Ke pilikia nei hoʻi ʻoe i ka hāpai ʻana i kahi pēpē? E kamaʻilio kākou e pili ana i ka male infertility!

Inā ʻoe a me kāu hoa e kali ana i kahi pēpē, akā ʻaʻole i hoʻokō ʻia kēlā moeʻuhane, he mea maʻamau ke kaumaha nui a me ke kaumaha. I nā manawa e like me kēia, manaʻo ka poʻe he nui aia ka pilikia ma nā lima o ka wahine. Akā ʻo ka ʻoiaʻiʻo, ʻo ka momona o ka hoa kāne he mea nui like ia i ka wā e hāpai ai i kahi keiki. I kēia lā e kamaʻilio mākou e pili ana i kēia kūlana i kapa ʻia ʻo "Male Infertility".

Ua ʻike anei ʻoe i ke ʻano o ka hānau ʻole ʻana o ke kāne?

I ka ʻōlelo maʻalahi, ʻo ka Male Infertility ka emi ʻana a i ʻole ka nalowale ʻana o ka hiki i ke kāne ke hāpai ma muli o kahi pilikia me kāna ʻōnaehana hānau. Inā ua moe kolohe mau ʻoe no hoʻokahi makahiki me ka hoʻohana ʻole ʻana i kekahi ʻano hoʻolālā ʻohana, a ʻaʻole hāpai kāu hoa, pono paha ʻoe e noʻonoʻo i kēia kūlana.

He mea kēia e hiki ke hoʻopilikia ʻaʻole wale i ke kaikamahine, akā i ke kāne pū kekahi. I nā manawa he nui, kānalua kekahi poʻe e kamaʻilio e pili ana i ia mea. Akā, he maʻi kēia, ʻaʻole ia he mea e hilahila ai.

Pehea ka maʻamau o kēia kūlana? No ke aha i paʻakikī ai ka hānai ʻana i kahi keiki i kekahi manawa?

Ma kahi o 186 miliona mau kānaka ma ka honua holoʻokoʻa e ʻeha nei i ka hānau ʻole ʻana. A ua ʻike ʻia ma kahi o ka hapalua o kēia mau hihia ke kumu ʻia e nā kumu kāne . Hōʻike kekahi mau noiʻi e pili ana ka hānau ʻole ʻana o ke kāne ma waena o 10% a me 15% o nā kāne e hoʻāʻo nei e hāpai.

ʻAʻole maʻalahi ka hāpai ʻana i kahi keiki. He ʻano hānau ʻole nā ​​kānaka. ʻOiai he kāne olakino ʻōpio me ka moekolohe me ke keakea ʻole ʻia, he 20-25% ka manawa e hāpai ai i kēlā me kēia mahina.

E noʻonoʻo wale, ehia mau mea e pono ai ke kūpono no ke keiki e ulu aʻe:

• Pono ke kino kāne e hana i ka sperm olakino , a pono hoʻi ke kino wahine e hana i kahi hua manu olakino .
• Pono e wehe ʻia nā ʻōmole fallopian o ka wahine a wehe ʻia i hiki ai i ka sperm ke hiki i ka hua manu.
• Ke hui ka sperm me ka hua manu, pono iā ia ke "hoʻoulu" iā ia .
• Pono ka hua manu i hoʻopulu ʻia, a i ʻole embryo, i hana ʻia ma kēia ʻano e hoʻokomo pono i loko o ka ʻōpū.

I mea e holo pono ai ka hāpai ʻana (39-40 mau pule a me 6 mau lā), pono ke olakino o ka ʻōpū. Eia kekahi, pono e lawa ka nohona hormonal i loko o ke kino o ka wahine no ka ulu ʻana o ka ʻōpū. Inā pilikia kekahi o kēia mau mea, hiki ke hānau ʻole.

Pehea ʻoe e ʻike ai inā he pilikia me ka sperm? He aha ka hopena noʻonoʻo?

ʻO ka hōʻailona nui o ka hānau ʻole ʻana o ke kāne, ʻo ia ka hiki ʻole ke hānau keiki ma ke ʻano kūlohelohe . Eia nō naʻe, hiki i kēia ke loaʻa nā hopena noʻonoʻo a me ka naʻau. Eia kekahi laʻana:

• Kaumaha.
• Ke manaʻo o ka nalowale ʻana o kekahi mea `(Pohō)`.
• Kaumaha.
• He manaʻo o ke kūpono ʻole.
• Ka manaʻo o ka hāʻule ʻana.

Inā ʻoe a i ʻole kāu hoa e ʻike nei i kēia mau manaʻo, he manaʻo maikaʻi e kamaʻilio me ke kākāʻōlelo loea a i ʻole ke kauka noʻonoʻo.

I kekahi manawa, pili paha ka hānau ʻole ʻana o ke kāne i ka emi ʻana o ka hana ʻana o ka hormone testosterone e nā testicles. I kēia hihia, hiki ke loaʻa nā hōʻailona e like me ka luhi, ka hana pono ʻole o ka moekolohe, ke kaumaha, ka piʻi ʻana o ke kaumaha, a me ka nalowale o ka hoihoi i kekahi mea. Inā ʻo ia ke ʻano, he mea nui e ʻike i kahi urologist a i ʻole endocrinologist hānau hou i loea i ka hānau ʻole ʻana o ke kāne.

He aha nā kumu o ka hānau ʻole ʻana o nā kāne?

Hiki i kekahi mau kumu olaola a me ke kaiapuni ke kumu o ka hānau ʻole ʻana o ke kāne. ʻO kekahi o lākou:

• Nā pilikia sperm: ʻO ke ʻano keakea o ka sperm, ka emi ʻana o ka helu sperm (Oligospermia), ka nele o ka sperm i loko o ka semen (Azoospermia).
• Nā maʻi hoʻoilina: No ka laʻana, ʻo Klinefelter syndrome a me ka myotonic dystrophy.
• ʻO kekahi mau kūlana olakino: ʻO ka maʻi diabetes mellitus, kekahi mau maʻi autoimmune e hoʻouka ana i ka sperm, cystic fibrosis.
• Nā maʻi: Epididymitis (ka maʻi o ka ʻōmole e hoʻopili ai i nā testicles), orchitis (ka maʻi o nā testicles), a me nā maʻi i hoʻouna ʻia ma ke ʻano moekolohe (STIs) e like me ka gonorrhea a i ʻole HIV.
• ʻO ka pehu ʻana o nā aʻa koko i loko o nā testicles (Varicoceles) .
• Nā lāʻau lapaʻau no ke kanesa: Chemotherapy, radiation therapy, a i ʻole ka wehe ʻana i nā testicles (Orchiectomy).
• ʻEha o ka testicle .
• Nā maʻi hormonal e hoʻopilikia ana i ka hypothalamus a i ʻole nā ​​​​kele pituitary .

ʻO wai ka mea i pilikia nui?

Hiki i kekahi kāne ke loaʻa ka hānau ʻole ʻana, akā hiki iā ʻoe ke piʻi aʻe ka pilikia no nā kumu i lalo:

• Inā ʻoi aku kou helu helu kino (BMI) ma mua o 25 (kaumaha nui/momona).
• Inā he 40 ou mau makahiki a ʻoi paha.
• Inā ua hōʻike ʻia ʻoe i ka radiation.
• Inā ua hōʻike ʻia ʻoe i nā mea ʻawahia o ke kaiapuni e like me ke kēpau, ka calcium, nā pesticides, a i ʻole mercury.
• Inā ʻoe e hoʻohana i ka paka, ka mariuana, a i ʻole ka waiʻona.
• Inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau e like me flutamide, spironolactone, a me bicalutamide.
• ʻO ka ʻike pinepine ʻana i nā mea e hoʻonui ai i ka mahana o nā testicles, e like me nā sauna a i ʻole nā ​​​​ʻauʻau wela. Hiki i ka hoʻohana ʻana i ka noho huila ke hoʻonui i ka mahana o nā testicles.
• Inā he moʻolelo o nā testicles i iho ʻole i ka wā hānau.
• Inā ua loaʻa mua ke ʻano `varicoceles` i ʻōlelo ʻia ma luna.
• Inā ʻoe e lawe ana i ka testosterone ma ke ʻano he lāʻau lapaʻau no nā pae testosterone haʻahaʻa.
• Inā ʻoe e lawe i nā steroids anabolic-androgenic (AAS) a i ʻole nā ​​​​​​mea hoʻohui hormone e kūkulu i nā ʻiʻo.

Pehea ke ʻano o ka sperm olakino?

He wai keʻokeʻo a hina hina paha ka sperm i hoʻokuʻu ʻia mai ka penis i ka wā ejaculation. Loaʻa i ka sperm nā wai e kōkua ai i ka sperm e hoʻi i loko o ka vagina, a me nā protein, nā huaora, a me nā minelala e hānai i ka sperm.

ʻO ka maʻamau, he mānoanoa a pipili ka sperm . Inā he sperm wai a wai paha, hōʻike paha ia i ka helu sperm haʻahaʻa. Hiki i kēia ke kumu o ka hānau ʻole ʻana o ke kāne.

Pehea ʻoe e ʻike ai i ka hānau ʻole ʻana o ke kāne? He aha nā hoʻokolohua e hana ʻia?

Hiki i kāu kauka ʻohana (Primary Care Physician - PCP) ke ʻike i ka hānau ʻole ʻana o ke kāne. A i ʻole e kuhikuhi paha ʻo ia iā ʻoe i kahi urologist a endocrinologist hānau hou paha i loea i ka hānau ʻole ʻana o ke kāne.

E hana ke kauka i kahi hoʻokolokolo kino piha e nānā i nā pilikia kino e hoʻopilikia paha i kou olakino holoʻokoʻa a me ka hānau keiki. E nīnau pū lākou iā ʻoe a me kāu hoa pili i kāu mau hana moekolohe a me ka mōʻaukala olakino. Eia kekahi laʻana:

• ʻEhia ka lōʻihi o kou hoʻāʻo ʻana e hāpai i kāu hoa?
• Ua hāpai anei ʻoe i kahi hoa ma mua?
• Ua loaʻa anei iā ʻoe kahi maʻi i laha ma ke moekolohe (STI)? Inā pēlā, he aha ia a i ka manawa hea?
• Ua loaʻa anei iā ʻoe ka lāʻau lapaʻau no ia mea?
• Ua hoʻohana anei ʻoe i kekahi mau ʻano hoʻolālā ʻohana (nā lāʻau pale hānau)? Inā pēlā, he aha a i ka manawa hea?
• Ke pilikia nei kekahi o kou mau hoahānau koko i ka hānau ʻole ʻana o ke kāne?
• Ke puhipaka nei ʻoe, hoʻohana i ka waiʻona, a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe?
• He aha ke ʻano o nā lāʻau lapaʻau i hoʻohana ʻia?

Inā ʻaʻole hōʻike kahi hoʻokolohua kino a me ka mōʻaukala olakino i kahi kumu maopopo, hiki i ke kauka ke kauoha i nā hoʻokolohua hou aku.

He aha nā hoʻokolohua nui i hana ʻia?

ʻO ka nānā ʻana i ka sperm kekahi o nā hoʻokolohua nui i hoʻohana ʻia no ka ʻike ʻana i ka hānau ʻole ʻana o ke kāne. Ma kēia, ua nānā ʻia kahi hāpana o kāu sperm ma kahi keʻena hoʻokolohua e nānā i ka nui a me ka maikaʻi o ka sperm.

E hoʻomanaʻo, he hoʻāʻo koʻikoʻi loa kēia. ʻO ia ka mea hiki ke ʻike i nā pilikia he nui me ka sperm.

Aia kekahi mau hoʻokolohua ʻē aʻe. I waena o lākou:

• Nā hoʻāʻo kiʻi:Hiki i kēia ke komo pū me nā hoʻokolohua invasive ʻole e like me ka ultrasound a i ʻole magnetic resonance imaging (MRI), a i ʻole nā ​​​​hoʻokolohua invasive e like me ka venogram.
• Nā hoʻāʻo koko: Hiki i kēia ke ana i kāu mau pae hormone a nānā i nā mea ʻino i kāu mau genes a i ʻole chromosomes.
• Urinalysis: Kōkua kēia i ka ʻike ʻana i nā mea e like me nā maʻi i hoʻouna ʻia ma ke kolohe (STIs) a me ka maʻi diabetes.
• ʻO ka biopsy testicular: Ma kēia hoʻokolohua , lawe ke kauka i kahi liʻiliʻi o ka ʻiʻo mai nā testicles e ʻike ai pehea ka maikaʻi o ka hana ʻana o nā testicles i ka sperm.

Aia kekahi lāʻau lapaʻau no kēia maʻi? He aha ia?

ʻAe, ʻo ka nūhou maikaʻi, aia nā ʻano lapaʻau like ʻole e loaʻa ai e hoʻohuli a mālama paha i ka hānau ʻole ʻana o ke kāne . Na ke kumu e hoʻoholo i ka lāʻau kūpono iā ʻoe.

Nā loli o ke ʻano o ka nohona

ʻO ka hana ʻana i kekahi mau hoʻololi i ke ʻano o ka nohona e hiki ke kōkua i ka hoʻonui ʻana i ka hana sperm olakino:

• Mālama ʻoe i ke kaumaha olakino .
• E ʻai i nā huaʻai a me nā mea kanu hou aʻe.
• E hoʻoikaika kino maʻamau e like me ka hele wāwae, ka holo wikiwiki ʻana, ke kaʻa paikikala, ka hula ʻana, a i ʻole ka hāpai kaumaha.
• Ka mālama ʻana i ke kaumaha.
• E ho'ōki i ka puhi paka, ka wai'ona a me ka ho'ohana 'ana i nā lā'au 'ē a'e .
• E hōʻole i ka hoʻohana ʻana i nā lubricants moekolohe i ka wā o ka moekolohe.

Nā lāʻau lapaʻau

Inā kiʻekiʻe a haʻahaʻa paha kou pae hormone, pono paha ʻoe e lawe i ka lāʻau lapaʻau hormone e hoʻoponopono iā lākou. Pono paha ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau a hoʻololi paha i nā lāʻau lapaʻau ʻē aʻe. Eia kekahi laʻana:

• Nā lāʻau antidepressant Tricyclic.
• Nā mea ālai i ke kahawai kalipuna.
• Nā mea kū'ē i nā androgens.

ʻoki kino

I kekahi mau hihia, pono paha ke ʻoki kino:

• Ka hoʻohuli ʻana o ka Vasectomy: Inā ua loaʻa iā ʻoe kahi vasectomy ma mua e pale ai i ka loaʻa ʻana o nā keiki, hiki iā ʻoe ke hoʻohuli a loaʻa hou ka hiki ke hāpai.
• Vasoepididymostomy: Hoʻopau kēia ʻoki i kahi poloka i ka epididymis, kahi ʻōmole kahi e ulu ai ka sperm.
• Ka loaʻa ʻana o ka sperm: Lawe ke kauka i kahi biopsy a loaʻa ka sperm mai nā testicles a i ʻole epididymis.
• Varicocelectomy: ʻO ka varicocele kahi ʻūpā koko i loko o nā aʻa o nā testicles. Hiki i kēia ke hoʻopilikia maikaʻi ʻole i ka maikaʻi o ka sperm. Wehe kēia ʻoki kino i nā aʻa. I kekahi mau hihia, hiki iā ia ke hoʻonui i nā manawa kūpono e hāpai ai.

ʻenehana hānau kōkua (ART)

Ma kēia mau ʻano hana, lawe ʻia kahi hua manu mai nā ovaries o kāu hoa a hui pū ʻia me kāu sperm ma ka hale hana.

• Intracytoplasmic sperm injection (ICSI): Ma kēia, hoʻokomo ke kauka i hoʻokahi sperm pololei i loko o kahi hua manu.
• ʻO ka hoʻoulu ʻana i loko o ka vitro (IVF): Ma kēia kaʻina hana, hoʻokomo kāu kauka i kāu hoa me nā lāʻau hoʻoulu. Hoʻoulu kēia i kekahi mau hua e oʻo i loko o kāna mau ovaries. Ke mākaukau nā hua, hōʻiliʻili ke kauka i nā hua a hōʻike iā lākou i ka sperm ma kahi keʻena hoʻokolohua. Ma hope o ka hoʻoulu ʻana o ka sperm i ka hua, hoʻokomo ʻia ka hua i hoʻoulu ʻia (embryo) i loko o ka uterus.

E holomua anei ka hānau ʻole ʻana o ke kāne ma kāna iho ? Hiki ke pale ʻia?

I ka hapanui o nā hihia, pono ka mālama ʻana i ka hānau ʻole ʻana o ke kāne. ʻAʻole ia he mea naʻauao ke kali a hoʻomaikaʻi iā ia iho .

Eia kekahi, ʻo ka hana ʻana i kekahi mau mea hiki ke hōʻemi i ka pilikia o ka hānau ʻole ʻana o ke kāne:

• E hōʻalo a hoʻōki paha i ka puhipaka, ka waiʻona, a me nā lāʻau lapaʻau i kūʻai ʻia ma ke kūʻai ʻole ʻia.
• Ke kaupalena ʻana i ka ʻike ʻana i nā kemika weliweli.
• ʻO ka loaʻa ʻana o ka lāʻau pale no nā maʻi i hiki ke hoʻopilikia i kou hānau keiki ʻana.
• Mai hōʻike i nā testicles i ka wela nui no ka manawa lōʻihi.
• E hōʻalo i nā meaʻai momona kiʻekiʻe a mālama i ke kaumaha olakino e kūpono iā ʻoe.

Inā ʻoe e ʻeha nei i ka maʻi kanesa, e kamaʻilio me kāu kauka e pili ana i ka waihona sperm ma mua o ka hoʻomaka ʻana i ka lāʻau.

Pehea ʻoe e noho ai me ka hānau ʻole ʻana? Pehea ʻoe e noho ikaika ai i ka noʻonoʻo?

ʻAʻole maʻalahi ka hānau ʻole ʻana o ke kāne. He nui ka poʻe i hopohopo e kamaʻilio e pili ana i ia mea me kā lākou hoa a i ʻole ke kauka. E lokomaikaʻi iā ʻoe iho a me kāu hoa . Hiki ke kōkua i ka ʻike ʻana i kahi mea lapaʻau a i ʻole e hui pū me kahi hui kākoʻo e hana ma o kou mau manaʻo. E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi.

He aha nā hopena o ka meaʻai a me ka mea inu? He aha ka mea maikaʻi?

Wahi a kekahi mau noiʻi, hiki i kēia mau meaʻai a me nā mea inu ke hoʻopilikia i ka maikaʻi o ka sperm:

• Nā ʻiʻo i hana ʻia.
• Nā mea ʻono.
• Soy `(Soy)`.
• Nā huahana waiū (e like me kekahi mau noiʻi).
• Iʻa i hoʻopaʻa ʻia i loko o ka pahu.
• ʻO ka soda pop a me nā mea inu ʻē aʻe i loaʻa ka nui o ke kō.
• ʻAila.
• Kafeina.

ʻO kahi papaʻai kaulike e like me kēia e hiki ke pōmaikaʻi iā ʻoe:

• Nā huaʻai a me nā mea kanu hou.
• Nā hua maloʻo.
• Nā legume.
• Iʻa wiwi.
• Waiū haʻahaʻa momona.

Āhea wau e ʻike ai i ke kauka? He aha nā nīnau e pono ai iaʻu e nīnau?

Inā ua hoʻāʻo nei ʻoe a me kāu hoa no hoʻokahi makahiki a ʻaʻole i hāpai, e ʻike i ke kauka.Eia kekahi, inā ʻoe e ʻike nei i nā manaʻo kaumaha, ke kaumaha, a i ʻole ke kūpono ʻole, mai kānalua e ʻike i kahi mea hoʻoponopono.

Ke ʻike ʻoe i ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• He aha ke kumu o ka hānau ʻole ʻana o nā kāne?
• Pono anei e hoʻāʻo ʻia kaʻu hoa?
• He aha ka lāʻau lapaʻau maikaʻi loa noʻu?
• He aha ka nui o ka holomua o ka lāʻau āu e ʻōlelo nei?
• Aia kekahi mau hopena ʻaoʻao i kēlā lāʻau lapaʻau?
• Aia kekahi mau hōʻailona a i ʻole nā ​​​​pilikia ʻē aʻe e pono iaʻu e makaʻala?
• He aha ka papa inoa piha o nā lāʻau lapaʻau e hiki ai ke hoʻoulu i ka hānau ʻole ʻana o nā kāne?
• Pono anei au e ʻike i kahi urologist a i ʻole kahi endocrinologist reproductive?
• Hiki iā ʻoe ke kuhikuhi i kahi mea hoʻoponopono a i ʻole hui kākoʻo?

Pehea e ʻike ai inā maikaʻi ke kūlana o kaʻu sperm?

ʻO ke ala maikaʻi loa e ʻike pono ai i ke olakino o kāu sperm, ʻo ia ka hana ʻana i kahi loiloi sperm ma kahi keʻena hoʻouluulu a i ʻole kahi keʻena hoʻokolohua .

Aia kekahi mau hoʻokolohua loiloi sperm OTC ma ka home. Eia nō naʻe, ʻaʻole pololei kēia mau mea e like me ka hoʻokolohua lab, a ʻaʻole paha e like me ka maikaʻi. E hoʻomanaʻo, ʻaʻohe hōʻailona waho e hōʻike ana he olakino kāu sperm me ka ʻole o kahi hoʻokolohua.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He pilikia ka hānau ʻole ʻana o ke kāne. Eia naʻe, ʻaʻole kēia manaʻo ʻaʻole loa ʻoe e loaʻa i kahi keiki maoli . Mahalo i ka ʻenehana hou, hiki i nā kāne he nui ke hāpai i kahi keiki maoli.

Inā ʻaʻole i hāpai kāu hoa ma hope o ka hoʻāʻo ʻana no hoʻokahi makahiki, e kamaʻilio me ke kauka. Hiki i nā hoʻololi ʻana i ke ʻano o ka nohona ke kōkua i ka pale ʻana i ka hānau ʻole ʻana, a hiki i ke ʻoki kino a me nā kaʻina hana ʻē aʻe ke mālama i ke kumu kumu. Mai hoʻokuʻu i ka manaʻolana!

ʻO ka hānau ʻole ʻana o ke kāne, ka hānau ʻole ʻana, ka sperm, ka hānau ʻole ʻana, ke olakino hānau hou ʻana, ka loaʻa ʻana o nā keiki, ka mālama ʻana i ke olakino