Masifumanise ukuba zeziphi kanye kanye ezi zinto malunga neeFallopian Tubes zakho.

Xa abantu abaninzi besiva igama elithi 'fallopian tubes', abazi ukuba ziyintoni, zikuphi emzimbeni, okanye zenzani. Kodwa ezi zizinto ezibaluleke kakhulu kwimpilo yakho yokuzala, ingakumbi ukuba uzama ukukhulelwa. Ngoko ke namhlanje, masithethe ngeeFallopian Tubes ngokulula, kulungile?

Zithini ezi Fallopian Tubes?

Ngamafutshane, iityhubhu ze-fallopian ziityhubhu ezimbini ezincinci eziphakathi kwamaqanda akho (apho amaqanda aveliswa khona) kunye nesibeleko sakho (apho iqanda elivundisiweyo likhula libe yimveku). Zifana nendlela esuka kwi- ovary ukuya kwisibeleko. Impilo yale mibhobho ye-fallopian inempembelelo enkulu ekuzaleni kwakho, okukuko ukukwazi kwakho ukukhulelwa umntwana.

Kwenzeka ntoni ngokwenene kwimibhobho ye-fallopian?

Cinga ngayo, le mibhobho ye-fallopian ibaluleke kakhulu kwinkqubo yokukhulelwa komntwana emzimbeni wakho. Bukela indlela okwenzeka ngayo oku:

• Indawo yokubamba iqanda: Nyanga nganye, njengenxalenye yomjikelo wakho wokuya exesheni , iqanda elivuthiweyo liyakhutshwa kwenye yamaqanda akho. Emva koko, izakhiwo ezincinci ezifana neminwe ekupheleni kombhobho we-fallopian - esizibiza ngokuba yi-fimbriae - zibambe iqanda uze ulitsale lingene kumbhobho. Iqanda ke lihlala apho de kufike isidoda.
• Apho kuvela khona ukuchumisa: Xa ulala nomntu othandana naye, isidoda sakhe sihamba nge- vagina , umlomo wesibeleko , kunye nesibeleko, size siye kwi -fallopian tubes . Kungaphakathi kwezi -fallopian tubes apho iqanda kunye nesidoda kudibana khona kwaye ukuchumisa kwenzeka.
• Indlela yeqanda eliqhamkileyo eliya esibelekweni: Iqanda eliqhamkileyo - esilibiza ngokuba yi-embryo - lihamba nge-fallopian tube ukuya esibelekweni. Apho, lihlala eludongeni lwesibeleko lize liqale ukukhula libe yi-fetus. Izihlunu ezomeleleyo ngaphakathi kwi-fallopian tube zinceda ekuthwaleni le mbungu .

Ngaba kunokwenzeka ukuba ukhulelwe ngetyhubhu enye ye-fallopian?

Ewe, kunokwenzeka. Usenokuzalwa une-fallopian tube enye kuphela, okanye usenokuba ukhutshwe enye ngenxa yemeko yempilo okanye ingozi. Ukuba une-fallopian tube enye esempilweni kunye ne-ovary , kwaye umjikelo wakho wokuya exesheni uhlala uqhelekile, kusenokwenzeka ukuba ukhulelwe. Ukongeza, kukho iindlela zokufumana umntwana nokuba awunazo zombini ii-fallopian tubes. I-In Vitro Fertilization (IVF) yindlela ebandakanya ukuchumisa kwi-vitro ., unyango olungadingi kwaphela iityhubhu ze-fallopian. Ngoko ke musa ukuphelelwa lithemba.

Ziphi ezi tyhubhu ze-fallopian? Zithini iindawo zazo?

Unemibhobho emibini ye-fallopian. Omnye kwicala lasekunene lesibeleko sakho, nomnye ngasekhohlo. Ityhubhu nganye iqala kwi-ovary kwaye iqhagamshela kwisibeleko sakho. Ngoku makhe sijonge iindawo ezine eziphambili zetyhubhu ye-fallopian. Oku kuyinzululwazi encinci, kodwa kulungile ukwazi.

• I-Infundibulum: Le yinxalenye efana ne-funnel ekufutshane ne-ovary. Iindawo ezifana neminwe ezibizwa ngokuba yi-fimbriae zifumaneka apha. Enye yezi fimbriae, ekhethekileyo ebizwa ngokuba yi-fimbria ovarian, ifikelela kwi-ovary. Njengoko iqanda liphuma kwi-ovary, ezi fimbriae ziyalibamba zize zilitsale liye kwi-fallopian tube.
• I-Ampulla: Le yeyona ndawo iphambili nende kakhulu kwi-fallopian tube. Iphakathi kwe-infundibulum kunye nenxalenye elandelayo ebizwa ngokuba yi-isthmus. Uninzi lwexesha, iqanda kunye ne-sperm ziyadibana kwaye ziqhagamshelwe kule ndawo ebizwa ngokuba yi-ampulla.
• Isthmus: Le yindlela encinci kakhulu edibanisa i-ampulla kunye nenxalenye yombhobho okufutshane nesibeleko.
• Inxalenye ye-intramural/Interstitial: Le yinxalenye ye-fallopian tube enamathele phezulu kwesibeleko. Ivuleka ngqo kwi-uterine cavity. Iqanda elivundisiweyo (i-embryo) lihlala eludongeni lwesibeleko lize liqale ukukhula libe ngumntwana ukusuka apho.

Ingakanani ityhubhu ye-fallopian? Yenziwe ngantoni?

Ngokwesiqhelo, umbhobho omnye we-fallopian uphakathi kwee-intshi ezi-4 ukuya kwezi-5 ubude . Kwaye ububanzi bawo, okanye ubukhulu, buphakathi kwee-intshi ezi-0.2 ukuya kwezi-0.6. Ubuthathaka kakhulu, akunjalo? Ezi mbhobho zithambileyo zenziwe ngamaleya amabini aphambili:

• I-Mucous Membrane : Le yi-membrane encinci kakhulu ngaphakathi kwi-fallopian tube. Ikhupha ulwelo olukhethekileyo. Olu lwelo ludala indawo efanelekileyo yokuchumisa nokukhula kwe-embryo ngaphakathi kwi-tube. Kwakhona, le membrane inezakhiwo ezincinci ezifana neenwele, esizibiza ngokuba yi-"Cilia". Ezi "Cilia" zihamba zibuyela umva njengeentshayelo ezincinci, zityhala iqanda, isidoda, kunye ne-embryo (ukuba ichumisiwe) ecaleni kwe-tube ukuya kwi-uterus .
• IiLayers zeMisipha: Udonga lombhobho we-fallopian lwenziwe ziilayers ezininzi zemisipha. Uludwe olungaphandle lwenziwe ikakhulu ziifayers zemisipha ezigudileyo nezinde. Uludwe olungaphakathi lwenziwe ziifayers zemisipha ezijikelezayo. Xa ezi zihlunu ziqina (oko kukuthi, ziqina), zinceda ekuqhubeni iqanda, isidoda, okanye i-embryo ngetyhubhu, kunye noncedo lwe-cilia.

Ziziphi iimeko eziqhelekileyo ezichaphazela imibhobho ye-fallopian?

Ngoku siyazi ukuba kubaluleke kangakanani ukuba iityhubhu ze-fallopian zihlangane neqanda kunye nokuthwala iqanda elivundisiweyo liye esibelekweni. Ngoko ke, ukuba kukho ukuvaleka kwityhubhu zakho ze-fallopian, okanye ukuba kukho ukungaqheleki kwimilo yeetyhubhu, unokuba nexesha elinzima lokukhulelwa. Enyanisweni, phakathi kwama-20% nama-30% eemeko zokungazali zibangelwa ziingxaki zetyhubhu ze-fallopian (`(Tubal Factor Infertility)`). Nazi ezinye zeemeko eziqhelekileyo ezinokuchaphazela iityhubhu ze-fallopian:

• Ukukhulelwa kwe-Ectopic/Tubal: Oku kwenzeka xa i-embryo izifakela kwi-fallopian tube endaweni yodonga lwesibeleko. Oku kukhulelwa akuphumelelanga kwaye kunokuba yingozi ebomini ukuba akunyangwa ngokukhawuleza.
• I-Endometriosis: Oku kwenzeka xa izicubu ezifana nolwelo lwesibeleko zikhula ngaphandle kwesibeleko, ngamanye amaxesha zivala okanye zibangele amanxeba kwimibhobho yesibeleko. Oku kunokwenza kube nzima ukukhulelwa.
• Umhlaza weFallopian Tube: Ngoku kufunyenwe ukuba ezinye iintlobo zomhlaza ezazikade zibizwa ngokuba ngumhlaza we-ovarian ziqala kwi-fallopian tubes. Ngokukodwa, uhlobo olubizwa ngokuba ngumhlaza we-ovarian serous ovarian ovarian luhlala lufumaneka kwizigaba zokugqibela, xa amathuba okuphiliswa esezantsi. Uphando olutsha lubonisa ukuba lo mhlaza usenokuqala kwi-fallopian tubes, hayi kwi-ovaries.
• Iifibroids: Nangona iifibroids zihlala zikhula esibelekweni, ngamanye amaxesha zinokuvela kwimibhobho ye-fallopian kwaye ziyivale.
• I-Hydrosalpinx: Ulwelo lunokuqokelelwa ngaphakathi kwimibhobho ye-fallopian ngenxa yengozi okanye usulelo. Oku kungavaleki kunokwenza kube nzima ukukhulelwa.
• Ii-Paratubal Cysts: Ezi zii-cysts ezizaliswe lulwelo ezithi zakheke kufutshane nama-ovari kunye nee-fallopian tubes. Ezi ziimeko ezingezizo zomhlaza (ezingeyongozi) kwaye zihlala ziphela ngaphandle konyango.
• I-Salpingitis/Isifo Sokudumba Kwesinqe (PID): I-Salpingitis kukudumba okanye ukudumba kwetyhubhu ye-fallopian. Idla ngokubangelwa lusulelo. I-Salpingitis luhlobo lwesifo sokudumba kwesisu (PID). Ukuba i-PID ayinyangwa kakuhle, inokukhokelela ekungazali kwaye yonyuse umngcipheko wokukhulelwa ngaphandle kwe-ectopic. I-Chlamydia, i-gonorrhea, kunye nesifo sephepha sangasese ziye zanxulunyaniswa ne-PID kunye nokungazali.

Ukongeza, ezinye iingxaki zokuzalwa kunye namanxeba emva kotyando lwesisu zinokubangela iingxaki zokuzala ezinxulumene nemibhobho ye-fallopian.

Zeziphi iimvavanyo ezenziwayo ukujonga impilo yeetyhubhu ze-fallopian?

Ukuba unengxaki yokukhulelwa, oogqirha baya kwenza uvavanyo olwahlukeneyo ukujonga ukuvaleka kwimibhobho yakho ye-fallopian. Nazi ezinye zazo:

• I-Hysterosalpingogram (HSG): Olu luvavanyo olusebenzisa i-X-ray kunye nedayi ekhethekileyo. Isetyenziselwa ukuxilonga iingxaki zokukhulelwa kunye nokuzala. I-HSG ibonisa ukuba iityhubhu zakho ze-fallopian zivalekile na.
• I-Hysteroscopy: Oku kuquka ukujonga ngaphakathi kwesibeleko kusetyenziswa isixhobo esincinci nesikhanyisiweyo esibizwa ngokuba yi-hysteroscope. Oku kudla ngokwenziwa emva kwe-HSG ukuqinisekisa ukuba imibhobho ye-fallopian ivaliwe ngokwenene.
• I-Sonography ye-saline-infusion (Sonohysterogram): Olu luvavanyo lwe-ultrasound. Isibeleko sizaliswe yisisombululo se-saline. Sinokujonga neetyhubhu ze-fallopian ezivaliweyo.
• I-Hysterosalpingo Contrast Sonography (HyCoSy): Le ikwayi-ultrasound. Iityhubhu ze-fallopian zizaliswe yisisombululo esinamaqamza omoya okanye i-foam. Ukuhamba kwesisombululo kungasetyenziselwa ukubona naziphi na izithintelo.
• I-Laparoscopy: Le yinkqubo encinci efana notyando. Isixhobo esincinci esinekhamera esibizwa ngokuba yi-laparoscope sisetyenziselwa ukujonga ukuvaleka kwimibhobho ye-fallopian. Ngamanye amaxesha, ugqirha wakho unokucebisa indibaniselwano ye-laparoscopy kunye novavanyo olukhethekileyo lwedayi. Oku kuya kukunceda ubone indlela idayi ehamba ngayo (okanye engahambi ngayo) kwimibhobho ye-fallopian.

Ziziphi iindlela zonyango lweengxaki ze-fallopian tube?

Xa kunyangwa iimeko ezibandakanya iityhubhu ze-fallopian, kusenokufuneka kulungiswe okanye kususwe ityhubhu enye okanye zombini.

• I-Salpingectomy: Oku kuquka ukususwa ngotyando ityhubhu enye okanye zombini (i-bilateral salpingectomy).
• I-Salpingo-oophorectomy: Oku kuquka ukususwa kweetyhubhu ze-fallopian kunye nama-ovari.
• I-Salpingostomy: Oku kuquka ukwenza umngxuma kwityhubhu ye-fallopian ukususa ukukhulelwa okuphuma etyhini, ukususa ukuvaleka kwityhubhu, okanye ukulungisa izicubu ezonakeleyo.
• Utyando Lokwakha I-Tubal: Le nkqubo isetyenziselwa ukubuyisela umva i-tubal ligation okanye ukulungisa ii-fallopian tubes ezonakeleyo.
• I-Tubal Ligation: Le yinkqubo yokucwangcisa usapho eyaziwa ngokuba "kukubopha iityhubhu." Kule nkqubo, iityhubhu ze-fallopian ziyanqunyulwa okanye zivalwe, nto leyo ethintela iqanda kunye nesidoda ukuba singadibani.

Zeziphi izinto ezilula esinokuzenza ukugcina imibhobho ye-fallopian isempilweni?

Enyanisweni, iimeko ezininzi ezichaphazela imibhobho ye-fallopian zingaphaya kwamandla ethu. Nangona kunjalo, singathabatha amanyathelo okuzikhusela kwiintsholongwane ezinokonakalisa imibhobho ye-fallopian kwaye zibangele ukungazali.

Ukuziqhelanisa nesondo esikhuselekileyo kunye nokunciphisa inani lamaqabane esondo kunciphisa umngcipheko wezifo ezidluliselwa ngesondo (ii-STI), ezinokukhokelela kwi-PID.

Iityhubhu ze-fallopian zisebenza njengebhulorho phakathi komsebenzi obalulekileyo wamaqanda akho kunye nomsebenzi obalulekileyo wesibeleko sakho. Yiyo loo nto iimeko ezichaphazela kakubi iityhubhu ze-fallopian zinokuchaphazela kakubi ukuzala kwakho.

Ngoko ke, sifunde ntoni kweli bali? (Umyalezo oya nawo ekhaya)

Kulungile, namhlanje sithethe kakhulu ngeeFallopian Tubes, akunjalo? Eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba ziyinxalenye ebaluleke kakhulu, kwaye zibuthathaka kakhulu, kwinkqubo yakho yokuzala.

• Iityhubhu ze-fallopian ziityhubhu ezithwala amaqanda ukusuka kwizibeleko ukuya esibelekweni, kwaye kulapho kuvela khona ukuchumisa.
• Impilo yezi zinto inefuthe elikhulu ekukhulelweni komntwana.
• Iintsholongwane zingayonakalisa le nto, ngoko ke kubalulekile ukuba nesondo esikhuselekileyo .
• Ukuba unengxaki yokukhulelwa umntwana ngenxa yengxaki kwimibhobho yakho ye-fallopian, ungalahli ithemba . Kukho iindlela zonyango zanamhlanje ezifana ne-(In Vitro Fertilization - IVF)`.
• Ukuba unemibuzo okanye amathandabuzo, ungaze ungathandabuzi ukuthetha nogqirha okanye ingcali yokuzala . Baza kukunceda.

Uyaqonda? Ukuqaphela umzimba wakho yeyona ndlela ilungileyo yokuhlala usempilweni.

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Iityhubhu zeFallopian , impilo yabasetyhini, impilo yokuzala, ukukhulelwa, ukungazali, i-gynecology, ukuvaleka kweetyhubhu ze-fallopian