Yu dɔn yɛri bɔt di Culdocentesis tɛst? Lɛ wi tɔk bɔt am!

Wɛl, yu nɔ go dɔn yɛri bɔt di wɔd `Culdocentesis` bifo. Pan ɔl we i kin tan lɛk se na kɔmplikɛt nem, na simpul mɛrɛsin tɛst we dɛn kin du pan uman dɛn we de mɛn uman dɛn. כltu, dεn nכ de yuz dis tεst bכku tεm dεn tεm ya, biכs nyu, izi mεtכd dεm lεk `Transvaginal ultrasound` dכn kam. Bɔt, i go impɔtant fɔ mek yu no bɔt am. So, lɛ wi si wetin na `Culdocentesis`, wetin mek dɛn de du am, ɛn aw dɛn de du am na simpul we.

Wetin na kul-de-sak? Aw wata kin rich de?

insay uman in bεlε, bitwin di uterus εn di כgan dεm we de rawnd am, sכm sכm spεs dεm de, כ sak dεm we dεn kכl `cul-de-sacs.` fכ bi prεsis, tu sak dεm de we dεn kayn we de.

1. Wan de na di fכnt, bitwin yu blad εn yu uterus. dis dεn kכl am di `anterior cul-de-sac`.

2. Di oda wan de fo bak. dis dεn kכl am di `posterior cul-de-sac`. i de bihayn di uterus, bitwin di anus εn di bak wכl na di vagina.

Dɔktɔ dɛn kin kɔl dis `posterior cul-de-sac` ɔda nem, we na `Pouch of Douglas` . di imכtant tin na dat we sכm mεdikal kכndyushכn dεm de apin na di bכdi, fכ egzampl, infεkshכn, bכdi, εtk, wan abnכmal כmכnt fכ wata kin kכmכt na dis spεs we dεn kכl `Pouch of Douglas`. na we dεn de du `Culdocentesis`, εn dεn tek wan sεmpl fכ da wata de εn tεst fכ si us kayn wata i bi, if i gεt infεkshכn ejen, כ if i gεt bכdi. Yu ɔndastand?

So, insay us kes dɛn dɛn kin du Culdocentesis?

Bɔku tɛm, yu dɔktɔ go du ɔltra saund fɔs. Bɔku tɛm, dis na transvagina ɔltrasɔund. Dis na skan we dɛn kin du tru di vagina. dis kin si klia wan if eni wata de we de bכku insay di paus fכ Douglas, bihayn di uterus.

If di dɔktɔ si se da kayn wata de de, i nɔ kɔmɔn, ɛn i sɔprayz se i kin bi bikɔs ɔf sɔm prɔblɛm, den dɛn go du dis `culdocentesis` tɛst, ɛn dɛn go tek wan sɛmpul pan da wata de ɛn sɛn am fɔ mek dɛn du mɔ tɛst.

Sɔm pan de tin dɛm wae kin mek yu gɛt dis tɛst na:

• Wan bɛlɛ we de kɔmɔt na di bɛlɛ we dɔn brok. Dis na siriɔs sik we nid fɔ ɔpreshɔn kwik kwik wan. If dis apin, blɔd kin gɛda na di bɛlɛ.
• Pεlvik Inflammatory Disease (PID) na infεkshכn na di pεlvik εria. dis kin mek bak fכ kכlekshכn fכ wata we lεk pus.
• Rupchɔ na di ovarian sist dɛn.
• Endometriosis we de mek pɔsin gɛt sikWan sik we dɛn kɔl ɛndometriɔsis. insay dis kכndishכn, di tisu we lεk di wan we de insay di uterus de gro ausayd di uterus.
• di fibroid tכmכro dεm we de fכm na di uterus, we dεn kכl ``Uterine fibroids``.
• Aksidɛnt ɔ injuri na di bɛlɛ.
• Pen we de kɔntinyu, siriɔs, we yu nɔ ebul fɔ ɛksplen na yu bɛlɛ ɔ yu bɛlɛ we de dɔŋ.

Wetin na di rial rizin fɔ dis Culdocentesis tɛst?

Fɔ tɔk am simpul wan, di men tin we mek dɛn du dis tɛst na fɔ pul di abnɔmal wata we dɔn gɛda biɛn yu vagina, na wan ples we dɛn kɔl `Pouch of Douglas`, ɛn sɛn am na lɛbɔraytri fɔ no if `infɛkshɔn` ɔ ɔda prɔblɛm de. Dis kin ɛp bɔku fɔ no bɔt di sik.

Aw a fɔ rɛdi fɔ dis tɛst?

Fɔ tru, yu nɔ nid fɔ pripia bɔku fɔ wan culdocentesis tɛst. Dat na wan pan di tin dɛn we izi fɔ du fɔ dis tɛst.

• Di dɔktɔ kin aks yu fɔ ledɔm fɔ sɔm minit bifo di tɛst, ɔ i kin aks yu fɔ sidɔm.
• Tɛl yu dɔktɔ bɔt ɔda mɛrɛsin dɛn we yu de tek.
• Bikɔs bɔku tɛm dis tɛst kin gɛt lokal anestetik fɔ mek di say we de rawnd di vagina nɔ gɛt bɛtɛ trɛnk, i fayn fɔ mek sɔmbɔdi drayv yu go na os afta di tɛst. Sɔntɛnde, di anestetik kin mek yu fil smɔl fɔ slip ɔ kɔnfyus, so i nɔ fayn fɔ drayv.

Aw dɛn kin du kuldosɛntɛsis tɛst? Duya ɛksplen smɔl.

Okay, a go sho yu aw fɔ du dis step bay step. Nɔ wɔri. Bɔku tɛm, dɛn kin du am insay sɔm minit.

1. Fכs, di dכkta go egzamin yu bכdi εria (pεlvik εgzam). Dis min se yu fɔ chɛk yu vagina ɛn yu sɛviks.

2. Dɔn, dɛn kin put spɛshal mɛrɛsin inschrumɛnt (speculum) insay yu vagina fɔ es yu sɛviks smɔl ɛn mek yu luk fayn. Yu nɔr go fil ɛni pen dis tɛm, bɔt yu kin fil sɔm smɔl smɔl swɛt ɔr nɔr kin fil fayn.

3. Neks, di dכkta go injεkt wan lokal anεsthεtik insay di bak wכl na yu vagina, nia yu sεviks, fכ mek di εria we dεn go put di nidul nכm. Dis go mek yu nɔ fil ɛni pen.

4. afta dat, dεn de put wan tכn nidul tru di wכl na yu vagina, jכs dכn di εnd fכ yu sεviks, insay di `posterior cul-de-sac`. Dɛn kin tay dis nidul pan sirinj, ɛn yu go gɛda di wata.

5. fכ finish, di dכkta tek wan sεmpl fכ wata frכm di posita kul-de-sak tru di nidul insay wan sirinj.

Na dat nɔmɔ kin apin. Dɔn dɛn kin sɛn di fluid sɛmpul to wan lab fɔ mek dɛn tɛst am. Afta yu dɔn du culdocentesis, yu kin fil sɔm kayn diskɔmfɔt, lɛk we yu bɛlɛ de at smɔl. Bɔt dis kin stɔp insay 24 to 48 awa.

Yu tink se dis tɛst de mek pɔsin fil bad?

Nɔ, di `culdocentesis` tɛst nɔ fɔ mek pɔsin fil pen . Dis na bikɔs di dɔktɔ go gi yu wan mɛrɛsin we de mek yu nɔ fil usay dɛn put di nidul. Bɔt, lɛk aw a bin dɔn tɔk, yu kin gɛt sɔm kramp ɛn yu nɔ kin fil fayn. I kin tan lɛk di pen we yu kin gɛt we yu de gɛt mɔnt.

Sɔntɛnde, if dɛn gi yu wan mɛrɛsin we de mek yu fil fayn fɔ ɛp yu fɔ rilaks ɛn nɔ wɔri, i go mɔs bi se i fayn fɔ mek pɔsin kɛr yu go na os afta di tɛst.

Ɛni risk de we de insay di Culdocentesis tɛst?

Jɔs lɛk ɛni ɔda mɛrɛsin, sɔm smɔl smɔl prɔblɛm dɛn de we kin apin. Bɔt dɛn tin ya nɔ kin apin so ɔltɛm ɛn dɔktɔ dɛn kin rili tek tɛm wit dis.

• sכm chans de fכ mek di nidul aksidεntli pכyz di uterus כ rεktum.
• Smɔl chans de fɔ gɛt di sik afta di tɛst.
• Smɔl chans de fɔ mek di nidul pwɛl di blɔd vesel dɛn, di sist dɛn, ɔ ɔda tumbu dɛn.

Di dɔktɔ go ɛksplen to yu dɛn prɔblɛm ya bifo yu du di tɛst. I kin aks yu ɛni kwɛstyɔn we yu gɛt ɛn ɛp yu fɔ mek yu nɔ fred.

Aw dis kin ɛp fɔ no if uman gɛt bɛlɛ we nɔ de na di bɛlɛ?

trade, we di כltra saund tεknכlכji nכ bin so advans, dis `culdocentesis` tεst bin rili valyu fכ no di kes dεm we bεlε we de ausayd di uterus (`ectopic pregnancies`) rכp εn bכdi fכ fכlכ insay di bכdi kכva (wan kכndishכn we dεn kכl `hemoperitoneum`). insay dεn tεm dεm, bכku tεm, dεn bin de כnli fכ no di prεsεns fכ `εktopik bεlε` afta i rכp.

Bɔt we di tɛknɔlɔji we dɛn de yuz fɔ fɛn ɔltra saund de go bifo, bɔku tɛm dɛn kin no se uman gɛt bɛlɛ we nɔ de na di bɛlɛ we i smɔl, ivin bifo i brok . So, di nid fɔ du culdocentesis test pan dɛn kayn kes ya dɔn rili stɔp naw.

Wetin di rizulyt fɔ wan culdocentesis test de tɛl wi?

Di rizɔlt frɔm di lab kin gi impɔtant infɔmeshɔn bɔt yu kɔndishɔn.

• Nɔmal rizɔlt min se di fluid sampul we dɛn gɛt klia ɛn no prɔblɛm nɔ de.
• Bɔt if di wata gɛt blɔd kɔlɔ , yɔlɔ lɛk pus , ɔ bɔku klia wata de de , dat kin sho se prɔblɛm de.
• Fɔ ɛgzampul, if di wata yɔlɔ ɛn tan lɛk pus , i de sho se i gɛt infekshɔn.
• if bכdi de we nכ de kכlכt , i kin kכnfכm bכku tεm se wan `εktopik bεlε` dכn rכp εn i de bכn insay di bכdi. Bikɔs di blɔd we de insay da `cul-de-sac` de nɔ kin klɔt nɔmal wan.

Di dɔktɔ kin tɛl yu fɔ pul di wata we dɔn gɛda ɔ yu fɔ trit am wit antibayɔtik.

Ustɛm a fɔ go to dɔktɔ afta di tɛst?

Jɛnɛral wan, if yu gɛt siriɔs pen na yu bɛlɛ ɔ yu bɛlɛ, i impɔtant fɔ go to dɔktɔ kwik kwik wan, bikɔs i kin bi sayn fɔ prɔblɛm.

Afta yu dɔn du culdocentesis test, if yu gɛt wan ɔ mɔ pan dɛn sik ya , tɛl yu dɔktɔ wantɛm wantɛm :

• Ebi blɔd we de kɔmɔt na di vagina (we de wet pas wan pad pan awa) .
• Big pen we yu nɔ go ebul fɔ bia (espɛshali na di bɛlɛ ɔ di say we yu de na di bɛlɛ) .
• Sɔm kayn sik wae tan lɛk flu lɛk fiva, kol, ɛn bɔdi pen
• Wan wata we de kɔmɔt na di vagina we de smɛl fayn

Simptom dɛm lɛk dis kin sho se yu gɛt infekshɔn ɔ ɔda prɔblɛm.

Yu tink se Culdocentesis ɛn Colpocentesis na di sem tin?

Yɛs, yu rili rayt. `Colpocentesis` na wan ol wɔd we dɛn bin de yuz fɔ `Culdocentesis`. Dɛn tu na di sem tɛst we dɛn kin du . Naw di nem `Culdocentesis` na in dɛn kin yuz mɔ.

So wetin na di difrɛns bitwin Culdocentesis ɛn Amniocentesis?

Dis na tu komplit difren test, no konfuz dem, okay?

• amniocentesis na wan we we uman bεlε de pul wan sεmpl fכ di amniotic fluid we de rawnd di pikin frכm di uterus εn tεst am fכ infεkshכn כ kromozom abnכmaliti. Dɛn kin du dis fɔ no if di pikin gɛt wɛlbɔdi.
• Culdocentesis na we dεn de egzamin abnכmal wata we de kכlekt insay di paus fכ Douglas, כ posita kul-de-sak, bihayn di vagina. i kin du am pan uman dεm we nכ bεlε εn bak we dεn bεlε (sεf if dεn sכspεkt se i bεlε na εktopik).

as a bin se bifo, di yus fכ kuldosεntesis dכn dכn bכku as transvaginal ultrasound dכn bi mכr advans fכ dεtekt fכ fכm na di pεlvik εria. Naw, dɔktɔ dɛn de yuz ɔda we dɛn we de naw, we sɔm tɛm dɛn de yuz pikchɔ fɔ pul wata we nɔ de na di posita kul-de-sak.

Di impɔtant tin dɛn we yu nid fɔ mɛmba (Take-Home Message) .

Okay, wi don tok plenti boht `Culdocentesis` naw. A op se yu ɔndastand dis tɛst gud gud wan. Fɔ tɔk smɔl, na dis yu nid fɔ mɛmba:

• Culdocentesis na we dεn de yuz nidul fכ pul abnכmal wata we de kכlekt insay di paus fכ Douglas, bihayn di vagina.
• Dɛn nɔ kin yuz dis igen , bikɔs advans we dɛn de we nɔ de mek pɔsin fil pen, ɛn we kɔrɛkt pasmak lɛk transvaginal ultrasound.
• dis bin yusful bifo fכ no di kכndishכn dεm lεk `Ectopic pregnancy` εn `Pelvic Inflammatory Disease (PID)`.
• Di pen we dɛn de fil we dɛn de du di tɛst nɔ bɔku (bikɔs i nɔ de fil fayn), ɛn dɛn nɔ nid fɔ pripia ɛni big tin.
• Pan ɔl we sɔm smɔl smɔl prɔblɛm dɛn de, dɛn nɔ kin apin so ɔltɛm .
• If yu gɛt sɔm sayn dɛn lɛk we yu de blɔd bɔku, yu de fil bad bad wan, ɔ yu gɛt fiva afta yu dɔn du di tɛst, go to dɔktɔ wantɛm wantɛm .

Di tin we impɔtant pas ɔl na dat if yu gɛt ɛni kwɛstyɔn bɔt dis, ɔ ɛni ɔda mɛrɛsin tɛst, nɔ fred fɔ aks yu dɔktɔ. Di mɔ yu no bɔt yu wɛlbɔdi biznɛs, na di mɔ yu go gɛt chans fɔ gɛt wɛlbɔdi!

` Culdocentesis, culdocentesis, vagina, fluid egzamin, Pouch of Douglas, uman in hεlth, gaynεkכlכji, εktopik bεlε, PID