Ukuba nomntwana nganoma isiphi isikhathi kungaba mnandi futhi kujabulise. Kungabangela ukukhathazeka. Kubomama abambezela ukubeletha kanye nokukhulelwa kuze kube sekupheleni kwezintathu namashumi amathathu okuqala, kungase kube nokunye ukukhathazeka okungeziwe ukubhekana nabo. Ngenkathi inani lalaba besifazane liye landa kancane kule minyaka, inani labamama abangaphezu kuka-40 likhula ngokushesha nakakhulu kunangaphambili.
Lokhu kunenzuzo ekuboneni kososayensi ngoba manje banemininingwane eminingi yokubhekana nokukhathazeka kwalaba besifazane.
Ngaphambi kokwenza noma yimuphi umcwaningi abesifazane batshelwe ukuthi babe nethemba elibi kakhulu lokukhulelwa nokubeletha ingane enempilo. Isayensi manje isitshengise ukuthi lokhu akulona iqiniso. Nazi ezinye izindawo zokukhathazeka ngamama-midlife:
Ukuzala
Ukuzala ngokuqinisekile akuyona inkinga kuwo wonke umama oneminyaka engaphezu kuka-30. Nokho, wonke umuntu, kuhlanganise namadoda, uyoba nokwehla kokuqala kokuzala kusukela eminyakeni yawo engamashumi amathathu. Lokhu kungase kungabonakali ukuhlaselwa noma kungabi nesikhathi esinqunyiwe lapho lokhu kuqala. Abesifazane ekupheleni kweminyaka engamashumi amathathu nesishiyagalolunye kanti kungase kube nzima ukuvundisa amaqanda, amaqanda abo angase abe nzima ukutshala futhi angase abhekane nezinkinga nge-endometriosis nama-blockages ama-tublopian tubes. Kuye kwaba nentuthuko eminingi yezobuchwepheshe ezenzweni zokwelapha, okwenza abesifazane abaningi ngaphambili babebe nezinkinga zokukhulelwa.
Ukunakekelwa okuhle ngaphambi kokuqala kungakusiza ukuvimbela nokukhomba lezi zinkinga ezingenzeka ngaphambi kokuba zikhathazeke.
Ukuhlolwa kwe-Genetic
Ukuvivinya ngezifo kanye nokwelulekwa yizinkinga zomuntu siqu. Njengoba ezinye zikhuphuka ekukhulelweni kokuzalwa zibonakala ngokukhula komama, okungase futhi kwandise izinga lokukhulelwa kwesisu, ukululekwa nokuhlolwa kunikezwa abesifazane abaningi abangaphezu kweminyaka engama-35.
Abanye besifazane nemindeni yabo bakhetha ukuhlola, kanti abanye bakhetha konke ukuhlolwa okutholakalayo. Akekho impendulo efanele.
Ukwelulekwa nge-genetic kungaba yindlela enhle, ngisho noma ukuhlolwa akuyona inketho kuwe. Lokhu kungenziwa ngisho ngaphambi kokukhulelwe. Ukwelulekwa kuhilela ingxoxo ende, eningiliziwe ne-genetic counselor, futhi mhlawumbe umsebenzi wegazi ovela kuwe nomlingani wakho.
Ukuvivinya ngezifo kungaba yinto elula, futhi engenalutho kumntwana, njengohlolo lwe- Maternal Serum Alpha fetoprotein (eyaziwa nangokuthi i-screen triple) . Lokhu kuhlolwa kokuhlolwa kwe-neural tube defects kanye ne-Down syndrome. Okunye ukuhlola okungenzeka kuhlanganisa amniocentesis , isampuli ye-chorionic villus (i-CVS), ne- ultrasound . Ezinye zalezi zivivinyo zithwala izingozi zokukhulelwa. Ukukhuluma nodokotela noma umbelethisi wakho mayelana nezingozi ezingase zibe khona ngokuvumelana nezinzuzo kuwe kubaluleke kunoma yisiphi isinqumo ozenzayo.
Izinkinga zokukhulelwa
Ukuphela nje kuneminyaka ethile akufanele ukubeka phambili ekuhluphekeni okuningi kokukhulelwa. Yize ucwaningo oluningi lubonisa ukuthi abesifazane abangaphezu kweminyaka engu-35 banethuba eliphakeme lokukhulelwa kwengqondo lokhu ngokuvamile ngenxa yezimo zokuxoshwa (njengezimpikiswano zegazi, njll) kunokuba nje kuphela ubudala nokukhulelwa. Yilapho ukululekwa kwangaphambili kungakusiza ukuthi uthole ukuthi yini okudingeka ukwenze ukuze uthole impilo ngaphambi kokukhulelwa.
Nazi ezinye izici zokukhulelwa okunempilo:
- Thatha i-folic acid ukusiza ukuvimbela amaphutha we-neural tube
- Yidla ukudla okulinganiselayo
- Qala uhlelo lokuzivocavoca
- Thola zonke izimo zezokwelapha ezikhona ngaphambi kokulawula
- Gwema ugwayi, utshwala nezinye izidakamizwa
Izinkinga Zezabasebenzi Nokuzalwa
Kungenzeka ukuthi wezwa ukuthi kunezinkinga eziningi ngesikhathi sokubeletha kwabesifazane abangaphezu kuka-35. Izinkinga ezithile ezenzeka njalo emadodini omama, njengezinkinga zomshuwalense wegazi, zivame ukuba nesidingo sokungenelela njengengxenye yesigcawu kanye nokukhishwa kwabasebenzi . Ngenkathi kukhona ukwanda kwesikhathi somsebenzi kanye nesigaba sesibili eside, esingase sichaze izinga eliphezulu lezinga eliphakeme laleli qembu lobudala, abaningi bathi lokhu kungenxa yokwanda kokwelashwa kokubeletha kwabesifazane abangaphezu kuka-35.
Ukunakekelwa ngaphambi kokubeletha nokuzinakekela kungasiza ekuvimbeleni nasekunciphiseni ezinye zezinkinga ezikhona, kanye nokufuna udokotela okholelwa kufilosofi yokuzalwa okujwayelekile kungakhathaliseki ubudala.
Izindaba Ezinhle
Izindaba ezinhle ukuthi ngokunakekelwa kokubeletha okufanele nokuqala kokubeletha, okungcono kuqala ngaphambi kokukhulelwa, ungaba nokuzalwa okujabulisayo nokuphephile nemiphumela efana kakhulu nalabo besifazane eminyakeni engamashumi amabili. Omama abaningi abawela kulesi sigaba bavame ukuzizwa bekulungele izidingo zomntwana ngokomzwelo nangokwezimali. I-American College of Obstetricians kanye namaGynecologists baphetha ngokuthi, "Ubudala akudingeki kube yisithiyo ekukhulelweni okuphephile, okunempilo."