Mchikhalidwe cha kukula uterine ndi ultrasound pa mimba ndi wangobereka kumene. Normal kukula kwa chiberekero ndi thumba losunga mazira pa ultrasound mu achinyamata ndi akulu omwe. Khomo lachiberekero Makulidwe a ultrasound: yachibadwa

Ultrasound kapena ultrasonography ndi kufufuza za ziwalo mwa mafunde phokoso. Mafunde anasonyeza kwa ziwalo, zinalembedwa mwa zida wapadera ndi kulenga zithunzi za ziwalo anatomical. Pankhaniyi, osati ntchito ionizing cheza (X-ray). The yachibadwa kukula kwa chiberekero pa ultrasound akuluakulu kutumikira monga chizindikiro cha thanzi la dongosolo genitourinary mu akazi.

Kwa amayi, phunziroli nthawi zambiri ntchito kufufuza chiberekero ndi thumba losunga mazira kale, pambuyo ndi pa mimba kuwayang'anira azaumoyo, chitukuko wa mwana wosabadwayo, kapena mwana wosabadwayo. Zithunzi ultrasound akugwidwa mu zenizeni nthawi kotero kuti iwo akhoza kusonyeza kayendedwe ka ziwalo ziwalo monga otaya magazi mu mitsempha ndi mitsempha. malinga US ponseponse kukula kwa chiberekero anayamba ndi cholinga cha chikhalidwe chirichonse ya mkazi.

Chiberekero, kukula kwake

chiberekero ili mu mafupa a chiuno ndi. Ngakhale ambirife dongosolo pakati, ndi kupatuka lateral la chiberekero si zachilendo. Yotakata mitsempha ya m'chiberekero kuwonjezera laterally khoma m'chiuno. Iwo ali Ukalawu ndi ziwiya.

Mchikhalidwe kukula kwa chiberekero pa ultrasound ali pafupi. Normal wamkulu chiberekero ali ndi kukula kwa masentimita kuchokera 7,0 kuti 9.0 (kutalika) ndi masentimita 4.5 kuti 6.0 (m'lifupi) ndi kwa masentimita 2.5 kuti 3.5 (akuya). Chithunzi yamasika umatchedwanso zapambuyo-zapambuyo gawo.

Pa kusintha kwa chiberekero yafupika kukula, ndi endometrial manja. Yopangidwa ndi kutsimikiziridwa ndi mwakale la chiberekero ndi thumba losunga mazira pa ultrasound.

malinga US malamulo kukula uterine

Pamene thumba losunga mazira kukumana involution, pali kugwirizana kuchepa kupanga esitirojeni. Zimenezi zimabweretsa manja pang'onopang'ono komanso involution wa endometrium lapansi. Mu akazi postmenopausal, zikutanthauza endometrial makulidwe amalembedwa ngati 3.2 +/- 0.5 mm.

Research zambiri zimasonyeza ubwenzi osiyanitsidwa pakati pa kukula kwa chiberekero nthawi kuyambira kusintha, uterine kukula ndi mphamvu pang'onopang'ono mpaka kusanduka. Kusintha kwambiri zimachitika mwa zaka zoyambirira khumi pambuyo kusintha, ndiyeno pang'onopang'ono.

Mu postmenopausal akulamulira Uterine kukula kwa ultrasound: 8,0 +/- 1.3 masentimita yaitali, 5.0 +/- 0,8 masentimita m'lifupi, ndi 3.2 +/- 0,6 masentimita kuya (anteroposterior kukula).

Ngati palibe msambo, kusintha wotsatira mu kotunga magazi uterine nthawi sanalemberetu. Ngati wodwala pa mankhwala timadzi m'malo, kukula kwa chiberekero, ndi endometrium ndi kusintha ozungulira zikhale. Ngakhale kukula kwa chiberekero pafupi kuti a boma premenopausal.

Ambiri, esitirojeni mankhwala kumakhudzanso postmenopausal endometrium ofanana timafunika kuti kuzungulira yachibadwa. estrogens Conjugated kukhudza proliferative. Progestogen mankhwala kungayambitse chakuti kumayamba endometrium kuchita mu njira monga yachibadwa secretory endometrium.

Ndipo pamene ntchito molumikizana ndi esitirojeni exogenous, progestogens kupanga kubereka khalidwe morphological ndi amuzolengedwa kusintha mu gawo secretory ya msambo yachibadwa. Kusintha ndi nthenda yotaya magazi kwa chiberekero odwala kulandira timadzi m'malo mankhwala. Endometrial makulidwe chinawonjezeka pafupifupi kawiri. Mwachitsanzo, mankhwala, ndi makulidwe pafupifupi anali 0,37 +/- 0,08 cm. Pambuyo mankhwala makhalidwe kukhala 0,68 +/- 0,13 cm.

Pamene akazi kuphunzira akazi postmenopausal ndi imodzi mwa ntchito zofunikira kwambiri kwa ultrasound ndi matenda ndi matenda a khansa endometrial. Maphunziro amenewa kulola ife kudziwa mwakale la chiberekero ndi thumba losunga mazira pa ultrasound. Ndipo ambiri, intravaginal ultrasound ndi wamkulu kuposa mwayi transabdominal kwa zowonera wa myometrium ndi endometrium.

M-Echo. Kodi izi

phunziro anayeza osati kukula kwa chiberekero. Malinga ndi mlingo US wa M-Echo - komanso chizindikiro zofunika. Izo zimanyezimiritsa chitukuko cha endometrium ndi kufunitsitsa kwake kulandira dzira. Iwo amayezedwa mbali zosiyanasiyana za mkombero ndipo ali ndi malire.

Endometrium pa msambo kuoneka woonda echogenic Mzere 1-4 mm makulidwe, koma zimasiyanasiyana 4 mpaka 8 mm gawo proliferative. Gawo secretory pambuyo ovulation zopangitsa endometrial amalimbikitsidwa ndi endometrium kuoneka homogeneous echogenic Mzere makulidwe ku mamilimita 8 mpaka 15.

wakudziko

Tipitirize poganiza chizindikiro zofunika monga kukula kwa chiberekero pa ultrasound. mlingo wa M-Echo ndi chiyani?

lamkati chipolopolo makulidwe ndi 5 mm kapena zochepa ndi zofala mu akazi postmenopausal ndi molondola amakonda chotupa chija mu akazi. Komabe, makulidwe a endometrium 8 mamilimita zingapezeke akazi postmenopausal kulandira timadzi m'malo mankhwala. Ndi bwino kuganizira kuwonjezera maphunziro matenda akazi postmenopausal ndi endometrial makulidwe oposa 8 mm, kuti apewe khansa endometrial.

akatsimikizire khansa

Zizindikiro Sonographic khansa endometrial mu akazi postmenopausal monga:

• njira wodzazidwa ndi madzi;
• unakhuthala uterine M'mimbamo;
• yatupa chiberekero;
• matenda Uterine ndi kusintha mu dongosolo Echo.

Ngakhale US tinkachionera anasonyezedwa kukhalapo ndi digiri ya myometrial kuwukira. Maphunziro awa asonyeza kuti zolondola kwambiri matenda preoperative tikhonza kulola mwanzeru mankhwala kuti kungayambitse bwino.

Ngati endometrial makulidwe a mamilimita 8 kapena zochepa odwala ndi magazi pambuyo azimayi amsinkhu umenewu amakumana, matenda zolondola, "endometrial khansa" chingapezeke mwa kuchipala. Chotero, makulidwe a endometrium mu akazi postmenopausal oposa 10 mm ndi akhale kupenda ndi biopsy kapena curettage kuteteza hyperplasia kapena chotupa chija. Akatswiri ena zasonyeza zofunikira za Doppler ultrasound mu matenda a khansa endometrial. Akatswiri kufotokoza kuwonjezeka magazi mu mtsempha wamagazi uterine amaganiziridwa chotupa odwala ndi matenda oopsa: nthenda yotaya magazi angathe kuonedwa pafupifupi milandu onse carcinoma endometrial ndi sarcoma uterine. Ndi mtundu Doppler, anapezazo nthenda monga pamaso pa osasamba, mosintha anagawira ziwiya woonda ndi pathologic ndi otaya mlingo chizindikiro.

Chifukwa kuyeza khomo pachibelekeropo

Mkazi aliyense pakati pa chiopsezo kubadwa masiku asanakwane, koma anthu ambiri amaganiza kuti zimenezi sizidzachitika kwa iwo. Tikakumana ndi zimenezi, taganizirani za kupewa ndi maphunziro. Angakwanitse ndi wowona ultrasound tione, imene adokotala akhoza matenda oopsa asanakwane ntchito.

Kafukufuku wosiyanasiyana wasonyeza kuti ultrasound-mlingo khomo pachibelekeropo ndi masabata 20 mpaka 24 ya mimba - ndi chizindikiro amphamvu lobadwa masiku asanakwane. kutalika khomo lachiberekero akhoza molondola kwambiri kuyeza ndi ultrasound transvaginal. Ngati mkazi si mimba, chiberekero kukula pa ultrasound (yachibadwa) kuchuluka kwa za 4 cm.

Kodi kufupikitsa khomo lachiberekero?

Iwo imatsimikizirika kuti pa 24 masabata gestation, ambiri kukula kwa khomo pachibelekeropo -. 3.5 masentimita Ngati chithunzi ndi zosakwana 2.2 cm, akazi amakumana ndi 20 peresenti mpata kubadwa msanga. Ndipo pamene kutalika kwa masentimita 1.5 kapena zochepa chiopsezo mowiriza kubadwa masiku asanakwane ndi pafupifupi 50 peresenti. kutalika chikuyembekezeka ndichepe monga mimba m'kati.

khomo lachiberekero miyeso ultrasonography (yachibadwa):

• masabata 16-20 - 4.0-4.5 masentimita;
• pa masabata 24-28 ndi wofanana ndi masentimita 3.5-4.0
• pa masabata 32-36 - 3.0-3.5 cm.

madokotala ambiri mankhwala mkazi transabdominal ultrasound pa nthawi za 20 masabata. Ngati kutalika ndi zosakwana 4 cm, kupanga ultrasound transvaginal kuti muyeso yolondola.

Short khomo pachibelekeropo pakati pa masabata 20 ndi 24 - chizindikiro oopsa.

mukuonera onse pamwamba ndi pansi pa khomo pachibelekeropo ndi ultrasonography transvaginal. Pankhaniyi, izo zikuwoneka ngati nyuzi a. The gawo lonse la nyuzi ya wapafupi thupi la chiberekero, ndi gawo narrowest ili kwa nyini. Pamene khomo pachibelekeropo ndi adzafupikitsidwa kwambiri, adzakhala ngati "V" pa ultrasound lapansi.

Mu chiberekero yachibadwa ali ndi mawonekedwe chubu. maperesenti oposa 50 za amayi apakati pa kudwala a chiwindi zimachitika kubadwa msanga.

kukula uterine pa ultrasound

Norma pa mimba zimadalira kutalika gestation. nthawi mawerengedwe pulogalamu kuwonjezekeredwa mimba sonography monga mwa muyeso wa mwana wosabadwayo ndi uterine kukula kwa ziwalo payekha.

Ngati inu ntchito poyerekeza ndi zipatso, ndi kukula kwa chiberekero pa ultrasound (ponseponse mu mm) ali motere.

1. Musanayambe mimba, chiberekero Ndi kakakulu lalanje ndipo si kumatanthauza.

2. kwa zaka za 12 masabata mimba chiberekero amakhala kukula manyumwa. Ngati inu kunyamula mapasa, chiberekero chimayamba kukula mofulumira kwambiri. 3. Pa masabata 13-26, chiberekero limakula kukula kwa papaya a. Pansi pa chiberekero ndi nthawi m'mimba ndi m'michombo lapansi.

4. Kuyambira ndi masabata 18-20 dokotala kuyeza mtunda kuchokera fupa obisika pansi chiberekero. Ndi kutalika kwa ataima chiberekero. Kukula zambiri limafanana sabata mimba.

Ngati kukula kwa chiberekero ndi gestation chomwecho, ndiye chizindikiro kuti zonse zikuyenda bwino. Ngati mtengo waukulu kapena wamng'ono kwambiri, mwina akunena Vuto mimba. Kungafunikire kuyezetsa zina. dokotala ayenera kudziwa kukula kwa chiberekero pa ultrasound. Norma mimba chithunzi izi zikutanthauza kuti zonse akuthamanga monga kuyenera.

5. Pa trimester lachitatu, kukula chiberekero ikutha ndipo kukula kwa vembe a. Kodi nthawi yobereka, ndi chiberekero ndi pa pansi pa nthiti, ndipo asanabadwe udzagwa pansi mafupa a chiuno ndi.

puerperium

Kodi kukula kwa chiberekero wangobereka? malinga US ponseponse limafanana ndi mimba. Pambuyo pa tsiku limodzi kapena awiri atabadwa chiberekero ndi kukula kwa masabata pafupifupi 18 ndipo kuchepa mu masiku angapo otsatira. Ngati machiritso amapita malinga ndi dongosolo, sabata lotsatira lidzakhala kukula kwa chiberekero masabata 12 a mimba, ndipo mu sabata lachisanu ndi chimodzi, iye azibwerera kukula mwake.

mazira

mazira ndi zambiri inali mbali zonse za chiberekero, ngakhale kafukufuku kudziwa malo awo pamwamba kapena kuseri kwa chiberekero - si zachilendo. N'kuwasanganiza zambiri inali kutsogolo kwa bifurcation wa ziwiya pa zapambuyo ndi zapambuyo nthambi. Pakuti kulingalira bwino mazira amafuna mwayi wabwino. Pa mazira kusintha zimasintha, yodziwika ndi kucheperachepera kukula ndiponso kusapezeka kwa folliculogenesis. Ndipotu, chizindikiritso odalirika n'kuwasanganiza, mu nthawi zambiri, zikhoza kutheka ndi osonyeza chotupa yamchiberekero pamene follicle ndi wazunguliridwa ndi parenchyma. Nthawi zina muyenera amachita chindodo pamodzi ndi mayikidwe a zotengera mkati iliac, kupeza malo ake.

Childs anathandiza osiyanitsidwa ubale kukula yamchiberekero ndi nthawi yadutsa kuyambira nthawi ya kusintha kwa thupi: yamchiberekero kukula pang'onopang'ono amachepetsa ndi nthawi. Komabe, odwala kulandira timadzi mankhwala, mukhoza kuona palibe kusintha mu buku yamchiberekero.

resizing

The yachibadwa positi-azimayi amsinkhu umenewu amakumana akazi yamchiberekero kutalika kwa 1.3 +/- 0.5 masentimita ^3. Pamene palibe kusamba mkombero kusintha Koma amasintha nawonso yamchiberekero magazi nthawi sanaone mu maphunziro postmenopausal yachibadwa.

Kusintha ozungulira Komabe, akuoneka ngati wodwala pa mankhwala timadzi m'malo. Ndipotu, chitsanzo cha premenopausal yamchiberekero magazi ambiri akazi postmenopausal chingatipatse dokotala kupeza mbiri ya timadzi m'malo mankhwala kapena khansa kusintha. Ultrasound ndi doppler angathandize kwambiri pa zosiyanasiyana njira chosaopsa ndi zilonda. Kuchita uterine Doppler ultrasound kwa zokhudzana adzakhalanso:

• pakati pa masiku 3-10 a kuzungulira kusamba;
• pakati pa masiku 3-10 mu akazi postmenopausal, ngati mkazi ali pa timadzi m'malo mankhwala;
• nthawi iliyonse mu akazi postmenopausal popanda mankhwala.

Motero, pa mimba, ndikofunika kudziwa kukula kwa chiberekero pa ultrasound. Ponseponse pa chizindikiro ichi, komanso yamchiberekero kukula - chizindikiro zofunika za thanzi la akazi nthawi iliyonse.

Ntchito akazi sanali pakati

Pali zifukwa zambiri US, kuphatikizapo:

• kudwala a nyumba za m'chiuno;
• osadziŵika ukazi magazi;
• m'chiuno kuwawa;
• amaganiziridwa mimba ectopic;
• osabereka;
• availabilty cysts kapena fibroids uterine;
• fufuzani Kusinthaku olondola a IUD lapansi.

Mchikhalidwe kukula kwa chiberekero pa ultrasound zimadalira zaka zingati mkazi, monga iye anali ndi pakati komanso pobereka, limapezeka monga ntchito kusamba, etc. Tsopano tiyeni tione kusiyana zizindikiro ndi zaka.

kukula wamkulu ya m'chiberekero

ndi mwakale la chiberekero pa ultrasound akuluakulu chiyani? About 7 masentimita m'litali ndi masentimita 4 m'lifupi ndi makulidwe, kuphatikiza kapena opanda angapo masentimita. Awa deta mnoletnih isledovany.

Chiwerengerochi - mlingo wa kukula uterine ndi ultrasound akuluakulu. Monga ulamuliro, pali kuwonjezeka mu kukula, ngati mkazi anali kubadwa. Fibroids akhoza kupanga miyezo izi ioneka Komabe adenomyosis.

Testes kukula zambiri pakati pa 2 ndi 3 masentimita. Kumene, voliyumu kumawonjezera ngati pali follicle lalikulu kapena chotupa.

Makulidwe pamaso msinkhu

Kodi Pankhaniyi kukula kwa chiberekero pa ultrasound? Wakudziko prepubertal (pamaso msinkhu) ndi za 3.5 masentimita m'litali, ndi makulidwe avareji 1 cm. M'thupi kukondoweza kuti amapezeka mu msinkhu kumabweretsa kukula mofulumira ndi kusintha kukula uterine.

Makulidwe pambuyo kutha msinkhu

Kutalika yachibadwa nthawi imeneyi ndi za 7.6 cm, m'lifupi - 4.5 masentimita yachibadwa Avereji makulidwe -. 3,0 cm.

Choncho, mwakale la chiberekero pa ultrasound mu achinyamata ndi msambo yachibadwa kokha wosiyana pang'ono kwa kukula kwa chiberekero cha mkazi wamkulu.

Pambuyo kusintha, chiberekero, zambiri kucheperachepera kukula, ndi thumba losunga mazira Mwina m'kupita akhale osapitirira zatsalira minofu. Ichi ndi chifukwa mwakale la chiberekero ndi thumba losunga mazira pa ultrasound pa kusintha kwambiri yafupika.

Pomaliza

Choncho kodi ndi zaka?

Akukhulupirira kuti kukula kwa chiberekero pa ultrasound (ponseponse mu mm) mu akazi:

• kutalika - 70;
• m'lifupi - kuyandikira 55;
• anteroposterior kukula - 40 mm.

Miyeso zikuluzikulu si ankaona kuti pathological. Koma mu nkhani iyi m'pofunika phunziro la kuthetsa fibroids, adenomyosis, kuvutika kobadwa nako, ndi mimba.