Ua lohe paha ʻoe i ka huaʻōlelo 'culdocentesis'? Ua lohe paha ʻoe i kahi kauka e ʻōlelo ana, a ua heluhelu paha ʻoe e pili ana iā ia ma kekahi wahi. ʻOiai he huaʻōlelo paʻakikī a ʻano ʻē paha ia, he hoʻāʻo maoli ia i hoʻohana ʻia i ke olakino wahine. No laila i kēia lā, e kamaʻilio mākou ma ke ʻano maʻalahi loa e hiki ai iā ʻoe ke hoʻomaopopo i ke ʻano o ka hoʻohana ʻia ʻana, i ka wā e hana ʻia ai, a pehea ka laulā o ka hoʻohana ʻia ʻana i kēia mau lā.
I ka ʻōlelo maʻalahi, he aha ka Culdocentesis?
He hana lapaʻau ʻo Caldocentesis e pili ana i ka nānā ʻana i kahi wahi kūikawā ma hope o kou vagina a ma lalo o kou uterus e ʻike ai inā he hōʻiliʻili wai kūpono ʻole. No ka hoʻomaopopo ʻana i kēia, e nānā kākou i kēia ʻāpana o ko kākou kino.
E noʻonoʻo he wahi liʻiliʻi a hakahaka paha ko ka wahine, ma waena o kona ʻōpū a me ka rectum, ma hope o kona vagina. ʻO kēia ka mea a mākou e kapa nei ma ke ʻano lapaʻau ʻo 'posterior cul-de-sac' a i ʻole 'pouch of Douglas'. ʻOiai he hakahaka kēia wahi maʻamau, i kekahi mau kūlana olakino, hiki i ka wai ke hōʻiliʻili i loko o kēia wahi. No ka laʻana, ke koko, ka pus, a i ʻole nā wai ʻē aʻe.
No laila, inā kānalua ke kauka aia kekahi wai ʻē ma kēia wahi i kapa ʻia ʻo 'ʻeke o Douglas', e hana ʻo ia i kēia hoʻāʻo caldocentesis e ʻike pono i ke ʻano o ka wai. Maanei, hoʻokomo ke kauka i kahi nila lahilahi loa ma ka paia o ka vagina i loko o kēlā hakahaka a lawe i kahi laʻana liʻiliʻi o ka wai ma laila. A laila, hoʻouna ʻia ka laʻana i kahi lab e hoʻāʻo ʻia no ka mea i loko.
Akā, aia kekahi mea nui e ʻōlelo ʻia ma ʻaneʻi. I kēia mau lā, ma muli o ka holomua o ka ʻenehana, ʻaʻole i hana pinepine ʻia kēia hoʻāʻo caldocentesis. ʻO ke kumu o kēia, ʻo ia ka transvaginal ultrasound scan. Hiki i kēia scan ke ʻike maopopo i nā wai i loko o ke kino me ka ʻole o ka hoʻohana ʻana i nā nila. No laila, hiki ke ʻōlelo ʻia ua aneane pau kēia hoʻāʻo.
No ke aha he mea pono kēia hoʻāʻo?
I ka wā ma mua, i ka wā ʻaʻole i maʻamau ka ultrasound scans, he mea nui loa kēia hoʻāʻo. Ua kōkua ia i ka hana ʻana i kahi hōʻoia wikiwiki, ʻoiai i nā pilikia. Nui nā kumu nui no ka hana ʻana i kēia hoʻāʻo. E nānā kākou i ke ʻano o lākou.
| Kūlana a kumu paha | He wehewehe maʻalahi |
|---|---|
| Ka haki ʻana o ka hāpai ectopic | ʻO kēia ke kumu nui o kēia hoʻāʻo. ʻO ka mea e hana ʻia ma ʻaneʻi, ua hāpai ʻia kahi pēpē ma waho o ka ʻōpū, maʻamau i loko o kahi ʻōmole fallopian, a haki kēlā ʻōmole a kahe ke koko i loko o ka ʻōpū. Hōʻiliʻili kēia koko i loko o ka ʻeke o Douglas. |
| ʻO ka maʻi mumū Pelvic (PID) | He maʻi kēia e kū mai ana ke komo kahi germ i nā ʻāpana o luna o ka ʻōnaehana hānau, e like me ka uterus a me nā fallopian tubes. Hiki i kēia ke hana i kahi hōʻiliʻili o ka wai e like me ka pus i loko o kēlā ʻeke. |
| Nā ʻōpeʻapeʻa ovarian i haki | Hiki i nā cysts i piha i ka wai a i ʻole kekahi wai ʻē aʻe i hana ʻia ma nā ovaries ke pahū i kekahi manawa, e ʻae ana i ka wai e kahe i loko o ka lua ʻōpū a hōʻiliʻili i loko o ka ʻeke o Douglas. |
| ʻO ka Endometriosis | I kēia kūlana, ʻo nā ʻiʻo e pono e ulu i loko o ka ʻōpū e ulu ana ma waho o ka ʻōpū, e hoʻoulu ai i ka wai, e like me ke koko, e hōʻiliʻili i loko o ka ʻōpū. |
| ʻO ka trauma i ka pelvis | Inā he ʻeha ma ka ʻōpū lalo a i ʻole ka pelvis, hiki ke kahe koko i loko a hiki ke hōʻiliʻili ke koko. |
I nā kūlana e like me kēia, ua lilo kēia hoʻāʻo i mea pono loa ma mua no ka hoʻoholo ʻana inā he koko, he pus, a i ʻole kekahi wai ʻē aʻe i hōʻiliʻili ʻia.
E ʻōlelo kākou he pono ʻoe e hana i kēia hoʻokolohua, pehea ʻoe e hana ai?
E like me ka mea i ʻōlelo ʻia ma mua, ʻoiai ʻaʻole hoʻohana pinepine ʻia kēia i kēia manawa, he mea maikaʻi ke ʻike pehea e hana ai kēia kaʻina hana. ʻAʻole pono ʻoe e hana i ka hoʻomākaukau nui no kēia. E noi paha ke kauka iā ʻoe e noho mālie no kekahi mau minuke ma mua o ka hoʻāʻo. Hana pinepine ʻia kēia penei:
1. Ka hana mua:E hana mua ke kauka i kahi hoʻokolokolo pelvic maʻamau. A laila, e hoʻohana ʻo ia i kahi mea hana kūikawā (speculum) e hāpai mālie a paʻa i ka cervix. He mea ʻoluʻolu ʻole paha kēia, akā ʻaʻole ia he mea ʻeha.
2. KaʻAnuʻu Hana 2: A laila, hoʻopau ʻia kahi ʻāpana liʻiliʻi o ka paia o ka vagina kahi e hoʻokomo ʻia ai ke kui. Hana ʻia kēia me ka anesthesia kūloko, no laila ʻaʻole ʻoe e ʻeha.
3. KaʻAnuʻu Hana ʻEkolu: I kēia manawa, e hoʻokomo pono ke kauka i kahi nila lahilahi loa i hoʻopili ʻia i kahi syringe ma o ka wahi mae. E hoʻokomo ʻo ia iā ia i loko o kahi i kapa ʻia ʻo 'posterior cul-de-sac' a mākou i kamaʻilio ai.
4. Kaʻina hana hope loa: Ke kau ka nila i ke kūlana kūpono, e huki ʻia kahi wai liʻiliʻi ma ke ʻano he laʻana me ka hoʻohana ʻana i kahi syringe. A laila e wehe pono ʻia ka nila.
He mau minuke wale nō ka lōʻihi o ke kaʻina hana holoʻokoʻa. Hoʻouna ʻia ka hāpana i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana. Ma hope o ka hoʻāʻo ʻana, hiki iā ʻoe ke ʻike i kekahi ʻeha iki no hoʻokahi a ʻelua paha lā. He mea maʻamau kēia.
He mea ʻeha kēia?
ʻAʻole. ʻAʻole ʻeha kēia hoʻāʻo. ʻAʻole ʻoe e ʻeha no ka mea e mae ka nila ma kahi i hoʻokomo ʻia ai. Eia nō naʻe, hiki iā ʻoe ke manaʻo i kahi kaomi iki a ʻoluʻolu ʻole paha. I kekahi manawa e hāʻawi ʻia paha ʻoe i kahi mea hoʻomaha e kōkua iā ʻoe e hoʻomaha, a he manaʻo maikaʻi ke loaʻa i kekahi e hoʻokele iā ʻoe i ka home ma hope o ka hoʻāʻo.
Aia kekahi mau pilikia i loko o kēia?
E like me nā hana lapaʻau a pau, aia kekahi mau pilikia liʻiliʻi loa, akā he mea kakaikahi loa kēia.
| Pōpilikia | He wehewehe maʻalahi |
|---|---|
| Ka hōʻino ʻana i nā ʻōpū a puni | I ka manawa pinepine ʻole, hiki i ka nila ke pa i ka ʻōpū, ka rectum, a i ʻole ka ʻōpū mimi ke hoʻokomo ʻia. |
| Maʻi | He kakaikahi loa ka manawa e komo ai kahi germ i loko o ke kino mai kahi i hoʻokomo ʻia ai ke kui. |
| Ka hōʻino ʻana i nā kīʻaha koko a i ʻole nā pūpū | Hiki i ka nila ke kuʻi hewa i kahi kīʻaha koko, kahi cyst ovarian, a i ʻole kekahi puʻupuʻu ʻē aʻe. |
He aha ka ʻōlelo a nā hualoaʻa?
Hana ʻia ka ʻike ma ka nānā ʻana i ka hāpana wai i loaʻa. Hiki i nā hopena ke haʻi i nā mea he nui.
- Hopena Maʻamau: ʻO ka maʻamau, ʻaʻole nui ka wai i loko o ka 'ʻeke o Douglas'. Inā he wai, ua moakāka ke kala a he liʻiliʻi , he mea maʻamau.
- Nā Hopena ʻAno ʻē:
- Inā he wai melemele e like me ka pus , ʻo ia hoʻi ke ʻano he maʻi, e like me ka PID.
- Inā he koko, hōʻike ia i kekahi kahe koko kūloko. ʻOi loa aku inā he koko ʻaʻole ia e paʻa ana, he hōʻailona nui ia o ka hāpai ʻana o ka ectopic i haki. ʻO kēia no ka mea ua loli ke kaʻina hana paʻa koko i loko o ka lua ʻōpū.
- Inā he nui ka wai moakaka , hiki ke lilo i ka haki ʻana o ka ovarian cyst.
Ma muli o kēia mau hopena, e hoʻoholo ke kauka i ka mea e hana ai ma hope. Pono paha ʻo ia e hoʻomaka i nā lāʻau antibiotic a kuhikuhi paha iā ʻoe no ke ʻoki kino ulia pōpilikia.
I ka manawa hea ʻoe e makemake ai e ʻike i ke kauka?
Inā ua loaʻa iā ʻoe kahi hoʻāʻo calodocentesis a loaʻa nā hōʻailona e like me kēia ma hope, pono ʻoe e kāhea koke i kāu kauka .
- Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū a i ʻole ka ʻeha pelvic .
- Inā he nui ke kahe koko o ka ʻōpū .
- Inā loaʻa iā ʻoe nā hōʻailona like me ka maʻi palū e like me ke kuni a me ka ʻūhā .
He mau hōʻailona paha kēia o kahi pilikia, no laila mai hoʻowahāwahā iā lākou.
E aʻo kākou e pili ana i ʻelua mau huaʻōlelo ʻē aʻe e kani like me kēia.
Ua lohe paha ʻoe i nā hoʻokolohua lapaʻau ʻē aʻe e like ke kani me kēia, no laila mai huikau.
- ʻO Culdocentesis lāua ʻo Colpocentesis: ʻElua inoa kēia no ka hoʻāʻo hoʻokahi. He huaʻōlelo kahiko ʻo Colpocentesis i hoʻohana ʻia no kēia.
- ʻO Culdocentesis a me Amniocentesis : He ʻelua mau hoʻokolohua ʻokoʻa loa kēia.He hana ia e pili ana i ka lawe ʻana i kahi nila e wehe i ka wai amniotic e hoʻopuni ana i ka pēpē i loko o ka ʻōpū i ka wā hāpai e nānā i nā maʻi genetic. Hana ʻia ia ma luna o kahi wahine hāpai. Hana ʻia ʻo Culdocentesis e nānā i ka wai ʻē i loko o ka ʻeke o Douglas.
Leka Lawe-Home
- ʻO ke Culdocentesis kahi hana e pili ana i ka hoʻohana ʻana i kahi nila e wehe i ka wai maʻamau mai kahi i kapa ʻia ʻo 'ʻeke o Douglas' ma hope o ka ʻōpū o ka wahine a nānā iā ia.
- Ua hoʻohana nui ʻia kēia i ka wā ma mua, ʻoiai no ka ʻike ʻana i nā pilikia e like me ka hāpai ʻana o ka ectopic.
- Akā i kēia mau lā, no ka mea, ʻoi aku ka pololei, ka palekana, a me ka ʻeha ʻole o ka transvaginal ultrasound scan , ʻaʻole hana pinepine ʻia ka hoʻāʻo caldocentesis.
- ʻAʻole ʻeha kēia hoʻāʻo no ka mea ua hana ʻia ma lalo o ka anesthesia, a he haʻahaʻa loa nā pilikia.
- Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha nui o ka ʻōpū ma lalo a i ʻole ke kahe koko ʻē, he mea nui loa ia e ʻimi koke i ka ʻōlelo aʻo mai ke kauka kūpono me ka manaʻo ʻole i kekahi mea.
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