Chiberekero: kapangidwe, thunthu, chithunzi. Matenda a chiberekero, Ukalawu ndi zokhudzana

Chiberekero - uchembere unpaired mkati limba mu mbewa wamkazi. Amakhala plexus ulusi yosalala minofu. chiberekero ili pakati pa mafupa a chiuno ndi. Ndi mafoni kwambiri, kotero poyerekezera ndi ziwalo zina zikhoza kukhala mu malo osiyana. Mogwirizana ndi mazira ziri ziwalo zoberekera za thupi wamkazi.

Kapangidwe ambiri a chiberekero

Wankati akulu chiwalo cha ziwalo zoberekera ali peyala mawonekedwe amene flattened kutsogolo ndi kumbuyo. The kumtunda kwa chiberekero mbali ali nthambi - chiberekero limene kudali mazira a. Ili kuseri kwa rectum ndi chikhodzodzo kutsogolo.

Matenda a chiberekero ndi motere. thupi akulu idzafotokoza zingapo:

1. Pansi - gawo pamwamba ndi mawonekedwe otukukira kunja ndipo lili pamwamba pa mzere wa chiyambi cha Ukalawu.
2. Lolamulira limene bwino apatsira pansi. Iwo ali phirilo zooneka maonekedwe. Iwo tapers downwardly ndi imapanga Korinto. M'mimbamo ichi, zikubweretsa khomo pachibelekeropo.
3. Khosi - wapangidwa kwa Korinto, ndi khomo lachiberekero ndi ukazi gawo.

Makulidwe ndi kulemera kwa chiberekero payekha. Mtengo avareji ake kulemera asungwana ndi amayi nulliparous kufika 40-50 ga

khomo lachiberekero thunthu, umene ndi chitsekerezo pakati mkati ndi kunja, zoti kotero kuti mutuluka kutsogolo kwa m'chipinda chotetezeka ukazi. Pa nthawi yomweyo patsalanso kwambiri zapambuyo fornix, ndipo kutsogolo - M'malo mwake.

mfumukazi ali kuti?

Chiwalo ili mu mafupa a chiuno pakati pa rectum ndi chikhodzodzo. Chiberekero thupi avundulidwe kwambiri, kuwonjezera, mbali payekha ndi kudwala mawonekedwe. malo imawakhudza chikhalidwe ndi kukula kwa ziwalo oyandikana. Normal uterine thunthu mu mapangidwe a malo azikhala mu mafupa a chiuno la kuti nguli kotenga ayenera zochokera pamodzi olamulira a mafupa a chiuno ndi. pansi pake ndi patsogolo linapendekeka. Pamene chikhodzodzo ndi full, limayenda kumbuyo pang'ono pamene kanthu - akubwerera ku malo ake apachiyambi.

The peritoneum chimakwirira kwambiri ya m'chiberekero, kupatula mmunsi mwa khosi, kupanga thumba kwambiri. Iwo chochokera pansi, akudutsa ku gawo kutsogolo ndi umalandira khomo pachibelekeropo. Mbali kumbuyo adza kwa mpanda ukazi kenako atuluka pakhoma kutsogolo kwa rectum. Malowa amatchedwa Douglas danga (recess).

Uterine kaswili: chithunzi ndi dongosolo wall

Atatu magawo thupi. Amakhala: kukafika kutsogolo kwa myometrium ndi endometrium. Pamwamba pa khoma uterine chimakwirira serosa wa peritoneum wa - wosanjikiza koyamba. Zotsatirazi - mlingo pakati - minofu thicken ndi analembedwa zovuta zambiri. Plexus yosalala minofu ndi nyumba zotanuka lumikiza kupanga ulusi mitolo yomwe anawagawa atatu myometrium mumtima wosanjikiza: mkati ndi kunja kosoprodolny zozungulira. Last amatchedwanso zozungulira pakati. Dzina limeneli analandira mogwirizana ndi dongosolo la. The odziwika ndi kuti pachimake wosanjikiza myometrium lapansi. Mawu akuti "zozungulira" yilungamitsidwa dongosolo wachuma wa lymph ndi magazi zotengera, amene nambala kwambiri chinakula pamene akuyandikira khomo pachibelekeropo.

Anyalanyaza ndi submucosa, ndi uterine khoma pambuyo myometrium amakhala endometrium - mucous nembanemba. wosanjikiza wankati kufika makulidwe a mamilimita 3. Iwo ali khola kotenga kutsogolo ndi kumbuyo m'chigawo cha ngalande khomo lachiberekero, amene kuwonjezera pa makona pachimake lamanja ndi kumanzere nthambi yaing'ono palmovidnye. Otsala a endometrium yosalala. Pamaso pa makutu kuteteza uterine M'mimbamo ndi malowedwe a nkhani akumane mkati limba la nyini. Uterine Endometrium prism, pamwamba pace anakonza tubular uterine zopangitsa vitreous ntchofu. Zamchere anachita, iwo umatetezera umuna viability. Pa ovulation katulutsidwe ukuwonjezeka ndi zinthu kulowa ngalande khomo lachiberekero.

Mitsemphayi uterine: thunthu, tsogolo

M'chigawo wabwinobwino wa mkazi thupi chiberekero, n'kuwasanganiza ndi ziwalo zina moyandikana thandizo Mitsemphayi, zomwe ndi dongosolo yosalala. Ukugwirira ntchito ya ziwalo zoberekera mwachuluka amadalira boma la minofu ndi fascia opunthira m'chiuno. Mitsemphayi tichipeza anapachikidwa, atathana ndi anakhalabe. Ikani ndidutse katundu aliyense wa iwo amapereka yachibadwa thupi malo a chiberekero kuti ziwalo zina ndi kuyenda kutero.

The zikuchokera kwa zida ligamentous za ziwalo zoberekera

zida	ntchito	Mitolo kupanga zida
suspensory	Zikugwirizana chiberekero malinga m'chiuno	Wophatikizidwa uterine lonse
		Support yamchiberekero mitsempha
		Yoyenera yamchiberekero mitsempha
		Round mitsempha
akukonzekera	Atakhazikitsa udindo wa thupi lidakali woyembekezera, kupereka kusinthasintha kofunika	Home mitsempha ya m'chiberekero
		Vesico-uterine Mitsemphayi
		Mitsemphayi Sacro-uterine
kuchirikiza	Ndipamene pansi m'chiuno, amene amathandiza kuti ziwalo za dongosolo urogenital	Minofu ndi perineal fascia (akunja pakati, mkati wosanjikiza)

Matenda a chiberekero ndi zokhudzana, komanso ziwalo zina kugonana ndi mkazi wa ku kachitidwe anayamba tichipeza minofu minofu fascia, lomwe mbali yofunika kwambiri mu uziyenda yachibadwa cha ziwalo zoberekera.

Zochita za zida za suspensory

zida Suspensory wophatikizidwa mpaka mitsempha ya m'chiberekero, kudzera imene "amamangirira" mtunda wina ku linga la mafupa a chiuno ndi. Yotakata uterine mitsempha ndi khola yopingasa a mtundu peritoneum. Limafotokoza thupi la chiberekero ndi chiberekero mbali zonse. Kwa kapangidwe masika ndi yofunika gawo mitsempha serous chivundikirocho ndi mesentery. Pa makoma mbali ya mafupa a chiuno, izo zimapita mu peritoneum parietal. Kuthandiza gulu la kusunthira kutali ndi aliyense n'kuwasanganiza ali ndi mawonekedwe lonse. Yodziwika mphamvu. Mkati chitadutsa womwe ndi mtsinje uterine.

Yoyenera mitsempha lililonse n'kuwasanganiza ochokera ku nthambi uterine pansi kumbuyo mbali m'munsi mwa machubu mazira ndi kuwonjezera kwa thumba losunga mazira ndi. Mkati iwo ndi mitsempha uterine ndi mitsempha, kotero kapangidwe mokwanira wandiweyani ndi amphamvu.

Limodzi, Alevi zinthu kusakhulupirira - wozungulira mitsempha ya m'chiberekero. Kaswili ndizoonekeratu: chingwe mtolo ali mawonekedwe a kutalika kwa masentimita 12 zimachokera ku imodzi mwa ngodya ya m'chiberekero ndipo amawachitira pansi pa pepala kutsogolo kwa waukulu mitsempha mkati kutsegula groin .. Ndiye mtolo nthambi mu nyumba angapo mu minofu ndi pubis wa labia majora, n'kupanga spindle. Ndi chifukwa cha mitsempha wozungulira chiberekero ali thupi zapambuyo kuweramira.

Kapangidwe ndi malo kukonza Mitsemphayi

Matenda a chiberekero anali kuganiza kwake cholinga zachilengedwe - kubereka ana ndi youmba. Zimenezi amatipeza limodzi ndi yogwira kuchepetsa, kukula ndi kayendetsedwe ka a kumaliseche. Pa nkhani imeneyi, m'pofunika osati kukonza malo olondola a chiberekero mu zonse m'mimba, komanso kupereka ndi kusinthasintha kutero. Monga zolinga ngati nyumba iliyonse lanu.

Home mitsempha ya m'chiberekero imakhala plexus ulusi minofu yosalala ndi minofu connective, radially wokonda mzake. Plexus lozungulira chiberekero mu Os mkati. Gulu pang'onopang'ono akudutsa mu fascia m'chiuno, potero kukonza thupi malo a pansi m'chiuno. Vesico-uterine ndi obisika nyumba ligamentous kuyambira kutsogolo pansi chiberekero ndi Ufumuyo kwa chikhodzodzo ndi pubis motero.

Sacrouterine mtolo aumbike mwa ulusi minofu fibrous ndi yosalala. Inyamuka kumbuyo kwa khosi, pa mbali lozungulira rectum ndi olumikizidwa kwa fascia m'chiuno pa sacrum lapansi. Mu kuimirira, ali ndi malangizo ofukula ndi kuthandiza khomo pachibelekeropo.

Thandizo wagawo: minofu ndi fascia

thunthu uterine kumaphatikizapo maganizo "pansi m'chiuno". Izi ya minofu ndi fascia wa perineum, amene kulemba ndi kuchita kukonza mkati mkazi maliseche ntchito. Pansi m'chiuno wapangidwa ndi wosanjikiza akunja, pakati komanso mkati. Zikuchokera ndi mapangidwe a mamembala a chirichonse mchitidwe kuperekedwa ku gome pansipa:

Matenda a chiberekero wamkazi - dongosolo la pansi m'chiuno

wosanjikiza	minofu	mbali
lakunja	Sciatic-cavernous	Nthunzi chipinda, ili matako ku nkongo ndi
	Bulbous, chofewa ngati siponji	Nthunzi chipinda, chimakwirira kutsegula ukazi, kusonyeza kuti kuotcha
	kunja	Compresses "mphete" ndi chotulukira, lozungulira lonse m'munsi dipatimenti rectum
	mtanda pamwamba	Bwino anayamba minofu wophatikizidwa. Amachokera kwa tuberosity ischial pamwamba mkati ndi tendon Ufumuyo crotch ndi kulumikiza ndi dzina lomweli minofu anakafika ku mbali kumbuyo
Sing'anga (urogenital zakulera)	m. sphincter urethrae externum	Compresses mkodzo
	kwambiri yopingasa	Nthunzi ali oyenerera pakati pa symphysis, obisika ndipo ischial fupa.
Internal (m'chiuno zakulera)	Obisika-coccygeal	Wophatikizidwa nthambi m. levator Ani, amene amaukitsa chotulukira. Chabwino otukuka.
	Ilio-coccygeal
	Ischiococcygeal

Normal thunthu la chiberekero ndi zokhudzana amaperekedwa pa ndalama za pansi m'chiuno, ndilo chamankhwala chodalirika za m'mimba mwa dongosolo urogenital. Yoyenera pamalo a matupi - chinsinsi kugwira ntchito zawo wathanzi. Zowonongeka ndi kufooka kwambiri za m'chiuno pansi prolapse ndi kuwopsezedwa imfa matupi.

Kapangidwe ka thumba losunga mazira ndi zokhudzana

The thunthu la chiberekero, yamchiberekero akuimira Ziwalo zoberekera, inakula mwa Ukalawu. Mazira - ndi zopangitsa kugonana ili mbali ya chiberekero. Mkati iwo pa kuzungulira kusamba, dzira zimapsa, amene ndiye anadyetsedwa kudzera Ukalawu mu chiberekero.

mazira ndi kuliika kudzera mwa mitsempha suspensory ndi mesentery. Mosiyana chiberekero, iwo ataphimbidwa ndi peritoneum lapansi. Kapangidwe n'kuwasanganiza zachokera ubongo ndi kotekisi. okhwima follicles ali chomaliza. Lamkati mbali khoma pafupi ndi granular wosanjikiza, amene dzira chimakhazikika. Wazunguliridwa ndi korona chowala ndi malo mandala.

Mu nthawi ya ovulation wa follicles pafupi wosanjikiza kunja kwa n'kuwasanganiza ndi Kasupe. Choncho dzira adzamasulidwa ndipo walowa kudzera mazira chubu mu chiberekero. Utaphulika follicle m'malo mwa corpus luteum, amene sitili pa mimba zayamba kutha. Ngati umuna kumachitika, ndi corpus luteum akalipo pa nthawi yonse ya ntchitoyo ntchito endocrine.

pamwamba ali ndi woyera yamchiberekero chipolopolo popangidwa ndi minofu connective. Aliyense n'kuwasanganiza wazunguliridwa ndi zokhudzana ndi mawonekedwe convoluted ndi ongokhala makhwawa kotenga ndi yopingasa. Amaonedwa formations achikalekale.

Ukalawu

Wophatikizidwa limba, imene dzira kuchokera pamimba m'chiberekero ukugwa. Chiberekero ndi mawonekedwe a ducts chowulungika ndi anayesedwa kumtunda kwa mitsempha ikuluikulu. kutalika kungakhale kwa 13 masentimita, ndi m'mimba mwake wa - 3 mm. dzira chimadzera pogwiritsa ntchito uterine ndi dzenje m'mimba, dzina la Chofanana M'mimbamo chimene chikutuluka.

Chiberekero zigwirizana:

• gawo uterine - izo ili mu chiberekero chachikulu;
• Korinto - gawo narrowest ndi makoma wakuda;
• ampoules;
• nyuzi - kudzera lumen dzira awo akulowa mazira chubu;
• M'mphepete - iwo kutumiza dzira kuti Chigwa cha.

Mkati chitoliro ndi wodzaza ndi mucosa ndi ciliated epithelium ndi kotenga makutu, chiwerengero cha amene kumawonjezera monga njira kutsegula m'mimba. Kuchokera kunja machubu mazira yokutidwa serosa.

Kapangidwe ka m'thupi

kotunga magazi ku maliseche ndi chifukwa mtsempha wamagazi uterine, yomwe ndi nthambi ya mtsempha wamagazi mkati iliac. The thunthu la chiberekero ndi chiberekero ikukhudza outflow magazi kuchokera mbali ziwiri, mtsempha wamagazi ali ramifications awiri. Aliyense wa iwo ili m'mbali mitsempha waukulu, ndiye nagawira mu zotengera ang'onoang'ono, kufika kutsogolo ndi kumbuyo thupi pamwamba. Near pansi pa nthambi mayi chotengera kachiwiri kulola magazi ambiri Ukalawu ndi thumba losunga mazira.

mitsempha Uterine anapanga kuchokera plexus venous, mwazi venous umayenda. Choncho, nayenso, ochokera mtsempha, kenako amagwa mu iliac mkati, ndipo yamchiberekero venous plexus ya rectum. Venous outflow pambuyo uterine ndi yamchiberekero mtsempha chimafikira kwa iliac ndi otsika vena cava.

Lymphatic ngalande ku ziwalo zoberekera

Lymph mfundo, amene anatumiza kwa lymph kuchokera thupi ndi khomo pachibelekeropo - iliac, sacral ndi inguinal. Iwo zili pa malo mitsempha iliac ndipo kutsogolo kwa sacrum pamodzi ndi minofu yogwirizana chonse. ziwiya Lymphatic ili pansi pa chiberekero, lymph mfundo kufika m'chiuno ndi groin. Total plexus ziwiya lymphatic kuchokera kumaliseche kwa mkati ndi rectum Douglas ili m'malere.

innervation la chiberekero ndi ziwalo zina zoberekera za mkazi

Internal ziwalo zoberekera innervate wachifundo ndi parasympathetic autonomic mantha dongosolo. Misempha kuti chiberekero, kawirikawiri chisoni. Pa ulendo wawo kuti ugwirizane ndi msana CHIKWANGWANI kapangidwe ndi plexus sacral. uterine thupi kumutsogolera kuchepetsa chapamwamba hypogastric plexus misempha. Chiberekero wokha sukhalira innervated ndi nthambi za plexus utero-ukazi. The khomo pachibelekeropo zambiri amalandira zikhumbo kwa mitsempha parasympathetic. Thumba losunga mazira, ndi chiberekero ndi zokhudzana innervated ndi a utero-ukazi ndi yamchiberekero mitsempha plexus.

kusintha zinchito pa kuzungulira kusamba

linga la chiberekero ungasinthe onse pa mimba ndi pa kuzungulira kusamba. Kayendedwe ka kugonana thupi mkazi amakhala ndi mndandanda wa njira kunachitika thumba losunga mazira ndi akalowa la chiberekero mchikakamizo mahomoni. Iwo agawidwa 3 magawo: kusamba, premenstrual ndi postmenstrual.

Desquamation (kusamba gawo) limapezeka ngati umuna pa ovulation sichinachitikepo. Chiberekero, kapangidwe, thunthu chomwe zigawo zingapo, kuyambira kugwetsera kutali mucosa. Limodzi ndi womwalirayo masamba ndi dzira.

Pambuyo osati zinchito chiberekero wosanjikiza anaphimba kokha ndi woonda woyambira mucosa. Umayamba postmenstrual kuchira. The n'kuwasanganiza kachiwiri opangidwa thupi chikasu ndi nthawi katulutsidwe yogwira ntchito yamchiberekero. Mucous thickens kachiwiri, chiberekero akukonzekera kulandira dzira.

The mkombero akupitiriza mosadodometsedwa mpaka kufikira pambuyo umuna. Pa implantation wa mwana wosabadwayo mu mimba chiberekero akuyamba. Mlungu uliwonse, izo kumawonjezera kukula, kufika masentimita oposa 20 m'litali. Angaperekedwe ndondomeko yogwira limodzi ndi contractions wa chiberekero zimathandiza kuti yimitsira wa mwana wosabadwayo ku M'mimbamo ndi ulendo wake wobwerera ku zamitundu antenatal.

Chiberekero, mazira, chiberekero ndi zokhudzana pamodzi kupanga dongosolo zovuta cha ziwalo zoberekera za amayi. Chifukwa pansi pa ziwalo m'chiuno ndipo mesentery wotetezedwa pamimba ndi kutetezedwa ku tsankho Sakhala ndi imfa. magazi amapereka lalikulu uterine mtsempha wamagazi ndi innervated limba angapo mitolo mitsempha.