A reference hand-book for nursesBeck, Amanda K. (Amanda Kathryn)
Science
A reference hand-book for nurses
Beck, Amanda K. (Amanda Kathryn)
Nursing
=Ovulation.=—The ovaries produce ova that are retained in cavities
termed ovisacs (Graafian follicles), which are scattered throughout the
ovary. Sometimes an ovisac contains more than one ovum, but usually
each ovisac contains but one. When the ovary becomes functionally
active, some of the ovisacs in the deeper part of the organ increase
in size and develop toward the surface. From time to time one of
these ovisacs, having continued to increase in size so as to form a
projection on the surface of the ovary, actually bursts and sets free
an ovum. This frequently occurs in association with menstruation,
but may take place at other periods. While this development of the
ovisac has been taking place there is a special flow of blood to the
pelvic contents, and the fringe-like processes of the Fallopian tube
become more closely applied, so that a cup is formed by the fimbriated
extremity of the Fallopian tube, into which the ovum drops. Eventually
the ovum reaches the cavity of the uterus, and, unless it becomes
fertilized or impregnated, it is in due course cast off from the uterus
in the menstrual discharge and perishes.
When the uterus has become the seat of a fertilized ovum there is no
further ripening of ovisacs. After the escape of an ovum from the
ovisac the follicle is filled with blood, and this takes part in the
formation of a structure known as the corpus luteum, which is formed
within the burst ovisac. The corpus luteum varies in its development
according as the ovum becomes fertilized or not. If pregnancy takes
place it remains to its close, but if the ovum is not fertilized it
disappears in about three months. The ruptured ovisac always contains
the elements of a corpus luteum, but its development depends on
the fate of the ovum. Ovulation has been said to commence before
menstruation; ovisacs may sometimes ripen and burst in childhood.
Conception may take place before menstruation has set in.
=Menstruation.=—The blood is derived from the mucous membrane of the
uterus (endometrium) and not from that of the cervix. The endometrium
becomes swollen and thickened prior to the commencement of the flow,
and the blood-vessels are distended. With the beginning of the flow
this swelling gradually diminishes. A few superficial cells of the
endometrium are usually cast off during menstruation, and this is
regenerated during the interval between the periods. The mucous
membrane of the uterus is thus never at rest until menstruation ceases
for good.
=Conception.=—Fertilization of the ovum may occur anywhere in its
course from the ovisac to the uterus, but ordinarily it takes place in
the uterus. Certain changes take place in the uterus preparatory to the
arrival of the fertilized ovum. The whole organ enlarges, it contains
more blood than before; the mucous membrane becomes soft, spongy,
thickens greatly, and is thrown into folds which are called the decidua
vera.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account