Tērā pea kei te tumanako kōrua ko tō hoa rangatira ki te tāpiri i tētahi manuhiri hou ki tō whānau me te nui o ngā tumanako. Engari ki te kore taua moemoeā e tutuki i muri i ngā marama, i te tau pea o te ngana, he uaua ki te whakapuaki i te pouri, te manukanuka, me te mokemoke e pā ana ki a kōrua? Ka nui ake te taumaha o tēnei me ngā pātai e puta mai ana i te hunga e karapoti ana i a kōrua. Engari kaua e whakaaro kei te aro atu kōrua ko kōrua anake. I tēnei rā kei te kōrero tātou mō tēnei take e puritia ana e te tini tāngata i roto i ō rātou ngākau, arā, te kore tamariki. Me kōrero tātou mō tēnei mea me te mārama, me te tuwhera.
He aha te kore tamariki?
Ko te kore tamariki ko te kore e taea te hapu nā te mea he mate kei roto i tō pūnaha whakaputa uri. Ka pā ki te katoa. I te nuinga o te wā, ehara i te mea kotahi te take, engari he maha ngā take.
Whakaarohia, he tino mīharo te hāputanga, he maha ngā taahiraa. He rite ki te mekameka, ki te motu tetahi hononga, ka motu katoa te mekameka.
- Tuatahi, me whakaputa e tō roro ngā homoni hei whakahaere i te mahi a ō ovaries.
- Tuarua, me mātua whakapakari aua homoni i te hua manu i roto i tētahi o ō ovaries.
- Muri iho, me tuku te hua manu kua pakeke mai i te ovary. Ka kiia tēnei ko te ovulation .
- Kātahi ka hiahiatia te hopu i te hua manu mā te ngongo Fallopian.
- I taua wā tonu, me tomo te parāoa tāne ki roto i te kōpū mā te tara, ka haere ki raro i te ngongo fallopian, ka tae atu ki te hua manu.
- I reira, me hono te parāoa ki te hua manu, me whakamomona, ka hanga he kukune .
- Hei whakamutunga, me haere te hua manu kua whakatōkia ki raro i te ngongo fallopian ka whakatō ki te pakitara o te kōpū.
Ki te kore tētahi o ēnei mahi e mahia tika, e kore te haputanga e puta.
Ko te tikanga, ka tātaritatia te kore tamariki e ngā tākuta mā te:
- Mena kei raro iho koe i te 35 tau te pakeke, ā, kāore anō kia hapu i muri i te kotahi tau (12 marama) o te moe tāne me te wahine, me te kore he ārai whānau.
- Mena kua 35 tau te pakeke, neke atu rānei, ā, kua ono marama koe e whakamātau ana, ā, kāore anō kia hapu.
He nui ake te kitea o tēnei āhuatanga i roto i te hapori i tō whakaaro. Nō reira kaua e whakama, kaua hoki e noho mokemoke, e whakaaro ana ko tō raruraru anake tēnei. Ko te rongo pai, i ēnei rā kei reira ngā maimoatanga tino whai hua mō tēnei.
He aha ngā momo matua o te kore tamariki?
E toru ngā momo matua o te kore tamariki. Kia mārama ai tēnei, tirohia te ripanga i raro nei.
| Te momo kore tamariki | He whakamārama māmā |
|---|---|
| Te Korenga Tuatahi | Kāore anō kia hapu i mua, ā, kāore e taea te hapu ahakoa kua whakamātau mō tētahi wā (kotahi tau mēnā kei raro iho i te 35, ono marama mēnā kei runga ake i te 35) i runga i te tau. |
| Te Korenga Tuarua | Kua hapu angitu koe i mua, neke atu rānei, kotahi, ā, kāore e taea e koe te hapu anō. |
| Te kore tamarikitanga kāore i te whakamāramahia | Ahakoa ngā whakamātautau hauora katoa e tika ana, kāore anō kia kitea he take motuhake mō te kore e hapu. |
He aha te take o te kore tamariki?
He maha ngā wā kāore he whakautu kotahi, ngāwari hoki mō tēnei. I ētahi wā he raruraru wahine, i ētahi wā he raruraru tāne. I ētahi wā anō, he whakakotahitanga o ngā mea e rua. Anei ngā mea kua whakaatuhia e ngā rangahau:
- I roto i te 33% o ngā take, e pā ana te take ki te wahine .
- I roto i te 33% o ngā take, e pā ana te take ki te tāne .
- Ko te toenga o te 33% ka pāngia e ngā take e pā ana ki ēnei e rua , e ngā take kāore i te mōhiotia rānei .
Ngā āhuatanga mōrearea noa
Ka pā pea ētahi āhuatanga noho me ngā āhuatanga hauora ki te momonatanga.
- Tau: Ka tere te heke o te momonatanga, inā koa mō ngā wāhine kei te tata ki te 30, ki te 40 rānei ō rātou tau. Mō ngā tāne, ka piki ake te pānga i muri i te 50 tau.
- Te momi hikareti me te whakamahi tarukino/waipiro: Ka pā kino tika ēnei ki te āhua o te parāoa me ngā hua manu.
- Taumaha rawa, taumaha iti rānei: Ka pāngia te taurite o ngā homoni e te taumaha tinana rerekē.
- Ngā mate kai: Ngā āhuatanga pēnei i te `(Anorexia nervosa)` me te `(Bulimia)`.
- Te whakakori tinana nui rawa:Ka pāngia hoki ngā homoni e te nui rawa o te whakakori tinana.
- Te pānga ki ngā paitini taiao: Ngā mea pēnei i ngā patu pepeke, ngā matū, me ētahi atu.
- Taumahatanga: Kua kitea hoki te pānga o te taumahatanga roa ki te momonatanga.
- Ngā mate urutā (STI): Ka taea e ngā mate urutā te kino ki te pūnaha whakaputa uri.
- Ngā maimoatanga matepukupuku: Te rongoā irahiko, te rongoā chemotherapy rānei.
Ngā take motuhake ki ngā wāhine
Ko te tino take o te kore tamariki o te wahine ko ngā raruraru o te whakaputa uri . Ko te tikanga tēnei kāore te hua manu e pakari, e tukuna tika rānei. Hei tāpiri, ka pā pea ēnei mea ki:
- Endometriosis: Ko te kiko e tika ana kia tupu i roto i te kōpū ka tupu i waho o te kōpū (i ngā wāhi pēnei i ngā ovaries me ngā fallopian tube).
- Te mate ovary polycystic (PCOS): He taurite kore o ngā homoni e puta ai ngā kiore iti i roto i ngā ovaries me te whakaputa uri koretake.
- Ngā ngongo fallopian kua purua: Ko ngā ngongo fallopian kua purua, nā te mate (hei tauira, te Pelvic Inflammatory Disease - PID) nā te pokanga rānei, ka ārai i te tūtakitanga o te hua manu me te parāoa.
- Ngā raruraru o te kōpū: Ngā fibroids, ngā polyps rānei o te kōpū, ngā raruraru whānau mai rānei ki te āhua o te kōpū.
- Ētahi atu āhuatanga hauora: Ngā āhuatanga pēnei i te mate tairoi, te mate huka, te mate tākihi, me ngā āhuatanga pūnaha ārai mate.
- Kounga hua kino: Ka heke te kounga o te hua i te pakeketanga.
Ngā take motuhake mō ngā tāne
Ko ngā raruraru parāoa te tino take o te kore tamariki o te tāne. Kei roto i ēnei ko:
- Te iti o te maha o ngā parāoa.
- Te ngoikore o te nekenekehanga o te parāoa.
- Te āhua rerekē o te parāoa.
Hei tāpiri atu ki tēnei, ka whai wāhi pea ēnei take:
- Ngā raruraru o te kōpū: Varicocele, ngā whara ki ngā kōpū, ngā kōpū kāore anō kia heke.
- Te pāngia e te pāmahana tiketike: Te mau i ngā kākahu o roto tino piri, te kaukau pinepine i te wai wera, te mahi me te pona i runga i tō uma, me ētahi atu.
- Ngā raruraru homoni: He iti te testosterone.
- Ngā mate ira: Ngā āhuatanga ira pēnei i te `(Klinefelter syndrome)`.
- Te aukati i te awaawa ejaculation.
- Te ngoikore o te ure , te raruraru rānei o te ejaculation.
- Te whakamahi kino i ngā matū pēnei i te steroids anabolic .
Me pēhea te tātaritanga o te kore tamariki? He aha ngā whakamātautau hauora?
Ina kite kōrua ko tō hoa i tētahi tākuta, ka pātai tuatahi ia ki a koe mō tō hītori hauora, tō oranga moepuku, me tō āhua noho. Kātahi ka whakahaua e ia he raupapa whakamātautau hei kimi i te pūtake. Me whai kōrua i ēnei whakamātautau.
| Momo whakamātautau | Mō wai? | He aha te mea e pā ana ki tēnei whakamātautau? |
|---|---|---|
| Ngā Whakamātautau Toto | Mō ngā mea e rua | Hei tātaritanga i ngā taumata homoni (te whakaputanga hua i roto i ngā wāhine, te testosterone i roto i ngā tāne), te mahi tairoi, me ētahi atu raruraru hauora. |
| Matawai Ultrasound Transvaginal | Mō ngā wāhine | Hei tirotiro i te āhua o te kōpū me ngā ovaries, ngā pukupuku (fibroids, polyps), te tūnga o te PCOS, me ētahi atu. |
| Tātaritanga purapura | Mō ngā tāne | Hei tirotiro i te maha o ngā parāoa, te nekehanga, me te āhua. He whakamātautau tino nui tēnei. |
| Te whakamātautau hysterosalpingogram (HSG) | Mō ngā wāhine | Ka whakaurua he matū motuhake ki roto i te kōpū, ā, ka tangohia he hihi-X hei tirotiro mēnā kua āraia ngā ngongo fallopian. |
| Te tirotiro puku | Mō ngā wāhine | Ka whakaurua he kāmera mā roto i tētahi tapahi iti hei tiro tika, hei tātaritanga, hei rongoā pea i ngā āhuatanga pēnei i te endometriosis me ngā raruraru o te ngongo fallopian. |
| Te Whakamātautau i te Matawai o te Kanohi | Mō ngā tāne | Hei tirotiro mō ngā uaua varicose (varicoceles) me ētahi atu raruraru hanganga o ngā huakita. |
He aha ngā maimoatanga e wātea ana?
Kia kitea te take, ka tūtohu tō tākuta i te maimoatanga e pai ana mō kōrua, me te whakaaro ki tō tau, te take o tō kore tamariki, me te roa o te wā e whakamātau ana koe ki te whānau.
Te maimoatanga mō ngā wāhine
- Rongoā: Ka hoatu ngā rongoā whakamomona hei whakaoho i te whakaputanga o ngā hua manu me te akiaki i te tukunga o tētahi, neke atu rānei o ngā hua manu hauora.
- Pokanga: Ka mahia te pokanga hei whakatuwhera i ngā ngongo fallopian mēnā kua āraia, hei tango i ngā fibroids uterine, hei rongoā rānei i te endometriosis.
- Ngā huringa āhua noho: Te pupuri i te taumaha hauora, te kai i ngā kai taurite, me te karo i te kai hikareti.
Te maimoatanga mō ngā tāne
- Rongoā: Te hoatu rongoā hei whakatika i ngā taumata homoni, hei rongoā rānei i te ngoikore o te moepuku.
- Pokanga: Ka mahia te pokanga hei tango i ngā aukati i roto i te taura parāoa, hei whakatika rānei i ngā uaua varicose i roto i ngā huakita (Varicocele).
- Ngā huringa āhua noho: kati te momi hikareti me te inu waipiro, karohia ngā kākahu o roto piripono, kai i ngā kai hauora.
Hangarau Āwhina Whakaputa Uri (ART)
I ētahi wā, ki te kore e puta he hua angitu i ngā maimoatanga o runga ake nei, ki te uaua ake rānei te raruraru, ka whakamahi ngā tākuta i ngā hangarau āwhina whānau uri. Ko ētahi o ngā tikanga matua ko:
- Te Whakatō I roto i te Kōpū (IUI): I tēnei mahi, ka whakaritea motuhaketia te parāoa o te tāne, ka whakaurua tika ki roto i te kōpū o te wahine mā roto i tētahi ngongo angiangi i te wā kotahi o te whakaputanga hua. Mā tēnei ka māmā ake te tae atu o te parāoa ki te hua manu.
- Te Whakatōnga In Vitro (IVF): E kiia ana tēnei ko te "whakatōnga in vitro." I tēnei tikanga, ka tangohia ngā hua o te wahine i tōna tinana, ka whakatōngia ki te parāoa o te tāne i roto i te taiwhanga, ā, ka whakatōkia anō tētahi, ētahi rānei o ngā kukune hauora ki roto i te kōpū.
- Werohanga Parāoa I roto i te Cytoplasmic (ICSI):He tikanga motuhake tēnei e mahia ana i te wā o te tukanga IVF. Mēnā he tino ngoikore te nekenekehanga o te parāoa, he iti rānei te maha, ka tīpakohia he parāoa hauora kotahi ka werohia tika ki roto i te hua manu.
Ahakoa te ahua uaua o ēnei maimoatanga, kaua e manukanuka. Mā tō tākuta koe e whakamārama taipitopito i ngā mea katoa. Kua āwhina ēnei tikanga i ngā rau mano o ngā tāne me ngā wāhine huri noa i te ao kia whānau tamariki.
Āhea koe me toro atu ki te tākuta?
He pātai tino nui tēnei. Mā te tono āwhina i te wā tika ka nui ake te tūponotanga o te angitu.
- Mena kei raro iho koe i te 35 tau te pakeke: Mena kua kotahi tau koe e whakamātau ana i ngā rongoā ā - whānau, kāore he ārai whānau, ā, kāore anō kia hapu, me toro atu ki te tākuta.
- Mena kei waenganui i te 35 me te 39 tau tō pakeke: Rapua he tohutohu hauora i muri i te 6 marama o te whakamātau.
- Mena kua 40 tau te pakeke, neke atu rānei: He mea nui kia rapu tohutohu hauora i te wā e taea ai, ahakoa kua iti iho i te 6 marama te roa o tō whakamātau, nā te mea ka tere te heke o te momonatanga i te kaumātuatanga.
- Mena kei a koe, kei tō hoa rānei tētahi raruraru hauora e mōhiotia ana: hei tauira, te paheketanga koretake, te endometriosis, ngā mate pelvic o mua, me toro atu ki te tākuta tonu mō ētahi tohutohu.
He haerenga tino uaua te kore tamariki, ā-tinana, ā-hinengaro hoki. He mea nui rawa kia mahi tahi kōrua ko tō hoa i tēnei haerenga me te tautoko me te mārama. Kaua e mangere ki te rapu tohutohu hinengaro mēnā e tika ana.
Karere Tangohia ki te Kāinga
- Ehara i te he nāu te kore tamariki. He mate hauora tēnei e pā ana ki ngā wāhine, ki ngā tāne, ki ngā mea e rua rānei.
- Kāore koe i te mokemoke. E miriona ngā tāne me ngā wāhine huri noa i te ao e pāngia ana e tēnei wero. Nō reira kaua e whakama, kaua hoki e huna i te raruraru.
- He mea tino nui kia rapu tohutohu hauora i te wā tika. Ki te roa te wā e whakaroa ana koe, ka iti ake te angitu o te maimoatanga.
- I ēnei rā, he maha ngā maimoatanga tino whai hua mō te kore tamariki (rongoā, pokanga, IUI, IVF).
- Ka taea e koe te whakapai ake i tō momonatanga mā te whai i tētahi momo noho hauora (kai pai, whakakori tinana, me te karo i te momi hikareti me te waipiro).
- He tino hoha tēnei haerenga hinengaro. Tautokohia tetahi i tetahi, kōrerohia ō kare ā-roto, ā, rapua he tohutohu ngaio mēnā e tika ana.

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