Dzemunharaunda pane uterine kukura nokuda Ultrasound panguva yepamuviri uye pashure kusununguka. Normal kukura dumbu uye ovaries pamusoro Ultrasound mu kuyaruka uye vakuru. Remuromo Dimensions pamusoro Ultrasound: romuzvarirwo

Ultrassom kana ultrasonography ane kuongorora kuti nhengo dzomukati achishandisa ruzha. Mafungu akaratidza kubva nhengo dzomukati, yakanyorwa pachishandiswa anokosha zvishandiso nokusika mifananidzo anatomical zvikamu. Muchiitiko chino, kwete kushandisa ionizing nemwaranzi (X-ray). The zvinoitika kukura dumbu iri Ultrasound nedzevakuru kushumira sechinhu chokukomborerwa hutano genitourinary wemuTesitamende vakadzi.

Vakadzi, kudzidza izvi zvinowanzoshandiswa kuongorora dumbu uye ovaries pamberi, pashure uye panguva pamuviri kuongorora utano masimba, kukura mudumbu. Ultrassom mifananidzo vari akabatwa-chaicho nguva kuitira kuti vanogona kuratidza kufambira dzimwe nhengo dzomukati vari nhengo dzakadai ropa riyerere munzira arteries uye mutsinga. maererano US wokuyera kukura dumbu dzakabudirira uye rakagadzirirwa chero mamiriro ezvinhu mukadzi.

The dumbu, ayo saizi

The dumbu iri muna chiuno. Kunyange zvazvo kazhinji pakati mamiriro, ari lateral kutsauka kubva dumbu kunowanzoitika. Broad shwashwa of dumbu kuwedzera laterally kusvika pelvic madziro. Ane fallopian sepombi uye nemidziyo.

Dzemunharaunda kukura dumbu iri Ultrasound vari pamusoro. Normal akura dumbu ane pakukura kubva 7.0 kusvika 9.0 masendimita (urefu) ne 4,5 kusvika 6.0 masendimita (upamhi) uye kubva 2.5 kusvika 3.5 masendimita (udzamu). Zvapedzisira nhamba inonziwo Anterior-posterior divi.

Munguva kubereka muchibereko chemusikana ipfupi kukura, uye endometrial atrophy. Kunotangwa nekusimba kunowanzoitika kukura dumbu uye ovaries pamusoro Ultrasound.

maererano US dzemunharaunda uterine saizi

Kana ovaries kumbotambudzika involution, pane akabatanidza kuderera inonzi estrogen kugadzirwa. Izvi zvinotungamirira nezvishoma atrophy uye involution yacho endometrium. In vakadzi postmenopausal, zvinoreva endometrial ukobvu anozivikanwa sezvo 3.2 +/- 0.5 mm.

Research rinowanzova unoratidza Ivan Kuchin ukama pakati kukura dumbu uye nguva kubva kubereka, uterine kukura uye vhoriyamu ipfupi zvishoma nezvishoma. Mukuru Kuchinja kuitika mukati makore gumi okutanga pashure kubereka, uye ipapo zvishoma nezvishoma.

In postmenopausal anotonga Uterine kukura Ultrasound: 8.0 +/- 1.3 masendimita refu, 5.0 +/- 0,8 masendimita yakafara, uye 3.2 +/- 0,6 masendimita zvakadzama (anteroposterior Saizi).

Kana pasina kumwedzi, nekutambira zvachinja uterine ropa rive inowanzopiwa haana kutsunga. Kana murwere iri kemikari yokutsiva kurapa, kukura dumbu, iyo endometrium uye cyclic kuchinja vanogona kuramba. Kunyange kukura dumbu pedyo kuti premenopausal mamiriro.

Kazhinji, inonzi estrogen kurapa kunokanganisa postmenopausal endometrium zvakafanana inonzi estrogen ari chakaipa kutenderera. Conjugated estrogens vane proliferative kushanda. Progestogen mushonga zvingaita kuti chokwadi chokuti endometrium rinotanga sei nenzira sezvo kuipa secretory endometrium.

Uye kana kushandiswa pachiimbwa exogenous estrogen, chakaita zvokugadzirwa progestogens bereka mamirire morphological uye nokukanganisika kuchinja secretory chokutambudzika chakaipa kumwedzi. Changes uye ropa riyerere kuti dumbu pavarwere kugamuchira kemikari yokutsiva mishonga. Endometrial ukobvu yakawedzera kusvika kaviri. Somuenzaniso, asati kurapwa, paavhareji ukobvu yakanga 0.37 +/- 0.08 cm. Mushure kurapwa tsika kuva 0.68 +/- 0,13 cm.

Apo vakadzi kudzidza vakadzi postmenopausal nomumwe anokosha mafomu ose Ultrasound ndiwo chirwere uye vabatwe endometrial kenza. Zvidzidzo zvakadai kubvumira tinosarudza nomumhu ari dumbu uye ovaries pamusoro Ultrasound. Uye vose, intravaginal Ultrasound mukuru transabdominal mikana Visualization pamusoro myometrium uye endometrium.

M-ungira. Chii ichi

Kudzidza akayera kwete chete kukura muchibereko chemusikana. Maererano US mwero M-ungira - uyewo nechiidzo inokosha. Zvinoratidza kukura endometrium uye kuda kwayo kugamuchira zai. Zvinonzi akayera mune yakasiyana zvikamu zviri kutenderera uye ane zvimwe.

Endometrium panguva yekutevera anooneka somunhu mutete echogenic ubvise 1-4 mm mu ukobvu, asi zvichisiyana 4 kusvika 8 mm ari proliferative chokutambudzika. The secretory danho pashure ovulation mumasero endometrial vari dzinovhurika uye endometrium anooneka somunhu homogeneous echogenic ubvise ukobvu kubva 8 kusvika 15 mm.

wokuyera

Tikaramba dzakakosha chakarurama yakadaro sezvo kukura dumbu iri Ultrasound. Chii mwero M-ungira?

yomukati goko ukobvu 5 mm zvichidzika ari zvakajairika vakadzi postmenopausal uye yakavimbika inosiya malignancy vakadzi. Zvisinei, pakukora ari endometrium pakati 8 mm anogona kuwanikwa vakadzi postmenopausal kugamuchira kemikari yokutsiva mishonga. Zvakakodzera kufunga zvimwe zvidzidzo chirwere muna postmenopausal vakadzi vane endometrial Ukobvu kupfuura 8 mm, kudzivisa endometrial kenza.

ushe kubva kenza

Sonographic zviratidzo endometrial kenza vakadzi postmenopausal dzinosanganisira:

• chiteshi izere mvura;
• thickened uterine mhango;
• awanda dumbu;
• Uterine chirwere pamwe kuchinja ungira muenzaniso.

Kunyange US Zvechokwadi kuratidzwa pamberi uye mwero myometrial nechisimba. Zvidzidzo izvi zvakaratidza kuti zvakarurama kwazvo preoperative chirwere anogona kubvumira chisarudzo chakarurama yokurapa kuti kungatungamirira zvabuda nani.

Kana endometrial Ukobvu 8 mm zvichidzika vari varwere post-kuenda kumwedzi ropa, yakarurama nechirwere, "endometrial kenza" anogona kuitwa tichibvisa. Naizvozvo, kana pakukora ari endometrium iri postmenopausal vakadzi vanopfuura 10 mm uye vanofanira kuva tichiongorora nokuda biopsy kana curettage kudzivirira hyperplasia isiri yekenza kana malignancy. Vamwe vatsvakurudzi zvaratidza utility pamusoro Doppler Ultrasound iri nechirwere pamusoro endometrial kenza. Vanotsvakurudza kutsanangura kuwedzera ropa riyerere ari uterine tsinga vakafunga bundu iri varwere akaipa chirwere: ropa riyerere kanganisika dzinogona kuonekwa munenge munyika dzose nyaya endometrial carcinoma uye uterine sarcoma. With ruvara Doppler, kanganisika zvakabudiswa zvinosanganisira kuvapo kwemashifiti, randomly richiparadzirwa dzakatetepa uye pathologic midziyo uye kuerera unodiwa chiratidzo.

Sei uyere cervix

Mukadzi wose pamuviri iri pangozi preterm aberekwa, asi vanhu vakawanda vanofunga kuti izvi haumbofi kuitika kwavari. Patinotarisana ichi, funga pamusoro kudzivirirwa uye mamwe zvidzidzo. Kutengeka uye chisingakuvadzi Ultrasound ongororo iri, umo chiremba anogona rokuongorora ngozi preterm basa.

ongororo dzakaratidza kuti Ultrasound-mwero cervix pamwe anenge 20 kusvika 24 vhiki pamuviri - ari chokukomborerwa vakurumidze kuberekwa simba. remuromo kureba inogona kupfuura zvakarurama kuyerwa transvaginal Ultrasound. Kana mukadzi haazi pamuviri, cervix kukura iri Ultrasound (romuzvarirwo) mari kusvika 4 cm.

Chii remuromo kupfupikisa?

Zvinonzi zvakaratidza kuti pa 24 mavhiki gestation, avhareji kukura cervix -. 3.5 masendimita Kana nhamba idukusa 2.2 cm vakadzi kutarisana 20 muzana mukana rokusamhanyira pakuberekwa. Zvino kureba 1.5 masendimita zvichidzika mukana vaingoerekana preterm kubereka inenge 50 muzana. Kureba vanotarisirwa kutapudzwa sezvo pamuviri mberi.

remuromo miganhu ultrasonography (romuzvarirwo):

• 16-20 mavhiki - 4.0-4.5 cm;
• pane mavhiki 24-28 akaenzana 3.5-4.0 masendimita
• pa 32-36 mavhiki - 3.0-3.5 cm.

Vanachiremba Most varayire mukadzi transabdominal Ultrasound iri nguva mavhiki anenge 20. Kana kureba idukusa 4 cm kuita transvaginal Ultrasound kuwana zvakarurama chipimo.

Short cervix pakati 20 uye 24 vhiki - chiratidzo ngozi.

unogona kuona zvose kumusoro uye pasi cervix kubudikidza transvaginal ultrasonography. Muchiitiko chino, zvinoita sokunge munhu fanera. The akasiyana Chikamu fanera iri pedyo zvikuru nomuviri dumbu, uye narrowest chikamu riri kurutivi nyinyo. Kana cervix iri pfupi zvakatonyanya, zvichava kutarira sezvinoita "V" ari Ultrasound.

In chakaipa cervix ane chubhu chimiro. Vanopfuura 50 muzana yevakadzi vane pamuviri vari zvokurwara kuti nhengo iri kuitika rokusamhanyira pakuberekwa.

uterine kukura pa Ultrasound

Norma panguva pamuviri kunoenderana nokureba gestation. nguva kukarukureta chirongwa achitaurwa nevanopinda pamuviri sonography maererano nokuyerwa azvarwa uye uterine kukura nomumwe nhengo.

Kana kushandisa tichienzanisa muchero, kukura dumbu iri Ultrasound (ndozvakajairwa mu mm) ndeinotevera.

1. Asati pamuviri, asi dumbu riri pamusoro kukura ane orenji uye asina kunorondedzerwa.

2. kwenguva vanenge 12 mavhiki pamuviri muchibereko chemusikana anova kukura bhuratifuru. Kana uri akatakura mapatya, asi dumbu anotanga kukura nokukurumidza. 3. Pamasvondo 13-26, muchibereko chemusikana inokura kuti kukura papaya. Pasi dumbu ane nguva kubva mudumbu kusvikira guvhu.

4. Kutanga vhiki 18-20 chiremba achayera chinhambwe kubva kune pubic mapfupa kusvikira pasi dumbu. Ndicho kukwirira yakamira dumbu. kazhinji Size anoenderana vhiki akazvitakura.

Kana kukura dumbu zvakangofanana gestation, zvino chiratidzo chokuti zvose zviri kufamba zvakanaka. Kana mwero iri guru kana diki, zvinogona kureva zvimwe kuomesa akazvitakura. Kungada yokuwedzera yokuedzwa. Chiremba anofanira kuziva kukura dumbu iri Ultrasound. Norma pamuviri mufananidzo uyu zvinoreva kuti zvose anomhanya sezvo kuita.

5. Panguva wechitatu trimester, muchibereko chemusikana kukura inoguma uye anova kukura visi. Kana iri hurukuro pfupi, asi dumbu riri pazasi nerumbabvu keji, uye asati aberekwa anofanira kuwira pasi ari chiuno.

puerperium

Ndezvipi kukura dumbu pashure yokusununguka? maererano US wokuyera anoenderana pamuviri. Pashure nezvezvinoswera kana maviri pashure pokuberekwa dumbu riri kukura masvondo anenge 18 uye kuderera mumazuva mashomanana anotevera. Kana kupodzwa anoenda maererano plan, rinotevera vhiki achava kukura dumbu vhiki 12 pamuviri, uye rechitanhatu vhiki, iye anofanira kudzokera ayo nomumhu.

ovaries

The ovaries kazhinji riri kumativi maviri muchibereko chemusikana, kunyange ari kuongorora yokusarudza nzvimbo dzavo pamusoro kana seri dumbu - havasi zvechienzi. Ovary makhiriniki pamberi bifurcation midziyo pamusoro Anterior uye posterior mapazi. For vakabudirira kuri pamusoro ovaries kunoda zvakanaka kuwana. Munguva kubereka ovaries vanosangana nokuchinja, dzinoratidzwa kudzikira kukura uye tisina folliculogenesis. Kutaura zvazviri, akavimbika kuziva ovary, kakawanda kacho, zvinogona kuitwa nokuratidza ane ovarian chikofu kana follicle akapoteredzwa parenchyma. Dzimwe nguva unofanira kushandisa kushanda pakuvheneka achitevedza kunangiswa yomunyika iliac midziyo, kuziva nzvimbo yaro.

Yemanyorero zvinoratidza kuva Ivan Kuchin ukama pakati ovarian ukuru uye nguva yapfuura kubva panguva kubereka: ovarian saizi zvishoma shoma nguva. Zvisinei, muna varwere pakugamuchira kemikari mushonga, unogona kuona havashanduki ovarian vhoriyamu.

resizing

The romuzvarirwo post-kuenda kumwedzi vakadzi ovarian kukura 1,3 +/- 0.5 masendimita ^3. Sezvo pasina kumwedzi kubereka Zvisinei muupenyu ovarian ropa wedzerai inowanzopiwa kumboona muzvidzidzo chaiye postmenopausal.

Zvisinei, cyclic kuchinja izvi, angava pachena, kana murwere ari kemikari yokutsiva mishonga. Kutaura zvazviri, mufananidzo premenopausal ropa kuyerera ovarian vakadzi postmenopausal vanofanira kukurudzira chiremba kuwana nhoroondo kemikari yokutsiva mishonga kana kenza kuchinja. Ultrassom uye doppler kunogona kubatsira zvikuru Kusiyanisa pakati benign uye nyanyisa kwendangariro. Achiita uterine Doppler Ultrasound kuti zvinoshandiswa vachaitwa:

• pakati pamazuva 3-10 kumwedzi;
• pakati mazuva 3-10 vakadzi postmenopausal, kana mukadzi ari pasi kemikari yokutsiva kurapa;
• chero nguva vakadzi postmenopausal pasina kurapwa.

Saka, kwete chete panguva pamuviri, zvakakosha kuziva kukura dumbu iri Ultrasound. Ndozvakajairwa pamusoro chakarurama ichi, uyewo ovarian saizi - chinhu chiratidzo zvinokosha utano vakadzi chero nguva.

Kushandiswa vakadzi vasiri pamuviri

Pane zvikonzero zvakawanda US, kusanganisira:

• zvokurwara of pelvic hurongwa;
• hazvitaurwi kusangana nekutsi kwemukadzi ropa;
• pelvic kurwadziwa;
• vanofungidzirwa ectopic pamuviri;
• kushaya mbereko;
• availabilty cysts kana uterine fibroids;
• tarisa yakarurama placement yacho loop.

Dzemunharaunda kukura dumbu iri Ultrasound zvinoenderana wekare sei mukadzi, sezvo iye aiva nepamuviri uye pakusununguka, kunoitika sezvo yekutevera basa, etc. Zvino funga musiyano pakati zviratidzi nokuchembera.

kukura vakura muchibereko chemusikana

Chii chakaipa kukura dumbu iri Ultrasound nedzevakuru? About 7 masendimita pakureba uye 4 masendimita yakafara uye ukobvu, pamwe kana kubvisa kuchitsauko masendimita. Ndivo date mnoletnih isledovany.

Izvi inofananidza - mwero uterine kukura nokuda Ultrasound nedzevakuru. Kazhinji, pane kuwedzera kukura, kana mukadzi aiva pakuberekwa. Zvisinei Fibroids anogona kuita nezviyero izvi yakakura chaizvo, sezvo adenomyosis.

Testes Size kazhinji pakati 2 uye 3 masendimita. Chokwadi, bhuku kunowedzera kana pane follicle guru kana chikofu.

Encombrements vasati yokuyaruka

Chii ichi kana kukura dumbu iri Ultrasound? Norm prepubertal (pamberi pakuyaruka) anenge 3,5 masendimita pakureba, uye avhareji Ukobvu 1 cm. Respuesta hormonal kurudziro kuti unowanikwa pakuyaruka kunotungamirira Kuwedzera uye kuchinja uterine kukura.

Encombrements pashure yokuyaruka

The zvinoitika kureba iyi anenge 7.6 cm upamhi - 4,5 masendimita romuzvarirwo Average ukobvu -. 3.0 cm.

Saka zvakajairika kukura dumbu iri Ultrasound mune vechidiki kwomuzvarirwo kuenda kumwedzi chete siyanei kubva kukura dumbu yomukadzi vakura.

Mushure kubereka, dumbu, kazhinji kudzikira kukura, uye ovaries pakupedzisira zvingachinja kuva asina kupfuura tishu residues. Izvi imhaka yokuti chakaipa kukura dumbu uye ovaries pamusoro Ultrasound panguva kubereka yekudyidzana ipfupi.

mhedziso

Saka chii vari Avharenji?

Zvinofungidzirwa kuti kukura dumbu iri Ultrasound (ndozvakajairwa mu mm) vakadzi:

• kureba - 70;
• upamhi - pedyo 55;
• anteroposterior kwemavara - 40 mm.

hukuru Zvakakura hakusi kuonekwa pathological. Asi muchiitiko chino zvakafanira kuti azodzidza kubvisa fibroids, adenomyosis, vachiberekwa abnormalities, uye pamuviri.