Conjugate oiaio, mawaho, diagonal. Ke Ana o ka pelvic wahine

pelvis huahelu ua i OAXA no a pau hapai wahine. Kēia mea he ola, painless a me ka loa e noho malie hoi kaʻina hana i mea he elue o ke kakau pepa o ka hapai wahine i ka mea mua kāhea i ka gynecologist. Hoʻomālama ma ka nui o na pelvis, e hiki hoʻolālā i ka hooponopono ana o ka hana: kekahi maoli ai 'ole surgically (Caesarean pauku). Manaʻoi hoʻokoe 'wae nā kaʻa mokulele e pale he nui o na complications e olelo hooweliweli aku i ke ola ana o ka wahine a me kona bebe. Pono? Oaony ka nahunahu hanau - he kumu hoʻomalu i ke kamaiki hanau e e oluolu a me ka makau ole.

Conjugate oiaio - ka shortest mamao ma waena o ka ahuula a me ke koʻikoʻi loa, i loko o ka pelvic lua o ka wahi ma luna o ka pā ili o ka symphysis. Maʻamau, ua mamao o 11 knm.

He aha ka na pelvis?

Taz like me ka anatomical hale a poe e mau pelvic iwi, a me ka distal spine (sacrum a me ka coccyx). Ma obstetrics like nui, wale i ka hapa a ua kapaia ka pelvis uuku. Keia makahiki ua kaupalena ia e ka mahele malalo o ka pelvic iwi, sacrum a me ka coccyx. Ua loaʻa i ke kēia nā loko: ka bladder, uterus a me ka rectum. I kona 'ole he eha kumu o pelane. Kēlā me kēia no ia he mau Ana i mea nui i loko o obstetric hana.

hoʻokomo o kiko'î a ma ka poe uuku kiaha

1. Direct nui. He anakahi loaʻa nā inoa - obstetric conjugate a me ka conjugate oiaio. Like i ka 110 mm o.
2. Ka nui o ke kea. Ua like no 130-135 mm o.
3. Ana kēlā. Like no 120-125 mm o.
4. Ke diagonal conjugate. Like i ka 130 mm o.

Kiko'î o ka widest loa o ka pelvic

1. Direct nui. Like i ka 125 mm o.
2. Ka nui o ke kea. Like i ka 125 mm o.

Kiko'î o ka puali hapa o ka pelvic

1. Direct nui. Ua like no 110-115 mm o.
2. Ka nui o ke kea. Like i ka 105 mm o.

Auaiaea kiko'î o ka pelvic

1. Direct nui. Ma ka hana e mahuahua like ka hoʻokikina ma ka hanau ana Canal poʻo o ka fetus huakai hele i ka coccyx posteriorly. Ua 95-115 mm o.
2. Ka nui o ke kea. Like i ka 110 mm o.

Huahelu pelvis hapai

Ka luna kii i anatomical, oa ka mea, hiki ke hoʻoholo 'ana mai o nā iwi pelvic. Ma kekahi kanaka ola e ana ia ia mea,ʻaʻole e hiki. No laila,ʻo kēia mau koho i ka loa nui i loko o obstetric hoʻomaʻamaʻa:

1. Ka mamao ma waena o nā spines o ka iliac iwi, Aia ma ka mua kihi o ka lapa.
2. Ka mamao ma waena o nā maka o ka iliac nalu, loihi mai kekahi i kekahi ma kahi loihi i kā mākou.
3. Ka mamao ma waena o nā nā wānana waiwai o femurs i loko o ka hoʻololi'āina o ka luna o ka'ā'ī.
4. Mawaho conjugate (ka mamao mai ka pubic symphysis i ka lumbosacral lua).

Ke'ī mai, ka mea maʻamau ka nui o na pelvis i 250-260, 280-290, 300-320 a me 200-210 mm o, niioaaonoaaiii. Elucidation o kēia mau mea kiko'î e pono ai i loko o ka hoʻomanaʻo o ke hapai kakau. Ka huahelu ua lawe mai i ka kūikawā hoʻopololei (tazomera), a, incidentally, e hoʻohana i kekahi, e ana i ke poo-hānau pēpē.

He nui no ka maopopo ana o ka huina o ka pahee'aʻaʻa, aole ia e pili i ka mahele i nā hualoaʻa. pelvic kiko'î ana ma ka pokou kūlana kiʻekiʻe, aʻaʻole ka mea, e neʻe no ke kaupaona poho paha, ma ka mea ku ole, ke kaupaonaʻana o koʻu pomaikai ia. pelvic Ana koe ua hoʻololiʻia ma hope o hiki i ka makahiki o ka wahine ka wā iwi ulu aɃe.

No ka meaʻike, o ka hou o na pelvis e nui elua hou conjugates - oiaio (obstetrics) a me ka diagonal. Eia naʻe, ia mea,ʻaʻole e hiki i ka pololei ana i ko lakou hookolokoloia mai ma luna o lākou Ana hiki wale kahiko o ka'āina. Ke diagonal conjugate ma obstetrics ua IeAUPIIe, IAa IO ole ana. E māhuahua pulakaumaka ma obstetric conjugate.

I maopopo ai i ka conjugates oiaio ma ke kēia haʻilula: i ka waiwai o ka mea ma waho conjugates hua 9 knm.

He aha mea he haiki kiaha?

Mamua o ko laua kamailio ana i ka wehewehena o keia makahiki, ia e ke kaulana i loaʻa nō nāʻano o nā puka pelvis - anatomical a me ka lapaʻau. Këia mau manaÿo, aole nae i'ālike, akā, ua pili loa ua hoʻopili.

An anatomically haiki pelvis e olelo aku, ka wā ma ka liʻiliʻi loa kekahi o na mea kiko'î mea uuku ma mua o ka mea maʻamau ka nui o na pelvis. Līkaia no degere o ka hou, i ka wa a ka mea oiaio conjugate emi ma mua o maʻamau:

• 15-20 mm o.
• 20-35 mm o.
• 35-45 mm o.
• oi aku 45 mm o.

Ka hope mau hōʻike i ka degere o keʻoki kino pono. Conjugate oiaio papa 1-2 apono 'ia ka manawa kūpono e hoʻomau hanau maoli ai, aka, aohe mea i hoʻoweliweli' ana o ke ano e like me ka clinically haiki pelvis. Clinically haiki pelvis - he kahua ma i na mea kiko'î o fetal poo, aole ia 'aʻohe pelvis i ka makuwahine. Ma keia hihia na Ana a pau o ka hope e ia i loko o ka maʻamau huahelu ( 'o ia hoʻi, mai ka wahi o ka Hawaii o ka'anatomia o ka pelvis mea e mau loa ana me haiki). Paha e ka mea e ku pono ana kulana, ka wā anatomically puka pelvis loa hoʻopili like i ka hoʻonohonohoʻia o ka fetal poo (e laʻa me, ina i ke keiki mea,ʻaʻole nui), a me kaʻike, o clinically haiki pelvis ma keia hihia i ka ninau.

Clinically pilikia pelvis

Ke kumu nui no kēiaʻano:

1. Mother kaʻaoʻao: he anatomically uuku pelvis nui, ole kinona o ka pelvis (e like, deformation ma hope hewa).
2. Ma ka hapa o ka fetus: Hydrocephalus, nui nui, hooloihiia hāpai keiki, ka huki houʻana o ka poo i ka wa a komo i ka fetus i loko o nā pelvis.

Ke kaumaha ma muli pehea ka nui o ka likeʻole ma waena o nā mea kiko'î hōʻike maternal pelvis a me ka fetal poo, he mea ekolu degere o clinically haiki pelvis:

1. Ke pili OOAaAeAa. Ma keia hihia, e hiki kuokoa genera, akā, pono e hoʻomākaukau i ke kauka e e ka 'eleu olelo hooholo e pili ana iʻoki kino.
2. Nui discrepancy.
3. Loa OOAaAeAa.

Ka nahunahu hanau ma clinically haiki pelvis

Ke lua a me ke kolu o ka papahelu mea he PAaIEN noʻoki lāʻau lapaʻau 'uao. Kuokoa hana i loko o keia kulana mea hiki ole. Ka hua hiki ke loaʻa hou ma caesarean pauku wale. A hiki aku i ka pili disparity hanau maoli ana. Eia naʻe, e ike no ka pilikia o ke kulana loli no ka hewa. I ka ninau o ke oolea o ole-kaʻaeʻana i ke kahuna lapaau e pono e lawe a hiki i kēia ho'āla kaua e hooholo i loko o ka 'eleu kūpono me ka hou tactic. Hoolohiʻike o nā kūlana kahi rodorazreshat e wale ma keʻoki kino, ke alakai i ka mea pilikia i ka? Aneii o ka fetal poo. Ma na hiohiona discrepancy o ka hope ia e ke hahau i loko o ka pelvic lua hooho ae uterus, ma o na la loa poʻo ino a me ka make. Ma holomua manawa, e wehe i ka fetus mai ka pelvic lua,ʻaʻole hiki ke ahiahi, e ola ma caesarean pauku. Ma ia hihia, ua ka haawi e hoʻopau plodorazrushayuschey hana.

e hōʻuluʻulu

E ike i ka nui o ka pelvis mea pono. He mea pono e koke manao na pathological kūpono i anatomically a clinically haiki pelvis. Ka ho'ēmiʻana o ka maʻamau nui i e loli iki ana degere o ka oolea. Ma kekahi mau hihia, i ka manawa kūpono o kuokoa hana, i loko o nā wahi, i hiki ia mea e pono ke hana i ka cesarean pauku. Clinically puka pelvis - ka moku'āina ka loa insidious. Ua ua i mau hui me ka manaʻo o ka anatomically haiki pelvis. Na la mahope e i maʻamau kiko'î, akā, i ka manawa kūpono o ke poo nui OOAaAeAa nui o ka pelvis mea nō ma laila. Ka hanana o ia i ke kahua i hānau hiki i pilikia complications (i ka hua, e ae aku mua a poʻokela). He nolaila, nui 'eleuʻike, a me ke ake olelo hooholo ma luna o nā kaʻa mokulele hou.