Ukuphupha ngokuba ngumama noma ubaba kuyithemba elihle empilweni yawo wonke umuntu. Kodwa ngezinye izikhathi ukwenza leli phupho ligcwaliseke kungaba yinselele kancane. Ukukhulelwa kwengane kuyinqubo esebenza njengomshini oyinkimbinkimbi. Ngisho nezingxenye ezincane kakhulu zomzimba wethu zidinga ukuxhumeka futhi zisebenze kahle. Namuhla sizokhuluma ngesitho esisodwa esimangalisayo, esincane abantu abaningi abangakaze basizwe, kodwa leyo yindlela yokuzala abantwana. Leyo yi-Fimbriae.
Kalula nje, ziyini lezi fimbriae?
Cabanga ngamapayipi akho e-Fallopian njengemibhobho emibili emincane egijima isuka esibelethweni sakho iye esibelethweni sakho. Emaphethelweni alawo mapayipi, aseduze nesibeletho, kunezinhlayiya ezincane ezibukeka njengeminwe esandleni. Lezi zingxenye ezincane ezifana neminwe zibizwa ngokuthi i-fimbriae .
Lezi yizingxenye ezithambile nezinyakazayo, njengezingcezu zembali, noma ilangabi lelangabi. Ziyingxenye ebaluleke kakhulu yepayipi le-fallopian. Ngaphandle kwazo, isinyathelo sokuqala enkambisweni yokukhulelwa komntwana singahluleka.
Uyini umsebenzi we-fimbriae? Kungani lokhu kubaluleke kangaka?
Ukuze siqonde lokhu, ake sikhumbule kancane ngenqubo yokukhulelwa komntwana. Njalo ngenyanga, iqanda lowesifazane likhipha iqanda (iqanda). Lokhu kubizwa ngokuthi i-ovulation.
Yilapho umlingiswa wethu oyinhloko, i-fimbriae, eqala khona umsebenzi wakhe.
1. Ukubamba iqanda: Lapho nje iqanda selikhishwe esibelethweni, ama-fimbriae aseduze akhangwa yilo njengomagnet, azungeze isibeletho. Ngemuva kwalokho, iqanda elikhishwe libanjwa ngokucophelela, njengomdlali wekhilikithi onekhono oqapha ibhola.
2. Isiqondiso sepayipi le-fallopian: Ngemva kokubamba iqanda, izingxenye ezincane kakhulu ezifana nezinwele (ezibizwa ngokuthi i-cilia ) ebusweni be-fimbriae ziqala ukuhamba ngokushesha ngendlela efanayo, njengebhulashi elixubha ibhulashi. Lokhu kunyakaza kusunduza kancane iqanda elibanjiwe lingene epayipini le-fallopian.
Kalula nje, ama-fimbriae afana nebhuloho eliphakathi kwe-ovary ne-fallopian tube. I-ovary ikhiqiza iqanda, bese i-fimbriae ibamba lelo qanda ilibeke epayipini le-fallopian. Uma lokhu kungasebenzi kahle, iqanda ngeke lize lifike ohambweni lwalo lokuhlangana nesidoda.
Kungemva kokungena emgudwini we-fallopian kuphela lapho isidoda esingena ngesikhathi socansi sinethuba lokuhlangana naleli qanda bese sivundiswa. Uma sivundiswa, siba umbungu bese sifakwa esibelethweni, lapho sikhula khona sibe umbungu.
Manje usuyaqonda ukuthi cishe akunakwenzeka ukucabanga ukuthi ungaba nabantwana ngaphandle kwale ngxenye encane, njengale minwe?
Ingabe ama-fimbriae angonakala? Kwenzekani uma engonakala?
Yebo, ngeshwa, lezi zingxenye ezibucayi zingalimala. Uma zonakele, kungaba yimbangela enkulu yokungazali. Ngoba ama-fimbriae alimele awakwazi ukuhamba ngokukhululeka, azungeze isibeletho, futhi abambe iqanda. Ngezinye izikhathi lezi zingxenye ezifana neminwe zinganamathelana, zivale umlomo wepayipi le-fallopian.
Kunezimo eziningana ezinkulu zezokwelapha ezingabangela lesi simo.
| Isimo sezokwelapha | Umqondo nje | Indlela ethinta ngayo i-fimbriae |
|---|---|---|
| I-Salpingitis | Lokhu ukutheleleka kanye nokuvuvukala kwamapayipi e-fallopian. Lokhu kuyingxenye yesimo esibizwa ngokuthi i-Pelvic Inflammatory Disease (PID). | Lesi simo sivame ukubangelwa izifo ezithathelwana ngocansi ezingelashwa njenge-Chlamydia kanye ne-gonorrhea. Njengoba ukutheleleka kuphola, izicubu ezithambile ze-fimbriae zingaba nezibazi futhi zinamathele ndawonye njengomphumela wenqubo yokuphulukiswa komzimba. |
| I-Pyosalpinx | Ukuqongelela kobomvu epayipini le-fallopian. | Uma i-fimbriae inamathelana futhi ivala ukuvulwa kwepayipi le-fallopian, ubomvu obuvela kulesi sifo abunandlela yokuphuma futhi kunalokho bugcwalisa ipayipi. Lokhu kulimaza kakhulu ipayipi kanye ne-fimbriae. |
| I-Hydrosalpinx | Ukuqongelela koketshezi epayipini le-fallopian. | Lokhu kufana nesimo esingenhla. Ngenxa yokuthi ama-fimbriae avinjiwe, uketshezi olwakheka ngokwemvelo ngaphakathi kwepayipi alukwazi ukuphuma luqoqeke ngaphakathi kwepayipi, okubangela ukuthi ipayipi livuvuke. Lolu ketshezi lungaba yingozi embungwini. |
Ingabe kukhona ukuxhumana phakathi komdlavuza ne-fimbriae?
Ucwaningo lwamuva nje lubonise ukuthi eminye imidlavuza yama-ovari enamandla (ikakhulukazi i-High-Grade Serous Carcinomas - HGSC ) empeleni ayiqali kuma-ovari, kodwa emapayipini e-fallopian, ikakhulukazi kuma-fimbriae. Lokhu kusacwaningwa, kodwa kukhombisa ukuthi impilo yale ngxenye encane ibaluleke kangakanani.
Ngingasazi yini isimo sempilo se-fimbriae yami?
Yebo, uma unezinkinga zokuzala, udokotela wakho angase akuncome ukuhlolwa kwe-fallopian tube. Lokhu kuhlolwa kungakunikeza nombono ngesimo se-fimbriae. Ngokuyinhloko kubhekwa ukuthi ama-fallopian tubes avaliwe noma avulekile yini.
- I-Hysterosalpingogram (HSG): Lolu ukuhlolwa kwe-X-ray. Idayi ekhethekile ifakwa esibelethweni ngomlomo wesibeletho, bese kuthathwa izithombe ze-X-ray ukuze kubonakale ukuthi idayi ihamba ngokukhululeka yini ngamapayipi e-fallopian noma iphuma emaphethelweni amapayipi.
- I-Hysterosalpingo contrast sonography (HyCoSy): Lokhu kufana nokuhlolwa okungenhla, kodwa esikhundleni se-X-ray, kusetshenziswa i-ultrasound scan. Kusetshenziswa isisombululo esikhethekile se-saline noma amabhamuza omoya ukuhlola ukunyakaza kwamapayipi.
- I-Laparoscopy: Lokhu ukuhlinzwa okuncane okwenziwa ngaphansi kwe-anesthesia. Kwenziwa i-incision encane esiswini, bese kufakwa ithuluzi elincane elinekhamera ukuhlola amashubhu e-fallopian, i-fimbriae, nama-ovari ngamehlo womabili. Uma kudingeka, idayi eluhlaza okwesibhakabhaka ingafakwa esibelethweni ngalesi sikhathi (esibizwa ngokuthi i-chromopertubation ) ukuze kubonakale ukuthi idayi iphuma yini ku-fimbriae. Lena yindlela engcono kakhulu nenembile kakhulu yokuhlola isimo samashubhu e-fallopian (izinga legolide) .
Ingabe ama-fimbriae alimele angabuyiselwa?
Kwezinye izimo, ukuhlinzwa kungalungisa ama-fimbriae alimele ngezinga elithile.
- I-Fimbrioplasty: Lena inqubo yokuhlinzwa ehlukanisa ama-fimbriae anamathele ndawonye futhi awakhe kabusha ukuze akwazi ukuhamba ngokukhululeka ngangokunokwenzeka.
- I-Salpingostomy: Uma ukuphela kwepayipi le-fallopian (uhlangothi olune-fimbriae) kuvinjiwe, ukuvinjelwa kuyasuswa bese kwakheka imbobo entsha.
Kodwa-ke, lokhu kuhlinzwa akulona olwawo wonke umuntu, futhi izinga lokuphumelela kwabo alikho ngokuphelele. Imiphumela incike ezintweni eziningi, njengohlobo lomonakalo kanye nobudala besiguli. Udokotela wakho uzonquma ukuthi yikuphi ukwelashwa okungcono kakhulu kuwe. Ngezinye izikhathi, uma amashubhu e-fallopian onakele kakhulu, kungadingeka usebenzise ezinye izinketho, njenge -IVF (in vitro fertilization) .
Yini okufanele siyenze ukuze sivikele lesi sitho esiyigugu?
Into ebaluleke kakhulu lapha ukuthi 'ukuvimbela kungcono kunokwelapha' . Imbangela eyinhloko yomonakalo ku-fimbriae izifo ezithathelwana ngocansi ezingalashwanga (ama-STI). Ngakho-ke, into engcono kakhulu ongayenza ukuzivikela kuzo.
- Ucansi oluphephile: Gwema ucansi olungavikelekile. Ukusebenzisa izindlela zokuvimbela inzalo ezifana namakhondomu kungavikela ezifweni ezithathelwana ngocansi.
- Umlingani othembekile: Ukuzikhawulela kumlingani oyedwa kunganciphisa kakhulu ingozi.
- Qaphela izimpawu: Uma unezimpawu ezifana nokuphuma koketshezi olungavamile esithweni sangasese sowesifazane, ubuhlungu besisu esingezansi, noma ukushisa ngesikhathi sokuchama, ungazinaki . Bheka udokotela ngokushesha.
- Thola ukwelashwa okufanele: Uma kutholakale ukuthi unesifo sofuba, thola ukwelashwa okuphelele okunqunywe udokotela wakho. Ungayeki phakathi nendawo. Futhi, kubalulekile ukuthi umlingani wakho naye ahlolwe futhi elashwe uma kudingeka. Ngaphandle kwalokho, ungase utheleleke ngokuphindaphindiwe.
Impilo yakho yokuzala iyinto ebaluleke kakhulu empilweni yakho. Ukuyinakekela nokuyiqaphela kuyitshalomali elikhulu ongalenza esikhathini esizayo.
Umlayezo Wokuya Nawe Ekhaya
- Ama-Fimbriae abaluleke kakhulu, izingxenye ezifana neminwe ekugcineni kwamapayipi e-fallopian ezibamba iqanda bese ziliqondisa epayipini.
- Ngaphandle kwama-fimbriae anempilo, kunzima kakhulu ukukhulelwa umntwana ngokwemvelo.
- Ukutheleleka (i-PID) okubangelwa izifo ezithathelwana ngocansi ezingalashwanga (ama-STI) njenge-chlamydia kanye ne-gonorrhea kungalimaza kakhulu i-fimbriae.
- Uma ukhulelwe sekwephuzile, kubalulekile ukuhlola isimo sama-fallopian tubes kanye ne-fimbriae. Kunezivivinyo zalokhu ezifana ne-HSG, i-HyCoSy, kanye ne-Laparoscopy.
- Indlela engcono kakhulu yokuvimbela ukulimala kwe-fimbriae ukwenza ucansi oluphephile nokufuna ukwelashwa kwezifo ezithathelwana ngocansi kusenesikhathi.
- Uma unezinkinga noma ukungabaza ngalokhu, ungalibali futhi uthintane nodokotela wakho wezifo zabesifazane.
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