Conjugate wechokwadi, kwokunze, diagonal. The kukura mukadzi pelvic

chiuno chipimo anoitwa fanira kuvakadzi zvose pamuviri. Uyu nokukurumidza, nyarara uye zvachose chisingakuvadzi muitiro iri chinodiwa kwokunyoreswa makadhi vakadzi vane pamuviri panguva yokutanga kudanwa kusvika gayinakorojisiti. Kufunga ukuru chiuno, unogona kuronga basa rokutarisira basa; kana sezvingatarisirwa kana surgically (Caesarean chikamu). Panguva Chaiyo vakasarudzwa nzira kudzivisa zvakawanda zvakaoma kunzwisisa kuti kukanganisa upenyu nomukadzi uye mwana wake. Zvakanaka vakaronga kuzvara - vimbiso kuti mwana akaberekwa vachava nyore uye rakachengeteka.

Conjugate wechokwadi - pfupi kure pakati cape uye kupfuura vakakurumbira mune pelvic mhango ane pfungwa iri romukati pechiso symphysis. Kazhinji, kure uyu masendimita 11.

Chii kuti chiuno?

Taz sezvo anatomical hurongwa anomiririrwa maviri mapfupa pelvic uye distal nomuzongoza (sacrum uye coccyx). In Obstetrics sezvo wakakosha, chikamu kuti chete unonzi vaduku chiuno. nzvimbo iyi parinoperera yepazasi weboka iri pelvic mapfupa, sacrum uye coccyx. Rine zvinotevera nhengo: dundira, dumbu uye mugaranhoko. In ayo mamiriro zvinhu zvinokosha ndege mana. Mumwe nomumwe wavo ane kukura wandei kuti zvinokosha iri obstetric tsika.

chiyamuro parameters ari mumudziyo diki

1. Direct kukura. chakarurama ichi ane zvimwe mazita - obstetric Conjugate uye Conjugate kwechokwadi. Akaenzana 110 mm.
2. Kukura muchinjikwa. Akaenzana 130-135 mm.
3. Encombrements oblique. Akaenzana 120-125 mm.
4. The diagonal Conjugate. Akaenzana 130 mm.

Parameters of widest chikamu pelvic

1. Direct kukura. Akaenzana 125 mm.
2. Kukura muchinjikwa. Akaenzana 125 mm.

Parameters pakati yakamanikana chikamu pelvic

1. Direct kukura. Akaenzana 110-115 mm.
2. Kukura muchinjikwa. Akaenzana 105 mm.

Output parameters of pelvic

1. Direct kukura. Panguva basa kungawedzera sokukwegura kuburikidza kuberekwa Canal musoro mudumbu Bends yacho coccyx posteriorly. Is 95-115 mm.
2. Kukura muchinjikwa. Akaenzana 110 mm.

Kuyerwa chiuno pamuviri

The pamusoro Nhamba dziri anatomical, kureva vanogona kuona zvakananga kubva mapfupa pelvic. Mune mupenyu munhu akavayera hazvibviri. Naizvozvo, pfungwa dzinotevera zvinokosha iri obstetric tsika:

1. Kure pakati spines ari iliac mapfupa, riri pamberi kumucheto muhomba.
2. Kure pakati pfungwa yacho iliac penyika, kure nomumwe nokuda vaifanira kure.
3. Kure pakati pamaberere pakati femurs ari kuchinja munzvimbo yokumusoro chikamu mutsipa.
4. Rokunze Conjugate (daro kubva kune pubic symphysis kune lumbosacral mhango).

Saka nomumhu ari chiuno vari 250-260, 280-290, 300-320 uye 200-210 neMM, ukuwo. Elucidation pamusoro parameters izvi zvakafanira muna Pfungwa ane pamuviri kunyoresa. Nokuyerwa rinoitwa rinokosha chishandiso (tazomera), iyo, sezvinei, ringashandiswawo kuyera musoro-akaberekwa mwana.

Zvakakosha kunzwisisa kuti uwandu nyoro zvinyama asingadi kukanganisa kudzidza zvabuda. pelvic parameters akayera panguva mhou prominences, uye havazosiyi kufamba uremu kana nekusiyana, kufuta. pelvic miganhu kuramba kuchinja pashure kusvika makore mukadzi kana pfupa kukura rinomira.

Nokuti nechirwere pakati aienda pamusoro chiuno dzinokosha kupfuura verlauf maviri - wechokwadi (Obstetrics) uye diagonal. Zvisinei, hazvibviri kuti zvakananga kuyera dzavo kutongwa pamusoro kukura kwavo vangangoti sananga. The diagonal Conjugate mu Obstetrics Kazhinji haana kuyera. Kuwedzera Kusimbisa obstetric Conjugate.

Pakusarudza verlauf vechokwadi parutivi mutoo: kukosha rokunze verlauf kubvisa 9 cm.

Chii rakamanikana bheseni?

Asati kutaura tsanangudzo iri, zvinofanira kucherechedzwa kuti pane mhando mbiri ezvitanda chiuno - anatomical uye zvekuchipatara. pfungwa idzi, kunyange zvazvo asina kufanana, asi zviri pedyo nepedyo.

An anatomically yakamanikana chiuno Uti, kana pane mumwe parameters idukusa kunowanzoitika ukuru chiuno. Govera mwero aienda, apo Conjugate yechokwadi zvishoma pane dzose:

• 15-20 mm.
• 20-35 mm.
• 35-45 mm.
• anopfuura 45 mm.

Okupedzisira maviri anoratidza mwero kuvhiyiwa zvakakodzera. Conjugate mugwaro wechokwadi 1-2 rinobvumira kuti mukana kuramba kuberekwa sezvingatarisirwa, akapa kuti hapana kukanganisa mamiriro akadai akaora yakatetepa chiuno. Akaora yakamanikana chiuno - ezvinhu umo parameters fetus musoro hakurevi kunowirirana chiuno waamai. Panyaya iyi zvose kukura ekupedzisira anogona kuva chakaipa siyana (kureva, kubva nemaonero pamusoro anatomi ose chiuno haisi nguva dzose rakamanikana). Zvingava pakatarisana mamiriro ezvinhu, apo anatomically yakamanikana chiuno zvakazara rinoenderana configuration ari fetus musoro (semuenzaniso, kana mwana haasi guru), uye chirwere kuti akaora wakamanikana chiuno iyi kana mubvunzo.

Akaora rakamanikana chiuno

The zvikonzero kuti ichi:

1. divi kwaAmai: chinhu anatomically diki chiuno saizi, mugari Maumbirwe chiuno (semuenzaniso, deformation pashure kukuvara).
2. Pamusoro chikamu mudumbu: Hydrocephalus, hombe kukura, mazhinji pamuviri, richiswedera shure musoro kana kupinda mudumbu ari chiuno.

Zvichienderana sei zvikuru kusiyana parameters akaratidza rwaamai chiuno uye fetus musoro, pane madhigirii matatu akaora wakamanikana chiuno:

1. The hama mismatch. Muchiitiko chino, yakazvimirira genera zvinogoneka, asi chiremba anofanira kuita nenguva kusarudza nezvebasa.
2. Chinokosha musiyano.
3. Dzinofanira mismatch.

Kusununguka mune akaora yakamanikana chiuno

The dhigirii wechipiri uye wechitatu kunoratidza kuti kuvhiya kupindira. Independent basa izvi hazvibviri. Muchero inogona akapora chete panguva caesarean chikamu. Kana hama disparity pakuzvarwa sezvingatarisirwa bvumidzwa. Zvisinei, kuziva nezvengozi zvinhu nokuchinja zvakaipisisa. Mubvunzo kwokuomerwa asiri zvaidiwa chiremba anofanira kutora kunyange panguva kurwa kuona nenzira nenguva nenzira ine mberi nzira. Kunonoka chirwere kudini rodorazreshat kuva apo bedzi vavhiyiwa, kungakonzera zvinetso zvakakomba pamwe maberekero pamusoro fetus musoro. In nemuumbi musiyano neyokupedzisira kwayo ichaputswa munzvimbo pelvic mhango todzokera dumbu, zvichikonzera zvikuru kukuvara musoro uye rufu. In yemhando Muzviitiko kubvisa mudumbu kubva pelvic mhango haagoni kuva vapenyu panguva caesarean chikamu. Muzviitiko zvakadaro, kukurukura ane kupedza plodorazrushayuschey oparesheni.

To muchidimbu

Ziva kukura chiuno kunokosha. Zvakakodzera kukurumidza chifungidziro ezvinhu akadaro pathological sezvo anatomically uye akaora yakatetepa chiuno. Rutapudzo nomumhu angava kunosiyana inosiyana zvakaoma. Mune zvimwe zviitiko, kunyange mukana kuzvimirira basa, mune mamwe mamiriro ezvinhu zvinokosha aite cesarean chikamu. Akaora yakamanikana chiuno - hurumende iri achinyengera chaizvo. Hakusi nguva dzose pamwe pfungwa yekuti anatomically wakamanikana chiuno. The yokupedzisira angava zvakajairika parameters, asi mukana musoro saizi mismatch kukura chiuno uchiripo. The panowanikwa ezvinhu akadaro pakusununguka kunogona kukonzera matambudziko ngozi (muchero vachava vokutanga uye mukuru kutambura). Saka zvakakosha nenguva chirwere uye nokukurumidza sarudzo uchiwedzera nzira.