Mukati
Fallopian tubes pasi pegirazi rinokudza
Machubhu akakuvadzwa kana kuvharika anogona kukonzera kushaya mbereko. Izvi zvisiri izvo zvinowanzoitika uye zvinomiririra 50% yezviratidzo zve in vitro fertilization.
Fertilization: basa rinokosha re fallopian tubes
Chiyeuchidzo chidiki: machubhu ane basa rakakosha mukusangana. Kamwe yakabudiswa ne ovary (panguva ye ovulation), zai richava dendere mupina yechubhu. Inobatanidzwa nembeu. Kana imwe yadzo ikabudirira kupinda mairi, ipapo panoitwa fetiraiza. Asi kuti michina iyi ishande, panofanira kunge paine kamwe chete "operational" ovary uye proboscis. Kana nhengo mbiri idzi dzakavharwa, kubereka kwechisikigo - uye naizvozvo pamuviri - hazvibviri.Uyezve, kana imwe yechubhu isina kuvharwa zvachose, pane ngozi ye ectopic pregnancy nokuti zai rinogona kuoma kufamba kubva muchubhu kuenda kune uterine cavity. .
Tubal abnormalities: zvikonzero zvekuvharirwa kwe fallopian tubes
Machubhu dzimwe nguva anokanganiswa adhesion phenomena izvo zvinodzivirira kupinda kwezai, urume uye embryo. Aya abnormalities, anogona kukonzera kushaya mbereko, anogona kuva nemabviro matatu:
- Inotapukira
Tinobva tataura nezvazvo salpingitis kana kuzvimba kwechubhu. Inowanzobatanidzwa nehutachiona hwepabonde, kunyanya hunoparadzirwa nehutachiona chlamydiae. Utachiona uhwu hunogona kukonzera kugadzirwa kwematishu akatenderedza machubhu ayo anobva avharisa rusununguko rwekufamba pakati pe ovary nechubhu, kana kuvharika kwechubhu padanho rekupera kwayo. Kubviswa uterine curettage zvisina kufanira (kutevera kubva pamuviri) kana kuisa IUD zvisina kufanira kunogona kukonzera utachiona.
- Vanoshanda
Muchiitiko ichi, matambudziko e-tubal nekuda kwekunetseka kwepashure-operative. Kupindira kwakawanda, zvisinei zvishoma, kunogona kukuvadza machubhu : appendectomy, kuvhiyiwa kwevakadzi pamazai kana kushanda kweuterine fibroid.
- endometriosis
Ichi chirwere chegynecological chinowanzoitika nekuvapo kwezvidimbu zvidiki zve endometrium (zvidimbu zve uterine lining) pamachubhu uye mumaovari, kana kunyange kune dzimwe nhengo, zvinogona kukanganisa kunaka kwemachubhu, kana kuvharika. ivo.
Unoziva sei kana machubhu akavharika?
Mune chero kuongororwa kwekushaya mbereko, tinotarisa mamiriro emachubhu. Kana bvunzo dzekutanga dzaitwa (tembiricha curve, kuyerwa kwehomoni, Hünher test), chiremba anozonyora hysterosalpingography ou hysteroscopy. Kuongorora uku, kunozivikanwa kuti kunorwadza, kunoita kuti zvikwanise kutarisa patency yemachubhu.
- Hysterosalpingography: zviri kuitika sei?
Chiremba wezvirwere zvechikadzi anopinza kanula kadiki mumuromo wechibereko umo paanopinza mvura isina kujeka kuX-rays. Mifananidzo mishanu kana mitanhatu inotorwa kuitira kuti ione uterine cavity, machubhu uye nzira yechigadzirwa kuburikidza navo.
Kana, kutevera hysterosalpingography, pane kusava nechokwadi nezvemamiriro emachubhu kana kuti kana vanachiremba vachifungidzira kuti une endometriosis, vangakukurudzira kuti uve nechirwere ichi laparoscopy. Kuongororwa uku kunoda general anesthesia. Chiremba anoita kakuchekwa paguvhu oisa laparoscope. Iyi "tube", yakagadzirwa neoptical system, inobvumirakuongorora tubal patency, asiwo kutarisa mamiriro evhavha uye chibereko. Panguva yekuvhiya uku, chiremba anovhiya anogona kuedza vhura machubhu.