Amaqiniso Ngesizalo, Izingozi Zokukhulelwa, nokuningi
Ngenkathi ukuzala kuyancipha kancane kancane lapho usukhula, abesifazane besifazane phakathi namanje bayakwazi ukukhulelwa-kungakhathaliseki ukuthi bafuna noma cha.
Eqinisweni, ngokusho kweNational Center for Health Statistics, kwakunabantwana abangu-743 ababeletha abesifazane besifazane eminyakeni engama-50 nangaphezulu ngo-2014. Ngaphezu kwalokho, izinga lokuzalwa kwabafazi abaneminyaka engama-45 kuya kwengu-49 kwaba ngabantwana abangu-0.8 ngabesifazane abayi-1 000. Nakuba lezi zinombolo ezincane, kubonisa ukuthi ukukhulelwa kungenzeka phakathi nendawo yokuphila (uma abaningi bephutha ukukhulelwa ngokwemvelo akunakwenzeka.)
Imibuzo eminye eminingi ijikeleza ushintsho lwezinto eziphilayo kusukela eminyakeni yokubeletha kwengane ukuya emuva kokuya esikhathini sokuya esikhathini, kufaka phakathi:
Kuyini Ukuphela Kwemvelo?
Ukumiswa kwesikhashana sekubhekisela ezinyangeni noma eminyakeni eholela ekunqophiseni ukuphela kokuya esikhathini, okuwukuphela kokuphela kokuphela kokuya esikhathini okwenzeka esikhathini sokuya esikhathini okwenzeka eminyakeni yobudala engama-51. Ukumiswa kwesikhashana (okubizwa nangokuthi ushintsho lwe-menopausal) lungahlala ezinyangeni ezimbalwa noma eminyakeni eyisishiyagalombili, ukuqala njengoba nje owesifazane wesithathu ekupheleni kweminyaka engamashumi amathathu. Izikhathi zesikhashana zivame ukungajwayelekile ngesikhathi sokuqala, futhi abesifazane bavame ukuzwa ukushisa okushisayo, ukuguquka kwemizwa, ukumelela kwesisu, ukukhathala, noma ubunzima bokulala.
Ngingumkhulelwe noma nginguPerimenopausal?
Odokotela bangenza ukuhlola kwegazi ukuze banqume ukuthi owesifazane oye weqa isikhathi esisodwa noma ngaphezulu uyakhulelwa noma uya ngasekupheleni kwesikhathi. Lezi zivivinyo zilinganisa amazinga amahomoni athile, ezinye zazo ukukhulelwa kwesignali (ukuhlola okuhle kwe-hCG) kanye nezinye ezinganikeza izinkomba mayelana nomsebenzi we-ovarian wesifazane noma ukuncipha.
I-FSH, noma i-horlicone evuselela i-follicle, ikhiqizwa ebuchosheni futhi yanda njengoba inani lamaqanda akhiqizwa ama-ovaries wesifazane ancipha. Ngalokho, izinga le-FSH eliphakanyisiwe njalo kanye nokuphela kokujikeleza kokuya esikhathini ezinyangeni eziyishumi nambili kusekela ukuxilongwa kokuya esikhathini.
Lokho kuthiwa, amazinga e-FSH aguquke ngesikhathi sokuqala-ngakho kunzima ukuhumusha inombolo eyodwa.
Yingakho i-FSH yegazi noma izinga lomchamo alinakukwazi ukuxilongwa ngokunembile ngesikhatsi sokumisa noma sokumisa esikhathini. Kungumane nje ucezu lwe-pie. Izimpawu zamakhosikazi kanye nomlando wokuya esikhathini kudingeka futhi ukuhlanganisa isithombe sonke.
Uyazi kanjani ukuthi usukhulile?
Kumelwe ucabange ukuthi usakwazi ukukhulelwa kuze kube sekupheleni kwesikhathi sokuya esikhathini, okungakaze kwenzeke kuze kube sekupheleni kwezinyanga zokuphela kwezinyanga ezingu-12 ezigcwele. " Ukunqamuka kwesikhashana akuyona inkinobho yokuvala," kusho uDkt. Stuenkel. "Kodwa abesifazane abaningi abaqondi ngempela ukuthi kwenzekani."
Imisebenzi ye-ovariya futhi ihamba ngezinyawo, okusho ukuthi owesifazane angakhipha iqanda izinyanga ezithile kodwa hhayi abanye. Ukwengeza, amazinga omzimba we- estrogen , i- progesterone , namanye ama-hormone avame ukuphazamiseka ngalesi sikhathi kanye nekhwalithi yeqanda yehla, konke okufaka isandla ezingaphezu kwamaphesenti angu-50 kunciphisa ukuzala phakathi kwabesifazane abaneminyaka engama-40 nangaphezulu uma kuqhathaniswa nabesifazane abasebasha. Kodwa ukukhulelwa kwemvelo kusengenzeka-uma kube kude-kwabesifazane kuze kube phakathi kweminyaka emihlanu.
Ingabe Usadinga Ukubeletha?
Yebo. Ngaphandle kokuba ufune ukukhulelwa ngesikhathi sokuqala, ukuvimbela ukukhulelwa kubalulekile kuze kube yilapho ungakabi nesikhathi sonyaka ogcwele. Kodwa umbuzo uyinto evamile. Ucwaningo lokuvimbela ukuvimbela ukubeletha phakathi kwabesifazane baseTurkey ku- BMC Nursing bathola ukuthi nakuba amaphesenti angu-87 abathintekayo abesebenza ngokocansi, iningi lawo lalingenalo umqondo lapho kufanele lishiye ukusetshenziswa kwe-contraception.
UDkt. Stuenkel uthi, "Uma ufuna ngempela ukuqiniseka, kungaba ngcono ukuqhubeka [usebenzisa isisu]."
Yiziphi Izingozi Zokukhulelwa Phakathi Nesikhathi Sokuqala?
Izingozi ezinokwenzeka zingabombili nomama. Ukwehlukaniswa kwemishado kuyanda phakathi koomama asebekhulile ngenxa yeqanda eliphansi, amahomoni ahlukahlukene, nezinguquko ze-uterine. Ikhwalithi leqanda elimpofu libuye lenze amathuba okuzalwa okufana ne-Down syndrome, okubangelwa iphutha ekuhlukaneni kweseli elikhiqiza i-chromosome eyengeziwe.
Ezinye izingozi ezinganeni zibandakanya ukuzalwa ngaphambi kwesikhathi (noma kunini ngaphambi kwamasonto ama-37 wokubeletha), okuxhunyaniswa nezinkinga eziningi ezivela ku-cerebral palsy kuya ekukhubazeni ukufunda nokuthuthukiswa.
Ukucindezeleka kokukhulelwa kunzima nakakhulu kunomama asebekhulile, abahlupheka kakhulu kunabalingani babo abancane kusukela ezinkingeni ezinjenge- high blood pressure , strokes , seizures, isifo sikashukela sokukhulelwa, nezinkinga zenhliziyo.
Kuthiwani Uma NgisePimenopause futhi Ngifuna Ukube Nomntwana?
Yenza masinyane. Ngaphandle kwalokhu, thintana nodokotela wakho uma ungazange ukhulelwe ngemuva kwezinyanga eziyisithupha zokungavunyelwe ukuvimbela (unyaka owodwa uyincoma yabesifazane abaneminyaka engama-35 ubudala nangaphansi). Izindaba ezinhle ukuthi kunezinketho eziningi ezitholakalayo ukusiza imibhangqwana elwa nokukhulelwa kwengane.
> Imithombo:
> Society of American for Imithi Yokuzala. (2012). Ubudala nobubele.
> Amasevisi Okulawula Nokuvimbela Izifo. (Disemba 2015). Umbiko we-National Vital Statistics. Ukuzalwa: Idatha Yokugcina ka-2014 .
> I-National Institute of Health. (2010). Isingeniso Sokunqamuka Kwesikhashana.
> Sahin, NH, Kharbouch, SB. Ukwelashwa kwe-Perimenopausal ku-Women's Türkçe: Isifundo SesiNgqamuzana. BMC Nurs. 2007; 6: 1.
> Stuenkel, uCynthia. (Agasti 2008). Inkulumo yocingo.
> I-National Infertility Association. (2016). Izinketho zokwakha umndeni.