Icho chinonzi fallopian tubes maviri mabhurupa akapfava, imwe kune rumwe rutivi rwechiberekero, iyo inobatsira kutungamirira mazai akakura kubva mavha mavari kusvika pachibereko. Apo kuvhiringidzika kunodzivirira zuro kubva pakufamba pasi pasi, mumwe mukadzi ane chivharo chakavhara fallopian, chinonziwo tubal factor infertility. Izvi zvinogona kuitika pane imwe kana kumativi maviri uye ndicho chikonzero chekusabereka mune 40 muzana yevakadzi vasina vana.
Hazvishamisi kuvadzimai vane blocked fallopian tubes kuti vawane chero zviratidzo. Vakadzi vazhinji vanofunga kuti kana vachigara nguva, kubereka kwavo kwakanaka. Izvi hazvisi nguva dzose dzechokwadi.
Inodziviswa Sei Fallopian Tubes Chikonzero Chisingaiti?
Mwedzi woga woga, apo ovulation inowanzoitika, zhi rinosunungurwa kubva kune rimwe remavhizha. Ivha inofamba ichibva kumuchiva, kuburikidza nemabhati, uye muchibereko. Mbeu inofanirawo kushambira kubva pamucheto, kuburikidza nechibereko, uye kuburikidza ne fallopian tubes kusvika kuaii. Fertilization inowanzoitika apo mazai ari kufamba achipfuura nepombi.
Kana imwe kana maviri mawere ane mavharo akavharwa, zamai haikwanise kusvika pachibereko, uye chirume hachikwanisi kusvika kumazai, kudzivirira kutora uye kubata.
Zvinogona zvakare kuti tube isasadzivirirwa zvachose, asi zvishoma. Izvi zvinogona kuwedzera mungozi yekubata pamuviri, kana ectopic pamuviri.
Ndezvipi Zviratidzo zvekudzivirirwa kweAi Fallopian Tubes?
Kusiyana nekuputika , uko kunenge kusina kuitika kumwedzi kunokonzera dambudziko, mavharopian akavharwa maitiro haawanzokonzera zviratidzo.
Imwe nzira yakadzika yehutoripian tube inonzi hydrosalpinx inogona kukonzera kurwadziwa kwepamuviri uye kusununguka kwechikadzi chisina kujairika, asi kwete mukadzi wese achave nezviratidzo izvi. Hydrosalpinx iyo apo kuvhara kunokonzera kuti tube iwedzere (kuwedzera muhupamhi) uye uzadze nemvura. Iyo inotonhora inovhara mazai nemumhunyu, kudzivirira kubereka uye pamuviri.
Zvisinei, zvimwe zvezvikonzero zvinodziviswa fallopian tubes zvinogona kutungamirira kune mamwe matambudziko. Semuenzaniso, endometriosis uye chirwere chinoputika chinogona kukonzera kunetseka kuenda kumwedzi uye kurara kwepabonde kunorwadza, asi zviratidzo izvi hazvirevi kuti zvinodzivirirwa tubhu.
Ndezvipi Zvinokonzerwa Nokudzivirira Fallopian Tubes?
Chikonzero chinonyanya kukosha chekuvharwa fallopian tubes chirwere chinoputika chepecvic (PID). PID ndiyo chikonzero chechirwere chepabonde, asi kwete zvipembenene zvepelvic zvose zvine chokuita neTVS. Uyewo, kunyange kana PID isisipo, imwe nhoroondo yePID kana kutapukirwa kweplavic inowedzera dambudziko rekuvharwa tubhu.
Zvimwe zvinokonzera zvikonzero zvekuvharwa kwe fallopian tubes zvinosanganisira:
- Nhasi kana nhoroondo yehutachiona hweHIV, kunyanya chlamydia kana gonorrhea
- Nhoroondo yehutachiona hunokonzerwa nekubvisa pamuviri kana kupererwa
- Nhoroondo yezvakaputirwa appendix
- Nhoroondo yekuvhiyiwa kwepamuviri
- Kare ectopic pamuviri
- Usati wambovhiyiwa unosanganisira fallopian tubes
- Endometriosis
Inodziviswa Sei Inowanikwa?
Kudzivirirwa tubes kunowanzoonekwa neine x-ray yakadanwa inonzi hysterosalpingogram, kana HSG . Uyu muedzo unosanganisira kuisa dhayi kuburikidza nemukati mutsva uchishandisa tube duku. Kana kamwe dhayi rapiwa, chiremba achatora x-rays yenharaunda yako.
Kana zvose zvikaitika, dhayi ichapfuura nepamuviri, kuburikidza nemabhati, uye inopera kumativi ose mazhizha uye kupinda muchechi. Kana iyo dhayi isingapindi mumatope, ipapo iwe unogona kunge wakachengetwa fallopian tube.
Zvakakosha kuziva kuti 15 muzana yevakadzi vane "nhema dzakanaka," iyo dhayi isingapfuuri chibereko uye kupinda muhutu. Kuvharidzirwa kunoratidzika kunge kwakarurama uko inonzi fallopian tube uye chibereko chinosangana. Kana izvi zvikaitika, chiremba anogona kudzokorora muedzo pane imwe nguva, kana kurongedza muedzo wakasiyana kuti uone.
Dzimwe mimwe miedzo inogona kurayirwa inosanganisira ultrasound, kuongororwa chirwere chemaparoscopic , kana hysteroscopy (pavanotora kamera yakaonda uye inoiisa kuburikidza nemukatiku wako kutarisa chibereko chako).
Ropa rinoshanda kuti riongorore kuvapo kwe chlamydia antibodies (iyo inogona kureva kutapurirwa kwekare kana ikozvino) inogonawo kurongerwa.
Zvimwe Zvingaita Kurapa: Unogona Kuwana Mucheche Nemadziro Akavharwa Nechechi?
Kana iwe uine imwe yepurasitiki uye uine hutano hwakanaka, unogona kukwanisa kubata usina kubatsirwa zvikuru. Chiremba wako angakupa mishonga yekuita mishonga kuti uwedzere mikana yehuputi kune rumwe rutivi nehuvhuti. Icho hachisi chokusarudza, zvisinei, kana mabhii akavharwa.
Kurapa kwepaLaraboscopic yeKachengetwa Fallopian Tubes
Mune zvimwe zviitiko, chirwere chinonzi laparoscopic chinogona kuzarura chakavharwa mabhute kana kuti kubvisa zvisikwa zvitsva zvinokonzera matambudziko. Zvinosuruvarisa, kurapwa uku hakusi kushanda nguva dzose. Mukana wokubudirira unobva mazera ako (iwe muduku, zviri nani), zvakashata uye kupi uko kuvhara, uye chikonzero chekuvhara.
Kana kungoita zvishomanana zvipakati zviri pakati pemabhati uye mavhai, ipapo mikana yako yekuita pamuviri mushure mekuvhiyiwa yakanaka. Kana iwe uine chivharo chakavharwa icho chine utano hwakanaka, iwe une 20 muzana kusvika 40 muzana yekana yekuwana pamuviri mushure mekuvhiyiwa.
Ngozi yako ye ectopic pregnancy yakakwirira mushure mekuvhiyiwa kurapa tubal kuvhara. Chiremba wako anofanira kunyatsocherechedza iwe kana iwe uchinge wava nepamuviri uye kuvapo kuti akubatsire kusarudza zvakakunakira iwe.
Kuvhiya hakuna kunaka kune munhu wose. Kana kuoma, kuwandisa kakawanda uye kupereta zviri pakati pemabatiro ako uye mavhai, kana kuti wakaonekwa kuti une hydrosalpinx, chirwere chinogona kunge chisina kunaka iwe.
Uyezve, kana pane chero nyaya dzomukomana dzisingabatsiri , iwe ungada kuputsa chirwere. Zvimwe zvikonzero zvekurega kuvhiyiwa zvinosanganisira zvimwe zvibereko zvekubereka kunze kwekuvharwa mafuropian tubes (sematambudziko akakomba ane ovulation) kana kuti yakakura yezera remakore.
Mune zviitiko izvi, kurapa kweVF ndiyo yako yakanakisa kubheji.
IVF Yakavharirwa Fallopian Tubes
Pamberi pekuwanikwa kweVIV , kana chirwere chokugadzira chisina kushanda kana chakanga chisingasarudzo, vakadzi vane mavharo akavhara mabhute vakanga vasina nzira yekuita nayo pamuviri.
IVF inoita kuti zvirwere zvive nyore. Kuvhiringidzika kweVIV kunosanganisira kutora mishonga yekuita mishonga yekukurudzira mazamu. Zvadaro, uchishanda nenyuchi-yakatungamirirwa nenyuchi kuburikidza nemadziro emadzimai, chiremba wako anowana mazai zvakananga kubva mavharo. Muchipatimendi, mazai anoiswa pamwe nemurume kubva kumurume kana mudzimai wemudzimai. Tariro, mamwe mazai anozadza uye mamwe mazai ane utano anoguma. Rimwe kana maviri mazai ane utano akasarudzwa uye akatamirwa muchibereko.
IVF inodzivisa zvachose fallopian tubes kuitira kuti zvivharo zvive zvisina basa.
Izvozvo zvakati, tsvakurudzo yakawana kuti iyo inoputira tube inogona kuderedza zvakanyanya kukanganisa kweVIVF kubudirira . Kana iwe une hydrosalpinx (fluid-filled filled tube), chiremba wako angakurudzira kuvhiyiwa kubvisa tubhu. Zvadaro, mushure mokunge vadzoka kubva pakuvhiyiwa, IVF inogona kuedzwa.
Shoko Rinobva Kunyanya
Apo imwe nzira imwe chete inenge yakadzivirirwa, kubata pamuviri iwe pachako kana nemishonga yakadzika-tech ingangodaro. Zvisinei, kana mabhii maviri akavharwa, kurapwa kana kurapwa kwaVIV kungangova zvako chete zvingasarudzwa. Kuvhiya kunogona kuvharwa neshuwarisi, asi kurapa kweVIV hakuwanzoitiki. Nharaunda yakakwirira yeVIV inodzivisa vazhinji vakaroorana vane chikonzero ichi chekusununguka kubva pakukwanisa kuva nemwana.
Taura nechiremba wako pamusoro pezvose zvaunogona. Kana IVF kana chirwere chisingaiti iwe, iwe ungada kufunga nezvekugadziriswa, kutarisira vana, kana kusarudza kurarama upenyu husina mwana . Iva nechokwadi kuti iwe unewo kutsigirwa mupfungwa sezvaunofamba mumamiriro ezvinhu aya.
> Sources:
> Kutora Pashure Peku Tubal Surgery: Chokwadi Chinyorwa. American Association of Reproductive Medicine.
> Hydrosalpinx: Fact Sheet. American Association of Reproductive Medicine.