Kwesibeletho: isakhiwo, anatomy, isithombe. Anatomy kwesibeletho, fallopian amashubhu futhi ezihlobene

Kwesibeletho - zokuzala ayibhangqiwe isitho yangaphakathi in amagundane zesifazane. Siqukethe plexus ka bushelelezi imisipha zesivikelo sesifuba. Kwesibeletho itholakala phakathi ukhalo. Kuyinto mobile kakhulu, ngakho maqondana nezinye izitho angase abe nezikhundla ezithile ezahlukene. Ngokuhlanganyela amaqanda kuba uhlelo zokuzala yomzimba zesifazane.

Isakhiwo jikelele kwesibeletho

Lesi sitho kwangaphakathi kwemisipha uhlelo zokuzala has simise ipheya ukuthi isicaba yayingaphambi nangemuva kwabo. Ingxenye engenhla kwesibeletho nhlangothi zombili inamagatsha - amashubhu fallopian abadlula e ezikhiqiza amaqanda. Kutholwe ngemuva ingemuva kanye esinyeni phambi.

Anatomy kwesibeletho kanje. umzimba kwemisipha inezingxenye eziningana:

1. Bottom - ingxenye phezulu kokuba simise ayizindunduma futhi itholakala ngenhla ulayini umsuka amashubhu fallopian.
2. Umzimba, okuyinto kahle sihamba phansi. It has a ukubukeka Isigaxa emise. It tapers downwardly futhi yakha isiqeshana sezwe. Lokhu ingaphakathi, okuholela wesibeletho.
3. Intamo - yakhiwa kulesi siqephu sezwe, wesibeletho kanye lwesitho sangasese sowesifazane ingxenye.

Ubukhulu nesisindo kwesibeletho ngabanye. Inani isilinganiso isisindo yayo nebafati nulliparous ukufinyelela 40-50 g

anatomy wesibeletho, okuyinto engase yakhe udonga phakathi ngaphakathi kanye nangaphandle, kuhlelwe ukuze kuphuma ngaphambili egumbini lwesitho sangasese sowesifazane. Ngesikhathi esifanayo kuhlale ezijulile posterior fornix, kanye phambi - kunalokho.

Likuphi indlovukazi?

Isitho elise ukhalo phakathi ingemuva kanye esinyeni. Kwesibeletho umzimba ezihambayo kakhulu nge, ngaphezu, ifomu izici ngamunye kanye egunjini lokuhlolwa kwezifo. indawo yayo kuthinta kakhulu isimo kanye nosayizi kwezitho engumakhelwane. Jwayelekile lesizalo anatomy e kwebalingisi isikhala ehlasela e ukhalo yokuthi axis awo longitudinal kumele ngamakhasimende kanye eksisi ka ukhalo. phansi kwalo esitshekile phambili. Lapho esinyeni igcwele, ihamba emuva kancane uma ingenalutho - ubuyela endaweni yalo.

I peritoneum ihlanganisa ingxenye enkulu yeminyaka kwesibeletho, ngaphandle Ezansi entanyeni, ukwakha ephaketheni ezijulile. Lolo hide luqala ngo phansi, ihamba kwegilo ngaphambili entanyeni futhi sifinyelela. Ezingemuva ingxenye kuziwa odongeni sowesifazane sangasese bese wabe udonga phambi ingemuva. Le ndawo ibizwa ngokuthi isikhala Douglas (ikhefu).

Lesizalo Anatomy: isithombe kanye nesakhiwo odongeni

umzimba Three-egqinsiwe. Siqukethe: azungezwe we myometrium futhi endometrium. Ingaphezulu odongeni lesizalo ihlanganisa serosa we peritoneum - ungqimba kokuqala. Okulandelayo - ezingeni maphakathi - ijwabu ukuze ukushwaqa futhi akheke eziyinkimbinkimbi. Plexus bushelelezi imisipha futhi nokunwebeka elihlangana izakhiwo ifomu Imicu yotshani izinyanda okuyinto zihlukaniswe ezintathu myometrium kwangaphakathi ungqimba: kwangaphakathi futhi yangaphandle kosoprodolny isiyingi. Kugcine ngokuthi futhi isiyingi phakathi. Leli gama Wathola ngokuqondene isakhiwo. I osobala kakhulu ukuthi ungqimba umnyombo myometrium. Igama elithi "isiyingi" ulungisiswa uhlelo ocebile lymph negazi izitsha, ogama inombolo is kakhulu anda njengoba esondela wesibeletho.

Ngokudlula submucosa, udonga kwesibeletho emva myometrium iba endometrium - ulwelwesi lwamafinyila. Lesi sendlalelo kwangaphakathi ifinyelela ukushuba 3 mm. It has a nesibaya longitudinal esifundeni front futhi bakhulise we-canal wesibeletho, okuyindawo ukudlulisa engela oyingozi kwesokunene nezinhlanu kwesobunxele amagatsha amancane palmovidnye. Ezinye izindaba zika-bushelelezi endometrium. Ukuba khona emphethweni ukuvikela ingaphakathi lesizalo ngu Ukungena okungekuhle okuqukethwe isitho yangaphakathi sangasese. Lesizalo nezibhebhe Endometrium, phezu yalo ahlelwe ijabulise lesizalo nezindlala isikhwehlela Vitreous. ukuphendula ane-alikhali, basinikeza isagcine isidoda ukusebenza. Phakathi nge-ovulation uketshezi uyanda futhi izinto ufake umsele wesibeletho.

lesizalo nemisipha: anatomy, phetho

Esimweni esejwayelekile esifazane umzimba kwesibeletho, esibelethweni kanye nezinye izitho eduze ukwesekwa nemisipha, akha isakhiwo bushelelezi. Isebenze kwezitho zokuzala yangaphakathi incike isimo kwemisipha fascia we floor kwezitho zangasese. Nemisipha siqukethe ezazilengisiwe, fixed futhi zigcinwe. Setha ezisebenzayo izakhiwo ngamunye wabo ihlinzeka ngendlela ejwayelekile bokuphila kwesibeletho kwezinye izitho futhi ukuhamba ezidingekayo.

Ukwakheka apharathasi ligamentous kwezitho zokuzala yangaphakathi

ama-apharathasi	imisebenzi	Amaqoqo ukwakha ama-apharathasi
suspensory	Ixhuma kwesibeletho ezindongeni okhalo	Kufundza ngababili lesizalo ububanzi
		umsipha wesibeletho Ukusekela
		Proper umsipha wesibeletho
		umsipha round
ukulungisa	Kwamaphutha isikhundla umzimba sisalokhu ngesikhathi sokukhulelwa, ukuhlinzeka unenkululeko ezidingekayo	Ikhaya umsipha kwesibeletho
		nemisipha Vesico-lesizalo
		nemisipha Sacro-lesizalo
asekelayo	It yakha phansi okhalo, lesekela ngoba izibilini uhlelo urogenital	Emisipheni fascia isizalo (yangaphandle, maphakathi, ungqimba kwangaphakathi)

Anatomy kwesibeletho futhi ezihlobene, kanye nezinye izitho zobulili yowesifazane kusukela uhlelo athuthukile siqukethe imisipha kwezicubu fascia, ezidlala indima ebalulekile kuleli ukusebenza evamile uhlelo zokuzala.

Izimpawu apharathasi suspensory

Suspensory apharathasi ayehanjiswa umsipha kwesibeletho, okuyothi "inamathela" othile ibanga odongeni ukhalo. Okubanzi lesizalo umsipha kuyinto nesibaya transverse ohlobo peritoneum. Ihlanganisa umzimba kwesibeletho futhi fallopian amashubhu nhlangothi zombili. Ukuze isakhiwo yokugcina kuyinto ebalulekile okuyingxenye umsipha ikhava serous futhi mesentery. Eceleni izindonga ukhalo, uya peritoneum parietal. Ukusekela kweqembu ukuthuthela kude esibelethweni ngamunye has simise wonke. amandla libhekene. Ngaphakathi sidlule umfula lesizalo.

umsipha Proper esibelethweni lilinye kwaqala egatsheni lase-lesizalo phansi eceleni ezingemuva engezansi amashubhu fallopian futhi luhlanganise ezikhiqiza amaqanda. Ngaphakathi kuwo kukhona imithambo lesizalo kanye emithanjeni, ngakho isakhiwo ngokwanele aminyene futhi eqinile.

Omunye waqopha okwesikhashana izakhi - round umsipha kwesibeletho. Anatomy kusobala: Cord besigaxa ine uhlobo ubude kufika ku-12 cm It kuvela kwelinye amakhona kwesibeletho luqhubeke ngaphansi phambi ishidi kuya ezibanzi umsipha kwangaphakathi ukuvulwa imbilapho .. Khona-ke umqulu legatsha ezinhlakeni eziningi izicubu kanye pubis we majora labia, ukwakha uthi lokuphotha. Kuyinto sibonga umsipha round kwesibeletho it has a bokuphila anterior enyakazayo.

Isakhiwo nendawo nemisipha ukulungisa

Anatomy kwesibeletho kwadingeka ukuba singaphethi injongo yemvelo yayo - ukuzala nokukhuliswa. Le nqubo ibizwa nakanjani ihambisane nohlelo asebenzayo ukunciphisa, ukukhula kanye nokunyakaza isibunu. Kule ndaba, kubalulekile hhayi kuphela ukulungisa isikhundla lesifanele kwesibeletho ku ingaphakathi lesisu, kodwa futhi asinike unenkululeko kunesidingo. Izinguquko Ezenzeka izinjongo ezifana iyiphi izakhiwo ukukhiya.

Ikhaya umsipha kwesibeletho siqukethe plexus imicu kwemisipha bushelelezi kanye ezicutshini, radially ngokufanele komunye nomunye. Plexus ozungezayo wesibeletho e-os yangaphakathi. Bunch kancane kancane sihamba phakathi fascia okhalo, kanjalo ukulungisa umzimba ukuze yokuma floor kwezitho zangasese. Vesico-lesizalo futhi pubic ligamentous izakhiwo isiqalo ezansi phambi kwesibeletho futhi unamathele esinyeni futhi pubis ngokulandelana.

kwakhiwa i-bundle Sacrouterine is by Imicu imisipha fibrous futhi abushelelezi. Isuka kusukela isiphundu, ezinhlangothini izungeza ingemuva kanye exhunywe kwi-fascia okhalo phezu sacrum. Imile, banalo isiqondiso mpo futhi isekela wesibeletho.

Iyunithi ukwesekwa: kwemisipha fascia

anatomy lesizalo kuhilela welithi "floor kwezitho zangasese". Lokhu iqoqo kwemisipha fascia we perineum, ngubani uqambe bese enze ngaphakathi umthondo umsebenzi womuntu wesifazane. I esitezi okhalo siqukethe olwelwesini, maphakathi kanye kwangaphakathi. Ukwakheka kanye kwebalingisi of amalungu element ngayinye banikwa kulelithebula lelingentasi:

Anatomy kwesibeletho zesifazane - nokwakheka floor kwezitho zangasese

ungqimba	imisipha	sici
yangaphandle	Sciatic-cavernous	Igumbi Umusi, esisogwini izibunu kuze kube clitoris
	Bulbous, sithambile	Igumbi Umusi, ihlanganisa kuvulwa lwesitho sangasese sowesifazane, okwenza ekuhlehleni
	zangaphandle	Licindezele "indandatho" le ingquza, izungeza wonke umnyango ingemuva aphansi
	ebusweni engu-	Kahle athuthukile imisipha abhanqiwe. Kuqhamuka ischial tuberosity kuya kwangaphakathi surface kanye umsipha exhunywe ukuxhuma, ngokuxhumana ne-efanayo igama imisipha esukela emuva uhlangothi
Maphakathi (diaphragm urogenital)	m. sphincter urethrae externum	Licindezele urethra
	ezijulile transverse	Intuthu athambekele phakathi symphysis, pubic bone ischial.
Okungaphakathi (okhalo diaphragm)	Pubic-coccygeal	Kufundza ngababili m legatsha. levator ani, okuyinto kuphakamisa ingquza. athuthukiswe kahle.
	Ilio-coccygeal
	Ischiococcygeal

anatomy Jwayelekile kwesibeletho futhi ezihlobene inikezwa ngezithukuthuku phansi okhalo, okuyinto kuwumgogodla izibilini uhlelo urogenital. ngendlela efanele zemizimba - isihluthulelo ukusebenza kwawo enempilo. Umonakalo lube buthaka enkulu prolapse floor kwezitho zangasese kanye baze basongela emizimbeni ukulahlekelwa.

Isakhiwo amaqanda futhi ezihlobene

Anatomy kwesibeletho, wesibeletho limelela Izitho zokuzala, oxhumene ngokusebenzisa amashubhu fallopian. Amaqanda - nezindlala ocansini esisogwini zombili kwesibeletho. Ngaphakathi kuwo phakathi umjikelezo wokuya esikhathini, iqanda ripens, abese Kondliwa fallopian amashubhu esibelethweni.

Ezikhiqiza amaqanda awashintsheki esebenzisa umsipha suspensory kanye mesentery. Ngokungafani kwesibeletho, kungukuthi imbozwe peritoneum. isakhiwo esibelethweni kusekelwe ngobuchopho cortex. follicle abavuthiwe kowamanqamu. I kwangaphakathi ohlangothini udonga eseduze ungqimba luyimbudumbudu, lapho iqanda kwamasabatha. It lizungezwe umqhele elikhazimulayo endaweni esobala.

Esikhathini esiyiminyaka nge-ovulation of follicle eduze olwelwesini esibelethweni kanye Ukuvutha. Ngakho iqanda ikhishwe bese engena nge fallopian tube esibelethweni. follicle ezambiwa ubuyisela luteum Corpus, okuyinto ngokungabi bikho sokukhulelwa siyaphela kancane kancane. Uma kokukhulelwa kwenzeka, luteum Corpus sisekhona ngoba yonke inkathi ukusebenza endocrine imisebenzi.

Kwamanzi embozwe ezimhlophe igobolondo wesibeletho ezakhiwe ezicutshini. esibelethweni ngasinye sizungezwe ezihlobene kokuba simise convoluted futhi ehlanganisa nemingenela longitudinal futhi transverse. Basuke kubhekwe zokwakheka esingesihle.

amashubhu fallopian

isitho Kubhangqiwe, okuyothi ngalo neqanda elivela esiswini esibelethweni uwela. amashubhu Fallopian isimo Amapayipi okusaqanda futhi ihlolwe engxenyeni engenhla umsipha ezibanzi. Ubude yabo lingafika ku-13 amasentimitha, futhi ubukhulu - 3 mm. iqanda is uthuthwa usebenzisa lesizalo futhi imbobo besisu, igama okuhambelana umgodi lapho iphume.

amashubhu Fallopian aqukethe:

• lesizalo ingxenye - ke itholakala kwesibeletho mkhulu;
• mdweshu - le encane ingxenye nge aminyene izindonga;
• ampoules;
• uphondo - ngokusebenzisa yabo inesikhala Iqanda engena fallopian tube;
• amaphethelo - bethumela iqanda kuya wentaba.

Ngaphakathi ipayipi uphahlwe mucosa nge ciliated epithelium kanye longitudinal emphethweni, inani okuyinto inyuka njengoba izindlela le besisu ukuvulwa. Kusukela ngaphandle amashubhu fallopian embozwe serosa.

Isakhiwo isimiso sokujikeleza kwegazi

Kwegazi umthondo kungenxa lesizalo Umthambo, okuyinto igatsha yangaphakathi iliac Umthambo. Anatomy kwesibeletho futhi fallopian amashubhu kuhilela outflow igazi izinhlangothi ezimbili, ngakho Umthambo kunemiphumela ezimbili. Ngamunye wabo itholakala eduze umsipha ezibanzi ke sokuhlukanisa emiphongolweni emincane, ukufinyelela front futhi bakhulise surface body. Eduzane naphansi amagatsha umama umkhumbi futhi ukuvumela igazi flow amashubhu fallopian futhi ezikhiqiza amaqanda.

emithanjeni lesizalo akhiwa kusukela plexus emithambo yegazi, okuyinto igazi emithambo yegazi ageleza. Ngakho, kakhulu, kusukaphi vein, okuyinto ke ukuwela iliac kwangaphakathi, futhi wesibeletho plexus emithambo yegazi we ingemuva. outflow emithambo yegazi ngemuva lesizalo futhi umthambo wesibeletho ubabonisa bubheke iliac futhi bakhiphe elezinga eliphansi vena cava.

amanzi lymph kusukela izitho zangasese yangaphakathi

Lymph node, okuyinto ithunyelwa lymph emzimbeni wesibeletho - iliac, sacral futhi inguinal. Basuke etholakala endaweni kwemithambo yegazi iliac futhi ngesikhathi phambi sacrum kanye round umsipha. lymph elise ezansi kwesibeletho, izindlala zamanzi ukufinyelela okhalweni imbilapho. Ubude plexus kwemigudu ye-lymph kusukela umthondo yangaphakathi kanye ingemuva Douglas etholakala emkhathini.

innervation kwesibeletho kanye nezinye zokuzala izinhlaka owesifazane

ubulili izitho zangaphakathi innervate nozwela futhi parasympathetic autonomic nesimiso sezinzwa. Imizwa kwesibeletho, ngokuvamile nozwela. Endleleni yabo ukuze lungise umgogodla fibre isakhiwo kanye plexus sacral. lesizalo umzimba kubuswa ekunciphiseni elingenhla hypogastric plexus izinzwa. Kwesibeletho ngokwayo innervated amagatsha we plexus utero-lwesitho sangasese sowesifazane. Wesibeletho ngokuvamile uthola izinzwa izinzwa parasympathetic. Ezikhiqiza amaqanda, amashubhu fallopian futhi ezihlobene innervated ngokubili utero-lwesitho sangasese sowesifazane kanye wesibeletho emsipheni plexus.

izinguquko Functional ngesikhathi umjikelezo wokuya esikhathini uwubufakazi

udonga kwesibeletho kungashintshwa kokubili ngesikhathi sokukhulelwa futhi ngesikhathi umjikelezo wokuya esikhathini. Umjikelezo ngokobulili emzimbeni yabesifazane libhekene iqoqo izinqubo ezenzeka e ezikhiqiza amaqanda kanye ulwelwesi kwesibeletho ngaphansi kwethonya hormone. It ihlukaniswe yaba izigaba 3: kokuya esikhathini, premenstrual futhi postmenstrual.

Desquamation (isigaba kokuya esikhathini) kwenzeka uma kokukhulelwa ngesikhathi nge-ovulation lwenzeke. Kwesibeletho, isakhiwo, umumo womzimba esakhiwa izingqimba eziningana, kusukela zokudonsa kude le mucosa. Ndawonye naye kanye oshonile eshiya iqanda.

Ngemva exclusion ukusebenza ungqimba kwesibeletho embozwe kuphela mucosa mncane basal. Iqala yokutakula postmenstrual. Lesi sizalo futhi ekhiqizwa umzimba ophuzi kanye inkathi uketshezi asebenzayo womsebenzi wesibeletho. Lwamafinyila sikhula futhi, kwesibeletho silungiselela ukwamukela iqanda eselivundisiwe.

Umjikelezo uyaqhubeka ungaphazanyiswa kuze kuze emva kokukhulelwa. Phakathi yenzeka umbungu ngikhulelwe isibeletho siqala. Isonto ngalinye, it kwandisa ngobukhulu, ukufinyelela ezingaphezu kuka-20 amasentimitha ubude. inqubo esebenzayo IsiZulu kuhambisana Kufinyeta kwesibeletho, sandla ukucindezelwa umbungu kusuka ngaphakathi komgodi futhi ukubuya yayo osayizi zabakhulelwe.

Kwesibeletho, amaqanda, amashubhu fallopian futhi ezihlobene ndawonye bakha isimiso esiyinkimbinkimbi kwezitho zokuzala zabesifazane. Ngenxa phansi kwezitho okhalo futhi mesentery kuvikelwe esiswini futhi evikelwe akabandlululi okungadingekile ukulahlekelwa. Igazi ukugeleza ihlinzeka esikhulu lesizalo Umthambo nogwali innervated izinyanda emsipheni eziningana.