Ziziphi Iingxaki Zakho Zokuba Nombono Nento Ongayenza Ukuba Awukwazi Ukuyiqonda
Ukukhulelwa emva kweminyaka engama-35 kunokuba nzima ngakumbi kuneminyaka eyi-25 ... kodwa akunakwenzeka . Unokucinga ukuba ubuncinci ngabahlobo abathandayo emva kweminyaka engama-35, okanye emva kwe-40 .
Nangona kunjalo, ukuba ufuna ukuqonda ukuba kutheni ukukhulelwa emva kweminyaka engama-35 kunzima, funda malunga nobunzima obuhlukahlukeneyo bokukhulelwa emva kweminyaka engama-35, kwaye ufumanise ukuba zeziphi iingxaki zakho zokukhulelwa impumelelo- ukufunda ngokufunda!
Ukhula kunye nobudala
Akungabazeki ukuba ubonile ubuninzi beempawu ezijoliswe kubasetyhini balinde de emva kweminyaka engama-35 ukuba babe nabantwana kwaye banenkinga yokukhulelwa.
Into yokuqala eyaziwayo kukuba abafazi (kunye namadoda) abo bonke ubudala banokungabikho kwengqondo. Ababini kwiminyaka yabo-20 banokuthi bangabalulekanga njengabalingani kwi-40s yabo yokuqala. Ubudala buyinto enye yokuzala.
Kodwa ke, sicinge ukuba inzala yomfazi ilungile. Into eyayikukhathazeka ngayo yile minyaka yakhe.
Ubuncwane buba phezulu kwabesetyhini kuma-20s. Ukunciphisa ngokuthe gqolo kodwa okuphawulekayo kuqala malunga no-32 ubudala. Ewe, iziganeko zakho zokukhulelwa kwi-33 azikho kakuhle njengoko zazingama-28. Xa ufikelela kwiminyaka engama-37 ubudala, ukuzala kuqala ukuncipha kwizinga eliphezulu kakhulu.
Ngokomzekelo, uphando oluthile lufumene ukuba nasiphi na inyanga enikeziweyo amathuba okukhulelwa eneminyaka engama-30 anama-20 ekhulwini. Thelekisa loo ngxaki yakho kwiminyaka engama-40 : i-5% kuphela.
Musa ukudibanisa oku ngeenkalo zakho zokukhulelwa ngokubanzi.
Le yintsikethi yenyanga , kungekhona ngonyaka.
Kwakhona, ezininzi izifundo zizabalazela ukuhlula ukuba ngaba ukukhulelwa kukuhla ngenxa yokuzala okanye ngenxa yezibini ezinesondo esingaphantsi rhoqo.
Ukufundwa kwesinye sezibini ezingama-782 zijonge iingxaki zokukhulelwa ngokusekelwe kwimihla yobundlobongela ngaphambi kokuvuthwa. A mabhinqa basebenzisa ukushisa komzimba osisiseko ukutshintshela ukuhamba.
Kwababini abancinci nabancinci abasetyhini, iintsuku ezimbini ngaphambi kokuvuthwa kwaba ngumhla wabo ovuthiweyo .
Kwabesetyhini abaneminyaka eli-19 ukuya kwe-26, isondo kwi-fertile yabo enamathuba amaninzi ama-50 okukhokelela ekukhulelweni.
Kwabesetyhini abaneminyaka engama-35 ukuya ku-39, iingxaki zazingama-29 ekhulwini.
I-Caveat ebalulekileyo kwiZenzalo zobuntu kunye nobudala
Ngethuba sithetha ngempembelelo yobudala besibhinqa, kubalulekile ukukhankanya ukuba imicimbi yenkwenkwezana yakho nayo.
Ukuzala komntu akuyeki ngendlela efanayo yokunciphisa inzala, kodwa ubudala bendoda bubalulekile .
Khumbula ukufundiswa okukhankanywe ngasentla, lowo ufumene abafazi abaneminyaka engama-35 ukuya ku-39 banamathuba engama-29 ekukhulelwa kwimihla yabo emnandi kakhulu?
Uphando olufanayo lufumanise ukuba ukuba iqabane lomfazi lide lidala iminyaka emihlanu, iingxaki zabo ziye zafika kuma-15 ekhulwini.
Okubalulekileyo, iinqanaba zabo zincinane.
Gcina ukhumbule ukuba ezi ziyimpawu zokukhulelwa. Ngenxa yokuba ukhulelwe akuthethi uya kuzala.
Izinga lokutshatyalaliswa komtshato liphezulu kunina okhulileyo kunye noobawo.
Ingozi eyongezelelekileyo yoLwaphulo lokuzalwa kunye nokutshatyalaliswa komtshato
Ubudala buyandisa kakhulu amathuba okuvelisa i-genetic.
Esi sizathu sokwandisa ingozi ye-Down Syndrome iintsana kubasetyhini abangaphezu kweminyaka engama-35.
Xa uneminyaka engama-25, 1 kuma-1,250 abafazi baya kubeletha umntwana ono-Down Syndrome.
Xa uneminyaka engama-30, yingozi engama-952.
Ngama-35 ubudala, ithuba li-1 ngo-378.
Umngcipheko wakho wokukhulelwa kwesisu unyuke kunye nobudala.
Phantse iipesenti ezi-10 zokukhulelwa ziphela ekuphumuleni kokusweleka kwabafazi kwi-20s yokuqala.
Ekuqaleni kwe-30s, ama-12 ekhulwini kwabasetyhini banamava.
Emva kweminyaka engama-35, iipesenti ezingama-18 zokukhulelwa ziya kugqitywa ekuphumuleni.
Kwaye, kwiminyaka engama-40 ubudala, iipesenti ezingama-34 zokukhulelwa ziphela ekuphumuleni.
Kutheni ukunyuka kwamaHlathi
Abafazi bazalwa kunye nawo onke amaqanda abaya kuba nawo. Inani eliphezulu le-oocytes (okanye amaqanda) lwenzeka xa intombazana iselula.
Kwimizuzu engama-20 ubudala, intombazana inomntwana unamaqanda angama-6 ukuya kwezixhenxe ezisixhenxe ezinamaqanda akhe.
Ekuzalweni kwakhe, uza kuzalelwa ngamaqanda angaphezu kwesigidi. Ngobushushu, phakathi kwama-300 000 ukuya kuma-500,000 asele.
Kusuka kule namba enkulu yamaqanda, kuphela ama-300 kuphela aya kukhula kwaye akhululwe kwinkqubo eyaziwa njenge-ovulation.
Abanye abantu bacinga ukuba i-menopause iyisiqalo sokunciphisa ukuzala. Oku akunjalo. Imizimba yethu yokuzala inokuphuculwa kakhulu ngaphambili. Amaqanda asebenze kangangoko ekuveliseni amaqanda aqolileyo, aphilileyo.
Njengoko uneminyaka ubudala uze ufike kutshatyalaliswa kwindoda yokumelana nomntu, ama-ovari akho aya kuphendula ngokuthe ngqo kwi-hormone ejongene nokukhupha i-ovulation. Oku kubandakanya iziyobisi zokuzala , kwaye kutheni unyango lwezityalo aluphumelelanga ngaphantsi kwabesetyhini abaneendawo ezincinci zokugcina ii-ovarian .
Kuthekani ukuba uhlala impilo ephilileyo ? Kuthekani ukuba uyayisebenzisa, udle ngokufanelekileyo , ugcine ubunzima obuphilileyo , kwaye ugweme imikhwa emibi yempilo?
Nangona kunjalo, uya kuba nobuncwane bokunciphisa ngokwemvelo.
Ngaloo nto, imiphumo emibi yempilo ingaba nefuthe elibi kwi-fertility. Umzekelo, ukutshaya kufunyenwe ukukhawuleza inkqubo yokuguga kwendalo kwintombi .
Unyango lweZonyango Ukuphumelela kwamaxabiso emva kweminyaka yobudala 35
Mhlawumbi ucinga ukuba unokusebenzisa nje unyango lwezityalo . I- IVF ikhona, kutheni ukhathazeka malunga nobudala?
Ngelishwa, asebenzi ngaloo ndlela.
Kanye njengoko umzimba wakho ungaphenduli kakuhle kwii-hormone zakho (ezo zinoxanduva lwe-ovulation), umzimba wakho awuyi kuphendula kunye nama- hormonal drugs .
Ngokwezibalo eziqokelelwa yiZiko loLawulo lweZifo, ipesenteji zokuzalwa eziphilayo ezivela kwiindlela ze-IVF zisebenzisa amaqanda omama ziyahla ngephala.
Iqondo lokuzalwa eliphilayo, emva kokunyanga kwe-IVF, ...
- Ipesenti ezingama-41.5 kwabasetyhini abangaphantsi kwama-35
- Iipesenti ezingama-31.9 zabafazi abaneminyaka engama-35 ukuya ku-37
- Iipesenti ezingama-22.1 kubafazi abaneminyaka engama-38 ukuya kuma-40
- 12,4 ekhulwini kwabasetyhini abaneminyaka engama-41 ukuya ku-42
- 5 ipesenti yabasetyhini abaneminyaka engama-43 ukuya ku-44
- Ipesenti e-1 yabasetyhini abadala kuneminyaka engama-44 ubudala
Iindaba ezilungileyo kukuba ngelixa i-ovaries ingasebenzi kunye nabasetyhini ubudala, isibeleko asibonakali sihlupheke kakhulu ngokuguga. Abasetyhini abangakwazi ukukhulelwa ngokusebenzisa amaqanda abo bangakwazi ukujika kwi-egg donor IVF .
Ngakhathaliseki ubudala, abafazi abasebenzisa i-egg donor IVF babe nekhefu lama-51 lokukhulelwa. Ezi zinto zingcono kunabasetyhini abaselula basebenzisa i-IVF kunye namaqanda abo.
Ngaba zikhona iziNcediso zokuguqula i-Ovarian Aging?
Ukuba ukhangele ulwazi malunga nokukhulelwa emva kwama-35, okanye ngokukodwa emva kweminyaka engama-40, awuqinisekanga ukufumana izibonelelo kunye "nezilungiso zemvelo" ezithembisa ukuba "ziphendulele" ukuguga kwe-ovarian.
Inyaniso kukho okwangoku akukho zonyango eziqinisekisiweyo okanye unyango olunokuthi lunokuphelisa okanye "ukuguqula" ukuguga kwe-ovari. Ininzi yale mveliso ithengiswa mhlawumbi ayikho uphando emva kwabo, kuphela izifundo ezibuthakathaka zokuzikhusela, okanye zifana neendoda zabadala. Kukho inani lewebhusayithi elifuna ukuxhamla amadoda kunye nabasetyhini banqwenela ukuba nabantwana.
Ukuxhaswa kwe-DHEA kunokuphucula impumelelo ye-IVF kwabasetyhini abaneminyaka yobudala yokuzala. Nangona kunjalo, ngelixa uphando oluthile luncinci lufumene ukuphucula izinga lokuphumelela, abanye abafumananga nzuzo. Ngaphezulu, i-DHEA yongezelelo ingabangela ukungalingani kwe-hormonal. Akufanele kuthathwe ngaphandle kwesikhokelo se-endocrinologist yokuzala.
Coenzyme Q10, okanye i-CoQ10, sele ifunyenwe ukuphucula umgangatho weqanda kwiimiceba zokuguga. Kodwa akukho uphando olubonisa oku kubantu okwamanje.
Ukuncediswa komnye wokuzala ukuba ngamnye umfazi kufuneka athathe, kungakhathaliseki ubudala, ngumntu osisigxina, okanye i-folic acid. Ngoxa ufanele uhlale uthetha nodokotela wakho ngaphambi kokuthatha nayiphi na inkxaso yokuzala , ukufumana ubungqina obaneleyo kubalulekile ekukhuseleni iimpembelelo ezithile zokuzalwa kwaye kunokudlala indima ekukhuseleni ukulahleka kokukhulelwa.
Yintoni okufanele uyenze ukuba awukwazi ukuyiqonda emva kwama-35?
Ukucinga ukuba awunayo impawu okanye umngcipheko wokungabikho komntwana, ungaqalisa ukuzama ukukhulelwa kwendalo . Qiniseka ukuba ufundiswe ngokukhulelwa emva kwama-35 .
Nangona kunjalo, ukuba awukhulelwe emva kweenyanga ezintandathu, jonga ugqirha wakho.
Abasetyhini abangaphantsi kweminyaka engama-35 ubudala bavame ukuxelelwa ukuba bazame unyaka ngaphambi kokuba bancede, kodwa unyaka omude ukulinda iminyaka engama-35 ubudala.
Isizathu sokuba ungeke ukhulelwe okanye unganakho ukukwenza kunye nobudala bakho. Nangona kunjalo, kuba njengoko ukhula, iingxaki zakho zokuphumelela ukukhulelwa nangona unyango lwezityalo ziya kuncipha, kubalulekile ukufumana uncedo ngokukhawuleza.
Ukuba uneminyaka engama-40 kwaye ufuna ukukhulelwa, khangela udokotela wakho ngokukhawuleza. Akudingeki ukuba uqale uzame ngokwakho kuqala.
Unokucela ukuhlolwa kokuqala kokuzala . Ngokukodwa, ufuna ukuba bavavanye amazinga akho e-AMH nakwa-FSH . Oku kuya kunika ugqirha wakho ingcamango yeendawo zokugcina ii-ovarian .
Nantoni na oyenzayo, musa ukuchitha ixesha lakho okanye imali kwi-FSH ekhaya okanye uvavanyo lwe "menopause" . Bangakuqinisekisa ukuba ukuzala kwakho kulungile xa kungenjalo.
Umthombo:
> IKholeji yaseMerika yeziNqununu kunye neKomiti yeGynecologists kwiKomidi leGynecologic Practice and Practice Committee. "Ukunyuka komnxeba wokuzala okunxulumene nobudala." Ingxelo yekomiti ayi-589. "UFertil Steril. 2014 Mar; 101 (3): 633-4. i-doi: 10.1016 / j.fertnstert.2013.12.032.
UDunson DB, iColombo B, iBaird DD. "Utshintsho kunye nobudala kwinqanaba kunye nobude bokukhula kwimijikelezo yokuya esikhathini." U- Hum Reprod. Ngo-2002 uMeyi; 17 (5): 1399-403.
> Meldrum DR1, Casper RF2, Diez-Juan A3, Simon C4, Domar AD5, Frydman R6. "Ukuguga kunye nokusingqongileyo kuchaphazela i-gamete kunye nombindi onokwenzeka: ngaba singenelela? "Fertil Steril. Ngo-2016 uMar; 105 (3): 548-559. i-doi: 10.1016 / j.fertnstert.2016.01.013. Epub 2016 Jan 23.
> Narkwichean A1, Maalouf W2, iBaumgarten M2, i-Polanski L2, i-Raine-Fenning N3, iCampbell B2, i-Jayaprakasan K4. "Ukusebenza kweDehydroepiandrosterone (DHEA) ukunqoba umphumo wokuguga kwe-ovarian (DITTO) "I-Eur J Obstet Gynecol ihlambalaza i-Biol. 2017 Nov; 218: 39-48. i-doi: 10.1016 / j.ejogrb.2017.09.006. Epub 2017 Septhemba 8.