Ua loaʻa iā ʻoe kahi pēpē nani a ʻoluʻolu hoʻi. Akā i kēia manawa, ʻo ka moeʻuhane o ʻolua me kāu kāne ka hoʻohui ʻana i kahi mea liʻiliʻi i ka ʻohana. Akā, ua lohi anei ka hāpai ʻana i kēia manawa me ka maʻalahi e like me kāu i hana ai me kāu pēpē mua? Ua hoʻāʻo ʻoe no nā mahina akā ʻaʻole naʻe i loaʻa kahi nūhou maikaʻi e pili ana i kahi pēpē? He mea kēia a ka poʻe he nui e manaʻo nei. ʻAʻole ʻoe hoʻokahi. I kēia lā, e kamaʻilio mākou e pili ana i kahi kumuhana a ka poʻe he nui e kānalua nei e kamaʻilio e pili ana, akā he mea nui loa ia. ʻO ia ka hānau ʻole lua.
He aha maoli ka hānau ʻole lua?
I ka ʻōlelo maʻalahi, ʻo ka hānau ʻole lua ke loaʻa iā ʻoe hoʻokahi a ʻoi aku paha nā keiki ma ke ʻano maʻamau, me ka ʻole o nā lāʻau lapaʻau hānau mua, e like me IVF, a laila hiki ʻole ke hāpai i kahi keiki ʻē aʻe a hāpai paha i kēlā hāpai ʻana a hiki i ka manawa.
Hoʻomaopopo pinepine nā kauka i kēia maʻi ke hoʻāʻo nei kahi kāne e loaʻa kahi keiki no ʻeono mahina a i ʻole hoʻokahi makahiki akā ʻaʻole i holomua.
Eia kekahi laʻana, inā ʻoe ma lalo o 35 mau makahiki a ua moe mau no hoʻokahi makahiki me ka hoʻohana ʻole ʻana i kekahi ʻano kaohi hānau a ʻaʻole naʻe e hāpai, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka. Inā ʻoe ma luna o 35 mau makahiki a ua hoʻāʻo nei no 6 mau mahina a ʻaʻole naʻe e hāpai, ʻoi aku ka maikaʻi o ke ʻimi ʻana i ka ʻōlelo aʻo.
No ke aha e hana ʻia ai kēia? E kamaʻilio kākou e pili ana i nā kumu maʻamau
He mea paʻakikī ke kuhikuhi i hoʻokahi wale nō kumu no kēia. I kekahi manawa aia ke kumu i ka wahine, i kekahi manawa me ke kāne. I kekahi manawa, hiki ke hui pū ʻia nā pilikia liʻiliʻi ma nā ʻaoʻao ʻelua. I kekahi manawa, hiki ke loaʻa ʻole ke kumu.
Eia kekahi o nā kumu nui e hoʻopilikia ai i kēia kūlana:
- Makahiki: ʻOi aku ka ʻelemakule o ʻolua a me kāu kāne i kēia manawa ma mua o ka wā i hānau ai ʻolua i kā ʻolua keiki mua. Hoʻemi maoli ka momona me ka ʻelemakule.
- Nā loli i ka maikaʻi o ka sperm a i ʻole ka hua manu: Hiki ke loli ke ʻano a me ka nui o ka sperm a i ʻole nā hua manu i ka hala ʻana o ka manawa.
- Nā pilikia mai ka hāpai ʻana ma mua: Aia paha kekahi mau loli i loko o ka ʻōpū, e like me ka wā o ka hāpai ʻana ma mua, a i ʻole he ʻoki ʻoki cesarean (C-section).
- Nā hopena o ke ʻoki kino: Hiki ke loaʻa nā hopena mai nā ʻoki kino ʻē aʻe i hana ʻia ma ka ʻōpū a i ʻole ka ʻāpana pelvic.
- Ka loaʻa ʻana o ke kaumaha: Inā loaʻa iā ʻoe ka nui o ke kaumaha ma hope o ka hānau ʻana o kāu keiki mua, hiki iā ia ke hoʻopilikia i kāu mau hormones a hōʻemi i kou momona.
- Nā maʻi ʻē aʻe a i ʻole nā lāʻau lapaʻau: ʻO nā kūlana olakino hou, e like me ka maʻi diabetes a i ʻole nā pilikia thyroid, a i ʻole nā lāʻau lapaʻau i lawe ʻia no lākou, ʻo ia paha ke kumu.
- Nā maʻi i laha ma ke ʻano moekolohe (STIs):Hiki i nā maʻi i mālama ʻole ʻia ke hōʻino i nā ʻāpana o ke kino, e like me nā ʻōpū fallopian.
- Nā loli o ke ʻano o ka nohona: ʻO nā mea e like me ka puhipaka a me ka inu ʻona nui e pili pono ana i ka hānau keiki.
He aha nā kumu kūikawā e hoʻopilikia ai i nā wahine?
Mai ka manaʻo o nā wāhine, aia kekahi mau kumu e hiki ke kumu i kēia.
Ka nui a me ka maikaʻi o nā hua manu
I ko kākou hānau ʻia ʻana, loaʻa iā kākou kahi helu o nā hunaola hua manu i loko o ko kākou kino. ʻAʻole i hana ʻia nā hua hou. Ke hoʻokokoke aku nei kākou i ko kākou mau makahiki 30, emi iho ka nui o nā hua manu, a ʻoi aku ka nui o nā pilikia chromosomal i nā hua i koe. Hoʻemi kēia i ka hiki ke hana i nā hua manu maikaʻi.
Nā pilikia me ka ʻōpū a i ʻole nā tubes fallopian
- Nā maʻi: ʻO nā maʻi e like me Chlamydia, Gonorrhea, a i ʻole Pelvic Inflammatory Disease (PID) i mālama pono ʻole ʻia ma mua hiki ke ālai i nā ʻōpū fallopian. Inā ālai ʻia ke ala o kahi hua manu i ka ʻōpū, ʻaʻole hiki ke hāpai.
- ʻO ka ʻōpala mai ke ʻoki ʻana: Inā ua hana ʻia ka ʻiʻo ʻōpala ma nā paia o ka ʻōpū ma muli o kahi D&C ma mua (dilation a curettage) a i ʻole ka ʻoki cesarean, hiki iā ia ke pale i kahi embryo mai ke kanu ʻana.
- Nā puʻupuʻu ʻōpū: Nā fibroids ʻōpū a i ʻole polyps, hiki ke hoʻopilikia i ka hāpai ʻana, ma muli o ka wahi o ka ʻōpū.
Nā kūlana olakino ʻē aʻe
- PCOS (Polycystic Ovary Syndrome): He ʻano kaulike ʻole kēia o ka hormonal. Hoʻoulu kēia i nā wā ʻino a me ka ovulation. Inā ʻaʻole i hoʻokuʻu ʻia kahi hua manu, ʻaʻole hiki ke hāpai.
- Endometriosis: ʻO kēia ka wā e ulu ai nā ʻiʻo e ulu ana i loko o ka ʻōpū ma waho o ka ʻōpū, e like me nā ovaries. Hiki i kēia ke hoʻopilikia i ka hānau keiki.
- ʻAno nohona: ʻO nā mea e like me ka piʻi ʻana o ke kaumaha, ka puhipaka, a me ka inu ʻona e pili pono ana i ka ovulation a me ka ovulation.
He aha nā kumu kūikawā e hoʻopilikia ai i nā kāne?
Hoʻopilikia kēia pilikia i nā wāhine a me nā kāne. Eia kekahi mau kumu e hoʻopilikia paha i nā kāne.
Ka emi ʻana o ka hormone testosterone
He hormone koʻikoʻi ka Testosterone no ka hana ʻana o ka sperm. ʻO ka ʻelemakule, nā ʻeha i nā testicles, ka maʻi diabetes, ka maʻi thyroid, a me ke kaumaha nui hiki ke hana i nā pae haʻahaʻa o kēia hormone. Ua kapa ʻia kēia ʻano ma ke ʻano lapaʻau ʻo "Hypogonadism".
ʻO ka Varicocele Testicular
Hana ʻia kēia i ka wā e pehu a hoʻonui ʻia ai nā aʻa koko (nā kīʻaha koko ) a puni nā testicles. Hiki i kēia ke hoʻonui i ka mahana o nā testicles, hiki ke hoʻopilikia i ka hana ʻana a me ka maikaʻi o ka sperm. He kumu maʻamau kēia o ka hānau ʻole ʻana o ke kāne.
Nā pilikia sperm
- Ka emi ʻana o ka maikaʻi o ka sperm: Ma hope o 40 mau makahiki, hoʻomaka ka maikaʻi o ka sperm e emi iki.
- He haʻahaʻa ka helu sperm: Inā emi ka helu sperm ma mua o 15 miliona no ka milliliter o ka sperm, ua manaʻo ʻia he haʻahaʻa. Kāhea pū nā kauka i kēia "Oligospermia".
Nā kumu ʻē aʻe
- Nā pilikia prostate: ʻO ka wehe ʻana o ka ʻōpū prostate ma muli o ka prostate i hoʻonui ʻia a i ʻole ke kanesa hiki ke hoʻopilikia i ke kaʻina hana ejaculation.
- Kekahi mau lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau i lawe ʻia no ke koko kiʻekiʻe, nā maʻi fungal, a me ke kanesa hiki ke hoʻopilikia i ka hana sperm.
- Nā kumu o ke ʻano o ka nohona a me ke kaiapuni: ʻO ka piʻi nui ʻana o ke kaumaha, ka ʻike ʻana i nā kemika e like me nā pesticides, a me ka ʻike ʻana i nā mahana kiʻekiʻe (no ka laʻana, ka ʻauʻau wela lōʻihi, ke komo ʻana i nā lole paʻa) hiki ke kōkua pū kekahi.
He aha kāu e hana ai inā kānalua ʻoe no kēia?
Inā he hopohopo kou a i ʻole kāu kāne e pili ana i kēia, ʻo ka mea maikaʻi loa e hana ai, ʻaʻole e hopohopo . A laila, e ʻike i ke kauka kūpono. ʻOi aku ka maikaʻi o ka endocrinologist reproductive a i ʻole ka urologist.
He mea nui loa ka ʻimi koke ʻana i ke kōkua lapaʻau, no ka mea, ʻo ka wikiwiki o ka ʻike ʻia ʻana o ka pilikia, ʻoi aku ka nui o nā koho lapaʻau e loaʻa.
E nīnau ke kauka iā ʻolua e pili ana i ko ʻolua mōʻaukala olakino, kou nohona, a me kou pōʻaiapuni menstrual. A laila, e hoʻoholo ʻo ia i nā hoʻokolohua e pono ai.
| Nā hoʻokolohua i hana pinepine ʻia | He aha ka mea e manaʻo ʻia mai ia mea? |
|---|---|
| Ka Nānā ʻana i ka Semen | Ke nānā nei i ka nui, ka neʻe ʻana, a me ke ʻano o ka sperm a ke kāne. |
| Nā hoʻāʻo koko | Ke nānā ʻana i nā pae hormone o nā hoa ʻelua (e like me ka thyroid, prolactin) a me ka ovarian reserve (AMH). |
| ʻO ke kiʻi ʻana o ka Ultrasound Transvaginal | Ke nānā ʻana i ka ʻōpū o ka wahine, nā ovaries, a me ke kaʻina hana o ka oʻo ʻana o ka hua. |
| ʻO ka Hysterosalpingogram (HSG) | He hoʻāʻo X-ray kēia e ʻike ai i ke ʻano o ka ʻōpū o ka wahine a inā paha ua paʻa kāna mau ʻōpū fallopian. |
He aha nā lāʻau lapaʻau no kēia?
ʻO ka nūhou maikaʻi, he nui nā lāʻau lapaʻau kūpono no ka hānau ʻole lua. Ke ʻike ʻia ke kumu o kou pilikia, e kuhikuhi kāu kauka i ka lāʻau lapaʻau kūpono loa nāu.
- Lāʻau lapaʻau: No nā wahine ʻaʻole e ovulate, hāʻawi ʻia nā lāʻau lapaʻau e like me Clomiphene a i ʻole Letrozole e hoʻoponopono i ka ovulation.
- IUI (Intrauterine Insemination): Pili kēia i ke koho ʻana i ka sperm maikaʻi loa mai ka sperm a ke kāne a hoʻokomo pololei iā ia i loko o ka ʻōpū o ka wahine ma o kahi ʻōmole kūikawā i ka lā o ka ovulation. Hoʻonui kēia i ka manawa kūpono o ka hālāwai ʻana o ka sperm me ka hua manu.
- IVF (In Vitro Fertilization): He hana paʻakikī iki kēia. Ma kēia, lawe ʻia nā hua o ka wahine mai loko mai o kona kino, a hui pū ʻia me ka sperm a ke kāne ma kahi keʻena hoʻokolohua e hana i kahi embryo. A laila hoʻihoʻi ʻia ka embryo olakino i loko o ka ʻōpū.
- ʻOki kino: Inā he fibroids, polyps, a i ʻole nā ʻiʻo palapū i loko o ka ʻōpū, hiki ke wehe ʻia ma o ke ʻoki kino. Hiki ke mālama pono ʻia ʻo Varicocele i nā kāne me ke ʻoki kino.
Pehea ʻoe e hoʻoponopono ai i ke kaumaha e hele mai me kēia?
ʻO kēia paha ka ʻāpana paʻakikī loa. Ke loaʻa iā ʻoe kekahi keiki, manaʻo paha ʻoe ʻaʻohe mea e hoʻomaopopo i ke kaumaha, ka huhū, a me ke kōkua ʻole āu e manaʻo ai ke hiki ʻole iā ʻoe ke hānai i kahi keiki ʻelua.
I kekahi manawa, ʻōlelo paha nā ʻohana a me nā hoaaloha i nā mea e like me, "Hoʻokahi wale nō keiki, ua lawa ia." ʻAʻole paha lākou e manaʻo me ka manaʻo maikaʻi ʻole, akā, ʻaʻole ia e hoʻēmi i ka ʻeha āu e manaʻo nei.
He mea nui loa iā ʻoe a me kāu kāne ke kākoʻo kekahi i kekahi i kēia manawa. ʻAʻole kēia kou pilikia wale nō, ʻo kou mau pilikia ʻelua. E hoʻolohe kekahi i kekahi. E kamaʻilio e pili ana i kou manaʻo.
He huakaʻi kēia e pono e lawe mālie ʻia. Hiki ke lōʻihi ka manawa no ka holomua ʻana o ka lāʻau lapaʻau. He mea nui e noho ikaika ka noʻonoʻo i kēlā manawa. Inā pono, hiki ke kōkua nui ka ʻimi ʻana i ka ʻōlelo aʻo mai kahi loea olakino noʻonoʻo.
Leka Lawe-Home
- He maʻi maʻamau loa ka hānau ʻole lua. ʻAʻole ʻoe wale nō ke alo nei i ia mea.
- Nui nā kumu e hiki ai ke hana i kēia. Hiki ke lilo i pilikia no ka wahine, ke kāne, a i ʻole nā mea ʻelua. ʻO ka makahiki kahi kumu nui ma aneʻi.
- Inā ua hoʻāʻo nei ʻoe no hoʻokahi makahiki inā ʻoe ma lalo o 35, a i ʻole no 6 mahina inā ʻoe ma luna o 35, a ʻaʻole naʻe i hāpai, e ʻike i ke kauka.
- Aia nā lāʻau lapaʻau kūpono loa no kēia maʻi i kēia lā, no laila mai hoʻopau i ka manaʻolana.
- He mea nui e noho ikaika ka noʻonoʻo i kēia huakaʻi. E hoʻomau i ka pilina me kāu hoa. E ʻimi i ke aʻo ʻana inā pono.
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