Cia peb kawm seb cov no yog dab tsi txog koj cov Fallopian Tube.

Thaum cov neeg feem coob hnov ​​lo lus 'fallopian tubes', lawv tsis paub tias lawv yog dab tsi, lawv nyob qhov twg hauv lub cev, lossis lawv ua dab tsi. Tab sis cov no yog cov kab mob tseem ceeb heev rau koj txoj kev noj qab haus huv ntawm kev yug me nyuam, tshwj xeeb tshaj yog tias koj tab tom sim xeeb tub. Yog li hnub no, cia peb tham txog Fallopian Tubes hauv cov lus yooj yim, puas yog?

Cov raj Fallopian no yog dab tsi?

Hais yooj yim xwb, cov raj fallopian yog ob lub raj nyias nyias uas nyob nruab nrab ntawm koj lub zes qe menyuam (qhov chaw uas cov qe tsim) thiab koj lub tsev menyuam (qhov chaw uas cov qe chiv xeeb ...

Muaj dab tsi tshwm sim rau cov hlab ntsha fallopian tiag tiag?

Xav txog nws, cov hlab ntaws fallopian no yog ib qho tseem ceeb heev hauv txoj kev xeeb tub hauv koj lub cev. Saib seb nws tshwm sim li cas:

• Ib qho chaw rau tuav lub qe: Txhua lub hlis, ua ib feem ntawm koj lub voj voog kev coj khaub ncaws , ib lub qe uas loj hlob lawm yuav raug tso tawm ntawm ib qho ntawm koj lub zes qe menyuam. Tom qab ntawd, cov qauv me me zoo li ntiv tes ntawm qhov kawg ntawm lub raj fallopian - peb hu ua fimbriae - tuav lub qe thiab rub nws mus rau hauv lub raj. Lub qe ces nyob ntawd kom txog thaum cov phev tuaj txog.
• Qhov twg kev sib deev tshwm sim: Thaum koj sib deev nrog koj tus khub, nws cov phev mus ncig los ntawm qhov chaw mos , lub qhov ncauj tsev menyuam , thiab lub tsev menyuam, thiab tom qab ntawd mus rau hauv cov raj fallopian . Nws yog sab hauv cov raj fallopian no uas lub qe thiab phev ntsib thiab kev sib deev tshwm sim.
• Txoj kev ntawm lub qe uas tau sib xyaw mus rau lub tsev menyuam: Lub qe uas tau sib xyaw - peb hu nws ua lub qe menyuam - mus ncig los ntawm lub raj fallopian mus rau lub tsev menyuam. Nyob ntawd, nws cog rau hauv phab ntsa ntawm lub tsev menyuam thiab pib loj hlob mus ua ib tug menyuam hauv plab. Cov leeg nqaij muaj zog hauv lub raj fallopian pab nqa lub qe menyuam no.

Puas ua tau kom cev xeeb tub tsuas yog muaj ib lub raj fallopian xwb?

Yog, nws ua tau. Tej zaum koj yug los nrog ib lub raj fallopian xwb, lossis koj yuav tau raug tshem tawm ib lub vim muaj mob lossis raug xwm txheej. Yog tias koj muaj tsawg kawg ib lub raj fallopian thiab zes qe menyuam noj qab nyob zoo , thiab koj lub voj voog tsis tu ncua, koj yuav xeeb tub. Tsis tas li ntawd, muaj ntau txoj hauv kev los muaj menyuam txawm tias koj tsis muaj ob lub raj fallopian. In Vitro Fertilization (IVF) yog ib txoj kev uas cuam tshuam nrog in vitro fertilization ., ib txoj kev kho mob uas tsis tas yuav siv cov raj fallopian li. Yog li ntawd, tsis txhob tso tseg kev cia siab.

Cov raj fallopian no nyob qhov twg? Lawv cov feem yog dab tsi?

Koj muaj ob lub raj fallopian. Ib lub nyob rau sab xis ntawm koj lub tsev menyuam, thiab ib lub nyob rau sab laug. Txhua lub raj pib ntawm lub zes qe menyuam thiab txuas rau koj lub tsev menyuam. Tam sim no cia peb saib plaub qhov tseem ceeb ntawm lub raj fallopian. Qhov no yog me ntsis kev tshawb fawb, tab sis nws yog qhov zoo kom paub.

• Infundibulum: Qhov no yog qhov zoo li lub raj uas nyob ze tshaj plaws rau lub zes qe menyuam. Cov qhov zoo li tus ntiv tes hu ua fimbriae nyob ntawm no. Ib qho ntawm cov fimbriae no, ib qho tshwj xeeb hu ua fimbria ovaryana, nthuav dav mus txog rau lub zes qe menyuam. Thaum lub qe tawm hauv lub zes qe menyuam, cov fimbriae no ntes nws thiab rub nws mus rau hauv lub raj fallopian.
• Ampulla: Qhov no yog qhov tseem ceeb thiab ntev tshaj plaws ntawm lub raj fallopian. Nws nyob nruab nrab ntawm infundibulum thiab qhov tom ntej hu ua isthmus. Feem ntau, lub qe thiab phev sib ntsib thiab raug chiv rau hauv thaj chaw no hu ua ampulla.
• Isthmus: Qhov no yog ib txoj kab nyias nyias uas txuas lub ampulla thiab ib feem ntawm lub raj ze tshaj plaws rau lub tsev menyuam.
• Qhov Intramural/Interstitial Portion: Qhov no yog ib feem ntawm lub raj fallopian uas txuas rau sab saum toj ntawm lub tsev menyuam. Nws qhib ncaj qha mus rau hauv lub qhov tsev menyuam. Lub qe (embryo) uas tau cog rau hauv phab ntsa tsev menyuam thiab pib loj hlob mus ua ib tug menyuam los ntawm qhov ntawd.

Lub raj fallopian loj npaum li cas? Lawv ua los ntawm dab tsi?

Feem ntau, ib txoj hlab qe menyuam ntev li ntawm 4 thiab 5 ntiv tes . Thiab nws txoj kab uas hla, lossis tuab, yog ntawm 0.2 thiab 0.6 ntiv tes. Mos heev, puas yog? Cov hlab qe menyuam mos no muaj ob txheej tseem ceeb:

• Cov Ncab Qhwv: Qhov no yog daim ntaub nyias nyias sab hauv lub raj fallopian. Nws tso tawm cov kua tshwj xeeb. Cov kua no tsim ib puag ncig zoo rau kev sib xyaw ua ke thiab rau tus menyuam hauv plab kom loj hlob hauv lub raj. Tsis tas li ntawd, daim ntaub no muaj cov qauv me me zoo li cov plaub hau, uas peb hu ua "Cilia". Cov "Cilia" no txav mus los zoo li cov txhuam me me, thawb lub qe, phev, thiab tus menyuam hauv plab (yog tias tau sib xyaw ua ke) raws lub raj mus rau lub tsev menyuam .
• Cov Txheej Nqaij: Phab ntsa ntawm lub raj fallopian yog ua los ntawm ntau txheej nqaij. Txheej sab nraud tshaj plaws yog ua los ntawm cov leeg nqaij du thiab ntev. Txheej sab hauv tshaj plaws yog ua los ntawm cov leeg nqaij voj voog. Thaum cov leeg no cog lus (piv txwv li, tawv), lawv pab thawb qe, phev, lossis embryo hla lub raj, nrog rau kev pab los ntawm cilia.

Cov mob dab tsi uas feem ntau cuam tshuam rau cov raj fallopian?

Tam sim no peb paub tias cov raj fallopian tseem ceeb npaum li cas rau cov phev kom ntsib lub qe thiab rau kev nqa lub qe uas tau xeeb tub mus rau lub tsev menyuam. Yog li, yog tias muaj kev thaiv hauv koj cov raj fallopian, lossis yog tias muaj qhov tsis zoo ntawm cov raj, koj yuav muaj teeb meem xeeb tub. Qhov tseeb, ntawm 20% thiab 30% ntawm cov teeb meem tsis muaj menyuam yog los ntawm teeb meem nrog cov raj fallopian ('(Tubal Factor Infertility)'). Nov yog qee qhov mob uas tuaj yeem cuam tshuam rau cov raj fallopian:

• Cev Xeeb Tub Tsis Muaj Me Nyuam/Tub: Qhov no yog thaum lub qe menyuam cog rau hauv lub raj fallopian es tsis yog phab ntsa ntawm lub tsev menyuam. Cov kev xeeb tub no tsis ua tiav thiab tuaj yeem ua rau tuag taus yog tias tsis kho sai.
• Endometriosis: Qhov no yog thaum cov nqaij zoo li daim ntaub ntawm lub tsev menyuam loj hlob sab nraud lub tsev menyuam, qee zaum thaiv lossis ua rau cov hlab ntaws tawg. Qhov no tuaj yeem ua rau nws nyuaj rau xeeb tub.
• Mob Qog Ncauj Tsev Me Nyuam: Tam sim no tau pom tias qee hom mob qog noj ntshav uas yav dhau los tau muab faib ua mob qog noj ntshav zes qe menyuam yeej pib hauv cov hlab tsev me nyuam. Tshwj xeeb, ib hom hu ua mob qog noj ntshav zes qe menyuam qib siab feem ntau pom nyob rau theem kawg, thaum txoj kev kho mob tsawg. Kev tshawb fawb tshiab qhia tias mob qog noj ntshav no yuav pib hauv cov hlab tsev me nyuam, tsis yog zes qe menyuam.
• Fibroids: Txawm hais tias cov fibroids feem ntau tshwm sim hauv lub tsev menyuam, lawv qee zaum tuaj yeem tsim nyob rau hauv cov hlab ntsha fallopian thiab thaiv lawv.
• Hydrosalpinx: Cov kua dej tuaj yeem sib sau ua ke hauv cov raj fallopian vim muaj xwm txheej lossis kev kis kab mob. Qhov kev thaiv no tuaj yeem ua rau nws nyuaj rau xeeb tub.
• Cov Pob Txha Paratubal: Cov no yog cov pob txha uas muaj kua dej nyob ze ntawm cov zes qe menyuam thiab cov raj fallopian. Cov no yog cov mob uas tsis yog mob qog noj ntshav (benign) thiab feem ntau ploj mus yam tsis tas kho.
• Kab mob Salpingitis/Kab mob Pelvic Inflammatory Disease (PID): Kab mob Salpingitis yog kev o lossis o ntawm cov hlab ntaws qe menyuam. Feem ntau nws yog los ntawm kev kis kab mob. Kab mob Salpingitis yog ib hom kab mob pelvic inflammatory disease (PID). Yog tias PID tsis kho kom zoo, nws tuaj yeem ua rau tsis muaj menyuam thiab ua rau muaj kev pheej hmoo ntawm kev xeeb tub ectopic. Kab mob Chlamydia, kab mob gonorrhea, thiab kab mob ntsws ntawm qhov chaw mos tau txuas nrog PID thiab tsis muaj menyuam.

Tsis tas li ntawd xwb, qee qhov teeb meem tsis zoo thiab cov qhov txhab tom qab phais plab kuj tseem tuaj yeem ua rau muaj teeb meem txog kev xeeb tub ntsig txog cov raj fallopian.

Yuav ua li cas thiaj kuaj tau seb cov raj fallopian puas noj qab nyob zoo?

Yog tias koj muaj teeb meem xeeb tub, cov kws kho mob yuav ua ntau yam kev kuaj mob los xyuas seb puas muaj kev thaiv hauv koj cov raj fallopian. Nov yog qee qhov ntawm lawv:

• Hysterosalpingogram (HSG): Qhov no yog ib qho kev kuaj uas siv cov duab X-rays thiab cov xim tshwj xeeb. Nws yog siv los kuaj mob cev xeeb tub thiab teeb meem kev xeeb tub. HSG qhia seb koj cov hlab qe menyuam puas raug thaiv.
• Kev kuaj lub tsev menyuam hauv plab (hysteroscopy): Qhov no suav nrog kev saib sab hauv lub tsev menyuam siv lub cuab yeej nyias nyias, lub teeb hu ua hysteroscope. Qhov no feem ntau ua tom qab HSG los xyuas kom meej tias cov raj fallopian puas raug thaiv.
• Kev kuaj ultrasound nrog cov tshuaj saline (Sonohysterogram): Qhov no yog kev kuaj ultrasound. Lub tsev menyuam puv nrog cov kua saline. Nws kuj tseem tuaj yeem kuaj xyuas seb cov hlab ntaws puas raug thaiv.
• Kev Siv Tshuaj Ntsuam Xyuas Hysterosalpingo Contrast Sonography (HyCoSy): Qhov no kuj yog kev siv ultrasound. Cov raj fallopian puv nrog cov kua uas muaj cov npuas cua lossis ua npuas dej. Cov kua ntws tuaj yeem siv los ntes cov khoom thaiv.
• Laparoscopy: Qhov no yog ib qho kev phais me me uas zoo ib yam li kev phais. Ib lub cuab yeej me me uas muaj lub koob yees duab hu ua laparoscope siv los kuaj seb puas muaj kev thaiv hauv cov raj fallopian. Qee zaum, koj tus kws kho mob yuav pom zoo kom ua ke ntawm laparoscopy thiab kev kuaj xim tshwj xeeb. Qhov no yuav pab koj pom tias cov xim txav mus li cas (lossis tsis txav) los ntawm cov raj fallopian.

Cov kev kho mob rau cov teeb meem ntawm txoj hlab qe menyuam yog dab tsi?

Thaum kho cov mob uas cuam tshuam nrog cov raj fallopian, tej zaum yuav tsim nyog kho lossis tshem tawm ib lossis ob lub raj.

• Salpingectomy: Qhov no suav nrog kev phais tshem tawm ib lossis ob lub raj xa qe menyuam (bilateral salpingectomy).
• Salpingo-oophorectomy: Qhov no suav nrog kev tshem tawm ob qho tib si cov raj fallopian thiab ovaries.
• Salpingostomy: Qhov no suav nrog kev txiav hauv lub raj fallopian kom tshem tawm qhov cev xeeb tub ectopic, tshem tawm qhov txhaws hauv lub raj, lossis kho cov ntaub so ntswg puas lawm.
• Kev Phais Kho Tubal: Cov txheej txheem no yog siv los thim rov qab qhov kev khi tubal lossis kho cov hlab ntsha fallopian uas puas lawm.
• Tubal Ligation: Qhov no yog ib txoj kev npaj tsev neeg uas feem ntau hu ua "khi cov raj." Hauv txoj kev no, cov raj fallopian raug txiav lossis thaiv, tiv thaiv qe thiab phev kom tsis txhob sib ntsib.

Tej yam yooj yim uas peb ua tau los ua kom cov hlab ntaws noj qab nyob zoo yog dab tsi?

Qhov tseeb, muaj ntau yam mob uas cuam tshuam rau cov hlab qe menyuam uas peb tswj tsis tau. Txawm li cas los xij, peb tuaj yeem ua cov kauj ruam los tiv thaiv peb tus kheej ntawm cov kab mob uas tuaj yeem ua rau cov hlab qe menyuam puas tsuaj thiab ua rau tsis muaj menyuam.

Kev xyaum ua kev sib deev kom muaj kev nyab xeeb thiab txwv tus naj npawb ntawm cov neeg koom tes sib deev txo qhov kev pheej hmoo ntawm kev kis kab mob los ntawm kev sib deev (STIs), uas tuaj yeem ua rau muaj PID.

Cov hlab qe menyuam ua haujlwm ua tus choj ntawm txoj haujlwm tseem ceeb ntawm koj lub zes qe menyuam thiab txoj haujlwm tseem ceeb ntawm koj lub tsev menyuam. Yog vim li ntawd tej yam mob uas cuam tshuam tsis zoo rau cov hlab qe menyuam tuaj yeem cuam tshuam tsis zoo rau koj txoj kev muaj menyuam.

Yog li ntawd, peb tau kawm dab tsi los ntawm zaj dab neeg no? (Cov Lus Coj Mus Tsev)

Zoo, yog li hnub no peb tau tham ntau txog cov raj Fallopian, puas yog? Qhov tseem ceeb tshaj plaws uas yuav tsum nco ntsoov yog tias lawv yog ib feem tseem ceeb heev, thiab yooj yim heev, ntawm koj lub cev xeeb tub.

• Cov hlab ntsha fallopian yog cov hlab ntsha uas nqa cov qe los ntawm lub zes qe mus rau lub tsev menyuam, thiab yog qhov chaw uas kev xeeb tub tshwm sim.
• Kev noj qab haus huv ntawm cov no muaj feem cuam tshuam loj heev rau kev xeeb tub.
• Cov kab mob tuaj yeem ua puas tsuaj rau cov no, yog li nws yog ib qho tseem ceeb uas yuav tsum xyaum kev sib deev kom muaj kev nyab xeeb .
• Yog tias koj muaj teeb meem xeeb tub vim yog koj cov hlab qe menyuam muaj teeb meem, tsis txhob tso tseg kev cia siab . Muaj cov kev kho mob niaj hnub no xws li '(In Vitro Fertilization - IVF)'.
• Yog koj muaj lus nug lossis kev tsis ntseeg, tsis txhob yig nrog kws kho mob lossis kws tshwj xeeb txog kev xeeb tub tham . Lawv yuav pab koj.

Tau txais nws? Kev paub txog koj lub cev yog txoj hauv kev zoo tshaj plaws los noj qab haus huv.

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