Zvaunofanira Kuziva Nezve Kuva Nemwana pa40

Zvemukati

• Ndezvipi zvakanakira?
• Kubata pamuviri kune makumi mana njodzi here?
• Zera rinokanganisa sei kubereka?
• Maitiro ekubata pamuviri pa40
• Mimba inenge yakamira sei?
• Zera rinokanganisa sei basa nekuendesa?
• Pane here njodzi yakawedzera yemapatya kana kuwanda?
• Zvimwe zvekufunga
• Tora woenda nazvo

Kuve nemwana mushure memakore makumi mana chave chiitiko chinowanzoitika. Muchokwadi, iyo Centers for Disease Control uye Preventiom (CDC) (CDC) inotsanangura kuti mwero wakawedzera kubva kuma1970, iine huwandu hwekutanga-kuzvarwa pakati pevakadzi vane makore makumi mana kusvika makumi mana nematanhatu kupfuura zvakapetwa pakati pa1990 na2012.Mathews TJ, et al. (2014). Kutanga kuzvarwa kuvakadzi vakuru kunoramba kuchikura.

Nepo vakadzi vachiwanzoudzwa kuti zvakanak kuita vana vasati vasvitsa makore makumi matatu nemashanu, data rinoratidza neimwe nzira.

Pane zvikonzero zvakawanda nei vakadzi vakamirira kuve nevana, kusanganisira kurapa kwekubereka, mabasa ekutanga, uye kugadzirisa pasi gare gare muhupenyu. Kana iwe uchida kuziva kuti zvakaita sei kuva nemwana pazera ramakore makumi mana, funga nezve ese akasiyana mabhenefiti, njodzi, uye zvimwe chokwadi zvaunofanira kuziva.

Ndezvipi zvakanakira?

Dzimwe nguva mabhenefiti ekuva nemwana gare gare muhupenyu anogona kupfuura aya ekuva nevana iwe uine makore makumi maviri kana makumi matatu.

Kune imwe, iwe unogona kunge watove wakamisa rako basa uye unogona kupa yakawanda nguva yekurera vana. Kana mamiriro ako emari anogona kunge ari nani.

Iwe unogona kunge wakavewo neshanduko muhukama hwako chimiro uye iwe unoda kuve nemwana nemumwe wako.

Izvi ndezvimwe zvezvakanyanya kubatsirwa pakuva nemwana pazera remakore makumi mana. Zvisinei, kumwe kutsvagurudza kunoratidza zvimwe zvinogona kubatsira, kusanganisira:

• kuderedzwa kwekuziva kudereraKarim R, et al. (2016). Mhedzisiro yenhoroondo yekubereka uye exogenous mahormone mashandisiro pane kugona kuita basa pakati nepakati uye hupenyu hwekupedzisira. DOI: 10.1111 / jgs.14658
• hupenyu hurefuZuva F, et al. (2015). Yakawedzerwa nguva yemadzimai pakuzvarwa kwemwana wekupedzisira uye hurefu hwevakadzi muhupenyu hwakareba hwemhuri.
• mhedzisiro yemhedzisiro muvana, senge yepamusoro bvunzo zviyero uye madhiri ekupedzaBarclay K, et al. (2016). Yepamberi makore evanaamai uye zvibereko zvevana: Kuberekera kukwegura uye kupesana nenguva maitiro. DOI: 10.1111 / j.1728-4457.2016.00105.x

Kubata pamuviri kune makumi mana njodzi here?

Nekuda kwekufambira mberi muhunyanzvi hwakakomberedza kubereka, nhumbu, uye kubereka, zvinokwanisika kuve nemwana zvakachengeteka pazera ramakore makumi mana. Zvisinei, chero nhumbu mushure memakore makumi mana inoonekwa sengozi huru. Chiremba wako anozokutarisa iwe nemwana padhuze zvinotevera:

• kuwedzera kweropa - izvi zvinogona kuwedzera njodzi yako yekubata pamuviri kunonzi preeclampsia
• gestational chirwere cheshuga
• kuberekwa kuremara, senge Down syndrome
• nhumbu
• huremu hwekuzvarwa huremu
• ectopic nhumbu, iyo dzimwe nguva inoitika ne in vitro fertilization (IVF)

Zera rinokanganisa sei kubereka?

Kufambira mberi muhunyanzvi hwekubereka kwave kuri kukurudzira mukuwedzera kwevakadzi vakamirira kuve nevana. Dzimwe sarudzo dzinowanikwa kuvakadzi dzinosanganisira:

• kurapwa kwekushaya mbereko, senge IVF
• kutonhora mazai iwe uchiri mudiki kuitira kuti iwe ugone kuve nawo iwo paunenge wakura
• urume mabhanga
• kuberekera

Kunyangwe neese sarudzo idzi dziripo, mwero wekubereka wemukadzi unodzikira zvakanyanya mushure memakore makumi matatu nemashanu ekuberekwa. Sekureva kweOfisi yeVanhukadzi Hutano, chetatu chevakaroora mushure memakore makumi matatu nemashanu vanoona nyaya dzekubereka.Kushaya mbereko. (2018). Izvi zvinogona kuverengerwa kune anotevera njodzi zvinhu zvinowedzera nezera:

• mashoma mashoma mazai akasara kuti asangane
• mazai asina hutano
• mazai haagoni kuburitsa mazai zvakanaka
• kuwedzera njodzi yekuparara
• mikana yepamusoro yemamiriro ehutano anogona kutadzisa kubereka

Huwandu hwemazai emazai (oocyte) iwe wakadzikirawo zvakanyanya mushure memakore makumi matatu nemashanu. Sekureva kweAmerican College yeOstetricians neGynecologists (ACOG), iyo nhamba inodonha kubva pa25,000 pazera ramakore makumi matatu nepfumbamwe kusvika kungosvika chiuru chimwe chete pazera ramakumi mashanu neshanu.Mukadzi zera rine hukama nezera rekubereka. (2014). https://www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Gynecologic-Practice/Female-Age-Related-Fertility-Decline Munguva yekuyaruka, une maoocytes ari pakati pezviuru mazana matatu nemazana mashanu ezviuru.

Maitiro ekubata pamuviri pa40

Zvinogona kutora nguva kuti ubate pamuviri, zvisinei nezera. Asi kana iwe uri pamusoro pemakore makumi mana ekuberekwa uye wanga uchiedza zvisina kubudirira kuva nemwana zvakasununguka kwemwedzi mitanhatu, inogona kunge iri nguva yekuona nyanzvi yekubereka.

Nyanzvi yekubereka inomhanyisa bvunzo kuti uone kana paine zvinhu zviri kukanganisa kugona kwako kubata pamuviri. Izvi zvinogona kusanganisira kusvetuka kuti utarise chibereko chako nemazai, kana kuongororwa kweropa kuti utarise yako ovarian kuchengetedza.

Sekureva kwe ACOG, vakadzi vazhinji mushure memakore makumi mana nemashanu havagone kubata nhumbu zvakasununguka.Kuva nemwana mushure memakore makumi matatu nemashanu: Kukwegura kunokanganisa sei kubereka uye nhumbu. (2018). https://www.acog.org/Patients/FAQs/Having-a-Baby-After-Age-35-How-Aging-Affects-Fertility-and-Pregnancy

Kana iwe uri kusangana nekushaya mbereko, taura nachiremba wako nezve zvinotevera sarudzo kuti ubatsire kuona kana imwe yakakunakira iwe:

• Mishonga yekubereka. Aya anobatsira nemahormone anogona kubatsira nekubudirira ovulation.
• Inobatsira kubereka tekinoroji (ART). Izvi zvinoshanda nekubvisa mazai nekuaisa fetiraiza murabhu usati waadzosera muchibereko. ART inogona kushandira vakadzi vane nyaya dzekuvhara mazai, uye inogona zvakare kushanda kune vanobvumirwa. Iko kune inofungidzirwa 11 muzana yekubudirira kwevakadzi mune makore 41 kusvika 42.Kushaya mbereko. (2018). Imwe yemhando dzakajairika dzeART ndeye IVF.
• Intrauterine insemination (IUI). Inodaidzwawo kuti insemination, izvi zvinoshanda nekupinza urume muchibereko. IUI inogona kunyanya kubatsira kana murume kushaya mbereko kuri kufungidzirwa.

Mimba inenge yakamira sei?

Sezvo zviri zviverengero zvakanyanya kuoma kubata mushure memakore makumi mana, nhumbu pachayo inogona zvakare kuve yakaoma sekukura kwako.

Iwe unogona kunge uine mamwe maronda nemarwadzo nekuda kwemajoini nemapfupa ayo ari kutotanga kurasikirwa nemazera nezera. Iwe unogona zvakare kuve unokanganisa zvakanyanya kukwirisa kweropa uye gestational chirwere cheshuga. Kuneta kwakanangana nepamuviri kunogona kuve kunonyanya kutaurwa paunenge uchikura, futi.

Izvo zvakakosha kuti utaure neako OB-GYN nezve izvo zvimwe zvaunogona kutarisira panguva yako yepamuviri zvichibva nezera rako uye hutano hwakazara.

Zera rinokanganisa sei basa nekuendesa?

Kusununguka kwevakadzi kunogona kunge kusingaite mushure memakore makumi mana. Izvi zvinonyanya kukonzerwa nemishonga yekubereka iyo inogona kuwedzera njodzi yekuzvarwa nguva isati yakwana. Iwe unogona zvakare kunge uri panjodzi yakawedzera ye preeclampsia, iyo ingangoda kuitiswa kwekuregedza kuchengetedza vese amai nemwana.

Kana mwana wako akaendeswa kumurume, maitiro acho anogona kunge akaoma zvakanyanya paunenge uchikura. Kune zvekare njodzi yekuzvara mwana akafa.

Vakadzi vazhinji vanobudirira kubereka vana vane hutano pazera kana pamusoro pemakore makumi mana. Taura nachiremba wako nezve izvo zvaunotarisira, uye ugouya nehurongwa hwekuchengetedza. Semuenzaniso, kana iwe uri kuronga kuburitsa mukadzi, taura nemumwe wako uye neboka rekutsigira nezverubatsiro rwauchazoda kana iwe uchida kuendeswa kwekusiya panzvimbo.

Pane here njodzi yakawedzera yemapatya kana kuwanda?

Zera mukati uye pachezvaro haringe riwedzere njodzi yako yekuwanda. Zvisinei, vakadzi vanoshandisa zvinodhaka kana IVF pakubata pamuviri vari pangozi yakakura yemapatya kana kuwanda.Kushaya mbereko. (2018). Izvi zvinodaro nekuti nzira iyo mishonga inowedzera ovulation.

Kuva nemapatya kunowedzerawo njodzi yekuti vana vako vachawedzera nguva isati yakwana.

Zvimwe zvekufunga

Kubata pamuviri mushure memakore makumi mana kunogona kutora nguva yakareba kune vamwe vakadzi kupfuura vamwe. Zvakadaro, nyanzvi yako yekubereka ichada kushanda newe nekukasira sezvo chiyero chako chekubereka chadzika zvakanyanya muma40s.

Kana iwe usingakwanise kubata nhumbu zvakasununguka, iwe uchazoda kufunga kuti iwe urikukwira zvingangodaro zvakawandisa nemishonga yekubereka uye kana iwe uine nzira dzekuvhara marapirwo.

Tora woenda nazvo

Kuve nemwana pamakore makumi mana kwakajairika kupfuura zvawaimbove, saka kana iwe wakamirira kuve nevana kusvika ikozvino, uchave nekambani yakawanda.

Kunyangwe paine matambudziko zvinogona kutora kuti uve nepamuviri, kuve nevana mumakore ako makumi mana zvirokwazvo zvinoita. Iwe uchazoda kutaura nachiremba wako nezve ako ega njodzi njodzi usati watanga mhuri panguva ino muhupenyu hwako.