Pelvis

Pelvis

I-pelvis noma i-pelvis encane iyingxenye engezansi yesisu. Iqukethe izitho ezihlukahlukene ezihlanganisa izitho zangaphakathi zokuzala, isinye kanye ne-rectum. 

Incazelo ye-pelvis

I-pelvis noma i-pelvis encane iyingxenye engezansi ye-pelvis (isisu), ihlukaniswe phezulu yi-strait engenhla futhi ngezansi yi-perineum (i-pelvic floor), inqunyelwe ngemuva kwe-sacrum, ohlangothini ngamathambo e-coxal ( ilion, ischium, pubis), phambili nge-pubic symphysis. 

I-pelvis iqukethe ikakhulukazi isinye, i-urethra kanye nama-sphincters ayo, i-rectum nezitho zangaphakathi zokuzala (isibeletho, ama-ovari, amashubhu, isitho sangasese sowesifazane kwabesifazane, i-prostate emadodeni).

I-pelvis inqanyulwa yi-fetus ngesikhathi sokubeletha. 

I-Pelvis physiology

Izici ze-urinary tract ephansi

Inhloso yesinye, i-urethra kanye ne-sphincters yayo ukuvikela izinso ezingozini zemvelo yangaphandle (izifo kanye nomfutho wegazi ophezulu) kanye nokushintsha ukukhishwa okuhamba kancane nokuqhubekayo ngokuphuma ngokushesha (ukuchama). 

Ukusebenza kwe-rectum (umzila wokugaya ophansi)

Uhlelo lokugcina lokugaya (i-rectum, i-anal canal kanye nama-sphincters awo) luhlose ukuqeda udoti kanye nensalela, ukugcina nokukhipha indle ngokushesha (exemption). 

Imisebenzi yezinhlelo zangasese

I-pelvis yabesifazane iqukethe isibeletho, amashubhu nama-ovari kanye nesitho sangasese sowesifazane, kanye nesamadoda i-prostate. Lezi zinhlelo zobulili zenzelwe ubulili kanye nokuzala. 

Ama-pelvis angavamile noma ama-pathologies

Ukungajwayelekile kwepheshana lomchamo/ama-pathologies aphansi 

  • i-benign prostatic hyperplasia
  • umdlavuza wendlala
  • i-prostatitis
  • isifo sentamo yesinye, i-cervical sclerosis
  • Amatshe omchamo 
  • ukuqina kwe-urethra
  • itshe elifakwe ku-urethra
  • umzimba wangaphandle we-urethra
  • Umdlavuza wesibeletho 
  • I-Cystitis

Ama-anomalies / ama-pathologies we-rectum kanye ne-anal canal 

  • Indunu yomdlavuza
  • I-Fissure anal
  • Abscess i-anorectal
  • I-Anorectal fistula
  • umdlavuza Colorectal
  • Imizimba yangaphandle ku-anus kanye ne-rectum
  • hemorrhoids
  • I-Levator muscle syndrome
  • Isifo se-pylon
  • Rectite 
  • I-rectal prolapse

Ukuphazamiseka kwesibeletho / ama-pathologies

  • Ukuzala;
  • Ukukhubazeka kwesibeletho
  • I-uterine fibroids;
  • ama-polyps esibelethweni;
  • I-Adenomyosis 
  • Umdlavuza womlomo wesibeletho;
  • Umdlavuza we-Endometrial;
  • I-synechia yesibeletho;
  • I-Menorrhagia - i-menorrhagia;
  • I-pathologies yokubeletha;
  • I-prolapse yesitho sangasese;
  • Endometritis, cervicitis;
  • Izinsumpa zangasese
  • I-herpes yesisu 

I-Anomalies / pathologies yama-ovari 

  • ama-ovarian cysts;
  • umdlavuza wesibeletho;
  • Ama-anovulations;
  • I-Micropolycystic ovaries (OPK);
  • I-Endocrinopathy;
  • Ukuhluleka kwe-ovarian, ukuyeka esikhathini sokuqala;
  • Ukuzala;
  • I-Endometriosis.

Ama-tubal abnormalities / pathologies

  • Ukukhulelwa kwe-ectopic;
  • Ukuvinjelwa kwe-tubaire;
  • I-Hydrosalpinx, i-pyosalpinx, i-salpingite;
  • Isifo sofuba sangasese;
  • I-polyp ye-tubal;
  • Umdlavuza we-tube;
  • Ukuzala;
  • i-endometriosis

Ukungajwayelekile / ama-pathologies esithweni sangasese sowesifazane

  • I-Vaginitis;
  • I-vaginal yeast infection;
  • I-cyst yangasese;
  • Umdlavuza wesitho sangasese sowesifazane;
  • Izinsumpa zangasese;
  • I-herpes yobulili;
  • I-diaphragm yesitho sangasese sowesifazane, ukungasebenzi kahle kwesitho sangasese sowesifazane;
  • Dyspareunie ;
  • Ukwanda ngokobulili

Ukwelashwa kwe-Pelvic: yiziphi ochwepheshe?

Ukuphazamiseka kwezitho ezahlukene ze-pelvis kuthinta amakhono ahlukene: i-gynecology, i-gastroenterology, i-urology.

Ama-pathologies athile adinga ukuphathwa kwemikhakha eminingi. 

Ukuxilongwa kwezifo ze-pelvic

Ukuhlolwa okuningana kuvumela ukutholakala kwezifo ze-pelvic: ukuhlolwa kwesitho sangasese sowesifazane, ukuhlolwa kwe-rectal kanye nokuhlolwa kwezithombe. 

I-ultrasound yama-pelvic

I-Pelvic ultrasound ingakwazi ukubona ngeso lengqondo isinye, isibeletho nama-ovari, i-prostate. Kwenziwa lapho kukhona izinsolo ze-pathologies yesinye, izitho zangaphakathi ezijwayelekile noma i-prostate. I-ultrasound ye-pelvic ingenziwa ngezindlela ezintathu kuye ngokuthi isitho esizobonwa: i-suprapubic, i-endovaginal, i-endorectal. 

Isithwebuli se-abdomino-pelvic

Isithwebuli se-abdominal-pelvic singasetshenziselwa ukuhlola, phakathi kokunye, izitho zangasese, isinye kanye ne-prostate, umgudu wokugaya ukudla osuka kumminzo ongezansi kuya ku-rectum, imithambo kanye nama-lymph nodes esiswini kanye ne-pelvis. Isithwebuli se-abdomino-pelvic sisetshenziselwa ukuxilonga isifo esitholakala endaweni yesisu noma i-pelvis. 

I-MRI yethambo 

I-MRI ye-pelvic isetshenziselwa ukuhlaziya izakhiwo ze-pelvic (isibeletho, ama-ovari, isinye sesinye, umgudu wokugaya ukudla). Lokhu kuhlolwa kuvame ukwenziwa ngemuva kwe-ultrasound ne-CT scan ukuze kucaciswe ukuxilongwa. 

 

shiya impendulo