Ko te ariā matua o te SCS, mō ngā whaea hauora e hapu ana, he 24–28 rā te roa o te huringa paheketanga, ka taea e te ārai hapūtanga i ngā wā SCS, i tatauhia mai i ngā wā tīmatanga o te huringa paheketanga takitahi, te ārai i ngā raruraru hauora whānau kāore i whakamāramatia. Me whakamātautau te mana o tēnei kereme ki ngā raraunga motuhake; ehara i te tikanga ārai hapūtanga kua whakamātauhia.
Tata ki te 8 miriona pēpi e whānau mai ana me tēnei mate i ia tau.
E ai ki te pūrongo a te World Health Organization, tata ki te 8% o ngā mate kei raro iho i te rima tau te pakeke nā ngā mate whānautanga. Kāore ēnei mōhiohio e whakamana i te ariā SCS; e whakaatu ana i te take e tika ai te rangahau pakari me te motuhake o ngā pātai kāore anō kia whakautua.
Ka taea e koe te pātai, te whakaara ake i ngā whakahē pūtaiao, te whakapuaki rānei i ngā puna kōrero i roto i tō ake reo. Kāore he wā hui kua whakaritea.
He karanga mō te kōrero tuwhera ki te marea o te ao.
Tērā pea kei te wā o te whakamomona te take o ngā whānautanga raruraru kāore i te whakamāramatia, arā, ko te wā o te taatai?(Te wā SCS = AOs − 365 hāora ± 12–24 hāora)
SCIENTIFIC EXPLANATION
Scientific explanation of the SCS research questions
Watch what the hypothesis proposes, which questions require independent testing, and where its scientific limits lie.
Ki tō whakaaro he mea tika kia tūhuratia tēnei whakapae?
0whai wāhi
Ehara tēnei kōwhiringa i te kī kei te tautoko koe i te ariā a te SCS. He whakaaro noa iho tēnei mō te tika o te pātai kia rangahauhia motuhaketia.
Kāore mātou e hiahia kia whakaaetia he pono; e hiahia ana mātou kia tautohetia, kia tirotirohia, kia whakamatautauria hoki mā te whakamahi i ngā raraunga motuhake.
Me whakamana motuhake te ariā wā o te SCS e te pūtaiao. Ehara tēnei ihirangi i te tohutohu hauora, ehara hoki i te tikanga ārai hapūtanga. Kōrerohia ō whakatau hauora ki tētahi tohunga hauora.
He pōwhiri ki te rangahau
29 tau o te tirotiro
Whai muri i te 29 tau o te mātakitaki me te rangahau, kei te whakatuwherahia e SCS tēnei pātai hei matapakinga i waenga i ngā wāhine, ngā kaipūtaiao, me ngā whakahaere hauora o te ao katoa.
He pōwhiri ki te rangahau motuhake.
E toru ngā pātai e tuwhera ana ki te rangahau motuhake
Kāore a SCS e tono ki te hapori pūtaiao kia whakaae ki ngā kitenga me ngā whakapae e whai ake nei hei pono. Engari, e hiahia ana ia kia inehia, kia whakamatautauria, ā, ki te tika, kia tinihangatia e ngā kairangahau motuhake.
Ka taea te tirotiro takitahi i ēnei pātai e toru. Mā te manatoko i tētahi pātai, kāore e manatoko aunoa i ētahi atu.
Kaua e whakapono mai ki a mātou. Inea.
01
Tuwhera ki te rangahau motuhake.
He mea nui te wā whakatō?
Tērā pea ko te wā whakatōnga he taurangi motuhake hei tirotiro mā te haputanga me ngā hua o te pēpi hou? Mō tēnei kaupapa, ka whakaarohia e SCS tētahi taurangi wā kua tautuhia i mua, kua whakaritea ki ia tangata.
Te wā SCS = AOs − 365 hāora ± 12–24 hāora
Ko te AOS (Average Hāora) ko te toharite whaiaro a te tangata mō te wā i pau i waenga i ngā rā tīmatanga me ngā wā tīmatanga o te huringa karapīpiti, e whakaatuhia ana i roto i ngā hāora.
He ōrite te 26.3 rā ki te 631.2 hāora.
Tauira tātaitanga
E toru ngā huringa: 627, 635, me te 605 hāora. He 1,867 hāora te katoa; wehea ki te 3, ko ngā AO = 622.3 hāora. Ko te pokapū he 257.3 hāora i muri i te tīmatanga o te paheketanga whakamutunga. Ka whakaroahia te wā i runga i te tawhiti o ngā AO mai i te 631.2 hāora.
Pātai rangahau
E pā ana tēnei taurangi wā kua tautuhia i mua ki ngā putanga o te hāputanga me ngā putanga pēpi hou i muri i te whakahaere i ngā āhuatanga e mōhiotia ana mō te whaea, te kukune, te ira, te taiao, me te whānautanga?
i
Ko tēnei tauira he wāhanga o te ariā SCS; ehara i te mea he meka hauora kua whakapumautia, he tikanga ārai hapūtanga, he taunakitanga haumanu rānei. Me whakaū, me whakahē rānei mā te rangahau motuhake.
02
Tuwhera ki te rangahau motuhake.
He aha te wā tuturu mai i te whakatōnga ki te whānautanga?
E ai ki te tirohanga 29-tau a SCS, ko te wā mai i te whakatōnga ki te whānautanga he tata ki te 260 rā. Ko te whakapae tika ake e hiahia ana a Osman Yıldız kia whakamatautauria motuhake, ko te pikinga ake o te mōrearea o ngā hua kino me ngā wā roa, ā, ko ngā wā neke atu i te 266 rā kāore pea e hototahi ki te whānautanga ora.
i
Ehara tēnei i te kōrero hauora kua whakamātauhia. Ko te whakapae a te SCS ko tā Osman Yıldız e hiahia ana kia whakaūtia, kia tinihangatia rānei mā te whakamahi i ngā raraunga motuhake.
Ngā pātai rangahau IVF/ICSI
I ngā hāputanga IVF/ICSI, ina taea te whakatau tika ake i te wā o te whakamomona, he aha te tohatoha o te wā tuturu mai i te whakamomona ki te whānautanga?
E tautokona ana te mātakitakitanga 260-rā e ngā raraunga?
He hononga ine kei waenganui i te wā i muri i ngā rā 260 me ngā putanga kino?
He tauira anō kei reira mō ngā whānautanga ora i roto i ngā wā whakatōtō-whānau neke atu i te 266 ngā rā?
Kaua e whakaaetia kia 260, kia 266 rānei ngā rā. Inehia ki ō raraunga o nāianei.
Kāore te Pātai 2 e pā ana ki te Pātai 1. Kāore te manatoko i te tirohanga 260-rā e whakamana aunoa i te tātai wā SCS.
03
Tuwhera ki te rangahau motuhake.
E rite ana te wā SCS ki tētahi huringa ā-tinana e taea te ine i roto i te tinana o te wahine?
Kāore te pūnaha whakaputa uri wahine i roto i ngā āhuatanga ā-tinana ōrite puta noa i te huringa paheketanga. Ka taea te whakarerekē i te hanganga o ngā homoni, te pāmahana tinana taketake, me ngā āhuatanga o te hūpē o te kaki i te wā o te whakaputanga hua. Ko te tuatoru o ngā pātai o te SCS ko te mea kei te ōrite tonu te wā SCS kua tatauhia i mua i te pāngarau ki ngā tohu momona ka taea te ine.
Ngā tohu ine
Ka taea e ngā kairangahau motuhake te whakarite i te wā SCS ki ngā tohu o te huringa LH, te pikinga rānei o te LH, te wā whakaputa uri, te progesterone, te estradiol, te pāmahana tinana taketake, ngā āhuatanga o te hūpē o te kaki, me te pai o te urunga o te parāoa.
Mēnā e tika ana ki te kairangahau, ka taea hoki te tuhi i ngā huringa ā-tinana o te ū, o te uma rānei, te hiahia moepuku o te tangata, me te wā o te whanonga moepuku.
Te ariā tikanga o te SCS
Ko te ariā tikanga, e ahu mai ana i ngā kitenga a Osman Yıldız, e kī ana ko ngā panonitanga o te pai o te taiao o te kaki me te pūnaha whakaputa uri mō te haere o te parāoa, te oranga, me te kōwhiringa puta noa i te huringa, kāore pea e pā ki te tūponotanga o te whakatōnga me ngā hua koiora o te wā whakatōnga. Kāore anō kia whakamātauhia tēnei tikanga.
He rerekē rawa te taiao o te kaki i te wā o te SCS i ētahi atu wā e pā ana ki te haerenga o te parāoa, te oranga, te kōwhiringa rānei? Mena koinā, he rerekētanga tēnei e pā ana ki te tūponotanga o te haputanga anake, he rerekētanga anō rānei e pā ana ki te haputanga me ngā putanga o te pēpi hou?
Ngā tirohanga whanonga me ngā tirohanga ā-rongo
I roto i ngā tirohanga a te SCS, kua kōrero ētahi wāhine mō ngā panonitanga o te haunga tinana, te hiahia moepuku, ētahi atu panonitanga ā-pūtaiao me ā-tinana rānei i te wā o te tirohanga. Ki te kore he ine pūtaiao whakahaeretia, kāore e taea te kī he taunakitanga whakamutunga ēnei; heoi, ka taea te ine hei taurangi tāpiri i roto i ngā rangahau endocrinology whanonga, i ngā rangahau hauora uri rānei.
Rangahau Motuhake
Mā SCS te hanganga rangahau e whakarato.
Ki te whiwhi i te whakaaetanga matatika motuhake me ngā tukanga whakaaetanga whai whakaaro e tika ana, kua rite a SCS ki te whakarato ki ngā kairangahau te hanganga pūmanawa e hiahiatia ana hei tirotiro i ēnei pātai e toru, mō te kore utu.
Ka taea e ngā kairangahau te tautuhi i ā rātou ake tikanga me ngā paearu whakauru/whakakore.
Ka taea e te kairangahau te whiriwhiri i āna ake kaiuru me te waihanga i tāna ake rōpū kai.
Ka taea e ngā kairangahau te aroturuki i ngā kaiuru mai i tētahi rōpū motuhake me te tautuhi i ngā taurangi ā-tinana me ā-haumanu hei tuhi.
Ka arotakehia e te kairangahau te tikanga tatauranga, te tātari, me te whakaputanga; ka taea e rātou te whakaputa i ngā hua ahakoa te tautoko, te whakahē rānei i te SCS.
Ko te AOS (Average Hāora) ko te toharite whaiaro a te tangata mō te wā i pau i waenga i ngā rā tīmatanga me ngā wā tīmatanga o te huringa karapīpiti, e whakaatuhia ana i roto i ngā hāora.
Te wā SCS = AOs − 365 hāora ± 12–24 hāora
Ko te wae matua o te tataunga ko AOs − 365 hāora.He ōrite te 26.3 rā ki te 631.2 hāora.
Ina tata te toharite ki te 631.2 hāora, ko te wā okiokinga he tata ki te ±12 hāora; ina tata te toharite whaiaro ki ngā rohe 24, 28 rānei-rā, ka whānui ake te wā okiokinga ki te ±24 hāora. Kāore te tataunga uara takawaenga tuturu e whakamāramahia ana i konei.
Tauira tātaitanga
E toru ngā huringa: 627, 635, me te 605 hāora. He 1,867 hāora te katoa; wehea ki te 3, ko ngā AO = 622.3 hāora. Ko te pokapū he 257.3 hāora i muri i te tīmatanga o te paheketanga whakamutunga. Ka whakaroahia te wā i runga i te tawhiti o ngā AO mai i te 631.2 hāora.
Ngā wā tīmatanga o te huringa paheketanga→Te Toharite o ngā Hāora Whaiaro (AO)→AOs − 365→Awhe SCS→Ngā hua o te haputanga me te whānautanga
i
Ko tēnei tauira he wāhanga o te ariā SCS; ehara i te mea he meka hauora kua whakapumautia, he tikanga ārai hapūtanga, he taunakitanga haumanu rānei. Me whakaū, me whakahē rānei mā te rangahau motuhake.
He pōwhiri ki te rangahau
Kia arotakehia ngātahitia ngā taunakitanga, kaua ko ngā whakapae anake.
Me aro atu ki ngā kitenga e tautoko ana, e whakahē ana, e kore rānei e whakatau tika ana me te mārama ōrite. Kāore tēnei whārangi e whakaatu ana i tētahi rangahau manatoko motuhake kua oti.
Tikanga me te māramatanga raraunga
Kāore te wā tirotiro 29-tau anake e āhei ai te whakamana pūtaiao. Me whakamārama te tokomaha o ngā kaiuru, te tikanga tuhi, ngā paearu aromatawai, me ngā herenga hei wāhanga o te rangahau.
Te mahi tahi rangahau motuhake
Ka akiaki mātou i ngā kairangahau ki te whakapuaki i ngā arotake tikanga rangahau, ngā tono rangahau whakatairite, me ngā tuhinga e tika ana. Me whakahaere te tukanga kohikohi raraunga rangahau me tētahi tikanga motuhake, arotake matatika, me ngā whakaaetanga e tika ana.
Te hapori hauora me te pūtaiao o te ao: Hono mai ki te kōrero.
Kāore a SCS e tono kia whakapono koe ki tēnei whakapae. E tono ana kia tirotirohia, kia arotakehia, kia matapakihia hoki e koe ngā pātai e toru mai i tō ake mara tohungatanga mā te whakamahi i ngā raraunga motuhake.
Kāore koe e hiahia ki te whakarerekē i tō reo. Tuhia ki tō ake reo. Tukua ngā tohunga o ngā whenua rerekē o te ao kia pānui i tō whakaaro i roto i ō rātou ake reo.
He kaupapa rerekē a SCS me Dilden Dile. Ehara a Dilden Dile i te puna e whakamana ana i ngā kereme a SCS; he hanganga whakawhitiwhiti kōrero noa iho e whai ana ki te tango i ngā arai reo i roto i ngā kōrerorero o te ao.
Kāore ngā whakaaro e whakaaetia ana e te kaiwhakahaere, e tirotirohia rānei ngā ihirangi. Kia manatokohia te wāhitau īmēra e te kaiuru, ā, kia whakaae ki te kawenga, ka whakaputaina tōna whakaaro me te kore he huringa. Kāore te whakaputanga e kī ana he tika te whakaaro i roto i te pūtaiao, i tautokona rānei e SCS.
Kāore he rerekētanga i waenga i ngā whakaaro tautoko, ngā whakaaro whakahē, me ngā whakaaro e kī ana me nui ake ngā raraunga. Whai muri i te manatoko īmēra me te whakaae ki te kawenga, ka whakaputaina ngā whakaaro e ai ki te tuhinga.
Ko tēnei tohu he tohu noa iho kua manatokohia ngā tohu ngaio/mātauranga e te whakahaere. Kāore e tohu ana i te tika o te whakaaro, tōna mana pūtaiao, te tautoko rānei a te SCS.
Ko tēnei wāhanga mō ngā whakaaro me ngā rauemi pūtaiao. Kaua e tohaina ngā mōhiohio tūroro, ngā tuhinga tuakiri, ngā huringa paheketanga whaiaro, ngā tuhinga hapūtanga, ngā tuhinga moepuku, ngā tuhinga hauora rānei; kāore e tonoa kia tukuatuhia he kōnae.
Pānui pāpāho
He karanga mō te kōrero tuwhera ki te marea o te ao.
Ka taea e koe te pānui i te tuhinga katoa o te tono ki te marea o te ao, ā, ka taea hoki te tā ki te reo i whiriwhiria e koe.
Ka taea e koe te whakatuwhera i te taupānga SCS o nāianei mai i tō pūtirotiro tukutuku, i tō pūrere pūkoro rānei. Kāore ngā tataunga o te taupānga e kī ana kua whakamanahia te whakapae e te pūtaiao.
