‘Culdocentesis’ tih thumal hi i hre ngai em? Doctor-in a sawi i hre tawh mai thei a, khawi emaw laiah pawh i chhiar tawh pawh a ni thei. Thumal buaithlak leh mak tak angin a ri thei a, mahse a takah chuan hmeichhe hriselna atana hman test a ni. Chuvangin vawiinah hian eng atan nge hman a nih, engtikah nge tih a nih, tunlai hian engtiang chiahin nge hman a nih tih kan sawi dawn a ni.
A awlsam zawngin, Culdocentesis chu eng nge ni?
Caldocentesis hi damdawi lam thil a ni a, i vagina hnung leh i nausen hnuai hmun bik ah tui emaw tui emaw a awm dan pangngai lo a awm leh awm loh enfiah thin a ni. Hei hi hrethiam zawk tur chuan kan taksa peng kha han thlir ila.
Hmeichhia chuan a nausen pum leh a hnute inkar, a hnute hnung lamah hmun te tak te, a nih loh leh bawm emaw a nei ang tih han ngaihtuah teh. Hei hi damdawi lam hawi chuan ‘posterior cul-de-sac’ emaw ‘pouch of Douglas’ emaw kan tih chu a ni. He hmun hi a tlangpuiin khar ni mahse, damdawi lam dinhmun thenkhatah chuan he hmunah hian tui a awm khawm thei a ni. Entirnan, thisen, zun emaw, tui dang emaw.
Chuvangin, doctor pakhatin he hmunah hian ‘pouch of Douglas’ an tih maiah hian tui danglam tak a awm nia a rinhlelh chuan eng ang tui nge a nih chiah tih hriat tumin he caldocentesis test hi a ti ang. Hetah hian doctor chuan chu hmunah chuan vagina bang kaltlangin needle te tak te tak te chu a thun a, chutah chuan tui sample tlemte a la a. Tichuan, sample chu lab-ah thawn a ni a, a chhunga thil awmte chu test a ni.
Mahse hetah hian sawi tur pawimawh tak a awm. Tunlai hian technology lama hmasawnna avang hian he caldocentesis test hi tih a tlem hle. A chhan chu transvaginal ultrasound scan vang a ni. He scan hian taksa chhunga tui awmte chu eng needle hmang lovin chiang takin a hmu thei a ni. Chuvangin, he test hi tunah chuan a bo tawh mai dawn a ni tih theih a ni.
Engvangin nge he fiahna hi a tul?
Tun hma chuan ultrasound scan hi a tam lo hle a, he test hi a pawimawh hle. A bik takin emergency-ah chuan rang taka natna hriat theihna kawngah a pui a ni. He test hi tih chhan lian tak tak engemaw zat a awm a. Eng nge an nih i en ang u.
| Condition emaw a chhan emaw | A sawifiahna awlsam tak |
|---|---|
| A ruptured ectopic pregnancy a ni | Hei hi he test neih chhan ber a ni. Heta thil thleng chu naute chu nausen pum pawnah, a tlangpuiin fallopian tube-ah a piang a, chu tube chu a chhe a, a pum chhungah thisen a chhuak a ni. He thisen hi Douglas-a pouch-ah a khawlkhawm thin. |
| Pelvic Inflammatory Disease (PID) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk a. | Hei hi natna hrik pakhatin reproductive system chunglam, uterus leh fallopian tube-a a luh atanga lo awm a ni. Hei hian chu bawm chhungah chuan pus ang chi tui a awm khawm thei bawk. |
| Ovarian Cysts ruptured a awm | Tui emaw, tui dang emawa khat cyst, ovary-a lo awm chu a chang chuan a puak thei a, chu chuan tui chu pum chhungah a luang lut a, Douglas pouch-ah a khawl khawm thei a ni. |
| Endometriosis natna a ni | Hetiang dinhmunah hian nausen pum chhunga tissue lo thang lian tur chu nausen pum pawnah a lo thang lian a, chu chuan pum chhungah tui, thisen ang chi a awm khawm thin. |
| Pelvis ah trauma a awm | Pum hnuai lam emaw, pelvis emaw-ah hliam a awm chuan chhungril lama thisen chhuak a awm thei a, thisen a pungkhawm thei bawk. |
Hetiang dinhmunah hian he test hi a hmain a khawlkhawm chu thisen, zun emaw, tui dang emaw a nih leh nih loh hriat nan a tangkai hle a ni.
He test hi i tih a ngai ta ang u, engtin nge i tih ang?
Sawi tawh ang khan hei hi hman tlanglawn tawh lo mah se, he kalphung hi engtin nge a thawh tih hriat a tha. Hemi atan hian inbuatsaihna tam tak i neih a ngai lo. Doctor chuan test hma minute engemaw zat chu ngawi renga awm turin a ti thei che a ni. Hei hi hetiang hian tih a ni tlangpui:
1. A hmasa ber atan:Doctor chuan general pelvic exam a ti hmasa ang. Tichuan, hmanraw bik (speculum) hmangin serh chu zawi zawiin a chawi sang ang a, a chelh ang. Hei hi tlem a nuam lo deuhin a lang thei a, mahse a hrehawm lo.
2. Step 2: A dawtah chuan vaginal wall-a needle dahna tur hmun tlemte chu numbed a ni. Hei hi local anesthesia hmanga tih a nih avangin natna i nei lovang.
3. Step thumna: Tunah chuan doctor chuan uluk takin syringe nena inzawm needle te tak te tak mai chu a numb area kaltlangin a dah lut ang. Kan sawi tawh ‘posterior cul-de-sac’ an tih hmunah a dah lut ang.
4. Final step: Needle chu a awmna tur dik takah a awm chuan syringe hmangin sample atan tui tlemte lakchhuah a ni. Chumi hnuah chuan needle chu uluk takin an la chhuak leh thin.
A kalphung zawng zawng hi minute tlemte chauh a ni. Sample hi test turin lab-ah thawn a ni. Test zawhah ni khat emaw ni hnih emaw chhung chu cramping na lo tak tak i nei thei. Hei hi thil pangngai a ni.
Hei hi a hrehawm em?
Ni lo, he test hi a hrehawm lo. Natna i nei lovang a chhan chu a dahna hmunah chuan needle chu a numb dawn a ni. Mahse, pressure tlem emaw, nuam lo emaw i nei thei. A châng chuan i chawlh hahdam theih nân sedative an pe thei che a, test zawhah mi pakhatin in lama hruai haw che hi a ṭha hle.
Hei hian risk a nei em?
Damdawi lam thil dang ang bawkin, hlauhawmna tenau tak tak a awm a, mahse hengte hi a tlem hle.
| Tum chhin | A sawifiahna awlsam tak |
|---|---|
| A chhehvela taksa peng hrang hrangte chhiatna | A tlem hle a, needle hi dah a nih chuan nausen pum, rectum emaw bladder emaw a ni thei. |
| Kaichhawng | Needle dahna hmun atanga taksa chhunga natna hrik lut theihna chance a tlem hle. |
| Thisen kalna kawng emaw, tumor emaw tihchhiat | He needle hian thisen kalna kawng emaw, ovarian cyst emaw, tumor dang emaw a tawk palh thei a ni. |
Results hian eng nge a sawi?
Diagnosis hi fluid sample lak chhuah te enfiah a ni. A result hian thil tam tak a hril thei.
- Normal Result: A tlangpuiin ‘pouch of Douglas’ ah hian tui tam tak a awm lo. A awm a nih chuan, a rawng a chiang a, a tlem berah , a pangngai.
- Results pangngai lo tak tak:
- If there is a yellow, pus-like discharge , a nihna takah chuan infection, PID ang chi a awm tihna a ni.
- Thisen a awm chuan chhungril thisen chhuak engemaw zat a awm tih a tilang. A bik takin thisen inzawm lo (non-clotting blood) a nih chuan ectopic pregnancy ruptured symptom lian tak a ni. Hei hi a chhan chu pum chhunga thisen zam (blood clotting process) a inthlak danglam vang a ni.
- Clear fluid tam tak a awm chuan ruptured ovarian cyst a ni thei.
Heng result atang hian doctor chuan eng nge a tih tur tih a rel ang. Antibiotics a tan emaw, emergency surgery atan emaw a refer che a ngai mai thei.
Engtik hunah nge Doctor hmuh i duh?
Calodocentesis test i neih tawh a, a hnua hetiang symptoms i neih chuan i doctor i biak nghal tur a ni .
- I pum natna nasa tak emaw i pelvic pain emaw i neih chuan .
- Vaginal bleeding tam lutuk i neih chuan .
- Flu ang chi natna , khawsik leh khawsik ang chi i neih chuan .
Hengte hi harsatna awm thei chhinchhiahna a ni thei a, chuvangin ngaihthah suh.
Hemi ang chiah hian thumal dang pahnih i zir leh ang u.
Hemi ang chiah hian medical test dang pawh i hre tawh ngei ang, chuvangin buai suh.
- Culdocentesis leh Colpocentesis: Hengte hi test pakhat hming pahnih a ni. Chumi atan chuan Colpocentesis tih hi thumal hlui tak a ni.
- Culdocentesis leh Amniocentesis: Hengte hi test hrang hrang pahnih a ni. Amniocentesis tih a niNaupai laiin nausen pum chhunga naute chhehvel amniotic fluid awmte chu needle hmanga lakchhuah a, genetic disorders a awm leh awm loh enfiah thin a ni. Hmeichhe naupai chungah tih a ni. Douglas pouch-a tui pangngai lo awm leh awm loh enfiah nan culdocentesis an ti thin.
Take-Home Thuchah a ni
- Culdocentesis hi hmeichhe nausen hnute hnung lama ‘pouch of Douglas’ an tih hmun atanga tui pangngai lo paih chhuah a, enfiah a ni.
- Hei hi tun hmain an hmang nasa hle a, a bik takin emergency, ruptured ectopic pregnancy ang chi hriatchhuah nan an hmang nasa hle.
- Mahse tunlai hian transvaginal ultrasound scan hi a dik zawk a, a him zawk a, a na lo zawk bawk a, caldocentesis test hi tih a tlem hle.
- He test hi a na lo a, a chhan chu anesthesia hmanga tih a nih vang a ni a, a hlauhawmna pawh a tlem hle.
- I pum hnuai lam natna nasa tak emaw, thisen chhuak danglam tak emaw ang chi symptoms i neih chuan engmah ngaihtuah lovin doctor thiam tak hnen atanga thurawn lak nghal a pawimawh hle.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh