Documente Academic
Documente Profesional
Documente Cultură
DESCRIBE
THE ANATOMY AND STRUCTURE MENTION THE FUNCTIONS OF FALLOPIAN TUBE BLOOD SUPPLY,NERVE AND LYMPHATIC SYSTEM TO THE FALLOPIAN TUBE DESCRIBE CHANGES IN FALLOPIAN TUBE DURING PREGNANCY AND PUERPERIUM THE ABNORMALLITY PREGNANCY IN FALLOPIAN TUBE AND MANAGEMENT SUMMARIZE THE RELATION WITH MIDWIFERY
The female reproductive system consist a pair of ovaries and fallopian tube, uterus, vagina, mons pubis, labia majora, labia minora and clitoris
Is production of the new life (fertilization) Involve in ovulation and passage of mennnorhea
An essential structure in female reproductive system Serve an extreme purpose in fertilization known uterine tube, oviducts or salphingo tube. Location : pelvic cavity with free margin of the broad ligament
Cont.
Anterior, Posterior and Superior of the fallopian tube peritoneum cavity and intestines Laterally pelvic, infundibulopelvic ligament and the round ligaments inferiorly attached with broad ligament and ovary medial of the tube is the uterus
Macroscopic structure:
Fallopian tube is divided into 4 parts with different type of function and layers
Interstitial
narrowest
Isthmus
almost
Ampulla
Infundibulum
widest
and the most distal part it ends into a tiny hair like cilia line fimbriae millions of fimbriae and one of the 1 longest fimbriae rest and attached outer pole of the ovary called ovarian fimbriae
MICROSCOPIC STRUCTURE
consist 4 tunics tunica mucosa
tunica submucosa
tunica muscularis
tunica serosa
Tunica mucosa
Infundibulum And Ampulla
In both infundibulum and ampulla the tunica mucosa is thick and highly developed.
Cont tunica mucosa which contain two types of cells at uterine tubes Ciliated cell Non Ciliated Cell
Secretory product is produced by the movement of the cilia at the ciliated cell which called plicae
The secretion is to protect and nourishes the ovum or zygot. Extensive fold - surface area to provide more epithelial cells which helps in propel of fertilized ovum
Tunica
Muscularis
That provides the strong contractions provide the movement of embryo towards the uterine cavity. The thickness at the isthmus
consist of an inner circular and outer longitudinal layer of the smooth muscle. both involuntary muscle contraction help in the peristalsis movement of the mature ovum
Tunica
submucosa
consist lamina propria, is a typical loose areolar connective tissue no glands and it blends the underlying layer
Tunica
serosa
is a vascular connective tissue which is placed under the epithelium layer This layer is highly vascular binding agent and insulation that supports the fallopian tube structure and to protect the transportation.
Microscopic view of ampulla in oviducts where it is lined with the ciliated which known as plicae
Scanning electron microscopic photograph of ciliated and secretory cells within the human Fallopian tube epithelium known as plicae
place where fertilization take part(ampulla) organ for ovulation process and menstrual,
important
The lymphatic richly anastomosed with the adjacent organs drain into the ovarian lymphatic and lumbar lymph nodes.
The blood supply comes from the uterine and ovarian arteries and the venous return is through the corresponding veins that is the uterine and ovarian veins
The nerve supply is derived from the inferior hypogastric plexuses. The tube is provided with both the sympathetic and parasympathetic innervation.
round ligament which stretches from the cornua to the labia mojara. infundibulopelvic ligaments
CHANGES IN PREGNANCY
Hormon oestrogen
the
ciliated epithelial cells increase in the height and number in cilia (plicae) the time of pregnancy the blood vessels will be become engorged under the influences of oestrogen.
.
At
hormone progesterone
size of the non-ciliated cells become taller and produce greater secretory rate fallopian tubule becomes more hyperplasia and hypertrophy. the inner circular layer and outer longitudinal layer will constrict and create the peristalsis. gestation uterus cavity - push the both fallopian tubes out the pelvic cavity to the abdominal cavity.
the
The
The muscle of the uterine tubes will change back to it original elasticity as formed during the non-gravid stage.
Ectopic pregnancy
An ectopic pregnancy is a pregnancy that develops outside a woman's uterus known as tubal pregnancy This happens when the fertilized ovum from the ovary does not reach or implant itself normally in the uterus.
Instead, it develops somewhere else in the abdomen. The products of this conception are abnormal and cannot develop into fetus.
Severe
A surgery is required if the bleeding is severe inside the abdomen or indicated condition. laprascopic laparotomy salphingectomy
Midwifes have to act in a manner that promote and safeguard the woman and her partner by giving health education the predispose factor such as users of IUCD and previous ectopic pregnancy
Identify
To
identify the sign and symptom of suspected condition of ectopic pregnancy is vaginal bleeding, amenorrhea, lower abdominal pain and syncope if worsen. is to ensure fertility of the woman for future pregnancy
This
It is our accountability to identify and bring to view the fallopian tube with the ectopic gestation and its ovary.
Proper health education in given among the mothers and their partners. Appropriate guidelines, care and management of midwife has to be conducted in order to save motherhood
Collins English Dictionary(2000) Collins A-Z Thesaurus (ed.5th) HarperCollins Publishers Chung, K.W. (2000) Gross Anatomy.(ed. 4th). Philadelphia.Lippincott Williams & Wilkins. Diane M.F.,& Margaret,A.C.(2009).Myles Textbook For Midwives. (ed.15th). Churchill Livingstone Elsevier Dutta,D.C.(2004).Text Book of Obstetrics. (eds.6th ) New Central Book Agency (P) Ltd.
Evans, B., Ladiges, P.,& McKenzie, J. (1991) Biology in Context Melbourne.Rigby Heinemann
Halperin, E.C., Prez,C.A., & Brady, L. W.(2008) Perez and Brady's Principles and Practice of Radiation Oncology: Fallopian Tube. RupertK. Schmidt-Ullrich. Chapther 69 pg.438
Ovalle,W.K.,& Nahirney,P.C. (1992) Netter's Essential Histology: The Female Reproductive System. (ed.1st) Philadelphia.Elsevier Store. Chapther 18 .pg 399.
Schuenke,M., Schulte, E., Schumacher,U., Ross,L.,& Thieme,E.D.L(2006) Thieme Atlas of Anatomy: Neck and Internal Organs.Berlin, Germany. Thieme Medical Publishers
Sokol, E.( 2011) Clinical Anatomy of the Uterus, Fallopian Tubes, and Ovaries.Global womens Medical.DOI 10.3843/GLOWM.10001
Verrals,S. (1993) Anatomy and physiology applied to obstetrics: Female Reproduct System. (ed.3rd).Edinburgh ; New York. Churchill Livingstone.
THANK YOU
for listening to us