He mea nui loa ia no kēlā me kēia wahine e moeʻuhane ana e lilo i makuahine e loaʻa kahi ʻike maikaʻi i kona kino. Ke kamaʻilio mākou e pili ana i kā mākou ʻōnaehana hānau, kamaʻilio pinepine mākou e pili ana i ka uterus a me nā ovaries. Akā, ʻaʻole nui ka poʻe i ʻike nui i nā 'fallopian tubes' e pāʻani ana i kahi kuleana koʻikoʻi ma waena. Ua lohe paha ʻoe i kēia inoa mai ke kauka mai, a ua lohe paha ʻoe iā ia i ke kamaʻilio ʻana e pili ana i nā hoʻokolohua i hana ʻia i ka wā e lohi ai ka loaʻa ʻana o kahi keiki. No laila, he aha kēia mau fallopian tubes? Pehea ke koʻikoʻi o lākou i ke kaʻina hana o ka hāpai ʻana i kahi keiki? E kamaʻilio mākou e pili ana i kēia mau mea a pau i kēia lā me ka maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha kēia mau ʻōpū fallopian?
E noʻonoʻo i kāu ʻōnaehana hānau keiki he kūlanakauhale paʻahana loa. ʻO nā ovaries ma kēia kūlanakauhale he ʻelua mau hale hana e hana ana i nā hua. ʻO ka uterus ka home kahi e hui pū ai kēlā hua manu me ka sperm, e hana i kahi embryo e ulu palekana ana no 9 mau mahina. No laila, pono e loaʻa kahi ala mai kēia hale hana a i ka home? Ma kēlā ala, ʻo ia alahaka nā fallopian tubes .
He ʻelua mau ʻōmole liʻiliʻi a ʻiʻo kēia e hoʻopili ana i kāu mau ovaries a me ka uterus, ma nā ʻaoʻao ʻelua o kou uterus. ʻAʻole kēia he mau ʻōmole wale nō. ʻO kēia mau ʻōmole fallopian nā koa o ke kaʻina hana o ka hāpai ʻana i kahi keiki.
E nānā kākou pehea. Hana nā ʻōpū fallopian i ʻekolu mau hana nui:
1. Kahi e loaʻa ai ka hua: I kēlā me kēia mahina, ma ke ʻano he ʻāpana o kāu pōʻaiapuni menstrual, hoʻokuʻu ʻia kahi hua makua mai kahi ovary. I kēia manawa, nā ʻano liʻiliʻi e like me ka manamana lima (i kapa ʻia ʻo `fimbriae`) ma ka hopena o ka fallopian tube kokoke i ka ovary e hopu mālie i ka hua a huki iā ia i loko o ka tube. A laila noho ka hua i loko o ka tube a hiki i ka hiki ʻana mai o ka sperm.
2. Kahi e hana ʻia ai ka hoʻoulu ʻana: Ke moe ʻoe a me kāu hoa, komo ka sperm i loko o ka uterus ma o ka vagina, cervix, a me nā fallopian tubes. Ke hālāwai ka sperm me ka hua manu e kali ana i loko o ka tube, hana ʻia ka hana mana o ka hoʻoulu ʻana . ʻO ke ʻano kēia, ʻaʻole i lawe ʻia nā ʻanuʻu mua i ke ola o kahi pēpē i loko o ka uterus, akā i loko o ka fallopian tube.
3. Ke ala hana e lawe ai i ka hua i hoʻoulu ʻia i ka ʻōpū: ʻO ka embryo i hana ʻia i ka wā e hui pū ai ka hua a me ka sperm, ʻaʻole ia e lana wale i loko o ka ʻōpū. Hoʻopaʻa nā ʻiʻo palupalu i loko o nā paia o ka ʻōpū fallopian a neʻe nā lauoho liʻiliʻi (cilia) i loko, e like me ke `conveyor belt`, a ua hoʻokuke pono ʻia kēia embryo i ka ʻōpū i kekahi mau lā. Ma hope wale nō o kona hiki ʻana i ka ʻōpū, hoʻokomo ʻo ia iā ia iho i loko o ka paia o ka ʻōpū a hoʻomaka e ulu a lilo i pēpē.
I kēia manawa ua maopopo iā ʻoe ʻaʻole ʻelua wale nō ʻōpuʻu fallopian, akā pehea ke koʻikoʻi o ko lākou ʻano no ka loaʻa ʻana o nā keiki? Inā hewa kekahi ʻāpana o kēia huakaʻi, hiki ke paʻakikī ke hāpai i kahi keiki.
E aʻo hou kākou e pili ana i ke ʻano a me kahi o ka ʻōmole fallopian.
E nānā pono kākou i kēia ʻōkana.
Aia ma hea kēia mau mea?
Aia ʻelua mau ʻōmole fallopian ma ka piko o kou ʻōpū, hoʻokahi ma ka ʻākau a hoʻokahi ma ka hema. Hoʻopili ʻia kekahi ʻaoʻao i ka ʻōpū, a wehe ʻia kekahi ʻaoʻao kokoke i ka ovary.
Nā ʻāpana o ka ʻōpū fallopian
He ʻehā-5 ʻīniha ka lōʻihi o kēia ʻōmole. He ʻehā ona ʻāpana nui. Mai ka ovary a i ka uterus, penei kēia mau ʻāpana:
- ʻInfundibulum: ʻO ka ʻāpana ʻano funnel kokoke loa i ka ovary. ʻO kēia kahi e loaʻa ai nā `fimbriae' e like me ka manamana lima e paʻa ana i ka hua manu.
- ʻAmpulla: ʻO ka ʻāpana lōʻihi loa a ākea loa o ka paipu. ʻO ka maʻamau, hana ʻia ka hoʻoulu ʻana ma kēia ʻāpana.
- ʻIsthmus: Ke ala haiki e hoʻohui ana i ka ampulla a me ka ʻāpana kokoke loa i ka uterus.
- ʻĀpana Intramural/Interstitial: ʻO ka hopena e hoʻolōʻihi ana ma o ka paia o ka ʻōpū a wehe i loko o ka lua o ka ʻōpū. Komo ka embryo i hoʻoulu ʻia i loko o ka ʻōpū ma o kēia.
He aha nā mea i hana ʻia ai kēia mau mea?
ʻO ka paia o ka ʻōmole fallopian he ʻelua papa nui ia:
1. ʻIli mucous: ʻO ka ʻili lahilahi e uhi ana i loko o ka ʻōmole. Hoʻopuka ia i kahi wai e hāʻawi ana i ka makū a me ka meaʻai no ka hoʻoulu ʻana a me ka ulu mua ʻana o ka embryo. Loaʻa iā ia nā tausani o nā lauoho lahilahi (cilia) e hoʻoneʻe ana i ka hua manu, ka sperm, a me ka embryo i ka uterus.
2. Nā papa ʻiʻo: Kōkua kēia mau papa ʻiʻo i ka hoʻoneʻe ʻana i nā mea o loko o ka ʻōmole i ka ʻōpū ma o nā ʻūmiʻi rhythmic (peristalsis), e like me ka hana a ka esophagus i ka wā a mākou e moni ai i ka meaʻai.
Nā pilikia maʻamau a me nā kūlana e kū mai paha me nā ʻōpū fallopian
ʻO ka hana ʻino ʻana o ka ʻōpū fallopian kahi kumu nui o ka hānau ʻole ʻana. Ma kahi o 20-30% o nā kāne male i hānau ʻole ʻia ma muli o kekahi ʻano pilikia me nā ʻōpū fallopian. E nānā kākou i kekahi o kēia mau pilikia maʻamau.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| Ka hāpai ʻana o ka ectopic | Hoʻokomo ʻia kahi embryo i hoʻoulu ʻia a ulu i loko o ka ʻōmole fallopian ma kahi o ka ʻōpū. He pilikia weliweli loa kēia, a he mea hoʻoweliweli hoʻi i ke ola . Hiki i ka ʻōmole ke haki a hoʻoulu i ke kahe koko nui i loko. |
| ʻO ka Endometriosis | ʻO ka ʻiʻo e pono ai ma ka paia o loko o ka ʻōpū e ulu ana ma waho o ka ʻōpū, ma nā wahi e like me nā fallopian tubes, ovaries, a pēlā aku. Hiki i kēia ke hana i nā ālai ʻana, nā ʻeha, a me ke ālai ʻana o nā ʻōpū, hiki ke hoʻopilikia i ka hānau keiki. |
| ʻO ka maʻi mumū Pelvic (PID) | ʻO nā maʻi i laha ʻole ʻia ma ke ʻano moekolohe (e like me ka chlamydia, gonorrhea) hiki ke hoʻoulu i ka mumū a me ka maʻi o nā ʻōpū fallopian a me nā wahi e pili ana (salpingitis). Hiki i kēia ke alakaʻi i ka ʻeha o nā ʻōpū, nā poloka, a me ka hoʻonui ʻia o ka pilikia o ka hāpai ʻana o ka ectopic. |
| ʻO Hydrosalpinx | Hiki i kahi maʻi kahiko a i ʻole ke ʻoki kino ke kumu e pani ʻia ai ka hopena o ka ʻōmole, e hoʻopiha ana iā ia me ka wai a e pehu ai ka ʻōmole. Hiki i kēia ke hoʻopilikia i ka neʻe ʻana o nā hua manu a me ka sperm ma o ka ʻōmole. |
| Nā Fibroids | ʻOiai ʻo ka hapa nui o kēia mau mea e hana ʻia i loko o ka ʻōpū, hiki iā lākou ke hana i kekahi manawa kokoke i nā ʻōpū fallopian a hiki ke hoʻopaʻa a ālai i nā ʻōpū. |
| Ka maʻi ʻaʻai o ka Tube Fallopian | He mea kākaʻikahi loa kēia, akā ua ʻike ʻia i kēia manawa ua hoʻomaka kekahi mau maʻi kanesa i ʻike mua ʻia he maʻi kanesa ovarian i loko o nā ʻōpū fallopian. |
Hiki ke hāpai me hoʻokahi ʻōmole fallopian?
He nīnau kēia a ka poʻe he nui. ʻO ka pane, ʻae, hiki nō ia!
Hiki i ke kanaka ke hānau ʻia me hoʻokahi wale nō ʻōmole fallopian. A i ʻole, no ka laʻana, he hāpai ectopic, ua wehe ʻia paha kekahi ʻōmole ma ke ʻoki ʻana. Inā loaʻa iā ʻoe ma ka liʻiliʻi hoʻokahi ʻōmole fallopian olakino a me kona ovary pili , a he maʻamau kou pōʻaiapuni menstrual, loaʻa iā ʻoe kahi manawa kūpono e hāpai ai i kahi pēpē.
Eia kekahi, no ka poʻe i wehe ʻia a i ʻole i ālai ʻia nā ʻōpū fallopian ʻelua, aia nā ala e loaʻa ai kahi keiki me ka holomua o ka ʻenehana i kēia lā. ʻO ka In Vitro Fertilization (IVF) ka hopena maikaʻi loa no ia poʻe. Ma kēia ʻano hana, hoʻomomona ʻia nā hua manu a me ka sperm ma waho o ke kino a ua hoʻokomo pololei ʻia ka embryo hopena i loko o ka ʻōpū, e hoʻopau ana i ka pono no nā ʻōpū fallopian.
Nā ala e nānā ai i ke olakino o kāu mau ʻōpū fallopian
Inā pilikia ʻoe i ka hāpai ʻana, e ʻōlelo paha kāu kauka e nānā i kāu mau ʻōpū fallopian no nā mea e ālai ana. Aia kekahi mau hoʻāʻo nui i hoʻohana ʻia e hana i kēia.
| Inoa o ka hoʻāʻo | I ka ʻōlelo maʻalahi, he aha ka mea e hana ʻia me kēia? |
|---|---|
| ʻO ka Hysterosalpingogram (HSG) | He hoʻāʻo X-ray. Hoʻokomo ʻia kahi wai kūikawā (dye) ma o ka cervix i loko o ka uterus a me nā fallopian tubes, a lawe ʻia nā kiʻi X-ray. Inā ʻaʻole i ālai ʻia nā paipu, hiki ke ʻike ʻia kēia wai e kahe ana ma o nā paipu a i loko o ka lua ʻōpū. Inā ua ālai ʻia nā paipu, ʻaʻole e neʻe ka wai ma ʻō aku o kēlā kiko. |
| ʻO ka sonography hoʻokomo saline (SIS) | He scan ultrasound. Pili kēia i ke kau ʻana i ka wai saline i loko o ka ʻōpū a me ka hoʻohana ʻana i ke scan e loaʻa ai kahi manaʻo o loko o ka ʻōpū a me ka patency o nā fallopian tubes. |
| Laparoscopy | He hana ʻoki liʻiliʻi kēia. Ma hope o ka anesthesia, hana ʻia kahi ʻoki liʻiliʻi ma ka ʻōpū, a hoʻokomo ʻia kahi mea hana liʻiliʻi me kahi kāmela e nānā maka i nā ʻōmole fallopian, ka uterus, a me nā ovaries. ʻO kēia ke ala maikaʻi loa e nānā ai i nā pilikia e like me nā ʻōmole i ālai ʻia a me ka endometriosis. Inā pono, hiki ke wehe ʻia nā humuhumu liʻiliʻi i ka manawa like. |
Ka mālama ʻana i nā pilikia o ka ʻōpū fallopian
ʻOkoʻa nā ʻano lapaʻau ma muli o ka pilikia i ʻike ʻia.
- Ka hoʻopili ʻana o ka Tubal:I ka wā o ka hoʻāʻo HSG, hoʻohana ʻia kahi uea lahilahi e hoʻāʻo e wehe i kahi mea paʻa liʻiliʻi ma ka hopena o ka ʻōmole kokoke loa i ka ʻōpū.
- ʻO ke ʻoki Laparoscopic: I ka wā o ka laparoscopy, hiki ke wehe ʻia nā mea hoʻopili a puni nā ʻōpū fallopian, hiki ke wehe ʻia nā waihona endometriosis, a i ʻole e wehe ʻia kahi ʻōpū fallopian i paʻa ʻia (`Salpingostomy`) a wehe ʻia paha (`Salpingectomy`) i ka hihia o Hydrosalpinx.
- Hoʻohuli ʻana i ka Tubal Ligation: Inā makemake kahi wahine i loaʻa mua i ka tubal ligation no ka kaohi hānau e loaʻa hou kahi keiki, hiki iā ia ke hoʻāʻo e hoʻopili hou i nā ʻōmole ʻelua i ʻoki ʻia ma o ke ʻoki ʻana. Eia naʻe, ʻaʻole kēia i holomua 100%.
- ʻO ka hoʻohua ʻana ma o ka In Vitro (IVF): Inā ua hōʻino nui ʻia nā ʻōmole a i ʻole ʻaʻole pono ke ʻoki ʻana, ʻo ka ʻenehana IVF ka hopena maikaʻi loa.
Nā mea hiki iā mākou ke hana e mālama i ke olakino o nā ʻōpū fallopian
ʻOiai ʻaʻole hiki iā mākou ke kaohi i kekahi mau kūlana, e like me ka endometriosis, aia kekahi mau mea hiki iā mākou ke hana e pale i kā mākou mau ʻōpū fallopian mai ka maʻi. ʻO ke kumu nui o ka hōʻino ʻana o ka tubal ʻo ia ka maʻi mumū pelvic (PID), i hoʻokumu ʻia e nā maʻi i hoʻouna ʻole ʻia ma ke ʻano moekolohe (STIs) .
No laila, ʻo ka pale ʻana iā ʻoe iho mai nā maʻi i laha ma ke ʻano moekolohe ma ka hana ʻana i ka moekolohe palekana (e laʻa, me ka hoʻohana ʻana i ka condom) a me ka moekolohe me hoʻokahi hoa hilinaʻi wale nō ka mea maikaʻi loa hiki iā ʻoe ke hana e mālama i ke olakino o kāu mau ʻōpū fallopian.
Inā loaʻa iā ʻoe nā hōʻailona e like me ke kahe ʻana o ka ʻōpū maʻamau ʻole, ka ʻeha o ka ʻōpū ma lalo, a i ʻole ka ʻeha i ka wā o ka moekolohe, mai hilahila a hoʻopaneʻe paha, a e ʻike koke i ke kauka . Hiki i ka mālama mua ke pale i ka hōʻino mau loa ʻana o nā ʻōmole mai nā kūlana e like me PID.
Leka Lawe-Home
- He alahaka koʻikoʻi nā ʻōpū fallopian e lawe ana i nā hua manu mai nā ovaries a i ka uterus, kahi e hana ʻia ai ka hoʻoulu ʻana. He mea nui ka mālama ʻana iā lākou i ke olakino no ka hāpai ʻana maoli.
- ʻO nā ʻōpū fallopian i paʻa a hōʻino ʻia paha ke kumu nui o ka hānau ʻole ʻana.
- ʻO ka hāpai ʻana o ka ʻōpū ectopic kahi pilikia olakino e hiki ke hana i loko o nā ʻōpū fallopian a hiki ke hoʻoweliweli i ke ola.
- ʻO ka pale ʻana i nā maʻi i laha ma ke moekolohe (STIs) ma o ka hana ʻana i ka moekolohe palekana ke ala maikaʻi loa e pale ai iā ʻoe iho mai nā maʻi fallopian tube.
- Inā ʻoe e lohi ana i ka hāpai ʻana a i ʻole ke kānalua nei ʻoe i kahi pilikia me kāu mau ʻōpū fallopian, he mea nui loa e kamaʻilio me kāu kauka a e ʻimi i nā hoʻokolohua a me ka lāʻau e pono ai.
- Inā paha ua hōʻino ʻia nā ʻōpū fallopian, i kēia lā aia kahi manawa kūpono e hoʻokō ai i ka moeʻuhane o ka makuahine ma o nā ʻenehana hou e like me IVF.
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