Ua hoʻonāukiuki ʻia hoʻi ʻoe e kāu moeʻuhane o ka loaʻa ʻana o kahi pēpē? E kamaʻilio kākou e pili ana i ka hānau ʻole ʻana.

Ua moeʻuhane paha ʻoe a me kāu kāne i ka loaʻa ʻana o kahi pēpē no ka manawa lōʻihi. Akā i kekahi manawa, ʻoiai ke ʻano o kou hoʻāʻo ʻana, hiki ke lohi iki ka hoʻokō ʻana i kēlā moeʻuhane. He mea maʻamau ke kaumaha a me ka hopohopo i ka wā e hana ʻia ai kēlā. Akā, ʻaʻole ʻoe hoʻokahi. Kāhea mākou i kēia maʻi he "Infertility". I kēia lā, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī, me ka maʻalahi loa.

He aha ka Infertility? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo ka hānau ʻole ʻana ka hiki ʻole ke hāpai i kahi keiki ma muli o kahi kūlana i loko o kāu ʻōnaehana hānau. Hiki i kēia ke hoʻopilikia i kekahi, a he nui nā kumu no ia mea. ʻAʻole maʻalahi ka hāpai ʻana i kahi keiki e like me kou manaʻo. Pono ia i kekahi mau ʻanuʻu e hahai ai.

E noʻonoʻo i kēia ʻano:

• ʻO ka mea mua, pono kou lolo e hana i nā hormones hānau . Hoʻomalu kēia mau hormones i ka hana o nā ovaries.
• ʻO ka mea aʻe, pono e oʻo kahi hua manu i loko o kekahi o kāu mau ovaries .
• Pono e hoʻokuʻu ʻia kēlā hua moa makua mai ka ovary . Kāhea mākou i kēia he ovulation.
• A laila, pono ʻoe e kiʻi i kēia hua manu mai loko mai o kāu ʻōmole fallopian .
• I kēia manawa, pono ka sperm e hele ma o ka vagina a ma o ka uterus i loko o ka fallopian tube .
• Ma laila, pono e hui pū ka sperm me ka hua manu (fertilize) e hana i kahi embryo .
• I ka hopena, pono e hele kēia embryo i lalo o ka ʻōmole fallopian a hoʻokomo iā ia iho i loko o ka paia o ka ʻōpū .

Inā ʻaʻole holo pono kekahi mea ma kēia kaʻina hana, ʻaʻole e hāpai ka wahine.

Ma keʻano laulā, inā ʻoe ma lalo o 35 mau makahiki a ʻaʻole i hāpai ma hope o hoʻokahi makahiki (12 mau mahina) o ka moekolohe maʻamau, me ka pale ʻole ʻia , hiki i ke kauka ke manaʻo he hānau ʻole kāu. Inā he 35 ou mau makahiki a ʻoi aʻe paha a ua hoʻāʻo no ʻeono mahina me ka holomua ʻole, he manaʻo maikaʻi ke ʻimi i ka ʻōlelo aʻo lapaʻau.

He ʻano maʻamau ka hānau ʻole ma mua o kou manaʻo. Akā ʻo ka nūhou maikaʻi, aia nā lāʻau lapaʻau i loaʻa i kēia lā e hiki ke kōkua i nā poʻe he nui e manaʻolana nei e hoʻomaka a hoʻonui paha i ko lākou ʻohana.

He aha nā ʻano o ka hānau ʻole ʻana?

Hiki ke hoʻokaʻawale ʻia ka infertility i kekahi mau ʻano nui:

• ʻO ka hānau ʻole mua: Inā ʻaʻole ʻoe i hāpai i kahi keiki ma mua, a ua hoʻāʻo nei no hoʻokahi makahiki (6 mahina inā ʻoe ma luna o 35) a ʻaʻohe keiki, hāʻule ia i loko o kēia māhele.
• ʻO ka hānau ʻole lua: ʻO kēia ka wā i loaʻa ai iā ʻoe hoʻokahi keiki me ka holomua a laila hiki ʻole ke hāpai hou.
• ʻAʻole hiki ke hānau keiki: I kekahi manawa, me ka nānā ʻole i nā hoʻokolohua āpau e pono ai, ʻaʻole hiki ke loaʻa kahi kumu kūpono no ka hiki ʻole ke hāpai.

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Pehea ka maʻamau o ka hānau ʻole ʻana?

Hoʻopilikia kēia maʻi i nā kāne a me nā wahine. ʻOi aku ka maʻamau ma mua o kou manaʻo. No ka laʻana, ma ʻAmelika Hui Pū ʻIa, hoʻokahi o nā wahine ʻelima ma waena o 15 a me 49 mau makahiki e ʻeha ana i ka hānau keiki mua ʻole. A hoʻokahi o nā wahine he 20 e ʻeha ana i ka hānau keiki lua. Ma ka honua holoʻokoʻa, ma kahi o 48 miliona mau kāne e noho nei me ka hānau keiki ʻole. No laila hiki iā ʻoe ke ʻike, he pilikia kēia e hoʻopilikia nei i nā poʻe he nui.

He aha nā hōʻailona o ka hānau ʻole ʻana?

ʻO ka hōʻailona nui, ʻo ia ka hiki ʻole ke hāpai ma hope o ʻeono mahina a i ʻole hoʻokahi makahiki o ka moekolohe mau ʻole me ka pale ʻole . ʻAʻohe paha he mau hōʻailona ʻē aʻe. Eia nō naʻe, hiki i kekahi mau wahine a i ʻole nā ​​​​kāne ke ʻike i nā hōʻailona kino e like me:

• ʻEha pelvic a ʻeha paha o ka ʻōpū .
• Ke kahe koko ʻana o ka ʻōpū i ke ʻano kūpono ʻole, ka menstruation kūpono ʻole, a i ʻole ka nalowale piha ʻana o ka menstruation .
• Nā maʻi penile a i ʻole nā ​​​​pilikia me ka ejaculation i loko o nā kāne .

He aha nā kumu o ka hānau ʻole ʻana?

Nui nā kumu no ka hānau ʻole ʻana. I kekahi manawa, paʻakikī ke loaʻa kahi pane maʻalahi i ke kumu hiki ʻole iā ʻoe ke loaʻa kahi pēpē. ʻO ke kauka wale nō ke hoʻoholo i ke kumu pololei a hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu.

ʻOiai nā kumu, ua hōʻike nā haʻawina:

• ʻO 33% o nā kumu o ka hānau ʻole ʻana e hele mai ana mai nā wahine mai.
• ʻO 33% o nā kumu o ka hānau ʻole ʻana e hele mai ana mai nā kāne mai.
• ʻO ke koena 33% o nā hihia hānau ʻole ma muli o nā pilikia ma nā ʻaoʻao ʻelua a i ʻole nā ​​​​kumu i wehewehe ʻole ʻia.

I kekahi mau kāne a wahine paha, hiki ke hana ʻia ka hānau ʻole ʻana e nā kumu he nui.

Nā kumu pilikia maʻamau no ka hānau ʻole ʻana

Hoʻopilikia kekahi mau kumu i hoʻokahi wale nō kanaka, aʻo kekahi e hoʻopilikia i nā mea ʻelua. Eia kekahi mau mea pilikia maʻamau e hiki ke kōkua i ka hānau ʻole ʻana:

• Makahiki : ʻOi loa aku no nā wahine ma ko lākou mau makahiki he 30 a 40 paha. Hoʻomaka ka makahiki e hoʻopilikia i ka momona o nā kāne i ko lākou hoʻokokoke ʻana i 50.
• Nā maʻi ʻai : Nā kūlana e like me (Anorexia nervosa) a me (bulimia).
• Ka inu nui ʻana i ka waiʻona .
• Ka ʻike ʻia ʻana i nā mea ʻawahia o ke kaiapuni : Nā mea e like me nā kemika, ke kēpau, nā pesticides.
• Hoʻoikaika kino nui loa .
• Ke loaʻa nei i ka radiation therapy a i ʻole chemotherapy .
• Nā maʻi i laha ma ke moekolohe (STI) .
• Ka puhipaka a me ka hoʻohana ʻana i nā huahana paka : ʻO kēia ʻano maʻamau ke kumu o 13% a me 15% o ka hānau ʻole ʻana.
• Ka hoʻohana ʻana i nā lāʻau lapaʻau .
• Ka momona nui loa a i ʻole ka wīwī loa .
• Nā mea ʻē i nā kikowaena hana hormone o ka lolo (hypothalamus a i ʻole ka pituitary gland) .
• Nā maʻi mau loa .

Nā kumu o ka hānau ʻole ʻana i nā wahine

ʻO ke kumu nui o ka hānau ʻole ʻana o nā wahine, ʻo ia nā maʻi ovulation . ʻO ka ovulation ke kaʻina hana e hoʻokuʻu ʻia ai kahi hua manu mai kāu ovary e hoʻomomona ʻia e ka sperm.

Hiki i kēia mau mea ke kōkua i ka hānau ʻole ʻana o ka wahine:

• ʻO ka Endometriosis : ʻO ka ulu ʻana o nā ʻiʻo e uhi ana i loko o ka ʻōpū (endometrium) ma waho o ka ʻōpū.
• Nā ʻano ʻino o ke kūkulu ʻana o ka vagina, uterus, a i ʻole nā ​​​​tubes fallopian .
• Nā maʻi ʻōnaehana pale : Nā kūlana e like me ka (Maʻi Celiac) a i ʻole (Lupus).
• Maʻi puʻupaʻa .
• ʻO ka maʻi mumū Pelvic (PID)
• Nā maʻi o ka hypothalamus a me ka pituitary gland .
• ʻO ka maʻi ʻōpū Polycystic (PCOS) .
• ʻO ka lawa ʻole o ka ovarian mua a i ʻole ka maikaʻi ʻole o ka hua manu .
• ʻO ka anemia cell sickle .
• ʻO nā fibroids uterine a i ʻole nā ​​​​polyps uterine .
• Nā maʻi thyroid .
• Ka paʻa ʻana o nā ʻōpū fallopian ma muli o ke ʻoki kino ma mua (ʻoki kino hānau ʻole - (tubal ligation) a i ʻole (salpingectomy)) .
• Nā ʻano ʻē aʻe o ka genetic a i ʻole chromosomal .
• Nā pilikia hana moekolohe .
• ʻAʻohe ovaries ma muli o ke ʻoki ʻana a i ʻole ka hānau ʻana .
• Kakaʻikahi loa a ʻaʻohe menstruation .

Nā kumu o ka hānau ʻole ʻana o ke kāne

ʻO ke kumu maʻamau o ka hānau ʻole ʻana o ke kāne, ʻo ia nā pilikia me ke ʻano o ka sperm, ka neʻe ʻana, a i ʻole ka helu sperm haʻahaʻa .

ʻO nā kumu ʻē aʻe paha:

• Ka hoʻonui ʻia ʻana o nā aa koko e hoʻopuni ana i nā testicles (i loko o ka ʻeke e paʻa ana i nā testicles) (varicocele) .
• Nā maʻi hoʻoilina : e like me (Cystic fibrosis).
• Nā ʻano ʻē o ka chromosome : e like me ka (Klinefelter syndrome).
• ʻO ka hōʻike ʻana o nā testicles i ka wela nui ma muli o ke komo ʻana i nā lole paʻa, ka hoʻohana pinepine ʻana i nā ʻauʻau wela a me nā sauna, a me ka waiho ʻana i nā kamepiula lawe lima a i ʻole nā ​​​​pads hoʻomehana ma luna a kokoke paha i nā testicles .
• Nā ʻeha i nā testicles a i ʻole ka scrotum .
• Nā pae testosterone haʻahaʻa (hypogonadism) .
• Ka hoʻohana pono ʻole ʻana i nā steroid anabolic .
• Nā pilikia hana moekolohe : e like me ka erectile dysfunction, anejaculation, premature ejaculation, a i ʻole retrograde ejaculation.
• Nā testicles i iho ʻole i lalo .
• Ma hope o ka loaʻa mua ʻana o ka radiation a i ʻole chemotherapy no ka maʻi kanesa .
• Ka ʻole o nā testicles ma muli o ke ʻoki kino a i ʻole ka hānau ʻana .
• ʻO ke kaʻina hana ma mua e ālai ai i ke kaula spermatic (vasectomy) .

Pehea e ʻike ai i ka hānau ʻole ʻana i nā wahine?

ʻO ka mea mua, e nīnau aku kāu kauka iā ʻoe no ka mōʻaukala olakino piha a me nā kikoʻī e pili ana i kou ola moekolohe.

Aia ka momona o ka wahine i ka ovulation olakino. ʻO ia hoʻi, hoʻouna kou lolo i nā hōʻailona hormonal i ka ovary, kahi e hoʻokuʻu ai i kahi hua manu, hele i lalo o ka fallopian tube, a hiki i ka paia o ka uterus. Nānā nā hoʻokolohua momona i nā pilikia me kēia mau kaʻina hana.

Hiki i kēia mau hoʻāʻo ke kōkua i ka ʻike ʻana i nā pilikia a i ʻole e hōʻoia ʻaʻohe pilikia e like me ia:

• Hoʻokolokolo Pelvic : Hana ke kauka i kēia hoʻokolokolo e nānā i nā pilikia kūkulu a i ʻole nā ​​​​hōʻailona.
• Nā hoʻāʻo koko : Hiki ke nānā ʻia nā pae hormone e ʻike inā he kūlike ʻole ka hormonal a inā paha e hana pono ana ka ovulation.
• ʻO ka ultrasound Transvaginal : Hoʻokomo ke kauka i kahi hāmeʻa ultrasound i loko o ka vagina e nānā i nā pilikia me ka ʻōnaehana hānau.
• Hysteroscopy : Hoʻokomo ke kauka i kahi ʻōmole lahilahi a hoʻomālamalama ʻia (hysteroscope) i loko o ka vagina a nānā i ka uterus.
• ʻO ka saline sonohysterogram (SIS) : Hoʻopiha ke kauka i kou ʻōpū me ka saline (wai paʻakai sterilized) a hana i kahi hoʻokolokolo ultrasound ma o kou vagina.
• Sonohysterosalpingogram (HSG) : I ka wā o ka hoʻāʻo (SIS), hoʻopiha ke kauka i nā ʻōmole fallopian me ka saline a me nā pehu ea e nānā ai no nā mea e ālai ana.
• X-ray hysterosalpingogram (HSG) : Lawe ʻia kahi kiʻi X-ray o kahi kala i hoʻokomo ʻia ma o nā ʻōpū fallopian e nānā ai no nā mea ālai.
• Laparoscopy : Hana ke kauka i kahi ʻoki liʻiliʻi ma ka ʻōpū a hoʻokomo i kahi laparoscope (kahi ʻōmole lahilahi me kahi kāmela) ma o ia mea. Kōkua kēia i ka ʻike ʻana i nā pilikia e like me ka endometriosis, nā fibroids uterine, a me nā ʻiʻo ʻeha.

Pehea e ʻike ai i ka hānau ʻole ʻana o ke kāne?

ʻIke pinepine ʻia ka hānau ʻole ʻana o nā kāne ma ka nānā ʻana inā e puka mai ana ka sperm olakino. He nui nā hoʻokolohua hānau e ʻimi ana i nā pilikia me ka sperm.

Hiki i kēia mau hoʻāʻo ke kōkua:

• Ka nānā ʻana i ka sperm : Nānā kēia i ka helu sperm haʻahaʻa a me ka neʻe ʻana o ka sperm maikaʻi ʻole. Pono paha kekahi mau kāne e hana i kahi biopsy nila e lawe i ka sperm mai nā testicles no ka hoʻāʻo ʻana.
• Nā hoʻāʻo koko : Hiki i kēia ke nānā i nā pae thyroid a me nā hormone ʻē aʻe. Nānā nā hoʻāʻo koko genetic i nā ʻano chromosomal.
• ʻO ke kani ʻana o ka ʻōpū: Hiki i ka ultrasound o ka scrotum ke ʻike i nā varicoceles a i ʻole nā ​​​​pilikia testicular ʻē aʻe.

Pehea e mālama ʻia ai ka hānau ʻole ʻana?

ʻO ka mālama ʻana no ka hānau ʻole ʻana e hilinaʻi nui ʻia ma ke kumu a me kāu mau manaʻolana. ʻO kou mau makahiki, pehea ka lōʻihi o kou hoʻāʻo ʻana e loaʻa kahi pēpē, a me kāu mau makemake pilikino e pāʻani i kahi kuleana i ka hoʻoholo ʻana i ka lāʻau e hoʻohana ai. I kekahi manawa hoʻokahi wale nō hoa e pono ai ka lāʻau, a i kekahi manawa pono nā hoa ʻelua i ka lāʻau.

I nā hihia he nui, loaʻa i nā wahine a me nā kāne me ka hānau ʻole ka manawa kūpono e loaʻa ai kahi pēpē. Hiki iā lākou ke loaʻa ke kōkua me nā mea e like me ka lāʻau lapaʻau, ke ʻoki kino, a i ʻole ke kōkua ʻenehana hānau hou (ART). I nā hihia he nui, ʻo ka hoʻololi ʻana i ke ʻano o ka nohona a i ʻole ka hoʻoponopono ʻana i ka alapine a me ka manawa o ka moekolohe hiki ke hoʻonui i ka manawa kūpono e loaʻa ai kahi pēpē. I kekahi manawa, hoʻohana ʻia ma mua o hoʻokahi o kēia mau ʻano i ka hui pū ʻana.

Ka mālama ʻana i ka hānau ʻole ʻana no nā wahine

ʻO nā lāʻau lapaʻau no nā wahine:

• Nā loli o ke ʻano o ka nohona : ʻO ka lilo ʻana a i ʻole ka loaʻa ʻana o ke kaumaha, ka hoʻōki ʻana i ka puhipaka a i ʻole ka hoʻohana ʻana i ka lāʻau lapaʻau, a me ka kaohi ʻana i nā kūlana olakino ʻē aʻe e hoʻonui i kou manawa e loaʻa ai kahi pēpē.
• Nā lāʻau lapaʻau : Hoʻoulu nā lāʻau hoʻouluulu i nā ovaries e hoʻokuʻu i nā hua hou aʻe, kahi e hoʻonui ai i ka manawa e loaʻa ai kahi pēpē.
• ʻO ke ʻoki kino : Hiki ke hana ʻia ke ʻoki kino e wehe i nā ʻōpū fallopian i ālai ʻia, wehe i nā polyp, fibroids, a i ʻole nā ​​​​ʻiʻo scar.

Hiki i nā kauka ke hāʻawi i nā ala e hoʻonui ai i kou manawa e hāpai ai i kahi keiki. Eia kekahi laʻana:

• Hiki iā ʻoe ke loaʻa kahi manaʻo o ka wā e ovulate ai ʻoe ma ke ana ʻana i kou mahana kino basal, me ka hoʻohana ʻana i kahi polokalamu nānā momona, a me ke hoʻopaʻa ʻana i kāu mucus cervical.
• ʻO ka hoʻohana ʻana i kahi pahu hana ovulation home, i loaʻa ma kahi hale kūʻai lāʻau lapaʻau a i ʻole ma ka pūnaewele, hiki ke kōkua i ka wānana i ka wā e hiki mai ai ka ovulation.

Ka mālama ʻana i ka hānau ʻole ʻana no nā kāne

ʻO nā lāʻau lapaʻau no nā kāne:

• Nā lāʻau lapaʻau : Hiki ke hāʻawi ʻia nā lāʻau lapaʻau e hoʻonui i ka testosterone a i ʻole nā ​​​​pae hormone ʻē aʻe. Aia kekahi mau lāʻau lapaʻau no ka erectile dysfunction e kōkua i ka mālama ʻana i ka penis i ke kū pololei i ka wā moe.
• ʻOki kino : Pono kekahi mau kāne i ke ʻoki kino e wehe i nā mea e ālai ana i nā ʻōmole e lawe ana i ka sperm a i ʻole e hoʻoponopono i nā pilikia kūkulu. Hiki i ke ʻoki kino no ka varicocele ke hoʻomaikaʻi i ke olakino o ka sperm a hoʻonui i nā manawa kūpono e hāpai ai i kahi keiki.

He aha nā lāʻau lapaʻau hānau keiki i hoʻohana pinepine ʻia?

Pono kekahi mau kāne a wahine i ke kōkua hou aku e loaʻa kahi pēpē ma o ke ʻenehana kōkua hānau (ART). ʻO ka ART kekahi lāʻau lapaʻau hānau keiki kahi e hoʻopunipuni ai ke kauka i ka sperm a i ʻole nā ​​​​hua manu. No ka hoʻonui ʻana i kou manawa e loaʻa ai kahi pēpē, hiki iā ʻoe ke lawe i ka lāʻau lapaʻau e hoʻoulu ai i ka ovulation ma mua o ka hoʻāʻo ʻana i kekahi o kēia mau ʻano.

• ʻO ka hoʻoulu ʻana i loko o ka vitro (IVF) : Pili kēia i ka lawe ʻana i nā hua mai kāu mau ovaries a hoʻohui iā lākou me ka sperm i loko o kahi keʻena hoʻokolohua. A laila hoʻoulu ka sperm i nā hua. A laila hoʻoili ke kauka i hoʻokahi a ʻekolu paha o kēia mau hua i hoʻoulu ʻia (embryos) i loko o kou uterus.
• ʻO ka inikini sperm intracytoplasmic (ICSI) : Hiki ke hana ʻia kēia kaʻina hana i ka wā o ka IVF. Hoʻokomo kahi embryologist i hoʻokahi sperm pololei i loko o kahi hua manu. A laila hoʻoili ʻia hoʻokahi a ʻekolu mau embryos i loko o ka ʻōpū.
• ʻO ka hoʻokomo ʻana i loko o ka ʻōpū (IUI): Hoʻohana ke kauka i kahi ʻōmole lōʻihi a lahilahi e hoʻokomo pololei i ka sperm i loko o kou ʻōpū. I kekahi manawa ua kapa ʻia ʻo IUI he insemination artificial.
• Kōkua ʻia ka hoʻopuʻu ʻana : He kaʻina hana e wehe ai i ka papa waho o kahi embryo, e maʻalahi ai ke hoʻokomo ʻia i loko o ka paia o ka ʻōpū.
• ART ʻaoʻao ʻekolu : Hoʻohana kekahi mau kāne a wahine i nā hua manu hāʻawi, ka sperm hāʻawi, a i ʻole nā ​​embryos hāʻawi. Pono kekahi mau kāne a wahine i kahi mea lawe hāpai a i ʻole kahi pani e hāpai i ke pēpē.

He aha nā pilikia e hiki ke loaʻa mai ka lāʻau lapaʻau?

Hiki i nā lāʻau lapaʻau no ka hānau ʻole ke hana i nā pilikia e like me:

• ʻO ka hoʻonui ʻia o ka pilikia o ka hānau ʻana he nui (māhoe, ʻekolu, a ʻoi aku paha) : ʻO ka hana ʻana o nā hua he nui a me ka hoʻoili ʻana o nā embryo he nui ma mua o hoʻokahi e hoʻonui i ka pilikia o ka hāpai ʻana he nui. ʻO nā pilikia e like me ka hāʻule ʻana o ka manawa, ka hānau mua ʻana, ke kaumaha hānau haʻahaʻa, ka make ʻana o ka pēpē hānau hou, a me nā pilikia olakino lōʻihi he mea maʻamau i waena o nā wahine e hāpai ana i nā keiki he nui.
• ʻO ka maʻi hyperstimulation ovarian (OHSS) : He kūlana kahi e pehu nui ai nā ovaries ma muli o nā lāʻau hoʻoulu. Hiki i kēia ke lilo i mea koʻikoʻi a pono e mālama koke ʻia e ke kauka.
• Hāpai Ectopic: Aia ka pilikia kiʻekiʻe o ka hāpai ectopic i ka wā o ka mālama ʻana i ka IVF.
• Nā pōʻaiapuni i hāʻule : ʻO ka hiki ʻole ke hāpai ma hope o ka hoʻopau ʻana i kahi pōʻaiapuni o ka lāʻau lapaʻau.

Hiki ke ho'ōla ʻia ka hānau ʻole ʻana?

ʻAe, akā pili ia i ke kumu. Ma waena o 85% a me 90% o nā hihia , hiki i ka wahine ke hāpai i kahi keiki ma ka mālama ʻana i ka hānau ʻole me nā loli o ke ʻano o ka nohona, nā lāʻau lapaʻau, ART, a i ʻole ke ʻoki kino.

E hoʻomanaʻo: ʻAʻole ka hopena o ka honua ka hānau ʻole. Me ka ʻepekema lapaʻau holomua o kēia wā, ua hiki i ka poʻe he nui ke loaʻa nā hopena i kēia pilikia.

He aha kaʻu e hana ai e pale aku i ka hānau ʻole ʻana?

No ka pale ʻana i kou momona, ʻoiai i ka wā e hoʻāʻo ai e hāpai, hiki iā ʻoe ke hana i kēia mau hana:

• E ʻai i ka meaʻai kaulike a mālama i ke kaumaha olakino e kūpono iā ʻoe.
• Mai puhi paka, mai hoʻohana pono i nā lāʻau lapaʻau, a mai inu i ka waiʻona .
• E kiʻi i ka lāʻau lapaʻau no nā maʻi i laha ma ke moekolohe (STI) .
• E kaupalena i ka pili ʻana i nā mea ʻawahia o ke kaiapuni .
• E hoʻomau i ka hana kino, akā, mai hana nui .
• Mai hoʻopanee i ka loaʻa ʻana o nā keiki a hiki i kou wā ʻelemakule .
• E noʻonoʻo i nā kaʻina hana mālama i ka hānau keiki (ka hoʻopaʻa ʻana i ka hua manu a i ʻole ka sperm) .

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka hānau ʻole?

Ma kahi o 9 o 10 mau kāne a me nā wahine e hana ana i ka mālama ʻana i ka hānau keiki e loaʻa nā keiki. ʻOkoʻa ka helu kūleʻa ma muli o ke kumu o ka hānau ʻole ʻana, ka makahiki o ka kāne a me ka wahine, a me nā kumu ʻē aʻe.

Hiki i ka hānau ʻole ke hoʻokaumaha i ka noʻonoʻo, ke kino, ke kālā, a me ka noʻonoʻo. E hoʻomanaʻo e mālama iā ʻoe iho a me kāu hoa ma o kēia kaʻina hana, a e hoʻomanawanui . ʻAʻole maʻalahi ka hānau ʻole. No laila e hoʻopuni iā ​​ʻoe iho me nā poʻe e kākoʻo iā ʻoe, a i ʻole e hui pū me kahi hui kākoʻo pūnaewele. I kekahi manawa, hiki ke kōkua nui ka kaʻana like ʻana i kou mau manaʻo me kahi mea e hoʻomaopopo ana i kāu mea e hele nei.

Loaʻa kahi ʻinikua no ka mālama ʻana i ka hānau ʻole ʻana?

ʻOkoʻa nā kulekele ʻinikua olakino, no laila pono ʻoe e nānā mau me kāu ʻoihana ʻinikua. Hiki ke ʻokoʻa kēia ma Sri Lanka. Eia nō naʻe, no ka laʻana, ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa, nui nā ʻoihana ʻinikua e hāʻawi i ka uhi no nā kaʻina hana e pono ai ke olakino e like me ke ʻoki ʻana e mālama i ka endometriosis a me nā fibroids uterine. Hiki i kekahi mau kulekele ke uhi i nā kaʻina hana hānau e like me ka "IUI", akā ʻaʻole paha e uhi i ka "In vitro fertilization" a i ʻole "IVF".

Ma kekahi mau moku'āina ma ʻAmelika Hui Pū ʻIa, aia nā kānāwai e koi ana i nā mea hana e hāʻawi i ka uhi ʻana i ka hānau ʻole ma ke ʻano he ʻāpana o nā kulekele ʻinikua olakino o kā lākou limahana. I Iune 2022, ua ʻōlelo ka National Infertility Association (Resolve):

• Ua hoʻoholo nā mokuʻāina he iwakālua i nā kānāwai uhi ʻinikua no ka hānau keiki; 14 o kēlā mau kānāwai e komo pū ana me ka uhi IVF; a he 12 mau mokuʻāina he mau kānāwai mālama hānau no ka hānau keiki ʻole i hoʻoulu ʻia e ka lāʻau lapaʻau (iatrogenic infertility).

ʻOiai ʻaʻole paha e pili kēia ʻike iā Sri Lanka, he mea nui e hoʻomaopopo he loaʻa kēlā mau pono ma kekahi mau wahi o ka honua. E hōʻoia e nānā inā uhi kāu kulekele ʻinikua i kēia mau mea.

I ka manawa hea ʻoe e ʻimi ai i ke kōkua no ka hānau ʻole?

Pono nā wāhine ma lalo o 35 mau makahiki i hoʻāʻo no hoʻokahi makahiki a ʻaʻole i hāpai keiki e ʻike i ke kauka. Inā ʻoe ma waena o 35 a me 39 mau makahiki, pono ʻoe e ʻimi i ke kōkua i ka hikiwawe loa ma hope o ʻeono mahina o ka hoʻāʻo ʻana. Inā he 40 a ʻoi paha kou mau makahiki, pono ʻoe e ʻimi i ke kōkua lapaʻau ma hope o ʻeono mahina o ka hoʻāʻo ʻana. E emi ana kou manawa e hāpai ai me ka makahiki . No ka laʻana, he 25% a 30% ka manawa e hāpai ai ka wahine he 25 makahiki i kēlā me kēia pōʻaiapuni menstrual. I ka wā e 40 ai ʻoe, e emi ana kēlā manawa i lalo o 5% i kēlā me kēia pōʻaiapuni.

Me ka nānā ʻole i ke kāne, inā he kumu pilikia a maʻi paha kou e hiki ke hoʻopilikia i kou hānau keiki ʻana, pono ʻoe e ʻimi koke i ke kōkua. Inā ʻike ʻoe a kānalua paha he hemahema ovarian mua kou, endometriosis koʻikoʻi, a maʻi uterine/fallopian tube paha, e hana koke i nā hoʻokolohua lapaʻau.

Hiki i nā kauka ʻohana a me nā kauka wahine ke ʻōlelo aku e ʻike i kahi loea hānau, urologist, a endocrinologist reproductive e ʻike a mālama i ka infertility.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Hiki iā ʻoe ke nīnau i ke kauka i nā nīnau penei:

• Pono anei au e ʻike i kahi loea hānau keiki?
• Pono anei au e hoʻāʻo ʻia e ʻike inā he mau pilikia hānau keiki koʻu a me kaʻu hoa?
• Ma muli o ko mākou mau makahiki, pehea ka wikiwiki e pono ai mākou e hana i nā hoʻokolohua hānau keiki?
• He aha ka lāʻau lapaʻau maikaʻi loa no mākou?
• He aha ka holomua o nā lāʻau lapaʻau?
• He aha nā hopena ʻaoʻao a i ʻole nā ​​​​pōʻino o nā lāʻau lapaʻau?
• Pono anei au e makaʻala i nā hōʻailona o nā pilikia?

He mau nīnau liʻiliʻi hou aʻe...

Hiki iā Chlamydia ke hoʻoulu i ka hānau ʻole?

He maʻi maʻamau ka Chlamydia i laha ma ke moekolohe. Inā ʻaʻole mālama ʻia, hiki i ka chlamydia ke hoʻoulu i ka maʻi mumū pelvic (PID). He maʻi ka PID e hiki ke hōʻino mau i kāu mau fallopian tubes, uterus, a i ʻole ovaries. No laila, ʻae, he mea pilikia ka chlamydia no ka hānau ʻole.

Hiki i nā ʻano kaohi hānau ke hoʻoulu i ka hānau ʻole?

ʻAʻole. Ua hōʻike ʻia nā noiʻi ʻaʻole e hōʻeha ka hoʻohana ʻana i ka kaohi hānau i kou hānau keiki i ka wā e hiki mai ana.

He kumu anei ka Endometriosis no ka hānau ʻole ʻana?

ʻAe, he kumu pilikia ka endometriosis no ka hānau ʻole ʻana. Ma waena o 30% a me 50% o nā wahine me ka endometriosis e ʻike i ka hānau ʻole ʻana.

ʻO ka mea hope loa, e noʻonoʻo i kēia (Leka Lawe-Home)

He mea paʻakikī ka ʻike o ka hānau ʻole ʻana. Hiki iā ia ke lilo i mea kaumaha nui no kekahi mea e moeʻuhane ana e hoʻomaka a hoʻonui paha i kahi ʻohana. Hiki iā ia ke hoʻopilikia i kāu mau pilina a me ke olakino noʻonoʻo. Eia kekahi, hiki i nā lāʻau lapaʻau hānau ʻole ke pipiʻi a hoʻokaumaha i ke kālā.

Inā pilikia mau ʻoe i ka hāpai ʻana me kāu mau hana a pau, hiki paha i ka manawa e ʻike ai i ke kauka. Hiki iā lākou ke hoʻoholo inā he kumu ma lalo a kamaʻilio pū me ʻoe e pili ana i nā koho lapaʻau e kūpono paha iā ʻoe.

ʻO ka mea nui loa, ʻaʻole e haʻalele i ka manaʻolana. Loaʻa i ka hapa nui o nā kāne a me nā wahine nā keiki i ka hopena. Huli kekahi i nā ʻenehana kōkua hānau keiki, hānai kekahi i nā keiki. E loaʻa nō hoʻi iā ʻoe ke ala e kūpono iā ʻoe.

Ke makemake nei mākou iā ʻoe i ka ikaika a me ke koa ma kēia huakaʻi!

ʻO ka hānau ʻole, ka momona, ka hāpai ʻana, ke olakino hānau hou, IVF, IUI, ke olakino wahine