Kubaluleke kakhulu ukuba wonke umfazi ophupha ngokuba ngumama abe nokuqonda kakuhle umzimba wakhe. Xa sithetha ngenkqubo yethu yokuzala, sihlala sithetha ngesibeleko kunye namaqanda. Kodwa abantu abaninzi abanalo ulwazi olupheleleyo 'ngeetyhubhu ze-fallopian' ezidlala indima ebaluleke kakhulu phakathi kwazo. Mhlawumbi ukhe waliva eli gama kugqirha, okanye usenokuba ulivile xa ethetha ngovavanyo olwenziwa xa sele kudlule ixesha lokuba nomntwana. Ngoko ke, zithini kanye kanye ezi tyhubhu ze-fallopian? Zibaluleke kangakanani kwinkqubo yokukhulelwa komntwana? Siza kuthetha ngazo zonke ezi zinto ngokulula namhlanje, ngendlela onokuyiqonda.
Ngamafutshane, zithini ezi tyhubhu ze-fallopian?
Khawuthelekelele inkqubo yakho yokuzala njengesixeko esixakekileyo. Amaqanda kwesi sixeko ziifektri ezimbini ezivelisa amaqanda. Isibeleko likhaya apho elo qanda, lidibene nesidoda, lenza khona i-embryo ekhula ngokukhuselekileyo iinyanga ezili-9. Ngoko ke, kufuneka kubekho indlela esuka kule fektri ukuya ekhaya? Ngaloo ndlela, loo bhulorho yi -fallopian tubes .
Ezi ziityhubhu ezimbini ezincinci nezinemisipha ezidibanisa ama-ovari akho kunye nesibeleko, kumacala omabini esibeleko sakho. Ezi azizo nje naziphi na iityhubhu. Ezi tyhubhu ze-fallopian ziingongoma zenkqubo yokukhulelwa komntwana.
Makhe sibone ukuba njani. Iityhubhu ze-fallopian zenza imisebenzi emithathu ephambili:
1. Indawo apho iqanda lifunyanwa khona: Nyanga nganye, njengenxalenye yomjikelo wakho wokuya exesheni, iqanda elivuthiweyo likhutshwa kwi-ovary. Ngeli xesha, izakhiwo ezincinci ezifana neminwe (ezibizwa ngokuba yi-'fimbriae') ezisekupheleni kwe-fallopian tube kufutshane ne-ovary zibamba iqanda ngobunono zize zilitsale lingene kwi-tube. Iqanda emva koko lihlala ngaphakathi kwi-tube de kufike isidoda.
2. Apho kwenzeka khona ukuchumisa: Xa wena neqabane lakho nisabelana ngesondo, isidoda singena esibelekweni ngelungu lobufazi, umlomo wesibeleko, kunye nemibhobho ye-fallopian. Xa isidoda sidibana neqanda elilinde ngaphakathi kwityhubhu, ummangaliso wokuchumisa uyenzeka. Oku kuthetha ukuba amanyathelo okuqala ebomini bomntwana awathathwa kwisibeleko, kodwa athathwa kwityhubhu ye-fallopian.
3. Indlela esebenzayo ethwala iqanda elivundisiweyo liye esibelekweni: I-embryo eyenzeka xa iqanda kunye nesidoda zidityanisiwe ayingeni nje esibelekweni. Izihlunu ezithambileyo ezindongeni zetyhubhu ye-fallopian ziyafinyela kwaye iinwele ezincinci (cilia) ngaphakathi ziyashukuma, njenge-'conveyor belt', kwaye le embryo ityhalelwa ngononophelo esibelekweni kangangeentsuku ezininzi. Kuphela emva kokuba ifike esibelekweni apho izinza khona eludongeni lwesibeleko kwaye iqale ukukhula ibe lusana.
Ngoku uyaqonda ukuba iityhubhu ze-fallopian azizizo nje iityhubhu ezimbini, kodwa zibaluleke kangakanani ukuba nelungu lomzimba ukuze ube nabantwana? Ukuba inxalenye enye yolu hambo ayihambi kakuhle, kunokuba nzima ukukhulelwa umntwana.
Makhe sifunde okungakumbi malunga nolwakhiwo kunye nendawo yombhobho we-fallopian.
Makhe sijonge eli lungu lomzimba ngakumbi.
Ziphi ezi ndawo?
Kukho iityhubhu ezimbini ze-fallopian ezikwindawo ephezulu yesibeleko sakho, enye ingasekunene nenye ingasekhohlo. Elinye icala liqhagamshelwe kwisibeleko, kwaye elinye icala livuleka kufutshane ne-ovary.
Iindawo zetyhubhu ye-fallopian
Le tube imalunga ne-intshi ezi-4-5 ubude. Ineendawo ezine eziphambili. Ukusuka kwi-ovary ukuya kwi-uterus, ezi ndawo zezi zilandelayo:
- I-Infundibulum: Inxalenye efana ne-funnel ekufutshane ne-ovary. Kulapho kufumaneka khona i-'fimbriae' efana nomnwe ebamba iqanda.
- I-Ampulla: Eyona ndawo inde nebanzi kakhulu yombhobho. Ukuchumisa kudla ngokwenzeka kule ndawo.
- Isthmus: Umjelo omxinwa odibanisa i-ampulla kunye nenxalenye ekufutshane nesibeleko.
- Inxalenye yangaphakathi/engaphakathi: Isiphelo esidlula eludongeni lwesibeleko size sivulekele kwingxinano yesibeleko. I-embryo echunyisiweyo ingena kwi-uterus ngale ndlela.
Zenziwe ngantoni ezi zinto?
Udonga lwetyhubhu ye-fallopian luqulunqwe ikakhulu ziingqimba ezimbini:
1. I-mucous membrane: I-membrane ebhityileyo ejikeleza ngaphakathi kwityhubhu. Ikhupha ulwelo olunika umswakama kunye nokondla ukuchumisa kunye nokukhula kwangoko kwe-embryo. Ikwanamawaka eenwele ezintle (cilia) eziqhuba iqanda, isidoda, kunye ne-embryo ukuya kwisibeleko.
2. Iileya zemisipha: Ezi leya zemisipha zinceda ukuhambisa umxholo wetyhubhu uye esibelekweni ngokurhuqa okune-rhythmic (peristalsis), njengokuba kunjalo nge-esophagus xa siginya ukutya.
Iingxaki eziqhelekileyo kunye neemeko ezinokwenzeka kwimibhobho ye-fallopian
Ukungasebenzi kakuhle kwetyhubhu yesibeleko sesona sizathu siphambili sokungazali. Malunga nama-20-30% ezibini ezingazaliyo zibangelwa yingxaki ethile kwityhubhu yesibeleko. Makhe sijonge ezinye zezi ngxaki ziqhelekileyo.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Ukukhulelwa kwe-Ectopic | I-embryo evundisiweyo ifakwa ize ikhule kwi-fallopian tube endaweni yesibeleko. Le yimeko engxamisekileyo eyingozi kakhulu, esongela ubomi . I-tube inokuqhekeka kwaye ibangele ukopha okukhulu ngaphakathi. |
| I-Endometriosis | Izicubu ezifanele ukuba ziseludongeni olungaphakathi lwesibeleko zikhula ngaphandle kwesibeleko, kwiindawo ezifana neetyhubhu ze-fallopian, ii-ovari, njl. Oku kunokubangela ukuvaleka, amanxeba, kunye nokuvaleka kweetyhubhu, okunokuphazamisana nokuzala. |
| Isifo Sokuvuvukala Kwesinqe (PID) | Izifo ezidluliselwa ngesondo ezinganyangwanga (umz. i-chlamydia, i-gonorrhea) zinokubangela ukudumba kunye nosulelo lwe-fallopian tubes kunye nendawo engqongileyo (i-salpingitis). Oku kunokukhokelela ekuqhekekeni kwe-tubes, ukuvaleka, kunye nomngcipheko ophezulu wokukhulelwa ngaphandle kwe-ectopic. |
| I-Hydrosalpinx | Usulelo oludala okanye utyando lunokubangela ukuba isiphelo sombhobho sivaleke, sizalise ngolwelo kwaye sibangele ukuba umbhobho udumbe. Oku kunokuphazamisana nokuhamba kwamaqanda kunye nesidoda ngembhobho. |
| Iifibroids | Nangona ezi zidla ngokwenzeka esibelekweni, ngamanye amaxesha zinokwakheka kufutshane neetyhubhu ze-fallopian kwaye zinokucinezela kwaye zivale iityhubhu. |
| Umhlaza weFallopian Tube | Oku kunqabile kakhulu, kodwa kutshanje kufunyaniswe ukuba eminye imiphunga eyayifunyaniswe ngaphambili njengomhlaza wesibeleko iqala kwimibhobho ye-fallopian. |
Ngaba kunokwenzeka ukuba ukhulelwe ngetyhubhu enye ye-fallopian?
Lo ngumbuzo abantu abaninzi abanawo. Impendulo ithi, ewe, ngokuqinisekileyo kunokwenzeka!
Umntu unokuzalwa ene-fallopian tube enye kuphela. Okanye, umzekelo, ukukhulelwa okuphuma kwi-ectopic pregnancy, i-tube enye isenokuba isusiwe ngotyando. Ukuba une-tube enye ye-fallopian esempilweni kunye ne-ovary ehambelana nayo , kwaye umjikelo wakho wokuya exesheni uqhelekile, unethuba elihle lokukhulelwa umntwana.
Kwakhona, kwanabo basuswe okanye bavalwe zombini iityhubhu ze-fallopian, kukho iindlela zokuba nomntwana ngenkqubela phambili yetekhnoloji namhlanje. I-In Vitro Fertilization (IVF) sisisombululo esifanelekileyo kubantu abanjalo. Ngale ndlela, amaqanda kunye nesidoda ziyavundiswa ngaphandle komzimba kwaye umbungu ophumayo ufakwa ngqo kwisibeleko, nto leyo esusa imfuneko yeetyhubhu ze-fallopian.
Iindlela zokujonga impilo yeetyhubhu zakho ze-fallopian
Ukuba unengxaki yokukhulelwa, ugqirha wakho unokucebisa ukuba ujonge iityhubhu zakho ze-fallopian ukuba azivalekanga na. Kukho iimvavanyo ezininzi eziphambili ezisetyenziswayo ukwenza oku.
| Igama lovavanyo | Kalula nje, kwenzeka ntoni ngale nto? |
|---|---|
| I-Hysterosalpingogram (HSG) | Uvavanyo lwe-X-ray. Ulwelo olukhethekileyo (idayi) ludluliselwa kwisibeleko luye kwisibeleko nakwimibhobho ye-fallopian, kwaye kuthathwa imifanekiso ye-X-ray. Ukuba imibhobho ayivalwanga, olu lwelo lunokubonwa luhamba ngemibhobho luye kwisisu. Ukuba imibhobho ivalwe, ulwelo aluhambi ngaphaya kwaloo ndawo. |
| I-sonography ye-saline-infusion (SIS) | Iskeni ye-ultrasound. Oku kuquka ukufaka isisombululo se-saline kwisibeleko nokusebenzisa iskeni ukuze kufunyanwe umbono wangaphakathi kwesibeleko kunye nokuqina kweetyhubhu ze-fallopian. |
| I-Laparoscopy | Olu lutyando oluncinci. Emva kwe-anesthesia, kwenziwa umngxuma omncinci esiswini, kwaye kufakwa isixhobo esincinci esinekhamera ukuze kuhlolwe ngamehlo iityhubhu ze-fallopian, isibeleko, kunye nama-ovari. Le yeyona ndlela ilungileyo yokujonga iingxaki ezifana neetyhubhu ezivaliweyo kunye ne-endometriosis. Ukuba kuyimfuneko, izititshi ezincinci zingasuswa ngaxeshanye. |
Unyango lweengxaki ze-fallopian tube
Iindlela zonyango ziyahluka ngokuxhomekeke kwingxaki echongiweyo.
- Ukususwa kweTubal Cannulation:Ngexesha lovavanyo lwe-HSG, kusetyenziswa ucingo olubhityileyo ukuzama ukuvula ukuvaleka okuncinci ekupheleni kombhobho okufutshane nesibeleko.
- Utyando lweLaparoscopic: Ngexesha le-laparoscopy, ukunamathela okujikeleze iityhubhu ze-fallopian kunokususwa, iidipozithi ze-endometriosis zinokususwa, okanye ityhubhu ye-fallopian evaliweyo ingavulwa (`Salpingostomy`) okanye isuswe (`Salpingectomy`) kwimeko ye-Hydrosalpinx.
- Ukuguqulwa kweTubal Ligation: Ukuba umfazi okhe wafakelwa i-tubal ligation yokulawula ukuzala ufuna ukuba nomnye umntwana, angazama ukuphinda adibanise la mapayipi mabini anqunyulweyo ngotyando. Nangona kunjalo, oku akuphumeleli ngokupheleleyo.
- Ukuchumisa kwiVitro (IVF): Ukuba iityhubhu zonakele kakhulu okanye utyando alusebenzi, iteknoloji ye-IVF yeyona sisombululo silungileyo.
Izinto esinokuzenza ukugcina imibhobho ye-fallopian isempilweni
Nangona singenakukwazi ukulawula ezinye iimeko, ezifana ne-endometriosis, kukho izinto esinokuzenza ukukhusela iityhubhu zethu ze-fallopian kwizifo. Isizathu esiphambili somonakalo wetyhubhu sisifo sokudumba kwe-pelvic (PID), esibangelwa zizifo ezidluliselwa ngesondo ezinganyangwanga (ii-STI) .
Ngoko ke, ukuzikhusela kwizifo ezidluliselwa ngesondo ngokwenza isondo esikhuselekileyo (umz., ukusebenzisa ikhondom) kunye nokulala nomntu omnye othembekileyo yeyona nto ingcono onokuyenza ukugcina impilo yeetyhubhu zakho zesibeleko.
Ukuba uneempawu ezifana nokuphuma kolwelo olungaqhelekanga kwilungu lobufazi, iintlungu zesisu esisezantsi, okanye iintlungu ngexesha lokwabelana ngesondo, musa ukuba neentloni okanye ulibazise, kwaye bona ugqirha ngoko nangoko . Unyango lwakwangoko lunokuthintela umonakalo osisigxina kwiityhubhu ngenxa yeemeko ezifana ne-PID.
Umyalezo Wokuya Ekhaya
- Iityhubhu ze-fallopian ziyindlela ebalulekileyo yokuthutha amaqanda ukusuka kwizibeleko ukuya esibelekweni, apho kuvela khona ukuchumisa. Ukuzigcina ziphilile kubalulekile ekukhulelweni kwendalo.
- Iityhubhu ze-fallopian ezivalekileyo okanye ezonakeleyo zezona zibangela ukungazali.
- Ukukhulelwa kwe-Ectopic yimeko engxamisekileyo yezonyango enokwenzeka kwimibhobho ye-fallopian kwaye inokuba yingozi ebomini.
- Ukuphepha izifo ezidluliselwa ngesondo (ii-STI) ngokwenza isondo esikhuselekileyo yeyona ndlela ilungileyo yokuzikhusela kwizifo ezibangelwa yi-fallopian tube.
- Ukuba unengxaki yokulibaziseka ekukhulelweni okanye ukrokrela ukuba kukho ingxaki kwimibhobho yakho ye-fallopian, kubaluleke kakhulu ukuthetha nogqirha wakho kwaye ufumane uvavanyo olufunekayo kunye nonyango.
- Nokuba imibhobho ye-fallopian yonakele, namhlanje kukho ithuba lokufezekisa iphupha lokuba ngumama ngokusebenzisa ubuchwepheshe banamhlanje obufana ne-IVF.
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