Contents
ʻO nā paipu Fallopian ma lalo o ke aniani hoʻonui
Hiki i nā paipu ʻino a ālai ʻia ke kumu ʻole. He mea maʻamau kēia mau mea ʻino a hōʻike i ka 50% o nā hōʻailona no ka in vitro fertilization.
Fertilization: ke kuleana nui o nā ʻōpū fallopian
ʻO ka hoʻomanaʻo liʻiliʻi: he kuleana ko nā paipu i ka fertilization. Ke hoʻokuʻu ʻia e ka ovary (i ka manawa o ka ovulation), e pūnana ka hua i ka pinna o ka paipu. Hoʻopili ʻia e ka sperm. Inā lanakila kekahi o lākou i ke komo ʻana, a laila aia ka fertilization. Akā no ka hana ʻana o kēia mīkini, pono e loaʻa i hoʻokahi ovary "operational" a me proboscis. Ke paʻa ʻia kēia mau ʻāpana ʻelua, hiki ʻole ke hoʻomomona maoli - a no laila ʻo ka hāpai ʻana. .
ʻO nā mea ʻino ʻole: nā kumu o ke keʻakeʻa ʻana o nā ʻōpū fallopian
Hoʻopilikia ʻia nā paipu i kekahi manawa e hanana pili ka mea e pale ai i ka hele ʻana o ka hua manu, ka sperm a me ka embryo. ʻO kēia mau mea ʻino, hiki ke kumu i ka infertility, hiki ke loaʻa i ʻekolu kumu:
- Maʻi maʻi maʻi
A laila ʻōlelo mākou salpingitis a i ʻole ka mumū o nā paipu. Hoʻopili pinepine ʻia i kahi maʻi i lawe ʻia e ka wahine, ʻoi aku ka lawe ʻia e ka microbe chlamydiae. Hiki i kēia maʻi ke hana i nā ʻiʻo a puni nā paipu a laila keʻakeʻa mechanically i ke kūʻokoʻa o ka hele ʻana ma waena o ka ovary a me ka paipu, a i ʻole ke keakea ʻana o ka paipu i ka pae o kona hopena. ʻO ka hoʻokuʻu ʻia ʻana o ka uterine curettage kūpono ʻole (ma hope o ka hāʻule ʻole ʻana) a i ʻole ka hoʻokomo ʻana i ka IUD kūpono ʻole hiki ke hoʻoulu i ka maʻi.
- Lapaʻau hope
I kēia hihia, ʻo ia nā pilikia tubal ma muli o nā pilikia post-operative. Hiki ke hoʻopōʻino i nā paipu he nui nā hana, akā he mea liʻiliʻi : he appendectomy, oki gynecological ma ka ovaries a i ole ka hana ana o ka fibroid uterine.
- ka hopena
ʻO kēia maʻi gynecological pinepine, e hōʻike ana iā ia iho ma ke alo o nā ʻāpana liʻiliʻi o ka endometrium (nā ʻāpana o ka lining uterine) ma nā paipu a me nā ovaries, a i ʻole ma nā ʻāpana ʻē aʻe, hiki ke hōʻino i ka maikaʻi o nā paipu, a i ʻole poloka. lakou.
Pehea ʻoe e ʻike ai inā paʻa nā paipu?
Ma kekahi loiloi infertility, nānā mākou i ke kūlana o nā paipu. Ke hoʻokō ʻia nā hoʻokolohua maʻamau (ka wela wela, nā ana hormonal, Hünher test), e kuhikuhi ke kauka i kahi kahikinaokalani ou hysteroscopy. ʻO kēia hoʻokolohua, i ʻike ʻia he ʻeha, hiki ke nānā i ka patency o nā paipu.
- Hysterosalpingography: pehea ia?
Hoʻokomo ka gynecologist i kahi cannula liʻiliʻi i loko o ka pūpū kahi e hoʻokomo ai i kahi wai opaque i nā kukui X. Lawe ʻia ʻelima a ʻeono paha kiʻi i mea e ʻike ai i ka lua o ka ʻōpū, nā paipu a me ka hele ʻana o ka huahana ma o lākou.
Inā, ma hope o ka hysterosalpingography, kanalua no ke ano o na paipu a i ʻole inā manaʻo nā kauka he endometriosis kāu, manaʻo paha lākou he maʻi maʻi laparoscopy. Pono kēia hōʻike ʻana i ka anesthesia maʻamau. Hana ke kahuna lapaʻau i kahi ʻoki liʻiliʻi ma ka piko a hoʻokomo i kahi laparoscope. ʻO kēia "tube", i hoʻolako ʻia me kahi ʻōnaehana optical, hikie loiloi i ka patency tubal, akā e nānā pū i ke kūlana o nā ovaries a me ka ʻōpū. I loko o kēia hana, hiki i ke kauka lapaʻau ke hoʻāʻo wehe i na paipu.