Kodi mwamvapo za mayeso a Culdocentesis? Tiyeni tikambirane za izi!

Mwina simunamvepo za mawu akuti 'Culdocentesis' kale. Ngakhale kuti angamveke ngati dzina lovuta, ndi mayeso osavuta azachipatala omwe amachitidwa mu gynecology. Komabe, mayesowa sagwiritsidwa ntchito kawirikawiri masiku ano, chifukwa njira zatsopano komanso zosavuta monga 'Transvaginal ultrasound' zabwera. Komabe, zingakhale zofunikira kuti mudziwe za izi. Chifukwa chake, tiyeni tiwone kuti 'Culdocentesis' ndi chiyani, chifukwa chake imachitidwa, komanso momwe imachitikira mosavuta.

Kodi cul-de-sac ndi chiyani? Kodi madzi amafika bwanji kumeneko?

Mkati mwa mimba ya mkazi, pakati pa chiberekero ndi ziwalo zozungulira, muli mipata yaying'ono, kapena matumba, otchedwa `cul-de-sacs.` Kunena zoona, pali matumba awiri otere.

1. Chimodzi chili kutsogolo, pakati pa chikhodzodzo chanu ndi chiberekero. Izi zimatchedwa `anterior cul-de-sac`.

2. China chili kumbuyo. Ichi chimatchedwa `posterior cul-de-sac`. Chili kumbuyo kwa chiberekero, pakati pa anus ndi khoma lakumbuyo la nyini.

Madokotala amatcha izi 'posterior cul-de-sac' dzina lina, lomwe ndi 'Pouch of Douglas' . Chofunika kwambiri ndichakuti matenda ena akachitika m'thupi, mwachitsanzo, matenda opatsirana, kutuluka magazi, ndi zina zotero, kuchuluka kwa madzi ochulukirapo kumatha kusonkhana m'malo awa otchedwa 'Pouch of Douglas'. Pamenepo ndi pomwe 'Culdocentesis' imachitidwa, ndipo chitsanzo cha madziwo chimatengedwa ndikuyesedwa kuti awone mtundu wa madziwo, kaya ali ndi zinthu zoyambitsa matenda, kapena ngati ali ndi magazi. Kodi mukumvetsa?

Ndiye, ndi nthawi ziti pamene Culdocentesis imachitidwa?

Kawirikawiri, dokotala wanu amayamba kaye wachita ultrasound. Nthawi zambiri, iyi ndi ultrasound ya transvaginal. Iyi ndi scan yomwe imachitidwa kudzera mu nyini. Izi zingathandize kuona bwino ngati pali madzi okwanira m'thumba la Douglas, kumbuyo kwa chiberekero.

Ngati dokotala akuona kuti pali madzi otere, sizachilendo, ndipo akuganiza kuti mwina chifukwa cha vuto linalake, ndiye kuti mayeso a 'culdocentesis' awa adzachitidwa, ndipo chitsanzo cha madziwo chidzatengedwa ndikutumizidwa kuti akayesedwenso.

Zina mwa zinthu zomwe zingayambitse mayesowa ndi izi:

• Mimba yotupa ya ectopic. Ili ndi vuto lalikulu lomwe limafuna opaleshoni yadzidzidzi. Ngati izi zitachitika, magazi amatha kusonkhana m'mimba.
• Matenda Otupa a Pelvic (PID) ndi matenda omwe amapezeka m'chiuno. Izi zingayambitsenso kusonkhana kwa madzi ngati mafinya.
• Kuphulika kwa ma cysts a ovarian.
• EndometriosisMatenda otchedwa endometriosis. Pa vutoli, minofu yofanana ndi yomwe imapezeka mkati mwa chiberekero imakula kunja kwa chiberekero.
• Zotupa za fibroid zomwe zimapangidwa m'chiberekero, zotchedwa ``Uterine fibroids``.
• Ngozi kapena kuvulala m'chiuno.
• Kupweteka kosalekeza, koopsa, komanso kosazolowereka m'chiuno mwanu kapena m'mimba mwanu.

Kodi cholinga chenicheni cha mayeso a Culdocentesis awa n'chiyani?

Mwachidule, cholinga chachikulu cha mayesowa ndikuchotsa madzi osadziwika bwino omwe asonkhana kumbuyo kwa nyini yanu, pamalo otchedwa `Pouch of Douglas`, ndikutumiza ku labotale kuti akadziwe ngati pali `matenda` kapena vuto lina. Izi zimathandiza kwambiri pozindikira matendawa.

Kodi ndiyenera kukonzekera bwanji mayesowa?

Ndipotu, simukuyenera kukonzekera zambiri kuti muyesedwe ndi culdocentesis. Imeneyo ndi imodzi mwa njira zosavuta zoyezera izi.

• Dokotala angakupempheni kuti mugone pansi kwa mphindi zochepa musanayambe mayeso, kapena angakupempheni kuti mukhale pansi.
• Uzani dokotala wanu za mankhwala ena omwe mukumwa.
• Popeza mayesowa nthawi zambiri amakhala ndi mankhwala oletsa ululu m'dera lozungulira nyini kuti athetse dzanzi, ndi bwino kuti wina akutsogolereni kunyumba mukamaliza mayesowa. Mankhwala oletsa ululu nthawi zina angakupangitseni kugona kapena kusokonezeka, choncho sikoyenera kuyendetsa galimoto.

Kodi mayeso a culdocentesis amachitidwa bwanji? Chonde fotokozani pang'ono.

Chabwino, ndikukuwonetsani momwe mungachitire izi pang'onopang'ono. Musadandaule. Nthawi zambiri zimatha kuchitika mumphindi zochepa.

1. Choyamba, dokotala adzafufuza malo anu a m'chiuno (kufufuza m'chiuno). Izi zikutanthauza kufufuza nyini yanu ndi khomo lachiberekero.

2. Kenako, chipangizo chapadera chachipatala (speculum) chimayikidwa mu nyini yanu kuti chitulutse chiberekero chanu pang'ono ndikuwona bwino. Simudzamva kupweteka kulikonse panthawiyi, koma mungamve kufinya pang'ono kapena kusasangalala.

3. Kenako, dokotala adzabaya mankhwala oletsa ululu kumbuyo kwa nyini yanu, pafupi ndi khomo lachiberekero, kuti achepetse ululu pamalo pomwe singano idzalowetsedwa. Izi zidzakutetezani kuti musamve kupweteka kulikonse.

4. Kenako, singano yopyapyala imalowetsedwa kudzera pakhoma la nyini yanu, pansi pa mapeto a chiberekero chanu, mu `posterior cul-de-sac`. Singano iyi imalumikizidwa ku syringe, ndipo mudzatenga madziwo.

5. Pomaliza, dokotalayo amatenga chitsanzo cha madzi kuchokera kumbuyo kwa chitoliro kudzera mu singano kupita mu syringe.

Ndizo zonse zomwe zimachitika. Kenako chitsanzo cha madzi chimatumizidwa ku labu kuti akayesedwe. Mukamaliza kuchitidwa opaleshoni ya culdocentesis, mungamve kusasangalala pang'ono, monga kupweteka pang'ono m'mimba. Koma nthawi zambiri izi zimatha mkati mwa maola 24 mpaka 48.

Kodi mayesowa amapweteka?

Ayi, mayeso a `culdocentesis` sayenera kukhala opweteka . Izi zili choncho chifukwa dokotala adzakupatsani mankhwala opangitsa dzanzi pamene singano yaikidwa. Komabe, monga ndanenera kale, mutha kumva kupweteka m'mimba ndi kusasangalala. Zingakhale zofanana ndi ululu womwe mumamva mukamakhala mwezi uliwonse.

Nthawi zina, ngati mwapatsidwa mankhwala ochepetsa nkhawa kuti akuthandizeni kupumula ndikuchepetsa nkhawa zanu, ndi bwino kukhala ndi munthu woti akutengereni kunyumba mukamaliza mayeso.

Kodi pali zoopsa zilizonse zomwe zingachitike pa mayeso a Culdocentesis?

Monga momwe zimakhalira ndi njira ina iliyonse yachipatala, pali zoopsa zina zazing'ono zomwe zimachitika. Koma izi sizichitika kawirikawiri ndipo madokotala amasamala kwambiri pa izi.

• Pali mwayi wochepa kwambiri kuti singano iboole mwangozi chiberekero kapena rectum.
• Pali mwayi wochepa woti munthu atenge kachilombo akamaliza kuyezetsa.
• Pali mwayi wochepa kuti singano iwononge mitsempha yamagazi, ma cysts, kapena zotupa zina.

Dokotala adzakufotokozerani zoopsa izi musanayesedwe. Akhoza kukufunsani mafunso aliwonse omwe mungakhale nawo ndikukuthandizani kuchepetsa mantha anu.

Kodi izi zimathandiza bwanji kuzindikira mimba yotuluka m'mimba?

Kale, pamene ukadaulo wa ultrasound sunali wopita patsogolo kwambiri, mayeso a `culdocentesis` anali othandiza kwambiri pozindikira milandu yomwe mimba kunja kwa chiberekero (`ectopic pregnancy`) inkaphulika ndipo magazi ankalowa m'mimba (vuto lotchedwa `hemoperitoneum`). Masiku amenewo, nthawi zambiri, kupezeka kwa `ectopic pregnancy` kunkapezeka kokha pambuyo poti yaphulika.

Komabe, chifukwa cha kupita patsogolo kwa ukadaulo wa ultrasound, mimba yotuluka m'mimba nthawi zambiri imatha kupezeka msanga kwambiri, ngakhale isanaphuke . Chifukwa chake, kufunikira kwa mayeso a culdocentesis m'mikhalidwe yotere tsopano kwachepa kwambiri.

Kodi zotsatira za mayeso a culdocentesis zimatiuza chiyani?

Zotsatira za labu zingapereke chidziwitso chofunikira chokhudza matenda anu.

• Zotsatira zabwinobwino zikutanthauza kuti chitsanzo cha madzi chomwe chapezeka chili choyera ndipo palibe mavuto.
• Komabe, ngati madziwo ali ngati magazi , achikasu ngati mafinya , kapena pali madzi ambiri omveka bwino , izi zitha kusonyeza vuto.
• Mwachitsanzo, ngati madziwo ali achikasu komanso ngati mafinya , zimasonyeza kuti munthu ali ndi matenda.
• Ngati pali magazi omwe satseka , nthawi zambiri amatha kutsimikizira kuti mimba ya ectopic yaphulika ndipo ikutuluka magazi m'mimba. Chifukwa magazi omwe ali mu 'cul-de-sac' imeneyo nthawi zambiri satseka.

Kutengera ndi zotsatira zake, dokotala angakulangizeni kuchotsa madzi omwe asonkhana kapena kuwachiza ndi maantibayotiki.

Kodi ndiyenera kupita kwa dokotala liti ndikamaliza mayeso?

Kawirikawiri, ngati mukumva kupweteka kwambiri m'mimba kapena m'chiuno mwanu, ndikofunikira kuonana ndi dokotala mwachangu, chifukwa izi zitha kukhala chizindikiro cha vuto.

Mukamaliza mayeso a culdocentesis, ngati mukukumana ndi chimodzi kapena zingapo mwa zizindikiro zotsatirazi , dziwitsani dokotala wanu nthawi yomweyo :

• Kutuluka magazi ambiri m'mimba (kunyowetsa pad yoposa imodzi pa ola limodzi)
• Ululu waukulu, wosapiririka (makamaka m'mimba kapena m'chiuno)
• Zizindikiro zofanana ndi chimfine monga malungo, kuzizira, ndi kupweteka kwa thupi
• Kutuluka kwa madzi onunkhira kuchokera kumaliseche

Zizindikiro ngati izi zingasonyeze matenda kapena vuto lina.

Kodi Culdocentesis ndi Colpocentesis ndi chinthu chimodzi?

Inde, mwalondola kwambiri. `Colpocentesis` ndi mawu akale omwe ankagwiritsidwa ntchito pofotokoza `Culdocentesis`. Onsewa ndi njira yoyesera yomweyi . Tsopano dzina lakuti `Culdocentesis` limagwiritsidwa ntchito kwambiri.

Ndiye kusiyana kotani pakati pa Culdocentesis ndi Amniocentesis?

Mayeso awiriwa ndi osiyana kwambiri, musawasokoneze, chabwino?

• Amniocentesis ndi njira yochotsera madzi amniotic omwe amazungulira mwana m'chiberekero ndikuwayesa ngati ali ndi matenda kapena zolakwika mu chromosome. Izi zimachitika kuti adziwe thanzi la mwana panthawi ya mimba.
• Culdocentesis ndi njira yowunikira madzi osadziwika bwino omwe amasonkhana m'thumba la Douglas, kapena posterior cul-de-sac, kumbuyo kwa nyini. Itha kuchitika kwa amayi omwe si apakati komanso panthawi ya mimba (makamaka ngati akukayikiridwa kuti ali ndi mimba yotuluka m'mimba).

Monga ndanenera kale, kugwiritsa ntchito culdocentesis kwachepa kwambiri chifukwa ultrasound ya transvaginal yapita patsogolo kwambiri pozindikira madzi m'chiuno. Madokotala tsopano akugwiritsa ntchito njira zina zamakono, nthawi zina zotsogozedwa ndi zithunzi, kuti achotse madzi osayenera kuchokera kumbuyo kwa cul-de-sac.

Zinthu zofunika kwambiri zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, takambirana zambiri za `Culdocentesis` tsopano. Ndikukhulupirira kuti mwamvetsa bwino mayesowa. Mwachidule, nazi zomwe muyenera kukumbukira:

• Culdocentesis ndi njira yomwe imaphatikizapo kugwiritsa ntchito singano kuchotsa madzi osadziwika omwe amasonkhana m'thumba la Douglas, kumbuyo kwa nyini.
• Izi sizikugwiritsidwanso ntchito kawirikawiri , chifukwa pali njira zamakono, zopanda ululu, komanso zolondola kwambiri monga transvaginal ultrasound.
• Izi zinali zothandiza kale pozindikira matenda monga `Ectopic pregnancy` ndi `Pelvic Inflammatory Disease (PID)`.
• Ululu panthawi yoyezetsa ndi wochepa (chifukwa cha dzanzi), ndipo palibe kukonzekera kwakukulu komwe kumafunika.
• Ngakhale kuti pali zoopsa zazing'ono, sizichitika kawirikawiri .
• Ngati mukumva zizindikiro monga kutuluka magazi ambiri, kupweteka kwambiri, kapena kutentha thupi mutatha kuyeza, funsani upangiri wa dokotala nthawi yomweyo .

Chofunika kwambiri ndichakuti ngati muli ndi mafunso okhudza izi, kapena mayeso ena aliwonse azachipatala, musaope kufunsa dokotala wanu. Mukadziwa zambiri za thanzi lanu, mwayi wanu wokhala ndi thanzi labwino umakhala wabwino!

Culdocentesis , culdocentesis, nyini, kufufuza madzi, thumba la Douglas, thanzi la akazi, matenda a akazi, mimba yotuluka m'mimba, PID