Rashin haihuwa

Rashin haihuwa yana nufin ba zaku iya samun ciki ba (ɗaukar ciki).

Akwai nau'ikan rashin haihuwa guda 2:

• Rashin haihuwa na farko na nufin ma'auratan da ba su da juna biyu bayan aƙalla shekara 1 da yin jima'i ba tare da amfani da hanyoyin hana haihuwa ba.
• Rashin haihuwa na sakandare na nufin ma'auratan da suka sami damar yin ciki aƙalla sau ɗaya, amma yanzu ba sa iyawa.

Yawancin dalilai na zahiri da na motsa rai na iya haifar da rashin haihuwa. Yana iya zama saboda matsaloli a cikin mace, namiji, ko duka biyun.

RASHIN RIKON MATA

Rashin haihuwa na mata na iya faruwa lokacin da:

• Kwan ƙwai ko amfrayo ba zai tsira da zarar ya manne a cikin rufin mahaifa (mahaifa).
• Kwan kwan da ya hadu baya sanyawa a jikin murfin mahaifa.
• Qwai ba za su iya motsawa daga ovaries zuwa mahaifa ba.
• Kwai suna da matsalolin samar da kwai.

Rashin haihuwa na mata na iya haifar da:

• Rashin lafiyar kansa, kamar cututtukan antiphospholipid (APS)
• Launin haihuwa wanda ya shafi sashin haihuwa
• Ciwon daji ko ƙari
• Clotting cuta
• Ciwon suga
• Shan giya da yawa
• Motsa jiki da yawa
• Rashin cin abinci ko rashin abinci mai kyau
• Girma (kamar su fibroids ko polyps) a cikin mahaifa da mahaifar mahaifa
• Magunguna kamar su magunguna na chemotherapy
• Halin rashin daidaito
• Yin nauyi ko mara nauyi
• Yawan shekaru
• Magungunan Ovarian da cututtukan ƙwayoyin cuta na polycystic (PCOS)
• Ciwon mara na jijiya wanda ke haifar da tabo ko kumburin tublop fallopian (hydrosalpinx) ko cutar kumburin kumburi (PID)
• Tsanani daga kamuwa da cutar ta hanyar jima'i, tiyatar ciki ko endometriosis
• Shan taba
• Tiyata don hana daukar ciki (yaduwar tubal) ko gazawar sake juyawar tubal (reanastomosis)
• Ciwon thyroid

RASHIN HAIFAR NAMIJI

Rashin haihuwa na maza na iya zama saboda:

• Rage yawan maniyyi
• Toshewar da take hana fitar maniyyi
• Laifi a cikin maniyyi

Rashin haihuwa na maza na iya haifar da:

• Launin haihuwa
• Magungunan daji, gami da chemotherapy da radiation
• Bayyanawa ga babban zafi na tsawan lokaci
• Yawan shan giya, marijuana, ko hodar iblis
• Rashin daidaituwa na hormone
• Rashin ƙarfi
• Kamuwa da cuta
• Magunguna kamar cimetidine, spironolactone, da nitrofurantoin
• Kiba
• Yawan shekaru
• Rage maniyyi
• Tsanani daga cututtukan da ake ɗauka ta hanyar jima'i (STIs), rauni, ko tiyata
• Shan taba
• Gubobi a cikin yanayin
• Vasectomy ko gazawar juyawar vasectomy
• Tarihin kamuwa da cutar kwayar cutar daga cututtukan fuka

Ma'aurata masu ƙarancin shekaru 30 waɗanda suke yin jima'i a kai a kai zasu sami kusan kashi 20% a kowane wata na samun ciki kowane wata.

Mace tafi haihuwa sosai a shekarunta na 20. Damar da mace zata iya samun ciki ya ragu sosai bayan shekaru 35 (kuma musamman bayan shekaru 40). Shekarun da haihuwa ta fara raguwa ya bambanta daga mace zuwa mace.

Matsalar rashin haihuwa da yawan zubar ciki na karuwa sosai bayan shekaru 35 da haihuwa.Akwai yanzu zaɓuɓɓuka don dawo da kwai da wuri da kuma ajiyar matan da shekarunsu suka wuce 20. Wannan zai taimaka wajen tabbatar da samun ciki mai kyau idan haihuwa tayi jinkiri har zuwa shekaru 35. Wannan zaɓi ne mai tsada. Koyaya, matan da suka san zasu buƙaci jinkirta haihuwa zasu iya la'akari da hakan.

Yanke shawara lokacin da za'a bi da ku don rashin haihuwa ya dogara da shekarun ku. Masu ba da kiwon lafiya sun ba da shawarar cewa mata ‘yan kasa da shekara 30 suna kokarin daukar ciki da kansu na tsawon shekara 1 kafin a yi musu gwaji.

Mata sama da 35 suyi ƙoƙari su ɗauki ciki na tsawon watanni 6. Idan hakan bata faru ba a tsakanin wannan lokacin, to ya kamata suyi magana da wadanda suka kawo su.

Gwajin rashin haihuwa ya ƙunshi tarihin likita da gwajin jiki ga duka abokan.

Jini da gwajin hoto galibi ana buƙata. A cikin mata, waɗannan na iya haɗawa da:

• Gwajin jini don bincika matakan hormone, gami da progesterone da follicle stimulating hormone (FSH)
• Kayan gida na gano kayan fitsari
• Auna zafin jikin mutum kowace safiya don ganin idan kwayayen suna sakin kwai
• FSH da gwajin kalubale na clomid
• Gwajin kwayar Antimullerian (AMH)
• Tsarin Hysterosalpingography (HSG)
• Pelvic duban dan tayi
• Laparoscopy
• Gwajin aikin thyroid

Gwaje-gwaje a cikin maza na iya haɗawa da:

• Gwajin maniyyi
• Gwajin gwaji da azzakari
• Duban dan tayi na al'aurar maza (wani lokacin ana yi)
• Gwajin jini don bincika matakan hormone
• Gwajin kwayar cutar (da wuya ake yi)

Jiyya ya dogara da dalilin rashin haihuwa. Yana iya unsa:

• Ilimi da nasiha game da yanayin
• Magungunan haihuwa kamar na ciki (IUI) da kuma in vitro fertilization (IVF)
• Magunguna don magance cututtuka da rikicewar rikicewar jini
• Magungunan da ke taimakawa girma da sakin ƙwai daga ƙwai

Ma'aurata na iya kara samun damar yin ciki a kowane wata ta hanyar yin jima'i a kalla kowace kwana 2 kafin da lokacin yin kwai.

Al'aura tana faruwa ne kimanin makonni 2 kafin lokacin al'ada na gaba (lokaci) ya fara. Don haka, idan mace tana samun al'ada duk bayan kwanaki 28 sai ma'auratan su yi jima'i aƙalla kowace kwana 2 tsakanin ranakun 10 zuwa 18 bayan fara al'adarta.

Yin jima'i kafin yaduwar kwaya yana taimakawa musamman.

• Maniyyi zai iya rayuwa a cikin jikin mace aƙalla kwanaki 2.
• Koyaya, kwan mace za a iya hada shi da maniyyi cikin awa 12 zuwa 24 bayan an sake shi.

Matan da ke ƙasa ko suka yi kiba na iya ƙara musu damar samun ciki ta hanyar zuwa cikin ƙoshin lafiya.

Mutane da yawa suna ganin yana da amfani su shiga cikin ƙungiyoyin tallafi don mutanen da suke da damuwa iri ɗaya. Kuna iya tambayar mai ba ku sabis don ya ba da shawarar groupsungiyoyin gida.

Kimanin 1 cikin 5 na ma'aurata da aka gano da rashin haihuwa daga baya sun yi ciki ba tare da magani ba.

Yawancin ma'aurata masu fama da rashin haihuwa suna yin ciki bayan jiyya.

Kirawo mai ba da sabis idan ba za ku iya ɗaukar ciki ba.

Rigakafin cututtukan STI, irin su gonorrhea da chlamydia, na iya rage haɗarin rashin haihuwa.

Kula da lafiyayyen abinci, nauyi, da salon rayuwa na iya kara damar samun ciki da samun ciki mai kyau.

Guje wa yin amfani da man shafawa yayin jima'i na iya taimakawa inganta aikin maniyyi.

Rashin iya haihuwa; Ba za a iya samun ciki ba

• Pelvic laparoscopy
• Tsarin haihuwa na mata
• Jikin haihuwa na namiji
• Rashin haihuwa na farko
• Maniyyi

Barak S, Gordon Baker HW. Gudanar da asibiti na rashin haihuwa na maza. A cikin: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Manya da Yara. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 141.

Broekmans FJ, Fauser BCJM. Rashin haihuwa na mata: kimantawa da gudanarwa. A cikin: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Manya da Yara. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 132.

Anna Katarina Tsarin ilimin halitta da rashin haihuwa. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 223.

Lobo RA. Rashin haihuwa: ilimin ilimin halittu, binciken bincike, gudanarwa, hangen nesa. A cikin: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. M Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 42.

Kwamitin Ayyuka na Americanungiyar (asar Amirka don Maganin Haihuwa. Binciken kimantawa na mace ba ta haihu ba: ra'ayin kwamiti. Taki Bakara. 2015; 103 (6): e44-e50. PMID: 25936238 www.ncbi.nlm.nih.gov/pubmed/25936238.

Kwamitin Ayyuka na Americanungiyar (asar Amirka don Maganin Haihuwa. Binciken binciko na namiji mara haihuwa: ra'ayin kwamiti. Taki Bakara. 2015; 103 (3): e18-e25. PMID: 25597249 www.ncbi.nlm.nih.gov/pubmed/25597249.