Yu ɛn yu patna go mɔs de wet fɔ ad nyu smɔl gɔst to yu famili wit big op. Bɔt we da drim de nɔ kam tru afta mɔnt, sɔntɛm ivin fɔ wan ia we yu dɔn tray, i kin at fɔ tɔk bɔt di sɔri-at, wɔri, ɛn fɔ de yu wan we yu de fil? Dis kin bi mɔ tranga wit di kwɛstyɔn dɛn we de kam frɔm di wan dɛn we de arawnd yu. Bɔt nɔ tink se na yu wangren de fes dis. Tide wi de tɔk bɔt dis kwɛshɔn we bɔku pipul dɛn de ol bak na dɛn at, dat na, infertility. Lɛ wi tɔk bɔt am opin wan ɛn klia wan.
Fɔ tɔk am simpul wan, wetin na fɔ nɔ bɔn pikin?
Infεtiliti na we yu nɔ ebul fɔ gɛt bɛlɛ bikɔs ɔf wan kɔndishɔn na yu riprodaktiv sistɛm. I kin afɛkt ɛnibɔdi. Bɔku tɛm, nɔto wan tin kin mek i apin, bɔt na bɔku tin dɛn kin mek i apin.
Tink bɔt am, bɛlɛ na sɔntin we rili wɔndaful, we gɛt bɔku tin dɛn fɔ du. I tan lɛk chen, if wan link brok, di wan ol chen brok.
- Fɔs, yu bren nid fɔ mek ɔmon dɛn we de kɔntrol aw yu ovaria dɛn de wok.
- Sɛkɔn, dɛn ɔmon dɛn de fɔ mek wan eg machɔ na wan pan yu ovaria dɛn.
- Neks, di machɔ eg fɔ kɔmɔt na di ovary. Wi kin kɔl dis ovuleshɔn .
- afta dat, dεn nid fכ kech di eg tru di Falopian tyub.
- dis tεm ya, man sεl dεm fכ go insay di uterus tru di vagina, travul dכn di fallopian tube, εn rich di eg.
- na de, di sεl dεm fכ kam togεda wit di eg εn fεtilayz am, fכ mek wan εmbriyo .
- fכ finish, di eg we fεtilayz fכ travul dכn di fallopian tכb εn implant insay di wכl na di uterus.
If dɛn nɔ du ɛni wan pan dɛn step ya kɔrɛkt wan, bɛlɛ nɔ go apin.
Bɔku tɛm, dɔktɔ dɛn kin no if pɔsin nɔ ebul fɔ bɔn pikin bay we dɛn:
- If yu nɔ rich 35 ia yet ɛn yu nɔ gɛt bɛlɛ afta wan ia (12 mɔnt) we yu de du mami ɛn dadi biznɛs ɔltɛm we yu nɔ gɛt ɛni bɔn kɔntrol.
- If yu ol 35 ia ɔ pas dat ɛn yu dɔn tray fɔ 6 mɔnt we yu nɔ gɛt bɛlɛ.
Dis sik kin bɔrku na sosayti pas aw yu kin tink. So nɔ shem ɔ yu wan de tink se dis na jɔs yu prɔblɛm. Di gud nyus na dat tide, tritmɛnt dɛn de we rili fayn fɔ dis.
Wetin na di men kayn tin dɛn we kin mek pɔsin nɔ ebul fɔ bɔn pikin?
Infεtiliti kin sheb to tri men tכp dεm. Fɔ ɔndastand dis klia wan, luk di tebul we de dɔŋ ya.
| Di kayn we aw pɔsin nɔ ebul fɔ bɔn pikin | Simpul ɛksplen |
|---|---|
| Praymari Infεtiliti | Fɔ nɔ ɛva gɛt bɛlɛ bifo ɛn nɔ ebul fɔ gɛt bɛlɛ pan ɔl we i dɔn tray fɔ sɔm tɛm (wan ia if i nɔ rich 35 ia yet, siks mɔnt if i pas 35 ia) i dipen pan di ej. |
| Sɛkɔndari Infεrtiliti | We i dɔn gɛt at le wan bɛlɛ we dɔn wok fayn bifo ɛn we i nɔ ebul fɔ gɛt bɛlɛ igen. |
| Infertility we Nɔ Ɛksplen | Pan ɔl we dɛn kin du ɔl di tɛst dɛn we dɛn nid fɔ du wit mɛrɛsin, dɛn nɔ kin ebul fɔ fɛn wan patikyula rizin fɔ mek i nɔ gɛt bɛlɛ. |
Wetin kin mek pɔsin nɔ ebul fɔ bɔn pikin?
Bɔku tɛm, no wan simpul ansa nɔ kin de fɔ dis. Sɔntɛnde i kin bi uman in prɔblɛm, sɔm tɛm i kin bi man in prɔblɛm. Ɔda tɛm dɛn, i kin bi we dɛn ɔl tu jɔyn. Na dis na wetin risach dɔn sho:
- Insay 33% pan di kes dɛm, di kɔz kin gɛt fɔ du wit di uman .
- Insay 33% pan di kes dɛm, di kɔz kin gɛt fɔ du wit di man .
- Di ɔda 33% pan di kes dɛm kin afɛkt bay tin dɛm we gɛt fɔ du wit ɔl tu ɔ bay tin dɛm we dɛn nɔ no bɔt .
Kɔmɔn tin dɛn we kin mek pɔsin gɛt prɔblɛm
Sɔm layf stayl abit ɛn wɛlbɔdi prɔblɛm kin afɛkt di we aw pɔsin kin bɔn pikin.
- di ej: Fεtiliti de dכn kwik kwik wan, spεshal wan pan uman dεm we dεn rich 30 כ 40 ia. Fɔ man dɛn, di ifɛkt kin go ɔp afta dɛn dɔn ol 50 ia.
- Smok ɛn yuz drɔgs/rɔm: Dɛn tin ya kin ambɔg di kɔndishɔn fɔ di swɛt ɛn eg dairekt wan.
- We yu bɔdi wet pasmak ɔ yu nɔ gɛt bɔku bɔku bɔdi: We yu bɔdi nɔ gɛt bɛtɛ wet, dat kin afɛkt di ɔmon dɛn we de balans.
- Disɔda fɔ it: Kɔndishɔn lɛk `(Anorexia nervosa)` ɛn `(Bulimia)`.
- Fɔ ɛksesaiz pasmak:If yu du ɛksɛsayz pasmak, dat kin afɛkt di ɔmon dɛn bak.
- Fɔ gɛt pɔyzin we de na di envayrɔmɛnt: Tin dɛn lɛk peshɛnt sayd, kemikal, ɛn ɔda tin dɛn.
- Stress: Dɛn dɔn si bak se strɛs we kin de fɔ lɔng tɛm kin afɛkt di we aw pɔsin kin bɔn pikin.
- Infεkshכn we dεn kin gεt wit mami εn dadi biznεs (STI): Infεkshכn dεm we dεn nכ trit kin pwεl di rεprכdaktiv sistεm.
- Di tritmɛnt dɛm fɔ kansa: Redyushɔn tɛrapi ɔ kemotɛrapi.
Rizin dɛn we spɛshal fɔ uman dɛn
di men tin we kin mek uman nɔ ebul fɔ bɔn pikin na prɔblɛm wit di ovuleshɔn . Dis min se eg nɔ de machɔ ɔ rilis fayn. Apat frɔm dat, dɛn tin ya kin afɛkt:
- εndometriosis: di tisu dεm we fכ gro insay di uterus de gro ausayd di uterus (na ples dεm lεk di ovaria dεm εn di fallopian tכb dεm).
- Polycystic ovary syndrome (PCOS): na di hכmon imbalans we de mek sכm sכm sist dεm fכm na di ovaria dεm εn di ovuleshכn nכ de rεgulεr.
- di fallopian tכb dεm we blכk: di fallopian tכb dεm we blכk, bikoz fכ infεkshכn (e.g., Pεlvik Inflammatory Disease - PID) כ כpεrayshכn, de mek di eg εn di sεl dεm nכ de mit.
- di prכblεm dεm na di uterus: di uterus fibroid dεm כ polyp dεm כ di prכblεm dεm we dεn kin bכn wit di shep fכ di uterus.
- Ɔda sik dɛn we pɔsin kin gɛt: Kɔndishɔn lɛk tayroyd sik, dayabitis, kidni sik, ɛn ɔtoimyun sik.
- Po eg kwaliti: Eg kwaliti de dכn wit di ej.
Rizin dɛn we spɛshal fɔ man dɛn
Di men tin we kin mek man nɔ ebul fɔ bɔn pikin na we i gɛt prɔblɛm wit in sperm . Dɛn tin ya na:
- Di smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.
- Pɔr sperm motility.
- di mכfכlכji fכ di sεl dεm we nכ nכmal.
Apat frɔm dis, dɛn rizin ya kin apin bak:
- Prɔblɛm dɛn we de na di tɛstikul: Varicocele, injury to di testicular, ɔ di testicular we nɔ de kam dɔŋ.
- Fɔ de pan ay tɛmpracha: Fɔ wɛr ɔndawea we rili tayt, fɔ shaw ɔt ɔltɛm, fɔ wok wit laptɔp na yu lap, ɛn ɔda tin dɛn.
- Prɔblɛm dɛn we gɛt fɔ du wit di ɔmon dɛn: Di tɛstostɛron we de dɔŋ.
- Jεnεtik sik dεm: Jεnεtik kכndishכn dεm lεk `(Klinefelter syndrome)`.
- Ejaculatory duct we nɔ de ambɔg di wata.
- Erectile dysfunction ɔ prɔblɛm wit di ejakuleshɔn.
- Abiuz ɔf tin dɛn lɛk anabolic steroids .
Aw dɛn kin no se pɔsin nɔ ebul fɔ bɔn pikin? Wetin na di tɛst dɛn we dɛn kin du fɔ mɛn pipul dɛn?
We yu ɛn yu patna go to dɔktɔ, i go aks yu fɔs bɔt yu wɛlbɔdi istri, mami ɛn dadi biznɛs, ɛn aw yu de liv yu layf. Dɔn, dɛn go ɔda fɔ du sɔm tɛst dɛn fɔ no di tin we mek dɛn du dis. Una ɔl tu go nid fɔ du dɛn tɛst ya.
| Test tayp | Fɔ udat dɛn? | Wetin dis tɛst de du? |
|---|---|---|
| Tɛst fɔ Blɔd | Fɔ dɛn ɔl tu | Fɔ no di ɔmon lɛvɛl (ovulation na uman, tɛstostɛron na man), tayroyd wok, ɛn ɔda wɛlbɔdi prɔblɛm dɛn. |
| Transvaginal Ultrasound Skan we dɛn kin du | Fɔ uman dɛn | fכ chεk di kכndishכn fכ di uterus εn ovaria, tכmכro dεm (fibroid, polyps), PCOS stetכs, εtk. |
| Analysis fɔ di sɛmen | Fɔ man dɛn | fכ chεk di sεl dεm we de kכnt, di muvmεnt, εn shep. Dis na tɛst we rili impɔtant. |
| Hysterosalpingogram (HSG) we dɛn kɔl di . | Fɔ uman dɛn | dεn kin put spεshal tin insay di uterus εn dεn kin tek εks-ray fכ si if di fallopian tכb dεm dכn blכk. |
| Laparoskɔpi we dɛn kin du | Fɔ uman dɛn | Dɛn kin put kamɛra tru wan smɔl say we dɛn kɔt fɔ si dairekt wan, no di sik, ɛn sɔntɛm fɔ trit tin dɛn lɛk ɛndometriɔsis ɛn prɔblɛm wit di fallopian tyub. |
| Skrotal Ɔltrasɔund | Fɔ man dɛn | fכ chεk fכ varicose veins (varicoceles) כ כda strכkchכral prכblεm dεm na di tεstikul dεm. |
Wetin na di tritmɛnt dɛn we dɛn kin gɛt?
Afta yu dɔn no di rizin, yu dɔktɔ go tɛl una di tritmɛnt we go fayn fɔ una ɔl tu, ɛn i go tink bɔt una ej, wetin mek una nɔ ebul fɔ bɔn pikin, ɛn aw lɔng una dɔn de tray.
Tritmɛnt fɔ uman dɛn
- Mεdikeshכn: dεn de gi fεtiliti dεm fכ mek di ovuleshכn εn mek wan כ mכr eg dεm we gεt hεlth kכmכt.
- Ɔpreshɔn: Dɛn kin du ɔpreshɔn fɔ opin di fallopian tyub dɛn if dɛn blok, fɔ pul di uterin fibroids, ɔ fɔ trit di ɛndometriosis.
- Di chenj dɛn we yu de chenj di we aw yu de liv yu layf: Fɔ mek yu gɛt wɛlbɔdi, fɔ it tin dɛn we go mek yu gɛt bɛtɛ it, ɛn fɔ avɔyd fɔ smok.
Tritmɛnt fɔ man dɛn
- Mɛrɛsin: Fɔ gi mɛrɛsin fɔ kɔrɛkt di ɔmon lɛvɛl ɔ fɔ trit di wan dɛn we nɔ de du mami ɛn dadi biznɛs.
- כpεrayshכn: dεn kin du כpεrayshכn fכ pul di blכk dεm na di sεl kכd כ fכ kכrekt di vεrikos vein dεm na di tεstikul dεm (Varicocele).
- Di chenj na yu layf: stɔp fɔ smok ɛn drink rɔm, nɔ wɛr tayt ɔndawea, it fayn it.
Asist Riprodaktiv Tɛknɔlɔji (ART) .
Sɔntɛnde, if di tritmɛnt dɛn we wi dɔn tɔk bɔt nɔ de gi fayn ɔ if di prɔblɛm rili kɔmpleks, dɔktɔ dɛn kin yuz tin dɛn we dɛn kin yuz fɔ ɛp fɔ bɔn pikin. Sɔm pan di men we dɛn we dɛn kin du am na:
- Intrauterine Insemination (IUI): insay dis, dεn de pripia di man in sεl dεm spεshal wan εn dεn de put am dairekt insay di uman in uterus tru wan rili fayn tכb di sem tεm we di ovuleshכn de. dis kin mek i izi fכ di sεl dεm fכ rich di eg.
- In Vitro Fεtilayzεshכn (IVF): dεn kin kכl dis "in vitro fεtilayzεshכn." insay dis we ya, dεn kin pul di uman in eg dεm na in bכdi, fεtilayz wit di man in sεl dεm na labכtכri, εn afta dat dεn kin put wan כ mכr εmbriyo dεm we gεt hεlth bak insay di uterus.
- Intrasaytoplasmik Sεm Injεkshכn (ICSI):Dis na spɛshal tin we dɛn kin du we dɛn de du di IVF. insay kes dεm we di sεl dεm nכ de muv bכku bכku wan כ di nכmba rili sכm, dεn de pik wan hεlty sεl dεm εn injεkt dεn dairekt insay di eg.
Pan ɔl we dɛn tritmɛnt ya kin tan lɛk se dɛn at fɔ du smɔl, nɔ wɔri. Yu dɔktɔ go ɛksplen ɔltin to yu ditayli. Dɛn we ya dɔn ɛp bɔku bɔku mared pipul dɛn ɔlsay na di wɔl fɔ ebul fɔ bɔn pikin.
Ustɛm yu fɔ go to dɔktɔ?
Dis na kwɛstyɔn we rili impɔtant. If yu aks fɔ ɛp di rayt tɛm, dat kin mek yu gɛt mɔ chans fɔ gɛt sakrifays.
- If yu nɔ rich 35 ia yet: If yu dɔn de tray ɔltɛm fɔ wan ia we yu nɔ gɛt ɛni bɔn kɔntrol ɛn yu nɔ gɛt bɛlɛ, go to dɔktɔ.
- If yu ol bitwin 35 ɛn 39 ia: Go to dɔktɔ afta 6 mɔnt we yu dɔn tray.
- If yu ol 40 ia ɔ pas dat: I impɔtant fɔ go to dɔktɔ kwik kwik wan, ilɛksɛf yu dɔn de tray fɔ lɛs 6 mɔnt, bikɔs yu ebul fɔ bɔn pikin kin go dɔŋ kwik kwik wan we yu de ol.
- If yu ɔ yu patna gɛt wɛlbɔdi prɔblɛm we dɛn no: fɔ ɛgzampul, we yu nɔ de gɛt mɔnt ɔltɛm, we de mek yu gɛt ɛndometriɔsis, we yu bin dɔn gɛt infekshɔn na yu bɛlɛ bifo tɛm, go to dɔktɔ wantɛm wantɛm fɔ advays.
Infεtiliti na wan joyn we rili at, pan ɔl we yu bɔdi ɛn maynd. I rili impɔtant fɔ mek yu ɛn yu patna wok togɛda na dis joyn wit sɔpɔt ɛn ɔndastandin. Nɔ shek fɔ go to saykilɔjik advays if nid de.
Mɛsej we dɛn kin kɛr go na os
- If yu nɔ bɔn pikin, nɔto yu fɔlt. Na wan sik wae de kam wit uman, man, ɔr ɔl tu.
- Nɔto yu wan de. Bɔku bɔku mared pipul dɛn ɔlsay na di wɔl de gɛt dis prɔblɛm. So nɔ shem ɔ ayd di prɔblɛm.
- I rili impɔtant fɔ go to dɔktɔ di rayt tɛm. Di mɔ yu de delay, na di mɔ di tritmɛnt nɔ go wok fayn.
- Tide, bɔku tritmɛnt dɛn de we rili wok fɔ mek pɔsin nɔ ebul fɔ bɔn pikin (mɛrɛsin, ɔpreshɔn, IUI, IVF).
- Yu kin ebul fɔ bɔn pikin fayn fayn wan bay we yu fala wɛlbɔdi layf (gud it, ɛksesaiz, ɛn avɔyd fɔ smok ɛn rɔm).
- Dis waka kin mek yu maynd taya. Sɔpɔt unasɛf, tɔk opin wan bɔt aw una de fil, ɛn go to pɔsin we sabi du in wok if nid de.
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