Pelvis

Pelvis

Chifuwa kapena chiuno chaching'ono ndi m'munsi mwa mimba. Lili ndi ziwalo zosiyanasiyana kuphatikizapo ziwalo zoberekera, chikhodzodzo ndi rectum. 

Tanthauzo la pelvis

Mitsempha ya m'chiuno kapena chiuno chaching'ono ndi gawo la m'munsi la chiuno (mimba), yodulidwa pamwamba ndi chingwe chakumtunda ndi pansi ndi perineum (pansi pa pelvic), yocheperapo kumbuyo kwa sacrum, pambali ndi mafupa a coxal ( ilion, ischium, pubis), patsogolo ndi pubic symphysis. 

M'chiuno muli makamaka chikhodzodzo, mkodzo ndi sphincters, rectum ndi ziwalo zoberekera (chiberekero, thumba losunga mazira, machubu, nyini akazi, prostate mwa amuna).

Mchiuno amawoloka ndi mwana wosabadwayo panthawi yobereka. 

Physiology ya pelvis

Features m`munsi kwamikodzo thirakiti

Cholinga cha chikhodzodzo, urethra ndi sphincters ndi kuteteza impso ku zoopsa za chilengedwe chakunja (matenda ndi matenda oopsa) ndikusintha katulutsidwe kakang'ono komanso kosalekeza ndi kutuluka kofulumira (kukodza). 

Kugwira ntchito kwa rectum (m'munsi m'mimba thirakiti)

Dongosolo lomaliza la kugaya chakudya (rectum, anal canal ndi sphincters) cholinga chake ndikuchotsa zinyalala ndi zochulukirapo, kusunga ndikutulutsa chopondapo mwachangu (chikhululukiro). 

Ntchito za ziwalo zoberekera

M'chiuno mwa akazi muli chiberekero, machubu ndi thumba losunga mazira ndi nyini, ndi kuti amuna ndi prostate. Njira zoberekerazi zimapangidwira kugonana ndi kubereka. 

Matenda a m'chiuno kapena pathologies

Kuchepa kwa mkodzo thirakiti / pathologies 

  • chosaopsa Prostatic hyperplasia
  • khansa Prostate
  • prostatitis
  • matenda a khosi la chikhodzodzo, cervical sclerosis
  • Miyala yamkodzo 
  • kutsekeka kwa urethra
  • mwala wophatikizidwa mu mkodzo
  • thupi lachilendo la mkodzo
  • Khansara ya chikhodzodzo 
  • Cystitis

Anomalies / pathologies a rectum ndi kumatako ngalande 

  • Khansa kumatako
  • Kutupa kumatako
  • Momwemo anorectal
  • Anorectal fistula
  • Khansara yolondola
  • Matupi achilendo mu anus ndi rectum
  • zotupa
  • Levator muscle syndrome
  • Pylon matenda
  • Wongola 
  • Kuphulika kwa rectum

Matenda a m'mimba / ma pathologies

  • Kubereka;
  • Kuwonongeka kwa chiberekero
  • uterine fibroids;
  • zilonda zam'mimba;
  • Adenomyosis 
  • Khansa ya chiberekero;
  • Khansara ya endometrial;
  • uterine synechiae;
  • Menorrhagia - Metrorrhagia;
  • Matenda a m'mimba;
  • Kuphulika kwa maliseche;
  • Endometritis, cervicitis;
  • Njerewere za maliseche
  • Zilonda zamtundu 

Anomalies / ma pathologies a thumba losunga mazira 

  • Ovarian cysts;
  • Khansara ya m'mimba;
  • Anovulation;
  • Micropolycystic ovaries (OPK);
  • Endocrinopathy;
  • Kulephera kwa ovary, kusamba koyambirira;
  • Kubereka;
  • Endometriosis

Matenda a Tubal / ma pathologies

  • Ectopic mimba;
  • Kutsekereza tubaire ;
  • Hydrosalpinx, pyosalpinx, salpingite;
  • Kumaliseche chifuwa chachikulu;
  • Tubal polyp;
  • Khansa ya chubu;
  • Kubereka;
  • endometriosis

Zolakwika / ma pathologies a nyini

  • Vaginitis;
  • Kumaliseche yisiti matenda;
  • Kumaliseche chotupa;
  • Khansa ya nyini;
  • maliseche njerewere;
  • Nsungu maliseche;
  • Kutsekemera kwa nyini, kuwonongeka kwa nyini;
  • Dyspareunie ;
  • Kuphulika kwa maliseche

Chithandizo cha chiuno: akatswiri ati?

Kusokonezeka kwa ziwalo zosiyanasiyana za m'chiuno zimakhudzana ndi zapadera zosiyanasiyana: gynecology, gastroenterology, urology.

Ma pathologies ena amafunikira kuwongolera kosiyanasiyana. 

Kuzindikira matenda a m'chiuno

Mayeso angapo amalola kuti azindikire matenda a m'chiuno: kuyeza nyini, kuyezetsa maliseche ndi kuyezetsa zithunzi. 

Pelvic ultrasound

Ultrasound ya m'chiuno imatha kuwona chikhodzodzo, chiberekero ndi mazira, prostate. Imachitidwa ngati pali kukayikira kwa ma pathologies a chikhodzodzo, ziwalo zambiri zamkati kapena prostate. Ultrasound ya m'chiuno imatha kuchitika m'njira zitatu kutengera chiwalo chomwe chiyenera kuwonedwa: suprapubic, endovaginal, endorectal. 

Chojambula chojambula pamimba

Makina ojambulira m'mimba atha kugwiritsidwa ntchito pofufuza, mwa zina, maliseche, chikhodzodzo ndi prostate, kugaya chakudya kuchokera kummero wapansi kupita ku rectum, ziwiya ndi ma lymph nodes pamimba ndi chiuno. Makina ojambulira pamimba amagwiritsidwa ntchito pozindikira matenda omwe amapezeka pamimba kapena m'chiuno. 

MRI ya m'chiuno 

MRI ya m'chiuno imagwiritsidwa ntchito pofufuza ziwalo za m'chiuno (chiberekero, mazira, chikhodzodzo cha prostate, kugaya chakudya). Kuyezetsa kumeneku kumachitika kawirikawiri pambuyo pa ultrasound ndi CT scan kuti afotokoze matenda. 

 

Siyani Mumakonda