Tiyeni tiphunzire mfundo zokhudza machubu anu a Fallopian | Nirogi Lanka

Kwa ambiri, mawu akuti 'machubu a Fallopian' ndi chinsinsi—kodi ndi chiyani, ali kuti, ndipo amagwira ntchito yanji kwenikweni? Kwenikweni, awa ndi ziwalo zofunika kwambiri pa thanzi lanu lobereka, makamaka ngati mukufuna kuyamba banja. Tiyeni tiwone mosavuta machubu anu a Fallopian lero, sichoncho?

Kodi machubu a Fallopian ndi chiyani?

Mwachidule, machubu a Fallopian ndi machubu awiri opyapyala omwe amatseka mpata pakati pa mazira anu (kumene mazira amapangidwa) ndi chiberekero chanu (kumene dzira loberekedwa limakula kukhala mwana wosabadwa). Ganizirani za iwo ngati njira yolowera pakati pa mazira ndi chiberekero. Thanzi lawo ndilofunika kwambiri pa kubereka kwanu—kuthekera kwanu kutenga pakati.

Kodi machubu a Fallopian amachita chiyani kwenikweni?

Ganizirani kuti njira zanu zolumikizirana ndi mazira (Fallopian tubes) ndizofunikira kwambiri paulendo wopita ku mimba. Umu ndi momwe zimagwirira ntchito:

• Kugwira dzira: Mwezi uliwonse, monga gawo la msambo wanu, dzira lokhwima limatulutsidwa kuchokera ku ovary. Ziphuphu zofewa, zofanana ndi zala kumapeto kwa chubu—zotchedwa fimbriae —zimatambasula dzanja kuti zigwire dzira ndikulikoka mkati. Dzira limayembekezera pamenepo kuti umuna ufike.
• Malo oberekera: Pa nthawi yogonana, umuna wa mnzanu umadutsa m'mimba , pachibelekero , ndi m'chiberekero kupita m'machubu a Fallopian . M'kati mwa chubu ichi momwe umuna umakumana ndi dzira kuti umuna ubereke .
• Kusamutsa mwana wosabadwayo: Dzira likangokumana ndi umuna, lomwe tsopano limatchedwa mwana wosabadwayo , limayenda pansi pa chubu kupita ku chiberekero. Pamenepo, limamatira ku chiberekero kuti liyambe kukula. Kupindika kwa minofu mkati mwa chubu kumathandiza kutsogolera mwana wosabadwayo bwinobwino komwe akupita.

Kodi mungatenge mimba ndi thireyi imodzi yokha ya Fallopian?

Inde, ndithudi. Anthu ena amabadwa ndi chubu chimodzi, pomwe ena mwina adachotsedwa chifukwa cha matenda kapena kuvulala. Ngati muli ndi chubu chimodzi cha Fallopian ndi ovary , ndipo nthawi yanu ya msambo ikuyenda bwino, palibe choletsa kutenga pakati.

Komanso, ngakhale mutakhala kuti mulibe machubu onse awiri, pali njira zina zopezera ana. In Vitro Fertilization (IVF) ndi njira yapadera yochizira yomwe imaposa kufunika kwa machubu a Fallopian kwathunthu. Chonde, musataye mtima.

Kodi zili kuti ndipo ziwalo zake ndi ziti?

Muli ndi machubu awiri a Fallopian, limodzi kumanja ndi lina kumanzere kwa chiberekero, omwe amalumikiza dzira lililonse ndi chiberekero. Machubuwa ali ndi magawo anayi akuluakulu:

• Infundibulum: Iyi ndi khomo looneka ngati funnel lomwe lili pafupi kwambiri ndi ovary, lomwe lili ndi fimbriae yomwe yatchulidwa kale. Choyimira chimodzi, fimbria ovarica , chimalumikizana mwachindunji ndi ovary kuti dzira ligwire.
• Ampulla: Iyi ndi gawo lalikulu komanso lalitali kwambiri la chubu. Apa ndi pomwe dzira ndi umuna zimakumana nthawi zambiri kuti zibereke.
• Isthmus: Iyi ndi njira yopapatiza komanso yokhuthala yomwe imalumikiza ampulla ndi khoma la chiberekero.
• Gawo la mkati mwa chiberekero: Ili ndi gawo lomwe limadutsa pakhoma la minofu ya chiberekero ndikutsegulira mwachindunji m'mimba mwa chiberekero, komwe mwana wosabadwayo amayamba kuikidwa.

Kodi ndi zazikulu bwanji ndipo zimapangidwa ndi chiyani?

Chubu chodziwika bwino cha Fallopian chimakhala chautali wa mainchesi 4 mpaka 5ndipo mainchesi pafupifupi 0.2 mpaka 0.6 m'mimba mwake. Ndi nyumba zofewa kwambiri zopangidwa ndi zigawo ziwiri zazikulu:

• Nembanemba yamkati : Chiwalo chamkatichi chimatulutsa madzi apadera kuti apange malo abwino kwambiri oti mwana abereke komanso kukula msanga kwa mwana wosabadwayo. Chilinso ndi tinthu tating'onoting'ono tofanana ndi tsitsi totchedwa cilia . Cilia iyi imagwira ntchito ngati maburashi ang'onoang'ono, kusuntha dzira, umuna, kapena mwana wosabadwayo kupita ku chiberekero .
• Minofu: Makomawo amakhala ndi zigawo za minofu. Izi zimapindika mozungulira, zikugwira ntchito limodzi ndi cilia kuti zitsogolere maselo oberekera mofatsa kudzera mu chubu.

Mavuto omwe amakhudza machubu a Fallopian

Monga tafotokozera, thanzi la machubu amenewa ndi lofunika kwambiri pakutenga mimba. Ngati muli ndi vuto la kutsekeka kapena kapangidwe kake ka thupi, zingapangitse kuti kutenga mimba kukhale kovuta. Ndipotu, pafupifupi 20% mpaka 30% ya milandu yosabereka imagwirizana ndi kusabereka kwa tubal factor .

Nazi zina mwa matenda omwe amakhudza machubu a Fallopian:

• Mimba Yobereka Pachimake/Yobereka Pachimake: Izi zimachitika dzira lokhala ndi umuna likalowa m'kati mwa thireyi m'malo mwa khoma la chiberekero. Mimba imeneyi singathe kupita patsogolo bwino, ndipo ngati sichitha kuchiritsidwa mwachangu, ikhoza kukhala ngozi yachipatala yomwe ingawononge moyo.
• Endometriosis: Pa vutoli, minofu yofanana ndi chiberekero imakula kunja kwa chiberekero, zomwe zingatseke machubu a fallopian kapena kuyambitsa minofu ya zipsera, zomwe zingapangitse kuti kutenga mimba kukhale kovuta.
• Khansa ya Fallopian Tube: Kafukufuku waposachedwapa akusonyeza kuti khansa zambiri zomwe kale zinkadziwika kuti khansa ya ovarian zimayambira m'machubu a fallopian. Khansa ya ovarian yapamwamba kwambiri nthawi zambiri imapezeka pambuyo pake, zomwe zimachepetsa kuchuluka kwa chithandizo, zomwe zikuwonetsa ntchito yofunika kwambiri ya machubu awa pa thanzi la amayi.
• Ma Fibroids: Ngakhale kuti ma fibroids amakula makamaka m'chiberekero, nthawi zina amatha kumera pafupi kapena mkati mwa machubu a fallopian, zomwe zimapangitsa kuti thupi litseke.
• Hydrosalpinx: Imeneyi ndi vuto lomwe payipi ya fallopian imatsekeka ndikudzaza ndi madzi chifukwa cha matenda kapena kuvulala komwe kumachitika kale, zomwe zimalepheretsa kwambiri kutenga mimba mwachibadwa.
• Ma Paratubal Cysts: Awa ndi matumba odzaza madzi omwe amamera pafupi ndi mazira ndi machubu a fallopian. Nthawi zambiri amakhala abwino ndipo nthawi zambiri amatha popanda kufunikira thandizo lachipatala.
• Salpingitis/Pelvic Inflammatory Disease (PID): Salpingitis ndi kutupa kwa machubu a fallopian, komwe nthawi zambiri kumachitika chifukwa cha matenda. Ndi mtundu wina wa Pelvic Inflammatory Disease (PID). Ngati sichinachiritsidwe, PID ingayambitse kusabereka kwa nthawi yayitali komanso chiopsezo chowonjezeka cha mimba yotuluka m'mimba. Matenda monga Chlamydia, Gonorrhea, ndi chifuwa chachikulu choberekera amagwirizanitsidwa kwambiri ndi PID ndi mavuto ena okhudzana ndi kubereka.

Kupatula izi, zolakwika zobadwa nazo kapena minofu yofiira yomwe imabwera chifukwa cha opaleshoni yam'mbuyomu ya m'mimba ingayambitsenso mavuto okhudzana ndi kubereka chifukwa cha machubu a fallopian.

Kodi madokotala amayesa bwanji thanzi la thirakiti la fallopian?

Ngati mukuvutika kutenga pakati, dokotala wanu angakulangizeni mayeso angapo oyezetsa matenda kuti muwone ngati pali kutsekeka kapena mavuto ena m'machubu anu a fallopian:

• Hysterosalpingogram (HSG): Njira yapadera ya X-ray pogwiritsa ntchito utoto wosiyana kuti muwone mkati mwa machubu anu a fallopian ndikupeza zotsekeka zilizonse.
• Hysteroscopy: Njirayi imagwiritsa ntchito chida chopepuka chotchedwa hysteroscope kuti chione chiberekero. Nthawi zambiri imachitika pambuyo pa HSG kuti itsimikizire ngati chubu chatsekedwadi.
• Kuyeza kwa saline-infusion Sonography (Sonohysterogram): Kuyeza kwa ultrasound komwe madzi a saline amalowetsedwa mu chiberekero kuti athandize kuwona zopinga zomwe zingachitike.
• Hysterosalpingo Contrast Sonography (HyCoSy): Kuwunika kochokera ku ultrasound komwe kumagwiritsa ntchito choyezera chosiyanitsa (ma thovu kapena thovu) kuti muwone momwe machubu a fallopian alili.
• Laparoscopy: Njira yochitira opaleshoni yomwe siivuta kwenikweni pomwe kamera (laparoscope) imagwiritsidwa ntchito kuyang'ana mwachindunji machubu a fallopian. Dokotala wanu angaphatikize izi ndi mayeso opaka utoto kuti awone kuyenda kwa madzi m'machubu nthawi yomweyo.

Kodi njira zochiritsira matenda a m'chubu cha fallopian ndi ziti?

Mankhwala a mavuto a thirakiti la fallopian amasiyana malinga ndi kuopsa kwake ndipo angaphatikizepo kukonza kapena kuchotsa minofu yowonongeka kapena, nthawi zina, machubu okha.

• Salpingectomy: Kuchotsa payipi imodzi kapena zonse ziwiri za fallopian kudzera mu opaleshoni.
• Kuchotsa kwa Salpingo-oophorectomy: Kuchotsa opaleshoni ya thireyi ya fallopian ndi ovary yofanana nayo.
• Salpingostomy: Njira yopangira kudula dzira mu chubu cha fallopian kuti muchotse mimba yotuluka m'mimba, kuchotsa chotseka, kapena kukonza malo owonongeka.
• Opaleshoni Yokonzanso Ma Tubal: Njira yogwiritsidwa ntchito pokonza machubu owonongeka kapena kubwezeretsa opaleshoni yakale yolumikiza ma tube.
• Kutsekeka kwa Tubal: Njira yodziwika bwino yolerera kubereka kosatha, yomwe nthawi zambiri imatchedwa "kumanga machubu anu," komwe machubu amatsekedwa kapena kudulidwa kuti dzira ndi umuna zisakumane.

Kodi mungateteze bwanji thanzi lanu lobereka?

Ngakhale zinthu zambiri zomwe zimakhudza machubu a fallopian sizingathe kuzilamulira, mutha kuchitapo kanthu kuti muchepetse chiopsezo cha matenda omwe angayambitse zipsera ndi kusabereka.

Kuchita zogonana zodzitetezera komanso kuchepetsa chiwerengero cha ogonana nawo kumachepetsa kwambiri chiopsezo chotenga matenda opatsirana pogonana (STIs) omwe amayambitsa PID.

Ganizirani za machubu anu a fallopian ngati mlatho wofunikira pakati pa mazira anu ndi chiberekero chanu. Kuziteteza ndikofunikira kuti mukhale ndi thanzi labwino la kubereka.

Uthenga Wopita Nawo Kunyumba

Takambirana zambiri zokhudza kufunika kwa machubu anu a fallopian lero. Kumbukirani kuti ndi gawo lofewa komanso lofunika kwambiri la njira yanu yoberekera.

• Ndi ofunikira kwambiri ponyamula mazira ndikuthandizira kubereka.
• Thanzi lawo ndilo chinthu chachikulu chomwe chimapangitsa kuti munthu akhale ndi malingaliro achilengedwe.
• Njira zodzitetezera zogonana ndiye njira yabwino kwambiri yodzitetezera ku matenda opatsirana.
• Ngati mukuvutika ndi vuto la kusabereka chifukwa cha mavuto a m'mimba, musataye mtima. Zipangizo zamakono zothandizira kubereka, monga In Vitro Fertilization (IVF), zimapereka njira zabwino kwambiri.
• Ngati muli ndi nkhawa, musazengereze kufunsa dokotala kapena katswiri wa za kubereka ku Nirogi Lanka. Tili pano kuti tikuthandizeni.

Kumvetsa thupi lanu ndiye sitepe yoyamba yopezera thanzi labwino.

Mawu Ofunika: Machubu a Fallopian, Thanzi la Akazi, Thanzi Lobereka, Mimba, Kusabereka, Matenda a Chikazi, Kutseka kwa Machubu