Ama-tubes wesigqila ama-tubes amabili amancane, okuhlangothini ngalunye lwesibindi, okusiza ukuhola iqanda elivuthiwe kusuka kuma-ovari ukuya esibelethweni. Uma ukuvinjelwa kuvimbela iqanda ekuhambeni phansi kwebhubhisi, owesifazane une-tublopian tube evinjiwe, eyaziwa nangokuthi i-tubal factor infertility. Lokhu kungenzeka enkambeni eyodwa noma zombili futhi kuyimbangela yokungasebenzi emaphesenti angu-40 abesifazane abangenalutho.
Kuyinto engavamile kwabesifazane abanezigubhu ezivinjiwe ezivimbelwe ukuzwa noma yiziphi izimpawu. Abesifazane abaningi bacabanga ukuthi uma beba nezikhathi ezivamile, ukuzala kwabo kuhle. Lokhu akulona iqiniso ngaso sonke isikhathi.
Ivinjiwe kanjani Izigubhu Zama-Fallopian Isizathu Sokungahambi?
Inyanga ngayinye, lapho kuqhuma i-ovulation, iqanda likhishwa kwelinye lama-ovari. Iqanda lihamba lisuka ku-ovary, ngokusebenzisa ama-tubes, nasesibelethweni. Isidakamizwa sidinga futhi ukugezela indlela yaso kusukela esibelethweni, ngokusebenzisa isisu, nangama-tubes ohlangothini ukuze ufike eqanda. Ukukhulelwa ngokuvamile kwenzeka ngenkathi iqanda lihamba nge-tube.
Uma eyodwa noma zombili izigaxa ze-fallopian zivinjiwe, iqanda alikwazi ukufika esibelethweni, futhi isidoda asikwazi ukufinyelela iqanda, ukuvimbela ukukhulelwa nokukhulelwa.
Kungenzeka futhi ukuthi i-tube ingavinjelwe ngokuphelele, kodwa kuphela. Lokhu kungandisa ingozi yokukhulelwa kwe-tubal, noma ukukhulelwa kwe-ectopic.
Ziyini Izimpawu Zokuvinjelwa Izibhuku Zama-Fallopian?
Ngokungafani nokuvuthwa , lapho imijikelezo engavamile yokuya esikhathini ingase ibe nomthelela enkingeni, izivimbe ezivinjiwe ezingavamile azibangelwa izimpawu.
Uhlobo oluthile lwe-tublopian tube olubizwa ngokuthi i- hydrosalpinx lungabangela ubuhlungu obuphansi besisu nesisu sangasese esingavamile, kodwa akuwona wonke owesifazane ozoba nalezi zimpawu. I-Hydrosalpinx yilapho ukuvinjelwa kubangela ukuba ithubhu ihlume (ukwandisa ububanzi) bese ugcwalisa ngamanzi. Umkhuhlane uvimbela iqanda nesidoda, ukuvimbela ukukhulelwa nokukhulelwa.
Kodwa-ke, ezinye zezimbangela ze-tublopian tubes ezingavimba zingabangela ezinye izinkinga. Isibonelo, i- endometriosis nesifo sokuvuvukala komzimba kungabangela ukuhamba esikhathini esibuhlungu nokuhlukumeza ngokobulili, kepha lezi zimpawu azikho emathinini avinjelwe.
Iziphi Izimbangela Evinjiwe Izigubhu Zama-Fallopian?
Isizathu esivame kakhulu sokuvinjelwa kwezigubhu ze-fallopian yisifo sofuba sokuvuvukala (PID). I-PID yimbangela yesifo esithathelwana ngocansi, kodwa akuzona zonke izifo ezithathelwana nge-pelvic ezihlobene nama-STD. Futhi, noma ngabe i-PID ayisekho, umlando we-PID noma ukutheleleka kwe-pelvic kwandisa ingozi yamatayipi avinjelwe.
Ezinye izimbangela ezingabangela izigubhu ze-fallopian ezivinjiwe zihlanganisa:
- Okwamanje noma umlando wokutheleleka nge-STD, ikakhulukazi i-chlamydia noma i-gonorrhea
- Umlando wegciwane lesandulela ngculazi elibangelwa ukukhipha isisu noma ukukhulelwa kwesisu
- Umlando we-appendix ephukile
- Umlando wokuhlinzwa kwesisu
- Ngaphambi kokukhulelwa kwe-ectopic
- Ukuhlinzwa okuphambene okubandakanya ama-tubes fallopian
- I-Endometriosis
Ivinjiwe kanjani Izigaxa Zitholakale?
Ama-tubes avinjelwe ngokuvamile athola i-x-ray ekhethekile ebizwa nge-hysterosalpingogram, noma i- HSG . Lokhu kuhlolwa kuhilela ukubeka idayi emlonyeni wesibeletho usebenzisa ithubhu elincane. Lapho usuwekwe udwe, udokotela uzothatha ama-x-rays endaweni yakho ye-pelvic.
Uma konke kujwayelekile, idayisi izokhipha isisu, ngokusebenzisa amashubhu, futhi ichithe nxazonke zama-ovari bese ungena emgodini we-pelvic. Uma idayi ingaphumeleli emathinini, khona-ke ungase ube ne-tube evimbela i-fallopian tube.
Kubalulekile ukwazi ukuthi amaphesenti angu-15 abesifazane "anamaqiniso amanga," lapho idayi ingadluli khona isibeletho futhi ingene emgodini. Ukuvinjelwa kubonakala sengathi kulungile lapho ithebhu ye-fallopian nesisu sezihlangana khona. Uma lokhu kwenzeka, udokotela angase abuyele ukuhlolwa ngesinye isikhathi, noma ahlele ukuhlolwa okuhlukile ukuqinisekisa.
Ezinye izivivinyo ezingase zibekwe zihlanganisa i-ultrasound, ukuhlinzwa okuhlolwayo kwe-laparoscopic , noma i-hysteroscopy (lapho bathatha ikhamera encane futhi bayifake embelethweni wakho ukuze babheke isibeletho sakho).
Umsebenzi wegazi ukuhlola ukuthi kukhona ama-anti-chlamydia antibodies (okusho ukuthi ukutheleleka kwangaphambilini noma okwamanje) kungalawulwa.
Ukwelapha Okungenzeka: Ungakwazi Yini Ukukhulelwa Nezikhumba Zama-Fallopian Ezivinjiwe?
Uma une tube elivulekile elilodwa futhi liphilile, ungase ukhulelwe ngaphandle kosizo olukhulu. Udokotela wakho angakunika izidakamizwa zokuzala ukuze ukwandise amathuba okuvuleka ohlangothini nge-tube evulekile. Lokhu akuyona inketho, noma kunjalo, uma zombili izigaxa zivinjiwe.
Ukuhlinzwa Kwe-Laparoscopic Yezivinji Zama-Fallopian Ezivinjiwe
Kwezinye izimo, ukuhlinzeka nge-laparoscopic kungavulwa amashubhu avinjelwe noma kususe izicubu ezibomvu ezibangela izinkinga. Ngeshwa, lokhu ukwelashwa akusebenzi ngaso sonke isikhathi. Ithuba lokuphumelela lixhomeke ukuthi ungakanani ubudala (osemncane, okungcono), ukuthi kubi kangakanani nokuthi ukuvinjelwa kukuphi, nokuthi kubangelwa ukuvinjelwa.
Uma nje ukunamathela okumbalwa kukhona phakathi kwama-tubes nama-ovari, khona-ke amathuba akho okukhulelwa emva kokuhlinzwa kuhle. Uma une tube elivinjiwe eliphilile, unamaphesenti angu-20 kuya kwangu-40 amathuba okukhulelwa emva kokuhlinzwa.
Ingozi yakho yokukhulelwa kwe-ectopic iphakeme emva kokuhlinzwa ukuze uphathe ukuvinjelwa kwesibhalela. Udokotela wakho kufanele akubheke ngokucophelela uma ukhulelwa futhi abe khona ukukusiza ukuthi unqume ukuthi yini engcono kuwe.
Ukuhlinzwa akulungile wonke umuntu. Uma kunamathele, ukunamathela okuphindaphindiwe nokuhlukumeza kukhona phakathi kwama-tubes akho nama-ovari, noma uma uthola ukuthi une-hydrosalpinx, ukuhlinzwa kungase kungabi yinto enhle kuwe.
Futhi, uma kunoma yiziphi izinkinga zesilisa ezingenasifo , ungase uthande ukweqa ukuhlinzwa. Ezinye izizathu zokuyeka ukuhlinza zihlanganisa izinto ezengeziwe zokuzala ngaphandle kwezigubhu ezingamatshe ezivimbelwe (njengezinkinga ezinkulu zokuvuthwa) noma ubudala obudala bokubeletha.
Kulezi zimo, ukwelashwa kwe-IVF kungcono ukubheja kwakho.
I-IVF yokuvinjelwa kweziThubhu ze-Fallopian
Ngaphambi kokutholakala kwe-IVF , uma ukuhlinzeka ukuhlinzwa kwakungasebenzi noma kwakungeyona inketho, abesifazane abanezilimo eziyizigaxa ezivinjiwe babengenakho ukukhetha ukukhulelwa.
I-IVF yenza ukukhulelwa kwenzeke. Ukwelashwa kwe-IVF kuhilela ukuthatha izidakamizwa zokuzala ukukhuthaza ama-ovaries. Khona-ke, usebenzisa inaliti eqondiswa yi-ultrasound ngokusebenzisa udonga lwesisu, udokotela wakho uthola amaqanda ngokuqondile kuma-ovari. Elebhu, amaqanda ahlanganiswa kanye nesidoda esivela kumlingani wesilisa noma umnikezeli wesilisa. Sethemba ukuthi amanye amaqanda azalisa futhi eminye imibungu enempilo. Omunye noma emibili imibungu enempilo ikhethwa futhi idluliselwe kwisibeletho.
I-IVF igwema ngokuphelele amashubhu we-fallopian ngakho ama-blockages awunandaba.
Lokho kusho ukuthi ucwaningo luye lwathola ukuthi ithubhu elivuthayo linganciphisa kakhulu imingcele ye-IVF impumelelo . Uma une-hydrosalpinx (ithubhu eligcwele amanzi), udokotela wakho angase ancome ukuhlinzwa ukuze asuse ithubhu. Khona-ke, ngemva kokuphulukana nokuhlinzwa, i-IVF ingahlolwa.
Izwi elivela ku-Verywell
Uma nje i-tube eyodwa ye-fallopian ivinjiwe, ukukhulelwa ngokwakho noma ngezokwelapha ezisezingeni eliphansi kungase kwenzeke. Kodwa-ke, uma zombili izigaxa zivinjelwe, ukwelashwa noma ukwelashwa kwe-IVF kungaba yizinketho zakho kuphela. Ukuhlinzwa kungafakwa umshwalense, kodwa ukwelashwa kwe-IVF akuvamile neze. Izindleko eziphakeme ze-IVF ivimbela imibhangqwana eminingi ngenxa yalesi sizathu sokungabikho kokuzalwa ngenxa yokukwazi ukuba nomntwana.
Khuluma nodokotela wakho mayelana nazo zonke izinketho zakho. Uma i-IVF noma ukuhlinzeka kungenakwenzeka kuwe, ungase uthande ukucabangela ukutholwa, ukunakekelwa kwabantwana, noma ukukhetha ukuphila okungenamntwana . Qinisekisa ukuthi unesimo sengqondo sokusekelwa ngokomzwelo njengoba uhamba ngalesi simo.
> Imithombo:
> Ukucabanga Ngemva Kokuhlinzwa Kwe-Tubal: I-Fact Sheets. I-American Association of Medicine Yokuzala.
> I-Hydrosalpinx: I-Fact Sheets. I-American Association of Medicine Yokuzala.