Ke moeʻuhane nei ʻoe a me kāu hoa i ka loaʻa ʻana o kahi pēpē, lohe ʻoe i nā huaʻōlelo ʻē kekahi ma hope o kekahi ke hele ʻoe e ʻike i ke kauka, ʻeā? I kekahi manawa ke lohe ʻoe i nā huaʻōlelo e like me IVF, IUI, PCOS, Endometriosis, makaʻu iki ʻoe. Manaʻo ʻoe, "He aha ke ʻano o kēia?" ʻAʻole paʻakikī loa kēia mau mea. I kēia lā, e kamaʻilio mākou e pili ana i kekahi mau huaʻōlelo koʻikoʻi āu e lohe pinepine ai a aʻo ai ma kēia huakaʻi, me he mea lā e kamaʻilio ana ʻoe me kahi hoaaloha. A laila e loaʻa iā ʻoe kahi ʻike maikaʻi a me ka hilinaʻi e pili ana i kēia huakaʻi.
ʻO ka mea mua, e ʻike kākou i kekahi o ko kākou mau ʻāpana kino, ʻeā?
Ma mua o ko kākou hoʻomaka ʻana i kēia huakaʻi, e hoʻomanaʻo iki kākou iā kākou iho i nā ʻāpana nui o ka ʻōnaehana hānau keiki o ka wahine.
- ʻUterus: ʻO kēia kahi e ulu ai ke pēpē a pale ʻia. Kāhea mākou iā ia ʻo "ka ʻōpū".
- Nā ʻōpū Fallopian : ʻElua mau ʻōpū lahilahi ma kēlā ʻaoʻao kēia ʻaoʻao o ka ʻōpū. ʻO kēia kahi e hui mua ai ka hua manu a me ka sperm a hoʻomomona.
- ʻOvaries: Kahi e hana ʻia ai a mālama ʻia ai nā hua.
- Endometrium: ʻO kēia ka uhi o loko o ka ʻōpū. Maanei e hoʻomākaukau ʻia ai kahi hua manu i hoʻoulu ʻia e hoʻokomo.
- ʻOvulation : ʻO kēia ke kaʻina hana e hoʻokuʻu ʻia ai kahi hua manu makua mai kahi ovary i loko o ka fallopian tube i kēlā me kēia mahina. He mea nui kēia no ka hāpai ʻana.
- ʻOvum/Egg: Ke keena hānau wahine.
- Sperm: Ke keena hānau kāne.
No ke aha i lohi ai ka hānau ʻana i kahi pēpē i kekahi manawa?
ʻO ka maʻamau, kapa nā kauka i kēia he hānau ʻole inā ʻaʻole i hāpai kahi kāne ma hope o hoʻokahi makahiki o ka hoʻāʻo ʻana e hāpai me ka hoʻohana ʻole ʻana i kekahi ʻano kaohi hānau. Hiki i nā kumu no kēia ma ka ʻaoʻao o ka wahine, ka ʻaoʻao o ke kāne, a i ʻole nā mea ʻelua.
Nā kumu e pili ana i nā wahine
- Anovulation: ʻO kēia ka wā e hana pono ʻole ai ka ovulation, a i ʻole ka hoʻokuʻu ʻana o kahi hua manu. Hiki ke hana ʻia kēia kūlana inā ʻaʻole kūpono kāu pōʻaiapuni menstrual.
- ʻO ka Endometriosis: He ʻano ʻeha loa ia e ulu ai ka ʻiʻo e uhi ana i loko o ka uterus (ka endometrium) ma waho o ka uterus, e like me nā ʻōpū fallopian a me nā ovaries.
- ʻO ka maʻi ʻōpū Polycystic (PCOS):He ʻano kūlike ʻole kēia o ka hormonal. I loko o kēia, hana ʻia nā cysts liʻiliʻi ma nā ovaries, lilo ka ovulation i mea ʻē. Hiki ke ʻike ʻia kēia ʻano me nā hōʻailona e like me ka lohi o ka menstruation, ka ʻākena ma ka maka, ka ulu ʻana o ka lauoho makemake ʻole ʻia, a me ka momona.
- ʻO ka maʻi mumū Pelvic (PID): He maʻi e hoʻoulu ai i ka ʻōpū, nā ʻōpū fallopian, a me nā ovaries e pehu a pehu. Hiki i kēia ke alakaʻi i ka paʻa ʻana o nā ʻōpū fallopian.
Ka Hānau ʻole o ke Kumu Kāne
- ʻAzoospermia: Ka nele loa o ka sperm i loko o ka semen.
- ʻOligospermia : Ka emi ʻana o ka helu sperm ma mua o ka maʻamau.
- Ka Neʻe ʻana: Pili kēia i ka hiki o ka sperm ke ʻauʻau a hele i ka hua manu. Ke emi kēia hiki, lilo ka hāpai ʻana i mea paʻakikī.
- ʻAno o ka sperm: Pili kēia i ke ʻano a me ka nui o ka sperm. ʻOi aku ka paʻakikī o ka sperm i hoʻoponopono pono ʻole ʻia e hoʻomoe i ka hua manu.
Pehea e ʻike ai nā kauka i kēia mau mea?
Ke hele ʻoe a me kāu hoa e ʻike i ke kauka, e kauoha paha lākou i kekahi mau hoʻokolohua e ʻike ai i ke kumu. Mai hopohopo, he mau hoʻokolohua maʻalahi kēia.
| Inoa o ka hoʻāʻo | He aha ka mea e nānā ʻia nei ma ʻaneʻi? |
|---|---|
| Ka Nānā ʻana i ka Semen | Hoʻāʻo ʻia ka helu sperm o ke kāne, ka neʻe ʻana, a me ke ʻano. |
| ʻO ka Hysterosalpingogram (HSG) | He hoʻāʻo X-ray kēia. Hoʻokomo ʻia kahi waihoʻoluʻu kūikawā i loko o ka ʻōpū a me nā ʻōpū fallopian e nānā i nā mea e ālai ana i nā ʻōpū a e ʻike inā aia ke ʻano kūpono o ka ʻōpū. |
| Laparoscopy | Hana ʻia kahi ʻoki liʻiliʻi ma ka ʻōpū a hoʻokomo ʻia kahi mea lahilahi me kahi kāmela e nānā i ka uterus, nā fallopian tubes, a me nā ovaries. He mea nui kēia no ka ʻike ʻana i nā maʻi e like me ka endometriosis. |
| Sonogram (Sonogram / Ultrasound Scan) | Hoʻohana ʻia ka ultrasound e nānā i ke kūlana o ka ʻōpū a me nā ovaries. Hoʻohana ʻia kēia e nānā i ka PCOS a e ʻike inā e oʻo ana nā ovaries (follicle tracking). |
ʻĀ, he aha nā lāʻau lapaʻau?
Ma hope o ka loaʻa ʻana o ke kumu, e hāʻawi ke kauka i kahi hoʻolālā lapaʻau e kūpono iā ʻolua ʻelua.
Lapaʻau me ka lāʻau lapaʻau
ʻO ka hapa nui, ʻo ka hana mua ka hoʻomaka ʻana me ka lāʻau lapaʻau. He lāʻau lapaʻau kaulana ʻo Clomid . Hana ia ma ka hoʻoulu ʻana i ka ovulation. ʻO ia hoʻi, hoʻoponopono ia i ka oʻo ʻana a me ka hoʻokuʻu ʻana o nā hua.
ʻenehana hānau kōkua (ART)
Inā hāʻule nā lāʻau lapaʻau a i ʻole he mau pilikia paʻakikī ʻē aʻe, e kamaʻilio nā kauka e pili ana i nā ʻano ART.
- ʻO ka hoʻokomo ʻana i loko o ka ʻōpū (IUI): He hana maʻalahi kēia. I ka ʻōlelo maʻalahi, pili ia i ke koho ʻana i ka sperm maikaʻi loa a wikiwiki loa mai ka sperm o kāu kāne a hoʻokomo pololei iā ia i loko o kou uterus me ka hoʻohana ʻana i kahi ʻōmole lahilahi i ka manawa o ka ovulation.
- ʻO ka hoʻoulu ʻana ma loko o ka vitro (IVF): ʻO kēia ka mea i ʻike ʻia e ka hapa nui o ka poʻe he "in vitro fertilization." Pili kēia i ka wehe ʻana i kāu mau hua a me ka sperm a kāu kāne mai kou kino, e hoʻohui iā lākou i loko o kahi lab, a laila e hoʻokomo hou i ka embryo hopena i loko o kou uterus i kekahi mau lā ma hope.
- ʻO ka Intracytoplasmic Sperm Injection (ICSI): ʻO kēia kekahi ʻanuʻu holomua i ka IVF. Hoʻohana ʻia kēia ʻano hana inā haʻahaʻa loa ka helu sperm a maikaʻi ʻole ka neʻe ʻana. Maanei, koho ʻia hoʻokahi sperm olakino a hoʻokomo pololei ʻia i loko o kahi hua manu. A laila hoʻokomo ʻia ka embryo hopena i loko o ka ʻōpū, e like me ka IVF.
ʻOiai paha he mea paʻakikī kēia mau lāʻau lapaʻau, e kōkua kāu kauka iā ʻoe e koho i ke ʻano hana kūpono loa iā ʻoe. No laila, mai makaʻu e nīnau i kāu mau nīnau.
ʻO kekahi mea ʻē aʻe, ʻo ia ka hāpai ʻana o ka ʻōpū (Ectopic Pregnancy ). He kūlana weliweli kēia. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ke hoʻokomo ʻia ʻana o ka hua manu i hoʻoulu ʻia ma kahi ʻē aʻe, e like me ka fallopian tube, ma kahi o loko o ka ʻōpū. No ka mea, he pilikia kēia, inā ʻike ʻoe i ka ʻeha nui ma kekahi ʻaoʻao o kou ʻōpū a i ʻole ka hiolo ʻana, pono ʻoe e ʻike koke i ke kauka.
Leka Lawe-Home
- Mai hopohopo i kēia mau huaʻōlelo lapaʻau. He mau mea hana wale nō kēia a nā kauka e hoʻohana ai e hoʻomaopopo i kou kūlana a hoʻolālā i ka mālama ʻana.
- He ʻokoʻa nā kumu hānau ʻole o kēlā me kēia kāne a me kāna huakaʻi lapaʻau. Na kāu kauka e hoʻoholo i ka mea maikaʻi loa iā ʻoe.
- E kamaʻilio ākea me kāu kauka e pili ana i nā mea āpau . E nīnau i kāu mau nīnau a me nā makaʻu a pau. Inā pono, e kākau i kāu mau nīnau ma kahi ʻāpana pepa ma mua o kou hele ʻana e ʻike i ke kauka.
- E hoʻomanaʻo ʻaʻole ʻoe hoʻokahi i kēia huakaʻi. Nui nā poʻe ʻē aʻe e like me ka manaʻolana. No laila e noho ikaika a maikaʻi i kou huakaʻi.
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