He iti iho rānei ō hua manu i roto i ō ovaries? Me kōrero tātou mō te Hekenga o te Ovarian Reserve!

Kua roa koe e ngana ana ki te hapu? He mea noa te pouri me te manukanuka ina kore e tere te puta o ngā hua e ai ki tāu i whakaaro ai. Tērā pea kua kī atu tō tākuta ki a koe he iti te rahui hua manu o roto i ō ovaries, he āhuatanga e kiia nei ko te Diminished Ovarian Reserve . Koinei tā tātou e kōrero ai i tēnei rā. Kaua e manukanuka, mā te mārama tika ki tēnei ka tino āwhina i a koe.

He aha te Rahui Ovarian kua Heke?

Ki te whakarapopoto, ko te Diminised Ovarian Reserve te wā e heke ai te maha o ngā hua manu i roto i ō ovaries ki te whakaritea ki ētahi atu o tō tau. I ētahi wā ka kiia tēnei he "iti te maha o ngā hua manu." Kia hapu ai koe, me whai hua manu koe (me te parāoa). I te nuinga o te wā, ka heke te maha o ngā hua manu o te katoa i a rātou e pakeke haere ana. He mea maori tēnei. Heoi, mō ētahi tāngata, ka tere ake tēnei i te wā e whakaarohia ana. Koinā te wā ka puta ai tēnei āhuatanga.

Ka uaua ake te whānautanga o tētahi pēpi ina iti te rahui hua manu. Ka taea e tō tākuta te tino mōhio mēnā kei a koe tēnei mate mā te whakahaere i tētahi whakamātautau e kīia nei ko te Ovarian Reserve Testing .

Ko te mea nui, ehara tēnei i te kī kāore e taea e koe te whānau tamariki. Heoi anō, tera pea he uaua ake, me whakamahi rānei i ngā maimoatanga whakawhānau tamariki.

E hia ngā hua manu e tika ana kia noho ki roto i ā tātou ovaries i te nuinga o te wā?

Whakaarohia, ina whānau mai tātou ngā kōtiro, ka whiwhi tātou i ngā hua katoa e hiahiatia ana e tātou mō ō tātou oranga katoa. Whai muri i tēnā, kāore he hua hou e puta mai ana. Ko tō pakeke te mea matua e whakatau ana i te maha o ō hua. Kua whakaatuhia e ngā rangahau i muri i te 35 tau, ka piki ake te tere o te ngaronga o ngā hua.

Ahakoa he rerekē ēnei tau i ia tangata, anei tētahi whakaaro mō te maha toharite o ngā hua manu kei a tātou puta noa i tō tātou oranga:

• I te whānautanga: I waenganui i te 1 me te 2 miriona hua manu.
• I te pakeketanga: I waenga i te 300,000 me te 400,000 ngā hua manu.
• Tata ki te 40 tau te pakeke: Tata ki te 25,000 ngā hua manu.
• I te wā e pāngia ana te wahine: I raro iho i te 1,000 ngā hua manu.

Heoi, ko tō tākuta anake ka taea te kī atu ki a koe e hia ngā hua manu kei a koe, whai muri i te arotake i ngā hua o te Whakamātautau Rahui Ovarian kua whakahuatia ake nei.

Kāore e taea te whānau tamariki nā te mea he iti āu hua manu?

Kāore e taea te kī kāo! Ka taea tonu e koe te whānau pēpi ahakoa he iti te maha o ngā hua manu. Heoi anō, me mārama anō hoki koe he iti ake pea te tūponotanga ka hapu koe nā te iti o ngā hua manu. Whakaarohia, ko te mea anake e hiahiatia ana hei whānau pēpi he hua manu pai, hauora, tika?

Ehara i te mea ko te maha o ngā hua anake te mea e pā ana ki te tūponotanga o te tamaiti ki te hapu. Ko te kounga o ngā huaHe maha ngā mea e pā ana ki tēnei, pērā i te kounga o te parāoa o tō hoa, te hauora o tō kōpū me ngā ngongo whēkau (ngā ovaries rānei).

He aha ngā tohu o tēnei mate?

Ko te nuinga o te tangata kāore e whakaatu i tētahi tohu motuhake. Ko te mea anake, kāore e taea e rātou te hapu i muri i ngā marama, i ngā tau rānei, o te moe tāne (me te kore e whakamahi i tētahi ārai whānau).

Tērā pea ka tīmata te paheketanga o ētahi wāhine i mua i te wā noa, arā, ka poto ake ā rātou huringa me te maha o ngā rā.

Mena kei a koe te Primary Ovarian Insufficiency , he āhuatanga e kore ai e mahi tika ngā ovaries, ka pāngia pea koe e ngā tohu i te wā perimenopause . Kei roto i ēnei ko:

• Te werawera ohorere me te māuiui (ngā mura wera).
• Te paheketanga koretake (tōmua, tōmuri, ngaro rānei mō ngā marama).
• Te maroke o te tara, ka pāngia ai te ngākau i te wā e moe ai.

He aha tēnei e tupu nei? He aha ngā take mō tēnei?

Ko te koroheketanga te tino take tūturu o te hekenga o te rahui hua manu. He mea noa tēnei mō te katoa. Heoi, i ētahi wā kāore e kitea he take mārama.

Tērā atu anō ngā take ka pā ki tēnei:

• Ngā āhuatanga ira: Ngā raruraru ira, inā koa ko ērā e pā ana ki te ira X.
• Maimoatanga matepukupuku: Ka taea e te irahiko, te chemotherapy rānei mō te matepukupuku te kino i ngā ovaries me te whakangaro i ngā hua manu.
• Ngā pokanga e mahia ana ki ngā ovaries: Ko ētahi pokanga e hiahia ana kia tangohia tetahi wāhanga o ngā ovaries.
• Mena kua tangohia tetahi, ngā ovaries rānei e rua: Tērā pea he mea tika tēnei nā te mea he mate hauora tō te tangata.
• Ngā āhuatanga ārai mate ā-tinana: Koinei te wā e whakaeke ai te pūnaha ārai mate o te tinana i ō tātou ake ovaries.

Ka pāngia tēnei e te ahotea?

Kāo, kāore te ahotea e whakaiti tika i te rahui hua manu. He maha ngā tāngata e whakaaro hē ana mō tēnei. Heoi, e ai ki te American Society of Reproductive Medicine, ko te momi hikareti me te whakamahi i ngā hua tupeka (hikareti, bidi, me ētahi atu) anake ngā āhuatanga o te noho kua kitea hei whakaiti i te rahui hua manu.

He aha ngā whakamātautau e wātea ana hei kite i tēnei?

Ka whakamahia e ngā tākuta tētahi rōpū whakamātautau e kiia nei ko te Ovarian Reserve Testing hei whakatau tata i te maha o ngā hua manu e toe ana i roto i ō ovaries.

Heoi, kāore e taea e ēnei whakamātautau te kī atu ki a koe te roa o te wā ka taea e koe te whānau tamariki, me te mea rānei ka taea e koe te hapu ā-tūturu (me te kore he maimoatanga). Ko te nuinga o ēnei whakamātautau ka titiro ki tōMō te urupare a ō ovaries ki ngā rongoā homoni e hoatu ana i te wā o ngā maimoatanga whakamomona pēnei i te IVF (In Vitro Fertilization), me te iti rānei o ō tupono ki te hapu me te kore he maimoatanga.

He mea tino nui kia mōhio koe ahakoa te whakaū a ēnei whakamātautau he iti ō hua manu, ehara i te mea kāore e taea e koe te whānau tamariki māori. Kāore ēnei whakamātautau e ine i tō momonatanga tūturu.

Ko te whakamātautau o te rahui ovarian ko:

• Ngā whakamātautau toto: Ko te tango i tētahi tauira o tō toto me te tirotiro i ngā taumata o ngā homoni e kiia nei ko te (Anti-Mullerian Hormone - AMH) , (Follicle-Stimulating Hormone - FSH) , me te (Estradiol) . Mā ēnei taumata homoni ka taea e tō tākuta te whakaaro ki te urupare a ō ovaries ki ngā rongoā whakamomona.
• Te Whakamātautau Ira-ā-Tangata: Ko te whakaurunga o tētahi taputapu matawai iti mā roto i te tara hei ine i te rahi o ngā ovaries. Ka ine hoki i te maha o ngā follicles iti i roto i ngā ovaries ka taea te pupuri hua manu. Ka kiia hoki tēnei ko te Antral Follicle Count (AFC) .
• He whakamātautau tēnei e kiia nei ko te Clomiphene Citrate Challenge . Ko te tikanga o tēnei he tango i tētahi rongoā whakawhānau ā-waha (Clomiphene Citrate) mō ētahi rā, kātahi ka ine i ngā taumata homoni me te tirotiro i te urupare a te tinana ki taua whakamātautau. Heoi, kāore tēnei whakamātautau e whakamahia pinepinetia ana i ēnei rā.

Ko te hunga he iti te rahui ovarian, he nui ake ngā taumata homoni (FSH) i ētahi atu o ō rātou tau, he iti ake ngā taumata homoni (AMH), ā, he iti ake hoki (AFC). Anō, ko te nuinga o ēnei whakamātautau he ine i te urupare a ō ovarian ki ngā rongoā homoni, ehara i te mea ko tō kaha ki te hapu me te kore rongoā.

He aha ngā mea ka taea te mahi hei maimoatanga?

Koinei te mea nui rawa atu me mārama tātou i te tuatahi: E ai ki te pūtaiao hauora o nāianei, kāore he huarahi hei whakakore i te hekenga o ngā rahui hua manu, hei hanga hua manu hou rānei i roto i ngā ovaries.

Ki te whakapae tō tākuta mō tēnei mate, ka kōrero ia ki a koe me te āta āwhina i a koe ki te waihanga i tētahi mahere maimoatanga hei āwhina i a koe ki te whakatutuki i tō moemoeā kia whānau he tamaiti. I te wā e waihanga ana i tēnei mahere maimoatanga, ka pātai atu te tākuta ki a koe i ngā pātai pēnei i:

• Kia pēhea te roa e hiahia ana koe ki te whānau tamariki?
• E hia ngā tamariki e hiahia ana koe?
• Kei te pēhea ōu kaha pūtea? (He nui te utu mō ētahi maimoatanga)
• Kei te hiahia koe i tētahi tamaiti he whanaunga ira tōu , kei te hiahia rānei koe ki te whakaaro ki ētahi atu kōwhiringa?

Ka whakaarohia ēnei āhuatanga katoa ina whakatau ana i ngā kōwhiringa maimoatanga. Ko ngā kōwhiringa matua ko:

• Te whakatio i ō hua manu mō te whakamahinga ā muri ake nei.
• Te ngana ki te hapu ā-tūroa (tērā pea ka roa te wā).
• (IVF - Whakatōngia i roto i te Vitro)Te maimoatanga - Ka taea e koe te whakamahi i ō ake hua manu, ka taea rānei e koe te whakamahi i ngā hua i kohaina (ngā hua manu i riro mai i tētahi atu).

Ki te whakamahi koe i āu ake hua manu...

He huarahi pai te whakatio i ngā hua manu hei pupuri i tō momonatanga. Ina koa mēnā kei te whakaaro tō tākuta he nui te mōrearea o te iti o ngā hua manu, ka tūtohu pea rātou kia whakatiohia ō hua manu i mua i te iti rawa.

Ko te mea ka tupu, ka werohia he homoni ki a koe hei whakaoho i ō ovaries kia puta mai ai te maha o ngā hua manu i te wā kotahi. Kātahi ka tangohia ēnei hua kua pakeke mā te pokanga iti, ā, ka whakatiohia i roto i tētahi huarahi motuhake mō te maimoatanga IVF a muri ake nei.

I ētahi wā, ka tūtohu pea tō tākuta kia hangaia ngā kukune (ngā pūtau tuatahi ka puta ina honoa te hua manu me te parāoa). Ko te tikanga o tēnei ka tangohia ngā hua kua pakeke, ka whakamomonatia i roto i te taiwhanga me te parāoa o tō hoa, me te parāoa tuku rānei (te parāoa mai i tētahi atu), ā, ka whakatiohia ngā kukune ka puta mai mō te whakamahinga ā muri ake nei. Tērā rānei, ka taea te whakawhiti ki tō kōpū ka whakatōngia tonutia.

Mena kei te whakamahi koe i ngā hua manu...

Mena he iti rawa te kounga me/te rahinga rānei o āu hua manu, arā, he iti rawa te tūponotanga kia angitu te hāputanga mā te whakamahi i āu ake hua manu, ka tūtohu pea tō tākuta kia whakamahia ngā hua manu i kohaina mai e tētahi atu wahine hauora.

I tēnei wā, ka whakatōkia he hua manu mai i te kaituku i roto i te taiwhanga me te parāoa o tō hoa (te parāoa kaituku rānei). Kātahi ka whakatōkia te kukune ka puta ki roto i tō kōpū. Kāore te pēpi i hangaia pēnei e whiwhi i ō ira, engari ka whiwhi pea i ngā ira o tō hoa (ki te kore te parāoa kaituku i whakamahia).

Ko tētahi atu kōwhiringa ko te whakatio i ngā kukune. Kei roto i tēnei ko te whakamomona i ō hua manu (ngā hua manu rānei i tukuna mai) ki te parāoa, te hanga i tētahi kukune, me te whakatio mō te whakamahinga ā muri ake nei.

Ka whakapai ake te waikawa folic i te kounga o te hua manu?

He huaora motuhake hei tango i te wā e hapū ana (ngā huaora Prenatal), kei roto ko te huaora e kiia nei ko te Waikawa Folic . He mea tino nui tēnei (Waikawa Folic) hei pupuri i te kounga o ngā hua manu.

Ki te mea kei te tumanako koe kia whānau he pēpi, tera pea ka kī atu tō tākuta kia tīmata koe ki te tango i tētahi huaora mō te wā e hapu ana. He pai ake te tīmata ki te tango i te toru marama i mua i tō whakaaro ki te hapu . Nā te mea e toru marama pea te roa kia tino pakari te hua manu.

Ka pā pea tō kai, tō whakakori tinana, me ētahi atu āhuatanga o te noho (pērā i te kore momi hikareti) ki te hauora, ki te kounga rānei o ō hua manu. Heoi, kāore e pā ki te maha o ō hua manu, ki tō rahui ovarian rānei (he āhuatanga e kiia nei ko te Diminished Ovarian Reserve).

He aha tā tātou e taea ai te whakaiti i tēnei mōrearea?

He pono, kāore he mea e taea e koe te mahi hei ārai i te hekenga o te nui o ō hua manu. E ai ki tā tātou i kōrero ai i mua, he maha ngā āhuatanga e pā ana ki tēnei, tae atu ki ngā mea kāore e taea e tātou te whakahaere (pēnei i te koroheketanga me ngā ira tuku iho).

Heoi anō, kei reira ētahi mea ka taea e koe te mahi hei āwhina i te pupuri i te kounga o tō hua manu kia pai rawa atu. Hei tauira:

• Te pupuri i te taumaha tinana hauora.
• Te noho matara rawa atu i ngā hua tupeka pēnei i te hikareti.

Ahakoa kāore ēnei mea e whakanui ake i te maha o ngā hua manu, ka āwhina tonu i te pupuri i te kounga o ngā hua manu e wātea ana.

He pēhea te angitu o te maimoatanga IVF mō te hunga he iti ngā hua manu i puta mai i te whānautanga?

He rerekē te angitu o te maimoatanga IVF (In Vitro Fertilization) i ia tangata, i ia tangata. He maha ngā āhuatanga e whakawhirinaki ana ki tēnei, tae atu ki te take o te iti o ō hua manu, te maha o ō hua manu, te kounga o aua hua manu, me te urupare a tō tinana ki ngā rongoā whakawhānau.

He uaua ki te whakarato i ngā tatauranga tika mō te angitu o te IVF mō te hunga he iti ngā hua manu i roto i ā rātou whānautanga, nā te mea he maha ngā āhuatanga e pā ana ki tēnei.

Engari e mōhio ana ngā kairangahau, pērā i ngā hāputanga tūturu, ka heke te angitu o te IVF i te pakeketanga. He pono rawa tēnei mō te hunga he iti ngā hua manu. Ka pakeke haere koe, ka iti ake pea te angitu o tō IVF.

Mena ka whakaatuhia e ngā whakamātautau he iti te nui o ō hua manu, kāore pea koe e pai ki te aro ki ngā rongoā homoni (e whakaoho ana i ngā ovaries). Ko te tikanga o tēnei, kāore pea koe e kaha ki te kohi i te maha o ngā hua manu e hiahiatia ana e koe i te wā IVF. Heoi, ko te IVF pea te kōwhiringa pai rawa atu māu. Me kōrero koe ki tētahi tohunga momona (he tākuta e rongoā ana i te kore tamariki) mō tēnei mea, ā, me whakatau ko tēhea te mea pai māu.

Kei te tata mai te wā menopause e tohu ana te hekenga o te rahui ovarian?

He uaua ki te tohu tika i te wā ka tīmata te menopause (te wā e mutu katoa ai ō paheketanga). Ko te iti o te rahui ovarian he tohu noa kei te heke te nui o ō hua manu. Ahakoa he tohu pea tēnei mō te menopause, kāore e taea te tohu tika i te tere o tōna putanga mai.

Hei whakamutunga, he mea hei whakaaroaro māu...

Ina rongo koe i tō tākuta kua iti te rahi o tō pūmua ovarian, tera pea ka tino pouri koe, ka pōuri, ka manukanuka hoki mō ngā mea kei te heke mai. He mea noa tēnei, ā, kāore he take e pouri ai koe mōna.

Engari, ko te mea nui kia maumahara kei te taea tonu te hapu ahakoa tēnei āhuatanga. Nō reira kaua e ngakaukore, kaua hoki e mutu te tumanako.

Ka taea e tō tākuta te whakaaro ki te maha o ngā hua manu e toe ana i a koe, tō tau, me tō hauora, ā, ka waihanga i te mahere maimoatanga pai rawa atu hei āwhina i a koe ki te whakatutuki i tō moemoeā kia whānau he tamaiti. Tērā atu anō hoki ētahi atu kōwhiringa, pērā i te maimoatanga whakamomona, me te whakamahi i ngā hua manu tuku mēnā e tika ana.

Kaua e whakarērea tō moemoeā kia whānau he tamaiti nā te mea he iti noa te hua o tō hua manu - he pono kei reira ngā maimoatanga me ngā tikanga hei āwhina i a koe. Kōrero mārire ki tō tākuta, ā, whiriwhiria te mea pai mōu.

` Ngā ovaries, te mimiti o ngā hua manu, te kore tamariki, te haputanga, te hauora o ngā wāhine, te IVF, te momonatanga