He emi anei kāu mau hua i loko o kāu mau ovaries? E kamaʻilio kākou e pili ana i ka Diminised Ovarian Reserve!

Ua lōʻihi anei kou hoʻāʻo ʻana e hāpai? He mea maʻamau ke kaumaha a me ka hopohopo ke loaʻa ʻole nā ​​hopena e like me kou manaʻo. Ua haʻi aku paha kāu kauka iā ʻoe he haʻahaʻa ka waihona hua manu o kāu mau ovaries, kahi kūlana i kapa ʻia ʻo Diminished Ovarian Reserve . ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā. Mai hopohopo, ʻo ka hoʻomaopopo pono ʻana i kēia e kōkua nui iā ʻoe.

He aha ka emi ʻana o ka Ovarian Reserve?

I ka ʻōlelo maʻalahi, ʻo ka Diminished Ovarian Reserve ka wā e emi ai ka nui o nā hua i loko o kāu mau ovaries i hoʻohālikelike ʻia me nā poʻe ʻē aʻe i kou mau makahiki. I kekahi manawa ua kapa ʻia kēia he "low egg count." ʻIke ʻoe, i mea e hāpai ai, pono ʻoe i kahi hua (me ka sperm). ʻO ka maʻamau, emi ka helu o nā hua o kēlā me kēia kanaka i ko lākou ʻelemakule ʻana. He mea maoli ia. Eia naʻe, no kekahi poʻe, hana koke kēia ma mua o ka mea i manaʻo ʻia. ʻO ia ka manawa e hana ʻia ai kēia ʻano.

Hiki ke paʻakikī iki ka loaʻa ʻana o kahi pēpē ke haʻahaʻa kāu waihona hua manu. Hiki i kāu kauka ke haʻi maopopo inā loaʻa iā ʻoe kēia maʻi ma ka hana ʻana i kahi hoʻokolohua i kapa ʻia ʻo Ovarian Reserve Testing .

ʻO ka mea nui, ʻaʻole kēia manaʻo ʻaʻole hiki iā ʻoe ke loaʻa kahi pēpē. Eia nō naʻe, he mea paʻakikī iki paha ia, a i ʻole pono paha ʻoe e hoʻohana i nā lāʻau lapaʻau hānau keiki.

Ehia mau hua manu e pono ai i loko o kā mākou ovaries?

E noʻonoʻo, i ka wā e hānau ʻia ai mākou nā kaikamahine, loaʻa iā mākou nā hua āpau a mākou e pono ai no ko mākou ola holoʻokoʻa. Ma hope o kēlā, ʻaʻohe hua hou e hana ʻia. ʻO kou mau makahiki ke kumu nui e hoʻoholo ai i ka nui o nā hua āu. Ua hōʻike ʻia nā noiʻi ma hope o 35 mau makahiki, ʻoi aku ka nui o ka nalowale o nā hua.

ʻOiai paha e ʻokoʻa kēia mau helu mai ke kanaka a ke kanaka, eia kahi manaʻo no ka awelika o nā hua manu i loaʻa iā mākou i ko mākou ola a pau:

• I ka wā hānau: Ma waena o 1 a me 2 miliona mau hua.
• I ka wā ʻōpio: Ma waena o 300,000 a me 400,000 hua manu.
• Ma kahi o 40 mau makahiki: Ma kahi o 25,000 mau hua.
• I ka wā menopause: ʻAʻole i emi iho ma mua o 1,000 mau hua.

Eia naʻe, hiki i kāu kauka ke haʻi pololei iā ʻoe i ka nui o nā hua āu, ma hope o ka nānā ʻana i nā hopena o ka Ovarian Reserve Testing i ʻōlelo ʻia ma luna.

He mea hiki ʻole anei ke loaʻa keiki no ka mea he kakaikahi kāu mau hua?

ʻAʻole hiki iā ʻoe ke ʻōlelo ʻaʻole! Hiki nō iā ʻoe ke loaʻa kahi pēpē ʻoiai inā he haʻahaʻa kāu helu hua. Eia nō naʻe, pono ʻoe e hoʻomaopopo he haʻahaʻa iki paha ka manawa e hāpai ai ma muli o ka haʻahaʻa o ka helu hua. E noʻonoʻo e pili ana i ia mea, ʻo ka mea wale nō āu e pono ai e hana i kahi pēpē he hua maikaʻi a olakino, ʻeā?

Eia kekahi, ʻaʻole wale ka helu o nā hua e hoʻopilikia i ka manawa kūpono o ke keiki e hāpai ai. ʻO ke ʻano o nā huaHe nui nā mea e hoʻopilikia i kēia, e like me ka maikaʻi o ka sperm a kāu hoa, ke olakino o kou uterus a me nā fallopian tubes (a i ʻole ovaries).

He aha nā hōʻailona o kēia maʻi?

ʻAʻole hōʻike ka hapa nui o ka poʻe i kekahi mau hōʻailona kikoʻī. ʻO ka mea wale nō, ʻaʻole hiki iā lākou ke hāpai ma hope o nā mahina, a i ʻole he mau makahiki paha, o ka moekolohe (me ka hoʻohana ʻole ʻana i kekahi kaohi hānau).

Hiki i kekahi mau wahine ke hoʻomaka e loaʻa ko lākou mau wā ma mua o ka maʻamau, ʻo ia hoʻi e pōkole ana ko lākou mau pōʻaiapuni a pōkole hoʻi ka helu o nā lā.

Inā loaʻa iā ʻoe ka Primary Ovarian Insufficiency , kahi kūlana i hana pono ʻole ai nā ovaries, hiki iā ʻoe ke ʻike i nā hōʻailona i ka wā perimenopause . ʻO kēia mau mea:

• Ka hou koke ʻana a me ka manaʻo wela (nā ʻālohilohi wela).
• Ka menstruation kūpono ʻole (ka mua, ka lohi, a i ʻole ka nalowale ʻana no nā mahina).
• ʻO ka maloʻo o ka ʻōpū, hiki ke hoʻoulu i ka ʻoluʻolu ʻole i ka wā o ka moekolohe.

No ke aha lā kēia e hana nei? He aha nā kumu o kēia?

ʻO ka ʻelemakule ke kumu nui a kūlohelohe o ka emi ʻana o ka waihona hua manu. He mea maʻamau ia no nā kānaka a pau. Eia nō naʻe, i kekahi manawa ʻaʻole hiki ke loaʻa ke kumu maopopo.

Aia kekahi mau kumu ʻē aʻe e pili ana i kēia:

• Nā kūlana hoʻoilina: Nā pilikia hoʻoilina, ʻoiai nā mea e pili ana i ka chromosome X.
• Lāʻau lapaʻau no ke kanesa: Hiki i ka radiation a i ʻole chemotherapy no ke kanesa ke hōʻino i nā ovaries a luku i nā hua.
• Nā ʻoki ʻana i hana ʻia ma nā ovaries: Pono kekahi mau ʻoki ʻana i ka wehe ʻana i kahi ʻāpana o nā ovaries.
• Inā ua wehe ʻia kekahi a i ʻole nā ​​ovaries ʻelua: He mea pono paha kēia ma muli o kahi kūlana olakino.
• Nā kūlana Autoimmune: ʻO kēia ka manawa e hoʻouka ai ka ʻōnaehana pale ponoʻī o ko mākou kino i kā mākou ovaries ponoʻī.

Ke hoʻopilikia nei anei ke kaumaha i kēia?

ʻAʻole, ʻaʻole hōʻemi pololei ke kaumaha i ka mālama hua. He kuhihewa ka poʻe he nui e pili ana i kēia. Eia nō naʻe, e like me ka American Society of Reproductive Medicine, ʻo ka puhipaka a me ka hoʻohana ʻana i nā huahana paka (nā cigarette, bidis, a me nā mea ʻē aʻe) nā mea ola wale nō i ʻike ʻia e hōʻemi i ka mālama hua.

He aha nā hoʻokolohua e loaʻa ana e ʻike ai i kēia?

Hoʻohana nā kauka i kahi hui o nā hoʻokolohua i kapa ʻia ʻo Ovarian Reserve Testing e loaʻa ai kahi manaʻo maʻamau o ka nui o nā hua i koe i loko o kāu ovaries.

Eia nō naʻe, ʻaʻole hiki i kēia mau hoʻokolohua ke haʻi pololei iā ʻoe i ka lōʻihi o kou hiki ke loaʻa nā keiki, a inā paha e hiki iā ʻoe ke hāpai maoli (me ka ʻole o kekahi lāʻau lapaʻau). Nānā nui kēia mau hoʻokolohua i kāuE pili ana ia i ke ʻano o ka pane ʻana o kāu mau ovaries i nā lāʻau hormonal i hāʻawi ʻia i ka wā o nā mālama hānau keiki e like me IVF (In Vitro Fertilization), a i ʻole inā haʻahaʻa kou manawa e hāpai ai me ka ʻole o ka mālama ʻana.

He mea nui loa ia e hoʻomaopopo ʻoiai inā hōʻoia kēia mau hoʻokolohua he haʻahaʻa kāu waihona hua manu, ʻaʻole ia manaʻo ʻaʻole hiki iā ʻoe ke loaʻa keiki ma ke ʻano maoli. ʻAʻole ana kēia mau hoʻokolohua i kou momona maoli.

ʻO ka hoʻāʻo ʻana o ka Ovarian Reserve e komo pū me:

• Nā hoʻāʻo koko: Pili kēia i ka lawe ʻana i kahi hāpana o kou koko a nānā i nā pae o nā hormones i kapa ʻia ʻo (Anti-Mullerian Hormone - AMH) , (Follicle-Stimulating Hormone - FSH) , a me (Estradiol) . Hiki i kēia mau pae hormone ke hāʻawi i kāu kauka i kahi manaʻo no ke ʻano o ka pane ʻana o kāu mau ovaries i nā lāʻau hoʻoulu hānau.
• ʻO ka Ultrasound Vaginal: Pili kēia i ke komo ʻana i kahi mea scan liʻiliʻi ma o ka vagina e ana i ka nui o nā ovaries. Ana pū ia i ka helu o nā follicles liʻiliʻi i loko o nā ovaries e hiki ke loaʻa nā hua. Ua kapa ʻia kēia ʻo Antral Follicle Count (AFC) .
• Aia kekahi hoʻāʻo i kapa ʻia ʻo Clomiphene Citrate Challenge . Pili kēia i ka lawe ʻana i kahi lāʻau hoʻoulu hua waha (Clomiphene Citrate) no kekahi mau lā, a laila e ana i nā pae hormone a ʻike pehea e pane ai ke kino iā ia. Eia naʻe, ʻaʻole hoʻohana pinepine ʻia kēia hoʻāʻo.

ʻO ka poʻe me ka waihona ovarian haʻahaʻa he kiʻekiʻe ko lākou mau pae hormone (FSH) ma mua o nā poʻe ʻē aʻe i ko lākou mau makahiki, haʻahaʻa nā pae hormone (AMH), a haʻahaʻa (AFC). Eia hou, ana kēia mau hoʻokolohua i ke ʻano o ka pane ʻana o kāu mau ovaries i nā lāʻau hormonal, ʻaʻole i kou hiki ke hāpai me ka ʻole o ka lāʻau lapaʻau.

He aha ka mea hiki ke hana ʻia ma ke ʻano he lāʻau lapaʻau?

ʻO kēia ka mea nui loa e pono ai kākou e hoʻomaopopo mua: Wahi a ka ʻepekema lapaʻau o kēia manawa, ʻaʻohe ala e hoʻohuli ai i ka emi ʻana o nā waihona hua manu a i ʻole e hana i nā hua hou i loko o nā ovaries.

Inā kānalua kāu kauka i kēia maʻi, e kamaʻilio pono ʻo ia me ʻoe a kōkua iā ʻoe e hana i kahi hoʻolālā lapaʻau e kōkua iā ʻoe e hoʻokō i kāu moeʻuhane o ka loaʻa ʻana o kahi keiki. I ka wā e hana ai i kēia hoʻolālā lapaʻau, e nīnau ke kauka iā ʻoe i nā nīnau e like me:

• Pehea ka wikiwiki e makemake ai ʻoe e loaʻa kahi pēpē?
• ʻEhia mau keiki āu e makemake ai?
• Pehea kou hiki kālā? (Hiki ke pipiʻi kekahi mau lāʻau lapaʻau)
• Makemake ʻoe i kahi keiki e pili ana iā ʻoe ma ke ʻano genetics , a i ʻole makemake ʻoe e noʻonoʻo i nā koho ʻē aʻe?

Hoʻoholo ʻia nā koho lapaʻau ma ka noʻonoʻo ʻana i kēia mau mea āpau. ʻO nā koho nui:

• Ke hoʻopaʻahau nei i kāu mau hua no ka hoʻohana ʻana i ka wā e hiki mai ana.
• Ke ho'āʻo nei e hāpai ma ke ʻano kūlohelohe (hiki ke lōʻihi).
• (IVF - Hoʻouluulu In Vitro)Ka lāʻau lapaʻau - Hiki iā ʻoe ke hoʻohana i kāu mau hua ponoʻī, a i ʻole hiki iā ʻoe ke hoʻohana i nā hua i hāʻawi ʻia (nā hua i loaʻa mai kekahi kanaka ʻē aʻe).

Inā ʻoe e hoʻohana i kāu mau hua ponoʻī ...

He ala maikaʻi loa ka hoʻopaʻa ʻana i nā hua manu e mālama ai i kou momona. ʻOiai inā manaʻo kāu kauka he kiʻekiʻe kou pilikia o ka helu hua haʻahaʻa, manaʻo paha lākou e hoʻopaʻa i kāu mau hua ma mua o ko lākou emi ʻana.

ʻO ka mea e hana ʻia, hāʻawi ʻia ʻoe i nā inikini hormone e hoʻoulu i kāu mau ovaries e hana i nā hua he nui i ka manawa hoʻokahi. A laila, lawe ʻia kēia mau hua makua ma o kahi hana ʻoki liʻiliʻi a hoʻopaʻahau ʻia ma ke ʻano kūikawā no ka mālama ʻana i ka IVF e hiki mai ana.

I kekahi manawa, e ʻōlelo paha kāu kauka e hana i nā embryos (nā pūnaewele mua e hana ʻia ke hui pū ka hua manu a me ka sperm). ʻO ke ʻano kēia, lawe ʻia nā hua moa, hoʻomoʻa ʻia i loko o kahi lab me ka sperm a kāu hoa a i ʻole me ka sperm donor (sperm mai kekahi kanaka ʻē aʻe), a hoʻopaʻahau ʻia nā embryos hopena no ka hoʻohana ʻana i ka wā e hiki mai ana. A i ʻole, hiki ke hoʻoili ʻia i kou uterus a hoʻokomo koke ʻia.

Inā ʻoe e hoʻohana ana i nā hua manu hāʻawi ...

Inā haʻahaʻa loa ka maikaʻi a/a i ʻole ka nui o kāu mau hua, ʻo ia hoʻi, ua haʻahaʻa loa ka manawa kūpono o ka hāpai holomua me ka hoʻohana ʻana i kāu mau hua ponoʻī, hiki i kāu kauka ke kuhikuhi i ka hoʻohana ʻana i nā hua hāʻawi (nā hua i hāʻawi ʻia e kekahi wahine olakino ʻē aʻe).

I kēia hihia, hoʻomomona ʻia kahi hua manu mai kahi mea hāʻawi i loko o kahi keʻena hoʻokolohua me ka sperm a kāu hoa (a i ʻole ka sperm mea hāʻawi). A laila hoʻokomo ʻia ka embryo hopena i loko o kou ʻōpū. ʻAʻole e hoʻoilina ka pēpē i hana ʻia ma kēia ʻano i kāu mau genes, akā hiki iā ia ke hoʻoilina i nā genes o kāu hoa (ke ʻole ka hoʻohana ʻia ʻana o ka sperm mea hāʻawi).

ʻO kekahi koho ʻē aʻe, ʻo ia ka hoʻopaʻa ʻana o ka embryo. Pili kēia i ka hoʻomoe ʻana i kāu mau hua (a i ʻole nā ​​hua hāʻawi) me ka sperm, ka hana ʻana i kahi embryo, a me ka hoʻopaʻa ʻana no ka hoʻohana ʻana i ka wā e hiki mai ana.

Hoʻomaikaʻi anei ka waikawa folic i ka maikaʻi o ka hua manu?

Aia nā huaora kūikawā e lawe i ka wā hāpai (nā huaora Prenatal), nona ka huaora i kapa ʻia ʻo Folic Acid . He mea nui loa kēia (Folic Acid) no ka mālama ʻana i ka maikaʻi o nā hua manu.

Inā ʻoe e manaʻolana ana e loaʻa kahi pēpē, e haʻi aku paha kāu kauka iā ʻoe e hoʻomaka e lawe i kahi huaora prenatal. ʻOi aku ka maikaʻi o ka hoʻomaka ʻana e lawe iā ia ma ka liʻiliʻi he ʻekolu mahina ma mua o kou hoʻolālā ʻana e hāpai . ʻO kēia no ka mea he ʻekolu mahina ka lōʻihi o ka oʻo ʻana o kahi hua manu.

Hiki i kāu ʻai, hoʻoikaika kino, a me nā mea ʻē aʻe o ke ʻano o ka nohona (e like me ka puhi ʻole ʻana) ke hoʻopilikia i ke olakino, a i ʻole ka maikaʻi o kāu mau hua. Eia naʻe, ʻaʻole lākou e hoʻopilikia i ka helu o nā hua āu a i ʻole kāu waihona ovarian (kahi ʻano i kapa ʻia ʻo Diminished Ovarian Reserve).

He aha kā mākou e hana ai e hōʻemi i kēia pilikia?

ʻOiaʻiʻo, ʻaʻohe mea hiki iā ʻoe ke hana e pale aku i ka emi ʻana o kāu hua manu. E like me kā mākou i kūkākūkā ai ma mua, nui nā mea e hoʻopilikia ai i kēia, me nā mea ma waho o ko mākou mana (e like me ka ʻelemakule a me nā genetics).

Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e kōkua ai i ka mālama ʻana i ka maikaʻi o kāu hua manu. Eia kekahi laʻana:

• Ka mālama ʻana i ke kaumaha o ke kino olakino.
• Ke noho mamao loa aku mai nā huahana paka e like me nā sikaleka.

ʻOiai ʻaʻole e hoʻonui kēia mau mea i ka nui o nā hua manu, e kōkua nō naʻe lākou i ka mālama ʻana i ka maikaʻi o nā hua manu i loaʻa.

Pehea ka holomua o ka mālama ʻana i ka IVF no ka poʻe me ka waihona hua manu haʻahaʻa?

ʻOkoʻa loa ka holomua o ka mālama ʻana i ka IVF (In Vitro Fertilization) mai kēlā kanaka a kēia kanaka. Aia ia i nā kumu he nui, me ke kumu o ka helu haʻahaʻa o kāu hua manu, ka nui o nā hua āu, ke ʻano o kēlā mau hua manu, a pehea e pane ai kou kino i nā lāʻau hoʻoulu hānau.

He paʻakikī ke hāʻawi i nā helu kikoʻī e pili ana i ka holomua o ka IVF no ka poʻe me ka waihona hua manu haʻahaʻa, no ka mea, hilinaʻi ia i nā kumu he nui.

Akā, ua ʻike nā kānaka noiʻi, e like me nā hāpai maoli, e emi ana ka holomua o ka IVF me ka makahiki. He ʻoiaʻiʻo loa kēia no ka poʻe me ka waihona hua haʻahaʻa. ʻO ka ʻelemakule ʻana, ʻo ka emi ʻana paha o ka holomua o kāu IVF.

Inā hōʻike nā hoʻokolohua ua haʻahaʻa kāu lako hua manu, ʻaʻole paha ʻoe e pane maikaʻi i nā lāʻau hormonal (nāna e hoʻoulu i nā ovaries). ʻO ke ʻano kēia, ʻaʻole paha ʻoe e hiki ke hōʻiliʻili i nā hua he nui e like me kou makemake i ka wā IVF. Eia nō naʻe, ʻo IVF paha ke koho maikaʻi loa nāu. Pono ʻoe e kamaʻilio me kahi loea hānau (he kauka nāna e mālama i ka hānau ʻole) e pili ana i kēia a hoʻoholo i ka mea maikaʻi loa nāu.

Ke hōʻike nei anei ka emi ʻana o ka mālama ʻana o ka ovarian e kokoke mai ana ka menopause?

He mea paʻakikī ke kuhikuhi pololei i ka manawa e hoʻomaka ai ka menopause (ka manawa e pau loa ai kou mau wā). ʻO ka haʻahaʻa o ka waihona ovarian ʻo ia hoʻi ke emi nei ka lako o kāu hua manu. ʻOiai he hōʻailona ia o ka menopause, ʻaʻole hiki ke wānana pololei i ka wikiwiki o ka hiki ʻana mai.

ʻO ka mea hope loa, kahi mea āu e noʻonoʻo ai ...

Ke lohe ʻoe mai kāu kauka ua emi iho kou waihona ovarian, e manaʻo paha ʻoe i ka hoka, ke kaumaha, a me ka hopohopo no ka mea e hiki mai ana. He mea maʻamau loa kēia, a ʻaʻole pono ʻoe e manaʻo ʻino no ia mea.

Akā, ʻo ka mea nui loa, ʻo ia ka hoʻomanaʻo ʻana he hiki nō ke hāpai me kēia ʻano. No laila, mai hoʻonāwaliwali a mai hoʻokuʻu i ka manaʻolana.

Hiki i kāu kauka ke noʻonoʻo i ka nui o nā hua āu i koe, kou mau makahiki, a me kou olakino, a hana i ka hoʻolālā lapaʻau maikaʻi loa e kōkua iā ʻoe e hoʻokō i kāu moeʻuhane o ka loaʻa ʻana o kahi keiki. Aia kekahi mau koho ʻē aʻe, e like me ka mālama ʻana i ka hānau keiki a, inā pono, me ka hoʻohana ʻana i nā hua manu hāʻawi.

Mai hoʻōki i kāu moeʻuhane o ka loaʻa ʻana o kahi keiki no ka mea ua haʻahaʻa kāu hua manu - aia nō nā lāʻau lapaʻau a me nā ʻano hana e kōkua iā ʻoe. E kamaʻilio ākea me kāu kauka a koho i ka mea maikaʻi loa iā ʻoe.

ʻO nā ovaries, ka pau ʻana o ka hua manu, ka hānau ʻole ʻana, ka hāpai ʻana, ke olakino wahine, IVF, ka hānau keiki