Conjugate gaskiya, waje, diagonal. The girma na pelvic mace

kafafuwa ji an sanya m ga duk mata masu ciki. Wannan shi ne wani mai sauri, m da cikakken m hanya wadda ne kafin na katunan rajistar na mata masu juna biyu a lokacin farko da kira zuwa ga likitan mata. Mayar da hankali a kan girman da kafafuwa, za ka iya shirya gudanar da aiki: ko dai ta halitta ko surgically (Caesarean sashe). Dace zaba dabara don kauce wa da yawa daga cikin matsalolin da suke barazana ga rayuwar da wata mace da jaririnta. Yadda ya kamata shirya haihuwa - wani tabbacin cewa a baby haife zai zama da sauki da kuma amintattu.

Conjugate gaskiya - guntu nesa tsakanin kabido da kuma mafi shahararren a cikin pelvic rami na da wata ma'ana a ciki surface na symphysis. Yadda aka saba, wannan nesa ne 11 cm.

Mene ne ƙashin ƙugu?

Taz a matsayin ilimin Halittar Jiki Tsarin wakilta biyu pelvic ƙasũsuwa da distal kashin baya (sacrum da coccyx). A cutukan kamar yadda muhimmanci, kawai wannan bangare wanda ake kira da kananan kafafuwa. Wannan sarari aka iyakance ta da ƙananan rabo daga cikin pelvic ƙasũsuwa, sacrum da coccyx. Yana dauke da wadannan gabobin: mafitsara, mahaifa da kuma dubura. A da tsarin ne hudu na asali jirgin sama. Kowace daga cikinsu yana da dama girma da suke da muhimmanci a obstetric yi.

shigar da sigogi a kananan kwari

1. Direct size. Wannan nuna alama yana da wasu sunaye - obstetric conjugate da conjugate gaskiya. Daidai to 110 mm.
2. A size giciye. Shin, sunã daidaita da 130-135 mm.
3. Girma QFontDatabase. Daidai 120-125 mm.
4. A diagonal conjugate. Daidai to 130 mm.

Sigogi na widest wani ɓangare na pelvic

1. Direct size. Daidai to 125 mm.
2. A size giciye. Daidai to 125 mm.

Sigogi na kunkuntar ɓangare na pelvic

1. Direct size. Shin, sunã daidaita da 110-115 mm.
2. A size giciye. Daidai to 105 mm.

Fitarwa sigogi na pelvic

1. Direct size. A lokacin aiki na iya kara a matsayin ci gaba ta hanyar da haihuwa canal shugaban tayin bends da coccyx posteriorly. Shin 95-115 mm.
2. A size giciye. Daidai to 110 mm.

Ji kafafuwa ciki

A bisa kididdigar ne daga ilimin Halittar Jiki, watau su iya sanin ko kai tsaye daga pelvic ƙasũsuwa. A wani rai da mutum don auna su da shi ba zai yiwu. Saboda haka, da wadannan zažužžukan su ne mafi muhimmanci a cikin obstetric yi:

1. A nesa tsakanin spines na iliac kashi, located a gaban gefen kunya.
2. A nisa tsakanin maki na iliac dagi, m daga juna da a kalla nesa.
3. A nisa tsakanin hasashe na femurs a miƙa mulki yankin na sama na wuyansa.
4. M conjugate (da nisa daga cikin pubic symphysis ga lumbosacral rami).

Saboda haka, al'ada girman da kafafuwa suke 250-260, 280-290, 300-320 da 200-210 mm, bi da bi. Elucidation daga wadannan sigogi zama dole a cikin halitta da wata ciki rajista. The ji ne da za'ayi na musamman kayan aiki (tazomera), wanda, ba zato ba tsammani, ƙila za a yi amfani da su domin auna da kai-haife baby.

Yana da muhimmanci a fahimci cewa adadin taushi nama ba ya shafar da binciken sakamakon. pelvic sigogi auna a fitar kasusuwan jikinsu prominences, kuma bã zã su matsawa ga nauyi asara ko, a akasin haka, nauyi riba. pelvic girma kasance canzawa bayan kai da shekaru na mace a lokacin da ci gaban kashi tsaya a nan ba.

Ga ganewar asali na takaita na kafafuwa suna da muhimmanci biyu mafi conjugates - gaskiya (cutukan) da kuma diagonal. Duk da haka, shi ne, ba zai yiwu ga kai tsaye auna su yi hukunci a kan su girma iya kawai a kaikaice. A diagonal conjugate a cutukan ne yawanci ba auna. Kara mayar da hankali a kan obstetric conjugate.

Tabbatas da gaskiya conjugates da wadannan dabara: darajar da matsanancin conjugates debe 9 cm.

Mene ne kunkuntar tasa?

Kafin magana game da definition wannan lokaci, ya kamata a lura da cewa akwai iri biyu kunkuntar kafafuwa - ilimin Halittar Jiki da kuma na asibiti. Wadannan Concepts, ko da yake ba m, amma suna da nasaba,.

An anatomically kunkuntar kafafuwa ya ce, a lokacin da a kalla daya daga cikin sigogi ne karami fiye da al'ada girman da kafafuwa. Ware mataki na takaita, a lokacin da gaskiya conjugate kasa da al'ada:

• 15-20 mm.
• 20-35 mm.
• 35-45 mm.
• fiye da 45 mm.

A karshe biyu nuna mataki na tiyata dole. Conjugate gaskiya aji 1-2 damar domin yiwuwar ci gaba da haihuwa ta halitta, da sharadin cewa akwai wani barazana da wani yanayin kamar wani asibiti kunkuntar kafafuwa. Asibiti kunkuntar kafafuwa - a halin da ake ciki a cikin abin da sigogi na fetal shugaban bai daidaita da mahaifiyarsa ta kafafuwa. A wannan yanayin duk da girma da karshen iya zama a cikin al'ada range (ie, daga ra'ayi na ilimin halittàr jiki da ƙashin ƙugu ba ko da yaushe kunkuntar). Iya zama kishiyar halin da ake ciki, a lokacin da anatomically kunkuntar kafafuwa cikakken yayi dace da sanyi na fetal kai (msl, idan yaro ne ba babban), da kuma wani ganewar asali na asibiti kunkuntar kafafuwa a wannan yanayin da tambaya.

Asibiti kunkuntar kafafuwa

Cikin manyan dalilan da wannan yanayin:

1. Uwar ta gefen: wani anatomically kananan kafafuwa size, sababbu siffar da kafafuwa (misali, nakasawa bayan rauni).
2. A wani ɓangare na tayin: Hydrocephalus, manyan size, tsawo ciki, da jawo mayar da kai lokacin shigar da tayi a ƙashin ƙugu.

Dangane da yadda da yawa bambanci tsakanin sigogi bayyana masu juna biyu kafafuwa da kuma fetal shugaban, akwai uku digiri na asibiti kunkuntar kafafuwa:

1. A zumunta mismatch. A wannan yanayin, m danginsu ne zai yiwu, amma da likita dole ne a shirya yin wani dace yanke shawara game da tiyata.
2. Muhimmanci, sãɓã wa jũnamai.
3. Cikakkar mismatch.

Haihuwa a asibiti kunkuntar kafafuwa

Biyu da na uku mataki ne mai nuni ga m baki. Independent aiki a cikin wannan halin da ake ciki shi ne ba zai yiwu ba. A 'ya'yan itace za a iya gano kawai a caesarean sashe. Lokacin da dangi fidda haihuwa ta halitta halatta. Duk da haka, ya zama sane da hatsarin da halin da ake ciki canje-canje ga mafi muni. The tambaya na tsanani daga wadanda ba yarda da likita ya kamata dauki ko da a lokacin ya yi yãki a ƙayyade a dace hanya tare da wani karin dabara. Jinkirin ganewar asali na yanayi inda rodorazreshat zama kawai da aikin tiyata, zai iya kai wa ga tsanani tare da kiwo na fetal kai. A alama, sãɓã wa jũnamai na karshen shi za a dukan tsiya a cikin pelvic rami ƙunci mahaifa, haddasa tsanani shugaban rauni da kuma mutuwa. A ci-gaba lokuta cire tayin daga pelvic rami ba zai iya zama ko da rai a caesarean sashe. A irin haka ne, da isar yana a gama plodorazrushayuschey aiki.

don takaita

San girman da kafafuwa zama dole. Wajibi ne a sauri zargin irin pathological yanayi kamar yadda anatomically da kuma asibiti kunkuntar kafafuwa. Akan rage al'ada size iya zama sãɓãwar launukansa digiri na tsanani. A wasu lokuta, har ma da yiwuwar m aiki, a wasu yanayi wajibi ne a yi wani sashe cesarean. Asibiti kunkuntar kafafuwa - jihar ne sosai insidious. An ba ko da yaushe a hade tare da manufar da wani anatomically kunkuntar kafafuwa. A karshen iya samun al'ada sigogi, amma da yiwuwar kai size mismatch girman da kafafuwa ne har yanzu akwai. Da ya faru na wannan halin da ake ciki a lokacin haihuwa da zai iya sa m rikitarwa (ga 'ya'yan za su sha wahala da farko, kuma farkon). Saboda haka muhimmanci dace ganewar asali da kuma m yanke shawara a kan m dabara.