Pelvis

Pelvis

Chiuno kana chiuno chidiki chikamu chepazasi chedumbu. Iine nhengo dzakasiyana siyana dzinosanganisira nhengo dzemukati dzekubereka, dundira uye rectum. 

Tsanangudzo yemapanga

Iyo pelvis kana diki diki ndiyo chikamu chepazasi chechipfuva (dumbu), chakatemerwa kumusoro nepamusoro pechitsiko uye nechepazasi neparineum (pasi pechiuno), yakaganhurirwa kumashure neiyo sacrum, kudivi nemapfupa ekxal ( ilion, ischium, pubis), kumberi neiyo pubic symphysis. 

Chiuno chinonyanya kusanganisira dundira, urethra uye sphincters, rectum uye nhengo dzemukati dzekubereka (chibereko, mazai, machubhu, nyini muvakadzi, prostate mune varume).

Mhemberero dzinoyambuka ne fetus panguva yekusununguka. 

Pelvis physiology

Zvimiro zvepasi weti weti

Chinangwa chedundira, iyo urethra uye sphincters yayo ndeyekudzivirira itsvo kubva panjodzi dzekunze nharaunda (hutachiona uye neBP) uye kutsiva inononoka uye inopfuurira secretion nekukurumidza kubuda (weti). 

Kushanda kweiyo rectum (yakaderera yekudya nzira)

Iyo yekupedzisira yekugaya system (rectum, anal canal uye ayo sphincters) inovavarira kubvisa marara uye zvakawandisa, kuchengetedza uye kubvisa chimbuzi nekukurumidza (kuregererwa). 

Mabasa ejenital system

Chiuno chemadzimai chine chibereko, machubhu uye mazai uye mukadzi, uye neiya yevarume prostate. Aya masisitimu akaitirwa kusangana pabonde uye kubereka. 

Pelvis kusagadzikana kana pathologies

Yakaderera weti turakiti kusagadzikana / pathologies 

  • benign prostatic hyperplasia
  • Kenza yeprotate
  • prostatitis
  • dundira mutsipa chirwere, remuromo sclerosis
  • Urinary matombo 
  • urethral kuomesa
  • dombo rakabatanidzwa murethra
  • mutorwa wekunze urethra
  • Chirwere chechirwere 
  • Cystitis

Anomalies / pathologies yeiyo rectum uye anal canal 

  • Kanzera anal
  • Fissure anal
  • Kusuruvara anorectal
  • Anorectal fistula
  • Colorectal cancer
  • Mitumbi yekunze kune anus uye rectum
  • Hemorrhoids
  • Levator mhasuru syndrome
  • Pylon chirwere
  • Rectite 
  • Rectal kuwanda

Uterine kusagadzikana / pathologies

  • Kusabereka;
  • Uterine malformations
  • Uterine fibroids;
  • Uterine polyps;
  • Adenomyosis 
  • Gomarara remuromo wechibereko;
  • Kenza yeEndometrium;
  • Uterine synechiae;
  • Menorrhagia - Metrorrhagia;
  • Obstetric pathologies;
  • Kuwedzera kwepabonde;
  • Endometritis, cervicitis;
  • Genital warts
  • Genital herpes 

Anomalies / pathologies emazai 

  • Ovarian cysts;
  • Gomarara reOvarian;
  • Anovulation;
  • Micropolycystic ovaries (OPK);
  • Endocrinopathies;
  • Kukundikana kweovarian, kutanga kuenda kumwedzi;
  • Kusabereka;
  • Endometriosis

Tubal kusagadzikana / pathologies

  • Ectopic nhumbu;
  • Kudzivisa tubaire;
  • Hydrosalpinx, pyosalpinx, salpingite;
  • Genital tibhii;
  • Tubal polyp;
  • Kenza yehubhu;
  • Kusabereka;
  • endometriosis

Kusagadzikana / pathologies yemukadzi

  • Vaginitis;
  • Vaginal mbiriso hutachiona;
  • Vaginal cyst;
  • Kenza yemukadzi;
  • Genital warts;
  • Zvirwere zvemukati;
  • Vaginal diaphragm, kusangana nekutsi kwemukadzi kusangana nekutsi kwemukadzi;
  • Dyspareunie;
  • Kuwedzera kwepabonde

Kurapa kwepelvic: ndeapi nyanzvi?

Kushungurudzika kwenhengo dzakasiyana dzechiuno kunosanganisira hunyanzvi hwakasiyana: gynecology, gastroenterology, urology.

Humwe hutachiona hunoda hutongi hwakawanda. 

Kuongororwa kwezvirwere zvepelvic

Miedzo yakati wandei inobvumidza kuongororwa kwezvirwere zvemuviri 

Pelvic ultrasound

Pelvic ultrasound inogona kufungidzira dundira, chibereko nemazai, prostate. Inoitwa kana paine fungidziro yezvirwere zvedundira, zvakajairika nhengo dzemukati kana prostate. Pelvic ultrasound inogona kuitwa nenzira nhatu zvichienderana nenhengo inofanira kucherechedzwa: suprapubic, endovaginal, endorectal. 

Iyo dumbuino-pelvic scanner

Iyo yepamuviri-pelvic scanner inogona kushandiswa kuongorora, pakati pezvimwe zvinhu, nhengo dzesikarudzi, dundira neprostate, nzira yekugaya kubva pasi pezasi kusvika kune rectum, midziyo uye node dzemudumbu mudumbu nemuhudyu. Iyo dumbuino-pelvic scanner inoshandiswa kugadzira chirwere chechirwere chiri mudumbu kana muchiuno. 

Pelvic MRI 

Pelvic MRI inoshandiswa kuongorora zvimiro zvechiuno (chibereko, mazai, prostate bladder, nzira yekugaya). Iyi bvunzo inowanzoitwa mushure meiyo ultrasound uye CT scan kujekesa kuongororwa. 

 

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