He tangata anō hoki koe kua roa e tatari ana kia kite i te mata o tētahi tamaiti e arohaina ana, kia rongo hoki i taua kakara? I ētahi wā, nā ngā take maha, ka roa pea taua moemoeā. Engari i ēnei rā, nā te pūtaiao hauora matatau, kei reira ngā huarahi hei whakaoho anō i taua tumanako. Ko tētahi o aua hangarau ko te IVF, arā, ko te whakatōnga in vitro. Kua rongo pea koe mō tēnei, kei te mataku rānei koe. Kaua e wehi i tetahi mea. I tēnei rā, ka kōrerohia e tātou tēnei mea kia tino māmā, kia mārama ai koe.
He aha te tikanga o te IVF?
Ko te ingoa katoa o te IVF ko te In Vitro Fertilization. Ko te tikanga o "In Vitro" ko "i roto i te karāhe", arā, ko waho o te tinana. Nō reira, ko te IVF he tukanga e tangohia ai te hua manu mai i te whaea me te parāoa mai i te pāpā ka whakamomonatia (whakakotahitia) ki waho o te tinana, arā, i roto i te taiwhanga.
Whakaarohia, ka puta he hāputanga noa ina honoa te hua manu me te parāoa ki roto i ngā ngongo o te whaea. I roto i te IVF, ka mahia taua tukanga i roto i te taiwhanga i raro i te tirotiro a ngā tākuta me ngā kaipūtaiao. Ka whakaurua marietia te kukune i hangaia i tēnei ara ki roto i te kōpū o te whaea i muri i ētahi rā. Ka puta he hāputanga angitu ina piri tēnei kukune ki te pakitara kōpū, ā, ka tīmata te tipu.
Āhea koe me whakaaro ki te maimoatanga IVF?
He tino tumanako te IVF mō te tini o te hunga e pāngia ana e te kore tamariki. Ka tūtohu ngā tākuta i tēnei maimoatanga ina kore e angitu ētahi atu maimoatanga, ina rānei he āhuatanga hauora. Ka taea e koe te whiwhi whakaaro pai mō tēnei mā te titiro ki te ripanga i raro nei.
| Take | Whakaahuatanga |
|---|---|
| Te aukati, te pakaru rānei o ngā ngongo fallopian | Mena ka āraia te ara e tūtaki ai te hua manu me te parāoa, ka taea e te IVF te wikitoria i taua arai. |
| Te endometriosis | He āhuatanga hauora e kore ai e taea te whānau tamariki nā te tipu o te kiko o te kōpū i waho o te kōpū. |
| Ngā raruraru parāoa | He iti te maha o ngā parāoa, he iti te nekenekehanga, he rerekētanga rānei. |
| Ngā raruraru o te ovarian | Kāore e puta tika te hua o te hua manu nā te mate pēnei i te PCOS (Polycystic Ovary Syndrome). |
| Ngā raruraru ki te kōpū | Ngā fibroids uterine, ētahi atu raruraru hanganga rānei. |
| Te kore tamariki, kāore he take e mōhiotia ana | Ngā kēhi e noho noa ana ngā whakamātautau katoa engari kāore e hapu (Te kore tamariki e taea te whakamārama). |
| Ētahi atu take | Te tūponotanga o te tuku i ngā mate ira ki te tamaiti, te koroheketanga o te whaea, te whakamahinga rānei o ngā hua/ngā kukune i tukuna mai. |
He aha ngā mahi e whai wāhi ana ki te tukanga IVF?
Ehara te IVF i te mea ka taea te whakaoti i roto i te rā kotahi. He tukanga e whai ana i ētahi mahi, e 4 ki te 6 wiki te roa. Me titiro tātou ki aua mahi.
1. Te Whakaoho i te Ovarian
I te nuinga o te wā, ka pakari te hua kotahi i te marama. Engari i roto i te IVF, me nui atu i te kotahi te hua. Nō reira, ka pakarihia ngā hua maha i te wā kotahi mā te hoatu rongoā homoni werohanga i ia rā. E 8 ki te 14 ngā rā e pau ana mō tēnei. I tēnei wā, ka aroturukihia e tō tākuta te rahi o ngā follicle mā te mahi i ngā ultrasound me ngā whakamātautau toto.
Kia pakari ngā hua, kia eke ki te rahi e hiahiatia ana, ka tukuna he werohanga whakamutunga kia pakari rawa ai. Ka kiia tēnei ko te "Trigger Shot." Ka tangohia ngā hua i muri tonu i te 36 hāora i tēnei werohanga.
2. Te Kohi Hua Manu
He pokanga iti tēnei. Ka whakamoea koe (he whakamoe ngawari), kia kore ai koe e mamae nui. Ka werohia e te tākuta he ngira tino angiangi mā roto i tō tara, mā te whakamahi i te matawai, ki roto i ō ovaries, ā, ka tangohia marietia ngā hua kua pakeke, takitahi.
Kaua e wehi i tēnei tukanga. Mā te tīma hauora koe e whakarite kia kore koe e pāngia e te mamae.
3. Te whakamomona i roto i te taiwhanga
Ko ngā hua manu i whiwhihia i tēnei ara ka whakakotahihia ki te parāoa pai rawa atu mai i te matua tāne i roto i te taiwhanga. He maha ngā wā ka whakamahia he tikanga e kiia nei ko te ICSI (Intracytoplasmic Sperm Werohanga) . Ko te tikanga o tēnei ka werohia he parāoa kotahi ki roto i te hua manu kotahi. Mā tēnei ka nui ake te tūponotanga o te whakatō. I te nuinga o te wā, tata ki te 70% o ngā hua manu kua pakeke ka whakatōkia angitu.
4. Te Whanaketanga o te Kutukutu
He kukune te hua manu kua whakatōkia ināianei. Ka puritia ēnei kukune i roto i tētahi taputapu motuhake e kiia nei ko te incubator mō ngā rā e 5, e 6 rānei kia whanake. I tēnei wā, ka āta aroturukihia e ngā kaipūtaiao tō rātou whanaketanga. Ko ngā kukune hauora, tino whanake (te wāhanga blastocyst) ka tīpakohia hei whakatō ki roto i te kōpū. I te nuinga o te wā, tata ki te 50% o ngā kukune kua whakatōkia ka tae ki tēnei wāhanga. Ka taea hoki te whakatio i ngā kukune pai e toe ana mō te whakamahinga ā muri ake nei.
5. Te Whakawhiti i te Umu
He tino māmā tēnei tikanga, kāore he mamae. He rite te āhua ki te Pap smear. Ka whakamahia e te tākuta he ngongo tino angiangi (catheter) hei whakauru i te kukune, i ngā kukune rānei pai rawa atu ki roto i tō kōpū. E kore e neke atu i te 10 meneti te roa o tēnei.
6. Whakaū i te haputanga
I waenganui i te 9 me te 14 ngā rā i muri i te whakawhiti kukune, ka mahia he whakamātautau toto hei whakaū mēnā kei te hapu koe.
He aha ngā tūponotanga me ngā pānga taha o te IVF?
Pērā i ngā maimoatanga hauora katoa, tera pea ētahi mōrearea me ngā pānga taha o te IVF. He mea nui kia mōhio koe ki ēnei i mua i te wā.
| Ngā Tūponotanga | Ngā Pānga Taha |
|---|---|
| Ngā whānautanga māhanga: Ka piki ake te tūponotanga kia whānau māhanga mēnā ka whakawhitia he neke atu i te kotahi te kukune. | Te whakapairuaki, te ānini, me te werawera o te tinana i te wā e rongoatia ana. |
| Te Matenga o te Pēpi: He tūponotanga anō kei reira, pērā i te hāputanga noa. | He marō me te mamae i ngā wāhi i werohia. |
| Hapūtanga ectopic kāore i te puta noa i te rohe: Ka whakatōkia te kukune ki waho o te kōpū. | Te pupuhi o te puku me te mate pāwera i muri i te whakatōnga o te kukune. |
| Te Mate Whakaohooho Ovarian Hyperstimulation (OHSS): He āhuatanga onge e puta ai te mamae o te puku me te pupuhi nā te nui rawa o te whakaohooho o ngā ovaries. | Te mamae o te ū, he iti noa te ira. |
Ko te nuinga o ēnei tohu ka memeha i roto i ngā rā torutoru, engari ki te pāngia koe e te kirika nui, te toto nui, te toto i roto i tō mimi, te mamae puku rānei e kore e taea te manawanui, me waea atu koe ki tō tākuta tonu .
He pēhea te angitu o te IVF?
Kāore e taea te matapae tonu i te angitu o te IVF. He maha ngā āhuatanga e whakawhirinaki ana ki tēnei.
- Tau: Ko te tau o te whaea te mea nui. He nui ake te angitu o ngā wāhine kei raro iho i te 35 tau te pakeke. I muri i te 40 tau, ka tino heke tēnei auau.
- Te take mō te kore tamariki: Ka rerekē te angitu i runga i te take.
- Te Āhua Noho: He mea nui anō hoki te pupuri i tētahi āhua noho hauora.
- Kounga o te whare hauora: Te wheako me te hangarau o te whare hauora e whakaratohia ana te maimoatanga.
Kaua e ngakaukore mēnā ka kore e angitu te huringa IVF. He tokomaha ka angitu i te whakamātautau tuarua, tuatoru rānei. Kōrero ki tō tākuta kia whakatau ai koe i te mea ka mahia i muri mai.
He haerenga uaua te IVF, he haerenga whakauaua hoki te tinana, te hinengaro hoki. He mea nui kia tautoko kōrua ko tō hoa i a kōrua i tēnei haerenga. Ki te mea kei te taumaha rawa ō whakaaro, kōrero ki tō tākuta, ki tētahi atu rānei e whakawhirinaki ana koe mō tēnei.
Karere Tangohia ki te Kāinga
- Ko te IVF he tikanga hauora matatau e uru ana ki te whakakotahi i te hua manu me te parāoa ki waho o te tinana, kātahi ka whakatōkia te kukune ka puta ki roto i te kōpū.
- He otinga pai tēnei mō ngā take maha o te kore tamariki, engari kāore e pai mō te katoa.
- He mea nui te pakeke o te whaea ki te angitu o te IVF. Mēnā he iti ake te pakeke, ka teitei ake te ōrau angitu.
- He uaua pea tēnei tukanga i te taha tinana, i te taha hinengaro hoki, nō reira he mea tino nui te whakarite hinengaro me te tautoko a tō hoa.
- Mena he pātai, he āwangawanga, he ruarua rānei āu mō tēnei mea, kōrerotia māramatia ki tō tākuta. Koinei te wāhi pai rawa atu hei tiki i ngā mōhiohio me ngā aratohu tino tika.
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