Ðe kadodo aɖe si mesɔ o le wò akɔta kple wò vidzidɔ domea? (Rectovaginal Fistula) Mina míaƒo nu tso eŋu!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be nane si wɔ nuku alo si meɖea dzi ɖi le wò vidzidɔ me oa? Ate ŋu anye ŋukpe vie be woaƒo nu tso eŋu, gake ate ŋu anye vevesese hã. Egbea míele nu ƒom tso nyati aɖe si me nyawo me kɔ vie ŋu, gake ate ŋu anye nu vevi aɖe na ame geɖe. Eyae nye kadodo si mesɔ o si le aɖuɖɔtoe kple nyɔnu ƒe vidzidɔ dome, si nye nɔnɔme si woyɔna be (Rectovaginal Fistula) le atikewɔwɔ me.

Nukae nye esia (Rectovaginal Fistula)? Mina míase egɔme bɔbɔe!

Enyo, azɔ mina míakpɔ nusi nye esia (Rectovaginal Fistula) ɖa. Kpuie ko la, esia nye do yeye si le abe mɔ̃ ene si dzɔna le wò dɔgbo - wò dɔgbo gã (dɔgbo) ƒe akpa si tso wò dɔgbo me yi wò dɔgbo me - kple wò vidzidɔ dome. Bu eŋu kpɔ, ŋutinu eve siawo te ɖe wo nɔewo ŋu ŋutɔ le ŋutilãa me. Zi geɖe la, kadodo aɖeke mele wo ame evea dome o. Gake ne le susu aɖe ta la, lãkusi si le eve siawo dome gblẽ eye wòku la, do, alo abe alesi míeyɔnae ene la , fistula, dona.

Ne fistula dzɔ alea la, aɖuɖɔ kple gas si tso wò dɔgbo me dzea gege ɖe wò vidzidɔ me. Esia nye nɔnɔme si me dzidzeme mele kura o. Fistula siawo ate ŋu anɔ lolome kple nɔnɔme vovovowo me. Wo dometɔ aɖewo ate ŋu anɔ sue, eye bubuwo ate ŋu alolo.

Nɔnɔme sia ate ŋu ana nàse veve eye gbesiagbedɔwo wɔwɔ nasesẽ na wò. Gake nu nyuitɔ kekeakee nye be woate ŋu adae, eye le go geɖe me la, woate ŋu adae to amekoko me. Wò atikewɔlawo ƒe ƒuƒoƒoa le klalo be yewoana atike kple aɖaŋuɖoɖo siwo nèhiã la wò.

Ðe dzesi siawo hã le ŋuwòa? (Rectovaginal Fistula) Dzesi Siwo Zãna

Azɔ mina míakpɔ nusiwo nye nɔnɔme sia ƒe dzesi siwo bɔ wu (Rectovaginal Fistula). Ne esiawo dometɔ ɖeka alo esi wu nenema le asiwò la, ele be nàkpɔ ɖɔkta godoo.

• Tsi si ʋẽna lilili si dona tso nyɔnu ƒe vidzidɔ me: Esiae nye nu gbãtɔ si ame geɖe dea dzesii.
• Tsi alo gas si dona le vidzidɔ me: Esiae nye nɔnɔme sia ƒe dzesi vevitɔ eye wòdze ƒã wu.
• Vevesese le gbɔdɔdɔ me (Dyspareunia): Esia hã nye kuxi na ame geɖe.
• Vevesese le akɔta: Esia ate ŋu anye vevesese si nɔa anyi ɖaa le ƒodo ƒe akpa si le anyime.
• Ʋu si dona le dɔgboa alo nyɔnu ƒe vidzidɔ me: Ɣeaɖewoɣi la, woate ŋu akpɔ ʋu sia ƒomevi.

Ne dzesi siawo dometɔ aɖe le ŋuwò la, taflatse yi ɖɔkta gbɔ enumake, elabena nɔnɔme sia ate ŋu ahe kuxi bubuwo vɛ ne mèdae o.

Nukatae esia dzɔna ɖo? (Rectovaginal Fistula) Nusiwo gbɔ wòtsona

Zi geɖe la, nyɔnu ƒe nyɔnu ƒe vidzidɔ ƒe ʋuʋu dzɔna ne lãkusi si le nyɔnu ƒe vidzidɔ kple aɖuɖɔ dome gblẽ eye wòku. Esiae nye esime doa, alo fistula, dzɔna. Ate ŋu adze egɔme le ŋkeke ʋɛ aɖewo megbe, alo ate ŋu ava do vivivi le ƒe geɖe megbe.

Susu geɖewo li siwo ate ŋu ana Rectovaginal Fistula nadze ame dzi. Mina míalé ŋku ɖe nusiwo wonye ŋu:

• Nuveviwɔame le vidzidzi me: Zi geɖe la, esia koŋ gbɔe nɔnɔme sia tsona. Fistula sia ƒomevi ate ŋu adze ne vidzidɔa vuvu (vaginal tears) alo episiotomy abi mehaya nyuie le vidzidzi me o. Ɣeaɖewoɣi la, esia ate ŋu adzɔ wu ne eɖoɖo sesẽ vie, alo ne wozã haƒonuwo.
• Diverticulitis ƒe kuxiwo: Ne dɔlékui le kotoku sue (diverticulum) siwo dzɔna ɖe wò dɔgbo ƒe gli ŋu eye wòzu ʋuʋudedi la, ate ŋu akaka eye wòagblẽ nu le wò vidzidɔ ƒe gli ŋu, si ana wòazu fistula.
• Dɔgbo ƒe Dɔléle (IBDs): Dɔlélewo abe Crohn ƒe dɔléle kple ulcerative colitis ene ate ŋu agblẽ nu le dɔgbo kple vidzidɔ ƒe lãkusiwo ŋu, si ana fistulas nadzɔ.
• Ƒodo alo akɔta ƒe dɔwɔwɔ: Amekoko aɖewo, abe vidzidɔ ɖeɖeɖa, ʋumenugbagbeviɣidɔ, J-kotoku ƒe amekoko, alo akɔta ƒe ŋutinuwo ƒe gege ƒe amekoko ene, ate ŋu ana ame nazu fistula ne dɔgbo alo nyɔnu ƒe vidzidɔ gblẽ le vo me, alo ne abiawo mehaya nyuie le amekoko vɔ megbe o.
• Kansa: Fistulas abe esia ene ate ŋu adzɔ le vidzidɔ me kansa alo dɔdzẽ si le dɔgboa me hã ta. Míeyɔa fistula vɔ̃ɖi siawo be .
• Kekeli ƒe atikewɔwɔ na akɔta ƒe akpa: Ne wozã keklẽŋusẽdɔ na nuwo abe kansa ene la, ate ŋu agblẽ nu le lãmeka siwo le teƒe ma ŋu ɣeyiɣi didi, si aɖe woƒe ŋutete be woada gbe le wo ŋu dzi akpɔtɔ, eye wòana fistulas nadzɔ.
• Nuveviwɔame le gbɔdɔdɔ me alo tso gotagome nu bubu aɖe gbɔ: Ɣeaɖewoɣi la, fistula ate ŋu adze ne vidzidɔ alo aɖuɖɔtoe xɔ abi vevie le gbɔdɔdɔ me, alo ne wotsɔ nu si mele dzɔdzɔme nu o de vidzidɔa me.
• Dɔlékuiwo: Dɔlékui siwo le aɖuɖɔtoewo alo Bartholin lãkusiwo me ate ŋu ahe fistulas vɛ ɣeaɖewoɣi.

Ƒã ŋutɔ hafi woate ŋu adzi ame kple akɔta ƒe ʋuka me ʋu ƒe sisi. Ðɔktawo yɔa esia be RVF si wodzina .

Nukawoe ate ŋu ado tso esia me?

Ne womeda dɔ na nyɔnu ƒe vidzidɔ ƒe ʋuka nyuie o la, ate ŋu ahe kuxi vovovowo vɛ. Esia tae wòle vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne dɔlélea ƒe dzesiwo dze ko.

• Aɖuɖɔtoe alo dɔlékuiwo: Esia ate ŋu ade ame ƒe agbe afɔku me ne womewɔ atike nɛ o.
• Fistula ƒe gbugbɔgadzɔ: Ɣeaɖewoɣi la, nɔnɔme sia ate ŋu agadzɔ le atikewɔwɔ vɔ megbe gɔ̃ hã.
• Vidzidɔ, vidzidɔ, akɔta, alo akɔta ƒe dɔdzẽ kple ʋuʋudedi.
• Aɖuɖɔtoe me dɔléle (UTI) alo nyɔnu ƒe vidzidɔ ƒe dɔléle enuenu.

Tsɔ kpe ɖe ŋutilã me vevesese siawo ŋu la, Rectovaginal Fistula ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò susu ƒe lãmesẽ hã dzi. Esia ate ŋu ana nàtsi dzimaɖi eye yeɖe ye ɖokui ɖe aga le hadome. Ne èse le ɖokuiwò me alea la, ele vevie be nàdi kpekpeɖeŋu tso susumedɔdala gbɔ.

Aleke ɖɔkta aɖe dea dzesi esia?

Ne èyi ɖɔkta gbɔ la, abia wò gbã tso wò dzesiwo kple atikewɔwɔ ŋutinya ŋu. Emegbe woawɔ ŋutilãmedɔ kple akɔta dodokpɔ.

Eyome, woaɖe gbe be woawɔ dodokpɔ tɔxɛ geɖe atsɔ akpɔe ɖa be akɔtadɔléle le ŋuwò hã, be woake ɖe nusi gbɔ wòtso ŋu (ne womenya tututu o), eye woanya afisi dɔdzẽa keke ta ɖo.

Dodokpɔ siwo wowɔna ɖe esia ta dometɔ aɖewoe nye:

• Endoscopy: Wozãa dodokpɔwo abe colposcopy kple/alo proctosigmoidoscopy ene tsɔ dea dzesi fistulas. Esia bia be woatsɔ mɔ̃ aɖe si me fotoɖemɔ̃ le ade dɔgboa me.
• Dodokpɔ le atike si naa alɔ̃dɔdɔ ame me: Ɣeaɖewoɣi la, woate ŋu ana alɔ̃dɔdɔ wò be nàdo fistula la kpɔ nyuie wu.
• Ʋu Xexlẽme Blibo (CBC) Kple Aɖuɖɔtoe Me Dzodzro: Kpɔe ɖa be dɔlékuiwo le ame ŋu hã.
• MRI alo CT scan na akɔta ƒe akpa: Na nyɔnu ƒe vidzidɔ kple aɖuɖɔtoe ƒe nɔnɔmetata siwo me kɔ.
• Biopsy: Ne ɖikeke aɖe li be ɖewohĩ kansa gbɔe esia tso la, woaɖe lãkusi aɖe adoe kpɔ.

Nukawoe nye atikewɔmɔnuawo? Míahaya!

Nu vevi etɔ̃ li siwo ŋu wòle be woabu ne wole dɔdamɔnu si nye rectovaginal fistula:

1. Da nusi gbɔ fistula la tso.

2. Fistula ŋutɔ dada.

3. Atikewɔwɔ na nugbegblẽ le ame ŋu siwo do ƒome kplii.

Mia kple wò ɖɔkta miawɔ ɖeka atso nya me le atikewɔwɔ ƒe ɖoɖo si nyo na wò ŋu.

Zi geɖe la, wodzea dɔdamɔnu siwo menye amekoko o (siwo me womezãa nusiwo gblẽa nu le ame ŋu o) gɔme gbã na fistulas suewo. Esiawo dometɔ aɖewoe nye:

• Dɔlékuiwutikewo na dɔlékuiwo.
• Atike siwo wozãna na nɔnɔme si gbɔ wòtso (e.g., IBD).
• Aɖuɖɔ-bulking fibre kpeɖeŋutɔ.
• Abidzikpɔkpɔ kple abi ɖeɖeɖa.

Gake ele be woawɔ dɔ na nyɔnu geɖe hafi axe mɔ ɖe fistula sia nu.Mɔ vovovowo li siwo dzi woato awɔ amekokoa. Le kpɔɖeŋu me, àte ŋu azã lãkusi si tso wò ŋutɔ wò ŋutilã me alo lãkusi si wodo le nudokpɔƒe atsɔ axe doa. Wò ɖɔkta atso nya me le amekokomɔnu si nyo na wò nɔnɔmea ŋu eye wòaɖe eme na wò hafi awɔ dɔ na wò.

Ɣeaɖewoɣi la, ne fistula la lolo ŋutɔ alo wòsesẽ la, ahiã be woawɔ colostomy na wò hena ɣeyiɣi aɖe . Esia bia be nàtɔ te aɖuɖɔ ƒe sisi tso wò dɔgbo kple dɔgbo me vaseɖe esime fistula la nahaya, eye nàna aɖuɖɔa naƒo ƒu ɖe akplo me to ʋuƒo sue aɖe (stoma) si wowɔ le wò ƒodo me. Ahiã be nàtrɔ akplo sia edziedzi. Ne fistula la haya vɔ la, woagawɔ dɔ na wò ake be nàgatsɔ wò dɔgboa aƒo ƒui eye woatu ʋuƒoa. Esia aɖi vɔvɔ̃, gake ɣeyiɣi kpui aɖe koe wònye.

Ɣeyiɣi didi kae wòxɔna hafi wòhayana?

Zi geɖe la, àte ŋu atrɔ ayi dɔ siwo nèwɔna ɖaa dzi le kwasiɖa ɖeka alo eve me le amekoko vɔ megbe. Gake ate ŋu axɔ ɣleti geɖe hafi fistula la nahaya keŋkeŋ. Ɣeyiɣi si wòxɔna hafi nàhaya la nɔ te ɖe nu geɖe dzi, abe alesi fistula la loloe kple amekokoa ƒe nɔnɔme ene.

Ɣekaɣie wòhiã be nàgakpɔ ɖɔkta ake?

Ne èdze atikewɔwɔ gɔme alo wowɔ dɔ nɛ vɔ la , ahiã be nàyi ɖɔkta gbɔ hena ɣeyiɣi siwo woatsɔ akplɔe ɖo be nàkpɔ egbɔ be wò fistula la le hayahayam nyuie. Gblɔe na wò ɖɔkta enumake ne wò dzesiawo gagblẽ ɖe edzi alo ne dzesi yeyewo va dze ŋuwò.

Àte ŋu abia ɖɔktaa nyawo abe:

• Kuxi kawoe ate ŋu ado mo ɖa le amekoko me?
• Aleke woawɔ akpɔ fistula gbɔ le aƒeme?
• Ðe nane li mate ŋu awɔ be rectovaginal fistula nagadzɔ ake oa?
• Ðe mele afɔku me be maxɔ nyɔnuwo ƒe vidzidɔ me dɔléle ƒomevi bubuwoa?

Nukae etsɔme ahe vɛ? Nɔ mɔkpɔkpɔ me!

Wò ŋgɔdonya nɔ te ɖe nu geɖe dzi:

• RVF ƒe lolome kple eƒe sesẽme.
• (RVF) ye nye nusi gbɔ wòtso.
• Wò lãmesẽ bliboa.
• Atikewɔwɔ alo amekoko si ƒomevi wɔm nèle.

Le goawo katã me la, RVF siwo sesẽ la dada sesẽna wu esiwo le bɔbɔe. Ðewohĩ ahiã be woawɔ dɔ na wò wu zi ɖeka. Wò ɖɔkta ate ŋu ana nàkpɔ nusi nàkpɔ mɔ na le wò nɔnɔmea nu nyuie.

Ðewohĩ mèse fistula ŋu nya kpɔ o. Gake ne èse be ɖeka le ŋuwò (Rectovaginal Fistula) vɔ la, ate ŋu anɔ susu me na wò katã. Nɔnɔme sia ate ŋu akpɔ ŋusẽ ɖe wò gbesiagbegbenɔnɔ dzi, eye ate ŋu agblẽ nu le wò kakaɖeamedzi gɔ̃ hã ŋu. Gake ɖo ŋku edzi be atikewɔwɔ ate ŋu akpe ɖe ŋuwò nàgakpɔ ŋusẽ ɖe wò ŋutilã dzi ake. Ke hã, ate ŋu axɔ ɣeyiɣi aɖe hafi wòahaya. Eyata ƒo nu kple wò ɖɔkta edziedzi eye nàdi woƒe mɔfiame kple kpekpeɖeŋu.

Mlɔeba la, ɖo ŋku esia dzi.

Togbɔ be nɔnɔme si ŋu míeƒo nu tsoe egbea (Rectovaginal Fistula) la sesẽ vie eye wòsesẽ hã la, .Nu vevitɔ kekeakee nye be atike aɖe li na esia. Ne dzesi siawo le ŋuwò la, mègakpe ŋu alo nàvɔ̃ be yeadi atikewɔlawo ƒe aɖaŋuɖoɖo o. Ne èdze atikewɔwɔ gɔme kaba la, ate ŋu akpe ɖe ŋuwò nàhaya kabakaba eye nàxe mɔ ɖe kuxiwo nu. Menye wò ɖeka koe o, eye ɖɔktawo kple lãmesẽdɔwɔlawo hã li siwo akpe ɖe ŋuwò. Tsɔ dzideƒo dze ŋgɔ esia!

` Rectovaginal Fistula, RVF, Vidzidɔ me tsi si dona, Vaginal ya, Amekoko, Nyɔnuwo ƒe Lãmesẽ, Rectum, Vagina, Fistula ƒe Atikewɔwɔ