He mea tino nui kia mārama pai ngā wāhine katoa e moemoeā ana kia noho hei whaea mō tōna tinana. Ina kōrero tātou mō tō tātou pūnaha whakaputa uri, he maha ngā wā ka kōrerohia te kōpū me ngā ovaries. Engari he tokomaha te hunga kāore i te tino mārama ki ngā 'ngā ngongo whēkau' e whai wāhi nui ana ki waenganui. Kua rongo pea koe i tēnei ingoa mai i tētahi tākuta, kua rongo rānei koe i tēnei ingoa i a koe e kōrero ana mō ngā whakamātautau e mahia ana ina kua roa rawa te whānautanga o tētahi tamaiti. Nō reira, he aha tonu ēnei ngongo whēkau? He aha te hiranga o ēnei i roto i te tukanga haputanga o tētahi tamaiti? Ka kōrerohia e tātou ēnei mea katoa i tēnei rā, i roto i tētahi huarahi e mārama ai koe.
He whakarāpopototanga noa iho, he aha ēnei ngongo whooping?
Whakaarohia tō pūnaha whakaputa uri hei tāone pukumahi rawa. Ko ngā ovaries o tēnei tāone he wheketere e rua e whakaputa ana i ngā hua manu. Ko te kōpū te kāinga e honoa ai taua hua manu me te parāoa, ka hanga he kukune e tipu haumaru ana mō te 9 marama. Nō reira, me whai ara mai i tēnei wheketere ki te kāinga? Mā taua ara, ko ngā ngongo fallopian taua piriti.
He ngongo iti, uaua ēnei e rua e hono ana i ō ovaries me tō kōpū, i ia taha o tō kōpū. Ehara ēnei i te ngongo noa iho. Ko ēnei ngongo fallopian ngā toa o te tukanga haputanga.
Kia titiro tātou me pēhea. E toru ngā mahi matua a ngā ngongo uterine:
1. Te wāhi e riro mai ai te hua manu: I ia marama, hei wāhanga o tō huringa paheketanga, ka tukuna he hua manu kua pakeke mai i te ovary. I tēnei wā, ka hopukina māriretia te hua manu e ngā hanganga iti rite ki te matimati (e kiia nei ko te 'fimbriae') i te pito o te ngongo fallopian e tata ana ki te ovary, ka kumea māriretia ki roto i te ngongo. Kātahi ka noho te hua manu ki roto i te ngongo kia tae mai rā anō te parāoa.
2. Te wāhi e puta ai te whakatō: Ina moe tāne kōrua ko tō hoa, ka tomo te parāoa ki roto i te kōpū mā te tara, te kaki, me ngā ngongo whēkau. Ina tūtaki te parāoa ki te hua manu e tatari ana i roto i te ngongo, ka puta te merekara o te whakatō . Ko te tikanga o tēnei, kāore ngā hikoinga tuatahi o te oranga o te pēpi e mahia i roto i te kōpū, engari i roto i te ngongo whēkau.
3. Te ara hohe e kawe ana i te hua manu kua whakatōkia ki te kōpū: Ko te kukune e hangaia ana ina honoa te hua manu me te parāoa, kāore e rere noa ki roto i te kōpū. Ka kōpiri ngā uaua ngawari o ngā pakitara o te ngongo fallopian, ā, ka neke ngā huruhuru ririki (cilia) i roto, pērā i te 'whitiki kawe', ā, ka āta panaia tēnei kukune ki te kōpū mō ētahi rā. Kia tae atu ki te kōpū, ka whakatōkia ki roto i te pakitara kōpū, ka tīmata te whanake hei pēpi.
Kua mārama kē koe ehara ngā ngongo fallopian i te rua noa iho ngā ngongo, engari he aha te hiranga o te okana hei whānau tamariki? Mēnā ka hē tetahi wāhanga o tēnei haerenga, ka uaua pea te hapu i te tamaiti.
Kia ako tātou i ētahi atu kōrero mō te hanganga me te wāhi o te ngongo whēkau.
Kia tirohia tēnei okana kia hohonu ake.
Kei hea ēnei e tū ana?
E rua ngā ngongo whēkau kei te tihi o tō kōpū, tētahi kei te taha matau, tētahi kei te taha maui. Ka honoa tētahi pito ki te kōpū, ā, ka tuwhera tētahi pito tata ki te ovary.
Ngā wāhanga o te ngongo fallopian
E 4-5 inihi te roa o tēnei ngongo. E whā ngā wāhanga matua. Mai i te ovary ki te kōpū, ko ēnei wāhanga e whai ake nei:
- Infundibulum: Ko te wāhanga āhua-āwhiowhio e tata ana ki te ovary. Koinei te wāhi e noho ai ngā 'fimbriae' rite-matihao e pupuri ana i te hua manu.
- Ampulla: Ko te wāhanga roa rawa atu, whānui rawa atu hoki o te ngongo. I te nuinga o te wā ka puta te whakamomona i tēnei wāhanga.
- Te Ākau Tūturu: Ko te awa whaiti e hono ana i te ampulla me te wāhanga e tata ana ki te kōpū.
- Wāhanga ā-roto/I waenganui i te kōpū: Ko te pito e toro atu ana mā roto i te pakitara kōpū, ka tuwhera ki roto i te kōhao kōpū. Mā tēnei ka tomo te kukune kua whakatōkia ki roto i te kōpū.
He aha te mea i hangaia ai ēnei?
Ko te pakitara o te ngongo fallopian e rua ngā paparanga matua:
1. Kiriuhi mucous: Ko te kiriuhi angiangi e whakarārangi ana i te roto o te ngongo. Ka tukuna he wai e whakarato ana i te makuku me te kai mō te whakatō me te whanaketanga wawe o te kukune. He mano tini anō hoki ngā huruhuru angiangi (cilia) e pana ana i te hua manu, te parāoa, me te kukune ki te kōpū.
2. Ngā paparanga uaua: Ka āwhina ēnei paparanga uaua ki te neke i ngā mea o roto o te ngongo ki te kōpū mā te whakahekenga auau (peristalsis), he rite tonu ki te mahi a te korokoro ina horomia te kai.
Ngā raruraru me ngā āhuatanga noa ka pā ki ngā ngongo fallopian
Ko te koretake o te mahi a te ngongo whanariki tetahi o ngā tino take o te kore tamariki. Tata ki te 20-30% o ngā tāne me ngā wāhine kāore e whai tamariki nā tētahi momo raruraru o ngā ngongo whanariki. Me titiro tātou ki ētahi o ēnei raruraru noa.
| Āhuatanga hauora | He whakamārama māmā |
|---|---|
| Te Hapūtanga Ectopic | Ka whakatōngia he kukune kua whakatōkia ki roto i te ngongo fallopian, kaua ki roto i te kōpū, ā, ka tipu. He āhuatanga tino morearea tēnei, ā, ka mate pea . Ka pakaru pea te ngongo, ka puta he toto nui ki roto. |
| Te endometriosis | Ko te kiko e tika ana kia noho ki roto i te pakitara o roto o te kōpū ka tipu ki waho o te kōpū, ki ngā wāhi pēnei i ngā ngongo fallopian, ngā ovaries, me ētahi atu. Ka taea e tēnei te aukati, te whara, me te aukati i ngā ngongo, ka whakararuraru i te momonatanga. |
| Te Mate Mumura o te Pelvic (PID) | Ka taea e ngā mate tuku iho i te taatai (hei tauira, te chlamydia, te gonorrhea) te whakararu me te mate pāwera o ngā ngongo fallopian me te rohe e karapoti ana (salpingitis). Ka taea e tēnei te arahi ki te whara o ngā ngongo, te aukati, me te piki ake o te mōrearea o te hāputanga ectopic. |
| Hydrosalpinx | Mā te mate tawhito, mā te pokanga rānei ka āraia te pito o te ngongo, ka whakakīia ki te wai, ka pupuhi hoki. Ka ārai pea tēnei i te nekehanga o ngā hua manu me te parāoa i roto i te ngongo. |
| Ngā Fibroids | Ahakoa te nuinga o te wā ka puta ēnei i roto i te kōpū, i ētahi wā ka puta tata ki ngā ngongo fallopian, ā, ka taea te pēhi me te aukati i ngā ngongo. |
| Matepukupuku o te ngongo whēkau | He tino onge tēnei, engari kua kitea tata nei ko ētahi mate pukupuku i tautuhia i mua he mate pukupuku whatukuhu ka tīmata i roto i ngā ngongo fallopian. |
Ka taea te hapu me te ngongo fallopian kotahi?
He pātai tēnei nā te tini o te tangata. Ko te whakautu, āe, he tino taea!
Tērā pea ka whānau mai te tangata me te kotahi noa te ngongo whēkau. Hei tauira, he hāputanga ectopic, kua tangohia pea te ngongo kotahi mā te pokanga. Mena he kotahi te ngongo whēkau hauora me tōna ovary e pā ana , ā, he auau tō huringa paheketanga, he nui te tūponotanga ka hapu koe.
Ahakoa kua tangohia, kua āraia rānei ngā ngongo whakawhānau e rua, kei reira ngā huarahi hei whānau tamariki mā te whanaketanga o te hangarau o ēnei rā. Ko te Whakatōnga In Vitro (IVF) te otinga pai rawa atu mō ēnei tāngata. I roto i tēnei tikanga, ka whakatōngia ngā hua manu me ngā parāoa ki waho o te tinana, ā, ka whakatōkia te kukune hua ki roto i te kōpū, ā, kāore e hiahiatia ngā ngongo whakawhānau.
Ngā huarahi hei tirotiro i te hauora o ō ngongo fallopian
Mena kei te raru koe ki te hapu, ka tūtohu pea tō tākuta kia tirohia ō ngongo whakatō mō ngā aukati. He maha ngā whakamātautau matua e whakamahia ana hei mahi i tēnei.
| Ingoa o te whakamātautau | I te kīanga māmā noa iho, he aha te mea ka tupu ki tēnei? |
|---|---|
| Te whakamātautau hysterosalpingogram (HSG) | He whakamātautau hihi-X. Ka tukuna he wai motuhake (tae) mā roto i te kaki o te kōpū ki roto i te kōpū me ngā ngongo fallopian, ā, ka tangohia he pikitia hihi-X. Ki te kore e āraia ngā ngongo, ka kitea tēnei wai e rere ana i roto i ngā ngongo ki roto i te kōhao puku. Ki te āraia ngā ngongo, kāore te wai e neke atu i taua wāhi. |
| Te sonography werohanga tote (SIS) | He matawai ultrasound. Ko te whakauru i te wai tote ki roto i te kōpū, me te whakamahi i te matawai hei tirotiro i te roto o te kōpū me te āheinga o ngā ngongo fallopian. |
| Te tirotiro puku | He pokanga iti tēnei. Whai muri i te rongoā whakamoe, ka tapahia he puku, ā, ka whakaurua he taputapu iti me te kāmera hei tirotiro i ngā ngongo fallopian, te kōpū, me ngā ovaries. Koinei te huarahi pai ki te tirotiro i ngā raruraru pēnei i ngā ngongo kua purua me te endometriosis. Mena e tika ana, ka taea te tango i ngā tuitui iti i te wā kotahi. |
Te maimoatanga o ngā raruraru o ngā ngongo fallopian
He rerekē ngā tikanga maimoatanga i runga i te raruraru kua tautuhia.
- Te Whakatōnga o ngā Ngongo:I te wā o te whakamātautau HSG, ka whakamahia he waea angiangi hei whakatuwhera i te aukati iti i te pito o te ngongo e tata ana ki te kōpū.
- Pokanga Laparoscopy: I te wā o te laparoscopy, ka taea te tango i ngā piripono huri noa i ngā ngongo fallopian, ka taea te tango i ngā putunga endometriosis, ka taea rānei te whakatuwhera i tētahi ngongo fallopian kua āraia ('Salpingostomy') ka tangohia rānei ('Salpingectomy') mēnā he Hydrosalpinx.
- Te Whakahoki i te Herenga o ngā Tūpuna: Mena kei te hiahia tētahi wahine kua herea ngā tūpuna hei ārai whānau ki te whānau anō, ka taea e ia te whakamātau ki te hono anō i ngā tūpuna e rua kua tapahia mā te pokanga. Heoi, kāore tēnei e angitu 100%.
- Te Whakatōnga In Vitro (IVF): Mena kua tino pakaru ngā ngongo, kāore rānei e whai hua te pokanga, ko te hangarau IVF te otinga pai rawa atu.
Ngā mea ka taea e tātou te mahi hei pupuri i te hauora o ngā ngongo fallopian
Ahakoa kāore e taea e tātou te whakahaere i ētahi āhuatanga, pērā i te endometriosis, tera ētahi mea ka taea e tātou te mahi hei tiaki i ō tātou ngongo fallopian mai i te mate. Ko te tino take o te kino o te ngongo ko te mate mumura pelvic (PID), e puta mai ana i ngā mate tuku iho i te taatai (STI) kāore i rongoātia .
Nō reira, ko te mea pai rawa atu hei tiaki i a koe mai i ngā mate pāwera mā te moe haumaru (hei tauira, te whakamahi i te ure) me te moe tahi me te hoa pono kotahi anake te mea ka taea e koe te mahi hei pupuri i te hauora o ō ngongo uterine.
Mena kei a koe ngā tohu pēnei i te rere o te tara, te mamae o raro o te puku, te mamae rānei i te wā moe tāne, kaua e whakamā, kaua hoki e whakaroa, me toro atu ki te tākuta tonu . Mā te maimoatanga wawe ka ārai i te kino tuturu o ngā ngongo mai i ngā āhuatanga pēnei i te PID.
Karere Tangohia ki te Kāinga
- He piriti nui ngā ngongo fallopian e kawe ana i ngā hua manu mai i ngā ovaries ki te kōpū, te wāhi e puta ai te whakamomona. He mea nui te pupuri i te hauora o aua hua manu mō te haputanga tūturu.
- Ko ngā ngongo fallopian kua purua, kua pakaru rānei tētahi o ngā tino take o te kore tamariki.
- He āhuatanga ohorere hauora te hāputanga ectopic ka puta i roto i ngā ngongo fallopian, ā, ka mate pea.
- Ko te karo i ngā mate tuku iho i te taatai (STI) mā te moe haumaru te huarahi pai rawa atu hei tiaki i a koe mai i ngā mate o te ngongo uterine.
- Mena kei te whakaroa koe i te haputanga, kei te whakapae rānei koe kei te raru ō ngongo fallopian, he mea tino nui kia kōrero koe ki tō tākuta me te rapu i ngā whakamātautau me te maimoatanga e tika ana.
- Ahakoa kua pakaru ngā ngongo whakawhānau, i ēnei rā kei reira te whai wāhitanga ki te whakatutuki i te moemoeā o te whaea mā roto i ngā hangarau hou pēnei i te IVF.
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