So wo nso woreso akokoaa ho dae? Momma yɛnka Fertility Tests ho asɛm!

Ebia wo ne wo hokafo no abɔ mmɔden sɛ mobɛwo akokoaa bere tiaa bi. Nanso sɛ saa dae no nnya mmaa mu a, ɛyɛ ade a ɛfata sɛ wobɛte awerɛhow ne dadwen kakra nka. Ebia worebisa mpo sɛ, "Dɛn nti na eyi reto yɛn nkutoo?" Nanso mma ɛnhaw wo, ɛnyɛ wo nko ara. Nnipa pii di apere wɔ ɔhaw ahorow yi ho. Nea eye ne sɛ, esiane sɛ aduruyɛ ho nyansahu renya nkɔso nti, akwan pii wɔ hɔ a yɛbɛfa so aboa ma wɔanya eyi ano aduru. Mmoa a ɛte saa no mu biako ne awo ho nhwehwɛmu, anaa nea yɛfrɛ no `(Fertility Tests)`.

Dɛn ne Awo Ho Nhwehwɛmu? Dɛn nti na wɔayɛ?

Sɛ yɛbɛka no tiawa a, eyinom ne sɔhwɛ ahorow a nnuruyɛfo de hu nea enti a wo ne wo hokafo no rehyia ɔhaw wɔ nyinsɛn mu. Sɛ wuhu nea ɛde ba ankasa wie a, ɛnyɛ den sɛ wubesi ayaresa a ɛfata wo ho gyinae. Ɛte sɛ nea woahu nea ɛde yare bi ba. Ɛyɛ nea etu mpɔn kɛse sɛ wubehu nea ɛde ba no na woasa sen sɛ wobɛkyerɛw nnuru ama obi kɛkɛ a wunnim nea ɛde ba, ɛnte saa?

Ɛtɔ mmere bi a, nea ɛde ba no yɛ mmerɛw sen sɛnea wususuw. Ebia ɛyɛ hormone a ɛnkari pɛ ketewaa bi, anaa akwahosan ho haw ketewaa foforo. Saa sɔhwɛ ahorow yi betumi akyerɛ saa nneɛma no yiye.

Bere bɛn na oduruyɛfo bi bɛkyerɛ wo sɛ wɔnyɛ nhwehwɛmu a ɛte sɛɛ?

Mpɛn pii no, awo ho abenfo kamfo nhwehwɛmu ahorow yi kyerɛ wɔ tebea horow a edidi so yi mu:

• Sɛ wunnii mfe 35 , na wunnyinsɛn akokoaa bere a woada afe biako a wunni awo ano aduru biara akyi a.
• Sɛ woadi boro mfeɛ aduasa nnum na woannyinsɛn wɔ asram asia nna a wɔammɔ ho ban akyi (wɔtew saa bere yi so efisɛ awo so tew kakra bere a obi nyin no).
• Sɛ wo brayɛ no nkɔ so daa (kyerɛ sɛ, sɛ ɛka akyi bɛboro nnafua 35 anaasɛ ɛnkɔ so daa koraa a).

Wɔ tebea a ɛte saa mu no, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwehwɛ afotu. Ɛho hia sɛ wuhu sɛ ɔhaw bi wɔ hɔ ntɛm sen sɛ wobɛsɛe bere.

Dɛn ne nneɛma a edi kan a oduruyɛfo titiriw bi bisa wo?

Sɛ wokɔ awo ho ɔbenfo nkyɛn a, wobebisa wo nsɛm kakraa bi. Ɛte sɛ detective bi a ɔreboaboa adanse ano. Nsɛm a wode ma wɔn no ho hia yiye wɔ sɔhwɛ ahorow pɔtee a ɛsɛ sɛ wɔyɛ ho gyinaesi mu.

Nneɛma bi a wɔtaa bisa ho asɛm ni:

• Wo brayɛ ho nsɛm a ɛkɔ akyiri: Ɛne sɛ, mfe a wufii ase rekɔ brayɛ mu , nna dodow a wode kɔ brayɛ mu, bere tenten a ɛtra hɔ, sɛ ebia mogya tu wo kɛse, ne sɛnea ɛyɛ yaw.
• Mmea Ho Abakɔsɛm:Nneɛma te sɛ sɛ ebia nyinsɛn a atwam, nyinsɛn a atu, anaa nna mu nyarewa bi aba.
• Akwahosan ho abakɔsɛm : Ayaresa mu tebea afoforo a wowɔ (e.g. asikreyare, thyroid yare), oprehyɛn a woayɛ, ne nnuru biara a ɛkyɛ a wonom.
• Nnuru a wonom: Nnuru bi betumi aka awo.
• Caffeine ne nsa a wɔnom: Eyinom mu dodow a wɔnom.
• Adwumayɛbea: Sɛ́ ebia wohyia nnuru a awuduru wom wɔ adwumam.
• Nsɛm a ɛfa wo nna mu asetra ho : Nneɛma te sɛ mpɛn dodow a wo ne obi da.

Sɛ oduruyɛfo no boaboa nsɛm yi nyinaa ano wie a, obesi nhwehwɛmu a eye ma wo ho gyinae. Ɛnyɛ obiara na wɔbɛma sɔhwɛ ahorow a ɛtoatoa so koro. Wobegyina wo tebea no so akyerɛ.

Dɛn ne Awo Ho Nhwehwɛmu a Wɔyɛ ma Mmea?

Nhwehwɛmu ahorow bi wɔ hɔ a wobetumi ayɛ de ahwɛ sɛ mmea awo ho haw ahorow wɔ hɔ anaa. Momma yɛnhwɛ sɔhwɛ atitiriw a wɔyɛ no bi.

Mogya mu nhwehwɛmu `(Fertility mogya mu nhwehwɛmu)`

Nkwammoaa bi a ɛnkari pɛ no betumi asiw nkesua a wɔyɛ ne nyin kwan. Saa mogya mu nhwehwɛmu ahorow yi hwɛ sɛnea saa nkwaadɔm yi dodow te wɔ nna pɔtee bi mu wɔ wo brayɛ mu ɔsram biara mu. Sɛ nhwɛso no, wɔhwɛ sɛnea nkwaadɔm te sɛ `( Progesterone )`, `( Estradiol)`, `( Thyroid Stimulating Hormone - TSH)` ne `( Prolactin)` dodow te. Eyinom betumi ama woanya nneɛma pii ho adwene, te sɛ sɛ ebia ovulation rekɔ so yiye ne sɛ ebia awotwaa no ayɛ krado sɛ ɛbɛboa awotwaa bi.

Ovarian reserve nhwehwɛmu (AMH sɔhwɛ) .

Eyi hwehwɛ sɛ wɔyɛ mogya mu nhwehwɛmu ne ultrasound a wɔde fa ɔbea no awotwaa mu a wɔaka abom. Eyi susuw nkesua dodow a ɛwɔ wo mmadwoa mu (antral follicle count - AFC) ne hormone bi a awotwaa no yɛ a wɔfrɛ no Anti-Mullerian Hormone - AMH dodow. Eyi betumi ama woanya sɛnea wo nkesua a wode ma no toto nnipa afoforo a wɔne wo bɔ tipɛn ho no ho adwene. Nanso, sɔhwɛ yi ho nhia mma obiara. Mpɛn pii no, wɔn a wɔreyɛ ayaresa te sɛ In-Vitro Fertilization - IVF na wohia no kɛse.

Awosu mu nhwehwɛmu

Ɛtɔ mmere bi a, nsakrae bi a ɛba awosu mu nkwaadɔm mu (awosu mu nkwaadɔm mu nsakrae) nso betumi aka awo. Saa awosu mu nhwehwɛmu ahorow yi betumi aboa ma wɔahu sɛ biribi a ɛte saa wɔ hɔ anaa.

Pelvic ultrasound a wɔde yɛ nhwehwɛmu

Nnipa binom nso frɛ eyi sonogram. Eyi yɛ wo awo nhyehyɛe (awotwaa, awotwaa, .Ebetumi atwa awotwaa no ho mfonini a ɛkɔ akyiri . Ebetumi ahwɛ sɛ ebia nneɛma a ɛnteɛ te sɛ awotwaa mu ntini a ɛyɛ mmerɛw ne awotwaa mu ntini a ɛyɛ mmerɛw anaa.

Sonohysterogram a wɔde yɛ nhwehwɛmu

Eyi nso yɛ `mfonini` sɔhwɛ bi. Ɛma oduruyɛfo no tumi hwɛ w’awotwaa no mu yiye. Eyi betumi aboa ma woahu nea ɛde wo awo a wontumi nwo no ba.

Hysterosalpingogram a wɔde yɛ nhwehwɛmu

Saa sɔhwɛ yi de ɔkwan bi a wɔfrɛ no fluoroscopy di dwuma de twa wo awotwaa ne wo awotwaa mu ntini ahorow ho mfonini. Etumi hu awo ho haw ahorow te sɛ awotwaa mu ntini a asiw nso, efisɛ ɛsɛ sɛ ɛwo fa awotwaa mu ansa na ahyia mmadwoa bi.

Hysteroscopy `(Awotwaa mu nhwehwɛmu)`

Wɔ sɔhwɛ yi mu no, oduruyɛfo no de afiri a ɛyɛ tratraa a kanea wom a wɔfrɛ no hysteroscope hyɛ w’awotwaa mu. Eyi ma oduruyɛfo no tumi hwehwɛ awotwaa no mu ne awotwaa no mu.

Dɛn ne Awo Ho Nhwehwɛmu a Wɔyɛ Ma Mmarima?

Ɛwom sɛ mpɛn pii no, wɔde wɔn adwene si mmea so bere a ɛfa awo a ɛkyɛ ho de, nanso mmarima awo ho hia saa ara. Ɛno nti na sɔhwɛ pɔtee bi wɔ hɔ ma mmarima nso.

Nkwaboaa mu nhwehwɛmu

Eyi ne sɔhwɛ a ɛho hia sen biara na wɔtaa yɛ de hu mmarima awo. Ɛhwɛ mmadwoa dodow a ɛwɔ wo mmadwoa nhwɛsode no mu, sɛnea ɛkɔ, ne sɛnea ɛte, ne nneɛma afoforo. Sɛ obi nya mmadwoa a ɛyɛ papa na ɛwɔ apɔwmuden dodow a ɛdɔɔso a, ɛho hia ma nyinsɛn.

Mogya mu nhwehwɛmu `(Fertility mogya mu nhwehwɛmu)`

Sɛ ɔhaw bi wɔ mmadwoa mu nhwehwɛmu no mu a, oduruyɛfo no bɛhwɛ sɛnea hormone ahorow bi wɔ wo mogya mu. Sɛ nhwɛso no, wɔbɛhwɛ sɛnea hormone te sɛ `(Testosterone)`, `(Thyroid-Stimulating Hormone - TSH)`, `(Luteinizing Hormone - LH)`, `(Prolactin)`, `(Estradiol)` ne `(Follicle-Stimulating Hormone - FSH)` dodow. Saa nkwaadɔm yi nya mmadwoa a wɔyɛ no tẽẽ.

Awosu mu nhwehwɛmu

Sɛnea ɛte wɔ mmea mu no, awosu mu nsakrae a ɛba mmarima mu betumi aka awo. Saa sɔhwɛ yi betumi aboa ma wɔahu sɛ biribi a ɛte saa wɔ hɔ anaa.

Testicular ultrasound a wɔde yɛ nhwehwɛmu

Sɛ ɔhaw ahorow wɔ mmadwoa mu nhwehwɛmu no mu a, wɔyɛ saa scan yi de nya mmadwoa no ne baabi a atwa ho ahyia no ho mfonini a ɛkɔ akyiri. Eyi betumi aboa ma wɔahu nea ɛde awo a wontumi nwo ba (sɛ nhwɛso no, ntini a ɛyɛ mmerɛw wɔ awotwaa mu - `varicocele`).

Nsu a wɔde yi nsu mu nhwehwɛmu a wɔyɛ wɔ ɔbarima ne ɔbea nna akyi

Ɛtɔ da bi a, tebea bi a wɔfrɛ no ``Retrograde ejaculation`` betumi aba, baabi a mmadwoa mfi adi na mmom ɛsan kɔ akisikuru no mu. Wɔ tebea horow a ɛtete saa mu no, wobetumi ahyɛ nhwehwɛmu yi ho nyansa de ahwɛ sɛ mmadwoa wɔ wo nsu mu anaa.

Ɔkwan bɛn so na wɔyɛ sɔhwɛ ahorow yi? So ɛte saa ara wɔ obiara fam?

Eyi gyina sɔhwɛ a woreyɛ no so ankasa. Nhwehwɛmu bi hwehwɛ sɛ mogya kakra, ebi nso hwehwɛ sɛ wɔyɛ scan. Mpɛn pii no ɛyɛ abien no nyinaa a wɔaka abom.

Nea ɛho hia ne sɛ ɛtɔ mmere bi a sɔhwɛ biako pɛ betumi ahu nea ɛde awo a wontumi nwo ba. Nanso mmere foforo nso, egye bere kakra ansa na wɔahu nea ɛde ba, na ɛsɛ sɛ wɔyɛ sɔhwɛ ahorow pii.

Sɔhwɛ a ɛfata wo no gyina nneɛma pii so, a wo bɔbeasu, w’akwahosan ho abakɔsɛm, ne nna mu asetra ka ho. Wo duruyɛfo bɛma wo nsɛm pii afa nhwehwɛmu ahorow a wɔkamfo kyerɛ, sɛnea wɔyɛ, sɛnea wobesiesie wɔn ho ama no, ne ayaresa a wubetumi apaw ho.

Sɛ sɔhwɛ mu aba no nyɛ nea ɛfata a, dɛn na ɛsɛ sɛ woyɛ? So ɛyɛ biribi a ɛsɛ sɛ yesuro?

Sɛ nhwehwɛmu biara a efi mu ba no nyɛ nea ɛfata a, wo duruyɛfo no bɛkasa akyerɛ wo nea ɛsɛ sɛ woyɛ akyi. Ebia nnipa binom behia sɛ wɔyɛ nhwehwɛmu pii ansa na wɔafi ayaresa ase. Ebia afoforo nso betumi afi awo ho ayaresa ase ntɛm ara. Wo duruyɛfo bɛkyerɛkyerɛ nea ɛbɛba mu a egyina wo tebea so.

Kae sɛ, nea efi mu ba a ɛnyɛ ne kwan so nkyerɛ sɛ w’akwantu no aba awiei. Sɛ wunyinsɛn wɔ awosu mu a, ebetumi ayɛ den, nanso wo awo ho ɔbenfo betumi aboa wo ma woanyinsɛn. Awo ayaresa pii wɔ hɔ a wɔboa ma awo nnɛ, te sɛ IVF (In-Vitro Fertilization) ne IUI (Intrauterine Insemination). Wo duruyɛfo betumi aboa wo ma woanya nneɛma ne mmoa a wuhia.

So awo ho nhwehwɛmu bi wɔ hɔ a wɔyɛ wɔ fie? Wotu mpɔn dɛn?

Yiw, wubetumi atɔ awo ho nhwehwɛmu ho nneɛma wɔ Intanɛt so anaa wɔ wo mpɔtam hɔ nnurutɔnbea a wubetumi ayɛ wɔ fie. Nsu mu nhwehwɛmu bi wɔ hɔ a ɛkyerɛ wo bere a wotumi wo mma kɛse ɔsram biara (ovulation test kits). Kits nso wɔ hɔ a ɛhwɛ sɛnea wo mmadwoa no akwahosan ne dodow te.

Nanso ɛho hia sɛ wokae sɛ saa ofie sɔhwɛ ahorow yi nyɛ ade a wɔde besi oduruyɛfo titiriw nkyɛn a wobɛkɔ ananmu. Sɛ wo fie nhwehwɛmu mu aba kyerɛ sɛ nyinsɛn betumi ayɛ asɛnnennen a, kɔ awo ho ɔbenfo nkyɛn ntɛm ara sɛnea wubetumi. Wobetumi ayɛ nhwehwɛmu pii na wɔakamfo ayaresa ahorow a ɛfata wo akyerɛ.

So metumi ayɛ awo ho nhwehwɛmu te sɛ eyi bere a mewɔ IUD a mede asi hɔ no?

Ɛno yɛ biribi a ɛsɛ sɛ wususuw ho. IUD (Intrauterine Device) nnya awo a ɛbɛba daakye no so nkɛntɛnso. Nanso, sɛ obi wɔ hɔ a, ebetumi aka nea efi awo ho nhwehwɛmu ahorow bi mu ba. Ɛtɔ mmere bi a, ebia ɛho behia sɛ woyi wo IUD no na wosɔ hwɛ bere tiaa bi akyi. Sɛ wode IUD di dwuma a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa ansa na woayɛ awo ho nhwehwɛmu biara.

Ade a ɛho hia sen biara a ɛsɛ sɛ wode sie w’adwenem (Take-Home Message) .

Abusua a wobefi ase no yɛ biribi a nnipa pii da ho dae. Nanso sɛ worehyia ɔhaw wɔ nyinsɛn mu a, ebia wubesusuw ho sɛ ebia saa dae no bɛbam da bi anaa. Nanso mma anidasoɔ nnyae.

Sɛ worehyia ɔhaw wɔ nyinsɛn mu a, ade a edi kan a ɛsɛ sɛ woyɛ ne sɛ wo ne wo duruyɛfo bɛkasa. Wobetumi akyerɛ wo awo ho nhwehwɛmu a ɛsɛ sɛ woyɛ, na sɛ ɛho hia a, wɔde wo bɛkɔ oduruyɛfo titiriw nkyɛn akɔhwɛ wo.

Kae sɛ ɛnyɛ wo nkutoo na woretu kwan yi. Sɛ wonya nsɛm a ɛfata, mmoa, ne aduruyɛ ho afotu a, akyinnye biara nni ho sɛ ɔkwan bi wɔ hɔ a wobɛfa so ama w’adaeso no abam.

` Awo, Awo, Nyinsɛn, Awo a wontumi nwo, Awo mu sɔhwɛ, Mmea Akwahosan, Mmarima Akwahosan