Culdocentesis test chungchang hi i hre tawh em? Kan sawi dawn nia!

Awle, `Culdocentesis` tih thumal hi i la hre lo mai thei. Hming buaithlak tak angin ri mah se, gynecology lama medical test awlsam tak tih a ni. Mahse, tunlai hian he test hi hman a ni lo hle a, a chhan chu `Transvaginal ultrasound` ang chi hmanraw thar, awlsam zawk a lo chhuak ta a ni. Amaherawhchu, chumi chungchang hriat chu i tan a pawimawh mai thei. Chuvangin, `Culdocentesis` chu eng nge a nih, engvanga tih nge a nih, engtin nge a tih dan awlsam takin i en ang u.

Cul-de-sac tih hi eng nge ni? Engtin nge fluid chu a thlen theih?

Hmeichhe pum chhungah, nausen pum leh a chhehvel taksa peng hrang hrangte inkarah hian hmun te te, a nih loh leh bawm te te, `cul-de-sacs` an tih te a awm a.A dik tak chuan chutiang bawm pahnih a awm a.

1. Pakhat chu hmalam, i bladder leh uterus inkarah a awm. Hei hi `anterior cul-de-sac` an ti a.

2. A dang chu hnung lamah a awm. Hei hi `posterior cul-de-sac` an ti a. Nausen pum hnung lamah, hnute leh hnute hnunglam bang inkarah a awm a.

Doctor-te chuan hei hi `posterior cul-de-sac` tih hming dang an vuah a, chu chu `Pouch of Douglas` tih a ni. A pawimawh ber chu taksaa damdawi lam thil engemaw, entirnan, natna hrik, thisen chhuah, etc. a lo thlen hian he hmun `Pouch of Douglas` an tih hmunah hian tui awm zat danglam tak a awm khawm thei a ni. Chu chu `Culdocentesis` tih a ni a, chu tui sample lak a, test a ni a, eng ang tui nge a nih, natna hrik a awm leh awm loh, thisen a awm leh awm loh enfiah a ni. I hrethiam em?

Chuti a nih chuan, eng case-ah nge Culdocentesis hi tih a nih?

A tlangpuiin i doctor chuan ultrasound a ti hmasa ang. A tam zawkah chuan hei hi transvaginal ultrasound a ni. Hei hi vagina hmanga scan tih a ni. Hei hian Douglas-a pouch-ah, nausen pum hnung lamah tui a awm em tih chiang takin a hmu thei a ni.

Doctor chuan chutiang tui a awm tih a hmuh chuan thil mak tak a ni a, harsatna engemaw vang a nih a rinhlelh chuan he `culdocentesis` test hi tih a ni ang a, chu tui sample lak a ni ang a, test dang neih belh turin thawn a ni ang.

He test neih theihna tur dinhmun thenkhat chu:

• A ruptured ectopic pregnancy a ni. Hei hi natna khirh tak a ni a, emergency surgery a ngai a ni. Chutiang a nih chuan pum chhungah thisen a khawlkhawm thei a ni.
• Pelvic Inflammatory Disease (PID) hi pelvic area-a natna hrik kai a ni. Hei hian pus ang chi tui a khawlkhawm thei bawk.
• Ovarian cysts rupture a awm.
• Endometriosis natna a niEndometriosis an tih natna a ni. Hetiang dinhmunah hian nausen pum chhunga hmuh ang chi tissue chu nausen pum pawnah a lo thang lian thin.
• Nausen pum chhunga fibroid tumor lo awm, ``Uterine fibroids`` an tih.
• Accident emaw, pelvis-a hliam emaw a awm.
• I pelvic area emaw, i pum hnuai lam emaw-ah natna awm reng, na tak, sawifiah theih loh.

He Culdocentesis test hian eng nge a tum tak tak?

A awlsam zawngin sawi ila, he test hian a tum ber chu i vagina hnung lama tui pangngai lo, `Pouch of Douglas` an tih hmuna awm chu paih chhuakin, laboratory-ah thawnin, `infection` emaw, harsatna dang emaw a awm leh awm loh chiang taka hriat a ni. Hei hian natna hriatchhuahna kawngah nasa takin a pui a ni.

He test atan hian engtin nge ka inbuatsaih ang?

Dik tak chuan culdocentesis test atan hian inbuatsaih vak a ngai lo. Chu chu he test awlsamna pakhat a ni.

• Doctor chuan test hma minute engemaw zat chu muhil turin a ti thei che a, a nih loh leh thut turin a ti thei bawk che.
• Damdawi dang i ei mekte chu i doctor hnenah hrilh rawh.
• He test-ah hian local anesthetic hmanga vagina chhehvela awmte tihbuai a nih fo avangin test zawhah mi pakhatin in lama hruai che hi a tha hle. Anesthetic hian a chang chuan tlem a ti muhil thei a, a ti buai thei bawk a, chuvangin lirthei khalh hi a tha lo.

Engtin nge culdocentesis test hi an tih thin? Tlem han hrilhfiah teh u.

Okay, he thil tih dan hi step by step in ka rawn entir ang che. Lungngai suh. A tlangpuiin minute tlemte chhungin tih theih a ni.

1. A hmasa berin doctor chuan i pelvic area (pelvic exam) a enfiah ang. Hei hian i vagina leh cervix enfiah tihna a ni.

2. Tichuan, i vagina chhungah medical instrument bik (speculum) dahin i serh chu tlem a chawi sang a, a hmel a tha zawk ang. Hetih lai hian natna engmah i nei lovang , mahse, i rilru a hah deuh emaw, i hrehawm lo emaw pawh a awm thei.

3. A dawtah chuan doctor chuan i vagina hnunglam bang, i serh bulah local anesthetic a inject ang a, chu chuan needle dahna tur hmun chu a ti na lo ang. Hei hian natna engmah i neih loh nan a veng ang.

4. Tichuan, i vagina wall kaltlangin, i cervix tawp hnuai lam chiah, `posterior cul-de-sac`-ah needle te tak te chu dah lut a ni. He needle hi syringe-ah an bun a, chu chuan tui chu i la khawm ang.

5. A tawp berah chuan doctor chuan posterior cul-de-sac atanga tui sample chu needle hmangin syringe-ah a la lut a.

Chu chu a thleng vek a ni. Chumi hnuah chuan fluid sample chu lab-ah test turin an thawn leh a ni. Culdocentesis hnuah chuan natna engemaw zat i nei thei a, chu chu pum na deuh ang chi hi a ni. Mahse hei hi darkar 24 atanga 48 chhungin a reh tlangpui.

He test hian a ti na em?

Ni lo, `culdocentesis` test hi a hrehawm tur a ni lo . Hei hi a chhan chu doctor chuan needle dahna hmunah numbing medicine a pe dawn che a ni. Mahse, ka sawi tawh ang khan cramping leh discomfort engemaw zat i nei mai thei. Thla tin i period chhunga i natna nen a inang thei.

A chang chuan, i rilru hahdamna tur leh i lungkhamna tihziaawmna tur sedative pek i nih chuan test zawhah in lama hruai tur che neih hi a tha tak zet a ni.

Culdocentesis test-ah hian hlauhawmna a awm em?

Damdawi lam thil tih dan dang ang bawkin, hlauhawmna tenau tak tak a awm bawk. Mahse hengte hi a tlem hle a, doctor-te pawhin he thil hi an fimkhur hle a ni.

• He needle hian accident-a uterus emaw rectum emaw a rawn luhchilh theihna chance a tlem hle.
• Test zawhah hri kai theihna chance a tlem hle.
• He needle hian thisen kalna kawng, cyst emaw, tumor dang emaw a tihchhiat theihna chance tlemte a awm.

Doctor chuan test hmain heng risk te hi a hrilhfiah ang che. Zawhna i neih apiang a zawt thei che a, i hlauhthawnna tihziaawm turin a pui thei che a ni.

Hei hian engtin nge ectopic pregnancy hriatchhuahna kawngah a puih?

Tun hma chuan ultrasound technology a hmasawn vak loh lai khan he `culdocentesis` test hi nausen pum pawn lama naupai (`ectopic pregnancies`) rupture leh abdominal cavity-a thisen luang (`hemoperitoneum` an tih condition) te hriatchhuahna kawngah a hlu hle a ni. Chutih lai chuan a tam zawkah chuan `ectopic pregnancy` awmna chu a rupture hnuah chauh hmuhchhuah a ni.

Mahse, ultrasound technology hmasawnna avang hian ectopic pregnancy chu a tir lamah, a rupture hma pawhin hriat theih a ni fo . Chuvangin, chutiang hunah chuan culdocentesis test neih a ngai tawh a, tunah chuan nasa takin a tlahniam ta a ni.

Culdocentesis test result hian eng nge min hrilh?

Lab atanga result lo chhuak hian i dinhmun chungchangah thu pawimawh tak a pe thei a ni.

• Results pangngai chuan fluid sample hmuh chu a chiang a, harsatna a awm lo tihna a ni.
• Mahse, chu tui chu thisen rawng , pus ang maia sen , emaw, tui thianghlim tam tak a awm chuan harsatna a awm tih a tilang thei.
• Entirnan, a tui chu a sen a, a hring (pus-like) a nih chuan natna hrik a awm tih a tilang.
• Thisen chhuak lo a awm chuan `ectopic pregnancy` chu a rupture a, abdominal cavity-ah thisen a chhuak tih a nemnghet fo thin. A chhan chu chu `cul-de-sac` chhunga thisen chu a tlangpuiin a clot lo.

Results a zirin doctor chuan a tui awmkhawm chu paih emaw, antibiotics hmanga enkawl emaw a rawt thei a ni.

Test zawhah engtikah nge doctor ka hmuh ang?

A tlangpuiin i pum emaw, i pelvis emaw-ah natna nasa tak i neih chuan a rang thei ang bera doctor pan a pawimawh a, hei hi harsatna chhinchhiahna a nih theih avangin.

Culdocentesis test hnuah a hnuaia symptoms pakhat emaw a aia tam emaw i neih chuan i doctor hnenah hriattir nghal rawh :

• Vaginal bleeding nasa tak (darkar khatah pad pakhat aia tam hnim) .
• Natna nasa tak, tuar theih loh (a bik takin pum emaw, pelvic area emaw-ah) .
• Flu ang chi natna chi hrang hrang, khawsik, khawsik, leh taksa na
• Vagina atanga tui rimchhia lo chhuak

Hetiang symptoms hian infection emaw complication dang emaw a kawk thei a ni.

Culdocentesis leh Colpocentesis hi thil inang an ni em?

Ni e, i sawi dik tak zet a ni. `Colpocentesis` tih hi hmanlai a ni a, `Culdocentesis` tihna a ni. An pahnih hian test kalphung inang an ni . Tunah chuan `Culdocentesis` tih hming hi hman a ni tawh zawk.

Chuti a nih chuan Culdocentesis leh Amniocentesis hi eng nge an danglamna?

Hengte hi test hrang hrang pahnih a ni a, buaipui suh, okay?

• Amniocentesis hi naupai laiin naute chhehvel amniotic fluid sample lakchhuah a, infection emaw chromosomal abnormalities emaw test a ni. Hei hi naute hriselna hriat chian nan tih a ni.
• Culdocentesis hi Douglas pouch, a nih loh leh posterior cul-de-sac, vagina hnung lama tui awm dan pangngai lo awmkhawm enfiahna a ni. Hmeichhe naupai lote tan pawh naupai lai (a bik takin ectopic pregnancy rinhlelh a nih chuan) tih theih a ni.

Ka sawi tawh ang khan transvaginal ultrasound hmanga pelvic area-a tui hmuhchhuahna a hmasawn chhoh zel avangin culdocentesis hman hi a tlahniam hle a ni. Tunah chuan doctor-te chuan kawng dang, tunlai zawk, a chang chuan image-guided, posterior cul-de-sac atanga tui pangngai lo paih chhuah nan an hmang ta a ni.

I hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, tunah chuan `Culdocentesis` chungchang hi kan sawi nasa tawh hle. He test hi hriatthiamna tha tak in neih ka beisei. A tawi zawngin, i hriat reng tur chu hetiang hi a ni:

• Culdocentesis hi Douglas-a pouch-a tui pangngai lo, vagina hnung lama awm, needle hmanga paih chhuah a ni.
• Hei hi hman a ni tawh lo , transvaginal ultrasound ang chi hmanraw hmasawn, natna nei lo, leh dik zawk a awm avangin.
• Hei hi a hmain `Ectopic pregnancy` leh `Pelvic Inflammatory Disease (PID)` ang chi natna hriatchhuahna atan a tangkai hle.
• Test neih chhunga natna hi a tlem hle (numbness vang), inbuatsaihna lian tham a ngai lo.
• Risk tenau tak tak awm mahse, a tlem hle .
• Test zawhah thisen chhuak nasa tak, natna nasa tak, khawsik ang chi symptoms i neih chuan doctor lam pan nghal rawh .

A pawimawh ber chu hemi chungchanga zawhna i neih chuan, emaw, medical test dang emaw i neih chuan i doctor zawh hreh suh. I hriselna chungchang i hriat chian poh leh i hrisel theihna chance a sang zawk!

` Culdocentesis, culdocentesis, vagina, tui enfiah, Pouch of Douglas, hmeichhe hriselna, hmeichhia, ectopic pregnancy, PID