Ukuqoqwa kwemithombo enkulu yetshezi esikhaleni phakathi kwezitho zangaphakathi noma isigxobo se-pelvis encane kuyimpawu yezifo eziningi ezibi kakhulu. Ukuze baxilongwe, isisu sokuphumula sisenziwa. Kungenziwa ngezindlela ezimbili, kuye ngenhloso yenqubo kanye nokulindeleka kwezilwane. Ezimweni eziningi, i-paracentesis (ukuphumula esiswini kwesisu) kwenziwa, ukutholakala okuncane kakhulu kutholakala nge-vault vaginal post-culdocentesis (kuphela kwabesifazane).
Ukuhlunga kwesisu nokuthola ukwelashwa kwesisu
Uma kudingekile ukuhlola uhlobo lomswakama oqoqayo esikhaleni phakathi kwezitho zokugaya, i-paracentesis yokuxilonga yenziwa.
Isakhiwo sokuphumula esiswini siphelelwe kahle, siphathwa nge-anesthetics (ngokuvamile - izijovo ze-novocaine). Ngemva kwalokhu, udokotela ohlinzayo, njengombuso, ngaphansi kokulawulwa kwe-ultrasound, usungula i-trocar ekhethekile, lapho amanzi ekhona ekhona khona. Izingxenye zokuqala zezinto eziphilayo ziqoqwa ngamathambo oyinyumba futhi zithunyelwa ebhokisithri. Indawo enesikhumba esonakele igcwele ukugqoka okwe-antiseptic noma i- sutures yokuhlinza, izingcezu ezingu-1-2, ngochungechunge lwesilika.
Ukwelashwa kwesisu esiswini nge-ascites kubonisa ukuthi kukhona okufanayo, kepha ngemva kokuthatha uketshezi lokuhlaziywa, luqhubeka luqhutshelwa emgodini. Ngezinqubo ezingu-1 ungakwazi ukususa kufika ku-6 amalitha we-biomaterial. Ngesikhathi sokuphathwa okunjalo kubalulekile ukubuyisela ukulahlekelwa kwesawoti namaprotheni, ngakho-ke isiguli sijova nge-albumin noma ezinye izixazululo ezifanayo.
Ukuvala isikhumba sangasese ngesisu se-vaginal post
I-Kuldotsentez iyadingeka ukuxilongwa nokuphathwa kwezifo zesifo somzimba, lapho uketshezi kuqoqa isikhala phakathi kwezitho zesikhumba esincane. Kungaba khona i-pus, igazi ne-exudate, ngakho-ke kubalulekile ukuhlola izinto ezivela ngokushesha.
Izinkomba zokuphumula kwesisu nge-vault yangasese yangasese zimbalwa:
- amathuba okukhulelwa kwe-ectopic (ectopic);
- ukusola kwesikhumba esiphuthumayo emgodini wezintambo.
Kubalulekile ukuthi uqaphele ukuthi odokotela abahlinzayo basencane amathuba okusebenzisa i-cul-docentesis ngenxa yobungozi obukhulu bokutheleleka okuyisisekelo kwendawo yokuqothula. Ezinye izindlela zokucwaninga, isibonelo, i-laparoscopy, zine-informativity efanayo. Le ndlela ayidabukisayo kakhulu futhi ayibangelwa yizikhathi ezinzima izinkinga, ngakho-ke kulula.