Ke manaʻolana nei ʻoe i kahi pēpē, akā ke kaumaha nei no ka mea ʻaʻole i hoʻokō ʻia kēlā moeʻuhane? Malia paha ua hālāwai ʻoe me kāu hoa me ke kauka e pili ana i kēia a ua kamaʻilio e pili ana i nā ʻano lāʻau like ʻole. ʻOiai e kamaʻilio ana pēlā, ua lohe paha ʻoe i ka huaʻōlelo IUI. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia lāʻau IUI, kahi mea paʻakikī iki paha i nā mea he nui, ma ke ʻano maʻalahi loa , ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka IUI?
ʻO ke ʻano piha o IUI ʻo ia ka Intrauterine Insemination . Ma ka ʻōlelo Sinhala, ʻo ia hoʻi ke hoʻokomo ʻana i ka sperm i loko o ka uterus . He hana kēia no ka hānau keiki ʻana i loko o ka māhele o Artificial Insemination.
E noʻonoʻo, i ka wā e hāpai ʻia ai ke keiki ma ke ʻano maʻamau, he huakaʻi lōʻihi loa ka sperm o ke kāne. Pono ia e komo i loko o ka vagina, hele ma waena o ka cervix, hele ma waena o ka uterus a hiki i nā Fallopian tubes. He paʻakikī loa kēia huakaʻi a he kakaikahi wale nō ka sperm, ma kahi o 5%, e komo ana i loko o ka vagina e hiki i ka uterus. Ma laila, hui pū lākou me ka hua manu i hoʻokuʻu ʻia mai ka ovary o ka wahine a hoʻohua ʻia.
ʻO ka mea e hana ʻia ana ma ke ʻano IUI, ua maʻalahi kēia huakaʻi lōʻihi no ka sperm. I ka pololei, ua like ia me ka hāʻawi ʻana i ka sperm i kahi 'pōkole'.
Ma kēia ʻano hana, holoi ʻia kahi hāpana sperm mai ke kāne i loko o kahi keʻena hoʻokolohua me ka hoʻohana ʻana i kahi ʻano hana kūikawā ("sperm washing") e koho wale i ka sperm olakino loa, ʻauʻau maikaʻi loa, a me ke ʻano kiʻekiʻe loa. A laila, hoʻokomo pololei ʻia kēia mau sperm i koho ʻia i loko o kou ʻōpū me ka hoʻohana ʻana i kahi ʻōmole lahilahi i kapa ʻia he catheter. Hoʻemi kēia i ka mamao a me ka manawa e pono ai no ka sperm e hele ai, e hoʻonui ana i nā manawa kūpono o ka hālāwai ʻana a me ka hoʻomoe ʻana i kahi hua manu, ʻo ia hoʻi he kiʻekiʻe kou manawa e hāpai ai.
No wai ka lāʻau IUI kūpono loa?
ʻO ka IUI ka lāʻau lapaʻau mua a nā kauka e hoʻāʻo ai ma mua o ka hoʻohana ʻana i nā lāʻau lapaʻau pipiʻi a paʻakikī hoʻi e like me IVF. Hiki ke hana ʻia kēia me ka hoʻohana ʻana i ka sperm a kāu hoa a i ʻole ka sperm mea hāʻawi. Aia kekahi mau kumu e noʻonoʻo ai ʻoe i ka IUI.
| Ke kumu no ka ʻimi ʻana i ka lāʻau lapaʻau | He wehewehe maʻalahi |
|---|---|
| Nā pilikia cervical | Inā mānoanoa loa ka mucus cervical, hiki ke paʻakikī i ka sperm ke ʻauʻau ma loko. Pale aku ka IUI i kēia pilikia no ka mea ua kau pololei ʻia ka sperm i loko o ka uterus. |
| He haʻahaʻa ka helu sperm | He hopena maikaʻi kēia no nā pilikia e like me ka helu sperm haʻahaʻa, ka neʻe maikaʻi ʻole (ʻauʻau ʻana), a me nā pilikia o ke ʻano o ka hoa, no ka mea, ʻo ka sperm maikaʻi loa wale nō ke koho ʻia i ka wā IUI. |
| Ke hoʻohana nei i ka Sperm Donor | Inā ʻaʻole hana ka hoa i ka sperm a i ʻole haʻahaʻa loa ko lākou maikaʻi, hiki ke hoʻohana ʻia ka sperm a ka mea hāʻawi. Hiki ke hoʻohana ʻia kēia ʻano hana e nā wahine hoʻokahi a i ʻole nā kāne wahine like. |
| Nā pilikia me ka ejaculation a i ʻole ke kūkulu ʻana | Hiki ke hoʻohana ʻia ka IUI inā pilikia ka hoa i ka ejaculation a i ʻole ka mālama ʻana i kahi kūkulu ʻana i ka wā moe. |
| ʻAleʻaleʻa Semen | He mea kākaʻikahi loa kēia. Hiki i kekahi mau wahine ke maʻi i nā protein i loko o ka sperm o kā lākou hoa. Hoʻoneʻe ʻia kēia mau protein i ka wā o ka IUI no ka mea ua hoʻomaʻemaʻe ʻia ka sperm. |
| Ka Hānau ʻOle i Wehewehe ʻole ʻia | I kekahi manawa, me nā hoʻokolohua āpau, ʻaʻole hiki ke loaʻa kahi kumu kikoʻī no ka lohi o ka hāpai ʻana i kahi keiki. I ia mau hihia, hoʻāʻo ʻia hoʻi ka IUI. |
Pehea e hana ʻia ai ke kaʻina hana IUI?
ʻO ke kaʻina hana IUI mai ka hoʻomaka a hiki i ka hopena e lawe ma kahi o 4 mau pule, ʻo ia hoʻi ka lōʻihi like me kāu pōʻaiapuni menstrual mahina maʻamau. Aia kekahi mau ʻanuʻu koʻikoʻi e pili ana.
KaʻAnuʻu Hana 1: Hoʻomākaukau a me ka Manawa Ovulation
He mea nui loa no ka holomua o kēia lāʻau lapaʻau e hopu i ka manawa kūpono o ka ovulation . ʻO ia hoʻi, ka manawa e hoʻokuʻu ʻia ai ka hua manu mai ka ovary. Aia kekahi mau ala e loaʻa ai kēia:
- Pahu wānana ovulation: Hiki ke hoʻohana ʻia kēia mau pahu, hiki ke hoʻohana ʻia ma ka home, e hoʻoholo i ka manawa kokoke o ka ovulation ma ke ana ʻana i ka pae o ka Luteinizing Hormone (LH) i loko o ka mimi.
- Nā hoʻāʻo koko a me nā scan: Hiki i kāu kauka ke hana i nā hoʻāʻo koko e nānā i nā pae hormone LH a me kahi ultrasound transvaginal e nānā i ka ovulation.
- Nā lāʻau lapaʻau a me nā inikini: I kekahi manawa, hāʻawi paha kāu kauka iā ʻoe i ka lāʻau lapaʻau waha (no kahi o 5 mau lā) a i ʻole nā inikini (a hiki i 2 mau pule) e kōkua iā ʻoe e hoʻokuʻu i nā hua manu he nui. I kekahi manawa, hāʻawi ʻia kahi inikini i kapa ʻia ʻo hCG (human Chorionic Gonadotropin) e kōkua iā ʻoe e ovulate i ka manawa kūpono.
KaʻAnuʻu Hana 2: Ke hoʻomākaukau ʻana i ka hāpana sperm
I ka lā o IUI, hōʻiliʻili ʻia kahi hāpana sperm hou mai kāu hoa. I kekahi manawa, hiki ke hoʻohana ʻia kahi hāpana i hōʻiliʻili mua ʻia a hoʻopaʻahau ʻia. A laila hoʻokomo ʻia kēia hāpana i kahi kaʻina hana i kapa ʻia ʻo "sperm washing" e hoʻokaʻawale i ka sperm maikaʻi loa.
KaʻAnuʻu Hana 3: Hoʻokomo ʻana
He mea maʻalahi loa ia a he mau minuke wale nō. ʻOiai ʻoe e moe ana ma ka papa hoʻokolokolo, hoʻokomo ke kauka i kahi speculum i loko o kou vagina, e like me ka Pap smear. A laila, hoʻokomo ʻia kahi ʻōmole lahilahi (catheter) ma o kou cervix a i loko o kou uterus, kahi e hoʻokomo ʻia ai kahi hāpana sperm i hoʻomākaukau mua ʻia i loko o ka uterus.
Ma hope o kēia, e noi ʻia ʻoe e moe i lalo no kahi o 15-30 mau minuke. Ma hope o kēlā, hiki iā ʻoe ke hoʻi i ka home e like me ka maʻamau. Hiki iā ʻoe ke hoʻāʻo e ʻike inā ua hāpai ʻoe i ʻelua pule ma hope o kēia lāʻau lapaʻau.
He aha ka ʻokoʻa ma waena o ka IUI a me ka IVF?
ʻO kahi mea a ka poʻe he nui e huikau ai, ʻo ia nā lāʻau lapaʻau ʻelua i kapa ʻia ʻo IUI a me IVF. He ʻelua lāʻau lapaʻau ʻokoʻa loa kēia.
| Kumu | IUI (Hoʻokomo ʻia ʻana i loko o ka ʻōpū) | IVF (Hoʻoulu ʻana i loko o Vitro) |
|---|---|---|
| Kahi o ka hoʻoulu ʻana | I loko o ke kino(I loko o ka ʻōpū fallopian) | Ma waho o ke kino (i loko o kahi keʻena hoʻokolohua) |
| Paʻakikī | Emi iki, maʻalahi | Nui loa, paʻakikī loa |
| Kumukūʻai | Haʻahaʻa iki | Kiʻekiʻe loa |
| Ka helu holomua (no kēlā me kēia pōʻaiapuni) | Haʻahaʻa iki | Kiʻekiʻe iki |
He aha nā pilikia a me nā hopena ʻaoʻao o ka IUI?
He haʻahaʻa loa ka pilikia o ka IUI i ka hoʻohālikelike ʻia me nā lāʻau lapaʻau e like me IVF, akā aia kekahi mau pilikia liʻiliʻi.
- Loaʻa nā māhoe a ʻoi aku paha nā keiki: Inā ʻoe e lawe i nā lāʻau lapaʻau hānau, hiki ke hoʻokuʻu ʻia ma mua o hoʻokahi hua manu, e hoʻonui ana i ka manawa e loaʻa ai nā māhoe a i ʻole nā māhele ʻekolu.
- Maʻi: Kākaʻikahi loa.
- Ke kahe koko iki: Hiki iā ʻoe ke loaʻa i kekahi kahe koko ʻana no hoʻokahi a ʻelua paha lā ma hope o ka mālama ʻana.
- ʻO ka Ovarian Hyperstimulation Syndrome (OHSS): He mea kākaʻikahi loa kēia. Hana ʻia ia i ka wā e pane nui ai nā ovaries i nā lāʻau lapaʻau i hāʻawi ʻia e hoʻoulu i ka ovulation, e hoʻoulu ai iā lākou e pehu a lilo i ʻeha.
Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha nui o ka ʻōpū, ka nausea a me ka luaʻi ʻana, ka paʻakikī o ka hanu ʻana, ka piʻi koke ʻana o ke kaumaha, a i ʻole ka poniuniu ma hope o ka mālama ʻana, e kāhea koke aku i kāu kauka. He mau hōʻailona paha kēia o OHSS.
Pehea ka holomua o kēia?
ʻO ka holomua o ka mālama ʻana i ka IUI e pili ana i kekahi mau kumu, ʻo ka mea nui loa ʻo ia ka makahiki o ka wahine a me ke kumu o kona hānau ʻole ʻana .
ʻO ka maʻamau, ke hana ʻia ka IUI me ka lāʻau lapaʻau, ʻo ka manawa kūpono e hāpai ai i hoʻokahi pōʻaiapuni lapaʻau he 20%.ʻO kēia ka helu holomua like me ka hāpai ʻana maʻamau. ʻO ia hoʻi, ke hoʻihoʻi nei ʻo IUI i kou mau manawa kūpono i ka maʻamau.
Hoʻololi kēia holomua me ka makahiki:
- Makahiki 20-30: Ma kahi o 17.6%
- Makahiki 31-35: Ma kahi o 13.3%
- Makahiki 39-40: Ma kahi o 10.6%
- Ma luna o 40 mau makahiki: ma kahi o 5.4%
ʻO ka maʻamau, ʻōlelo nā kauka e hoʻāʻo ma kahi o 3 mau pōʻaiapuni IUI ma mua o ka hele ʻana no ka IVF. Eia nō naʻe, inā ʻoi aku ʻoe ma mua o 40, a i ʻole he mau maʻi e like me nā fallopian tubes i hōʻino ʻia a i ʻole endometriosis, e ʻōlelo paha kāu kauka e hele pololei i ka IVF.
Leka Lawe-Home
- He lāʻau maʻalahi, haʻahaʻa ke kumukūʻai, a haʻahaʻa hoʻi ka pilikia o ka IUI e hiki i nā poʻe he nui e pilikia nei i ka hāpai keiki ke hoʻāʻo ma ke ʻano he hana mua.
- ʻO ka holomua o kēia e pili ana i kou mau makahiki a me ke kumu o ka hānau ʻole ʻana.
- He mea nui ka loaʻa ʻana o ka manawa kūpono e ovulate ai no ka holomua o ka lāʻau.
- He hana ʻokoʻa a maʻalahi hoʻi ka IUI ma mua o ka IVF.
- Hiki i kēia huakaʻi ke lilo i mea paʻakikī iki i ka naʻau. No laila e ʻoluʻolu e kūkākūkā i kāu mau nīnau, makaʻu, a me nā hopohopo me kāu kauka. E kōkua ʻo ia iā ʻoe e koho i ka lāʻau lapaʻau kūpono loa iā ʻoe.
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