Ebia na wo ne wo hokafo no reso dae sɛ mobɛwo akokoaa na moabɔ mmɔden bere tiaa bi. Ɛtɔ da bi a, akwantu yi nyɛ mmerɛw sɛnea wususuw no. Ɛyɛ ade a ɛfata sɛ wobɛte awerɛhow ne dadwen kɛse nka bere a woatwɛn asram pii, ebia afe biako mpo no, nanso biribiara nni hɔ a efi mu ba. Mmere bi wɔ hɔ a wususuw sɛ, "Dɛn nti na eyi reto yɛn nkutoo?" Nanso ɛnyɛ wo nko ara, nnipa pii wɔ hɔ a wohyia ɔhaw yi. Nea eye sen biara ne sɛ aduruyɛ mu nhwehwɛmu ahorow bi wɔ hɔ a ɛboa yɛn ma yehu nea ɛde ba, a ɛne awo ho nhwehwɛmu. Momma yɛnka eyi ho asɛm nnɛ.
Bere bɛn na ɛsɛ sɛ wususuw ho sɛ wobɛyɛ awo ho nhwehwɛmu?
Nnuruyɛfo taa tu yɛn fo sɛ yensusuw eyi ho wɔ tebea horow a ɛte sɛɛ mu.
- Sɛ wunnya nnii mfe 35 a: Sɛ wunnyinsɛn akokoaa wɔ bɛyɛ afe biako akyi wɔ nna a ɛfata a wunni awo ano aduru biara akyi a.
- Sɛ woadi boro mfeɛ aduasa nnum a: Na sɛ woannyinsɛn wɔ bɛyɛ bosome 6 akyi a. (Eyi te saa efisɛ awo so tew kakra bere a obi nyin no.)
- Sɛ wo brayɛ a ɛba ɔsram biara no nyɛ nea ɛkɔ so daa a: Ɛne sɛ, sɛ wo bra ka akyi bɛboro nnafua 35 a.
Sɛ eyi te saa a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wo ne wo hokafo no bɛbom akɔ oduruyɛfo nkyɛn akɔhwehwɛ afotu.
Sɛ wokɔ oduruyɛfo nkyɛn a, dɛn na wubisa?
Sɛ wokɔ oduruyɛfo nkyɛn a, wɔnka kyerɛ wo sɛ yɛ nhwehwɛmu kɛkɛ. Wodi kan bisa wo ne wo hokafo no nneɛma kakraa bi ho asɛm. Ɛte sɛ nea worehwehwɛ nsɛnkyerɛnne a ɛbɛma woahu nea ɛde ɔhaw no ba.
Ebia oduruyɛfo no bebisa nneɛma yi ho asɛm titiriw:
- Nsɛm a ɛfa brayɛ ho: da a wo bra fii ase, nna dodow a ɛkyɛ, mogya dodow a etu, ne sɛ ebia ɛyaw wɔ hɔ anaa.
- Ɛfa nyinsɛn a atwam ho: Nsɛm a ɛkɔ akyiri te sɛ sɛ ebia woanyinsɛn pɛn ne sɛ ebia nyinsɛn bi atu wo.
- Nyarewa afoforo: So nyarewa bi wɔ hɔ a ɛtra hɔ kyɛ te sɛ asikreyare, thyroid haw, mogya mmoroso, anaasɛ woadi kan ayɛ oprehyɛn bi?
- Nnuru: So worenom nnuru bi mprempren?
- Asetra kwan: Sɛnea wonom nneɛma te sɛ kɔfe ne nsa dodow.
- Adwumayɛbea: Ebia ɛho behia nso sɛ wususuw ho sɛ ebia wohyia nnuru a awuduru wom wɔ adwumam anaa.
- Ɛfa nna mu asetra ho: Nneɛma te sɛ mpɛn dodow a mobom tra.
Sɛ wo boaboa nsɛm yi nyinaa ano wie a, wo duruyɛfo no besi nhwehwɛmu a ɛfata ma mo baanu nyinaa ho gyinae. Kae sɛ, "sɔhwɛ a eye sen biara" biako biara nni hɔ ma obiara. Sɔhwɛ ahorow a wuhia no bɛyɛ soronko wɔ onipa biara ho.
Dɛn ne awo ho nhwehwɛmu a wɔyɛ ma mmea?
Nhwehwɛmu ahorow pii wɔ hɔ a wobetumi ayɛ de ahu nea ɛde ɔbea awo ba. Momma yɛnhwɛ sɔhwɛ atitiriw a wɔyɛ no.
| Sɔhwɛ no din | Sɛ yɛbɛka no tiawa a, dɛn na wode eyi yɛ? |
|---|---|
| Mogya mu Nhwehwɛmu a Wɔyɛ wɔ Awo Ho | Ɛhwɛ sɛ ebia hormone dodow a ɛnkari pɛ a ɛka ovulation ne ovulation. Wɔyɛ mogya mu nhwehwɛmu yi wɔ nna pɔtee bi mu wɔ brayɛ mu. Ɛhwɛ sɛnea hormone dodow te sɛ Progesterone, Estradiol, TSH (thyroid hormone), ne Prolactin . |
| Ovarian Reserve Sɔhwɛ a Wɔyɛ | Nea ɛka eyi ho ne sɛ wobesusuw hormone AMH (Anti-Mullerian Hormone) a ɛwɔ mogya no mu. Bere koro no ara mu no, wɔde scan a ɛfa ɔbea no awotwaa mu (Transvaginal Ultrasound) di dwuma de hwɛ sɛnea antral follicles dodow a ɛwɔ awotwaa no mu no te. Eyi betumi ama woanya sɛnea wo nkesua a wode asie no toto afoforo a wɔne wo bɔ tipɛn ho no ho adwene. Eyi ho nhia mma obiara, nanso ɛho hia titiriw ma wɔn a wɔreyɛ ayaresa te sɛ IVF . |
| Awosu mu Nhwehwɛmu | Wɔrehwehwɛ nsakrae (nsakrae) biara a ɛbɛba awosu mu nkwaadɔm mu a ebetumi aka awo. |
| Pelvic Ultrasound a Wɔde Yɛ Nneɛma | Wɔyɛ saa scan yi de hwɛ sɛ awotwaa no mu ntini, awotwaa mu ntini, anaa nneɛma afoforo a ɛnteɛ anaa. |
| Hysterosalpingogram (HSG) ho nhwehwɛmu . | Eyi yɛ X-ray nhwehwɛmu titiriw bi. Wɔde hwɛ sɛ Fallopian tubes no asiw na ɛda so ara wɔ tebea pa mu anaa. Fallopian tubes a asiw yɛ ade titiriw a ɛma obi ntumi nwo. |
| Hysteroscopy a wɔde hwɛ awotwaa mu | Wɔde afiri a ɛyɛ tratraa a mfoninitwa afiri ketewaa bi (hysteroscope) wom fa awotwaa no mu kɔ awotwaa no mu na wɔhwɛ awotwaa no mu ɔfasu no mu yiye. Sɛ akuru nketenkete bi wɔ hɔ a, wobetumi ayi afi hɔ ntɛm ara. |
Dɛn ne awo ho nhwehwɛmu a wɔyɛ ma mmarima?
Ɛnyɛ mmea nko na awo a wontumi nwo nyɛ ɔhaw, enti akyinnye biara nni ho sɛ ɛho hia sɛ wɔyɛ nhwehwɛmu sɛ ebia mmarima ntumi nwo nso.
| Sɔhwɛ no din | Sɛ yɛbɛka no tiawa a, dɛn na wode eyi yɛ? |
|---|---|
| Nkwaboaa mu Nhwehwɛmu | Eyi ne sɔhwɛ a ɛho hia na ɛyɛ mfitiasede sen biara ma mmarima. Ɛsusuw mmadwoa dodow, sɛnea ɛkɔ, ne sɛnea mmadwoa no te. |
| Mogya mu Nhwehwɛmu a Wɔyɛ wɔ Awo Ho | Sɛ ɔhaw bi wɔ mmadwoa mu nhwehwɛmu no mu a, wɔyɛ mogya mu nhwehwɛmu de hwɛ sɛnea hormone dodow te. Eyi sɔ hormone dodow te sɛ Testosterone, FSH (Follicle-Stimulating Hormone), ne LH (Luteinizing Hormone) hwɛ . |
| Testicular Ultrasound a Wɔde Yɛ Nneɛma | Wɔyɛ saa scan yi de hwɛ sɛ ɔhaw anaa akwanside biara wɔ mmadwoa ne nneɛma a atwa ho ahyia no mu anaa. |
| Nsuo mu Nhwehwɛmu a Wɔyɛ wɔ Nsuo a Wɔde To Nsuo akyi | Ɛtɔ da bi a, tebea bi betumi aba a mmadwoa mfi adi na mmom ɛsan kɔ akisikuru no mu (retrograde ejaculation). Wobetumi ahu saa tebea yi denam mmadwoa a wɔbɛhwɛ sɛ ɛwɔ nsu a wɔde yɛ nsu mu no so. |
Sɛ sɔhwɛ no mu aba no nyɛ nea ɛfata a, dɛn na ɛsɛ sɛ wɔyɛ?
Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne dadwen nka bere a wuhu sɛ nea efi sɔhwɛ bi mu ba no nyɛ nea ɛfata no. Nanso ɛno nkyerɛ sɛ w’akwantu no aba awiei. Nokwarem no, ɛkyerɛ sɛ yɛahu nea ɛde ɔhaw no ba na afei yebetumi adi ho dwuma.
Wo duruyɛfo bɛkyerɛkyerɛ nea ebefi mu aba no mu akyerɛ wo ne nea ɛsɛ sɛ woyɛ akyi. Ebia ɛho behia sɛ woyɛ nhwehwɛmu pii, anaasɛ wubetumi afi ayaresa ase ntɛm ara.
Kae sɛ, ɛnsɛ sɛ wugyae wo ba no dae no mu esiane sɛ na biribi soronko bi wɔ sɔhwɛ amanneɛbɔ bi mu nti. Ɛyɛ hokwan a wɔde hu ɔhaw no ara kwa.
Esiane sɛ wɔanya nkɔso wɔ aduruyɛ ho nyansahu mu nti, ayaresa ahorow pii a edi mu wɔ hɔ, te sɛ IUI (Intrauterine Insemination) ne IVF (In-Vitro Fertilization) . Wo duruyɛfo bɛkyerɛkyerɛ ɔkwan a wɔfa so sa yare a eye ma wo no mu.
So metumi asɔ m’awo ahwɛ wɔ fie?
Yiw, awo ho nhwehwɛmu wɔ fie a wobetumi ayɛ wɔ nnurutɔnbea ne Intanɛt so. Sɛ nhwɛso no, nsu mu nhwehwɛmu bi wɔ hɔ a ebetumi aboa mmea ma wɔahu bere a wɔreyɛ ovulation. Na sɔhwɛ ahorow wɔ hɔ ma mmarima a ɛma wonya wɔn mmadwoa dodow ho adwene a ɛyɛ den.
Nanso ɛho hia sɛ wokae eyi: Ofie sɔhwɛ nyɛ ade a wɔde besi aduruyɛ mu afotu a abenfo ananmu ɔkwan biara so. Saa sɔhwɛ ahorow yi yɛ akwankyerɛ a ɛyɛ katee kɛkɛ. Sɛ wususuw sɛ biribi asɛe wɔ nhwehwɛmu no ho a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi.
Nkrasɛm a Wɔde Kɔ Fie
- Sɛ ɛyɛ den ma wo sɛ wubenyinsɛn abofra a, mma w’ani nnwu anaasɛ nsuro. Ɛto nnipa pii. Ade a ɛho hia sen biara ne sɛ wobɛhwehwɛ aduruyɛ mu afotu ntɛm ara sɛnea wubetumi.
- Ɛnyɛ awo ho sɔhwɛ ne sɛ wobehu onii a ɔwɔ ɔhaw no, na mmom sɛ wobehu nea ɛde ɔhaw no ba na wɔde ano aduru ama. Ɛno nti na ɛho hia paa sɛ mo mmienu nyinaa bɛbom afa akwantuo yi mu.
- Ɛmfa ho sɛnea sɔhwɛ no mu aba te biara no, ɛnyɛ wiase awiei. Esiane ayaresa a ɛkɔ akyiri a ɛwɔ hɔ nnɛ nti, hokwan pii wɔ hɔ a wubetumi ama w’adaeso a ɛne sɛ wobɛwo ba no abam.
- Wo ne wo duruyɛfo nkasa pefee wɔ nsɛmmisa anaa nsɛm biara a ɛhaw wo ho. Afei wubenya akwankyerɛ a ɛfata sen biara.
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