Ke moeʻuhane nei hoʻi ʻoe e lilo i makuahine? E kamaʻilio kākou e pili ana i ka hānau ʻole ʻana o ka wahine?

ʻO ka lilo ʻana i makuahine ka moeʻuhane nui loa a nani loa o kēlā me kēia wahine. Akā i kekahi manawa, ʻaʻole maʻalahi ka hoʻokō ʻana i kēlā moeʻuhane e like me kou manaʻo. Malia paha ke kū nei ʻoe i kēia pilikia a ke ʻeha nei ʻoe iā ia. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia wahine hānau ʻole, ʻo ia hoʻi, ka emi ʻana o ka hiki ke loaʻa nā keiki, me nā kikoʻī hou aku ? Mai hopohopo, ʻaʻole ʻoe hoʻokahi i ke alo ʻana i kēia.

He aha ka hānau ʻole ʻana o ka wahine?

I ka ʻōlelo maʻalahi, ʻo ka hānau ʻole ʻana ka hiki ʻole a i ʻole ka paʻakikī i ka hāpai ʻana i kahi keiki. I ka hihia o kahi wahine, penei ke ʻano o ka ʻike ʻana o nā kauka i kēia maʻi:

• Inā ʻoe ma lalo o 35 mau makahiki, ua moe kolohe mau no hoʻokahi makahiki me ka hoʻohana ʻole ʻana i kekahi ʻano kaohi hānau a ʻaʻole i hāpai.
• Inā ʻoe ma luna o 35 mau makahiki, ua manaʻo ʻia kēia wā he ʻeono mahina .

ʻO ke ʻano o ka "moe kolohe maʻamau" ʻo ia hoʻi, moe kolohe ʻoe a me kāu hoa me ka ʻole o ke keakea ʻana, me ka hoʻohana ʻole ʻana i ka kaohi hānau. Eia nō naʻe, hiki i kekahi poʻe ke loaʻa i ka hānau ʻole ma mua inā loaʻa iā lākou kekahi maʻi ʻē aʻe a i ʻole kahi pilikia me ko lākou ʻōpū.

ʻO kekahi mea ʻē aʻe, ʻaʻole ka pilikia o ka wahine wale nō ka hānau ʻole ʻana. I ka pololei, hiki ke hana ʻia kēia maʻi e nā pilikia kāne a me nā wahine.

Hiki ke hana ʻia ka hānau ʻole ʻana o nā wāhine e ka makahiki, nā loli hormonal, nā kūlana olakino ʻē aʻe, a me ke ʻano o ka nohona a i ʻole nā ​​​​kumu o ke kaiapuni. I kekahi manawa ua kapa ʻia kēia he "female factor" infertility.

Aia kekahi mau ʻano nui o ka hānau ʻole ʻana?

ʻAe, ʻelua mau ʻano nui o ka hānau ʻole:

1. ʻO ka hānau ʻole mua: ʻO ia hoʻi, ʻaʻole ʻoe i hāpai ma mua a ʻaʻole hiki ke hāpai ma hope o ka hoʻāʻo ʻana no hoʻokahi makahiki inā ʻoe ma lalo o 35 a i ʻole ʻeono mahina inā ʻoe ma luna o 35. E noʻonoʻo wale, aia kekahi mau kāne i mare ʻia no nā makahiki a ʻaʻole naʻe i loaʻa ka laki o ka hāpai ʻana i kahi keiki. He kūlana like kēlā.

2. Ka hānau ʻole lua: ʻO kēia ka wā i loaʻa mua iā ʻoe kekahi keiki me ka holomua, akā ʻaʻole hiki iā ʻoe ke hāpai hou. No ka laʻana, inā ʻoe e hoʻāʻo nei e loaʻa kahi keiki ʻelua i kekahi mau makahiki ma hope o ka loaʻa ʻana o kāu keiki mua, ʻaʻole paha ʻoe e hiki ke hāpai, ʻaʻohe mea pehea ʻoe e hoʻāʻo ai.

Pehea ka maʻamau o kēia ʻano?

ʻAʻole like ka hānau ʻole me ka mea āu e manaʻo ai. Ma ka liʻiliʻi he 10% o nā wahine e ʻeha nei i kēia pilikia. Eia kekahi, piʻi ka pilikia o ka hānau ʻole me ka ʻelemakule. No laila, inā ʻoe e hopohopo nei no kēia, e hoʻomanaʻo ʻaʻole ʻoe hoʻokahi.

He aha nā hōʻailona e hiki ai i ka wahine ke hānau ʻole?

ʻO ka hōʻailona nui pinepine ka hiki ʻole ke hāpai ʻoiai ke moe kolohe mau ʻole me ka pale ʻole. ʻO kēia ka mea mua a ka hapa nui o ka poʻe e ʻike ai.

Eia kekahi, aia paha kēia mau hōʻailona:

• Nā wā i nalowale a i ʻole nā ​​wā kūpono ʻole: ʻAʻole paha e loaʻa i kekahi poʻe ko lākou wā no nā mahina i ka manawa, a i ʻole he wā kūpono ʻole paha ko lākou wā.
• I kekahi manawa e ʻike ʻia paha nā hōʻailona ʻē aʻe, ma muli o ke kūlana olakino kumu e hoʻoulu ai i ka hānau ʻole.

No ke aha i loaʻa ai kēia hānau ʻole ʻana o ka wahine? He aha nā kumu?

ʻO kaʻoiaʻiʻo, he nui nā kumu o ka hānau ʻole ʻana. ʻO kaʻoiaʻiʻo, i kekahi manawa he paʻakikī ke loaʻa ke kumu, ʻo ia ka mea a mākou e kapa nei he "infertility wehewehe ʻole." Eia nō naʻe, aia kekahi mau kumu nui e hiki i nā kauka ke ʻike:

Nā pilikia me kou ʻōpū

Hiki i kēia ke komo pū me:

• Nā polyps o ka ʻōpū: He mau ulu liʻiliʻi kēia e kū mai ana ma ka paia o loko o ka ʻōpū.
• Fibroids: ʻO kēia kekahi ʻano puʻupuʻu e ulu ana i loko o ka ʻōpū.
• Nā pipili (ka ʻeha) i loko o ka ʻōpū: I kekahi manawa, ma hope o ke ʻoki ʻana o ka ʻōpū, e like me ka D&C (Dilation and Curettage) , hiki ke hana ʻia nā pipili liʻiliʻi i loko o ka ʻōpū. ʻO kēia mau mea e paʻakikī ai i ka embryo ke hoʻokomo i loko o ka ʻōpū. No ka laʻana, e like me Niluka, hiki i kekahi poʻe ke ulu i nā ulu liʻiliʻi (polyps a fibroids paha) i loko o ka ʻōpū, hiki ke hoʻopaneʻe i ka hāpai ʻana me ka ʻike ʻole.

Nā pilikia me kāu mau ʻōpū fallopian

ʻO nā ʻōmole fallopian nā ʻōmole e lawe ana i ka hua manu mai ka ovary a i ka uterus, a ʻo ia kahi e hui ai ka sperm me ka hua manu. Inā he mau pilikia me kēia mau ʻōmole, kapa mākou ia he "tubal factor infertility."

• ʻO ke kumu nui o kēia, ʻo ia ka Pelvic Inflammatory Disease (PID) . ʻO ka hapa nui o ka PID ka mea i hoʻoulu ʻia e nā maʻi i laha ʻia ma ke ʻano moekolohe e like me Chlamydia a me Gonorrhea i mālama ʻole ʻia.
• Hiki i ka Endometriosis ke hana i ka ʻeha a me ke ālai ʻana o nā ʻōpū fallopian. I kēia manawa, e nānā, ua like nā ʻōpū fallopian me ke alanui e pono ai ka hua manu a me ka sperm e hui. Inā he ālai a ālai paha ma kēia alanui, a laila e kū mai nā pilikia.

Nā pilikia me ka ovulation

ʻO kekahi kumu nui o ka hānau ʻole ʻana, ʻo ia ka wā e hoʻokuʻu pono ʻole ai nā ovaries o ka wahine i kahi hua manu. Nui nā kumu no kēia:

• Nā kaulike ʻole o ka hormonal
• Nā maʻi ʻai
• Ka maʻi hoʻohana ʻona
• Nā kūlana thyroid
• Kaumaha nui
• Nā puʻupuʻu pituitary

Hiki i nā mea e like me kēia ke hana i ka ovulation kūpono ʻole a me ka hoʻokuʻu ʻana.

Nā pilikia me ka helu a me ka maikaʻi o nā hua manu

Ua hānau ʻia mākou a pau me kahi helu hua. E emi mālie ana kēia mau hua a pau i ko mākou ʻelemakule ʻana. Hana pinepine ʻia kēia ma ka wā menopause (ma kahi o 51 makahiki). Akā no kekahi poʻe, hiki ke pau mua kēia waihona hua.

• Eia kekahi, hiki i kekahi mau hua ke loaʻa nā ʻano ʻē i loko o kā lākou chromosomes . ʻAʻole hiki i kēlā hua ke hui pū me kahi sperm e hana i kahi embryo olakino.

He aha ke kumu nui o ka hānau ʻole ʻana o ka wahine?

I ka hapanui o nā hihia, ʻo ke kumu nui o ka hānau ʻole ʻana o ka wahine he pilikia me ka hana ʻana a me ka hoʻokuʻu ʻana i nā hua (ovulation) .

• Ua lohe paha ʻoe i ka Polycystic Ovary Syndrome (PCOS) . ʻO ia kekahi o nā kumu nui o kēia. ʻO ka PCOS kahi kūlana kahi e hana hewa ai nā ovaries ma muli o kahi hormonal imbalance.
• Aia kekahi kūlana i kapa ʻia ʻo Primary Ovarian Insufficiency (POI) . ʻO kēia ka manawa e pau ai ka hana ʻana o nā ovaries ma mua o 40 mau makahiki ma muli o ka haʻahaʻa loa o ka waihona hua manu.

He aha nā kumu pilikia no ka hānau ʻole ʻana?

Nui nā kumu e hoʻonui ai i kou pilikia o ka hānau ʻole ʻana. ʻO kēia mau mea e komo pū me nā kūlana olakino maʻamau, nā kumu hoʻoilina, nā koho nohona, a me ka makahiki. E nānā inā pili kēia mau mea iā ʻoe:

• Makahiki: Hoʻomaka ka emi ʻana o ka momona ma hope o 30 mau makahiki.
• Nā pilikia hormonal e pale ai i ka ovulation.
• ʻO ke kaʻina hana menstrual maʻamau ʻole o kēlā me kēia mahina.
• Ka momona.
• Ke kaumaha haʻahaʻa.
• Hoʻoikaika kino nui a hoʻoikaika kino nui paha.
• ʻO ka endometriosis.
• Nā pilikia kūkulu: Nā pilikia kino me nā ʻōpū fallopian, ka uterus, a i ʻole nā ​​​​ovaries.
• Nā fibroids ʻōpū.
• Nā ʻōpū ovarian.
• Nā puʻupuʻu ʻaʻole maʻi kanesa.
• Nā maʻi autoimmune: ʻO nā hiʻohiʻona e komo pū me '(Lupus)', '(Rheumatoid Arthritis)', '(Maʻi Hashimoto)'.
• Hoʻokumu ʻia ka maʻi mumū pelvic (PID) e nā maʻi i laha ma ke moekolohe (STIs) .
• ʻO ka maʻi ovarian polycystic (PCOS).
• ʻAʻole lawa ka ovarian mua (POI).
• Ka hoʻohana nui ʻana i nā lāʻau lapaʻau a me ka waiʻona.
• Puhi paka.
• Ma hope o ka loaʻa ʻana o kahi hāpai ectopic ma mua .

Pehea ka hopena o ka makahiki i ka hānau ʻole ʻana?

Ua ʻike mākou a pau e emi ana ka hānau keiki me ka ʻelemakule. Ua hōʻike ʻia e ka noiʻi ʻana he kumu nui ka makahiki i ka hānau ʻole ʻana, no ka mea, he nui nā kāne e hoʻopanee ana i ka hānau keiki a hiki i ko lākou mau makahiki 30 a me 40. ʻO ka poʻe ma luna o 35 mau makahiki he nui ka pilikia o ka loaʻa ʻana o nā pilikia hānau keiki. ʻO nā kumu no kēia:

• Ua emi ka helu o nā hua manu āpau.
• ʻO ka loaʻa ʻana o nā ʻano chromosomal i loko o ka nui o nā hua manu.
• ʻO ka hoʻonui ʻia o ka pilikia o nā kūlana olakino ʻē aʻe (ʻoi aku ka nui o ka hoʻomohala ʻana i nā maʻi ʻē aʻe i kou wā ʻelemakule).

Pehea ʻoe e ʻike pono ai inā he momona ʻoe a ʻaʻole paha?

ʻAʻole hiki ke ʻike ʻia kēia ma ka home. ʻO ke kauka wale nō ke ʻike i kēia. Inā ʻoe e hoʻāʻo nei e hāpai a ke pilikia nei ʻoe, a inā he kānalua kāu, pono ʻoe e ʻike i kahi loea hānau keiki. Hiki iā lākou ke hana i nā hoʻokolohua e ʻike ai i kēia kūlana. Mai makaʻu a hopohopo paha. Ua loaʻa i ka poʻe he nui nā hopena holomua me ka mālama ʻana.

He aha ke ʻano o nā nīnau āu e nīnau ai i kou hele ʻana e ʻike i ke kauka?

E nīnau ke kauka iā ʻoe e pili ana i kou mōʻaukala olakino piha. Hoʻokomo pū ʻia kēia:

• E pili ana i kou wā mahina (pehea ka lōʻihi o ke kahe ʻana, pehea ka nui o ke kahe ʻana o ke koko, a pēlā aku).
• E pili ana i nā hāpai keiki ma mua, inā paha he mau hāʻule keiki ʻana.
• Loaʻa iā ʻoe ka ʻeha pelvic ?
• Loaʻa iā ʻoe ke kahe koko a i ʻole ke kahe ʻana o ka ʻōpū ?
• Ua loaʻa iā ʻoe kekahi mau ʻoki ʻōpū a pelvic paha ma mua ?
• Ua loaʻa anei iā ʻoe kekahi mau maʻi ʻōpū a i ʻole nā ​​maʻi vaginal ma mua, me nā maʻi i laha ma ke moekolohe (STIs)?

Ma ka nīnau ʻana i nā nīnau e like me kēia e loaʻa ai i ke kauka kahi ʻike maʻamau o kou kūlana.

He aha nā hoʻokolohua e hana ʻia no ka ʻike ʻana i ka hānau ʻole?

Hiki ke hana ʻia nā hoʻokolohua he nui ma ke keʻena o ke kauka. Hiki i kēia mau mea ke komo pū me:

• He hoʻokolohua kino.
• He hoʻokolokolo pelvic.
• ʻO ka ultrasound pelvis.

Pono e hana ʻia kekahi mau hoʻokolohua ʻē aʻe i loko o kahi keʻena hoʻokolohua. Eia nā hiʻohiʻona:

• Nā hoʻāʻo koko: ʻO ke ʻano o ka hoʻāʻo koko āu e pono ai e hilinaʻi ʻia i kāu mōʻaukala olakino a me ke kūlana i manaʻo ʻia e kāu kauka. No ka laʻana, hiki ke hana ʻia nā hoʻāʻo hana thyroid, nā hoʻāʻo e nānā i nā pae hormone e pili ana i ka ovulation a me ka menstruation, a me nā hoʻāʻo ovarian reserve (lako hua manu) . Ua emi ka ovarian reserveʻO ke ʻano kēia, ʻoi aku ka liʻiliʻi o nā hua i loko o kāu ovaries i hoʻohālikelike ʻia me nā poʻe ʻē aʻe i kou mau makahiki.

• X-ray hysterosalpingogram (HSG): Pili kēia i ke kau ʻana i kahi dye kūikawā (contrast dye) ma o kou cervix i loko o kou uterus a me ka hoʻohana ʻana i kahi X-ray e ʻike ai pehea e hele ai ma o kāu mau tuba fallopian. Hiki i kēia ke kōkua i ka nānā ʻana i nā mea i ālai ʻia i loko o nā tuba .

• Laparoscopy: He hana ʻoki kino liʻiliʻi kēia. Hoʻokomo ʻia kahi mea hana liʻiliʻi me ke kāmela i kapa ʻia ʻo "laparoscope" i loko o ka ʻōpū e nānā i nā ʻōpū o loko. Hiki i kēia ke kōkua i ka ʻike ʻana i nā maʻi e like me ka endometriosis a me nā ʻōpū fallopian i ālai ʻia.

• ʻO ka ultrasound transvaginal: He ultrasound nō hoʻi kēia. Eia naʻe, ma kahi o ke kau ʻana i ka probe ma luna o ka ʻōpū, ua hoʻokomo ʻia ma o ka vagina e nānā i ka uterus a me nā ovaries. ʻAe kēia i ke ʻano o ka uterus a me nā ovaries e ʻike maopopo ʻia.

• ʻO ka saline sonohysterogram (SIS): Pili kēia i ka hoʻopiha ʻana i ka ʻōpū me ka saline a me ka hoʻohana ʻana i ka ultrasound transvaginal e nānā i ka uhi o ka ʻōpū. Hiki iā ia ke hōʻike maopopo i nā ʻano ʻē, e like me nā polyps a me nā fibroids. Hiki iā ia ke nānā i kekahi manawa e ʻike inā ua wehe ʻia nā ʻōpū fallopian.

• Hysteroscopy: Eia hou, ua hoʻokomo ʻia kahi mea lahilahi me kahi kāmela liʻiliʻi (hysteroscope) ma o ka vagina a me ka cervix e nānā i loko o ka uterus. ʻAe kēia i ka nānā pololei ʻana i loko o ka uterus, e like me nā polyps, fibroids, a i ʻole nā ​​​​palapala.

Hana ʻia kēia mau hoʻāʻo a pau e ʻike pono ai i ke ʻano o kāu pilikia.

Pehea e mālama ʻia ai ka hānau ʻole ʻana o ka wahine?

Ke ʻike kāu kauka i kou hānau ʻole ʻana a loaʻa ke kumu, e hāʻawi lākou i nā koho lapaʻau kūpono iā ʻoe. ʻOkoʻa nā koho lapaʻau ma muli o ke kumu. Eia nā mea i loaʻa:

• ʻOki kino: Inā hana ʻia ka hānau ʻole e kahi pilikia kūkulu, kahi ālai ʻia, a i ʻole kahi ʻeha, hiki i kāu kauka ke hana i ke ʻoki kino e hoʻoponopono iā ia. No ka laʻana, ka wehe ʻana i nā fibroids a i ʻole ka hoʻoponopono ʻana i nā ālai ʻia i loko o nā ʻōmole fallopian.
• Lāʻau lapaʻau hānau keiki: Inā loaʻa iā ʻoe nā pilikia hormonal a i ʻole nā ​​​​pilikia o ka ovulation, hiki ke hoʻohana ʻia nā lāʻau lapaʻau hānau keiki. Hoʻoulu kekahi mau lāʻau hormonal i nā ovaries e oʻo a kōkua i ka hoʻokuʻu ʻana i kahi hua manu.
• Nā lāʻau lapaʻau: Inā loaʻa iā ʻoe kahi maʻi i kāu ʻōnaehana hānau, hiki ke hāʻawi ʻia iā ʻoe nā lāʻau lapaʻau e mālama iā ia.
• Ka ʻike ʻana i ka hānau keiki: I kekahi manawa he mea kōkua ia e ʻike pono i ka wā e ovulate ai ʻoe. Hiki ke hana i kēia ma ka nānā ʻana i kou mucus cervical, ke ana ʻana i kou mahana kino basal, a i ʻole ka hoʻohana ʻana i nā pahu wānana ovulation i loaʻa ma ka hale kūʻai lāʻau lapaʻau.Hiki iā ʻoe ke hana i kēia ma ka hoʻohana ʻana. Hoʻohana ka poʻe he nui i nā polokalamu kelepona e hahai i kā lākou pōʻaiapuni menstrual a me nā lā ovulation.

Pono kekahi poʻe i nā lāʻau lapaʻau kūikawā hou aku.

• Intrauterine Insemination (IUI): Ma kēia kaʻina hana, hoʻomaʻemaʻe ʻia ka sperm i loaʻa mai ka hoa kāne a waiho pololei ʻia i loko o ka ʻōpū me ka hoʻohana ʻana i kahi ʻano kūikawā.
• Nā ʻenehana kōkua hānau hou (ART): Ua lohe paha ʻoe e pili ana i nā pēpē paipu hoʻāʻo (IVF - In Vitro Fertilization) . ʻO IVF kekahi o kēia mau ʻano ART. Ma kēia, ua hui pū ʻia nā hua o ka wahine a me ka sperm o ke kāne i loko o kahi keʻena hoʻokolohua, a ma hope o ka hoʻokumu ʻia ʻana o kahi embryo, ua hoʻokomo ʻia i loko o ka ʻōpū.

Ma waho aʻe o kēia, ʻo ka hānai ʻana a me ka surrogacy gestational he mau koho no ka poʻe me ka hānau ʻole e hoʻomaka i kahi ʻohana.

Aia kekahi mau pilikia o ka mālama ʻana?

ʻO nā lāʻau lapaʻau, ʻoiai nā lāʻau lapaʻau i hoʻohana ʻia e hoʻoulu i ka ovulation, hiki i kekahi manawa ke hana i nā pilikia liʻiliʻi:

• Hoʻonui ʻia ka manawa kūpono e hāpai i nā keiki he nui (māhoe, triplets).
• ʻO ka Ovarian Hyperstimulation Syndrome (OHSS): Ma kēia kūlana, hiki i nā lāʻau lapaʻau hānau ke hoʻoulu i nā ovaries e pehu a lilo i ʻeha. Eia nō naʻe, e hoʻomaopopo mua nā kauka iā ʻoe e pili ana i kēia.

Hiki ke pale ʻia ka hānau ʻole ʻana o ka wahine?

ʻO kaʻoiaʻiʻo, i ka hapa nui o ka manawa, he paʻakikī iā mākou ke wānana a pale aku i kēia maʻi. Eia nō naʻe, hiki iā mākou ke hōʻemi i ka pilikia i kekahi ʻano ma ka hana ʻana i kekahi mau hoʻololi i ko mākou nohona.

• Ka hōʻemi ʻana i ka inu ʻona.
• Ke hoʻōki loa nei i ka puhipaka.
• E mālama i kahi kaumaha olakino e kūpono iā ʻoe.
• E hoʻokumu i kahi hana hoʻoikaika kino maikaʻi. (ʻAʻole hoʻoikaika kino nui, akā kaulike.)
• ʻAi ʻana i kahi meaʻai momona i nā huaʻai a me nā mea kanu.
• E ho'āʻo e hiamoe ma ka liʻiliʻi he ʻehiku hola i ka pō.

Ma waho aʻe o kēia, he mea nui loa ka ʻike pinepine ʻana i kahi gynecologist no nā nānā ʻana . Ke lilo ʻoe i mea hana moekolohe, ʻo ka loaʻa ʻana o kahi nānā olakino ma ka liʻiliʻi i hoʻokahi manawa i ka makahiki e hiki ke kōkua i ka ʻike ʻana i nā kūlana e hiki ke hoʻopilikia i ka hānau ʻana i ka wā e hiki mai ana.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka hānau ʻole? (Outlook)

ʻOkoʻa maoli kēia mai kēlā kanaka a kēia kanaka, ma muli o ke kumu. Inā he ʻano kūkulu nā pilikia ovulation a hiki ke mālama ʻia, maikaʻi nā hopena. ʻO ia hoʻi, ʻoi aku ka kiʻekiʻe o ka manawa e hāpai ai i kahi keiki. Eia nō naʻe, hiki ke paʻakikī iki ka mālama ʻana i kekahi mau kūlana e pili ana i ka uterus, e like me ka "uterine factor infertility".

E kamaʻilio me kāu kauka e pili ana i ka mōʻaukala olakino o kou ʻohana, nā mea pilikia, a me nā kūlana olakino ma lalo e aʻo hou e pili ana i kou kūlana o ka hāpai ʻana.

I ka manawa hea e ʻike ai ʻoe i ke kauka e pili ana i ka hānau ʻole?

Inā ua moe kolohe mau ʻoe, loaʻa iā ʻoe nā pōʻaiapuni menstrual maʻamau, a ʻaʻole i loaʻa kahi pēpē ma hope o ka hoʻāʻo ʻana no hoʻokahi makahiki (a i ʻole ʻeono mahina inā ʻoi aku ʻoe ma mua o 35), ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka. Hiki iā lākou ke ʻike i ke kumu e pilikia ai ʻoe i ka hāpai ʻana a paipai i ka lāʻau kūpono.

He aha nā mea e hiki ke hana ʻia e hoʻonui ai i ka momona o ka wahine?

ʻO kekahi mau mea, e like me nā kūlana i hānau ʻia ai mākou, ʻaʻole hiki iā mākou ke kaohi. Eia nō naʻe, hiki iā mākou ke hana i nā mea i ko mākou nohona e hiki ke kōkua i ka hānau keiki ʻana:

• E hoʻohana i nā condom i ka wā moe e pale aku ai i nā maʻi i laha ma ke moekolohe (STI).
• E hoʻāʻo pinepine ʻia no nā maʻi STI e like me ka chlamydia a me ka gonorrhea.
• E pale i ka pili ʻana i nā kemika ʻino, nā pesticides, a me nā mea haumia ʻē aʻe o ke kaiapuni.

Eia kekahi, he mea nui loa ke ʻike ʻana i ke kauka ma ka liʻiliʻi hoʻokahi manawa i ka makahiki ma hope o kou lilo ʻana i mea hana moekolohe. ʻO nā nānā mau ʻana a me nā nānā pale ʻana ke ala maikaʻi loa e mālama ai i kou olakino moekolohe.

He mea hoʻoluhi a hoʻoluhi loa ka hānau ʻole ʻana. Maopopo iā mākou kēlā. Akā, e noho ikaika. ʻAʻole ʻoe hoʻokahi. Me ke aʻo lapaʻau kūpono a me ka mālama ʻana, ua hiki i nā poʻe he nui ke hoʻokō i kēia moeʻuhane.

ʻO nā mea nui e pono ai ʻoe e hoʻomanaʻo mai kēia ʻatikala (Leka Lawe-Home)

ʻAe, no laila, e hoʻomanaʻo kākou iā ʻoe i kekahi o nā kumu nui a mākou i kamaʻilio ai e pono ai ʻoe e hoʻomanaʻo?

• He mea maʻamau ka hānau ʻole ʻana: ʻaʻole ʻoe hoʻokahi i ke alo ʻana i kēia.
• Mai hopohopo, e ʻimi i ka ʻōlelo aʻo lapaʻau: Inā ʻaʻole ʻoe i hoʻāʻo no hoʻokahi makahiki (6 mahina inā ʻoi aku ʻoe ma mua o 35), e ʻike pono i ke kauka.
• Nui nā kumu, a aia nā lāʻau lapaʻau: Nui nā kumu o ka hānau ʻole ʻana, a ua hoʻomohala ʻia nā lāʻau lapaʻau kūpono i kēia lā.
• He mea nui ke ʻano o ka nohona: Hiki iā ʻoe ke kaohi i kekahi mau kumu pilikia. He mea nui loa ke ola ʻana i kahi nohona olakino.
• E noʻonoʻo pono: Ua loaʻa i ka poʻe he nui nā hopena holomua me ka lāʻau lapaʻau. Mai hoʻokuʻu i ka manaʻolana.

Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia, mai kānalua e kamaʻilio me ke kauka. E kōkua lākou iā ʻoe.

ʻO ka hānau ʻole ʻana, ka hānau ʻole ʻana o ka wahine, ka nalowale ʻana o ke keiki, nā pilikia hāpai keiki, PCOS, Endometriosis, IVF, IUI, Fallopian Tubes, Ovulation