Zvakakosha kuti mukadzi wese anorota kuva amai anzwisise muviri wake zvakanaka. Patinotaura nezvenzira yedu yekubereka, tinowanzotaura nezvechibereko nemazai. Asi vanhu vazhinji havanyatsonzwisisi 'machubhu emudumbu' ane basa rakakosha pakati pawo. Pamwe wakambonzwa zita iri kubva kuna chiremba, kana kuti wakamborinzwa pakutaura nezvebvunzo dzinoitwa kana zvasvika nguva yekuti mwana azvarwe. Saka, machubhu aya emudumbu chii chaizvo? Akakosha zvakadii pakubata pamuviri wemwana? Tichataura nezveizvi zvese zviri nyore nhasi, nenzira yaunogona kunzwisisa.
Zvichitaurwa zviri nyore, machubhu aya efallopian chii?
Fungidzirai nzira yenyu yekubereka iri guta rakabatikana zvikuru. Mazai emuguta iri mafekitori maviri anoburitsa mazai. Chibereko ndicho musha umo zai iroro, pamwe chete nembeu, rinoumba mwana anokura zvakachengeteka kwemwedzi mipfumbamwe. Saka, panofanira kuva nenzira yekubva mufekitori iyi kuenda kumba? Nenzira iyoyo, zambuko iroro ndiro machubhu efallopian .
Aya machubhu maviri madiki ane tsandanyama anobatanidza mazai ako nechibereko, kumativi ese echibereko chako. Aya haasi machubhu chete. Aya machubhu efallopian ndiwo magamba ekuita pamuviri wemwana.
Ngationei kuti sei. Machubhu e fallopian anoita mabasa matatu makuru:
1. Nzvimbo inogamuchirwa zai: Mwedzi wega wega, sechikamu chemwedzi wako, zai rakakura rinoburitswa kubva muchizvaro. Panguva iyi, zvidimbu zvidiki zvakaita seminwe (zvinonzi `fimbriae`) zviri kumagumo kwechubhu yefallopian pedyo nechizvaro zvinobata zai zvinyoro nyoro zvoridhonza muchubhu. Zai rinozogara mukati mechubhu kusvika mbeu yasvika.
2. Panoitika kusangana kwemwana: Kana iwe nemumwe wako muchiita bonde, mbeu yemurume inopinda muchibereko kuburikidza nepanhengo yemukadzi, muromo wechibereko, uye machubhu emwana. Kana mbeu yemurume ikasangana nezai rakamirira mukati mechubhu, chishamiso chekusangana kwemwana chinoitika. Izvi zvinoreva kuti matanho ekutanga muhupenyu hwemwana haatorerwe muchibereko, asi muchubhu yemwana.
3. Nzira inoshanda inotakura zai rakabatanidzwa kuenda kuchibereko: Mwana ari mudumbu anoumbwa kana zai nembeu zvabatana hazvingoyangarara muchibereko. Tsandanyama dzakapfava dziri mumadziro echubhu yefallopian dzinobatana uye vhudzi diki (cilia) mukati rinofamba, se'bhandi rekutakura', uye mwana ari mudumbu uyu anosundidzirwa zvakanaka kuenda kuchibereko kwemazuva akati wandei. Kana asvika muchibereko ndipo paanozvipinza mudumbu otanga kukura kuita mwana.
Iye zvino wava kunzwisisa kuti machubhu efallopian haasi machubhu maviri chete, asi kuti nhengo yawo inokosha zvakadini pakuva nevana? Kana chimwe chikamu cherwendo urwu chikafamba zvisina kunaka, zvinogona kuoma kubata pamuviri.
Ngatidzidzei zvakawanda nezvemaumbirwo nenzvimbo yechubhu ye fallopian.
Ngatitarisei organ iyi zvakadzama.
Izvi zviri kupi?
Kune machubhu maviri efallopian ari pamusoro pechibereko chako, rimwe kurudyi nerimwe kuruboshwe. Mugumo mumwe wakabatana nechibereko, uye mumwe mugumo unovhurika pedyo neovary.
Zvikamu zvechubhu ye fallopian
Chubhu iyi yakareba masendimita 1.5 kusvika ku1.5. Ine zvikamu zvikuru zvina. Kubva kuchibereko kusvika kuchibereko, zvikamu izvi zvinotevera:
- Infundibulum: Chikamu chakaita sefunnel chiri pedyo neovary. Apa ndipo panowanikwa `fimbriae' yakaita semunwe inobata zai.
- Ampulla: Chikamu chakareba uye chakafara kupfuura zvese chechubhu. Kuberekesa kunowanzoitika muchikamu ichi.
- Isthmus: Nzira yakamanikana inobatanidza ampulla nechikamu chiri pedyo nechibereko.
- Chikamu chemukati mechibereko/chemukati mechibereko: Mugumo unotambanuka nepamadziro echibereko wopinda mudumbu rechibereko. Mwana asati aberekeswa anopinda muchibereko neizvi.
Izvi zvinogadzirwa nei?
Madziro echubhu ye fallopian anonyanya kuumbwa nezvikamu zviviri:
1. Kamudzira kemudumbu: Kamudzira katete kanofukidza mukati mechubhu. Kanoburitsa mvura inopa hunyoro uye chikafu chekuberekesa mwana uye kukura kwekutanga kwemwana ari mudumbu. Kanewo zviuru zvebvudzi rakanaka (cilia) rinosundidzira zai, mbeu yemurume, uye mwana ari mudumbu kuenda kuchibereko.
2. Tsandanyama: Tsandanyama idzi dzinobatsira kufambisa zviri muchubhu kuenda kuchibereko nekuita kuti peristalsis iite rhythmic contractions (peristalsis), sezvinoita gurokuro patinomedza chikafu.
Matambudziko akajairika uye mamiriro ezvinhu anogona kuitika nemachubhu e fallopian
Kusashanda zvakanaka kwechubhu yemudumbu ndicho chikonzero chikuru chekusabereka. Vanhu vanosvika 20-30% vasina mbereko vane dambudziko remachubhu emudumbu. Ngatitarisei mamwe ematambudziko aya akajairika.
| Dambudziko rehutano | Tsananguro iri nyore |
|---|---|
| Kubata pamuviri panguva yekuzvitakura | Mwana ari mudumbu anodyarwa obva akura muchubhu yefallopian panzvimbo pechibereko. Iyi injodzi ine njodzi zvikuru, inotouraya . Chubhu inogona kuputika yokonzera kubuda ropa mukati. |
| Endometriosis | Nyama dzinofanira kunge dziri mukati memadziro echibereko dzinokura kunze kwechibereko, munzvimbo dzakadai semachubhu efallopian, maovari, nezvimwewo. Izvi zvinogona kukonzera kuvharika, mavanga, uye kuvharika kwemachubhu, izvo zvinogona kukanganisa kubereka. |
| Chirwere Chekuzvimba Kwechiuno (PID) | Zvirwere zvepabonde zvisina kurapwa (semuenzaniso chlamydia, gonorrhea) zvinogona kukonzera kuzvimba nehutachiona hwemachubhu efallopian nenzvimbo dzakapoteredza (salpingitis). Izvi zvinogona kukonzera mavanga emachubhu, kuvharika, uye njodzi yakakura yekubata pamuviri mudumbu. |
| Hydrosalpinx | Utachiona hwekare kana kuvhiyiwa kunogona kukonzera kuti mugumo wechubhu uvharwe, woizadza nemvura uye woita kuti chubhu izvimbe. Izvi zvinogona kukanganisa kufamba kwemazai nembeu kuburikidza nechubhu. |
| Mafibroid | Kunyangwe izvi zvichinyanya kuumbwa muchibereko, dzimwe nguva zvinogona kuumbwa pedyo nemachubhu efallopian uye zvinogona kudzvanya nekuvharira machubhu acho. |
| Kenza yeFallopian Tube | Izvi hazviwanzoitiki, asi zvakazoonekwa munguva pfupi yapfuura kuti mamwe magomarara aimboonekwa segomarara remazai anotangira mumachubhu efallopian. |
Zvinokwanisika here kubata pamuviri nechubhu imwe chete ye fallopian?
Uyu mubvunzo unobvunzwa nevanhu vazhinji. Mhinduro ndeyekuti, hongu, zvinogoneka zvechokwadi!
Munhu anogona kuzvarwa aine fallopian tube imwe chete. Kana, semuenzaniso, pamuviri usina kubuda, chubhu imwe chete inogona kunge yakabviswa nekuvhiyiwa. Kana uine fallopian tube imwe chete ine hutano uye ovary inoenderana nayo , uye nguva yako yekuenda kumwedzi iri yenguva dzose, une mukana wakanaka wekubata pamuviri.
Uyewo, kunyangwe kune avo vakabviswa kana kuvharwa kwemachubhu ese efallopian, kune nzira dzekuva nemwana nekufambira mberi kwetekinoroji nhasi. In Vitro Fertilization (IVF) ndiyo mhinduro yakanakisa kune vanhu vakadaro. Munzira iyi, mazai nembeu zvinosanganiswa kunze kwemuviri uye embryo inobuda inoiswa zvakananga muchibereko, zvichibvisa kudiwa kwemachubhu efallopian.
Nzira dzekuongorora hutano hwemachubhu ako e fallopian
Kana uchinetseka kubata pamuviri, chiremba wako anogona kukukurudzira kuti utarise machubhu ako efallopian kuti avharike here. Kune bvunzo dzakawanda dzinoshandiswa kuita izvi.
| Zita rebvunzo | Zvichitaurwa zviri nyore, chii chinoitika neizvi? |
|---|---|
| Hysterosalpingogram (HSG) | Kuongororwa kweX-ray. Mvura yakakosha (dhayi) inopfuudzwa nepamuromo wechibereko ichipinda muchibereko nemumachubhu efallopian, uye mifananidzo yeX-ray inotorwa. Kana machubhu asina kuvharwa, mvura iyi inogona kuonekwa ichiyerera nemumachubhu ichipinda mudumbu. Kana machubhu akavharika, mvura haifambi kupfuura ipapo. |
| Kuongorora kwesaline-infusion (SIS) | Kuongororwa kweultrasound. Izvi zvinosanganisira kuisa saline solution muchibereko uye kushandisa scan yacho kuti uzive zviri mukati mechibereko uye patency ye fallopian tubes. |
| Laparoscopy | Uku kuvhiyiwa kudiki. Mushure mekunzwa kurwadziwa, kucheka kudiki kunogadzirwa mudumbu, uye mudziyo mudiki une kamera unoiswa kuti uongorore nemaziso machubhu efallopian, chibereko, uye maovari. Iyi ndiyo nzira yakanakisisa yekutarisa matambudziko akadai sechubhu dzakavharika uye endometriosis. Kana zvichidikanwa, masitichi madiki anogona kubviswa panguva imwe chete. |
Kurapa kwezvinetso zve fallopian tube
Nzira dzekurapa dzinosiyana zvichienderana nedambudziko rakawanikwa.
- Kubviswa kweTubal Cannulation:Munguva yekuongororwa kweHSG, waya yakatetepa inoshandiswa kuyedza kuvhura kakuvharika kadiki kumucheto kwechubhu iri pedyo nechibereko.
- Kuvhiyiwa kweLaparoscopic: Munguva ye laparoscopy, zvinonamatira zvakakomberedza machubhu e fallopian zvinogona kubviswa, madhipoziti e endometriosis anogona kubviswa, kana kuti chubhu ye fallopian yakavharika inogona kuvhurwa (`Salpingostomy`) kana kubviswa (`Salpingectomy`) kana paine Hydrosalpinx.
- Kudzoserwa kweTubal Ligation: Kana mukadzi akambova netubal ligation yekudzivirira pamuviri achida kuva nemumwe mwana, anogona kuedza kubatanidzazve machubhu maviri akachekwa kuburikidza nekuvhiyiwa. Zvisinei, izvi hazvibudiriri 100%.
- Kuberekesa muVitro (IVF): Kana machubhu akakuvara zvakanyanya kana kuvhiyiwa kusina kushanda, tekinoroji yeIVF ndiyo mhinduro yakanakisisa.
Zvinhu zvatinogona kuita kuti machubhu e fallopian agare akasimba
Kunyange zvazvo tisingakwanise kudzora mamwe mamiriro ezvinhu, akadai se endometriosis, pane zvatinogona kuita kudzivirira machubhu edu e fallopian kubva kuhutachiona. Chikonzero chikuru chekukuvadzwa kwemachubhu e fallopian chirwere che pelvic inflammatory disease (PID), icho chinokonzerwa nezvirwere zvepabonde zvisina kurapwa (STIs) .
Saka, kuzvidzivirira kubva kuzvirwere zvepabonde nekuita bonde rakachengeteka (semuenzaniso, kushandisa kondomu) uye kuita bonde nemumwe munhu mumwe chete waunovimba naye ndicho chinhu chakanakisa chaunogona kuita kuchengetedza hutano hwemachubhu ako echibereko.
Kana uine zviratidzo zvakaita sekubuda ropa zvisina kujairika muchizvaro, kurwadziwa mudumbu, kana kurwadziwa panguva yebonde, usanyara kana kunonoka, uye enda kuna chiremba nekukasika . Kurapwa nekukurumidza kunogona kudzivirira kukuvara zvachose kwemachubhu nekuda kwezvirwere zvakaita sePID.
Mharidzo Yekuenda Nayo Kumba
- Machubhu efallopian ibhiriji rinokosha rinotakura mazai kubva mumazai kuenda kuchibereko, uko kusangana kwemwana kunoitika. Kuachengetedza ari mutano kwakakosha kuti pamuviri ubatane nemwana.
- Machubhu ekutapurirana akavharika kana kuti akakuvara ndiwo anonyanya kukonzera kusabereka.
- Kubata pamuviri panguva yekuzvitakura (Ectopic Pregnancy) chirwere chinogona kuitika mumachubhu e fallopian uye chinogona kutouraya munhu.
- Kudzivirira zvirwere zvepabonde (STIs) nekuita zvepabonde zvakachengeteka ndiyo nzira yakanakisisa yekuzvidzivirira kubva kuzvirwere zvematumbu efallopian.
- Kana uri kunonoka kubata pamuviri kana kuti uchifungidzira kuti une dambudziko nemachubhu ako efallopian, zvakakosha kuti utaure nachiremba wako wotsvaga bvunzo nekurapwa zvinodiwa.
- Kunyangwe kana machubhu efallopian akakuvara, nhasi uno pane mukana wekuzadzisa chiroto chekuva amai kuburikidza netekinoroji yemazuva ano yakaita seIVF.
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