bilinadi. S im m e tr ik jo y la r d o i m o ta q q o s la b tu riladi. Q o r in n i bir
q o ‘l bilan h a m p ay p a sla b k o ‘rish m u m k i n ( 1 3 - r a s m ) . Q o ‘llar
iliq boNishi s h a r t, aks h o ld a b e m o r sesk a n ish i, va q o r in m u s -
kullari
q isq arib , tek sh irish qiyin la sh ish i m u m k in . C h u q u r r o q
p a lp a ts iy a d a , q o r in dev o rla ri y u m s h o q b o N g a n d a , u m u r t q a
p o g ‘o n a si u stid a a o r ta n i n g u rib tu ris h in i, d u m g ba z a oxirini,
ic h a k n i (toN ganiga q a r a b ) a n iq la s h m u m k in .
C h o v s o h a sid a
c h o v lim fa b e z la r in in g k a tta la sh g a n lig in i, c h u r r a d o ‘p p a y ib
tu r g a n lig in i, b a c h a d o n y u m a l o q b o y l a m i n i n g o ‘s m a la ri va
v e n a l a r n i n g v a r i k o z
k e n g a y m a l a r i n i
a n i q l a s h
m u m k i n .
Q o r i n n i n g y u q o ri b o N im id a , q o v u r g ba la r o s tid a o ‘ng t o m o n d a
j i g a r c h e ti, c h a p t o m o n d a ta lo q c h e ti (bu a ’z o la r
k a tta la sh g a n
boN sa) p a y p a s la b to p ila d i.
B u y ra k la r va ic h k a r i d a y o tg a n
o ‘s m a l a m i p a y p a sla b to p is h u c h u n qoN bel ostiga olib boriladi
( 1 4 - r a s m ) . 0 ‘z g a r m a g a n ichki jin siy a ’z o la r q o r in devorlari
o rq a li p a y p a s la n g a n d a qoNga u n n a m a y d i.
Q o r i n b o ‘sh lig ‘id a o ‘s m a boNsa, u n in g y u q o ri va yo n
c h e g a r a l a r i , y o n b o s h c h u q u r c h a l a r i t o m o n d a g i v a k i c h i k
c h a n o q b o ‘shlig‘i t o m o n d a g i c h e g a ra la ri, o ‘s m a
ustidagi q o rin
te r is in n n g h a r a k a tc h a n lig i va q o rin terisi ostidagi o bs m a n i n g
h a r a k a tc h a n lig i a n iq la n a d i. S o bn g ra o bs m a n i n g kattaligi, shakli
va y u za si, k o nsistensiyasi (zichligi, y u m s h o q lig i, elastiklilik
darajasi) a n iq la n a d i.
B a ’z a n q o r in n i p a y p a s la g a n d a , ay n iq sa, l a p o r a to m iy a d a n
k eyin p a y p a s la s h d a kre p ita tsiy a seziladi.
Bu sezgi q o r in terisi
o s ti k l e t c h a t k a s i g a h a v o k ir is h ig a ( t e r io s t i e m f i z e m a s i g a )
bogNiq.
13-rasm .
Q o r i n n i
b i r
q o N l a b p a y p a s l a s h .
14-rasm .
I c h k a r i d a g i
o ' s m a l a r n i
p a y p a s l a s h .
3 — G i n e k o l o g i y a
3 3
Q o rin b o ‘shlig‘id a su y u q lik borligi q u y id a g ic h a bilinadi: bir
q o ‘l kafti q o r i n n i n g y o n y u z a la rid a n biriga tiralad i, ikkinchi
q o ‘l q a r a m a - q a r s h i t o m o n d a n q o ‘yilib, q o r in g a tiralgan q o 'lg a
t o m o n za rb b ilan harak atlan tirilad i, s h u n d a fluktuatsiya seziladi.
Q o r i n d evori h a d d a n ta sh q a r i y o g 1 b o s ib k e tg a n d a soxta
flu ktuatsiya (y o g 1 bosg an d e v o r n in g te b ra n ish i) sezilishi m u m
kin.
B e m o r n in g q o rn in i p ay p a sla y o tib q o r i n n i n g
turli q ism -
lariga q o 1! b ilan b o s g a n d a sezgirlik o 'z g a ris h ig a e ' t i b o r berish
z a m r .
Ic h k i ji n s iy a ’z o l a r n i n g y a llig N a n ish k a s a llik la rid a ,
ay n iq sa, q o rin pardasi yalligNanish t o m o n g a to rtilg a n boNsa,
p a y p a s la n g a n d a bezillaydi. Q o r in dev o rig a qoN te k k iz g a n d a
q o r in m u sk u lla ri „ h i m o y a l a n i b “ , qisqaradi.
Q o r in n i p aypa sla b, q o rin bo'shligN dagi m u a y y a n a ’z o la r
(m a s a la n ,
oN pufagi, c h u v a lc h a n g s im o n o ‘sim ta ) ning yallig1-
lanish ja ra y o n la ri u c h u n xos o g 'r iq n u q t a l a r h a m a n iq la n a d i.
C h u v a l c h a n g s i m o n o 's i m t a kasalliklarida M a k - B u r n e y n u q ta -
sidagi o g ‘riq n in g xarakterli belg ilarid an biri ekanligi m a ’lum .
M a k - B u r n e y n u q ta si, o 'n g y o n b o s h s u y ag in in g oldingi yu q o ri
qirrasini k indik bilan birlash tiru v ch i c h iz iq n in g o ‘rtasida b o 1-
ladi. A p p e n d its itn i a n i q l a s h u c h u n
M a k - B u r n e y n u q ta s in i
to p a bilish j u d a m u h im . Q o r in d e v o r in in g t u x u m d o n o ‘rniga
m o s k elad ig a n n uqtasi q a y e rd a e k a nligini h a m bilish z a m r .
Bu n u q t a k indik P u p a r t b o y la m in in g o 'r ta s i
b ilan t u ta s h -
tiru v ch i c h iz iq n in g o ‘itad ag i u c h d a n b ir qism i bilan pastdagi
u c h d a n b ir qism i oraligNdagi c h e g a r a d a jo y lash g an .
Do'stlaringiz bilan baham: 
