Hiki iā ʻoe ke mālama i kou momona no ka wā e hiki mai ana? E aʻo kākou e pili ana i ka Mālama ʻana i ka Momona

Malia paha ua hoʻopaneʻe ʻoe i ka noʻonoʻo ʻana e loaʻa kahi keiki a hiki i kou pau ʻana i kāu hoʻonaʻauao a hoʻokumu paha i kahi hana paʻa. A i ʻole, ʻo ka mea pōʻino, ua pono ʻoe e mālama ʻia no kahi maʻi e like me ke kanesa. I ka manawa e like me kēia, he mea maʻamau ke noʻonoʻo, "E hiki anei iaʻu ke loaʻa kahi keiki?" Akā mahalo i nā holomua o ka lāʻau lapaʻau i kēia lā, aia ka ʻenehana e hiki ke kōkua iā ʻoe i kēia kūlana. ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā.

He aha ka Mālama ʻana i ka Momona?

I ka ʻōlelo maʻalahi, pili kēia i ka mālama palekana ʻana i kāu mau hunaola hānau a i ʻole nā ​​ʻiʻo e kōkua iā ʻoe e loaʻa kahi keiki i ka wā e hiki mai ana. ʻO ke ʻano kēia, ua hoʻopaʻa ʻia kāu mau hua, sperm, embryos , a i ʻole nā ​​ʻiʻo hānau ma ke ʻano kūikawā a mālama pono ʻia no ka hoʻohana ʻana i ka wā e hiki mai ana.

Hiki ke hoʻohana ʻia kēia ʻano hana no nā mākua a i kekahi manawa no nā keiki ʻōpio. Hiki ke māhele ʻia i ʻelua ʻāpana nui:

1. Nā kumu lapaʻau: Hana ʻia kēia e pale aku i kekahi pōʻino i kou hānau keiki ma muli o kahi kūlana olakino a i ʻole ka lāʻau lapaʻau.

2. Mālama Koho: Inā ʻoe e hoʻopanee nei i ka loaʻa ʻana o nā keiki no nā kumu pilikino, no ka laʻana, ka hana, ka hoʻonaʻauao, a i ʻole a loaʻa iā ʻoe kahi hoa kūpono, hiki iā ʻoe ke hoʻohana i kēia ʻano hana ma mua o ka emi ʻana o kou momona me ka ʻelemakule.

No ke aha lā e pono ai iā kākou ke noʻonoʻo i kēia?

Aia kekahi mau kumu e hiki ke hoʻopilikia i kou hiki ke loaʻa nā keiki i ka wā e hiki mai ana (momona). I kekahi manawa hiki ke kumu o ke kūlana ponoʻī, a i ʻole hiki ke kumu o ke ʻoki kino a i ʻole ka lāʻau lapaʻau. He mea hopohopo nō hoʻi kēia no ka poʻe e noʻonoʻo ana e loaʻa nā keiki i ko lākou mau makahiki 30 a 40 paha, no ka mea, ua hōʻike nā haʻawina e emi ana ka momona maoli me ka ʻelemakule.

He aha nā ʻano hana e mālama ai i ka momona?

ʻOkoʻa nā ʻano hana i hoʻohana ʻia no kēia ma muli o ke kāne. E nānā kākou i nā ʻano hana nui no nā wahine a me nā kāne.

Nā ʻano hana no nā wahine

• Ka Hoʻopaʻahau ʻana i nā Hua Manu: ʻO kēia ka hāʻawi ʻana i nā inikini hormone e hoʻoulu i nā ovaries e hana i nā hua manu he nui aʻe ma mua o ka mea maʻamau e hoʻokuʻu ʻia i ka wā o ka menstrual maʻamau. A laila lawe ke kauka i nā hua manu mai ke kino, hoʻopaʻahau iā lākou ma ke ʻano kūikawā, a mālama iā lākou.
• Ka Hoʻopaʻahau ʻana o nā Embryo: Ua like kēia ʻano hana me ka hoʻopaʻahau ʻana o nā hua manu. Maanei, lawe ʻia nā hua manu mai ke kino. Akā a laila hoʻomomona ʻia kēlā mau hua manu me ka sperm o kāu hoa a i ʻole ka sperm o ka mea hāʻawi e hana i nā embryos. Ua kapa ʻia kēia kaʻina hana ʻo IVF (In Vitro Fertilization) . Hiki ke hoʻokomo koke ʻia kēia mau embryos i hana ʻia i loko o ka ʻōpū, inā pono, a i ʻole e hoʻopaʻahau ʻia no ka hoʻohana ʻana i ka wā e hiki mai ana (Embryo Cryopreservation).
• Ka Paʻahau ʻana o nā ʻiʻo ovarian:E noʻonoʻo ʻoe e wikiwiki ana ʻoe e hoʻomaka i ka mālama ʻana i ka maʻi kanesa a ʻaʻohe manawa e kali ai i ʻelua a ʻekolu pule no nā hormones e hoʻomohala i kāu mau hua. ʻO kēia ka manawa hiki iā ʻoe ke hoʻohana i kēia ʻano hana. Maanei, ua wehe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kāu mau ovaries a ua hoʻopaʻahau ʻia. Ke pau kāu mālama ʻana i ka maʻi kanesa a hiki i ka manawa e noʻonoʻo ai e pili ana i ka loaʻa ʻana o kahi keiki, e hoʻokomo hou kāu mau kauka i kēlā ʻāpana o ka ʻiʻo i loko o kou kino. Inā hana hou kēlā ʻiʻo, loaʻa paha iā ʻoe ka manawa e hāpai ai ma ke ʻano kūlohelohe a i ʻole ma o IVF.
• Ka Hoʻololi ʻana o ka Ovarian (Oophoropexy): Inā hāʻawi ʻia ka lāʻau lapaʻau radiation i ka ʻāpana pelvic, hiki ke hōʻino ʻia nā ovaries. I mea e pale ai i kēia, hoʻoneʻe manawa pōkole ke kauka lapaʻau i nā ovaries i ka ʻōpū o luna, mai kahi e hāʻawi ʻia ai ka radiation.
• Ka Pale ʻana i ka Radiation: I ka wā o ka mālama ʻana i ka radiation, ua uhi ʻia nā ovaries me kahi pale kūikawā i hana ʻia me ke kēpau e hōʻemi i ka ʻike ʻana i ka radiation.

Nā ʻano hana no nā kāne

• Ka Paʻahau ʻana o ka Sperm: ʻO kēia ke ʻano maʻalahi a hoʻohana pinepine ʻia no nā kāne. Hōʻiliʻili ʻia kahi hāpana sperm, hoʻopaʻahau ʻia, a mālama ʻia.
• Ka Paʻahau ʻana o nā ʻiʻo Testicular: ʻAʻohe sperm o kekahi mau kāne i loko o kā lākou semen. Eia kekahi, ʻo nā keikikāne i hiki ʻole i ka wā ʻōpio, ʻaʻole lākou e hana i ka sperm. I ia mau hihia, hiki ke wehe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai nā testicles, hoʻāʻo ʻia no ka sperm, hoʻokaʻawale ʻia a hoʻopaʻahau ʻia.
• Ka Pale ʻana i ka Radiation: E like me nā wahine, hoʻohana ʻia nā pale kēpau kūikawā e pale i nā testicles i ka wā o ka mālama ʻana i ka radiation no nā kāne.

Pehea e hana ai kēia kaʻina hana?

ʻOkoʻa ka hana a kēlā me kēia o kēia mau ʻano hana. E nānā kākou iā lākou me nā kikoʻī hou aku.

Ka hau ʻana o ka hua manu a me ka embryo

Hoʻomaka kēia kaʻina hana me ka hoʻoulu ʻana o ka ovarian, ʻo ia hoʻi ka hoʻokomo ʻana iā ʻoe iho me kahi hormone i kēlā me kēia lā no kahi o 10 mau lā.

Hana ʻia ke kaʻina hana hoʻihoʻi hua manu ma lalo o ka anesthesia, ʻo ia hoʻi ke hiamoe nei ʻoe a ʻaʻole ʻoe e ʻeha.

• Ke alakaʻi nei ke kauka i kahi nila lahilahi loa ma o ka vagina a i ka ovary me ka hoʻohana ʻana i ke alakaʻi ultrasound .
• Huki mālie ʻia nā hua i ulu aʻe ma o kēlā nila.
• A laila hoʻopaʻahau pololei ʻia nā hua, a i ʻole hoʻomomona ʻia lākou, hana ʻia nā embryos, a hoʻopaʻahau ʻia.

ʻAʻole ʻoe e ʻeha i ka wā o kēia kaʻina hana, akā hiki iā ʻoe ke loaʻa i kekahi ʻano ʻoluʻolu ʻole, e like me ka pehu ʻana, i nā lā ma mua a no kekahi mau lā ma hope o ke kaʻina hana.

Ka mālama ʻana i nā ʻiʻo ovarian

Hana ʻia kēia ma lalo o ka anesthesia laulā. He ʻoki puka kī kēia (Laparoscopy) .Pēlā ka hana ʻia ʻana.

• Hana ke kauka lapaʻau i ʻelua a ʻehā mau ʻoki liʻiliʻi loa ma ka ʻōpū.
• Hoʻokomo ʻia kahi mea hana lahilahi me kahi kāmela a nānā ʻia ka ʻaoʻao o loko o ka ʻōpū.
• Hoʻoneʻe ʻia kahi ʻāpana o ka ʻiʻo ovarian me ka hoʻohana ʻana i nā mea hana liʻiliʻi.
• A laila wehe ʻia nā mea hana a pani ʻia nā ʻoki.

Hiki iā ʻoe ke hoʻi i ka home ma kahi o ʻelua hola ma hope o kēia ʻoki kino.

Ka paʻa ʻana o ka sperm

He hana maʻalahi loa kēia. ʻO kāu wale nō e hana ai, ʻo ia ka masturbate a hāʻawi i kahi hāpana o ka sperm i loko o ke kīʻaha kūikawā.

Eia nō naʻe, inā paʻakikī ke hāʻawi i kēlā ʻano hāpana ma muli o kahi kūlana olakino, ke kaumaha o ka noʻonoʻo, ka ʻeha, a i ʻole nā ​​​​kumu hoʻomana/moʻomeheu, aia kekahi mau ala e hiki ai i nā kauka ke kōkua.

• Nā lāʻau lapaʻau: Aia nā lāʻau lapaʻau e hiki ke kōkua i ka ejaculation.
• Hoʻoulu ʻana i ka haʻalulu: Hiki i ka haʻalulu mai kahi hāmeʻa kūikawā ke hoʻoulu i ka ejaculation.
• Electroejaculation: Hana ʻia kēia ma lalo o ka anesthesia. Hoʻoulu ʻia ka ejaculation e kahi au uila mālie i hāʻawi ʻia e kahi mea i hoʻokomo ʻia ma o ka anus kokoke i ka prostate gland.

Aia kekahi mau hopena ʻaoʻao a i ʻole nā ​​​​pilikia?

E like me nā hana lapaʻau āpau, aia kekahi mau pilikia e pili ana i kēia mau kaʻina hana. Eia naʻe, he mea kakaikahi loa kēia. Na kāu kauka e wehewehe i kēia mau mea āpau iā ʻoe.

• I ka manawa pinepine ʻole , hiki ke kahe ke koko a i ʻole ka maʻi i ka wā e kiʻi ai i ka hua manu a i ʻole ka sperm.
• Aia kahi manawa kūpono kiʻekiʻe o ka loaʻa ʻana o nā māhoe a ʻoi aku paha nā pēpē i ka wā o ke kaʻina hana IVF. Aia paha he piʻi iki ka pilikia o ka hānau mua ʻana, ke kaumaha hānau haʻahaʻa, ka hāʻule ʻana o ka naʻau, a me ka hāpai ʻana o ka ectopic.
• He liʻiliʻi loa ka pilikia o ka maʻi, ke kahe ʻana o ke koko, a me ka hōʻino ʻana i nā ʻōpū a puni i ka wā o ke ʻoki ʻana i ka lua kī.
• Hoʻonui nā hormones i hāʻawi ʻia e hoʻoulu i nā ovaries i nā pae estrogen i loko o ke kino. Hiki paha i kēia ke hoʻonui iki i ka pilikia o nā ʻūpā koko.
• I ka liʻiliʻi loa, hiki i ka hoʻoulu ʻana o ka ovarian ke hana i kahi kūlana i kapa ʻia ʻo Ovarian Hyperstimulation Syndrome (OHSS) .

Pehea ka holomua o kēia mau ʻano hana?

He pilikia kēia i loaʻa i nā poʻe he nui. ʻO ka mea nui, ʻaʻole nā ​​​​​​ʻano hana mālama hānau āpau e hōʻoiaʻiʻo i ka hāpai 100% .

ʻO ka hoʻopaʻa ʻana i ka hua manu, ka sperm, a me ka embryo nā ʻano hana i hoʻohana pinepine ʻia a hōʻoia ʻia. ʻAʻole i maʻamau kekahi mau ʻano hana ʻē aʻe, no laila ke hōʻiliʻili ʻia nei ka ʻikepili e pili ana i kā lākou holomua.

ʻOkoʻa ka holomua mai kēlā kanaka a kēia kanaka. Aia ia i kou makahiki, ka helu nui o ke kino (BMI), nā kūlana olakino ʻē aʻe, a inā ua loaʻa iā ʻoe ka mālama IVF ma mua.Nui nā kumu e pili ana. ʻO kāu kauka wale nō ke hāʻawi iā ʻoe i ka manaʻo maikaʻi loa o ka hiki ke holomua ma muli o kou kūlana.

He aha ka manawa kūpono loa e kamaʻilio ai me ke kauka?

Inā pono ʻoe e hoʻoholo e pili ana i kēia, ʻoi aku ka maikaʻi o ka hana ʻana i ka wā hikiwawe loa . ʻO ka manawa maikaʻi loa:

• Ma mua o ka hoʻomaka ʻana i ka mālama ʻana no kahi maʻi e like me ke kanesa.
• Inā he wahine ʻoe e hoʻopaneʻe ana i ka hānau keiki ʻana, ma mua o 35 mau makahiki .
• I ka wā e ʻike ʻia ai ʻoe me kahi maʻi olakino e hiki ke hoʻopilikia i kou momona.

ʻOiai inā ua hoʻopau mua ʻoe i ka lāʻau lapaʻau e hiki ke hoʻopilikia i ka hānau keiki ʻana, mai hoʻokuʻu i ka manaʻolana. Loaʻa paha iā ʻoe kekahi mau koho i koe, no laila e kamaʻilio me kāu kauka e pili ana i kēia.