Ki te tini, he mea ngaro te kupu 'ngā ngongo pēpi'—he aha ēnei, kei hea rātou, ā, he aha tā rātou mahi? Ko te mea pono, he mea nui ēnei okana mō tō hauora uri, inā koa mēnā kei te hiahia koe ki te whānau. Me titiro noa tātou ki ō ngongo pēpi i tēnei rā, āe?
He aha ngā ngongo Fallopian?
Ki te whakarapopoto, ko ngā ngongo Fallopian he ngongo angiangi e rua e hono ana i te āputa i waenga i ō ovaries (te wāhi e puta ai ngā hua manu) me tō kōpū (te wāhi e tupu ai te hua manu kua whakatōkia hei tamaiti). Whakaarohia rātou hei kuwaha i waenga i te ovaries me te kōpū. He mea nui te hauora o ēnei ngongo ki tō momonatanga—tō kaha ki te hapu i te tamaiti.
He aha tonu te mahi a ngā ngongo whēkau?
Whakaarohia ō ngongo whēkau he hononga nui i roto i te haerenga ki te hāputanga. Anei te mahi:
- Te hopu i te hua manu: I ia marama, hei wāhanga o tō huringa paheketanga , ka tukuna he hua manu kua pakeke mai i te ovary. Ko ngā toronga angiangi, rite ki te matihao i te pito o te ngongo—e mōhiotia ana ko ngā fimbriae —ka totoro atu ki te hopu i te hua manu me te kukume ki roto. Kātahi ka tatari te hua manu ki reira kia tae mai te parāoa.
- Te wāhi e whakatōngia ai: I te wā moe tāne, ka haere te parāoa o tō hoa mā roto i te tara , te kaki , me te kōpū ki roto i ngā ngongo Fallopian . I roto i tēnei ngongo ka tūtaki te parāoa ki te hua manu hei whakatōngia .
- Te kawe i te kukune: Kia whakatōkia, ka haere te hua manu—e kiia nei ko te kukune —mā roto i te ngongo ki te kōpū. I reira, ka piri ki te arai kōpū hei tīmata i te whanaketanga. Mā ngā uaua kaha o roto i te ngongo ka ārahi haumaru i tēnei kukune ki tōna ūnga.
Ka taea e koe te hapu me te kotahi noa te ngongo Fallopian?
Āe, tino tika. Ka whānau mai ētahi tāngata me te ngongo kotahi, ko ētahi kua tangohia pea tētahi nā te mate, nā te whara rānei. Mena he ngongo Fallopian me te ovary hauora tōu, ā, kei te pai te mahi a tō huringa paheketanga, kāore he arai ki te haputanga.
Heoi anō, ahakoa kāore āu ngongo e rua, tera atu anō ngā ara ki te mātuatanga. Ko te Whakatōnga In Vitro (IVF) he maimoatanga motuhake e karo ana i te hiahia mō ngā ngongo Fallopian. Tēnā koa, kaua e ngoikore te tumanako.
Kei hea rātou, ā, he aha ā rātou wāhanga?
E rua ō ngongo Fallopian, tētahi kei te taha matau, tētahi kei te taha maui o te kōpū, e hono ana i ia ovary ki te kōhao kōpū. E whā ngā wāhanga matua o ēnei:
- Infundibulum: Koinei te pūaha āhua-taura e tata ana ki te ovary, kei reira ngā fimbriae i whakahuatia i mua ake nei. Ko tētahi putanga motuhake, ko te fimbria ovarica , e hono tika ana ki te ovary hei whakarite kia hopukina te hua manu.
- Ampulla: Koinei te wāhanga whānui rawa atu, te wāhanga roa rawa atu hoki o te ngongo. Koinei te wāhi e tūtaki ai te hua manu me te parāoa mō te whakatō.
- Te Whenua Tūroa: He awa whaiti, he matotoru te pakitara e hono ana i te ampulla ki te pakitara o te kōpū.
- Wāhanga Ā-roto (Interstitial): Koinei te wāhanga e tika ana mā roto i te pakitara uaua o te kōpū, ka tuwhera tika ki roto i te kōhao kōpū, te wāhi ka tīmata te whakatōnga o te kukune .
He pēhea te rahi, ā, he aha ngā mea i hangaia ai?
Ko te roa o te ngongo Fallopian noa he 4 ki te 5 inihi te roaā, tata ki te 0.2 ki te 0.6 inihi te whānui. He hanganga tino ātaahua ēnei, he mea hanga mai i ngā paparanga matua e rua:
- Kiriuhi mucous : Ka huna e tēnei arai o roto ngā wai motuhake hei waihanga i te taiao tino pai mō te whakatō me te whanaketanga o te kukune i te tīmatanga. Kei roto hoki ngā hanganga iti, rite ki te huruhuru e kiia nei ko te cilia . He rite te mahi a ēnei cilia ki ngā paraihe moroiti, e pana ana i te hua manu, te parāoa, te kukune rānei ki te kōpū .
- Ngā paparanga uaua: He paparanga muka uaua ngā pakitara. Ka whakapoto ēnei i runga i te āhua manawataki, ka mahi tahi me ngā kiriuhi hei ārahi mārire i ngā pūtau whakaputa uri mā roto i te ngongo.
Ngā raruraru noa e pā ana ki ngā ngongo Fallopian
E ai ki tā tātou i tūhura ai, he mea nui te hauora o ēnei ngongo mō te haputanga. Mena he aukati , he rerekē rānei te hanganga o tō puku, ka uaua ake te haputanga. Inaa, tata ki te 20% ki te 30% o ngā take kore tamariki e pā ana ki te kore tamariki o te ngongo .
Anei ētahi o ngā āhuatanga noa ka pā ki ngā ngongo Fallopian:
- Hapūtanga Ectopic/Tubal: Ka puta tēnei ina whakatōngia he hua manu kua whakatōkia ki roto i te ngongo fallopian kaua ki te pakitara kōpū. Kāore e taea e ēnei haputanga te ahu whakamua me te angitu, ā, ki te kore e rongoatia wawetia, ka taea te noho hei āhuatanga ohorere hauora e morearea ana ki te ora.
- Endometriosis: I roto i tēnei āhua, ka tipu te kiko e rite ana ki te arai o te kōpū i waho o te kōpū, ka ārai pea i ngā ngongo fallopian, ka puta rānei he kiko koha, ka uaua ai te haputanga.
- Matepukupuku o te Ngongo Whetu: E whakaatu ana ngā rangahau hou he maha ngā matepukupuku i whakarōpūtia i mua ko te matepukupuku ovarian e ahu mai ana i ngā ngongo whetu. He maha ngā wā ka kitea te matepukupuku ovarian serous teitei i ngā wāhanga o muri mai, ka whakaiti i te reiti angitu o te maimoatanga, e whakaatu ana i te tūranga nui o ēnei ngongo ki te hauora o te wahine.
- Ngā Fibroids: Ahakoa ka puta te nuinga o ngā fibroids i roto i te kōpū, ka taea e rātou te tipu i ētahi wā tata, i roto rānei i ngā ngongo fallopian, ka puta he aukati tinana.
- Hydrosalpinx: He āhuatanga tēnei e aukatia ai te ngongo fallopian, ka kī tonu i te wai nā ngā mate urutā, ngā whara rānei o mua, ka tino ārai i te haputanga tūturu.
- Ngā Pūwero Paratubal: He pēke wai ēnei e tupu tata ana ki ngā ovaries me ngā ngongo fallopian. He pai te nuinga o te wā, ā, ka memeha haere me te kore e hiahiatia he wawaotanga hauora.
- Te Salpingitis/Te Mate Mumura Pelvic (PID): Ko te Salpingitis te mumura o ngā ngongo fallopian, e puta pinepine ana i te mate. He momo motuhake o te Mate Mumura Pelvic (PID). Ki te kore e rongoatia, ka taea e te PID te arahi ki te kore tamariki mō te wā roa me te piki ake o te mōrearea o ngā hāputanga ectopic. Ko ngā mate pēnei i te Chlamydia, te Gonorrhea, me te mate kohi ira tangata he hononga kaha ki te PID me ngā wero momona o muri mai.
Haunga ēnei āhuatanga, ka taea hoki e ngā āhuatanga whānau hou, ngā kiko koha rānei i puta mai i ngā pokanga puku o mua te whai wāhi ki ngā raruraru momona e pā ana ki te ngongo fallopian.
Me pēhea te aromatawai a ngā tākuta i te hauora o ngā ngongo fallopian?
Mena kei te uaua koe ki te hapu, ka tūtohu pea tō tākuta i ētahi whakamātautau tātaritanga hei tirotiro i ngā aukati, i ētahi atu raruraru rānei i roto i ō ngongo fallopian:
- Hysterosalpingogram (HSG): He tikanga hihi-X motuhake e whakamahi ana i te tae rerekē hei tiro i roto i ō ngongo fallopian me te kimi i ngā aukati.
- Hysteroscopy: Ka whakamahia e tēnei tikanga he taputapu angiangi, he mea whakamārama, e kiia nei ko te hysteroscope hei tirotiro i te kōpū. He maha ngā wā ka mahia i muri i te HSG hei whakaū mēnā kua tino āraia te ngongo.
- Sonography werohanga tote (Sonohysterogram): He whakamātautau ultrasound e whakaurua ai te wai tote ki roto i te kōpū hei āwhina i te tirotiro i ngā arai pea.
- Hysterosalpingo Contrast Sonography (HyCoSy): He aromatawai e hangai ana ki te ultrasound e whakamahi ana i tētahi kaihoko rerekētanga (mirumiru, pahuka rānei) hei aroturuki i te āheinga o ngā ngongo fallopian.
- Laparoscopy: He tikanga pokanga iti rawa te whakaekenga e whakamahia ai he kāmera (laparoscope) hei tirotiro tika i ngā ngongo fallopian. Tērā pea ka whakakotahihia tēnei e tō tākuta me te whakamātautau tae hei tirotiro i te rere o te wai i roto i ngā ngongo i te wā tonu.
He aha ngā kōwhiringa maimoatanga mō ngā mate o te ngongo fallopian?
He rerekē ngā maimoatanga mō ngā raruraru o te ngongo fallopian i runga i te kaha o te mate, ā, ko te whakatika, ko te tango rānei i ngā kiko kua pakaru, i ētahi wā, ko ngā ngongo tonu rānei.
- Salpingectomy: Te tango pokanga i tētahi, i ngā ngongo fallopian rānei e rua.
- Salpingo-oophorectomy: Ko te tango pokanga i te ngongo fallopian me te ovary e pā ana.
- Salpingostomy: He tikanga e tapahia ana te ngongo fallopian hei tango i te hāputanga ectopic, hei whakakore i te aukati, hei whakatika rānei i ngā wāhi kua pakaru.
- Pokanga Whakahou i ngā ngongo: He tikanga e whakamahia ana hei whakatika i ngā ngongo kua pakaru, hei whakakore rānei i ngā pokanga here ngongo o mua.
- Te Herenga o ngā Tubal: He momo ārai whānau tuturu noa, e kiia ana ko te "herea o ngā ngongo," ka āraia, ka tapahia rānei ngā ngongo hei ārai i te tūtakitanga o te hua manu me te parāoa.
Me pēhea e taea ai e koe te tiaki i tō hauora uri?
Ahakoa he maha ngā āhuatanga e pā ana ki ngā ngongo fallopian kāore e taea e koe te whakahaere, ka taea e koe te mahi i ngā mahi matatau hei whakaiti i te mōrearea o ngā mate ka arahi ki te whara me te kore tamariki.
Mā te moe haumaru me te whakawhāiti i te maha o ngā hoa moe ka tino whakaiti i te tūponotanga o te pangia e ngā mate tuku iho (STI) e hua ai te PID.
Whakaarohia ō ngongo whooping hei piriti nui i waenganui i ō ovaries me tō kōpū. He mea nui te tiaki i a rātou hei pupuri i tō hauora whānau whānui.
Karere Tangohia ki te Kāinga
Kua kōrerohia e mātou te hiranga o ngā ngongo whooping i tēnei rā. Kia maumahara, he wāhanga tino pai, he wāhanga nui hoki o tō pūnaha whakaputa uri.
- He mea nui ēnei mō te kawe i ngā hua manu me te whakahaere i te whakatōtōtanga.
- Ko tō rātou hauora te mea nui mō te haputanga ā-taiao.
- Ko ngā mahi moepuku haumaru te parepare pai rawa atu mō ngā kino e pā ana ki te mate.
- Mena kei te raru koe i te kore tamariki nā ngā raruraru o te ngongo, kaua e ngoikore te tumanako. He kōwhiringa pai rawa atu ngā hangarau āwhina whānau hou, pērā i te In Vitro Fertilization (IVF).
- Ki te mea he āwangawanga āu, kaua e mangere ki te toro atu ki tētahi tākuta, ki tētahi tohunga whakawhānau rānei i Nirogi Lanka. Kei konei mātou hei tautoko i a koe.
Ko te mārama ki tō tinana te taahiraa tuatahi ki te oranga pai ake.
Ngā Kupumatua: Ngā Tio Whero, Hauora o ngā Wahine, Hauora Whakaputa Uri, Hapūtanga, Kore-tamariki, Whānautanga, Ārai o ngā Tio
