Kurota kuva amai kana baba tariro yakanaka muhupenyu hwemunhu wese. Asi dzimwe nguva kuita kuti hope idzi dziitike kunogona kuoma zvishoma. Kubata pamuviri wemwana inzira inoshanda semuchina wakaoma. Kunyangwe nhengo diki dzemuviri wedu dzinofanira kubatana uye kushanda zvakakwana. Nhasi tichataura nezveimwe nhengo diki inoshamisa, iyo vanhu vazhinji vasati vambonzwa nezvayo, asi ndiyo nzira yekubereka vana. Ndiyo Fimbriae.
Zvichitaurwa zviri nyore, zvii zvinonzi fimbriae izvi?
Funga nezvemachubhu ako eFallopian semachubhu maviri madiki anotangira kubva muchibereko chako kuenda kuchibereko chako. Kumagumo emachubhu iwayo, ari pedyo nechibereko, kune machubhu madiki anoita seminwe paruoko. Zvikamu zvidiki izvi zvakaita seminwe zvinonzi fimbriae .
Idzi inhengo dzakapfava, dzinofamba-famba, semaruva eruva, kana murazvo wemurazvo. Idzi inhengo inokosha kwazvo yechubhu yefallopian. Pasina idzo, danho rekutanga rekubata pamuviri rinogona kutadza.
Basa refimbriae nderei? Sei izvi zvichikosha kudaro?
Kuti tinzwisise izvi, ngatiyeukei zvishoma nezvemaitiro ekubata pamuviri wemwana. Mwedzi wega wega, ovary yemukadzi inoburitsa zai (ovum). Izvi zvinonzi ovulation.
Apa ndipo panotanga basa redu guru, fimbriae.
1. Kubata zai: Zai parinongobuda muchibereko, zvidimbu zvemafimbria zviri pedyo zvinokwezvwa naro semagineti, akakomberedza chibereko. Zvadaro, zai rinobuda rinobatwa nokungwarira, semutambi wecricket ane hunyanzvi ari kuchengetedza bhora.
2. Kutungamirirwa nechubhu yefallopian: Mushure mekubata zai, zvikamu zvakanaka kwazvo zvakaita sebvudzi (zvinonzi cilia ) pamusoro pefimbriae zvinotanga kufamba nekukurumidza nenzira imwe chete, sebhurashi riri kukwesha bhurasho. Kufamba uku kunosundira zai rakabatwa muchubhu yefallopian zvinyoro nyoro.
Zvichitaurwa zviri nyore, fimbriae dzakaita sebhiriji riri pakati peovary nefallopian tube. Ovary inobereka zai, uye fimbriae inobata zai iroro yoriisa mufallopian tube. Kana izvi zvikasashanda zvakanaka, zai harizombofi rakasvika parwendo rwaro rwekusangana nembeu.
Kana mbeu yemurume yapinda muchubhu yefallopian, ndipo chete painowana mukana wekusangana nezai iri uye kuberekeswa. Kana yabatanidzwa, inova embryo uye inoiswa muchibereko, uko inokura kuita mwana ari mudumbu.
Zvino wava kunzwisisa kuti hazvigoneke kufungidzira kuva nevana vasina chikamu chidiki ichi, seminwe iyi?
Zvipfuva zvinogona kukuvara here? Chii chinoitika kana zvikakuvara?
Ehe, zvinosuwisa kuti nhengo idzi dzakatetepa dzinogona kukuvara. Kana dzikakuvara, zvinogona kuva chikonzero chikuru chekusabereka. Nekuti fimbriae dzakakuvara hadzigone kufamba dzakasununguka, kukomberedza ovary, uye kubata zai. Dzimwe nguva nhengo idzi dzakaita seminwe dzinogona kunamirana, dzichivhara muromo wechubhu yefallopian.
Kune zvirwere zvakawanda zvinogona kukonzera chirwere ichi.
| Dambudziko rehutano | Pfungwa yacho chete | Kuti zvinokanganisa sei fimbriae |
|---|---|---|
| Salpingitis | Uku kuzvimba kwechubhu dzemukati mechibereko. Izvi zvinosanganisirwa nechirwere chinonzi Pelvic Inflammatory Disease (PID). | Dambudziko iri rinowanzo kukonzerwa nehutachiona hwemabhakitiriya husina kurapwa pabonde hwakadai seChlamydia negonorrhea. Sezvo hutachiona hwacho huchipora, nyama dzakatetepa dzefimbriae dzinogona kuva nemavanga uye kunamatira pamwe chete semugumisiro wekupora kwemuviri. |
| Pyosalpinx | Kuungana kwemapundu muchubhu ye fallopian. | Kana fimbriae ikabatana yovhara mukana wechubhu yefallopian, urwa hunobva muhutachiona hahuna nzira yekubuda nayo uye hunozadza chubhu. Izvi zvinowedzera kukuvadza chubhu nechubhu yefallopian. |
| Hydrosalpinx | Kuungana kwemvura muchubhu ye fallopian. | Izvi zvakafanana nemamiriro ezvinhu ari pamusoro apa. Nekuti fimbriae dzakavharika, mvura dzinoumbwa muchubhu hadzigoni kubuda dzoungana mukati mechubhu, zvichiita kuti chubhu izvimbe. Mvura iyi inogona kukuvadza mwana ari mudumbu. |
Pane hukama here pakati pekenza nefimbriae?
Ongororo ichangobva kuitwa yakaratidza kuti mamwe magomarara egomarara egomarara (kunyanya High-Grade Serous Carcinomas - HGSC ) haatangi mumaovari, asi mumachubhu egomarara, kunyanya mufimbriae. Izvi zvichiri kutsvakurudzwa, asi zvinoratidza kukosha kwehutano hwechikamu chidiki ichi.
Ndingaziva here mamiriro ehutano hwefimbriae yangu?
Ehe, kana uine matambudziko ekubereka, chiremba wako anogona kukurudzira kuti uongororwe fallopian tube. Miedzo iyi inogonawo kukupa pfungwa yemamiriro e fimbriae. Inonyanya kutarisa kana fallopian tubes dzakavharika kana kuti dzakavhurika.
- Hysterosalpingogram (HSG): Iyi i X-ray test. Dhayi yakakosha inoiswa muchibereko kuburikidza nepamuromo wechibereko, uye mifananidzo ye X-ray inotorwa kuti vaone kana dhayi iri kufamba zvakasununguka kuburikidza nemachubhu e fallopian kana kuti ichibuda kumigumo yemachubhu.
- Hysterosalpingo contrast sonography (HyCoSy): Izvi zvakafanana nebvunzo iri pamusoro apa, asi pachinzvimbo cheX-rays, panoshandiswa ultrasound scan. Mushonga wesaline kana mabubble emhepo anoshandiswa kutarisa kufamba kwemachubhu.
- Laparoscopy: Uku kuvhiyiwa kudiki kunoitwa pasi peanesthesia. Kuchekwa kudiki kunogadzirwa mudumbu, uye mudziyo mutete une kamera unoiswa kuti uongorore machubhu efallopian, fimbriae, uye maovari nemaziso ese ari maviri. Kana zvichidikanwa, dhayi rebhuruu rinogona kuiswa muchibereko panguva ino (inonzi chromopertubation ) kuti uone kana dhayi richibuda mufimbriae. Iyi ndiyo nzira yakanakisisa uye yakarurama yekutarisa mamiriro emachubhu efallopian (gold standard) .
Mafimbriae akakuvara anogona kudzorerwa here?
Mune zvimwe zviitiko, kuvhiyiwa kunogona kugadzirisa fimbriae yakakuvara kusvika pamwero wakati.
- Fimbrioplasty: Uku kuvhiya kunoparadzanisa fimbriae dzakanamirwa pamwe chete uye kunovavakazve kuitira kuti vagone kufamba vakasununguka sezvinobvira.
- Salpingostomy: Kana mugumo wechubhu yefallopian (rutivi rune fimbriae) wakavharwa, kuvharika kwacho kunobviswa uye panobva pava neburi idzva.
Zvisinei, kuvhiyiwa uku hakusi kwemunhu wese, uye kubudirira kwavo hakusi 100%. Mhedzisiro yacho inoenderana nezvinhu zvakawanda, zvakaita serudzi rwekukuvara uye zera remurwere. Chiremba wako ndiye achasarudza kuti ndeipi nzira yekurapa yakakunakira. Dzimwe nguva, kana machubhu efallopian akakuvara zvakanyanya, ungafanira kushandisa dzimwe nzira, dzakadai seIVF (in vitro fertilization) .
Chii chatinofanira kuita kuti tidzivirire nhengo iyi inokosha?
Chinhu chinonyanya kukosha pano ndechekuti 'kudzivirira kuri nani pane kurapa' . Chikonzero chikuru chekukuvadzwa kwefimbriae izvirwere zvepabonde zvisina kurapwa (STIs). Saka, chinhu chakanakisa chekuita kuzvidzivirira kubva mazviri.
- Bonde rakachengeteka: Dzivisa bonde risina dziviriro. Kushandisa nzira dzekudzivirira pamuviri dzakadai semakondomu kunogona kudzivirira zvirwere zvepabonde.
- Mudiwa anovimbwa naye: Kuzviganhurira nemumwe munhu kunogona kuderedza njodzi yacho zvakanyanya.
- Ziva zviratidzo: Kana uine zviratidzo zvakaita sekubuda ropa zvisina kujairika muchizvaro, kurwadziwa mudumbu, kana kupisa panguva yekuzviitira weti, usazviregeredza . Enda kuna chiremba nekukasika.
- Wana kurapwa kwakakodzera: Kana ukaonekwa uine chirwere cheSTD, tora mushonga wese wawakanyorerwa nachiremba wako. Usamira pakati. Zvakare, zvakakosha kuti mumwe wako aongororwewo uye arapwe kana zvichidikanwa. Zvikasadaro, unogona kutapukirwa zvakare.
Hutano hwako hwekubereka chinhu chakakosha zvikuru muhupenyu hwako. Kuhuchengeta uye kuziva nezvahwo ndiyo mari yakawanda yaunogona kuisa mune ramangwana rako.
Mharidzo Yekuenda Nayo Kumba
- Fimbriae dzinokosha zvikuru, dzakaita seminwe dziri kumagumo emachubhu efallopian dzinobata zai dzoritungamirira kupinda muchubhu.
- Pasina fimbriae ine hutano, zvakaoma zvikuru kubata pamuviri nenzira yechisikigo.
- Utachiona (PID) hunokonzerwa nezvirwere zvepabonde zvisina kurapwa (STIs) zvakaita se chlamydia negonorrhea zvinogona kukuvadza fimbriae zvakanyanya.
- Kana wanonoka kubata pamuviri, zvakakosha kuti utarise mamiriro efallopian tubes nefimbriae. Kune bvunzo dzeizvi dzakadai seHSG, HyCoSy, uye Laparoscopy.
- Nzira yakanakisisa yekudzivirira kukuvara kwefimbriae ndeyekuita zvepabonde zvakachengeteka uye kutsvaga kurapwa kwezvirwere zvepabonde nekukurumidza.
- Kana uine matambudziko kana kusava nechokwadi nezveizvi, usanonoka uye bvunza chiremba wevakadzi.
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