Ese wigeze wumva ijambo 'culdocentesis'? Ushobora kuba warumvise umuganga arivuga, cyangwa se ukaba warigeze kurisoma ahantu runaka. Nubwo rishobora kumvikana nk'ijambo rigoye kandi ridasanzwe, mu by'ukuri ni ikizamini gikoreshwa mu buzima bw'abagore. Uyu munsi rero, turaganira ku cyo rikoreshwa, igihe rikorerwa, n'uburyo rikoreshwa cyane muri iki gihe.
Mu magambo make, Culdocentesis ni iki?
Caldocentesis ni uburyo bwo kwa muganga busaba kugenzura niba hari amazi cyangwa amazi yibumbiye mu gace kadasanzwe inyuma y'igitsina cyawe no munsi ya nyababyeyi yawe. Kugira ngo tubisobanukirwe neza, reka turebe icyo gice cy'umubiri wacu.
Tekereza ko umugore afite umwanya muto, cyangwa agafuka gato, hagati y'inda ye n'umura, inyuma y'igitsina cye. Ibi ni byo twita 'posterior cul-de-sac' cyangwa 'agakapu ka Douglas' mu buryo bw'ubuvuzi. Nubwo uyu mwanya ubusanzwe uba urimo ubusa, mu ndwara zimwe na zimwe, amazi ashobora guteranira muri uyu mwanya. Urugero, amaraso, amashyira, cyangwa andi mazi.
Rero, niba umuganga akeka ko hari amazi adasanzwe muri aka gace yitwa 'agafuka ka Douglas', azakora iki kizamini cya caldocentesis kugira ngo amenye neza ubwoko bw'amazi ari yo. Aha ngaha, umuganga ashyira urushinge ruto cyane mu rukuta rw'igitsina cye muri ako gace maze agafata urugero ruto rw'amazi aho ngaho. Hanyuma, icyitegererezo cyoherezwa muri laboratwari kugira ngo bapime ibirimo.
Ariko hari ikintu cy'ingenzi cyo kuvuga hano. Muri iki gihe, kubera iterambere ry'ikoranabuhanga, iki kizamini cya caldocentesis ntigikunze gukorwa. Impamvu yabyo ni scan ya ultrasound ya transvaginal. Iki kizamini kigufasha kubona neza amazi ari mu mubiri udakoresheje inshinge. Kubwibyo, twavuga ko iki kizamini kiri hafi kuzimangana.
Kuki iki kizamini ari ngombwa?
Mu bihe byashize, ubwo gupima hakoreshejwe ultrasound bitari bikunze kugaragara cyane, iki kizamini cyari ingenzi cyane. Cyafashaga mu gusuzuma vuba, cyane cyane mu bihe byihutirwa. Hari impamvu nyinshi z'ingenzi zatumye bakora iki kizamini. Reka turebe ibyo ari byo.
| Imiterere cyangwa impamvu | Ibisobanuro byoroshye |
|---|---|
| Gutwita inda yavuye mu nda y'umubyeyi | Iyi ni yo mpamvu nyamukuru y'iki kizamini. Ikibaho hano ni uko umwana asamwa hanze ya nyababyeyi, akenshi mu muyoboro w'inda, maze uwo muyoboro ukavunguka ukava amaraso mu nda. Ayo maraso ateranira mu gafuka ka Douglas. |
| Indwara yo kubyimba mu gituza (PID) | Iyi ni indwara iterwa n'udukoko iyo umugera winjiye mu bice byo hejuru by'imyanya myibarukiro, nko mu mura no mu miyoboro y'inda. Ibi bishobora no gutera uruhurirane rw'amazi ameze nk'ibibyimba muri ako gafuka. |
| Ibisebe byo mu nda y'intanga byacitse | Ibisebe byuzuyemo amazi cyangwa andi mazi agaragara ku ntanga zishobora guturika rimwe na rimwe, bigatuma amazi yinjira mu nda maze akishyira mu gafuka ka Douglas. |
| Endometriosis | Muri iki kibazo, ingingo zigomba gukurira mu mura zikurira hanze ya nyababyeyi, bigatuma amazi, nk'amaraso, yirundanya mu nda. |
| Ihungabana ku kibuno | Iyo habayeho igikomere mu nda yo hasi cyangwa mu kibuno, kuva amaraso imbere bishobora kubaho kandi amaraso ashobora kwirundanya. |
Mu bihe nk'ibi, iki kizamini cyari ingirakamaro cyane mbere kugira ngo hamenyekane niba ibyo byakusanyijwe ari amaraso, amashyira cyangwa andi mazi.
Reka tuvuge ko wagombaga gukora iki kizamini, wabikora ute?
Nkuko byavuzwe mbere, nubwo ibi bitagikoreshwa cyane, ni byiza kumenya uko ubu buryo bukora. Ntabwo ukeneye kwitegura cyane. Muganga ashobora kugusaba kuguma uhagaze iminota mike mbere yo gupimwa. Ibi bikunze gukorwa gutya:
1. Intambwe ya mbere:Muganga azabanza akore isuzuma rusange ry'ikibuno. Hanyuma, azakoresha igikoresho cyihariye (speculum) kugira ngo aterure witonze kandi afate umunwa w'inkondo y'umura. Ibi bishobora kubabaza gato, ariko ntibibabaza.
2. Intambwe ya 2: Hanyuma, agace gato k'urukuta rw'inda ibyara aho urushinge rugomba gushyirwa karacika intege. Ibi bikorwa hakoreshejwe ikinya cyo mu gace k'umubiri, bityo ntuzumva ububabare ubwo aribwo bwose.
3. Intambwe ya Gatatu: Ubu muganga azashyira urushinge ruto cyane rufatanye na seringi mu gace karimo ibinure. Azarushyira mu mwanya witwa 'posterior cul-de-sac' twavuze.
4. Intambwe ya nyuma: Iyo urushinge rumaze kugera mu mwanya warwo, hakurwamo amazi make nk'icyitegererezo hakoreshejwe seringe. Hanyuma urushinge rugakurwaho witonze.
Igikorwa cyose kimara iminota mike gusa. Icyitegererezo cyoherezwa muri laboratwari kugira ngo gipimwe. Nyuma y'ikizamini, ushobora kugira ububabare bworoheje mu gihe cy'umunsi umwe cyangwa ibiri. Ibi ni ibisanzwe.
Ibi birababaza?
Oya. Iki kizamini ntabwo kibabaza. Ntuzumva ububabare ubwo aribwo bwose kuko urushinge ruzaba rufite ibitotsi aho rwashyizwe. Ariko, ushobora kumva ufite igitutu gito cyangwa utameze neza. Hari igihe ushobora guhabwa umuti utuma umuntu aruhuka, kandi ni byiza ko umuntu agutwara mu rugo nyuma yo gupimwa.
Ese hari ingaruka mbi zihari muri ibi?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka nke cyane, ariko izi ni gake cyane.
| Ingaruka | Ibisobanuro byoroshye |
|---|---|
| Kwangirika kw'ingingo zikikije | Ni gake cyane, urushinge rushobora kugera ku mura, ku nda, cyangwa ku ruhago iyo rushyizwemo. |
| Kwandura | Hari amahirwe make cyane ko mikorobe yinjira mu mubiri iturutse aho urushinge rwashyizwe. |
| Kwangirika kw'imitsi y'amaraso cyangwa ibibyimba | Urushinge rushobora kugonga umutsi w'amaraso, ikibyimba cy'intanga ngore, cyangwa ikindi kibyimba. |
Ibisubizo bivuga iki?
Isuzuma rikorwa hasuzumwe icyitegererezo cy'amazi yabonetse. Ibisubizo bishobora kugaragaza byinshi.
- Ibisubizo bisanzwe: Ubusanzwe, nta mazi menshi aba ari mu 'mufuka wa Douglas'. Iyo ahari, haba hari ibara ryiza kandi ari make , ni ibisanzwe.
- Ibisubizo Bidasanzwe:
- Iyo hari amasatsi asa n'umuhondo , birashoboka cyane ko hari ubwandu, nka PID.
- Iyo amaraso arimo, bigaragaza ko ava amaraso imbere mu nda. Cyane cyane iyo ari amaraso adapfundika, ni ikimenyetso gikomeye cy'uko umuntu atwite inda itarapfundika. Ibi biterwa nuko inzira yo kuvura amaraso mu nda ihinduka.
- Iyo hari amazi menshi asobanutse neza , bishobora kuba ari ikibyimba cy’intanga ngore cyacitse.
Hashingiwe kuri ibi bisubizo, muganga azafata icyemezo cy'icyo agomba gukora nyuma. Ashobora gukenera gutangira imiti yica udukoko cyangwa akakohereza kubagwa byihutirwa.
Urashaka kubonana na muganga saa ngahe?
Niba warakorewe ikizamini cya calodocentesis hanyuma ukagaragaza ibimenyetso nk'ibi nyuma, ugomba guhita uhamagara muganga wawe .
- Niba ubabara cyane mu nda cyangwa mu kibuno .
- Niba uva amaraso menshi mu gitsina .
- Niba ugaragaje ibimenyetso bisa n'ibicurane nk'umuriro n'ubukonje .
Ibi bishobora kuba ibimenyetso by'ingorane, ntukabirengagize.
Reka twige ku yandi magambo abiri asa n'aya.
Ushobora kuba warumvise ibindi bizamini by’ubuvuzi bisa n’ibi, bityo ntukibagirwe urujijo.
- Culdocentesis na Colpocentesis: Aya ni amazina abiri y'ikizamini kimwe. Colpocentesis ni ijambo rya kera ryakoreshejwe kuri ibi.
- Culdocentesis na Amniocentesis: Ibi ni ibizamini bibiri bitandukanye rwose. AmniocentesisNi uburyo busaba gufata urushinge kugira ngo ukureho amazi yo mu nda y'umwana uri mu nda mu gihe atwite kugira ngo harebwe niba nta ndwara zikomoka ku ngirabuzimafatizo. Bukorerwa ku mugore utwite. Culdocentesis ikorwa kugira ngo harebwe niba nta mazi adasanzwe ari mu gafuka ka Douglas.
Ubutumwa bwo kujyana mu rugo
- Culdocentesis ni uburyo bukoresha urushinge kugira ngo ukure amazi adasanzwe mu mwanya witwa 'agafuka ka Douglas' inyuma y'inda y'umugore hanyuma ukabisuzuma.
- Ibi byakoreshwaga cyane mu bihe byashize, cyane cyane mu kumenya ibibazo byihutirwa nko gutwita inda yavuye mu nda.
- Ariko muri iki gihe, kubera ko isuzuma rya ultrasound rya transvaginal ririmo ubuhanga, umutekano, kandi nta bubabare, ikizamini cya caldocentesis ntigikunze gukorwa.
- Iki kizamini ntabwo kibabaza kuko gikorerwa munsi y'ikinyabutabire, kandi ingaruka zacyo ni nke cyane.
- Niba ugize ibimenyetso nko kubabara cyane mu nda yo hasi cyangwa kuva amaraso ku buryo budasanzwe, ni ngombwa cyane gushaka inama kwa muganga w’inzobere ako kanya nta kintu na kimwe utekereza.
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