Inā i loko o hoʻokahi makahiki,ʻaʻole hoʻohana ka wahine i ka hōʻailona, akā hikiʻole ke hāpai i kahi keiki, a laila i loko o kēia hihia he mau kumu e manaʻo ai he mau pilikia nā hoa me ka hana hānau. ʻO nā kumu no lākou e hiki ai i nā wāhine a me nā kāne maleʻole.
I loko o 40% o nā hihia,ʻo ka hopena o nā maʻi wahine, 45% o nā hihia he male kāne nui o ka noʻeauʻole,ʻo ka 15% i koe he mau hihia o ka mea i kapaʻia heʻano olakino o ka incompatibility o nā huila pilikino a me nāʻano likeʻole o ke kinoʻole.
E nānā pono kākou i kaʻano maʻamau o ka nohoʻoleʻana i kēia lā - ke kāne maleʻole.
Nāʻano maleʻole o ka male
Aia nāʻano ma muli o ke kūlana kāne maleʻole:
- Immunological - ke hoʻomaka ke kino e hoʻomohala i nā maʻi pīpī i ka sperm a iʻole testicular tissues.
- Nūhona - kahiʻanoʻole, kahi e emi iho ai ka nui, ka maikaʻi, ka motilemo o ka spermatozoa.
- Kaʻoki - no ka mea,ʻo ka huahana o spermatozoa kekahi mea e hoʻopiʻi, e like me ke koko, ka pahi, a iʻole ka leka hope.
- ʻO ka'ōpili pili piliʻole , he pāʻole, no ka meaʻaʻole i loaʻa nā meaʻike. ʻO kēiaʻano maʻiʻole ka hopena o ka pilikia.
I kēia manawa, ua mālamaʻia kekahi o kēia mauʻano maleʻole. I kēia hihia, uaʻoi aku ka maʻalahi o ka hōʻailona a me ka mālamaʻana i nā keiki kāne maleʻole ma mua o ka wahine.
Nā kumu a me nā hōʻailona o ke kūlana keiki maleʻole
Hiki ke hanaʻia kaʻikeʻole o nā kāne ma nā kumu he nui i puka i loko o nā hui ma lalo nei:
- nā maʻi o nā meaʻokoʻa, e like me kā lākou mau hanana kūlohelohe, kaʻimiʻana i nā liona;
- nā hopena hormonal, me kahi haʻahaʻa haʻahaʻa o ka testosterone a me nā hormones thyroid;
- ua nele i ka hana hana sperm production;
- ka hopena o ke kino a iʻole kaʻikeʻana i nā toxins, e like me ka lālā, radiation or chemicals;
- nā pilikia me ka weheʻana o ka sperm - kāpae i nā kahawai e halihali ana i nā kānana, nā maʻi kūlohelohe, nā pilikia me ka ejaculation, veinsose veins of the scrotum;
- chromosomal aiʻole ka maʻi hoʻoilina;
- nā maʻi maʻamau, e pili ana i ka hanu o ka ate, nā maʻi kīʻaha, nā meaʻaiʻole;
- lawe i nā lāʻau lapaʻau a me nā lāʻau lapaʻau, e like me nā mea i hoʻohanaʻia i loko o ka psychiatry, nā hauākibolic anabolic, ka waiʻona, a me nā lāʻau'ē aʻe.
ʻOiai,ʻo ka hōʻailona o ka maleʻole o ke kāne,ʻaʻole ia i hōʻike. Inā loaʻa nā maʻi hormonal, hiki i nā poʻe maʻi keʻike i ka lohi o ka uluʻana o ka lauoho, nā loli leo, nā pilikia pili wahine.
Hanaʻia o ka hānauʻole male
Hoʻomaka ka weheweheʻana i ke kūlana keiki maleʻole me ka kānana sperm analysis a nānāʻana i nā kānana.
Eia hou, ua aʻo pono ke kauka i nā moʻolelo o ka maʻi, a me nā hiʻohiʻona o ka uluʻana o ke kanaka a me ka moekolohe, eʻike ana i nā maʻi āna iʻeha ai, a me nā hopena maikaʻiʻole o waho iʻikeʻia e ia i kona ola.
ʻO ka mea'ē aʻe, heʻike maʻamau o ke kino no ka hoʻoholoʻana i nā kumu o kaʻikeʻole. Ma ke kumu o kaʻikepili i loaʻa, pono eʻikeʻia nā kiko'ī kūikawā, e like me keʻano o ka scrotal a testicular ultrasound, ke ho'āʻoʻana i ka lāʻau, ka hoʻokumuʻana i ka hana hana sperm, a me ka biopsy testicular.
I kēlā me kēia hihia, kohoʻia keʻano o keʻano maʻamau. Inā kū pololei ka kumu o ka'ōlohelohe, a laila, inā hiki, e ho'āʻo e hoʻopau.
I kekahi mau kumu,ʻaʻole hiki ke hoʻokumuʻia ke kumuhana aiʻole hikiʻole ke hoʻoponopono i ka pilikia. I ia mau hihia, ua hāʻawiʻia ka helu kāne maleʻole o kaʻikeʻole i nāʻenehana kākoʻo hana pilikino, e like me IVF .
ʻO ka kohoʻana o kēia a iʻole kēlāʻano e pili ana i keʻano o ke ola o ke kanaka, nā kumu o ka naʻauʻole, nā pilikia o ka wahine.
I keʻano o ka hoʻohanaʻana i IVF i ka maleʻole o ka male, ua hoʻokaʻawaleʻia ke oocyte mai ka wahine aku, ua hoʻohuiʻia i loko o ka hale leka me ka sperm, a laila "hoʻonohoʻia" i loko o ka pūpū o ka wahine.
ʻO keʻano maʻalahi loa ka uluʻana o intrauterine. I kēiaʻano, ke aʻoʻia nei ka'ōpiopio male ma ka hale hoʻolaʻa, a laila hoʻokomoʻia i loko o ka'ōpū i ka manawa o ka'ōhūʻana.
ʻO ka'ōnaehanaʻoi loa o ka pūnaewele kōpoko-cytoplasmic, kahi e hoʻokuʻuʻia ai ka sperm mai nā meaʻokoʻa, a hoʻokuʻuʻia ka sperm i loko o ka'ōpū. Me ka hoʻohanaʻana i kēiaʻenehana, hiki ke hana i ka hopena i makemakeʻia ma muli o nā maʻi spermatogenesis maʻamau.