Ese wigeze wumva ibyerekeye ikizamini cya Culdocentesis? Reka tubiganireho!

Ushobora kuba utari warigeze wumva ijambo 'Culdocentesis' mbere. Nubwo rishobora kumvikana nk'izina rigoye, ni ikizamini cyoroshye cya muganga gikorerwa mu buvuzi bw'abagore. Ariko, iki kizamini ntigikoreshwa kenshi muri iyi minsi, kuko uburyo bushya kandi bworoshye nka 'ultrasound ya Transvaginal' bwaje. Ariko, bishobora kuba ingenzi ko ubimenya. Reka turebe rero icyo 'Culdocentesis' ari cyo, impamvu ikorwa, n'uko ikorwa mu buryo bworoshye.

Igikarabiro cyo mu mazi ni iki? Amazi agerayo ate?

Mu nda y'umugore, hagati y'umura n'ingingo ziwukikije, hari utunyangingo duto, cyangwa udusakoshi, twitwa 'cul-de-sacs.' Mu by'ukuri, hari udusakoshi tubiri nk'utwo.

1. Imwe iri imbere, hagati y'uruhago rwawe n'umura. Ibi byitwa 'anterior cul-de-sac'.

2. Indi iri inyuma. Iyi yitwa 'posterior cul-de-sac'. Iherereye inyuma y'umura, hagati y'inkari n'urukuta rw'inyuma rw'igitsina gore.

Abaganga bita iri zina "posterior cul-de-sac" irindi zina, ari ryo `Pouch of Douglas` . Ikintu cy'ingenzi ni uko iyo indwara zimwe na zimwe zibayeho mu mubiri, urugero nk'indwara zandura, kuva amaraso, n'ibindi, amazi menshi ashobora kwiyongera muri ako gace kitwa `Pouch of Douglas`. Icyo gihe ni bwo hakorwa `Culdocentesis`, hanyuma hagafatwa icyitegererezo cy'ayo mazi hanyuma hagapimwa ubwoko bw'amazi, niba arimo ibintu byandura, cyangwa niba arimo amaraso. Urabyumva?

None se, ni mu bihe ibihe Culdocentesis ikorerwa?

Ubusanzwe, muganga wawe abanza gukora ultrasound. Akenshi, iyi ni ultrasound ya transvaginal. Iyi ni scan ikorerwa mu gitsina. Ibi bishobora kwerekana neza niba hari amazi yibumbiye mu gafuka ka Douglas, inyuma ya nyababyeyi.

Muganga aramutse abonye ko hari ayo mazi, ntabwo bidasanzwe, kandi agakeka ko ashobora kuba yaratewe n'ikibazo runaka, icyo kizamini cya 'culdocentesis' kizakorwa, hanyuma hagafatwa icyitegererezo cy'ayo mazi cyoherezwe kugira ngo gikorerwe ibindi bipimo.

Zimwe mu mpamvu zishobora gutuma umuntu apimwa ni izi zikurikira:

• Gutwita inda itaratwita. Iyi ni indwara ikomeye isaba kubagwa byihutirwa. Ibi bibaye, amaraso ashobora guteranira mu nda.
• Indwara yo kubyimba mu gituza (PID) ni indwara ifata igice cy'ikibuno. Ibi bishobora no gutera uruhurirane rw'amazi ameze nk'ibibyimba.
• Gucika kw'uturemangingo tw'intanga ngore.
• EndometriosisIndwara yitwa endometriosis. Muri iyi ndwara, ingingo zisa n'iziboneka mu mura zikurira hanze ya nyababyeyi.
• Ibibyimba bya fibroid biba mu mura, byitwa ``Uterine fibroids``.
• Impanuka cyangwa imvune ku kibuno.
• Ububabare buhoraho, bukomeye kandi budasobanutse mu gice cy'ikibuno cyawe cyangwa mu nda yo hasi.

Intego nyayo y'iki kizamini cya Culdocentesis ni iyihe?

Mu magambo make, intego nyamukuru y'iki kizamini ni ugukuramo amazi adasanzwe yakusanyije inyuma y'igitsina cyawe, ahantu hitwa `Pouch of Douglas`, hanyuma ukayohereza muri laboratwari kugira ngo umenye neza niba hari `ubwandu` cyangwa ikindi kibazo. Ibi bifasha cyane mu gusuzuma indwara.

Ni gute nakwitegura iki kizamini?

Mu by’ukuri, ntukeneye kwitegura byinshi ku ikizamini cya culdocentesis. Icyo ni kimwe mu byorohereza iki kizamini.

• Muganga ashobora kugusaba kuryama ntuje iminota mike mbere yo gupimwa, cyangwa akagusaba kwicara.
• Bwira muganga wawe indi miti ufata.
• Kubera ko iki kizamini gikunze kuba gikubiyemo ikinyabutabire cyo mu gace runaka kugira ngo gitere ibisebe ahantu hakikije igitsina cy'umugabo, ni byiza ko umuntu agutwara mu rugo nyuma yo gupimwa. Ikinyabutabire rimwe na rimwe gishobora gutuma wumva usinziriye cyangwa utazi icyo ukora, bityo si byiza gutwara imodoka.

Ikizamini cya culdocentesis gikorwa gute? Sobanura gato.

Sawa, ndakwereka uko wabikora intambwe ku yindi. Ntugahangayike. Ubusanzwe bishobora gukorwa mu minota mike.

1. Ubwa mbere, muganga azasuzuma agace k'ikibuno cyawe (isuzuma ry'ikibuno). Ibi bivuze gusuzuma igitsina cyawe n'inkondo y'umura.

2. Hanyuma, igikoresho cyihariye cyo kwa muganga (speculum) gishyirwa mu gitsina cyawe kugira ngo umura wawe w'inkondo y'umura uzamurwe gato kandi urusheho kugaragara neza. Muri iki gihe ntuzumva ububabare ubwo aribwo bwose , ariko ushobora kumva urimo gukandagira cyangwa ukumva utameze neza.

3. Hanyuma, muganga azatera ikinyabutabire cyo mu gace k'igitsina cyawe inyuma, hafi y'umura wawe, kugira ngo agace k'urushinge ruzashyirwamo katameze neza. Ibi bizakurinda kumva ububabare ubwo aribwo bwose.

4. Hanyuma, urushinge ruto rushyirwa mu rukuta rw'igitsina cyawe, munsi gato y'inkombe y'umura wawe, mu gice cyo hasi cy'umura. Uru rushinge rufatanye na seringe, hanyuma uzakusanya amazi.

5. Hanyuma, muganga afata urugero rw'amazi ava mu gice cyo inyuma cy'umuti unyura mu rushinge akayashyira mu ruzingo.

Ibyo ni byo byonyine bibaho. Icyitegererezo cy'amazi cyoherezwa muri laboratwari kugira ngo gipimwe. Nyuma yo gupimwa, ushobora kumva utameze neza, nk'uribwa gato mu nda. Ariko ibi bikunze kugabanuka mu masaha 24 kugeza kuri 48.

Ese iki kizamini cyaba kibabaza?

Oya, ikizamini cya `culdocentesis` ntikigomba kubabaza . Ibi biterwa nuko muganga azaguha umuti utera ibisebe aho urushinge rwashyizwe. Ariko, nk'uko nabivuze mbere, ushobora kugira ububabare no kubabara. Bishobora kuba bisa n'ububabare uhura nabwo mu gihe cy'imihango yawe ya buri kwezi.

Hari igihe uhawe umuti ugabanya ububabare kugira ngo ugire icyo umara kandi ugabanye imihangayiko, ni byiza ko umuntu agutwara mu rugo nyuma yo gupimwa.

Ese hari ingaruka zishobora guterwa no gupimwa kwa Culdocentesis?

Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka nkeya zishobora kubaho. Ariko izi ni nke cyane kandi abaganga babyitondera cyane.

• Hari amahirwe make cyane ko urushinge rushobora gutobora nyababyeyi cyangwa mu nda ibyara ku buryo butunguranye.
• Hari amahirwe make yo kwandura nyuma yo gupimwa.
• Hari amahirwe make ko urushinge rwangiza imiyoboro y'amaraso, udukoko twa cysts, cyangwa ibindi bibyimba.

Muganga azagusobanurira izi ngaruka mbere yo gupimwa. Ashobora kukubaza ikibazo icyo ari cyo cyose ushobora kuba ufite kandi akagufasha kugabanya ubwoba bwawe.

Ni gute ibi bifasha kumenya gutwita hanze y'inyuma?

Mu bihe byashize, ubwo ikoranabuhanga rya ultrasound ryari ritaratera imbere cyane, iki kizamini cya 'culdocentesis' cyari ingirakamaro cyane mu kumenya aho inda zitari muri nyababyeyi ('ectopic pregnancy') zaturitse maze amaraso akagera mu nda (indwara yitwa 'hemoperitoneum'). Muri icyo gihe, akenshi, kuba hariho 'ectopic pregnancy' byabonekaga gusa nyuma yuko byaturitse.

Ariko, bitewe n’iterambere ry’ikoranabuhanga rya ultrasound, gutwita hanze y’inyuma y’ingirabuzimafatizo akenshi bishobora kugaragara hakiri kare cyane, ndetse na mbere yuko bicika . Kubwibyo, gukenera gupimwa ikizamini cya culdocentesis muri bene ibyo bihe byagabanutse cyane.

Ibisubizo by'ikizamini cya culdocentesis bitubwira iki?

Ibisubizo byavuye muri laboratwari bishobora gutanga amakuru y'ingenzi ku bijyanye n'uburwayi bwawe.

• Ibisubizo bisanzwe bivuze ko icyitegererezo cy'amazi cyabonetse gisobanutse neza kandi nta kibazo gihari.
• Ariko, niba ayo mazi afite ibara nk'iry'amaraso , umuhondo nk'amabyi , cyangwa hari amazi menshi asobanutse neza , bishobora kugaragaza ikibazo.
• Urugero, niba amazi ari umuhondo kandi asa n'ibibyimba , bigaragaza ko hari ubwandu.
• Iyo hari amaraso adapfundika , akenshi bishobora kwemeza ko "gutwita mu nda" byaturitse kandi birimo kuva amaraso mu nda. Kubera ko amaraso ari muri iyo "cul-de-sac" mu bisanzwe adapfundika.

Bitewe n'ibisubizo, muganga ashobora kukugira inama yo gukuraho amazi yakusanyije cyangwa kuyavura ukoresheje imiti yica udukoko.

Ni ryari nkwiye kujya kwa muganga nyuma yo gupimwa?

Muri rusange, niba ubabara cyane mu nda cyangwa mu kibuno, ni ngombwa kubonana na muganga vuba bishoboka, kuko bishobora kuba ikimenyetso cy'ikibazo.

Nyuma yo gupimwa na culdocentesis, niba ubonye kimwe cyangwa byinshi muri ibi bikurikira , menyesha muganga wawe ako kanya :

• Kuva amaraso menshi mu gitsina (kunywa amazi arenze agapapuro kamwe mu isaha)
• Ububabare bukomeye kandi budashobora kwihanganira (cyane cyane mu nda cyangwa mu gice cy'ikibuno)
• Ibimenyetso bisa n'ibicurane nko kugira umuriro, ubukonje, no kubabara umubiri
• Amasohoro mabi ava mu gitsina

Ibimenyetso nk'ibi bishobora kugaragaza ubwandu cyangwa ikindi kibazo.

Ese Culdocentesis na Colpocentesis ni kimwe?

Yego, uvuze ukuri rwose. `Colpocentesis` ni ijambo rya kera ryakoreshwaga kuri `Culdocentesis`. Byombi ni uburyo bumwe bwo gupima . Ubu izina `Culdocentesis` rikunze gukoreshwa cyane.

None se itandukaniro riri hagati ya Culdocentesis na Amniocentesis ni irihe?

Ibi ni ibizamini bibiri bitandukanye rwose, ntubivange, sibyo?

• Amniocentesis ni uburyo bwo gukuramo icyitegererezo cy'amazi y'umura akikije umwana mu mura no kugipima kugira ngo hamenyekane niba hari ubwandu cyangwa ibibazo bya chromosomes. Ibi bikorwa kugira ngo hamenyekane ubuzima bw'umwana.
• Culdocentesis ni uburyo bwo gusuzuma amazi adasanzwe yikusanyiriza mu gafuka ka Douglas, cyangwa inyuma ya cul-de-sac, inyuma y'igitsina gore. Bushobora gukorwa ku bagore batari batwite ndetse no mu gihe batwite (cyane cyane iyo bakeka ko batwite inda itarasohoka).

Nkuko nabivuze mbere, ikoreshwa rya culdocentesis ryaragabanutse cyane kuko ultrasound ya transvaginal yateye imbere mu kumenya amazi mu gice cy'ikibuno. Abaganga ubu bakoresha ubundi buryo bugezweho, rimwe na rimwe bukoresha amashusho, kugira ngo bakure amazi adasanzwe mu gice cy'inyuma cy'ikibuno.

Ibintu by'ingenzi ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, twaganiriye cyane kuri 'Culdocentesis' ubu. Ndizera ko usobanukiwe neza iki kizamini. Muri make, dore icyo ugomba kwibuka:

• Culdocentesis ni uburyo busaba gukoresha urushinge kugira ngo ukureho amazi adasanzwe yikusanyiriza mu gafuka ka Douglas, inyuma y'igitsina gore.
• Ibi ntibikikoreshwa cyane , kuko hari uburyo bugezweho, butababaza, kandi bufite ireme nka ultrasound ya transvaginal.
• Ibi byari ingirakamaro mbere mu gusuzuma indwara nka ``gutwita mu nda`` na ``indwara yo kubyimba mu nda``.
• Ububabare mu gihe cyo gupimwa ni buke cyane (biterwa no kubura ibinya), kandi nta myiteguro ikomeye ikenewe.
• Nubwo hari ingaruka ntoya, ni gake cyane .
• Niba ugize ibimenyetso nko kuva amaraso menshi, kubabara cyane, cyangwa umuriro nyuma yo gupimwa, shaka ubufasha kwa muganga byihutirwa .

Igikuru ni uko niba ufite ikibazo kuri ibi, cyangwa ikindi kizamini cy’ubuvuzi, ntutinye kubaza muganga wawe. Uko urushaho kumenya byinshi ku buzima bwawe, niko amahirwe yawe yo gukomeza kugira ubuzima bwiza aba menshi!

Culdocentesis , culdocentesis, igitsina gore, gusuzuma amazi, agafuka ka Douglas, ubuzima bw'abagore, indwara z'abagore, gutwita hanze y'inda, PID