UCuldocentesis

I-Culdocentesis inqubo ebheka uketshezi olungavamile esikhaleni ngemuva nje kwesitho sangasese sowesifazane. Le ndawo ibizwa ngokuthi i-cul-de-sac.

Okokuqala, uzoba nokuhlolwa kwe-pelvic. Ngemuva kwalokho, umhlinzeki wezokunakekelwa kwempilo uzobamba umlomo wesibeletho ngensimbi ethile bese eyiphakamisa kancane.

Inaliti ende ezacile ifakwa odongeni lwesitho sangasese sowesifazane (ngezansi kwesibeletho). Kuthathwa isampula kwanoma iluphi uketshezi olutholakala esikhaleni. Kudonswa inaliti.

Ungacelwa ukuthi uhambe noma uhlale isikhashana ngaphambi kokuba kwenziwe ukuhlolwa.

Ungaba nomuzwa ongakhululekile, ophazamisayo. Uzozwa ubuhlungu obufushane, obucijile njengoba kufakwa inaliti.

Le nqubo ayivamile ukwenziwa namuhla ngoba i-transvaginal ultrasound ingakhombisa uketshezi ngemuva kwesibeletho.

Kungenziwa lapho:

• Unezinhlungu esiswini nasesinqeni, kanti okunye ukuhlolwa kuphakamisa ukuthi kunoketshezi endaweni.
• Ungase ube nokukhulelwa kwe-ectopic noma i-ovarian cyst.
• Ukuhlukumezeka esiswini Blunt.

Alukho uketshezi ku-cul-de-sac, noma inani elincane kakhulu loketshezi olucacile, olujwayelekile.

Uketshezi lusengaba khona, noma ngabe alubonakali ngalolu vivinyo. Ungadinga ezinye izivivinyo.

Isampula loketshezi lingathathwa futhi lihlolwe ukutheleleka.

Uma kutholakala igazi kusampula eluketshezi, ungadinga ukuhlinzwa okuphuthumayo.

Izingozi zibandakanya ukubhoboza udonga lwesibeletho noma lwamathumbu.

Ungahle udinge umuntu ozokuyisa ekhaya uma unikezwe imithi yokuphumula.

• I-anatomy yokuzala yabesifazane
• UCuldocentesis
• Isampula yenaliti yomlomo wesibeletho

I-Braen GR, izinqubo ze-Kiel J. Gynecologic. Ku: Roberts JR, Custalow CB, Thomsen TW, ama-eds. Izinqubo Zomtholampilo zikaRoberts noHedges ku-Emergency Medicine kanye ne-Acute Care. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 57.

U-Eisinger SH. UCuldocentesis. Ku: Fowler GC, ed. Izinqubo zikaPfenninger noFowler zokuNakekela okuyisisekelo. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 161.

UKho RM, uLobo RA. Ukukhulelwa kwe-Ectopic: i-etiology, i-pathology, ukuxilongwa, ukuphathwa, ukubikezelwa kokuzala. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 17.