Ke kali nei ʻoe a me kāu kāne i kahi pēpē? Akā, me kā ʻolua mau hana a pau, me ka ʻole o kekahi ʻano kaohi hānau, a me ka noho pū mau ʻana, ʻaʻole i hoʻokō ʻia kēlā moeʻuhane? Ua ʻike au he kumuhana koʻikoʻi loa kēia. He mau manawa paʻakikī loa kēia me ke kaumaha, ke kaumaha, a me nā pilikia e kū mai ana mai ke kaiāulu. Akā, ʻaʻole ʻoe hoʻokahi. He kūlana kēia e kū nei i nā poʻe he nui. I kēia lā, e kamaʻilio mākou e pili ana i ka hānau ʻole ʻana o ka wahine. Mai hopohopo, e kamaʻilio mākou e pili ana i nā mea āpau me ka maʻalahi a me ka maopopo.
He aha kēia hānau ʻole?
I ka ʻōlelo maʻalahi, he maʻi olakino ka hānau ʻole ʻana. ʻO ia hoʻi, ʻaʻole hiki iā ʻoe ke hāpai. Hoʻoponopono nā kauka i kēia maʻi ma nā ʻano penei:
- Inā ʻoe ma lalo o 35 mau makahiki: Inā ua hoʻāʻo nei ʻoe no hoʻokahi makahiki me ka ʻole o ka kaohi hānau, ua moe kolohe mau, a ʻaʻole i hāpai.
- Inā ʻoe ma luna o 35 mau makahiki: Inā ua hoʻāʻo ʻoe no 6 mau mahina a ʻaʻole naʻe i hāpai.
I kekahi manawa, hiki i ke kauka ke ʻike i kēia maʻi ma mua inā loaʻa iā ʻoe kekahi maʻi ʻē aʻe.
ʻO ka mea nui, ʻaʻole ka pilikia o ka wahine ka hānau keiki ʻana. ʻO ke kumu o kēia, ʻo ia ka pilikia o kāu kāne e like me kāu. No laila, he mea kēia e pono ai ʻolua e hoʻoponopono pū.
Aia kekahi mau ʻano o ka hānau ʻole ʻana?
ʻAe, ʻelua ʻano nui.
1. Ka Hānau Mua ʻOle: ʻO ke ʻano kēia, ʻaʻole ʻoe i hāpai ma mua a ʻaʻole hiki iā ʻoe ke hāpai ma hope o ka hoʻāʻo ʻana no ka manawa i ʻōlelo ʻia ma luna (hoʻokahi makahiki a i ʻole 6 mahina).
2. Ka Hānau ʻOle Lua: ʻO ke ʻano kēia ua hānau pono ʻoe i hoʻokahi keiki ma mua, a laila ke hoʻāʻo ʻoe e hāpai hou, ʻaʻole ia i holomua.
Ke noʻonoʻo nei i ka maʻamau o kēia maʻi, ma kahi o 10% o nā wahine ma ka honua e kū nei i kēia pilikia. Hoʻonui iki kēia pilikia me ka ʻelemakule.
He aha ke kumu o ka hānau ʻole ʻana o nā wāhine?
Nui nā kumu no kēia. I kekahi manawa he paʻakikī ke loaʻa ke kumu pololei. Kāhea mākou ia he `(Uneexplained Infertility)`. E nānā kākou i nā kumu nui.
1. Nā pilikia me ka ʻōpū
ʻO ka ʻōpū kahi e ulu ai ke pēpē, no laila inā he pilikia ma laila, hiki iā ia ke pale iā ʻoe mai ka hāpai ʻana.
- Nā Fibroids Uterine:He ʻano ulu ʻaʻole kēia he maʻi kanesa. ʻAʻole pilikia nā ulu āpau, akā ma muli o ko lākou wahi a me ka nui, hiki iā lākou ke hoʻopilikia i ka hāpai ʻana.
- Polyps: Nā ulu liʻiliʻi e kū ana ma ka paia o ka ʻōpū.
- Nā Hoʻopili: ʻO ka ʻiʻo ʻeha e hana ʻia i loko o ka ʻōpū ma hope o ke kaʻina hana e like me ka D&C. Hiki i kēia ke paʻakikī i ka embryo ke hoʻokomo i loko o ka ʻōpū.
2. Nā pilikia me nā Tubes Fallopian
Hele ka hua manu mai ka ovary a i ka uterus ma o ka fallopian tube. Hālāwai ka sperm a me ka hua manu i loko o kēia tube. Inā paʻa kēia mau tube, ʻaʻole e hana ʻia kēia.
- ʻO ka maʻi mumū Pelvic (PID): ʻO kēia ke kumu nui o nā ʻōpū fallopian i ālai ʻia. Hiki ke hana ʻia e nā maʻi i laha ma ke ʻano moekolohe e like me Chlamydia a me Gonorrhea i mālama ʻole ʻia.
- Endometriosis: I ka ʻōlelo maʻalahi, ulu ka ʻiʻo e pono ai i loko o ka uterus ma waho o ka uterus, ma nā wahi e like me nā fallopian tubes a me nā ovaries. Hiki i kēia ke alakaʻi i nā ālai a me nā pipili.
3. Nā pilikia me ka Ovulation
I mea e hāpai ai, pono e hoʻokuʻu ʻia kahi hua manu olakino mai kahi ovary i kēlā me kēia mahina. Ua kapa ʻia kēia kaʻina hana ʻo "Ovulation." Inā ʻaʻole hana pono kēia, ʻaʻole hiki iā ʻoe ke hāpai.
- Nā Hana Kaulike ʻole o ka Hormone: ʻO ka PCOS (Polycystic Ovary Syndrome) kahi laʻana maikaʻi o kēia. Ma kēia kūlana, ʻo nā hana kaulike ʻole o ka hormonal ke kumu o ka oʻo ʻole ʻana o nā ovaries a hoʻokuʻu pono i nā hua.
- Nā pilikia thyroid: ʻO ka nui a liʻiliʻi paha o ka hormone thyroid e hoʻopilikia pololei i ka ovulation.
- Hiki i nā mea e like me ke kaumaha nui, nā ʻano ʻai maikaʻi ʻole, a me ka hoʻoikaika kino nui ke hoʻopilikia i kēia.
4. Nā pilikia me ka helu hua manu a me ka maikaʻi
Hānau ʻia ka wahine me ka nui o nā hua e pono ai no kona ola a pau. I kona wā ʻelemakule, emi iho kēia helu o nā hua (egg pool), a emi pū ka maikaʻi o nā hua i koe.
- I kekahi manawa, hiki ke pau ka waihona ovarian ma mua o ka menopause (ma mua o 40 mau makahiki). Ua kapa ʻia kēia ʻo `(Primary Ovarian Insufficiency - POI)`.
- Me ka makahiki, piʻi aʻe ka manawa kūpono o nā ʻano chromosomal i loko o nā hua. ʻAʻole e ulu kēlā hua i loko o kahi embryo olakino.
He aha nā kumu pilikia no ka hānau ʻole ʻana?
ʻOiai aia kekahi mau mea hiki ʻole iā kākou ke kāohi, aia kekahi mau mea hiki iā kākou ke hoʻololi. He mea nui e makaʻala i kēia mau mea pilikia.
| Kumu pilikia | Wehewehena |
|---|---|
| Makahiki | E emi mālie ana ka momona ma hope o 30 mau makahiki. Piʻi wikiwiki kēia emi ʻana ma hope o 35. Ma muli kēia o ka emi ʻana o ka helu a me ka maikaʻi o nā hua. |
| Puhipaka | Hoʻopōʻino ka puhipaka i kāu mau hua, hoʻopau koke i kāu waihona hua, a hoʻemi nui i kou manawa e hāpai ai. |
| Ka hoʻohana nui ʻana i ka waiʻona | Hiki iā ia ke hoʻopilikia i ke kaʻina hana ovulation a hoʻoulu i nā hormonal imbalances. |
| Kaumaha o ke kino | ʻO ka momona a me ke kaumaha haʻahaʻa e hoʻopilikia i ka hana hormonal a hoʻopilikia i ka ovulation. |
| Nā maʻi i laha ma ke ʻano moekolohe (STIs) | Inā ʻaʻole mālama ʻia, hiki i nā ʻōpū fallopian ke hōʻino a pani ʻia. |
| Nā kūlana olakino ʻē aʻe | ʻO nā kūlana e like me PCOS, Endometriosis, nā maʻi Autoimmune (e.g. Lupus), a me nā pilikia thyroid. |
Pehea e ʻike ai inā he maʻi hānau ʻole koʻu?
ʻAʻole kēia he mea hiki iā ʻoe ke hoʻoholo iā ʻoe iho. Pono ʻoe e ʻike i ke kauka no kēia. Ke hele ʻoe e ʻike i ke kauka, e nīnau ʻo ia iā ʻoe i kekahi mau nīnau.
- E pili ana i kou pōʻaiapuni menstrual (pehea ka lōʻihi, ka nui o ke kahe ʻana o ke koko, ka ʻeha)
- E pili ana i nā hāpai mua a i ʻole nā hāʻule ʻana
- E pili ana i ka ʻeha o ka ʻōpū
- E pili ana i ke kahe ʻana o ka vaginal ma ke ʻano kūpono ʻole
- E pili ana i nā ʻoki kino ma mua
- E pili ana inā loaʻa iā ʻoe nā maʻi i laha ma ke ʻano moekolohe
Ma hope o kēlā, e nānā ke kauka iā ʻoe a, inā pono, e kuhikuhi iā ʻoe no nā hoʻokolohua hou aʻe.
He aha kēia mau hoʻāʻo?
Mai hopohopo, hana ʻia kēia mau hoʻokolohua a pau e ʻike ai i ke kumu pololei o kou pilikia a hāʻawi i ka lāʻau kūpono.
- Hoʻokolohua Kino a me ka Pelvic: ʻO ka hoʻokolohua laulā mua a ke kauka e hana ai.
- ʻO ke scan Ultrasound: Hiki ke hoʻohana ʻia kahi scan o ka ʻōpū a i ʻole ka ultrasound transvaginal e nānā i ke kūlana o ka ʻōpū a me nā ovaries (cysts, nā hōʻailona PCOS).
- Nā hoʻāʻo koko: Kōkua kēia i ka loaʻa ʻana o kahi manaʻo o kāu mau pae hormone (nā hormones thyroid, nā hormones reproductive) a me ka mālama ovarian.
- Hoʻāʻo HSG (Hysterosalpingogram): He hoʻāʻo X-ray kēia. Hoʻokomo ʻia kahi wai kūikawā i loko o ka ʻōpū a hoʻohana ʻia e ʻike inā neʻe ia ma o nā ʻōpū fallopian. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā ua ālai ʻia nā ʻōpū a ʻaʻole paha.
- Laparoscopy: Ma kēia, hoʻokomo ʻia kahi kāmela liʻiliʻi i loko o ka ʻōpū e nānā i ka uterus, nā fallopian tubes, a me nā ovaries mai waho. He mea nui loa kēia no ka ʻike ʻana i nā maʻi e like me ka endometriosis.
Aia kekahi mau hoʻokolohua kūikawā ʻē aʻe e like me `(Hysteroscopy)` a me `(Saline Sonohysterogram)`. Na kāu kauka e hoʻoholo i ka hoʻokolohua āu e pono ai.
He aha nā lāʻau lapaʻau?
ʻO ka nūhou maikaʻi, aia nā lāʻau lapaʻau kūpono no nā kumu he nui o ka hānau ʻole ʻana. Aia ka lāʻau lapaʻau i ke kumu o kou pilikia.
1. Lāʻau Lapaʻau Hoʻoulu: Hiki ke mālama ʻia nā pilikia hormonal, e like me ka hānau ʻole ʻana, me nā lāʻau lapaʻau. Aia nā lāʻau lapaʻau i hāʻawi ʻia e kōkua i ka hoʻomāhuahua ʻana i nā hua a hoʻoulu i ka ovulation.
2. ʻOki kino: Hiki ke wehe ʻia a hoʻoponopono ʻia nā cysts uterine, polyps, nā poloka o ka tuba fallopian, a me ka endometriosis ma o ke ʻoki kino.
3. Nā lāʻau antibiotic: Inā he maʻi i loko o ka ʻōnaehana hānau, hāʻawi ʻia kēia mau mea e mālama ai.
4. Nā ʻenehana hānau hou i kōkua ʻia (ART):
- IUI (Intrauterine Insemination): Ma kēia, ua hoʻomākaukau kūikawā ʻia ka sperm a ke kāne a hoʻokomo pololei ʻia i loko o ka ʻōpū o ka wahine me ka hoʻohana ʻana i kahi cannula i ka lā hoʻokahi āna i ovulate ai.
- IVF (In Vitro Fertilization): ʻO ke ʻano hana 'test tube' a kākou a pau i ʻike ai. Pili ia i ka hoʻohui ʻana i nā hua manu a me ka sperm ma waho o ke kino i loko o kahi keʻena hoʻokolohua, a laila hoʻokomo hou i ka embryo hopena i loko o ka ʻōpū.
Na kāu kauka e hoʻoholo i kahi o kēia mau lāʻau lapaʻau e kūpono loa iā ʻoe a me kāu kāne a e wehewehe iā ʻoe.
He aha kaʻu e hana ai e pale aku i ka hānau ʻole ʻana?
ʻAʻole hiki iā mākou ke pale aku i kekahi mau kumu, e like me ke ʻano o ka genetics, akā hiki iā mākou ke hōʻemi i ko mākou pilikia ma ka hoʻololi ʻana i ke ʻano o ka nohona.
- E mālama i ke kaumaha olakino: He mea nui loa ia e mālama i ke kaumaha olakino no kou kiʻekiʻe.
- E pale i ka puhipaka a me ka waiʻona: Hoʻopilikia pololei kēia mau mea ʻelua i ka momona.
- E ʻai i ka meaʻai kaulike: E ʻai i nā mea kanu, nā huaʻai, a me nā greens.
- E hōʻemi i ke kaumaha: E hoʻāʻo i nā hana e like me ka yoga a me ka noʻonoʻo ʻana.
- E hoʻomaʻamaʻa i ka moekolohe palekana: E pale iā ʻoe iho mai nā maʻi i laha ma ke moekolohe.
- E kiʻi i nā hoʻokolohua lapaʻau maʻamau: ʻOi aku ma hope o kou lilo ʻana i ka moekolohe, ʻo ka ʻike ʻana i kahi gynecologist ma kahi o hoʻokahi manawa i ka makahiki hiki ke kōkua i ka ʻike ʻana i nā pilikia kūpono i ka wā mua.
Leka Lawe-Home
- ʻAʻole kou hewa a i ʻole he hemahema ka hānau ʻole. He maʻi ia e hiki ke mālama ʻia.
- ʻAʻole paha kēia pilikia wale nō ka pilikia o ka wahine, akā, ʻo ke kāne pū kekahi. No laila, pono ʻolua e ʻimi pū i ke kōkua lapaʻau.
- Inā ua hoʻāʻo ʻoe no hoʻokahi makahiki inā ʻoe ma lalo o 35, a i ʻole no ʻeono mahina inā ʻoe ma luna o 35, a ʻaʻohe hopena i loaʻa, e ʻike koke i ke kauka.
- Mai hoʻopilikia iā ʻoe iho me kāu mea i heluhelu ai ma ka pūnaewele. ʻO ke kauka nāna ʻoe e nānā wale nō ke hāʻawi iā ʻoe i ka hopena maikaʻi loa i kāu pilikia.
- He paʻakikī kēia huakaʻi, akā e hoʻomau i ka ikaika. Me ka mālama kūpono, ua hiki i nā poʻe he nui ke hoʻokō i kā lākou moeʻuhane o ka loaʻa ʻana o kahi keiki.
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