He moeʻuhane ka lilo ʻana i makuahine no nā wāhine he nui. Akā i kekahi manawa hele mai kēlā moeʻuhane me nā pilikia. ʻO ka hiki ʻole ke hāpai i kahi keiki, a i ʻole ka hānau ʻole ʻana , he mea kaumaha loa ia a he mea kaumaha hoʻi. Nui nā kumu no ka hānau ʻole ʻana. I kēia lā e kamaʻilio mākou e pili ana i kekahi o nā kumu kikoʻī loa. ʻO ia ka hānau ʻole ʻana i hoʻokumu ʻia e nā pilikia e pili ana i ka ʻōpū .
He aha kēia mea i kapa ʻia ʻo ka uterine factor infertility?
I ka ʻōlelo maʻalahi, he kūlana kēia kahi hiki ʻole iā ʻoe ke hāpai i kahi keiki no ka mea ʻaʻole kou ʻōpū ma laila a ʻaʻole hana pono kāu ʻōpū. E like me kā mākou e ʻike nei, hānau ʻia kahi pēpē a ulu no nā mahina i loko o ka ʻōpū o ka makuahine, ʻo ia hoʻi, i loko o ka ʻōpū. Ua like ia me ka home mua o ka pēpē. No laila, inā ʻaʻole kēia home ma laila, a inā ʻaʻole i hoʻomākaukau pono ʻia kēia home no kahi pēpē, he paʻakikī ke hāpai.
ʻElua ʻano nui o kēia maʻi.
Hiki ke hoʻokaʻawale ʻia ka hānau ʻole ʻana o ka ʻōpū i ʻelua mau ʻāpana nui, ma muli o ke ʻano o ka hanana.
| ʻAno maikaʻi | I ka ʻōlelo maʻalahi... |
|---|---|
| Kūlana hānau | ʻO ke ʻano kēia ua hānau ʻia ʻoe me ka ʻole o ka ʻōpū a i ʻole ka ʻōpū hana. Hana ʻia kēia ma muli o kahi loli e hana ʻia ana i kou wā e ulu ana ma ke ʻano he fetus i loko o ka ʻōpū. |
| Kūlana i loaʻa | ʻO kēia ka manawa e hānau ʻia ai ʻoe me kahi ʻōpū olakino, akā no kekahi kumu i kou ola ʻana, ua hōʻino ʻia ka ʻōpū a pono paha e wehe ʻia. |
He aha nā kumu o nā kūlana i loaʻa?
E noʻonoʻo, he ʻōpū kou, akā ma muli o kekahi mau pilikia me ia, ʻaʻole hiki ke hāpai. Nui nā kumu no kēia.
- Hoʻopau ʻana i ka maʻi ʻōpū :Hiki mai kēia kūlana ke wehe loa ʻia ka ʻōpū ma muli o kahi kūlana olakino.
- ʻO nā Fibroids Uterine a i ʻole Polyps: He mau ulu maʻamau kēia e kū mai ana ma nā paia o ka ʻōpū. I kekahi manawa, hiki iā lākou ke hoʻopilikia i ke kau ʻana o kahi fetus i loko o ka ʻōpū.
- ʻIʻo ʻōpala: Hiki i nā ʻiʻo ʻōpala i loko o ka ʻōpū ke hoʻopilikia i ka hāpai ʻana. He ʻoiaʻiʻo loa kēia no kahi maʻi laha ʻole i kapa ʻia ʻo Asherman's syndrome . Hiki ke hana ʻia nā ʻiʻo ʻōpala e nā maʻi ʻōpū a i ʻole nā ʻoki ʻana e like me D&C.
- Ka pāhawewe : Hiki i ka mālama ʻana i ka pāhawewe no nā maʻi e like me ke kanesa ke hōʻino i ka ʻōpū.
He aha nā hōʻailona o kēia maʻi?
ʻOkoʻa nā hōʻailona ma muli o ke kumu. No ka laʻana, ʻaʻole loaʻa i kekahi mau wahine ʻōpio ko lākou mau wā . ʻO ka hōʻailona mua a lākou e ʻike ai, ʻaʻole lākou e hoʻomaka i ka wā ʻōpiopio ma hope o ko lākou hiki ʻana i ka wā ʻōpio. Hiki i kekahi ke manaʻo i ka ʻeha a i ʻole ke kaomi ma ka ʻōpū lalo. I ka manawa pinepine, ʻike ʻia ke ʻano i ka wā e hoʻāʻo nei lākou e hāpai akā ʻaʻole i holomua.
E nānā pono kākou i nā kumu nui o ka hānau ʻole ʻana e pili ana i ka ʻōpū.
E nānā kākou i nā kumu nui e hāʻule ana ma lalo o nā māhele ʻelua a mākou i kūkākūkā ai ma mua me nā kikoʻī hou aku.
1. Ka nele o ka ʻōpū hānau ʻole
ʻO kēia ka maʻi Mayer-Rokitansky-Küster-Hauser (MRKH) . He maʻi hānau kakaikahi loa kēia. I loko o kēia, ʻaʻole e ulu a piha ʻole paha ka ʻōpū a me kahi ʻāpana o ka vagina. Akā, ʻo ka mea kupanaha, i loko o nā poʻe he nui me kēia maʻi , hana maikaʻi nā ovaries . ʻO ia hoʻi, hana maʻamau nā ovaries i nā hormones. No laila, ʻoiai aia nā mea e like me nā loli o ke ʻano e pili ana i ke kaʻina hana menstrual, ʻaʻohe kahe koko, ʻo ia hoʻi, ka menstruation, no ka mea, ʻaʻohe uterus. ʻIke pinepine ʻia kēia maʻi i ka wā ʻōpiopio, ʻo ia hoʻi, i ka wā ʻaʻole i hoʻomaka ka menstruation i ka makahiki 15-16.
ʻO ke aʻo ʻana i kahi mea e like me kēia hiki ke lilo i mea hoʻohoka nui i ke keiki ʻōpio a me nā mākua. Eia nō naʻe, he mea nui loa ia e hoʻomaopopo pololei i ke kūlana, e kamaʻilio me ke kauka, a hoʻoholo i nā hana aʻe.
2. Hoʻopau ʻia ka ʻōpū
Pono paha ka wahine e hana i kahi hysterectomy no nā kumu like ʻole. I kēlā mau hihia, ʻaʻole hiki iā ia ke hāpai ma hope.
| Nā kumu e hana ai i ke ʻoki hysterectomy | Wehewehena |
|---|---|
| Ke kahe koko | I kekahi manawa, inā he kahe koko hiki ʻole ke kāohi ʻia, e like me ka wā o ka ʻoki cesarean, pono paha e wehe ʻia ka ʻōpū ma ke ʻano he koho hope loa e hoʻopakele ai i ke ola. He kūlana kakaikahi loa kēia. |
| Ka maʻi ʻōpū | ʻO ka wehe ʻana i ka ʻōpū ka lāʻau lapaʻau maikaʻi loa e pale ai i ka laha ʻana o nā hunaola kanesa i nā ʻāpana ʻē aʻe o ke kino. |
| ʻO ka endometriosis koʻikoʻi, fibroids, a i ʻole adenomyosis | Hoʻoulu kēia mau kūlana i nā hōʻailona koʻikoʻi, e like me ka ʻeha nui a me ke kahe koko nui. Inā ʻaʻole holomua nā lāʻau ʻē aʻe, e wehe ʻia ka ʻōpū e kāohi i nā hōʻailona. |
Pehea e ʻike ai ke kauka i kēia maʻi?
Inā he maʻi hānau ʻia, e ʻike pinepine ʻoe i ke kauka inā ʻaʻole ʻoe i hoʻomaka i ka menstruation i ka wā ʻōpiopio. E hana mua ke kauka i kahi scan ultrasound e nānā i kāu ʻōnaehana hānau. Inā pono, hiki ke hana ʻia kahi scan MRI . Hiki i kēia mau hoʻokolohua ke nānā inā ua nalowale ka ʻōpū, liʻiliʻi, a i ʻole he ʻano ʻē.
Ma ke ʻano i loaʻa ai ke kūlana, e nānā pono ke kauka i kāu mōʻaukala olakino piha, me nā ʻoki kino ma mua a me nā kūlana olakino, a hiki i kahi hopena.
Aia kekahi lāʻau lapaʻau no kēia? Aia kekahi manaʻolana?
No ka manawa lōʻihi, ʻo nā koho wale nō no kahi mea me ka ʻole o ka ʻōpū e loaʻa ai kahi keiki, ʻo ia ka hānai ʻana a i ʻole ka surrogacy gestational.Wale nō.
Akā me nā holomua hou o ka ʻepekema lapaʻau, ua puka mai kahi manaʻolana hou: Ka Hoʻoili ʻUterus .
ʻAʻole kēia he hana ʻoki kino maʻamau loa ma ka honua, akā inā e holomua, e ʻae ia i ka wahine me ka ʻōpū ʻole e hāpai a hānau i kāna pēpē ponoʻī.
Pehea e hana ʻia ai kahi hoʻoili ʻōpū?
He ʻoki kino kēia, e like me ke kāpili puʻupaʻa a puʻuwai paha. ʻO kahi ʻōpū, i lawe ʻia mai kahi mea hāʻawi, ua kāpili ʻia i loko o ka mea e pono ai. ʻElua ʻano mea hāʻawi:
- Nā Mea Hāʻawi Ola: Hiki i kēia poʻe ke lilo i lālā o ka ʻohana (makuahine, kaikuahine) a i ʻole he malihini e makemake ana e hāʻawi i ko lākou ʻōpū.
- Nā Mea Hāʻawi i Make: He ʻōpū i loaʻa mai kekahi kanaka i hōʻike i ko lākou makemake e hāʻawi i ko lākou mau kino ma mua o ko lākou make ʻana.
Ma mua o kēia ʻoki kino, hana ʻia nā embryos me ka hoʻohana ʻana i nā hua o ka wahine a me ka sperm o kāna hoa ma o ka ʻenehana IVF (In Vitro Fertilization) a mālama ʻia i loko o ka pahu hau. Ma hope o ka hoʻoili ʻia ʻana o ka ʻōpū a hoʻomaʻamaʻa ke kino iā ia, hoʻokomo ʻia kekahi o nā embryos i hana ʻia i loko o kēia ʻōpū hou.
ʻO ka mea nui, ʻaʻole e mālama mau ʻia kēia ʻōpū i hoʻoili ʻia i loko o ke kino. ʻO ka maʻamau, ma hope o ka hānau ʻana o hoʻokahi a ʻelua paha keiki, hana ʻia kekahi ʻoki kino e wehe i ka ʻōpū i hoʻoili ʻia. ʻO ke kumu o kēia, pono ke kino e hoʻomau i ka lawe ʻana i nā lāʻau immunosuppressant e pale aku i ke kino mai ka hōʻole ʻana i ka ʻōpū i hoʻoili ʻia. ʻOiai ʻaʻole maikaʻi loa kēia mau lāʻau no ke kino i ka wā lōʻihi, wehe ʻia ka ʻōpū ma hope o ka loaʻa ʻana o ka hiki ke hānau keiki.
Hiki ke pale ʻia kēia kūlana?
ʻAʻohe ala e pale aku ai i kahi maʻi hānau ʻia no ka mea hiki mai ia ma mua o ko kākou hānau ʻana.
Eia nō naʻe, hiki ke pale ʻia kekahi mau maʻi i loaʻa. No ka laʻana, ma mua o ka hana ʻana i ka hysterectomy, inā he manaʻolana kou e loaʻa nā keiki i ka wā e hiki mai ana, e kamaʻilio ākea me kāu kauka e pili ana i ia mea. E kūkākūkā i nā koho āpau, me nā pono a me nā pōʻino. Eia nō naʻe, aia kekahi mau pilikia i ka wā e pono ai ka hysterectomy e hoʻopakele i ke ola. I ia mau hihia, ʻaʻohe manawa e kūkākūkā ai.
Nā nīnau e hiki mai ana i kou manaʻo a me kā lākou mau pane
He mea maʻamau ka nui o nā nīnau e kū mai i loko o kou noʻonoʻo ke aʻo ʻoe i kahi mea e like me kēia.
ʻAʻole loa anei e hiki iaʻu ke hānau keiki?
Inā ʻaʻohe ou ʻōpū akā ke hana nei kāu mau ovaries, aia nā koho no ka loaʻa ʻana o kahi pēpē. ʻO ka hānai ʻana, ka surrogacy, a i kēia manawa he mau koho nō hoʻi. E kamaʻilio me kāu kauka e pili ana i ke koho kūpono iā ʻoe.
ʻAʻole loa anei au e loaʻa i koʻu wā?
Me ka ʻole o ka ʻōpū, ʻaʻole e hana ka menstruation. ʻO kēia no ka mea e hoʻokahe ʻia ke koko i ka wā o ka menstruation i ka wā e hemo ai ka uhi o ka ʻōpū. Eia nō naʻe, inā loaʻa nā ovaries, hiki ke loaʻa nā hōʻailona ʻē aʻe e pili ana i ke kaʻina hana menstrual (ʻeha ʻōpū, loli o ke ʻano) i kekahi ʻano ma muli o ka hana hormonal.
ʻAʻole anei e hoʻopilikia ka loaʻa ʻana o kahi ʻōpū i nā ʻāpana ʻē aʻe o koʻu kino?
ʻO ka wehe ʻana i ka ʻōpū e hopena i ka nalowale ʻana o ka momona. Eia nō naʻe, inā ʻaʻole e wehe ʻia nā ovaries, e hoʻomau ka hana ʻana o ka hormone ma ke ʻano maʻamau, no laila ʻaʻole e hoʻopilikia nui ʻia nā hana kino ʻē aʻe.
ʻOiai ke kumu o kēia maʻi, hiki ke paʻakikī ka loaʻa ʻana o kahi hōʻailona e like me kēia. Akā e hoʻomanaʻo ʻaʻole ʻoe hoʻokahi. Aia nā kauka a me nā kākā'ōlelo e hiki ke kōkua iā ʻoe a pane i kāu mau nīnau. ʻO ka mea nui loa, ʻo ia ka loaʻa ʻana o ka ʻike kūpono a me ka hoʻoholo ʻana i kāu mau koho no ka hoʻonui ʻana i kou ʻohana.
Leka Lawe-Home
- ʻO ka Uterine Factor Infertility ka hiki ʻole ke hāpai ma muli o ka nele o ka uterus a i ʻole kahi pilikia me kāna hana.
- Hiki i kēia ke hānau ʻia a i loaʻa paha ma muli o ke ʻoki kino a i ʻole nā kūlana olakino ʻē aʻe i koʻu wā e ola ana.
- ʻO kekahi o nā hōʻailona nui o kēia ʻano, ʻo ia ka hiki ʻole ke hoʻomaka i ka menstruation ʻoiai ke holomua nei ka makahiki.
- ʻOiai inā nalowale ka ʻōpū, inā hana nā ovaries, aia kekahi mau koho no ka loaʻa ʻana o kahi keiki, e like me ka hānai ʻana a me ka surrogacy.
- He ʻenehana lapaʻau hou ka hoʻoili ʻōpū e lawe mai ana i ka manaʻolana hou i ka poʻe me kēia maʻi, akā, ʻaʻole ia he mea maʻamau.
- Inā he mau pilikia a kānalua paha kāu e pili ana i kēia, mai hopohopo, a e kamaʻilio pono me kāu kauka.
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