Wakambonzwa nezvebvunzo yeCuldocentesis here? Ngatikurukurei nezvazvo!

Zvakanaka, ungave usina kumbonzwa nezveshoko rekuti 'Culdocentesis' kare. Kunyangwe ringanzwika sezita rakaoma, ibvunzo iri nyore yekurapa inoitwa mu gynecology. Zvisinei, bvunzo iyi haiwanzo shandiswa mazuva ano, nekuti nzira itsva, dziri nyore se 'Transvaginal ultrasound' dzauya. Zvisinei, zvingave zvakakosha kuti uzive nezvazvo. Saka, ngationei kuti 'Culdocentesis' chii, nei ichiitwa, uye kuti inoitwa sei nenzira iri nyore.

Chii chinonzi cul-de-sac? Mvura inopinda sei ipapo?

Mukati medumbu remukadzi, pakati pechibereko nenhengo dzakapoteredza, mune nzvimbo diki, kana kuti masaga, anonzi 'cul-de-sacs.' Kutaura chokwadi, kune masaga maviri akadaro.

1. Imwe iri pamberi, pakati pedundira rako nechibereko. Izvi zvinonzi `anterior cul-de-sac`.

2. Imwe iri kumusana. Izvi zvinonzi `posterior cul-de-sac`. Iri seri kwechibereko, pakati pehuro nemadziro ekumashure emukadzi.

Vanachiremba vanodana izvi kuti 'posterior cul-de-sac' rimwe zita, iro rinonzi 'Pouch of Douglas' . Chinhu chakakosha ndechekuti kana mamwe mamiriro ehutano akaitika mumuviri, semuenzaniso, hutachiona, kubuda ropa, nezvimwewo, huwandu husina kujairika hwemvura hunogona kuungana munzvimbo iyi inonzi 'Pouch of Douglas'. Ndipo panoitwa 'Culdocentesis', uye muenzaniso wemvura iyoyo unotorwa woongororwa kuti uone kuti mvura yerudzii, ingave ine zvinhu zvinotapukira, kana kuti ine ropa. Unonzwisisa here?

Saka, Culdocentesis inoitiswa muzviitiko zvipi?

Kazhinji, chiremba wako ndiye anotanga aita ultrasound. Kazhinji, iyi iultrasound inotorwa nepanhengo yemukadzi. Iyi scan inotorwa nepanhengo yemukadzi. Izvi zvinonyatsoona kana paine mvura yakaungana mupaketi yeDouglas, iri kuseri kwechibereko.

Kana chiremba akaona kuti kune mvura yakadaro, hazviwanzoitiki, uye achifungidzira kuti inogona kunge iri nekuda kwechimwe dambudziko, ipapo bvunzo iyi ye 'culdocentesis' ichaitwa, uye sampuro yemvura iyoyo ichatorwa yotumirwa kunoongororwazve.

Zvimwe zvezvikonzero zvinogona kukonzera bvunzo iyi ndeizvi:

• Kuputika kwepamuviri padumbu. Ichi chirwere chakakomba chinoda kuvhiyiwa nekukurumidza. Kana izvi zvikaitika, ropa rinogona kuungana mudumbu.
• Chirwere chePelvic Inflammatory Disease (PID) chirwere chinotapukira muchiuno. Izvi zvinogona kukonzerawo kuunganidzwa kwemvura yakaita semapundu.
• Kuputika kwema cysts emuzasi.
• EndometriosisChirwere chinonzi endometriosis. Muchirwere ichi, nyama yakafanana neiri mukati mechibereko inokura kunze kwechibereko.
• Matumbu efibroid anoumbwa muchibereko, anonzi ``Uterine fibroids``.
• Tsaona kana kukuvara kwechiuno.
• Kurwadziwa kunogara kwenguva refu, kwakanyanya, uye kusingatsananguriki munharaunda yehudyu kana pasi pedumbu.

Chinangwa chaicho chebvunzo iyi yeCuldocentesis ndechei?

Zvichitaurwa zviri nyore, chinangwa chikuru chebvunzo iyi kubvisa mvura isina kujairika yakaungana kuseri kwechikadzi chako, panzvimbo inonzi `Pouch of Douglas`, woitumira kurabhoritari kuti ione kana paine `hutachiona` kana rimwe dambudziko. Izvi zvinobatsira zvikuru pakuongorora chirwere chacho.

Ndinofanira kugadzirira sei bvunzo iyi?

Kutaura zvazviri, haufanirwe kugadzirira zvakawanda kuti uedze bvunzo ye culdocentesis. Ndiyo imwe yenzira dziri nyore dzebvunzo iyi.

• Chiremba anogona kukukumbira kuti urara pasi kwemaminitsi mashoma usati waongororwa, kana kukukumbira kuti ugare pasi.
• Udza chiremba wako nezvemimwe mishonga yauri kutora.
• Sezvo bvunzo iyi ichiwanzosanganisira mushonga unonyaradza marwadzo wepanzvimbo kuti unzwe kusanzwa zvakanaka panzvimbo yakatenderedza nhengo yemukadzi, zvakanaka kuti mumwe munhu akuendese kumba mushure mekuongororwa. Mishonga iyi inogona dzimwe nguva kuita kuti unzwe hope kana kuvhiringidzika, saka hazvikurudzirwi kutyaira.

Kuongororwa kweculdocentesis kunoitwa sei? Ndapota tsanangurai zvishoma.

Zvakanaka, ndichakuratidza maitiro ekuita izvi nhanho nhanho. Usazvidya moyo. Izvi zvinogona kuitwa mumaminitsi mashoma.

1. Kutanga, chiremba achaongorora nzvimbo yechiuno chako (bvunzo yechiuno). Izvi zvinoreva kuongorora nhengo yako yemukadzi nemuromo wechibereko.

2. Zvadaro, mudziyo wekurapa (speculum) unoiswa munhengo yako yesikarudzi kuti muromo wechibereko wako usimudzwe zvishoma uye kuti utarise zviri nani. Hauzonzwi kurwadziwa panguva ino, asi unganzwa kudzvanywa zvishoma kana kusagadzikana.

3. Tevere, chiremba achabaya mushonga wekurwadziwa uri pedyo nepaburi rezasi remukadzi wako, kuti aite kuti nzvimbo ichapinzwa tsono isashande zvakanaka. Izvi zvinokudzivirira kuti usanzwe kurwadziwa.

4. Zvadaro, tsono diki inopinzwa nepamadziro emukadzi wako, pasi pemucheto wemuromo wechibereko chako, ichipinda mu "posterior cul-de-sac". Tsono iyi inonamirwa pasirinji, uye iwe uchatora mvura yacho.

5. Pakupedzisira, chiremba anotora mvura kubva kuseri kwemushonga wekudzivirira chirwere ichi kuburikidza netsono oiisa musirinji.

Ndizvo chete zvinoitika. Muenzaniso wemvura unozotumirwa kurabhoritari kuti unoongororwa. Mushure mekuongororwa kwechirwere chemudumbu, unogona kunzwa kusagadzikana, sekunge kurwadziwa mudumbu. Asi izvi zvinowanzopera mukati memaawa makumi maviri nemana kusvika makumi mana nemasere.

Kuongororwa uku kunorwadza here?

Kwete, bvunzo ye 'culdocentesis' haifanirwe kurwadza . Izvi zvinodaro nekuti chiremba achakupa mushonga unoremadza panowanikwa tsono. Zvisinei, sezvandambotaura, unogona kunzwa kurwadziwa uye kusagadzikana. Kunogona kunge kwakafanana nekurwadziwa kwaunonzwa panguva yako yekuenda kumwedzi.

Dzimwe nguva, kana ukapihwa mushonga wekunyaradza kuti uderedze kuzvidya mwoyo, zvakanaka kuva nemumwe munhu anokutora kuenda newe kumba mushure mekuongororwa.

Pane njodzi dziripo here pakuongorora kweCuldocentesis?

Sezvinoitwa chero nzira ipi zvayo yekurapa, pane dzimwe njodzi diki diki dzinobatanidzwa. Asi idzi hadziwanzoitika uye vanachiremba vanongwarira zvikuru nezveizvi.

• Pane mukana mudiki kwazvo wekuti tsono iyi ibaye chibereko netsaona kana kuti mudumbu.
• Pane mukana mudiki wekutapukirwa mushure mekuongororwa.
• Pane mukana mudiki wekuti tsono iyi ikuvadze mitsipa yeropa, ma cysts, kana mamwe mabundu.

Chiremba achakutsanangurira njodzi idzi usati waongororwa. Anogona kukubvunza chero mibvunzo yaungave nayo uye kukubatsira kuderedza kutya kwako.

Izvi zvinobatsira sei kuziva pamuviri usati waberekwa?

Kare, apo tekinoroji ye ultrasound yakanga isati yanyanya kufambira mberi, bvunzo iyi ye 'culdocentesis' yaibatsira zvikuru pakuona zviitiko apo pamuviri kunze kwechibereko ('ectopic pregnancy') paiputika uye ropa raiyerera mudumbu (chirwere chinonzi `hemoperitoneum'). Mumazuva iwayo, kazhinji, kuvapo kwe 'ectopic pregnancy' kwaingoonekwa chete mushure mekunge yaputika.

Zvisinei, nekufambira mberi kwetekinoroji ye ultrasound, pamuviri we ectopic unogona kuonekwa pakutanga, kunyangwe usati waputika . Saka, kudiwa kwekuongororwa kwe culdocentesis muzviitiko zvakadaro kwaderera zvikuru.

Migumisiro yekuongororwa kweculdocentesis inotiudzei?

Mhedzisiro inobva murabhoritari inogona kupa ruzivo rwakakosha nezvechirwere chako.

• Mhedzisiro yakajairika inoreva kuti sampuro yemvura yakawanikwa yakajeka uye hapana matambudziko.
• Zvisinei, kana mvura yacho ine ruvara rweropa , yero yakaita semapundu , kana kuti paine mvura yakawanda yakajeka , zvinogona kuratidza dambudziko.
• Semuenzaniso, kana mvura yacho yakaita seyero uye yakaita semapundu , zvinoreva hutachiona.
• Kana ropa risingagwambi , zvinogona kuvonekwa kuti `ectopic pregnancy` yaputika uye iri kubuda ropa mudumbu. Nekuti ropa riri mu`cul-de-sac` iyoyo hariwanzogwambi.

Zvichienderana nemhedzisiro, chiremba anogona kukurudzira kubvisa mvura yakaungana kana kuirapa nemishonga inorwisa mabhakitiriya.

Ndinofanira kuona chiremba rini mushure mekuongororwa?

Kazhinji, kana uchinzwa kurwadziwa kwakanyanya mudumbu kana muchiuno, zvakakosha kuona chiremba nekukurumidza, sezvo ichi chingave chiratidzo chedambudziko.

Mushure mekuongororwa kweculdocentesis, kana ukaona chimwe chezviratidzo zvinotevera , zivisa chiremba wako nekukasika :

• Kubuda ropa rakawanda kubva muchibereko (kunyorovesa kupfuura pad imwe chete paawa)
• Kurwadziwa kwakanyanya, kusingatsungiririki (kunyanya mudumbu kana muchiuno)
• Zviratidzo zvakaita sefuruu zvakaita sefivha, kutonhora, uye kurwadziwa kwemuviri
• Kunhuwa kwemvura kubva munhengo yemukadzi

Zviratidzo zvakadai zvinogona kuratidza hutachiona kana zvimwe zvinetso.

Culdocentesis neColpocentesis zvakafanana here?

Ehe, une chokwadi chose. `Colpocentesis` izwi rekare raishandiswa kureva `Culdocentesis`. Ose ari maviri maitiro ekuyedza akafanana . Iye zvino zita rekuti `Culdocentesis` ndiro rinonyanya kushandiswa.

Saka musiyano uripi pakati peCuldocentesis neAmniocentesis?

Iyi miedzo miviri yakasiyana zvachose, musaivhiringe, zvakanaka here?

• Amniocentesis inzira inoshandiswa panguva yekuzvitakura yekubvisa mvura yeamniotic yakakomberedza mwana kubva muchibereko uye kuyedza kuti ionekwe kana paine hutachiona kana kusagadzikana kwemachromosome. Izvi zvinoitirwa kuona hutano hwemwana.
• Culdocentesis inzira inoongorora mvura isina kujairika inoungana mupaketi yeDouglas, kana posterior cul-de-sac, iri kumashure kwechikadzi. Inogona kuitwa kuvakadzi vasina pamuviri pamwe chete nepamuviri (kunyanya kana paine fungidziro yekuti pamuviri panogona kunge paine ectopic).

Sezvandambotaura, kushandiswa kweculdocentesis kwadzikira zvakanyanya sezvo transvaginal ultrasound yave kufambira mberi mukuona mvura iri muchiuno. Vanachiremba vava kushandisa dzimwe nzira dzemazuva ano, dzimwe nguva dzinotungamirirwa nemifananidzo, kubvisa mvura isina kujairika kubva kumashure kwe cul-de-sac.

Zvinhu zvinonyanya kukosha zvaunofanira kuyeuka (Mharidzo Yekuenda Kumba)

Zvakanaka, tataura zvakawanda nezve 'Culdocentesis' ikozvino. Ndinovimba wanzwisisa bvunzo iyi zvakanaka. Muchidimbu, hezvino zvaunofanira kuyeuka:

• Culdocentesis inzira inosanganisira kushandisa tsono kubvisa mvura isina kujairika inoungana mubhegi raDouglas, riri kuseri kwechikadzi.
• Izvi hazvichashandiswi zvakanyanya , sezvo kune nzira dzepamusoro, dzisingarwadzi, uye dzakarurama dzakadai se transvaginal ultrasound.
• Izvi zvaimbobatsira pakuongorora zvirwere zvakaita se `Ectopic pregnancy` uye `Pelvic Inflammatory Disease (PID)`.
• Marwadzo panguva yebvunzo akaderera (nekuda kwechiveve), uye hapana kugadzirira kukuru kunodiwa.
• Kunyangwe paine dzimwe njodzi diki, hadziwanzoitika .
• Kana ukaona zviratidzo zvakaita sekubuda ropa rakawanda, kurwadziwa kwakanyanya, kana fivha mushure mekuongororwa, tsvaga rubatsiro rwechiremba nekukasika .

Chinhu chakakosha ndechekuti kana uine mibvunzo nezveizvi, kana imwe bvunzo yekurapa, usatya kubvunza chiremba wako. Kana ukanyatsonzwisisa nezvehutano hwako, mikana yako yekugara uine hutano inowedzera!

Culdocentesis , culdocentesis, mukadzi, kuongororwa kwemvura, Pouch of Douglas, hutano hwevakadzi, gynecology, ectopic pregnancy, PID