ʻ Slelo ka hoʻopaʻa ʻana ʻaʻohe helu o nā hua manu i kāu mau ovary me kāu mau manawa kūpono e hāpai ai

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Ke piʻi aʻe nei ka hoʻāʻo ʻana i ka momona ʻoiai ʻoi aku ka nui o nā wahine e hoʻāʻo e hānau pēpē i ko lākou mau makahiki 30 a me 40 ke hoʻomaka ka emi ʻana o ka momona. ʻO kekahi o nā hoʻāʻo i hoʻohana nui ʻia e ana i ka ulu ʻana e pili ana i ke ana ʻana i kāu mālama ovarian, kahi e hoʻoholo ai i ka nui o nā hua āu i waiho ai. (Pili: Hiki i ka Physical Therapy ke hoʻonui i ka momona a me ke kōkua i ka hāpai ʻana)

Hoʻomanaʻo: Ua hānau ʻia ʻoe me kahi helu o nā hua i hoʻokuʻu ʻia i kou wā menstrual i kēlā me kēia mahina. ʻO ka hoʻoholo ʻana i ka helu pololei o nā hua i loko o nā ovaries o ka wahine he metric nui i ka hoʻoholo ʻana i ka hiki ke hānau. ʻO nā hua hou aʻe, ʻoi aku ka manawa o ka hāpai ʻana, ʻeā?

ʻAʻole e like me kahi noi hou i paʻi ʻia ma ka Ka Nupepa o ka ʻAmelika ʻAmelika Hui Pū ʻIa (JAMA), ka mea i hoʻoholo i ka helu ʻAʻole hiki ke hoʻoholo pololei i kāu kiʻekiʻe o ka momona o nā hua i loaʻa iā ʻoe i loko o kāu mālama ovarian. ʻO ia ka mea e like ai o nā hua i mea nui loa-a i kēia manawa, ʻaʻole nui nā hoʻāʻo ma laila e hoʻoholo ai.

No ke aʻo ʻana, ua hoʻoholo nā mea noiʻi i nā mālama ovarian o nā wahine he 750 mai nā makahiki 30 a hiki i ka 44 i loaʻa ʻole ka mōʻaukala infertility, a laila hoʻokomo iā lākou i ʻelua mau ʻano: nā mea me kahi waihona ovarian i hoʻemi ʻia a me nā mea me kahi mālama ovarian maʻamau.

I ka wā i ukali ai nā mea noiʻi me nā wahine i hoʻokahi makahiki ma hope mai, ua ʻike lākou he wahine hāpai me ka hoʻoliʻiliʻi ovarian Reserve e like me ka hāpai ʻana o nā wahine me kahi waihona ovarian maʻamau. I nā huaʻōlelo ʻē aʻe, ʻaʻole i loaʻa ka pilina ma waena o ka helu o nā hua i nā ovaries o ka wahine a me kona hiki ke hāpai.

"ʻO ka loaʻa ʻana o ka huamoa hua manu kiʻekiʻe ʻaʻole e hoʻonui i kou manawa i ka loaʻa ʻana o nā hua momona," wahi a Eldon Schriock, M.D., he kauka no ka hōʻoia ʻana i ka papa, gynecologist, a me ka endocrinologist reproductive mai Prelude Fertility. (Related: Hiki i kēia moe moe ke hōʻeha i kou manawa e hāpai ai)

Hoʻoholo ʻia ka maikaʻi o kahi hua manu e ka likelika o ka lilo ʻana i embryo a hoʻokomo i loko o ka kōpū, wehewehe ʻo Kauka Schriock. Ma muli wale nō o ka loaʻa ʻana o ka manawa maʻamau o ka wahine, ʻaʻole ia he kiʻekiʻe ka maikaʻi o ka hua manu e hopena i ka hāpai ʻana.

He mea nui nō hoʻi e hoʻomaopopo he hiki ke hoʻomomona ʻia ka hua manu me ka maikaʻi ʻole, akā ʻaʻole maʻamau ka wahine e hāpai i ka hāpai ʻana i ka wā piha. No ka hiki ʻole i ka hua ke hoʻokomo, a inā i hoʻokomo ʻia, ʻaʻole paha e ulu pono. (Related: Pehea ka lōʻihi e hiki ai iā ʻoe ke kali maoli no ka loaʻa ʻana o kahi pēpē?)

ʻO ka pilikia, ʻo ke ala wale nō e hōʻoia ai no ka maikaʻi o ka hua ma o ka vitro fertilization (IVF). "Ma ka nānā pono ʻana i nā hua a me nā embryos, hiki iā mākou ke loaʻa nā hōʻailona e pili ana i ke kumu i hana ʻole ʻia ai ka hāpai ʻana ma mua," wahi a Kauka Schriock. ʻOiai koho kekahi mau kāne e hele i kēia ala, manaʻo ka hapanui o ka poʻe akamai i ka hānau ʻana ʻo ka wahine ka wānana pololei loa o ka nui o nā hua i loaʻa iā ia.

"I ka wā i momona loa ʻoe i ka makahiki 25, ʻoi aku ka maikaʻi o nā hua 1 i 3," wahi a Dr. Schriock. "Akā, hāʻule ka fertility i ka hapalua i ka manawa o kou 38, e waiho ana iā ʻoe ma kahi o 15 ka nui o ka manawa e hāpai maoli ai i kēlā me kēia mahina. Pono lākou i nā hua hāʻawi inā e hoʻāʻo lākou e hāpai." (E pili ana: Pono maoli ke kumukūʻai o IVF no nā wahine ma ʻAmelika?)

ʻO ka nūhou maikaʻi e hiki i nā wahine me kahi mālama ovarian haʻahaʻa ke hāpai maʻamau i ka maʻamau. Ma mua, ua noʻonoʻo pinepine nā wahine me ka hoʻohaʻahaʻa ovarian i ka maloʻo ʻana i kā lākou mau hua a i ʻole e wikiwiki ana lākou e hāpai. I kēia manawa ua ʻike mākou he alakaʻi hewa paha ka hana ʻana i kēia mau hopena. Ma kēlā a me kēia ʻaoʻao, inā e hoʻāʻo nei ʻoe e hāpai no kekahi manawa me ka kūleʻa ʻole, ʻoi aku ka maikaʻi o ke kiʻi ʻana i kahi loea hānau e ʻike i kāu hoʻolālā maikaʻi loa.

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