Wake wezwa igama elithi 'culdocentesis'? Kungenzeka ukuthi wake wezwa udokotela elikhuluma, noma kungenzeka ukuthi wake wafunda ngalo ndawana thize. Nakuba kungase kuzwakale njengegama eliyinkimbinkimbi nelingavamile, empeleni liyisivivinyo esisetshenziswa empilweni yabesifazane. Ngakho-ke namuhla, sizoxoxa ngokuthi lisetshenziselwani, ukuthi liqedwa nini, nokuthi lisetshenziswa kabanzi kangakanani kulezi zinsuku.
Kalula nje, iyini i-Culdocentesis?
I-Caldocentesis inqubo yezokwelapha ehilela ukuhlola uketshezi olungavamile noma ukwakheka koketshezi endaweni ekhethekile ngemuva kwesitho sakho sangasese sowesifazane nangaphansi kwesibeletho sakho. Ukuze sikuqonde kangcono lokhu, ake sibheke leyo ngxenye yomzimba wethu.
Cabanga ngowesifazane onesikhala esincane, esingenalutho, noma isikhwama, phakathi kwesibeletho sakhe kanye ne-rectum, ngemuva kwesitho sakhe sangasese sowesifazane. Lokhu yilokho esikubiza ngokuthi 'i-posterior cul-de-sac' noma 'isikhwama sikaDouglas' ngokwezokwelapha. Nakuba lesi sikhala ngokuvamile singenalutho, kwezinye izimo zezokwelapha, uketshezi lungaqoqana kulesi sikhala. Isibonelo, igazi, ubomvu, noma olunye uketshezi.
Ngakho-ke, uma udokotela esola ukuthi kukhona uketshezi olungavamile kule ndawo olubizwa ngokuthi 'isikhwama sikaDouglas', uzokwenza lolu vivinyo lwe-caldocentesis ukuthola ukuthi luhlobo luni loketshezi. Lapha, udokotela ufaka inalithi encane kakhulu odongeni lwesitho sangasese sowesifazane kuleso sikhala bese ethatha isampula encane yoketshezi lapho. Ngemuva kwalokho, isampula ithunyelwa elabhorethri ukuze ihlolwe ukuthi iqukethe ini.
Kodwa kukhona okubalulekile okufanele kushiwo lapha. Namuhla, ngenxa yentuthuko kwezobuchwepheshe, lokhu kuhlolwa kwe-caldocentesis akuvamile ukwenziwa. Isizathu salokhu ukuskena kwe-ultrasound okudlulile esithweni sangasese sowesifazane. Lokhu kuskena kukuvumela ukuthi ubone uketshezi olungaphakathi emzimbeni ngokucacile ngaphandle kokusebenzisa noma yiziphi izinaliti. Ngakho-ke, kungashiwo ukuthi lokhu kuhlolwa sekucishe kuphele.
Kungani lokhu kuhlolwa kuyadingeka?
Esikhathini esidlule, lapho ukuskena kwe-ultrasound kwakungavamile kangaka, lokhu kuhlolwa kwakubaluleke kakhulu. Kwasiza ekwenzeni ukuxilongwa okusheshayo, ikakhulukazi ezimweni eziphuthumayo. Kwakunezizathu eziningana eziyinhloko zokwenza lokhu kuhlolwa. Ake sibone ukuthi ziyini.
| Isimo noma imbangela | Incazelo elula |
|---|---|
| Ukukhulelwa okuqhumile kwe-ectopic | Lesi yisona sizathu esiyinhloko salolu vivinyo. Okwenzekayo lapha ukuthi umntwana ukhulelwa ngaphandle kwesibeletho, ngokuvamile epayipini le-fallopian, bese kuthi ipayipi liqhume bese liphuma igazi esiswini. Leli gazi liqoqana esikhwameni sikaDouglas. |
| Isifo Sokuvuvukala Kwezitho Zangasese (PID) | Lokhu ukutheleleka okwenzeka lapho igciwane lingena ezingxenyeni ezingaphezulu zesimiso sokuzala, njengesibeletho kanye namapayipi e-fallopian. Lokhu kungabangela nokuqoqwa koketshezi olufana nobovu kulelo sac. |
| Ama-Ovarian Cysts Aqhekekile | Ama-cyst agcwele amanzi noma olunye uketshezi olwakheka ema-ovary ngezinye izikhathi angaqhuma, okuvumela uketshezi ukuthi luvuzele esiswini bese luqoqana esikhwameni sikaDouglas. |
| I-Endometriosis | Kulesi simo, izicubu okufanele zikhule ngaphakathi kwesibeletho zikhula ngaphandle kwesibeletho, okubangela uketshezi, njengegazi, ukuthi luqoqeke ngaphakathi esiswini. |
| Ukulimala ethangeni | Uma kukhona ukulimala esiswini esingezansi noma ethangeni, ukuphuma kwegazi ngaphakathi kungenzeka futhi igazi lingaqongelela. |
Ezimweni ezinjengalezi, lokhu kuhlolwa bekuwusizo kakhulu ngaphambilini ekunqumeni ukuthi iqoqo laliyigazi, ubomvu, noma olunye uketshezi.
Ake sithi bekufanele wenze lokhu kuhlolwa, ubungakwenza kanjani?
Njengoba kushiwo ngaphambili, nakuba lokhu kungasasetshenziswa njalo, kuhle ukwazi ukuthi le nqubo isebenza kanjani. Akudingeki ukuthi ulungiselele okuningi ngalokhu. Udokotela angase akucele ukuthi uhlale uthule imizuzu embalwa ngaphambi kokuhlolwa. Lokhu kuvame ukwenziwa kanje:
1. Isinyathelo sokuqala:Udokotela uzoqala enze ukuhlolwa kwe-pelvic okuvamile. Ngemuva kwalokho, uzosebenzisa ithuluzi elikhethekile (i-speculum) ukuphakamisa nokubamba umlomo wesibeletho ngobumnene. Lokhu kungase kuzwakale kungakhululekile, kodwa akubuhlungu.
2. Isinyathelo 2: Okulandelayo, indawo encane yodonga lwesitho sangasese sowesifazane lapho kuzofakwa khona inaliti iyavalwa. Lokhu kwenziwa nge-anesthesia yendawo, ukuze ungazizwa ubuhlungu.
3. Isinyathelo Sesithathu: Manje udokotela uzofaka ngokucophelela inalithi encane kakhulu exhunywe kwisirinji endaweni engenalutho. Uzoyifaka esikhaleni esibizwa ngokuthi 'i-posterior cul-de-sac' esikhulume ngaso.
4. Isinyathelo sokugcina: Uma inaliti isisendaweni efanele, inani elincane loketshezi liyakhishwa njengesampula kusetshenziswa isirinji. Inaliti bese isuswa ngokucophelela.
Yonke inqubo ithatha imizuzu embalwa nje. Isampula ithunyelwa elebhu ukuze ihlolwe. Ngemva kokuhlolwa, ungase ube nokuqaqamba okuncane usuku olulodwa noma ezimbili. Lokhu kuvamile.
Ingabe lokhu kubuhlungu?
Cha. Lokhu kuhlolwa akubuhlungu. Ngeke uzwe ubuhlungu ngoba inaliti izovalwa lapho ifakwe khona. Kodwa-ke, ungase uzizwe ucindezelekile noma ungakhululekile. Ngezinye izikhathi ungase unikezwe umuthi wokudambisa ukuze uphumule, futhi kuwumqondo omuhle ukuba othile akuyise ekhaya ngemoto ngemva kokuhlolwa.
Ingabe kukhona izingozi kulokhu?
Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane kakhulu ezihilelekile, kodwa lezi azivamile.
| Ingozi | Incazelo elula |
|---|---|
| Ukulimala kwezitho ezizungezile | Akuvamile kakhulu ukuthi inaliti ingashaya isibeletho, i-rectum, noma isinye uma ifakwa. |
| Ukutheleleka | Mancane kakhulu amathuba okuthi igciwane lingene emzimbeni ngendawo yokufaka inaliti. |
| Ukulimala kwemithambo yegazi noma izimila | Inaliti ingashaya ngengozi umthambo wegazi, i-ovarian cyst, noma esinye isimila. |
Ithini imiphumela?
Ukuxilongwa kwenziwa ngokuhlola isampula yoketshezi olutholiwe. Imiphumela ingabonisa okuningi.
- Umphumela Ojwayelekile: Ngokuvamile, akukho uketshezi oluningi 'esikhwameni sikaDouglas'. Uma lukhona, lucacile ngombala futhi luncane , luvamile.
- Imiphumela Engavamile:
- Uma kukhona uketshezi oluphuzi olufana nobovu , cishe kusho ukuthi kukhona ukutheleleka, njenge-PID.
- Uma kukhona igazi, kubonisa ukopha kwangaphakathi. Ikakhulukazi uma kuyigazi elingavimbi, kuyisibonakaliso esikhulu sokukhulelwa okuqhumile kwesisu. Lokhu kungenxa yokuthi inqubo yokuvimbi kwegazi esiswini iyashintsha.
- Uma kunoketshezi oluningi olucacile , kungaba yi-cyst ye-ovarian ephukile.
Ngokusekelwe kule miphumela, udokotela uzonquma ukuthi yini okufanele ayenze ngokulandelayo. Kungase kudingeke aqale ama-antibiotic noma akuthumelele ukuhlinzwa okuphuthumayo.
Ufuna ukubona udokotela ngasiphi isikhathi?
Uma uke wahlolwa i-calodocentesis futhi waba nezimpawu ezinjengalezi kamuva, kufanele uxhumane nodokotela wakho ngokushesha .
- Uma uzwa ubuhlungu obukhulu besisu noma ubuhlungu be-pelvic .
- Uma uphuma igazi eliningi esithweni sangasese sowesifazane .
- Uma uba nezimpawu ezifana nomkhuhlane njengomkhuhlane kanye nokubanda .
Lezi kungaba izimpawu zenkinga, ngakho ungazinaki.
Ake sifunde ngamanye amagama amabili azwakala afana nalawa.
Cishe uke wezwa ngezinye izivivinyo zezokwelapha ezizwakala zifana nalesi, ngakho ungadideki.
- I-Culdocentesis kanye ne-Colpocentesis: Lawa amagama amabili okuhlolwa okufanayo. I-Colpocentesis igama elidala elisetshenziselwa lokhu.
- I-Culdocentesis ne- Amniocentesis : Lezi yizivivinyo ezimbili ezihluke ngokuphelele.Kuyinqubo ehilela ukuthatha inaliti ukuze kususwe uketshezi lwe-amniotic oluzungeze umntwana esibelethweni ngesikhathi sokukhulelwa ukuze kuhlolwe izifo zofuzo. Kwenziwa kowesifazane okhulelwe. I-Culdocentesis yenziwa ukuze kuhlolwe uketshezi olungavamile esikhwameni sikaDouglas.
Umlayezo Wokuya Nawe Ekhaya
- I-Culdocentesis inqubo ehilela ukusebenzisa inaliti ukususa uketshezi olungavamile endaweni ebizwa ngokuthi 'isikhwama sikaDouglas' ngemuva kwesibeletho sowesifazane bese sihlolwa.
- Lokhu kwakusetshenziswa kabanzi esikhathini esidlule, ikakhulukazi ukuthola izimo eziphuthumayo njengokukhulelwa okuqhumile kwe-ectopic.
- Kodwa kulezi zinsuku, ngenxa yokuthi ukuskena kwe-ultrasound okudlulile esithweni sangasese sowesifazane kunembe kakhulu, kuphephile, futhi akubuhlungu, ukuhlolwa kwe-caldocentesis akuvamile ukwenziwa.
- Lokhu kuhlolwa akubuhlungu ngoba kwenziwa ngaphansi kwe-anesthesia, futhi izingozi ziphansi kakhulu.
- Uma uzwa izimpawu ezifana nobuhlungu obukhulu besisu noma ukuphuma kwegazi okungavamile, kubaluleke kakhulu ukufuna iseluleko kudokotela oqeqeshiwe ngokushesha ngaphandle kokucabanga lutho.
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