Ua moeʻuhane anei ʻoe a me kāu kāne/wahine e loaʻa kahi pēpē, akā ʻaʻole naʻe ʻoe i hiki ke hoʻokō i kēlā moeʻuhane? I kekahi manawa, ma hope o ka hana ʻana i nā hoʻokolohua āpau, ʻaʻole hiki i nā kauka ke ʻōlelo maopopo, "ʻO kēia ke kumu." ʻO ia ka manawa e kamaʻilio ai mākou e pili ana i kēia kūlana i kapa ʻia ʻo "unexplained infertility." He mea kaumaha nui kēia, akā e kamaʻilio kākou e pili ana i nā kikoʻī, ʻae?
He aha ka hānau ʻole i wehewehe ʻole ʻia?
I ka ʻōlelo maʻalahi,
ʻo ka hānau ʻole i wehewehe ʻole ʻia ʻo ia ka wā ʻaʻohe kumu lapaʻau maopopo no ka pilikia o ʻoe a me kāu hoa i ka hāpai ʻana. Ma mua o kou hana ʻana i kēia, e holo kāu kauka i kahi moʻo piha o nā hoʻokolohua e hoʻoholo ai i kou hānau ʻana. ʻO ka hapa nui o ka manawa, e hōʻoia kēia mau hoʻokolohua i kēia mau mea:
ʻOiai inā ua kūpono kēia mau mea a pau, inā ʻoe ma lalo o 35 a ʻaʻole hiki iā ʻoe ke hāpai no hoʻokahi makahiki a ʻeono mahina paha inā ʻoe ma luna o 35, a laila kapa nā kauka i kēia he "infertility wehewehe ʻole." E noʻonoʻo e pili ana i ia mea, i kekahi manawa ke hele mākou e kiʻi i ka lāʻau lapaʻau no kahi maʻi, holo nā kauka i kahi nui o nā hoʻokolohua, ʻeā? ʻO ia ka mea like. Hoʻāʻo lākou i nā mea āpau, akā ʻaʻole hiki iā lākou ke loaʻa ke kumu o ka pilikia. He mea hoʻonāukiuki iki ia, akā ʻaʻole ia ka hopena o ka honua.
Pehea ka maʻamau o kēia ʻano?
He mea paʻakikī ke ʻōlelo pololei i ke ʻano maʻamau o kēia. No ka mea, ʻo ka mea a kekahi kauka e manaʻo ai he "piha" no nā hoʻokolohua hānau keiki hiki ke ʻokoʻa mai ke kauka a i ke kauka. ʻO ia hoʻi, aia nā ʻokoʻa liʻiliʻi i ke ʻano o ka hana ʻana i nā hoʻokolohua, no laila hiki ke hewa iki nā helu helu. Wahi a kekahi hōʻike, ma kahi o
10% o nā kāne e hoʻāʻo nei e hāpai keiki, loaʻa paha kēia ʻano hānau keiki ʻole i wehewehe ʻole ʻia. ʻO ia hoʻi, he maʻamau kā lākou mau hoʻokolohua a pau. Eia naʻe, ʻōlelo nā hōʻike ʻē aʻe ua helu ʻia kēia helu.Hiki ke piʻi a hiki i
ka 30% . No laila, ʻaʻole kēia he mea i lohe ʻole ʻia.
Hiki anei ke hānau keiki me ka hiki ʻole ke hānau keiki i wehewehe ʻia?
ʻAe, hiki iā ʻoe! ʻO kēia ka nūhou maikaʻi loa hiki iaʻu ke hāʻawi aku iā ʻoe. ʻOiai ua ʻike ʻia ʻoe me ka "infertility wehewehe ʻole" ʻaʻole ia he manaʻo e haʻalele ʻoe i ka manaʻolana. Ua ʻike ʻia kahi noiʻi a ka National Institute of Health (NIH) ua loaʻa i
ka 92% o nā kāne me ka infertility wehewehe ʻole i kahi pēpē ma hope o ka hana ʻana i nā lāʻau lapaʻau hānau. ʻO ia hoʻi, aia nō ka manawa kūpono e hiki mai ana kāu moeʻuhane.
ʻO ke ʻano o ka " hānau ʻole i wehewehe ʻole ʻia" ʻaʻole ia he manaʻo ʻaʻole hiki iā ʻoe ke loaʻa kahi pēpē. ʻO ia hoʻi, pono ʻoe e hoʻāʻo iki i kahi ʻano ʻokoʻa.
ʻAʻohe kumu maoli? He aha nā kumu huna e hiki ai ke hoʻokumu i kēia?
ʻOiai ua ʻōlelo ʻia "ʻaʻole maopopo ke kumu," i kekahi manawa aia maoli ke kumu. Eia naʻe, ʻo ia kumu paha he mea hiki ʻole ke ana ʻia a ʻike ʻia paha e nā hoʻokolohua o kēia manawa. A i ʻole, he mea maalea loa paha ia a nalo i ka ʻike ʻole ʻia. E nānā kākou i kekahi o nā kumu kūpono:
He kūlana olakino i ʻike ʻole ʻia
Ke aʻo nei nā kānaka noiʻi pehea e hoʻopilikia ai kekahi mau maʻi i ka hānau keiki. No ka laʻana, hiki i
ka maʻi Celiac (kahi allergy gluten), ka maʻi diabetes, a me nā maʻi thyroid ke hoʻopilikia i ka hānau keiki. Loaʻa paha iā ʻoe kekahi o kēia mau maʻi, akā ʻaʻole paha e ʻike piha ʻia.
Ke kūlana endometriosis
ʻO ka Endometriosis kahi maʻi e ulu ai ka ʻiʻo e ulu maʻamau ana i loko o ka ʻōpū (endometrium) ma waho o ka ʻōpū. ʻOiai i nā hihia palupalu loa, hiki i kēia ke kumu i ka hānau ʻole ʻana. I mea e ʻike pono ai inā he endometriosis kou a ʻaʻole paha, pono ʻoe e hana i ke ʻoki kino (e like me ka laparoscopy). ʻOiai inā ʻaʻohe ou hōʻailona, hiki i kēia maʻi ke hoʻopilikia i kou hānau ʻana.
Nā pilikia o ka mucus cervical
I ka wā o ka ovulation
, kōkua ka mucus cervical i ka sperm e hālāwai me ka hua manu. Inā mānoanoa loa kēia mucus, a inā paha he mau ʻāpana i loko, ʻaʻole hiki i ka sperm ke hele ma waena o ka cervix i loko o ka uterus.
Ka maikaʻi o ka hua manu
Hiki i nā kauka ke hoʻohana i kahi ultrasound e nānā i nā follicles i loko o kāu mau ovaries a ana i ka nui o nā hua āu. Eia nō naʻe, ʻaʻole hiki i ka ultrasound ke haʻi i ka maikaʻi o kēlā mau hua. ʻOiai hiki i nā hoʻāʻo koko a me ka ultrasound ke hāʻawi iā ʻoe i kahi manaʻo o ka maikaʻi o kāu mau hua, he paʻakikī ke ʻōlelo maopopo.
Ka maikaʻi o ka sperm
E like me nā hua manu,
Hiki i kahi loiloi sperm ke ʻike i nā pilikia he nui me ka sperm. Eia nō naʻe, i kekahi manawa hiki i nā pilikia maalea ʻē aʻe me ka sperm ke kumu i ka hānau ʻole ʻana i wehewehe ʻole ʻia. Nā pilikia me ka uhi o loko o ka ʻōpū (Endometrium)
ʻO ka endometrium ka papa o loko loa o kou uterus. Hoʻokomo ʻia kahi hua i hoʻoulu ʻia a ulu i loko o kahi embryo ma kēia papa. ʻO kahi kīnā luteal phase kahi kūlana i ʻole ka mānoanoa o ka endometrium a ʻaʻole paha i mākaukau e loaʻa kahi hua i hoʻoulu ʻia. Inā hana kēia, ʻoiai inā i hoʻoulu ʻia kahi hua, ʻaʻole hiki iā ia ke hoʻokomo i loko o ka uterus. ʻAʻole e hāpai. Ka manawa like ʻole o ka moekolohe
I kekahi manawa, ʻaʻole paha e kūlike ka pinepine o ka moekolohe, a i ʻole ka manawa o ka moekolohe, me kāu ovulation. Me he mea lā he mea liʻiliʻi kēia, akā hiki ke hoʻopilikia i kou manawa e hāpai ai. I kekahi manawa hiki ke hana ʻia me ke kumu ʻole, a paʻakikī paha ke loaʻa a mālama paha ke kumu. Pono e holo pono nā mea he nui no ka hāpai ʻana o kahi pēpē. Inā hewa kekahi mea liʻiliʻi i kēlā kaʻina hana, hiki ke hewa ka mea holoʻokoʻa. Akā ʻo ka nūhou maikaʻi, ke ʻimi mau nei nā mea noiʻi i nā ala hou e ʻike ai i nā pilikia momona e pili ana i nā mea e like me ka maikaʻi o ka hua manu, ka hana o nā ʻōpū hānau, a me ka hana sperm. Pehea ʻoe e ʻike pono ai i kēia maʻi?
ʻAʻole hiki ke ʻike ʻia nā maʻi hānau ʻole āpau me hoʻokahi hoʻāʻo. Eia kekahi, ʻaʻohe hoʻāʻo he 100% pololei (no ka laʻana, hiki ke ʻike ʻole ʻia nā ʻano ʻē loa). Wahi a ka American Society of Reproductive Medicine (ASRM), pono e komo pū ka hoʻāʻo hānau ʻana:- Ka loiloi ʻana i ka mōʻaukala olakino a me ka moekolohe piha.
- Ke hana nei i kahi hoʻokolokolo kino .
- Nā hoʻāʻo koko e nānā i nā pae hormone .
- Ka nānā ʻana i kāu mau ʻōpū hānau, e like me kāu mau ovaries, fallopian tubes, a me ka uterus . Hiki i kēia ke pili i kahi ultrasound a i ʻole nā hoʻokolohua holomua e like me ka hysterosalpingogram a laparoscopy paha .
- Ka nānā ʻana o ka sperm o ka hoa.
- Ka hoʻāʻo ʻana i ka mālama ʻana o ka ovarian .
- E nānā inā ke hana pono nei kāu ovulation .
Inā hana kekahi loea hānau keiki a kauka hānau keiki paha i kēia mau hoʻokolohua a pau akā ʻaʻole hiki ke loaʻa kahi kumu maopopo, a laila ua kapa ʻia ʻo "unexplained infertility." E hoʻomanaʻo he ʻokoʻa iki paha nā ʻano hoʻāʻo a kēlā me kēia kauka. No laila, inā loaʻa iā ʻoe kahi hōʻailona e like me kēia, ʻaʻohe hewa o ka loaʻa ʻana o kahi "manaʻo lua" mai kekahi kauka ʻē aʻe. He aha nā lāʻau lapaʻau i loaʻa?
ʻOiai ʻaʻole hiki i kāu kauka ke kuhikuhi i hoʻokahi kumu no kou hānau ʻole ʻana, e paipai paha ʻo ia i ka lāʻau lapaʻau ma muli o kāu mau hopena hoʻāʻo hānau a me kona ʻike i ka mālama ʻana i nā kāne like. Eia kekahi, ʻo nā mea e like me ka wikiwiki o kou makemake e hoʻomaka i ka lāʻau lapaʻau a me kou mau makahiki e pāʻani pū kekahi i kahi kuleana. ʻO nā lāʻau lapaʻau i ʻōlelo pinepine ʻia e hāʻule i loko o kēia mau māhele: ʻenehana hānau kōkua (ART)
ʻO ke Kōkua Hoʻoulu Keiki (ART) kahi ʻano lapaʻau hānau keiki kahi e hana ʻia ai kekahi hapa o ke kaʻina hana hoʻoulu keiki ma kahi keʻena hoʻokolohua. Hoʻokomo pū kēia i nā mea e like me ka Intrauterine Insemination (IUI) a me ka In Vitro Fertilization (IVF) .- I loko o IUI , holoi ʻia ka sperm a hoʻopili ʻia i loko o kahi keʻena hoʻokolohua a laila hoʻokomo pololei ʻia i loko o kou ʻōpū a puni ka manawa āu e ovulate ai.
- ʻO ka IVF e pili ana i ka hana ʻana i nā embryos i loko o ka hale hana me ka hoʻohana ʻana i kāu mau hua a me ka sperm o kāu hoa (a i ʻole ka mea hāʻawi), a laila hoʻokomo ʻia i loko o kou ʻōpū e ulu. I ka manawa pinepine, pili pū ka IVF i kahi kaʻina hana i kapa ʻia ʻo Intracytoplasmic Sperm Injection (ICSI) . Pili kēia i ka hoʻokomo pololei ʻana i kahi sperm i loko o ka hua. Hiki i ka ICSI ke hoʻonui i nā manawa kūpono o ka hāpai ʻana i ka wā e manaʻo ʻia ai ke ʻano o ka sperm ke kumu o ka hānau ʻole ʻana i wehewehe ʻole ʻia.
Nā ʻano lāʻau lapaʻau
He mea pono loa nō hoʻi nā lāʻau lapaʻau e hoʻoulu ai i ka ovulation a me ka ovulation. Hiki ke hoʻohana ʻia kēia mau mea a i ʻole me nā lāʻau lapaʻau IUI a me IVF. ʻO nā lāʻau lapaʻau i hoʻohana pinepine ʻia ʻo gonadotropins a me clomiphene (Clomiphene - Clomid®) . Kuhikuhi pū kekahi mau kauka i kahi lāʻau hānau i kapa ʻia ʻo letrozole (Femara®) , akā he hoʻohana ʻole kēia. Loaʻa i nā Gonadotropins nā hormones e hoʻonui ai i ka hana hua manu a hoʻohana ʻia hoʻi e mālama i ka helu sperm haʻahaʻa. Hoʻoulu pū ʻo Clomiphene i nā ovaries e hana i nā hua hou aʻe. E paipai kāu kauka i ke ʻano kūpono e pili ana i kou kūlana. Eia nō naʻe, e hoʻomanaʻo i ka wā e hoʻohana ai i kēia mau lāʻau hānau, hiki ke hoʻokuʻu ʻia ma mua o hoʻokahi hua manu i hoʻokahi pōʻaiapuni menstrual. Inā hana ʻia kēlā, ʻoi aku ka nui o ka manawa e loaʻa ai ma mua o hoʻokahi pēpē (e like me nā māhoe). Nā loli o ke ʻano o ka nohona
Hiki i kekahi mau ʻano nohona ke hoʻopilikia i ka hānau keiki. Eia kekahi mau mea hiki iā ʻoe ke hana e hoʻonui i kou manawa e hāpai ai i kahi keiki:- E pale loa i ka puhipaka, ka inu ʻana i ka waiʻona, a me ka hoʻohana ʻana i nā lāʻau lapaʻau.
- E mālama i ke kaumaha o ke kino olakino.
- E ʻai i ka ʻai maikaʻi a kaulike hoʻi.
- E ho'āʻo e hoʻoikaika kino no 30 mau minuke ma ka liʻiliʻi i ka lā.
- E hōʻemi i ka lawe ʻana i ka caffeine (kī, kofe).
- E ho'āʻo e hōʻemi i kou kaumaha .
E makaʻala i ka manawa o ka moekolohe.
He manawa liʻiliʻi wale nō ka manawa i loko o kou pōʻaiapuni menstrual i hiki ai iā ʻoe ke hāpai. Hiki i kāu kauka ke kōkua iā ʻoe e ʻike i kēia puka makani. Hiki ke hana ʻia kēia ma ke nānā ʻana i kou mahana kino basal, ka palapala ʻana i kāu pōʻaiapuni menstrual, a i ʻole ka hoʻohana ʻana i nā pahu ovulation . Hiki i kekahi mau kauka ke ʻōlelo, "E hoʻāʻo wale no kekahi manawa hou aku." Hiki i kēia ke lilo i hoʻolālā lapaʻau paʻakikī e hoʻomaopopo, ʻoiai inā ʻoe kekahi e moeʻuhane nei e hoʻomaka i kahi ʻohana i ka hikiwawe loa. Eia nō naʻe, i kekahi manawa e hoʻoponopono ʻia ka pilikia a ʻaʻole pono paha ka lāʻau lapaʻau. Eia nō naʻe, ʻaʻohe hewa o ke nīnau ʻana i kekahi kauka ʻē aʻe inā makemake ʻoe, a i ʻole e hoʻomaka koke i nā lāʻau lapaʻau hānau. Aia kekahi ala e pale aku ai i kēia?
ʻOiai aia kekahi mau mea hiki iā ʻoe ke hana e hoʻonui i kou manawa e hāpai ai i kahi keiki, aia kekahi mau mea hiki ʻole iā mākou ke kāohi e hoʻopilikia i ka hānau keiki. ʻO kekahi o nā mea hiki iā ʻoe ke kāohi:- Kaumaha: E mālama i ke kaumaha o ke kino kūpono iā ʻoe.
- Puhipaka a me ka waiʻona: E pale i ka puhipaka a me ka inu nui ʻana i ka waiʻona.
- Mōʻaukala moekolohe: E hoʻohana i nā condom e pale iā ʻoe iho mai nā maʻi i laha ma ke moekolohe (STI) .
E kamaʻilio me kāu kauka e pili ana i kou mau hopohopo no ka hānau keiki ʻana i hiki iā ia ke kuhikuhi i nā hana aʻe no kāu mālama ʻana. ʻEhia mau kāne me ka hānau ʻole i wehewehe ʻole ʻia e hāpai ana?
Ua ʻike ʻia kekahi noiʻi ua hāpai ma kahi o 43% o kēia poʻe me ka ʻole o kekahi lāʻau lapaʻau hānau keiki. ʻO ia hoʻi, hiki ke hana ia ma kāna iho i kekahi manawa. He aha nā nīnau koʻikoʻi e nīnau aku ai i kāu kauka?
He mea maʻamau ka loaʻa ʻana o nā nīnau he nui ke ʻike ʻia ʻoe me ka "infertility unexplained." ʻO ka nūhou maikaʻi, ʻaʻohe pilikia nui e hoʻokumu ana i kou infertility. ʻO ka nūhou maikaʻi ʻole, ʻaʻole hiki i kāu kauka ke haʻi pololei iā ʻoe i ke kumu ʻaʻole ʻoe e hāpai. E kamaʻilio me kāu kauka e pili ana i nā mea āpau ma kou manaʻo. E nīnau i nā nīnau e like me kēia:- He aha kāu e paipai mai ai iaʻu e hana hou?
- ʻO wai ke ʻano hana e hāʻawi iaʻu i ka manawa kūpono loa e hāpai ai?
- Aia kekahi mau hoʻokolohua koko a i ʻole nā hoʻokolohua kiʻi e pono e hana ʻia?
- Hiki paha i kahi maʻi olakino ke kumu o koʻu hānau ʻole ʻana?
- Pono anei au e ʻike i kahi loea hānau keiki?
ʻEhia ka lōʻihi o kou hoʻāʻo ʻana e ʻimi i kauka?
ʻŌlelo 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 no ka hānau ʻole ʻana. Eia nō naʻe, inā he 35 ou mau makahiki a ʻoi paha, e ʻike i ke kauka ma hope o ʻeono mahina . Hiki i kāu kauka ke ʻōlelo i ka lāʻau lapaʻau ma muli o kou mōʻaukala olakino a me kou makemake e loaʻa kahi keiki. ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
Hiki i ka hānau ʻole ʻana ke lilo i mea hoʻonāukiuki a huikau hoʻi. ʻO ia hoʻi, ʻaʻohe mea hiki ke hoʻomaopopo pono i ke kumu hiki ʻole iā ʻoe ke hāpai. Akā , mai hopohopo, a i ʻole e hoʻonāwaliwali - aia nā lāʻau lapaʻau e kōkua iā ʻoe. Loaʻa i kekahi mau kāne a wahine ka holomua me ka lāʻau lapaʻau, IUI, a i ʻole IVF. ʻAʻole manaʻo ka "hānau ʻole i wehewehe ʻole ʻia" ʻaʻole loa ʻoe e loaʻa i kahi pēpē. ʻO ia hoʻi, pono i kāu mau kauka ke hoʻāʻo i kekahi mau koho like ʻole e kōkua iā ʻoe e hāpai.
E ʻimi i kahi kauka e hoʻomaopopo i kou mau manaʻo a kākoʻo iā ʻoe i kēia manawa paʻakikī. Mai haʻalele i ka manaʻolana. Makemake mākou a pau iā ʻoe i ka pōmaikaʻi maikaʻi loa i kāu huakaʻi e hoʻokō ai i kāu moeʻuhane! ʻAʻole hānau keiki, Nalowale keiki, ʻAʻole hānau keiki i wehewehe ʻole ʻia, Ka hānau keiki, Hāpai keiki, IVF, IUI
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