Culdocentesis

Ko te Culdocentesis he tikanga hei tirotiro i te waipiro rereke i te waahi i muri tonu o te tara. Ko tenei rohe e kiia ana ko te cul-de-sac.

Tuatahi, ka whai koe i te whakamātautau pelvic. Ana, ka mau te kaiwhakarato hauora i te kohanga me te taonga puoro ka hiki paku ake.

He ngira roa, angiangi ka whakauruhia ki roto i te pakitara o te tara (i raro noa iho o te kopu). He tauira ka tangohia mo nga wai ka kitea i te waahi. Ka kumea te ngira ki waho.

Ka tonoa pea koe kia hikoi, kia noho ranei mo tetahi wa poto i mua i te otinga o te whakamatautau.

Akene he ahua harikoa koe, he koretake. Ka rongo koe i tetahi mamae poto, koi tonu ka whakauruhia te ngira.

He uaua tenei mahi i tenei ra na te mea ka taea e te ultrasound transvaginal te whakaatu wai i muri o te kopu.

Ka taea ana ina:

• He mamae to kei roto i te puku o raro me te papatoiake, me etahi atu whakamatautau ka puta he wai i te rohe.
• Ka whai pea koe i te haputanga ectopic pakaru, te kaakano ovarian ranei.
• He whiu puku puku.

Kaore he wai i te cul-de-sac, he iti noa ranei te wai ma, he mea noa.

Akene kei kona tonu te waipiro, ahakoa kaore e kitea ana me tenei whakamatautau. Akene ka hiahia koe ki etahi atu whakamatautau.

He tauira waipiro ka tangohia ka whakamatautauria mo te mate.

Mena ka kitea he toto i roto i te tauira waipiro, akene me pokanga ohorere koe.

Ko nga raru kei roto ko te weronga i te pakitara o te kopu o te kopu ranei.

Akene me hiahia tetahi ki te kawe i a koe ki te kaainga mena i whakawhiwhia koe ki nga rongoa hei okioki.

• Anatomia whanau uri
• Culdocentesis
• Tauira ngira Cervix

Braen GR, Kiel J. Nga whakaritenga mo te mate wahine. I roto i: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts me Hedges ’Nga Tikanga Haumanu mo te Maimoatanga ohorere me te Tiakitanga Tino. Ed 7. Philadelphia, PA: Elsevier; 2019: chap 57.

Eisinger SH. Culdocentesis. I roto i: Fowler GC, ed. Nga Mahi a Pfenninger me te Fowler mo te Tiakitanga Paraimere. 4th ed. Philadelphia, PA: Elsevier; 2020: chap 161.

Kho RM, Lobo RA. Te haputanga ectopic: etiology, pathology, diagnosis, whakahaere, matakutanga o te whakatipuranga. I roto i: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Hinengaro Whanui. Ed 7. Philadelphia, PA: Elsevier; 2017: chap 17.