Yu don eva yehri di wohd ‘culdocentesis’? Yu go dɔn yɛri dɔktɔ tɔk bɔt am, ɔ yu go dɔn rid bɔt am sɔnsay. Pan ɔl we i kin tan lɛk se na kɔmplikɛt ɛn strenj wɔd, fɔ tru, na tɛst we dɛn kin yuz fɔ mek uman dɛn gɛt wɛlbɔdi. So tide, wi go tɔk insay wan rili simpul we we yu go ɔndastand wetin dɛn de yuz am fɔ, ustɛm dɛn de du am, ɛn aw dɛn de yuz am bɔku bɔku wan dɛn tɛm ya.
Fɔ tɔk am simpul wan, wetin na Culdocentesis?
Caldocentesis na mεdikal prosidכs we involv fכ egzamin wan spεshal εria bihayn yu vagina εn כnda yu uterus fכ si if abnכmal kכlekshכn fכ wata de. Fɔ ɔndastand dis, lɛ wi tek tɛm luk dis pat na wi bɔdi.
Imajin se uman gɛt smɔl ɛmti ples ɔ pɔch, bitwin in uterus ɛn in rɛktum, biɛn in vagina. dis na wetin wi mεdikal kכl di ‘posterior cul-de-sac’ כ ‘pouch of Douglas’. Pan ɔl we dis ples kin ɛmti, insay sɔm mɛrɛsin, wata kin gɛda na dis ples. Fɔ ɛgzampul, blɔd, pus, ɔ ɔda wata.
So, if dכkta sכspεkt se sכm כnusual wata de na dis εria we dεn kכl ‘pouch of Douglas’, i go du dis kaldosεntesis tεst fכ no εksεkshכn us kayn wata i bi. na ya, di dכkta de put wan nidul we rili tכn tru di wכl na di vagina insay da spεs de εn tek sכm sכm sεmpl fכ di wata we de de. Dɔn, dɛn kin sɛn di sampul to wan lɛb fɔ mek dɛn tɛst am fɔ wetin de insay.
Bɔt sɔntin de we impɔtant fɔ tɔk na ya. Naw, bikɔs ɔf di advansmɛnt pan tɛknɔlɔji, dɛn nɔ kin du dis kaldosɛntɛsis tɛst. di rizin fכ dis na di transvaginal ultrasound skan. Dis skan de mek yu si di wata we de insay di bɔdi rili klia wan we yu nɔ yuz ɛni nidul. So, wi kin se dis tɛst dɔn lɛf smɔl naw.
Wetin mek i nid fɔ du dis tɛst?
Trade, we dɛn nɔ bin de du ɔltra saund skan so, dis tɛst bin rili impɔtant. I bin ɛp fɔ mek dɛn no di sik kwik kwik wan, mɔ we tin apin we nɔ izi fɔ am. Bɔku men rizin dɛn bin de we mek dɛn du dis tɛst. Lɛ wi si wetin dɛn bi.
| Kɔndishɔn ɔ kɔz | Wan simpul ɛksplen |
|---|---|
| Wan bɛlɛ we de kɔmɔt na di bɛlɛ we dɔn brok | Dis na di men rizin fɔ dis tɛst. wetin de apin ya na we di pikin de bכn na do na di uterus, bכku tεm na di fallopian tכb, εn da tכb de rכp εn blכd go insay di bεlε. Dis blɔd kin gɛda na di pɔch we Daglas gɛt. |
| Pelvik Inflammatory Disease (PID) we de mek pɔsin gɛt sik we dɛn kɔl PID . | dis na infεkshכn we de apin we wan jεm go insay di כp pat dεm na di riprodaktiv sistεm lεk di uterus εn di fallopian tכb dεm. dis kin mek bak fכ kכlekshכn fכ wata we lεk pus insay da sak de. |
| Sist dɛn we de na di Ovarian we dɔn rɔp | di sist dεm we fulכp wit wata כ כda wata we de fכm pan di ovaria dεm kin bכs sכmtεm, we de mek di wata fכ lik insay di bכdi εn kכlekt insay di paus fכ Daglas. |
| Endometriosis we de mek pɔsin gɛt sik | insay dis kכndyushכn, di tisu dεm we fכ gro insay di uterus de gro ausayd di uterus, we de mek wata lεk bכdi kכmכt insay di bכdi. |
| Trauma to di pelvis | If injuri de na di lכw bכdi כ di bכdi, blכd kin kכmכt insay di bכdi εn blɔd kin gɛda. |
Insay tin dɛn lɛk dis, dis tɛst bin rili yus bifo fɔ no if di tin we dɛn gɛda na blɔd, pus, ɔ ɔda wata.
Lɛ wi se yu bin gɛt fɔ du dis tɛst, aw yu go du am?
As wi bin dɔn tɔk, pan ɔl we dɛn nɔ kin yuz dis igen, i fayn fɔ no aw dis we aw dɛn kin du am kin wok. Yu nɔ nid fɔ pripia bɔku fɔ dis. Di dɔktɔ kin aks yu fɔ stil de fɔ sɔm minit bifo dɛn du di tɛst. Bɔku tɛm, dɛn kin du dis lɛk dis:
1. Fɔs tin we yu fɔ du:Di dɔktɔ go fɔs du wan jenɛral pelvik ɛgzam. afta dat, i go yuz wan spεshal instrכmεnt (spεkulכm) fכ es εn ol di sεviks jכnt. Dis kin mek yu fil bad smɔl, bɔt i nɔ kin mek yu fil pen.
2. Step 2: Nεks, dεn de numb wan sכmכl εria na di vagina wכl usay dεn fכ put di nidul. Dɛn kin du dis wit lokal anestesia, so yu nɔ go fil ɛni pen.
3. Step Tri: Naw di dɔktɔ go tek tɛm put wan nidul we rili tint we dɛn kɔnɛkt to sirinj tru di say we nɔ gɛt bɛtɛ trɛnk. I go put am insay di ples we dɛn kɔl ‘posterior cul-de-sac’ we wi bin de tɔk bɔt.
4. Fainal step: We di nidul de na di korekt posishon, dεn de pul sכm sכm wata as sεmpl we dεn de yuz sirinj. Dɔn dɛn kin tek tɛm pul di nidul.
Di wan ol tin we dɛn kin du kin tek jɔs sɔm minit dɛn. Dɛn kin sɛn di sampul to wan lab fɔ mek dɛn tɛst am. Afta di tɛst, yu kin gɛt sɔm smɔl smɔl kramp fɔ wan ɔ tu dez. Dis na nɔmal tin.
Yu tink se dis kin mek pɔsin fil pen?
Nɔ, dis tɛst nɔ de mek pɔsin fil pen. Yu nɔ go fil ɛni pen bikɔs di nidul go numb usay dɛn put am. Bɔt, yu kin fil sɔm smɔl prɛshɔn ɔ nɔ fil fayn. Sɔntɛnde, dɛn kin gi yu wan mɛrɛsin we de mek yu fil fayn fɔ ɛp yu fɔ rilaks, ɛn i go fayn fɔ mek pɔsin drayv yu go na os afta di tɛst.
Ɛni risk de we dis kin apin?
Jɔs lɛk ɛni ɔda mɛrɛsin, sɔm smɔl smɔl prɔblɛm dɛn de we kin apin, bɔt dɛn tin ya nɔ kin apin so ɔltɛm.
| Denja | Wan simpul ɛksplen |
|---|---|
| Damej to di ɔgan dɛn we de rawnd | Na sכm tεm we di nidul kin hit di uterus, rεktum, כ blad we dεn put am insay. |
| Sik we de prɛd | Na smɔl chans de fɔ mek wan jem go insay di bɔdi frɔm di say we dɛn put di nidul. |
| Damej pan blɔd vesel ɔ tumor | Di nidul kin aksidɛntli nak blɔd vesel, ovarian sist, ɔ ɔda tumbu. |
Wetin di rizɔlt dɛn se?
di diagnosis de mek bay we dεn egzamin di fluid sεmpl we dεn gεt. Di tin dɛn we kin apin kin tɛl bɔku tin.
- nכmal rizulεt: nכmal wan, nכ bכku wata de insay di ‘pouch of Douglas’. If i de, i klia in kɔlɔ ɛn smɔl , i nɔmal.
- Di Rizult dɛn we Nɔ Nɔmal:
- If yɔlɔ, pus-layk dischaj de , i go mɔs min se infɛkshɔn de, lɛk PID.
- If blɔd de, i de sho se sɔm blɔd de kɔmɔt insay. εspεshali if na blכd we nכ de kכlכt, na big simptom fכ rכp εktopik bεlε. dis na biכs di bכdi we de kכlכt na di bכdi de chenj.
- If bɔku klia wata de , i kin bi ovarian sist we dɔn brok.
Frɔm dɛn tin ya, di dɔktɔ go disayd wetin fɔ du nɛks. I kin nid fɔ bigin fɔ gi yu antibayɔtik ɔ fɔ rifer yu fɔ mek dɛn du yu ɔpreshɔn kwik kwik wan.
Ustɛm yu want fɔ go to dɔktɔ?
If yu dɔn du calodocentesis test ɛn yu gɛt sɔm kayn sik lɛk dis afta dat, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm .
- If yu gɛt siriɔs bɛlɛ pen ɔ yu bɛlɛ pen .
- If yu gɛt bɔku bɔku blɔd na yu vagina .
- If yu gɛt sɔm kayn sik dɛn we tan lɛk flu lɛk fiva ɛn kol .
Dɛn tin ya kin bi sayn fɔ se yu gɛt prɔblɛm, so nɔ ignore dɛn.
Lɛ wi lan bɔt tu ɔda wɔd dɛn we tan lɛk dis.
Yu go mɔs dɔn yɛri bɔt ɔda mɛrɛsin tɛst dɛn we de sawnd lɛk dis wan, so nɔ kɔnfyus.
- Culdocentesis ɛn Colpocentesis: Dis na tu nem fɔ di sem tɛst. Colpocentesis na wan ol wɔd we dɛn kin yuz fɔ dis.
- Culdocentesis εn Amniocentesis: Dis na tu komplit difrεnt tεst dεm. Amniocentesis we dɛn kin yuzna di we aw dεn kin tek nidul fכ pul di amniotic fluid we de rawnd di pikin na di bεlε we i bεlε fכ chεk fכ di jεnεtik dizכrd. Dɛn kin du am pan uman we gɛt bɛlɛ. dεn de du kuldosεntesis fכ chεk fכ abnכmal fכs na di paus fכ Douglas.
Mɛsej we dɛn kin kɛr go na os
- Culdocentesis na we dεn de yuz nidul fכ pul abnכmal wata frכm wan spεs we dεn kכl ‘pouch of Douglas’ bihayn uman in uterus εn fכ egzamin am.
- dis bin de yus bכku bכku wan trade, spεshal fכ no imejensi lεk we uman bεlε na di εktopik we brok.
- Bɔt tide, bikɔs di transvaginal ɔltra saund skan kin kɔrɛkt, sef, ɛn nɔ kin mek pɔsin fil pen, dɛn nɔ kin du di kaldosɛntɛsis tɛst.
- Dis tɛst nɔ kin mek pɔsin fil pen bikɔs dɛn kin du am ɔnda anestezi, ɛn di prɔblɛm dɛn we kin apin kin rili smɔl.
- If yu gɛt sɔm sayn dɛn lɛk bad bad pen na yu bɛlɛ ɔ blɔd we nɔ kɔmɔn, i rili impɔtant fɔ go to dɔktɔ we sabi du di wok wantɛm wantɛm we yu nɔ tink se natin.
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