31.13
Vajina
Vajinal kanal, kadın üreme sistemine giriş ve adet kanaması ve doğum için geçit görevi gören, ortalama 10 cm uzunluğunda tübüler bir yapıdır. Vajinanı…
Vajina, idrar kesesi ile rektum arasında yer alan, yaklaşık 3 ila 4 inç uzunluğunda fibromüsküler bir tüptür.
Vajinal mukoza, areolar bağ dokusu, keratinize olmayan tabakalı skuamöz epitel ve makroskopik enine kıvrımlar veya rugalardan oluşur.
Vajinal mukozada APC görevi gören dendritik hücreler vardır. Ancak HIV gibi virüslerin bulaşmasını da sağlayabilirler.
Vajinal mukoza ayrıca önemli glikojen rezervleri içerir. Glikojen parçalandığında organik asitler üreterek asidik bir ortama yol açar. Bu, mikrobiyal büyümeyi engeller ancak spermlere de zarar verebilir.
Vajinanın kas tabakası olan muskularis, cinsel ilişki ve doğum sırasında elastikiyet sağlayan bir iç dairesel tabaka ve bir dış uzunlamasına tabakadan oluşur.
Vajinanın en dış tabakası olan adventiti, areolar bağ dokusundan oluşur. Vajinayı üretra, idrar kesesi, rektum ve anal kanal gibi komşu organlara sabitler.
Vajinanın dış açıklığı olan vajinal delik, kısmen kızlık zarı adı verilen ince bir vaskülarize mukoza zarı kıvrımı ile çevrilidir.
View the full transcript and gain access to JoVE Core videos
Q1: What are the main structural layers of the vagina?
The vagina consists of three distinct layers. The innermost layer is the vaginal mucosa, composed of nonkeratinized stratified squamous epithelium with transverse folds called rugae. The middle muscular layer, or muscularis, contains inner circular and outer longitudinal muscle fibers enabling elasticity. The outermost adventitia layer is areolar connective tissue that anchors the vagina to neighboring organs.
Q2: How does the vaginal environment maintain its acidic pH?
The vaginal mucosa stores significant glycogen reserves that serve as an energy source for beneficial Lactobacillus bacteria. These bacteria metabolize glycogen into lactic acid, maintaining an acidic pH below 4.5. This acidic environment inhibits the growth of harmful microorganisms and supports the vagina's natural self-cleaning process through a balanced microbial community.
Q3: What role do dendritic cells play in the vaginal mucosa?
Dendritic cells present in the vaginal mucosa function as antigen-presenting cells, or APCs, contributing to immune defense. However, these cells can also enable the transmission of viruses like HIV. This dual role makes the vaginal mucosa an important site for both immune protection and potential pathogen entry.
Q4: What is the hymen and what structures does it relate to?
The hymen is a thin, vascularized mucous membrane fold that partly encloses the vaginal orifice, the external opening of the vagina. It can be torn through various activities including exercise, sexual activity, and childbirth. Understanding the hymen's anatomy is relevant to broader knowledge of external female genitals and their structural relationships.
Q5: How does the vagina's muscular structure support its functions?
The vagina's muscularis layer consists of an inner circular layer and an outer longitudinal layer of smooth muscle. This arrangement provides elasticity and contractility, allowing the vagina to stretch during sexual intercourse and accommodate childbirth. The muscular design enables both accommodation and recovery of the vaginal canal.
Q6: What happens to the vaginal microbiome when douching occurs?
Douching disrupts the balanced vaginal microbiome by altering the community of microorganisms that normally protect against harmful pathogens. This disruption increases the risk of infections and irritation. The natural self-cleaning process maintained by mucus and lactic acid is compromised, allowing pathogenic organisms to proliferate.
Q7: Where are Bartholin's glands located and what do they secrete?
Bartholin's glands are located on either side near the posterior part of the vaginal introitus, functioning as accessory glands of the female reproductive system. These glands secrete lubricating mucus, primarily during sexual arousal. This secretion enhances vaginal lubrication and facilitates sexual function and comfort.