Hapai ma hope o 35 - Nā pilikia a me nā pono

na Patricia Hughes 

'Ōlelo pinepine nā kauka i ka hāpaiʻana i nā wāhine i piha i ka makahiki 35 aʻoi aʻe "ka makahiki makuahine." He mea hoʻonāukiuki loa kēia no kekahi mau wahine. Aia nā pilikia a me nā pōmaikaʻi o ka hoʻopanee ʻana i ka makuahine. E nānā kāu kauka i kou olakino a me kāu pēpē e pale a mālama i nā pilikia.

Nā pilikia o ka hāpai ʻana ma hope o 35

ʻOi aku ka maʻamau o ka infertility i ka wā e ulu ai nā wahine. I ko mākou mau makahiki, emi maoli ko mākou ulu. Pīhoihoi pinepine nā wāhine hoʻopanee i ka noho makuahine i ka ʻike ʻana ʻaʻole hiki iā lākou ke hāpai koke. Pono nā wāhine ma luna o 35 e ʻike i ke kauka inā ʻaʻole lākou i hāpai i loko o ʻeono mahina. Hiki i kekahi mau kaʻina hana infertility ke hopena i ka hāpai nui ʻana. Hoʻonui kēia i nā mea pilikia, e like me ka pre eclampsia a me ka hānau hānau mua.

ʻO nā maʻi maʻi maʻi maʻi e like me ka maʻi diabetes a me ke koko kiʻekiʻe ka mea maʻamau i nā wahine ma mua o 35. ʻO kēia a me nā maʻi olakino maʻi ʻē aʻe e hoʻomaka pinepine e ʻike ma hope o ka makahiki 30. ʻO ka hopena, ʻoi aku ka nui o nā wahine ʻelemakule e hoʻomaka i ka hāpai ʻana me kahi pre kūlana ola kino.

ʻOi aku ka maʻamau o kekahi mau kīnā hānau chromosomal i nā makuahine ʻelemakule. No ka laʻana, loaʻa i kahi wahine he 25 makahiki he 1 i 1250 ka loaʻa ʻana o kahi pēpē me Down's syndrome. I ka makahiki 35, he 1 i loko o 400 ka manawa e loaʻa ai i ka wahine kahi pēpē me Down's Syndrome. I ka makahiki 40, piʻi ka pilikia i 1 i 100.

ʻO ka hāʻuleʻana a me ka hānauʻana he mea maʻamau ia i nā wāhine ma luna o nā makahiki 35. Wahi a ka American College of Obstetrics and Gynecology, heʻumi pakeneka o nā'ōpū e pau i ka hāʻuleʻana no nā wāhine i ka makahiki iwakālua. Loaʻa i nā wahine mai 35 - 39 ka 20 pakeneka o ka loaʻa ʻana o ka hāʻule ʻana. Ma hope o ka makahiki 40, piʻi ka pilikia i 50 pakeneka.

Loaʻa pinepine nā pilikia i nā makuahine ʻelemakule. ʻElua o nā maʻi maʻamau a koʻikoʻi paha ka maʻi diabetes gestational a me ka pre eclampsia, ʻo ia hoʻi i kapa ʻia ʻo ka hāpai ʻana i ka hypertension. E nānā pono ʻia ke kahe koko a nānā ʻia kāu mimi no ka protein a me ke kō i kēlā me kēia kipa ʻana. He mau hōʻailona kēia o ka pre eclampsia. E hana ʻia kahi hoʻāʻo hoʻomanawanui glucose e nānā i ka maʻi diabetes gestational.

Ke piʻi aʻe ka nui o ka Caesarean me ka makahiki o ka makuahine. Loaʻa i nā makuahine ʻelemakule ka ʻāpana ac, e like me kahi noiʻi 2003 i paʻi ʻia ma OB/GYN News. Ua ʻike ʻia i ka haʻawina ʻewalu makahiki he 35% ka pauku c no nā makuahine ma luna o 28 mau makahiki, ke hoʻohālikelike ʻia me 9% wale nō i nā wahine ma lalo o ka makahiki 25. ʻO nā mea pilikia ʻelua i ʻike ʻia i loko o ke aʻo ʻana, ʻo ia ka pilikia o ka fetal a me ka cephalopelvic. hoʻokaʻawale ʻole.

ʻO nā pōmaikaʻi ma ka noho makuahine ma hope o 35

ʻAʻole hewa ka nūhou. Aia kekahi mau pono kūpono no nā makuahine ma luna o nā makahiki 35. ʻOi aku ka paʻa kālā o nā wahine kahiko ma mua o nā makuahine ʻōpio. ʻO nā wahine ma luna o 35 mau makahiki he ʻoi aku ka paʻa o ka pilina paʻa. ʻOi aku ka nui o nā kumuwaiwai e kōkua ai i ka hānai ʻana i ka pēpē ma mua o nā makuahine ʻōpio.

Ua hōʻike ʻia nā haʻawina ma Columbia University a me Johns 'Hopkins' School of Medicine e ʻoi aku ka maikaʻi o nā keiki a nā makuahine makua i ke ola. ʻO ke aʻo ʻana ʻo Johns Hopkins kekahi o nā mea mua i hahai i nā keiki ma kahi o 40 mau makahiki. Ua ʻike ʻia ka haʻawina ʻoi aku ka liʻiliʻi o ka hāpai ʻana o nā keiki a nā mākua makua i ka wā ʻōpio, ʻoi aku ka nui o ke hele ʻana i ke kulanui a me ka liʻiliʻi o ka manawa i loko o ka hale paʻahao.

ʻOiai ke piʻi aʻe nei ka pilikia, ʻo ka hapa nui o nā pēpē i hānau ʻia e nā makuahine makua i hānau olakino. E nānā kāu kauka i kou olakino a manaʻo paha i nā hoʻokolohua hou aku, inā pono. ʻO ka hopohopo nui he mea ʻino iā ʻoe a me kāu pēpē. ʻO ka mea maikaʻi loa e hiki iā ʻoe ke hana, ʻo ia ke loaʻa i ka mālama prenatal mau, ʻai i ka meaʻai olakino a hauʻoli i kou hāpai ʻana.

Kawaihae
He mea kākau kūʻokoʻa ʻo Patricia Hughes a he makuahine o ʻehā. Loaʻa iā Patricia kahi kēkelē laepua ma ke kula haʻahaʻa mai Florida Atlantic University. Ua kākau nui ʻo ia e pili ana i ka hāpai ʻana, ka hānau ʻana, ka hānai ʻana a me ka hānai ʻana. Eia kekahi, ua kākau ʻo ia e pili ana i ka hoʻonaninani home a me ka huakaʻi.