Ua lohe anei ʻoe i ka hoʻāʻo Culdocentesis? E kamaʻilio kākou e pili ana i ia mea!

ʻĀ, ʻaʻole paha ʻoe i lohe i ka huaʻōlelo ʻo 'Culdocentesis' ma mua. ʻOiai paha he inoa paʻakikī ia, he hoʻāʻo lapaʻau maʻalahi ia i hana ʻia i ka gynecology. Eia naʻe, ʻaʻole hoʻohana pinepine ʻia kēia hoʻāʻo i kēia mau lā, no ka mea, ua puka mai nā ʻano hana hou a maʻalahi e like me ka 'Transvaginal ultrasound'. Eia nō naʻe, he mea nui paha iā ʻoe ke ʻike e pili ana i ia mea. No laila, e nānā kākou i ke ʻano o ka 'Culdocentesis', no ke aha e hana ʻia ai, a pehea e hana ʻia ai ma ke ʻano maʻalahi.

He aha ka cul-de-sac? Pehea e hiki ai ke wai i laila?

I loko o ka ʻōpū o ka wahine, ma waena o ka ʻōpū a me nā ʻōpū e hoʻopuni ana, aia nā hakahaka liʻiliʻi, a i ʻole nā ​​ʻeke, i kapa ʻia ʻo 'cul-de-sacs'. I ka pololei, aia ʻelua mau ʻeke like.

1. Aia kekahi ma ke alo, ma waena o kou ʻōpū mimi a me ka ʻōpū. Ua kapa ʻia kēia ʻo 'anterior cul-de-sac'.

2. Aia kekahi ma ke kua. Ua kapa ʻia kēia ʻo 'posterior cul-de-sac'. Aia ia ma hope o ka ʻōpū, ma waena o ka anus a me ka paia hope o ka vagina.

Ua kapa aku nā kauka i kēia ʻano ʻē aʻe he `posterior cul-de-sac`, ʻo ia hoʻi ʻo `Pouch of Douglas` . ʻO ka mea nui, i ka wā e loaʻa ai kekahi mau maʻi olakino i loko o ke kino, no ka laʻana, nā maʻi, ke kahe ʻana o ke koko, a pēlā aku, hiki i kahi nui o ka wai ke hōʻiliʻili ma kēia wahi i kapa ʻia ʻo `Pouch of Douglas`. ʻO ia ka manawa e hana ʻia ai `Culdocentesis`, a lawe ʻia kahi hāpana o kēlā wai a hoʻāʻo ʻia e ʻike i ke ʻano o ka wai, inā he mau mea hoʻopilikia i loko, a inā he koko paha. Maopopo iā ʻoe?

No laila, i nā hihia hea e hana ʻia ai ʻo Culdocentesis?

ʻO ka maʻamau, e hana mua kāu kauka i kahi ultrasound. ʻO ka hapa nui, he ultrasound transvaginal kēia. He scan kēia i hana ʻia ma o ka vagina. Hiki i kēia ke ʻike maopopo inā he hōʻiliʻili wai i loko o ka ʻeke o Douglas, ma hope o ka uterus.

Inā ʻike ke kauka he wai like ia, he mea ʻē ia, a kānalua ʻo ia he pilikia paha ia, a laila e hana ʻia kēia hoʻāʻo 'culdocentesis', a e lawe ʻia kahi hāpana o kēlā wai a hoʻouna ʻia no ka hoʻāʻo hou aku.

ʻO kekahi o nā kūlana e hiki ke alakaʻi i kēia hoʻāʻo:

• He hāpai ectopic i haki. He kūlana koʻikoʻi kēia e pono ai ke ʻoki kino ulia pōpilikia. Inā hana ʻia kēia, hiki ke hōʻiliʻili ke koko i loko o ka lua ʻōpū.
• ʻO ka Pelvic Inflammatory Disease (PID) kahi maʻi o ka ʻāpana pelvic. Hiki i kēia ke hana i kahi hōʻiliʻili o ka wai e like me ka pus.
• Ka haki ʻana o nā cysts ovarian.
• ʻO ka EndometriosisHe kūlana i kapa ʻia ʻo endometriosis. Ma kēia kūlana, ulu nā ʻiʻo like me ka mea i loaʻa i loko o ka ʻōpū ma waho o ka ʻōpū.
• ʻO nā ʻōpū fibroid e hana ana i loko o ka ʻōpū, i kapa ʻia ʻo "Uterine fibroids".
• He ulia a ʻeha paha i ka pelvis.
• ʻEha mau, koʻikoʻi, ʻeha wehewehe ʻole ʻia ma kou ʻāpana pelvic a i ʻole ka ʻōpū haʻahaʻa.

He aha ke kumu maoli o kēia hoʻāʻo Culdocentesis?

I ka ʻōlelo maʻalahi, ʻo ke kumu nui o kēia hoʻāʻo ʻana, ʻo ia ka wehe ʻana i ke wai ʻano ʻē i hōʻiliʻili ʻia ma hope o kou ʻōpū, ma kahi i kapa ʻia ʻo 'Pouch of Douglas', a hoʻouna aku i kahi keʻena hoʻokolohua e ʻike pono ai inā he 'maʻi' a i ʻole kekahi pilikia ʻē aʻe. He kōkua nui kēia i ka ʻike ʻana i ka maʻi.

Pehea e hoʻomākaukau ai au no kēia hoʻokolohua?

ʻOiaʻiʻo, ʻaʻole pono ʻoe e hoʻomākaukau nui no kahi hoʻokolohua culdocentesis. ʻO ia kekahi o nā pono o kēia hoʻokolohua.

• Hiki i ke kauka ke noi iā ʻoe e moe mālie no kekahi mau minuke ma mua o ka hoʻāʻo ʻana, a i ʻole e noi iā ʻoe e noho i luna.
• E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
• ʻOiai ʻo kēia hoʻāʻo pinepine e pili ana i kahi anesthetic kūloko e hoʻomāno i ka ʻāpana a puni ka vagina, he manaʻo maikaʻi ia e hoʻokele kekahi iā ʻoe i ka home ma hope o ka hoʻāʻo. I kekahi manawa hiki i ka anesthetic ke hoʻohiamoe iki iā ʻoe a huikau paha, no laila ʻaʻole kūpono ke kalaiwa.

Pehea e hana ʻia ai kahi hoʻāʻo culdocentesis? E ʻoluʻolu e wehewehe iki mai.

ʻAe, e hōʻike aku wau iā ʻoe pehea e hana ai i kēia ma kēlā me kēia ʻanuʻu. Mai hopohopo. Hiki ke hana ʻia i loko o kekahi mau minuke.

1. ʻO ka mea mua, e nānā ke kauka i kou ʻāpana pelvic (pelvic exam). ʻO ke ʻano kēia o ka nānā ʻana i kou vagina a me kou cervix.

2. A laila, hoʻokomo ʻia kahi mea lapaʻau kūikawā (speculum) i loko o kou vagina e hāpai iki i kou cervix a nānā pono aku. ʻAʻole ʻoe e ʻeha i kēia manawa, akā hiki paha iā ʻoe ke ʻeha iki a ʻūlū paha.

3. A laila, e hoʻokomo ke kauka i kahi anesthetic kūloko i loko o ka paia hope o kou vagina, kokoke i kou cervix, e hoʻomānoʻo i ka wahi e hoʻokomo ʻia ai ka nila. E pale aku kēia iā ʻoe mai ka ʻeha.

4. A laila, hoʻokomo ʻia kahi nila lahilahi ma ka paia o kou vagina, ma lalo pono o ka hopena o kou cervix, i loko o ka 'posterior cul-de-sac'. Hoʻopili ʻia kēia nila i kahi syringe, a e hōʻiliʻili ʻoe i ke wai.

5. ʻO ka mea hope loa, lawe ke kauka i kahi hāpana wai mai ka cul-de-sac hope ma o ka nila i loko o kahi syringe.

ʻO ia wale nō ka mea e hana ʻia. A laila hoʻouna ʻia ka hāpana wai i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana. Ma hope o ka culdocentesis, hiki iā ʻoe ke manaʻo i kahi ʻeha iki, e like me ka ʻeha ʻōpū iki. Akā naʻe, e emi pinepine kēia i loko o 24 a 48 mau hola.

He ʻeha anei kēia hoʻāʻo?

ʻAʻole, ʻaʻole pono e ʻeha ka hoʻāʻo `culdocentesis`. ʻO kēia no ka mea e hāʻawi ke kauka iā ʻoe i kahi lāʻau hoʻomānoʻo ma kahi i hoʻokomo ʻia ai ke kui. Eia naʻe, e like me kaʻu i ʻōlelo ai ma mua, hiki iā ʻoe ke loaʻa i kekahi ʻūlū a me ka ʻoluʻolu ʻole. Hiki ke like me ka ʻeha āu e ʻike ai i kou wā mahina.

I kekahi manawa, inā hāʻawi ʻia ʻoe i kahi mea hoʻomaha e kōkua iā ʻoe e hoʻomaha a hoʻēmi i kou hopohopo, he manaʻo maikaʻi maoli nō ka loaʻa ʻana o kekahi e lawe iā ʻoe i ka home ma hope o ka hoʻāʻo ʻana.

Aia kekahi mau pilikia e pili ana i ka hoʻāʻo Culdocentesis?

E like me nā hana lapaʻau āpau, aia kekahi mau pilikia liʻiliʻi e pili ana. Akā, he mea kakaikahi loa kēia a ua akahele loa nā kauka e pili ana i kēia.

• He wahi liʻiliʻi loa ka manawa e hou hewa ai ka nila i ka ʻōpū a i ʻole ka rectum.
• Aia kahi manawa liʻiliʻi o ka maʻi ma hope o ka hoʻāʻo ʻana.
• Aia kahi manawa liʻiliʻi e hōʻino ai ka nila i nā kīʻaha koko, nā cysts, a i ʻole nā ​​​​​​pū koko ʻē aʻe.

E wehewehe ke kauka i kēia mau pilikia iā ʻoe ma mua o ka hoʻāʻo. Hiki iā ia ke nīnau iā ʻoe i kekahi mau nīnau āu e loaʻa ai a kōkua iā ʻoe e hōʻoluʻolu i kou mau makaʻu.

Pehea e kōkua ai kēia i ka ʻike ʻana i ka hāpai ectopic?

I ka wā ma mua, i ka wā ʻaʻole i holomua loa ka ʻenehana ultrasound, ua waiwai nui kēia hoʻāʻo `culdocentesis` i ka ʻike ʻana i nā hihia i haki ai nā hāpai ma waho o ka ʻōpū (`ectopic pregnancies`) a kahe ke koko i loko o ka lua ʻōpū (kahi kūlana i kapa ʻia ʻo `hemoperitoneum`). I kēlā mau lā, ʻo ka hapa nui o ka manawa, ʻike ʻia ke alo o kahi `ectopic pregnancy` ma hope o kona haki ʻana.

Eia nō naʻe, me ka holomua o ka ʻenehana ultrasound, hiki ke ʻike pinepine ʻia kahi hāpai ectopic i kahi wā mua loa, ma mua o ka haki ʻana . No laila, ua emi nui ka pono no kahi hoʻāʻo culdocentesis i ia mau hihia.

He aha nā mea a nā hopena o kahi hoʻāʻo culdocentesis e haʻi mai ai iā mākou?

Hiki i nā hualoaʻa mai ka lab ke hāʻawi i ka ʻike koʻikoʻi e pili ana i kou kūlana.

• ʻO ka hopena maʻamau , ʻo ia hoʻi, ua moakāka ka hāpana wai i loaʻa a ʻaʻohe pilikia.
• Eia nō naʻe, inā he koko ke kala o ka wai, he melemele e like me ka pus , a he nui paha ka wai moakaka , hiki ke hōʻike i kahi pilikia.
• Eia kekahi laʻana, inā he melemele ka wai a like me ka pus , hōʻike ia i kahi maʻi.
• Inā he koko i ʻole e paʻa , hiki iā ia ke hōʻoia pinepine ua haki kahi 'hapipai ectopic' a ke kahe nei ke koko i loko o ka lua ʻōpū. No ka mea, ʻaʻole paʻa ke koko ma kēlā 'cul-de-sac'.

Ma muli o nā hopena, hiki i ke kauka ke ʻōlelo aku e wehe i ka wai i hōʻiliʻili ʻia a mālama paha me nā antibiotics.

Āhea wau e ʻike ai i ke kauka ma hope o ka hoʻāʻo?

Ma keʻano laulā, inā loaʻa iā ʻoe ka ʻeha nui ma kou ʻōpū a i ʻole pelvis, he mea nui e ʻike koke i ke kauka, no ka mea, he hōʻailona paha ia o kahi pilikia.

Ma hope o kahi hoʻāʻo culdocentesis, inā ʻike ʻoe i hoʻokahi a ʻoi aku paha o nā hōʻailona ma lalo nei , e hoʻomaopopo koke i kāu kauka :

• Ke kahe koko nui ʻana o ka ʻōpū (ka pulu ʻana ma mua o hoʻokahi pad i kēlā me kēia hola)
• ʻEha nui a hiki ʻole ke hoʻomanawanui (ʻoi aku hoʻi ma ka ʻōpū a i ʻole ka pelvic)
• Nā hōʻailona like me ka maʻi flu e like me ke kuni, ka ʻūlū, a me ka ʻeha o ke kino
• He kahe ʻala ʻino mai loko mai o ka vagina

ʻO nā hōʻailona e like me kēia e hōʻike paha i kahi maʻi a i ʻole kekahi pilikia ʻē aʻe.

He like anei ʻo Culdocentesis lāua ʻo Colpocentesis?

ʻAe, pololei loa ʻoe. ʻO 'Colpocentesis' kahi huaʻōlelo kahiko i hoʻohana ʻia no 'Culdocentesis'. ʻO nā mea ʻelua ke kaʻina hana hoʻāʻo like . I kēia manawa ua hoʻohana nui ʻia ka inoa ʻo 'Culdocentesis'.

No laila he aha ka ʻokoʻa ma waena o Culdocentesis a me Amniocentesis?

He ʻelua mau hoʻāʻo ʻokoʻa loa kēia, mai huikau iā lāua, ʻeā?

• He hana ka amniocentesis i ka wā hāpai e wehe i kahi hāpana o ka wai amniotic e hoʻopuni ana i ka pēpē mai ka ʻōpū a hoʻāʻo iā ia no ka maʻi a i ʻole nā ​​​​​​kūlana chromosomal. Hana ʻia kēia e hoʻoholo ai i ke olakino o ka pēpē.
• He hana ʻo Culdocentesis e nānā ai i ka wai ʻano ʻē e hōʻiliʻili ana i loko o ka ʻeke o Douglas, a i ʻole posterior cul-de-sac, ma hope o ka vagina. Hiki ke hana ʻia i nā wahine hāpai ʻole a me ka wā hāpai (ʻoi aku hoʻi inā kānalua ʻia kahi hāpai ectopic).

E like me kaʻu i ʻōlelo ai ma mua, ua emi nui ka hoʻohana ʻana i ka culdocentesis i ka wā i ʻoi aku ka holomua o ka ultrasound transvaginal i ka ʻike ʻana i ka wai ma ka ʻāpana pelvic. Ke hoʻohana nei nā kauka i nā ʻano hana ʻē aʻe, ʻoi aku ka hou, i kekahi manawa i alakaʻi ʻia e ke kiʻi, e wehe i ka wai maʻamau mai ka posterior cul-de-sac.

Nā mea nui e pono ai ʻoe e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui mākou e pili ana i ka 'Culdocentesis' i kēia manawa. Manaʻolana wau ua maopopo iā ʻoe kēia hoʻokolohua. I ka pōkole, eia nā mea āu e pono ai e hoʻomanaʻo:

• ʻO Culdocentesis kahi hana e pili ana i ka hoʻohana ʻana i kahi nila e wehe ai i ka wai maʻamau e hōʻiliʻili ana i loko o ka ʻeke o Douglas, ma hope o ka vagina.
• ʻAʻole hoʻohana pinepine ʻia kēia i kēia manawa , no ka mea, aia nā ʻano hana holomua, ʻeha ʻole, a pololei hoʻi e like me ka transvaginal ultrasound.
• He mea pono kēia ma mua no ka ʻike ʻana i nā maʻi e like me ka 'Ectopic pregnancy' a me ka 'Pelvic Inflammatory Disease (PID)'.
• He liʻiliʻi ka ʻeha i ka wā o ka hoʻāʻo ʻana (ma muli o ka numbness), ʻaʻohe pono o ka hoʻomākaukau nui.
• ʻOiai aia kekahi mau pilikia liʻiliʻi, he mea kakaikahi loa lākou.
• Inā ʻike ʻoe i nā hōʻailona e like me ke kahe koko nui, ka ʻeha nui, a i ʻole ke kuni ma hope o ka hoʻāʻo ʻana, e ʻimi koke i ke kōkua lapaʻau .

ʻO ka mea nui loa, inā he mau nīnau kāu e pili ana i kēia, a i ʻole kekahi hoʻokolohua lapaʻau ʻē aʻe, mai makaʻu e nīnau i kāu kauka. ʻO ka ʻike nui ʻana iā ʻoe e pili ana i kou olakino, ʻoi aku ka maikaʻi o kou kūlana e noho olakino!

ʻO Culdocentesis, culdocentesis, vagina, hoʻokolokolo wai, ʻEke o Douglas, olakino wahine, gynecology, hāpai ectopic, PID