E nīnau i ka loea: I ka manawa e ʻike ai i kahi loea hānau

Anter

• 1. He aha ka hana a ka loea hānau?
• 2. Pehea ka lōʻihi e hoʻāʻo ai wau e hāpai ma mua o ka ʻike ʻana i kahi kauka momona?
• 3. He aha ka hana mua e hana ai ka loea hānau inā ʻaʻole hiki i kekahi ke hāpai?
• 4.He aha nā hoʻokolohua e kauoha ai kahi kauka momona, a he aha ke ʻano?
• 5. He aha nā ʻano nohona e hoʻopili ai i koʻu momona, a aia kekahi mea hiki iaʻu ke hana e hoʻonui i koʻu manawa e hāpai ai?
• 6. He aha kaʻu mau koho lapaʻau inā ʻaʻole hiki iaʻu ke hāpai?
• 7. Pehea ka kūleʻa o nā mālama hānau?
• 8. Hiki i kahi loea hānau ke kōkua iaʻu e loaʻa i ke kākoʻo naʻau?
• 9. Aia he kōkua e loaʻa kālā e mālama ai i nā mālama ʻana?

1. He aha ka hana a ka loea hānau?

ʻO kahi loea hānau kahi OB-GYN me ka loea i ka endocrinology reproductive a me ka infertility. Kākoʻo nā loea Fertility i nā poʻe ma o nā ʻano āpau o ka mālama hānau. Hoʻopili kēia i nā mālama infertility, nā maʻi genetical e hiki ai ke hoʻopili i nā keiki e hiki mai ana, ka mālama ʻana i ka momona, a me nā pilikia uterine. Kōkua pū lākou me nā pilikia ovulation e like me amenorrhea, polycystic ovarian syndrome, a me endometriosis.

2. Pehea ka lōʻihi e hoʻāʻo ai wau e hāpai ma mua o ka ʻike ʻana i kahi kauka momona?

Aia kēia i kou pili a me ka ʻike āu e ʻimi nei. E ʻimi nā wahine he nui e hana i kahi loiloi momona ma mua o ka hoʻāʻo ʻana e hāpai, a i ʻole ke hoʻāʻo nei lākou e hoʻolālā i kā lākou wā e hiki ke hānau.

Inā ʻoe i hoʻāʻo ʻole e hāpai, e ʻike i kahi loea hānau ma hope o 12 mau mahina inā ma lalo o 35 mau makahiki. Inā he 35 kou a ʻoi paha makahiki, e ʻike i hoʻokahi ma hope o ʻeono mau mahina.

3. He aha ka hana mua e hana ai ka loea hānau inā ʻaʻole hiki i kekahi ke hāpai?

ʻO ka maʻamau, e hoʻomaka kahi loea hānau ma ka loiloi ʻana i kāu mōʻaukala holoʻokoʻa. Makemake pū lākou e loiloi i kekahi hoʻokolohua hānau mua a i ʻole ka lapaʻau ʻana i loaʻa iā ʻoe.

Ma ke ʻano he pae mua, e hoʻokumu pū ʻoe i kāu mau pahuhopu no ka ʻimi ʻana i ka mālama kūpono. ʻO kahi laʻana, makemake kekahi poʻe e lilo i mea eleu e like me ka hiki, ʻoiai e manaʻo ana kekahi e hōʻalo i ka hana lapaʻau. ʻO nā pahuhopu ʻē aʻe e pili pū me ka hoʻāʻo ʻana i ka genetic ma embryos a i ʻole ka mālama ʻana i ka momona.

4.He aha nā hoʻokolohua e kauoha ai kahi kauka momona, a he aha ke ʻano?

E hana pinepine kahi kauka momona i kahi papa hoʻāʻo piha e aʻo i ke kumu o ka infertility a loiloi i kāu hiki ke hānau. Hiki i kāu kauka ke alakaʻi i nā hoʻokolohua homone i ke kolu o ka lā o kāu menstrual cycle. Hoʻopili kēia i ka hormone stimulate-follicle, ka hormone luteinizing, a me nā hoʻokolohua hormone anti-Mullerian. E hoʻoholo nā hopena i ka hiki o nā hua i kāu mau ovaries. Hiki i kahi ultrasound transvaginal ke helu i nā follicle antral liʻiliʻi i nā ovaries. Hoʻohui ʻia, hiki i kēia mau hoʻāʻo ke wānana inā he maikaʻi, maikaʻi, a i hōʻemi ʻia paha kāu mālama hua manu.

Hiki paha i kāu loea ke hana i ka loiloi endocrine no ka maʻi thyroid a i ʻole nā ​​pono ʻole prolactin. Hiki i kēia mau kūlana ke hoʻopili i ka hana hānau. No ka loiloi i nā paipu fallopian a me ka uterus, hiki i kāu kauka ke kauoha i kahi ʻano kūikawā o ka hoʻāʻo X-ray i kapa ʻia he hysterosalpingogram. Hoʻoholo kēia hōʻoia inā hāmama a olakino kāu mau tuba fallopian. E hōʻike pū kekahi i nā pilikia me kou kōpū, e like me polyps, fibroids, scar tissue, a i ʻole septum (paia) i hiki ke hoʻopili i ka implantation a i ʻole ka ulu ʻana o kahi embryo.

ʻO nā noi ʻē aʻe e nānā i ka uterus me kahi saline-infused sonography, office hysteroscopy, a endometrial biopsy. E alakaʻi ʻia ana kahi kānana semen e hoʻoholo inā he helu ka helu, ka motility, a me ka helehelena o ka sperm. Loaʻa i nā kānana Preconception e hoʻāʻo no nā maʻi hiki ke hoʻoili ʻia a me nā ʻano kūlohelohe ʻole.

5. He aha nā ʻano nohona e hoʻopili ai i koʻu momona, a aia kekahi mea hiki iaʻu ke hana e hoʻonui i koʻu manawa e hāpai ai?

Hoʻopilikia nā ʻano nohona he nui i ka momona. Hiki i ke ola olakino ke hoʻomaikaʻi i ka hapai ʻana, hoʻomaikaʻi i ka hoʻomaikaʻi maikaʻi ʻana o ka momona, a mālama i kahi hāpai. Hoʻopili kēia i ka ʻai ʻana i ka papaʻai kaulike maikaʻi a me ka hōʻalo ʻana i nā meaʻai i hoʻoponopono ʻia. Aia kekahi ʻikepili e hōʻike ana i ka lilo o ke kaumaha e alakaʻi i nā hopena hopena maikaʻi o ka momona. No nā wahine me ka ʻike gluten a i ʻole ka ʻike lactose, hiki ke kōkua i ka hōʻalo.

E lawe i nā wikamina prenatal, palena i ka caffeine, a pale i ka puhipaka, nā lāʻau leʻaleʻa, a me ka waiʻona. Hiki paha iā ʻoe ke pōmaikaʻi mai kahi huaora D supplement. ʻO kēia no ka mea ʻoi aku ka maikaʻi o ka hemahema o ka wikamina D i nā hopena vitro (IVF) a i ʻole ke alakaʻi ʻana i ka hāpai ʻole.

ʻOi aku ka maikaʻi o ka hoʻoikaika kino no ka olakino a me ka hōʻemi koʻikoʻi. ʻO Yoga, ka noʻonoʻo a me ka noʻonoʻo, a me ka ʻōlelo aʻoaʻo a me ke kākoʻo hiki ke lilo i mea maikaʻi.

6. He aha kaʻu mau koho lapaʻau inā ʻaʻole hiki iaʻu ke hāpai?

Nui a hewahewa nā koho no ka hoʻomaʻamaʻa infertility. Hiki i kāu kauka ke kauoha i nā lāʻau stimulate ovulate e like me clomiphene citrate a me letrozole. ʻO nā mālama ʻē aʻe e pili ana i ka nānā ʻana i ka ulu ʻana o ka follicle me ka hana koko a me nā ultrasounds, ka hoʻoulu ʻana o ka ovulate me ka hCG (gonadotropin chorionic kanaka), a me ka hoʻouluulu intrauterine. ʻO nā hana e pili ana i kēia manawa me IVF, inikō sperm intracytoplasmic, a me ka hoʻāʻo ʻana genetika o nā embryos.

ʻO ke koho āu a me kāu kauka e koho ai i ka lōʻihi a me ke kumu o ka hānau ʻole a me nā pahuhopu o ka lapaʻau. E kōkua kāu loea hoʻohua iā ʻoe e hoʻoholo i ke ala e kūpono ai nāu e hōʻoia i ka hopena maikaʻi e hiki ai.

7. Pehea ka kūleʻa o nā mālama hānau?

He kūleʻa nā lāʻau lapaʻau hānau, akā pili nā hopena i nā kumu he nui. ʻO nā kumu nui ʻelua he mau makahiki o ka wahine a me ke kumu o ka hānau ʻole.

ʻO ka mea maʻamau, ʻoi aku ka nui o nā helu kūleʻa ʻoi aku o nā therapist intervensi. ʻO ka hoʻonāukiuki ʻana i ka ovvic me nā lāʻau lapaʻau intrauterine insemination hiki ke loaʻa nā helu kūleʻa o 5 a 10 pakeneka o ka pōʻaiapili i ka infertility i wehewehe ʻole ʻia. Hiki i kēia ke piʻi i ka 18 pākēneka i kēlā me kēia kanaka me nā maʻi ovulation a i ʻole ke hoʻohana ʻia nei ka sperm donor a ʻaʻohe pilikia o nā wahine. ʻO ka maʻamau, hiki i ka IVF ke hānau ola ma 45 a 60 pakeneka. Hiki i kēia ke hoʻonui i ke ola o nā hānau hānau a hiki i 70 pākēneka inā lawe ʻia nā embryo kiʻekiʻe.

8. Hiki i kahi loea hānau ke kōkua iaʻu e loaʻa i ke kākoʻo naʻau?

ʻAe, hiki i kahi loea hānau a me kā lākou hui ke hāʻawi i ke kākoʻo naʻau. Loaʻa paha i kāu kikowaena momona nā kākoʻo ma ka pūnaewele, e like me kahi papahana manaʻo-kino a i ʻole nā ​​pūʻulu kākoʻo. Hiki iā lākou ke kuhikuhi iā ʻoe i nā kākāʻōlelo, nā hui kākoʻo, nā kumu aʻo olakino a me ka noʻonoʻo ʻana, a me nā acupuncturists.

9. Aia he kōkua e loaʻa kālā e mālama ai i nā mālama ʻana?

Hiki ke uku ʻia nā hoʻomaʻamaʻa hānau, a paʻakikī a paʻakikī paha ke kālā ʻana iā lākou. E hana maʻamau kahi loea hānau me ʻoe me kā lākou mea hoʻonohonoho kālā. Hiki i kēia kanaka ke kōkua iā ʻoe e aʻo e pili ana i ka uhi ʻinikua a me nā kumukūʻai i waho o ka ʻeke.

Hiki iā ʻoe ke kūkākūkā me nā kauka lapaʻau me kāu kauka e hōʻemi ana i nā kumukūʻai. Loaʻa paha i kāu kauka lāʻau i nā papahana e hāʻawi i nā lāʻau lapaʻau momona ma nā helu i hoʻemi ʻia, a me nā papahana ʻaoʻao ʻekolu. E kūkākūkā i kēia mau koho me kāu kauka inā ʻo ke kumukūʻai o ka mālama ʻana he mea e hopohopo iā ʻoe.

ʻO Kauka Alison Zimon ka mea hoʻokumu a me ka luna lapaʻau olakino o CCRM Boston. Ua hōʻoia ʻia ʻo ia e ka papa i ka endocrinology reproductive a me ka infertility, a i nā kaukukū a me nā gynecology. Ma waho aʻe o kāna kuleana ma CCRM Boston, ʻo Kauka Zimon he kumu aʻo olakino ma ka Oihana o Obstetrics, Gynecology, a me Reproductive Biology ma ke Kula Lapaʻau ʻo Harvard a he kauka lapaʻau ʻo ia ma OB / GYN ma Beth Israel Deaconess Medical Center a me Newton Wellesley Hospital. ma Masakuseta.