Iibhulo zomgubo zimbini zincinci, enye kwicala ngalinye le-uterus, elinceda ukukhokela iqanda elivuthiweyo kwii-ovari ukuya kwisibeleko. Xa ukuphazamiseka kuthintela iqanda ukuba lingabikho phantsi kwiphubhu, umfazi unesibindi se-fallopian evinjiweyo, eyaziwa ngokuba yi-tubal factor infertility. Oku kuya kwenzeka kumnye okanye kumabini omabili kwaye yimbangela yokungabi nabantwana kwi-40 ekhulwini yabasetyhini abangenabantwana.
Akuqhelekanga kubasetyhini abanezigulane ezivaliweyo ukuba bafumane naziphi iimpawu. Abasetyhini abaninzi bacinga ukuba xa behlala rhoqo, ukuzala kwabo kulungile. Oku akunjalo ngaso sonke isikhathi.
Ivinjiwe njani Izibilini Zama-Fallopian Isizathu Sokungahambi?
Ngenyanga nganye, xa i-ovulation ivela, iqanda likhishwa kwelinye lala maqanda. Iqanda lihamba lisuka kwi-ovary, ngokusebenzisa iibhubhu, kunye nasesibelethweni. Inambuzane nayo ifuna ukuba ibhukude ivela emlonyeni wesibeleko, ngokusebenzisa isisu, kunye nezigubhu ze-fallopian ukuya kwiqanda. Ukufakela imfuyo ngokuqhelekileyo kwenzeka ngelixa iqanda lihamba ngephubhu.
Ukuba enye okanye zombini iiglopian tubes ivinjiwe, iqanda alikwazi ukufikelela kwisibeleko, kwaye isidoda asikwazi ukufikelela kwiqanda, ukukhusela ukuchumisa nokukhulelwa.
Kwakhona kunokwenzeka ukuba ityhubhu ingayi kuvaliwe ngokupheleleyo, kodwa yodwa. Oku kunokwandisa umngcipheko wokukhulelwa kwe-tubal, okanye ukukhulelwa kwe-ectopic.
Ziziphi Iimpawu Zokuvinjelwa Izibilini Zama-Fallopian?
Ngokungafani ne- anovulation , apho imizila engavumelekanga yokuya esikhathini ingasichazela ingxaki, izibhabhu ezivaliweyo ze-fallopian azikho nto ezibangela iimpawu.
Uhlobo oluthile lwe-tublopian tube ebizwa ngokuthi i- hydrosalpinx inokubangela intlungu engaphantsi kwesisu kunye nesisu esingavamile, kodwa akusiyo yonke intokazi eya kuba nale mpawu. I-Hydrosalpinx xa ukukhutshwa kukubangela ukuba ityhubhu ihluthe (ukwandisa ububanzi) kwaye uzalise ngamanzi. I-fluid ibimbela iqanda kunye nesidoda, ukukhusela ukuchumisa nokukhulelwa.
Nangona kunjalo, ezinye zezona zimbangela ze-tublopian tubes zingabangela ezinye iingxaki. Ngokomzekelo, i- endometriosis kunye nesifo esithintekayo se- pelvic singabangela ukuhamba kwexesha kunye nobuhlungu bobulili obubuhlungu, kodwa ezi zibonakaliso azibhekiselele kwiibhulo ezivaliweyo.
Ziziphi Izizathu Ezivimbelwe Izibilini Zama Fallopian?
Isizathu esona siqhelo se-tublopian tubes sisifo sesifo se- pelvic (PID). I-PID yiphumo sesifo esithathelwana ngesondo, kodwa asikho konke ukusuleleka kwe-pelvic kuhlobene ne-STD. Kwakhona, nangona i-PID ingasabikho, imbali ye-PID okanye intsholongwane ye-pelvic yandisa umngcipheko wee-tubes ezivaliweyo.
Ezinye izizathu ezinokubangela izigubhu ze-fallopian ezivaliweyo zibandakanya:
- Okwangoku okanye imbali yesifo se-STD, ngokukhethekileyo i-chlamydia okanye i-gonorrhea
- Imbali yentsholongwane ye-uterine ebangelwa ukukhipha isisu okanye ukukhulelwa komzimba
- Imbali yesihlomelo esaphukileyo
- Imbali yokuhlinzwa kwesisu
- Ukukhulelwa kwangaphambili kwe-ectopic
- Ukuqhutyelwa kokuphambi kokubandakanya ama-tublopian tubes
- Endometriosis
Zivinjiwe njani Zihlala Zixilongwa?
Iibhubhu ezivaliweyo zivame ukufunyanwa nge-x-ray ekhethekileyo ebizwa ngokuba yi-hysterosalpingogram, okanye i- HSG . Olu vavanyo lubandakanya ukubeka idayi ngomlomo wesibeleko usebenzisa ityhubhu encinci. Emva kokuba idayi inikwe, ugqirha uya kuthatha i-x-ray ye-pelvic yakho.
Ukuba konke kuqhelekileyo, idata iya kudlula kwisibeleko, ngokusebenzisa iibhubhu, kwaye ikhuphe ngaphandle kwee-ovari kwaye ibe yintlambo ye-pelvic. Ukuba idayi ayifumaneki kwiibhubhu, ngoko unakho ityhulopian tube.
Kubalulekile ukwazi ukuba i-15 ekhulwini yabasetyhini banesiphene, "apho idayi ingadluli ibele kunye ne-tube. Ukukhutshwa kubonakala kulungile apho i-tube fallopian kunye ne-uterus idibana khona. Ukuba oko kwenzeka, ugqirha unokuphinda aphinde uvavanyo ngenye ixesha, okanye ulandele uvavanyo oluthile ukuqinisekisa.
Ezinye iimvavanyo ezinokuthi zenziwe zibandakanya i-ultrasound, ukuhlinzwa okwenziwe i-laparoscopic , okanye i-hysteroscopy (apho bathabatha ikhamera elincinci kwaye bayifake kwisibeletho sakho ukuba bajonge isisu sakho).
Umsebenzi wegazi ukujonga ukuba ubukho be-chlamydia-antibodies (okuza kubonisa ukuba usulele ukusuleleka okanye ukusuleleka kwangoku) kunokukwalelwa kwakhona.
Izonyango ezinokwenzeka: Ngaba Unokuzikhupha ngezikhuni ze-Fallopian Blocked?
Ukuba unesibhubhu esisodwa evulekile kwaye mhlawumbi unempilweni, unokukwazi ukukhulelwa ngaphandle koluncedo oluninzi. Ugqirha wakho unokunika iziyobisi zonyango ukwenzela ukwandisa amathuba okugubungela ohlangothini kunye nethubhu evulekile. Oku akuyona inketho, nangona kunjalo, ukuba zombini iiphulo zivaliwe.
Ukugqithwa kweLaparoscopic yokuVizwa kwamaTyhulopian Tubes
Kwezinye iimeko, utyando lwe-laparoscopic uvula ii-tubes ezivaliweyo okanye ususe izicubu ezinqabileyo ezibangela iingxaki. Ngelishwa, olu unyango alusebenzi ngaso sonke isikhathi. Ithuba lokuphumelela lixhomekeke ekubeni uneminyaka engakanani (incinci, ilungile), ingaba kakubi kwaye ikuphi ukucinywa, kunye nesizathu sokucinywa.
Ukuba nje ukumbambisana okumbalwa kukuphakathi kwama-tubes kunye nama-ovari, ke amathuba akho okukhulelwa emva kokuhlinzwa ngileyo. Ukuba unesibhubhe evinjiweyo enempilo, unama-20 ekhulwini ukuya kuma-40 kwithuba lokukhulelwa emva kokuhlinzwa.
Umngcipheko wokukhulelwa kwe-ectopic uphezulu emva kokuhlinzwa ukuba uphephe ukucinywa kwetali. Ugqirha wakho kufuneka akujonge ngokukhawuleza ukuba uyakhulelwa kwaye ufumaneke ukukunceda ukuba wenze isigqibo sokuba kukuphi okulungileyo kuwe.
Ukuhlinzwa akulungele wonke umntu. Ukuba ukuxhamla, ukuxhamla kunye nokukhawulwa kwezinto eziphakathi kweethubhu kunye namaqanda, okanye ukuba ufumene ukuba u-hydrosalpinx, utyando lungaba lukhethi olufanelekileyo kuwe.
Kwakhona, ukuba kukho nayiphi na imicimbi yongxaki yokungabikho komntwana , unokufuna ukunqumla ukuhlinzwa. Ezinye izizathu zokuyeka ukuhlinzwa ziquka izinto ezongezelelweyo zokuzala ngaphandle kweetyhubhu ezinqandekileyo (ezinjengeengxaki ezinzulu ne-ovulation) okanye ubudala obudala bokubeletha.
Kule meko, unyango lwe-IVF yindlela efanelekileyo yokubheja.
I-IVF yeThibices of Tublopian Tubes
Ngaphambi kokuba kutholakale i-IVF , ukuba ukuhlinzwa okwenziweyo kwakungasebenzi okanye kwakungenakukhetha, abafazi abanezikhumba ezivaliweyo babengenazo iindlela zokukhulelwa.
I-IVF yenza ukuba kube nokwakha. Ukwelashwa kwe-IVF kubandakanya ukuthatha izidakamizwa zokuvelisa ukunyusa ama-ovari. Emva koko, usebenzisa inaliti ekhokelwa yi-ultrasound ngokusebenzisa udonga lwesisu, ugqirha wakho ufumana amaqanda ngokuthe ngqo kwii-ovari. Kwilebhu, amaqanda ahlanganiswa kunye nesidoda esivela kumlingani wesilisa okanye umniki wesilisa. Ngethemba, ezinye iiqanda zizalisa kunye nemiphumo enempilo. Inye okanye amabini ama-embryo aphilileyo anyuliwe aze adluliselwe kwisibeleko.
I-IVF igweme ngokupheleleyo iibhulo zokulala ukuze kungabalulekanga.
Oko kwathiwa, uphando lufumene ukuba ityhuthi ekhulayo inganciphisa kakhulu imingcipheko ye-IVF impumelelo . Ukuba une-hydrosalpinx (ityhuthi egcwele amanzi), ugqirha wakho unokucebisa ukuba utyunjiswe ukususa ityhubhu. Emva koko, emva kokuphulukana nokuhlinzwa, i-IVF ingahlolwa.
Igama elivela kwi-Verywell
Xa kukho ityhubhu enye inqandekile, ukukhulelwa ngokwakho okanye ngezokwelapha ezincinci kunokwenzeka. Nangona kunjalo, xa zombini iiphulo zivaliwe, unyango okanye utyando lwe-IVF lunokukhetha kwakho kuphela. Uphando lunokuthi lufakwe ngomshuwalense, kodwa unyango lwe-IVF alufaneki. Iindleko eziphezulu ze-IVF zivimbela izibini ezininzi ezenza izizathu zokungabikho kwintsholongwane ekubeni zikwazi ukuzala umntwana.
Thetha ugqirha wakho malunga nazo zonke iinketho zakho. Ukuba i-IVF okanye ukuhlinzwa kungenakwenzeka kuwe, unokufuna ukuqwalasela umntwana, ukunakekelwa kwabantwana, okanye ukhetha ukuphila ubomi obungenamntwana . Qinisekisa ukuba unesiseko sengqondo njengoko uhamba nale meko.
> Imithombo:
> Ukuqonda emva kokuphelelwa kweT Tubal: Inqaku leNkcazo. Umbutho waseMelika weMithi yokuzala.
> Hydrosalpinx: I-Fact Sheet. Umbutho waseMelika weMithi yokuzala.