Ke kakali nei paha ʻoe a me kāu hoa i ka hoʻohui ʻana i kahi malihini liʻiliʻi hou i kou ʻohana me nā manaʻolana nui. Akā i ka wā ʻaʻole i hoʻokō ʻia kēlā moeʻuhane ma hope o nā mahina, malia paha he makahiki o ka hoʻāʻo ʻana, he paʻakikī ke hōʻike i ke kaumaha, ka hopohopo, a me ka mehameha āu e manaʻo nei? ʻOi aku ka kaumaha o kēia me nā nīnau e puka mai ana mai ka poʻe a puni ʻoe. Akā, mai manaʻo ʻoe e kū hoʻokahi ana ʻoe i kēia. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia pilikia a ka poʻe he nui e hūnā nei i loko o ko lākou mau naʻau, ʻo ia hoʻi ka hānau ʻole ʻana. E kamaʻilio kākou e pili ana i ia mea me ka maopopo a me ka maopopo.
I ka ʻōlelo maʻalahi, he aha ka hānau ʻole?
ʻO ka hānau ʻole ka hiki ʻole ke hāpai ma muli o kahi kūlana i loko o kāu ʻōnaehana hānau. Hiki iā ia ke hoʻopilikia i kekahi. ʻO ka pinepine, ʻaʻole ia i hana ʻia e hoʻokahi mea, akā e kekahi mau mea.
E noʻonoʻo, he hana kupaianaha ka hāpai ʻana, he nui nā ʻanuʻu. Ua like ia me ke kaulahao, inā moku kekahi loulou, moku ke kaulahao holoʻokoʻa.
- ʻO ka mea mua, pono kou lolo e hana i nā hormones e kaohi i ka hana o kāu ovaries.
- ʻO ka lua, pono i kēlā mau hormones ke hoʻoulu i kahi hua manu e ulu i loko o kekahi o kāu mau ovaries.
- ʻO ka mea aʻe, pono e hoʻokuʻu ʻia ka hua moa makua mai ka ovary. Kāhea mākou i kēia he ovulation .
- A laila, pono e hopu ʻia ka hua manu ma o ka ʻōmole Fallopian.
- I kēia manawa, pono ka sperm kāne e komo i loko o ka ʻōpū ma o ka vagina, hele i lalo i ka fallopian tube, a hiki i ka hua manu.
- Ma laila, pono e hui pū ka sperm me ka hua manu a hoʻomoʻa iā ia, e hana ana i kahi embryo .
- ʻO ka mea hope loa, pono e hele ka hua manu i hoʻomoʻa ʻia i lalo o ka ʻōmole fallopian a hoʻokomo i loko o ka paia o ka ʻōpū.
Inā ʻaʻole hana pololei ʻia kekahi o kēia mau ʻanuʻu, ʻaʻole e hāpai ka hāpai ʻana.
ʻO ka maʻamau, ʻike nā kauka i ka hānau ʻole ma o:
- Inā ʻoe ma lalo o 35 mau makahiki a ʻaʻole ʻoe i hāpai ma hope o hoʻokahi makahiki (12 mau mahina) o ka moekolohe maʻamau me ka ʻole o ka kaohi hānau.
- Inā he 35 ou mau makahiki a ʻoi paha , a ua hoʻāʻo ʻoe no 6 mau mahina me ka hāpai ʻole ʻana.
ʻOi aku ka maʻamau o kēia ʻano ma ke kaiāulu ma mua o kou manaʻo. No laila, mai hilahila a mehameha paha, me ka manaʻo he pilikia wale nō kēia nou. ʻO ka nūhou maikaʻi, i kēia lā aia nā lāʻau lapaʻau kūpono loa no kēia.
He aha nā ʻano nui o ka hānau ʻole ʻana?
Hiki ke hoʻokaʻawale ʻia ka hānau ʻole ʻana i ʻekolu ʻano nui. No ka hoʻomaopopo pono ʻana i kēia, e nānā i ka papa ma lalo.
| ʻAno o ka hānau ʻole ʻana | He wehewehe maʻalahi |
|---|---|
| Ka Hānau ʻOle Mua | ʻAʻole i hāpai mua ʻia a ʻaʻole hiki ke hāpai ʻoiai ua hoʻāʻo no kekahi manawa (hoʻokahi makahiki inā ma lalo o 35, ʻeono mahina inā ma luna o 35) ma muli o ka makahiki. |
| Ka hānau ʻole lua | Ua loaʻa ma ka liʻiliʻi hoʻokahi hāpai ʻana ma mua a ʻaʻole hiki ke hāpai hou. |
| Ka Hānau ʻOle i Wehewehe ʻole ʻia | ʻOiai nā hoʻokolohua lapaʻau a pau e pono ai, ʻaʻole hiki ke loaʻa kahi kumu kūpono no ka hāpai ʻole ʻana. |
He aha ke kumu o ka hānau ʻole ʻana?
ʻAʻohe pinepine he pane hoʻokahi a maʻalahi hoʻi i kēia. I kekahi manawa he pilikia ia no ka wahine, i kekahi manawa he pilikia no ke kāne. I kekahi manawa, hiki ke hui pū ʻia nā mea ʻelua. Eia ka mea a ka noiʻi i hōʻike ai:
- I ka 33% o nā hihia, pili ke kumu i ka wahine .
- I ka 33% o nā hihia, pili ke kumu i ke kāne .
- ʻO ke koena o 33% o nā hihia e hoʻopilikia ʻia e nā kumu e pili ana i nā mea ʻelua a i ʻole nā kumu i ʻike ʻole ʻia .
Nā kumu pilikia maʻamau
Hiki i kekahi mau ʻano nohona a me nā kūlana olakino ke hoʻopilikia i ka hānau keiki.
- Makahiki: E emi koke ana ka hānau keiki, ʻoiai hoʻi i nā wahine i ko lākou mau makahiki 30 a 40 paha. No nā kāne, piʻi ka hopena ma hope o 50 mau makahiki.
- Ka puhipaka a me ka hoʻohana ʻana i nā lāʻau lapaʻau/waiʻona: Hoʻopilikia pololei kēia i ke kūlana o ka sperm a me nā hua manu.
- Kaumaha a kaumaha ʻole paha: Hoʻopilikia ke kaumaha o ke kino maʻamau i ke kaulike hormonal.
- Nā maʻi ʻai: Nā kūlana e like me `(Anorexia nervosa)` a me `(Bulimia)`.
- Hoʻoikaika kino nui:Hiki i ka hoʻoikaika kino nui ke hoʻopilikia i nā hormones.
- Ka ʻike ʻia ʻana i nā mea ʻawahia o ke kaiapuni: Nā mea e like me nā pesticides, nā kemika, a me nā mea ʻē aʻe.
- Kaumaha: Ua ʻike ʻia hoʻi ka pilikia lōʻihi e hoʻopilikia i ka hānau keiki.
- Nā maʻi i laha ma ke moekolohe (STIs): Hiki i nā maʻi i mālama ʻole ʻia ke hōʻino i ka ʻōnaehana hānau keiki.
- Nā lāʻau lapaʻau no ke kanesa: Radiation therapy a i ʻole chemotherapy.
Nā kumu kūikawā no nā wāhine
ʻO ke kumu nui o ka hānau ʻole ʻana o ka wahine, ʻo ia nā pilikia me ka ovulation . ʻO ke ʻano kēia, ʻaʻole i oʻo pono a hoʻokuʻu paha ka hua manu. Eia kekahi, hiki i kēia mau mea ke hoʻopilikia:
- Endometriosis: ʻO ka ʻiʻo e ulu i loko o ka uterus e ulu ana ma waho o ka uterus (ma nā wahi e like me nā ovaries a me nā fallopian tubes).
- ʻO ka maʻi Polycystic ovary (PCOS): He kūlike ʻole o ka hormonal e hoʻoulu ai i nā cysts liʻiliʻi e hana i loko o nā ovaries a me ka ovulation kūpono ʻole.
- ʻO nā ʻōpū fallopian i paʻa: ʻO nā ʻōpū fallopian i paʻa, ma muli o ka maʻi (e like me ka Pelvic Inflammatory Disease - PID) a i ʻole ke ʻoki ʻana, pale i ka hui ʻana o ka hua manu a me ka sperm.
- Nā pilikia ʻōpū: Nā fibroids a i ʻole polyps ʻōpū a i ʻole nā pilikia hānau me ke ʻano o ka ʻōpū.
- Nā kūlana olakino ʻē aʻe: Nā kūlana e like me ka maʻi thyroid, ka maʻi diabetes, ka maʻi puʻupaʻa, a me nā kūlana autoimmune.
- ʻAno maikaʻi ʻole o ka hua manu: E emi ana ka maikaʻi o ka hua manu me ka ʻelemakule.
Nā kumu kūikawā no nā kāne
ʻO ke kumu nui o ka hānau ʻole ʻana o ke kāne, ʻo ia nā pilikia sperm . ʻO kēia mau mea:
- Ka helu sperm haʻahaʻa.
- Ka neʻe maikaʻi ʻole o ka sperm.
- ʻAno like ʻole o ka sperm.
Ma waho aʻe o kēia, hiki ke pili pū me kēia mau kumu:
- Nā pilikia testicular: Varicocele, nā ʻeha i nā testicles, a i ʻole nā testicles i iho ʻole.
- Ka ʻike ʻia ʻana i nā mahana kiʻekiʻe: Ke komo ʻana i nā lole komo paʻa loa, ka ʻauʻau pinepine ʻana i ka wela, ka hana ʻana me ka kamepiula lawe lima ma kou ʻūhā, a pēlā aku.
- Nā pilikia hormonal: Testosterone haʻahaʻa.
- Nā maʻi hoʻoilina: Nā kūlana hoʻoilina e like me ka `(Klinefelter syndrome)`.
- Ka ālai ʻana o ke ala ejaculatory.
- ʻO ka hana ʻino ʻana o ka erectile a i ʻole nā pilikia ejaculation.
- Ka hoʻohana pono ʻana i nā mea e like me nā steroid anabolic .
Pehea e ʻike ʻia ai ka hānau ʻole ʻana? He aha nā hoʻokolohua lapaʻau?
Ke ʻike ʻoe a me kāu hoa i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kou mōʻaukala olakino, kou ola moekolohe, a me kou nohona. A laila, e kauoha lākou i kekahi mau hoʻokolohua e ʻike ai i ke kumu. Pono ʻolua ʻelua e loaʻa i kēia mau hoʻokolohua.
| ʻAno hoʻāʻo | No wai? | He aha ka ho'āʻo ʻana o kēia? |
|---|---|---|
| Nā hoʻāʻo koko | No nā mea ʻelua | No ka ʻike ʻana i nā pae hormone (ovulation i nā wahine, testosterone i nā kāne), ka hana thyroid, a me nā pilikia olakino ʻē aʻe. |
| ʻO ke kiʻi ʻana o ka Ultrasound Transvaginal | No nā wāhine | No ka nānā ʻana i ke kūlana o ka ʻōpū a me nā ovaries, nā tumors (fibroids, polyps), ke kūlana PCOS, a pēlā aku. |
| Ka Nānā ʻana i ka Semen | No nā kāne | No ka nānā ʻana i ka helu sperm, ka neʻe ʻana, a me ke ʻano. He hoʻokolohua koʻikoʻi loa kēia. |
| ʻO ka Hysterosalpingogram (HSG) | No nā wāhine | Hoʻokomo ʻia kahi mea kūikawā i loko o ka ʻōpū a lawe ʻia kahi X-ray e ʻike inā ua ālai ʻia nā ʻōmole fallopian. |
| Laparoscopy | No nā wāhine | Hoʻokomo ʻia kahi kāmela ma o kahi ʻoki liʻiliʻi e nānā pololei, hoʻoholo, a mālama paha i nā kūlana e like me ka endometriosis a me nā pilikia o ka tuba fallopian. |
| ʻO ka Ultrasound Scrotal | No nā kāne | No ka nānā ʻana i nā aʻa varicose (varicoceles) a i ʻole nā pilikia kūkulu ʻē aʻe i loko o nā testicles. |
He aha nā lāʻau lapaʻau i loaʻa?
Ma hope o ka ʻike ʻana i ke kumu, e ʻōlelo aku kāu kauka i ka lāʻau lapaʻau kūpono loa no ʻolua, me ka noʻonoʻo ʻana i kou mau makahiki, ke kumu o kou hānau ʻole ʻana, a me ka lōʻihi o kou hoʻāʻo ʻana.
Lapaʻau no nā wāhine
- Lāʻau lapaʻau: Hāʻawi ʻia nā lāʻau hoʻouluulu e hoʻoulu i ka ovulation a hoʻoulu i ka hoʻokuʻu ʻia ʻana o hoʻokahi a ʻoi aku paha nā hua manu olakino.
- ʻOki: Hana ʻia ke ʻoki e wehe i nā ʻōpū fallopian inā ua ālai ʻia, e wehe i nā fibroids uterine, a i ʻole e mālama i ka endometriosis.
- Nā Hoʻololi o ke ʻAno o ka Noho ʻana: Mālama i ke kaumaha olakino, ʻai ʻana i ka meaʻai kaulike, a me ka pale ʻana i ka puhipaka.
Lapaʻau no nā kāne
- Lāʻau lapaʻau: Ke hāʻawi nei i nā lāʻau lapaʻau e hoʻoponopono i nā pae hormone a mālama paha i ka hana moekolohe.
- ʻOki kino: Hana ʻia ke ʻoki kino e wehe i nā mea i ālai ʻia i ke kaula spermatic a i ʻole e hoʻoponopono i nā aʻa varicose i loko o nā testicles (Varicocele).
- Nā hoʻololi ʻana i ke ʻano o ka nohona: e hoʻōki i ka puhi paka a me ka inu ʻona, e pale i nā lole komo paʻa, e ʻai i ka meaʻai olakino.
ʻenehana hānau kōkua (ART)
I kekahi mau hihia, inā ʻaʻole i loaʻa nā hopena holomua i nā lāʻau lapaʻau i luna a inā ʻoi aku ka paʻakikī o ka pilikia, hoʻohana nā kauka i nā ʻenehana hānau kōkua. ʻO kekahi o nā ʻano hana nui:
- ʻO ka hoʻokomo ʻana i loko o ka ʻōpū (IUI): Ma kēia, ua hoʻomākaukau kūikawā ʻia ka sperm o ke kāne a hoʻokomo pololei ʻia i loko o ka ʻōpū o ka wahine ma o kahi ʻōmole lahilahi loa i ka manawa like me ka ovulation. ʻO kēia ka mea e maʻalahi ai ka sperm e hiki i ka hua manu.
- ʻO ka hoʻoulu ʻana ma loko o ka vitro (IVF): Ua kapa pinepine ʻia kēia ʻo "in vitro fertilization." Ma kēia ʻano hana, lawe ʻia nā hua o ka wahine mai kona kino, hoʻoulu ʻia me ka sperm a ke kāne ma kahi keʻena hoʻokolohua, a laila hoʻokomo ʻia kekahi a ʻoi aku paha nā embryos olakino i loko o ka ʻōpū.
- ʻO ka hoʻokomo ʻana i ka sperm intracytoplasmic (ICSI):He hana kūikawā kēia i hana ʻia i ka wā o ke kaʻina hana IVF. I nā hihia kahi i emi loa ai ka neʻe ʻana o ka sperm a i ʻole he haʻahaʻa loa ka helu, koho ʻia hoʻokahi sperm olakino a hoʻokomo pololei ʻia i loko o ka hua manu.
ʻOiai paha he mea paʻakikī iki kēia mau lāʻau lapaʻau, mai hopohopo. E wehewehe pono kāu kauka iā ʻoe i nā mea āpau. Ua kōkua kēia mau ʻano hana i nā haneli haneli o nā kāne a puni ka honua e hoʻokō i ka hiki ke hānau keiki.
Āhea ʻoe e ʻike ai i ke kauka?
He nīnau koʻikoʻi loa kēia. ʻO ke noi ʻana i ke kōkua i ka manawa kūpono e hoʻonui i ka likelika o ka holomua.
- Inā ʻoe ma lalo o 35 mau makahiki: Inā ua hoʻāʻo mau ʻoe no hoʻokahi makahiki me ka ʻole o ka kaohi hānau a ʻaʻole ʻoe i hāpai, e ʻike i ke kauka.
- Inā ʻoe ma waena o 35 a me 39 mau makahiki: E ʻimi i ke kōkua lapaʻau ma hope o 6 mau mahina o ka hoʻāʻo ʻana.
- Inā he 40 ou mau makahiki a ʻoi paha: He mea nui e ʻimi koke i ke aʻo lapaʻau, ʻoiai inā ʻoe e hoʻāʻo nei no ka liʻiliʻi ma mua o 6 mau mahina, no ka mea, e emi koke ana ka momona me ka ʻelemakule.
- Inā ʻike ʻia kahi pilikia olakino iā ʻoe a i ʻole kāu hoa: no ka laʻana, ka menstruation kūpono ʻole, endometriosis, nā maʻi pelvic ma mua, e ʻike koke i ke kauka no ka ʻōlelo aʻo.
He huakaʻi paʻakikī loa ka hānau ʻole ʻana, ma ke kino a me ka noʻonoʻo. He mea nui loa ia e hana pū ʻoe a me kāu hoa ma kēia huakaʻi me ke kākoʻo a me ka hoʻomaopopo ʻana. Mai kānalua e ʻimi i ke aʻoaʻo noʻonoʻo inā pono.
Leka Lawe-Home
- ʻAʻole na ʻoe ka hewa o ka hānau ʻole ʻana. He maʻi ia e pili ana i nā wahine, nā kāne, a i ʻole nā mea ʻelua.
- ʻAʻole ʻoe hoʻokahi. He miliona mau kāne a wahine paha a puni ka honua e kū nei i kēia pilikia. No laila, mai hilahila a hūnā paha i ka pilikia.
- He mea nui loa ka ʻimi ʻana i ke aʻo lapaʻau i ka manawa kūpono. ʻO ka lōʻihi o kou hoʻopaneʻe ʻana, ʻo ka emi ʻana paha o ka holomua o ka lāʻau.
- I kēia lā, nui nā lāʻau lapaʻau kūpono loa no ka hānau ʻole (lāʻau lapaʻau, ʻoki kino, IUI, IVF).
- Hiki iā ʻoe ke hoʻomaikaʻi i kou momona ma ka hahai ʻana i kahi nohona olakino (ʻai maikaʻi, hoʻoikaika kino, a me ka pale ʻana i ka puhipaka a me ka waiʻona).
- He huakaʻi luhi noʻonoʻo kēia. E kākoʻo kekahi i kekahi, e kamaʻilio ākea e pili ana i kou mau manaʻo, a e ʻimi i ke aʻoaʻo loea inā pono.
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