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No ke aha e paʻakikī ai ka hāpai ʻana o nā wahine kaupaona
ʻO ka infertility ma ka papa. Hoʻonui ka paona, me ia - ka makaʻu o nā ʻano maʻi like ʻole, akā ʻo ka hapai ʻana e lilo i mea paʻakikī loa.
Nui aʻe nā moʻolelo e pono i nā kaikamahine e lilo i ka nui o ke kaumaha i mea e hāpai ai. I ka hoʻāʻo ʻana e lilo i makuahine, lilo lākou iā 20, 30, a i ʻole 70 kilo. ʻO ka pinepine, ʻeha pū kekahi mau kaikamahine i ka PCOS - polycystic ovary syndrome, ka mea i ʻoi aku ka paʻakikī o ka hāpai ʻana, a ʻoi aku ka paʻakikī i ka nalo ʻana o ka paona. A ʻōlelo nā kauka: ʻae, ʻoi aku ka paʻakikī o ka hāpai ʻana o nā wahine kaupaona. ʻOi aku ka meaʻai i ko mākou kino ma mua o ka manaʻo o ka poʻe.
ʻO ka obstetrician-gynecologist, loea hānau ma ke keʻena ʻo REMEDI
"I ko mākou manawa, ka helu o nā wahine me ka hoʻonui nui ʻana o ka nui o ke kino - ua hoʻonui ʻo BMI, keu hoʻi i waena o ka poʻe ʻōpio. Loaʻa kēia i nā peculiarities o ka ʻai a me ka nohona. ʻOi aku ka maʻalahi o nā wahine overweight i nā pilikia olakino: nā maʻi maʻi maʻi, nā maʻi o ka ʻōnaehana musculoskeletal, diabetes mellitus. Ua hōʻoia ʻia ka hopena maikaʻi ʻole o ka nui o ke kaupaona ma ka hana hoʻohua. “
Pōʻai ʻino
Wahi a ke kauka, hoʻomohala nā wahine momona i ka infertility endocrine. Hōʻike ʻia kēia e nā ovulation kamahaʻi a i ʻole ko lākou haʻalele ʻole - anovulation. Eia hou, pinepine pinepine nā wahine kaona nui i nā hana maʻamau o ka menstrual.
"ʻO kēia ke kumu o ka pili ʻana o kaʻiʻo adipose i ka hoʻoponopono ʻana o nā homoni wahine i loko o ke kino. I nā wahine momona, nui ka emi o ka globulin e hoʻopaʻa ai i nā homone kāne kāne - androgens. Ke alakaʻi nei kēia i ka hoʻonui ʻana o nā hakina manuahi o androgens i loko o ke koko, a ʻo ka hopena, ua hoʻohuli ʻia nā androgens ʻoi aku i loko o nā kino adipose i estrogens - nā homone wahine wahine, "wehewehe a ke kauka.
ʻO Estrogens, a laila, hoʻonāukiuki i ka hoʻokumu ʻana o ka hormone luteinizing (LH) i ka pituitary gland. ʻO kēia hormone ke kuleana no ka hoʻoponopono ʻana i ka ovulation a me ka pōʻai menstrual. Ke piʻi aʻe nā kiʻekiʻe o ka LH, ulu ke kaulike ʻole o nā hormoni, kahi e alakaʻi ai i nā kūleʻa o ka menstrual, ke ana ʻana o ka follicular, a me ka ovulation. He paʻakikī loa e hāpai i kēia hihia. Eia kekahi, ʻo ke koʻikoʻi ma muli o nā hoʻāʻo pono ʻole e hāpai, hoʻomaka pinepine nā kaikamahine e hopu - a pani ka pōʻai.
"Hoʻolālā pinepine nā wahine overweight i nā kūpikipiki karbpi maikaʻi ʻole, hyperinsulinemia a me ke kūpaʻa ʻana o ka insulin," wahi a Anna Kutasova.
Lilo kaupaona ma kahi o ka lapaʻau
I mea e ʻike ai inā ʻoi aku ka nui o nā wahine, pono ʻoe e helu i ka papa kuhikuhi o kou kino. E hana ai i kēia, pono ʻoe e kaupaona iā ʻoe iho a ana i kou kiʻekiʻe.
Paipai ʻia nā wahine e ana i ke kiʻekiʻe a me ke kaumaha me ka helu ʻana o BMI e like me ka haʻilula: BMI (kg / m2) = ke kaupaona o ke kino i nā kilokika / kiʻekiʻe i nā mika i pahu ʻia - e ʻike i ke kaupaona a i ʻole ka momona (BMI ʻoi aku ma mua a i ʻole 25 paha ke kaumaha, BMI ʻoi aku a i ʻole 30 mau momona paha.
la'ana:
Ke kaupaona: 75 kg
Kiʻekiʻe: 168 nānā
BMI = 75 / (1,68 * 1,68) = 26,57 (kaupaona)
Wahi a ka WHO, ʻo ka pilikia o nā pilikia olakino hoʻohua pili pono i ke kēkelē o ke kaupaona / momona:
kaupaona (25-29,9) - hoʻonui i ka makaʻu;
obesity kekelē mua (30-34,9) - pilikia nui;
momona o ke kekelē ʻelua (34,9–39,9) - kūlana kiʻekiʻe loa;
ʻO ka momona o ke kolu o ke kēkelē (ʻoi aku ma mua o 40) kahi kiʻekiʻe loa o ka makaʻu.
Hoʻomaʻo infertility, IVF - ʻaʻole holo pono paha kēia mau mea āpau. A ma muli o ke kaupaona.
"Ua hōʻoia ʻia ʻo ka nui o ke kaupaona kahi mea makaʻu e hōʻemi i ka pono o nā hana hoʻohua momona me ka hoʻohana ʻana i nā ʻenehana hanauna kōkua (ART). No laila, i ka wā o ka hoʻolālā hāpai ʻana, pono e nānā i nā wahine, "wehewehe a kā mākou loea.
A inā ʻoe e lilo i ka paona? ʻIke ʻia ʻo ka lilo ʻana o ke kaupaona e 5% ka mea e hoʻonui ai i ka likelihood o nā holo o ke aniani. ʻO ia, ʻo ka likelihood e hiki ai i ka wahine ke hāpai iā ia iho, me ka ʻole o ka lāʻau lapaʻau, ke hoʻonui nei. Eia hou, inā ʻaʻole kaumaha ka makuahine e kali ana, hoʻemi nui ʻia nā makaʻu o nā pilikia i ka wā hāpai.
No laila
ʻO kahi hoʻopaʻapaʻa maʻamau no ka nui o ke kaupaona ma waena o nā makuahine ka hānau nui ʻana o kā lākou keiki. Akā ʻaʻole maikaʻi kēlā ma nā manawa āpau. Ma hope o nā mea āpau, hiki i ka momona ke ulu i kahi keiki, a ʻaʻohe mea maikaʻi kēia. Eia kekahi, ʻoi aku ka paʻakikī o ka hānau ʻana i kahi pēpē nui.
Akā ʻoi aku ka pinepine ma mua o ka hānau ʻana o nā keiki nui, hānau ʻia nā hānau mua ma nā makuahine momona. Hānau mua ʻia nā pēpē, me ka liʻiliʻi o ke kaupaona, pono lākou e hānai ʻia i ka mālama nui ʻana. A ʻaʻole maikaʻi kēia.