Tērā pea kua roa kōrua ko tō hoa e ngana ana ki te hapu. Mēnā kāore anō taua moemoeā kia tutuki, he mea noa te pōuri, te manukanuka rānei. Tērā pea ka whakaaro koe, "He aha tēnei e pā ana ki a tāua?" Kaua e mataku; ehara i te mea ko koe anake. He maha ngā tāne me ngā wāhine e pāngia ana e ēnei wero. Waimarie, nā te whanaketanga o te rongoā hou, he maha ngā huarahi whai hua hei kimi otinga. Ko tētahi o aua mahi ko te whai i ngā whakamātautau momona , he mea hanga hei āwhina i a koe me tō hoa ki te mārama ki tō hauora uri uri i Nirogi Lanka.
He aha ngā whakamātautau whakawhānau tamariki, ā, he aha i hiahiatia ai?
He māmā noa iho, he taputapu tātaritanga ēnei e whakamahia ana e ngā tākuta hei mārama ki te take e uaua ai kōrua ko tō hoa ki te hapu. Mā te tautuhi i te tino take ka māmā ake te whakatau i te mahere maimoatanga tino whai hua. Whakaarohia tēnei hei kimi i te pūtake o tētahi raruraru hauora. Engari i te haere tonu me ngā maimoatanga whakamātautau-ā-ringa, mā te tautuhi i te tino take ka pai ake te huarahi tiaki me te angitu.
I ētahi wā, he māmā ake te take i tō whakaaro. Tērā pea he iti noa te kore taurite o ngā homoni , he raruraru hauora rānei e taea te whakahaere. Kua hangaia ēnei whakamātautau hei tautuhi mārama i ēnei āhuatanga.
Āhea koe me toro atu ki te tākuta mō te whakamātautau momona?
Ko te tikanga, ka tūtohu ngā tohunga whakawhānau kia whakamātauria te pēpi i raro i ngā āhuatanga e whai ake nei:
- Mena kei raro iho koe i te 35 tau te pakeke , ā, kāore anō kia taea e koe te hapu i muri i te kotahi tau o te moepuku auau, kāore he ārai.
- Mena kua neke atu i te 35 tau te pakeke , ā, kāore anō kia taea e koe te hapu i muri i ngā marama e ono o te moe tāne, wahine rānei, kāore he ārai. (He poto ake tēnei wātaka nā te mea ka heke te momonatanga i te pakeketanga).
- Mena he huringa paheketanga koretake tōu (hei tauira, he roa ake ngā huringa i te 35 rā, he koretake rānei te matapae i ngā huringa paheketanga).
Ko te rapu tohutohu mai i tētahi tākuta whai tohu te huarahi mahi pai rawa atu. He pai ake te tautuhi wawe i ngā raruraru pea i te moumou taima utu nui.
He aha ngā pātai ka pātaihia e tō tākuta i te wā tuatahi o tō haerenga?
I tō haerenga tuatahi, ka whakahaerehia e tō tohunga he uiui taipitopito. Whakaarohia tēnei hei kohikohi taunakitanga hei whakaoti i tētahi mea ngaro. He mea nui ngā mōhiohio e tukuna ana e koe kia taea ai e rātou te whakatau ko ēhea ngā whakamātautau e tika ana mō tō āhuatanga ahurei.
Ko ngā kaupapa kōrero noa ko:
- Hītori paheketanga: Te tau i tīmata ai tō paheketanga, te roa o te huringa, te roa o te toto, te kaha o te rere, me ngā taumata mamae.
- Hītori mō ngā wāhine: Ngā haputanga o mua, ngā mate pāwera, ngā mate pāwera rānei i te taatai (STI).
- Hītori hauora whānui : Ngā āhuatanga hauora o nāianei (hei tauira, te mate huka, ngā mate tairoi), ngā pokanga o mua, me ngā rongoā kei te haere tonu.
- Ngā rongoā o nāianei: Ka pā pea ētahi rongoā ki te momonatanga.
- Te kai kawheine me te waipiro: Ō tikanga kai noa.
- Taiao mahi: Te pānga ki ngā matū paitini, ki ngā matū morearea rānei i tō wāhi mahi.
- Hītori moepuku : Ngā mōhiotanga e pā ana ki te auau me te wā o te moepuku.
Whai muri i te arotake i ēnei taipitopito, ka whakaritea e tō tākuta he mahere tātaritanga mōu. Kāore he tikanga whakamātautau "kotahi te rahi e pai ana mō te katoa". Ka whakawhaiarohia ngā mea katoa i runga i tō āhua hauora.
He aha ngā whakamātautau whakawhānau e wātea ana mō ngā wāhine?
He maha ngā whakamātautau tātaritanga e whakamahia ana hei aromatawai i te momonatanga o te wahine. Ko ngā whakamātautau matua ko:
Ngā whakamātautau toto momona
Ka taea e ngā taurite kore o ngā homoni te whakararuraru i te whakaputanga o te hua manu. Mā ngā whakamātautau toto e mahia ana i ngā wāhanga motuhake o tō huringa ka ine i ngā taumata o ngā homoni, pērā i Progesterone , Estradiol , Thyroid Stimulating Hormone (TSH) , me Prolactin . Ka āwhina ēnei ki te whakaū mēnā kei te puta te whakaputanga o te hua manu, me te mea kua rite tika te arai o te kōpū mō te whakaurunga.
Whakamātautau rahui ovarian / whakamātautau AMH
Kei roto i tēnei he huinga o ngā mahi toto me te ultrasound transvaginal. Ka whakatau tata te ultrasound i tō Antral Follicle Count (AFC) , ko te whakamātautau toto ia ka ine i ngā taumata o Anti-Mullerian Hormone (AMH) . Ka whakaratohia he whakatau tata mō te nui o ō hua manu e pā ana ki tō tau. Kia mōhio: kāore tēnei whakamātautau e hiahiatia mō te katoa ; he mea tino taunakihia mō te hunga e whai ana i te hangarau āwhina uri, pērā i In-Vitro Fertilization (IVF) .
Whakamātautau ira
Ko ētahi o ngā wero mō te whānautanga e pā ana ki gene mutations . Mā te tirotiro ira ka taea te tautuhi i ēnei āhuatanga matua.
Te oro-whakaata o te pelvis
E mōhiotia ana hoki ko te sonogram , ka hoatu e tēnei taputapu whakaahua he tirohanga taipitopito o ō whekau whakaputa uri (kōpū, ovaries, me fallopian tubes ). He whai hua ki te kite i ngā āhuatanga rerekē o te hanganga pērā i uterine fibroids me ovarian cysts .
Sonohysterogram
He tikanga whakaahua motuhake e āhei ai tō tākuta ki te kite mārama i roto i tō kōpū kia kitea ai ngā arai pea ki te haputanga.
Te whakamātautau hysterosalpingogram (HSG)
Ka whakamahia te Fluoroscopy i tēnei tikangahei hopu whakaahua taipitopito o tō kōpū me ngā ngongo whakatō. Ka āwhina ki te tautuhi mēnā ko ngā raruraru momona te take o ngā raruraru pēnei i ngā ngongo whakatō kua āraia, nā te mea me haere te hua manu hauora mā roto i ēnei ngongo kia tūtaki ai ki te parāoa mō te haputanga.
Histeroscopy
I tēnei whakamātautau, ka āta whakaurua e tō tākuta he ngongo angiangi, he mārama hoki e mōhiotia ana ko te hysteroscope ki roto i tō kōpū. Mā tēnei ka taea te tiro tika, mārama hoki o tō kōpū me te arai kōpū.
He aha ngā whakamātautau whakawhānau e wātea ana mō ngā tāne?
Ahakoa he maha ngā wā ka aro ngā kōrero mō te momonatanga ki ngā wāhine, he rite tonu te hiranga o te momonatanga o ngā tāne. E wātea ana hoki ngā whakamātautau tātaritanga motuhake mō ngā tāne.
Tātaritanga purapura
Koinei te whakamātautau tuatahi, ā, ko te whakamātautau tino noa mō te aromatawai i te momonatanga o te tāne. Ka aromatawaihia te maha o ō parāoa, te nekehanga (te nekenekehanga), me te āhua. He mea nui te whakarite kia rawaka te nui o ō parāoa hauora, kounga teitei, kia angitu ai te haputanga.
Ngā Whakamātautau Toto Whakamomona
Mena ka kitea he hapa i roto i te tātaritanga purapura, ka tonoa pea e tō tākuta he whakamātautau toto hei tirotiro i ngā taumata o ngā homoni, pērā i te Testosterone, te Thyroid-Stimulating Hormone (TSH), te Luteinizing Hormone (LH), te Prolactin, te Estradiol, me te Follicle-Stimulating Hormone (FSH), nā te mea he mahi tika tā ēnei homoni ki te whakaputa purapura.
Whakamātautau Ira
Pērā i ngā wāhine, ka pā pea ngā āhuatanga ira ki te momonatanga o te tāne. Mā tēnei whakamātautau ka taea te whakatau mēnā kei te whai wāhi ngā rerekētanga ira taketake ki ngā wero momonatanga.
Te Whakamātautau i ngā Uha
Mena kei te whakaatuhia e tō tātaritanga purapura he āwangawanga, ka whakaratohia e tēnei matawai he whakaahua taipitopito o ngā poro me ngā wāhi e karapoti ana hei tautuhi i ngā take tinana pea, pērā i te varicocele (ngā uaua kua whakanuia).
Te tātaritanga mimi i muri i te putanga mai o te mimi
Mena he āwangawanga mō te retrograde ejaculation (te urunga o te purapura ki roto i te pūkahukahu kaua ki waho i te tinana), ka tūtohu pea tō tākuta i tēnei whakamātautau hei tirotiro i tō mimi mō te kitea o te purapura.
Me pēhea te whakahaere i ēnei whakamātautau, ā, he rite tonu te whakamātautau mō te katoa?
He rerekē te huarahi i runga i ō hiahia. Ko ētahi whakamātautau he tango toto noa iho, ko ētahi he matawai whakaahua; he maha ngā wā ka whakamahia he huinga o ngā mea e rua.
Ko te mea nui, ahakoa i ētahi wā ka kitea te take i roto i tētahi whakamātautau, i ētahi wā ka hiahiatia he raupapa aromatawai hei whakatutuki i tētahi tautuhi mārama.
Ko te whakamātautau tika māu e whakawhirinaki ana ki tō hītori hauora, tō momo noho, me ō hiahia takitahi. Mā tō tākuta o Nirogi Lanka koe e ārahi i roto i te tukanga, me pēhea te whakarite, me te matapaki i ngā kōwhiringa maimoatanga pea.
Me aha ahau mēnā he rerekē ngā hua o taku whakamātautau? Me āwangawanga ahau?
Mena ka puta he hua rerekē ki a koe, ka kōrerohia e tō tākuta ngā mahi e whai ake nei ki a koe. Tērā pea ka uru atu ki tēnei he whakamātautau tāpiri, he tīmatanga rānei i tētahi mahere maimoatanga kua whakaritea. Ka whakamāramahia e rātou te tikanga o ō hua ki a koe.
Kia maumahara, ehara i te mutunga o tō haerenga te hua rerekē. Ahakoa he uaua te haputanga ā-taiao, he maha ngā Hangarau Āwhina Whakaputa Uri (ART) pērā i te Whakatōnga In-Vitro (IVF) me te Whakatōnga Intrauterine (IUI) e wātea ana. Kei konei a Nirogi Lanka hei whakarato i te tautoko me ngā rauemi e hiahiatia ana e koe.
He Pono Ngā Whakamātautau Hua i te Kāinga?
Ae, kei reira ngā kete e wātea ana i te kāinga, pērā i ngā kete whakamātautau whakaputa uri, ngā tirotiro hauora parāoa taketake rānei. Heoi, ehara ēnei i te whakakapi mō tētahi aromatawai hauora ngaio. Mena he uaua ki te whakamātautau i te kāinga, whakaritea he wā hui ki tētahi tohunga momona i Nirogi Lanka mō tētahi aromatawai haumanu whānui.
Ka taea e au te whakahaere i te whakamātautau hua i te wa e whakamahi ana i te IUD?
Ahakoa kāore he pānga o te IUD ki tō whānautanga mō te wā roa, ka pāngia pea ngā hua o ētahi whakamātautau. Me tango pea i mua i te haere tonu. Mena kei te whakamahi koe i te IUD, me kōrero ki tō tākuta i mua i te tīmatanga o tētahi whakamātautau whānautanga.
Te Karere Matua mō te Tango-Kāinga
He moemoeā ataahua te whānau, e arohaina ana e te tini. Mena kei te raru koe i te haputanga, he mea noa te āwangawanga mēnā ka tutuki taua moemoeā. Kaua e ngākau pouri.
Mena kei te raru koe ki te hapu, ko te taahiraa tuatahi tino nui ko te toro atu ki tō kaiwhakarato hauora. Ka taea e rātou te ārahi i a koe ki ngā whakamātautau momona e tika ana, ā, ki te tika, ka tukuna koe ki tētahi tohunga hei whakarato i te huarahi pai ki a koe.
Kia maumahara, ehara i te mea ko koe anake i tēnei haerenga. Mā te mōhiotanga tika, te tautoko kare ā-roto, me te arataki hauora ngaio, ka taea te whakatutuki i tō moemoeā me Nirogi Lanka.
👩🏽⚕️ Ngā Pātai Auau (FAQs)
💬 Me whakamātautau tuatahi te wahine, te tāne rānei ina pāngia koe e ngā raruraru momona?
Ahakoa he tokomaha e whakaaro ana ko te wahine te take, i roto i te 40% o ngā take, ko te take e whai wāhi ana ko te tāne. Nō reira, ina rapu tohutohu hauora tuatahi te tokorua, ko te tātaritanga purapura mō te tāne tetahi o ngā mahi tuatahi e mahia ana.
💬 He aha ngā whakamātautau momona paerewa mō ngā wāhine?
Ko te nuinga o ngā tākuta e whakahaere ana i ngā whakamātautau toto hei aromatawai i ngā taumata homoni me te whakaū i te whakaputanga o te hua manu i ia wā. Hei tāpiri, ka mahia he HSG (he hihi-X motuhake) hei tirotiro i te hauora o te kōpū me te whakarite kia kore e aukatia ngā ngongo fallopian.
💬 He aha ngā tino take o te iti o te maha o ngā parāoa i roto i ngā tāne?
Haunga ngā āhuatanga ira, ko ngā momo noho pēnei i te nui o te momi hikareti, te inu waipiro, te nui o te ahotea mau tonu, me te wera (nā te mea he tairongo te whakaputa parāoa ki te pāmahana) he āhuatanga nui ēnei e pā tika ana ki te hauora o te parāoa.
Ngā Kupumatua: Te Momonatanga, Te Hapūtanga, Te Hapūtanga, Te Korekoretanga, Ngā Whakamātautau Momonatanga, Te Hauora o Ngā Wahine, Te Hauora o Ngā Tāne
