Masifunde nje nge-fimbriae, ebalulekileyo ekuzaleni kwabasetyhini!

Usenokuba awuzange uve ngegama elithi ``Fimbriae`` ngaphambili. Kodwa, ubusazi ukuba ezi ndawo zincinci ezifana neminwe zibaluleke kangakanani, ingakumbi ekuzaleni komfazi, oko kukuthi, ukukwazi kwakhe ukukhulelwa umntwana (``Conception``)? Nangona ziyinxalenye encinci kakhulu ye``Fallopian tubes``, zidlala indima ebaluleke kakhulu ekuzaleni umntwana. Namhlanje, siza kuthetha ngezinto ezi zi-fimbriae, indlela ezisebenza ngayo, kunye nendlela yokuzigcina ziphilile.

Zithini iiFimbriae? Ngamafutshane...

Khawuthelekelele, ngaphakathi emzimbeni wakho, uqhagamshelwe kwisibeleko ('Isibeleko'), kukho iityhubhu ezimbini ze-fallopian, enye kwicala lasekhohlo nenye kwicala lasekunene. Ekupheleni kwezo tyhubhu ze-fallopian, ezikufutshane nee-ovari (sizibiza ngokuba zii-'Ovaries'), kukho iiprojektha ezincinci ezisasazeka njengeminwe. Yiyo loo nto siyibiza ngokuba yi-'Fimbriae'.

Nyanga nganye, iqanda ('iqanda') likhutshwa kwenye yamaqanda akho, esiwabiza ngokuba yi-"ovulation". Ngelo xesha, la maqanda ayawabamba loo maqanda. Emva koko, akhokela elo qanda ngononophelo ukuya kwi-fallopian tube. Kulapho linokudibana khona nesidoda lize liqhame. Ngoko ke, amaqanda yinxalenye encinci ye-fallopian tubes, kodwa abalulekile ekukhulelweni komntwana.

Kutheni i-fimbriae ibaluleke kangaka?

Amaqanda akho kunye nemibhobho ye-fallopian kufuneka zisebenzisane, njengeqela, ngaxeshanye ukuze kukhulelwe umntwana. I-fimbriae idlala indima enkulu kuloo ngqamaniso.

Cinga ngale ndlela, ama-ovari avelisa iqanda. Ama-fimbriae akhona ukuze abambe elo qanda ngexesha elifanelekileyo aze alithumele kwi-fallopian tube. Xa sele likwi-fallopian tube, ukuba uyabelana ngesondo, isidoda sinokufika apho size sidibanise neqanda size silichumise. Ngoko ke, ama-fimbriae abaluleke kakhulu ukuze yonke le nkqubo isebenze kakuhle.

Yintoni umsebenzi ophambili we-fimbriae?

Ngamafutshane, umsebenzi we-fimbriae kukubamba iqanda kunye nokunceda ukulithutha liye kwi-fallopian tube.

Ukuba inkqubo yakho yokuzala isebenza kakuhle, inyanga nenyanga, njengenxalenye yomjikelo wakho wokuya exesheni, iqanda liyakhutshwa kwenye yamaqanda akho. Ukuphendula, amaqanda asasazeka phezu kwe-ovary aze abambe iqanda. Okumangalisayo kukuba, la maqanda anezakhiwo ezintle kakhulu ezifana nomsonto ezibizwa ngokuba yi-"cilia" kumphezulu wawo wangaphakathi. La maqanda ahamba ngokukhawuleza aye esibelekweni. Le ntshukumo ityhala iqanda liye ezantsi kwityhubhu ye-fallopian, apho linokufakelwa khona yisidoda esivela kwiqabane lakho okanye kumnikeli.

• Ukuba iqanda liqhamile: Liba yimbumba. Emva koko imbumba ithwalwa ngemibhobho ye-fallopian iye kwisibeleko. Apho, iyazimela eludongeni lwesibeleko ize iqale ukukhula ibe yimbumba.
• Ukuba iqanda alivundiswanga: Iqanda elingavundiswanga lihamba ngemibhobho ye-fallopian ukuya kwisibeleko. Ekugqibeleni, iqanda liyaphuma kunye nolwelo lwesibeleko ngexesha lokuya kwakho exesheni.

Ngoko ke uyaqonda, ukuze ukhulelwe umntwana kwaye ukhulelwe, ii-fimbriae kufuneka zikwazi ukuhamba ngokukhululekileyo kwaye zibambe iqanda.

Ziphi ii-fimbriae emzimbeni?

Kukho iityhubhu ezimbini ze-fallopian emzimbeni wethu, enye kwicala lasekhohlo nenye kwicala lasekunene. Ityhubhu nganye ye-fallopian iqala esibelekweni ize iphele kwi-fimbriae, kufutshane nama-ovari. Kukho iindawo ezine eziphambili zetyhubhu ye-fallopian:

• Inxalenye yangaphakathi kwesibeleko: Le yeyona ndawo ikufutshane nesibeleko.
• Icandelo le-Isthmus.
• Icandelo le-Ampulla.
• I-Infundibulum: Le yindawo ekufutshane nama-ovari.

Inxalenye engaphandle ye-infundibulum ibizwa ngokuba yi-fimbriae. Isondela kuma-ovari.

Into emangalisayo kukuba xa ungakulungelanga ukukhupha amaqanda, ii-fimbriae zikude kancinci ne-ovary. Kodwa xa iqanda liza kukhululwa, ii-fimbriae ziyasondela kwi-ovary. Kulapho unokulibamba khona ngokulula iqanda uze ulityhale kancinci kwi-fallopian tube.

Yintoni isakhiwo se-fimbriae?

Iityhubhu ze-fallopian zenziwe ikakhulu zii-columnar cells, i-cilia ekhankanyiweyo apha ngasentla, kunye nee-layer ezininzi zemisipha. Ezi layer zahluka ngokweendawo ezahlukeneyo zetyhubhu (intramural, isthmus, ampulla, infundibulum).

Uphawu olukhethekileyo lwe-fimbriae kunye ne-infundibulum kukuba zine-cilia eninzi kunezinye iindawo ze-fallopian tube. Yiyo loo nto zikwazi ukwenza umsebenzi wazo wokubamba nokutyhala iqanda.

Ziziphi iimeko eziqhelekileyo ezichaphazela i-fimbriae?

I-fimbriae eyonakeleyo inokubangela ukungazali, nto leyo ebangela ubunzima ekukhulelweni. Xa ilahlekelwa ngamandla ayo okuhamba ngokukhululekileyo, i-fimbriae ayikwazi ukukhokela iqanda liye kwi-fallopian tube. Ukuba ezi zakhiwo zifana neminwe ziyanamathela, i-fallopian tubes inokuvaleka. Oku kuthintela iqanda ukuba lingahambi liye kwi-fallopian tube lize liqhameke lidlozi.

Nazi ezinye iimeko ezinxulumene ne-fimbriae ezinokunxulunyaniswa nokungabi nabantwana:

• I-Salpingitis: Oku kukudumba kwe-fallopian tubes. Kudla ngokuvela njengenxalenye yesifo sokuvuvukala kwe-pelvic (PID). Iintsholongwane ezinganyangwanga, ingakumbi izifo ezidluliselwa ngesondo (STIs) ezifana neChlamydia kunye neGonorrhea, zezona zibangela. Njengoko umzimba ulwa nosulelo, i-fimbriae inokonakala kwaye inamathele kunye.
• I-Pyosalpinx: Le meko yenzeka xa ubovu buqokelelana ngaphakathi kwityhubhu ye-fallopian. Le meko inokwenzeka ngakumbi xa i-fimbriae inamathele.
• I-Hydrosalpinx: Le yimeko apho ulwelo luqokelelana ngaphakathi kwityhubhu ye-fallopian. Njenge-pyosalpinx, le meko ixhaphakile xa i-fimbriae inamathelene, nto leyo ethintela ulwelo ukuba lungaphumi.

Ukongeza, uphando lufumanise ukuba i-fimbriae ikwanxulunyaniswa nezinye iintlobo zomhlaza wesibeleko . Ngokukodwa, uninzi lwee-ovarian high-grade serous carcinomas (ii-HGSC) kucingelwa ukuba ziqala kwi-fallopian tubes kune-ovaries. Kucingelwa ukuba ezi ziqala nakwi-fimbriae.

Ziziphi iimvavanyo ezikhoyo zokujonga impilo ye-fimbriae?

Uvavanyo olufanayo olusetyenziswa ekuhloleni iityhubhu zakho ze-fallopian lunokubonelela ngolwazi malunga ne-fimbriae yakho. Olu vavanyo lunokunceda ekuqinisekiseni ukuba iityhubhu zakho zivaliwe okanye azivaliwe.

• I-Hysterosalpingogram (HSG): Olu luvavanyo lwe-X-ray. Idayi ekhethekileyo idluliselwa kwisibeleko kwaye ulwelo lujongwa njengoko luhamba ngemibhobho.
• I-Hysterosalpingo contrast sonography (HyCoSy): Olu luvavanyo lwe-ultrasound olusebenzisa i-medium ekhethekileyo okanye amaqamza omoya ukujonga ukuhamba kolwelo ngaphakathi kwimibhobho.
• I-Laparoscopy: Le yinkqubo yotyando equka ukufakwa kwekhamera encinci kwimibhobho ye-fallopian ukuze ijongwe ngqo kuyo. Ngamanye amaxesha, ugqirha uya kudlulisa ulwelo kwiityhubhu ngexesha lenkqubo ukuze abone ukuba zihamba ngokukhululekileyo na okanye kukho naziphi na izithintelo. Oku kubizwa ngokuba yi-chromopertubation.

Ziziphi iindlela zonyango zeengxaki ezinxulumene ne-fimbriae?

Kwezinye iimeko, njengenxalenye yenkqubo yotyando ebizwa ngokuba yi-salpingostomy (okanye i-neosalpingostomy), ugqirha unokwenza inkqubo ebizwa ngokuba yi-fimbrioplasty. I-salpingostomy isusa ulwelo olugqithisileyo kwi-fallopian tubes kwaye ilungisa nawuphi na umonakalo. I-Fimbrioplasty ilungisa ngokukodwa i-fimbriae ukuze ikwazi ukuhamba ngokukhululekileyo kwakhona. Nangona kunjalo, olu lutyando olungaqhelekanga kwaye ayinguye wonke umntu onokulwenza. Ugqirha uya kugqiba ukuba ufanelekile na kule nkqubo.

Yintoni esinokuyenza ukugcina i-fimbriae isempilweni?

Eyona ndlela ilungileyo yokugcina iifimbriae zakho ziphilile kukuzikhusela kwiibhaktheriya ezinokubangela umonakalo wexesha elide. Ezi bhaktheriya zihlala zidluliselwa ngokwesondo. Oko kuthetha ukuthatha amanyathelo okuzikhusela kwizifo ezidluliselwa ngesondo (ii-STI) ezifana neChlamydia kunye neGonorrhea.(Umzekelo, ukwenza isondo esikhuselekileyo) yindlela entle yokugcina yonke inkqubo yakho yokuzala isempilweni, kungekuphela nje kwi-fimbriae yakho.

Kubalulekile nokuvavanya izifo ezidluliselwa ngesondo (ii-STI) rhoqo kwaye ufune unyango ngokukhawuleza ukuba ufunyenwe unesifo , kuba okukhona usulelo luhlala ixesha elide, kokukhona amathuba okuba iityhubhu zakho ze-fallopian zonakale.

Khumbula njengesishwankathelo (Umyalezo Wokuya Ekhaya)

Ezi zakhiwo zincinci ezibizwa ngokuba yi-fimbriae zibaluleke kakhulu ekuzaleni kwakho, oko kukuthi, ekukwazini kwakho ukuba nomntwana. Iityhubhu ze-fallopian ezivalekileyo zinokwenza kube nzima ukuba nabantwana, kwaye ukunamathela kwe-fimbriae yimbangela enkulu yale miqobo.

Ngoko ke, ukuze ugcine i-fimbriae yakho isempilweni, nciphisa umngcipheko wokosuleleka. Ziqhelanise nesondo esikhuselekileyo. Ukuba i-fimbriae yakho yonakele nangayiphi na indlela, thetha nogqirha wakho malunga neendlela ezilungileyo zokukhulelwa umntwana. Ungakhathazeki, iingcebiso zonyango ziya kukunika isikhokelo esifanelekileyo.

I- Fimbriae, iityhubhu zeFallopian, ukuzala kwabasetyhini, ukukhutshwa kwamaqanda, ukungazali, izifo ezidluliselwa ngesondo, i-gynecology