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ʻO kahi manaʻo liʻiliʻi i ʻike ʻia: fertility
E emi ana ka momona o ka wahine (ʻo ia hoʻi ka hānau ʻana) ma hope o ke 30 o kona mau makahiki a piʻi ka emi ʻana ma hope o 35 mau makahiki.
ʻO ia ke kūpono o ka hua i "kau ʻia" e momona. Eia naʻe, e emi ana kēia kūlana me ka makahiki. Paʻa ka momona a hiki i ke 30 makahiki, a laila emi iki ma hope o ke 30 o ka makahiki a hāʻule loa ma hope o ke 35 o ka makahiki.
ʻO ka ʻōpio ʻoe, ʻoi aku ka maʻamau o kāu moe ʻana, a ʻoi aku ka nui o ka hana ʻana i ka wā momona, ʻo ia hoʻi ma mua o ka ovulation, ʻoi aku ka nui o ka manawa o ka hāpai ʻana. Manaʻo ʻia ʻo ka loaʻa ʻole o ka lāʻau lapaʻau, ʻo ka hapa nui o nā wahine ma lalo o 30 mau makahiki e loaʻa i ka hāpai i makemake ʻia i loko o hoʻokahi makahiki. Ma hope o 35 mau makahiki, e emi ka maʻalahi.
Eia naʻe, ke piʻi mau nei ka nui o nā wahine e makemake ana e hānau keiki ma luna o 30 mau makahiki. A laila, kū lākou me ka ikaika, kokoke me ka wikiwiki o ko lākou makemake a me ka paʻakikī e hoʻokō. Iā ʻoe i kāu mau makahiki XNUMX a makemake e hāpai, ʻōlelo mākou mai kali a hoʻoholo i ka manawa maikaʻi loa e loaʻa ai kahi keiki: " E ʻoi aku ka maikaʻi ma hope, e hoʻokomo ʻia mākou. "" E ʻoi aku ka maikaʻi o koʻu kūlana ʻoihana. E mākaukau maoli mākou e hoʻokipa i kā mākou pēpē. Aia nā helu: ʻoi aku ka nui o ka makahiki, ʻoi aku ka emi o ka momona.
Pono pono ka ʻōpū a me nā paipu
I ka loaʻa ʻole o kahi hāpai mua, ʻoi aku ka paʻakikī o kēia ʻike me ka ʻole o ka hoʻokolokolo gynecological piha, a ukali ʻia e nā hoʻokolohua hou e pili ana i ka loiloi ʻana i ke kūlana maikaʻi o ka ʻōpū a me nā paipu.
• Ma waena o kēia mau hoʻokolohua, he wahi koʻikoʻi ka hysterosalpingography, ma ka liʻiliʻi e like me ka noi pinepine ʻana i ka ultrasound. ʻO ia ka hoʻokomo ʻana i loko o ka pūpū i kahi huahana e hana ai i ka ʻōpū o ka ʻōpū a laila ʻike ʻia nā paipu a hiki ke nānā ʻia ko lākou permeability - ʻo ia ka hiki ke ʻae i ka sperm e komo. Inā ālai ʻia kēia mau mea a ʻaʻole hiki ke paʻa ʻole, no ka laʻana ma muli o nā maʻi gynecological a i ʻole kahi maʻi me ka peritonitis, e like me ka appendicitis, e lohi ana ka hāpai ʻana.
Laparioscopy
Hiki ke hahai ʻia kēia hoʻāʻo e nā poʻe ʻē aʻe, e like me ka hysteroscopy (no ka ʻike ʻana i ka ʻōpū o ka ʻōpū), a i ʻole ka laparoscopy (e koi ana i ka hoʻokipa a hana ʻia ma lalo o ka anesthesia āpau). Hāʻawi ka Laparoscopy i ka ʻike piha o ka pelvis makuahine holoʻokoʻa. I ka hopena o nā anomalies ma nā paipu, no ka laʻana adhesions, laparoscopy hiki ke hana i ka maʻi a ma ka manawa like e wehe iā lākou. Hoʻoholo wale ʻia kēia hoʻokolokolo inā ʻaʻole hāʻule ka infertility ma lalo o nā manaʻo ʻelua a mākou i kamaʻilio ai ma mua (ka moekolohe a me ka ovulation); a ma luna o nā mea a pau, e hōʻike ʻia kēia laparoscopy inā ʻaʻole hōʻike ka sperm i nā anomalies.
He aha inā he endometriosis?
ʻO ka hope, ʻo ka laparoscopy wale nō e hiki ke hōʻike i ka endometriosis, ka mea i ʻike nui ʻia ke kuleana no ka infertility. Hoʻokumu ʻia ka Endometriosis ma muli o ka neʻe ʻana o nā ʻāpana o ka ʻōpū o ka ʻōpū i hiki ke noho i loko o ka pelvis makuahine, ʻoi aku hoʻi i nā ovaries. Hoʻokumu kēlā me kēia pōʻaiapuni i nā nodules, i kekahi manawa adhesions, kahi e hoʻomau ai i ka ʻeha ʻaʻole ia o ka ovulation, ʻoi loa i ka manawa o ka menstruation, a me ka paʻakikī o ka hāpai ʻana. Inā ʻike ʻia ka endometriosis a me ka hoʻopōmaikaʻi ʻana i ka hānau ʻana, ʻoi aku ka maikaʻi o ka nīnau ʻana i ke kauka kauka lapaʻau kūikawā i nā maʻi hānau.
He aha ka sperm maikaʻi?
ʻAʻole kēia ka hihia a ʻo ia kekahi o nā kumu nui o ka infertility no nā kāne, no laila pono e kūkākūkā pū. ʻOiaʻiʻo, kūpaʻa nā haʻawina a pau i hoʻolaʻa ʻia i ka sperm a hōʻike i ka helu ʻana o ka spermatozoa a me ko lākou maikaʻi i hoʻohaʻahaʻa ʻia no 50 mau makahiki. Malia paha ma muli o kekahi mau kumu: ka paka, ka waiʻona, nā lāʻau lapaʻau, ka ʻāina (ka haumia ʻoihana, endocrine disruptors, pesticides…), etc. nā hoʻokolohua e like me nā mea i ʻōlelo ʻia ma luna. I ka hopena o ka sperm abnormalities, ʻaʻohe mea pōʻino ʻaʻohe lāʻau lapaʻau maikaʻi a pono e ʻimi i ke kōkua mai kahi loea i ka hana hou ʻana.
Hoʻokō ʻia nā kūlana no ka hāpai ʻana.
Ua hōʻike ka loiloi piha i nā mea maʻamau? Akā ke hoʻopaneʻe ʻia nei ka hāpai ʻana (2 makahiki, a hiki i 3 mau makahiki) a piʻi ka makahiki ... A laila koho kekahi mau kāne e huli i ka AMP (Medically Assisted Procreation), me ka ʻike he huakaʻi lōʻihi ka hele ʻana i ka lāʻau lapaʻau e kali ai i kahi keiki.