Ua ʻike anei ʻoe i nā wēlau o nā manamana lima liʻiliʻi (Fimbriae) ke kī i ka hānau keiki?

He manaʻolana nani ka moeʻuhane e lilo i makuahine a makua paha i ke ola o kēlā me kēia kanaka. Akā i kekahi manawa, he mea paʻakikī iki ka hoʻokō ʻana i kēia moeʻuhane. ʻO ka hāpai ʻana i kahi keiki he hana ia e like me ka mīkini paʻakikī. Pono e hoʻopili ʻia nā ʻāpana liʻiliʻi loa o ko kākou kino a hana pono. I kēia lā, e kamaʻilio mākou e pili ana i kekahi ʻano ʻōpū liʻiliʻi kupaianaha i lohe ʻole ʻia e ka poʻe he nui, akā ʻo ia ke ala i ka hānau keiki ʻana. ʻO ia ka Fimbriae.

I ka ʻōlelo maʻalahi, he aha kēia mau fimbriae?

E noʻonoʻo i kāu mau ʻōpū Fallopian e like me ʻelua mau ʻōpū liʻiliʻi e holo ana mai kāu ovary a i kou uterus. Ma nā wēlau o kēlā mau ʻōpū, kokoke loa i ka ovary, aia nā ʻōpuʻu liʻiliʻi e like me nā manamana lima ma ka lima. Ua kapa ʻia kēia mau ʻāpana liʻiliʻi e like me ka manamana lima he fimbriae .

He mau ʻāpana palupalu kēia a neʻe, e like me nā ʻāpana o ka pua, a i ʻole ka lapalapa o ka lapalapa. He ʻāpana koʻikoʻi loa lākou o ka ʻōpū fallopian. Me ka ʻole o lākou, hiki ke hāʻule ka hana mua loa i ke kaʻina hana o ka hāpai ʻana i kahi keiki.

He aha ka hana a nā fimbriae? No ke aha he mea nui kēia?

I mea e hoʻomaopopo ai i kēia, e hoʻomanaʻo iki kākou e pili ana i ke kaʻina hana o ka hāpai ʻana i kahi keiki. I kēlā me kēia mahina, hoʻokuʻu ka ovary o ka wahine i kahi hua manu (ovum). Ua kapa ʻia kēia he ovulation.

ʻO kēia kahi e hoʻomaka ai kā mākou protagonist, ʻo ka fimbriae, i kāna hana.

1. Ke hopu ʻana i ka hua manu: I ka wā e hoʻokuʻu ʻia ai ka hua manu mai ka ovary, ua huki ʻia nā fimbriae kokoke iā ia e like me ka magnet, e hoʻopuni ana i ka ovary. A laila, ua hopu pono ʻia ka hua manu i hoʻokuʻu ʻia, e like me ka mea pāʻani cricket akamai e kiaʻi ana i ka pōpō.

2. Alakaʻi i ka ʻōpū fallopian: Ma hope o ka hopu ʻana i ka hua manu, hoʻomaka nā ʻāpana lauoho lahilahi loa (i kapa ʻia ʻo cilia ) ma luna o ka ʻili o nā fimbriae e neʻe wikiwiki i ka ʻaoʻao like, e like me ka palaki e palaki ana i kahi palaki. Paʻi mālie kēia neʻe ʻana i ka hua manu i hopu ʻia i loko o ka ʻōpū fallopian.

Ma hope wale nō o ke komo ʻana i loko o ka ʻōpū fallopian e loaʻa ai i ka sperm e komo i ka wā o ka moekolohe ka manawa kūpono e hālāwai me kēia hua manu a hoʻoulu ʻia. Inā hoʻoulu ʻia, lilo ia i embryo a hoʻokomo ʻia i loko o ka ʻōpū, kahi e ulu ai i loko o kahi fetus.

I kēia manawa ua maopopo iā ʻoe he mea hiki ʻole ke noʻonoʻo i ka loaʻa ʻana o nā keiki me ka ʻole o kēia ʻāpana liʻiliʻi, e like me kēia mau manamana lima?

Hiki ke hōʻino ʻia nā fimbriae? He aha ka mea e hana ai inā pēlā?

ʻAe, ʻo ka mea pōʻino, hiki ke hōʻino ʻia kēia mau ʻāpana palupalu. Inā hōʻino ʻia, hiki ke lilo i kumu nui o ka hānau ʻole ʻana. No ka mea, ʻaʻole hiki i nā fimbriae i hōʻino ʻia ke neʻe manuahi, hoʻopuni i ka ovary, a hopu i ka hua manu. I kekahi manawa hiki i kēia mau ʻāpana e like me ka manamana lima ke hoʻopili pū, e ālai ana i ka waha o ka ʻōmole fallopian.

Aia kekahi mau maʻi lapaʻau nui e hiki ai ke hana i kēia ʻano.

Aia kekahi pilina ma waena o ke kanesa a me ka fimbriae?

Ua hōʻike ʻia nā noiʻi hou nei ʻaʻole hoʻomaka kekahi mau maʻi ʻaʻai ovarian ikaika (ʻoi aku hoʻi ʻo High-Grade Serous Carcinomas - HGSC ) ma nā ovaries, akā ma nā fallopian tubes, ʻoi aku hoʻi ma nā fimbriae. Ke noiʻi ʻia nei kēia, akā hōʻike ia i ke koʻikoʻi o ke olakino o kēia ʻāpana liʻiliʻi.

Hiki iaʻu ke ʻike i ke kūlana olakino o kaʻu fimbriae?

ʻAe, inā loaʻa iā ʻoe nā pilikia hānau keiki, hiki i kāu kauka ke ʻōlelo aku i kahi hoʻokolohua o ka fallopian tube. Hiki i kēia mau hoʻokolohua ke hāʻawi iā ʻoe i kekahi manaʻo no ke kūlana o nā fimbriae. Nānā nui lākou e ʻike inā ua paʻa a wehe paha nā fallopian tubes.

• Hysterosalpingogram (HSG): He hoʻāʻo X-ray kēia. Hoʻokomo ʻia kahi waihoʻoluʻu kūikawā i loko o ka ʻōpū ma o ka cervix, a lawe ʻia nā kiʻi X-ray e ʻike ai inā e neʻe manuahi ana ka waihoʻoluʻu ma o nā ʻōpū fallopian a i ʻole e puka mai ana i waho o nā wēlau o nā ʻōpū.
• ʻO ka sonography hoʻohālikelike Hysterosalpingo (HyCoSy): Ua like kēia me ka hoʻāʻo ma luna, akā ma kahi o nā kukuna X, hoʻohana ʻia kahi scan ultrasound. Hoʻohana ʻia kahi hopena saline kūikawā a i ʻole nā ​​​​​​pehu ea e nānā i ka neʻe ʻana o nā ʻōmole.
• Laparoscopy: He hana ʻoki liʻiliʻi kēia i hana ʻia ma lalo o ka anesthesia. Hana ʻia kahi ʻoki liʻiliʻi ma ka ʻōpū, a hoʻokomo ʻia kahi mea lahilahi me kahi kāmela e nānā i nā ʻōmole fallopian, fimbriae, a me nā ovaries me nā maka ʻelua. Inā pono, hiki ke hoʻokomo ʻia kahi kala polū i loko o ka ʻōpū i kēia manawa (i kapa ʻia ʻo chromopertubation ) e ʻike inā puka mai ka kala mai loko mai o ka fimbriae. ʻO kēia ke ala maikaʻi loa a pololei loa e nānā ai i ke kūlana o nā ʻōmole fallopian (kūlana gula) .

Hiki ke hoʻihoʻi ʻia nā fimbriae i hōʻino ʻia?

I kekahi mau hihia, hiki i ke ʻoki kino ke hoʻoponopono hou i nā fimbriae i hōʻino ʻia i kekahi ʻano.

• Fimbrioplasty: He hana ʻoki kēia e hoʻokaʻawale i nā fimbriae i hoʻopaʻa pū ʻia a kūkulu hou iā lākou i hiki iā lākou ke neʻe me ke kūʻokoʻa e like me ka hiki.
• Salpingostomy: Inā ua ālai ʻia ka hopena o ka ʻōmole fallopian (ka ʻaoʻao me ka fimbriae), ua wehe ʻia ka mea ālai a hana ʻia kahi puka hou.

He aha kā kākou e hana ai e mālama i kēia ʻōkana makamae?

ʻO ka mea nui ma ʻaneʻi, ʻo ia ka 'ʻoi aku ka maikaʻi o ka pale ʻana ma mua o ka hoʻōla' . ʻO ke kumu nui o ka hōʻino ʻana i nā fimbriae, ʻo ia nā maʻi i laha ʻole ʻia ma ke ʻano moekolohe (STI). No laila, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke pale iā ʻoe iho mai ia mau mea.

• Moe kolohe palekana: E hōʻalo i ka moe kolohe me ka pale ʻole. ʻO ka hoʻohana ʻana i nā ʻano hana kaohi hānau e like me nā condom hiki ke pale aku i nā maʻi i laha ma ke moe kolohe.
• He hoa hilinaʻi: ʻO ka kaupalena ʻana iā ʻoe iho i hoʻokahi hoa hiki ke hōʻemi nui i ka pilikia.
• E makaʻala i nā hōʻailona: Inā loaʻa iā ʻoe nā hōʻailona e like me ke kahe ʻana o ka ʻōpū maʻamau, ka ʻeha o ka ʻōpū ma lalo, a i ʻole ke kuni ʻana i ka wā e mimi ai, mai hoʻowahāwahā iā lākou . E ʻike koke i ke kauka.
• E kiʻi i ka lāʻau kūpono: Inā ua ʻike ʻia ʻoe me kahi STD, e kiʻi i ke ʻano piha o ka lāʻau i kuhikuhi ʻia e kāu kauka. Mai hoʻōki i ka hapalua. Eia kekahi, he mea nui e hoʻāʻo ʻia a mālama ʻia kāu hoa inā pono. A i ʻole, hiki iā ʻoe ke loaʻa hou i ka maʻi.

He mea waiwai nui kou olakino hānau keiki i kou ola. ʻO ka mālama ʻana iā ia a me ka ʻike ʻana iā ia ka hoʻopukapuka kālā nui loa hiki iā ʻoe ke hana i kou wā e hiki mai ana.