He mea maʻamau no nā kāne e kali ana i kahi pēpē ke manaʻo i ka nui o ke kaumaha a me ka hopohopo ke lohi iki kēlā moeʻuhane. ʻOiai ke lohe mākou i ka huaʻōlelo " infertility ," makaʻu loa mākou. No ka mea, manaʻo mākou hiki iā ia ke hoʻololi i ke ola a mākou i moeʻuhane mau ai. Akā ʻo ka ʻoiaʻiʻo, ʻaʻole kēia kūlana i manaʻolana ʻole e like me kou manaʻo.
Manaʻo pinepine nā kauka i ka hānau ʻole ʻana inā ʻaʻole ʻoe i hāpai ma hope o ka hoʻāʻo ʻana no hoʻokahi makahiki. Eia nō naʻe, ʻaʻole kēia manawa hoʻokahi makahiki e manaʻo ʻaʻole hiki iā ʻoe ke loaʻa kahi pēpē. Ua ʻike ʻia kahi noiʻi hou nei he nui nā wahine ma lalo o 39 mau makahiki i hāpai ʻole i ka makahiki mua e hiki ke hāpai i ka lua o ka makahiki me ka ʻole o kekahi lāʻau lapaʻau . No laila, he mea nui e hoʻomaopopo i kēia ma mua o ka wikiwiki ʻana i nā lāʻau lapaʻau pipiʻi.
Ke hele ʻoe e ʻike i ke kauka
Inā he mau hopohopo kāu e pili ana i kou hānau keiki ʻana, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i ke kauka, ʻoiai he loea hānau keiki. E nīnau mua ke kauka iā ʻoe a me kāu hoa e pili ana i kou mau kūlana olakino a me nā ʻano maʻamau.
Hiki paha iā ʻoe ke hopohopo a hilahila paha no ka mea he pilikino iki kekahi o nā nīnau. Akā e hoʻomanaʻo, he mea nui loa ka ʻike ʻana i kēia mau mea a pau i mea e ʻike ai i ke kumu pololei o ka pilikia. I nā hihia he nui, hiki i ke kumu o ka hānau ʻole ke hui pū ʻana o nā pilikia liʻiliʻi ma nā ʻaoʻao ʻelua . No laila, he mea nui e nānā pono iā ʻolua ʻelua.
Ma mua o ke kipa ʻana i kahi loea, he mea maikaʻi ke hana i kekahi noiʻi e pili ana i nā kumukūʻai o nā hoʻokolohua a inā e uhi ʻia lākou e kāu ʻinikua.
E ke kauka, nā mea hiki iaʻu ke nīnau aku iā ʻolua.
E nīnau ke kauka iā ʻolua i nā nīnau e pili ana i kou ola a me kou olakino. Hiki i kēia ke komo pū me nā nīnau e like me:
| ʻAno nīnau i nīnau ʻia | Ka wehewehe ʻana a no ke aha he mea nui? |
|---|---|
| Moʻolelo lapaʻau | ʻO nā maʻi mau loa āu i loaʻa ai (e like me ka maʻi diabetes, ke koko kiʻekiʻe) a i ʻole nā ʻoki kino āu i loaʻa ai. Hiki i kēia mau mea ke hoʻopilikia i ka hānau keiki ʻana. |
| Nā lāʻau lapaʻau i hoʻohana ʻia | E pili ana i kekahi lāʻau lapaʻau āu e lawe ai. Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka hānau keiki. |
| ʻAno nohona | E pili ana i ka hoʻohana ʻana i ke kofe, ka waiʻona, nā cigarette, a me nā lāʻau lapaʻau ʻē aʻe. Hoʻopilikia pololei kēia i ka maikaʻi o ka sperm a me nā hua manu. |
| Ka hana a me ke kaiapuni | Ke hōʻike ʻia nei ʻoe i nā kemika, nā mea ʻawahia, a i ʻole ka radiation ma ka hana a ma ka home paha? |
| Nā hana moekolohe | Nā mea e like me ke alapine (pinepine) o ka moekolohe, ka mōʻaukala o nā maʻi i laha ma ke moekolohe, a pēlā aku. Hiki i kēia mau mea ke kōkua i ka hoʻoholo ʻana i ke kumu o ka pilikia. |
| Nā lole komo o nā kāne | ʻO ke komo ʻana i nā lole komo paʻa hiki ke hoʻonui i ka mahana o nā testicles a keakea i ka hana ʻana o ka sperm olakino. |
Nā mea e nīnau pono ai i kahi wahine
Eia kekahi, e nīnau maoli ke kauka e pili ana i kou mōʻaukala gynecologic.
- Ua hāpai mua ʻoe? He aha ka mea i hana ʻia me kēlā mau hāpai ʻana?
- Pehea kou mau wā i ka makahiki i hala?
- He ʻano ʻē anei kou mau wā? Ua pau anei ko lākou mau wā? Ua loaʻa anei iā ʻoe nā kiko ma waena o nā wā?
- Ua ʻike anei ʻoe i kekahi mau loli i ka nui o ke kahe ʻana o ke koko, e like me nā ʻūpā koko nui?
- He aha nā ʻano hana hoʻomalu hānau āu i hoʻohana ai?
- Ua ʻike mua ʻoe i ke kauka a ua loaʻa iā ʻoe ka lāʻau lapaʻau e pili ana i ka hānau keiki ʻana?
Inā ua ʻike mua ʻoe i ke kauka e pili ana i kēia mea, mai poina e lawe mai i nā hōʻike lapaʻau pili āpau, nā X-ray, nā hōʻike scan, a me nā mea ʻē aʻe me ʻoe i kēia manawa.
Nā hoʻokolohua kumu: ke koko a me ka nānā ʻana o ka sperm
Ma hope o kēia kamaʻilio ʻana, e hoʻomaka kāu mau hoʻokolohua. ʻO ka mea mua, e hana ʻia kahi hoʻokolohua kino maʻamau a me kekahi mau hoʻokolohua koko .
- Nā Hoʻāʻo Koko: Nānā nui kēia i nā pae o nā hormones wahine, nā hormones thyroid, prolactin, a me nā hormones kāne i loko o kou kino. Nānā pū lākou i nā maʻi e like me ka HIV a me ka Hepatitis.
- Hoʻokolokolo kino: Pili kēia i ka nānā ʻana i ka vagina e nānā i nā maʻi i laha ma ke ʻano moekolohe e like me Chlamydia a me Gonorrhea, ʻoiai hiki i kēia mau maʻi ke hoʻoulu i ka hānau ʻole.
- Ka Nānā ʻana i ka Semen: E noi ʻia aku hoʻi kāu hoa e hana i kahi loiloi semen. Hana ʻia kēia e nānā i ka helu, ke ʻano, a me ka neʻe ʻana o ka sperm.
Eia kekahi, e hoʻonohonoho kāu kauka i kekahi mau hoʻokolohua koko ʻē aʻe e pili ana i nā lā o kāu pōʻaiapuni menstrual. No ka laʻana, hana ʻia nā hoʻokolohua Follicle Stimulating Hormone (FSH) a me Luteinizing Hormone (LH) i ka lā ʻelua a ʻekolu paha o kou wā. Hana ʻia kēia ma ka nānā ʻana i nā pae hormone i nā lā like ʻole o kāu pōʻaiapuni e hoʻoholo ai inā e ovulating pono ana ʻoe.
Nā hoʻokolohua kūikawā ʻē aʻe inā pono
Ma hope o nā hoʻokolohua mua, hiki i ke kauka ke ʻōlelo aku i kekahi mau hoʻokolohua hou aʻe e like me ka mea e pono ai. ʻAʻole e loaʻa i nā kānaka a pau kēia mau hoʻokolohua a pau. Na ke kauka e koho i ka mea kūpono loa i kou kūlana.
| Inoa o ka hoʻāʻo | E hana wale i kēia... |
|---|---|
| ʻO ke kiʻi ʻana o ka Ultrasound Transvaginal | Hoʻokomo ʻia kahi mea nānā liʻiliʻi ma o ka vagina e nānā i ke kūlana o ka uterus a me nā ovaries. Hiki i kēia ke nānā inā hana pono nā follicles i loko o nā ovaries, ka mea e oʻo ai nā hua. |
| ʻO ka Hysterosalpingogram (HSG) | Ua kapa ʻia kēia he "tubogram." Hoʻokomo ʻia kahi kala kūikawā i loko o ka ʻōpū ma o ka vagina, a lawe ʻia kekahi mau kiʻi X-ray o nā ʻōpū fallopian. ʻO ke ala maikaʻi loa ia e ʻike ai inā he mau mea e ālai ana i nā ʻōpū fallopian. |
| Hysteroscopy | Hana ʻia kēia inā ʻike ka hoʻāʻo HSG i kahi pilikia. Hoʻokomo ʻia kahi mea lahilahi e like me ke kelepona i loko o ka ʻōpū a hoʻohana ʻia kahi kāmela e nānā i loko. |
| Laparoscopy | Hoʻokomo ʻia kahi kāmela ma o kahi ʻoki liʻiliʻi ma ka ʻōpū e nānā i loko o ka lua ʻōpū. Kōkua kēia i ka nānā ʻana i nā kūlana e like me ka endometriosis a me ka scarring. He hana ʻoki liʻiliʻi kēia i hana ʻia ma lalo o ka anesthesia. |
| ʻO ka Biopsy Endometrial | Lawe ʻia kahi hāpana liʻiliʻi o ka ʻiʻo mai ka uhi o loko o ka ʻōpū (endometrium) e nānā inā kūpono ke kūlana o ka uhi no kahi embryo e hoʻokomo ai. |
Ke pau kēia mau hoʻokolohua a pau, ma kahi o 85% o nā kāne a me nā wahine e hiki ke loaʻa kahi manaʻo maopopo o ke kumu o ko lākou pilikia hāpai ʻana. No laila, inā ʻoe e hopohopo nei a he mau hopohopo paha, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻimi i ka ʻōlelo aʻoaʻo lapaʻau kūpono.
Leka Lawe-Home
- Mai hopohopo inā ʻaʻole ʻoe i hāpai ma hope o ka hoʻāʻo ʻana no hoʻokahi makahiki. ʻAʻole ia manaʻo ʻaʻole loa ʻoe e hiki ke loaʻa kahi pēpē.
- Inā manaʻo ʻoe he pilikia kou, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike aku i kahi loea a loaʻa ka ʻōlelo aʻoaʻo.
- Ua like ka pilikia o ka hānau ʻole ʻana o nā kāne a me nā wāhine. No laila, he mea nui i nā hoa ʻelua ke komo i ka hoʻāʻo a me ka mālama ʻana.
- ʻO ka pane ʻana i nā nīnau pilikino a kāu kauka e nīnau ai iā ʻoe me ka ʻoiaʻiʻo he mea kōkua nui ia i ka ʻike ʻana i ke kumu pololei o ka pilikia.
- ʻAʻole hana ʻia nā hoʻokolohua āpau no nā kānaka āpau. Na kāu kauka e hoʻoholo i nā hoʻokolohua kūpono no kou kūlana. Ma hope o nā hoʻokolohua kūpono, hiki i ka hapa nui o nā kāne a me nā wahine ke ʻike i ke kumu o ko lākou pilikia.
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