ʻAʻole paha ʻoe i lohe i ka huaʻōlelo lapaʻau ʻo Azoospermia ma mua. Akā, ke moeʻuhane nei ʻoe e loaʻa kahi keiki, ʻo ia kekahi o nā manaʻolana hauʻoli loa i kou ola, a haʻi aku ke kauka iā ʻoe ʻaʻohe sperm i loko o kou semen ... e noʻonoʻo i ka nui o ke kaumaha a me ka haʻalulu e lawe mai ai i kou puʻuwai. Manaʻo paha ua hiolo koke kou honua holoʻokoʻa.
Akā, mai hopohopo, mai makaʻu. ʻAʻole kēia he pilikia hiki ʻole ke hoʻomaopopo ʻia a hoʻoponopono ʻia paha. E kamaʻilio kākou e pili ana i kēia kūlana (Azoospermia), kona mau kumu, a me nā lāʻau lapaʻau ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
He aha ka Azoospermia?
I ka ʻōlelo maʻalahi,
ʻo Azoospermia ke ʻano o kāu semen, ka wai e puka mai ana i ka wā o ka moekolohe, ʻaʻole i loaʻa kahi nui o ka sperm. Hana pinepine kēia no ka mea ua like kāu mau testicles me kahi hale hana sperm. Hele ka sperm i hana ʻia ma o nā ʻōmole like ʻole i loko o kāu ʻōnaehana hānau a hui pū ʻia me kekahi mau wai ʻē aʻe e hana i ka semen. No laila, hiki i ke kāne me Azoospermia ke ejaculate, akā ʻaʻole paha i loaʻa ka sperm. Kāhea kekahi poʻe i kēia "ʻaʻohe helu sperm." Hiki i kēia ke lilo i mea hānau ʻia i kekahi poʻe. ʻO ia hoʻi, loaʻa paha iā lākou kēia maʻi mai ka hānau ʻana. No kekahi poʻe, hiki i kēia maʻi (Azoospermia) ke ulu i ko lākou wā ʻōpiopio a i ʻole ma hope o ka wā makua. ʻO ka mea nui, ʻaʻole hiki i nā mea a pau me kēia maʻi ke loaʻa nā keiki.
I ka hapa nui o nā hihia, hiki ke hoʻoponopono ʻia me ka mālama lapaʻau kūpono a me nā ʻōlelo aʻoaʻo. No laila, mai haʻalele i ka manaʻolana.
Aia kekahi mau ʻano like ʻole o Azoospermia?
ʻAe, hiki ke hoʻokaʻawale ʻia ʻo (Azoospermia) i ʻekolu ʻano nui. E like me ka puka ʻana o ka wai mai loko mai o ka faucet, pono e loaʻa ka wai i loko o ka pahu, ʻaʻole pono e paʻa ka paipu, a pono e hana pono ka piula wai. E nānā kākou i kēlā mau ʻano.
1. ʻO ka azoospermia post-testicular (ma muli o ke ālai ʻana ma hope o nā testicles)
ʻO kēia
ke ʻano maʻamau o Azoospermia. Ma kēia kūlana, ke hana pono nei kāu mau testicles i ka sperm. ʻO ia hoʻi, ʻaʻohe pilikia me ka hale hana sperm.
Eia nō naʻe, aia kahi ālai a nalowale paha o ka pilina ma kekahi wahi ma ke ala e puka mai ai ka sperm i hana ʻia me ka semen. Ua like ia me kahi paipu wai e haki ana ma waenakonu, a i ʻole ua paʻa kekahi mea lepo i loko a ke kāohi nei i ke kahe ʻana o ka wai. Ua kapa pū nā kauka i kēia "obstructive azoospermia". Ma kahi o 40% o ka poʻe me Azoospermia e hoʻopilikia ʻia e kēia ʻano.
2. Ma muli o nā pilikia testicular (Testicular azoospermia)
Ma kēia ʻano, ʻaʻole ka pilikia me ke ala o ka sperm.
Maanei, aia kahi nāwaliwali, hōʻino, a maʻi paha i loko o ke ʻano a i ʻole ka hana o kāu mau testicles e hoʻemi nui ai i ka hana ʻana o ka sperm a i ʻole e oki loa.ʻO ia hoʻi, aia kekahi kīnā i ka hana ʻana o ka sperm ponoʻī. Ua kapa ʻia kēia he "nonobstructive azoospermia". Ma kēia, ʻaʻohe mea e ālai ana i ke ala o ka puka ʻana o ka sperm.
3. Ma muli o nā pilikia ma mua o nā testicles (Pretesticular azoospermia)
He ʻano ʻokoʻa iki kēia. Maanei, hiki i kāu mau testicles a me nā sperm ducts ke ʻike ʻia he maʻamau a olakino.
Eia nō naʻe, aia kahi pilikia me nā hormones e haʻi aku i nā testicles e "hana i ka sperm." No ka laʻana, aia ka hale hana i ke kūlana maikaʻi, maikaʻi ke alanui e lawe ai i nā waiwai, akā ʻaʻole i loaʻa i ka hale hana ka hōʻailona e hoʻomaka i ka hana. Hiki ke hana ʻia kēia kūlana i kekahi manawa ma hope o nā lāʻau lapaʻau ikaika e like me ka chemotherapy no nā maʻi e like me ke kanesa, a i ʻole ma muli o kekahi mau hormones imbalances. Hāʻule pū kēia i loko o ka māhele o "nonobstructive azoospermia." Ma keʻano holoʻokoʻa, hōʻike nā helu helu e pili ana ke kūlana (Azoospermia) i kahi 1% o ka heluna kāne.
He aha nā hōʻailona e hōʻike ana i ka hiki ke loaʻa i ka azoospermia?
Eia ka mea e kahaha ai nā kānaka he nui.
I ka manawa pinepine, ʻaʻohe hōʻailona kikoʻī o ke kanaka me Azoospermia. ʻAʻole paha ʻoe e ʻike i kekahi ʻokoʻa a ʻoluʻolu ʻole paha. Ua aʻo ka poʻe he nui e pili ana i kēia kūlana i ka wā e hoʻāʻo nei lākou a me kā lākou hoa e hāpai, a i ka wā e holomua ʻole ai kēlā mau hoʻoikaika ʻana, ʻimi lākou i ke kōkua lapaʻau. Eia nō naʻe, hiki i kekahi poʻe ke hōʻike i nā hōʻailona e pili ana i ke kumu o Azoospermia. Eia kekahi laʻana:
Akā e hoʻomanaʻo, hiki ke loaʻa ʻo Azoospermia inā ʻaʻole i loaʻa kēia mau hōʻailona.
No ke aha e hana ai kēia (Azoospermia)? He aha nā kumu?
Hiki ke hoʻokaʻawale ʻia nā kumu o ka azoospermia i ʻelua mau ʻāpana nui: nā kumu obstructive a me nā kumu nonobstructive.
1. Ma muli o ke ālai ʻia ʻana o ke kaula spermatic (Post-testicular / Obstructive Azoospermia)
ʻO ka mea e hana ʻia ma kēia hihia, ʻoiai ua hoʻokumu maikaʻi ʻia ka sperm, aia kahi mea e ālai ai ma kahi e puka ai. Hiki ke hana pinepine ʻia kēia mau mea e ālai ai ma nā wahi aʻe:
- ʻEpididymis : He ʻōmole liʻiliʻi kēia, i hoʻopili ʻia i nā testicles, kahi e hana ʻia ai ka oʻo ʻana o ka sperm.
- ʻO Vas deferens: ʻO ka ʻōmole nui e lawe ai i ka sperm.
- ʻAuwaha ejaculatory: ʻO ka ʻōmole kokoke i kahi e puka ai ka sperm, me nā wai ʻē aʻe i loko o ka wai seminal, mai ka penis.
Aia kekahi mau kumu e kū ai kēlā mau ālai ʻana:
- Ka trauma a i ʻole ka ʻeha i nā testicles.
- Nā maʻi: No ka laʻana, nā maʻi i loko o ka scrotum (epididymitis).
- Ka mumū ʻana .
- ʻO ka ejaculation retrograde: ʻO kēia ka manawa e hoʻi ai ka sperm i loko o ka ʻōpū mimi ma kahi o waho o ka penis, akā ke kumu ia i nā pilikia ʻokoʻa ma mua o Azoospermia. Eia nō naʻe, i kekahi mau hihia, hiki ke loaʻa nā pilikia.
- Nā ʻoki kino i hana ʻia ma ka ʻōpū a i ʻole ka ʻāpana pelvic. Hiki i kekahi mau ʻoki kino ke hōʻino i ke kaula spermatic.
- Nā cysts a i ʻole nā ulu ʻana.
- Vasectomy: He hana hoʻolālā ʻohana kēia kahi e ʻoki ʻia ai a nakinaki ʻia ai nā vas deferens. Ma hope o kēia, ʻaʻole e hoʻokuʻu kūlohelohe ʻia ka sperm.
- ʻO ka hoʻololi ʻana o ka gene cystic fibrosis: He kūlana genetic kēia. I kekahi manawa hiki i kēia ke kumu i ka nalowale ʻana o nā vas deferens mai ka hānau ʻana, a i ʻole hiki i nā mea huna mānoanoa ke hōʻiliʻili i loko o nā vas deferens, e ālai ana i ke hele ʻana o ka sperm.
2. Ma muli o nā kumu ʻaʻole keakea (Pretesticular a me Testicular / Nonobstructive Azoospermia)
Ma kēia ʻano, ʻaʻohe mea e ālai ʻia ai ke ala o ka sperm. Aia ka pilikia ma ke kaʻina hana sperm a i ʻole ma ka ʻōnaehana hormonal e kōkua ana iā ia. Aia kekahi mau kumu no kēia:
- Kekahi mau kūlana hoʻoilina: No ka laʻana, ka maʻi Kallmann, ka maʻi Klinefelter, a i ʻole ka holoi ʻana o ka chromosome Y. Hiki i kēia mau mea ke hoʻopilikia i ka ulu ʻana o nā testicles a me ka hana ʻana o ka sperm.
- Nā hemahema hormonal a me nā maʻi endocrine: No ka laʻana, nā pae testosterone haʻahaʻa, hyperprolactinemia (hoʻonui ʻia nā pae prolactin), a me nā pilikia e pili ana i ka androgen.
- Varicocele: He pehu ʻana o nā aʻa koko a puni nā testicles. Hiki i kēia ke hoʻonui i ka mahana o nā testicles a hoʻopilikia i ka hana ʻana o ka sperm.
- Nā hopena i kekahi mau lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau (e.g., kekahi mau lāʻau anticancer, kekahi mau lāʻau antifungal, kekahi mau lāʻau koko kiʻekiʻe) ke hoʻopilikia maikaʻi ʻole i ka hana ʻana o ka sperm.
- Nā lāʻau lapaʻau radiation, chemotherapy, a i ʻole ka ʻike ʻana i nā metala kaumaha a me nā mea ʻawahia.
- ʻAʻohe o nā testicles (i ka wā hānau) a i ʻole nā testicles i iho ʻole mai.
- ʻO ka Orchitis: Hoʻomaka pinepine ia ma ke ʻano he pilikia o nā maʻi viral e like me ka mumps.
- ʻO kekahi mau koho nohona: ka hoʻohana ʻana i ka lāʻau lapaʻau a i ʻole ka waiʻona, ka manawa nui e hoʻolilo ʻia ai i loko o nā sauna a i ʻole nā ʻauʻau wela, a me ka hōʻike ʻana o nā testicles i nā mahana kiʻekiʻe.
Pehea e ʻike ai nā kauka i ka Azoospermia?
Inā ua lōʻihi ka manawa e hoʻāʻo nei ʻoe a me kāu hoa e hāpai keiki (ma kahi o hoʻokahi makahiki) me ka ʻole o ka kaohi hānau ʻana a ʻaʻole i holomua, ʻo ka hana mua e ʻike i ke kauka. Inā he kānalua he Azoospermia kou, e hahai ke kauka i kēia mau ʻanuʻu: ʻO ka mua, hana ʻia
kahi loiloi semen . Ma kēia, ua nānā ʻia kahi hāpana o kāu semen ma lalo o kahi microscope e ʻike ai inā he sperm, ehia ka nui, pehea lākou e neʻe ai, a pehea ko lākou ʻano. I mea e hōʻoia ai he Azoospermia kou,
ʻaʻole pono e loaʻa ka sperm ma ka liʻiliʻi he ʻelua mau hoʻāʻo semen. A laila, e nīnau ke kauka iā ʻoe i nā nīnau he nui e ʻike ai i ke kumu o ka Azoospermia iā ʻoe. Ua kapa ʻia kēia ʻo ka lawe ʻana
i kahi mōʻaukala lapaʻau piha . I kēlā manawa, hiki ke nīnau ʻia iā ʻoe nā mea e like me:
- Inā paha ua loaʻa iā ʻoe nā keiki ma mua a ʻaʻole paha.
- Ua loaʻa anei iā ʻoe kekahi mau ulia, nā ʻeha, a i ʻole nā ʻoki kino i kou wahi pelvic?
- Ua loaʻa anei iā ʻoe kekahi mau maʻi ʻaʻai mimi (UTI) a i ʻole nā maʻi i laha ma ke moekolohe (STI) ma mua?
- He aha nā lāʻau lapaʻau āu e hoʻohana nei i kēia manawa a ua hoʻohana mua ʻoe?
- Ke hoʻohana nei ʻoe i ka waiʻona, ka mariuana (cannabis), a i ʻole nā lāʻau lapaʻau ʻē aʻe?
- Ke komo nei ʻoe i nā hana e hōʻike ai i kou mau testicles i ka wela nui? (e.g. sauna, hana i kahi wela)
- Aia kekahi o kou ʻohana i loaʻa i nā maʻi hānau, nā maʻi e like me ka cystic fibrosis, a i ʻole ka hānau ʻole ʻana?
I ka manawa like, e hana ke kauka
i kahi hoʻokolokolo kino piha , ʻoiai ke nānā ʻana i kāu mau testicles a me ka ʻāina a puni lākou. I kekahi manawa hiki ke hana ʻia kahi hoʻokolokolo rectal.
He aha nā hoʻokolohua ʻē aʻe i hana ʻia?
No ka hoʻoholo hou ʻana i ke kumu, hiki i ke kauka ke kauoha i nā hoʻokolohua hou aʻe e like me:
- Nā hoʻāʻo koko: Nānā nui kēia i nā pae hormone e like me ka testosterone a me ka hormone hoʻoulu follicle (FSH). He mea nui kēia mau hormones no ka hana ʻana o ka sperm.
- Hoʻāʻo hoʻoilina:Hana ʻia kēia mau hoʻokolohua e nānā i kekahi mau kūlana genetic e hiki ai ke hana iā Azoospermia.
- Nā kiʻi X-ray a i ʻole nā scan ultrasound o nā testicles: Kōkua kēia i ka ʻike ʻana i nā mea e like me ke ʻano o nā testicles a me nā poloka i loko o nā ʻōmole e lawe ana i ka sperm.
- ʻO ke kiʻi MRI (Magnetic Resonance Imaging) o ka lolo: Hoʻomalu ʻia nā hormones e nā ʻāpana o ka lolo e like me ka hypothalamus a i ʻole ka pituitary gland. No laila, hiki ke hana ʻia kēia hoʻāʻo inā he kānalua ua hoʻokumu ʻia ʻo Azoospermia e kahi pilikia hormonal.
He aha nā lāʻau lapaʻau no Azoospermia?
ʻO ke ʻano o ka mālama ʻana no Azoospermia e pili ana
i ke kumu kumu. ʻO ia ke kumu he mea nui loa ka ʻike mua ʻana i ke kumu pololei. ʻO ka hoʻāʻo ʻana i ka genetic a me ke aʻo ʻana e pili ana he ʻāpana koʻikoʻi nō hoʻi ia o ka hoʻomaopopo ʻana a me ka mālama ʻana i ke kūlana o Azoospermia. ʻO kekahi o nā koho lapaʻau nui:
- ʻOki kino: Inā ʻo ke kumu o Azoospermia he paʻa ʻana i loko o ke kahawai sperm, hiki ke hana ʻia ke ʻoki kino e wehe i ka paʻa a i ʻole e hoʻopili hou i nā ʻōmole i hōʻino ʻia/nalowale. Inā holomua kēia, e hoʻomaka hou ka sperm e puka i waho.
- Nā lāʻau lapaʻau hormone: Inā he haʻahaʻa ka nui o ka hormone ke kumu o ka azoospermia, hiki i nā lāʻau lapaʻau hormone i kauoha ʻia e ke kauka ke hoʻoulu i ka hana sperm.
- Ka lawe pololei ʻana i ka sperm mai nā testicles: I kekahi mau hihia (ʻoi aku hoʻi i ka azoospermia nonobstructive), ʻaʻole paha e loaʻa ka sperm i loko o ka semen, akā hiki ke hana ʻia kekahi sperm i loko o nā testicles. I ia mau hihia, hiki ke kiʻi pololei ʻia ka sperm mai nā testicles me ka hoʻohana ʻana i kahi nila lahilahi loa (testicular sperm aspiration - TESA) a i ʻole kahi hana ʻoki liʻiliʻi (testicular sperm extraction - TESE).
Hiki ke hoʻohana ʻia ka sperm i loaʻa ma kēia ʻano e kōkua i ka hāpai ʻana i kahi keiki me ka hoʻohana ʻana i ka ʻenehana kōkua hānau (ART) . ʻO nā ʻano hana i hoʻohana pinepine ʻia ʻo ia ka in vitro fertilization (IVF) a me ka intracytoplasmic sperm injection (ICSI) . ʻO ka ICSI ke komo ʻana i hoʻokahi sperm pololei i loko o kahi hua manu.
Inā he genetic ke kumu o kāu azoospermia, hiki i kāu kauka ke kuhikuhi iā ʻoe
no ke aʻo ʻana i nā genetics, no ka mea hiki ke hāʻawi ʻia i kāu mau keiki.
Hiki ke hoʻi mai ka sperm ma hope o Azoospermia?
ʻAe, hiki iā ʻoe! Akā,
pili ia i ke ʻano o Azoospermia āu e loaʻa ai a me ke kumu.Eia kekahi laʻana, inā nalowale ka sperm ma muli o kahi ālai ʻana i nā vesicles seminal, hiki nō paha e ʻike hou ʻia ka sperm i loko o kāu semen ma hope o ka wehe ʻia ʻana o ka ālai ʻana ma ke ʻoki ʻana.
Hiki ke ho'ōla loa ʻia ʻo Azoospermia?
Ua like kēia me ka nīnau ma mua.
Hiki ke ho'ōla loa ʻia a hoʻohuli ʻia paha kekahi mau kumu o Azoospermia. Eia nō naʻe, ʻaʻole hiki ke ho'ōla ʻia kekahi mau kumu (ʻoi aku hoʻi kekahi mau kūlana genetic a i ʻole ka hōʻino nui ʻana i nā testicles). Eia naʻe, ʻoiai pēlā, e like me ka mea i ʻōlelo ʻia ma mua, hiki iā ʻoe ke hoʻāʻo e loaʻa kahi keiki ma ka hōʻiliʻili ʻana i ka sperm mai nā testicles.
Aia kekahi mau ala e pale aku ai i ka Azoospermia?
ʻAʻole hiki iā mākou ke pale aku i kekahi mau kūlana genetic e hoʻoulu ai i ka Azoospermia. He mau mea ia e hele pū me mākou. Eia nō naʻe, inā ʻaʻole i hoʻokumu ʻia kāu Azoospermia e kahi pilikia genetic, hiki i ka hana ʻana i kēia mau mea ke kōkua i ka hōʻemi ʻana i ka pilikia i kekahi ʻano:
- E hōʻalo i nā hana e hiki ai ke hōʻeha i kou mau kino hānau. A i ʻole, e komo i kahi pale ʻōpū / kīʻaha i ka wā e pāʻani ana i nā haʻuki (e.g. cricket, baseball).
- E pale i ka hoʻopili 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. Ke kuhikuhi ke kauka i kahi lāʻau lapaʻau nāu, e kamaʻilio e pili ana i nā pono a me nā pilikia.
- Mai hōʻike i kou mau testicles i ka wela nui no ka manawa lōʻihi (e like me ka sauna pinepine, ka ʻauʻau wela, a me nā lole komo paʻa).
He aha ka manaʻo no ka poʻe me Azoospermia? (Outlook)
ʻAʻole like ka wānana no nā kumu āpau o ka azoospermia, a he ʻokoʻa ia.
ʻO ka mea maikaʻi loa, hiki ke mālama ʻia nā kumu he nui o ka azoospermia a hiki ke hoʻohuli ʻia ke kūlana. E hana pū ʻoe a me kāu hui lapaʻau e hoʻoholo i ke kumu o kāu azoospermia a me ka lāʻau lapaʻau maikaʻi loa no ia. Hiki ke mālama ʻia ka Azoospermia, inā paha ma muli o nā pilikia hormonal a i ʻole nā mea e ālai ana i ke kaula spermatic. Aia kekahi manawa kūpono e hoʻi hou mai ka momona. ʻOiai inā he kūlana testicular ke kumu, e like me ka mea i ʻōlelo ʻia ma mua, hiki ke hoʻohana ʻia nā ʻano hana insemination artificial e like me IVF e kiʻi i ka sperm ola mai nā testicles.
No laila, he mea nui loa ia e noho lana ka manaʻolana. Inā loaʻa ka Azoospermia i kaʻu kāne, ʻaʻole anei hiki iā māua ke loaʻa keiki ma ke ʻano maoli?
He nīnau kēia a nā wāhine he nui e nīnau ai. ʻAe, i kekahi manawa hiki paha iā ʻoe ke hāpai i kahi keiki ma ke ʻano kūlohelohe.
Aia wale nō ia i ke ʻano o ka Azoospermia i loaʻa i kāu hoa a inā hiki ke mālama ʻia. ʻO kāu kauka ke kanaka maikaʻi loa e aʻo iā ʻoe ma kēia. E kamaʻilio ākea me ia e pili ana i nā koho lapaʻau a me ka hoʻolālā ʻohana.
ʻO IVF wale nō ke koho no kekahi me Azoospermia e loaʻa ai kahi keiki?
ʻAʻole, ʻaʻole.
Aia nō hoʻi ia i ke kumu o ka Azoospermia. Inā he pilikia testicular ke kumu a pono ke ʻoki ʻana e kiʻi i ka sperm, a laila ʻo IVF a i ʻole ICSI nā koho pinepine. Eia nō naʻe, inā hiki ke mālama ʻia a ho'ōla ʻia ka Azoospermia (e.g., wehe i kahi mea paʻa, hormone therapy), a laila hiki i kahi kāne ke hoʻāʻo e loaʻa kahi keiki ma ke ʻano maoli me ka ʻole o ka hoʻohana ʻana i ka IVF.
Pehea e hiki ai iaʻu ke mālama iaʻu iho inā ʻike wau he Azoospermia koʻu?
ʻO ka ʻike ʻana mai ke kauka ua loaʻa iā ʻoe ʻo Azoospermia hiki ke hoʻoluhi nui ʻia e ka naʻau a me ke kino. He mea koʻikoʻi loa ia.
"Aia kekahi hewa me kaʻu sperm... ʻAʻole loa anei au e hiki ke lilo i makuakāne?" He mea maʻamau ka loaʻa ʻana o nā manaʻo e like me kēia. Hiki iā ia ke hoʻoulu i nā ʻano manaʻo like ʻole, me ke kaumaha, ka huhū, ka manaʻolana ʻole, a me ka hewa.
ʻO ka mea nui loa, ʻo ia ka hoʻomaopopo ʻana ʻaʻole ʻoe hoʻokahi i kēia manawa.- E hilinaʻi i ka ʻike a me nā ʻōlelo aʻoaʻo a kāu kauka. E hahai pololei i kāna mea e ʻōlelo ai.
- E noho pū me kāu hoa ma kēia huakaʻi. E kamaʻilio pū e pili ana i kēia, e kākoʻo kekahi i kekahi.
- E kamaʻilio me kāu hoa, ʻohana, a i ʻole he hoaaloha hilinaʻi e pili ana i kou mau manaʻo a me kou mau manaʻo. Mai hūnā iā ia i loko.
- He mea maʻamau ke kaumaha ke loaʻa iā ʻoe kahi pilikia e like me kēia. Akā, mai hoʻopau loa i ka manaʻolana. Ua lilo ka nui o ka poʻe me ka azoospermia i mau mākua no kā lākou mau keiki ponoʻī. E hoʻomanaʻo i kēlā.
- Inā pono, mai kānalua e ʻimi i ke kōkua o kahi kākā'ōlelo.
Āhea wau e ʻike ai i ke kauka?
Inā
ua moe kolohe mau ʻoe a me kāu hoa me ka pale ʻole no 12 mau mahina (hoʻokahi makahiki) a ʻaʻole i hāpai, e ʻike koke i ke kauka. A i ʻole, inā he mau hopohopo a nīnau paha kāu e pili ana i kou hānau ʻana, e ʻike i ke kauka e kūkākūkā iā lākou. ʻO kēia ka hōʻailona mua e loaʻa ana ka pilikia me ka hana ʻana o ka sperm. Hiki i kāu kauka ke ʻōlelo mua i kahi hoʻāʻo sperm e nānā i ka helu o kāu sperm.
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?
He mea maʻamau ka loaʻa ʻana o nā nīnau he nui ke ʻike ʻoe ʻaʻohe sperm i loko o kāu semen. Mai makaʻu a kānalua paha e nīnau i kāu kauka i nā nīnau e like me kēia:
- He aha nā kumu o ka nalowale ʻana o ka sperm? He aha paha ke kumu o kēia maʻi noʻu?
- He aha nā hoʻokolohua e pono iaʻu e hana e ʻike ai i ke kumu pololei?
- E hiki anei iaʻu ke hānai i kaʻu keiki ponoʻī?
- He aha ka lāʻau lapaʻau āu e ʻōlelo mai ai noʻu? Pehea ka holomua?
- Pehea ka lōʻihi o kēia mau lāʻau lapaʻau? He aha nā hopena ʻaoʻao e hiki mai ana?
- He mea hiki anei i kaʻu mau keiki ke hoʻoilina i kēia maʻi?
ʻO ka nīnau ʻana i nā nīnau e like me kēia e kōkua iā ʻoe e loaʻa kahi ʻike maopopo o ke kūlana, e ʻike i nā ʻanuʻu aʻe, a e hoʻomākaukau iā ʻoe iho noʻonoʻo.
## ʻO ka mea hope loa, nā mea nui e pono ai ʻoe e hoʻomanaʻo (Leka Lawe-Home)
Maopopo iaʻu ke kaumaha o ka naʻau ke ʻike ʻoe aia kekahi mea e ālai ana i kāu mau moeʻuhane o ka hoʻomaka ʻana i kahi ʻohana a me ka loaʻa ʻana o kahi pēpē. Ke lohe ʻoe ʻaʻohe sperm i loko o kāu semen, e manaʻo paha ʻoe i nā manaʻo he tausani. Akā e hoʻāʻo e hoʻomanawanui i ka wā e ʻike ai kāu kauka i ke kumu.
ʻO ka loaʻa ʻole o ka helu sperm ʻaʻole ia manaʻo ʻaʻole loa ʻoe e loaʻa keiki.
Hiki i kāu kauka ke kōkua iā ʻoe e hoʻokō i kāu moeʻuhane ma o ka hoʻohana ʻana i nā ʻano hana e like me IVF, e like me ka lawe ʻana i ka sperm mai nā testicles. E kamaʻilio ākea me kāu kauka e pili ana i kāu mau kānalua āpau, nā nīnau, a me nā koho lapaʻau hiki.
E loaʻa iā ʻoe ka ikaika e lanakila ai i kēia pilikia me ka ʻike kūpono, ka lāʻau kūpono, a me ka manaʻolana paʻa ʻole!
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