E aʻo kākou e pili ana i ka Mālama ʻana i ka Momona.

I kekahi manawa i loko o ko kākou ola, pono kākou e kū i nā mea i manaʻo ʻole ʻia. Malia paha he maʻi nui, a i ʻole ma muli o ka hoʻokau mua ʻana i nā haʻawina a i ʻole ka hana, pono kākou e hoʻopanee i ka noʻonoʻo ʻana e loaʻa kahi keiki. I ka manawa e like me kēia, he mea maʻamau ka loaʻa ʻana o ka makaʻu o "ʻAʻole anei au e hiki ke loaʻa kahi keiki naʻu iho i ka wā e hiki mai ana?". I loko o ia kūlana, i kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻano lapaʻau a me ka ʻepekema waiwai nui e hiki ke kōkua iā ʻoe e mālama i kēlā manaʻolana. ʻO ia ka Fertility Preservation , a i ʻole e like me kā mākou e ʻōlelo nei ma ka ʻōlelo Pelekania.

No laila, he aha ka Mālama ʻana i ka Maʻi Ulu?

I ka ʻōlelo maʻalahi, pili kēia i ka lawe ʻana i kāu mau embryos, hua manu, sperm, a me nā ʻiʻo hānau a mālama pono iā lākou no ka hoʻohana ʻana i ka wā e hiki mai ana me ka ʻole o ka pōʻino. He mea kēia e hiki ke hana ʻia no nā pākeke a me, a i kekahi manawa, nā kamaliʻi ʻōpio.

Ua māhele nui ʻia kēia i ʻelua ʻāpana. ʻO kekahi, ʻo ia ka mālama ʻana i ka momona ma mua o ka hōʻino ʻia ʻana ma muli o kahi maʻi (no ka laʻana, ke kanesa). ʻO kekahi, ʻo ia ka hoʻohana ʻana i kēia ʻano hana e mālama ai i ka momona inā makemake kekahi e hoʻopaneʻe i ka loaʻa ʻana o nā keiki no nā kumu pilikino, e like me ka hana, ka hoʻonaʻauao ʻana, a i ʻole a loaʻa kahi hoa kūpono.

ʻO wai ka mea nui o kēia ʻano hana?

Nui nā kumu e hiki ke hoʻopilikia i kou momona i ka wā e hiki mai ana. E nānā kākou i kekahi o lākou. Inā ʻoe e kū nei i kahi kūlana e like me kēia, pono e noʻonoʻo ʻia.

He aha nā ala nui no ka mālama ʻana i ka momona?

He ʻokoʻa kēia mau ʻano hana no nā wāhine a me nā kāne. E kamaʻilio mākou e pili ana i kēlā me kēia ʻano hana ma ke kaʻawale.

Nā ʻano hana no nā wahine

• Ka Hoʻopaʻahau ʻana i nā Hua Manu: ʻO kēia ka hoʻoulu ʻana i nā ovaries me nā inikini hormone e hoʻomohala i nā hua he nui i ka manawa hoʻokahi. A laila lawe ʻia nā hua oʻo mai ke kino, hoʻopaʻahau ʻia, a mālama ʻia no ka hoʻohana ʻana i ka wā e hiki mai ana.
• Ka Hoʻopaʻa ʻana o nā Embryo: Pili pū kēia i ka wehe ʻana i nā hua. Akā a laila hoʻomoʻa ʻia kēlā mau hua i loko o kahi keʻena hoʻokolohua me ka sperm o kāu hoa a i ʻole ka sperm o ka mea hāʻawi e hana i nā embryos. Kāhea mākou i kēia kaʻina hana ʻo In Vitro Fertilization (IVF) . A laila hoʻopaʻa ʻia kēia mau embryos no ka hoʻohana ʻana i ka wā e hiki mai ana. Ua kapa ʻia hoʻi kēia ʻo Embryo Cryopreservation .
• Ka Paʻahau ʻana o nā ʻiʻo ovarian: I loko o kahi pilikia, e like me ka mālama ʻana i ka maʻi kanesa, ʻaʻole paha ʻoe e kali i nā hebedoma no ka oʻo ʻana o kāu mau hua ma hope o ka lawe ʻana i nā hormones. I ia mau hihia, wehe ʻia kahi ʻāpana liʻiliʻi o kāu ovary ma ke ʻoki ʻana a hoʻopaʻahau ʻia. Ke pau kāu mālama ʻana a mākaukau ʻoe e loaʻa kahi keiki, a laila hoʻokomo hou ʻia ka ʻiʻo i loko o kou kino.
• Ka Hoʻololi ʻana o ka Ovarian / Oophoropexy: Inā e hana ʻia ana ka radiation therapy, e wehe ʻia nā ovaries mai ke pelvis a waiho ʻia ma kahi palekana i loko o ka ʻōpū e pale aku i ka hōʻino ʻia.
• Ka Pale ʻana i ka Radiation: I ka wā o ka mālama ʻana i ka radiation, pale ʻia nā ovaries e kahi pale kūikawā i hana ʻia me ke kēpau.

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 paha he sperm i loko o ko lākou semen i kekahi mau kāne. Eia kekahi, ʻaʻole hiki i nā keikikāne i hiki ʻole i ka wā ʻōpio ke hana i ka sperm. I ia mau hihia, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka testicle, unuhi ʻia ka sperm a hoʻopaʻahau ʻia.
• Ka Pale ʻana i ka Radiation: E like me nā wahine, hoʻohana ʻia nā pale kūikawā e pale i nā testicles i ka wā o ka mālama ʻana i ka radiation no nā kāne.

Aia kekahi mau pilikia i kēia kaʻina hana? Pehea ka holomua?

E like me nā hana lapaʻau āpau, aia paha kekahi mau pilikia.

• ʻAʻole hiki ke loaʻa pinepine nā maʻi a i ʻole ke kahe ʻana o ke koko i ka wā o nā kaʻina hana e kiʻi ai i ka hua manu a i ʻole ka sperm.
• Hiki i ka mālama ʻana me ka IVF ke hoʻonui i ka manawa kūpono o ka hānau ʻana he nui, ka hānau ʻana o kahi pēpē i ka wā ʻōpiopio, a me ka loaʻa ʻana o nā pēpē kaumaha haʻahaʻa i ka wā hānau.
• Aia kekahi mau pilikia e pili ana i ka anesthesia i ka wā o ke ʻoki ʻana.
• Hiki ke hana ʻia ka maʻi Ovarian hyperstimulation i kekahi manawa ma muli o nā hormones e hoʻoulu ai i nā ovaries.

I ka wā e pili ana i ka holomua, hilinaʻi ia i nā mea he nui, e like me kou mau makahiki, ka helu o ke kaumaha o ke kino (BMI), a me nā kūlana olakino o kēia manawa . Ma keʻano laulā, ʻoi aku ka nui o nā hua a me nā sperm i hōʻiliʻili ʻia i ka wā ʻōpio e loaʻa nā hopena holomua.

No laila, ʻoi aku ka maikaʻi o ke kamaʻilio ākea me kāu kauka e pili ana i ke ʻano hana e kūpono loa iā ʻoe a me kona kūleʻa, a e ʻimi i kāna ʻōlelo aʻo.

Āhea ka manawa kūpono e kamaʻilio ai me ke kauka e pili ana i kēia?

He mea nui loa ka manawa i kēia. ʻO ka wikiwiki o kā mākou kamaʻilio ʻana e pili ana i kēia, ʻoi aku ka maikaʻi.

• Ma mua o ka hoʻomaka ʻana i ka mālama ʻana i ka maʻi kanesa: He mea nui e noʻonoʻo i nā ʻano mālama i ka hānau keiki ma mua o ka hoʻomaka ʻana i ka chemotherapy a i ʻole ka lāʻau radiation.
• Ma mua o 35 mau makahiki (no nā wahine): Inā ʻoe e noʻonoʻo ana e hoʻopaneʻe i ka loaʻa ʻana o nā keiki, ʻoi aku ka maikaʻi o ka noʻonoʻo ʻana i kēia ma mua o 35 mau makahiki.
• Ke ʻike koke ʻia ʻoe he maʻi e hoʻopilikia ai i ka hānau keiki: Ke ʻike koke ʻia ʻoe he maʻi e like me ka endometriosis, e kūkākūkā pū i kēia me kāu kauka.

Inā ua hoʻopau mua ʻoe i nā lāʻau lapaʻau hānau keiki, mai hoʻopau i ka manaʻolana. E kamaʻilio me kāu kauka e pili ana i kāu mau koho.