ʻO ka infertility ka hiki ʻole o nā kāne ke hāpai i ke keiki. Ke kamaʻilio nei mākou e pili ana i ka infertility a i ʻole sterility i ka wā e loaʻa ʻole ai nā keiki i ka male ʻana a me ka hoʻohana ʻole ʻana i ka hoʻohana ʻana i nā keiki no ka liʻiliʻi o hoʻokahi makahiki (a i ʻole ʻeono mahina ke piha ka wahine i ke 35).

No ka wahine hāpai, pono ke kaulahao o nā hanana. ʻO kona kino, a ʻoi aku ka nui o kāna mau ovaries, pono e hana mua i kahi cell, kaʻoxyte, e hele ana i ka opu. Ma laila, i mua o kahi sperm, hiki ke hoʻoulu ʻia. Hiki i ka Sperm ke ola i 72 mau hola i loko o ka ʻōnaehana hānau wahine a pono e hoʻomoʻa ʻia ka hua i loko o 24 mau hola o ka ovulation. Ma hope o ka hui ʻana o kēia mau ʻāpana ʻelua, hana ʻia kahi hua manu a hoʻokomo ʻia i loko o ka ʻōpū, kahi e ulu ai.

Hiki ke paʻakikī loa ka infertility no nā kāne i makemake e lilo i mau mākua akā ʻaʻole hiki ke hana pēlā. Hiki i kēia hiki ʻole ke loaʻa nā hopena psychological nui.

Nui nā lāʻau lapaʻau no ka infertility hiki ke hoʻonui nui i ka manawa o nā kāne e lilo i mau mākua.

ʻO ke kuhikuhina

Nui loa ka infertility ka mea maʻamau no ka mea e pili ana ia ma waena o 10% a 15% o nā kāne. No laila ka CDC (Nā Center for the Disease Control and Prevention) Ua hōʻoia ka poʻe ʻAmelika ma kahi o 1 i 10 mau wahine e paʻakikī i ka hāpai ʻana. 80 a 90% o nā wāhine e hāpai i loko o 1 makahiki a me 95% i loko o 2 makahiki.

Ma Kanada, e like me ka Canadian Infertility Awareness Association (ACSI), kokoke i 1 i loko o 6 mau kāne ʻaʻole i kūleʻa i ka hāpai ʻana i kahi keiki i ka 1.^makahiki makahiki o ka hooki ana i na hana a pau.

Ma Palani, e like me ka 2003 national perinatal survey a me 2007-2008 epidemiological observatory of fertility, aneane 1 i loko o 5 mau kāne e hoʻopilikia ʻia e ka infertility ma hope o 12 mau mahina me ka ʻole o ka hana ʻana. Wahi a ka noiʻi, 26% o nā wahine i hāpai ma mua o 1^ermahina me ka ʻole o ka hoʻopaʻa ʻana a me 32%, ʻoi aku ma mua o 6 mau mahina ma hope (me 18% ma hope o 12 mau mahina a me 8% ma hope o 24 mau mahina)³.

ʻOiai ka nele o ka ʻikepili, ʻike ʻia ka nui o nā wahine e paʻakikī ana i ka hāpai ʻana a ke lōʻihi nei hoʻi lākou. ʻO nā kumu kaiapuni a i ʻole nā ​​​​mea maʻi maʻi ke kuleana no kēia hoʻololi. Hoʻokaʻawale ʻia ka overweight. Pono ʻoe e ʻike i ka emi ʻana o ka momona memakahiki. I kēia manawa, ke kali nei nā wāhine i kā lākou 1^er keiki ma hope a ma hope, hiki ke wehewehe i ke kumu e ulu pinepine ai nā pilikia infertility.

Nā kumu

He ʻokoʻa loa nā kumu o ka infertility a hiki ke hoʻopilikia i nā kāne, nā wahine a i ʻole nā ​​hoa ʻelua. I ka hapakolu o na hihia, pili ka infertility i ke kane wale no, ma kekahi hapakolu e pili ana i ka wahine wale no, a i ke kolu i koe, pili ia i na mea elua.

I ke kanaka

Ma muli o ka liʻiliʻi loa o ka hana ʻana (oligospermia) a i ʻole ka nele loa (azoospermia) o ka sperm i loko o ka pua. ʻO ka azospermia paha ma muli o ka nele o ka hana ʻana i loko o nā hōʻike a i ʻole ka paʻa ʻana o nā awāwa e hiki ai i ka sperm ke neʻe. ʻO ka ka sperm ʻino paha (teratospermia) a i ʻole ka ʻoniʻoni (asthenospermia). ʻAʻole hiki i ka sperm ke komo hou i ka oocyte a komo i loko. Hiki ke pilikia i ke kanakanā'āpuni i kakahiaka nui. Hiki iā ia ke ejaculate me ka hauʻoli liʻiliʻi, pinepine ma mua o ke komo ʻana i kāna hoa. ʻO Dyspareunia (ka hoʻopaʻapaʻa ʻeha no nā wahine) hiki ke pale i ke komo ʻana. I ka hihia o'ejaculation hoʻihoʻi, hoʻouna ʻia ka hua i ka ʻōpū ʻaʻole i waho. ʻO kekahi mau mea kaiapuni, e like me ka ʻike ʻana i nā lāʻau pesticides a i ʻole ka wela nui i ka sauna a me ka Jacuzzis, hiki ke hoʻemi i ka momona ma o ka hoʻopili ʻana i ka hana sperm. ʻO nā maʻi maʻamau ʻē aʻe e like me ka momona, ka inu nui ʻana i ka waiʻona a i ʻole ka paka ke kaupalena ʻia ka hānau ʻana o ke kāne. ʻO ka hope, ʻo kekahi mau lāʻau anticancer e like me ka chemotherapy a me ka radiotherapy i kekahi manawa e kaupalena i ka hana ʻana o ka sperm.

I nā wahine

He nui hou na kumu o ka infertility. Ua pilikia paha kekahi mau wahinenā mea ʻino o ka ovulation. ʻAʻohe ovulation (anovulation) a maikaʻi ʻole paha. Me kēia mau mea ʻino, ʻaʻohe oocyte i hana ʻia a no laila ʻaʻole hiki ke hana ʻia ka fertilization. ʻO ka fallopian paipu, e waiho ana ma waena o nā ovaries a me ka ʻōpū a hiki i ka embryo ke neʻe i loko o ka lua o ka ʻōpū, hiki ke paʻa (no ka laʻana, inā he salpingite, he mumū o nā paipu a i ʻole ka pilikia me ka pili ʻana ma hope o ke ʻoki ʻana). Hiki i ka wahine ke loaʻa i ka endometriosis, fibroma uterine a i ʻole polycystic ovary syndrome, ʻo ia ka hoʻomaʻamaʻa ʻole o ka hormonal e hōʻike ʻia ai nā cysts ma nā ovaries. ʻO nā lāʻau lapaʻau, e like me ka mālama ʻana i ka maʻi kanesa, hiki ke hoʻoulu i ka hānau keiki. Hiki i nā pilikia thyroid a me ka hyperprolactinemia ke kuleana. ʻO kēia piʻi ʻana o ke kiʻekiʻe o ka prolactin, kahi hormone i loaʻa i ka wā hānai, hiki ke hoʻopili i ka ovulation.

Ka hōʻailona

I ka hihia o ka infertility, pono e ho'āʻo e huli i kona kumu. Hiki ke lōʻihi nā hoʻokolohua like ʻole i hāʻawi ʻia. Hoʻomaka ka poʻe loea ma ka nānā ʻana i ke kūlana olakino o ka male; kamaʻilio pū lākou e pili ana i ko lākou ola wahine. Ma kahi o ka hapakolu o nā hihia, ʻaʻole i wehewehe ʻia ka infertility o ka male.

Le Huhner hoao he ho'āʻo e hana ʻia i kekahi mau hola ma hope o ka moe ʻana. Nānā ia i ka maikaʻi o ka cervical mucus, kahi mea i hana ʻia e ka ʻōpū e hiki ai i ka sperm ke neʻe maikaʻi a hiki i ka ʻōpū.

I ke kanaka, ʻo kekahi o nā hoʻāʻo mua ʻo ia ka nānā ʻana i ka ʻike o ka sperm: ka helu o ka spermatozoa, ko lākou neʻe ʻana, kona ʻano, kona mau abnormalities, etc. spermogram. Inā ʻike ʻia nā mea ʻino, hiki ke noi ʻia kahi ultrasound o nā genital a i ʻole karyotype. Nānā pū nā kauka inā he mea maʻamau ka ejaculation. Hana pinepine ʻia nā hoʻokolohua Hormonal, e like me ka hoʻāʻo ʻana no ka testosterone, mai kahi laʻana koko.

I nā wahine, nānā ʻia ka hana kūpono o nā ʻōpū hānau. Hoʻomaopopo pū ke kauka i ka maʻamau o ka menstrual cycle. ʻO ka hoʻāʻo ʻana i ke koko e nānā i ka nui o nā hormones e hōʻoia i ka maikaʻi o ka wahine. A kahikinaokalani hiki ke ʻike maikaʻi i ka ʻōpū o ka ʻōpū a me nā ʻōpū fallopian. Hāʻawi kēia hoʻokolohua, mahalo i ka hoʻokomo ʻana i kahi huahana ʻokoʻa, e ʻike i kahi poloka i loko o nā paipu. A laparoscopy, he hana e ike ana i ka loko o ka opu a no laila, hiki ke kauoha ia na ovaries, fallopian tubes a me kōpū, ina ua manaoia ka infertility. Hiki ke kōkua i ka ʻike ʻana i ka endometriosis. Hiki i ka ultrasound pelvic ke ʻike i nā mea ʻino o ka ʻōpū, nā paipu a i ʻole nā ​​ovaries. Pono paha ka hoʻāʻo genetic i mea e ʻike ai i kahi kumu genetic o ka infertility.