Iimfundiso malunga nokukhulelwa, ubungozi bokukhulelwa, kunye nokunye
Nangona ukuzala kuyancipha ngokukhawuleza njengoko uneminyaka yobudala, abafazi phakathi kwendawo yokuphila basakwazi ukukhulelwa-ingaba bafuna okanye cha.
Enyanisweni, ngokwesiZiko seSizwe soLwazi lwezeMpilo, kwakukho ukuzalwa kwama-743 kwabesetyhini iminyaka engama-50 nangaphezulu ngo-2014. Ukongeza, izinga lokuzalwa kwabasetyhini abaneminyaka engama-45 ukuya ku-49 lalingama-0.8 ekuzalweni kwabafazi abayi-1 000. Nangona la manani amancinci, ibonisa ukuba ukukhulelwa kunokwenzeka kwimizuzu emibini (xa abaninzi bekholelwa ngokukodwa ukukhulelwa komzimba akunakwenzeka.)
Eminye imibuzo emininzi ijikeleze ukuguquguquka kwezinto eziphilayo ukusuka kwiminyaka ethwele umntwana ukuya emva kokuyeka umyeni, kuquka:
Yintoni i-Perimenopause?
Ukuphela kwexesha kubhekise kwiinyanga okanye iminyaka ekhokelela ekumeni, oko kukuphela kwexesha lokuphela kwesimo esiya kuminyaka yobudala engama-51. Ukuphela kwexesha (okubizwa ngokuba yi-menopausal transition) kunokuhlala kwinyanga ezimbalwa okanye ukuya kwiminyaka esibhozo, ukuqala ngokukhawuleza kwintsimbi yesithathu yeminyaka. Iimviwo zivame ukungaqhelekanga ngexesha lokuphela kwexesha , kwaye abafazi bahlala befumana ukutshisa okutshisa, ukuguquka kwemizwelo, ukunyuka kwesisu, ukukhathala, okanye ubunzima bokulala.
Ngaba ndikhulelwe okanye ndi-Perimenopausal?
Oogqirha banokwenza iimvavanyo zegazi ukuze baqaphele ukuba umfazi oye weqa elinye ixesha okanye ngaphezulu ixesha elikhulelwe okanye elisondela ekupheleni komntu. Ezi mvavanyo zilinganisa amanqanaba e-hormone ezithile, ezinye zazo ukukhulelwa kwamagama (ukuhlolwa kwe-hCG enhle) kunye nabanye abangabonelela ngemisebenzi malunga nomsebenzi we-ovarian okanye ukuhla.
I-FSH, okanye i-hormone evuselela i-follic, iveliswa engqondweni kwaye ikhulisa njengoko inani lamaqanda eliveliswa ngamaqanda omfazi linciphisa. Ngaloo ndlela, izinga eliphakamileyo le-FSH kunye nokuphela kwemijikelezo yokuya esikhathini kweenyanga ezilishumi elinambini kusekela ukuxilongwa kwexesha lokuyeka.
Oko kuthethwa, amazinga e-FSH aguquke ngexesha lokuhamba-ngoko kunzima ukutolika inamba enye.
Yingakho inqanaba legazi le-FSH okanye umchamo ongenakukwazi ukuxilonga ngokuchanekileyo kwimizuzu ethile okanye isisu. Ngomnye umqhekeza wepayi. Iimpawu zeentombi kunye neembali zexesha lokumelana nazo kufuneka kwakhona ukubeka yonke imifanekiso.
Uyazi Njani Ukuba Usenamanzi?
Kumele ucinge ukuba usenakho ukukhulelwa kuze kube yilapho usuphelile ukuphela komzimba, okungazange kwenzeke kude kube sekupheleni kweenyanga ukuya kweenyanga ezili-12 ezipheleleyo. " Ukumisa umva akusiyo ukutshintsha kwe-off-off," kusho uDkt. Stuenkel. Kodwa a baninzi abafazi abayiqondi kakuhle into eyenzekayo. "
Umsebenzi we-Ovarian kwaye unamaxesha okuphela, oku kuthetha ukuba umfazi unokukhulula iqanda ngeenyanga kodwa kungekhona abanye. Ukongezelela, amanqanaba omzimba we- estrogen , i- progesterone kunye namanye ama-hormone ahlala ephazamisekile ngeli xesha kunye nekhwalithi yeqanda iyancipha, konke okubangela ukuba kuncinci ku-50% kunciphise ukuzala phakathi kwabasetyhini abangama-40 nangaphezulu xa kuthelekiswa nabasetyhini abaselula. Kodwa ukuveliswa kwemvelo kusekhona-ukuba ngaba kude kwabesetyhini de baphakathi kwabo-50.
Ngaba usadinga ukukhulelwa?
Ewe. Ngaphandle kokuba ufuna ukukhulelwa ngexesha lokuphela kwexesha, ukukhulelwa kubalulekile kubalulekile ukuba ungekho ixesha elipheleleyo kunyaka opheleleyo. Kodwa umbuzo oqhelekileyo. Uphando lwe-perimenopausal contraception phakathi kwabasetyhini baseTurkey kwi- BMC Nursing bafumanisa ukuba ngelixa i-87 ekhulwini yabathathi-nxaxheba bebenokuziphatha ngokwesondo, uninzi lwazo aluzange lucinge xa kufuneka luyeke ukusetyenziswa kwe-contraception.
UDkt. Stuenkel uthi, "Ukuba ufuna ngokwenene ukuba uqiniseke," kulungile ukuba uqhubeke [usebenzisa isisu]. "
Ziyintoni Ingozi yokukhulelwa ngexesha lokuPhelelwa kwexesha?
Unobungozi obuninzi kunabo bobabini nonina. Ukutshatyalaliswa komtshato kunokunyuka phakathi koomama abakhulileyo ngenxa yamaqanda asemgangathweni, ama-hormone ahlukeneyo kunye neenguqu ze-uterine. Impumelelo yekhwalithi yeqanda iphinda iphakame amathuba okuzalwa okufana ne-Down syndrome, ebangelwa yimpazamo kwisahlulo seseli evelisa i-chromosome eyongezelelweyo.
Ezinye izingozi kumntwana ziquka ukuzalwa ngaphambi kokuzalwa (naliphi ixesha ngaphambi kweiveki ezingama-37 zesigxina), edibeneyo kunye neengxaki ezinobungakanani be-cerebral infals to learning and developmental disability.
Ukuxinwa kokukhulelwa kunzima nakumama asebekhulile, abahlupheke ngakumbi kunabantwana babo abancinci kwiinkathazo ezinjengexinzelelo eliphezulu lwegazi , ukubetha , ukuthatha isifo, isifo sikashukela, kunye neengxaki zeentliziyo.
Kuthiwani ukuba ndihlala kwiPerimenopause kwaye Nifuna Ube Nomntwana?
Mthetho ngokukhawuleza. Ngaphandle koko, qhagamshelana nogqirha wakho ukuba awuzange ukhulelwe emva kweenyanga ezintandathu zokuziphatha okungavumelekanga (omnye unyaka uncomelo kubasetyhini abaneminyaka engama-35 ubudala nangaphezulu). Iindaba ezilungileyo kukuba kukho iinketho ezininzi ezinokufumaneka ukunceda imibhangqwana inzima ukukhulelwa umntwana.
> Imithombo:
> Umbutho waseMerika weMithi yokuzala. (2012). Ubudala kunye noNzala.
> Amacandelo okuLawula nokuLawula izifo. (Disemba 2015). Ingxelo kaZwelonke yeVital Statistics. Ukuzalwa: Iinkcukacha zokugqibela ze-2014 .
> ISiko leSizwe lezeMpilo. (2010). Isingeniso sokuNqumla umNyuko.
> Sahin, NH, iKharbouch, SB. Ulwaphulo lwePerimenopausal kuBafazi baseTurkey: IsiFundo seSigqeba. BMC Nursing. 2007; 6: 1.
> Stuenkel, uCynthia. (Agasti 2008). Udliwano - damsheni.
> I-National Infertility Association. (2016). Izinketho Zokwakha Zentsapho.