Female genital organs Laterální pohled pánve - žena_2 Ovary (ovarium) Phalopian tube (tuba uterina) Uterus Vagina Internal female genital organs OVARY Extremitas tubaria (superior) Extremitas uterina (inferior) Facies medialis Facies lateralis Margo mesovaricus (anterior) Margo liber (posterior) ligamentum_latum-uteri Lig. suspensorium ovarii (vasa ovarica) Lig. ovarii proprium Hilus ovarii Mesovarium Lig. latum uteri ligamentum_latum copy Germinative epithelium Tunica albuginea Cortex ovarii folliculi ovarici corpora lutea Medulla ovarii Histology of ovarium Folliculi ovarici primarii (300 000- 400 000) Folliculus ovaricus vesiculosus (Graaf´s) Ovulation Corpus luteum menstruationis graviditatis Corpus albicans Výsledek obrázku pro ovarian cycle Ovarian cycle 001 Hypophysis Ovary - hormones Ovulation cycle Uterus - menstr.cycle Související obrázek https://www.youtube.com/watch?v=tOluxtc3Cpw&t=611s https://www.youtube.com/watch?v=WGJsrGmWeKE&t=3s ovarium 1 (2) 100 ovarium 2 (2) 1.antrum folliculi (liquor folliculi) 2. 2.membrana granulosa 3. 3.oocyt (cumulus oophorus) 4. 4.theca folliculi interna 5. 5.theca folliculi externa Folliculus ovaricus vesiculosus (Graaf´s) ovarium 3 (2) ovarium 4 (2) Ovulation ovarium 5 (2) https://www.youtube.com/watch?v=nLmg4wSHdxQ&t=25s Nullipara – fossa ovarica (in front of a. iliaca int.) Multipara – Claudius fossa (behind a. iliaca int.) LOCALIZATION OF OVARY Související obrázek Výsledek obrázku pro ovarian cyst Související obrázek TUBA UTERINA (SALPINX) Infundibulum tubae uterinae ostium abdominale tubae fimbriae (fimbria ovarica) Ampulla tubae uterinae Isthmus tubae uterinae Pars uterina tubae uterinae ostium uterinum tubae Výsledek obrázku pro tuba uterina OSTIUM ABDOMINALE TUBAE UTERINAE 119 HISTOLOGY OF PHALOPIAN TUBE uterus a adnexa 1. Mucosal folds (cylind. epithelium cilliated) 2. Circular muscular layer 3. Longitudinal muscular layer 4. tunica serosa 5. mesosalpinx ligamentum_latum copy Výsledek obrázku pro tuba uterina ovarium 1 (2) tuba (2) • from uterus runs laterally to the pelvic wall • dorsocranially to the upper pole of ovary • • fimbriae rotated to facies medialis ovarii PHALOPIAN TUBE COURSE https://www.youtube.com/watch?v=GxRJH2f--P0 UTERUS (HYSTERA, METRA) Fundus Corpus facies vesicalis facies intestinalis Cervix Isthmus uteri Margo dx. et sin. Cornu dx. et sin. lig. teres uteri lig. ovarii proprium fundus corpus cornu cervix ostium uteri portio vaginalis cervicis Cavum uteri (3 ml) Canalis isthmi Ostium internum canalis cervicis Canalis cervicis (plicae palmatae) Ostium externum canalis cervicis (= ostium uteri) Cervix portio supravaginalis portio vaginalis Fornix vaginae NULLIPARA MULTIPARA OSTIUM UTERI (OSTIUM EXTERNUM CANALIS CERVICIS) Labium anterius et posterius SouvisejÃcà obrázek SouvisejÃcà obrázek HISTOLOGY OF UTERUS Endometrium Myometrium Perimetrium ENDOMETRIUM Simple cylindric epithelium zona basalis zona functionalis glandulae uterinae glandulae cervicales (mucouse closure) menstruation cycle menarche menopausa (climacterium) ostium uteri (multilayer stratified epithelium) ISCHEMIE 1. Menstruation phase 2. Proliferation phase 3. Secretory phase 4. Ischemia Menstruation cycle Výsledek obrázku pro menstrual cycle Výsledek obrázku pro uterine cycle 118 1.stratum submucosum 2. 2.stratum vasculosum 3. 3.stratum supravasculosum 4. 4.stratum subserosum MYOMETRIUM Hladká svalovina (2) ligamentum_latum-uteri Lig. latum uteri Mesosalpinx Mesovarium Lig. teres uteri PERIMETRIUM (VISCERAL PERITONEUM) PERIMETRIUM Excavatio vesicouterina Excavatio rectouterina (cavum Douglasi) PARAMETRIUM Lig. pubouterinum lig. pubovesicale lig. vesicouterinum Lig. cardinale uteri Lig. sacrouterinum plica sacrouterina m. rectouterinus Lig. teres uteri Prolapsus pav002 pav003 pav004 Související obrázek Související obrázek tělísko0 IUD Intra uterine device intra uterine corpuscule IUC Anteversion (700 – 1000) Anteflexion (1000) POSITION OF UTERUS Výsledek obrázku pro retroversion of uterus Vasa iliaca interna_nervus obturatorius_2 Arteria uterina – anastomosis with a. ovarica (ovarian arcade) Uterine artery crosses ureter (2 cm from uterine margine 1,5 cm from fornix vaginae) Výsledek obrázku pro arteria uterina 3 4 5 6 7 8 9 10 GRAVIDITY uterus graviditatis – 1000 g Placenta Funiculus umbilicalis – 50 cm (v.umbilicalis, aa. umbilicales) SouvisejÃcà obrázek https://www.youtube.com/watch?v=WH9ZJu4wRUE Brussels manuscript 9th century uterus arcuatus uterus subseptus uterus septus uterus bipartitus uterus duplex uterus duplex uterus duplex cum vagina septa uterus unicornis HYSTEROSALPINGOGRAPHY VAGINA (KOLPOS) Fornix vaginae pars anterior et posterior receptaculum seminis Paries anterior crista urethralis area trigonalis vaginae Paries posterior Rugae vaginales Columna rugarum ant. et post. Ostium vaginae (vestibulum vaginae) Související obrázek Defloration Carunculae hymenales Ostium vaginae - hymen Ostium urethrae ext. Ostium vaginae HISTOLOGY OF VAGINA Mucouse membrane Multilayer squamous epithelium No glands !!! submucouse tissue – venous net Muscular layer inner - circular outer - longitudinal Adventicia Serosa – excavatio rectouterina Související obrázek POSITION OF VAGINA Ventrocaudal direction Ventrally: urinary bladder urethra - septum urethrovaginale Dorsally: excavatio rectouterina rectum - septum rectovaginale centrum perineale IMG_NEW m. pubovaginalis symfýza promontorium vaginae SouvisejÃcà obrázek Výsledek obrázku pro poÅ¡evnà vyÅ¡etÅ™enà Labia majora pudendi Labia minora pudendi Mons pubis Vestibulum vaginae Clitoris Glandulae vestibulares Bulbus vestibuli Organa genitalia feminina externa Labia majora pudendi Sulcus genitofemoralis Rima pudendi Commissura labiorum ant. Mons pubis Commisura labiorum post. Pubes Perineum (raphe perinei) MONS PUBIS Pubes Fatty tissue Labia minora pudendi Sulcus interlabialis Vestibulum vaginae Smegma Frenulum labiorum pudendi Fossa vestibuli vaginae Praeputium clitoridis Frenulum clitoridis Související obrázek Páč4 CLITORIS Crura clitoridis (crista phalica) Corpus clitoridis Glans clitoridis Praeputium clitoridis Frenulum clitoridis Corpora cavernosa clitoridis Clitoris_Photo[1] Související obrázek uretrální páska Tension-free vaginal tape Uretrální páska č VESTIBULUM VAGINAE between labia minora pudendi Glans clitoridis (praeputium et frenulum clitoridis) Ostium urethrae externum (papilla urethralis, gll. vestib. minores) Ostium vaginae (hymen) Fossa navicularis Frenulum labiorum pudendi (commisura labiorum pudendi) BULBI VESTIBULI Erectile bodies (corpus spongiosum) on diaphragma urogenitale m. bulbospongiosus (from centrum tendineum perinei to the dorsum clitoridis) Regio perinealis et analis - žena_2 Regio perinealis et analis - žena_2 GLANDULAE VESTIBULARES MAJORES (BARTHOLINI) On the diaphragma urogenitale Dorsally from bulbi vestibuli m. bulbospongiosus Open to the vestibulum vaginae sdm-žena copy ♀ SouvisejÃcà obrázek Textové pole: Diaphragma pelvis and urogenitale Diaphragma pelvis and urogenitale Deep perineal pouch m. bulbospongiosus m. ischiocavernosus m. sphincter ani ext. m.transversus perinei prof. m.sphincter urethrae Superficial perineal pouch m.compressor urethrae m. sphincter urethrovaginalis m. bulbospong. m. ischiocavernosus m. transversus perinei profundus sphincter ani ext. m. transv. perinei superfic. 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