Uke wezwa ngokuhlolwa kwe-Culdocentesis? Ake sixoxe ngakho!

Nokho, kungenzeka ukuthi awukaze uzwe ngegama elithi 'Culdocentesis' ngaphambili. Nakuba kungase kuzwakale njengegama eliyinkimbinkimbi, kuwukuhlolwa kwezokwelapha okulula okwenziwa ku-gynecology. Kodwa-ke, lokhu kuhlolwa akuvame ukusetshenziswa kulezi zinsuku, ngoba izindlela ezintsha nezilula njenge-'Transvaginal ultrasound' sezivele. Kodwa-ke, kungaba kubalulekile ukuthi wazi ngakho. Ngakho-ke, ake sibone ukuthi iyini i-'Culdocentesis', ukuthi kungani yenziwa, nokuthi yenziwa kanjani ngendlela elula.

Kuyini i-cul-de-sac? Uketshezi lufika kanjani lapho?

Ngaphakathi kwesisu sowesifazane, phakathi kwesibeletho nezitho ezizungezile, kunezikhala ezincane, noma amasaki, abizwa ngokuthi 'ama-cul-de-sacs.' Ukuze kube sobala, kunezisaki ezimbili ezinjalo.

1. Elinye lingaphambili, phakathi kwesinye sakho nesibeletho. Lokhu kubizwa ngokuthi 'i-anterior cul-de-sac'.

2. Enye ingemuva. Lokhu kubizwa ngokuthi 'i-posterior cul-de-sac'. Itholakala ngemuva kwesibeletho, phakathi kwendunu nodonga lwangemuva lwesitho sangasese sowesifazane.

Odokotela babiza lokhu ngokuthi 'i-posterior cul-de-sac' ngelinye igama, eliyi -'Pouch of Douglas' . Into ebalulekile ukuthi lapho kuvela izimo ezithile zezokwelapha emzimbeni, isibonelo, ukutheleleka, ukuphuma kwegazi, njll., inani elingavamile loketshezi lingaqongelela kulesi sikhala esibizwa ngokuthi 'iPouch of Douglas'. Yilapho kwenziwa khona 'iCuldocentesis', bese kuthathwa isampula yalolo ketshezi futhi ihlolwe ukuze kubonakale ukuthi luhlobo luni loketshezi, ukuthi luqukethe yini izinto ezithelelanayo, noma ukuthi luqukethe igazi. Uyaqonda?

Ngakho-ke, kuziphi izimo lapho i-Culdocentesis yenziwa khona?

Ngokuvamile, udokotela wakho uzoqala ngokukwenza i-ultrasound. Ngokuvamile, lokhu kuyi-ultrasound edluliselwa esithweni sangasese sowesifazane. Lokhu kuskena okwenziwa ngesitho sangasese sowesifazane. Lokhu kungabona ngokucacile ukuthi kukhona yini uketshezi olunqwabelene esikhwameni sikaDouglas, ngemuva kwesibeletho.

Uma udokotela ebona ukuthi kukhona uketshezi olunjalo, kuyinto engavamile, futhi esola ukuthi kungenzeka ukuthi kungenxa yenkinga ethile, khona-ke lokhu kuhlolwa kwe-'culdocentesis' kuzokwenziwa, bese kuthathwa isampula yalolo ketshezi bese ithunyelwa ukuze ihlolwe kabanzi.

Ezinye zezimo ezingaholela kulolu vivinyo yilezi:

• Ukukhulelwa okuqhumile kwe-ectopic. Lesi yisimo esibi esidinga ukuhlinzwa okuphuthumayo. Uma lokhu kwenzeka, igazi lingaqongelela emgodini wesisu.
• Isifo Sokuvuvukala Kwesitho Sangasese Sowesifazane (i-PID) siwukutheleleka kwendawo yesitho sangasese sowesifazane. Lokhu kungabangela nokuqoqwa koketshezi olufana nobomvu.
• Ukuqhuma kwama-cyst esibelethweni.
• I-EndometriosisIsimo esibizwa ngokuthi i-endometriosis. Kulesi simo, izicubu ezifana nalezo ezitholakala ngaphakathi kwesibeletho zikhula ngaphandle kwesibeletho.
• Izimila ze-fibroid ezakheka esibelethweni, ezibizwa ngokuthi ``Uterine fibroids``.
• Ingozi noma ukulimala kwe-pelvis.
• Ubuhlungu obungapheli, obukhulu, obungachazeki endaweni yakho yesinqe noma esiswini esingezansi.

Iyini injongo yangempela yalolu vivinyo lwe-Culdocentesis?

Kalula nje, inhloso eyinhloko yalolu vivinyo ukususa uketshezi olungavamile oluqongeleleke ngemuva kwesitho sakho sangasese sowesifazane, endaweni ebizwa ngokuthi i-'Pouch of Douglas', bese uluthumela elabhorethri ukuthola ukuthi ngabe kukhona yini 'ukutheleleka' noma enye inkinga. Lokhu kusiza kakhulu ekuxilongweni kwesifo.

Ngingalungiselela kanjani lolu vivinyo?

Empeleni, awudingi ukulungiselela okuningi ukuhlolwa kwe-culdocentesis. Lokho kungenye yezinto ezilula zalolu vivinyo.

• Udokotela angase akucele ukuthi ulale unganyakazi imizuzu embalwa ngaphambi kokuhlolwa, noma akucele ukuthi uhlale phansi.
• Tshela udokotela wakho ngeminye imithi oyithathayo.
• Njengoba lokhu kuhlolwa kuvame ukuhilela i-anesthetic yendawo ukuze kuqede ukungasebenzi kahle kwendawo ezungeze isitho sangasese sowesifazane, kungumqondo omuhle ukuba othile akushayele ekhaya ngemuva kokuhlolwa. I-anesthetic ngezinye izikhathi ingakwenza uzizwe ulele noma udidekile, ngakho-ke akukhuthazwa ukushayela.

Ukuhlolwa kwe-culdocentesis kwenziwa kanjani? Ngicela uchaze kancane.

Kulungile, ngizokukhombisa ukuthi ungakwenza kanjani lokhu isinyathelo ngesinyathelo. Ungakhathazeki. Ngokuvamile kungenziwa ngemizuzu embalwa.

1. Okokuqala, udokotela uzohlola indawo yakho yesitho sangasese sowesifazane (ukuhlolwa kwesitho sangasese sowesifazane). Lokhu kusho ukuhlola isitho sakho sangasese sowesifazane kanye nomlomo wesibeletho.

2. Ngemuva kwalokho, kufakwa ithuluzi elikhethekile lezokwelapha (i-speculum) esithweni sakho sangasese sowesifazane ukuze uphakamise umlomo wesibeletho sakho kancane futhi ubukeke kahle. Ngeke uzwe ubuhlungu ngalesi sikhathi, kodwa ungase uzizwe ucindezelekile noma ungakhululekile.

3. Okulandelayo, udokotela uzofaka umuthi wokubulala izinzwa wendawo odongeni lwangemuva lwesitho sakho sangasese sowesifazane, eduze kwesibeletho sakho, ukuze aqede indawo lapho kuzofakwa khona inaliti. Lokhu kuzokuvimbela ukuthi ungezwa ubuhlungu.

4. Ngemuva kwalokho, kufakwa inaliti encane odongeni lwesitho sakho sangasese sowesifazane, ngaphansi nje kokuphela komlomo wesibeletho sakho, iye 'esinqeni esingemuva'. Le naliti inamathele kwisirinji, bese uzoqoqa uketshezi.

5. Ekugcineni, udokotela uthatha isampula yoketshezi oluvela ngemuva kwe-cul-de-sac ngenaliti alufake kwisirinji.

Yilokho kuphela okwenzekayo. Isampula yoketshezi ithunyelwa elabhorethri ukuze ihlolwe. Ngemva kwe-culdocentesis, ungase uzizwe ungakhululekile, njengobuhlungu obuncane besisu. Kodwa lokhu kuvame ukuphela zingakapheli amahora angu-24 kuya kwangu-48.

Ingabe lokhu kuhlolwa kubuhlungu?

Cha, ukuhlolwa kwe-`culdocentesis` akufanele kube buhlungu . Lokhu kungenxa yokuthi udokotela uzokunikeza umuthi oqeda izinhlungu lapho kufakwa khona inaliti. Kodwa-ke, njengoba ngishilo ekuqaleni, ungase uzwe ukuqaqamba nokungakhululeki. Kungase kufane nobuhlungu obuzwayo phakathi nesikhathi sakho senyanga.

Ngezinye izikhathi, uma unikezwa umuthi wokudambisa ukuze uphumule futhi unciphise ukukhathazeka kwakho, ngokuqinisekile kuwumqondo omuhle ukuba nomuntu ozokuthatha akuyise ekhaya ngemva kokuhlolwa.

Ingabe zikhona izingozi ezihilelekile ekuhlolweni kweCuldocentesis?

Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane ezihilelekile. Kodwa lezi azivamile futhi odokotela bayaqaphela kakhulu ngalokhu.

• Kunethuba elincane kakhulu lokuthi inaliti izobhoboza ngengozi isibeletho noma i-rectum.
• Kunethuba elincane lokutheleleka ngemva kokuhlolwa.
• Kunethuba elincane lokuthi inaliti izolimaza imithambo yegazi, ama-cyst, noma ezinye izimila.

Udokotela uzokuchazela lezi zingozi ngaphambi kokuhlolwa. Angakubuza noma yimiphi imibuzo ongase ube nayo futhi akusize unciphise ukwesaba kwakho.

Lokhu kusiza kanjani ekuboneni ukukhulelwa okungaphandle kwesisu?

Esikhathini esidlule, lapho ubuchwepheshe be-ultrasound babungakathuthuki kangako, lokhu kuhlolwa kwe-'culdocentesis' kwakuwusizo kakhulu ekuboneni izimo lapho ukukhulelwa ngaphandle kwesibeletho ('ukukhulelwa kwe-ectopic') kwakuqhuma khona futhi igazi ligeleza liye emgodini wesisu (isimo esibizwa ngokuthi 'i-hemoperitoneum'). Ngalezo zinsuku, isikhathi esiningi, ukuba khona kwe-'ectopic pregnancy' kwakutholwa kuphela ngemva kokuqhekeka kwayo.

Kodwa-ke, ngokuthuthuka kobuchwepheshe be-ultrasound, ukukhulelwa kwe-ectopic kungatholakala esiteji sokuqala kakhulu, ngisho nangaphambi kokuba kuqhume . Ngakho-ke, isidingo sokuhlolwa kwe-culdocentesis ezimweni ezinjalo sesinciphile kakhulu.

Imiphumela yokuhlolwa kwe-culdocentesis isitshelani?

Imiphumela evela elebhu ingakunikeza ulwazi olubalulekile ngesimo sakho.

• Umphumela ojwayelekile usho ukuthi isampula yoketshezi etholakele icacile futhi azikho izinkinga.
• Kodwa-ke, uma uketshezi lunombala wegazi , luphuzi njengobomvu , noma kukhona inani elikhulu loketshezi olucacile , kungase kubonise inkinga.
• Isibonelo, uma uketshezi luphuzi futhi lufana nobomvu , kubonisa ukutheleleka.
• Uma kukhona igazi elingavali , kungaqinisekisa ukuthi `ukukhulelwa kwesisu` kuqhumile futhi kuyopha igazi lingene emgodini wesisu. Ngoba igazi elikuleyo `cul-de-sac` alivami ukuvali.

Kuye ngemiphumela, udokotela angase ancome ukususa uketshezi oluqongelelekile noma ukuluphatha ngama-antibiotic.

Kufanele ngimbone nini udokotela ngemva kokuhlolwa?

Ngokuvamile, uma uzwa ubuhlungu obukhulu esiswini sakho noma ethangeni, kubalulekile ukubona udokotela ngokushesha okukhulu, ngoba kungaba uphawu lwenkinga.

Ngemva kokuhlolwa kwe-culdocentesis, uma uhlangabezana nesinye noma ngaphezulu kwalezi zimpawu ezilandelayo , yazisa udokotela wakho ngokushesha :

• Ukopha okukhulu kwesitho sangasese sowesifazane (ukumanzisa ngaphezu kwephedi elilodwa ngehora)
• Ubuhlungu obukhulu, obungabekezeleleki (ikakhulukazi esiswini noma endaweni ye-pelvic)
• Izimpawu ezifana nomkhuhlane njengomkhuhlane, ukubanda, kanye nobuhlungu bomzimba
• Ukuphuma koketshezi olunuka kabi esithweni sangasese sowesifazane

Izimpawu ezinjengalezi zingase zibonise ukutheleleka noma enye inkinga.

Ingabe i-Culdocentesis ne-Colpocentesis ziyinto efanayo?

Yebo, uqinisile impela. Igama elithi `Colpocentesis` liyigama elidala elalisetshenziswa ku-`Culdocentesis`. Zombili ziyinqubo efanayo yokuhlola . Manje igama elithi `Culdocentesis` lisetshenziswa kakhulu.

Ngakho-ke umehluko phakathi kwe-Culdocentesis ne-Amniocentesis uyini?

Lezi yizivivinyo ezimbili ezihluke ngokuphelele, ungaziphambanisi, kulungile?

• I-Amniocentesis inqubo ngesikhathi sokukhulelwa yokususa isampula yoketshezi lwe-amniotic oluzungeze umntwana esibelethweni bese iluhlola ukuze ithole ukutheleleka noma ukukhubazeka kwe-chromosome. Lokhu kwenzelwa ukuthola impilo yengane.
• I-Culdocentesis inqubo ehlola uketshezi olungavamile oluqoqana esikhwameni sikaDouglas, noma ngemuva kwe-cul-de-sac, ngemuva kwesitho sangasese sowesifazane. Ingenziwa kwabesifazane abangakhulelwe kanye nangesikhathi sokukhulelwa (ikakhulukazi uma kusolwa ukukhulelwa kwe-ectopic).

Njengoba ngishilo ngaphambili, ukusetshenziswa kwe-culdocentesis kwehle kakhulu njengoba i-ultrasound ye-transvaginal isithuthuke kakhulu ekutholeni uketshezi endaweni ye-pelvic. Odokotela manje basebenzisa ezinye izindlela, zesimanje kakhulu, ngezinye izikhathi eziqondiswa yizithombe, ukususa uketshezi olungavamile endaweni engemuva ye-cul-de-sac.

Izinto ezibaluleke kakhulu okudingeka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, sesikhulume kakhulu nge-'Culdocentesis' manje. Ngithemba ukuthi uyaqonda kahle lolu vivinyo. Ngamafuphi, nakhu okudingeka ukukhumbule:

• I-Culdocentesis inqubo ehilela ukusebenzisa inaliti ukususa uketshezi olungavamile oluqoqana esikhwameni sikaDouglas, ngemuva kwesitho sangasese sowesifazane.
• Lokhu akusasetshenziswa njalo , njengoba kunezindlela ezithuthukisiwe, ezingenabuhlungu, futhi ezinembe kakhulu njenge-transvaginal ultrasound.
• Lokhu bekuwusizo ngaphambilini ekuxilongeni izimo ezifana 'nokukhulelwa kwesisu' kanye 'neSifo Sokuvuvukala Kwesisu (PID)'.
• Ubuhlungu ngesikhathi sokuhlolwa buncane kakhulu (ngenxa yokuba ndikindiki), futhi akudingeki ukulungiselela okukhulu.
• Nakuba kunezingozi ezincane, azivamile kakhulu .
• Uma uzwa izimpawu ezifana nokopha kakhulu, ubuhlungu obukhulu, noma umkhuhlane ngemva kokuhlolwa, funa iseluleko sezokwelapha ngokushesha .

Into ebaluleke kakhulu ukuthi uma unemibuzo ngalokhu, noma olunye uhlolo lwezokwelapha, ungesabi ukubuza udokotela wakho. Uma unolwazi oluningi ngempilo yakho, amathuba akho okuhlala uphilile ayanda!

I - Culdocentesis, i-culdocentesis, isitho sangasese sowesifazane, ukuhlolwa koketshezi, isikhwama sikaDouglas, impilo yabesifazane, i-gynecology, ukukhulelwa kwe-ectopic, i-PID