He aha ka fistula? E kamaʻilio kākou e pili ana i ia mea me nā kikoʻī!

Ua lohe paha ʻoe i ka huaʻōlelo "fistula"? Ua lohe paha ʻoe mai kāu kauka a i ʻole kekahi lālā o ka ʻohana. Hiki ke hopohopo iki ke lohe, akā mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o ka fistula, ke kumu o kona hoʻokumu ʻia ʻana, a me nā lāʻau lapaʻau i loaʻa no ia ma ke ʻano maʻalahi a maopopo.

He aha ka fistula? E hoʻomaopopo maʻalahi kākou.

I ka ʻōlelo maʻalahi, ʻo ka fistula kahi pilina hou ma waena o nā ʻāpana ʻelua o ko mākou kino i pili ʻole kekahi i kekahi. Ua like ia me kahi tunnel liʻiliʻi. E noʻonoʻo iā ia e like me kahi tunnel liʻiliʻi ma waena o nā ʻāpana ʻelua i loko o kou kino, a i ʻole ma waena o nā kīʻaha koko ʻelua, a i ʻole kahi paipu e hele mai ana mai loko mai o kou kino a i ka ʻili o kou ʻili. Ma o kēia tunnel, hiki i nā mea e like me ka pus, nā feces, a me ke koko ke hele i nā wahi o kou kino ʻaʻole pono lākou.

ʻO ka hapa nui o ka manawa, he mea ʻē kēia fistula, ʻo ia hoʻi, he maʻi. No laila, pono ia i ka mālama ʻana i ke olakino. Eia nō naʻe, i kekahi manawa hana nā kauka ponoʻī i nā fistula ma ke ʻano he lāʻau lapaʻau. No ka laʻana, hana lākou i kahi pilina ma waena o kahi aʻa a me kahi aʻa e kōkua i ka mālama ʻana i ka dialysis no nā maʻi puʻupaʻa.

Hiki i nā fistula ke hōʻeha iā ʻoe a hoʻolilo iā ia i mea paʻakikī ke hana i nā hana o kēlā me kēia lā. Akā ʻo ka nūhou maikaʻi, hiki ke mālama pinepine ʻia lākou, ʻoiai me ke ʻoki kino. No kekahi poʻe, ke loaʻa iā lākou kahi fistula, ʻaʻole lākou e hoʻi hou mai. No kekahi poʻe, hoʻi mau lākou, a pono paha lākou i ka mālama ʻia no nā mahina a i ʻole nā ​​​​makahiki. Eia nō naʻe, e hāʻawi kāu hui mālama ola iā ʻoe i ka mālama ʻana a me ke kākoʻo āu e pono ai.

Pehea e hiki ai i kahi fistula ke ulu? He aha nā ʻano?

Aia kekahi mau ʻano fistula. Ua hoʻokaʻawale ʻia lākou e like me ko lākou wahi i hana ʻia ai. E nānā kākou i nā ʻano nui o nā fistula i ʻike ʻia:

ʻO ka fistula anal

ʻO kēia ke ʻano maʻamau o ka fistula. He ʻōmole liʻiliʻi kēia e hana ʻia mai loko mai o kou anus a i ka ʻili a puni. Hoʻokumu pinepine ʻia kēia e kahi maʻi (`(Infection)`) a i ʻole ka mumū (`(Inflammation)`) o nā glands a puni kou anus, hiki ke hana i kahi abscess (`(Parianal abscess)`). E like me kāu e ʻike ai, ʻoi aku ka nui o ka pilikia o ka poʻe me kekahi mau maʻi olakino, e like me `(Crohn's disease)`, i ka loaʻa ʻana o kēia ʻano maʻi a me ka fistula. Hiki i kēia ke hōʻeha i ka wā e noho ana a i ʻole e neʻe ana ka ʻōpū, a hiki ke puka mai ka pus.

ʻO ka fistula arteriovenous (AV)

Aia ʻelua ʻano o nā kīʻaha koko i loko o ko kākou kino, i kapa ʻia ʻo nā aʻa a me nā veins. ʻO ka maʻamau, hele kaʻawale kēia mau mea ʻelua. Akā i loko o kahi `(AV) fistula`, hoʻokumu ʻia kahi pilina pololei ma waena o kahi aʻa a me kahi vein. ʻO ke kumu nui o kēia, ʻo ia ka ʻeha. Akā, ʻaʻole maikaʻi ʻole nā ​​`(AV) fistula` a pau. E like me ka mea i ʻōlelo ʻia ma mua, hana nā kauka i kēia ʻano pilina e kōkua i ka poʻe i loaʻa i ka hāʻule ʻana o ka puʻupaʻa a aia ma `(Dialysis)`.

Nā pilina ma waena o ka aorta a me ka ʻōpū liʻiliʻi (Aortoenteric fistula)

He mea weliweli loa kēia a hiki ke hoʻoweliweli i ke ola.He ʻano fistula. He pilina kēia ma waena o ka aorta, ke kīʻaha koko nui i loko o ko kākou kino, a me ka ʻōpū liʻiliʻi. Hiki i kēia ke hoʻoulu i ke kahe koko nui mai ka ʻōnaehana gastrointestinal (GI bleeding), hiki ke make inā ʻaʻole hana koke ʻia ke ʻoki kino ulia pōpilikia. ʻElua ʻano o kēia mau mea, ʻo ke kumu mua a me ke kumu lua. Hiki ke hana ʻia nā mea mua ma muli o ka nāwaliwali o ka paia o ka aorta (Aortic aneurysm), ka maʻi ʻaʻai, ka maʻi puʻupuʻu, a i ʻole nā ​​maʻi e like me syphilis. Hiki ke hana ʻia nā mea lua ma ke ʻano he hopena ʻaoʻao kakaikahi loa o ke ʻoki kino e pili ana i ka aorta.

ʻO ka fistula e kū ana i loko o ka pepeiao (perilymphatic fistula)

Hana ʻia kēia i ka wā e ulu ai kahi lua a haehae paha i loko o ka membrane lahilahi e hoʻokaʻawale ana i ko kākou pepeiao waena mai ko kākou pepeiao o loko. ʻAe kēia i ke kahe ʻana o ke wai mai ka pepeiao o loko i loko o ka pepeiao waena. Hiki i kēia ke hoʻololi i ke kaomi i loko o ka pepeiao, hiki ke hoʻopilikia i ka lohe a me ke kaulike. Pono ka hapa nui o ka poʻe i ke ʻoki ʻana e hoʻoponopono i kēia, akā hoʻōla kekahi poʻe me ka hoʻomaha ʻana ma ka moe.

ʻO ka fistula tracheoesophageal (TEF)

He pilina kēia ma waena o ko kākou ʻōpū hanu (trachea) a me ko kākou esophagus (esophagus). ʻO ka hapa nui o ka manawa, he maʻi hānau kēia, ʻo ia hoʻi, hiki ke loaʻa i ka wā hānau. Hoʻomaopopo pinepine nā kauka a mālama iā ia i ka wā he pēpē nā pēpē. Eia nō naʻe, hiki i kekahi poʻe mākua ke loaʻa i kēia maʻi ma muli o nā maʻi ʻē aʻe, e like me ke kanesa.

ʻO ka fistula vaginal

ʻO kēia ka manawa e hana ʻia ai kahi lua ma ka paia o ka ʻōpū o ka wahine. Hiki i kēia lua ke hoʻopili i ka ʻōpū i kahi ʻāpana kokoke, e like me ka uterus (`(Uterus)`), ka ʻōpū mimi (`(Bladder)`), rectum (`(Rectum)`), ka ʻōpū nui (`(Large intestine)`), a i ʻole ka ʻōpū liʻiliʻi (`(Small intestine)`). Kāhea nā kauka i kēia he ``Vesicovaginal fistula`` inā aia ma waena o ka ʻōpū a me ka ʻōpū mimi, a he ``Rectovaginal fistula`` inā aia ma waena o ka ʻōpū a me ka rectum. ʻO ka fistula ʻōpū i hana ʻia ma ke ʻano he pilikia i ka wā hānau keiki ua kapa ʻia hoʻi he ``Obstetric fistula``.

He mea nui: I kekahi manawa hana nā kauka i nā fistula ma ke ʻano he lāʻau lapaʻau. ʻO kahi laʻana he `(Mucous fistula)`. Ma kēia, ua pili ka ʻōpū liʻiliʻi a nui paha i kahi puka liʻiliʻi (`(Stoma)`) i hana ʻia ma ka ʻili o ka ʻōpū. He mea kōkua kēia no ka poʻe i hana ʻia ke ʻoki ʻana e wehe i kahi ʻāpana o ka ʻōpū nui (`(Colostomy)`) a i ʻole no ka poʻe i hana ʻia ke ʻoki ʻana e wehe i kahi ʻāpana o ka ʻōpū liʻiliʻi (`(Ileostomy)`).

He aha ka fistula i hoʻohana ʻia no ka dialysis?

ʻO ka dialysis fistula he fistula "Arteriovenous - AV". No ka mea, hoʻopili ia i kahi artery a me kahi vein. Akā, ʻaʻole e like me nā "(AV) fistula" ʻē aʻe, ʻaʻole i hana ʻia kēia mau mea e nā ʻeha ulia pōpilikia, akā ua hana ʻia e nā kauka ʻokiʻoki e kōkua i ka mālama ʻana i ka dialysis.

Hoʻopili ke kauka lapaʻau i kahi aʻa a me kahi aʻa koko i kou lima. ʻO kēia ke kumu o ke kahe ʻana o ke koko ma o ka aʻa koko ma mua o ka maʻamau. Ke kahe wikiwiki nei ke koko mai ka aʻa koko a me ke kaomi kiʻekiʻe. No laila, ke hoʻohuli ʻia kekahi o kēia koko i loko o ka aʻa koko, e ulu mālie ana ka aʻa koko, e ākea ana, a e ikaika ana. He mea maikaʻi kēia, no ka mea, hiki i kahi aʻa koko ikaika a nui ke lawelawe i nā nila i hoʻohana ʻia i ka dialysis a hiki ke hoʻokomo koke a wehe i ke koko.

Inā makemake ʻoe i kahi fistula dialysis, e wehewehe kāu hui lapaʻau i nā pono a me nā pōʻino iā ʻoe a e aʻo pū iā ʻoe pehea e mālama ai ma ka home.

He aha nā hōʻailona o ka fistula?

ʻOkoʻa nā hōʻailona o ka fistula ma muli o ke ʻano. Eia kekahi o nā hōʻailona āu e ʻike ai me kekahi mau ʻano fistula:

• ʻO ka fistula anal:
• ʻO ka ʻeha mau a me ka pehu a puni ka anus.
• ʻEha i ka wā o ka neʻe ʻana o ka ʻōpū.
• He kahe ʻana o ka pus a i ʻole ke wai e like me ke koko mai ka ʻili a puni ka anus, i kekahi manawa me kahi ʻala pilau.
• ʻO ka maneʻo a me ka ʻulaʻula o ka ʻili a puni ka anus.
• Kuni.
• ʻO ka fistula vaginal:
• Ke kahe ʻana o ka mimi a i ʻole ka ʻōpala mai loko mai o ka vagina.
• He kahe ʻala pilau mai loko mai o ka vagina.
• Nā maʻi pinepine o ka ʻōpū a i ʻole ka urinary tract.
• ʻEha i ka wā o ka moekolohe.
• ʻEha a me ka maneʻo o ka ʻili a puni ka vagina.
• ʻO ka fistula tracheoesophageal (TEF):
• ʻUmiʻumi a me ka pōkole o ka hanu i ka wā e ʻai ai a inu paha.
• Nā maʻi umauma pinepine (e like me ka maʻi pneumonia).
• No kahi pēpē, lilo ia i polū i ka wā e hānai waiū ai.
• ʻO ka fistula i loko o ka pepeiao (ʻO ka fistula Perilymphatic):
• Pōniuniu, he manaʻo e milo ana.
• Ka nalowale ʻana o ke kaulike i ka wā e hele ana.
• Ka nalowale o ka lohe.
• Ke lohe ʻana i ke kani ʻana i loko o nā pepeiao.
• ʻO ka fistula aortoenteric:
• ʻEha koke ka ʻōpū nui.
• Ke luaʻi ʻana i ke koko.
• Nā ʻōpala ʻeleʻele a koko paha.
• Pōniuniu, māʻule (ma muli o ke kahe ʻana o ke koko).
• Kuni.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​e ʻike pono i ke kauka.

He aha nā kumu o ke kūkulu ʻana o nā fistula?

ʻOkoʻa nā kumu o ke kūkulu ʻia ʻana o ka fistula ma muli o ke ʻano. Ma ke ʻano laulā, hiki ke hana ʻia ke kūkulu ʻia ʻana o ka fistula e kēia mau mea:

• ʻO ka mumū a me/a i ʻole ka maʻi: ʻO kēia ke kumu nui pinepine.
• Ka ʻeha a i ʻole ka ʻeha i kahi ʻāpana o ke kino: Hiki ke hana ʻia nā pōpilikia ʻē aʻe i ka wā o ke ʻoki ʻana.
• Ma ke ʻano he hopena ʻaoʻao o ke ʻoki kino ('Complication of surgery`): ʻAʻole hiki ke ulu pinepine nā fistulas ma hope o kekahi mau ʻoki kino.
• Ma ke ʻano he hopena ʻaoʻao o ka lāʻau lapaʻau: No ka laʻana, ka radiation therapy no ka maʻi ʻaʻai.
• Nā loli e kū mai ana i ka wā o ka ulu ʻana o ka fetal: ʻO ia hoʻi, kū mai nā pilikia i ka wā e noho ana ke pēpē i loko o ka ʻōpū.

Pehea e ʻike ai ke kauka i kahi fistula?

Penei ke ʻano o ka ʻike ʻana o nā kauka i kahi fistula:

1. E kamaʻilio me ʻoe e pili ana i kāu mau hōʻailona: e nīnau e pili ana i kou manaʻo a me ka lōʻihi o kou loaʻa ʻana o kēia mau pilikia.

2. Hoʻokolokolo kino: E hana ʻia kahi hoʻokolokolo kino e ʻike ai inā ʻike ʻia kahi fistula, a i ʻole e nānā ʻia kekahi mau wahi o ke kino (me kou ʻae ʻana).

3. Nā hoʻokolohua hou aku: Hana ʻia nā hoʻokolohua e ʻike pono i ka mea e hana nei i loko o ke kino.

He aha nā hoʻokolohua e hana ʻia?

Hiki i kēia mau hoʻokolohua ke kōkua i nā kauka e hoʻomaopopo maikaʻi i nā mea e hana nei i loko o kou kino. ʻOiai inā manaʻo ʻoe he fistula kou ma muli o nā hōʻailona āu e wehewehe nei, ʻaʻole ʻike ʻia kekahi mau fistula. No laila, hiki i nā hoʻokolohua e hiki ke kiʻi i nā kiʻi o kou mau kino i loko ke kōkua i ka ʻike ʻana i kēia mau mea:

• He aha ke ʻano o ka fistula āu?
• Aia i hea pololei ia?
• He aha ka hopena i loaʻa i nā ʻiʻo a puni?

ʻO nā hoʻokolohua āu e pono ai e hana ʻia e pili ana i ke ʻano o ka fistula āu. E haʻi aku kāu kauka iā ʻoe e pili ana iā lākou. Eia nō naʻe, e noi ʻia paha ʻoe e hana i kēia mau hoʻokolohua:

• Nā hoʻāʻo koko a mimi paha: E nānā no ka pehu ʻana a i ʻole ka maʻi.
• Nā kukuna X, nā scan CT (nā scan tomography computed) a i ʻole MRI (magnetic resonance imaging): E nānā i nā ʻāpana like ʻole o ke kino.
• ʻO ka ultrasound Endoscopic: E nānā i loko o ka ʻōnaehana hoʻoheheʻe.
• ʻO ka sigmoidoscopy maʻalahi a i ʻole ka colonoscopy: E nānā i loko o ka ʻōpū nui.
• Cystoscopy: E nānā i loko o ka ʻōpū mimi a me ka urethra.
• Bronchoscopy a i ʻole Endoscopy: E nānā i loko o nā ala ea (ʻo ka endoscopy ma ʻaneʻi ke ʻano o nā ala ea).
• Angiogram: No ka nānā ʻana i nā ālai ʻana i nā kīʻaha koko.

He aha nā lāʻau lapaʻau no ka fistula?

ʻO nā lāʻau lapaʻau maʻamau no nā fistula he lāʻau lapaʻau a/a i ʻole ke ʻoki ʻana. E haʻi aku kāu kauka iā ʻoe i ka lāʻau lapaʻau kūpono no kou kūlana.

Eia kekahi laʻana, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau e hōʻemi i ka pehu a i ʻole e hoʻololi i ke ʻano o ka hana ʻana o ka ʻōnaehana pale o kou kino. Hiki i kēia mau lāʻau lapaʻau ke mālama i ke kumu kumu o ka fistula. Inā loaʻa iā ʻoe kahi maʻi ʻeha, hiki ke hāʻawi ʻia iā ʻoe nā antibiotics. Inā ʻaʻole hana nā lāʻau lapaʻau, a inā ʻaʻole lawa nā lāʻau lapaʻau wale nō, pono paha ʻoe i ke ʻoki ʻana.

E aʻo kākou e pili ana i ke ʻoki ʻana o ka fistula.

ʻO ke ʻoki ʻana o ka fistula kahi hana e hoʻoponopono ai i ka pilina maʻamau ʻole ma waena o nā ʻāpana ʻelua o ke kino. Hiki i kēia ke kōkua i ka hōʻemi ʻana i kāu mau hōʻailona a pale i nā pilikia e hiki mai ana. E ʻokoʻa loa nā kikoʻī o ke ʻoki ʻana ma muli o ke ʻano o ka fistula āu, kona nui, a me kona wahi. He maʻalahi loa kekahi mau ʻoki ʻana o ka fistula, akā he paʻakikī kekahi. Inā he fistula paʻakikī kou, pono paha ʻoe e hana i kekahi mau ʻoki ʻana.

E hoʻomanaʻo, ʻokoʻa loa ke ʻoki ʻana no ka fistula rectal mai ke ʻoki ʻana no ka fistula pepeiao. No laila e wehewehe kāu hui lapaʻau i ke ʻoki ʻana iā ʻoe, nā pilikia e pili ana, a me ka manawa hoʻōla.

He aha ka mea e hana ai inā loaʻa iā ʻoe kahi fistula? He aha kāu e manaʻo ai

Hiki ke mālama maʻalahi ʻia nā fistulas, akā pono ʻoe e ʻike i ke kauka e hoʻomaka i ka mālama ʻana. ʻAʻole kōkua nā lāʻau lapaʻau home a i ʻole ke kali ʻana i nā hōʻailona e nalo wale. Inā ʻike ʻoe i kekahi mea ʻē, e ʻike koke i ke kauka.

E haʻi aku kāu kauka iā ʻoe i ka mea e manaʻo ai ma muli o kou kūlana. I kekahi manawa, ma hope o ka mālama ʻana, e nalowale loa ka pilikia a hiki iā ʻoe ke poina iā ia. Akā i kekahi manawa hiki ke hoʻi hou mai ka fistula a i ʻole ka maʻi. A laila pono paha ʻoe i ka mālama hou a i ʻole kekahi ʻoki kino ʻē aʻe. Hiki ke kaumaha loa kēia. Akā e kōkua kāu kauka iā ʻoe i kēlā me kēia ʻanuʻu o ke ala a wehewehe i ke kumu e hana ʻia ai kēia mau mea.

Hiki ke pale ʻia ke kūkulu ʻia ʻana o nā fistula?

ʻAʻohe mea hiki iā mākou ke hana e pale aku i ka hapa nui o nā fistula mai ka hoʻokumu ʻana. Hoʻokumu ʻia lākou e nā ʻeha a i ʻole nā ​​​​maʻi i hiki ʻole iā mākou ke kaohi.

Eia nō naʻe, hiki i nā kauka ke pale i kekahi manawa i ka fistula obstetric, kahi pilikia o ka hānau ʻana. Hiki ke ulu kēia ʻano fistula i ka wā e hānau lohi ai ka pēpē a i ʻole inā ʻaʻole i hāʻawi ʻia ka mālama olakino ulia pōpilikia (e like me ka ʻoki ʻana o ka ʻōpū) i ka manawa kūpono. Ma nā ʻāina e like me Sri Lanka, he mea kakaikahi kēlā mau pilikia no ka mea mālama pono nā kauka i ka makuahine a me ka pēpē i ka wā hānau. Eia naʻe, ʻaʻole like kēia mau hale ma nā wahi āpau o ka honua. Ke hoʻāʻo nei nā hui e like me ka World Health Organization (WHO) e pale i ka fistula obstetric ma o ka hoʻomaikaʻi ʻana i nā hale lapaʻau.

Pehea wau e mālama ai iaʻu iho? He mea nui nō hoʻi ke olakino noʻonoʻo!

Hiki ke paʻakikī ke noho me ka fistula, ʻoiai inā he fistula paʻakikī kou, ua hana ʻia nā ʻoki kino he nui, a i ʻole he mau maʻi mau. He mea maopopo ke kau nei kou manaʻo ma kou kino i kēia manawa. Akā , mai poina e noʻonoʻo i kou olakino noʻonoʻo.

Nui nā kumu e hopohopo ai ʻoe a hopohopo paha. Ke noʻonoʻo nei paha ʻoe:

• E holomua anei ka lāʻau lapaʻau?
• E hoʻi hou mai anei ka fistula?
• ʻOkoʻa koʻu manaʻo e pili ana i koʻu kino.
• Pehea ka hopena o kēia i kaʻu mau pilina pilikino?

He mea maʻamau ka manaʻo ʻana i kēia mau mea, a he mea nui kou mau manaʻo. Akā, mai hāpai wale i kēia kaumaha. E kamaʻilio me kāu kauka e pili ana i kou manaʻo. Hiki paha iā ia ke kuhikuhi iā ʻoe i kahi lawelawe e like me ke aʻo ʻana, a i ʻole i nā hui kākoʻo kahi e hiki ai i nā poʻe ʻē aʻe me nā fistulas ke hālāwai. ʻO nā poʻe ʻē aʻe e hele nei i ka mea like me ʻoe e hoʻomaopopo a hiki ke kōkua iā ʻoe e neʻe i mua.

He aha nā manawa kūpono loa e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona o ka fistula, a i ʻole ʻike ʻoe i kekahi mea ʻē, e ʻike koke i ke kauka.

Inā ʻoe e loaʻa nei i ka lāʻau lapaʻau no ka fistula, e kāhea i kāu kauka i kēlā me kēia manawa:

• Inā ʻike ʻia kahi hōʻailona hou, a inā paha e loli nā hōʻailona e kū nei.
• Inā he mau nīnau kāu e pili ana i kāu hoʻolālā lapaʻau.
• Inā ʻike ʻia nā hōʻailona hou ma hope o ke ʻoki ʻana, a inā hoʻi mai nā hōʻailona ma mua.

Nā nīnau koʻikoʻi e nīnau aku i kāu kauka

Ke hele ʻoe e ʻike i kāu kauka, he mea kōkua paha ke nīnau i nā nīnau e like me kēia:

• He aha ke ʻano o ka fistula i loaʻa iaʻu?
• He aha kaʻu e hana ai e mālama i nā hōʻailona ma ka home?
• He aha nā koho lapaʻau e loaʻa iaʻu?
• He aha nā pilikia o ke ʻoki kino?
• ʻEhia ka lōʻihi e ho'ōla ai?
• He aha kaʻu e hana ai, a he aha ka mea pono ʻole iaʻu e hana ai i ka wā e hoʻōla ai?
• He aha ka manawa e hiki ai ke hoʻi hou mai ka fistula?
• He aha kaʻu e hana ai e pale aku i nā fistulas i ka wā e hiki mai ana?

ʻAʻole paha ʻoe i lohe i ka fistula ma mua, akā ua noʻonoʻo paha ʻoe e pili ana i ia mea mai kou ʻike ʻana ua loaʻa iā ʻoe kekahi. Hiki i nā fistula ke hoʻopilikia i kāu mau hana o kēlā me kēia lā a hoʻopilikia i kou manaʻo iā ʻoe iho. ʻO ka mea pōmaikaʻi, hiki i ka lāʻau lapaʻau ke kōkua iā ʻoe e hoʻihoʻi i ka mana ma luna o nā ʻāpana o kou kino āu e manaʻo nei ua nalowale ʻoe i ka mana. Eia nō naʻe, hiki ke lōʻihi ka hoʻōla ʻana. Hiki i kāu kauka ke haʻi hou aku iā ʻoe e pili ana i kēia a hāʻawi iā ʻoe i kekahi kākoʻo hou āu e pono ai.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

• ʻAʻole ka fistula he mea e makaʻu ai, akā he kūlana ia e pono ai ke kōkua koke ʻia e ke kauka.
• Inā loaʻa iā ʻoe nā hōʻailona o ka fistula, e ʻike koke i ke kauka.
• Hiki ke mālama pono ʻia nā ʻano fistula he nui, ʻoiai me ke ʻoki ʻana.
• Hiki ke lōʻihi ke kaʻina hana lapaʻau, akā me ke ahonui a me ka hahai ʻana i nā ʻōlelo a kāu kauka, hiki iā ʻoe ke hoʻōla.
• He mea nui kou olakino noʻonoʻo e like me kou olakino kino. Mai kānalua e noi i ke kōkua inā pono ʻoe.

Manaʻolana wau he mea pono kēia ʻike nou. E ola kino!

ʻO ka fistula, ka fistula anal, ka fistula AV, ka fistula vaginal, nā hōʻailona fistula, ka mālama ʻana i ka fistula, ke ʻoki ʻana i ka fistula