Ngaba ukhe weva ngovavanyo lweCuldocentesis? Masithethe ngalo!

Kaloku, kusenokwenzeka ukuba awukaze uve ngegama elithi `Culdocentesis` ngaphambili. Nangona lisenokuvakala njengegama elintsonkothileyo, luvavanyo olulula lwezonyango olwenziwa kwi-gynecology. Nangona kunjalo, olu vavanyo alusetyenziswa rhoqo kule mihla, kuba iindlela ezintsha nezilula ezifana ne-`Transvaginal ultrasound` ziye zavela. Nangona kunjalo, kunokuba kubalulekile ukuba wazi ngalo. Ngoko ke, makhe sibone ukuba yintoni i-`Culdocentesis`, kutheni yenziwa, kwaye yenziwa njani ngendlela elula.

Yintoni i-cul-de-sac? Ulwelo lufika njani apho?

Ngaphakathi kwesisu somfazi, phakathi kwesibeleko kunye namalungu angqongileyo, kukho izithuba ezincinci, okanye iingxowa, ezibizwa ngokuba yi-'cul-de-sacs.' Ukuchaneka, kukho iingxowa ezimbini ezinjalo.

1. Elinye lingaphambili, phakathi kwesinyi sakho nesibeleko. Oku kubizwa ngokuba yi-'anterior cul-de-sac'.

2. Enye ingasemva. Oku kubizwa ngokuba yi-'posterior cul-de-sac'. Ifumaneka ngasemva kwesibeleko, phakathi kwe-anus kunye nodonga olungasemva lwelungu lobufazi.

Oogqirha babiza oku ngokuthi 'i-posterior cul-de-sac' elinye igama, eliyi -'Pouch of Douglas' . Into ebalulekileyo kukuba xa kuvela iimeko ezithile zempilo emzimbeni, umzekelo, usulelo, ukopha, njl.njl., ulwelo olungaqhelekanga lunokuqokelelwa kule ndawo ibizwa ngokuba yi-'Pouch of Douglas'. Kulapho kwenziwa khona i-'Culdocentesis', kwaye kuthathwa isampuli yalo lwelo kwaye ivavanywe ukuze kubonwe ukuba loluphi uhlobo lolwelo, nokuba lune-arhente ezibangela usulelo, okanye nokuba lunegazi. Uyaqonda?

Ngoko ke, kuxa kutheni apho iCuldocentesis yenziwa khona?

Ngokwesiqhelo, ugqirha wakho uya kuqala enze i-ultrasound. Ngokuqhelekileyo, le yi-ultrasound edluliselwa kwisini. Olu luvavanyo olwenziwe ngesini. Oku kuya kubona ngokucacileyo ukuba kukho ulwelo oluqokeleleneyo kwisingxobo sikaDouglas, emva kwesibeleko.

Ukuba ugqirha ubona ukuba kukho ulwelo olunjalo, aluqhelekanga, aze acinge ukuba lunokuba lubangelwe yingxaki ethile, kuya kwenziwa olu vavanyo lwe-'culdocentesis', kwaye kuya kuthathwa isampuli yolo lwelo ize ithunyelwe ukuze kuhlolwe ngakumbi.

Ezinye zeemeko ezinokubangela olu vavanyo zezi:

• Ukukhulelwa okuqhambukileyo ngaphandle kokukhulelwa. Le yimeko enzima efuna utyando olungxamisekileyo. Ukuba oku kuyenzeka, igazi lingaqokelelana esiswini.
• Isifo Sokudumba Kwesinqe (PID) sisifo esihlasela indawo yesinqe. Oku kunokubangela ukuqokelelwa kolwelo olufana nobovu.
• Ukuqhekeka kwee-cysts ze-ovarian.
• I-EndometriosisImeko ebizwa ngokuba yi-endometriosis. Kule meko, izicubu ezifana nezo zifumaneka ngaphakathi kwesibeleko zikhula ngaphandle kwesibeleko.
• Iithumba ze-fibroid ezikhula kwisibeleko, ezibizwa ngokuba yi-"Uterine fibroids".
• Ingozi okanye ukwenzakala kwi-pelvis.
• Intlungu engapheliyo, enzima, nengachazekiyo kwindawo yakho ye-pelvic okanye ezantsi kwesisu.

Yintoni injongo yokwenyani yolu vavanyo lweCuldocentesis?

Ngamafutshane, injongo ephambili yolu vavanyo kukususa ulwelo olungaqhelekanga oluqokelelene ngasemva kwelungu lakho lobufazi, kwindawo ebizwa ngokuba yi-'Pouch of Douglas', uze uluthumele kwilebhu ukuze kufunyaniswe ukuba kukho na 'usulelo' okanye enye ingxaki. Oku kunceda kakhulu ekuxilongeni isifo.

Ndingazilungiselela njani ezi vavanyo?

Enyanisweni, akufuneki ulungiselele uvavanyo lwe-culdocentesis. Le yenye yezinto ezilula kolu vavanyo.

• Ugqirha angakucela ukuba ulale ungashukumi imizuzu embalwa ngaphambi kovavanyo, okanye akucele ukuba uhlale phantsi.
• Xelela ugqirha wakho ngamanye amayeza owasebenzisayo.
• Ekubeni olu vavanyo ludla ngokubandakanya i-anesthetic yendawo ukuze ivale indawo ejikeleze i-vagina, licebo elihle ukuba umntu akuqhubele ekhaya emva kovavanyo. I-anesthetic ngamanye amaxesha inokukwenza uzive ulele okanye udidekile, ngoko ke akucetyiswa ukuba uqhube.

Lwenziwa njani uvavanyo lwe-culdocentesis? Nceda ucacise kancinci.

Kulungile, ndiza kukubonisa indlela yokwenza oku inyathelo ngenyathelo. Ungakhathazeki. Ngokwesiqhelo kungenziwa ngemizuzu embalwa.

1. Okokuqala, ugqirha uza kuhlola indawo yakho ye-pelvic (uvavanyo lwe-pelvic). Oku kuthetha ukuhlola ubufazi bakho kunye nomlomo wesibeleko.

2. Emva koko, kufakwa isixhobo esikhethekileyo sonyango (i-speculum) kwisini sakho ukuze uphakamise umlomo wesibeleko sakho kancinci kwaye ujongeke kakuhle. Awuyi kuva ntlungu ngeli xesha, kodwa ungaziva ucinezelekile okanye ungakhululekanga.

3. Emva koko, ugqirha uza kufaka i-anesthetic yasekuhlaleni eludongeni olungasemva lwelungu lakho lesibeleko, kufutshane nomlomo wesibeleko, ukuze avale indawo apho inaliti iza kufakwa khona. Oku kuya kukuthintela ukuba ungabi nantlungu.

4. Emva koko, kufakwa inaliti encinci eludongeni lwesini sakho, ngaphantsi nje kwesiphelo somlomo wesibeleko sakho, kwi-'posterior cul-de-sac'. Le naliti incamathiselwe kwisirinji, kwaye uya kuqokelela ulwelo.

5. Okokugqibela, ugqirha uthatha isampuli yolwelo oluvela kwi-posterior cul-de-sac ngenaliti alufake kwisirinji.

Yiloo nto kuphela eyenzekayo. Isampuli yolwelo emva koko ithunyelwa kwilebhu ukuze ivavanywe. Emva kwe-culdocentesis, ungaziva ungakhululekanga, njengokuqaqamba kancinci kwesisu. Kodwa oku kudla ngokuphela kwiiyure ezingama-24 ukuya kuma-48.

Ingaba olu vavanyo lubuhlungu?

Hayi, uvavanyo lwe-`culdocentesis` alufanele lube buhlungu . Oku kungenxa yokuba ugqirha uza kukunika iyeza elikwenza ungabi nazimvakalelo apho kufakwa khona inaliti. Nangona kunjalo, njengoko benditshilo ngaphambili, unokufumana ukuqaqamba kunye nokungakhululeki. Kusenokufana neentlungu ozivayo ngexesha lokuya kwakho exesheni.

Ngamanye amaxesha, ukuba unikwa isithomalalisi sokukunceda uphumle kwaye unciphise ixhala lakho, ngokuqinisekileyo licebo elihle ukuba nomntu oza kukusa ekhaya emva kovavanyo.

Ngaba kukho naziphi na iingozi ezibandakanyekayo kuvavanyo lweCuldocentesis?

Njengakwezinye iinkqubo zonyango, kukho iingozi ezincinci ezibandakanyekayo. Kodwa ezi azixhaphakanga kakhulu kwaye oogqirha bayalumkela kakhulu olu tyando.

• Kukho ithuba elincinci kakhulu lokuba inaliti ingagqobhoza ngengozi isibeleko okanye i-rectum.
• Kukho ithuba elincinci lokosuleleka emva kovavanyo.
• Kukho ithuba elincinci lokuba inaliti yonakalise imithambo yegazi, ii-cysts, okanye ezinye iithumba.

Ugqirha uza kukuchazela ezi ngozi ngaphambi kovavanyo. Angakubuza nayiphi na imibuzo onokuba nayo aze akuncede uthomalalise uloyiko lwakho.

Oku kunceda njani ekuchongeni ukukhulelwa okungaphandle kwesisu?

Ngaphambili, xa ubuchwepheshe be-ultrasound babungekho phucukileyo kangako, olu vavanyo lwe-`culdocentesis` lwaluluncedo kakhulu ekuchongeni iimeko apho ukukhulelwa ngaphandle kwesibeleko (`ukukhulelwa kwe-ectopic`) kwakuqhuma kwaye igazi langena kwisisu (imeko ebizwa ngokuba yi-`hemoperitoneum`). Ngaloo mihla, uninzi lwexesha, ubukho be-`ectopic pregnancy` babufunyanwa kuphela emva kokuba buqhekekile.

Nangona kunjalo, ngokuqhubela phambili kwetekhnoloji ye-ultrasound, ukukhulelwa okuphuma kwi-ectopic kunokubonwa kwasekuqaleni kakhulu, nangaphambi kokuba kugqabhuke . Ke ngoko, imfuneko yovavanyo lwe-culdocentesis kwiimeko ezinjalo ngoku yehlile kakhulu.

Zisixelela ntoni iziphumo zovavanyo lwe-culdocentesis?

Iziphumo ezivela kwilebhu zinokubonelela ngolwazi olubalulekileyo malunga nemeko yakho.

• Isiphumo esiqhelekileyo sithetha ukuba isampuli yolwelo efunyenweyo icacile kwaye akukho ngxaki.
• Nangona kunjalo, ukuba ulwelo lunombala wegazi , lutyheli njengobovu , okanye kukho ulwelo oluninzi olucacileyo , oko kunokubonisa ingxaki.
• Umzekelo, ukuba ulwelo lutyheli kwaye lufana nobovu , oko kubonisa usulelo.
• Ukuba kukho igazi elingajikiyo , oko kunokuqinisekisa ukuba `ukukhulelwa okuphuma embilinini` kuqhume kwaye kuyopha igazi liye kwisisu. Kuba igazi elikwi-`cul-de-sac` aliqhelekanga ukujiya.

Ngokuxhomekeke kwiziphumo, ugqirha unokucebisa ukususa ulwelo oluqokelelweyo okanye ukulinyanga ngee-antibiotics.

Ndifanele ndimbone nini ugqirha emva kovavanyo?

Ngokubanzi, ukuba ufumana iintlungu eziqatha esiswini okanye kwisinqe sakho, kubalulekile ukubona ugqirha ngokukhawuleza, kuba oko kungaba luphawu lwengxaki.

Emva kovavanyo lwe-culdocentesis, ukuba ufumana enye okanye ezingaphezulu kwezi mpawu zilandelayo , yazisa ugqirha wakho ngoko nangoko :

• Ukopha kakhulu kwilungu lobufazi (ukumanzisa ngaphezu kwephedi enye ngeyure)
• Intlungu enzima, enganyamezelekiyo (ingakumbi esiswini okanye kwindawo ye-pelvic)
• Iimpawu ezifana nomkhuhlane ezifana nomkhuhlane, ukubanda, kunye neentlungu zomzimba
• Ukuphuma kolwelo olungcolileyo oluphuma kwilungu lobufazi

Iimpawu ezinje zinokubonisa usulelo okanye enye ingxaki.

Ngaba iCuldocentesis kunye neColpocentesis ziyafana?

Ewe, uchanekile ngokupheleleyo. Igama elithi `Colpocentesis` ligama elidala elalisetyenziswa kwigama elithi `Culdocentesis`. Zombini ziyinkqubo yovavanyo efanayo . Ngoku igama elithi `Culdocentesis` lisetyenziswa kakhulu.

Ngoko ke yintoni umahluko phakathi kweCuldocentesis kunye neAmniocentesis?

Ezi ziimvavanyo ezimbini ezahlukeneyo ngokupheleleyo, musa ukuzibhidanisa, kulungile?

• I-Amniocentesis yinkqubo ngexesha lokukhulelwa yokususa isampuli yolwelo lwe-amniotic olujikeleze umntwana kwisibeleko kwaye ivavanywe ukuba ayinaso isifo okanye iingxaki ze-chromosome. Oku kwenzelwa ukuqinisekisa impilo yomntwana.
• I-Culdocentesis yinkqubo ehlola ulwelo olungaqhelekanga oluqokelelana kwisingxobo seDouglas, okanye i-posterior cul-de-sac, emva kwelungu lobufazi. Ingenziwa kubafazi abangakhulelwanga kunye nangexesha lokukhulelwa (ingakumbi ukuba kukho ukukhulelwa okungaqhelekanga).

Njengoko benditshilo ngaphambili, ukusetyenziswa kwe-culdocentesis kuye kwehla kakhulu njengoko i-ultrasound ye-transvaginal iye yaphucuka ngakumbi ekufumaneni ulwelo kwindawo ye-pelvic. Oogqirha ngoku basebenzisa ezinye iindlela zanamhlanje, ngamanye amaxesha ezikhokelwa ngumfanekiso, ukususa ulwelo olungaqhelekanga kwi-posterior cul-de-sac.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, sithethe kakhulu nge-'Culdocentesis' ngoku. Ndiyathemba ukuba uyiqonda kakuhle le vavanyo. Ngamafutshane, nantsi into ekufuneka uyikhumbule:

• I-Culdocentesis yinkqubo equka ukusebenzisa inaliti ukususa ulwelo olungaqhelekanga oluqokelelana kwisingxobo sikaDouglas, emva kwelungu lobufazi.
• Oku akusasetyenziswa rhoqo , njengoko kukho iindlela eziphambili, ezingenabuhlungu, nezichanekileyo ezifana ne-transvaginal ultrasound.
• Oku bekuluncedo ngaphambili ekuxilongeni iimeko ezinje `ngokukhulelwa kwesisu` kunye `neSifo sokudumba kwesisu (PID)`.
• Intlungu ngexesha lovavanyo incinci kakhulu (ngenxa yokuba ndindisholo), kwaye akukho mfuneko yokulungiselela okukhulu.
• Nangona kukho iingozi ezincinci, azixhaphakanga kakhulu .
• Ukuba ufumana iimpawu ezinje ngokopha kakhulu, iintlungu eziqatha, okanye umkhuhlane emva kovavanyo, funa ingcebiso kagqirha ngoko nangoko .

Eyona nto ibalulekileyo kukuba ukuba unemibuzo malunga noku, okanye naluphi na olunye uvavanyo lwezonyango, ungoyiki ukubuza ugqirha wakho. Okukhona unolwazi oluthe kratya ngempilo yakho, kokukhona amathuba akho okuhlala usempilweni aphezulu!

I - Culdocentesis, i-culdocentesis, ubufazi, uvavanyo lolwelo, isikhwama sikaDouglas, impilo yabasetyhini, i-gynecology, ukukhulelwa kwe-ectopic, i-PID