He moemoeā ataahua te moemoeā kia noho hei whaea, hei matua rānei i roto i te oranga o te katoa. Engari i ētahi wā, he uaua te whakatutuki i tēnei moemoeā. He tukanga uaua te haputanga o te tamaiti. Me hono tahi, me mahi pai hoki ngā wāhanga iti rawa o te tinana. I tēnei rā ka kōrero tātou mō tētahi okana iti, whakamiharo kāore anō kia rongohia e te tini o te tangata, engari koinei te ara ki te whānau tamariki. Ko ngā Fimbriae tēnā.
He whakarāpopototanga, he aha ēnei fimbriae?
Whakaarohia ō ngongo Fallopian hei ngongo iti e rua e rere ana mai i tō ovary ki tō kōpū. Kei ngā pito o aua ngongo, e tata ana ki te ovary, he pūwero ririki e rite ana ki ngā maihao o te ringa. Ko ēnei wāhanga ririki rite ki te maihao ka kiia ko ngā fimbriae .
He wāhanga ngawari, he wāhanga nekeneke ēnei, pērā i ngā rau o te putiputi, i te mura rānei o te mura. He wāhanga tino nui ēnei o te ngongo whēkau. Ki te kore ēnei, ka kore e taea te taahiraa tuatahi o te tukanga haputanga.
He aha te mahi a ngā fimbriae? He aha te hiranga o tēnei?
Hei mārama ki tēnei, me mahara tātou ki te tukanga haputanga o te tamaiti. I ia marama, ka tukuna e te ovary o te wahine he hua manu (ovum). Ka kiia tēnei ko te ovulation.
Koinei te tīmatanga o te mahi a tō tātou toa, te fimbriae.
1. Te hopu i te hua manu: Ina tukuna te hua manu mai i te ovary, ka kukumea ngā fimbriae e tata ana ki a ia, pērā i te aukume, e karapoti ana i te ovary. Kātahi ka hopukina marietia te hua manu i tukuna, pērā i te kaitākaro kirikiti mohio e tiaki ana i te pōro.
2. Te arataki ki te ngongo fallopian: Whai muri i te hopunga o te hua manu, ka tīmata te neke tere o ngā wāhanga huruhuru angiangi (e kiia nei ko te cilia ) i runga i te mata o ngā fimbriae i te huarahi kotahi, pērā i te paraihe e paraihe ana i te paraihe. Mā tēnei nekehanga ka pana mārire te hua manu kua hopukina ki roto i te ngongo fallopian.
He māmā noa iho, he rite ngā fimbriae ki tētahi piriti i waenganui i te ovary me te ngongo fallopian. Ka whakaputa te ovary i te hua manu, ā, ka hopukia e ngā fimbriae taua hua manu ka whakanohoia ki roto i te ngongo fallopian. Ki te kore tēnei e mahi tika, e kore rawa te hua manu e tae atu ki tana haerenga ki te tūtaki ki tētahi parāoa.
I muri i te urunga ki roto i te ngongo whooping ka whai wāhi te parāoa e tomo mai ana i te wā moepuku ki te tūtaki ki tēnei hua manu, ā, ka whakatōkia. Mēnā ka whakatōkia, ka huri hei kukune ka whakatōkia ki roto i te kōpū, ka whanake hei tamaiti.
Katahi koe ka mārama he mea tino uaua ki te whakaaro he tamariki kei te kore tēnei wāhanga iti, pērā i ēnei maihao?
Ka taea te pakaru i ngā fimbriae? Mēnā ka pakaru, ka aha?
Āe, heoi anō, ka taea te pakaru i ēnei wāhanga ngawari. Ki te pakaru, ka waiho hei tino take o te kore tamariki. Nā te mea kāore e taea e ngā fimbriae kua pakaru te neke noa, te karapoti i te ovary, me te hopu i te hua manu. I ētahi wā ka piri tahi ēnei wāhanga rite ki te matihao, ka ārai i te waha o te ngongo fallopian.
He maha ngā āhuatanga hauora nui ka puta ai tēnei āhuatanga.
| Āhuatanga hauora | Ko te whakaaro noa iho | Ngā pānga ki ngā fimbriae |
|---|---|---|
| Te Salpingitis | He mate pāwera tēnei, he pupuhi hoki o ngā ngongo ū. He wāhanga tēnei o te mate e kiia nei ko te Pelvic Inflammatory Disease (PID). | He maha ngā wā ka puta mai tēnei mate i ngā mate kitakita i tukuna i roto i te taatai, pērā i te Chlamydia me te gonorrhea, kāore i rongoatia. I te wa e ora ana te mate, ka pakaru pea te kiko ngawari o te fimbriae, ka piri tahi hei hua o te tukanga whakaora o te tinana. |
| Pyosalpinx | Te kohikohinga o te pupuhi i roto i te ngongo fallopian. | Ina piri ngā fimbriae ki a rātou anō, ā, ka ārai i te whakatuwheratanga o te ngongo fallopian, kāore he ara e puta ai te waikura mai i te mate, ā, ka whakakīia te ngongo. Ka kino anō tēnei i te ngongo me ngā fimbriae. |
| Hydrosalpinx | Te kohikohinga o te wai i roto i te ngongo fallopian. | He rite tonu tēnei ki te āhuatanga i runga ake nei. Nā te mea kua āraia ngā fimbriae, kāore e taea e ngā wai e puta noa ana i roto i te ngongo te puta, te kohikohi rānei i roto i te ngongo, ka pupuhi te ngongo. Ka kino pea tēnei wai ki te tamaiti kei roto i te kōpū. |
He hononga kei waenganui i te mate pukupuku me te fimbriae?
Kua whakaatuhia e ngā rangahau hou ko ētahi mate pukupuku whatukuhu kaha (ina koa ko ngā High-Grade Serous Carcinomas - HGSC ) kāore e tīmata i roto i ngā whatukuhu, engari i roto i ngā ngongo fallopian, inā koa i roto i ngā fimbriae. Kei te rangahauhia tonutia tēnei, engari e whakaatu ana i te hiranga o te hauora o tēnei wāhanga iti.
Ka taea e au te mōhio ki te hauora o aku fimbriae?
Āe, ki te mea kei te pāngia koe e ngā raruraru whakawhānau, ka tūtohu pea tō tākuta kia tirohia te ngongo fallopian. Ka taea hoki e ēnei whakamātautau te hoatu whakaaro ki a koe mō te āhua o ngā fimbriae. Ko te nuinga o te wā ka tirohia mēnā kua āraia, kua tuwhera rānei ngā ngongo fallopian.
- Hysterosalpingogram (HSG): He whakamātautau hihi-X tēnei. Ka whakaurua he tae motuhake ki roto i te kōpū mā te cervix, ā, ka tangohia he whakaahua hihi-X hei tirotiro mēnā kei te neke noa te tae i roto i ngā ngongo fallopian, kei te puta mai rānei i ngā pito o ngā ngongo.
- Te sonography Hysterosalpingo contrast (HyCoSy): He rite tēnei ki te whakamātautau i runga ake nei, engari ka whakamahia he matawai ultrasound hei utu mō ngā hihi-X. Ka whakamahia he wai tote motuhake, he mirumiru hau rānei hei tirotiro i te nekehanga o ngā ngongo.
- Laparoscopy: He pokanga iti tēnei e mahia ana i raro i te mate whakamoe. Ka tapahia he iti ki roto i te puku, ā, ka whakaurua he taputapu angiangi me te kāmera hei tirotiro i ngā ngongo fallopian, ngā fimbriae, me ngā ovaries me ngā kanohi e rua. Mena e tika ana, ka taea te werohanga i tētahi tae kikorangi ki roto i te kōpū i tēnei wā (e kiia nei ko te chromopertubation ) hei tirotiro mena ka puta te tae i roto i ngā fimbriae. Koinei te huarahi pai rawa atu, me te huarahi tika rawa atu hoki hei tirotiro i te āhua o ngā ngongo fallopian (paerewa koura) .
Ka taea te whakaora i ngā fimbriae kua pakaru?
I ētahi wā, ka taea e te pokanga te whakatika i ngā fimbriae kua pakaru ki tētahi taumata.
- Fimbrioplasty: He tikanga pokanga tēnei e wehewehe ana i ngā fimbriae e piri tahi ana, ka hanga anō i a rātou kia taea ai e rātou te neke haere noa.
- Salpingostomy: Mena ka āraia te pito o te ngongo fallopian (te taha me ngā fimbriae), ka tangohia te ārai, ā, ka hangaia he kōhao hou.
Heoi, ehara ēnei pokanga i te mea mā te katoa, ā, ehara i te mea ko te angitu katoa te mea e 100%. He maha ngā āhuatanga e whakawhirinaki ana ki ngā hua, pērā i te āhua o te kino me te tau o te tūroro. Mā tō tākuta e whakatau ko tēhea te maimoatanga e pai ana māu. I ētahi wā, mēnā kua tino kino ngā ngongo fallopian, me whakamahi pea koe i ētahi atu huarahi, pērā i te IVF (whakatōkī in vitro) .
Me aha tātou hei tiaki i tēnei okana utu nui?
Ko te mea nui i konei ko te 'he pai ake te ārai i te rongoā' . Ko te tino take o te kino o ngā fimbriae ko ngā mate urutā (STI) kāore i rongoatia. Nō reira, ko te mea pai ko te tiaki i a koe anō mai i aua mate.
- Moe haumaru: Āta karohia te moe kore tiaki. Mā te whakamahi i ngā tikanga ārai whānau pērā i te ure tāwharau ka ārai i ngā mate tuku iho.
- He hoa pono: Mā te whakawhāiti i a koe ki te hoa kotahi ka tino whakaiti i te mōrearea.
- Kia tūpato ki ngā tohu: Ki te puta mai ngā tohu pēnei i te rere o te tara, te mamae o raro o te puku, te wera rānei i te wā e mimi ana, kaua e warewaretia . Tirohia te tākuta tonu.
- Whiwhi maimoatanga tika: Ki te kitea he mate tuku iho tōu, me whiwhi i te maimoatanga katoa i whakaritea e tō tākuta. Kaua e mutu i waenganui. He mea nui hoki kia whakamātauria, kia rongoatia hoki tō hoa mēnā e tika ana. Ki te kore, ka pangia anō koe e te mate.
He mea tino nui tō hauora whānautanga i roto i tō koiora. Ko te tiaki i tēnei hauora, me te mōhio ki tēnei hauora, koia te haumitanga nui rawa atu ka taea e koe te mahi mō tō heke mai.
Karere Tangohia ki te Kāinga
- He mea tino nui ngā fimbriae, he rite ki ngā maihao kei ngā pito o ngā ngongo fallopian e hopu ana i te hua manu, e ārahi ana hoki ki roto i te ngongo.
- Ki te kore he fimbriae hauora, he tino uaua ki te hapu ā-taiao.
- Ka taea e ngā mate urutā (PID) i puta mai i ngā mate tuku iho (STI) kāore i rongoātia pērā i te chlamydia me te gonorrhea te kino nui ki ngā fimbriae.
- Mena kua tomuri koe ki te hapu, he mea nui kia tirohia te āhua o ngā ngongo fallopian me ngā fimbriae. He whakamātautau mō tēnei pēnei i te HSG, HyCoSy, me te Laparoscopy.
- Ko te huarahi pai hei ārai i te kino o ngā fimbriae ko te mahi i te moe haumaru me te rapu maimoatanga wawe mō ngā mate tuku iho i te taatai.
- Mena he raruraru, he ruarua rānei āu mō tēnei mea, kaua e whakaroa, me toro atu ki tō tākuta wahine mō ētahi tohutohu.
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