Hāpai keiki - e kuhikuhi ana i nā lā momona

ʻO nā lā momona nā lā e hāpai keiki ai ka wahine.

ʻO Infertility kahi kumuhana pili.

Ke hoʻāʻo nei e hāpai, hoʻolālā nā kāne he nui i ka moekolohe ma waena o nā lā 11 a 14 i ka pōʻaiapuni 28 mau lā o ka wahine. ʻO kēia ke hiki mai ka ovulation.

He paʻakikī e ʻike kikoʻī i ka wā e hiki mai ai ka hānau ʻana. Paipai nā mea lawelawe olakino i nā kāne e hoʻāʻo nei e loaʻa ka pēpē i ka moekolohe ma waena o nā lā 7 a me 20 o ka menstrual cycle o ka wahine. ʻO ka lā 1 ka lā mua o ke kahe o ke menstrual. I mea e hāpai ai, ke moekolohe i kēlā me kēia lā a i ʻole i kēlā me kēia kolu o ka lā e hana e like me ka moekolohe i kēlā me kēia lā.

• Hiki i ka Sperm ke noho i loko o ke kino o ka wahine ma lalo o 5 mau lā.
• Noho kahi hua manu i hoʻokuʻu ʻia ma lalo o 24 mau hola.
• Ua hōʻike ʻia nā helu hāpai kiʻekiʻe loa ke hui pū ka hua a me ka sperm ma loko o 4 a 6 mau hola o ka hoʻoipoipo.

Inā loaʻa iā ʻoe kahi pōʻai menstrual maʻamau, hiki i kahi kit predatory ovulate ke kōkua iā ʻoe e ʻike i ka wā e hoʻoipoipo ana ʻoe. Nānā kēia mau pahu no ka hormone luteinizing (LH) i ka mimi. Hiki iā ʻoe ke kūʻai iā lākou me ka ʻole o ka lāʻau i ka nui o nā hale kūʻai lāʻau.

Aia kekahi mau ʻano hana ʻē aʻe e kōkua ai e ʻike inā hiki paha iā ʻoe ke hāpai i kahi pēpē.

Kaha: hiki i kekahi mau lubricants ke hoʻopilikia i ka hapai ʻana. Inā ʻoe e hoʻāʻo nei e hāpai, pono ʻoe e hōʻalo i nā douches a me nā lubricants (me ka lawaiʻa), koe wale nā ​​mea i hoʻolālā pono ʻia e hoʻopilikia ʻole i ka momona (e like me Pre-seed). ʻAʻole pono e hoʻohana i nā lubricants ma ke ʻano o ke kaohi hānau.

Ke hōʻike nei i kāu flaid CERVICAL

Mālama ka wai lika i ka sperm a kōkua iā ia e neʻe i ka kōpū a me nā paipu fallopian. Hiki ke hoʻololi i nā loli cervix i ka wā e mākaukau ana ke kino o ka wahine e hoʻokuʻu i kahi hua manu. Aia nā ʻokoʻa ma ke ʻano o ka nānā a me ke ʻano i ka wā o ka menstrual cycle o ka wahine.

• ʻAʻohe wai o ka cerviera i kēia manawa i ka manawa menstrual.
• Ma hope o ka hala ʻana o ka manawa, maloʻo ka ʻōpū a ʻaʻohe wai o ka cerviera i laila.
• Huli ka wai i kahi wai kōpaʻa / rubbery.
• E lilo i ka wai i pulu / momona / keʻokeʻo e hōʻike ana i ka FERTILE.
• E hele a paheʻe ka wai, pīpī, a mōakāka e like me ka hua keʻokeʻo, ʻo ia hoʻi he FERTILE LOA.
• Ma hope o ka hoʻoipoipo ʻana, e maloʻo hou ka ʻōpala (ʻaʻohe wai kahe o ke kahe). E like paha ka mucus cervix me ka mānoanoa o ka huʻa momona.

Hiki iā ʻoe ke hoʻohana i kou mau manamana lima e ʻike i ke ʻano o ka wai o ka cervix.

• E ʻike i ka wai i loko o ka piko o lalo o ka lua.
• Kaomi aku i kou manamana nui a me ka manamana mua mua - inā e kīloi ka wai i kou wā e hohola ai i kou manamana nui a me ka manamana lima, hiki ke manaʻo ʻia ua kokoke ka ovulation.

LAWE ANA I KA HOʻOPIʻI KINO BASAL

Ma hope o kou ovulate, e piʻi aʻe ka mahana o kou kino a noho i kahi kiʻekiʻe kiʻekiʻe no ke koena o kāu pōʻaiapuni ovulation. I ka hopena o kāu pōʻaiapuni, hāʻule hou ia. ʻO ka ʻokoʻa ma waena o nā ʻanuʻu 2 ma mua o ka 1 kekelē.

• Hiki iā ʻoe ke hoʻohana i kahi thermometer kūikawā e lawe i kāu mahana i ke kakahiaka ma mua o kou puka ʻana i waho o kahi moe.
• E hoʻohana i ka thermometer basal aniani a i ʻole kahi thermometer uila e pololei i ka hapaʻumi o ke kekelē.
• E mālama i ka thermometer i kou waha no 5 mau minuke a hiki i ka hōʻailona ʻana iā ʻoe ua pau. E hoʻāʻo e hoʻoneʻe ʻole i ka nui, ʻoiai hiki i ka hana ke hoʻonui iki i ka mahana o kou kino.

Inā aia kou mahana ma waena o nā māka 2, e hoʻopaʻa i ka helu haʻahaʻa. E hoʻāʻo e lawe i kāu mahana i ka manawa like i kēlā me kēia lā, inā hiki.

E hana i kahi pakuhi a kākau i kāu mahana i kēlā me kēia lā. Inā ʻoe e nānā i kahi pōʻaiapuni piha, e ʻike paha ʻoe i kahi kiko e kiʻekiʻe ai nā mahana ma mua o ka ʻāpana mua o kāu pōʻaiapuni. ʻO ka piʻi ma kahi o 0.2 kekelē a ʻoi paha ma luna o nā lā he 6 i hala.

ʻO ka mahana kahi hōʻailona kūpono o ka momona. Ma hope o ka nānā ʻana i mau pōʻaiapuni, hiki paha iā ʻoe ke ʻike i kahi hiʻohiʻona a ʻike i kāu mau lā momona loa.

Wela Basal kino; Infertility - lā momona

• Uterus

ʻO Catherino WH. Reproductive endocrinology a me ka infertility. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 223.

ʻO Ellert W. Nā hana e pili ana i ka hānau ʻana i ka hana hānau (hoʻolālā ʻohana maoli). I: Fowler GC, hoʻoponopono. ʻO Pfenninger a me Fowler's Procedures no ka mālama mua. ʻEhā ed. Piladelapia, PA: Elsevier; 2020: chap 117.

Lobo RA. Infertility: etiology, diagnostic loiloi, hoʻokele, wānana. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 42.

Rivlin K, Westhoff C. Hoʻolālā ʻohana. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 13.