Chiremba chiremera chirwere chekugadzirisa kwayo, umo uterine fundus ine chimiro chechirasi. Ichi chimiro chechibereko chinowanzoonekwa sechirwere chechibereko chechiviri . Muchivhiringidzi uye gynecology yehutano urwu hunobhadharwa nekuda kwekuti kuchinja kwakadaro mumamiriro ekuberekwa panguva yekuzvitakura kunogona kukonzera kusununguka kwepamuviri uye kunoparadza kuburitsa. Muchikamu chino, tinotarisa zvinokonzera uye zviratidzo zveuterine uterine kusagadzikana, uyewo kuti chirwere chechikwereti uye pamuviri zvakabatanidzwa sei.
Chigaro chechi uterine ndicho chikonzero
Kuumbwa kwechigaro chechiremba kunosanganiswa nekuputsa kwembryogenesis yemusikana wechikadzi mumakore masere kusvika 14-14. Munguva iyi, sendimu ye uterine cavity inofanira kupera uye iyo inopoteredzwa. Nokudaro, chimiro chechimiro chechibereko chinogadzirwa - pear-shaped.
Kana chirongwa che embryogenis chikavhiringidzika, chibereko chinogona kunge chakave nemakumbo maviri kana sachigaro, uye pamwe nekamuri mbiri (kana septum inoparadzanisa uterine cavity mumakamuri maviri hainyangari). Zvimwe zvinokonzera disembriogenesis ndizvo zvinokonzera pamusana wezvinhu zvisingafadzi:
- miitiro yakaipa (kudhakwa, kudhakwa kwezvinodhaka, kusvuta);
- zvirwere zvinotapukira (zvakanyanya kupemha zvirwere zvepachiviri, masero, rubella, zvirwere zvisingaperi zvezvibereko zvekubereka);
- kutora mishonga;
- endocrine pathology (utachiona husingaiti, chirwere cheshuga chinokonzera);
- manzwiro okushungurudza;
- beriberi.
Chigaro chechirairo chinorevei?
Kazhinji, chibereko chinoita pear, chakanyatsorongedzerwa gareally uye nechirongwa chekunyora. Ngationei zvino izvo chigaro chechirasi chinoratidzika sei. Nokudaro, nokuda kwechiremba chibereko chinonzi concave arch yechiberekero nenzira yechirasi, pamwe nekusavapo kwekugadzika pamberi nepashure. Nekunyoreka kwekuvhara kwechibereko chechibereko uye kuburitsa kwepamusoro-soro kwepamusoro-soro, zvinonzi nezvechibereko chechiviri. Pamberi pekutanga kwekuita pamuviri, chigaro chechigaro chisingaiti kuti chipatara chizviratidze. Kazhinji kacho, zviratidzo zvechigaro chechiremba ndeyekuongorora kutsvaga panguva yekufamba kwechidimbu, kupora kwechibereko chekuberekwa, uye panguva yekuzvimba uye kubereka.
Uterus saddle shape uye pamuviri
Chirwere chakaita sechiremba hachipindirani nekutanga kwekuzvitakura, sezvo nechimiro chakadaro, hapana zvipingamupinyi zvemuviri kuti upinde muchetere. Kuberekwa muurudzi urwu kunogona kuoma nekutyisidzirwa kwekusanganisa nguva isati yakwana, nzvimbo yakasvibiswa yemuchechi, kusungirirwa kwepasi kwepentecenta kana mharidzo yayo. Yakazara placenta previa - chimwe chezvinetso zvinotyisa, izvo zvinovanza kutyisa kwekubuda ropa. Nokuzara kwepascenta previa, kutarisirwa kwekuchengetedza kunorambidzwa, saka muzana 100% yevakadzi vakadai, kuberekwa kunoitwa kuburikidza nekugadzirirwa kushanda nechikamu chekusiya .
Saddle and delivery
Madzimai ane chikwata chebasa, basa rinogona kufamba zvakanaka, risina matambudziko. Asi, usakanganwa kuti nechinetso ichi, dambudziko rekuvhiya chirwere chinokurumidza kunowedzera nekuda kwe:
- kushaya simba kwebasa rekushanda;
- kutsvaga kwebasa;
- premature placental abruption .
Unhu hunoita zvinetso zvekupedzisira pashure pekuberekwa: kusungirirwa kwekuberekwa (kunoda kupatsanurwa kwebhuku) uye shurepartum hypotonic kubuda ropa, iyo inobatanidza nehutachiona hwekuita hutano nekuda kwechimiro chayo chisina kumira.
Takaongorora zvikonzero zvekuumbwa kwechikwata chechikwata uye chiratidziro chechipatara. Sezvaunogona kuona, mukadzi angave asingazivi nezvehutachiona huno, kusvikira pamuviri unouya uye hapana matambudziko anowanzobuda. Mumamiriro ezvinhu akadaro, zvakakosha kunyoresa panguva yakakodzera uye kuongorora zvose zvinodiwa izvo chiremba achagadza.