Kuunganidzwa kwehuwandu hwemvura inenge iri pakati pezvisikwa zvomukati kana kuti cavity yemapuranga maduku chiratidzo chezvirwere zvakawanda zvakakomba. Nokuda kwekuongororwa kwavo, chirwere chemuviri chinogadzirwa. Inogona kuitwa nenzira mbiri, zvichienderana nechinangwa chekuita uye chirwere chinotarisirwa. Muzviitiko zvakawanda, paracentesis (kuvharwa mumimba kwemuviri) inoitwa, kazhinji kacho kuwanika kunowanikwa kuburikidza ne posterior vaginal vault - culdocentesis (chete mumadzimai).
Kuongorora nekurapa kwemuviri kubvisa
Kana zvakakosha kutarisa kuti maridhi anounganidza chii pakati penhengo dzekudya, chirwere chinonzi paracentesis chinoitwa.
Nzvimbo yepamu puncture nzvimbo yakanyatsodzivirirwa, yakarapwa ne anesthetics (kazhinji-injections ye novocaine). Mushure meizvi, chiremba chiremba, sekutonga, pasi pekutonga kwe ultrasound, inotanga trocar chaiyo, iyo inoshandiswa mvura iripo. Zvikamu zvekutanga zvezvinhu zvehupenyu zvinounganidzwa mumatare asina kubatwa uye zvinotumirwa ku laboratori. Nharaunda ine ganda rakakanganiswa yakafukidzwa nekupfekedzwa kwepiriseptic kana sutures yekuvhiya, 1-2 zvidimbu, neshinda yechilika.
Kurapa kwepamu pamucheto ne ascites kunoratidza kuti kune imwe nguva, asi mushure mokutora iyo mvura kuti iongororwe, inoramba ichingoputirwa mumvura. Nokuda kwekutanga 1 unogona kubvisa kusvika 6 malita ezvinyorwa. Panguva yekushandiswa kwakadaro kunofanirwa kudzorera kurasikirwa kwemasarita nemapuroteni, saka murwere anowedzera kuiswa ne albumin kana zvimwe zvinogadziriswa.
Kuvhara kwepamuviri kwemuviri kuburikidza nemashure ekugadzikana kwevaviri
Kuldotsentez inofanirwa kuongororwa uye kurapwa kwezvirwere zvechirwere, apo mvura inotonhora inowedzera munzvimbo pakati pezvikamu zvediki duku. Panogona kunge kune pus, ropa uye exudate, saka zvinokosha kuti uongorore nyaya inoguma pakarepo.
Zviratidzo zvekuvhara pamuviri kuburikidza nepashure vaginal vaginal vault vashoma:
- mukana we ectopic pregnancy (ectopic);
- kunyunyuta kwechimbichimbi chinoramba chichienda mberi.
Zvakakosha kucherechedza kuti vanachiremba vemazuva ano havakwanisi kushandisa kemikari nekuda kwedambudziko guru rekutapurirwa kwechipiri pane nzvimbo yekuvhara. Mimwe nzira yekutsvakurudza, somuenzaniso, laparoscopy, ine kushandiswa kwakafanana. Iyi nzira haina kugadzikana uye inowanzokonzera matambudziko, saka inofanirwa.