Ake sithole ukuthi lezi zinto ziyini ngempela ngama-Fallopian Tubes akho.

Uma abantu abaningi bezwa igama elithi 'ama-fallopian tubes', abazi ngempela ukuthi ayini, ukuthi akuphi emzimbeni, noma ukuthi enzani. Kodwa empeleni lezi yizitho ezibaluleke kakhulu empilweni yakho yokuzala, ikakhulukazi uma uzama ukukhulelwa. Ngakho-ke namuhla, ake sixoxe ngama-Fallopian Tubes ngamagama alula, kulungile?

Ziyini lezi ziThubhu zeFallopian?

Kalula nje, amapayipi e-fallopian ayimibhobho emibili emincane ephakathi kwama-ovari akho (lapho kukhiqizwa khona amaqanda) kanye nesibeletho sakho (lapho iqanda elivundisiwe likhula libe yingane). Afana nomgwaqo osuka esibelethweni uye esibelethweni. Impilo yala mapayipi e-fallopian inomthelela omkhulu ekuzaleni kwakho, okuyikhono lakho lokukhulelwa umntwana.

Kwenzekani ngempela ngamapayipi e-fallopian?

Cabanga ngakho, la mapayipi e-fallopian ayisinyathelo esibaluleke kakhulu enkambisweni yokukhulelwa komntwana emzimbeni wakho. Qaphela ukuthi kwenzeka kanjani:

• Indawo yokubamba iqanda: Njalo ngenyanga, njengengxenye yomjikelezo wakho wokuya esikhathini , iqanda elivuthiwe liyakhishwa kwelinye lama-ovari akho. Bese kuthi, izakhiwo ezincane ezifana nomunwe ekugcineni kwepayipi le-fallopian - esizibiza ngokuthi i-fimbriae - zibambe iqanda bese zilidonsela epayipini. Iqanda libe selihlala lapho kuze kufike isidoda.
• Lapho kwenzeka khona ukukhulelwa: Uma ulala nomlingani wakho, isidoda sakhe sihamba ngesitho sangasese sowesifazane , umlomo wesibeletho , kanye nesibeletho, bese singena emapayipini e-fallopian . Kungaphakathi kwala mapayipi lapho kuhlangana khona iqanda nesidoda bese kwenzeka ukukhulelwa .
• Indlela yeqanda elivundisiwe eliya esibelethweni: Iqanda elivundisiwe - esilibiza ngokuthi umbungu - lihamba ngepayipi le-fallopian liye esibelethweni. Lapho, lihlala odongeni lwesibeletho bese liqala ukukhula libe umbungu. Imisipha eqinile ngaphakathi kwepayipi le-fallopian isiza ukuthwala lombungu .

Kungenzeka yini ukukhulelwa ngepayipi elilodwa kuphela le-fallopian?

Yebo, kungenzeka. Ungase uzalwe unepayipi elilodwa le-fallopian, noma kungenzeka ukuthi ukhishwe elilodwa ngenxa yesimo sempilo noma ingozi. Uma unepayipi elilodwa le-fallopian elinempilo kanye ne-ovary okungenani , futhi umjikelezo wakho wokuya esikhathini ujwayelekile, cishe uzokhulelwa. Ngaphezu kwalokho, kunezindlela zokuthola umntwana noma ngabe awunawo womabili amapayipi e-fallopian. I-In Vitro Fertilization (IVF) iyindlela ehilela ukukhulelwa kwe-in vitro ., ukwelashwa okungadingi nhlobo amapayipi e-fallopian. Ngakho ungalilahli ithemba.

Zikuphi lezi zimbobo ze-fallopian? Ziyini izingxenye zazo?

Unamapayipi amabili e-fallopian. Elinye ngakwesokudla kwesibeletho sakho, nelinye ngakwesokunxele. Ipayipi ngalinye liqala esibelethweni bese lixhuma esibelethweni sakho. Manje ake sibheke izingxenye ezine eziyinhloko zepayipi le-fallopian. Lokhu kuyisayensi kancane, kodwa kuhle ukukwazi.

• I-Infundibulum: Lena yingxenye efana ne-funnel eseduze ne-ovary. Izingxenye ezifana nomunwe ezibizwa ngokuthi i-fimbriae zitholakala lapha. Enye yalezi fimbriae, ekhethekile ebizwa ngokuthi i-fimbria ovarianna, ifinyelela esibelethweni. Njengoba iqanda liphuma esibelethweni, lezi fimbriae ziyalibamba bese zilidonsela epayipini le-fallopian.
• I-Ampulla: Lena yingxenye eyinhloko nende kakhulu yepayipi le-fallopian. Itholakala phakathi kwe-infundibulum nengxenye elandelayo ebizwa ngokuthi i-isthmus. Esikhathini esiningi, iqanda nesidoda kuyahlangana bese kufakwa umanyolo kule ndawo ebizwa ngokuthi i-ampulla.
• Isthmus: Lona umsele omncane kakhulu oxhumanisa i-ampulla kanye nengxenye yepayipi eliseduze nesibeletho.
• Ingxenye Yesibeletho/Engaphakathi: Lena yingxenye yepayipi le-fallopian enamathele phezulu kwesibeletho. Ivuleka ngqo emgodini wesibeletho. Iqanda elivundisiwe (umbungu) lihlala odongeni lwesibeletho bese liqala ukukhula libe ingane kusukela lapho.

Ingakanani ipayipi le-fallopian? Lenziwe ngani?

Ngokuvamile, ipayipi elilodwa le-fallopian liphakathi kwamasentimitha angu-4 kuya kwangu-5 ubude . Futhi ububanzi balo, noma ukujiya, liphakathi kwamasentimitha angu-0.2 kuya kwangu-0.6. Lithambile kakhulu, akunjalo? Lawa mapayipi athambile akhiwe ngezendlalelo ezimbili eziyinhloko:

• Ulwelwesi lwamafinyila: Lolu ulwelwesi oluncane kakhulu ngaphakathi kwepayipi le-fallopian. Lukhipha uketshezi olukhethekile. Lolu ketshezi ludala indawo efanelekile yokukhulelwa nokuthi umbungu ukhule ngaphakathi kwepayipi. Futhi, lolu lwelwesi lunezakhiwo ezincane kakhulu ezifana nezinwele, esizibiza ngokuthi "i-Cilia". Lezi "Cilia" zihamba phambili naphambili njengemishanelo emincane, zisunduza iqanda, isidoda, kanye nombungu (uma kukhule) ngepayipi liye esibelethweni .
• Izendlalelo Zemisipha: Udonga lwepayipi le-fallopian lwakhiwe yizendlalelo eziningana zemisipha. Isendlalelo sangaphandle sakhiwe kakhulu yizindwangu zemisipha ezibushelelezi nezinde. Isendlalelo sangaphakathi sakhiwe yizindwangu zemisipha eziyindilinga. Lapho le misipha iqina (okungukuthi, iba lukhuni), isiza ekuqhubeni iqanda, isidoda, noma umbungu ngepayipi, kanye nosizo lwe-cilia.

Yiziphi izimo ezivamile ezithinta amapayipi e-fallopian?

Manje sesiyazi ukuthi kubaluleke kangakanani amashubhu e-fallopian ukuze isidoda sihlangane neqanda kanye nokuthwala iqanda elivundisiwe liye esibelethweni. Ngakho-ke, uma kukhona ukuvaleka kwamashubhu akho e-fallopian, noma uma kukhona ukungahambi kahle ngesimo samashubhu, ungase ube nesikhathi esinzima sokukhulelwa. Eqinisweni, phakathi kuka-20% no-30% wamacala okungabi nabantwana abangelwa izinkinga ngamashubhu e-fallopian (`(Tubal Factor Infertility)`). Nazi ezinye izimo ezivamile ezingathinta amashubhu e-fallopian:

• Ukukhulelwa Kwesibeletho/Kwesibeletho: Lokhu kwenzeka lapho umbungu uzifakela wona epayipini le-fallopian esikhundleni sodonga lwesibeletho. Lokhu kukhulelwa akuphumelelanga futhi kungaba yingozi empilweni uma kungelashwa ngokushesha.
• I-Endometriosis: Lokhu kwenzeka lapho izicubu ezifana nolwelwesi lwesibeletho zikhula ngaphandle kwesibeletho, ngezinye izikhathi zivimba noma zibangele amanxeba kuma-fallopian tubes. Lokhu kungenza kube nzima ukukhulelwa.
• Umdlavuza We-Fallopian Tube: Sekutholakale ukuthi ezinye izinhlobo zomdlavuza ezazibhekwa njengomdlavuza we-ovarian empeleni ziqala emapayipini e-fallopian. Ikakhulukazi, uhlobo olubizwa ngokuthi umdlavuza we-serous ovarian wezinga eliphezulu luvame ukutholakala ezigabeni zokugcina, lapho amathuba okwelashwa ephansi. Ucwaningo olusha lusikisela ukuthi lo mdlavuza ungase uqale emapayipini e-fallopian, hhayi ema-ovari.
• Ama-Fibroid: Nakuba ama-fibroid evame ukukhula esibelethweni, ngezinye izikhathi angakheka emapayipini e-fallopian futhi awavale.
• I-Hydrosalpinx: Uketshezi lunganqwabelana ngaphakathi kwamapayipi e-fallopian ngenxa yengozi noma ukutheleleka. Lokhu kuvinjelwa kungenza kube nzima ukukhulelwa.
• Ama-Cysts e-Paratubal: Lawa ama-cyst agcwele uketshezi akheka eduze kwama-ovari nama-tubes e-fallopian. Lezi yizimo ezingezona umdlavuza (ezingemnandi) futhi zivame ukunyamalala ngaphandle kokwelashwa.
• I-Salpingitis/Isifo Sokuvuvukala Kwesinqe (PID): I-Salpingitis ukuvuvukala noma ukuvuvukala kwamapayipi e-fallopian. Ivame ukubangelwa ukutheleleka. I-Salpingitis uhlobo lwesifo sokuvuvukala kwesisu (PID). Uma i-PID ingelashwa kahle, ingaholela ekungazalini futhi yandise ingozi yokukhulelwa ngaphandle kokukhulelwa. I-Chlamydia, i-gonorrhea, kanye nesifo sofuba sezitho zangasese kuye kwahlotshaniswa ne-PID kanye nokungabi namntwana.

Ngaphezu kwalokho, ezinye izinkinga zokuzalwa kanye nezibazi ngemva kokuhlinzwa kwesisu nazo zingabangela izinkinga zokuzala ezihlobene namapayipi e-fallopian.

Yiziphi izivivinyo ezenziwayo ukuhlola impilo yamapayipi e-fallopian?

Uma unenkinga yokukhulelwa, odokotela bazokwenza izivivinyo ezahlukene ukuze bahlole ukuvaleka kwamapayipi akho e-fallopian. Nazi ezinye zazo:

• I-Hysterosalpingogram (HSG): Lolu uhlobo lokuhlola olusebenzisa ama-X-ray kanye nodayi okhethekile. Lusetshenziselwa ukuxilonga izinkinga zokukhulelwa kanye nokuzala. I-HSG iyakhombisa ukuthi amashubhu akho e-fallopian avaliwe yini.
• I-Hysteroscopy: Lokhu kuhilela ukubuka ngaphakathi kwesibeletho kusetshenziswa ithuluzi elincane, elikhanyayo elibizwa ngokuthi i-hysteroscope. Lokhu kuvame ukwenziwa ngemva kwe-HSG ukuqinisekisa ukuthi amashubhu e-fallopian avaliwe ngempela.
• I-Sonography yokufakwa kwe-saline (Sonohysterogram): Lokhu ukuhlolwa kwe-ultrasound. Isibeletho sigcwele isixazululo se-saline. Singahlola futhi ukuthi amashubhu e-fallopian avaliwe.
• I-Hysterosalpingo Contrast Sonography (HyCoSy): Lokhu futhi kuyi-ultrasound. Amapayipi e-fallopian agcwele isixazululo esiqukethe amabhamuza omoya noma i-foam. Ukugeleza kwesisombululo kungasetshenziswa ukuthola noma yikuphi ukuvinjelwa.
• I-Laparoscopy: Lena inqubo encane efana nokuhlinzwa. Ithuluzi elincane elifakwe ikhamera elibizwa ngokuthi i-laparoscope lisetshenziselwa ukuhlola ukuvaleka kwamapayipi e-fallopian. Ngezinye izikhathi, udokotela wakho angase ancome inhlanganisela ye-laparoscopy kanye nokuhlolwa kwedayi okukhethekile. Lokhu kuzokusiza ubone ukuthi idayi ihamba kanjani (noma cha) emapayipini e-fallopian.

Yiziphi izindlela zokwelapha izinkinga zamapayipi e-fallopian?

Lapho kwelashwa izimo ezihilela amapayipi e-fallopian, kungadingeka ukulungisa noma ukususa ipayipi elilodwa noma womabili.

• I-Salpingectomy: Lokhu kuhilela ukususwa ngokuhlinzwa kwepayipi elilodwa noma womabili ama-fallopian (i-bilateral salpingectomy).
• I-Salpingo-oophorectomy: Lokhu kuhilela ukususa kokubili amapayipi e-fallopian nama-ovari.
• I-Salpingostomy: Lokhu kuhilela ukwenza i-incision epayipini le-fallopian ukuze kususwe ukukhulelwa okubangelwa yi-ectopic, kusulwe ukuvaleka kwepayipi, noma kulungiswe izicubu ezonakele.
• Ukuhlinzwa Kokuvuselela Amashubhu: Le nqubo isetshenziselwa ukubuyisela emuva ukubopha amashubhu noma ukulungisa amashubhu e-fallopian alimele.
• Ukubopha i-Tubal: Lena inqubo yokuhlela umndeni eyaziwa ngokuthi "ukubopha amapayipi." Kule nqubo, amapayipi e-fallopian ayasikwa noma avalwe, okuvimbela iqanda nesidoda ukuthi singahlangani.

Yiziphi ezinye izinto ezilula esingazenza ukuze sigcine amapayipi e-fallopian ephilile?

Eqinisweni, izimo eziningi ezithinta amapayipi e-fallopian zingaphezu kwamandla ethu. Kodwa-ke, singathatha izinyathelo zokuzivikela ezifweni ezingalimaza amapayipi e-fallopian futhi zibangele ukungazali.

Ukuzijwayeza ucansi oluphephile nokunciphisa inani labalingani bocansi kunciphisa ingozi yezifo ezithathelwana ngocansi (ama-STI), okungaholela ku-PID.

Amapayipi e-fallopian asebenza njengebhuloho phakathi komsebenzi obalulekile wama-ovari akho nomsebenzi obalulekile wesibeletho sakho. Yingakho izimo ezithinta kabi amapayipi e-fallopian zingathinta kabi ukuzala kwakho.

Ngakho-ke, sifundeni kule ndaba? (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke namuhla sikhulume kakhulu ngama-Fallopian Tubes, akunjalo? Into ebaluleke kakhulu okufanele uyikhumbule ukuthi ayingxenye ebaluleke kakhulu, futhi ebucayi kakhulu, yesistimu yakho yokuzala.

• Amapayipi e-fallopian yiwona athwala amaqanda esuka kuma-ovari aye esibelethweni, futhi yilapho kukhulelwa khona.
• Impilo yalezi zinto inomthelela omkhulu ekukhulelweni komntwana.
• Ukutheleleka kungalimaza lokhu, ngakho-ke kubalulekile ukwenza ucansi oluphephile .
• Uma unenkinga yokukhulelwa umntwana ngenxa yenkinga ngamapayipi akho e-fallopian, ungalilahli ithemba . Kunezindlela zokwelapha zesimanje ezifana ne-(In Vitro Fertilization - IVF)`.
• Uma unemibuzo noma ukungabaza, ungalokothi unqikaze ukukhuluma nodokotela noma uchwepheshe wezenzalo . Bazokusiza.

Uyaqonda? Ukuqaphela umzimba wakho kuyindlela engcono kakhulu yokuhlala uphilile.

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Amapayipi esibeletho, impilo yabesifazane, impilo yokuzala, ukukhulelwa, ukungazali, i-gynecology, ukuvaleka kwamapayipi esibeletho