ngaphambi kokufuna usizo, kodwa unyaka omude kakhulu ukulinda iminyaka engaphezu kwengu-35.
Isizathu sokuthi awukwazi ukukhulelwa kungenzeka noma ungahambisani nesikhathi sakho. Kodwa-ke, ngoba njengoba usukhulile, izinkinga zakho zokuphumelela kokukhulelwa ngisho nokuphathwa kokwelapha kuzoncipha, kubalulekile ukuthola usizo ngokushesha.
Uma uneminyaka engu-40 futhi ufuna ukukhulelwa, bheka udokotela wakho ngokushesha. Awudingi ukuqala ukuzama ngokwakho kuqala.
Ungacela ukuhlolwa okuyisisekelo kokuzala . Ngokuqondile, ufuna ukuba bahlole amazinga akho we-AMH ne- FSH . Lokhu kuzokwenza udokotela wakho abe nomqondo wemithombo yakho yamanje yama- ovarian .
Noma yini oyenzayo, ungayichithe isikhathi sakho noma imali ekhaya lakho le-FSH noma "ukuvivinya umzimba" . Bangase bakuqinisekise ukuthi ukuzala kwakho kuhle uma kungenjalo.
Umthombo:
> Ikhomishana yaseMelika yasezimbonqwana kanye neKomidi labaGynecologists kwiKomiti Yezokuzivocavoca Nezokuzivocavoca. "Ukunciphisa izinga lokuzala komama wesifazane. I-Committee Opinion No. 589." UFertil Steril. 2014 Mar; 101 (3): 633-4. i-doi: 10.1016 / j.fertnstert.2013.12.032.
I-Dunson DB, iColombo B, i-Baird DD. "Izinguquko ezineminyaka yobudala ezingeni nasesikhathini sokuzala emjikelezweni wokuya esikhathini." U- Hum Reprod. 2002 Meyi; 17 (5): 1399-403.
> Meldrum DR1, Casper RF2, Diez-Juan A3, Simon C4, Domar AD5, Frydman R6. "Ukuguga nemvelo kuyathinta i-gamete ne-embryo engaba khona: singangenelela yini? "Fertil Steril. 2016 Mar; 105 (3): 548-559. i-doi: 10.1016 / j.fertnstert.2016.01.013. Epub 2016 Jan 23.
> Narkwichean A1, Maalouf W2, iBaumgarten M2, i-Polanski L2, i-Raine-Fenning N3, iCampbell B2, i-Jayaprakasan K4. "Ukusebenza kweDehydroepiandrosterone (DHEA) ukunqoba umphumela wokuguga kwama-ovarian (DITTO): Ubufakazi besimiso baphuphuthekiswe ukuhlolwa kwe-placebo okulawulwa ngokungahleliwe. "I-Eur J Obstet Gynecol Biol ephikisayo. 2017 Nov; 218: 39-48. i-doi: 10.1016 / j.ejogrb.2017.09.006. I-Epub 2017 Septhemba 8.