Kua rongo koe i te kupu 'culdocentesis'? Tērā pea kua rongo koe i tētahi tākuta e kōrero ana mō tēnei kupu, kua pānui rānei koe mōna i tētahi wāhi. Ahakoa he kupu uaua, he kupu rerekē hoki te āhua, he whakamātautau tēnei e whakamahia ana mō te hauora o ngā wāhine. Nō reira, i tēnei rā, ka kōrero tātou mō tōna whakamahinga, te wā e mahia ai, me te whānui o tōna whakamahinga i ēnei rā.
He aha te Culdocentesis?
He tikanga hauora te Caldocentesis e tirotiro ana mēnā he wai rerekē, he wai rānei e pupū ake ana i roto i tētahi wāhi motuhake i muri i tō tara, i raro hoki i tō kōpū. Kia pai ake ai te mārama ki tēnei, me titiro tātou ki taua wāhanga o tō tātou tinana.
Whakaarohia he wāhi iti, takoto kau, he putea rānei kei waenganui i tōna kōpū me tōna pūkahukahu, i muri i tōna tara. Koinei te mea e kiia nei e tātou ko te 'posterior cul-de-sac' ko te 'pouch of Douglas' rānei i roto i ngā kupu hauora. Ahakoa he takoto kau tēnei wāhi, i ētahi āhuatanga hauora, ka taea e te wai te kohi ki tēnei wāhi. Hei tauira, he toto, he pupuhi, he wai rānei.
Nō reira, ki te whakapae te tākuta kei reira tētahi wai rerekē i tēnei wāhi e kiia nei ko te 'pēke o Douglas', ka whakahaerehia e ia tēnei whakamātautau caldocentesis hei kimi i te momo wai. I konei, ka werohia e te tākuta tētahi ngira angiangi rawa mā roto i te pakitara o te tara ki roto i taua wāhi, ka tangohia he tauira iti o te wai i reira. Kātahi ka tukuna te tauira ki tētahi taiwhanga hei whakamātautau mō ngā mea kei roto.
Engari he mea nui tēnei hei kōrero i konei. I ēnei rā, nā te whanaketanga o te hangarau, he onge te mahi i tēnei whakamātautau caldocentesis. Ko te take o tēnei ko te matawai ultrasound transvaginal. Mā tēnei matawai ka taea e koe te kite mārama i ngā wai i roto i te tinana me te kore e whakamahi i ngā ngira. Nō reira, ka taea te kī kua tata ngaro tēnei whakamātautau.
He aha i tika ai tēnei whakamātautau?
I ngā wā o mua, i te wā kāore i te tino noa ngā matawai ultrasound, he mea tino nui tēnei whakamātautau. I āwhina i te tere o te tautuhi mate, inā koa i ngā wā ohorere. He maha ngā take matua mō te mahi i tēnei whakamātautau. Kia tirohia tātou he aha ēnei.
| Āhua, take rānei | He whakamārama māmā |
|---|---|
| He haputanga ectopic pakaru | Koinei te take matua mō tēnei whakamātautau. Ko te mea e tupu ana i konei, ka hapu te pēpi i waho o te kōpū, i roto i te ngongo fallopian i te nuinga o te wā, ā, ka pakaru taua ngongo ka toto ki roto i te puku. Ka kohia tēnei toto ki roto i te putea o Douglas. |
| Te Mate Mumura o te Pelvic (PID) | He mate tēnei e puta ana ina uru te iroriki ki ngā wāhanga o runga o te pūnaha whakaputa uri, pērā i te kōpū me ngā ngongo whēkau. Ka taea hoki e tēnei te puta he wai rite ki te pūkahukahu i roto i taua pēke. |
| Ngā Pūkahukahu Ovarian Pakaru | Ka pakū pea ngā whēwhē kī tonu i te wai, i tētahi atu wai rānei e puta ana i runga i ngā ovaries, ka turuturu te wai ki roto i te kōhao puku, ka kohia ki roto i te pēke o Douglas. |
| Te endometriosis | I tēnei āhua, ko te kiko e tika ana kia tupu i roto i te kōpū ka tupu ki waho o te kōpū, ka puta te wai, pērā i te toto, ki roto i te puku. |
| Te whara ki te hope | Mena he whara kei te puku o raro, kei te hope rānei, ka puta te toto o roto, ā, ka kohia te toto. |
I ngā āhuatanga pēnei, i mua he tino whai hua tēnei whakamātautau hei whakatau mēnā he toto, he pūkahukahu, he wai rānei te mea i kohia.
Me kī tātou me mahi koe i tēnei whakamātautau, me pēhea koe e mahi ai?
E ai ki te kōrero i mua ake nei, ahakoa kāore tēnei e whakamahia whānuitia ana i ēnei rā, he mea pai kia mōhio koe ki te mahi a tēnei tikanga. Kāore koe e hiahia ki te whakarite nui mō tēnei. Tērā pea ka tono te tākuta kia noho puku koe mō ētahi meneti i mua i te whakamātautau. Ko te tikanga o tēnei mahi koia tēnei:
1. Te taahiraa tuatahi:Ka tirohia tuatahitia e te tākuta te hope o te kōpū. Kātahi ka whakamahia e ia tētahi taputapu motuhake (he speculum) hei hiki mārire i te kōpū me te pupuri i te kōpū. Tērā pea he ahua kore whakamarie tēnei, engari kāore e mamae.
2. Hipanga 2: Muri iho, ka whakangāwarihia he wāhi iti o te pakitara tara e werohia ai te ngira. Ka mahia tēnei mā te rongoā whakamoe ā-rohe, kia kore ai koe e mamae.
3. Hipanga Tuatoru: Ka āta whakaurua e te tākuta he ngira angiangi rawa e hono ana ki te ngira werohanga mā roto i te wāhi ngenge. Ka whakaurua e ia ki roto i te wāhi e kiia nei ko te 'posterior cul-de-sac' i kōrerohia e tātou.
4. Te taahiraa whakamutunga: Kia tika te tūnga o te ngira, ka tangohia he wai iti hei tauira mā te whakamahi i te pūwero. Kātahi ka ata tangohia te ngira.
He torutoru meneti noa te roa o te tukanga katoa. Ka tukuna te tauira ki te taiwhanga hei whakamātautau. Whai muri i te whakamātautau, tera pea ka pāngia koe e te mamae ngawari mō te rā kotahi, e rua rānei. He mea noa tēnei.
He mamae tēnei?
Kāo. Kāore tēnei whakamātautau e mamae. Kāore koe e rongo i te mamae nā te mea ka ngenge te ngira i te wāhi e werohia ana. Heoi anō, tera pea ka pēhia koe, ka mamae rānei. I ētahi wā ka hoatu he rongoā whakangāwari hei āwhina i a koe kia marino, ā, he mea pai kia tonoa tētahi kia taraiwa koe ki te kāinga i muri i te whakamātautau.
He tūponotanga kei roto i tēnei?
Pērā i ngā tikanga hauora katoa, he iti noa iho ngā tūponotanga kei roto, engari he tino onge ēnei.
| Mōrearea | He whakamārama māmā |
|---|---|
| Te kino ki ngā whekau e karapoti ana | He tino onge te wā ka pā te ngira ki te kōpū, te pūkahukahu, te pūkahukahu rānei ina werohia. |
| Mate pāwera | He iti noa te tūponotanga ka uru mai he iroriki ki te tinana mai i te wāhi i werohia ai te ngira. |
| Te kino ki ngā oko toto, ki ngā pukupuku rānei | Ka pā pea te ngira ki tētahi uaua toto, ki tētahi whēwhe ovarian, ki tētahi atu pukupuku rānei. |
He aha tā ngā hua e kī ana?
Mā te tirotiro i te tauira wai i tangohia mai ka kitea te mate. He nui ngā kōrero e puta mai ana i ngā hua.
- Hua Noa: I te nuinga o te wā, kāore he nui o te wai i roto i te 'pēke o Douglas'. Mena he mārama te tae, ā, he iti noa iho , he mea noa.
- Ngā Hua Rerekē:
- Mena he rere kōwhai, he rite ki te pulu , he tohu pea kei te pāngia koe e te mate pukupuku pēnei i te PID.
- Mena he toto kei roto, he tohu tēnei kei te toto o roto. Ina koa mēnā he toto kāore e totoka, he tohu nui tēnei o te hapūtanga ectopic kua pakaru. Nā te mea kua rerekē te tukanga totoka i roto i te kōhao puku.
- Mena he nui te wai mārama , tera pea he pakaru o te whēkau ovarian.
I runga i ēnei hua, ka whakatau te tākuta i te mea hei mahi i muri mai. Tērā pea me tīmata ia i ngā rongoā paturopi, me tuku rānei koe ki te pokanga ohorere.
Ahea te wā e hiahia ana koe ki te kite i te tākuta?
Mena kua whakamātauria koe ki te tango i te calodocentesis, ā, ka puta mai ēnei tohu i muri mai, me whakapā atu tonu koe ki tō tākuta .
- Mena ka pāngia koe e te mamae nui o te puku, te mamae rānei o te hope .
- Mena he nui rawa te toto o te tara .
- Mena ka puta he tohu rewharewha pērā i te kirika me te makariri .
He tohu pea ēnei o tētahi raruraru, nō reira kaua e warewarehia.
Me ako tātou i ētahi atu kupu e rua e rite ana te tangi ki tēnei.
Kua rongo pea koe i ētahi atu whakamātautau hauora he rite te tangi ki tēnei, nō reira kaua e pōhēhē.
- Culdocentesis me Colpocentesis: He ingoa ēnei e rua mō te whakamātautau kotahi. He kupu tawhito te Colpocentesis mō tēnei.
- Culdocentesis me te Amniocentesis: He rerekē rawa ēnei whakamātautau e rua.He tikanga tēnei e tango ana i te ngira hei tango i te wai amniotic e karapoti ana i te pēpi i roto i te kōpū i te wā e hapū ana hei tirotiro mō ngā mate ira. Ka mahia tēnei ki te wahine hapū. Ka mahia te Culdocentesis hei tirotiro mō ngā wai rerekē i roto i te pēke o Douglas.
Karere Tangohia ki te Kāinga
- Ko te Culdocentesis he tikanga e whakamahi ana i te ngira hei tango i te wai rerekē mai i te wāhi e kiia nei ko te 'pēke o Douglas' i muri i te kōpū o te wahine, ā, hei tirotiro i taua wai.
- I whakamahia whānuitia tēnei i ngā wā o mua, inā koa hei kite i ngā āhuatanga ohorere pēnei i te pakaru o te hāputanga ectopic.
- Engari i ēnei rā, nā te mea he tika ake, he haumaru ake, he kore mamae ake te matawai ultrasound transvaginal , kāore i te maha ngā wā e mahia ai te whakamātautau caldocentesis.
- Kāore tēnei whakamātautau i te mamae nā te mea ka mahia i raro i te mate whakamoe, ā, he iti noa iho ngā mōrearea.
- Ki te pāngia koe e ngā tohu pēnei i te mamae nui o te puku o raro, te toto rerekē rānei, he mea nui kia rapu tohutohu tonu atu koe i tētahi tākuta whai tohu, kaua e whakapae noa iho.
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