Ukalawu

Salpinx ndi wophatikizidwa ziwalo. cholinga chake ndi kunyamula dzira mu uterine M'mimbamo wa M'mimbamo peritoneal (kuchokera n'kuwasanganiza a). chubu mazira ili mu mafupa a chiuno. Iwo amakhala ndi mawonekedwe njira cylindrical. Aliyense chubu mazira overlies chachikulu uterine mitsempha (chapamwamba m'mphepete), umene ndi gawo la mesentery lapansi.

Kutalika kwa thupi ku masentimita khumi ndi awiri. Uterine lumen machubu ndi, pa dzanja limodzi amalankhulira ndi M'mimbamo la chiberekero, ndi zina - ndi peritoneum lapansi. kukula kwake ranges ku masentimita awiri kapena anayi. Choncho, akazi pamimba ndi uthenga kwa malo kunja kudzera ku nyini, chiberekero ndi lumen.

Chiberekero ali poyamba zatenga malo yopingasa. Kenako akafike khoma m'chiuno, iwo akum'zinga thumba losunga mazira ndi kutsirizitsa pa pamalo awo medial.

Mazira chubu imakhala masterbatch gawo la- mu uterine khoma, kamtunda kopita ku chilumba, ampoule, mumabokosiwo ndi yaitali M'mphepete yopapatiza, mmodzi amene ali kutalika chosiyana ndi zina. Iye umalandira n'kuwasanganiza, nthawi zambiri chimatsatira izo. yopapatiza ndipo ndi izo, gawo wandiweyani mipanda ndi Korinto. Mothandizidwa ndi chimachititsanso M'mphepete dzira mu malangizo a nyuzi a. Pa pansi pake ndi kutayidwa kutsegula m'mimba, imene otaya dzira anamasulidwa mu lumen wa.

Mazira chubu khoma Amawapatsa kunja serosa. Pansi ndi maziko. Wosanjikiza lotsatira aumbike bilayer minofu m'chimake. Apitirira mu minofu ya m'chiberekero. Wosanjikiza akunja aumbike mwa mitolo ya maselo yosalala minofu. Iwo anakonza longitudinally. Lamkati, thicker wosanjikiza aumbike mitolo circularly zochokera maselo minofu. Pansi pa iyi ndi Kakhungu mucous. Ndipamene makutu kotenga kuzungulira Tambasula wa chitoliro. Pamene tikuyandikira kutsegula m'mimba, mucous thickens zambiri makwinya kuonekera pa izo. Nyuzi iwo makamaka zambiri. Mucosal epithelium chimakwirira. cilia wake oscillate mu mbali uterine.

Chiwalo Perfusion anachita ndi zinthu ziwiri: nthambi kuchokera uterine ndi mitsempha yamchiberekero. Phunzirani kutulutsa magazi venous kwa chubu mazira amapezeka mu mitsempha ya dzina chomwecho venous plexus. ziwiya Lymph kanthu mu lymph mfundo za dera lumbar.

Monga kuchita pa zamankhwala, msinkhu winawake pamaso pa nambala Napempha kwa ana cholinga cha kulera ntchito Tubala ligation. Zotsatira za njirayi tingasonyezere chitukuko cha matenda ndi mavuto osiyanasiyana, magazi.

kusokonezedwa ndi ikuchitika onse pansi mankhwala oletsa ululu pamalopo kapena ambiri. Monga ulamuliro, ndondomeko amachitidwa pa outpatient maziko. Kuti akachite alowererepo zofunika ndi imodzi mwa njira zimene zilipo.

Pa laparoscopy, ndi ang'ambe thupilo zochepa anapanga pansipa m'michombo lapansi. Chida anaika ukutsegulira. The laparoscope limakupatsani kuona chitoliro ndi ntchito iwo.

Minilaparotomy Kumafuna ang'ambe thupilo pamimba m'munsi. njira imeneyi kawirikawiri ntchito kudzera yochepa pambuyo pobereka.

Kutalika kwa opaleshoni ranges ku khumi ndi maminiti forte- faifi.

Pambuyo ndondomeko ndi oletsedwa Ndime ya thumba losunga mazira ndi chiberekero. Choncho, umuna ndi kupewedwa. Monga ulamuliro, ndondomeko Kodi sayenera bwanji msambo ndi kupanga timadzi mu thupi lake.

Luso kubwezeretsa chonde pambuyo ligation ali ndi mwayi waukulu kwambiri bwino kuposa kale amuna vasectomy.

Tikumbukenso kuti ndondomeko silinena kuti mkazi ku malowedwe matenda maliseche.