Ake sifunde nje ngama-fimbriae, abalulekile ekuzaleni kwabesifazane!

Kungenzeka ukuthi awukaze uzwe ngegama elithi ``Fimbriae`` ngaphambili. Kodwa, ubuwazi ukuthi lezi zingxenye ezincane ezifana nomunwe zibaluleke kangakanani, ikakhulukazi ekuzaleni kowesifazane, okungukuthi, ikhono lakhe lokukhulelwa umntwana (``Conception``)? Nakuba ziyingxenye encane kakhulu ye-``Fallopian tubes``, zidlala indima ebaluleke kakhulu ekuzaleni umntwana. Namuhla, sizoxoxa ngokuthi ziyini lezi fimbriae, ukuthi zisebenza kanjani, nokuthi zingagcinwa kanjani ziphilile.

Ayini amaFimbriae? Kalula nje...

Cabanga nje, ngaphakathi emzimbeni wakho, oxhumene nesibeletho ('Isibeletho'), kunezimbobo ezimbili ze-fallopian, enye ingakwesobunxele kanti enye ingakwesokudla. Ekupheleni kwalezo zimbobo ze-fallopian, eziseduze nezimbobo ze-ovari (sizibiza ngokuthi 'ama-Ovaries'), kunezimbobo ezincane ezisakazeka njengeminwe. Yilokho esikubiza ngokuthi 'ama-Fimbriae'.

Njalo ngenyanga, iqanda (`iqanda`) likhishwa kwelinye lama-ovari akho, esilibiza ngokuthi ``ukuvuthwa``. Ngaleso sikhathi, la ma-fimbriae athumba lelo qanda. Bese, aqondisa lelo qanda ngokucophelela aliyise emhubheni we-fallopian. Yilapho lingahlangana khona nesidoda bese livundiswa. Ngakho-ke, ama-fimbriae ayingxenye encane yama-tubes e-fallopian, kodwa abalulekile ekukhulelweni komntwana.

Kungani ama-fimbriae ebaluleke kangaka?

Ama-ovari akho nama-tube e-fallopian kudingeka asebenzisane, njengeqembu, ndawonye ukuze akhulelwe umntwana. Ama-fimbriae adlala indima enkulu kulokho kuvumelanisa.

Cabanga ngale ndlela, ama-ovari akhiqiza iqanda. Ama-fimbriae akhona ukuze abambe lelo qanda ngesikhathi esifanele bese elithumela phansi epayipini le-fallopian. Uma selingene epayipini le-fallopian, uma uya ocansini, isidoda singafika lapho sihlangane neqanda bese silifaka umanyolo. Ngakho-ke, ama-fimbriae abaluleke kakhulu ukuze yonke le nqubo isebenze kahle.

Uyini umsebenzi oyinhloko we-fimbriae?

Kalula nje, umsebenzi we-fimbriae ukubamba iqanda bese ulisiza ukulihambisa liye emhubheni we-fallopian.

Uma uhlelo lwakho lokuzala lusebenza kahle, njalo ngenyanga, njengengxenye yomjikelezo wakho wokuya esikhathini, iqanda liyakhishwa kwelinye lama-ovari akho. Ngenxa yalokho, ama-fimbriae asakazeka phezu kwe-ovary bese ebamba iqanda. Ngokumangalisayo, la ma-fimbriae anezakhiwo ezincane kakhulu, ezifana nentambo ezibizwa ngokuthi "cilia" ebusweni bawo bangaphakathi. La ma-cilia ahamba ngokushesha aye esibelethweni. Lokhu kuhamba kusunduza iqanda phansi epayipini le-fallopian, lapho lingavundiswa khona yisidoda esivela kumlingani wakho noma kumnikeli.

• Uma iqanda livundiswa: Liba umbungu. Umbungu ube usuthwalwa ngamapayipi e-fallopian uye esibelethweni. Lapho, uzifaka odongeni lwesibeletho bese uqala ukukhula ube umbungu.
• Uma iqanda lingavundiswanga: Iqanda elingavundiswanga lihamba ngamapayipi e-fallopian liye esibelethweni. Ekugcineni, iqanda liyaphuma kanye nolwelwesi lwesibeletho ngesikhathi sakho senyanga.

Ngakho-ke uyaqonda, ukuze ukhulelwe umntwana futhi ukhulelwe, ama-fimbriae kumele akwazi ukuhamba ngokukhululeka futhi abambe iqanda.

Zikuphi i-fimbriae emzimbeni?

Kunemibhobho emibili ye-fallopian emzimbeni wethu, enye ingakwesobunxele kanti enye ingakwesokudla. Ipayipi ngalinye le-fallopian liqala esibelethweni bese liphela ku-fimbriae, eduze kwama-ovari. Kunezingxenye ezine eziyinhloko zepayipi le-fallopian:

• Ingxenye yangaphakathi: Lena yingxenye eseduze kakhulu nesibeletho.
• Ingxenye ye-Isthmus.
• Ingxenye ye-Ampulla.
• I-Infundibulum: Lena yingxenye eseduze kakhulu nama-ovari.

Ingxenye engaphandle ye-infundibulum ibizwa ngokuthi i-fimbriae. Inwebeka eduze kwama-ovari.

Into emangalisayo ukuthi uma ungakakulungeli ukuvuthwa kwamaqanda, ama-fimbriae aqhele kancane esibelethweni. Kodwa uma iqanda selizokhishwa, ama-fimbriae asondela esibelethweni. Yilapho-ke ungakwazi ukubamba iqanda kalula bese ulicindezela kancane epayipini le-fallopian.

Iyini isakhiwo se-fimbriae?

Amapayipi e-fallopian akhiwa ikakhulukazi ngamaseli e-columnar, i-cilia eshiwo ngenhla, kanye nezingqimba eziningana zemisipha. Lezi zingqimba ziyahlukahluka ngokuya ngezingxenye ezahlukene zepayipi (intramural, isthmus, ampulla, infundibulum).

Isici esikhethekile se-fimbriae kanye ne-infundibulum ukuthi zine-cilia eningi kunezinye izingxenye ze-fallopian tube. Yingakho zikwazi ukwenza umsebenzi wazo wokubamba nokusunduza iqanda.

Yiziphi izimo ezivamile ezithinta i-fimbriae?

Ama-fimbriae alimele angabangela ukungazali, okuyinto enzima ukukhulelwa. Uma elahlekelwa ikhono lawo lokuhamba ngokukhululeka, ama-fimbriae awakwazi ukuqondisa iqanda liye epayipini le-fallopian. Uma lezi zakhiwo ezifana neminwe zinamathela, amapayipi e-fallopian angavaleka. Lokhu kuvimbela iqanda ukuthi lihambe liye epayipini le-fallopian futhi livundiswe yisidoda.

Nazi ezinye izimo ezihlobene ne-fimbriae ezingase zihlotshaniswe nokungabi nabantwana:

• I-Salpingitis: Lokhu ukuvuvukala kwamapayipi e-fallopian. Kuvame ukwenzeka njengengxenye yesifo sokuvuvukala kwe-pelvic (PID). Ukutheleleka kwamagciwane okungalashwanga, ikakhulukazi izifo ezithathelwana ngocansi (STIs) njenge-Chlamydia kanye ne-Gonorrhea, kuyimbangela eyinhloko. Njengoba umzimba ulwa nokutheleleka, ama-fimbriae angonakala futhi anamathele ndawonye.
• I-Pyosalpinx: Lesi simo senzeka lapho ubomvu buqoqana ngaphakathi kwepayipi le-fallopian. Lesi simo sivame ukwenzeka uma i-fimbriae inamathele.
• I-Hydrosalpinx: Lesi yisimo lapho uketshezi luqongelela ngaphakathi kwepayipi le-fallopian. Njenge-pyosalpinx, lesi simo sivame futhi lapho ama-fimbriae enamathelana ndawonye, ​​​​okuvimbela uketshezi ukuthi luphume.

Ngaphezu kwalokho, ucwaningo luthole ukuthi ama-fimbriae ahlotshaniswa nezinhlobo ezithile zomdlavuza wama-ovari . Ikakhulukazi, ama-ovari amaningi e-serous carcinomas (ama-HGSC) kucatshangwa ukuthi aqala emapayipini e-fallopian kunakuma-ovari. Kusolwa ukuthi lawa angase aqale nase-fimbriae.

Yiziphi izivivinyo ezitholakalayo zokuhlola impilo ye-fimbriae?

Ukuhlolwa okufanayo okusetshenziselwa ukuhlola amashubhu akho e-fallopian nakho kungakunikeza ulwazi mayelana ne-fimbriae yakho. Lokhu kuhlolwa kungasiza ekunqumeni ukuthi amashubhu akho avaliwe noma cha.

• I-Hysterosalpingogram (HSG): Lokhu ukuhlolwa kwe-X-ray. Kufakwa idayi ekhethekile esibelethweni bese uketshezi lubhekwa njengoba lugeleza emapayipini.
• I-Hysterosalpingo contrast sonography (HyCoSy): Lolu ukuhlolwa kwe-ultrasound okusebenzisa i-medium ekhethekile noma amabhamuza omoya ukubheka ukugeleza koketshezi ngaphakathi kwamapayipi.
• I-Laparoscopy: Lena inqubo yokuhlinzwa ehilela ukufaka ikhamera encane emapayipini e-fallopian ukuze iwabheke ngqo. Ngezinye izikhathi, udokotela uzophinde adlulise uketshezi emapayipini ngesikhathi senqubo ukuze abone ukuthi ahamba ngokukhululeka noma ukuthi kukhona yini ukuvaleka. Lokhu kubizwa ngokuthi i-chromopertubation.

Yiziphi izindlela zokwelapha izinkinga ezihlobene ne-fimbriae?

Kwezinye izimo, njengengxenye yenqubo yokuhlinzwa ebizwa ngokuthi i-salpingostomy (noma i-neosalpingostomy), udokotela angase enze nenqubo ebizwa ngokuthi i-fimbrioplasty. I-salpingostomy isusa uketshezi oluningi emapayipini e-fallopian futhi ilungise noma yimuphi umonakalo. I-Fimbrioplasty ilungisa ngqo ama-fimbriae ukuze akwazi ukuhamba ngokukhululeka futhi. Kodwa-ke, lokhu ukuhlinzwa okungavamile futhi akuwona wonke umuntu ongakwenza. Udokotela uzonquma ukuthi uyakufanelekela yini le nqubo.

Yini esingayenza ukuze sigcine ama-fimbriae ephilile?

Indlela engcono kakhulu yokugcina ama-fimbriae akho ephilile ukuwavikela kumagciwane angabangela umonakalo wesikhathi eside. Lawa magciwane avame ukuthelelana ngokocansi. Lokho kusho ukuthatha izinyathelo zokuzivikela ezifweni ezithelelana ngokocansi (STIs) njenge-Chlamydia kanye ne-Gonorrhea.(Isibonelo, ukwenza ucansi oluphephile) kuyindlela enhle yokugcina lonke uhlelo lwakho lokuzala luphilile, hhayi nje ama-fimbriae akho.

Kubalulekile futhi ukuthi uhlolwe izifo ezithathelwana ngocansi (ama-STI) njalo futhi ufune ukwelashwa ngokushesha uma utholakale ukuthi unalesi sifo , ngoba uma lesi sifo sihlala isikhathi eside, kulapho amathuba okuthi amashubhu akho e-fallopian alimale khona.

Khumbula njengesifinyezo (Umyalezo Wokuya Ekhaya)

Lezi zakhiwo ezincane ezibizwa ngokuthi i-fimbriae zibaluleke kakhulu ekuzaleni kwakho, okungukuthi, ikhono lakho lokuba nomntwana. Amapayipi e-fallopian avinjiwe angenza kube nzima ukuba nezingane, futhi ukunamathela kwe-fimbriae kuyimbangela enkulu yalokhu kuvinjelwa.

Ngakho-ke, ukuze ugcine ama-fimbriae akho ephilile, nciphisa ingozi yakho yokutheleleka. Yenza ucansi oluphephile. Uma ama-fimbriae akho onakele nganoma iyiphi indlela, khuluma nodokotela wakho ngezinketho zakho ezingcono kakhulu zokukhulelwa umntwana. Ungakhathazeki, iseluleko sezokwelapha sizokunikeza isiqondiso esifanele.

I- Fimbriae, amashubhu e-Fallopian, ukuzala kwabesifazane, ukuvuthwa kwamaqanda, ukungazali, izifo ezithathelwana ngocansi, i-gynecology