ʻO Culdocentesis

ʻO Culdocentesis kahi hana e nānā ai no ka wai kūlohelohe i ka hakahaka ma hope pono o ka lua. Kapa ʻia kēia wahi ʻo cul-de-sac.

ʻO ka mea mua, e loaʻa iā ʻoe kahi hōʻike pelvic. A laila, mālama ka mea mālama ola i ka cervix me kahi mea kani a hāpai iki iā ia.

Hoʻokomo ʻia kahi nila kuʻikuʻi lōʻihi a lahilahi ma ka paia o ka ʻōpū (ma lalo pono o ka uterus). Lawe ʻia kahi laʻana o kekahi wai i loaʻa i ka hakahaka. Huki ʻia ka nila.

E noi paha ʻoe e hele wāwae a noho paha no kahi manawa pōkole ma mua o ka pau ʻana o ka hoʻāʻo.

Loaʻa paha iā ʻoe kahi ʻano ʻoluʻolu ʻole, cramping. E ʻike ʻoe i kahi ʻeha pōkole a ʻoi loa ke hoʻokomo ʻia o ka nila.

ʻAʻole hana iki kēia hana i kēia lā no ka mea hiki i kahi ultrasound transvaginal ke hōʻike i ka wai ma hope o ka kōpū.

Hiki ke hana ʻia ke:

• Loaʻa iā ʻoe ka ʻeha ma ka ʻōpū o lalo a me ka pelvis, a hōʻike nā hōʻike ʻē aʻe aia ka wai i kēlā wahi.
• Loaʻa paha iā ʻoe kahi hāpai hāpai ectopic ruptured a i ʻole cyst ovarian.
• Hoʻopilikia ʻōpū ʻōpū.

ʻAʻohe kahe i ka cul-de-sac, a i ʻole ka liʻiliʻi o ka wai maʻemaʻe, maʻamau.

Aia paha ka Fluid, ʻoiai inā ʻaʻole i ʻike ʻia me kēia hōʻike. Pono paha ʻoe i nā hoʻokolohua ʻē aʻe.

Lawe ʻia kahi laʻana o ka wai a hoʻāʻo no ka maʻi.

Inā loaʻa ke koko i ka laʻana o ka wai, pono ʻoe i kahi ʻoki kūpilikiʻi.

Pākuʻi ʻia nā pōpilikia i ka pahu ʻana i ka paia ʻo uterine a i ʻole bowel.

Pono ʻoe i kekahi e lawe iā ʻoe i ka home inā hāʻawi ʻia ʻoe i nā lāʻau e hoʻomaha ai.

• Anatomia hānau wahine
• ʻO Culdocentesis
• Laʻana mākia Cervix

Braen GR, Kiel J. Gynecologic nā kaʻina hana. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 57.

ʻO Eisinger SH. ʻO Culdocentesis. I: Fowler GC, hoʻoponopono. ʻO Pfenninger a me Fowler's Procedures no ka mālama mua. ʻEhā ed. Piladelapia, PA: Elsevier; 2020: chap 161.

Kho RM, Lobo RA. ʻO ka hāpai Ectopic: etiology, pathology, diagnose, hoʻokele, prognosis momona. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 17.