He aha kāu e ʻike ai e pili ana i ka loaʻa ʻana o kahi pēpē ma 40
Anter
- He aha nā pono?
- Aia ka hāpai ma 40 kiʻekiʻe kiʻekiʻe?
- Pehea ka makahiki i ka momona?
- Pehea e hāpai ai i 40
- Pehea ke ʻano o ka hāpai ʻana?
- Pehea ka makahiki i ka hana a me ka lawe?
- Aia paha ka hoʻonui ʻana i ka makaʻu no nā māhoe a i ʻole ka nui?
- Nā manaʻo ʻē aʻe
- Lawe aku
ʻO ka loaʻa ʻana o kahi pēpē ma hope o nā makahiki 40 ua lilo i hanana pinepine pinepine ʻia. ʻO ka ʻoiaʻiʻo, nā Centers for Disease Control and Preventiom (CDC) (CDC) wehewehe ua hoʻonui ʻia ka helu mai nā makahiki 1970, me ka helu o nā hānau mua ma waena o nā wahine mai 40 a 44 mau makahiki ma mua o ka pālua ʻana ma waena o 1990 a me 2012.
ʻOiai haʻi pinepine ʻia nā wahine ʻoi aku ka maikaʻi o ka loaʻa ʻana o nā keiki ma mua o ka 35 mau makahiki, hōʻike ʻikepili ʻē aʻe.
Nui nā kumu no ke kali ʻana o nā wahine i nā keiki, e like me nā mālama ʻana i ka momona, nā ʻoihana mua, a me ka noho ʻana ma hope o ke ola. Inā ʻoe hoihoi e pili ana i ke ʻano o ka pēpē ma 40, e noʻonoʻo i ka nui o nā pono, nā pilikia, a me nā mea ʻē aʻe āu e pono ai.
He aha nā pono?
I kekahi manawa ʻo nā pōmaikaʻi o ka hānau pēpē ma hope o ke ola hiki ke ʻoi aku i ka nui o nā keiki ke 20 a 30 paha kāu mau makahiki.
No hoʻokahi, ua hoʻokumu paha ʻoe i kāu ʻoihana a hiki ke hoʻolaʻa i ka manawa hou e hānai keiki. A i ʻole ʻoi aku ka maikaʻi o kāu kūlana kālā.
Ua loli paha ʻoe i kāu kūlana pili a makemake ʻoe e hānau pēpē me kāu hoa.
ʻO kēia kekahi o nā keu pono o ka loaʻa ʻana o kahi keiki ma ka makahiki 40. Eia nō naʻe, hōʻike kekahi mau noiʻi i nā pōmaikaʻi ʻē aʻe i loaʻa, e like me:
- hoʻemi i ka hoʻohaʻahaʻa ʻike
Karim R, et al. (2016). Ka hopena o ka mōʻaukala hānau a me ka hoʻohana ʻana o ka hormone exogenous i ka hana noʻonoʻo i ka waena a me ke ola hopena. DOI: 10.1111 / jgs.14658 - lōʻihi ke ola
ʻO Sun F, et al. (2015). ʻO ka nui o nā makahiki makuahine i ka hānau ʻana o ke keiki hope loa a me ka lōʻihi o nā wahine i ka hoʻopaʻa ʻohana lōʻihi. - nā hopena aʻoi aku ka maikaʻi i nā keiki, e like me nā helu hōʻoia kiʻekiʻe a me nā helu puka puka
ʻO Barclay K, et al. (2016). Nā makahiki makuahine mua a me nā hopena o nā keiki: ʻO nā kūpuna hānau a me nā ʻano wā counterbalancing. DOI: 10.1111 / j.1728-4457.2016.00105.x
Aia ka hāpai ma 40 kiʻekiʻe kiʻekiʻe?
Ma muli o ka holomua o ka ʻenehana e pili ana i ka momona, hāpai keiki, a me ka hānau ʻana, hiki ke loaʻa palekana kahi pēpē i ka makahiki 40. Eia nō naʻe, ʻo kēlā me kēia hāpai ʻana ma hope o 40 mau makahiki e manaʻo ʻia he kūlana kiʻekiʻe. E nānā pono kāu kauka iā ʻoe a me ka pēpē no kēia mau mea:
- ke koko kiʻekiʻe - hiki i kēia ke hoʻonui i kou makaʻi o kahi kōpū hāpai i kapa ʻia ʻo preeclampsia
- mimikō hāpai
- hānau kīnā, e like me Down syndrome
- hāʻule hāʻule
- kaumaha hānau haʻahaʻa
- hāpai keiki ectopic, i kekahi manawa me ka vitro fertilization (IVF)
Pehea ka makahiki i ka momona?
ʻO ka holomua i ka ʻenehana momona ka mea i hoʻoikaika i ka hoʻonui ʻana o nā wahine e kali nei i ka hānau keiki. Loaʻa kekahi mau koho i nā wahine:
- nā hoʻomaʻamaʻa infertility, e like me IVF
- ke hoʻomoʻa ʻana i nā hua manu i kou wā ʻōpio i hiki iā ʻoe ke loaʻa ke loaʻa i kou wā ʻelemakule
- panakō sperm
- pani hakahaka
ʻOiai me kēia mau koho āpau i loaʻa, hōʻemi nui ka momona o ka wahine ma hope o 35 mau makahiki. Wahi a ka Office on Health Women, ʻo ka hapakolu o nā kāne ma hope o ka 35 mau makahiki e ʻike i nā pilikia momona.
- emi nā helu o nā hua i koe e momona
- hua moa maikaʻi ʻole
- ʻaʻole hiki i nā ovaries ke hoʻokuʻu pono i nā hua
- hoʻonui i ka makaʻu o ka hāpai keiki ʻana
- ʻoi aku ka kiʻekiʻe o nā kūlana olakino i hiki ke hoʻopalai i ka momona
Ua hoʻemi pū ka helu o nā hunaola hua manu (oocytes) ma hope o ka makahiki 35. Wahi a ka American College of Obstetricians and Gynecologists (ACOG), ua heleleʻi ka helu mai 25,000 i ka makahiki 37 a i ka 1,000 wale nō i ka makahiki 51.
Pehea e hāpai ai i 40
Hiki ke hoʻolōʻihi i kahi manawa e hāpai ai, me ka nānā ʻole i ka makahiki. Akā inā ʻoi aku ʻoe i 40 mau makahiki a ke hoʻāʻo nei ʻoe ʻaʻole e kūleʻa i kahi pēpē kūlohelohe no ʻeono mau mahina, hiki i ka manawa e ʻike ai i kahi loea hānau.
E holo ana kahi loea hoʻohua i nā hoʻokolohua e ʻike inā aia kekahi mau mea e hoʻopili ana i kou hiki ke hāpai. Pākuʻi paha kēia i nā ultrasounds e nānā i kou kōpū a me nā ovaries, a i ʻole nā hoʻāʻo ʻana o ke koko e nānā i kāu mālama ʻōpelu.
Wahi a ACOG, ʻo ka hapa nui o nā wahine ma hope o 45 mau makahiki ʻaʻole hiki ke hāpai kūlohelohe.
Inā ʻoe e ʻike nei i ka infertility, e kamaʻilio me kāu kauka e pili ana i nā koho aʻe e kōkua ai e hoʻoholo inā kūpono kekahi iā ʻoe:
- Nā lāʻau lapaʻau momona. Kōkua kēia mau mea me nā homoni e hiki ke kōkua me ka holomua holomua.
- Kōkua ʻenehana hānau (ART). Hana kēia i ka hemo ʻana i nā hua a hoʻouluulu iā lākou i kahi lab ma mua o ka hoʻokomo ʻana iā lākou i loko o ka uterus. Hana paha ʻo ART no nā wahine me nā pilikia ovulation, a hiki nō hoʻi ke hana no nā mea pani. Kuhi ʻia he 11 pakeneka o ka helu kūleʻa o nā wahine mai 41 a 42 mau makahiki.
Hoʻoipo. (2018). ʻO kekahi o nā ʻano maʻamau o ka ART ʻo IVF. - Intrauterine insemination (IUI). Ua kapa ʻia kēia hana insemination, hana kēia hana ma ka hoʻokomo ʻana i ka sperm i loko o ka kōpū. Kōkua nui paha ʻo IUI inā kuhi ʻia ka infertility kāne.
Pehea ke ʻano o ka hāpai ʻana?
E like me ka paʻakikī o ka helu ʻana i ka helu ma hope o ka makahiki 40, hiki i ka hāpai ʻana iā ia iho ke lilo i mea paʻakikī e like me kou mau makahiki.
Loaʻa paha iā ʻoe nā ʻeha a me nā ʻeha ma muli o nā hono a me nā iwi e hoʻomaka nei e nalo i ka nui me ka makahiki. Hiki paha iā ʻoe ke maʻalahi i ke koko kiʻekiʻe a me ka maʻi diabetes. Hiki ke ʻōlelo ʻia ka luhi pili i ka hāpai ʻana i kou wā ʻelemakule.
He mea nui e kamaʻilio me kāu OB-GYN e pili ana i nā mea ʻē aʻe āu e manaʻo ai i ka wā o kou hāpai ʻana e pili ana i kou makahiki a me ke olakino holoʻokoʻa.
Pehea ka makahiki i ka hana a me ka lawe?
ʻOi aku paha ka liʻiliʻi o ka hānau ʻana ma hope o ka makahiki 40. ʻO kēia kumu ma muli o nā mālama ʻana i ka momona e hiki ai ke hoʻonui i ka makaʻu no ka hānau mua ʻana. Hiki paha iā ʻoe ke hoʻonui i ka makaʻu o ka preeclampsia, kahi e pono ai i kahi hānau cesarean e mālama i ka makuahine a me ka pēpē.
Inā hānau pēpē ʻia kāu pēpē, paʻakikī paha ke kaʻina hana i kou wā ʻelemakule. Aia kekahi piʻi nui o ka hānau hānau.
Hāʻawi maikaʻi nā wahine he nui i nā pēpē olakino ma mua o 40 mau makahiki paha. E kamaʻilio me kāu kauka e pili ana i ka mea e kali ai, a e loaʻa i kahi papaʻa papaʻa. ʻO kahi laʻana, inā ʻoe e hoʻolālā ana i kahi lawe ʻōpala, e kamaʻilio me kāu pakanā a me ka hui kākoʻo e pili ana i nā kōkua āu e pono ai inā koi ʻoe i kahi hoʻouna cesarean ma kahi.
Aia paha ka hoʻonui ʻana i ka makaʻu no nā māhoe a i ʻole ka nui?
ʻAʻole hoʻonui ka makahiki iā ia iho i kāu makaʻi no ka nui. Eia nō naʻe, ʻo nā wahine e hoʻohana ana i nā lāʻau lapaʻau momona a i ʻole IVF no ka hapai ʻana, ʻoi aku ka nui o ka pilikia o nā māhoe a i ʻole nā lehulehu.
ʻO ka loaʻa ʻana o nā māhoe e hoʻonui ai i ka makaʻu e ʻoi aku ka nui o kāu pēpē.
Nā manaʻo ʻē aʻe
ʻO ka hāpai ʻana ma hope o ka makahiki 40 hiki ke lōʻihi no kekahi mau wahine ma mua o kekahi. Eia nō naʻe, pono e hana koke kāu loea hoʻohua me ʻoe ma hope o ka iho nui ʻana o kāu helu momona i kāu 40.
Inā hiki ʻole iā ʻoe ke hāpai kūlohelohe, makemake ʻoe e noʻonoʻo inā paha ʻoe no ka hoʻāʻo pinepine ʻana me nā lāʻau lapaʻau momona a inā he kumu kāu e uhi ai i nā ʻano lāʻau.
Lawe aku
ʻO ka loaʻa ʻana o kahi pēpē ma 40 ka mea maʻamau ma mua o ka wā ma mua, no laila inā ʻoe i kali no ka loaʻa ʻana o nā keiki a hiki i kēia manawa, he nui kāu hui.
ʻOiai nā pilikia e hiki ke hāpai ʻia, ʻo ka loaʻa ʻana o nā keiki i kāu 40 mau makahiki he hiki nō ia. Makemake ʻoe e kamaʻilio me kāu kauka e pili ana i kāu mau pilikia āpau ma mua o ka hoʻomaka ʻana i kahi ʻohana ma kēia pae i kou ola.
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