Ukutholwa Kanjani Kwamafutha Okungabi Namafutha Okushoyo
Isazi sakho sezinkinga zokubeletha noma isazi sokuzala singase sibike ukuthi i-ultrasound ithole uketshezi olukhululekile endaweni yakho ye-cul-de-sac. Lona yindawo engemva kwesifazane. Funda izimbangela ezihlukahlukene nokukhathazeka mayelana nalokhu okutholayo.
Indawo ye-Cul-de-Sac
Kunezikhwama ezimbili ezincane eduze kwesibeletho, enye ngakwesinye icala, okuthiwa i-cul-de-sacs. Elinye igama le-cul-de-sacs yiPouch of Douglas, okuthiwa yi-anatomist yaseScotland uJames Douglas.
I-cul-de-sac yangaphakathi iphakathi kwesinye nesisu. I-cul-de-sac ehamba ngemuva itholakele phakathi kwesibeletho kanye ne-rectum. Babizwa ngokuthi i-excavatio recto-uterina (ngemuva) futhi i-excavatio vesico-uterina (yangaphakathi).
Ukuthola i-Fluid ku-Cul-de-Sac ku-Treatment Treatment
Kulaba besifazane abaphathwa ukwelashwa, uketshezi emculweni we-cul-de-sac (njengoba kubonwe kwi-ultrasound) kutholakala okuvamile ku-ovarian hyperstimulation syndrome (OHSS). Uma udokotela esolwa ukuthi unesi simo, cishe uzosikisela ukuthi une-ultrasound ukuhlola uketshezi futhi ulinganise ama-ovari akho, njengoba ama-ovarie awandisiwe nawo avamile ku-OHSS. Ngokuvamile, uketshezi ku-cul-de-sac akuyona imbangela ye-alamu kodwa kungabangela ukunganaki nokuthinta ukuzala kwakho.
Izimbangela ze-Fluid eCul-de-Sac
I-flu in cul-de-sac ingabangelwa izici eziningi ezahlukene. Ngezinye izikhathi uketshezi oluvela ku- cyst eliphukile noma i-follicle lingagcina khona.
Ngezinye izikhathi, uketshezi ku-cul-de-sac kungabonisa izinkinga ezinkulu. Nazi ezinye izimbangela ezibangelwa uketshezi ku-cul-de-sac:
- Phinda ubuye esikhathini
- Ukwandiswa kwemithi ye-ovarian ngenxa yethonya le-estrogen
- I-fibroids ye-uterine
- I-Endometriosis
- Ukukhulelwa kwe-Ectopic
- Ukuphuka komzimba
- I-Ovarian torsion
- Isifo sokuvuvukala sama-pelvic
- I-abscess ye-Tubo-ovarian
- I-abscess yama-pelvic noma i-hematoma
- Ama-ascension amakhulu
- Ukulandela i-culdocentesis
- I-Hydatiform mole
Ukuvivinya ukuxilongwa kwe-Fluid yamahhala ku-Cul-de-Sac
I-ultrasound eguquguqukayo yinkqubo esetshenziselwa ukukhombisa ukuthi kukhona yini uketshezi ngemuva kwesibeletho. I-flux izobonakala kahle kwi-ultrasound. Uma kutholakala uketshezi ku-cul-de-sac yakho futhi ubhekene nosizi , udokotela wakho angahle ahlele ukuhlolwa okuphambili kwe-fluid.
I-Culdocentesis yinkqubo eyenziwa ukuhlola noma yikuphi uketshezi okungavamile endaweni ye-cul-de-sac. Ngaphambi kokuba i-ultrasound ye-transvaginal ibe khona kakhulu, yayibuye isetshenziselwe ukuthola umthamo. Manje, isetshenziselwa ukususa uketshezi ukuhlola.
Le nqubo ihilela ukufaka inaliti emdongeni wesifazane ukuze udwebe isampula yetshezi ukuze uhlaziye. I-agent engenayo noma i-anesthesia ingasetshenziswa ngaphambi kwenqubo. Uzoba nokuhlolwa kwe-pelvic futhi umhlinzeki wakho wokunakekela impilo uzobamba umlomo wesibeletho ngensimbi yokufaka inaliti endaweni efanele.
Inani elincane lomkhuhlane livamile futhi ngokuvamile alikho ukukhathazeka. Uma isampuli esiphuthumayo sibonisa izimpawu ze-pus noma igazi, indawo ingase idinge ukucinywa. Ngezinye izikhathi igazi lingaba umphumela we- cyst ruptured noma izimpawu ze-ectopic pregnancy. Ukuba khona kwe-pus kungabonisa ukutheleleka okubangelwa izinyembezi noma ezinye izimo.
Igazi lizodinga ukucwiliswa kanye nama- antibiotics asetshenziselwa ukuphatha ukutheleleka.
> Umthombo:
> Culdocentesis. I-MedlinePlus. https://medlineplus.gov/ency/article/003919.htm.
> Groszmann YS, Benacerraf BR. Ukuqedela okuphelele kwe-Anatomy kanye ne-Morphology yesiguli esingenasifo esivumelwaneni esisodwa; Ukuhlolwa Kwamanje Kwe-Ultrasound Infertility. I-Fertil Steril . 2016 Jun; 105 (6): 1381-93. i-doi: 10.1016 / j.fertnstert.2016.03.026. Epub 2016 Apr 4.