Ke moeʻuhane nei ʻoe a me kāu hoa e hoʻomaka i kahi ʻohana, akā ke ʻike nei ʻoe he paʻakikī ke hoʻokō i kēlā moeʻuhane? I kekahi manawa, ma hope o ka holo ʻana i kēlā me kēia hoʻāʻo ma ka puke, ʻaʻole hiki i nā kauka ke kuhikuhi i kahi kumu maopopo no ka hānau ʻole ʻana. Ke hana ʻia kēia, kapa mākou ia he "Uneexplained Infertility." Hiki ke manaʻo ʻia he kaumaha nui ma kou puʻuwai, akā e kamaʻilio pū kākou i kēia, ʻeā?
He aha maoli ka Infertility Wehewehe ʻole?
I ka ʻōlelo maʻalahi, ʻo ka hānau ʻole i wehewehe ʻole ʻia ʻo ia hoʻi ke hakakā nei ʻoe a me kāu hoa e hāpai, akā ʻaʻohe kumu olakino kikoʻī i ʻike ʻia. Ma mua o ka hiki ʻana i kēia hōʻailona, e hana kāu kauka i kahi loiloi piha o ka hānau ʻana. I ka hapanui o nā hihia, hōʻoia kēia mau hoʻokolohua:
- ʻAʻole hōʻike kou ʻōpū i nā ʻano ʻē .
- Hana ʻia ka ovulation i nā manawa maʻamau a olakino.
- Ua moakāka a hāmama kāu mau ʻōmole fallopian .
- Aia kāu waihona ovarian ma kahi pae olakino.
- Ke hana pololei nei kou lolo i nā hormones hānau e pono ai .
- Aia ka loiloi sperm a kāu hoa (ka helu sperm, ka nui, ka neʻe ʻana, a me ke ʻano o ka sperm) i loko loa o ka pae maʻamau.
Inā maʻamau kēia mau mea a pau, a ke hoʻāʻo nei ʻoe e hāpai no hoʻokahi makahiki ma ka liʻiliʻi (inā ʻoe ma lalo o 35) a i ʻole ʻeono mahina (inā ʻoe ma luna o 35) me ka holomua ʻole, ua hoʻokaʻawale nā kauka i kēia ma ke ʻano he "infertility i wehewehe ʻole ʻia."
E noʻonoʻo e like me ke kipa ʻana i ke kauka no kahi maʻi mau—holo lākou i nā hoʻokolohua, akā i kekahi manawa, ʻaʻole hiki iā lākou ke loaʻa ke kumu. He mea hoʻonāukiuki maoli nō ia, akā e ʻoluʻolu e hoʻomaopopo ʻaʻole kēia ka hopena o ke alanui.
Pehea ka maʻamau o kēia ʻano?
He mea paʻakikī ke haʻi pololei i kahi helu no ka mea ʻokoʻa paha ka mea a kekahi kauka e manaʻo ai he hana hānau "piha" mai kekahi. Ma muli o ka ʻokoʻa o nā pae hōʻailona, hiki ke loli nā helu helu.
Manaʻo kekahi mau hōʻike e pili ana i ka 10% o nā kāne e hakakā nei e hāpai keiki e kū nei i ka hānau ʻole ʻana i wehewehe ʻole ʻia, aʻo kekahi e hōʻike ana he hiki i kēia helu ke piʻi aʻe i ka 30% . ʻAʻole ʻoe hoʻokahi wale nō i kēia ʻike.
Hiki iā ʻoe ke hāpai me ka Unexplained Infertility?
ʻAe, ʻoiaʻiʻo nō! ʻO ia ka nūhou maikaʻi loa hiki iā mākou ke kaʻana like. ʻO ka loaʻa ʻana o kahi hōʻailona o ka "infertility wehewehe ʻole" ʻaʻole ia he manaʻo e nalowale ʻoe i ka manaʻolana. Ua ʻike ʻia kahi noiʻi a ka National Institutes of Ola kino (NIH) ua loaʻa i ka 92% o nā kāne me ka infertility wehewehe ʻole i ka hāpai ʻana ma hope o ka hahai ʻana i nā lāʻau lapaʻau hānau. Aia nō kāu moeʻuhane o ka loaʻa ʻana o kahi pēpē ma kahi kokoke.
ʻAʻole manaʻo ka "hānau ʻole i wehewehe ʻole ʻia" ʻaʻole hiki iā ʻoe ke loaʻa kahi pēpē. ʻO ia hoʻi, pono paha ʻoe e hoʻokokoke i kāu huakaʻi i ka makua ma ke ʻano ʻē aʻe.
ʻAʻohe maoli anei ke kumu? He aha kekahi mau mea huna?
ʻOiai ua kapa ʻia ʻo ia he "wehewehe ʻole ʻia," aia pinepine kahi pilikia ma lalo; ʻo ia wale nō ʻaʻole paha i lawa ka maʻalahi o nā hoʻokolohua lapaʻau o kēia manawa e ʻike ai, a i ʻole he maalea loa ke kumu. E nānā kākou i kekahi mau kumu kūpono:
Nā Kūlana Kumu i ʻIke ʻole ʻia
Ke aʻo nei nā kānaka noiʻi pehea e pili ai nā ʻano olakino like ʻole i ka hānau keiki. No ka laʻana, hiki i ka maʻi Celiac (gluten intolerance), ka maʻi diabetes, a me nā maʻi thyroid ke hoʻopilikia i ka hānau keiki. He hiki paha ke loaʻa kahi pilikia kumu akā ʻaʻole i ʻike ʻia.
ʻO ka Endometriosis
ʻO ka Endometriosishana ʻia ke ulu ka ʻiʻo e like me ka uhi o ka ʻōpū ma waho ona. ʻOiai i nā hihia palupalu, hiki i kēia ke hoʻopilikia i ka hānau keiki. I ka manawa pinepine, pono ke kaʻina hana ʻoki (e like me ka laparoscopy) e hōʻoia pono ai, no ka mea, ʻaʻole paha e hōʻike mau ʻia me nā hōʻailona i ʻike ʻia.
Nā pilikia o ka mucus cervical
I ka wā o ka ovulation , kōkua ka mucus cervical i ka sperm e hiki i ka hua manu. Inā mānoanoa loa kēia mucus a i ʻole he ʻano kemika maikaʻi ʻole, hiki iā ia ke pale kino i ka sperm mai ka hele ʻana ma o ka cervix i loko o ka uterus.
Ka maikaʻi o ka hua manu
ʻOiai ʻo ka ultrasound e hiki ai i nā kauka ke ʻike i nā follicles a ana i ka helu o kāu hua manu, ʻaʻole hiki iā ia ke haʻi mai iā mākou e pili ana i ka maikaʻi o kēlā mau hua manu. Hāʻawi nā hoʻāʻo koko a me nā ultrasounds i kahi kiʻi laulā, akā ʻaʻole hiki iā lākou ke loiloi i ke olakino microscopic o kēlā me kēia hua manu.
Ka maikaʻi o ka sperm
E like me nā hua manu, ʻoiai ke ʻike ʻana o ka nānā ʻana i ka sperm i ka hapa nui o nā pilikia nui, ʻaʻole hiki iā ia ke ʻike mau i nā pilikia liʻiliʻi a microscopic i loko o ka sperm e hiki ke keakea i ka fertilization.
Nā pilikia Endometrial
ʻO ka endometrium ka uhi o loko o kou uterus kahi e pono ai ke hoʻokomo ʻia kahi hua i hoʻoulu ʻia e ulu. Hana ʻia ka hemahema o ka luteal phase ke ʻole e mānoanoa a hoʻomākaukau pono kēia uhi, e paʻakikī ai i kahi embryo ke hoʻokomo, ʻoiai inā hana ʻia ka fertilization.
Ka Manawa o ka Moe Kino
I kekahi manawa, ʻaʻole kūlike ka alapine (pinepine) a i ʻole ka manawa o ka moekolohe me kāu puka makani ovulation kikoʻī. Me he mea lā he kikoʻī liʻiliʻi wale nō ia, akā he kuleana koʻikoʻi kona i ka hāpai ʻana.
I kekahi manawa, ʻaʻohe kumu i ʻike ʻia, a paʻakikī paha ka ʻike ʻana a i ʻole ka mālama ʻana i ka pilikia. He hana olaola paʻakikī ka hāpai ʻana; inā hewa kekahi ʻanuʻu liʻiliʻi, hiki ke hoʻopilikia ʻia ke kaʻina holoʻokoʻa. ʻO ka nūhou maikaʻi, ke hoʻomohala mau nei nā mea noiʻi ma Nirogi Lanka a puni ka honua i nā ʻano hana hou e hoʻomaopopo maikaʻi ai i ka maikaʻi o ka hua manu, ke olakino hānau hou, a me ka hana sperm.
Pehea e ʻike pono ʻia ai kēia maʻi?
ʻAʻohe hoʻokolohua hoʻokahi e hiki ke hōʻike i nā kumu āpau o ka hānau ʻole ʻana, a ʻaʻohe ʻano hana hōʻoia he 100% hiki ke kuhihewa. Wahi a ka American Society for Reproductive Medicine (ASRM), pono e komo pū kahi loiloi hānau kūpono me kēia mau mea:
- He loiloi piha o kāu mōʻaukala olakino a me ka mōʻaukala moekolohe .
- He hoʻokolokolo kino piha.
- Nā hoʻāʻo koko e loiloi i kāu mau pae hormone .
- ʻO ka hoʻokolokolo ʻana i kāu mau ʻōpū hānau, me kāu mau ovaries, fallopian tubes, a me ka uterus . Hiki i kēia ke pili i nā kiʻi kiʻi kiʻekiʻe a i ʻole nā kaʻina hana diagnostic e like me ka ultrasound , kahi hysterosalpingogram , a i ʻole laparoscopy .
- He loiloi sperm no kāu hoa.
- ʻO kahi loiloi o kāu mālama ovarian .
- Loiloi i kāu mau pōʻaiapuni ovulation e hōʻoia i ka maʻamau.
Inā hoʻopau kekahi loea hānau keiki a kauka hānau keiki paha i kēia mau hoʻokolohua a pau a ʻaʻole hiki ke ʻike i kahi kumu maopopo, ua hoʻokaʻawale ʻia ke ʻano he "infertility i wehewehe ʻole ʻia." E ʻoluʻolu e hoʻomanaʻo he ʻokoʻa nā kaʻina hana hoʻāʻo ma waena o nā mea hana. Inā loaʻa iā ʻoe kēia hōʻailona, ʻaʻohe hewa iki o ka ʻimi ʻana i ka manaʻo lua.
He aha nā koho lapaʻau i loaʻa?
Ma muli o ka hiki ʻole i kāu kauka ke kuhikuhi i hoʻokahi kumu no kou hānau ʻole ʻana, ʻo nā ʻōlelo aʻoaʻo lapaʻau e pili pinepine ʻia ma kāu mau hopena hoʻāʻo momona, ka ʻike lapaʻau o kāu kauka me nā kāne like, kou mau makahiki, a me ka wikiwiki o kou makemake e alualu i ka lāʻau lapaʻau.
ʻO nā lāʻau lapaʻau i ʻōlelo pinepine ʻia e hāʻule pinepine i loko o kēia mau ʻano:
ʻenehana hānau kōkua (ART)
ʻenehana hānau kōkua (ART)ʻO ia hoʻi nā lāʻau lapaʻau hānau keiki kahi e hana ʻia ai kekahi hapa o ke kaʻina hana hoʻohua keiki ma kahi keʻena hoʻokolohua. Hoʻokomo pū kēia me ka Intrauterine Insemination (IUI) a me ka In Vitro Fertilization (IVF) .
- ʻO ka IUI e pili ana i ka holoi ʻana a me ka hoʻopili ʻana i ka sperm o kāu hoa i loko o kahi lab a kau pololei i loko o kou uterus i ka manawa o ka ovulation.
- ʻO ka IVF e pili ana i ka hoʻohana ʻana i kāu mau hua a me ka sperm o kāu hoa (a i ʻole ka mea hāʻawi) e hana i nā embryos i loko o kahi keʻena hoʻokolohua, a laila e hoʻoili ʻia i kou ʻōpū e ulu. ʻO ka pinepine, ʻo ka IVF e komo pū me ka Intracytoplasmic Sperm Injection (ICSI) , kahi e hoʻokomo pololei ʻia ai kahi sperm hoʻokahi i loko o kahi hua. Inā manaʻo ʻia ka maikaʻi ʻole o ka sperm he mea kōkua i ka hānau ʻole ʻana i wehewehe ʻole ʻia, hiki i ka ICSI ke hoʻonui nui i nā manawa kūpono o ka hāpai ʻana.
Nā lāʻau lapaʻau
He kūpono loa nā lāʻau hoʻouluulu e hoʻoulu ai i ka hana hua a me ka ovulation. Hiki ke hoʻohana ʻia kēia mau mea hoʻokahi a i ʻole me nā lāʻau IUI a i ʻole IVF. ʻO nā lāʻau lapaʻau i hoʻohana pinepine ʻia, ʻo ia nā gonadotropins a me clomiphene (Clomid®) . Hiki i kekahi mau kauka ke kuhikuhi iā letrozole (Femara®) , ʻoiai he hoʻohana kēia ma waho o ka lepili no ka hānau ʻana.
Loaʻa i nā Gonadotropins nā hormones e hoʻonui i ka hana hua a hiki ke mālama i ka helu sperm haʻahaʻa. Hana ʻo Clomiphene ma ka hoʻoulu ʻana i nā ovaries e hana i nā hua hou aku. E paipai kāu kauka i ke koho kūpono loa e pili ana i kāu ʻikepili olakino kikoʻī.
E hoʻomanaʻo i ka wā e hoʻohana ai i nā lāʻau lapaʻau hānau keiki, aia kahi hiki ke hana i nā hua manu he nui ma kēlā me kēia pōʻaiapuni, kahi e hoʻonui ai i ka manawa kūpono o ka hāpai ʻana he nui (e like me nā māhoe).
Nā Hoʻololi o ke ʻAno Nohona
Hiki i kekahi mau ʻano nohona ke hoʻopilikia i ka hānau keiki. Eia kekahi mau hana hiki iā ʻoe ke hana e hoʻomaikaʻi i kou manawa e hāpai ai:
- E hōʻole loa i ka puhipaka, ka waiʻona, a me ka hoʻohana ʻana i nā lāʻau lapaʻau leʻaleʻa.
- E mālama i ke kaumaha o ke kino olakino.
- E hahai i kahi papaʻai kaulike a momona hoʻi.
- E hoʻāʻo no ka liʻiliʻi he 30 mau minuke o ka hoʻoikaika kino i kēlā me kēia lā .
- E hōʻemi i ka lawe ʻana i ka caffeine (kī, kofe).
- E kālele i ka hoʻēmi ʻana i kou pae kaumaha.
Ka Hoʻopaʻa Manawa ʻana
He manawa liʻiliʻi wale nō kou momona i kou wā menstrual. Hiki i kāu kauka ke kōkua iā ʻoe e ʻike i kēia manawa e hoʻonui ai i kou manawa kūpono e hāpai ai. Hiki ke hana ʻia kēia ma o nā ʻano hana e like me ke nānā ʻana i ka mahana o ke kino basal, ka nānā ʻana i kāu menstrual cycle, a i ʻole ka hoʻohana ʻana i nā kime wānana ovulation .
I kekahi mau hihia, e ʻōlelo paha kāu kauka e "hoʻāʻo no kekahi manawa lōʻihi." ʻOiai he paʻakikī kēia e ʻae - ʻoiai inā makemake ʻoe e hoʻomaka i kahi ʻohana - i kekahi manawa e hoʻoponopono ʻia ka pilikia ma kāna iho. Eia nō naʻe, ua kuleana mau ʻoe e ʻimi i kahi manaʻo ʻelua a koho paha e alualu i nā lāʻau lapaʻau hānau keiki ma mua o ka manawa inā ʻo ia kou makemake.
Aia kekahi ala e pale aku ai i kēia?
ʻOiai he nui nā mea hiki iā ʻoe ke hana e kākoʻo i ka hānau keiki ʻana, aia kekahi mau mea ma waho o kou mana. ʻO nā hana hiki iā ʻoe ke hana:
- Kaumaha: E mālama i ke kaumaha o ke kino olakino.
- Puhipaka a me ka ʻona: E pale i ka puhipaka a hoʻēmi i ka inu ʻana i ka waiʻona.
- Ola Kino Moekolohe: E hoʻohana i ka palekana e pale aku ai i nā maʻi laha ma ke moe kolohe (STI) , hiki ke hoʻopilikia i ka hānau keiki.
E hōʻoia e kūkākūkā ākea i nā hopohopo e pili ana i kou hānau ʻana me kāu kauka i hiki iā lākou ke ʻōlelo i ke ala maikaʻi loa no kāu mālama ʻana ma Nirogi Lanka.
He aha ka nui o ka hāpai ʻana no nā kāne me ka hānau ʻole i wehewehe ʻole ʻia?
Ua hōʻike ʻia e ka noiʻi ma kahi o 43%o nā kāne me kēia maʻi e hāpai ana i ka hala ʻana o ka manawa me ka ʻole o ke komo ʻana o ka hānau keiki. Hōʻike kēia i kekahi mau hihia, hiki nō ke hāpai maoli.
He aha nā nīnau koʻikoʻi āu e nīnau ai i kāu kauka?
ʻO ka loaʻa ʻana o kahi maʻi "infertility i wehewehe ʻole ʻia" hiki ke hāpai maoli i nā nīnau he nui. ʻO ka nūhou maikaʻi, ʻaʻohe mea nui i ʻike ʻia e keakea i kou hānau ʻana. ʻO ka mea paʻakikī, ʻaʻole hiki i nā kauka ke haʻi maopopo i ke kumu i hiki ʻole ai ka hāpai ʻana.
E ʻoluʻolu e kūkākūkā i kou mau hopohopo a pau me kāu kauka. E noʻonoʻo e nīnau i kēia mau nīnau:
- He aha kāu e paipai mai ai no kā mākou hana aʻe?
- ʻO wai ke ʻano hana e hāʻawi iaʻu i ka manawa kūpono kiʻekiʻe loa e hāpai ai?
- Aia kekahi mau hoʻokolohua koko a i ʻole nā haʻawina kiʻi i koe e hana?
- Hiki paha i kahi kūlana olakino ma lalo ke kōkua i koʻu hānau ʻole ʻana?
- Pono anei iaʻu e kuhikuhi ʻia i kahi loea hānau keiki?
Pehea ka lōʻihi e pono ai ʻoe e hoʻāʻo ma mua o ka ʻike ʻana i ke kauka?
Manaʻo ka hapa nui o nā kauka e hoʻāʻo no ka liʻiliʻi he 12 mau mahina (hoʻokahi makahiki) ma mua o ka ʻimi ʻana i ka lāʻau lapaʻau hānau keiki. Eia nō naʻe, inā he 35 ou mau makahiki a ʻoi paha, pono ʻoe e kūkākūkā me ke kauka ma hope o ʻeono mahina o ka hoʻāʻo ʻana. Ma muli o kou mōʻaukala olakino a me nā pahuhopu, hiki i kāu kauka ke hāʻawi i kahi hoʻolālā lapaʻau i hana kūikawā ʻia.
Nā mea hope loa e lawe ʻia (Leka Lawe ʻia i ka Home)
ʻO ka loaʻa ʻana o kahi maʻi 'Unexplained Infertility' hiki ke huikau loa a hoʻoluhi i ka naʻau. ʻO ia hoʻi, ʻoiai nā hoʻāʻo piha, ʻaʻole i ʻike ʻia ke kumu pololei o kou paʻakikī i ka hāpai ʻana. Eia naʻe, mai hopohopo a nalowale paha ka manaʻolana—aia nā ala kūpono e holomua ai. He nui nā kāne male i hoʻokō pono i ka hāpai ʻana ma o nā lāʻau lapaʻau momona i kuhikuhi ʻia, IUI (Intrauterine Insemination), a i ʻole IVF (In Vitro Fertilization).
ʻAʻole manaʻo ʻo ke ʻano "ʻAʻole Hānau" ʻaʻole loa ʻoe e hāpai; ʻo ia hoʻi, pono kāu hui lapaʻau e ʻimi i nā koho like ʻole i hōʻoia ʻia e kōkua iā ʻoe e hoʻokō i kahi hāpai olakino.
I loko o kēia huakaʻi paʻakikī, paipai mākou iā ʻoe e ʻimi i kahi loea hānau keiki nāna e hoʻolohe i kāu mau hopohopo a hāʻawi i ke kākoʻo aloha a pilikino. Mai haʻalele i kāu mau moeʻuhane. Ke kākoʻo nei mākou a pau ma Nirogi Lanka iā ʻoe i kou neʻe ʻana i ka hoʻokō ʻana i kāu pahuhopu o ka hoʻomaka ʻana i kahi ʻohana.
ʻAʻole hiki ke hānau keiki, pilikia i ka hāpai ʻana, ʻAʻole hiki ke wehewehe ʻia ka hānau keiki, ka momona, hāpai keiki, IVF, IUI
