Kūmau o ka uterine nui ma ka ultrasound i hāpai keiki, a ma hope o ka nahunahu hanau. Normal ka nui o ka uterus a me ovaries ma ultrasound ma adolescents a me nā mākua. Cervical Ana o ultrasound: maʻamau

Ultrasound ole ultrasonography o ka hoʻokolokolo 'ana i na nā loko ma ke kumu o nä hawewe kani. Nā nalu lewa mai na nā loko, ua kākauʻia e ke kumu o kūikawā mea paahana, a ho okumu ana i nā kiʻi o anatomical wahi. Ma keia hihia,ʻaʻole hoʻohana ionizing pāhawewe (X-Ray). Ka maʻamau ka nui o ka uterus ma ultrasound i loko o nā mākua e malama nei me he anakahi o ke ola o ka genitourinary nenoaiu i loko o nā wāhine.

No ka wahine, keia study ua loa pinepine hoʻohana 'e ninaninau i ka uterus a me ovaries ma mua, ma hope a ma hāpai keiki, e kanaka hoʻoponopono i ke ola Aupuni, kūpono' ana o ke embryo a fetus. Ultrasound kiʻi i pio i loko o ka makemake-manawa no laila, i ka mea hiki ke hōʻike holo ana o na nā'aʻaʻa i loko o nā loko e like me ke koko i loko o arteries a me aa koko. e like me 'Amelika kūmau nui o ka uterus ke kino a me ka papahana no kekahi ano o ka wahine.

Ke uterus, kona nui

Ke uterus Ua aia i loko o ka pelvis. ʻOiai ka mea, he nui konu 'ole, i ke kīloi paʻewa haiahū kūmau o ka uterus mea ole uncommon. Ākea ligament o ka uterus mai hoʻonui laterally a hiki i ka pelvic paia. Ka mea, aia no iloko olaila ka fallopian paipu a me nā ipu.

Kūmau ka nui o ka uterus ma ultrasound e pili ana. Normal makua uterus i ka nui o ka mai 7,0 a hiki i 9,0 knm (lōʻihi) e 4.5 e 6.0 knm (akea), a mai ka 2,5 i 3.5 knm (hohonu). Ka hope huahelu ua i kapaʻia ka anterior-posterior Ana.

Iloko o ka menopause ka uterus ua hoemi i ka nui, a me ka endometrial atrophy. Ulu a ai i ka maʻamau ka nui o ka uterus a me ovaries ma ultrasound.

e like me US kūmau uterine nui

I ka wā o nā ovaries undergo involution, he mea i pili i emi ma ka estrogen? Iecaianoaaiiuo. Ua hiki aku ai i gradual atrophy a me involution o ka endometrium. Ma postmenopausal wahine, aha keia endometrial mānoanoa kaha maha like 3.2 +/- 0.5 mm o.

Research mea IeAUPIIe, IAa IO hōʻike he inverse pilina ma waena o ka nui o ka uterus a me ka manawa mai menopause, uterine ka nui a me ka leo ua i nā hoemiia. Ua nui nā loli ana i loko o ka umi makahiki mua ma hope o menopause, a laila, i nā.

I postmenopausal rula Uterine nui o ka ultrasound: 8,0 +/- 1,3 knm lōʻihi, 5.0 +/- 0,8 knm ma ka laula, a me ka 3.2 +/- 0,6 knm ma ka hohonu, (anteroposterior ka nui).

Ināʻaʻohe menstrual kalapona, mahope loli ma ka uterine koko lako ua IeAUPIIe, IAa IO ole kona manao. Inā ka hoʻomanawanui mea ma hōmona hope Inc, i ka nui o ka uterus, ka endometrium a me ka cyclic loli i koe. O ka nui o ka uterus kokoke i ka mea o ka premenopausal moku'āina.

I mau, estrogen Inc e loli ai postmenopausal endometrium like i ka estrogen i loko o ka maʻamau pōʻaiapuni. Conjugated estrogens i proliferative hopena. Progestogen Inc e alakai ai i ka mea i ka endometrium Ka hoʻomaka 'ana e pane koke i loko o ia ke ala me maʻamau secretory endometrium.

A i ka wā hoʻohana i ka huipūʻana me ka exogenous estrogen, kemikala progestogens paʻi ano morphological a biochemical loli ma ka secretory pae o ka maʻamau menstrual pōʻaiapuni. Loli a me ke koko kahe i ka uterus i loko o nā mea maʻi loaa hōmona hope Inc. Endometrial mānoanoa māhuahua kokoke alua. No ka laʻana, ma mua lapaau, o ka awelika kona mānoanoa ua 0,37 +/- 0.08 knm. Ma hope o lapaʻau nā loina e 0,68 +/- 0,13 knm.

I ka wahine hoʻopaʻa haʻawina ma postmenopausal wahine a me kekahi o na mea nui palapala noi o ultrasound o kaʻike, a me ka hana ana o endometrial Ka maʻi 'aʻai. Oia haʻawina ae mai, e hooholo i ka maʻamau ka nui o ka uterus a me ovaries ma ultrasound. A me ka mau, intravaginal ultrasound mea i oi i transabdominal nā manawa kūpono no ka visualization o ka myometrium a me ka endometrium.

M-küpinaʻi. He aha ka keia

Ke ao ana i wale i ka nui o ka uterus. E like me ka 'Amelika uku o M-küpinaʻi - i ka nui anakahi. Ua Hōʻike 'o ka ulu ana o ka endometrium a me kona makemake, eʻae i kekahi fertilized Kepakailiula. Ua Ua ana i loko o kaʻokoʻa kūlana o ka pōʻaiapuni, a mai kekahi mau mokuna o lākou.

Endometrium i menstruation akaka like me ka lahilahi echogenic loloa 1-4 mm o ka mānoanoa, akā, loli aʻe mai ka 4 a hiki i 8 mm o loko o ka proliferative pae. Ke secretory pae ma hope o ovulation endometrial glands i hauma¯na kahi a me ka endometrium ikeia me he homogeneous echogenic loloa mānoanoa mai ka 8 a hiki i 15 mm.

kūmau

E hoʻomau i ka noonoo i na he nui anakahi like me ka nui o ka uterus ma ultrasound. He aha ka i ka uku o ka M-küpinaʻi?

ka lilo o ka iwi kona mānoanoa o 5 mm o a emi mea 'ano, he pono ole i ka postmenopausal wahine a reliably e nele ka neʻe malignancy i loko o nā wāhine. Eia naʻe, hiki ke loaʻa ka mānoanoa o ka endometrium o 8 mm o loko o postmenopausal wāhine loaa hōmona hope Inc. He waiwai noʻonoʻo hou PalekanaEND_LINK haʻawina i loko o postmenopausal wahine me endometrial mānoanoa o ka oi ma mua o 8 mm o, e ole endometrial Ka maʻi 'aʻai.

noho aliʻi mai Ka maʻi 'aʻai

Sonographic hoailona o endometrial Ka maʻi 'aʻai ma postmenopausal wahine loaʻa:

• ke kai piha me ka wai;
• ʻia naʻe uterine lua;
• E hoomahuahua auanei uterus;
• Uterine maʻi me ka loli ma ka küpinaʻi kumu.

ʻO ka US ua maopopo leʻa hōʻike i ke alo a me ka degere o myometrial kaua. Kēia mau haʻawina Ua hōʻike i ka loa pololei preoperativeʻike, hiki ae i ka poʻe uʻi a akau o ka Inc i i alakai i ka maikaʻi i nā hualoaʻa.

Inā endometrial mānoanoa o ka 8 mm o a emi i loko o nā mea maʻi me ka lāʻau kū-menopausal kahe ana ke koko, i ka pololeiʻike, "endometrial Ka maʻi 'aʻai" hiki ke loaʻa ma ka hamoʻia. Nolaila, i ka wa a ka mānoanoa o ka endometrium ma postmenopausal wahine oi ma mua o 10 mm o, a ina e hou ninaninau ma ka biopsy paha curettage e pale hyperplasia paha malignancy. Kekahi noiʻi Ua hōʻike i ka pili o Doppler ultrasound i loko o kaʻike, o endometrial Ka maʻi 'aʻai. Noiʻi wehewehe i ka mea ulu i loko o ke koko, kahe ma ka uterine artery kēiaʻeho ma nā mea maʻi me ka malignant maʻi:'āno'ē koko hiki ke 'akomi i kaʻaneʻane nā hihia o endometrial carcinoma a me ka uterine sarcoma. Me ka waihoʻoluʻu a pau Doppler,'āno'ē hoʻoholo pū i ke alo o ka ole, randomly haawi lahilahi, a pathologic na moku, a me ka pele kōmi neaiaea.

No ke aha la ana i ka cervix

O na hapai wahine mea ma ka pilikia o ka preterm hanau, akā loa poʻe manaʻo i kēia, e ole hiki mai iā ia. I kaʻalo me keia, manaʻo o ka Kāohiʻana a me nā haʻawina. Affordable a me ka noho malie hoi ultrasound ninaninau mea, ma i ke kauka ke diagnose na olelo hooweliweli e preterm hana.

He haʻawina Ua hōʻike ia ultrasound kōmi cervix me ma kahi o 20 a hiki i 24 pule o ka hāpai keiki - mea he ikaika anakahi o premature hanau. cervical lōʻihi hiki e loa pololei ana ma ka transvaginal ultrasound. Inā he wahine mea i hapai, ka cervix nui ma ultrasound (maʻamau) dala no ma kahi o 4 knm.

He aha ka hua'ōleloʻo cervical?

Ua ua hoao ia ma 24 pule gestation, ka awelika ka nui o ka cervix -. 3.5 knm Inā ka huahelu mea emi o 2.2 knm, na wahine he maka he 20 pakeneka wale o premature hanau. A i ka wā o ka lōʻihi o ka 1.5 knm a emi pilikia o ka noho'na makaainana i ulu preterm hanau mea aneane 50 pakeneka. Ka lōʻihi Ua manaoia e emi iho ma ka hāpai keiki progresses.

cervical Ana ultrasonography (maʻamau):

• 16-20 pule - 4.0-4.5 knm;
• ma 24-28 pule mea like i 3.5-4.0 knm
• ma 32-36 pule - 3.0-3.5 knm.

Ka hapanui o kauka i hoakaka ia i kekahi wahine transabdominal ultrasound ma ka manawa mea ma kahi o 20 pule. Inā ka lōʻihi mea emi o 4 knm, e transvaginal ultrasound e kiʻi i ka hou pololei ana.

Pōkole cervix ma waena o 20 a me 24 pule - he mea weliweli symptom.

'oe ke' ike nā ka luna a me lalo o ka cervix ma transvaginal ultrasonography. Ma keia hihia, ka mea nana e like me ka funnel. Ke akea hapa o ka funnel hea ka mea me ka kino o ka uterus, a me ka narrowest loa ua aia ma ka vagina. I ka wā o ka cervix ua hoopokole nui, ka mea e nana e like me ka "V" ma ka ultrasound.

Ma maʻamau cervix i ka Tube shape. More ma mua o 50 pakeneka o ka hapai nā wāhine i loko o ka pathology o keia hui, i hoʻomaka ai premature hanau.

uterine nui ma ultrasound

Norma i hāpai keiki hilinaʻi nui ma luna o ka lōʻihi o ka gestation. manawa i ka ho omaulia polokalamu hoohui ma ka hāpai keiki sonography e like me ke ana o ka fetus a me ka uterine nui o kanaka nā loko.

Inā e pili i kekahi e like me ka hua, i ka nui o ka uterus ma ultrasound (ke kūmau ma ka mm) e like penei.

1. Ma mua o hāpai keiki, ka uterus mea e pili ana i ka nui o ka alani a me ka ua ole i ho'ākāka '.

2. No ka manawa o ka ma kahi o 12 pule o ka hāpai keiki i ka uterus i ka nui o ka grapefruit. Inā 'oe e hali ana i hanau palua ia, ka uterus hoʻomaka e ulu hou koke. 3. Ma 13-26 pule, i ka uterus ulu i ka nui o ka papaya. I ka lalo o ka uterus mea me ka manawa, mai ka opu mai a hiki i ka piko.

4. aeueiue me ka 18-20 pule i ke kauka, e ana i ka mamao mai ka pubic iwi i ka lalo o ka uterus. He ke kiekie o ke ku ana uterus. Size ana hoʻopili like hebedoma o ka hāpai keiki.

Inā i ka nui o ka uterus o ka ia gestation, laila ia mea he hōʻailona ia ua hele pono na mea a pau. Inā ka pākēneka mea, ua nui paha nui uuku, ka mea e manao kekahi complication o ka hāpai keiki. Ua hiki ke koi hou ikea ai. Ke kauka pono e ike i ka nui o ka uterus ma ultrasound. Norma hāpai keiki keia huahelu o ia hoʻi, i na mea a pau e holo e like me ka mea pono.

5. I ke kolu o ka trimester, i ka ulu uterus na welau, a lilo i ka nui o ka watermelon. I ka wā o ka haawi wā, ka uterus mea ma ka lalo o ka iwiaoao nā hīnaʻi manu, a me ma mua pono hāʻule ma lalo o ka hānauʻana i loko o ka pelvis.

puerperium

He aha nō ka nui o ka uterus ma hope o ka nahunahu hanau? e like me ka US kūmau hoʻopili like i ka hāpai keiki. Hope e pili ana i kekahi lā paha elua ma hope o ka hānau o ka uterus o ka nui o ka ma kahi o 18 pule, a me ka emi ana ma ka kekahi mau lā. Inā ka ho'ōla hele e like me ka manao, i ka i kēia pule aʻe, e ia i ka nui o ka uterus 12 pule o ka hāpai keiki, a ma ke ono o ka hebedoma,ʻo ia e hoʻi i kona maʻamau nui.

ovaries

Nā ovaries i ana aia ma na aoao a elua o ka uterus,ʻoiai i loko o ka anamanaʻo e hoʻoholo i ko lakou wahi ma luna a ma ke kua o ka uterus - i ole uncommon. Ovary ana ke aupuni 'ia ma ke alo o ka bifurcation o ka moku ma luna o ka anterior a me ka posterior lālā. No ka holomua kiʻi o ka ovaries koi maikai ke kula. Ma menopause ovaries undergo loli, wehewehe aku ma ka hōʻemiʻana i ka nui a me ka wa e kaawale aku o folliculogenesis. I mea, i ka ike loea 'ike o ka ovary, ma na hihia a pau, hiki ke hana ma ka hoike ana i ka ovarian cyst ka wā o ka follicle ua hoʻopuniʻia e parenchyma. I kekahi manawa oe i ke akoakoa ai i kaʻimiʻana ma ka hoʻopololei o na iliac moku, e hōʻike kona wahi.

Nō kāu hōʻike he inverse pilina ma waena o ovarian nui, a me ka manawa hala, mai ka manawa mai o menopause: ovarian nui progressively emi me ka manawa. Eia naʻe, i loko o nā mea maʻi loaa hōmona Inc, e hiki ke ike i loli ma ovarian buke.

resizing

Ka mea maʻamau kia-menopausal wahine ovarian Ana o 1,3 +/- 0.5 knm ^3. Like ole menstrual kalapona menopause, nae hoʻololi i loko o ovarian koko lako ua IeAUPIIe, IAa IO i ike i ka haʻawina i loko o maʻamau postmenopausal.

Mau cyclic loli, nae, i e maopopo, ina o ka hoʻomanawanui ma hōmona hope Inc. I mea, i ke kumu o premenopausal ovarian koko i loko o postmenopausal wāhine e kona kūpaʻa i ke kauka, e loaʻa i ka mōʻaukala o ka hōmona hope Inc a me ka maʻi 'aʻai loli. Ultrasound a doppler hiki ia o ka nui kōkua i loko o ka differentiation o benign a me ka malignant keʻano o ka hanaʻana. Hana uterine Doppler ultrasound no appendages e e i:

• ma waena o 3-10 lā o ka menstrual pōʻaiapuni;
• ma waena o 3-10 lā i loko o postmenopausal wahine, ina o ka wahine mea ma hōmona hope Inc;
• i kekahi manawa ma postmenopausal wahine me ka lapaau.

Penei,ʻaʻole wale nō i hāpai keiki, ka mea, he pono ke ike i ka nui o ka uterus ma ultrasound. Ke kūmau no kēia anakahi, e like me ovarian nui - nui ka hoailona o ke ola ana o na wahine i loko o kekahi manawa.

Ka hoʻohana a non-hapai wahine

He nui nā kumu no ka US, me:

• pathology o ka pelvic hale;
• unexplained vaginal kahe ana ke koko;
• pelvic eha;
• kēia ectopic hāpai keiki;
• infertility;
• availabilty cysts a uterine fibroids;
• e kaha i ka pololei i hoʻokomo 'o ka IUD.

Kūmau ka nui o ka uterus ma ultrasound hilinaʻi nui ma luna o ka mea kahiko i ka wahine, e like me ia i hāpai keiki, a hānau, ia lŘlŘ like me ka menstrual ho'āʻo, etc. Ano, e noonoo i ke koena unuhi o nā hoailona ma ka makahiki.

ka makua nui o ka uterus

He aha ka ka mea maʻamau ka nui o ka uterus ma ultrasound i loko o nā mākua? About 7 kenimika ma ka lōʻihi, a 4 knm ma ka laula a me ka mānoanoa, eia kekahi a hua ka mau o kenimika. Mau mea i kaʻikepili mnoletnih isledovany.

Mau huahelu - ka uku o ka uterine nui ma ka ultrasound i loko o nā mākua. E like me ka rula, he mea he mahuahua i nui, ina he wahine i ka hanau ana. Fibroids hiki e mau ana ka nui loa, nae, like adenomyosis.

Testes ka nui nuiʻana ma waena o 2 a me 3 mau kenimika. O ka holo ana, o ka buke maoli ina he mea he nui follicle a cyst.

Ana mua puberty

Aha ma keia hihia i ka nui o ka uterus ma ultrasound? Kūmau prepubertal (ma mua puberty) mea e pili ana 3.5 knm ka lōʻihi, a me ka awelika mānoanoa o 1 knm. Hormonal stimulation e ia lŘlŘ ma ka puberty hiki aku ai i kokololio ulu a me ka loli ma ka uterine ka nui.

Ana hope puberty

Ka maʻamau lōʻihi o kēia wā mea e pili ana i 7,6 knm, laula, - 4.5 knm maʻamau Average mānoanoa -. 3.0 knm.

Penei, He wale iki okoa mai i ka nui o ka uterus o ka makua wahine i ka maʻamau ka nui o ka uterus ma ultrasound ma adolescents me ka maʻamau menstrual pōʻaiapuni.

Ma hope o menopause, uterus, nui ka hōʻemiʻana i ka nui, a me nā ovaries i ho'ōla hooiaio ia e ole oi ma mua o'aʻaʻa residues. Kēia mea, no ka mea maʻamau ka nui o ka uterus a me ovaries ma ultrasound ma menopause me ka nui loa hoemiia.

ka hopena

No laila, i mea na averages?

Ua Ua manaoio aku i ka nui o ka uterus ma ultrasound (ke kūmau ma ka mm) i loko o nā wāhine:

• lōʻihi - 70;
• laula, - kokoke i 55;
• anteroposterior nui - 40 mm o.

Nui nui like 'ole ka mea, e mau loa ana me manaoia e e pathological. Akā, ma kēia hihia ia mea e pono ke alakai i kekahi ao e hoʻopau fibroids, adenomyosis, congenital abnormalities, a me ka hāpai keiki.