Nā kumukūʻai kiʻekiʻe o ka hānau ʻole: hoʻoweliweli nā wahine i ka panakalupa no kahi pēpē

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I ka makahiki 30, ʻaʻohe pilikia o Ali Barton i ka hāpai ʻana a hānau ʻana i kahi pēpē olakino. Akā i kekahi manawa ʻaʻole kūlike ke kūlohelohe a hele hewa nā mea a Ali-momona i kēia hihia. Ma hope o ʻelima mau makahiki a me ʻelua mau keiki, ua holo maikaʻi nā mea ma ke ʻano hauʻoli loa. Akā aia kekahi mau pilikia nui ma ke ala, e like me kahi $ 50,000 iʻoi aku ka nui o ka pila. ʻO kāna mau keiki nani ʻelua ke kūpono i kēlā me kēia penny, i ʻōlelo ʻo ia, akā inā he kumukūʻai ia e loaʻa ka pēpē? A no ke aha e pipiʻi ai nā mālama hānau?

Ua male ʻo Ali a me kāna kāne i ka mua o ka makahiki 2012 a no ka mea he 11 kona mau makahiki ua hoʻoholo lāua e hoʻomaka koke i ko lāua ʻohana. Mahalo i kahi maʻi autoimmune e koi ana i nā lāʻau steroid i kēlā me kēia lā, ʻaʻohe ona manawa i kekahi manawa. Akā ʻōpio ʻo ia a olakino hoʻi no laila noʻonoʻo ʻo ia e holo pono nā mea. Ua haʻalele ʻo ia i kāna mau lāʻau lapaʻau a hoʻāʻo i kekahi mau lāʻau lapaʻau hormonal e hoʻomaka i kāna kaʻina menstrual. Akā ʻaʻohe mea i holo. I ka hopena o ka makahiki ua ʻike ʻo ia i kahi endocrinologist reproductive nāna i paipai i ka wahine e hoʻohana i nā lāʻau hānau.

Ua hoʻoholo lāua e hoʻāʻo mua iā IUI (intrauterine insemination), kahi hana e hoʻokomo pono ʻia ai ka sperm o ke kāne i loko o ka kōpū o ka wahine ma o ka catheter. ʻO ka IUI kahi ala ʻoi aku ka liʻiliʻi, ʻo ka awelika $900 me ka ʻole o ka ʻinikua. Akā ua hana nā ovaries a Ali nui loa nā hua, ka mea e hoʻonui ai i ka pilikia o ka hāpai hāpai ʻana he nui a hiki i nā makuahine a me nā pēpē ke hōʻeha i nā olakino. No laila, ua ʻōlelo kāna kauka e hoʻololi ʻo ia i ka IVF (in vitro fertilization), kahi e hiki ai ke hoʻomalu hou aku i nā pilikia no ka hāpai ʻana. I ka IVF, hoʻonāukiuki ʻia nā ovaries o ka wahine i ka hana ʻana i nā hua he nui a laila hōʻiliʻili ʻia a kāwili ʻia me ka sperm i loko o kahi pā petri. Hoʻokomo ʻia i hoʻokahi a ʻoi paha nā embryos momona i ka kōpū o ka wahine. Loaʻa iā ia kahi helu kūleʻa kiʻekiʻe-10 a 40 pākēneka e pili ana i ka makahiki o ka makuahine-akā hele mai me kahi kumukūʻai kumukūʻai ʻoi aku ka kiʻekiʻe, me ka averaging $ 12,500, me ka $ 3,000 a ʻoi paha i nā lāʻau lapaʻau. (Hoʻololi nā kumu kūʻai IVF ma ka ʻāina, ka ʻano, ke kauka, a me ka makahiki makuahine. E kiʻi i kahi koho kūpono ʻoi aku kāu e uku ai me kēia helu helu helu IVF mākaukau.)

Ua hele ʻo Ali i loko ʻehā pōʻai o IVF ma lalo o hoʻokahi makahiki, akā he pilikia ia i uku ʻia.

"He manawa pouli loa kēlā, ua ʻoi aku ka maikaʻi a me ka maikaʻi o kēlā me kēia pōʻai," i ʻōlelo ʻo ia. "ʻO ke kaʻapuni hope loa i loaʻa iā mākou hoʻokahi hua manu hiki ke ola, lahilahi nā kūlana, akā hana kupaianaha wau a hāpai au."

I kahi hanana weliweli o nā hanana, i ka hapalua o ka hāpai ʻana, ua hele ʻo Ali i kahi puʻuwai puʻuwai nui. Ua hānau mua ʻia kāna keiki kāne a pono ʻo ia e hoʻololi i ka puʻuwai ma hope, akā ua ola hauʻoli lāua ʻelua.

Akā, ʻoiai e hana maikaʻi ana ka makuahine a me ka pēpē, hoʻonui mau ʻia nā bila. ʻO ka mea pōmaikaʻi no nā Bartons, noho lākou ma Massachusetts nona ke kānāwai e kauoha ana e uhi ʻia nā mālama infertility e nā mea mālama ola. (He 15 mau mokuʻāina wale nō ka loaʻa ʻana o nā kānāwai like ma nā puke.) ʻOiai me ka ʻinikua olakino, ua pipiʻi nā mea.

A laila hoʻoholo lākou makemake lākou i keiki hou. Ma muli o nā pilikia olakino o Ali, ua paipai nā kauka ʻaʻole e hāpai hou. No laila hoʻoholo ka poʻe Bartons e hoʻohana i kahi pani e hali i kā lākou pēpē. I ka hakahaka, hana ʻia nā embryos fertilized me ka hoʻohana ʻana i ke kaʻina like e like me ka IVF. Akā ma kahi o ke kanu ʻana iā lākou i loko o ka ʻōpū o ka makuahine, ua kanu ʻia lākou i loko o ka ʻōpū o kahi wahine ʻē aʻe. A hiki i nā koina ke astronomical.

Hiki i nā ʻoihana Surrogacy ke uku iā $ 40K i $ 50K e hoʻokūkū wale ai i nā mākua me kahi pani. Ma hope o kēlā, pono nā mākua e uku i ka uku pani - $ 25K i $ 50K e like me ka ʻike a me ka wahi. Eia hou, pono lākou e kūʻai i hoʻokahi makahiki o ke ola a me ka ʻinikua olakino no ka mea pani ($ 4K), uku no ka hoʻoili IVF i ka mea pani me ka hiki ke koi ʻia ma mua o hoʻokahi pōʻaiapuni ($ 7K i $ 9K no kēlā me kēia pōʻaiapuni), uku no nā lāʻau no ka makuahine hāʻawi a me ka mea pani ($ 600 a $ 3K, kaukaʻi ʻia i ka ʻinikua), hoʻolimalima i nā loio no nā mākua olaola a me ka mea pani (ma kahi o $ 10K), a uhi i nā pono liʻiliʻi o ka mea pani e like me ka ʻae lole a me uku kaʻa no nā kipa kauka. A ʻoiaʻiʻo, ʻaʻole ia e helu ana i ke kālā e pono ai ke kūʻai i nā mea maʻamau e like me kahi moena, noho kaʻa, a me nā lole ke hiki mai ke pēpē.

Ua pōmaikaʻi ʻo Ali i ka hiki iā ia ke ʻike i kāna mea pani, ʻo Jessica Silva, ma o kahi hui Facebook a kāpae i nā uku o nā ʻoihana. Akā, pono lākou e uku i ke koena o ka ʻeke. Hoʻomaʻemaʻe nā Bartons i kā lākou waihona a hāʻawi nā ʻohana lokomaikaʻi i ke koena.

Ua hānau ʻo Jessica i ka pēpē ʻo Jessie ma mua o kēia makahiki a he waiwai ʻo ia i kēlā me kēia mōhai, wahi a Ali. (ʻAe, ua kapa nā Bartons i kā lāua kaikamahine ma muli o ke kahu nāna i hāpai iā ia, me ka ʻōlelo ʻana ua aloha lākou iā ia e like me ka ʻohana.) ʻOiai, ʻoiai ua loaʻa iā lākou kā lākou hauʻoli mau loa, ʻaʻole maʻalahi.

"Mālamalama mau wau akā ua aʻo mai kēia ʻike iaʻu i ka mea nui o ka hoʻolilo kālā ʻana i nā mea nui, e like me ko mākou ʻohana," i ʻōlelo ʻo ia. "ʻAʻole mākou e ola i kahi ʻano hoʻohiwahiwa. ʻAʻole mākou e lawe i nā hoʻomaha nani a kūʻai aku i nā lole makamae; hauʻoli mākou i nā mea maʻalahi."

ʻAʻole ʻo nā Bartons wale nō ka poʻe e hakakā nei me ke kumukūʻai kiʻekiʻe o nā lāʻau lapaʻau infertility. Ma kahi o 10 pakeneka o nā wahine e hakakā nei me ka infertility, e like me ka US Office on Women's Health. A manaʻo ʻia e piʻi aʻe kēlā helu i ka piʻi ʻana o ka makahiki makuahine maʻamau. ʻOiai ʻo ko Ali mau makahiki ʻaʻole ke kumu o kona infertility, ia ʻo ia he kumu ulu i ka US Ma 2015, 20 pakeneka o nā pēpē i hānau ʻia i nā wahine ma luna o 35 mau makahiki, ʻo ia ka makahiki i ka emi ʻana o ka maikaʻi o ka hua manu a piʻi nui ka pono o ka mālama ʻana.

ʻAʻole maopopo ka hapa nui o nā wahine i kēia, mahalo i kekahi o kā mākou moʻomeheu kaulana e maʻalahi ai nā pēpē o hope a i ʻole e hoʻokalakupua i nā mālama ʻana i ka momona a me ka hakahaka ma ke ʻano he hōʻike leʻaleʻa e hōʻike ana i nā laina kuhi (hello Kim a me Kanye) ma mua o ka mea kālā a He mau hanana paʻakikī lākou, wahi a Sherry Ross, MD, ob-gyn ma Providence Saint John's Health Center ma Santa Monica, CA, a me ka mea kākau o She-ology.

"Ma muli o ka pāpaho kaiaulu, ʻike mākou i ka hānau ʻana o nā māhoe he 46 a he kuhi hewa ia. ʻAʻole paha kēlā mau hua ponoʻī. He puka aniani kāu e pau ana ma kahi o 40 mau makahiki, a ma hope o kēlā, ua pau ka nui o ka hānau ʻole 50 pakeneka," wehewehe ʻo ia.

"Ua lilo ia i ʻano kapu no ka wahine e ʻōlelo ana makemake ʻo ia i ʻohana ma mua o kāna ʻoihana. Paipai ʻia mākou e loaʻa kēia 'inā manaʻo ʻia e hana wale ʻia ia, ke ʻano maoli ka hiki ke lilo i ka nui o ka hana, mōhai, a me ke kālā e loaʻa ai kahi pēpē. Pono ʻoe e hoʻoholo maoli inā makemake ʻoe i nā keiki. A inā ʻoe e hana, e aho ʻoe e hoʻolālā no ia mea, "i ʻōlelo ʻo ia. "Ke aʻo nui nei mākou i nā wahine e pili ana i ka hoʻolālā e pale ai i ka hāpai ʻana, akā aʻo mākou iā lākou ʻaʻohe mea e pili ana i ka hoʻolālā no ka mea hoʻokahi no ka mea ʻaʻole mākou makemake e hōʻino iā lākou? ʻAʻole ia he politika, he ʻepekema ia. "

Hoʻohui hou ʻo ia e pono i nā kauka ke alo i mua me kā lākou mau mea maʻi e pili ana i nā ʻano āpau o ka hoʻolālā ʻohana, e like me nā helu kūleʻa a me nā kumukūʻai o ka honua maoli no nā koho e like me ka pēpē hua manu, nā hānau momona, nā sperm a i ʻole nā ​​mea hāʻawi hua manu, a me ka hakahaka.

Akā ʻo ka ʻāpana paʻakikī loa no Ali kālā ʻaʻole ia ke kālā ponoʻī, ʻo ia ka hopena o ka naʻau. "He mea paʻakikī loa ka kākau ʻana i kahi leka i kēlā me kēia mahina [i Silva] no kahi mea aʻu i manaʻo ai ua hiki iaʻu ke hana iaʻu iho," wahi āna. "He mea hōʻeha ke hiki ʻole i kou kino ke hana i ka mea i manaʻo ʻia."

Ua ʻōlelo ʻo Ali, he mea lapaʻau ma mua o ka hānau ʻana o kāna mau keiki, ua manaʻo ʻo ia ua loaʻa iā ia ka PTSD mai ke kaʻina hana hānai holoʻokoʻa, me ka hoʻohui ʻana i kekahi lā makemake ʻo ia e wehe i kahi hoʻomaʻamaʻa no ke kōkua ʻana i nā poʻe ma nā mea āpau a me waho o nā transplants a me ka momona. na lapaau.

E aʻo hou aʻe e pili ana i ka moʻolelo a Ali, e nānā i kāna puke Against Doctor's Orders.

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