NC3- The Reproductive sys, disorders
Terms
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- Gametes
- Produced by the male testes called spermatozoa
- spermatogenesis
- production of sperms
- work of FSH and LH
- FSH and LH stimulate the processes of spermatogenesis and maturation of the ova
- varicosities in pregnancy-labia majora
- b/c/o the extensive venous network in the labia majora, varicosities (swelling) may occur during pregnancy, birth trauma or sexual trauma, labia majora share and extensive lymphatic supply with the other structures of the vulva
- the uterus is innervated entirely by
- the autonomic nervous system
- nidation
- implantation of the embryo
- fallopian tubes aka
- oviducts or uterine tubes
- round ligaments
- keep the uterus in place
- ovarian ligaments
- anchor the lower pole of the ovary to the cornua
- cardinal ligaments
- chief uterine supporters, suspending the uterus from the side walls of the true pelvis
- progesterone
- hormone of pregnancy, allows pregnancy to be maintained
- gyenecoid pelvis
- most common gemale pelvis. The inlet is rounded with the anteroposterior diameter a little shorter than the transverse diameter
- android pelvis
- normal male pelvis sometimes seen in female, the inlet is heart shaped.
- anthropoid pelvis
- oval shaped
- platypelloid pelvis
- flat female pelvis, transverse oval
- coopers ligaments
- suspends the breast fibrous tissue
- human chorionic gonadotropin
- needed to maintain the corpus lutiem
- Risk factor endometrial cancer
- cumulative exposure to estrogen, use of estrogen /s use of progesterone, early menarche, late menopause, never having children, and anovulation, other risk factors- infertility, diabetes, hypertension, gallbladder disease, obesity
- endometrial lining of a postmenopausal woman
- Postmenopausal woman should have a very thin endometrium due to low levels of estrogen, a thicker lining warrants further investigation
- Treatment of endometrial cancer
- TAH (total abd hystorectomy), bilateral salpingo-oopherectomy and node sampling, recurrent lesions are treated with radiation
- Most common symptoms of vulva CA
- long-standing pruritus and soreness, bleeding, foul smelling discharge and pain may be present and are usually signs of advanced stages
- Characteristics of vulva ca
- early lesions appear as a chronic dermatitis, later the pt may note a lump that continues to grow and become a hard, ulcerated, cauliflower-like growth. Vulva malignancies may appear as a lump/mass, redness or lesion that fails to heal
- Treatment of vulva CA
- local excision, laser ablation, chemotherapeutic creams or cryosurgery as well as wide excision or complete removal of the vulva (vulvectomy, radiation is used to treat unresectable tumors
- external radiation therapy
- destroys cancer cells at the skin surface or deeper in the body
- intraoperative radiation therapy
- allows radiation to be applied directly to the affected area during surgery. An electron beam is directed at the disease site.
- internal irradiation (intracavitary)
- pt receiveds an anesthetic agent and is examined after which specially prepared applicators are inserted into the endometrial cavity and vgina
- Nurse cautions in radiation care
- minimize amt of time near a radioactive source, maximize distance from radioactive source, use required shielding to minimize exposure, pregnant nurses s/n be in the immediate care of such patients