35歲前,黃金生育期
國內生育率低,醫師也呼籲,有心當媽媽的婦女不要蹉跎「生」機,35歲前是生育的黃金年齡,等到40歲以後,受孕機率像溜滑梯一路走下坡;即使受孕,流產機率也會提高,新生兒死產率甚至可能高達四成。
婦產科醫學會理事長蔡鴻德表示,當高齡產婦不僅挑戰體力,也要看運氣。女性從青春期開始排卵,卵子已經在「等待」,35歲以前其實是最佳的黃金生育年齡;隨年紀漸長,卵子品質也在下降中,高齡產婦可能提高胎兒罹患唐氏症的機率。
開業婦產科醫師李茂盛也說,門診中有婦女一直猶豫,「10年前我就勸她生」,等下決心已經來不及。他強調,女性34 歲以後由於卵巢功能退化,流產機率比一般正常孕婦多了2 倍。
若是等到40歲以後再懷孕,新生兒的死產率甚至可能提高至40%。除了女性先天條件越來越不利懷孕,男性的精子在40歲以後,活動量也會減少,男女雙方的生育條件,都不利有「生」機。
【聯合晚報╱記者黃玉芳/台北報導】 2010/09/05
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想生再生?小心卵巢提前停工
現代女性常晚婚,對生育更抱持「隨緣」態度,總覺得「想生再生」,不過小心卵巢可能提前「停工」。
婦產科醫師最近常替35歲以上婦女抽血檢測荷爾蒙,得知卵子「庫存量」,如果卵子數量稀少,就算比一般女性多打四倍劑量的排卵針還是沒用,只能靠借卵才可能一圓當媽的心願。
不少婦女覺得,想生的時候再努力嘗試,不然就花錢做試管嬰兒,對當高齡產婦一點都不在意。開業婦產科醫師李茂盛表示,門診中就曾遇過46歲的婦女,本來沒生小孩打算,但看朋友的兒女漸漸長大,想法也改變,才到門診積極求子。
不過即使還沒停經,想仰賴生殖科技,也要看卵巢功能配不配合。李茂盛說,婦產科門診近來常會建議有意生育的婦女,可以先抽血檢測「抗穆勒式荷爾蒙」(AMH),預測卵巢老化程度。AMH如果降到1以下,通常就沒有機會。
根據門診經驗,幾乎43歲以後,AMH都降到「警戒值」。這時除非借卵,幾乎已沒有「子」望。
李茂盛說,卵巢裡有許多原始卵泡,估計青春期大概有40萬個,但「一將功成萬骨枯」,眾多原始卵泡中,僅有少數會成為卵子,而且卵泡會隨年齡消耗,大約50歲左右就沒了,開始進入更年期。當AMH檢測值高,代表卵巢內原始卵泡數量多,還有機會排卵,AMH低就是卵子「庫存量」低的警訊。
婦產科醫學會理事長蔡鴻德也說,AMH本來是治療不孕症的常規檢查,預測卵巢功能準確度高。但由於國內婦女普遍晚婚,因此門診中醫師也會用來評估一般女性的生殖能力,提醒卵巢可能已經提早「收工」,想生就快。
他的門診中也有患者,因為AMH太低,即使早上打四支、下午打四支,比一般人多打高達4倍劑量的排卵針,婦女苦於腹痛、噁心的嚴重不適,還是無法刺激排卵。
【聯合晚報╱記者黃玉芳/台北報導】2010/09/05
I'm Good
==============================
Uh huh
New Blaque
Darckchild, Darkchizzle
The jump off
Is it true that im the one making you nervous?
Trying real hard as if im for show shit
By you and your crew, that's helpless
You saw that X5, that's me out side
I know you, kinda seem so confused
You cant understand how my diamonds bling through
But its cool its true, its unusual
A girl so fly out shining a guy
We can talk about this, lets talk about it
We can talk about this, don't think about it
About me on the floor, that's what I came here for
So pump ya breaks it seem as if ya wantin' more
It aint me, im sorry you got the wrong one
It aint me, I just came out to have fun
It aint me, go out and find another one
I don't like what your kickin' son, now leave
Cause even if I leave alone, Im good
And even if you come along, Im good
Don't mean a thing to me cause, Im good
With or without you
If you wanna play games with me then, Im good
Say what you do for me than, Im good
You don't really mean a thing cause, Im good
With or without you
Im good Im good without you
Im good Im good
Im good Im good without you
Im good Im good
Playas please, please stop frontin'
I don't know when Benz started makin Isuzu's
But its new, cause I do what I do
Which causes me not to be needin' you
When I leave, I got a crib to go to
That I got myself straight out of high school
So if you comin' at me, be ready
Cause there aint no way imma let somebody play me
We can talk about this, lets talk about it
We can talk about this, don't think about it
About me on the floor, that's what I came here for
So pump ya breaks it seem as if ya wantin' more
It aint me, im sorry you got the wrong one
It aint me, I just came out to have fun
It aint me, go out and find another one
I don't like what your kickin' son, now leave
Cause even if I leave alone, Im good
And even if you come along, Im good
Don't mean a thing to me cause, Im good
With or without you
If you wanna play games with me then, Im good
Say what you do for me than, Im good
You don't really mean a thing cause, Im good
With or without you
Im good Im good without you
Im good Im good
Im good Im good without you
Im good Im good
Yo, im only Clyde if you clip me
And I still got ice even if you aint wit me
Candy paint and I still bump Biggie
Halter, throwback, ripped up dickies
Ya hate me cause I im nice up on the mic
Im twice the size of rice
My flow keepin em' right
Brain dead you need cents like 50
Cause wont you to love me like Bobby and Whitney
No
Cause even if I leave alone, Im good
And even if you come along, Im good
Don't mean a thing to me cause, Im good
With or without you
If you wanna play games with me then, Im good
Say what you do for me than, Im good
You don't really mean a thing cause, Im good
With or without you
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