Wi go tɔk bɔt uman dɛn we nɔ ebul fɔ bɔn pikin?

Yu ɛn yu man de op fɔ bɔn pikin? Bɔt pan ɔl we una de tray tranga wan, we una nɔ gɛt ɛni we fɔ kɔntrol pikin, ɛn pan ɔl we una de togɛda ɔltɛm, da drim de nɔ kam tru yet? A no se dis na tɔpik we rili sɛnsitiv. Dis na tɛm wae kin tranga wit de pwɛl hat, strɛs, ɛn prɔblɛm wae kin kam frɔm sosayti. Bɔt nɔto yu wangren de. Dis na tin we bɔku pipul dɛn kin gɛt. Tide, wi go tɔk bɔt uman dɛn we nɔ ebul fɔ bɔn pikin. Nɔ wɔri, wi go tɔk bɔt ɔltin simpul ɛn klia wan.

Wetin na dis infertility?

Fɔ tɔk am simpul wan, we pɔsin nɔ ebul fɔ bɔn pikin na sik we pɔsin kin gɛt we i de mɛn. I min se yu nɔ ebul fɔ gɛt bɛlɛ. Dɔktɔ dɛn kin no dis sik bay dɛn we ya:

• If yu nɔ rich 35 ia yet: If yu dɔn de tray fɔ wan ia we yu nɔ gɛt ɛni bɔn kɔntrol, yu dɔn du mami ɛn dadi biznɛs ɔltɛm, ɛn yu nɔ gɛt bɛlɛ.
• If yu dɔn pas 35 ia: If yu dɔn tray fɔ 6 mɔnt ɛn stil nɔ gɛt bɛlɛ.

Sɔntɛnde, dɔktɔ kin no dis sik bifo tɛm if yu gɛt ɔda sik.

Yu tink se kayn tin dɛn de we kin mek pɔsin nɔ ebul fɔ bɔn pikin?

Yɛs, na tu kayn dɛn de mɔ.

1. Praymari Infεtiliti: Dis min se yu nɔ ɛva gɛt bɛlɛ bifo ɛn yu nɔ bin ebul fɔ gɛt bɛlɛ afta yu dɔn tray fɔ di tɛm we wi bin dɔn tɔk bɔt (wan ia ɔ 6 mɔnt).

2. Sɛkɔndari Infɛtiliti: Dis min se yu dɔn saksesful fɔ bɔn at le wan pikin trade, dɔn we yu tray fɔ gɛt bɛlɛ bak, i nɔ saksesful.

We wi tink bɔt aw dis sik kin bɔku, lɛk 10% pan di uman dɛn na di wɔl kin gɛt dis prɔblɛm. Dis risk kin go ɔp smɔl wit di ej.

Wetin kin mek uman dɛn nɔ ebul fɔ bɔn pikin?

Bɔku rizin dɛn kin de fɔ dis. Sɔntɛnde, i nɔ kin izi fɔ no di rayt rizin. Wi kin kɔl am `(Unexplained Infertility)`. Lɛ wi si wetin na di men rizin dɛn.

1. Prɔblɛm dɛn we de wit di Uterus

di uterus na di say we di pikin de gro, so if prכblεm de de, i kin mek yu nכ gεt bεlε.

• Fibroid dɛn we de na di uterin:Dɛn tin ya na wan kayn we we nɔ gɛt kansa we de gro. Nɔto ɔl di growth dɛn na prɔblɛm, bɔt i kin dipen pan usay dɛn de ɛn di sayz, dɛn kin ambɔg di bɛlɛ.
• di polip dεm: sכm sכm tin dεm we de fכm na di uterin wכl.
• adheshon: Ska tisu we kin fכm sכmtεm insay di uterus afta dεn du wan prosidכs lεk D&C. dis kin mek i at fכ di εmbrayo fכ put insay di uterus.

2. Prɔblɛm dɛn wit Falopian Tiub

wan eg de travul frכm di ovary to di uterus tru di fallopian tube. di sεl dεm εn di eg de mit insay dis tכb. If dɛn tiub ya blok, dis nɔ go apin.

• Pεlvik Inflammatory Disease (PID): Dis na di men tin we kin mek di fallopian tyub dεm blכk. I kin kam bikɔs ɔf di sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs lɛk Klamidia ɛn Gɔna we dɛn nɔ trit.
• εndometriosis: fכ simpul wan, di tisu dεm we fכ de insay di uterus de gro ausayd di uterus, na ples dεm lεk di fallopian tכb dεm εn di ovaria dεm. Dis kin mek yu blok ɛn adheshon.

3. Prɔblɛm dɛn we de wit Ovulation

fכ gεt bεlε, dεn fכ kכmכt wan hεlty eg frכm wan ovari εvri mכnt. dis prכsεs dεn kכl am ``Ovulation.'' If dis nכ apin fayn, yu nכ kin gεt bεlε.

• di כmon dεm we nכ de balans: PCOS (Polycystic Ovary Syndrome) na gud εgzampl fכ dis. insay dis kכndishכn, di hכmon imbalans de mek di ovaria dεm nכ de machכ εn de rilis eg dεm fayn fayn wan.
• Tayrɔyd prɔblɛm: If di tayroyd ɔmon we smɔl ɔ tumɔs, i kin afɛkt di ovuleshɔn dairekt wan.
• Tin dɛn lɛk fɔ strɛs pasmak, fɔ nɔ it fayn, ɛn fɔ du ɛksɛsayz pasmak kin afɛkt dis bak.

4. Prɔblɛm dɛn wit di Eg Kɔnt ɛn Kwaliti

Dɛn kin bɔn uman wit di nɔmba fɔ di eg dɛn we i go nid fɔ in wan ol layf. As i de ol, dis nכmba fכ eg dεm (eg pul) de dכn, εn di kwaliti fכ di eg dεm we rεst de dכn bak.

• sכmtεm, di ovarian rεsכv kin dכn bifo di mεnopos (bifo i ol 40 ia). dis dεn kכl am `(Primary Ovarian Insufficiency - POI)`.
• wit di ej, di chans fכ di kromozom abnכmaliti na di eg dεm de go כp. dis kayn eg nכ go divεlכp to εmbriyo we gεt hεlth.

Wetin na di tin dɛn we kin mek pɔsin nɔ ebul fɔ bɔn pikin?

Pan ɔl we sɔm tin dɛn de we wi nɔ ebul fɔ kɔntrol, tin dɛn de bak we wi kin chenj. E fayn fɔ no bɔt dɛn tin ya we kin mek yu gɛt prɔblɛm.

Aw a go no if a nɔ ebul fɔ bɔn pikin?

Dis nɔto sɔntin we yu go disayd fɔ yusɛf. Yu rili nid fɔ go to dɔktɔ fɔ dis. We yu go si di dɔktɔ, i go aks yu sɔm kwɛstyɔn dɛn.

• Bɔt yu mɔnt saykl (aw lɔng i de, aw bɔku blɔd de kɔmɔt, pen) .
• Bɔt di bɛlɛ we dɛn bin dɔn gɛt bifo ɔ we dɛn nɔ bin gɛt bɛlɛ
• Bɔt pen na bɛlɛ
• Bɔt abnɔmal vagina dischaj
• Bɔt di ɔpreshɔn dɛn we dɛn bin dɔn du trade
• Bɔt if yu gɛt sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs

Afta dat, di dɔktɔ go chɛk yu ɛn if nid de, i go rifer yu fɔ mek dɛn du ɔda tɛst dɛn.

Wetin na dɛn tɛst ya?

• Fizik ɛn Pɛlvik Ɛgzam: Na di fɔs jenɛral ɛgzam we di dɔktɔ go du.
• כltra saund Skan: dεn kin yuz skan fכ di bכdi כ transvaginal ultrasound fכ chεk di kכndishכn fכ di uterus εn ovaria (sist, PCOS simptom dεm).
• Blɔd Tɛst: Dis kin ɛp fɔ gɛt aidia bɔt yu ɔmon lɛvɛl (tayrɔyd ɔmon, riprodaktiv ɔmon) ɛn ovarian rizɔv.
• HSG (Hysterosalpingogram) tɛst: Dis na ɛkstrem rayt tɛst. dεn kin injεkt wan spεshal wata insay di uterus εn dεn kin yuz am fכ si if i de muv tru di fallopian tכb dεm. Dis kin ɛp fɔ no if di tiub dɛn dɔn blok ɔ nɔ blok.
• Laparoscopy: Insay dis, dɛn kin put smɔl kamɛra insay di bɛlɛ fɔ chɛk di uterus, di fallopian tubes, ɛn ovaries frɔm do. dis rili imכtant fכ no di kכndyushכn dεm lεk εndometriosis.

כda spεshal tεst dεm de bak lεk `(Hysteroscopy)` εn `(Saline Sonohysterogram)`. Yu dɔktɔ go disayd us tɛst yu nid.

Wetin na di tritmɛnt dɛn?

Di gud nyus na dat, fayn tritmɛnt dɛn de fɔ bɔku tin dɛn we kin mek pɔsin nɔ ebul fɔ bɔn pikin. Di tritmɛnt dipen pan wetin mek yu gɛt prɔblɛm.

1. Mεdikeshכn fכ fεtiliti: dεn kin trit di כmon prכblεm dεm, lεk fכ infεtiliti wit mεdikeshכn. mεdikeshכn dεm de we dεn kin gi fכ εp fכ machכ di eg dεm εn fכ mek di ovulation.

2. כpεrayshכn: dεn kin pul di uterin sist, polip, di fallopian tyub blכk, εn εndometriosis εn kכrekt am tru כpεrayshכn.

3. Antibayɔtik: If infekshɔn de na di riprodaktiv sistɛm, dɛn kin gi dɛn tin ya fɔ trit am.

4. Asist Riprodaktiv Tεknכlכji (ART): .

• IUI (Intrauterine Insemination): Insay dis, dɛn kin pripia di man in swɛt spɛshal wan ɛn put am dairekt insay di uman in uterus bay we dɛn de yuz kanula di sem de we i de ovulate.
• IVF (In Vitro Fertilization): na di ‘tεst tyub’ mεtכd we wi כl no. i min fכ kכmbayn eg εn sεl dεm we de na do na di bכdi na labכtכri, εn afta dat dεn put di εmbriyo we kכmכt bak insay di uterus.

Yu dɔktɔ go disayd uswan pan dɛn tritmɛnt ya we go fayn fɔ yu ɛn yu man ɛn ɛksplen am to yu.

Wetin a go du fɔ mek a nɔ ebul fɔ bɔn pikin?

Wi nɔ go ebul fɔ stɔp sɔm tin dɛn we kin mek wi gɛt prɔblɛm, lɛk di tin dɛn we kin mek wi gɛt jɛnɛtiks, bɔt wi kin ridyus di prɔblɛm we wi gɛt bay we wi de chenj di we aw wi de liv wi layf.

• Mek yu gɛt wɛl bɔdi wet: I rili impɔtant fɔ mek yu gɛt wɛl bɔdi fɔ yu ayt.
• Nɔ smok ɛn drink rɔm: Dɛn tu tin ya kin ambɔg di we aw pɔsin kin bɔn pikin dairekt wan.
• It fayn it: It mɔ vɛjitebul, frut, ɛn grɛn.
• Ridyus strɛs: Tray fɔ du tin dɛn lɛk yoga ɛn fɔ tink gud wan.
• Praktis sef sɛks: Protɛkt yusɛf frɔm di sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs.
• Gɛt dɔktɔ chɛk-ap ɔltɛm: Ɛspɛshali afta yu dɔn bigin fɔ du mami ɛn dadi biznɛs, if yu go to dɔktɔ we de mɛn uman dɛn wan tɛm insay di ia, dat kin ɛp fɔ no di prɔblɛm dɛn we yu kin gɛt kwik kwik wan.