Kua roa kē kōrua ko tō hoa e tumanako ana kia whānau he pēpi? Tērā pea kua kite kōrua i tētahi tākuta, ā, kua oti i a kōrua ngā whakamātautau e tika ana. I taua wā, tērā pea kua kōrero mai tō tākuta ki a koe mō tētahi maimoatanga e kiia nei ko te "IUI". Nō reira, he maha ngā tāngata e pārekareka ana, e mataku ana hoki ina rongo i tēnei ingoa. Nō reira, i tēnei rā, kia kōrero māmā noa iho, kia hoa hoki mō te aha te IUI, he aha te mea, me pēhea te mahi, he pai mō wai, me te angitu rānei.
He aha te IUI? Kia mārama tātou.
Ko te IUI he tikanga rongoā mō te whakawhānau tamariki e mōhiotia ana ko te whakawhānautanga horihori. Ko te tikanga he whakauru tika i te parāoa o te tāne ki roto i te kōpū o te wahine.
Nā, me titiro tātou ki te āhua o te haputanga. Whai muri i te urunga o te parāoa ki te tara i te wā moe tāne, miriona ngā parāoa me haere roa mā roto i te cervix, mā roto i te kōpū, ā, ki roto i ngā ngongo fallopian. Whakaarohia te uaua o tēnei haerenga, ā, tata ki te 5% noa iho o ngā parāoa e tomo ana ki te tara ka tae ki te kōpū. Ina tukuna he hua manu mai i te ovary, ka tatari i roto i te ngongo fallopian. Ka puta te whakatōnga ina honoa tētahi o ngā parāoa kua haere roa ki te hua manu.
Engari i roto i te maimoatanga IUI, ka tino potohia tēnei haerenga.
Ki te kī māmā noa, he rite te IUI ki te hanga i tētahi "ara poto" kia tae atu ai te parāoa ki tōna ūnga.
I tēnei tikanga, ka tangohia he tauira parāoa mai i tāu tāne, ā, ka "horoia" i roto i te taiwhanga. Ahakoa e kiia ana tēnei ko te "horoi", ka wehea noa iho te parāoa pai rawa atu, hauora rawa atu, me te tere rawa atu i te putanga mai. Kātahi ka whakaurua tika atu ēnei parāoa kua tīpakohia ki roto i tō kōpū mā te whakamahi i tētahi ngongo angiangi (catheter). Mā tēnei ka whakaitihia te tawhiti me te wā e pau ana i te parāoa ki te tae atu ki te hua manu i roto i ngā ngongo fallopian. Mā tēnei ka piki ake te tūponotanga o te haputanga.
He maha ngā wā ka tūtohu ngā tākuta kia whakamātauria te maimoatanga IUI i mua i te haere ki ngā maimoatanga utu nui ake, uaua ake hoki pēnei i te IVF.
I roto i ēhea āhuatanga ka tūtohutia te maimoatanga IUI?
He maha ngā take mō te kore tamariki. He otinga pai te IUI mō ētahi o aua take. Kia kite tātou ko ēhea ngā wā e tino whai hua ai te maimoatanga IUI.
| Āhua / Take | Me pēhea te āwhina a te IUI? |
|---|---|
| Ngā raruraru o te kaki | Mena he matotoru te hūpē o te kaki o te kōpū, ka uaua pea te tae atu o te parāoa ki te tihi. I roto i te IUI, ka karohia tēnei raruraru nā te mea ka karohia e te parāoa te kaki o te kōpū, ka haere tika atu ki roto i te kōpū. |
| He iti te maha o ngā parāoa, ētahi atu ngoikoretanga rānei | Mena he iti, he ngoikore, he puhoi, he raruraru rānei te āhua o te parāoa o tō tāne, ka taea e te IUI te āwhina. Mā tēnei tikanga ka tīpakohia te parāoa pai rawa atu ka tukuna ki te kōpū, ka nui ake te tūponotanga ka angitu. |
| Te Whakamahinga o te Parāoa Tuku | Mena he raruraru tā te tāne ki te whakaputa parāoa, ki te whakamahi rānei i te parāoa tuku mo tētahi atu take, ko te IUI te tikanga pai rawa atu. |
| Ngā raruraru ki te ejaculation, ki te whakaoho rānei | Mena he raruraru tō tāne ki te whakaohooho, ki te whakaputa uri rānei i te wā moe tāne, ka taea te mahi IUI mā te tiki tauira parāoa. |
| Mate pāwera purapura | He tino onge tēnei. Tērā pea ka pāngia ētahi wāhine e te mate pāwera ki ngā pūmua i roto i te parāoa o tā rātou tāne. I te wā o te IUI, ka "horoia" te parāoa hei tango i ngā pūmua mate pāwera. |
| Te kore tamarikitanga kāore i te whakamāramahia | Ahakoa ngā whakamātautau katoa, i ētahi wā, kāore e kitea he take motuhake mō te whakaroa i te haputanga o te tamaiti. I roto i ēnei āhuatanga, ka taea tonu te angitu o te maimoatanga IUI. |
Ngā take kāore e angitu te maimoatanga IUI
Heoi, kāore te IUI e mahi mō te katoa. Ina koaMena kua āraia ngā ngongo fallopian, mena he mate kino pēnei i te endometriosis, mena he raru nui rānei tā te tāne ki tana parāoa, e kore e angitu te IUI. I roto i ēnei āhuatanga, me whakamahi koe i tētahi maimoatanga pēnei i te IVF.
He aha te rerekētanga i waenga i te IUI me te IVF?
He maha ngā tāngata e pōhēhē ana i waenga i te IUI me te IVF. He rerekē rawa ēnei tikanga maimoatanga e rua.
| Āhuatanga | IUI (Whakawhānaungatanga I roto i te Kōpū) | IVF (Whakatōngia i roto i te Vitro) |
|---|---|---|
| Te wāhi e puta ai te whakamomona | Ka puta i roto i te tinana (i roto i te ngongo fallopian). | Ka puta i waho o te tinana (i roto i te taiwhanga). |
| Tukanga | Ka whakaurua te parāoa kua tīpakohia ki roto i te kōpū. Ka honoa maoritia te hua manu me te parāoa. | Ka tangohia ngā hua manu me te parāoa i te tinana, ka hangaia he kukune i roto i te taiwhanga, kātahi ka whakahokia ki roto i te kōpū. |
| Te uauatanga me te mamae | Kāore i te uaua. Kāore i te nui te mamae. | He uaua ake. Me mahi he pokanga iti hei tiki mai i ngā hua manu. |
| Utu | He iti iho i te IVF. | He nui atu i te IUI. |
Te mahi a te tukanga maimoatanga IUI
Mai i te tīmatanga ki te mutunga, e whā wiki te roa o te tukanga IUI, he rite tonu te roa ki te roa o tō huringa paheketanga o ia marama. E toru ngā mahi matua mō tēnei.
1. Te Kite i te Whakatōnga Hua
Kia angitu ai te IUI, me whakauru te parāoa ki roto i te kōpū i te wā tika tonu . Arā, i te wā tika ka tukuna tētahi o ō hua. He maha ngā huarahi hei kimi i tēnei wā tika.
- Kete Matapae mō te Whakatō Hua: Kei te wātea mai i ngā whare rongoā tēnei kete, ā, ka taea te whakamahi hei whakatau i te wā tata o te whakatō hua mā te ine i te taumata o te Luteinizing Hormone (LH) i roto i te mimi.
- Ngā whakamātautau matawai: Ka whakahaerehia e te tākuta he matawai ultrasound transvaginal hei tirotiro i te whanaketanga o ngā hua manu i roto i ngā ovaries, me te whakatau i te rā pai mō te whakaputa uri.
- Ngā Rongoā: I ētahi wā ka hoatu he rongoā ā-waha (hei tauira, Clomiphene citrate) he werohanga rānei pērā i te hCG (human Chorionic Gonadotropin) hei whakaoho i te whakaputanga o te hua manu. Tērā pea ka puta he hua manu neke atu i te kotahi.
Ka mahia te IUI i waenga i te 24 me te 36 haora i muri i te kitenga o te whakaputanga hua.
2. Te whakarite i te tauira purapura
I te rā o te IUI, ka tangohia he tauira parāoa hou mai i tō hoa. Ka tukuna ki te taiwhanga, ā, e ai ki te kōrero i mua ake nei, ka "horoia" kia puta he kukū parāoa kounga teitei.
3. Te whakawhānau
He tino māmā tēnei taahiraa, ā, he torutoru meneti noa iho te roa.
- Ka meinga koe kia takoto ki runga i te moenga whakamātautau.
- Ka whakaurua e te tākuta he speculum ki roto i te tenetene, pērā i te wā e mahi ana i te whakamātautau Pap.
- Kātahi ka tukuna he ngongo tino angiangi, ngāwari (catheter) mā te cervix ki roto i te kōpū.
- Hei whakamutunga, ka werohia te tauira parāoa kua oti te whakarite ki roto i te kōpū mā roto i tēnei ngongo.
I muri i tēnei, ka tonoa koe kia takoto mō te 15-30 meneti pea. I ētahi wā, ka hoatu pea he rongoā kei roto ko te homoni progesterone hei pupuri i te kaha o te pakitara kōpū, ka nui ake ai te tūponotanga o te whakatōnga.
He aha ngā mea hei tumanakohia i muri i te maimoatanga? He mamae?
Mō te nuinga o te tangata, kāore te maimoatanga IUI i te tino mamae . Kāore he take mō te rongoā whakamoe. Heoi, tera pea ka pāngia koe e te mamae tuara i te wā me te wā poto i muri mai, te mamae puku i raro i te puku, he rite ki tō paheketanga. Tērā pea ka pāngia koe e te ira iti mō te rā kotahi, e rua rānei. He mea noa tēnei.
I muri i te maimoatanga, ka taea e koe te haere tonu me ō mahi o ia rā. Kāore he okiokinga motuhake e hiahiatia ana. Ka taea e koe te whakamātautau mēnā kei te hapu koe i te rua wiki i muri i te IUI.
He tūponotanga kei roto i te maimoatanga IUI?
He iti ake te mōrearea o te tikanga IUI ki te whakatauritea ki ngā maimoatanga pēnei i te IVF, engari he iti noa iho ngā mōrearea.
- Te whānautanga maha: Mā te tango rongoā hei whakaoho i te whakaputanga o te hua manu ka puta he hua manu neke atu i te kotahi, ka nui ake te tūponotanga kia whānau he māhanga, he mātoru rānei.
- Mate urutā: He tino onge tēnei āhuatanga.
- Te Mate Whakaohooho Ovarian Hyperstimulation (OHSS): He tino onge hoki tēnei. Mēnā ka whakanuia te horopeta o te rongoā whakaputa uri, ka pupuhi, ka mamae hoki ngā ovaries.
He pēhea te angitu o te maimoatanga IUI?
Koinei te pātai nui rawa atu a te katoa. Ko te angitu o te maimoatanga IUI e whakawhirinaki ana ki ētahi āhuatanga . Ko tō tau, te take o tō kore tamariki, me te mea kei te tango koe i te rongoā whakaoho hua manu, he mea nui katoa.
I te nuinga o te wā, ki te whakahaerehia e koe he huringa maimoatanga IUI me te rongoā whakaoho hua, ko tō tupono ka hapu koe i te 20% . He rite tēnei ki te tupono ka hapu noa tetahi tokorua hauora noa. Ko te tikanga o tēnei kei te whakahoki noa te IUI i ō tupono ki te noho noa.
Ngā panonitanga o te angitu o te IUI i te pakeketanga:
| Rōpū tau | Te auau haputanga toharite mai i te huringa IUI kotahi |
|---|---|
| 20 - 30 tau | ~ 17.6% |
| 31 - 35 tau te pakeke | ~ 13.3% |
| 36 - 38 tau te pakeke | ~ 13.4% |
| 39 - 40 tau te pakeke | ~ 10.6% |
| Neke atu i te 40 tau te pakeke | ~ 5.4% |
Mena kua neke atu i te 40 tau tō pakeke, ka tūtohu pea tō tākuta kia kotahi noa te mahi IUI, kātahi ka haere tika ki te IVF, nā te mea he iti te ōrau angitu.
Ko te mea nui, kaua e mataku mēnā ka kore e angitu te huringa IUI tuatahi. I te nuinga o te wā, ka tūtohu ngā tākuta kia whakamātauria kia toru ngā huringa IUI kia angitu ai.
Āhea ahau me waea atu ki te tākuta?
Mena kei te tango koe i te rongoā hei whakaoho i te whakaputanga o te hua manu, waea atu ki tō tākuta tonu mēnā ka pāngia koe e ēnei tohu:
- Te mamae nui o te puku o raro, o te puku rānei
- Whakapairuaki me te ruaki
- Te uaua ki te manawa
- Te pikinga taumaha ohorere
- Pōuriuri , kanohi kikorangi rānei
Ka tino taumaha te tukanga maimoatanga IUI. He mea noa te pouri, te pōuri, me te manukanuka. Ki te pēnei ōu whakaaro, kōrerotia whānuitia ki tō hoa rangatira, ki tō whānau, ki tō tākuta rānei.
Karere Tangohia ki te Kāinga
- He maimoatanga māmā noa iho te IUI, he iti te utu, he iti hoki te mōrearea, ā, ka taea e te tini o te hunga e pāngia ana e te kore tamariki te whakamātau hei taahiraa tuatahi.
- Ko te angitu o tēnei maimoatanga e whakawhirinaki ana ki tō tau me te pūtake o te kore tamariki.
- He rerekē rawa ngā maimoatanga IUI me IVF. He mea nui kia kōrero tahi koe me tō tākuta mō te tikanga e pai ana mōu.
- He mea tino nui kia kaha tonu te hinengaro, kia tautokona hoki koe e tō hoa i te wā e rongoatia ana. Kaua e ngakaukore mēnā kāore i angitu tō whakamātautau tuatahi.
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