Ngaba wakha waliva igama elithi 'culdocentesis'? Usenokuba ukhe weva ugqirha elikhankanya, okanye usenokuba ukhe wafunda ngalo ndaweni ithile. Nangona lisenokuvakala njengegama elintsonkothileyo nelingaqhelekanga, eneneni luvavanyo olusetyenziswa kwimpilo yabasetyhini. Ngoko ke namhlanje, siza kuthetha ngokuba lisetyenziselwa ntoni, nini, kwaye lisetyenziswa kangakanani kule mihla.
Ngamafutshane, yintoni iCuldocentesis?
I-Caldocentesis yinkqubo yezonyango equka ukujonga ukuba akukho manzi angaqhelekanga okanye ulwelo oluqokelelene kwindawo ekhethekileyo emva kwelungu lakho lobufazi nangaphantsi kwesibeleko sakho. Ukuze sikuqonde kakuhle oku, makhe sijonge elo candelo lomzimba wethu.
Khawuthelekelele ukuba umfazi unesithuba esincinci, esingenanto, okanye ingxowa, phakathi kwesibeleko sakhe kunye ne-rectum, emva kwelungu lobufazi bakhe. Oku kubizwa ngokuba yi-'posterior cul-de-sac' okanye 'ingxowa kaDouglas' ngokwezonyango. Nangona esi sithuba sihlala singenanto, kwezinye iimeko zonyango, ulwelo lunokubuthana kule ndawo. Umzekelo, igazi, ubomvu, okanye olunye ulwelo.
Ngoko ke, ukuba ugqirha ukrokrela ukuba kukho ulwelo olungaqhelekanga kule ndawo olubizwa ngokuba yi-'pouch of Douglas', uya kwenza olu vavanyo lwe-caldocentesis ukuze afumanise ukuba loluphi uhlobo lolwelo. Apha, ugqirha ufaka inaliti encinci kakhulu eludongeni lwesini aze athathe isampuli encinci yolwelo apho. Emva koko, isampuli ithunyelwa kwilabhoratri ukuze ivavanywe ukuba iqulethe ntoni na.
Kodwa kukho into ebalulekileyo ekufuneka ithethwe apha. Kule mihla, ngenxa yokuqhubela phambili kwezobuchwepheshe, olu vavanyo lwe-caldocentesis alufane lwenziwe. Isizathu soku yi-transvaginal ultrasound scan. Olu vavanyo lukuvumela ukuba ubone ulwelo olungaphakathi emzimbeni ngokucacileyo ngaphandle kokusebenzisa iinaliti. Ke ngoko, kunokuthiwa olu vavanyo sele luphantse lwaphela.
Kutheni olu vavanyo luyimfuneko?
Ngaphambili, xa ii-ultrasound scans zazingaqhelekanga kangako, olu vavanyo lwalubaluleke kakhulu. Lwanceda ekufumaneni uxilongo olukhawulezileyo, ingakumbi kwiimeko ezingxamisekileyo. Kwakukho izizathu ezininzi eziphambili zokwenza olu vavanyo. Makhe sibone ukuba zeziphi.
| Imeko okanye unobangela | Ingcaciso elula |
|---|---|
| Ukukhulelwa okuqhambukileyo ngaphandle kwe-ectopic | Esi sesona sizathu siphambili solu vavanyo. Okwenzekayo apha kukuba umntwana ukhulelwa ngaphandle kwesibeleko, ngesiqhelo kwityhubhu ye-fallopian, kwaye loo tyhubhu iyaqhekeka ize yophe igazi esiswini. Eli gazi liqokelelana kwingxowa kaDouglas. |
| Isifo Sokuvuvukala Kwesinqe (PID) | Olu lusulelo oluvela xa intsholongwane ingena kwiindawo eziphezulu zenkqubo yokuzala, ezifana nesibeleko kunye nemibhobho ye-fallopian. Oku kunokubangela ukuqokelelwa kolwelo olufana nobovu kuloo ngxowa. |
| IiCysts ze-Ovarian eziqhekekileyo | Ama-cysts azaliswe ngamanzi okanye olunye ulwelo olwenzeka kuma-ovari ngamanye amaxesha anokugqabhuka, nto leyo evumela ukuba ulwelo lungene esiswini luze luqokeleleke kwingxowa kaDouglas. |
| I-Endometriosis | Kule meko, izicubu ezimele zikhule ngaphakathi kwesibeleko zikhula ngaphandle kwesibeleko, nto leyo ebangela ukuba ulwelo, olufana negazi, luqokeleleke ngaphakathi esiswini. |
| Ukwenzakala kwi-pelvis | Ukuba kukho ukwenzakala kwisisu esisezantsi okanye kwi-pelvis, ukopha kwangaphakathi kunokwenzeka kwaye igazi linokuqokelelwa. |
Kwiimeko ezinje, olu vavanyo lwaluluncedo kakhulu ngaphambili ekumiseleni ukuba ingaba ingqokelela yayiyigazi, ubomvu, okanye olunye ulwelo.
Masithi bekufuneka wenze olu vavanyo, ubuya kulwenza njani?
Njengoko bekutshiwo ngaphambili, nangona oku kungasasetyenziswa rhoqo, kulungile ukwazi ukuba le nkqubo isebenza njani. Akufuneki ulungiselele oku. Ugqirha angakucela ukuba uhlale ungashukumi imizuzu embalwa ngaphambi kovavanyo. Oku kudla ngokwenziwa ngolu hlobo:
1. Inyathelo lokuqala:Ugqirha uza kuqala enze uvavanyo lwe-pelvic. Emva koko, uza kusebenzisa isixhobo esikhethekileyo (speculum) ukuphakamisa nokubamba umlomo wesibeleko ngobunono. Oku kusenokuvakala kungathandeki kancinci, kodwa akubuhlungu.
2. Inyathelo lesi-2: Okulandelayo, indawo encinci yodonga lwesitho sangasese sowesifazane apho inaliti iza kufakwa khona iyavalwa. Oku kwenziwa nge-anesthesia yendawo, ukuze ungaziva ntlungu.
3. Inyathelo Lesithathu: Ngoku ugqirha uza kufaka inaliti encinci kakhulu eqhagamshelwe kwisirinji kwindawo engenanto. Uza kuyifaka kwindawo ebizwa ngokuba yi-'posterior cul-de-sac' esithethe ngayo.
4. Inyathelo lokugqibela: Nje ukuba inaliti ikwindawo eyiyo, kukhutshwa ulwelo oluncinci njengesampulu kusetyenziswa isirinji. Emva koko inaliti isuswa ngononophelo.
Yonke le nkqubo ithatha imizuzu embalwa nje. Isampulu ithunyelwa kwilabhoratri ukuze ivavanywe. Emva kovavanyo, unokufumana ukuqaqamba okuncinci kangangeentsuku ezimbini. Oku kuqhelekile.
Ingaba oku kubuhlungu?
Hayi. Olu vavanyo alubuhlungu. Awuyi kuva ntlungu kuba inaliti iya kuba ne-numb apho ifakwe khona. Nangona kunjalo, ungaziva uxinzelelo oluncinci okanye ukungakhululeki. Ngamanye amaxesha unganikwa iyeza lokuthomalalisa ukukunceda uphumle, kwaye licebo elihle ukuba umntu akuqhubele ekhaya emva kovavanyo.
Ngaba kukho naziphi na iingozi koku?
Njengakwezinye iinkqubo zonyango, kukho iingozi ezincinci kakhulu ezibandakanyekayo, kodwa ezi azixhaphakanga kakhulu.
| Umngcipheko | Ingcaciso elula |
|---|---|
| Ukonakala kwamalungu omzimba angqongileyo | Kunqabile kakhulu, inaliti ingangena kwisibeleko, kwi-rectum, okanye kwisinyi xa ifakiwe. |
| Usulelo | Amathuba amancinci kakhulu okuba intsholongwane ingene emzimbeni isuka kwindawo yokufaka inaliti. |
| Ukonakala kwemithambo yegazi okanye iithumba | Inaliti ingangena ngengozi emthanjeni wegazi, kwi-ovarian cyst, okanye kwenye ithumba. |
Zithini iziphumo?
Ukuxilongwa kwenziwa ngokuhlola isampuli yolwelo olufunyenweyo. Iziphumo zingabonisa lukhulu.
- Isiphumo Esiqhelekileyo: Ngokwesiqhelo, akukho manzi maninzi 'kwisipaji sikaDouglas'. Ukuba sikhona, sicacile ngombala kwaye sincinci , siqhelekile.
- Iziphumo ezingaqhelekanga:
- Ukuba kukho ulwelo olumthubi olufana nobovu , kusenokwenzeka ukuba kuthetha ukuba kukho usulelo, olufana ne-PID.
- Ukuba kukho igazi, oko kubonisa ukopha ngaphakathi. Ingakumbi ukuba ligazi elingaqumbiyo, luphawu olukhulu lokukhulelwa okuqhekekileyo. Oku kungenxa yokuba inkqubo yokuqumba kwegazi esiswini iyatshintsha.
- Ukuba kukho ulwelo oluninzi olucacileyo , isenokuba yi-ovarian cyst eqhekekileyo.
Ngokusekelwe kwezi ziphumo, ugqirha uya kugqiba ngento amakayenze ngokulandelayo. Kusenokufuneka aqalise amayeza okubulala iintsholongwane okanye akuthumelele utyando olungxamisekileyo.
Ufuna ukubona ugqirha ngaliphi ixesha?
Ukuba ukhe wavavanywa i-calodocentesis waza wabonakalisa iimpawu ezifana nezi emva koko, kufuneka uqhagamshelane nogqirha wakho ngoko nangoko .
- Ukuba ufumana iintlungu eziqatha zesisu okanye iintlungu zesinqe .
- Ukuba uphuma igazi elininzi kakhulu kwilungu lobufazi .
- Ukuba ubonakalisa iimpawu ezifana nomkhuhlane ezifana nomkhuhlane kunye nokubanda .
Ezi zinokuba ziimpawu zengxaki, ngoko ke musa ukuzityeshela.
Masifunde ngamanye amagama amabini afana nala.
Mhlawumbi ukhe weva ngezinye iimvavanyo zonyango ezivakala ngathi zifana nale, ngoko ke musa ukudideka.
- I-Culdocentesis kunye ne-Colpocentesis: La ngamagama amabini ovavanyo olufanayo. I-Colpocentesis ligama elidala elisetyenziselwa oku.
- I-Culdocentesis kunye ne- Amniocentesis : Ezi ziimvavanyo ezimbini ezahlukeneyo ngokupheleleyo.Yinkqubo ebandakanya ukuthatha inaliti ukuze kususwe ulwelo lwe-amniotic olujikeleze umntwana esibelekweni ngexesha lokukhulelwa ukuze kuhlolwe iingxaki zemfuza. Yenziwa kumfazi okhulelweyo. I-Culdocentesis yenziwa ukuze kuhlolwe ulwelo olungaqhelekanga kwisingxobo sikaDouglas.
Umyalezo Wokuya Ekhaya
- I-Culdocentesis yinkqubo equka ukusebenzisa inaliti ukususa ulwelo olungaqhelekanga kwindawo ebizwa ngokuba yi-'pouch of Douglas' engasemva kwesibeleko somfazi kwaye ihlolwe.
- Oku bekusoloko kusetyenziswa kakhulu kwixesha elidlulileyo, ingakumbi ukubona iimeko ezingxamisekileyo ezifana nokukhulelwa okuqhambukileyo kwesibeleko.
- Kodwa kule mihla, ngenxa yokuba i-ultrasound scan ye-transvaginal ichanekile ngakumbi, ikhuselekile, kwaye ayinantlungu, uvavanyo lwe-caldocentesis alufane lwenziwe.
- Olu vavanyo alubuhlungu kuba lwenziwa phantsi kwe-anesthesia, kwaye iingozi ziphantsi kakhulu.
- Ukuba ufumana iimpawu ezifana nentlungu enzulu yesisu okanye ukopha okungaqhelekanga, kubaluleke kakhulu ukufuna ingcebiso kugqirha ofanelekileyo ngokukhawuleza ngaphandle kokucinga nantoni na.
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