Kei te moemoeā kōrua ko tō hoa rangatira ki te whakatū whānau, engari he uaua ki te whakatutuki i taua moemoeā? I ētahi wā, ahakoa kua oti ngā whakamātautau katoa i roto i te pukapuka, kāore tonu e taea e ngā tākuta te tohu i te take mārama mō te kore tamariki. Ina tupu tēnei, ka kiia e mātou ko te "Kōhungakore Kāore i te Whakamāramahia." Ka rite ki te taumaha nui ki tō ngākau, engari me kōrero tahi tāua mō tēnei, me pēhea?
He aha tonu te kore tamariki e taea te whakamārama?
Ki te kī ngāwari, ko te kore tamariki kāore i te whakamāramatia ko te tikanga kei te uaua koe me tō hoa ki te hapu, engari kāore anō kia kitea he take hauora motuhake. I mua i te taenga ki tēnei tātaritanga, ka whakahaerehia e tō tākuta he aromatawai whānui mō te momonatanga. I te nuinga o te wā, ka whakaūhia e ēnei whakamātautau:
- Kāore he āhuatanga rerekē o te hanganga o tō kōpū .
- Ka puta te whakaputanga o te hua manu i ngā wā hauora, auau hoki.
- He mārama, he tuwhera hoki ō ngongo whekau .
- Kei te taumata hauora tō rahui ovarian .
- Kei te tika te whakaputa a tō roro i ngā homoni whakaputa uri e tika ana .
- Kei roto rawa i te awhe noa te tātaritanga purapura a tō hoa (te maha o te purapura, te rahinga, te nekehanga, me te āhua).
Mena he mea noa ēnei āhuatanga katoa, ā, kua ngana koe ki te hapu mō te iti rawa i te kotahi tau (mēnā kei raro iho koe i te 35 tau) e ono marama rānei (mēnā kei runga ake koe i te 35 tau) kāore anō kia angitu, ka whakarōpūhia tēnei e ngā tākuta hei "koretake o te tamarikitanga".
Whakaarohia he rite ki te toro atu ki te tākuta mō tētahi mate pumau—ka whakahaerehia e rātou he whakamātautau, engari i ētahi wā, kāore e kitea te pūtake o te mate. He tino whakarihariha, engari kia mōhio koe ehara tēnei i te mutunga o te huarahi.
He pēhea te noa o tēnei āhuatanga?
He uaua ki te kī i tētahi tatauranga tika nā te mea he rerekē pea te mea e kiia ana e tētahi tākuta he whakamātautau momona "katoa" i tētahi atu. Nā te rerekētanga o ngā paearu tātaritanga, ka rerekē pea ngā tatauranga.
E ai ki ētahi pūrongo, tata ki te 10% o ngā tāne me ngā wāhine e raru ana ki te hapu ka pāngia e te kore tamariki kāore i te mārama te take, ko ētahi ia e kī ana ka eke pea tēnei tau ki te 30% . Ehara i te mea ko koe anake i roto i tēnei wheako.
Ka taea tonu e koe te hapu me te kore tamariki kāore i te mārama?
Āe, tino tika! Koinei te rongo pai rawa atu ka taea e mātou te whakapuaki. Ahakoa kua kitea he "kore tamariki kāore i te mārama" kāore e tika kia ngaro tō tumanako. I kitea i roto i tētahi rangahau a te National Institutes of Hauora (NIH) e 92% o ngā tāne me ngā wāhine kāore i te mārama te mārama i whiwhi i te haputanga i muri i te whai i ngā maimoatanga momona. Kei te tata tonu tō moemoeā kia whānau he pēpi.
Ehara i te mea kāore e taea e koe te whānau tamariki te take o te kore tamariki. Ko tōna tikanga me rerekē pea tō huarahi ki te whai tamariki.
Kāore rawa he take? He aha ētahi āhuatanga huna?
Ahakoa e kiia ana he "kāore i te whakamāramahia", he maha tonu ngā take kei roto; ko te take anake, kāore pea i te tino kitea ngā whakamātautau hauora o nāianei, he tino ngaro rānei te take. Me titiro tātou ki ētahi āhuatanga pea:
Ngā Āhuatanga Taketake Kāore i Tātaritia
Kei te ako tonu ngā kairangahau i te pānga o ngā āhuatanga hauora ki te momonatanga. Hei tauira, ka pā te mate Celiac (te kore e manawanui ki te kuruteni), te mate huka, me ngā āhuatanga tairoi ki te momonatanga. Tērā pea he raruraru kei roto engari kāore i kitea.
Te endometriosis
Te endometriosisKa puta tēnei ina tupu te kiko e rite ana ki te arai o te kōpū ki waho. Ahakoa i roto i ngā take ngawari, ka pā pea tēnei ki te momonatanga. He maha ngā wā, me whai pokanga (pēnei i te laparoscopy) hei tautuhi tika i te mate, nā te mea kāore pea e kitea tonutia ngā tohu.
Ngā Take Huka o te Cervical
I te wā o te whakaputanga hua manu , ka āwhina te hūpē o te kōpū i te parāoa kia tae atu ki te hua manu. Mena he matotoru rawa tēnei hūpē, he kino rānei te hanganga matū, ka āraia e ia te parāoa kia haere mā te kōpū ki roto i te kōpū.
Kounga Hua Manu
Ahakoa ka taea e ngā tākuta te kite i ngā follicle me te ine i te maha o ō hua manu mā te whakamahi i te ultrasound , kāore e taea te whakaatu mai i te kounga o aua hua manu. Mā ngā whakamātautau toto me ngā ultrasound ka kitea he tirohanga whānui, engari kāore e taea te aromatawai i te hauora moroiti o ia hua manu.
Kounga o te Parāoa
Pērā i ngā hua manu, ahakoa ka kitea te nuinga o ngā raruraru nui e te tātaritanga parāoa , kāore e taea te tautuhi i ngā raruraru iti, moroiti hoki i roto i te parāoa ka aukati i te whakatōnga.
Ngā raruraru o te endometrium
Ko te endometrium te arai o roto o tō kōpū, te wāhi me whakatō te hua manu kua whakatōkia kia tupu ai. Ka puta te hapa o te wāhanga luteal ina kore tēnei arai e matotoru, e whakarite tika rānei, ā, ka uaua ki te whakatō te kukune, ahakoa ka whakatōkia.
Te Wā o te Taatai
I ētahi wā, kāore te auau, te wā rānei o te moepuku e rite ana ki tō matapihi whakaputa uri. Ahakoa te āhua nei he kōrero iti noa iho, he mea nui tōna i roto i te haputanga.
I ētahi wā, kāore he pūtake e taea te tautuhi, he uaua rānei te kite, te rongoā rānei i te raruraru. He tukanga koiora uaua te haputanga; ki te he te tūnga o tētahi takahanga iti, ka taea te whakararuraru i te tukanga katoa. Ko te rongo pai ko ngā kairangahau i Nirogi Lanka me te ao katoa kei te whakawhanake tonu i ngā tikanga hou hei mārama ake i te kounga o te hua manu, te hauora uri, me te mahi a te parāoa.
Me pēhea te tautuhi tika i tēnei mate?
Kāore he whakamātautau kotahi e taea te hura i ngā take katoa o te kore tamariki, ā, kāore he tikanga tātaritanga e tino tika ana. E ai ki te American Society for Reproductive Medicine (ASRM), me whakauru ngā mea e whai ake nei ki te aromatawai tika i te momonatanga:
- He arotake hōhonu i tō hītori hauora me tō hītori moepuku .
- He whakamātautau tinana katoa.
- Ngā whakamātautau toto hei aromatawai i ngā taumata o ō homoni .
- He tirotiro i ō whekau whakaputa uri, tae atu ki ō ovaries, ngā ngongo fallopian, me te kōpū . Tērā pea ka uru atu ki tēnei he whakaahua matatau, he tikanga tātaritanga rānei pērā i te ultrasound , te hysterosalpingogram , te laparoscopy rānei.
- He tātaritanga purapura mō tō hoa.
- He aromatawai i tō rahui ovarian .
- Aromatawai i ō huringa whakaputa uri kia mōhio ai he auau.
Mena ka oti i te tohunga whakawhānau, i te tākuta whānau rānei ēnei whakamātautau katoa, ā, kāore e taea te tautuhi i te tino take, ka kiia te mate he "kore tamariki kāore i te mārama." Kia maumahara he rerekē ngā tikanga whakamātautau i waenga i ngā tākuta. Mena ka whiwhi koe i tēnei tātaritanga, kāore he kino ki te rapu whakaaro tuarua.
He aha ngā kōwhiringa maimoatanga e wātea ana?
Nā te mea kāore e taea e tō tākuta te tohu i tētahi tino take mō tō kore tamariki, ko ngā taunakitanga maimoatanga ka ahu mai i ngā hua o tō whakamātautau momona, te wheako haumanu o tō tākuta me ngā tāne me ngā wāhine rite, tō tau, me te tere o tō hiahia ki te whai i te maimoatanga hohe.
Ko ngā maimoatanga e taunakitia ana ka taka ki roto i ēnei kāwai:
Hangarau Āwhina Whakaputa Uri (ART)
Hangarau Āwhina Whakaputa Uri (ART)e pā ana ki ngā maimoatanga whakamomona kei reira tetahi wāhanga o te tukanga whakamomona e mahia ana i roto i te taiwhanga. Kei roto i tēnei ko te Whakatōnga Intrauterine (IUI) me te Whakatōnga In Vitro (IVF) .
- Ko te IUI ko te horoi me te whakaemi i te parāoa o tō hoa i roto i te taiwhanga, kātahi ka whakanohoia tika ki roto i tō kōpū i te wā o te whakaputanga hua.
- Ko te IVF he whakamahi i ō hua manu me te parāoa o tō hoa rangatira (o te kaituku rānei) hei hanga i ngā kukune i roto i te taiwhanga, kātahi ka whakawhitia ki tō kōpū kia whanake ai. He maha ngā wā, ka uru atu ki te IVF te Injection Sperm Intracytoplasmic (ICSI) , arā, ka werohia tika te parāoa kotahi ki roto i te hua manu. Mena ka whakapaetia he take koretake te kounga o te parāoa nā te ICSI, ka nui ake te tūponotanga o te haputanga.
Ngā rongoā
He tino whai hua ngā rongoā whakamomona e whakaoho ana i te whakaputa hua manu me te whakaputa uri. Ka taea te whakamahi takitahi i ēnei, i te taha rānei o ngā maimoatanga IUI, IVF rānei. Ko ngā rongoā e whakamahia whānuitia ana ko ngā gonadotropins me te clomiphene (Clomid®) . Tērā pea ka tohua e ētahi tākuta te letrozole (Femara®) , ahakoa he whakamahinga kore-tohu tēnei mō te whakamomona.
Kei roto i ngā gonadotropins ngā homoni e whakanui ana i te whakaputanga hua manu, ā, ka taea hoki te rongoā i te iti o te maha o ngā parāoa. Ka mahi te clomiphene mā te whakaoho i ngā ovaries kia nui ake ngā hua manu. Ka tūtohu tō tākuta i te kōwhiringa tino tika i runga i tō āhua hauora.
Kia maumahara, ina whakamahia ngā rongoā whakamomona, tera pea ka puta he hua neke atu i te kotahi i ia huringa, ka nui ake te tūponotanga o te hāputanga maha (pērā i ngā māhanga).
Ngā Huringa Āhua Noho
Ka pā pea ētahi āhuatanga noho ki te momonatanga. Anei ētahi mahi ka taea e koe te mahi hei whakapai ake i tō tupono ki te hapu:
- Āta karohia te kai hikareti, te waipiro, me te whakamahi i ngā raau taero whakangahau.
- Kia mau tonu te taumaha tinana hauora.
- Whāia he kai taurite, he kai totika hoki.
- Whai kia 30 meneti te iti rawa o te whakakori tinana i ia rā .
- Whakaitihia te nui o te kawhe (tī, kawhe).
- Arotahi ki te whakaiti i ō taumata ahotea.
Te Wā Whakatakotoranga
He iti noa te wā e whai hua ai koe i roto i tō huringa paheketanga. Ka taea e tō tākuta te āwhina i a koe ki te tautuhi i tēnei wā hei whakanui ake i tō tūponotanga ki te hapu. Ka taea tēnei mā roto i ngā tikanga pēnei i te aroturuki i te pāmahana tinana taketake, te aroturuki i tō huringa paheketanga, te whakamahi rānei i ngā kete matapae hua .
I ētahi wā, ka kī pea tō tākuta kia "whakamātauria mō tētahi wā roa ake." Ahakoa he uaua tēnei mahere ki te whakaae—ina koa mēnā kei te hiahia koe ki te whakatū whānau—i ētahi wā ka whakatauhia te raruraru. Heoi anō, kei a koe tonu te tika ki te rapu whakaaro tuarua, ki te whiriwhiri rānei ki te whai wawe i ngā maimoatanga whakawhānau mēnā koinā tāu e pai ai.
He ara hei ārai i tēnei?
Ahakoa he maha ngā mea ka taea e koe te mahi hei tautoko i te whānautanga, kei tua atu i tō mana whakahaere ētahi āhuatanga. Ko ētahi o ngā mahi ka taea e koe te mahi ko:
- Taumaha: Kia mau tonu te taumaha tinana hauora.
- Te Momi hikareti me te Waipiro: Kaua e momi hikareti, me te whakaiti hoki i te inu waipiro.
- Hauora ā-Ira Tangata: Whakamahia he tikanga tiaki hei karo i ngā Mate Tuku Ira Tangata (STI) , ka pā kino ki te momonatanga.
Kia mahara ki te kōrero tuwhera ki tō tākuta mō ō āwangawanga e pā ana ki te momonatanga, kia taea ai e rātou te tūtohu i te huarahi pai mōu ki Nirogi Lanka.
He aha te auau haputanga mō ngā tāne me ngā wāhine kāore i te mōhiotia te take o te kore tamariki?
E ai ki ngā rangahau tata ki te 43%o ngā tāne me ngā wāhine kua pāngia e tēnei mate ka hapu i roto i te wā roa, me te kore he wawaotanga mō te whānautanga. E whakaatu ana tēnei i ētahi wā, ka taea tonu te haputanga ā-taiao.
He aha ngā pātai nui me pātai atu koe ki tō tākuta?
Ka ara ake pea he maha ngā pātai mēnā ka kitea he "kore tamariki kāore i te mārama te whakamārama". Ko te mea pai, kāore he arai nui kua tautuhia ki tō kore tamariki. Ko te mea uaua, kāore e taea e ngā tākuta te whakamārama tika he aha te take kāore anō kia hapu.
Kaua e mangere ki te kōrero i ō āwangawanga katoa ki tō tākuta. Whakaarohia te pātai i ēnei pātai:
- He aha tāu e tūtohu mai ai hei mahi mā tātou i muri mai?
- Ko tēhea tikanga e tino whai hua ana mōku ki te hapu?
- He toenga whakamātautau toto, he rangahau whakaahua rānei hei mahi?
- Tērā pea he mate hauora kei roto i taku kore tamariki?
- Me tuku ahau ki tētahi tohunga whakawhānau?
Kia pēhea te roa me whakamātau koe i mua i te toro atu ki te tākuta?
Ko te nuinga o ngā tākuta e kī ana kia whakamātauria mō te iti rawa 12 marama (kotahi tau) i mua i te rapu maimoatanga mō te whānautanga. Heoi, ki te 35 tau te pakeke, neke atu rānei, me toro atu koe ki te tākuta i muri i ngā marama e ono o te whakamātau. I runga i tō hītori hauora me ō whāinga, ka taea e tō tākuta te whakarato i tētahi mahere maimoatanga kua whakaritea.
Ngā Whakamutunga hei Tangohia (Karere hei Tangohia ki te Kāinga)
He tino pōhēhē, he uaua hoki te whiwhi i te tātaritanga o te 'Kāore e Māramahia te Kore'. Ko tōna tikanga, ahakoa ngā whakamātautau whānui, kāore anō kia kitea te take tika mō tō uaua ki te hapu. Heoi, kaua e mataku, kaua hoki e ngaro te tumanako - he ara whai hua kei mua. He maha ngā tāne me ngā wāhine e angitu ana ki te whakatutuki i te haputanga mā roto i ngā rongoā momona kua whakaritea, te IUI (Intrauterine Insemination), te IVF rānei (In Vitro Fertilization).
Ehara i te mea ko te 'Kāore e Pōrearea' te tikanga kāore koe e hapu; engari me tūhura e tō rōpū hauora ngā kōwhiringa maha e ahu mai ana i ngā taunakitanga hei āwhina i a koe kia whiwhi hāputanga hauora.
I tēnei haerenga uaua, ka akiaki mātou i a koe kia rapu i tētahi tohunga whakawhānau e whakarongo ana ki ō āwangawanga, e whakarato ana hoki i te tautoko aroha, whaiaro hoki. Kaua e whakarērea ō moemoeā. Kei te tautoko katoa mātou o Nirogi Lanka i a koe e anga whakamua ana ki te whakatutuki i tō whāinga ki te whakatū whānau.
Te kore tamariki, te uaua ki te hapu, Te kore tamariki kāore i te whakamāramahia, te momona, te haputanga, IVF, IUI
