Miphika yamakono mwa amayi ndi mtundu umodzi wa mtundu wa tubular, yomwe ili njira ziwiri za filiform, pafupifupi masentimita 12 kutalika kwake. Mbali ya kutalika kwa chubu nthawi zambiri imakhala 2-4 mm. Pali mitsempha ya uterine kumbali zonse za chiberekero, kotero kuti mbali imodzi ya ma tubes imagwirizanitsa ndi chiberekero, ndipo yachiwiri - ku ovary.
Mapaipi amapereka kugwirizana kwa chiberekero cha mimba ndi mimba. Choncho, ziwalo za m'mimba zazimayi sizimasindikizidwa, ndipo matenda aliwonse omwe alowa mu chiberekero amachititsa kutupa kwa mazira azimayi okhaokha, komanso kuwonongeka kwa ziwalo zomwe zili m'mphepete mwa peritoneum.
Matenda a mitsempha yamasiye
Kutupa kwa miyendo yamasiye kunatchedwa salpingitis . Pali njira zikuluzikulu ziwiri zolimbana ndi matendawa:
- kukwera - pamene tizilombo toyambitsa matenda timalowerera m'mimba kudzera mukazi, timadutsa mumsewu wa chiberekero ndikulowera ku mazira;
- Kutsika - kulowa mkati mwa tizilombo toyambitsa matenda kupita ku ziberekero za uterine kuchokera ku sigmoid colon.
Chimodzi mwa zotsatira za kutupa kwa khola lamagulu kungakhale maonekedwe a madzi mkati mwa khola lamagetsi (hydrosalpinx). Zomwe zimayambitsa kuwonekera kwa vutoli zingakhale: mbiri ya mkazi ya endometriosis, zomatira, zotupa. Kawirikawiri madzimadzi amapezeka chifukwa cha opaleshoni yatsopano.
Kuwonongedwa kwa ziphuphu zamagazi ndi chimodzi mwa matenda omwe angathe kukhudza mazira oyipa. Zimadziwika ndi maonekedwe a zovuta pa njira ya ovum kuchokera pa ovary kupita ku uterine cavity. Azimayi ambiri omwe alibe chilakolako chobereka ana, mwa ufulu wawo, amaletsa njira ya dzira ku chiberekero kudzera mwa opaleshoni. Ntchito yotereyi idatchedwa ligation kapena dissection ya tublopian tubes.
Zingakhale zovuta
Imodzi mwa zovuta zomwe zingakhalepo mu matenda a ziphuphu zazing'onong'ono, pangakhale phokoso la chigoba cha falsipian. Chifukwa chake nthawi zambiri amamasulidwe a tuboborovalnogo chikhalidwe, komanso kutuluka kwa mimba (ectopic) mimba .
Mazimayi ali ndi zotsatira za mankhwala opatsirana mu chiberekero, chomwe, kupatula payekha, chimakhudza onse a peritoneum a pelvis, ndipo, nthawi zina, ovary. Zikakhala choncho, njira yokhayo yotulukira kunja ndi opaleshoni yochotsa chiguduli.