ʻAʻole paha ʻoe i lohe i ka huaʻōlelo lapaʻau "Azoospermia" ma mua. Akā, i kou moeʻuhane ʻana i ka hauʻoli o ka loaʻa ʻana o kahi keiki, ʻo ka lohe ʻana i ke kauka e ʻōlelo ana ʻaʻohe sperm i loko o kāu semen hiki ke hoʻoluhi nui a hoʻoluhi nui. Hiki ke manaʻo ʻia ua hiolo kou honua holoʻokoʻa. Eia naʻe, mai hopohopo a mai makaʻu. ʻAʻole kēia he pilikia hiki ʻole ke hoʻoholo ʻia. Ma Nirogi Lanka , e kamaʻilio kākou e pili ana i ke ʻano o Azoospermia, kona mau kumu, a pehea e hiki ai ke hoʻokele ʻia, ma nā ʻōlelo maʻalahi hiki iā ʻoe ke hoʻomaopopo.
He aha ka Azoospermia?
I ka ʻōlelo maʻalahi, ʻo Azoospermia ke ʻano o kāu semen—ka wai i hoʻokuʻu ʻia i ka wā o ka moekolohe—ʻaʻohe nui o ka sperm i hiki ke ana ʻia. ʻO ka maʻamau, hana kāu mau testicles e like me kahi hale hana, e hana ana i ka sperm. Hele kēia mau sperm ma o nā ʻōmole like ʻole i loko o kāu ʻōnaehana hānau keiki, hui pū me nā wai ʻē aʻe, a hana i ka semen. No laila, hiki i ke kanaka me Azoospermia ke ejaculate, akā ʻaʻohe sperm i loko o ka wai. Kapa kekahi i kēia he "zero sperm count."
No kekahi poʻe, he maʻi hānau ʻia kēia, ʻo ia hoʻi ua hānau ʻia lākou me ia. No kekahi poʻe, hiki ke ulu aʻe i ka wā ʻōpio a i ʻole ma hope o ke ola. ʻO ka mea nui loa, ʻo ka loaʻa ʻana o kēia maʻi ʻaʻole ia he manaʻo ʻaʻole hiki iā ʻoe ke loaʻa nā keiki. I nā hihia he nui, me ka mālama lapaʻau kūpono a me ke alakaʻi ʻoihana, loaʻa nā hoʻonā. E ʻoluʻolu, mai hoʻopau i ka manaʻolana.
Aia kekahi mau ʻano like ʻole o Azoospermia?
ʻAe, ua hoʻokaʻawale ʻia ʻo Azoospermia i ʻekolu ʻano. E noʻonoʻo e like me ka hose māla: no ka loaʻa ʻana o ka wai, pono ʻoe i kahi waihona wai, kahi hose maopopo me ka ʻole o nā mea e ālai ana, a me kahi piula wai e hana ana. E nānā kākou i kēia mau ʻano:
1. Azoospermia ma hope o ka testicular (Obstructive)
ʻO kēia ke ʻano maʻamau o Azoospermia. Ma kēia kūlana, ke hana maikaʻi nei kāu mau testicles i ka sperm; ke hana maikaʻi nei ka "hale hana sperm". Eia nō naʻe, aia kahi paʻa a i ʻole kahi pilikia pili ma kekahi wahi ma ke ala e hele ai ka sperm e puka me ka semen. Ua like ia me kahi paipu wai i haki a paʻa paha i waenakonu, e pale ana i ka wai mai ke kahe ʻana. Ua kapa nā kauka i kēia he obstructive azoospermia . Ma kahi o 40% o nā kāne me Azoospermia e hāʻule i loko o kēia māhele.
2. ʻO ka azoospermia testicular
Ma kēia ʻano, ʻaʻole ka pilikia ma ke ala. Maanei, ʻo kahi kīnā, ʻeha, a maʻi paha i loko o ke ʻano a i ʻole ka hana o kāu mau testicles e hōʻemi nui i ka hana sperm a hoʻōki loa paha. ʻO ke kumu, aia kahi hewa i loko o ka "hale hana sperm" ponoʻī. Ua kapa ʻia kēia ʻo nonobstructive azoospermia . I kēia hihia, ʻaʻohe mea e ālai ana i ke ala puka.
3. ʻO ka azoospermia pretesticular
He ʻokoʻa iki kēia. Hiki ke ʻike ʻia kou mau testicles a me nā alahele he olakino. Eia nō naʻe, aia kahi pilikia i loko o ka ʻōnaehana hormonal e hāʻawi ana i nā hōʻailona a i ʻole ka hoʻoulu ʻana i kāu mau testicles e "hana i ka sperm." Me he mea lā ua maikaʻi ke ʻano o ka hale hana a ua maopopo nā ala hoʻouna, akā ʻaʻole hiki i ka hale hana ka hōʻailona e hoʻomaka i ka hana. Hiki ke hana ʻia kēia ma hope o nā lāʻau lapaʻau ikaika e like me ka chemotherapy a i ʻole ma muli o nā hormones imbalances. Hāʻule pū kēia ma lalo o ka māhele nonobstructive azoospermia .
ʻIke ʻia, pili ka Azoospermia i ka 1% o ka heluna kāne.
He aha nā hōʻailona o Azoospermia?
ʻO kēia ka mea e kāhāhā ai i nā kānaka he nui: ʻO ka hapa pinepine, ʻaʻole hōʻike kahi kanaka me Azoospermia i nā hōʻailona o waho. Hiki iā ʻoe ke manaʻo maikaʻi loa me ka ʻoluʻolu ʻole. ʻIke wale nā kāne he nui i kēia kūlana ke hakakā lākou a me kā lākou hoa e hāpai a hana i nā hoʻāʻo lapaʻau.
Eia nō naʻe, hiki i kekahi poʻe ke hōʻike i nā hōʻailona e pili ana i ke kumu kumu, e like me:
- Inā kumu ʻia e kahi hormonal imbalance, hiki iā ʻoe ke loaʻa ka libido haʻahaʻa.
- Inā i hoʻokumu ʻia e kahi maʻi o nā testicles , e ʻike paha ʻoe i ka pehu ʻana, kahi puʻupuʻu, a i ʻole ka ʻeha ma ia wahi.
E hoʻomanaʻo, hiki nō iā ʻoe ke loaʻa iā Azoospermia me ka ʻole o kēia mau hōʻailona.
He aha ke kumu o Azoospermia?
Ua māhele ʻia nā kumu o Azoospermia i ʻelua mau pūʻulu: nā mea ma muli o ke ālai ʻana i ke ala (ālai ʻia) a me nā mea ʻaʻole (ʻaʻole ālai ʻia).
1. ʻAzoospermia Obstructive (Post-testicular)
Maanei, hana ʻia nā sperm, akā ua ālai ʻia lākou i ko lākou puka ʻana i waho. ʻO nā wahi maʻamau o ka ālai ʻana:
- ʻEpididymis : He ʻōmole liʻiliʻi i hoʻopili ʻia i ka testicle kahi e oʻo ai ka sperm.
- ʻO Vas deferens: ʻO ka ʻōmole nui e lawe i ka sperm i mua.
- Nā ʻauwai ejaculatory: ʻO nā ʻauwai kokoke i kahi e hui pū ai ka sperm me nā wai ʻē aʻe e puka ai ma o ka penis.
ʻO nā kumu maʻamau no ia mau ālai ʻana:
- Ka trauma a i ʻole ka ʻeha i nā testicles.
- Nā maʻi: E like me ka epididymitis , kahi maʻi o ka epididymis.
- Ka mumū ʻana .
- Ka ejaculation retrograde: Kahi e komo ai ka sperm i loko o ka ʻōpū mimi ma kahi o ka puka ʻana ma o ka penis.
- Nā ʻoki kino: Hiki i nā kaʻina hana ma ka ʻōpū a i ʻole ka ʻāpana pelvic ke hōʻino hewa i nā ducts reproductive i kekahi manawa.
- Nā cysts a i ʻole nā ulu ʻana.
- Vasectomy: He kaʻina hana hoʻomake ʻoki kahi e ʻoki ʻia ai a hoʻopaʻa ʻia paha nā vas deferens.
- ʻO ka hoʻololi ʻana o ka gene fibrosis cystic: He ʻano genetic e hiki ai ke alakaʻi i ka nele o nā vas deferens a i ʻole ka poloka ma muli o nā mea huna mānoanoa.
2. ʻAzoospermia Nonobstructive (Pretesticular a me Testicular)
Ma kēia ʻano, ʻaʻohe mea e ālai ʻia ai nā ala. Aia ka pilikia ma ke kaʻina hana sperm a i ʻole ka ʻōnaehana hormonal e kākoʻo ana iā ia. ʻO nā kumu:
- Nā kūlana hoʻoilina: ʻO nā kūlana e like me ka Kallmann syndrome, Klinefelter's syndrome, a i ʻole ka holoi ʻana o ka chromosome Y hiki ke hoʻopilikia pololei i ka ulu ʻana o ka testicular a me ka hana ʻana o ka sperm.
- Nā maʻi endocrine: ʻO nā hemahema hormonal—e like me ka Testosterone haʻahaʻa, Hyperprolactinemia (kiʻekiʻe o ka prolactin), a i ʻole nā pilikia ʻē aʻe e pili ana i ka androgen—hiki ke hoʻopilikia i ka hana sperm olakino.
- Varicocele: Ka hoʻonui ʻia ʻana o nā aʻa koko i loko o ka scrotum. Hoʻonui kēia ʻano i ka mahana i loko o nā testes, hiki ke hoʻopilikia maikaʻi ʻole i ka hana ʻana o ka sperm.
- Nā hopena ʻaoʻao lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau, me nā mea chemotherapy kikoʻī, nā antifungals, a i ʻole nā lāʻau lapaʻau koko, hiki ke hoʻopilikia i kou hiki ke hana i ka sperm.
- Nā hōʻike ʻana o ke kaiapuni a me nā lāʻau lapaʻau: ʻO ka radiation therapy, chemotherapy, a i ʻole ka ʻike ʻana i nā metala kaumaha a me nā mea ʻawahia ʻē aʻe e hōʻino i nā pūnaewele hana sperm.
- Nā pilikia kūkulu: ʻO ka hānau ʻia ʻana me ka ʻole o nā testicles a i ʻole ka loaʻa ʻole o nā testicles i iho ʻole i lalo hiki ke pale i ka ulu ʻana o ka sperm maʻamau.
- ʻOrchitis (ka mumū o ka testicular): Hoʻomaka pinepine ʻia ma ke ʻano he pilikia o nā maʻi viral e like me ka mumps, hiki i kēia ke alakaʻi i ka hōʻino mau loa inā ʻaʻole i mālama ʻia.
- Nā koho nohona: ʻO ka hoʻohana ʻana i nā mea ʻona a i ʻole ka ʻike nui ʻana i ka wela kiʻekiʻe (e like me ka hoʻohana pinepine ʻana i nā sauna a i ʻole nā ʻauʻau wela) hiki ke hoʻopilikia i ka hana o ka testicular.
Pehea e ʻike ai nā kauka i ka Azoospermia?
Inā ʻoe a me kāu hoa e hoʻāʻo nei e hāpai no kahi makahiki me ka holomua ʻole, ʻo kāu hana mua e kūkākūkā me kahi loea. Inā kānalua kāu kauka iā Azoospermia, e hahai lākou i kēia mau ʻanuʻu hōʻoia:
ʻO ka mea hana loiloi mua he loiloi semen . Nānā ʻia kahi hāpana o kāu semen ma lalo o kahi microscope e loiloi i ke alo, ka helu, ka neʻe ʻana (motility), a me ke ʻano o kāu sperm. No ka hōʻoia ʻana i kahi maʻi Azoospermia, pono e hōʻike ʻia ma ka liʻiliʻi he ʻelua mau loiloi semen kaʻawale i ka nele loa o ka sperm.
No ka hoʻoholo ʻana i ke kumu o ka maʻi, e hana kāu kauka i kahi loiloi piha o ka mōʻaukala olakino , e nīnau ana i nā nīnau e like me:
- Inā paha ua hānau mua ʻoe i nā keiki.
- Inā ua loaʻa iā ʻoe nā ʻeha, trauma, a i ʻole nā ʻoki kino ma ka ʻāpana pelvic.
- ʻO kēlā me kēia moʻolelo o nā maʻi ʻōpū urinary (UTIs) a i ʻole nā maʻi i hoʻouna ʻia ma ke ʻano moekolohe (STIs).
- Nā lāʻau lapaʻau āu i lawe ai i kēia manawa a i ʻole nā lāʻau lapaʻau i hala.
- Ka hoʻohana ʻana i ka waiʻona, ka mariuana, a i ʻole nā mea ʻē aʻe.
- ʻIke ʻia i ka wela nui (e like me nā sauna a i ʻole nā wahi wela a hana nui).
- ʻO ka moʻolelo ʻohana o nā kīnā hānau, nā kūlana e like me ka cystic fibrosis, a i ʻole ka ʻike ʻole ʻia.
E hana pū ana kāu kauka i kahi hoʻokolokolo kino , e loiloi pono ana i kāu mau testes a me nā wahi e pili ana. I kekahi mau hihia, hiki ke hana ʻia kahi hoʻokolokolo rectal digital.
Nā hoʻokolohua hōʻoia hou aʻe:
No ka hoʻoholo ʻana i ke kumu, hiki i kāu kauka ke kauoha i nā hoʻokolohua hou aʻe:
- Nā hoʻāʻo koko: Nānā kēia i kāu mau pae hormone, ʻo Testosterone a me ka Follicle-stimulating hormone (FSH), he mea nui ia no ka hana ʻana o ka sperm.
- Ka hoʻāʻo ʻana i ka hoʻoilina: No ka ʻike ʻana inā he kūlana hoʻoilina ke kumu o ka Azoospermia.
- Nā hoʻokolohua kiʻi: Kōkua nā kiʻi X-ray a i ʻole nā scan ultrasound e nānā i ke ʻano o nā testes a ʻike i nā ālai ʻana i loko o ke ala hānau.
- MRI lolo: Inā kānalua ʻia kahi hemahema hormonal, hiki ke hoʻohana ʻia kahi MRI e nānā i ka hypothalamus a i ʻole ka pituitary gland, ka mea e hoʻoponopono ai i nā hormones reproductive.
He aha nā koho lapaʻau no Azoospermia?
ʻO ka mālama ʻana no Azoospermia e hilinaʻi wale ʻia ma ke kumu kumu . He mea nui ka ʻike ʻana i ke kumu o ka pilikia. He ʻāpana koʻikoʻi nō hoʻi ke aʻoaʻo genetic no ka hoʻomaopopo ʻana a me ka mālama ʻana i kou kūlana kikoʻī.
ʻO nā ʻano lapaʻau mua:
- ʻO ke ʻoki kino: Inā hana ʻia ka Azoospermia e kahi ālai kino, hiki i ke ʻoki ke hoʻoponopono pinepine i nā ducts a wehe paha i ka ālai ʻana, e ʻae ana i ka sperm e kahe maʻamau.
- Hoʻōla hormone: Inā ʻike ʻia kahi hemahema hormone, hiki ke kuhikuhi ʻia nā lāʻau lapaʻau kikoʻī e hoʻoulu i ka hana sperm.
- Ka loaʻa ʻana o ka sperm: I nā hihia o ka Azoospermia non-obstructive, kahi e hana ʻia ai ka sperm i nā ʻāpana liʻiliʻi loa i loko o nā testes, hiki i nā loea ke hoʻohana i nā ʻano hana e like me ka testicular sperm aspiration (TESA) a i ʻole ka testicular sperm extraction (TESE) e kiʻi pololei i ka sperm.
Hiki ke hoʻohana ʻia ka sperm i kiʻi ʻia ma o ke Assisted Reproductive Technology (ART) . ʻO nā ʻano hana maʻamau ka In Vitro Fertilization (IVF) a me ka Intracytoplasmic Sperm Injection (ICSI) , kahi e hoʻokomo pololei ʻia ai hoʻokahi sperm i loko o kahi hua manu.
Inā he genetic kāu Azoospermia, e kuhikuhi paha kāu kauka iā ʻoe no ke aʻo ʻana i nā genetics , no ka mea, aia kahi pilikia o ka hoʻoili ʻana i ke kūlana i nā keiki maoli.
Hiki iaʻu ke hana hou i ka sperm ma hope o ka loaʻa ʻana o ka Azoospermia?
ʻAe, hiki nō! Pili kēia i ke ʻano o Azoospermia a me kona kumu.Eia kekahi laʻana, inā ma muli o kahi ālai ʻia ke kūlana, hiki i ka hoʻoponopono ʻoki kino ke hoʻihoʻi pinepine i ke alo o ka sperm i loko o ka ejaculate.
Hiki ke ho'ōla ʻia ka Azoospermia?
E like me ka nīnau ma mua, hiki ke hoʻihoʻi piha ʻia a mālama ʻia paha kekahi mau kumu o Azoospermia. ʻOiai ʻaʻole hiki ke ho'ōla ʻia kekahi mau kūlana mau loa (e like me nā kumu genetic koʻikoʻi a i ʻole ka hōʻino nui ʻana i nā ʻiʻo testicular), hiki i nā kāne he nui ke hoʻokō i ka makuakāne ma o ka hoʻohana ʻana i ka loaʻa ʻana o ka sperm a me nā ʻano hana ART.
Hiki ke pale ʻia ka Azoospermia?
ʻOiai ʻaʻole hiki ke pale ʻia kekahi mau kumu genetic, inā ʻaʻole hoʻoilina kāu Azoospermia, hiki iā ʻoe ke hōʻemi i kou pilikia ma ka lawe ʻana i kēia mau hana palekana:
- E pale i nā hana e hiki ai ke hōʻeha i kou mau kino hānau. I ka wā e pāʻani ana i nā haʻuki (e like me ke kirikiti, baseball), e ʻaʻahu mau i kahi pale ʻōpū a i ʻole ke kīʻaha.
- E ho'ēmi i kou pili ʻana i ka radiation i nā manawa āpau e hiki ai.
- E makaʻala i nā lāʻau lapaʻau e hiki ke hoʻopilikia i ka hana ʻana o ka sperm. I kēlā me kēia manawa e kuhikuhi ai ke kauka i kahi lāʻau lapaʻau hou, e kūkākūkā i kona mau hopena ʻaoʻao i kou momona.
- E pale i kou mau testicles mai ka hoʻopili ʻia ʻana i ka wela nui no ka manawa lōʻihi. (No ka laʻana, he mea kūpono ke kaupalena i ka hoʻohana pinepine ʻana i ka sauna, pale i ka ʻauʻau wela loa, a pale i ke komo ʻana i nā lole komo paʻa.)
He aha ka manaʻolana no nā kānaka me Azoospermia?
ʻOkoʻa loa ka wānana no Azoospermia ma muli o ke kumu kumu. ʻO ka nūhou hoʻoikaika nui loa, hiki ke mālama ʻia nā kumu he nui o Azoospermia, a hiki ke hoʻohuli pinepine ʻia ke kūlana. E hana pū ʻoe a me kāu hui lapaʻau e ʻike i ke kumu o kāu Azoospermia a hoʻoholo i ka hoʻolālā lapaʻau kūpono loa no kou kūlana kikoʻī.
I nā hihia he nui, hiki ke mālama pono ʻia ka Azoospermia i hoʻokumu ʻia e nā hormonal imbalances a i ʻole nā mea e ālai ʻia ai ke ala hānau, e hoʻonui nui ana i nā manawa kūpono e hoʻihoʻi i ka momona. ʻOiai ke kumu o ke kūlana ma nā testicles, hiki ke hoʻohana ʻia nā ʻano hana e like me ka sperm retrieval i hui pū ʻia me IVF (In Vitro Fertilization). No kēia kumu, he mea nui e mālama i kahi hiʻohiʻona maikaʻi a noho i ka manaʻolana.
Inā loaʻa ka Azoospermia i kaʻu kāne, hiki ʻole anei iā mākou ke hāpai maoli?
He nīnau maʻamau kēia e nīnau ai nā kāne a wahine. ʻAe, i kekahi mau kūlana, hiki nō ke hāpai maoli ʻia. Aia wale nō kēia i ke ʻano o ka Azoospermia i loaʻa i kāu hoa a inā hiki ke mālama ʻia ke kumu kumu. ʻO kāu kauka ke kanaka maikaʻi loa e hāʻawi i ke alakaʻi no kēia. Mai kānalua e kamaʻilio ākea me lākou e pili ana i kāu mau koho lapaʻau a me nā pahuhopu hoʻolālā ʻohana.
ʻO IVF wale nō ke koho no kekahi me Azoospermia e loaʻa ai kahi keiki?
ʻAʻole pono. Aia nō hoʻi kēia i ke kumu o ka Azoospermia. Inā pili ke kumu i nā testicles a koi ʻia ka loaʻa ʻana o ka sperm i ke ʻoki kino, a laila IVF a i ʻole ICSI nā koho mua. Eia nō naʻe, inā hiki ke hoʻoponopono ʻia ka Azoospermia ma o ka lāʻau lapaʻau (e like me ka wehe ʻana i kahi mea i hoʻopaʻa ʻia a i ʻole ka hoʻoponopono ʻana i nā pae hormone), hiki paha i kahi kāne ke hoʻāʻo i ka hāpai kūlohelohe me ka ʻole o ka pono no IVF .
Pehea e hoʻoholo ai i ka pilikia o ka Azoospermia?
ʻO ka loaʻa ʻana o kahi hōʻailona Azoospermia mai ke kauka hiki ke hoʻoluhi kino a me ka naʻau. He mea koʻikoʻi loa ia.
"Aia kekahi pilikia me kaʻu sperm… ke ʻōlelo nei anei kēia ʻaʻole hiki iaʻu ke lilo i makuakāne?" He mea maʻamau loa ke ʻike i nā manaʻo e like me kēia. ʻO nā manaʻo o ke kaumaha, ka hoʻonāukiuki, ka hoʻohoka, a i ʻole ka hewa he mau pane kūlohelohe ia i ia mau lono.
ʻO ka mea nui e hoʻomanaʻo ai, ʻaʻole ʻoe hoʻokahi ma kēia huakaʻi.
- E hilinaʻi i ka ʻike loea a me ke alakaʻi a kāu kauka a e hahai pono i kā lākou mau ʻōlelo aʻoaʻo.
- E noho pū me kāu hoa ma kēia huakaʻi. E kamaʻilio ākea kekahi i kekahi a e hāʻawi i ke kākoʻo like.
- E haʻi aku i kou mau manaʻo me kāu hoa, ʻohana, a i ʻole he hoaaloha hilinaʻi. Mai hoʻopaʻa i kou mau manaʻo i loko.
- He mea maʻamau ke kaumaha ma hope o ia ʻano pilikia, akā, mai hoʻopau i ka manaʻolana. He nui ka poʻe i loaʻa i ka Azoospermia e lilo i mau mākua no kā lākou mau keiki ponoʻī. E hoʻomanaʻo mau i kēlā.
- Inā manaʻo ʻoe ua kaumaha ʻoe, mai kānalua e ʻimi i ke kākoʻo o kahi kākāʻōlelo loea.
Āhea wau e ʻike ai i ke kauka?
Inā ʻoe a me kāu hoa e hoʻāʻo nei e hāpai ma o ka moekolohe mau, pale ʻole ʻia no 12 mau mahina me ka holomua ʻole, e ʻoluʻolu e nīnau koke i ke kauka. Eia kekahi, inā he mau hopohopo a nīnau paha kāu e pili ana i kou hānau ʻana, he mea naʻauao ke ʻimi i ka ʻōlelo aʻoaʻo lapaʻau. ʻO kēia ka hōʻailona mua e loaʻa paha kahi pilikia me ka hana ʻana o ka sperm. E paipai paha kāu kauka i kahi loiloi sperm e loiloi i kāu helu sperm ma ke ʻano he hana mua.
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?
ʻO ka ʻike ʻana ʻaʻohe sperm o kāu hāpana sperm hiki ke alakaʻi maoli i nā nīnau he nui. Mai makaʻu a kānalua paha e nīnau i kāu kauka i kēia mau mea:
- He aha nā kumu kūpono o Azoospermia, a he aha paha ke kumu o ia mea i koʻu hihia kikoʻī?
- He aha nā hoʻokolohua diagnostic e pono ai iaʻu e hōʻoia i ke kumu kumu?
- Hiki iaʻu ke loaʻa kahi keiki hānau maoli?
- He aha ka hoʻolālā lapaʻau āu e ʻōlelo nei, a he aha ka helu holomua?
- Pehea ka lōʻihi o kēia mau lāʻau lapaʻau, a he aha nā hopena ʻaoʻao e hiki mai ana?
- E hiki anei ke hoʻoili ʻia kēia maʻi i kaʻu mau keiki?
ʻO ka nīnau ʻana i kēia mau nīnau e kōkua iā ʻoe e loaʻa kahi ʻike maopopo o kou kūlana, e hoʻomākaukau iā ʻoe no nā ʻanuʻu aʻe, a kōkua iā ʻoe e ʻoi aku ka mākaukau noʻonoʻo no ka huakaʻi e hiki mai ana.
Leka Hoʻihoʻi Hope Loa mai Nirogi Lanka
Ke moeʻuhane nei ʻoe e hoʻomaka i kahi ʻohana a me ka noʻonoʻo ʻana i ka hauʻoli o kahi keiki, ʻo ka ʻike ʻana he keʻakeʻa i kou ala hiki ke lilo i mea ʻeha loa. Maopopo iaʻu ke kahe o nā manaʻo āu e manaʻo ai ma hope o ke aʻo ʻana e pili ana i ka helu sperm haʻahaʻa a ʻole paha. E hoʻāʻo e hoʻomanawanui i ka wā e hana ai kāu kauka e ʻike i ke kumu.
ʻO ka helu ʻole o ka sperm, ʻaʻole ia manaʻo ʻaʻole hiki iā ʻoe ke hānau keiki.
Hiki paha i kāu kauka ke kōkua iā ʻoe e hoʻokō i kāu moeʻuhane ma o ka lawe ʻana i ka sperm mai nā testicles a me ka hoʻohana ʻana i nā ʻano hana e like me IVF . E kūkākūkā ākea i kēlā me kēia kānalua, kēlā me kēia nīnau, a me kēlā me kēia koho lapaʻau me kāu hui lapaʻau. Me ka ʻike kūpono, ka lāʻau lapaʻau kūpono, a me ka manaʻolana paʻa, e loaʻa iā ʻoe ka ikaika e lanakila ai i kēia pilikia!
