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ʻO wai ka mea i hoʻopilikia ʻia e ka insemination artificial with donor (IAD)?
ka nā kāne like ʻole, he mau lua wahine a wahine hoʻokahi, o nā makahiki hānau keiki a me nā mea lawe i kahi papahana makua, hiki ke huli i ka insemination artificial me kahi mea hāʻawi. Ma muli o nā kauoha hou e pili ana i ka palena makahiki no ke komo ʻana i kēia ʻano, ʻike ʻia ka wahine ma lalo o 40 mau makahiki, akā hiki ke hoʻonohonoho ʻia ka insemination a hiki i 42 mau makahiki ma lalo o kekahi mau kūlana. I ka hihia o kahi kāne, pono nā lālā ʻelua e ola ana, o ka makahiki hānau keiki a me ka ʻae ʻana ma mua o ka hoʻoili ʻana o ka embryo. ʻO kahi hōʻailona lāʻau lapaʻau a me ka noʻonoʻo kikoʻī, i hana ʻia i loko o kahi CECOS, e hoʻoholo i ka hiki ke loaʻa hou i kēia kaʻina hana i kōkua ʻia e ka lāʻau lapaʻau (MAP).
He aha ka IAD?
E pili ana i ka waiho ʻana sperm mai ka mea hāʻawi i loko o ka ʻōpū o ka wahine, ma ka puka o ka cervix (intra-cervical), i loko o ka ʻōpū (intrauterine) a i ʻole ma ka in vitro fertilization me ka sperm o ka mea hāʻawi (IVF a i ʻole ICSI). Hoʻokō ʻia kēia insemination me ka hoʻohana ʻana i nā mauʻu sperm paʻa, e mahalo i nā kūlana oinoa ʻole o ka hāʻawi ʻana, hoʻololi ʻia me ke kānāwai bioethics i ʻāpono ʻia e ka National Assembly ma Iune 29, 2021, a me nā lula palekana olakino.
ʻO nā pae o ka insemination artificial me ka mea hāʻawi (IAD)
Ma hope o ka ʻike mua ʻana ma CECOS a me ka wehe ʻana o ka faila, hiki ke hoʻomaka ka manawa kali, ka mea maʻamau mai 18 mahina a ʻelua a me ka hapa makahiki *. E hoʻokō ʻia ka insemination ma mua a i ka wā o ka ovulation a hiki ke hoʻololi hou i nā manawa he nui inā pono. Wahi a nā hualoaʻa helu o nā CECOS a pau, ma hope o 12 pōʻaiapuni o ka insemination (6 intra-cervical a me 6 intrauterine inseminations), ʻo ia hoʻi, inā hana ke kanaka i ka inseminations no 12 mahina, ua loaʻa iā ia. 70% ka manawa, a i ʻole 2 o 3, loaa he keiki **. Inā ʻaʻole, e ʻōlelo ʻia ka in vitro fertilization.
* nā helu mai 2017
ʻO wai ka mea hiki ke hāʻawi i kāna sperm?
kanaka ma waena o 18 a me 44 makahiki hiki ke hāʻawi i ka sperm. Mai ka makahiki 2016, ʻaʻole pono e lilo i makua kāne. Hāʻawi ʻia ka haʻawina ma hope o nā hoʻokolokolo koʻikoʻi. Ua hoʻololi ʻia nā kūlana o ka mea hāʻawi inoa ʻole me ka hoʻolaha ʻana o ke kānāwai no ka bioethics i apono ʻia e ka National Assembly ma Iune 29, 2021. Ma ka liʻiliʻi he ʻumikumamākolu mahina ma hope o kēia hoʻolaha ʻana, hiki i nā keiki hānau ʻia mai kahi hāʻawi ke noi i ka hiki ʻana o ka makahiki e ʻike i ka ʻole- ʻike i ka ʻike e like me ka makahiki o ka mea hāʻawi, kona ʻano kino a me nā kumu o kāna hāʻawi. Akā hiki nō iā ia noi e komo i ka ʻike o ka mea hāʻawi. No nā keiki i hānau ʻia mai kahi hāʻawi ma mua o kēia aupuni hou, hiki ke noi e hoʻopili hou ʻia ka mea hāʻawi e ʻike inā ʻae ʻo ia e haʻi i kona ʻano.
Me kēia hoʻololi ʻana o ke kahua kānāwai no ka hāʻawi gamete, pono nā mea hāʻawi, mai ka mahina ʻumikumamākolu ma hope o ka hoʻolaha ʻana i kēia mau hoʻololi, ʻae ʻia e hoʻouna ʻia ka ʻikepili ʻike ʻole akā ʻo ko lākou ʻike. Inā ʻaʻole kēia, ʻaʻole hiki ke hāʻawi ʻia ka hāʻawi. Eia nō naʻe, ʻaʻole hiki i ka mea hāʻawi ke koho i kāna mea hāʻawi a ʻaʻole hiki i ka mea hāʻawi ke koho i ka mea nāna e hāʻawi.
'Ōlelo Aʻo: ʻaʻole hiki i nā sperm āpau ke pale i nā hopena o ka hau a hoʻohana wale ʻia inā he momona. No ka hoʻokō ʻana i ka ART, e hilinaʻi ka koho o ka mea hāʻawi morphological a me ke koko.
ʻO wai ka mea hiki ke hāʻawi i kā lākou mau hua?
ʻO kēlā me kēia wahine olakino, ma waena o 18 a me 38 makahiki komo, hiki ke hāʻawi i nā hua. Hana ʻia ke kaʻina hana ma ke kikowaena halemai kulanui, i loko o ke kikowaena no ka noiʻi ʻana a me ka mālama ʻana i nā hua manu a me ka sperm (Cecos). He koʻikoʻi a hoʻoponopono ʻia nā hoʻokolohua e like me ka hāʻawi ʻana i ka sperm a ua like nā kūlana o ka inoa ʻole. ʻAʻole uku ʻia ka hāʻawi hua manu, e like me ka hāʻawi sperm.