Kia mōhio tātou he aha ēnei mea e pā ana ki ō ngongo whēkau.

Ina rongo te nuinga o te tangata i te kupu 'ngā ngongo whēkau', kāore rātou i te tino mōhio he aha rātou, kei hea rātou i roto i te tinana, me ā rātou mahi rānei. Engari he tino mea nui ēnei okana mō tō hauora uri, inā koa mēnā kei te ngana koe ki te hapu. Nō reira, i tēnei rā, me kōrero tātou mō ngā ngongo whēkau i roto i ngā kupu māmā noa iho, āe?

He aha ēnei ngongo whēkau?

He whakarāpopototanga noa iho, ko ngā ngongo fallopian he ngongo angiangi e rua e takoto ana i waenganui i ō ovaries (te wāhi e puta ai ngā hua manu) me tō kōpū (te wāhi e whanake ai te hua manu kua whakatōkia hei tamaiti). He rite rātou ki te ara mai i te ovaries ki te kōpū. He nui te pānga o te hauora o ēnei ngongo fallopian ki tō momonatanga, arā, ko tō kaha ki te hapu i tētahi tamaiti.

He aha te mea e tupu ana ki ngā ngongo fallopian?

Whakaarohia, he tohu tino nui ēnei ngongo fallopian i roto i te tukanga haputanga o te tamaiti i roto i tō tinana. Mātakihia te āhua o te tupu:

• He wāhi hei pupuri i te hua manu: I ia marama, hei wāhanga o tō huringa paheketanga , ka tukuna he hua manu kua pakeke mai i tētahi o ō ovaries. Kātahi, ko ngā hanganga iti rite ki te matihao kei te pito o te ngongo fallopian - e kiia nei e mātou ko ngā fimbriae - ka hopu i te hua manu ka kumea ki roto i te ngongo. Kātahi ka noho te hua manu ki reira kia tae mai rā anō te parāoa.
• Te wāhi e puta ai te whakatō: Ina moe tāne koe me tō hoa, ka haere tana parāoa mā roto i te tara , te kaki , me te kōpū, kātahi ka uru ki ngā ngongo fallopian . I roto i ēnei ngongo fallopian ka tūtaki te hua manu me te parāoa , ā, ka puta te whakatō .
• Te ara o te hua manu kua whakatōkia ki te kōpū: Ka haere te hua manu kua whakatōkia - e kīia ana e mātou he kukune - mā roto i te ngongo fallopian ki te kōpū. I reira, ka whakatōkia ki te pakitara kōpū ka tīmata te whanake hei kukune. Mā ngā uaua kaha i roto i te ngongo fallopian ka āwhina ki te kawe i tēnei kukune .

Ka taea te hapu me te ngongo fallopian kotahi anake?

Āe, tera pea. Tērā pea ka whānau mai koe me te kotahi noa te ngongo fallopian, i tangohia rānei tētahi nā tētahi mate hauora, nā tētahi aituā rānei. Mena he kotahi te ngongo fallopian me te ovary hauora kei a koe , ā, he auau tō huringa paheketanga, tera pea ka hapu koe. Hei tāpiri, tera pea he huarahi hei whānau pēpi ahakoa kāore i a koe ngā ngongo fallopian e rua. Ko te Whakatōnga In Vitro (IVF) he tikanga e uru ana ki te whakatōnga in vitro ., he maimoatanga kāore e hiahiatia ngā ngongo fallopian. Nō reira kaua e mutu te tumanako.

Kei hea ēnei ngongo whooping? He aha ngā wāhanga o aua ngongo?

E rua ō ngongo whēkau. Kei te taha matau o tō kōpū tētahi, kei te taha maui tētahi. Ka tīmata ia ngongo i te ovary ka hono atu ki tō kōpū. Nā, me titiro tātou ki ngā wāhanga matua e whā o te ngongo whēkau. He āhua pūtaiao tēnei, engari he mea pai kia mōhio.

• Infundibulum: Koinei te wāhanga āhua-āwhiowhio e tata ana ki te ovary. Kei konei ngā wāhanga rite-maihao e kiia nei ko ngā fimbriae. Ko tētahi o ēnei fimbriae, he mea motuhake e kiia nei ko te fimbria ovariana, ka toro atu ki te ovary. I te wehenga atu o te hua manu i te ovary, ka hopukina e ēnei fimbriae ka kumea ki roto i te ngongo fallopian.
• Ampulla: Koinei te wāhanga matua me te wāhanga roa rawa o te ngongo fallopian. Kei waenganui i te infundibulum me te wāhanga e whai ake nei e kiia nei ko te isthmus. I te nuinga o te wā, ka tūtaki te hua manu me te parāoa, ā, ka whakamomonahia ki tēnei wāhanga e kiia nei ko te ampulla.
• Te Whenua Tūroa: He ara tino angiangi tēnei e hono ana i te ampulla me te wāhanga o te ngongo e tata ana ki te kōpū.
• Wāhanga Ā-roto/I waenganui i te kōpū: Koinei te wāhanga o te ngongo fallopian e piri ana ki te tihi o te kōpū. Ka puare tika ki roto i te kōhao kōpū. Ka whakatōngia te hua manu kua whakatōkia (embryo) ki te pakitara kōpū, ā, mai i reira ka tīmata te whanake hei pēpi.

He aha te rahi o te ngongo whooping? He aha ngā mea hanga o roto?

Ko te tikanga, ko te roa o te ngongo fallopian kotahi kei waenganui i te 4 me te 5 inihi . Ā, ko tōna whānui, ko tōna matotoru rānei, kei waenganui i te 0.2 me te 0.6 inihi. He tino ātaahua, tika? E rua ngā paparanga matua o ēnei ngongo ātaahua:

• Kiriuhi Huka: Koinei te arai angiangi rawa o roto i te ngongo fallopian. Ka tukuna he wai motuhake. Ka hangaia e tēnei wai he taiao e tika ana mō te whakatō me te whanaketanga o te kukune i roto i te ngongo. Waihoki, he iti rawa ngā hanganga rite ki te huruhuru o tēnei arai, e kiia nei e tātou ko te "Cilia". Ka neke whakamua, ka neke whakamua ēnei "Cilia" pērā i ngā puruma iti, ka pana i te hua manu, te parāoa, me te kukune (mēnā kua whakatōngia) i te taha o te ngongo ki te kōpū .
• Ngā Papa Uaua: He maha ngā paparanga uaua o te pakitara o te ngongo fallopian. Ko te paparanga o waho he mea hanga ki ngā muka uaua maeneene, roa. Ko te paparanga o roto he mea hanga ki ngā muka uaua porowhita. Ina whakawhāiti ēnei uaua (arā, ka pakari), ka āwhina rātou ki te pana i te hua manu, te parāoa, te kukune rānei mā roto i te ngongo, me te āwhina o ngā cilia.

He aha ngā āhuatanga noa e pā ana ki ngā ngongo fallopian?

E mōhio ana tātou inaianei ki te hiranga o ngā ngongo whakatō kia tūtaki ai te parāoa ki te hua manu, kia haria ai hoki te hua manu kua whakatōkia ki te kōpū. Nō reira, ki te mea he aukati kei roto i ō ngongo whakatō, ki te mea rānei he āhua rerekē o ngā ngongo, tera pea ka uaua ki a koe te hapu. Inaa, i waenga i te 20% me te 30% o ngā take kore tamariki ka puta mai i ngā raruraru o ngā ngongo whakatō (`(Tubal Factor Infertility)`). Anei ētahi āhuatanga noa ka pā ki ngā ngongo whakatō:

• Te Hapūtanga Ectopic/Tubal: Koinei te wā e whakatōngia ai te kukune ki roto i te ngongo fallopian kaua ki te pakitara uterine. Kāore ēnei haputanga e angitu, ā, ka tūpono pea te ora mēnā kāore e rongoatia wawetia.
• Endometriosis: Koinei te wā e tupu ai te kiko e rite ana ki te arai o te kōpū i waho o te kōpū, ā, i ētahi wā ka ārai, ka whara rānei i ngā ngongo fallopian. Ka uaua pea te hapu.
• Matepukupuku o te ngongo whēkau: Kua kitea inaianei ko ētahi momo matepukupuku i whakarōpūtia i mua ko te matepukupuku ovarian ka tīmata i roto i ngā ngongo whēkau. Ina koa, ko te momo e kiia nei ko te matepukupuku ovarian serous teitei ka kitea i ngā wāhanga whakamutunga, i te wā e iti ana te tūponotanga o te whakaora. E kī ana ngā rangahau hou ka tīmata pea tēnei matepukupuku i roto i ngā ngongo whēkau, ehara i te ovaries.
• Ngā Fibroids: Ahakoa te nuinga o te wā ka puta ngā fibroids i roto i te kōpū, i ētahi wā ka puta mai i roto i ngā ngongo fallopian ka aukati i a rātou.
• Hydrosalpinx: Ka taea e te wai te hanga i roto i ngā ngongo fallopian nā te aituā, te mate rānei. Ka uaua pea te hapu nā tēnei aukati.
• Ngā Pūwero Paratubal: He pūwero kī tonu i te wai ēnei e hanga tata ana ki ngā ovaries me ngā ngongo fallopian. He mate kore-matepukupuku (pai) ēnei, ā, he maha ngā wā ka memeha haere me te kore rongoā.
• Te Salpingitis/Te Mate Mumura Pelvic (PID): Ko te Salpingitis he mumura, he pupuhi rānei o ngā ngongo fallopian. He maha ngā wā ka puta mai i te mate. Ko te Salpingitis he momo mate mumura pelvic (PID). Ki te kore e rongoatia tika te PID, ka arahi pea ki te kore tamariki me te whakanui ake i te tūponotanga o te hāputanga ectopic. Kua honoa te Chlamydia, te gonorrhea, me te mate kohi ira ki te PID me te kore tamariki.

Hei tāpiritanga, ko ētahi momo mate whānautanga me ngā koha i muri i ngā pokanga puku ka pāngia ai te momonatanga e pā ana ki ngā ngongo fallopian.

He aha ngā whakamātautau e mahia ana hei tirotiro i te hauora o ngā ngongo fallopian?

Mena kei te raru koe ki te hapu, ka whakahaerehia e ngā tākuta ngā whakamātautau maha hei tirotiro i ngā aukati i roto i ō ngongo whekau. Anei ētahi o aua whakamātautau:

• Hysterosalpingogram (HSG): He whakamātautau tēnei e whakamahi ana i ngā hihi-X me tētahi tae motuhake. Ka whakamahia hei tātaritanga i ngā raruraru hāputanga me te momonatanga. Ka whakaatu te HSG mēnā kua āraihia ō ngongo fallopian.
• Hysteroscopy: Ko te tirotiro i roto i te kōpū mā te whakamahi i tētahi taputapu angiangi, mārama hoki e kiia nei ko te hysteroscope. He maha ngā wā ka mahia tēnei i muri i te HSG hei whakaū mēnā kua āraia ngā ngongo fallopian.
• Sonography werohanga tote (Sonohysterogram): He whakamātautau ultrasound tēnei. Ka whakakīia te kōpū ki te wai tote. Ka taea hoki te tirotiro mēnā he ngongo fallopian kua purua.
• Hysterosalpingo Contrast Sonography (HyCoSy): He ultrasound anō hoki tēnei. Ka whakakīia ngā ngongo fallopian ki tētahi wairewa kei roto he mirumiru hau, he pahuka rānei. Ka taea te whakamahi i te rere o te wairewa hei kite i ngā ārai.
• Laparoscopy: He tikanga iti tēnei e rite ana ki te pokanga. Ka whakamahia he taputapu iti kei roto he kāmera, e kiia nei ko te laparoscope, hei tirotiro i ngā aukati i roto i ngā ngongo fallopian. I ētahi wā, ka tūtohu pea tō tākuta kia whakamahia he laparoscopy me tētahi whakamātautau tae motuhake. Mā tēnei ka āwhina i a koe ki te kite i te neke (te kore rānei) o te tae i roto i ngā ngongo fallopian.

He aha ngā rongoā mō ngā raruraru o te ngongo fallopian?

I te rongoā i ngā mate e pā ana ki ngā ngongo fallopian, me whakatika, me tango rānei tētahi, e rua rānei ngā ngongo.

• Salpingectomy: Ko te tango i tētahi, i ngā ngongo fallopian rānei e rua mā te pokanga (bilateral salpingectomy).
• Salpingo-oophorectomy: Ko te tango i ngā ngongo fallopian me ngā ovaries.
• Salpingostomy: Ko te tikanga tēnei he tapahi i te ngongo fallopian hei tango i te hāputanga ectopic, hei whakakore i te aukati i roto i te ngongo, hei whakatika rānei i te kiko kua pakaru.
• Pokanga Whakahou i ngā Ngongo: Ka whakamahia tēnei tikanga hei whakakore i te herenga ngongo, hei whakatika rānei i ngā ngongo fallopian kua pakaru.
• Te Here i ngā Ngongo: He tikanga whakamahere whānau tēnei e mōhiotia whānuitia ana ko te "here i ngā ngongo." I roto i tēnei tikanga, ka tapahia, ka āraia rānei ngā ngongo fallopian, kia kore ai e tūtaki te hua manu me te parāoa.

He aha ētahi mea ngāwari ka taea e tātou te mahi hei pupuri i te hauora o ngā ngongo whēkau?

Ina hoki, he maha ngā āhuatanga e pā ana ki ngā ngongo fallopian kei tua atu i tā tātou mana whakahaere. Heoi, ka taea e tātou te mahi i ngā mahi hei tiaki i a tātou anō mai i ngā mate ka kino pea ngā ngongo fallopian, ka kore ai e whānau tamariki.

Mā te moe haumaru me te whakawhāiti i te maha o ngā hoa moe ka whakaiti i te mōrearea o ngā mate tuku iho (STI), ka arahi pea ki te PID.

Ko ngā ngongo fallopian te piriti i waenga i te mahi nui a ō ovaries me te mahi nui a tō kōpū. Koia te take ka pā kino ngā āhuatanga e pā kino ana ki ngā ngongo fallopian ki tō momonatanga.

Nā, he aha tā tātou i ako mai i tēnei pūrākau? (Karere hei tango ki te kāinga)

Āe, kua kōrero tātou mō ngā ngongo whēkau i tēnei rā, kāore? Ko te mea nui kia maumahara ko te mea he wāhanga tino nui, he wāhanga tino tairongo hoki o tō pūnaha whakaputa uri.

• Ko ngā ngongo fallopian ngā ngongo e kawe ana i ngā hua manu mai i ngā ovaries ki te kōpū, ā, koinei te wāhi e puta ai te whakatō.
• He nui te pānga o ēnei ki te hauora o te whānautanga o te tamaiti.
• Ka taea e ngā mate pāwera te kino ki ēnei, nō reira he mea nui kia mahi i te moe haumaru .
• Mena kei te uaua koe ki te hapu i tētahi tamaiti nā te raruraru o ō ngongo whakatō, kaua e mutu te tumanako . He maimoatanga hou kei reira pēnei i te `(In Vitro Fertilization - IVF)`.
• Mena he ruarua, he pātai rānei āu, kaua e mangere ki te kōrero ki te tākuta, ki te tohunga whakawhānau rānei . Mā rātou koe e āwhina.

Kei te mārama koe? Ko te mōhio ki tō tinana te huarahi pai rawa atu hei pupuri i te hauora.

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Ngā ngongo whēkau, hauora o ngā wāhine, hauora uri, hapūtanga, kore tamariki, rongoā wahine, aukatinga o ngā ngongo whēkau