Maimoatanga IUI (Intrauterine Insemination): Mō te hunga e tumanako ana kia whānau he pēpi

Kei te tumanako koe ki te whānau tamariki, engari kei te pouri koe nā te mea kāore anō kia tutuki taua moemoeā? Kua tūtaki pea kōrua ko tō hoa ki tētahi tākuta mō tēnei mea, ā, kua kōrero mō ngā momo maimoatanga. I a koe e kōrero ana pēnā, kua rongo pea koe i te kupu IUI. Nō reira, i tēnei rā ka kōrero tātou mō tēnei maimoatanga IUI, he mea uaua pea ki te tini, he tino māmā, he mārama hoki.

He aha te IUI?

Ko te tikanga whānui o te IUI ko te Intrauterine Insemination . I te reo Sinhala, ko tōna tikanga he whakauru i te parāoa ki roto i te kōpū . He maimoatanga whakamomona tēnei e pā ana ki te wāhanga o te Artificial Insemination.

Whakaarohia, ina hapu noa te tamaiti, he roa rawa te haerenga o te parāoa o te tāne. Me tomo ki te tara, me haere mā te cervix, me haere mā te kōpū, tae noa ki ngā ngongo Fallopian. He tino uaua tēnei haerenga, he iti noa iho te maha o ngā parāoa, tata ki te 5%, e tomo ana ki te tara, ka tae ki te kōpū. I reira, ka honoa rātou ki te hua manu i tukuna mai i te ovary o te wahine, ā, ka whakatōkia.

I tēnei tikanga, ka horoia he tauira parāoa mai i te tāne i roto i te taiwhanga mā te whakamahi i tētahi tikanga motuhake ("horoi parāoa") hei tīpako i te parāoa hauora, pai rawa te kauhoe, me te kounga teitei anake. Kātahi ka whakaurua tika ēnei parāoa kua tīpakohia ki roto i tō kōpū mā te whakamahi i tētahi ngongo angiangi e kiia nei ko te catheter. Mā tēnei ka whakaitihia te tawhiti me te wā e pau ana mō te parāoa ki te haere, ka whakanui ake i te tūponotanga o te tūtaki me te whakatōtō i te hua manu, ko te tikanga he nui ake te tūponotanga ka hapu koe.

Ko wai te mea tino pai mō te maimoatanga IUI?

Ko te IUI te maimoatanga tuatahi ka whakamātauhia e ngā tākuta i mua i te whakamahi i ngā maimoatanga utu nui, uaua hoki pērā i te IVF. Ka taea tēnei te mahi mā te whakamahi i te parāoa o tō hoa, i te parāoa rānei a te kaituku. He maha ngā take ka whakaarohia e koe te IUI.

Me pēhea te tukanga IUI?

Ko te roa o te tukanga IUI mai i te tīmatanga ki te mutunga e whā wiki pea te roa, he rite tonu ki te roa o tō huringa paheketanga o ia marama. He iti noa ngā mahi matua e whai wāhi ana.

Hipanga 1: Te Whakarite me te Wā Whakatō

He mea tino nui kia angitu ai tēnei maimoatanga te hopu i te wā tika o te whakaputanga hua manu . Arā, te wā e tukuna ai te hua manu mai i te ovary. He maha ngā huarahi hei kimi i tēnei:

• Kete matapae mō te whakaputanga hua: Ka taea te whakamahi i ēnei kete ki te kāinga, hei whakatau i te wā tata o te whakaputanga hua mā te ine i te taumata o te Luteinizing Hormone (LH) i roto i te mimi.
• Ngā whakamātautau toto me ngā matawai: Ka whakahaerehia pea e tō tākuta he whakamātautau toto hei tirotiro i ngā taumata o te homoni LH me te ultrasound transvaginal hei tirotiro i te whakaputanga o te hua manu.
• Ngā rongoā me ngā werohanga: I ētahi wā, ka hoatu pea e tō tākuta he rongoā ā-waha (mō te 5 rā pea) he werohanga rānei (tae atu ki te 2 wiki) hei āwhina i a koe ki te tuku i te neke atu i te kotahi hua manu. I ētahi wā, ka hoatu pea he werohanga e kiia nei ko te hCG (human Chorionic Gonadotropin) hei āwhina i a koe ki te whakaputa uri i te wā tika.

Hipanga 2: Te whakarite i te tauira purapura

I te rā o te IUI, ka kohia he tauira parāoa hou mai i tō hoa. I ētahi wā, ka taea te whakamahi i tētahi tauira kua kohia i mua, ā, kua whakatiohia. Kātahi ka tukuna tēnei tauira ki tētahi tukanga e kiia nei ko te "horoi parāoa" hei wehe i te parāoa pai rawa atu.

Hipanga 3: Te Whakatō

He tino māmā noa iho, ā, he torutoru meneti noa iho te roa. I a koe e takoto ana i runga i te tēpu whakamātautau, ka whakaurua e te tākuta he speculum ki roto i tō tenetene, he rite ki te Pap smear. Kātahi ka tukuna he ngongo angiangi (catheter) mā roto i tō cervix ki roto i tō kōpū, ka whakaurua he tauira parāoa kua oti te whakarite ki roto i te kōpū.

I muri i tēnei, ka tonoa koe kia takoto mō te 15-30 meneti pea. I muri i tēnā, ka taea e koe te hoki ki te kāinga pērā i ngā wā katoa. Ka taea e koe te whakamātautau mēnā kei te hapu koe i ngā wiki e rua i muri i tēnei maimoatanga.

He aha te rerekētanga i waenga i te IUI me te IVF?

Ko tētahi mea e pōhēhē ai te tini o te tangata ko ngā maimoatanga e rua e kiia nei ko te IUI me te IVF. He rerekē rawa ēnei maimoatanga e rua.

He aha ngā mōrearea me ngā pānga taha o te IUI?

He iti rawa te mōrearea o te IUI ki te whakatauritea ki ngā maimoatanga pēnei i te IVF, engari he iti noa iho ngā mōrearea.

• Te whānau māhanga, neke atu rānei ngā tamariki: Ki te tango koe i ngā rongoā whakamomona, ka tukuna pea neke atu i te kotahi te hua manu, ka nui ake te tūponotanga ka whānau māhanga, mā toru rānei.
• Mate urutā: Tino onge.
• Te toto iti: Tērā pea ka pāngia koe e te toto tara mō te rā kotahi, e rua rānei i muri i te maimoatanga.
• Te Mate Whakaohooho Ovarian Hyperstimulation (OHSS): He tino onge hoki tēnei. Ka puta ina nui rawa te urupare a ngā ovaries ki ngā rongoā e hoatu ana hei whakaoho i te whakaputanga o te hua manu, ka pupuhi, ka mamae hoki.

He pēhea te angitu o tēnei?

Ko te angitu o te maimoatanga IUI e whakawhirinaki ana ki ētahi āhuatanga, ko te mea nui ko te tau o te wahine me te tino take o tōna kore tamariki .

I te nuinga o te wā, ina oti te IUI me te rongoā, ko te tūponotanga ka hapu koe i roto i te huringa maimoatanga kotahi e 20%.He rite tonu te angitu o tēnei ki te hapūtanga noa. Ko te tikanga kei te whakahokia mai e te IUI ō tupono ki te noho noa.

Ka rerekē tēnei angitu i te pakeketanga:

• Tau 20-30: Tata ki te 17.6%
• Tau 31-35: Tata ki te 13.3%
• Tau 39-40: Tata ki te 10.6%
• Neke atu i te 40 tau te pakeke: tata ki te 5.4%

Ko te tikanga, ka tūtohu ngā tākuta kia whakamātauria kia toru ngā huringa IUI i mua i te haere ki te IVF. Heoi, ki te neke atu i te 40 ōu tau, ki te pāngia rānei koe e ngā āhuatanga pēnei i te pakaru o ngā ngongo fallopian, te endometriosis rānei, ka tūtohu pea tō tākuta kia haere tika atu ki te IVF.