Kua rongo koe i te whakamātautau Culdocentesis? Me kōrero tāua!

Āe, kāore pea koe i rongo i te kupu 'Culdocentesis' i mua. Ahakoa he ingoa uaua te ahua, he whakamātautau hauora māmā noa iho tēnei e mahia ana i roto i te mahi tāne wahine. Heoi, kāore i te whakamahia pinepinetia tēnei whakamātautau i ēnei rā, nā te mea kua puta mai ngā tikanga hou, ngāwari ake pērā i te 'Transvaginal ultrasound'. Heoi, he mea nui pea kia mōhio koe ki tēnei. Nō reira, kia tirohia tātou he aha te 'Culdocentesis', he aha i mahia ai, me pēhea hoki te mahi i roto i te huarahi māmā.

He aha te ara porotaka? Me pēhea te wai e tae atu ai ki reira?

I roto i te puku o te wahine, i waenganui i te kōpū me ngā whekau e karapoti ana, he iti ngā āputa, he pēke rānei, e kiia nei ko ngā 'cul-de-sacs'. Hei whakamārama, e rua ngā pēke pēnei.

1. Kei mua tetahi, i waenganui i tō pūhā me tō kōpū. Ka kiia tēnei ko te 'anterior cul-de-sac'.

2. Kei muri tetahi. Ka kiia tēnei ko te 'posterior cul-de-sac'. Kei muri i te kōpū, i waenganui i te nono me te pakitara o muri o te tenetene.

Ka tapaina tēnei e ngā tākuta ko te 'posterior cul-de-sac' tētahi atu ingoa, arā, ko te 'Pouch of Douglas' . Ko te mea nui, ina puta ētahi āhuatanga hauora i roto i te tinana, hei tauira, te mate pāwera, te toto, me ētahi atu, ka taea e te nui o te wai te kohi i roto i tēnei wāhi e kiia nei ko te 'Pouch of Douglas'. Koinei te wā e mahia ai te 'Culdocentesis', ā, ka tangohia he tauira o taua wai ka whakamatautauria kia kitea ai he aha te momo wai, mehemea kei roto he mate pāwera, he toto rānei. Kei te mārama koe?

Nā, i roto i ēhea ngā wā ka mahia te Culdocentesis?

I te nuinga o te wā, ka whakahaerehia e tō tākuta he tirotiro oro-mata (ultrasound). I te nuinga o te wā, he tirotiro oro-mata transvaginal tēnei. He tirotiro tēnei mā roto i te tara. Mā tēnei ka kitea mārama mēnā he wai kei roto i te pēke o Douglas, i muri i te kōpū.

Ki te kite te tākuta he wai pērā kei roto, he mea onge, ā, e whakapae ana ia he raruraru pea, ka mahia tēnei whakamātautau 'culdocentesis', ā, ka tangohia he tauira o taua wai ka tukuna atu hei whakamātautau anō.

Ko ētahi o ngā āhuatanga ka arahi pea ki tēnei whakamātautau ko:

• He hapūtanga ectopic pakaru. He mate kino tēnei e hiahia ana kia pokanga ohorere. Mēnā ka tupu tēnei, ka kohia pea te toto ki roto i te kōhao puku.
• Ko te Mate Mumura Pelvic (PID) he mate pāwera o te rohe pelvis. Ka taea hoki e tēnei te puta he wai rite ki te pupuhi.
• Te pakaru o ngā whēkau ovarian.
• Te endometriosisHe āhuatanga e kiia nei ko te endometriosis. I roto i tēnei āhuatanga, ka tupu te kiko e rite ana ki te mea kei roto i te kōpū i waho o te kōpū.
• Ko ngā pukupuku fibroid e puta mai ana i roto i te kōpū, e kiia nei ko ngā "fibroids uterine".
• He aituā, he whara rānei ki te rohe hope.
• Te mamae mau tonu, te mamae kino, te mamae kāore e taea te whakamārama i roto i tō hope, i tō puku raro rānei.

He aha te tino kaupapa o tēnei whakamātautau Culdocentesis?

Ki te kī māmā noa iho, ko te kaupapa matua o tēnei whakamātautau he tango i te wai rerekē kua kohia i muri i tō tara, i tētahi wāhi e kiia nei ko te 'Pūkete o Douglas', ka tukuna ki tētahi taiwhanga hei kimi tika mēnā he 'mate' kei roto, he raruraru rānei. He tino āwhina tēnei ki te tautuhi i te mate.

Me pēhea taku whakarite mō tēnei whakamātautau?

Kāore koe e hiahia ki te whakarite nui mō te whakamātautau culdocentesis. Koinei tētahi o ngā painga o tēnei whakamātautau.

• Tērā pea ka tono te tākuta kia takoto noa koe mō ētahi meneti i mua i te whakamātautau, ka tono rānei kia noho koe ki runga.
• Kōrerotia ki tō tākuta ngā rongoā kē atu e tangohia ana e koe.
• I te mea he maha ngā wā ka whakamahia he rongoā whakamoe ā-rohe hei whakangāwari i te rohe huri noa i te tara, he mea pai kia tonoa tētahi hei taraiwa i a koe ki te kāinga i muri i te whakamātautau. I ētahi wā ka meinga koe e te rongoā whakamoe kia hiamoe, kia pōhēhē rānei, nō reira kāore i te tūtohutia kia taraiwa.

Me pēhea te whakahaere i te whakamātautau culdocentesis? Tēnā whakamāramahia mai.

Āe, māku e whakaatu ki a koe me pēhea te mahi i tēnei taahiraa i ia taahiraa. Kaua e manukanuka. I te nuinga o te wā ka taea te mahi i roto i ētahi meneti.

1. Tuatahi, ka tirohia e te tākuta tō rohe hope (whakamātautau hope). Ko te tikanga o tēnei me tirotirohia tō tara me tō pūkahukahu.

2. Kātahi ka whakaurua he taputapu hauora motuhake (he speculum) ki roto i tō tenetene hei hiki ake i tō kōpū kia pai ake ai te titiro. Kāore koe e mamae i tēnei wā, engari tera pea ka paku pēhia, ka mamae rānei koe.

3. Muri iho, ka werohia e te tākuta he rongoā whakamoe ā-rohe ki te pakitara o muri o tō tenetene, e tata ana ki tō kaki, hei whakangāwari i te wāhi e werohia ai te ngira. Mā tēnei ka ārai i a koe kei pāngia e te mamae.

4. Kātahi ka werohia he ngira angiangi mā roto i te pakitara o tō tenetene, i raro noa i te pito o tō kaki, ki roto i te 'muri o te pokanga'. Ka tāpirihia tēnei ngira ki tētahi ngira, ā, ka kohia e koe te wai.

5. Hei whakamutunga, ka tangohia e te tākuta tētahi tauira wai mai i te pito o muri o te arai mā te ngira ki roto i tētahi ngira.

Koinā anake te mea ka tupu. Kātahi ka tukuna te tauira wai ki te taiwhanga hei whakamātautau. Whai muri i te culdocentesis, tera pea ka pāngia koe e te mamae, pērā i te mamae puku iti. Engari ka memeha haere tēnei i roto i ngā haora 24 ki te 48.

He mamae tēnei whakamātautau?

Kāo, kaua te whakamātautau 'culdocentesis' e mamae . Nā te mea ka hoatu e te tākuta he rongoā whakangote ki a koe i te wāhi e werohia ana te ngira. Heoi, e ai ki taku kōrero i mua ake nei, tera pea ka pāngia koe e te mamae me te kore whakamarie. Tērā pea he rite ki te mamae e pā ana ki a koe i tō paheketanga ā-marama.

I ētahi wā, ki te hoatu he rongoā whakamoe ki a koe hei āwhina i a koe kia marino, kia whakaiti hoki i tō manukanuka, he mea pai kia tonoa he tangata hei kawe i a koe ki te kāinga i muri i te whakamātautau.

He aha ngā mōrearea kei roto i te whakamātautau Culdocentesis?

Pērā i ngā tikanga hauora katoa, he iti noa ngā tūponotanga kei roto. Engari he tino onge ēnei, ā, he tino tupato ngā tākuta ki tēnei.

• He tino iti te tūponotanga ka werohia te kōpū, te pūkahukahu rānei e te ngira.
• He iti noa te tūponotanga ka pangia koe e te mate i muri i te whakamātautau.
• He iti noa te tūponotanga ka pakaru ngā oko toto, ngā whēkau toto, ētahi atu pukupuku rānei i te ngira.

Mā te tākuta ēnei mōrearea ki a koe i mua i te whakamātautau. Ka taea e ia te pātai atu ki a koe i ō pātai katoa, ā, ka āwhina i a koe ki te whakamama i ō mataku.

Me pēhea te āwhina o tēnei ki te tautuhi i te hāputanga ectopic?

I ngā wā o mua, i te wā kāore anō kia tino matatau te hangarau ultrasound, he tino whai hua tēnei whakamātautau `culdocentesis` mō te tautuhi i ngā wā i pakaru ai ngā hāputanga i waho o te kōpū (`hamatanga ectopic`) me te rere o te toto ki roto i te kōhao puku (he āhuatanga e kiia nei ko te `hemoperitoneum`). I aua rā, i te nuinga o te wā, ka kitea te aroaro o te `hamatanga ectopic` i muri i tōna pakarutanga.

Heoi, nā te whanaketanga o te hangarau ultrasound, ka taea te kite i te hāputanga ectopic i te wā tino wawe, i mua i te pakaru . Nō reira, kua tino heke te hiahia mō te whakamātautau culdocentesis i roto i ēnei take.

He aha ngā kōrero a ngā hua o te whakamātautau culdocentesis?

Ka taea e ngā hua o te taiwhanga te whakarato i ngā mōhiohio nui e pā ana ki tō āhua.

• Ko te tikanga o te hua whakamātautau he mārama te wai i tangohia, ā, kāore he raruraru.
• Heoi, ki te mea he toto te tae o te wai, he kōwhai te rite ki te pulu , he nui rānei te wai mārama , tera pea he tohu kei te pāngia koe e te raruraru.
• Hei tauira, ki te mea he kōwhai te wai, he rite ki te pulu , he tohu tēnei kei te pāngia koe e te mate.
• Mena he toto kāore e totoka , he maha ngā wā ka taea te whakaū kua pakaru te 'hāputanga ectopic', ā, kei te toto ki roto i te kōhao puku. Nā te mea kāore te toto i roto i taua 'cul-de-sac' e totoka i te nuinga o te wā.

I runga i ngā hua, ka tūtohu pea te tākuta kia tangohia te wai kua kohia, kia rongoā rānei ki ngā paturopi.

Āhea ahau me kite i te tākuta i muri i te whakamātautau?

I te nuinga o te wā, ki te pāngia koe e te mamae nui i roto i tō puku, i tō hope rānei, he mea nui kia tere tonu te toro atu ki te tākuta, he tohu pea tēnei nō tētahi raruraru.

I muri i te whakamātautau culdocentesis, ki te pāngia koe e tētahi, e ētahi rānei o ngā tohu e whai ake nei , me whakamōhio tonu atu ki tō tākuta :

• Te toto nui o te tara (te mākū i te neke atu i te kotahi papa i te haora)
• Te mamae nui, e kore e taea te whakamanawanui (ina koa i roto i te puku, i te hope rānei)
• Ngā tohu rewharewha pērā i te kirika, te makariri, me te mamae o te tinana
• He putanga haunga kino mai i te tara

Ko ēnei momo tohu he tohu pea nō te mate pāwera, nō tētahi atu raruraru rānei.

He rite tonu te Culdocentesis me te Colpocentesis?

Āe, he tika rawa tāu. Ko te kupu 'Colpocentesis' he kupu tawhito i whakamahia mō te 'Culdocentesis'. He rite tonu te tukanga whakamātautau e rua . Ināianei kua nui ake te whakamahinga o te ingoa 'Culdocentesis'.

Nā, he aha te rerekētanga i waenga i te Culdocentesis me te Amniocentesis?

He tino rerekē ēnei whakamātautau e rua, kaua e whakapoauau, kei te pai?

• Ko te amniocentesis he tikanga i te wā e hapū ana hei tango i tētahi tauira o te wai amniotic e karapoti ana i te pēpi mai i te kōpū, hei whakamātautau mō te mate, mō ngā hapa ira rānei. Ka mahia tēnei hei whakatau i te hauora o te pēpi.
• He tikanga tirotiro te Culdocentesis i te wai rerekē e kohia ana i roto i te putea o Douglas, i muri rānei i te cul-de-sac, i muri i te tara. Ka taea te mahi i roto i ngā wāhine kāore i te hapu me te wā e hapu ana (ina koa mēnā e whakapaetia ana he haputanga ectopic).

E ai ki taku kōrero i mua, kua tino heke te whakamahinga o te culdocentesis i te mea kua matatau ake te whakamahi i te ultrasound transvaginal ki te kimi wai i roto i te rohe pelvic. Inaianei, kei te whakamahi ngā tākuta i ētahi atu tikanga hou ake, i ētahi wā he arataki whakaahua, hei tango i te wai rerekē mai i te posterior cul-de-sac.

Ngā mea tino nui hei maumahara māu (Karere hei kawe ki te kāinga)

Āe, kua maha ngā kōrero mō te 'Culdocentesis'. Ko tāku tumanako kei te mārama pai koe ki tēnei whakamātautau. Hei whakarāpopototanga, koinei ngā mea hei maumahara māu:

• Ko te Culdocentesis he tikanga e whakamahi ana i te ngira hei tango i te wai rerekē e kohia ana i roto i te putea o Douglas, i muri i te tenetene.
• Kāore tēnei e whakamahia whānuitia ana i ēnei rā , nā te mea kua maha ngā tikanga matatau, kāore he mamae, ā, he tika ake pērā i te ultrasound transvaginal.
• I mua, i whai hua tēnei mō te tautuhi i ngā mate pēnei i te 'Ectopic pregnancy' me te 'Pelvic Inflammatory Disease (PID)'.
• He iti noa te mamae i te wā o te whakamātautau (nā te ngoikore o te tinana), ā, kāore he whakaritenga nui e hiahiatia ana.
• Ahakoa he iti noa iho ngā tūponotanga, he tino onge .
• Ki te pāngia koe e ngā tohu pēnei i te toto nui, te mamae nui, te kirika rānei i muri i te whakamātautau, rapua tonutia he tohutohu hauora .

Ko te mea nui, ki te mea he pātai āu mō tēnei, mō tētahi atu whakamātautau hauora rānei, kaua e wehi ki te pātai ki tō tākuta. Mēnā he nui ake tō mōhiotanga mō tō hauora, ka nui ake te tūponotanga kia ora tonu koe!

` Te whakatōtō i te kōpū, te whakatōtō i te kōpū, tenetene, te whakamātautau wai, te Pēke o Douglas, te hauora o ngā wāhine, te rongoā wahine, te hāputanga ectopic, te mate pukupuku o te kōpū