E ʻike pono kākou i ke ʻano o kēia mau mea e pili ana i kāu mau Fallopian Tubes.

Ke lohe ka hapa nui o ka poʻe i ka huaʻōlelo 'fallopian tubes', ʻaʻole maopopo iā lākou ko lākou ʻano, kahi i loaʻa ai lākou i loko o ke kino, a i ʻole kā lākou hana. Akā, he mau ʻōkana koʻikoʻi kēia no kou olakino hānau hou, ʻoiai inā ʻoe e hoʻāʻo nei e hāpai. No laila, i kēia lā, e kamaʻilio kākou e pili ana i nā Fallopian Tubes ma nā ʻōlelo maʻalahi, ʻae?

He aha kēia mau Tubes Fallopian?

I ka ʻōlelo maʻalahi, ʻo nā ʻōpū fallopian he ʻelua mau ʻōpū lahilahi e waiho ana ma waena o kāu mau ovaries (kahi e hana ʻia ai nā hua) a me kou uterus (kahi e ulu ai kahi hua i hoʻoulu ʻia i loko o kahi fetus). Ua like lākou me ke alanui mai ka ovary a i ka uterus. He hopena nui ko ke olakino o kēia mau ʻōpū fallopian i kou momona, ʻo ia hoʻi kou hiki ke hāpai i kahi keiki.

He aha ka mea e hana maoli ai i nā ʻōpū fallopian?

E noʻonoʻo e pili ana i ia mea, he mea nui loa kēia mau ʻōpū fallopian i ke kaʻina hana o ka hāpai ʻana i kahi keiki i loko o kou kino. E nānā pehea e hana ai:

• Kahi e paʻa ai ka hua: I kēlā me kēia mahina, ma ke ʻano he ʻāpana o kāu pōʻaiapuni menstrual , hoʻokuʻu ʻia kahi hua makua mai kekahi o kāu mau ovaries. A laila, ʻo nā ʻano liʻiliʻi e like me ka manamana lima ma ka hopena o ka fallopian tube - kapa mākou iā lākou he fimbriae - e hopu i ka hua a huki iā ia i loko o ka ʻōmole. A laila noho ka hua ma laila a hiki i ka hiki ʻana mai o kahi sperm.
• Kahi e hana ʻia ai ka hoʻoulu ʻana: Ke moe ʻoe me kāu hoa, hele kāna sperm ma o ka vagina , cervix , a me ka uterus, a laila i loko o nā fallopian tubes . Aia i loko o kēia mau fallopian tubes e hui ai ka hua manu a me ka sperm a hana ʻia ka hoʻoulu ʻana .
• Ke ala o ka hua i hoʻoulu ʻia i ka ʻōpū: ʻO ka hua i hoʻoulu ʻia - kapa mākou iā ia he embryo - hele ma o ka fallopian tube i ka uterus. Ma laila, hoʻokomo ʻia i loko o ka paia o ka ʻōpū a hoʻomaka e ulu i loko o kahi fetus. Kōkua nā ʻiʻo ikaika i loko o ka fallopian tube i ka lawe ʻana i kēia embryo .

Hiki ke hāpai me hoʻokahi wale nō fallopian tube?

ʻAe, hiki nō. Hiki iā ʻoe ke hānau ʻia me hoʻokahi wale nō ʻōmole fallopian, a i ʻole ua wehe ʻia kekahi ma muli o kahi maʻi a i ʻole kahi ulia. Inā loaʻa iā ʻoe ma ka liʻiliʻi hoʻokahi ʻōmole fallopian olakino a me ka ovary , a maʻamau kāu pōʻaiapuni menstrual, e hāpai paha ʻoe. Eia kekahi, aia nā ala e loaʻa ai kahi pēpē ʻoiai inā ʻaʻohe ou ʻōmole fallopian ʻelua. ʻO ka In Vitro Fertilization (IVF) kahi ʻenehana e pili ana i ka hoʻoulu ʻana i loko o ka vitro ., kahi lāʻau lapaʻau ʻaʻole pono iki nā ʻōpū fallopian. No laila, mai hoʻopau i ka manaʻolana.

Aia ma hea kēia mau ʻōpū fallopian? He aha ko lākou mau ʻāpana?

Loaʻa iā ʻoe ʻelua mau ʻōmole fallopian. Hoʻokahi ma ka ʻaoʻao ʻākau o kou uterus, a hoʻokahi ma ka hema. Hoʻomaka kēlā me kēia ʻōmole ma kahi ovary a pili i kou uterus. I kēia manawa e nānā kākou i nā ʻāpana nui ʻehā o kahi ʻōmole fallopian. He ʻano ʻepekema iki kēia, akā he mea maikaʻi ke ʻike.

• ʻInfundibulum: ʻO kēia ka ʻāpana ʻano funnel kokoke loa i ka ovary. Aia nā ʻāpana e like me ka manamana lima i kapa ʻia ʻo fimbriae ma ʻaneʻi. ʻO kekahi o kēia mau fimbriae, kahi mea kūikawā i kapa ʻia ʻo fimbria ovariana, e hoʻolōʻihi a hiki i ka ovary. Ke haʻalele ka hua manu i ka ovary, hopu kēia mau fimbriae iā ia a huki iā ia i loko o ka ʻōmole fallopian.
• Ampulla: ʻO kēia ka ʻāpana nui a lōʻihi loa o ka ʻōpū fallopian. Aia ia ma waena o ka infundibulum a me ka ʻāpana aʻe i kapa ʻia ʻo isthmus. ʻO ka hapa nui o ka manawa, hui ka hua manu a me ka sperm a hoʻomoʻa ʻia ma kēia wahi i kapa ʻia ʻo ampulla.
• ʻIsthmus: He ala lahilahi loa kēia e hoʻohui ana i ka ampulla a me ka ʻāpana o ka ʻōmole kokoke loa i ka uterus.
• ʻĀpana Intramural/Interstitial: ʻO kēia ka ʻāpana o ka ʻōmole fallopian i hoʻopili ʻia i ka piko o ka ʻōpū. Wehe pololei ia i loko o ka lua ʻōpū. Hoʻokomo ʻia ka hua manu i hoʻoulu ʻia (embryo) i loko o ka paia ʻōpū a hoʻomaka e ulu a lilo i pēpē mai laila mai.

He aha ka nui o ka ʻōmole fallopian? He aha nā mea i hana ʻia ai lākou?

ʻO ka maʻamau, ʻo ka lōʻihi o hoʻokahi ʻōmole fallopian ma waena o 4 a me 5 ʻīniha . A ʻo kona anawaena, a i ʻole ka mānoanoa, ma waena o 0.2 a me 0.6 ʻīniha. He palupalu loa, ʻeā? Hana ʻia kēia mau ʻōmole palupalu i ʻelua papa nui:

• ʻO ka Membrane Mucous: ʻO kēia ka uhi lahilahi loa i loko o ka ʻōpū fallopian. Hoʻopuka ia i kahi wai kūikawā. Hoʻokumu kēia wai i kahi kūpono no ka hoʻoulu ʻana a no ka ulu ʻana o kahi embryo i loko o ka ʻōpū. Eia kekahi, he mau ʻano lauoho liʻiliʻi loa kēia uhi, a mākou e kapa nei he "Cilia". Neʻe kēia mau "Cilia" i mua a i hope e like me nā pulumi liʻiliʻi, e paʻi ana i ka hua manu, ka sperm, a me ka embryo (inā i hoʻoulu ʻia) ma ke ʻano o ka ʻōpū i ka uterus .
• Nā Papa ʻIʻo: Hana ʻia ka paia o ka ʻōmole fallopian me kekahi mau papa o nā ʻiʻo. ʻO ka papa waho loa, hana ʻia ia me nā olonā ʻiʻo laumania a lōʻihi. ʻO ka papa o loko loa, hana ʻia ia me nā olonā ʻiʻo poepoe. Ke ʻūlū kēia mau ʻiʻo (ʻo ia hoʻi, lilo i ʻoʻoleʻa), kōkua lākou i ka hoʻoneʻe ʻana i kahi hua manu, sperm, a i ʻole embryo ma o ka ʻōmole, me ke kōkua o cilia.

He aha nā kūlana maʻamau e hoʻopilikia ai i nā ʻōpū fallopian?

Ua ʻike mākou i kēia manawa i ke koʻikoʻi o nā ʻōpū fallopian no ka hui ʻana o ka sperm me ka hua manu a no ka lawe ʻana i ka hua manu i hoʻoulu ʻia i ka ʻōpū. No laila, inā he mea paʻa i loko o kāu mau ʻōpū fallopian, a inā he mea ʻē aʻe ke ʻano o nā ʻōpū, hiki iā ʻoe ke paʻakikī i ka hāpai ʻana. ʻO ka ʻoiaʻiʻo, ma waena o 20% a me 30% o nā hihia hānau ʻole i hoʻokumu ʻia e nā pilikia me nā ʻōpū fallopian (`(Tubal Factor Infertility)`). Eia kekahi mau kūlana maʻamau e hiki ke hoʻopilikia i nā ʻōpū fallopian:

• Hāpai Ectopic/Tubal: ʻO kēia ka manawa e hoʻokomo ai ka embryo iā ia iho i loko o ka ʻōmole fallopian ma kahi o ka paia uterine. ʻAʻole holomua kēia mau hāpai ʻana a hiki ke hoʻoweliweli i ke ola inā ʻaʻole mālama koke ʻia.
• Endometriosis: ʻO kēia ka wā e ulu ai nā ʻiʻo e like me ka uhi o ka ʻōpū ma waho o ka ʻōpū, i kekahi manawa e ālai ana a e ʻeha paha i nā ʻōpū fallopian. Hiki i kēia ke paʻakikī i ka hāpai ʻana.
• Ka Maʻi ʻAʻai Tube Fallopian: Ua ʻike ʻia i kēia manawa ua hoʻomaka kekahi mau ʻano maʻi ʻaʻai i hoʻokaʻawale mua ʻia he maʻi ʻaʻai ovarian i loko o nā tubes fallopian. ʻO ka mea kūikawā, ʻo kahi ʻano i kapa ʻia ʻo ka maʻi ʻaʻai ovarian serous kiʻekiʻe e loaʻa pinepine ʻia i nā pae hope, i ka wā e haʻahaʻa ai ka manawa e hoʻōla ai. Hōʻike ka noiʻi hou e hoʻomaka paha kēia maʻi ʻaʻai i loko o nā tubes fallopian, ʻaʻole nā ​​ovaries.
• Fibroids: ʻOiai ʻo ka fibroids e ulu pinepine i loko o ka ʻōpū, hiki iā lākou ke hana i kekahi manawa i loko o nā ʻōpū fallopian a ālai iā lākou.
• Hydrosalpinx: Hiki i ka wai ke hōʻiliʻili i loko o nā ʻōpū fallopian ma muli o kahi ulia a i ʻole ka maʻi. Hiki i kēia ke paʻakikī i ka hāpai ʻana.
• Nā Cysts Paratubal: He mau cysts piha wai kēia e hana kokoke ana i nā ovaries a me nā fallopian tubes. He mau kūlana ʻaʻole kanesa (benign) kēia a hoʻopau pinepine ʻia me ka ʻole o ka lāʻau lapaʻau.
• ʻO Salpingitis/Maʻi Mumū Pelvic (PID): ʻO Salpingitis kahi mumū a pehu paha o nā ʻōpū fallopian. Hoʻoulu pinepine ʻia e kahi maʻi. ʻO Salpingitis kahi ʻano maʻi mumū pelvic (PID). Inā ʻaʻole mālama pono ʻia ka PID, hiki iā ia ke alakaʻi i ka hānau ʻole a hoʻonui i ka pilikia o ka hāpai ʻana o ka ectopic. Ua pili ʻia ʻo Chlamydia, gonorrhea, a me ka maʻi puʻupuʻu genital me PID a me ka hānau ʻole.

Eia kekahi, ʻo kekahi mau maʻi kūlohelohe a me nā ʻōpala ma hope o nā ʻoki ʻōpū hiki ke hana i nā pilikia momona e pili ana i nā ʻōpū fallopian.

He aha nā hoʻokolohua e hana ʻia e nānā i ke olakino o nā ʻōpū fallopian?

Inā pilikia ʻoe i ka hāpai ʻana, e hana nā kauka i nā hoʻokolohua like ʻole e nānā i nā mea e ālai ana i kāu mau ʻōpū fallopian. Eia kekahi o lākou:

• Hysterosalpingogram (HSG): He hoʻāʻo kēia e hoʻohana ana i nā kukuna X a me kahi kala kūikawā. Hoʻohana ʻia ia no ka ʻike ʻana i nā pilikia hāpai a me ka hānau keiki. Hōʻike ka HSG inā ua ālai ʻia kāu mau ʻōpū fallopian.
• Hysteroscopy: Pili kēia i ka nānā ʻana i loko o ka ʻōpū me ka hoʻohana ʻana i kahi mea lahilahi a hoʻomālamalama ʻia i kapa ʻia he hysteroscope. Hana pinepine ʻia kēia ma hope o kahi HSG e hōʻoia inā ua paʻa maoli nā ʻōpū fallopian.
• Saline-infusion Sonography (Sonohysterogram): He hoʻāʻo ultrasound kēia. Ua hoʻopiha ʻia ka ʻōpū me kahi hopena saline. Hiki iā ia ke nānā no nā ʻōpū fallopian i ālai ʻia.
• ʻO ka Hysterosalpingo Contrast Sonography (HyCoSy): He ultrasound nō hoʻi kēia. Hoʻopiha ʻia nā ʻōpū fallopian me kahi hopena e loaʻa ana nā pehu ea a i ʻole ka huʻa. Hiki ke hoʻohana ʻia ke kahe o ka hopena e ʻike i nā mea āpau e ālai ʻia ana.
• Laparoscopy: He hana liʻiliʻi kēia e like me ke ʻoki kino. Hoʻohana ʻia kahi mea hana liʻiliʻi me ke kāmela i kapa ʻia he laparoscope e nānā i nā poloka i loko o nā ʻōpū fallopian. I kekahi manawa, hiki i kāu kauka ke ʻōlelo aku i ka hui pū ʻana o ka laparoscopy a me kahi hoʻāʻo hoʻoluʻu kūikawā. E kōkua kēia iā ʻoe e ʻike pehea e neʻe ai ka hoʻoluʻu (a ʻaʻole paha) ma o nā ʻōpū fallopian.

He aha nā lāʻau lapaʻau no nā pilikia o ka ʻōpū fallopian?

I ka mālama ʻana i nā kūlana e pili ana i nā ʻōpū fallopian, pono paha e hoʻoponopono a wehe paha i hoʻokahi a i ʻole nā ​​​​ʻōpū ʻelua.

• Salpingectomy: Pili kēia i ka wehe ʻana i hoʻokahi a i ʻole nā ​​​​ʻōpū fallopian ʻelua (bilateral salpingectomy).
• Salpingo-oophorectomy: ʻO kēia ka wehe ʻana i nā ʻōpū fallopian a me nā ovaries.
• Salpingostomy: Pili kēia i ka hana ʻana i kahi ʻoki i loko o ka ʻōmole fallopian e wehe i kahi hāpai ectopic, hoʻomaʻemaʻe i kahi poloka i loko o ka ʻōmole, a hoʻoponopono paha i nā ʻiʻo i hōʻino ʻia.
• ʻO ke ʻoki hana hou ʻana o ka Tubal: Hoʻohana ʻia kēia kaʻina hana e hoʻohuli i ka ligation tubal a hoʻoponopono paha i nā ʻōpū fallopian i hōʻino ʻia.
• Tubal Ligation: He hana hoʻolālā ʻohana kēia i ʻike nui ʻia ʻo "ke kāʻei ʻana i nā ʻōmole." Ma kēia kaʻina hana, ʻoki ʻia a ālai ʻia paha nā ʻōmole fallopian, e pale ana i ka hui ʻana o ka hua manu a me ka sperm.

He aha kekahi mau mea maʻalahi e hiki ai iā mākou ke hana e mālama i ke olakino o nā ʻōpū fallopian?

ʻO ka ʻoiaʻiʻo, he nui nā kūlana e hoʻopilikia ana i nā ʻōpū fallopian ma waho o kā mākou mana. Eia nō naʻe, hiki iā mākou ke hana i nā hana e pale aku iā mākou iho mai nā maʻi e hiki ke hōʻino i nā ʻōpū fallopian a hoʻoulu i ka hānau ʻole.

ʻO ka hana ʻana i ka moekolohe palekana a me ka kaupalena ʻana i ka nui o nā hoa moe e hōʻemi ana i ka pilikia o nā maʻi i laha ma ke moekolohe (STI), hiki ke alakaʻi i ka PID.

Hana nā ʻōpū fallopian ma ke ʻano he alahaka ma waena o ka hana koʻikoʻi o kāu mau ovaries a me ka hana koʻikoʻi o kou uterus. ʻO ia ke kumu e hiki ai i nā kūlana e hoʻopilikia maikaʻi ʻole i nā ʻōpū fallopian ke hoʻopilikia maikaʻi ʻole i kou hānau ʻana.

No laila, he aha kā mākou i aʻo ai mai kēia moʻolelo? (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui kākou i kēia lā e pili ana i nā Fallopian Tubes, ʻeā? ʻO ka mea nui e hoʻomanaʻo ai, he ʻāpana koʻikoʻi loa lākou, a he ʻāpana palupalu hoʻi, o kāu ʻōnaehana hānau keiki.

• ʻO nā ʻōmole fallopian nā ʻōmole e lawe ana i nā hua mai nā ovaries i ka uterus, a ma laila lākou e hana ʻia ai ka hoʻoulu ʻana.
• He hopena nui ko lākou olakino i ka hāpai ʻana i kahi keiki.
• Hiki i nā maʻi ke hōʻino i kēia mau mea, no laila he mea nui e hana i ka moekolohe palekana .
• Inā pilikia ʻoe i ka hāpai ʻana i kahi keiki ma muli o kahi pilikia me kāu mau ʻōpū fallopian, mai hoʻokuʻu i ka manaʻolana . Aia nā lāʻau lapaʻau hou e like me `(In Vitro Fertilization - IVF)`.
• Inā he kānalua a nīnau paha kāu, mai kānalua e kamaʻilio me ke kauka a loea paha i ka hānau keiki . E kōkua lākou iā ʻoe.

Ua maopopo iaʻu? ʻO ka ʻike i kou kino ke ala maikaʻi loa e noho olakino ai.

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ʻO nā ʻōpū fallopian, olakino wahine, olakino hānau hou, hāpai keiki, hānau ʻole, gynecology, paʻa ʻana o nā ʻōpū fallopian