Kwabaningi, igama elithi 'ama-Fallopian tubes' liyimfihlakalo kancane—ayini, akuphi, futhi enzani ngempela? Eqinisweni, lawa amalungu omzimba abalulekile empilweni yakho yokuzala, ikakhulukazi uma unethemba lokuqala umndeni. Ake sibheke kalula ama-Fallopian tubes akho namuhla, akunjalo?
Ayini amashubhu e-Fallopian?
Kalula nje, ama-Fallopian tubes angama-tubes amabili amancane ahlanganisa igebe phakathi kwama-ovari akho (lapho kukhiqizwa khona amaqanda) kanye nesibeletho sakho (lapho iqanda elivundisiwe likhula libe yingane). Cabanga ngawo njengesango eliphakathi kwe-ovary kanye nesibeletho. Impilo yawo iyisisekelo ekuzaleni kwakho—ikhono lakho lokukhulelwa umntwana.
Yini ngempela eyenziwa ama-Fallopian tubes?
Cabanga ngama-Fallopian tubes akho njengendlela ebalulekile yokuxhumana ohambweni oluya ekukhulelweni. Nansi indlela esebenza ngayo:
- Ukubamba iqanda: Inyanga ngayinye, njengengxenye yomjikelezo wakho wokuya esikhathini , iqanda elivuthiwe likhishwa esibelethweni. Izithonjana ezithambile, ezifana neminwe ekugcineni kwepayipi—ezaziwa ngokuthi i-fimbriae —ziyasondela ukuze zibambe iqanda bese zilidonsela ngaphakathi. Iqanda libe selilinda lapho ukuze kufike isidoda.
- Indawo yokukhulelwa: Ngesikhathi socansi, isidoda somlingani wakho sidlula esithweni sangasese sowesifazane , esibelethweni , kanye nasesibelethweni siye emapayipini e-Fallopian . Kungaphakathi kwaleli payipi lapho isidoda sihlangana khona neqanda ukuze sikhulelwe .
- Ukuthutha umbungu: Uma usuvundisiwe, iqanda—manje elibizwa ngokuthi umbungu —lihamba ngepayipi liye esibelethweni. Lapho, linamathela olwelwesini lwesibeletho ukuze liqale ukukhula. Ukufinyela kwemisipha okunamandla ngaphakathi kwepayipi kusiza ekuqondiseni lombungu ngokuphephile endaweni oya kuyo.
Ungakhulelwa yini nge-Fallopian tube eyodwa kuphela?
Yebo, impela. Abanye abantu bazalwa benepayipi elilodwa, kanti abanye kungenzeka ukuthi bakhishwe elinye ngenxa yezimo zezempilo noma ukulimala. Uma okungenani unepayipi elilodwa eliphilile le-Fallopian kanye ne-ovary , futhi umjikelezo wakho wokuya esikhathini usebenza kahle, akukho sithiyo ekukhulelweni.
Ngaphezu kwalokho, noma ungenawo womabili amapayipi, kunezinye izindlela zokuba ngumzali. I-In Vitro Fertilization (IVF) iyindlela ekhethekile yokwelapha edlula isidingo samapayipi e-Fallopian ngokuphelele. Sicela ungalilahli ithemba.
Zikuphi futhi ziyini izingxenye zazo?
Unamapayipi amabili e-Fallopian, elinye ngakwesokudla nelinye ngakwesobunxele sesibeletho, axhumanisa isibeletho ngasinye nomgodi wesibeletho. Aqukethe izingxenye ezine eziyinhloko:
- I-Infundibulum: Lena yimbobo efana ne-funnel eseduze ne-ovary, equkethe i- fimbriae okukhulunywe ngayo ekuqaleni. I-projection eyodwa ethize, i- fimbria ovarica , ixhuma ngqo ne-ovary ukuqinisekisa ukuthi iqanda liyabanjwa.
- I-Ampulla: Lena ingxenye ebanzi nende kakhulu yepayipi. Yilapho iqanda nesidoda kuvame ukuhlangana khona ukuze kukhuleliswe.
- Isthmus: Lona umsele omncane, onamadonga amakhulu oxhumanisa i-ampulla nodonga lwesibeletho.
- Ingxenye yangaphakathi (ephakathi): Lena ingxenye edlula odongeni lwemisipha lwesibeletho bese ivuleka ngqo emgodini wesibeletho, lapho umbungu uqala khona ukufakwa kwawo.
Zinkulu kangakanani futhi zenziwe ngani?
Ishubhu elivamile le-Fallopian lingaba amasentimitha angu-4 kuya kwangu-5 ubudefuthi cishe ububanzi obungu-0.2 kuya ku-0.6 amayintshi. Ziyizakhiwo ezithambile kakhulu ezenziwe ngezendlalelo ezimbili eziyinhloko:
- Ulwelwesi lwamafinyila : Lolu lwelwesi lwangaphakathi lukhipha uketshezi olukhethekile ukuze kudalwe indawo efanelekile yokukhulelwa kanye nokukhula kombungu kwasekuqaleni. Luphinde lube nezakhiwo ezincane, ezifana nezinwele ezibizwa ngokuthi i-cilia . Lezi zi-cilia zisebenza njengamabhulashi amancane, zishanela iqanda, isidoda, noma umbungu ziye esibelethweni .
- Izendlalelo zemisipha: Izindonga zakhiwe izendlalelo zemicu yemisipha. Lezi ziyafinyela ngendlela enesigqi, zisebenza kanye ne-cilia ukuze ziqondise ngobumnene amangqamuzana okuzala ngepayipi.
Izinkinga ezivamile ezithinta amashubhu e-Fallopian
Njengoba sesihlolile, impilo yala mapayipi ibalulekile ekukhulelweni. Uma unesivimbe noma ukukhubazeka kwesakhiwo, kungenza ukukhulelwa kube nzima kakhulu. Eqinisweni, cishe u-20% kuya ku-30% wamacala okungabi nabantwana ahlobene nokungabi nabantwana okubangelwa yi-tubal factor .
Nazi ezinye zezimo ezivamile ezingathinta amashubhu e-Fallopian:
- Ukukhulelwa Kwesibeletho/I-Tubal: Lokhu kwenzeka lapho iqanda elivundisiwe lifakwa ngaphakathi kwepayipi le-fallopian esikhundleni sodonga lwesibeletho. Lokhu kukhulelwa akukwazi ukuqhubeka ngempumelelo, futhi uma kungelashwa ngokushesha, kungaba yizimo eziphuthumayo zezokwelapha ezisongela impilo.
- I-Endometriosis: Kulesi simo, izicubu ezifana nolwelwesi lwesibeletho zikhula ngaphandle kwesibeletho, okungenzeka zivimbele amapayipi e-fallopian noma zibangele izicubu zesilonda, okungenza kube nzima ukukhulelwa.
- Umdlavuza We-Fallopian Tube: Ucwaningo lwamuva lubonisa ukuthi umdlavuza omningi owawuhlukaniswe njengomdlavuza we-ovarian empeleni uqala emapayipini e-fallopian. Umdlavuza we-ovarian wezinga eliphezulu uvame ukutholakala ezigabeni zakamuva, okunciphisa izinga lempumelelo yokwelashwa, okugqamisa indima ebalulekile yala mapayipi empilweni yabesifazane.
- Ama-Fibroid: Nakuba ama-fibroid ekhula kakhulu esibelethweni, ngezinye izikhathi angakhula eduze noma ngaphakathi kwamapayipi e-fallopian, okubangela ukuvaleka ngokomzimba.
- I-Hydrosalpinx: Lesi yisimo lapho ipayipi le-fallopian livaleka khona futhi ligcwala uketshezi ngenxa yezifo noma ukulimala kwangaphambilini, okuphazamisa kakhulu ukukhulelwa kwemvelo.
- Ama-Paratubal Cysts: Lawa amasaka agcwele uketshezi akhula eduze kwama-ovari nama-fallopian tubes. Ngokuvamile awabi yingozi futhi avame ukunyamalala ngaphandle kwesidingo sokungenelela kwezokwelapha.
- I-Salpingitis/Isifo Sokuvuvukala Kwesibeletho (PID): I-Salpingitis ukuvuvukala kwamapayipi e-fallopian, okuvame ukubangelwa ukutheleleka. Luhlobo oluthile lweSifo Sokuvuvukala Kwesibeletho (PID). Uma singalashwa, i-PID ingaholela ekungazalini isikhathi eside kanye nengozi eyengeziwe yokukhulelwa ngaphandle kokukhulelwa. Ukutheleleka okufana ne-Chlamydia, i-Gonorrhea, kanye nesifo sofuba sobulili kuhlobene kakhulu ne-PID kanye nezinselele ezilandelayo zokuzala.
Ngaphandle kwalezi zimo, ukukhubazeka kokuzalwa noma izicubu zesilonda ezivela ekuhlinzweni kwesisu kwangaphambilini nakho kungaba nomthelela ezinkingeni zokuzala ezihlobene ne-fallopian tube.
Odokotela bayihlola kanjani impilo yepayipi le-fallopian?
Uma ubhekene nobunzima bokukhulelwa, udokotela wakho angase ancome ukuhlolwa okuningana kokuxilonga ukuze ahlole ukuvaleka noma ezinye izinkinga kuma-fallopian tubes akho:
- I-Hysterosalpingogram (HSG): Inqubo ekhethekile ye-X-ray esebenzisa idayi yokuhlukanisa ukuze kubonwe ingaphakathi lamapayipi akho e-fallopian futhi kutholakale noma yikuphi ukuvinjelwa.
- I-Hysteroscopy: Le nqubo isebenzisa ithuluzi elincane, elikhanyayo elibizwa ngokuthi i-hysteroscope ukuhlola umgodi wesibeletho. Ngokuvamile yenziwa ngemva kwe-HSG ukuqinisekisa ukuthi ipayipi livaliwe ngempela.
- I-Sonography ye-saline-infusion (Sonohysterogram): Ukuhlolwa kwe-ultrasound lapho isixazululo se-saline sifakwa esibelethweni ukuze kusizwe ukubona ngeso lengqondo izithiyo ezingaba khona.
- I-Hysterosalpingo Contrast Sonography (HyCoSy): Ukuhlolwa okusekelwe ku-ultrasound okusebenzisa i-contrast agent (amabhamuza noma i-foam) ukuqapha ukuqina kwamapayipi e-fallopian.
- I-Laparoscopy: Inqubo yokuhlinzwa engangenisi kakhulu lapho kusetshenziswa ikhamera (i-laparoscope) ukuhlola ngqo amashubhu e-fallopian. Udokotela wakho angahlanganisa lokhu nokuhlolwa kodayi ukuze abone ukugeleza koketshezi ngamashubhu ngesikhathi sangempela.
Yiziphi izindlela zokwelapha izimo zamapayipi e-fallopian?
Ukwelashwa kwezinkinga zamapayipi e-fallopian kuyahlukahluka kuye ngobunzima bawo futhi kungabandakanya ukulungisa noma ukususa izicubu ezonakele noma, kwezinye izimo, amapayipi ngokwawo.
- I-Salpingectomy: Ukususwa ngokuhlinzwa kwepayipi elilodwa noma womabili ama-fallopian.
- I-Salpingo-oophorectomy: Ukususwa kokuhlinzwa kwepayipi le-fallopian kanye ne-ovary ehambisanayo.
- I-Salpingostomy: Inqubo ehilela ukusikwa kwepayipi le-fallopian ukuze kususwe ukukhulelwa okubangelwa yi-ectopic, kusulwe ukuvaleka, noma kulungiswe izindawo ezonakele.
- Ukuhlinzwa Kokuvuselela Amashubhu: Indlela esetshenziswa ukulungisa amashubhu alimele noma ukubuyisela emuva ukuhlinzwa kwangaphambilini kokubopha amashubhu.
- Ukubopha i-Tubal: Indlela evamile yokulawula ukubeletha okuhlala njalo, evame ukubizwa ngokuthi "ukubopha amapayipi akho," lapho amapayipi evalwa noma enqunywa khona ukuze kuvinjelwe iqanda nesidoda ukuthi singahlangani.
Ungayivikela kanjani impilo yakho yokuzala?
Nakuba izici eziningi ezithinta amashubhu e-fallopian zingaphezu kwamandla akho, ungathatha izinyathelo zokunciphisa ingozi yokutheleleka okuholela ekuqhekekeni nasekungazalini.
Ukuzijwayeza ucansi oluphephile nokunciphisa inani labalingani bocansi kunciphisa kakhulu ingozi yokuthola izifo ezithathelwana ngocansi (ama-STI) ezibangela i-PID.
Cabanga ngamapayipi akho e-fallopian njengebhuloho elibalulekile phakathi kwama-ovari akho nesibeletho sakho. Ukuwavikela kubalulekile ekugcineni impilo yakho yokuzala iyonke.
Umlayezo Wokuya Nawe Ekhaya
Sesixoxe okuningi ngokubaluleka kwamapayipi akho e-fallopian namuhla. Khumbula, ayingxenye ebucayi nebalulekile yesistimu yakho yokuzala.
- Zibalulekile ekuthuthweni kwamaqanda kanye nokwenza kube lula ukukhulelwa.
- Impilo yabo iyisici esiyinhloko ekucabangeni kwemvelo.
- Imikhuba yocansi ephephile iyisivikelo sakho esingcono kakhulu ekulimaleni okuhlobene nokutheleleka.
- Uma ubhekene nobunzima bokungazali ngenxa yezinkinga ze-tubal, ungalahli ithemba. Ubuchwepheshe besimanje bokuzala obusizayo, njenge-In Vitro Fertilization (IVF), bunikeza izinketho ezinhle kakhulu.
- Uma unemibuzo, ungalokothi unqikaze ukubonana nodokotela noma uchwepheshe wezenzalo eNirogi Lanka. Silapha ukuzokusekela.
Ukuqonda umzimba wakho kuyisinyathelo sokuqala esiholela empilweni engcono.
Amagama angukhiye: Amapayipi e-Fallopian, Impilo Yabesifazane, Impilo Yokuzala, Ukukhulelwa, Ukungazali, I-Gynecology, Ukuvaleka Kwamapayipi
