Yimiphi amathuba akho okukhulelwa uneminyaka engu-35?

Abesifazane abaningi bahlela ukukhulelwa sebekhulile ngezizathu eziningi. Nokho, lapho kuhlelwa ukukhulelwa ngemva kweminyaka ethile, kubalulekile ukucabangela iqiniso lokuthi amandla okuzala namathuba okukhulelwa kwehla njengoba iminyaka ihamba [1]. Iminyaka ephezulu yokuzala kowesifazane iphakathi kweminyaka yakhe yawo-20 nowo-30.

Ngakho-ke, yimaphi amathuba akho okukhulelwa uneminyaka engu-35? Noma kungenziwa kanjani ukwandisa amandla okuzala ngemva kweminyaka engu-35?

Owesifazane usengakhulelwa eneminyaka engu-35, kodwa amathuba okuwela ekukhulelweni eneminyaka engu-35 aphezulu. Lokhu kungenxa yokuthi izinguquko ezihlobene neminyaka emzimbeni zithinta amandla okuzala nempilo [2].

Kulesi sihloko, sizobheka ukuthi uhlelo lokuzala lowesifazane lusebenza kanjani, kungani iminyaka ibalulekile ekukhulelweni, nokuthi ungawathuthukisa kanjani amathuba okukhulelwa useminyakeni engu-35.

Uhlelo Lokuzala Lwesifazane Lusebenza Kanjani?

Umsebenzi wohlelo lokuzala lowesifazane ukukhiqiza amaqanda nokondla umbungu izinyanga eziyisi-9 ngemva kokukhulelwa [3]. Umzimba wowesifazane ukhiqiza iqanda elilodwa ngomjikelezo ngamunye wokuya esikhathini ngesikhathi sesigaba sokuvuthwa kwamaqanda. Iqanda lihlala liphila emaqandeni cishe amahora ayi-12 kuya kwangama-24, lilinde isidoda ukuze lichumywe.

Uma inqubo yokufakelwa itholakala, iqanda elichumile lifakwa esibelethweni, okuholela ekukhulelweni. Uma kungaba khona ukuchuma, iqanda liyabhidlika bese liphuma emzimbeni ngokujikelezo lokuya esikhathini.

Isikhathi esingcono kakhulu sokukhulelwa yisikhathi esibizwa ngokuthi “iwindi lokuzala,” okuyizinsuku ezimbalwa ezandulela futhi zifake phakathi nosuku lokuvuthwa kwamaqanda. Kubesifazane abaningi, leli windi lokuzala livame ukwenzeka maphakathi nomjikelezo wokuya esikhathini, ngosuku lwe-14 lomjikelezo wezinsuku ezingama-28.

Iminyaka Ephezulu Kowesifazane Yokukhulelwa

Abesifazane bazalwa benenani elinqunyiwe lamaseli amaqanda futhi balahlekelwa inani elithile lamaqanda yonke imijikelezo yokuya esikhathini. Lokhu kusho ukuthi amandla abo okuzala ehla ngokwemvelo njengoba beba mdala.

Abesifazane bavame ukuba namandla amakhulu okuzala eminyakeni yabo yokuqala kuya emaphakathi kwawo-20 lapho izinga nekhwalithi yamaqanda kuphezulu kakhulu. Yize abesifazane besengakhulelwa eminyakeni yabo yawo-30 futhi, kwezinye izimo, nasekuqaleni kwawo-40, inqubo ingaba nzima uma iqhathaniswa nokukhulelwa kowesifazane osemncane, futhi amathuba okuwela ekukhulelweni aphezulu.

Amathuba Okukhulelwa Useminyaka engu-35

Abesifazane abaningi abaneminyaka engu-35 bakhathazeka ngempilo yabo yokuzala namathuba okukhulelwa. Yingakho ungase uhlangabezane nemibuzo enjengokuthi singakanani isabelo samathuba okukhulelwa uneminyaka engu-35 noma ukuthi yiziphi izibalo zokukhulelwa uneminyaka engu-35.

Usengakwazi ukukhulelwa uneminyaka engu-35, nakuba kungase kuthathe isikhathi eside kunezikhathi zeminyaka yakho yobu-20. Imibiko ikhombisa ukuthi abesifazane abasekupheleni kweminyaka yabo yama-30 banamathuba angaba ngu-15-20% okukhulelwa inyanga ngayinye uma bezama njalo [4]. Nakuba lokhu kungaphansi kuneminyaka yobusha, kusengesibalo esihle, futhi abesifazane abaningi bakhulelwa kulesi sigaba seminyaka. Kwabesifazane abaneminyaka engaphezu kwengu-40, ukucubungula amathiphu okukhulelwa ngemva kweminyaka engu-40 kungaqhubeka kukhulise amandla okuzala futhi kuthuthukise amathuba okukhulelwa naphezu kwezinkinga ezihambisana nobudala.

Izimbangela zokwehla kwamandla okuzala ngokuhamba kweminyaka zifaka isibalo esiphansi samaqanda ase-ovari kanye nezinguquko zamahomoni. Njengoba abesifazane bekhula, inani lamaqanda anempilo liyehla, okwenza kube nzima ukukhulelwa [1]. Ngaphezu kwalokho, abanye abesifazane bangaba nezifo ezifihlakele, ezifana nama-fibroids noma i-endometriosis, ezivame kakhulu njengoba bekhula futhi ezinganciphisa amathuba okukhulelwa [5].

Iminyaka Iyithinta Kanjani Imisebenzi Yokuzala Kowesifazane?

Iminyaka ithinta ukuzala ngezindlela eziningana. Ikhwalithi yamaqanda ema-ovari iyehla njengoba abesifazane bekhula, okusho ukuthi amaqanda asele mancane amathuba okuba ajwayelekile. Lokhu kungenza kukhule ingozi yokulahleka kokukhulelwa nezinye izimo zofuzo. Izifundo zikhombisa futhi ukuthi abesifazane abaneminyaka engaphezu kuka-35 mancane amathuba okuthi babe nezinkinga ngesikhathi sokukhulelwa [6].

Ngaphezu kwalokho, izinguquko zamahomoni zivelele kakhulu njengoba umuntu emdala futhi zibe negalelo ekwehleni kwamandla okuzala. Ngokwesibonelo, izinga le-estrogen namanye amahomoni okuzala liyehla kancane kancane, okuthinta ikhono lomzimba lokugcina umjikelezo ojwayelekile we-ovulation.

Ungayithuthukisa Kanjani Imisebenzi Yokuzala Ngemva Kweminyaka engu-35?

Akekho ongakwazi ukulawula ukuhamba kweminyaka nokuguquka okuhambisana nobudala okuthinta ukuzala. Nokho, uma uzibuza ukuthi ungayikhulisa kanjani amandla okuzala ngemva kweminyaka engu-35, ungathatha izinyathelo ezahlukene zokuthuthukisa impilo yakho yokuzala namathuba okukhulelwa uneminyaka engu-35 noma ngaphezulu.

1. Landelela i-Ovulation

I-ovulation yisikhathi lapho ama-ovari ekhupha iqanda. Uma uhlela ukuba nobulili ezinsukwini ezizungeze i-ovulation, amathuba okukhulelwa noma izinga lempumelelo yokukhulelwa aphezulu kakhulu.

Ungakwazi ukulandelela i-ovulation ngosizo lwamakhithi okuqagela i-ovulation noma ukulinganisa izinga lokushisa lomzimba ngesikhathi sokuphumula ukuze ubone izinsuku zakho ozala kakhulu nyanga zonke. Lokhu kungasiza wena nomlingani wakho nihlele isikhathi socansi ngesikhathi esifanele kakhulu sokukhulelwa.

2. Gcina Indlela Yokuphila Enempilo

Ukudla okulinganiselayo, ukuzivocavoca njalo, nesisindo esinempilo yizona zinto ezisemqoka ekunqumeni impilo jikelele, kuhlanganise nempilo yokuzala. Nezela izithelo eziningi, imifino, amaprotheni angenamafutha amaningi, nemikhiqizo yengqolowa ephelele ekudleni kwakho ukuze ukhuphule amathuba okukhulelwa. Lokhu kudla kuzokunikeza amavithamini namaminerali awusizo ekuzaleni anjenge-folic acid, i-vitamin C, i-zinc, ne-selenium.

3. Lawula Ukucindezeleka

Ucwaningo lwango-2018 lukhombisa ukuthi amazinga aphezulu okucindezeleka angadala izinkinga ngemuva kokukhulelwa kanye nokungazali kwabanye abantu [7]. Ukuze ulawule amazinga okucindezeleka, zama amasu okuphumula njengokuzindla, i-yoga, noma ukuzivocavoca ukuphefumula okujulile. Ukunciphisa ukucindezeleka nakho kungathuthukisa isifiso socansi, okungaholela ekubhekaneni ocansini kaningi namathuba aphezulu okuphumelela ekukhulelweni.

4. Gwema Ukubhema Futhi Ulinganise Utshwala

Ucwaningo lukhombisa ukuthi ukubhema nokuphuza utshwala ngokweqile kunganciphisa amandla okuzala futhi kwandise amathuba ezinkinga ngesikhathi sokukhulelwa [8]. Ukuyeka ukubhema nokunciphisa ukuphuza utshwala kungathuthukisa amathuba akho okukhulelwa.\u00a0Ukucabangela izithasiselo zokuzala ezifana ne-Conceive Plus Women's Fertility Support kungasiza ukuthuthukisa impilo yokuzala nokwandisa amathuba akho okukhulelwa.

5. Cabanga Ngokubonana Nochwepheshe Wezokuzala

Uma usuvele uzama ukukhulelwa isikhathi esiyizinyanga eziyisithupha kuya konyaka ngaphandle kokuphumelela, uthathwa njengongenakwazi ukuzala futhi kungenzeka ukuthi ubhekene nezinkinga zokuzala. Ezimeni ezinjalo, sincoma ukuthi ubone uchwepheshe wezokuzala. Bangaphakamisa ukuhlolwa kokuhlola izinga lamahomoni akho, isitoreji samaqanda esesibelethweni (ovarian reserve), nezinye izinto ezithinta amandla okuzala.

Isiphetho

Izinguquko ezihlobene neminyaka kwabesifazane zehlisa ikhono labo lokukhulelwa nokubeletha ingane enempilo. Abesifazane baphelelwa isitoreji sama-ovari futhi babe nezinginguquko zama-hormone ngokuhamba kweminyaka, okuthinta kabi impilo yokuzala.

Lokhu kuphakamisa imibuzo enjengokuthi, ayini amathuba okukhulelwa uneminyaka engu-35 nokuthi liphi iphesenti lokukhulelwa noma ukukhulelwa uneminyaka engu-34 uma kuqhathaniswa no-35. Usengakwazi ukukhulelwa uneminyaka engu-35 kodwa ungase uhlangabezane nezinselele eziningi kunowesifazane osemncane. Kukhona izindlela ongathuthukisa ngazo impilo yakho yokuzala namathuba okukhulelwa, njengokulandelela ukuvuthwa kweqanda, ukudla ukudla okunempilo, nokulandela indlela yokuphila enempilo.

Imibuzo evame ukubuzwa

1. Ayini amathuba okukhulelwa uneminyaka engu-40?

Amathuba okukhulelwa uneminyaka engu-40 aphansi ngoba abesifazane banempilo yokuzala ephansi kulesi sibanga seminyaka. Ukwehla kwesitoreji sama-ovari nezinguquko zama-hormone yizona zizathu eziyinhloko zempumelelo ephansi yokukhulelwa eneminyaka engu-40.

2. Athini amathuba okukhulelwa uneminyaka engu-39?

Amathuba akho okukhulelwa uneminyaka engu-39 aphansi kakhulu uma uwafanisa namathuba okukhulelwa eminyakeni ephakathi kuka-20 nasekuqaleni kwawo-30. Ukuthuthukisa impilo yokuzala ngokudla, indlela yokuphila, nezithasiselo kuyindlela yokuthi ukhulelwe uneminyaka engu-39 ngokushesha.

Imithombo esetshenzisiwe

1. Amanvermez, R., & Tosun, M. (2016). Isibuyekezo Sokuguga Kwama-ovari Nezivivinyo Zesitoreji Sama-ovari. PubMed, 9(4), 411–415. https://pmc.ncbi.nlm.nih.gov/articles/PMC4793161/
2. Owen, A., Carlson, K., & Sparzak, P. B. (2024c, Februwari 2). Ukwehla kokuzala okuhlobene neminyaka. StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK576440/
3. Rosner, J., Samardzic, T., & Sarao, M. S. (2024b, Mashi 20). I-Physiology, Ukuzala Kowesifazane. StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK537132/
4. Leary, W. (2024, Mashi 11). Amathuba okukhulelwa kunoma iyiphi iminyaka Ishadi, kusukela eminyakeni engu-20–45. RMA Network - Fertility Clinic. https://rmanetwork.com/blog/what-are-my-odds-of-getting-pregnant-at-any-age/
5. Yiziphi ezinye izimbangela ezingaba khona zokungazali kowesifazane? (2017, uJanuwari 31). https://www.nichd.nih.gov/health/topics/infertility/conditioninfo/causes/causes-female
6. Cavazos-Rehg, P. A., Krauss, M. J., Spitznagel, E. L., Bommarito, K., Madden, T., Olsen, M. A., Subramaniam, H., Peipert, J. F., & Bierut, L. J. (2014). Iminyaka kanina nengozi yezinkinga ngesikhathi sokubeletha nokuzalwa. Maternal and Child Health Journal, 19(6), 1202–1211. https://doi.org/10.1007/s10995-014-1624-7
7. Rooney, K. L., & Domar, A. D. (2018). Ubudlelwane phakathi kwengcindezi nokungazali. Dialogues in Clinical Neuroscience, 20(1), 41–47. https://doi.org/10.31887/dcns.2018.20.1/klrooney
8. De Angelis, C., Nardone, A., Garifalos, F., Pivonello, C., Sansone, A., Conforti, A., Di Dato, C., Sirico, F., Alviggi, C., Isidori, A., Colao, A., & Pivonello, R. (2020). Ukubhema, utshwala nokulutha izidakamizwa nokuzala kwabesifazane. I-Reproductive Biology and Endocrinology, 18(1). https://doi.org/10.1186/s12958-020-0567-7