Na-agbanye na tublopian tubes

A na-ahụkwa ihe mgbochi na-egbochi ịchọta ịmịnta na-amụba, nke na-eme ka ohere nke ime ime na ectopic na-amụba. Dị ka ọnụ ọgụgụ si kwuo, ọkpụkpụ a pụtara na pasent 25 nke ụmụ nwanyị na-enweghị nwa. Ihe mere e ji guzobe na obere pelvis nke adhesions nwere ike ịbụ ọrịa na-egbu egbu nke na - ebute megide nrịanrịa nke ọrịa, karịsịa ndị na - ebute mmekọahụ - gonorrhea, hladimiosis. Ogbugba nwere ike ịkpata site na oru siri ike, ime ime, iji ọgwụ mgbochi ọrịa intrauterine. Adnexitis, endometriosis (karịsịa na ogo elu nke agbasa), salpingitis na-eme ka e guzobe nkwanye na tubes.

Mmezi metụtara mwepụ nke fibroids uterine, ngwa ngwa, mkpụrụ ndụ ovarian, polyps endometrial, ime ime ectopic na-arụ ọrụ ọjọọ. Synechia (adhesions) n'ime tube apịtị nwere ike were ohere dị iche iche, ya mere nkwụsị nke tube uterine zuru ezu ma ọ bụ ele mmadụ anya n'ihu. Ọbụna n'ihi ntakịrị ihe mgbochi, spam enweghị ike izute akwa ahụ, karịsịa ma ọ bụrụ na mmadụ eche na a na-eme usoro a na lumen nke tube ahụ. Ọbụna ma ọ bụrụ na mkpụrụ ndụ nwoke na nwanyị ejikọta ọnụ, adhesions ahụ agaghị ekwe ka mmanụ ahụ a tụbara akwa banye n'ime oghere uterine. N'ọnọdụ a, egg fertilized ga-anọgide na-etolite na saịtị, nke ga-eduga n'ụdị tubal nke ime nwa ectopic.

Mgbe ụfọdụ, n'ime ihe ndị na-emepụta ihe na-eme ka ọ bụrụ ihe ngwọta ọ bụla, ọ na-eme ihe ọ bụla. Ya mere, mgbe otu nwanyị na-echedịghị na mmetọ ahụ nke hormonal enwewo nsogbu n'ime ahụ ya, ebe ọ bụ na oge nkwụsị ụkwụ na-agabiga n'enweghị mmebi, nsogbu ahụ na-ekpughe naanị mgbe ọtụtụ mgbalị ịmụrụ ime (mgbalị niile emezughị). Achọpụta nchọnchọ nke adhesions nwere ike iji aka nke salpingography. Usoro nyocha nke a bụ na a na-etinye mmiri dị iche iche dị iche iche n'ime lumen nke tubes ahụ, mgbe nke ahụ gasịrị, a na-eme nchọpụta X-ray. Usoro yiri nke a na-ewere ọnọdụ tupu ịchọọ nwa, n'ihi na irradiation nke egg fertilized nwere ike imerụ ahụ.

A na-eji usoro sonosalpingoscopy kwado ebe a na-emepụta tubes na-emepụta ihe. N'oge a, a na-etinye saline na-adịghị ọcha n'ime lumen nke tubes ahụ, na-enyocha ọgwụ ultrasound nke tubes.

A na-eme laparoscopy ọ bụghị nanị iji gwọọ ọrịa ahụ, kamakwa ya na nzube nyocha. N'ime mgbidi abdominal site na otu otu nnukwu oghere ka a na-etinye n'ime laparoscope, mgbe nke ahụ gasịrị, a na-enyocha ovaries. A na-eme usoro ahụ n'okpuru ọrịa nchịkwa. N'otu oge, a na-etinye ọgwụ ngwọta site na ogwu mmiri, mgbe e mesịrị, a na-ahụ ya ka ọ na-abanye n'ime oghere abdominal. Ọ bụrụ na ọ nwere ihe isi ike nke ịbanye n'ime ya, nke a nwere ike igosi nkwụsị zuru ezu ma ọ bụ igbochi ihe mgbochi ọkpụkpụ. Ọ bụrụ na adhesions dị n'elu akụkụ nke akụkụ pelvic, a na-ewepụ ha na mwakpo laparoscopic.

Enwere ike ịgwọ ọrịa dị iche iche naanị site n'iwepụ ha. N'oge gara aga, a na-ewepụ ihe mgbochi nke nkwado site n'enyemaka nke ịwa ahụ (ịwa ahụ n'ahụ). Taa a anaghị eji usoro a eme ihe, ma a na-eji usoro endoscopic dị nwayọọ karị, nke na-enye aka igbochi nsogbu ndị na-akpata postoperative, nkwụsị na obere pelvis abụghị ụdị.

Mgbe ị na-eji laparoscopy, ọbara nwere ike ibudata. Ọzọkwa, ọ ga-ekwe omume iji belata oge mgbake mgbe ịwachara ahụ. Ịdị irè nke usoro a dabere na ogo nke njirimara nke njikọ ahụ. Dịka ọmụmaatụ, ọ bụrụ na mmechi nke tublopin tubes zuru ezu, mgbe usoro a adịghị irè, n'ihi na ọ gaghị ekwe omume iji weghachite arụmọrụ nkịtị nke epithelium ahụ, nke na-ejikọta lumen nke tube ahụ, n'ihi ya, ikike ịtụrụ nwa ahụ ka dị ala. N'ọnọdụ yiri nke ahụ, a gwara nwanyị ka ọ bịa IVF (in vitro fertilization).