ʻO ka moeʻuhane e lilo i makuahine a makua kāne paha kekahi o nā manaʻolana nui loa i ke ola no ka hapa nui o nā kānaka. Akā i kekahi manawa, ma muli o nā hana hoʻonaʻauao, ka hana paʻahana, nā pilikia olakino like ʻole, a i ʻole nā kumu pilikino ʻē aʻe, pono e hoʻopanee ʻia kēia moeʻuhane. No laila, he mea maʻamau ka loaʻa ʻana o ka makaʻu ma ke kihi o kou manaʻo, "E emi anei ka hiki ke loaʻa kahi keiki me ka ʻelemakule?" Akā, he mau hopena maikaʻi ko ka ʻepekema lapaʻau holomua o kēia lā no kēia. ʻO kekahi o ia mau hopena, ʻo ia ka embryo freezing, a i ʻole e like me kā mākou e ʻōlelo nei ma ka ʻōlelo Pelekania, `Embryo Freezing`.
I ka ʻōlelo maʻalahi, he aha ka embryo freezing?
He manaʻo maʻalahi loa kēia. ʻO ka embryo he hua manu i hoʻoulu ʻia e ka sperm. ʻO ka hoʻopaʻa ʻana o ka embryo, a i ʻole ma nā huaʻōlelo lapaʻau "Cryopreservation," ʻo ia ke kaʻina hana o ka mālama ʻana i kēia mau embryos ma kahi anuanu loa me ka ʻole o ka hōʻino ʻana iā lākou, i hiki ai ke hoʻohana ʻia i kahi lā ma hope.
Hoʻohana pinepine ʻia kēia ʻano hana i waena o ka poʻe e mālama ʻia ana no ka hānau ʻole ʻana. No ka laʻana, ʻo ka hoʻoulu ʻana i loko o ka vitro (IVF) a i ʻole ka hoʻokomo ʻana i ka sperm intracytoplasmic (ICSI), hana pinepine ʻia kekahi mau embryo. No laila, i kēlā manawa, hiki ke hoʻoili ʻia ka nui o nā embryos i koi ʻia i ka uterus, a hiki ke hoʻopaʻa ʻia nā embryos i koe i ke kūlana maikaʻi ma kēia ʻano.
No laila, ʻo wai ka mea makemake e hana i kekahi mea e like me kēia?
Aia kekahi mau kumu e makemake ai ʻoe e noʻonoʻo i kēia ʻano hana:
- Nā embryos i koe ma hope o ka mālama ʻana i ka IVF: E like me ka mea i ʻōlelo ʻia ma mua, hiki ke mālama ʻia nā embryos maikaʻi i koe ma hope o ka mālama ʻana i ka IVF ma kēia ʻano no ka hoʻohana ʻana i ka wā e hiki mai ana inā makemake ʻoe e hānai i kahi keiki ʻē aʻe.
- Inā pono e hoʻopanee ʻia ka lāʻau lapaʻau: I kekahi manawa, inā he kumu e hiki ʻole ai ke hoʻoili koke ʻia ka embryo i hoʻoulu ʻia i ka uterus (e.g., he pilikia me ka uterus), hiki ke hoʻopaʻahau ʻia ma kēia ʻano a hoʻohana ʻia ma hope.
- Ka Mālama ʻana i ka Momona: He mea nui loa kēia. No ka laʻana, ʻo ka wahine e hana ʻia ana i ka chemotherapy a i ʻole ka radiation therapy no kahi maʻi e like me ke kanesa, hiki ke loaʻa ka hopena i kona hiki ke loaʻa nā keiki i ka wā e hiki mai ana. I kēlā mau hihia, hiki ke hana ʻia nā embryos mai kāna mau hua ponoʻī a me ka sperm o kāna hoa ma mua o ka hoʻomaka ʻana o ka mālama ʻana, a hiki ke hoʻopaʻahau ʻia.
- Nā kumu pilikino: Hoʻopanee kekahi poʻe i ka loaʻa ʻana o nā keiki no nā kumu e like me kā lākou hoʻonaʻauao a i ʻole nā pahuhopu ʻoihana. Ma muli o ka emi ʻana o ka momona me ka ʻelemakule, hiki iā lākou ke hoʻoholo e hoʻopaʻa a mālama i nā embryos ma mua.
ʻO ka mea nui loa, he hoʻoholo pilikino loa kēia. He mea nui e kūkākūkā ākea i nā mea āpau me ʻoe iho, kāu hoa, a me kāu kauka ma mua o ka hana ʻana i kēia hoʻoholo.
He aha ka ʻokoʻa ma waena o ka hoʻopaʻa ʻana i ka hua manu a me ka hoʻopaʻa ʻana i ka embryo?
ʻO kēia mau mea ʻelua kahi mea a ka poʻe he nui e huikau ai.
- Ka Hoʻopaʻahau ʻana o ka Embryo: Pili kēia i ka hoʻopaʻahau ʻana i kahi hua manu (embryo) i hoʻomomona mua ʻia e ka sperm .
- Ka Hoʻopaʻahau ʻana i nā Hua Manu: Pili kēia i ka hoʻopaʻahau ʻana i nā hua manu i hoʻohua ʻole ʻia . Hiki ke hoʻohui ʻia kēia mau mea me ka sperm i kahi lā ma hope e hana i kahi embryo.
Pehea e hana ai kēia kaʻina hana?
Ma mua o ka hana ʻana i kēia kaʻina hana, pono ʻoe a me kāu hoa e hāʻawi i ka ʻae i kākau ʻia. Pono e hōʻike maopopo nā palapala i hāʻawi ʻia i kēia mau mea:
- Ka helu o nā embryos e hoʻopaʻahau ʻia.
- ʻEhia ka lōʻihi o ko lākou mālama ʻia ʻana (ma kahi o 10 mau makahiki).
- He aha e hana ai ke pau kēlā manawa.
- He aha ka mea e hana ʻia i nā embryos inā loaʻa kekahi mea iā ʻoe (e like me ka make) i ka wā mālama?
- He aha nā mea e hiki ai ke hoʻohana ʻia (inā no kāu mālama ponoʻī wale nō, a i ʻole ʻoe e ʻae iā lākou e hāʻawi ʻia i kekahi kāne ʻē aʻe a i ʻole no ka noiʻi).
A laila, hoʻoholo ke kauka i ke kahua o ka ulu ʻana e hoʻopaʻahau ʻia ai ka embryo. ʻElua mau kahua nui no kēia:
1. Kahua ʻokiʻoki: Ma kahi o 72 mau hola ma hope o ka hoʻoulu ʻana, ua māhele ʻia ke keena hoʻokahi i 4-8 mau keena.
2. Kahua Blastocyst: 5-7 mau lā ma hope o ka hoʻoulu ʻana, i ka wā i māhele ʻia ai he 200-300 mau pūnaewele.
ʻElua mau ʻano hana nui no kēia kaʻina hana. E nānā kākou iā lāua ʻelua ma kēia papa.
| ʻAno hana | Pehea e hana ai |
|---|---|
| Hoʻohuihui ʻana (ʻO ke ʻano hana i hoʻohana nui ʻia i kēia lā) | Maanei, ua hoʻohui ʻia kahi wai kūikawā i kapa ʻia ʻo "cryoprotective agent (CPA)" i nā embryos e pale aku i ka hōʻino ʻia, a ua waiho koke ʻia lākou i loko o ka naikokene wai a mālama ʻia ma kahi mahana haʻahaʻa loa o -196°C. He hana wikiwiki loa kēia. |
| Ka Hau Lohi (ʻAʻole i hoʻohana nui ʻia kekahi ʻano hana i kēia manawa) | Maanei, ua hoʻohui ʻia kahi liʻiliʻi o CPA, ua hoʻohaʻahaʻa mālie ʻia ka mahana ma luna o kahi manawa o ʻelua hola me ka hoʻohana ʻana i kahi mīkini kūikawā, a laila mālama ʻia i loko o ka naikokene wai. |
Me ka nānā ʻole i ke ʻano hana, mālama ʻia nā embryos i loko o nā pahu liʻiliʻi e like me ka mauʻu maloʻo, i lepili ʻia me kāu ʻike kūikawā.
ʻO ka mea kupaianaha maoli, ke hoʻopaʻa ʻoe i kahi embryo, e pau ka makahiki olaola o kēlā embryo. ʻO ia hoʻi, inā ʻoe e hoʻopaʻa i kahi embryo i ka makahiki 35 a hoʻohana iā ia i ka makahiki 50, he 35 mau makahiki nō kēlā embryo!
He aha nā pilikia o kēia?
E like me nā kaʻina hana lapaʻau a pau, aia kekahi mau pilikia, akā ua hōʻike ʻia e ka noiʻi ʻaʻole i piʻi ka pilikia o ka pēpē i hānau ʻia mai kahi embryo paʻa i ka hānau ʻana a i ʻole nā pilikia olakino .
ʻO nā pilikia nui:
- Hiki ke hōʻino ʻia nā embryos i ka wā e hoʻohauʻoli ʻia ai a hoʻoheheʻe ʻia paha. ʻAʻole ola nā embryos a pau i kēia kaʻina hana.
- ʻAʻole hiki ke hāpai ma hope o ka hoʻihoʻi ʻia ʻana o ka embryo paʻahau i loko o ka ʻōpū.
- Wahi a kekahi mau noiʻi, ʻo nā hāpai ʻana i loaʻa mai nā embryos paʻahau e loaʻa iki kahi pilikia o ka loaʻa ʻana o nā maʻi e like me ka preeclampsia i ka makuahine.
- Inā ʻoi aku ma mua o hoʻokahi embryo i hoʻokomo ʻia i loko o ka ʻōpū, aia ka manawa kūpono e loaʻa ai nā māhoe a i ʻole nā triplets .
E hōʻike maikaʻi aku kāu kauka iā ʻoe e pili ana i kēia mau mea a pau.
He aha ka mea e hana ai inā e hoʻololi wau i koʻu manaʻo?
Loaʻa iā ʻoe a i ʻole kāu hoa ke kuleana e hoʻololi i kou manaʻo i kēlā me kēia manawa i loko o kēia kaʻina hana. Inā ʻaʻole makemake kekahi o nā mākua, ʻaʻole hiki ke hoʻohana ʻia nā embryos ma ke kānāwai. Inā hana kēia me nā embryos i hoʻopaʻahau mua ʻia, e hāʻawi ke keʻena lapaʻau iā ʻoe i kahi manawa, akā inā ʻaʻole e loli ka hoʻoholo, e lawe ʻia nā embryos mai ka waihona a luku ʻia.
He aha kaʻu e hana ai me nā embryos aʻu e hoʻohana ʻole nei?
Inā ʻaʻole ʻoe makemake i nā embryos i koe, loaʻa iā ʻoe kekahi mau koho:
- Hiki iā ʻoe ke noi e luku ʻia lākou.
- Hiki iā ʻoe ke hāʻawi i kahi kāne ʻē aʻe e ʻeha nei i ka nele i ke keiki.
- Hiki iā ʻoe ke hāʻawi i ka noiʻi lapaʻau .
- Hiki ke hāʻawi ʻia nā makana no nā kumu hoʻonaʻauao (e laʻa, e hoʻomaʻamaʻa i nā kauka e hiki mai ana).
Pono e hōʻike maopopo ʻia kēia mau mea a pau ma ka palapala ʻae āu e kau inoa mua ai.
Leka Lawe-Home
- He ʻano lapaʻau holomua ka Embryo Freezing e hiki ke hāʻawi i ka manaʻolana no ka hānai ʻana i kahi keiki i ka wā e hiki mai ana.
- He hoʻoholo pilikino loa kēia e pili ana i nā kumukūʻai, nā pilikia, a me ka nui o nā manaʻo pilikino.
- Ma mua o ka hoʻoholo ʻana i kēia, he mea nui e kamaʻilio pono ʻoe a me kāu hoa me kāu kauka a loaʻa ka ʻike āpau.
- ʻO ka holomua o kēia kaʻina hana e pili ana i nā kumu he nui, no laila mai manaʻo e holomua 100%.
- E ʻoluʻolu e heluhelu a hoʻomaopopo i nā palapala a pau i hāʻawi ʻia ma mua o ke kaʻina hana, a e ʻae mai.
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