ʻAʻole hiki ke hānau keiki ma muli o kahi pilikia me ka ʻōpū? E kamaʻilio kākou e pili ana i (Uterine Factor Infertility)

I ka hoʻāʻo ʻana e hoʻokō i ka moeʻuhane o ka loaʻa ʻana o kahi keiki, i kekahi manawa pono mākou e kū i nā pilikia i manaʻo ʻole ʻia. Ua haʻi aku paha kāu kauka iā ʻoe aia ka pilikia i loko o ka ʻōpū? He mea maʻamau loa ke kaumaha a me ka haʻalulu ke lohe ʻoe i kahi mea e like me kēia. Akā, mai hopohopo. E hoʻomaopopo pono kākou i kēia, no ka mea, ʻo ka ʻike ka hana mua ma kēia huakaʻi.

He aha ka Uterine Factor Infertility?

I ka ʻōlelo maʻalahi, ʻo ia ka wā hiki ʻole i ke kanaka ke hāpai. ʻO ke kumu o kēia, ʻaʻole i loaʻa ko lākou ʻōpū mai ka wā hānau a i ʻole, inā paha aia, ʻaʻole ia e hana pono. Ua ʻike mākou a pau ua hānau ʻia ke keiki a ulu i loko o ka ʻōpū o ka makuahine, ʻo ia hoʻi, i loko o ka ʻōpū. No laila, inā he pilikia i loko o kēia ʻōpū, pili pololei ia i ka hāpai ʻana.

Aia nā ʻano nui o kēia ʻano.

Hiki ke puʻunaue ʻia kēia kūlana i ʻelua mau ʻāpana nui: ma muli o ke ʻano o kona hana ʻana.

He aha nā kumu o kēia? E nānā pono kākou.

E kamaʻilio hou aku kākou e pili ana i ke kumu o kēia hana.

ʻO ka hānau ʻia ʻana me ka ʻole o ka ʻōpū

He maʻi hānau kakaikahi loa kēia. I ka ʻōlelo lapaʻau, ua kapa ʻia ʻo ia he `(Mayer-Rokitansky-Küster-Hauser syndrome - MRKH)`. ʻO ke kanaka me kēia maʻi, he ʻōpū a he uterus kona i ulu ʻole i ka wā hānau, a i ʻole he liʻiliʻi loa. Akā, he mea kupanaha, olakino pinepine nā ovaries.. Ma muli o ka hana ʻana o nā ovaries, hoʻopuka maʻamau ʻia nā hormones, no laila hiki ke hana ʻia nā mea e like me nā loli o ke ʻano e pili ana i ka pōʻaiapuni menstrual. Eia nō naʻe, no ka mea ʻaʻohe uterus, ʻaʻohe kahe koko o ka menstrual. 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.

Hoʻopau ʻia ka hysterectomy

ʻO kekahi kumu nui no kēia, ʻo ia i kekahi manawa o ke ola, pono e wehe ʻia ka ʻōpū ma ke ʻoki ʻana. Hiki ke nui nā kumu no ia ʻano ʻoki ʻana.

• Ke kahe koko nui (hemorrhage): I kekahi manawa, inā he kahe koko nui i hiki ʻole ke hoʻōki i ka wā o ka ʻoki ʻana o C-section a i ʻole kekahi ʻoki kino ʻē aʻe, pono paha e wehe ʻia ka ʻōpū ma ke ʻano he koho hope loa e hoʻopakele ai i ke ola. He mea kākaʻikahi loa kēia.
• Ka maʻi ʻōpū: Lawe ʻia ka ʻōpū e pale i ka laha ʻana o nā hunaola kanesa i nā ʻāpana ʻē aʻe o ke kino.
• Nā kūlana koʻikoʻi ʻē aʻe: Ke hiki ʻole ke kāohi ʻia ka ʻeha nui o ka ʻōpū a me ke kahe koko nui i hoʻokumu ʻia e nā kūlana e like me ka endometriosis, uterine fibroids, a i ʻole adenomyosis me nā lāʻau ʻē aʻe, ʻōlelo nā kauka e wehe i ka uterus i mea e hōʻoluʻolu ai.
• ʻO ka ʻōpala o ka ʻōpū: ʻO kekahi mau maʻi, ka radiation therapy, a i ʻole ke ʻoki ʻana e hoʻomaʻemaʻe i ka ʻōpū (Dilation and Curettage - D&C) hiki ke hana i nā ʻiʻo ʻōpala i loko o ka ʻōpū a hoʻopili. Ua kapa ʻia kēia ʻano maʻi ʻo Asherman. ʻO kēia ʻōpala e paʻakikī ai i kahi fetus ke hoʻokomo i loko o ka paia o ka ʻōpū.

Pehea e ʻike ai i kēia maʻi?

E hahai ana kāu kauka i kekahi mau ʻanuʻu e ʻike ai i kēia maʻi.

• Mōʻaukala lapaʻau: ʻO ka mea mua, e nīnau ʻia ʻoe e pili ana i kou pōʻaiapuni menstrual, nā ʻoki kino ma mua, a me nā kūlana olakino ʻē aʻe.
• Hoʻokolokolo kino: Ua nānā ʻia ka ʻāpana ʻōpū.
• Nā scan: Hiki i kahi scan ultrasound ke ʻike maopopo i ke ʻano, ka nui, a inā paha aia ka ʻōpū. I kekahi manawa hiki ke hana ʻia kahi scan MRI no ka hōʻoia hou aku.

He aha nā lāʻau lapaʻau a me nā koho no kēia?

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.

Akā i kēia mau lā aku nei, me ka holomua o ka ʻepekema lapaʻau, ua puka mai kahi manaʻolana hou: ka hoʻoili ʻana o ka ʻōpū .

ʻAʻole kēia he hana maʻamau ma nā ʻāina he nui a puni ka honua, akā ua nui nā hihia i kūleʻa ai.

Pehea e hana ʻia ai kahi hoʻoili ʻōpū?

He hana ʻoki kino paʻakikī nō hoʻi kēia, e like me ke kāpili ʻana i kahi ʻōkana e like me ke akepaʻa a me ka puʻupaʻa.

• Ke hoʻoili ʻana o ka ʻōpū: Ua hoʻoili ʻia kahi ʻōpū olakino mai kahi kanaka ola (e laʻa, he ʻohana pili e like me ka makuahine a kaikuahine paha) a i ʻole mai kahi kanaka i make (mea hāʻawi lolo-make).
• Ka hoʻomākaukau ʻana o ka Embryo: Ma mua o ka hoʻoili ʻia ʻana o ka ʻōpū, hana ʻia nā embryos me ka hoʻohana ʻana i ka ʻenehana IVF me ka hoʻohana ʻana i nā hua a ka wahine loaʻa a me ka sperm a kāna hoa, a ua hoʻopaʻahau ʻia lākou.
• Hoʻokomo ʻana: Ma hope o ke ʻoki ʻana, ke hoʻololi ke kino i ka uterus hou, hoʻokomo ʻia nā embryos i hoʻomākaukau mua ʻia i loko o ka uterus hoʻokahi.
• He hoʻoili kino manawa pōkole: ʻAʻole kēia he hana no ke ola holoʻokoʻa e like me nā hoʻoili kino ʻē aʻe. ʻO ka maʻamau, ma hope o ka hānau ʻana o hoʻokahi a ʻelua paha keiki, wehe ʻia ka ʻōpū i hoʻoili ʻia ma ke ʻoki ʻana.
• No ke aha i wehe hou ʻia ai?: I mea e pale ai ke kino mai ka hōʻole ʻana i kahi ʻōkana i hoʻoili hou ʻia, pono ʻoe e lawe i nā lāʻau lapaʻau no ke ola holoʻokoʻa (immunosuppressants). Loaʻa i kēia mau lāʻau nā hopena ʻaoʻao. No laila, ma hope o ka hoʻokō ʻia ʻana o ka pahuhopu o ka loaʻa ʻana o nā keiki, wehe ʻia ka ʻōpū i hoʻoili ʻia ma kēia ʻano e hōʻemi ai i ka pilikia o ka hoʻomau ʻana i ka lawe ʻana i kēia mau lāʻau.

Hiki ke pale ʻia kēia kūlana?

ʻAʻohe ala e pale aku ai i kēia maʻi hānau ʻia, no ka mea, hiki mai ia i ka wā e noho ana ke pēpē i loko o ka ʻōpū. ʻAʻole hiki ke ʻike mua ʻia ma o nā scan i ka wā hāpai.

Akā hiki iā kākou ke akahele iki e pili ana i nā kūlana i loaʻa i ke ola. No ka laʻana, ma mua o ka hana ʻana i ka hysterectomy no kahi kūlana e like me nā fibroids uterine, he mea nui e kamaʻilio ākea me kāu kauka e pili ana i kāu mau moeʻuhane e hiki mai ana. A laila, hiki iā kākou ke kūkākūkā inā he mau lāʻau ʻē aʻe e pono ʻole ai ka wehe ʻana i ka uterus.

Akā e hoʻomanaʻo, i kekahi manawa he hana ʻoki kino ulia pōpilikia e hoʻopakele ai i ke ola ka hysterectomy. I loko o ia kūlana, ʻaʻohe manawa e noʻonoʻo ai i nā koho ʻē aʻe.