ʻO ke kūlana kiʻekiʻe lua: He aha ke ʻano o ia a he aha kāu e hiki ai ke hana

Anter

• He aha ka infertility lua?
• He aha ke kumu o ka infertility lua?
• Nā maʻi ovulation
• Nā pilikia me ka ʻōpū a i ʻole nā ​​paipu fallopian
• C-ʻāpana scarring
• Nā maʻi ʻino
• Nā maʻi Autoimmune
• Makahiki
• Nā kumu i hōʻike ʻole ʻia
• Nā hana no ka infertility lua
• Nā Lapaʻau
• ʻOki kino
• ʻOihana ʻenehana hānau mua (ART)
• Nā ʻōlelo aʻoaʻo no ke kū ʻana i ka infertility lua
• ʻO ka lawe lawe ʻana

Inā ʻoe ma ʻaneʻi, ʻimi paha ʻoe i nā pane, kākoʻo, lana, a me ke ʻaoʻao pehea e neʻe ai i mua me ka infertility ma hope o ka hāpai ʻana i hoʻokahi manawa ma mua. ʻO ka ʻoiaʻiʻo, ʻaʻole ʻoe hoʻokahi - mamao loa iā ia.

Ke nānā nei i ka infertility ma ke ʻano holoʻokoʻa, kahi pilikia o nā wahine ma ʻAmelika Hui Pū ʻIa i paʻakikī e hāpai a i ʻole noho hāpai. A me ka infertility lua - ke kū kēia pilikia ma hope o hoʻokahi a ʻoi paha o nā hāpai hāpai kūleʻa - hopu pinepine ka poʻe i ke kiaʻi.

Hoʻomaopopo mākou hiki i ka infertility lua ke lawe mai i kahi ʻano o nā manaʻo kūpilikiʻi e like me ke kaumaha, ka manaʻolana ʻole, ka pioloke, ka huhū, a me ka hewa pū kekahi - i waena o nā poʻe ʻē aʻe. Inā ua hōʻoia maʻamau ʻia ʻoe me ka infertility lua, a i ʻole ke hoʻokele nei i nā pilikia mua me ka hāpai hou ʻana, he wahi palekana kēia e aʻo hou ai e pili ana.

He aha ka infertility lua?

ʻElua ʻano infertility: kumu a me ke kula kiʻekiʻe. Hoʻomaopopo ka infertility mua i ka hiki ʻole ke hāpai, ma hope o 1 mau makahiki o ka hoʻāʻo ʻana - a i ʻole 6 mau mahina, inā he 35 mau makahiki a ʻoi paha.

ʻO ka poʻe i ʻike i ka infertility lua, ma ka ʻaoʻao ʻē aʻe, loaʻa ka pilikia i ka hāpai ʻana ma hope o ka lilo ʻana i hāpai ma ka liʻiliʻi ma mua o ka manawa.

E like me ka infertility mua, hiki i ka infertility lua ma muli o ka hopena i kēlā me kēia manawa i ka kūlohelohe - a ʻano paʻakikī hoʻi - ke kaʻina e koi ai e hāpai. Hiki i kāu momona ke hoʻololi ma hope o ka hānau ʻana o kahi keiki. (A hiki i kāu pakanā ke loli me ka manawa pū kekahi - ʻoi aku ka nui ma kēlā i kekona.)

E pilikia paha kekahi a me kekahi o kēia mau kaʻina hana:

1. ovulation (hoʻokuʻu ʻia ka hua manu)
2. ka hoʻoulu ʻana i ka hua me ka sperm
3. huakaʻi o ka hua momona i ka kōpū
4. implantation of the fertilized egg in the uterus

I kēia manawa, aia kahi papa inoa lōʻihi o nā maʻi a me nā kūlana - a me ka catchall "infertility i wehewehe ʻole ʻia" i hiki ke hoʻopilikia i nā pilikia. Akā ma mua o ke kūkākūkā ʻana iā lākou, he mea nui e ʻike i nā wahine ʻelua a hiki i nā kāne ke kōkua i ka infertility.

Kuhi kēia ʻatikala i nā wahine, akā aia kekahi wahine a me nā mea kāne i loko o nā kāne e ʻike nei i ka hānau ʻole. A i ka 8 pākēneka o nā hihia, he kumu kāne wale nō ia.

He aha ke kumu o ka infertility lua?

ʻO ka infertility mua a me ke kula kiʻekiʻe e kaʻana like i nā kumu like. ʻO ka mea nui e ʻike ka mea, i ka hapa nui o nā hihia, infertility ka aole ou hewa. ʻIke mākou ʻaʻole maʻalahi kēia i ka hakakā ʻana, akā hiki iā ia ke kōkua iā ʻoe e loaʻa ka mana hou aʻe e ʻike i nā hopena e pili ana i nā hōʻike e kōkua iā ʻoe e hāpai kūleʻa.

Eia kekahi o nā kumu maʻamau o ka infertility ma ka laulā, e pili maʻamau i ka infertility lua.

Nā maʻi ovulation

ʻO ka hapa nui o ka wahine infertility ma muli o nā maʻi ovulation. ʻO ka ʻoiaʻiʻo, 40 pākēneka o nā wahine me ka infertility ʻaʻole ovulate mau. Hiki ke hoʻokumu ʻia nā pilikia me ka ovulate e nā ʻano a me nā kumu, e like me:

• polycystic ovary syndrome (PCOS)
• ʻo ka lawa ʻole o ka ovarian mua (POI)
• hoʻemi i ka hana hua e pili ana i ka ʻelemakule
• thyroid a i ʻole nā ​​maʻi endocrine ʻē aʻe e pili ana i ka hana hormone
• kekahi mau ʻano nohona, e like me ke kaupaona, meaʻai, a me ka wai ʻona a hoʻohana hewa ʻole paha i ka lāʻau

ʻO kekahi o nā kumu maʻamau o ka hānau wahine ʻole ʻo PCOS, ka mea e hana ai nā ovaries a i ʻole nā ​​adrenal glands i nā hormones he nui e pale i nā ovaries mai ka hoʻokuʻu ʻana i nā hua. Hiki iā ia ke hoʻokumu i nā cist e hoʻomohala ma nā ovaries e hoʻopili hou paha i ka ovulation.

ʻO ka nūhou maikaʻi aia he mau lāʻau lapaʻau maikaʻi no PCOS. ʻO ka ʻoiaʻiʻo, ʻo ka mālama ʻana me nā lāʻau lapaʻau (ʻoi aku ma kēia ma lalo) hiki ke hopena i nā hāpai kūleʻa a hiki i nā wahine me PCOS.

Nā pilikia me ka ʻōpū a i ʻole nā ​​paipu fallopian

Hiki i nā pilikia hanana ke hoʻopili i kou hiki ke hāpai. ʻO kahi laʻana, inā loaʻa kahi paʻa i nā paipu fallopian, ʻaʻole hiki i ka sperm a me ka hua manu ke hui. Loaʻa paha i ka kōpū kahi hemahema o ke ʻano a i ʻole ke kīnā e pale ai i ka hoʻokomo.

Eia kekahi mau ʻano kikoʻī e pili i nā paipu fallopian a i ʻole ka uterus.

• endometriosis
• uterine fibroids a polyps paha
• scarring uterine
• ke kūpono ʻole i ke ʻano o ka uterus, e like me ka unicornuate uterus

He mea nui ka endometriosis e kāhea aku ai, no ka mea e pili ana i ka 10 pakeneka o nā wahine.

Hoʻohui, kēia o endometriosis a infertility kaʻana i kahi pilina koʻikoʻi - 25 a 50 pakeneka o nā wahine me ka infertility i endometriosis.

ʻO ka infertility lua ma muli o ka endometriosis hiki ke hopena ma hope o ka ʻāpana cesarean a i ʻole ke ʻoki uterine, ke hiki i nā pūnaewele uterine ke hele hewa a hoʻomaka a hoʻonui ʻia nā ʻōuli.

C-ʻāpana scarring

Inā loaʻa iā ʻoe kahi hānau cesarean me kahi hāpai mua, hiki i ka scarring i ka pūpū, i kapa ʻia ʻo isthmocele. Hiki i kahi isthmocele ke alakaʻi i ka mumū i loko o ka kōpū e hoʻopili i ka implantation.

Kuhi ʻia pehea e hiki ai ke mālama maikaʻi ʻia ka isthmocele e hāpai i ka momona i hoʻonui ʻia. I kēia hihia, hāpai maikaʻi ka wahine ma o ka vitro fertilization (IVF) ma hope o ka hoʻonā ʻia ʻana o ka isthmocele me kahi kaʻina hana.

Nā maʻi ʻino

Nā maʻi āpau - me nā maʻi i lawe ʻia i ka moekolohe - hiki ke hōʻeha i ka maʻi pelvic inflammatory. Hiki i kēia ke alakaʻi i ka scarring a me ka blockage o nā paipu fallopian. Hiki paha i kahi maʻi papillomavirus (HPV) kanaka (a me kāna mau lawelawe ʻana) ke hoʻololi i ka mucus cervical a hoʻemi pū i ka momona.

ʻO ka nūhou maikaʻi: Ke mālama koke ʻia ka maʻi, e hoʻopili ʻia ka momona liʻiliʻi.

Nā maʻi Autoimmune

ʻAʻole maopopo ka pilina ma waena o nā maʻi autoimmune a me ka infertility. Ma ka laulā, nā maʻi autoimmune i ke kino e hoʻouka i nā kino olakino. Hiki i kēia ke hoʻopili i nā pūnaewele hānau.

Hiki i nā maʻi Autoimmune e like me Hashimoto, lupus, a me ka rheumatoid arthritis ke hoʻopili i ka momona ma o ka hoʻoulu ʻana i ka mumū ma ka pūpū a me ka placenta. A, hāʻawi mai paha nā lāʻau e mālama ai i kēia mau maʻi pū kekahi.

Makahiki

ʻIke mākou he kumu hoʻopā kēia, akā minamina, ʻaʻohe ala a puni ia. ʻ sayslelo ka ʻepekema i kēlā makahiki hana pāʻani i kahi kuleana i ka momona. ʻO kēia makahiki i hoʻopili ʻia ma ke ʻano he helu helu helu i ka infertility lua i hoʻohālikelike ʻia i ka infertility mua. I ke aʻo ʻana, ʻoi aku ka kiʻekiʻe o nā makahiki o nā kāne ma waena o ka poʻe i loaʻa i ka infertility lua.

ʻO Biologically, nā piko momona ma kahi o 20 mau makahiki no nā wahine a hoʻomaka i ka emi ʻana i ka makahiki 30 - me kahi hōʻemi koʻikoʻi e ka makahiki 40. ʻAʻole kēia e ʻōlelo he holomua hāpai hiki ʻole hiki i nā makahiki makuahine hou aku. E hoʻolōʻihi paha ia a ʻoi aku ka paʻakikī.

Nā kumu i hōʻike ʻole ʻia

ʻO ia ka pane ʻaʻohe wahine e makemake e hoʻolohe, akā i kekahi manawa (a me ke kaumaha maʻamau) ʻaʻole hiki i nā kauka ke ʻike i kahi kumu diagnosable no ka infertility lua. Ma hope o nā pila o nā hoʻokolohua, nā hoʻoponopono a me nā "hoʻāʻo" he nui loa, ʻike mākou he mea maʻalahi ke lilo ka manaʻolana.

Akā e ʻoluʻolu e hoʻomanaʻo i hiki i kou kino ke loli, hiki i nā ʻike olakino hou ke kū aʻe, a e paʻa paha ka wā e hiki mai ana i nā mea āpau āu e manaolana ai. No laila e hana pū me kāu kauka e haʻalele ʻole i kahi pōhaku i hoʻohuli ʻole ʻia i kāu huakaʻi e hāpai ai.

Nā hana no ka infertility lua

Inā ʻoe i hāpai ma mua, makaʻu a weliweli paha kēia a pau - a paʻakikī hoʻi. Akā ʻo ka mālama ʻana no ka infertility hoʻomaka mua me ka ʻike ʻana i kāna kumu. No laila, hiki i kāu kauka ke koi aku i kekahi mau hoʻokolohua. Pili paha kēia mau hoʻāʻo:

• nā ho'āʻo koko e nānā i kāu mau pae hormonone
• nā hoʻāʻo ovulation
• he hōʻike pelvis
• X-ray e ʻike i kāu mau paipu fallopian
• he ultrasound transvaginal
• nā hoʻāʻo ʻē aʻe e ʻike i kou kōpū a me ka cervix

Inā hoʻi i kāu mau hoʻāʻo me ka ʻole o nā lepa ʻulaʻula, manaʻo paha kāu kauka e nānā i nā hoʻokolohua no ka male ʻole. (E kala mai, e nā wahine: he mea ʻoiaʻiʻo o ke ola a mākou i kau ai ma lalo o ka microscope.)

Ke ʻike koke ʻoe i ke kumu, hiki i kāu kauka ke hoʻomohala i kahi hoʻolālā lapaʻau e hoʻonui i kāu mau manawa o ka hāpai ʻana. Eia kekahi mau maʻamau maʻamau no ka infertility i nā wahine.

Nā Lapaʻau

Hoʻohana pinepine ʻia nā lāʻau e normalize i nā hormona. ʻO nā manawa ʻē aʻe, koi ʻia nā lāʻau e hoʻonui i ka momona e kōkua i ka hoʻoulu ʻana i ka ovulation.

Ma muli o ke kumu maʻamau o ka infertility o PCOS, he mea kūpono e ʻōlelo ʻia e pili ana paha ka lāʻau lapaʻau i nā lāʻau e kōkua ai i ka hoʻoulu ʻana i ka ovulation me ka hoʻohui ʻana i ka hana nohona, e like me ke kiʻi ʻana i ke kaupaona olakino inā hoʻoholo kāu kauka i ke kaumaha.

ʻOki kino

I kekahi mau hihia, pono ʻoe i ke ʻoki. Nui a hewahewa nā kaʻina hana e mālama ai i nā pilikia e like me ka fibroids uterine, scarring uterine, a i ʻole endometriosis holomua. Hana ʻia ka hapa nui o kēia mau kaʻina hana me ka invasively minimally.

Hoʻohana ʻia ʻo Hysteroscopy e kuhikuhi a mālama i nā mea kūpono ʻole o ka kōpū, e like me nā polyps a me nā endometriosis. ʻO Laparoscopy kahi ala e kōkua ai i ka diagnose infertility ke holomua ʻole nā ​​hana ʻē aʻe a hiki ke hoʻohana ʻia me ka hysteroscopy ma ke ʻano he lāʻau lapaʻau maikaʻi.

He mea weliweli ke ʻōlapa, akā haʻi ʻia aia kahi hopena ʻokiʻoki i kāu infertility he lono maikaʻi loa ia.

ʻOihana ʻenehana hānau mua (ART)

Pili paha kahi hapai kūleʻa i ka ART. ʻElua o nā mea maʻamau ka intrauterine insemination (IUI) a me IVF.

Me IUI, ʻohiʻohi ʻia ka sperm a laila hoʻokomo ʻia i loko o ka kōpū i ka manawa o ka hoʻoipoipo. I ka IVF, ʻohiʻohi ʻia nā hua a ka wahine a me ka sperm. I loko o kahi hale hana, momona ʻia ka hua me ka sperm kahi e ulu ai lākou i loko o nā embryos. A laila, hoʻokomo ʻia kahi embryo (a ʻoi aku paha ma mua o hoʻokahi) i loko o ka kōpū o ka wahine.

Hiki ke hoʻohiki kēia mau hana. Ua hōʻike ʻia 284,385 mau pōʻaiapili ART i hana ʻia ma United States i 2017 i hopena i 68,908 hānau hānau a me 78,052 pēpē i hānau ʻia (ʻae, ʻo ia hoʻi ka nui o nā lehulehu!). He 24 pakeneka ka helu o ke kūleʻa.

Nā ʻōlelo aʻoaʻo no ke kū ʻana i ka infertility lua

Hiki i ka pale ʻana i ka momona lua ke paʻakikī. Nā koho a ke kauka pau ʻole, nā hoʻāʻo, nā kaʻina hana, a me nā lāʻau. Nā pō hiamoe ʻole. ʻO ka manawa a me ka ikaika mai kāu keiki liʻiliʻi. ʻO ka hewa i ka makemake ʻana i kahi hāpai hou ke paʻakikī nā wahine he nui e loaʻa kēlā. Kaumaha ma waena ou a me kāu pakanā. Kaumaha ke kiʻi ʻia ʻoe i kēia manawa kekahi lumi pēpē pēpē - a me ka hewa no ka manaʻo pēlā.

ʻAʻole pau ka papa inoa. No laila eia kekahi mau ʻōlelo aʻoaʻo e kōkua iā ʻoe e kūpale.

• Hōʻalo i ka hoʻopiʻi ʻana iā ʻoe iho a i ʻole kāu ipo. I ka hapanui o nā hihia, ʻaʻohe hopena o ke kekona mai nā mea āpau āu a kāu hoa paha i hana ai. E kia mau me kāu kauka i kāu kūlana o kēia manawa a me nā ala e pili ana i ka hōʻike e lanakila ai.

• Noho maikaʻi. E ʻimi i nā moʻolelo kūleʻa - nui a lehulehu i waho. E nānā i loko o kāu pūnaewele pilikino a i ʻole nā ​​hui kākoʻo e ʻike i nā wahine ʻē aʻe i loaʻa nā ʻike like me ka infertility. E hui pū me lākou a kaʻana like i kāu mau moʻolelo. E aʻo i ka mea a lākou i hana ai, nā kauka a lākou i hana pū ai, a me nā mea i kōkua i kā lākou hāpai keiki kūleʻa.

• Hoʻohui me kāu hoapili. Hiki i ke koʻikoʻi o ka hānau ʻole ke hoʻokau i ka pilina olakino loa. E hoʻolōʻihi i ka manawa e hoʻohui me kāu hoa. E kamaʻilio e pili ana i kou mau manaʻo, leo i kāu mau hopohopo, a hana pū me kahi hoʻolālā e neʻe i mua me ke kūlike. E ʻoi aku ka ikaika o ka hele ʻana i kēia ala paʻakikī inā ʻoe e hana ana i kēlā me kēia ʻaoʻao.

• E kia i ka mea hiki iā ʻoe ke kaohi. Nui nā mea i loko o kāu kaohi e hoʻomaikaʻi i kāu momona. ʻO kekahi o lākou ka mālama pilikino. E komo i ka hana ma ka mālama ʻana i kou koʻikoʻi, ke ola ʻana i ke ola ʻoi loa o ka nohona, a me ka ʻimi ʻana i nā hopena hou a kōkua paha i kou hāpai ʻana Lawe i nā manaʻo hou a me nā ʻike i kāu kauka no ke kūkā.

• E ʻike i kāu kākoʻo. Pono kēlā me kēia kanaka e hele i loko o ka infertility i kahi ʻōnaehana kākoʻo paʻa. E hilinaʻi i ka poʻe āu e hilinaʻi ai, a mau e kamaʻilio me kāu kauka inā ʻoe e ʻike nei i nā hōʻailona o ke kaumaha kaumaha, e like me ka manaʻolana ʻole a me ke kaumaha.

ʻO ka lawe lawe ʻana

Hiki i ka infertility lua ke lawe i ke kino a me ka naʻau i kekahi, me ʻoe, kāu hoa, a me nā mea aloha. He mea nui e kamaʻilio me kāu kauka nā mea āpau o kāu mau hopohopo, hakakā, a me nā pahuhopu.

I kēia ala, hiki iā ʻoe ke alakaʻi i nā kumuwaiwai kūpono e hiki ke kōkua iā ʻoe i kāu huakaʻi e hāpai hou ai. Noho ikaika (maikaʻi ke uē pū,) hilinaʻi i kāu mau pūnaewele kākoʻo, e nānā no ka hoʻoulu ʻana i nā moʻolelo kūleʻa, a ʻaʻole loa pau ka manaʻolana.