Koj puas tau hnov lo lus 'culdocentesis'? Tej zaum koj yuav tau hnov ib tug kws kho mob hais txog nws, lossis koj yuav tau nyeem txog nws qhov twg. Txawm hais tias nws yuav zoo li lo lus nyuaj thiab txawv txawv, nws yog ib qho kev kuaj mob siv rau kev noj qab haus huv ntawm cov poj niam. Yog li hnub no, peb yuav tham nrog ib txoj hauv kev yooj yim heev uas koj tuaj yeem nkag siab tias nws siv rau dab tsi, thaum twg nws ua, thiab nws siv dav npaum li cas niaj hnub no.
Hais yooj yim xwb, Culdocentesis yog dab tsi?
Caldocentesis yog ib txoj kev kho mob uas yuav tsum kuaj xyuas ib cheeb tsam tshwj xeeb tom qab koj lub qhov chaw mos thiab hauv qab koj lub tsev menyuam kom pom tias puas muaj cov kua dej sib sau ua ke tsis zoo. Yuav kom nkag siab qhov no, cia peb saib qhov no ntawm peb lub cev.
Xav txog ib tug poj niam muaj ib qho chaw me me, khoob, lossis ib lub hnab, ntawm nws lub tsev menyuam thiab lub qhov quav, tom qab nws lub qhov chaw mos. Qhov no yog qhov peb hu ua 'posterior cul-de-sac' lossis 'pouch of Douglas'. Txawm hais tias qhov chaw no feem ntau khoob, qee qhov mob, cov kua dej tuaj yeem sib sau ua ke hauv qhov chaw no. Piv txwv li, ntshav, kua qaub, lossis lwm yam kua dej.
Yog li, yog tias tus kws kho mob xav tias muaj qee cov kua dej txawv txawv nyob rau hauv thaj chaw no hu ua 'pouch of Douglas', nws yuav ua qhov kev kuaj caldocentesis no kom paub tseeb tias nws yog hom kua dej dab tsi. Ntawm no, tus kws kho mob ntxig ib rab koob nyias heev hla phab ntsa ntawm lub qhov chaw mos mus rau hauv qhov chaw ntawd thiab coj ib qho qauv me me ntawm cov kua dej ntawd. Tom qab ntawd, cov qauv raug xa mus rau chav kuaj kom kuaj seb nws muaj dab tsi.
Tiam sis muaj ib yam tseem ceeb uas yuav tsum hais ntawm no. Niaj hnub nim no, vim yog kev nce qib hauv thev naus laus zis, qhov kev kuaj caldocentesis no tsis tshua muaj ua. Qhov laj thawj rau qhov no yog kev ntsuas ultrasound transvaginal. Qhov kev ntsuas no tso cai rau koj pom cov kua dej hauv lub cev kom meej meej yam tsis tas siv koob. Yog li ntawd, nws tuaj yeem hais tias qhov kev kuaj no tam sim no yuav luag ploj mus lawm.
Vim li cas qhov kev xeem no thiaj li tsim nyog?
Yav tas los, thaum tsis muaj kev kuaj ultrasound ntau, qhov kev kuaj no tseem ceeb heev. Nws tau pab ua kom kuaj tau sai, tshwj xeeb tshaj yog thaum muaj xwm txheej ceev. Muaj ntau yam laj thawj tseem ceeb rau kev ua qhov kev kuaj no. Cia peb saib seb lawv yog dab tsi.
| Mob los yog ua rau | Ib qho lus piav qhia yooj yim |
|---|---|
| Kev xeeb tub ectopic tawg | Qhov no yog qhov laj thawj tseem ceeb rau qhov kev kuaj no. Qhov tshwm sim ntawm no yog tias tus menyuam yug sab nraum lub tsev menyuam, feem ntau nyob rau hauv lub raj fallopian, thiab lub raj ntawd tawg thiab los ntshav rau hauv plab. Cov ntshav no sau rau hauv lub hnab Douglas. |
| Kab mob Pelvic Inflammatory (PID) | Qhov no yog ib qho kev kis kab mob uas tshwm sim thaum cov kab mob nkag mus rau sab saud ntawm lub cev kev yug me nyuam, xws li lub tsev menyuam thiab cov raj fallopian. Qhov no kuj tseem tuaj yeem ua rau muaj cov kua dej zoo li kua qaub hauv lub hnab ntawd. |
| Cov Qog Qog Qog Uas Tawg Lawm | Cov cysts uas muaj dej los yog lwm yam kua dej uas tsim rau ntawm lub zes qe menyuam qee zaum yuav tawg, ua rau cov kua dej ntws mus rau hauv lub plab thiab sib sau ua ke hauv lub hnab Douglas. |
| Kev mob endometriosis | Hauv qhov xwm txheej no, cov nqaij uas yuav tsum loj hlob hauv lub tsev menyuam loj hlob sab nraud lub tsev menyuam, ua rau cov kua dej, xws li ntshav, sib sau ua ke hauv lub plab. |
| Kev raug mob rau lub plab mog | Yog tias muaj kev raug mob rau lub plab qis lossis lub duav, kev los ntshav sab hauv tuaj yeem tshwm sim thiab ntshav tuaj yeem sib sau ua ke. |
Hauv cov xwm txheej zoo li no, qhov kev kuaj no yav dhau los tau muaj txiaj ntsig zoo rau kev txiav txim siab seb qhov kev sau yog ntshav, kua qaub, lossis lwm yam kua dej.
Xav hais tias koj yuav tsum ua qhov kev xeem no, koj yuav ua li cas?
Raws li tau hais ua ntej lawm, txawm hais tias qhov no tsis tshua siv lawm, nws yog qhov zoo kom paub tias cov txheej txheem no ua haujlwm li cas. Koj tsis tas yuav npaj ntau rau qhov no. Tus kws kho mob yuav hais kom koj nyob twj ywm ob peb feeb ua ntej qhov kev kuaj. Qhov no feem ntau ua li no:
1. Kauj ruam thawj zaug:Tus kws kho mob yuav ua qhov kev kuaj mob plab hnyuv ua ntej. Tom qab ntawd, nws yuav siv ib lub cuab yeej tshwj xeeb (speculum) los maj mam tsa thiab tuav lub qhov ncauj tsev menyuam. Qhov no yuav ua rau koj tsis xis nyob me ntsis, tab sis nws tsis mob.
2. Kauj Ruam 2: Tom ntej no, ib cheeb tsam me me ntawm phab ntsa qhov chaw mos uas yuav tsum tau ntxig koob yuav raug loog. Qhov no yog ua nrog tshuaj loog hauv zos, yog li koj yuav tsis hnov mob.
3. Kauj Ruam Peb: Tam sim no tus kws kho mob yuav ua tib zoo ntxig ib rab koob nyias nyias uas txuas nrog lub koob txhaj tshuaj los ntawm thaj chaw loog. Nws yuav ntxig nws rau hauv qhov chaw hu ua 'posterior cul-de-sac' uas peb tau tham txog.
4. Kauj Ruam Kawg: Thaum rab koob nyob rau hauv qhov chaw raug, ib qho me me ntawm cov kua dej yuav raug rho tawm ua qauv siv lub koob txhaj tshuaj. Tom qab ntawd, rab koob yuav raug tshem tawm kom zoo.
Tag nrho cov txheej txheem tsuas siv ob peb feeb xwb. Cov qauv raug xa mus rau chav kuaj mob kom kuaj. Tom qab kuaj tas, koj yuav mob plab me ntsis rau ib lossis ob hnub. Qhov no yog ib txwm muaj.
Qhov no puas mob?
Tsis yog. Qhov kev kuaj no tsis mob. Koj yuav tsis hnov mob vim tias lub koob yuav loog qhov twg nws raug ntxig. Txawm li cas los xij, koj yuav hnov qee qhov kev nyem me ntsis lossis tsis xis nyob. Qee zaum koj yuav tau txais tshuaj loog kom pab koj so, thiab nws yog lub tswv yim zoo kom muaj ib tus neeg tsav koj mus tsev tom qab kev kuaj.
Puas muaj tej yam txaus ntshai hauv qhov no?
Ib yam li lwm yam kev kho mob, muaj qee qhov kev pheej hmoo me me uas cuam tshuam, tab sis cov no tsis tshua muaj.
| Kev Pheej Hmoo | Ib qho lus piav qhia yooj yim |
|---|---|
| Kev puas tsuaj rau cov kab mob ib puag ncig | Tsis tshua muaj zaus, thaum muab koob txhaj rau hauv, koob txhaj ntawd yuav raug lub tsev menyuam, qhov quav, lossis lub zais zis. |
| Kev kis kab mob | Muaj tsawg heev uas cov kab mob yuav nkag mus rau hauv lub cev los ntawm qhov chaw ntxig koob. |
| Kev puas tsuaj rau cov hlab ntsha lossis cov qog nqaij hlav | Lub koob txhaj tshuaj yuav ua rau raug cov hlab ntsha, lub cyst ntawm zes qe menyuam, lossis lwm yam qog nqaij hlav. |
Cov txiaj ntsig qhia li cas?
Kev kuaj mob yog ua los ntawm kev kuaj cov kua dej uas tau los. Cov txiaj ntsig tuaj yeem qhia tau ntau yam.
- Qhov Tshwm Sim Ib Txwm: Feem ntau, tsis muaj kua dej ntau hauv 'lub hnab Douglas'. Yog tias muaj, nws yog xim ntshiab thiab me me , nws yog ib txwm muaj.
- Cov Txiaj Ntsig Txawv Txawv:
- Yog tias muaj cov kua tawm daj zoo li kua qaub , ces tej zaum yuav muaj kev kis kab mob, xws li PID.
- Yog tias muaj ntshav, nws qhia tau tias muaj qee qhov kev los ntshav sab hauv. Tshwj xeeb tshaj yog tias nws yog cov ntshav tsis txhaws, nws yog ib qho tsos mob tseem ceeb ntawm kev xeeb tub ectopic tawg. Qhov no yog vim tias cov txheej txheem ntshav txhaws hauv lub plab tau hloov pauv.
- Yog tias muaj cov kua dej ntshiab ntau , nws yuav yog lub cyst ovarian tawg.
Raws li cov txiaj ntsig no, tus kws kho mob yuav txiav txim siab seb yuav ua li cas tom ntej. Tej zaum nws yuav tsum pib noj tshuaj tua kab mob lossis xa koj mus phais mob thaum muaj xwm txheej ceev.
Koj xav mus ntsib kws kho mob thaum twg?
Yog tias koj tau ua qhov kev kuaj calodocentesis thiab muaj cov tsos mob zoo li no tom qab ntawd, koj yuav tsum hu rau koj tus kws kho mob tam sim ntawd .
- Yog tias koj mob plab hnyav lossis mob pelvic .
- Yog tias koj muaj ntshav ntws ntau dhau ntawm qhov chaw mos .
- Yog koj muaj cov tsos mob zoo li mob khaub thuas xws li kub taub hau thiab mob khaub thuas .
Cov no yuav yog cov cim qhia tias muaj teeb meem, yog li ntawd tsis txhob tsis quav ntsej lawv.
Cia peb kawm txog ob lo lus ntxiv uas zoo ib yam li qhov no.
Tej zaum koj twb tau hnov txog lwm yam kev kuaj mob uas zoo ib yam li qhov no, yog li ntawd tsis txhob xav tsis thoob.
- Culdocentesis thiab Colpocentesis: Cov no yog ob lub npe rau tib qho kev kuaj. Colpocentesis yog ib lo lus qub siv rau qhov no.
- Culdocentesis thiab Amniocentesis: Cov no yog ob qho kev xeem sib txawv kiag li. AmniocentesisNws yog ib qho txheej txheem uas siv ib rab koob los rho cov kua dej amniotic uas nyob ib puag ncig tus menyuam hauv plab thaum cev xeeb tub los xyuas seb puas muaj teeb meem caj ces. Nws yog ua rau tus poj niam cev xeeb tub. Culdocentesis yog ua los xyuas seb puas muaj cov kua dej tsis zoo hauv lub hnab Douglas.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Culdocentesis yog ib txoj kev kho mob uas siv koob txhaj tshuaj los tshem tawm cov kua dej tsis zoo ntawm qhov chaw hu ua 'pouch of Douglas' tom qab tus poj niam lub tsev menyuam thiab kuaj nws.
- Qhov no tau siv dav heev yav dhau los, tshwj xeeb tshaj yog los nrhiav cov xwm txheej ceev xws li cev xeeb tub ectopic tawg.
- Tab sis niaj hnub no, vim tias kev kuaj ultrasound transvaginal yog qhov tseeb dua, muaj kev nyab xeeb dua, thiab tsis mob, qhov kev kuaj caldocentesis tsis tshua muaj.
- Qhov kev kuaj no tsis mob vim nws ua tiav hauv qab tshuaj loog, thiab qhov kev pheej hmoo tsawg heev.
- Yog koj muaj cov tsos mob xws li mob plab heev lossis los ntshav txawv txawv, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab los ntawm tus kws kho mob tam sim ntawd yam tsis tas xav txog dab tsi li.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
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