Normal yamchiberekero kukula mu akazi pamaso ndipo pambuyo pobereka

Kubadwa kwa moyo watsopano - ndi chochitika chapadera kwa mkazi aliyense. Kamodzi umuna kumachitika, ndipo thupi kuuzidwa ubwamuna dzira, ziwalo zonse ndi machitidwe kuyamba kukonzanso lonse. kusintha kwambiri zagonjetsedwa kwa ziwalo kugonana, kuyambira mu nyengo yonse ya mimba chidzakula kukhala mwana. Nyumba kuti amagwira ntchito ndondomeko kukhala ndi mwana ndi thumba losunga mazira. Iwo amakhudzidwa ndi chikhalidwe cha akazi mu malo oyamba. Pa mimba kumasintha kukula yachibadwa ya mazira, ntchito yawo m'thupi, komanso kubereka maselo kugonana mkazi.

yamchiberekero ntchito mu akazi

The mazira chigwire ntchito yofunika - kupereka dzira. Mwezi uliwonse m'thupi la mayi amaloŵamo angapo kusintha cyclical, chifukwa limene umuna imatheka pa mwezi.

Yamchiberekero ntchito:

1. Development wa mazira. ndondomeko kumachitika pakati pa msambo. Kutuluka wokonzeka manyowa maselo wamkazi zambiri amapezeka pa tsiku la 14 kuyambira pachiyambi. Panthawi imeneyi pang'ono kusintha mwakale wa thumba losunga mazira mu akazi. Kukumana ndi dzira amene anaonekera lokha pa ovulation, kotero njira yapadera ya mawerengedwe otukuka.
2. Mahomoni ntchito. Pa mkombero opangidwa ndi mkazi mahomoni chachikulu - esitirojeni ndi progesterone. Mu zoyambirira pali chitukuko timafunika wofunikila oocyte kusasitsa, lachiwiri - progesterone, amene amathandiza kusunga mimba pa umuna.

Kapangidwe ndi munthu wamba kukula kwa chiberekero ndi thumba losunga mazira asanabadwe

Chiberekero ndi thumba losunga mazira zili mkati mafupa a chiuno ndi. Kuwonjezera ziwalo zimenezi, pali rectum, chikhodzodzo, chiberekero, ndi kumtunda kwa nyini. Chiberekero ali ndi malo pakati pa matumbo ndi chikhodzodzo, nthawi zambiri miyeso zake: kutalika - 8 masentimita, m'lifupi - 4 cm, kulemera - 50-70 masentimita mazira The zili mbali ya thupi la chiberekero, chiberekero chifukwa .. Pa palpation wa zokhudzana wa akufufuzabe mu ziyerekezo kwa lamanja ndi lamanzere iliac dera. Mwachibadwa, si palpable (kupatula madona asthenic kukula kwa thupi). Normal yamchiberekero akazi nulliparous miyeso: kutalika - 4.5 masentimita m'lifupi - 2.5 cm, makulidwe - 2 cm.

Kusintha chiberekero ndi thumba losunga mazira pa mimba

Pa gestation wamkazi ziwalo zoberekera zagonjetsedwa kwa kusintha kwambiri. Chiberekero nthawi mimba ndi kuchuluka kwa 36-40 masentimita m'litali ndipo nthawi 20 wamkulu ndi kulemera (1 kg). ulusi minofu ake anatambasula, ndipo akafika pachimake zake "zinthu".

Normal kukula kwa thumba losunga mazira pa mimba ndi apamwamba kuposa miyeso awo oyambirira a millimeters ochepa, mu nthawi iyi ya magazi ndi ziwalo m'chiuno ndi kuchuluka, chifukwa chiyani hyperplasia awo pang'ono. Ntchito timafunika, ndi mazira pa mfundo iyi ndi kwina, ndi pa malo oyamba progesterone - waukulu timadzi chonde mu thupi wamkazi.

Postpartum nthawi ndi kusintha okhudzana ndi

Postpartum nyengo ndi masiku 42, kuti masabata 6. Iwo ankakhulupirira kuti nthawi imeneyi m'thupi la mayi ali kuti achire ndi pakati komanso pobereka, ndi kubwera kwa boma wapachiyambi. Atabadwa moyo watsopano limabwezeretsa ziwalo zonse ndi kachitidwe, mayi latsopano ungatengeso wochepa silhouette ndi omasuka. Kuchira amapezeka mtima (Mwamsanga makope placental, amene anamanga mayi ndi mwana), amachepetsa kupuma pafupipafupi, akuchira pokodza yachibadwa. Minofu ya khoma zapambuyo m'mimba ndi pansi m'chiuno akale pang'onopang'ono 6-8 masabata tatenga kamvekedwe.

Normal kukula thumba losunga mazira ndi chiberekero wangobereka

The kusintha lalikulu zimachitika chiberekero, monga mimba izo zafika chachikulu kwambiri. Mlungu woyamba atabadwa kukula ake yafupika ndi maulendo 2, ndiye kuchepetsedwa ndi kotala ndi kutha kwa masabata 6 chotenga kukula kwake kale. Mu nthawi ya postpartum, malinga mkazi si kuyamwitsa mwanayo, thumba losunga mazira mu masabata angapo anabwerera ku ntchito zawo zakale ndi kukula, ndiko kuti, anayamba kubala esitirojeni ndi kukonzekera thupi kwa umuna latsopano. Ngati mayi kudyetsa mwana mkaka, ndi "amasiya" timadzi ntchito kumatenga miyezi ingapo.

M'chiuno ultrasound yachibadwa

Ultrasonography akazi isanafike yobereka ndi imodzi mwa njira zikuluzikulu za matenda a pathologies matenda monga kutupa, kuchuluka kwa minofu hyperplastic (tizilombo ting'onoting'ono, cysts) ndi oncopathology kumaliseche. Komanso, chitsanzo Echo la chiberekero ndi thumba losunga mazira apereka umboni wa kusamba mkombero gawo m'mikhalidwe yachibadwa (ngati mkazi ali wathanzi), amene amathandiza kudziwa nthawi yoyenera pokonza mimba.

Pa m'chiuno ultrasound mu akazi kudziwa kukula, chiwerengero cha follicles, kapangidwe, makulidwe ndi osalimba wa chinthu itakwana. Normal yamchiberekero ultrasound miyeso: m'lifupi - 30 mm, m'lifupi - 25 mm, makulidwe - 15 mm. Pali Kusiyana pang'ono mfundo deta zimene zimadalira siteji ya mkombero ndi gulu m'badwo wa wodwalayo. Kukula pazipita n'kuwasanganiza ndi pakati pa kuzungulira kusamba, ndiye masiku kusanachitike ovulation, chifukwa pa nthawi iyi follicle waukulu anafika kukula kwambiri ndi wokonzeka kupita. The mwakale wa thumba losunga mazira mu akazi mu nthawi ya kusintha kwa thupi, pang'ono zosakwana mu m'badwo ubereki, chifukwa ntchito yake idaleka ndi dzira kusasitsa amapezeka.

Ultrasound a kumaliseche pa mimba

Mimba kumasintha osati ntchito zinchito wa thumba losunga mazira, koma chithunzi Echo. Panthawi yoyamba kukaona chipatala antenatal pa kubadwa kwa moyo watsopano iliyonse gynecologist limalangiza akazi kuti alandire ultrasound kuphunzira ziwalo m'chiuno. Ultrasound mimba oyambirira imagwiridwa transvaginal. phunziro Zimenezi zimatithandiza amanena mawu akuti kutanthauzira (mimba wabwinobwino ndi amayi, ndi, dzira amamangiriridwa ku thupi la chiberekero), chiwerengero cha zipatso, komanso pamaso kapena kusapezeka matendawo.

Normal kukula mkazi mazira "mu" chinawonjezeka ndi millimeters ochepa. Komanso, pali kusintha kwa follicular unit wa Ziwalo zoberekera (wina follicle kukula mwaonapo, ali onse ofanana "sanali yogwira" boma). n'kuwasanganiza khoma penapake unakhuthala chifukwa zochuluka magazi. Chiberekero wayamba kusintha kwakukulu, amene amadalira nthawi ya mimba. Mlungu uliwonse kumachitika ndi kuonjezera ake ulusi minofu kwamakokedwe, akafika kukula kwake pazipita pamaso yobereka.

Ultrasound Kupenda mazira pa nyengo ya postpartum

masabata 6-8 atatha kubereka ku US Tingaone mwakale wa thumba losunga mazira, zomwe iwo anali patsogolo pobereka. Nthawi yomweyo pambuyo pa kubadwa kwa mwana kuwala kwa phindu amakhalabe pang'ono apamwamba, iwo amayamba kuchira ndi kutha kwa masabata 3. Ngati mkazi breastfeeds, kusintha gawo la makhalidwe thumba losunga mazira pa mfundo iyi si anati. Kumayambiriro kwa kuzungulira ovulatory, mazira kuyamba kuwonjezera pang'ono chifukwa cha kukula kwa follicle lapansi.