Kodi Mungapeze Bwanji Mitundu Yambiri Yamadzimadzi?
Katswiri wanu wamagetsi kapena katswiri wa chonde anganene kuti ultrasound yapeza madzi akumwa m'dera lanu la cul-de-sac. Izi ndi malo omwe ali kumbuyo kwa chiberekero. Phunzirani zifukwa zosiyanasiyana ndi zodetsa nkhaŵa zokhudzana ndi izi.
Malo a Cul-de-Sac
Pali zikwama ziwiri zazing'ono pafupi ndi chiberekero, mbali imodzi, yotchedwa cul-de-sacs. Mawu ena oti cul-de-sacs ndi Pouch wa Douglas, wotchulidwa ndi anatomist Scottish James Douglas.
Chigwa cha anterior chiri pakati pa chikhodzodzo ndi chiberekero. Mphuno yam'mbuyo imapezeka pakati pa chiberekero ndi kachilomboka. Amatchedwanso excavatio recto-uterina (poseri) ndi excavatio vesico-uterina (anterior).
Kupeza Zamadzimadzi mu Cul-de-Sac mu Chithandizo cha Kuchiza
Azimayi omwe akuchiritsidwa ndi chithandizo chamatenda, chimbudzi chamatope (monga momwe amawonera pa ultrasound) ndichizoloŵezi chopezeka mu ovarian hyperstimulation syndrome (OHSS). Ngati dokotala akudandaula kuti muli ndi vutoli, amatha kunena kuti muli ndi ultrasound kuti muyang'ane madzimadzi ndi kuyeza mazira anu, monga mazira ochulukanso amapezeka mu OHSS. Kawirikawiri, madzi amtunduwu sali chifukwa chowopsya koma akhoza kukhumudwitsa ndikukhudzanso chonde.
Zifukwa Zamagetsi ku Cul-de-Sac
Madzi m'kati mwa sachesi amatha chifukwa cha zinthu zambiri. Nthawi zina madzi amadzimadzi amatha kuchoka pamenepo.
Panthawi zina, madzi amtunduwu amatha kusonyeza mavuto aakulu. Nazi zina mwazifukwa zomwe zimayambitsa madzi mu cul-de-sac:
- Kubwereranso kusamba
- Kuwonjezereka kwa ovarian kuperewera chifukwa cha mphamvu ya estrogen
- Uterine fibroids
- Endometriosis
- Ectopic mimba
- Kupweteka kwa chiberekero
- Ovarian torsion
- Matenda achifuwa otupa
- Kupumula kwa chiboliboli
- Kupuma kwa majeremusi kapena hematoma
- Kukwera kokwera
- Kutsata culdocentesis
- Madzi a hydatiform
Kuyesedwa kwa Matenda a Free Free ku Cul-de-Sac
Transvaginal ultrasound ndi ndondomeko yomwe amagwiritsidwa ntchito kusonyeza ngati pali madzimadzi pambuyo pa chiberekero. Madzi adzaonekera bwino pa ultrasound. Ngati mchere wanu umapezeka mu cul-de-sac ndipo mukukumana ndi ululu , dokotala wanu akhoza kulamula kuyesera kwapadera kwa madzi.
Culdocentesis ndi ndondomeko yomwe imachitidwa kuti muwone mtundu uliwonse wosadziwika m'dera la cul-de-sac. Zisanayambe kusintha kwa ultrasound zinayamba kupezeka, zinagwiritsidwanso ntchito kuti zizindikire zamadzimadzi. Tsopano, imagwiritsidwa ntchito kuchotsa madzimadzi kuti awonetse.
Njirayi imaphatikizapo kuyika singano kudzera mumtambo wa vagini kuti atengepo nyemba ya madzi. Wothandizira wodwala kapena anesthesia angagwiritsidwe ntchito asanayambe. Mudzakhala ndi mayeso a mimba ndipo wothandizira zaumoyo wanu adzagwira kachilombo ka HIV ndi chida choyika singano pamalo oyenera.
Kachilombo kameneka ndi kofala ndipo kaŵirikaŵiri sikhala kovuta. Ngati nyemba zamadzimadzi zimasonyeza ziphuphu kapena magazi, dera lanu liyenera kuwonongedwa. Nthawi zina magazi amatha kukhala chifukwa cha kupweteka kwapakati kapena zizindikiro za ectopic mimba. Kukhalapo kwa pus kungasonyeze matenda omwe amachititsidwa ndi misozi kapena zinthu zina.
Magazi amafunika kuyamwa ndi mankhwala omwe amachiza matenda.
> Chitsime:
> Culdocentesis. MedlinePlus. https://medlineplus.gov/ency/article/003919.htm.
> Groszmann YS, Benacerraf BR. Kufufuza Kwathunthu kwa Anatomy ndi Morphology wa Odwala Operewera Pa Ulendo Womodzi; Kupenda kwasakono kotchedwa Sylves Ultrasound Examination. Fertil Steril . 2016 Jun; 105 (6): 1381-93. lembani: 10.1016 / j.fertnstert.2016.03.026. Epub 2016 Apr 4.