Douglas shine sunan likitan ɗan asalin Scottish James Douglas (1675-1742), wanda ya ba da sunan sa ga sharuɗɗan cul-de-sac daban-daban na Douglas da cututtukan da ke da alaƙa da shi: douglassectomy, douglascele, douglassite, layin Douglas, da sauransu. .

Anatomists sun bayyana Douglas 'cul-de-sac a matsayin ninki na peritoneum dake tsakanin dubura da mahaifa, yana haifar da cul-de-sac.

Douglas 'cul-de-sac yana can nesa da ƙarƙashin cibiya ta 4 zuwa 6 cm. Ita ce mafi ƙasƙanci na ramin ƙwarji, wanda ita kanta peritoneum ta kafa shi, wani serous membrane wanda ke layin ramin ciki.

A maza

A cikin maza, wannan cul-de-sac yana tsakanin mafitsara da dubura. Kawai ƙarshen ƙarshen ramin mahaifa, tsakanin farfajiyar bayan mafitsara da farfaɗar dubura.

A cikin mata

Ga mata, jakar Douglas kuma ana kiranta jakar recto-uterine, tana tsakanin dubura da mahaifa. Don haka yana iyakancewa ta dubura, a gaban mahaifa da farji; kuma a gefe ta hanyar recto-uterine folds.

Matsayinsa shine tallafawa gabobin jiki da kare su daga kamuwa da cututtuka.

Operation

Ya ƙunshi nama mai haɗawa mai yawa wanda ke ɗauke da sunadarai masu kama da collagen, da fibers na roba. Wannan m membrane kuma ana kiranta aponeurosis. 

Wannan membrane yana da ikon ɓoye ɓarna, wani nau'in ƙwayar lymphatic daidai da ɓangaren ruwa na jini da ake kira plasma. 

Magungunan jini yana faruwa a cikin serous membranes waɗanda sune membranes waɗanda ke layin ramukan jikin da aka rufe.

Douglas 'cul-de-sac ana samun sa ta hanyar gwajin farji a cikin mata, ta hanyar duban dubun dubatar maza.

Wannan jarrabawar bugun dijital ba ta da zafi.

Idan wannan taɓawa yana haifar da ciwo, mai haƙuri yana kuka saboda zafin yana da ƙarfi sosai. Kwararrun masana kiwon lafiya sun san wannan kukan da cewa “kukan Douglas” saboda alamomin sun kasance takamaiman.

Palpation yana nuna kumburin intraperitoneal, ƙurji ko ƙura mai ƙarfi. Idan akwai kumburi, palpation na iya zama mai zafi sosai.

Wannan zafin na iya zama alamar tarin cututtukan da ke iya fitowa daga ciki na ectopic a cikin mata, hernia ko ma douglassitis.

Ectopic (ko ectopic) ciki 

Ciki na ectopic (ko ectopic) yana tasowa a waje da ramin mahaifa:

• a cikin bututun fallopian, ciki ne na ciki;
• a cikin ovary, ciki ne na ovarian;
• a cikin ramin peritoneal, ciki ne na ciki.

Dangane da ciki na ectopic, binciken farji na likitan mata ko ungozoma yana da zafi sosai (ciwon Douglas) kuma yana iya kasancewa tare da syncope, pallor, bugun hanzari, zazzabi, kumburin ciki. Ana iya cika Douglas da jinin launin ruwan ruwan sepia.

Haɗarin ƙaramin ƙashin ƙugu, sabili da haka a bayan wannan kumburin kumburin, a bayan mahaifa, ana fuskantar sa akai-akai idan an sami ɓarkewar ciki. Wannan fashewar yana haifar da zubar jini wanda ke taruwa a bayan wannan cul-de-sac. Tafiyar sa tana da zafi sosai kuma tana da mahimmanci ga ganewar asali.

Wannan zuriyar gabobin (ko juyowa) yana haifar da hernia na hanji wanda ya gangara zuwa cikin Douglas 'cul-de-sac kuma wanda ke tura bangon farji na baya ta cikin farji.

Douglassitis wani kumburi ne na peritoneum wanda ke cikin jakar Douglas-fir. Yawancin lokaci ana haifar da shi ta hanyar zubar da ciki (a cikin peritoneum, ƙari, tarin jini daga zubar jini wanda GEU ta haifar (ciki na ectopic) ko ƙurji ko ƙurji.

Likita yana yin dubura (ga namiji) ko farji (ga mace) don sanin halin da ake ciki.

Ayyukan daban -daban

Lokacin da ake buƙatar cirewa, likita yana yin magudanar ruwa. Ga mata, yana da maƙarƙashiya, tsoma baki ta bangon farji kuma ga maza ana kiran wannan tsattsauran ra'ayi, saboda ana yin aikin ta bangon dubura.

Lokacin da Douglas 'cul-de-sac ya cika da jini ko ruwa, don haka ya zama dole a yi magudanar ruwa, musamman a cikin mata ta bangon farji. Wannan karimcin shine colpotomy.

A cikin mutane, magudanar ruwa wani lokacin ma ya zama dole. A wannan yanayin ya zama tilas a yi ta ta bangon gaban dubura, wannan shigar da ake kira rectotomy.

Za'a iya tabbatar da mafarkin fashewa ta hanyar duban dan tayi da huda daidai yanayin sa.

Douglassectomy

Douglassectomy aikin tiyata ne wanda ya haɗa da cire Douglas 'cul-de-sac. Ana yin ta ta laparoscopy ko ta hanyar buɗewa a cikin ciki da ake kira laparotomy.