Kubaluleke kakhulu ukuthi wonke owesifazane ophupha ngokuba ngumama abe nokuqonda okuhle ngomzimba wakhe. Uma sikhuluma ngohlelo lwethu lokuzala, sivame ukukhuluma ngesibeletho nama-ovari. Kodwa abantu abaningi abanalo ukuqonda okuhle 'ngama-fallopian tubes' adlala indima ebaluleke kakhulu phakathi kwawo. Mhlawumbe uke wezwa leli gama kudokotela, noma kungenzeka ukuthi uke wezwa ngalo lapho ukhuluma ngokuhlolwa okwenziwa lapho sekwephuze kakhulu ukuba nomntwana. Ngakho-ke, ayini ngempela la ma-fallopian tubes? Abaluleke kangakanani enkambisweni yokukhulelwa umntwana? Sizokhuluma ngakho konke lokhu kalula namuhla, ngendlela ongayiqonda.
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Kalula nje, ayini la mapayipi e-fallopian?
Cabanga ngohlelo lwakho lokuzala njengomuzi omatasa kakhulu. Ama-ovari kuleli dolobha ayizimboni ezimbili ezikhiqiza amaqanda. Isibeletho yikhaya lapho lelo qanda, lihlanganiswe nesidoda, lakha khona umbungu okhula ngokuphephile izinyanga ezingu-9. Ngakho-ke, kufanele kube nendlela esuka kule mboni uye ekhaya? Ngaleyo ndlela, lelo bhuloho liyimibhobho ye-fallopian .
Lawa amapayipi amabili amancane, anemisipha axhumanisa ama-ovari akho nesibeletho, kuzo zombili izinhlangothi zesibeletho sakho. Lawa akuwona nje noma yimaphi amapayipi. Lawa mapayipi e-fallopian angamaqhawe enqubo yokukhulelwa kwengane.
Ake sibone ukuthi kanjani. Amapayipi e-fallopian enza imisebenzi emithathu eyinhloko:
1. Indawo lapho iqanda litholakala khona: Njalo ngenyanga, njengengxenye yomjikelezo wakho wokuya esikhathini, iqanda elivuthiwe likhishwa esibelethweni. Ngalesi sikhathi, izakhiwo ezincane ezifana neminwe (ezibizwa ngokuthi 'i-fimbriae') ekugcineni kwepayipi le-fallopian eduze kwe-ovary zibamba iqanda ngobumnene bese zilidonsela epayipini. Iqanda libe selihlala ngaphakathi kwepayipi kuze kufike isidoda.
2. Lapho ukukhulelwa kwenzeka khona: Uma wena nomlingani wakho nenza ucansi, isidoda singena esibelethweni ngesitho sangasese sowesifazane, umlomo wesibeletho, kanye namapayipi esitho sangasese sowesifazane. Lapho isidoda sihlangana neqanda elilinde ngaphakathi kwepayipi, kwenzeka isimangaliso sokukhulelwa . Lokhu kusho ukuthi izinyathelo zokuqala empilweni yomntwana azithathwa esibelethweni, kodwa zithathwa epayipini lesitho sangasese sowesifazane.
3. Indlela esebenzayo ethwala iqanda elivundisiwe liye esibelethweni: I-embryo eyakheka lapho iqanda nesidoda kuhlangana ndawonye ayigcini nje ngokuntanta esibelethweni. Imisipha ethambile ezindongeni ze-fallopian tube iyafinyela futhi izinwele ezincane (cilia) ngaphakathi ziyanyakaza, njenge-'conveyor belt', futhi le embryo isunduzelwa ngokucophelela esibelethweni izinsuku eziningana. Kungemva kokuba ifike esibelethweni kuphela lapho izitshala khona odongeni lwesibeletho bese iqala ukukhula ibe yingane.
Manje usuyaqonda ukuthi amapayipi e-fallopian awawona nje amapayipi amabili, kodwa abaluleke kangakanani ekutholeni abantwana? Uma ingxenye eyodwa yalolu hambo ingahambi kahle, kungaba nzima ukukhulelwa umntwana.
Ake sifunde okwengeziwe ngesakhiwo nendawo yepayipi le-fallopian.
Ake sibheke lesi sitho ngokujulile.
Zikuphi lezi?
Kunemibhobho emibili ye-fallopian etholakala phezulu kwesibeletho sakho, enye ngakwesokudla kanti enye ingakwesobunxele. Uhlangothi olulodwa luxhunywe esibelethweni, kanti olunye uhlangothi luvuleka eduze kwesibeletho.
Izingxenye zepayipi le-fallopian
Leli payipi lingaba amasentimitha angu-4-5 ubude. Linezingxenye ezine eziyinhloko. Kusukela esibelethweni kuya esibelethweni, lezi zingxenye zimi kanje:
- I-Infundibulum: Ingxenye efana ne-funnel eseduze ne-ovary. Yilapho kutholakala khona 'ama-fimbriae' afana nomunwe abambe iqanda.
- I-Ampulla: Ingxenye ende kakhulu nebanzi kakhulu yepayipi. Ukuvundisa kuvame ukwenzeka kule ngxenye.
- Isthmus: Umsele omncane oxhumanisa i-ampulla kanye nengxenye eseduze kwesibeletho.
- Ingxenye yangaphakathi/yangaphakathi: Isiphetho esidlula odongeni lwesibeletho futhi sivulekele emgodini wesibeletho. Umbungu ovundisiwe ungena esibelethweni ngalokhu.
Zenziwe ngani lezi?
Udonga lwepayipi le-fallopian luqukethe ikakhulukazi izendlalelo ezimbili:
1. Ulwelwesi lwamafinyila: Ulwelwesi oluncane oluhlanganisa ingaphakathi lepayipi. Lukhipha uketshezi olunikeza umswakama nokondla ukuze kukhule umbungu kanye nokukhula kwawo kwasekuqaleni. Lunezinwele eziningi ezinhle (cilia) eziqhubela iqanda, isidoda kanye nombungu esibelethweni.
2. Izendlalelo zemisipha: Lezi zendlalelo zemisipha zisiza ukuhambisa okuqukethwe yipayipi kuye esibelethweni ngokufinyela kwesigqi (i-peristalsis), njengoba nje kwenza i-esophagus lapho sigwinya ukudla.
Izinkinga nezimo ezivamile ezingase zenzeke ngamapayipi e-fallopian
Ukungasebenzi kahle kwepayipi le-Fallopian kuyimbangela enkulu yokungazali. Cishe ama-20-30% emibhangqwana engenazo inzalo abangelwa uhlobo oluthile lwenkinga ngamapayipi e-fallopian. Ake sibheke ezinye zalezi zinkinga ezivamile.
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| Ukukhulelwa Kwesibeletho | I-embryo evundisiwe iyamila bese ikhula epayipini le-fallopian esikhundleni sesibeletho. Lesi yisimo esiphuthumayo esiyingozi kakhulu, esisongela ngisho nokuphila . Ipayipi lingaqhuma futhi libangele ukopha okukhulu kwangaphakathi. |
| I-Endometriosis | Izicubu okufanele zibe sodongeni lwangaphakathi lwesibeletho zikhula ngaphandle kwesibeletho, ezindaweni ezifana namapayipi e-fallopian, ama-ovari, njll. Lokhu kungabangela ukuvaleka, izibazi, kanye nokuvaleka kwamapayipi, okungaphazamisa ukuzala. |
| Isifo Sokuvuvukala Kwezitho Zangasese (PID) | Izifo ezithathelwana ngocansi ezingalashwanga (isib. i-chlamydia, i-gonorrhea) zingabangela ukuvuvukala kanye nokutheleleka kwamapayipi e-fallopian kanye nendawo ezungezile (i-salpingitis). Lokhu kungaholela ekuqhekekeni kwamapayipi, ukuvaleka, kanye nengozi eyengeziwe yokukhulelwa kwe-ectopic. |
| I-Hydrosalpinx | Ukutheleleka noma ukuhlinzwa okudala kungabangela ukuthi ingxenye engezansi yepayipi ivaleke, kugcwalise uketshezi bese kudala ukuthi ipayipi livuvuke. Lokhu kungaphazamisa ukunyakaza kwamaqanda kanye nesidoda ngepayipi. |
| Ama-fibroid | Nakuba lokhu kuvame ukwakheka esibelethweni, ngezinye izikhathi kungakheka eduze kwamapayipi e-fallopian futhi kungacindezela futhi kuvimbe amapayipi. |
| Umdlavuza We-Fallopian Tube | Lokhu akuvamile neze, kodwa muva nje kutholakale ukuthi eminye imidlavuza eyayitholakale ukuthi ingumdlavuza wesibeletho empeleni iqala emapayipini e-fallopian. |
Kungenzeka yini ukukhulelwa ngepayipi elilodwa le-fallopian?
Lona umbuzo abantu abaningi abanawo. Impendulo ithi, yebo, kungenzeka ngempela!
Umuntu angazalwa enepayipi elilodwa kuphela. Noma, isibonelo, ukukhulelwa okubangelwa yi-ectopic, ipayipi elilodwa kungenzeka ukuthi likhishwe ngokuhlinzwa. Uma okungenani unepayipi elilodwa eliphilile kanye ne-ovary elihambisana nalo , futhi umjikelezo wakho wokuya esikhathini ujwayelekile, unethuba elihle lokukhulelwa umntwana.
Futhi, ngisho nakulabo abaye basuswa noma bavalwa womabili amapayipi e-fallopian, kunezindlela zokuba nomntwana ngokuthuthuka kobuchwepheshe namuhla. I-In Vitro Fertilization (IVF) iyisisombululo esingcono kakhulu kubantu abanjalo. Ngale ndlela, amaqanda nesidoda kufakwa umanyolo ngaphandle komzimba bese umbungu ophumayo ufakwa ngqo esibelethweni, okususa isidingo samapayipi e-fallopian.
Izindlela zokuhlola impilo yama-tubes akho e-fallopian
Uma unenkinga yokukhulelwa, udokotela wakho angase asikisele ukuhlola amapayipi akho e-fallopian ukuthi avimbekile yini. Kunezivivinyo eziningana eziyinhloko ezisetshenziswa ukwenza lokhu.
| Igama lokuhlolwa | Kalula nje, kwenzekani ngalokhu? |
|---|---|
| I-Hysterosalpingogram (HSG) | Ukuhlolwa kwe-X-ray. Uketshezi olukhethekile (udayi) ludluliselwa emlonyeni wesibeletho luye esibelethweni nasemapayipini e-fallopian, bese kuthathwa izithombe ze-X-ray. Uma amapayipi engavaliwe, lolu ketshezi lungabonakala lugeleza ngamapayipi lungene emgodini wesisu. Uma amapayipi evaliwe, uketshezi aluhambi ngale kwalelo phuzu. |
| I-sonography ye-saline-infusion (SIS) | Ukuskena nge-ultrasound. Lokhu kuhilela ukufaka isisombululo se-saline esibelethweni nokusebenzisa ukuskena ukuze uthole umbono wengaphakathi lesibeletho kanye nokuqina kwamapayipi e-fallopian. |
| I-Laparoscopy | Lokhu ukuhlinzwa okuncane. Ngemva kokuhlinzwa, kwenziwa isilonda esincane esiswini, bese kufakwa ithuluzi elincane elinekhamera ukuhlola ngokubonakalayo amashubhu e-fallopian, isibeletho, nama-ovari. Lena yindlela engcono kakhulu yokuhlola izinkinga ezifana namashubhu avaliwe kanye ne-endometriosis. Uma kudingeka, imithungo emincane ingasuswa ngesikhathi esifanayo. |
Ukwelashwa kwezinkinga zamapayipi e-fallopian
Izindlela zokwelapha ziyahlukahluka kuye ngenkinga etholakele.
- Ukususwa kwe-Tubal Cannulation:Ngesikhathi sokuhlolwa kwe-HSG, kusetshenziswa ucingo oluncane ukuzama ukuvula ukuvaleka okuncane ekugcineni kwepayipi eliseduze nesibeletho.
- Ukuhlinzwa kwe-Laparoscopic: Ngesikhathi se-laparoscopy, ukunamathela okuzungeze amashubhu e-fallopian kungasuswa, ama-deposit e-endometriosis angasuswa, noma ithubhu ye-fallopian evalekile ingavulwa (Salpingostomy) noma isuswe (Salpingectomy) uma kwenzeka i-Hydrosalpinx.
- Ukuguqulwa Kwe-Tubal Ligation: Uma owesifazane oke waba ne-tubal ligation yokulawula inzalo ngaphambilini efuna ukuba nomunye umntwana, angazama ukuxhuma kabusha amapayipi amabili asikiwe ngokuhlinzwa. Kodwa-ke, lokhu akuphumeleli ngokuphelele.
- Ukuvundisa Nge-Vitro (IVF): Uma amapayipi onakele kakhulu noma ukuhlinzwa kungasebenzi kahle, ubuchwepheshe be-IVF buyisisombululo esingcono kakhulu.
Izinto esingazenza ukuze sigcine amashubhu e-fallopian ephilile
Nakuba singenakukwazi ukulawula ezinye izimo, njenge-endometriosis, kunezinto esingazenza ukuvikela amashubhu ethu e-fallopian ekuthelelekeni. Imbangela ehamba phambili yokulimala kwamashubhu yisifo sokuvuvukala kwe-pelvic (PID), esibangelwa izifo ezithathelwana ngocansi ezingalashwanga (ama-STI) .
Ngakho-ke, ukuzivikela ezifweni ezithathelwana ngocansi ngokwenza ucansi oluphephile (isib. ukusebenzisa ikhondomu) kanye nokulala nomlingani oyedwa omethembayo kuyinto engcono kakhulu ongayenza ukuze ulondoloze impilo yama-fallopian tubes akho.
Uma unezimpawu ezifana nokukhishwa koketshezi olungavamile esithweni sangasese sowesifazane, ubuhlungu besisu esingezansi, noma ubuhlungu ngesikhathi socansi, ungabi namahloni noma ulibale, bese ubona udokotela ngokushesha . Ukwelashwa kusenesikhathi kungavimbela ukulimala okungapheli kwamapayipi ngenxa yezimo ezifana ne-PID.
Umlayezo Wokuya Nawe Ekhaya
- Amapayipi e-fallopian ayibhuloho elibalulekile elithwala amaqanda esuka kuma-ovari aye esibelethweni, lapho kukhulelwa khona. Ukuwagcina ephilile kubalulekile ekukhulelweni kwemvelo.
- Amapayipi e-fallopian avaliwe noma alimele ayimbangela enkulu yokungazali.
- Ukukhulelwa kwe-Ectopic kuyisimo esiphuthumayo sezokwelapha esingase senzeke emapayipini e-fallopian futhi singaba yingozi ngisho nokuphila.
- Ukugwema izifo ezithathelwana ngocansi (STI) ngokwenza ucansi oluphephile kuyindlela engcono kakhulu yokuzivikela ezifweni zama-fallopian tube.
- Uma ubambezeleka ekukhulelweni noma usola inkinga ngamapayipi akho e-fallopian, kubaluleke kakhulu ukukhuluma nodokotela wakho bese ucela ukuhlolwa nokwelashwa okudingekayo.
- Ngisho noma amapayipi e-fallopian onakele, namuhla kukhona ithuba lokufeza iphupho lokuba ngumama ngokusebenzisa ubuchwepheshe besimanje njenge-IVF.
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