So woahwere w’awo nso a ntease biara nnim? (Awo a Wontumi Nkyerɛkyerɛ Mu) Momma yɛnka eyi ho asɛm!

So wo ne wo kunu/yere aso daeɛ sɛ wobɛwo akokoaa, nanso woda so ara ntumi mma saa daeɛ no mmamu? Ɛtɔ da bi a, bere a wɔayɛ nhwehwɛmu no nyinaa akyi mpo no, nnuruyɛfo mpo ntumi nka no pen sɛ, "Eyi ne nea enti a ɛte saa." Ɛno ne bere a yɛka tebea yi a wɔfrɛ no "awo a wontumi nkyerɛkyerɛ mu" ho asɛm. Eyi yɛ adesoa kɛse ankasa, nanso momma yɛnka ho asɛm nkɔ akyiri, ɛyɛ?

Dɛn ne Awo a Wontumi Nkyerɛkyerɛ Mu?

Sɛ yɛbɛka no tiawa a, awo a wontumi nkyerɛkyerɛ mu ne bere a aduruyɛ mu ntease biara a emu da hɔ a enti ɛyɛ den ma wo ne wo hokafo sɛ monyinsɛn no. Ansa na wobɛyɛ eyi no, wo duruyɛfo no bɛyɛ nhwehwɛmu ahorow a edi mũ de ahu sɛnea wubetumi awo. Mpɛn pii no, sɔhwɛ ahorow yi besi nea edidi so yi so dua:

• ‍ ‍ .
• Ovulation ba bere ne bere mu .
• Wo fallopian tubes no nsiw na abue .
• Wo ovarian reserve no ye .
• Wɔyɛ hormone ahorow a ehia na ama awo no wɔ w'amemene mu .
• Wo hokafo no mmadwoa mu nhwehwɛmu ( mmadwoa dodow , ne kɛse, ne kankyee, ne ne nsusuwii) yɛ nea ɛfata koraa .

Sɛ eyi nyinaa yɛ pɛpɛɛpɛ mpo a, sɛ wunnii mfe 35 na anyɛ yiye koraa no wuntumi nnyinsɛn afe anaa asram asia sɛ woadi boro mfe 35 a, ɛnde nnuruyɛfo frɛ eyi sɛ “awo a wontumi nkyerɛkyerɛ mu.” Susuw ho hwɛ, ɛtɔ da bi a sɛ yɛkɔfa yare bi ho aduru a, nnuruyɛfo yɛ nhwehwɛmu ahorow pii, ɛnte saa? Eyi yɛ ade koro no ara. Wɔsɔ biribiara hwɛ, nanso wontumi nhu ɔhaw no ntini. Ɛyɛ abasamtu kakra, nanso ɛnyɛ wiase awiei.

Saa tebea yi abu so dɛn?

Ɛyɛ den sɛ yɛbɛka sɛnea eyi abu so no ankasa. Efisɛ nea oduruyɛfo biako bu no sɛ "ɛdi mũ" ma awo ho nhwehwɛmu no betumi ayɛ soronko wɔ oduruyɛfo biara mu. Ɛno kyerɛ sɛ nsonsonoe a ɛnyɛ anifere wɔ sɛnea wɔyɛ sɔhwɛ ahorow no mu, enti akontaabu no betumi ayɛ nea ɛkɔ akyiri kakra. Amanneɛbɔ bi ka sɛ ebia awarefo a wɔrebɔ mmɔden sɛ wobenyinsɛn no mu bɛyɛ 10% anya awo a wontumi nkyerɛkyerɛ mu yi. Ɛno kyerɛ sɛ wɔn sɔhwɛ ahorow no nyinaa yɛ nea ɛfata. Nanso, amanneɛbɔ afoforo ka sɛ dodow yiEbetumi akɔ soro akodu 30% . Enti, eyi nyɛ biribi a wɔntee ho asɛm.

So ebetumi aba sɛ obi bɛwo akokoaa bere a ontumi nwo a wontumi nkyerɛkyerɛ mu mpo?

Yiw, wubetumi! Eyi ne asɛmpa a eye sen biara a metumi de ama mo. Esiane sɛ wɔahu sɛ wowɔ "awo a wontumi nkyerɛkyerɛ mu" nti, ɛnkyerɛ sɛ ɛsɛ sɛ wugyae anidaso. Nhwehwɛmu bi a Ɔman Akwahosan Asoɛe (NIH) yɛe kyerɛe sɛ awarefo a wontumi nwo a wontumi nkyerɛkyerɛ mu no mu 92% kɔɔ so woo akokoaa bere a wɔyɛɛ awo ho ayaresa akyi. Ɛno kyerɛ sɛ hokwan pa da so ara wɔ hɔ sɛ w’adaeso no bɛbam.

" Awo a wontumi nkyerɛkyerɛ mu " nkyerɛ sɛ wuntumi nwo akokoaa. Ɛkyerɛ kɛkɛ sɛ ɛsɛ sɛ wobɔ mmɔden wɔ ɔkwan soronko so kakra.

So ntease biara nni hɔ ankasa? Dɛn ne ntease ahorow a ahintaw a ebetumi de eyi aba?

Ɛwom mpo sɛ wɔka sɛ "nea ɛde ba no mu nna hɔ" de, nanso ɛtɔ mmere bi a nea ɛde ba ankasa. Nanso, ebia saa ade a ɛde ba no yɛ biribi a wontumi mfa mprempren sɔhwɛ ahorow nsusuw anaasɛ wonhu. Anaasɛ, ebetumi ayɛ biribi a ɛyɛ anifere araa ma wontumi nhu. Momma yɛnhwɛ ntease ahorow bi a ebetumi aba:

Aduruyɛ mu tebea bi a ɛda adi, a wɔanhu no yiye

Nhwehwɛmufo da so ara resua sɛnea aduruyɛ mu tebea horow bi ka awo. Sɛ nhwɛso no, Celiac yare (aduru a ɛma obi ho yɛ no hyew wɔ gluten ho), asikreyare, ne thyroid tebea horow nyinaa betumi aka awo. Ebia wowɔ saa tebea horow yi mu biako, nanso ebia wonhu no yiye.

Endometriosis tebea a ɛwɔ nipadua no mu

Endometriosis yɛ tebea a ɛma ntini a ɛtaa nyin wɔ awotwaa no mu (endometrium) no nyin wɔ awotwaa no akyi. Wɔ nsɛm a emu nyɛ den koraa mpo mu no, ɛtɔ mmere bi a eyi tumi ma obi ntumi nwo. Sɛ wubehu yiye sɛ ebia wowɔ endometriosis anaasɛ wunni bi a, ɛsɛ sɛ woyɛ wo oprehyɛn (te sɛ laparoscopy). Sɛ wunni sɛnkyerɛnne biara mpo a, saa tebea yi betumi aka w’awo.

Awotwaa mu nsu a ɛyɛ nwini ho haw ahorow

Bere a ovulation , awotwaa mu nsu no boa mmadwoa no ma ɛne nkesua no hyia. Sɛ saa nsuo yi yɛ den dodo, anaa sɛ nneɛma bi wɔ mu a, ebia mmadwoa no rentumi mfa awotwaa no mu nkɔ awotwaa no mu.

Egg su pa

Nnuruyɛfo betumi de ultrasound ahwɛ ntini a ɛwɔ wo mmadwoa mu no na wɔasusuw nkesua dodow a wowɔ. Nanso, ultrasound ntumi nhu sɛnea saa nkesua no te. Bere a mogya mu nhwehwɛmu ne ultrasound betumi ama woahu sɛnea wo nkesua no te no, ɛyɛ den sɛ wobɛka no pen.

Nkwaboaa su pa

Sɛnea ɛte wɔ nkesua mu no, .Sɛ wɔyɛ mmadwoa mu nhwehwɛmu a, ebetumi ahu ɔhaw pii a ɛwɔ mmadwoa mu. Nanso, ɛtɔ mmere bi a ɔhaw afoforo a ɛnyɛ anifere a ɛfa mmadwoa ho nso tumi ma obi ntumi nwo a wontumi nkyerɛkyerɛ mu.

Ɔhaw ahorow a ɛwɔ awotwaa no mu ntini (Endometrium) ho .

Endometrium yɛ wo awotwaa no mu fã kɛse. Nkwaa a wɔahyɛ no ma de nipadua no hyɛ nipadua mu na enyin yɛ awotwaa wɔ saa ɔfa yi mu. Luteal phase defect yɛ tebea a ɛma endometrium no nyɛ kɛse anaasɛ ensiesiee ne ho sɛnea ɛbɛyɛ a obenya nkesua a wɔahyɛ no ma. Sɛ eyi ba a, sɛ wɔma ɛwo mpo a, ɛrentumi mfa nhyɛ awotwaa no mu. Nyinsɛn rensi.

Bere a wɔde da a ɛne ne ho nhyia

Ɛtɔ da bi a, ebia mpɛn dodow a wo ne obi da, anaa bere a wode bɛda no ne wo ovulation no nhyia. Ebia eyi bɛyɛ te sɛ ade ketewaa bi, nanso ebetumi aka hokwan a wowɔ sɛ wubenyinsɛn. Ɛtɔ mmere bi a, ebetumi asi a ntease biara nnim, anaasɛ ebetumi ayɛ den sɛ wobehu nea ɛde ba anaa wɔasa. Ɛsɛ sɛ nneɛma pii kɔ yiye ansa na akokoaa anyinsɛn. Sɛ ade ketewaa biako biara ankɔ yiye wɔ saa adeyɛ no mu a, ade mũ no nyinaa betumi asɛe. Nanso asɛmpa no ne sɛ bere nyinaa nhwehwɛmufo rehwehwɛ akwan foforo a wɔbɛfa so ahu awo ho haw ahorow a ɛfa nneɛma te sɛ nkesua su, awo akwaa dwumadi, ne mmadwoa dwumadi ho.

Wobɛyɛ dɛn ahu tebea yi pɛpɛɛpɛ?

Ɛnyɛ awo a wontumi nwo ho haw nyinaa na wobetumi de nhwehwɛmu biako ahu. Afei nso, sɔhwɛ biara nni hɔ a ɛyɛ pɛpɛɛpɛ 100% (sɛ nhwɛso no, ebia nneɛma a ɛnteɛ a ɛyɛ anifere yiye bɛkɔ so a wɔrenhu). Sɛnea Amerika Awo Ho Nnuruyɛ Kuw (ASRM) kyerɛ no, ɛsɛ sɛ awo ho nhwehwɛmu ka:

• Aduruyɛ ne nna ho abakɔsɛm a edi mũ a wɔsan hwɛ mu .
• Nipadua mu nhwehwɛmu a wɔbɛyɛ .
• Mogya mu nhwehwɛmu de hwɛ sɛnea hormone dodow te .
• Wo awo akwaa te sɛ wo mmadwoa, wo awotwaa mu ntini, ne awotwaa mu nhwehwɛmu . Ebia eyi bɛhwehwɛ sɛ wɔyɛ ultrasound anaa nhwehwɛmu a ɛkɔ akyiri te sɛ hysterosalpingogram anaa laparoscopy .
• Semen nhwehwɛmu a wɔyɛ wɔ ɔhokafo no ho.
• Ovarian reserve nhwehwɛmu.
• Hwɛ sɛ wo ovulation no rekɔ so yiye anaa.

Sɛ awo ho ɔbenfo anaa awo-mmea ho oduruyɛfo yɛ nhwehwɛmu ahorow yi nyinaa nanso ontumi nhu nea ɛde ba pefee a, ɛnde wɔfrɛ no "awo a wontumi nkyerɛkyerɛ mu." Ma ɛntra w’adwenem sɛ ebia akwan a oduruyɛfo biara fa so yɛ nhwehwɛmu no bɛyɛ soronko kakra. Enti, sɛ wo nsa ka yareɛ a wɔahu te sɛ yei a, mfomsoɔ biara nni ho sɛ wobɛnya ``adwene a ɛtɔ so mmienu'' afiri oduruyɛfoɔ foforɔ hɔ.

Dɛn ne ayaresa ahorow a ɛwɔ hɔ?

Esiane sɛ ebia wo duruyɛfo rentumi nhu ade biako pɛ a ɛde wo awo a wontumi nwo no ba nti, ɛda adi sɛ obegyina nea efii wo awo ho nhwehwɛmu mu aba ne osuahu a onyae wɔ awarefo a wɔte saa ara ho no so bɛkamfo ayaresa akyerɛ wo. Nea ɛka ho no, nneɛma te sɛ ntɛm a wopɛ sɛ wufi ase sa yare ne mfe a woadi nso bedi dwuma. Ayaresa ahorow a wɔtaa kamfo kyerɛ no hyɛ akuw yi mu:

Awo Mfiridwuma a Wɔboa (ART) .

Assisted Reproductive Technology (ART) yɛ awo ho ayaresa bi a wɔyɛ awo ho nhyehyɛe no fã bi wɔ aduruyɛdan mu. Nea ɛka eyi ho ne nneɛma te sɛ Intrauterine Insemination (IUI) ne In Vitro Fertilization (IVF) .

• Wɔ IUI mu no, wɔhohoro mmadwoa na wɔboaboa ano wɔ aduruyɛdan mu na afei wɔde hyɛ w’awotwaa mu tẽẽ bɛyɛ bere a woreyɛ ovulate no.
• Nea ɛka IVF ho ne sɛ wode wo nkesua ne wo hokafo (anaasɛ obi a ɔde ma) mmadwoa bɛbɔ nkwaboaa wɔ aduruyɛdan mu, na afei wɔde ahyɛ w’awotwaa mu ma anyin. Mpɛn pii no, IVF nso hwehwɛ adeyɛ bi a wɔfrɛ no Intracytoplasmic Sperm Injection (ICSI) . Nea ɛka eyi ho ne sɛ wɔde mmadwoa bi bɛhyɛ nkesua no mu tẽẽ. ICSI betumi ama nyinsɛn hokwan a ɛwɔ hɔ no ayɛ kɛse bere a wosusuw sɛ mmadwoa no su na ɛde awo a wontumi nkyerɛkyerɛ mu ba no.

Nnuru ahorow a wɔde di dwuma

Nnuru a ɛkanyan ovulation ne ovulation nso so wɔ mfaso kɛse. Wobetumi de eyinom nkutoo adi dwuma anaasɛ wɔde aka IUI ne IVF ayaresa ho. Nnuru a wɔtaa de di dwuma ne gonadotropins ne clomiphene (Clomiphene - Clomid®) . Nnuruyɛfo binom nso kyerɛw aduru bi a wɔde ma awo a wɔfrɛ no letrozole (Femara®) , nanso eyi yɛ aduru a wɔmfa nni dwuma. Nkwammoaa a ɛma nkesua yɛ kɛse wɔ gonadotropins mu na wɔde sa mmadwoa dodow a ɛba fam nso. Clomiphene nso kanyan awotwaa no ma ɛyɛ nkesua pii. Wo duruyɛfo begyina wo tebea so akyerɛ ɔkwan a ɛfata a wobɛfa so. Nanso, ma ɛntra w’adwenem sɛ sɛ wode nnuru a ɛma awo yi redi dwuma a, ebia nkesua bɛboro biako befi mu wɔ brayɛ bere biako mu. Sɛ ɛba saa a, hokwan kɛse wɔ hɔ sɛ wobɛwo nkokoaa bɛboro biako (te sɛ mmanoma).

Asetra kwan mu nsakrae

Asetra mu su ahorow bi betumi aka awo. Nneɛma bi a wubetumi ayɛ na ama hokwan a wowɔ sɛ wubenyinsɛn abofra no ayɛ kɛse ni:

• Kwati sigaretnom, nsanom, ne nnubɔnenom koraa.
• Kura wo nipadua mu duru a ɛfata mu.
• Di aduan pa a ɛkari pɛ.
• Bɔ mmɔden sɛ anyɛ yiye koraa no wode simma 30 teɛteɛ w’apɔw mu da biara.
• Tow caffeine (tii, kɔfe) a wobɛnom ano hye.
• Bɔ mmɔden sɛ wobɛtew w’adwennwen so .

Hwɛ yiye wɔ bere a wɔde bɛda no ho.

Bere ketewaa bi pɛ na ɛwɔ wo brayɛ mu bere a wubetumi anyinsɛn no. Wo duruyɛfo betumi aboa wo ma woahu mfɛnsere yi. Wobetumi ayɛ eyi denam wo nipadua a ɛwɔ fam no hyew a wobɛhwɛ, wo brayɛ ho nhyehyɛe a wobɛkyerɛw, anaasɛ ovulation kits a wode bedi dwuma so . Ebia nnuruyɛfo binom nso bɛka sɛ, "Bɔ mmɔden kakra bio kɛkɛ." Eyi betumi ayɛ ayaresa nhyehyɛe a ɛyɛ den sɛ wobɛte ase, titiriw sɛ woyɛ obi a wodae sɛ wubefi abusua ase ntɛm ara a. Nanso, ɛtɔ mmere bi a ɔhaw no ankasa siesie na ebia ɛho renhia sɛ wɔde sa yare. Nanso, mfomso biara nni ho sɛ wubebisa oduruyɛfo foforo sɛ wopɛ anaa, anaasɛ wubefi ase ayɛ awo ayaresa ntɛm sen sɛ wobɛkyɛ.

So ɔkwan bi wɔ hɔ a wɔbɛfa so asiw eyi ano?

Bere a nneɛma bi wɔ hɔ a wubetumi ayɛ de ama hokwan a wowɔ sɛ wubenyinsɛn abofra no ayɛ kɛse no, nneɛma bi wɔ hɔ a yentumi nni so a ɛka awo. Nneɛma a wubetumi adi so no bi ne:

• Mu duru: Ma wo nipadua mu duru a ɛfata a ɛfata wo.
• Sigaretnom ne nsa: Kwati sigaretnom ne nsa pii a wobɛnom.
• Ɔbarima ne ɔbea nna ho abakɔsɛm: Fa kɔndɔm bɔ wo ho ban fi nna mu nyarewa (STI) ho .

Wo ne wo duruyɛfo nka wo awo ho haw ahorow ho asɛm sɛnea ɛbɛyɛ a obetumi akamfo anammɔn a edi hɔ a wobɛfa so ahwɛ wo.

Awarefo baahe na wontumi nwo a wontumi nkyerɛkyerɛ mu na wonyinsɛn?

Nhwehwɛmu bi daa no adi sɛ awiei koraa no, saa nnipa yi mu bɛyɛ 43% nyinsɛnee a wɔamfa awo ho ayaresa biara amma. Ɛno kyerɛ sɛ ɛtɔ mmere bi a ebetumi asi wɔ n’ankasa so.

Nsɛmmisa a ɛho hia bɛn na ɛsɛ sɛ wubisa wo duruyɛfo?

Ɛyɛ ade a ɛfata sɛ wubenya nsɛmmisa pii bere a wɔahu sɛ wowɔ "awo a wontumi nkyerɛkyerɛ mu" no. Asɛmpa no ne sɛ ɔhaw kɛse biara nni hɔ a ɛde wo awo a wontumi nwo no aba. Asɛmmɔne no ne sɛ wo duruyɛfo ntumi nka nea enti a wunnyinsɛn no ankasa nkyerɛ wo. Wo ne wo duruyɛfo nkasa mfa biribiara a ɛwɔ w’adwene mu ho asɛm. Bisa nsɛm te sɛ eyinom:

• Dɛn na wokamfo kyerɛ sɛ menyɛ akyi?
• Ɔkwan bɛn na ɛma minya hokwan a eye sen biara sɛ mɛnyinsɛn?
• So mogya mu nhwehwɛmu anaa mfoninitwa nhwehwɛmu bi wɔ hɔ a ɛda so ara hia sɛ wɔyɛ?
• So ebetumi aba sɛ aduruyɛ mu tebea bi a ɛhyɛ ase na ɛma mintumi nwo?
• So ɛsɛ sɛ mekɔ awo ho ɔbenfo nkyɛn?

Bere tenten ahe na woabɔ mmɔden sɛ wubenya oduruyɛfo?

Nnuruyɛfo dodow no ara kamfo kyerɛ sɛ anyɛ yiye koraa no, ɛsɛ sɛ wobɔ mmɔden asram 12 (afe biako) ansa na woakɔhwehwɛ ayaresa wɔ awo a wontumi nwo ho. Nanso, sɛ woadi mfe 35 anaa nea ɛboro saa a, kɔ oduruyɛfo nkyɛn wɔ asram asia akyi . Ebia wo duruyɛfo agyina w’akwahosan ho abakɔsɛm ne ɔpɛ a wowɔ sɛ wobɛwo ba so akamfo ayaresa akyerɛ wo.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Awo a wontumi nkyerɛkyerɛ mu betumi ayɛ yare a wohu a ɛyɛ abasamtu na ɛyɛ basaa ankasa. Ɛkyerɛ sɛ obiara ntumi nhu nea enti a wuntumi nnyinsɛn no ankasa. Nanso mma nhaw wo ho, anaase wo abam bu - ayaresa ahorow bi wo ho a ebeboa wo. Awarefo binom di yiye wɔ nnuru, IUI, anaa IVF mu.

"Awo a wontumi nkyerɛkyerɛ mu" nkyerɛ sɛ worenwo akokoaa da. Nea ɛkyerɛ ara ne sɛ ɛsɛ sɛ wo nnuruyɛfo sɔ akwan horow kakraa bi hwɛ de boa wo ma wunyinsɛn.

Hwehwɛ oduruyɛfo a ɔte wo nkate ase na ɔboa wo wɔ saa bere a emu yɛ den yi mu. Mma anidasoɔ nnyae da. Yɛn nyinaa pɛ sɛ wunya anigye wɔ w’akwantu a wode bɛma w’adaeso no abam no mu! Awo a Wontumi Nwo, Mmofra a Wɔhwere, Awo a Wontumi Nkyerɛkyerɛ Mu, Awo, Nyinsɛn, IVF, IUI