Ingabe kuwubugovu ukuba nomntwana uneminyaka engu-37? Ukuhlola ukukhulelwa ngemuva kweminyaka engama-30

Ingabe kuwubugovu ukuba nengane uneminyaka engu-37 — lowo mbuzo ungavela, ikakhulukazi uma iminyaka nesikhathi kuqala ukudala ukungabaza. Namuhla, abantu abaningi babambezela ukuhlela umndeni, begxila kuqala emisebenzini, kwezezimali, noma enkululekweni yomuntu. Bese, ngesikhathi iminyaka engu-36 ukhulelwe noma iminyaka engu-37 ukhulelwe iba iqiniso, baqala ukukhathazeka ngokuthi sekwephuze kangakanani ukuba nengane [1]. Ake sihlolisise le mikhathazo, ikakhulukazi mayelana nokukhulelwa ngemuva kweminyaka engu-35, sibone nokuthi kungani kungenzeka kungesabi njengokuthiwa kwabanye.

Sizizwa izindaba zabantu abaneminyaka engu-38 bekhulelwe noma nalabo abazibuza, “ngabe ngimdala kakhulu yini ukuba nengane ngineminyaka engu-47?” Kaningi, akukhulunywa ngeminyaka kuphela kodwa kukhulunywa ngempilo yakho, ukulungela kwakho ngokomzwelo, nokusekelwa kwezokwelapha okukhona. Kuyavunywa, ukuba nezingane ngemuva kweminyaka engu-35 kungamangaza eminye imiphakathi, kodwa inani elikhulayo lamabhangqa likhetha ukwenza kanjalo.

Lesi sihloko sihlose ukuchaza izihloko ezinkulu: kusukela ekutheni ngabe ukuba nengane uneminyaka engu-35 noma ukuba nengane uneminyaka engu-38 kunemiphumela yangempela yezokwelapha, kuya emathipheni okugcina umzimba unempilo uma ukhulelwe ungu-40 noma ngaphezulu. Sizokhuluma ngemizwa yomuntu siqu, ukuhlela okusebenzayo, nokuthi ngabe ngempela “sekudlule isikhathi” noma kuwudaba lokukhetha komuntu siqu.

Ukushintsha Kwendlela Yokubuka Ubuzali

Eminyakeni edlule, abantu abaningi babe nezinyanga zabo zokubeletha besemashumini abo angama-20 okuqala. Namuhla, abantu abaningi babambezela lokho, yingakho sekunabantu abaningi abakhulelwe beminyaka engu-36 noma abakhulelwe beminyaka engu-37. Noma kunjalo, abaningi bethu balwa nokungabaza kwangaphakathi mayelana nokuthi owesifazane angaba nezingane kuze kube yimaphi iminyaka, noma ukuthi umuntu angaba nengane kuze kube uneminyaka emingaki. Iqiniso ukuthi ukuzala akunanqubomgomo eqinile yomhlaba wonke, nakuba ezinye izinto zebhayoloji zishintsha ngokuhamba kwesikhathi.

Abanye basakhathazeka ngokuthi ngabe iminyaka engu-30 isikhulu kakhulu yini ukuze ube nengane, abanye bakhathazeka ngokuthi ngabe iminyaka engu-35 isikhulu kakhulu yini ukuze ube nengane. Uma sibheka ngokoqobo, odokotela abaningi bagcizelela iminyaka ephakathi kwama-30 njengendawo lapho i-fertility ingase yehlise, kodwa baphinde babone nezindaba zempumelelo kwabanezinsuku zokuzalwa eziwu-37, 38, noma nangaphezulu. Bese kuba nemibuzo emikhulu nakakhulu, njengokuthi ngabe iminyaka engu-44 isikhulu kakhulu yini ukuze ube nengane. Okubalulekile ukuthi umzimba ngamunye uhlukile, futhi uma ucabanga, "Ngifuna ukuba nengane," kubalulekile ukuqonda impilo yakho ye-fertility nokubonisana nodokotela okhethekile uma kudingeka. [2].

Isaziso esifushane: Uma uzithola uzibuza ukuthi ngabe iminyaka engu-36 isikhulu kakhulu yini ukuze ube nengane, cabanga ukuhlola isimo sempilo yakho uqobo. Amazinga ama-hormone, ukuvuthwa kwamaqanda, nendlela ophila ngayo kungaba nomthelela omkhulu kunenombolo ekhadi lakho le-ID.

Izinguquko Zomzimba Neqiniso Lezokwelashwa

Amahomoni ayashintsha ngokuhamba kwesikhathi, futhi odokotela bakhomba ukuthi ukukhulelwa ngaphezu kweminyaka engu-35 kungakhuphula ezinye izinkinga, njengengozi enkulu yesifo sikashukela sokukhulelwa noma umfutho wegazi ophezulu. Abantu futhi bakhuluma ngobungozi bokukhulelwa ngemuva kwengu-40 noma ubungozi bokukhulelwa eneminyaka engu-40 ngendlela ebalekayo. Kodwa ingabe kuqinisekisiwe? Cha. Nabanye abantu abancane abakhulelwe babhekana nalezi zinkinga.

Nokho, omama asebekhulile bavame ukudinga ukuqashwa okwengeziwe. Uma ukhulelwe uneminyaka engu-37 lokho ongakulindela kungahluka kakhulu kohambo lomuntu oneminyaka engu-25. Ngokwesibonelo, ungase ube nama-ultrasound amaningi. Lokhu kwenziwa ukuqinisekisa ukuthi ukukhula komntwana kuhamba ngendlela. Ngokufanayo, uma ukhulelwe uneminyaka engu-38 noma ukhulelwe uneminyaka engu-38 lokho ongakulindela, ungase unikezwe izivivinyo zofuzo [3]. Ukwazi ngalezi zihlolo kukusiza ukuhlela kangcono.

Umbuzo othi, yimuphi umnyaka osidala kakhulu ukuba nomntwana? uvame ukungabi nemphetho efana neyomuntu wonke. Baningi abantu abagcina indlela yokuphila enempilo enciphisa eminye imingcele ehlobene nobudala, kanti abanye bangase babhekane nezinkinga kusenesikhathi. Ngakho isimo sakho siqu sibalulekile, kanye nokulandela iseluleko sezokwelashwa.

Ukulunga Ngokwengqondo Nezinhloso Zempilo

Abantu abaningi bafuna ukuqala bafeze izinhloso zobuqu noma emsebenzini kuqala. Yilokho okungenye yezizathu esibona ngayo abaneminyaka engu-37 bekhulelwe noma abaneminyaka engu-39 belindele. Kwezinye, kumayelana nokuzizwa belungele ngokwengqondo; mhlawumbe sebezithole kahle noma sebenezimali eziqinile. Abanye bangakhetha nje ukugxila kubo mathupha eminyakeni yabo yama-20, ukuze bazizwe bekhululekile kakhulu ukukhulelwa eneminyaka engu-39 [4].

Kodwa imibuzo evela kwabanye ingakhathaza. Bangase bathi, iminyaka emingaki esidala kakhulu ukuba nomntwana noma iminyaka emingaki esidala kakhulu ukuba nezingane? bese bekubangela ukuzingabaza. Uma uthola izinto ezimbi kuzihlobo noma ozakwenu emsebenzini, thekela abangane abakwesekayo noma ochwepheshe. Umzimba wakho nowakho ikusasa.

Amacebiso Aphezulu: Khuluma ngobuqotho nombhangqwana noma umeluleki. Ukuxazulula ukwesaba noma umuzwa wecala kusiza ukunciphisa ingcindezi, okungase kube nomthelela nasekuzaleni.

Ukulungiselela Okusebenzayo

Uma uneminyaka engu-36 ukhulelwe noma ungaphezulu, kuwukuhlakanipha ukuhlela ezimali noma izimo ozohlala kuzo. Abantu bangase bacabangele nemithi yokwelapha inzalo uma ukukhulelwa kwemvelo kungenzeki ngokushesha. Ngokwesibonelo, ezinye izifazane zizama isikhathi esingangonyaka nesigamu, zingatholi miphumela emihle, bese ziyazibuza, ingabe iminyaka engu-36 isidala kakhulu ukuba nomntwana? Yilapho ukufuna umbono wezokwelashwa kungaba isinyathelo esihle.

Izinhlelo zokulandela isikhathi sokukhishwa kweqanda noma amashubhu okuhlola angakusiza uhlele isikhathi sokulala ucansi kahle. Futhi uma udokotela wakho ecula ezinye izivivinyo, ungazisabi. Amathuluzi nje okubheka ukuthi izinga lamahomoni lakho lizinzile yini noma ukuthi i-IVF ingakusiza yini [5].

Ithiphu ebalulekile: Hlola indawo yakho yomsebenzi. Kwezinye izikhathi imisebenzi enama-stress aphezulu noma amahora angajwayelekile ingayinkimbinkimbi ukukhulelwa kwabomama abadala. Ukuhlela kancane kungaqinisekisa ukuthi uhlale unempilo futhi unaso isikhathi sokuvakasha ezikhungweni zezempilo.

Ukudla Nokwengeza Ama-supplement

Kungakhathaliseki ukuthi ubeletha uneminyaka engu-35 noma ungaphezulu, ukudla okunothisa ukukhulelwa kungase kusekele inzalo. Ama-vitamin namaminerali ahlukahlukene—anjenge-folic acid, i-vitamin E, insimbi, noma i-magnesium—angathuthukisa ibhalansi yamahomoni nenhlalakahle jikelele. I-CoQ10, isibonelo, isetshenziswa abanye ukuze kuthuthukiswe ikhwalithi yamaqanda. Khonamanje, i-Myo-Inositol ne-D-Chiro Inositol zingase zikhuthaze ukuvuthwa kwamaqanda okunempilo.

Uma ukhathazekile ngokukhulelwa ngemuva kweminyaka engu-35, ibhalansi efanele ingenza umehluko. Kodwa hlala ubuzana nodokotela ngaphambi kokuthatha noma yimuphi umuthi ukuze ungazelapheli wedwa [6].

Amathiphu abalulekile: Gcina i-diet ocebile ngokudla okungakacutshungulwa kakhulu—imifino, izithelo, inyama enonayo encane—futhi wehlise ukudla okucutshungulwe kakhulu. Lokho kuyaluleka kunoma isiphi isigaba, ikakhulukazi uma useneminyaka emikhulu futhi ufuna ukukhulelwa okuzinzile.

Ukuchitha Izinganekwane Ngokweminyaka

Izinganekwane eziningi zokukhulelwa ngemuva kweminyaka engu-35 zithi ukuzala sekucishe kungenzeki. Empeleni, odokotela bavame ukubona abantu abanempilo bekhulelwe beminyaka engu-36, 37, noma ngisho nangaphezulu kwengu-40. Abanye bayakhathazeka ngokuthi bamnene nini kakhulu ukuba nomntwana noma ukuthi bazokwazi yini ukuphatha njengoba bekhula. Kodwa nansi into: akukho sikhathi esithile esisemhlabeni lapho iminyaka engu-35 ishintshela khona inzalo yakho ngokuzumayo ebusuku [7].

Futhi, kunombono omkhulu ongafanele: wonke umuntu oneminyaka engaphezu kwengu-35 udinga ukuhlinzwa nge-C-section. Akulona iqiniso. Abanye omama abadala bagcina bebeletha ngokuhlinzwa, kodwa lokho kungenzeka kunoma iyiphi iminyaka. Kanti nakuba amathuba okuba neziphambeko ku-chromosome ekhuphuka ngokuhamba kweminyaka, ukuhlolwa nokunakekelwa kahle kwangaphambi kokubeletha kuvame ukusiza.

Ithiphu ebalulekile: Ungavumeli izindaba ezesabekayo ziphazamise indlela obuka ngayo izinto. Yebo, thola ulwazi, kodwa futhi qonda ukuthi ukukhulelwa ngakunye kuwumuntu siqu.

Ibhalansi phakathi komsebenzi nempilo

Abantu abakhetha ukuba neminyaka engu-37 bese bekhulelwe noma iminyaka engu-38 bese bekhulelwe bangase babephinde bephethe nezindima zomsebenzi ezinkulu. Kwesinye isikhathi yilokho kanye okwenza bahlehlise ukuzala izingane [8]. Uma usumisiwe emsebenzini wakho, kungenzeka ukuthi unezinzuzo ezingcono zokubeletha. Ngakolunye uhlangothi, amazinga e-stress angaba phezulu uma ubamba isikhundla esinemfuno enkulu.

Ingxoxo evulekile nabaqashi mayelana nesikhathi esiguquguqukayo noma umsebenzi wasekhaya ingasiza. Uma ungusomabhizinisi, zama ukunikeza abanye imisebenzi ukuze ungasindwa wumthwalo. Leyo ndlela inganciphisa i-stress futhi ikuvumele ujabulele inqubo yokuba nezingane ngemuva kweminyaka engu-35 ngaphandle kokuzizwa udonswa uye ezinhlangothini eziningi.

Umthelela Wezindilinga Zomphakathi

Abantu abakuzungezile bangagqugquzela noma badikibalise ukukhulelwa ngeminyaka emikhulu. Sonke sesihlangane nomngane onenhloso enhle ophonsa umbuzo othi ngabe iminyaka engu-30 imikhulu kakhulu yini yokubeletha noma ukuthi iminyaka emingaki emikhulu kakhulu yokuba nezingane. Lawo mazwana angavela ekukholelweni okudala. Noma kungaba ukukhathazeka okuvela enhliziyweni.

Thola iqembu—online noma uqobo—labomama abaseduze kweminyaka yakho. Ningabelana ngamaqhinga, nikhululeke nikhulume ngezinkinga, nithole nasekusekelweni ngokomzwelo. Uma ukhulelwe uneminyaka engu-38 noma ukhulelwe uneminyaka engu-38 futhi ufuna ukwazi okulindelekayo, ukuxhumana nabanye omama abaseduze nawo lawo maphuzu eminyaka kukusiza ukubona ukuthi awuwona owahlukile. Ukukhulisa ingane akusoze kwaba lula, kodwa kungaba kuhlawulela kungakhathalekile iminyaka [9].

Ukuhlelwa Kwezimali

Uma uzala ingane uneminyaka engu-38 noma ngaphezulu, abanye abantu bangase babe nemisebenzi nezezimali ezizinzile kakade. Lokho kuyinzuzo. Kodwa usafuna ukuhlela isabelomali sezinto zengane, ukwelashwa okungenzeka ngokwezokwelapha, noma usizo ngemuva kokubeletha [10]. Uma kungenzeka, zakhe isikhwama sokonga esincane sezindleko ezingalindelekile.

Ngezinye izikhathi, imibhangqwana iyazibuza ukuthi ingakwazi yini ukubhekana nazo zonke izindleko uma izobe izala ingane eneminyaka engu-40. Indlela engcono kakhulu ukwenza ukubala okulinganiselwe: izinkokhelo zanyanga zonke, inhlonipho yomshuwalense, nokunakekelwa kwengane okungenzeka. Lokho kungakunikeza ukuthula kwengqondo, kukuvumele ujabulele ukukhulelwa kakhulu.

Ukunakekela Impilo Yengqondo

Kunoma iyiphi iminyaka, ukukhulelwa kungahlanganisa imizwa—injabulo, ukukhathazeka, noma kokubili. Ukuba neminyaka engu-37 ukhulelwe, isibonelo, kungaholela ekutheni abakhelwane bakuphawule ngaphandle kokucelwa. Noma umsindo wakho wangaphakathi ungahle ubuze uthi, “ingabe kuyazicikela ukuzala ingane ngineminyaka engu-37?”

Kubaluleke kakhulu ukunikela isikhathi sokuzinakekela. Lokhu kungabandakanya imizuzu elula efana nokubhala phansi emadayarini, ukuhamba kancane, noma ukwenza izivocavoca zokuphefumula. Uma imicabango emibi iqala ukungena, khuluma nomngane okusekelayo noma uchwepheshe wezempilo yengqondo. Ingqondo enempilo iyawusiza kokubili wena nengane [11].

Izinselelo Empilweni Yangempela

Yebo, ukukhulelwa eminyakeni emikhulu kungahambisana nokukhathala noma ukubuyiselwa esimeni okunzima ngemuva kokubeletha. Abanye abantu abakhulelwe bengama-39 bathola ukuthi bakhathela kalula. Uma usunabantwana abadala, ukuhlanganisa izidingo zabo ngesikhathi ukhulelwe kungaba yinselele. Kodwa nabazali abasebancane babhekana nezinselelo—ukushoda kwemali noma ukungavuthwa ngokomzwelo nakho kungaba nzima.

Ukufunda ngezokwesekwa emva kokubeletha nokuthembela emithonjeni yomphakathi kuyasiza. Uma ngempela ungaqiniseki mayelana nombuzo othi ngabe mkhulu kakhulu yini ukuba ngibe nengane ngineminyaka engu-47, khuluma nochwepheshe bezempilo ukuze nilinganise lezo zinzuzo nezingcuphe. Ekugcineni, awekho amazinga empilo angenazo neze izingqinamba, ngakho thatha isinqumo sokuthi yini ehambisana kangcono nempilo yakho [12].

Okubalulekile Ekugcineni

Ngakho-ke, ingabe kuwuzibalo ukubeletha ingane uneminyaka engu-37? Akuphoqelekile. Yilowo nalowo wethu onomgudu wakhe wesikhathi ohlukile. Abanye bakhathazeka kakhulu ngokuthi ingabe iminyaka engu-35 imikhulu kakhulu yokubeletha noma ukuthi iminyaka emingaki imikhulu kakhulu yokubeletha, kodwa imithi yesimanje, izimali ezizinzile, nokuvuthwa ngokomzwelo kungenza ubuzali budala buphumelele [13].

Ukulungela kwakho — ngokomzimba, ngokomzwelo, nasezimali — kubaluleke kakhulu kunosuku lwakho lokuzalwa. Uma ukhulelwe uneminyaka engu-36 noma ukukhulelwa ngemuva kweminyaka engu-35 kuyikho okuhambisana nawe, kubalulekile ukuba uhlale unolwazi, wamukele imikhuba enempilo, futhi ugcine ubudlelwano bokwesekana. Noma ugcine ukhulelwe eneminyaka engu-37 noma uthola ukuthi uneminyaka engu-38 ukhulelwe, usengaba nolwazi lokukhulelwa oluphephile nolanelisayo.

Iminyaka akufanele ifihle ngokuphelele umbono wakho. Uma uqaphela izingozi ezingaba khona, ugcine ukuxhumana okuvulekile nochwepheshe bezempilo, futhi unakekele inhlalakahle yakho iyonke, ukuguga kungaletha imivuzo yako. Ekugcineni, ukunquma ukuthi iminyaka emingaki seyikhulu kakhulu yokubeletha noma ukuthi ngabe “imikhulu kakhulu” nhlobo kuncike esimweni sakho siqu.

Imibuzo evame ukubuzwa

Ingabe ukukhulelwa ngaphezu kweminyaka engu-35 kuhlale kusho ukuthi kubekwe uphawu lokuba yingozi enkulu?

Akusikho ukuthi kuzenzakalela. Odokotela bangase bakubheke eduze, kodwa omama abaningi abadala baba nolwazi lokukhulelwa oluvamile.

Ngibhekana kanjani nokwesaba ngezingozi zokukhulelwa ngemuva kweminyaka engu-40?

Xoxa nodokotela noma umhlinzeki wezempilo. Ukuhlolwa kwasekuqaleni nendlela yokuphila enempilo kungasiza ukubhekana nezinkinga ezingase zivele ngaphambi kokuba zikhule.

Kuthiwani ngokuthi “ingabe iminyaka engu-44 imikhulu kakhulu yokubeletha ingane?”

Kuyahluka kakhulu kumuntu nomuntu. Abanye bayakhulelwa eminyakeni ephakathi kwawo-40. Ukuhlolwa kwezokwelapha kubalulekile ekwenzeni izinqumo ezinolwazi.

Ngikhathazekile ngezingozi zokukhulelwa eneminyaka engu-40. Ngabe kufanele ngiye kwezinye izivivinyo ezengeziwe?

Kungenzeka udokotela wakho aphakamise izivivinyo ezihambisanayo, ezifana ne-ultrasound noma ukuhlolwa kwegazi, ukuze uhlale wazi ngentuthuko yengane yakho.

Yisiphi isinyathelo esingcono kakhulu uma ngingaqiniseki ngokuthi yimaphi iminyaka ephezulu kakhulu yokubeletha izingane?

Cabangisisa ngezimiso zakho zempilo, ezimali, nangokulungela kwakho ngokomzwelo. Iseluleko sochwepheshe singakuhola, kodwa ekugcineni kumayelana nezimo zakho ezihlukile.

Izinkomba

1. American College of Obstetricians and Gynecologists. (2020). Ukukhulelwa Eminyakeni engu-35 Noma Ngaphezulu. Kuthathwe ku: https://www.acog.org/clinical/clinical-guidance/obstetric-care-consensus/articles/2022/08/pregnancy-at-age-35-years-or-older#:~:text=We%20suggest%20that%20pregnancy%20with,on%20specific%20age%20and%20comorbidities.
2. Practice Committee ye-American Society for Reproductive Medicine ngokubambisana ne-Society for Reproductive Endocrinology and Infertility. Ikheli likagesi: ASRM@asrm.org, & Practice Committee ye-American Society for Reproductive Medicine ngokubambisana ne-Society for Reproductive Endocrinology and Infertility (2017). Ukuthuthukisa ikhono lokuzala kwemvelo: umbono wekhomidi. Fertility and sterility. Kuthathwe ku: https://pubmed.ncbi.nlm.nih.gov/28228319/
3. Pawde, A. A., Kulkarni, M. P., & Unni, J. (2015). Ukukhulelwa kwabesifazane abaneminyaka engu-35 nangaphezulu: ucwaningo lokubuka olukusasa. Journal of obstetrics and gynaecology of India. Retrieved from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4395583/
4. Mills, M., Rindfuss, R. R., McDonald, P., te Velde, E., & ESHRE Reproduction and Society Task Force (2011). Kungani abantu bephuzisa ukuba ngabazali? Izizathu nezikhuthazo zenqubomgomo yomphakathi. Human reproduction update. Retrieved from: https://pubmed.ncbi.nlm.nih.gov/21652599/
5. Practice Committee of the American Society for Reproductive Medicine and the Practice Committee of the Society for Reproductive Endocrinology and Infertility. Electronic address: asrm@asrm.org (2022). Ukuthuthukisa ukuzala kwemvelo: umbono wekomidi. Fertility and sterility. Retrieved from: https://pubmed.ncbi.nlm.nih.gov/34815068/
6. Mayo Clinic. (2021). Prenatal Vitamins: Kungani Zibalulekile, Indlela Yokuzikhetha. Retrieved from: https://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/in-depth/prenatal-vitamins/art-20046945#:~:text=Beyond%20checking%20for%20folic%20acid,B%20vitamins%2C%20zinc%20and%20iodine.
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