He puka kūpono ʻole i loko o ka vagina? E kamaʻilio kākou e pili ana i ka Vaginal Fistula!

Ke manaʻo nei ʻoe i kekahi manawa e kahe ana ka mimi a i ʻole ka ʻōpala ma kou ʻōpū? A i ʻole loaʻa pinepine iā ʻoe nā maʻi ʻōpū? He mea paʻakikī iki kēia mau mea e kamaʻilio e pili ana. Akā i kekahi manawa hiki i kēia ke lilo i mau hōʻailona o kahi maʻi i kapa ʻia ʻo Vaginal Fistula. No laila i kēia lā e kamaʻilio mākou e pili ana i kēia me nā kikoʻī, me he mea lā e kamaʻilio ana mākou me kahi hoaaloha. Mai makaʻu, he mea nui loa ka makaʻala i kēia.

He aha ka fistula vaginal?

I ka ʻōlelo maʻalahi, he pilina kūpono ʻole ka fistula vaginal, e like me kahi lua liʻiliʻi a i ʻole kahi ʻauwai, ma waena o ka paia o kou vagina a me kekahi ʻano kokoke. E noʻonoʻo i kēia ʻano: ʻo kou vagina kekahi alahele, ʻo kou mimi ʻōpū kekahi, a ʻo kou rectum kekahi. ʻAʻohe pilina pololei o kēia mau mea. Akā i ka wā e hana ʻia ai kahi fistula, hana ʻia kahi pilina makemake ʻole ma waena o kēia mau ʻano.

ʻO ka hapa pinepine, ulu kēia ʻano fistula ma waena o ka vagina, kahi ʻāpana o kāu ʻōnaehana mimi, a i ʻole kahi ʻāpana o kāu ʻōnaehana hoʻoheheʻe. ʻO ke kumu nui o kēia ka hōʻino ʻia o nā ʻiʻo vaginal ma muli o ka hānau keiki ʻana, ke ʻoki kino, kahi ulia, a i ʻole ka maʻi.

He aha nā ʻano o ka fistula vaginal?

E nānā kākou i ke ʻano o kēia mau ʻano fistula. ʻElua ʻano nui, ma muli o kahi i hana ʻia ai ka fistula.

Nā fistula vaginal genitourinary

Pili kēia i kahi fistula e hana ʻia ma waena o kou vagina a i ʻole uterus a me nā ʻōpū i loko o kāu ʻōnaehana urinary. ʻO kēia ke kumu o ka mimi e kahe i loko o kou vagina.

• ʻO ka fistula Vesicovaginal: ʻO kēia ke ʻano maʻamau. ʻO kēia kahi e hana ʻia ai kahi lua ma waena o ka vagina a me ka mimi ʻōpū, kahi e hōʻiliʻili ai ka mimi. A laila, hoʻomaka ka mimi mai ka mimi ʻōpū e kahe i loko o ka vagina.
• ʻO ka fistula Ureterovaginal: ʻO kēia ka mea i kapa ʻia ke pili ka pilina ma waena o nā ureters e lawe ana i ka mimi mai kou mau puʻupaʻa a i kou ʻōpū mimi a me ka vagina.
• Urethrovaginal fistula: Hiki i kahi fistula ke ulu ma waena o ka urethra, ka paipu e lawe ana i ka mimi mai ka ʻōpū mimi a i waho o ke kino, a me ka vagina.

ʻO ka fistula o ke ala ʻai

ʻO kēia ʻano kūlana e pili ana i ka pilina ma waena o ka vagina a me nā ʻōpū o kāu ʻōnaehana hoʻoheheʻe, e ʻae ana i ka ʻōpala e hele ma waena o ka vagina.

• ʻO ka fistula Rectovaginal: He lua kēia e hana ʻia ma waena o ka vagina a me ka rectum, kahi e hiki ai i ka ʻōpala ke komo i loko o ka vagina.
• ʻO ka fistula Colovaginal: ʻO kēia ka inoa i hāʻawi ʻia i ka pilina ma waena o ka vagina a me ka colon.
• Fistula enterovaginal: Ma kēia, hana ʻia kahi fistula ma waena o ka vagina a me ka ʻōpū liʻiliʻi.

He aha nā hōʻailona o ka fistula vaginal?

ʻAʻole ʻeha mau ka fistula vaginal. Pili nā hōʻailona i nā mea e like me ka wahi o ka fistula a me kona nui. E nānā i kēia mau hōʻailona:

• ʻO ka hoʻōki ʻana o ka mimi: Ke kahe nei anei ʻoe i ka mimi i ka wā e ʻū ai ʻoe, ʻakaʻaka, a hāpai paha i kahi mea? A i ʻole ke manaʻo nei ʻoe ua pulu mau kou ʻōpū?
• ʻO ka mumū a me ka ʻāʻī o ka ʻili a puni ka vagina, vulva, a i ʻole anus: Hiki ke loaʻa kēia mau ʻeha ma muli o ka makū mau.
• ʻEha i ka wā o ka moekolohe (Dyspareunia).
• Nā maʻi ʻōpū mimi pinepine (UTI), nā maʻi puʻupaʻa, a i ʻole nā ​​maʻi vaginal (vaginitis).
• He kahe ʻana o ka ʻōpū me ke ʻala pilau.
• Ka hoʻōki ʻana i ka ʻōpū a i ʻole ka makani.
• Ke kahe ʻana o ke koko mai ka rectum a i ʻole ka vagina.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​he mea nui loa ia e ʻimi i ke aʻo lapaʻau me ka hilahila ʻole a me ka makaʻu ʻole, no ka mea, aia nā lāʻau lapaʻau maikaʻi no kēia maʻi.

Hiki iā ʻoe ke hoʻopā a ʻike paha i kahi fistula vaginal?

ʻAʻole, ʻaʻole hiki iā ʻoe ke ʻike i kahi fistula me kou mau manamana lima. A ʻaʻole paha ʻoe e ʻike i kekahi ʻeha. ʻAʻole ʻike ʻia ka fistula mai waho mai. E hana ke kauka i nā hoʻokolohua e ʻike pono ai i kona wahi.

No ke aha e hana ʻia ai kēia fistula vaginal?

ʻO ke kumu nui, ua emi ka lako koko i nā ʻiʻo o ka vagina, a make a hōʻino ʻia paha nā ʻiʻo. ʻO kēia hōʻino ke kumu o kahi lua, i kapa ʻia he fistula, e hana. Hiki ke hana ʻia kēia i loko o kekahi mau lā a i ʻole he mau makahiki. He mea kākaʻikahi loa, hiki i kekahi ke hānau ʻia me ka fistula.

E nānā kākou i kekahi mau kumu nui:

• Ka hānau lōʻihi ʻana: ʻO kēia ke kumu maʻamau ma nā ʻāina e ulu ana. Inā lōʻihi loa ka hānau ʻana o ka pēpē, hiki iā ia ke hoʻokau i ke kaomi ma luna o nā ʻiʻo o ka vagina a hoʻopilikia i ke kahe koko.
• ʻO ka haehae ʻana o ka ʻōpū a i ʻole ka episiotomy i ka wā hānau keiki: I kekahi manawa, hana ʻia kahi ʻoki liʻiliʻi i loko o ka ʻōpū e maʻalahi ai ka hānau keiki ʻana, i kapa ʻia he episiotomy. Inā ʻaʻole e ho'ōla pono kēia mau ʻeha, hiki ke ulu kahi fistula.
• ʻO ke ʻoki ʻōpū a i ʻole ke pelvis: ʻAʻole hiki ke ulu pinepine nā fistulas ma hope o nā ʻoki ʻana e like me nā ʻāpana cesarean (C-sections) a me nā hysterectomies.
• Nā maʻi ʻaʻai pelvic: Nā kūlana e like me ke kanesa cervical a i ʻole ke kanesa colorectal.
• Nā maʻi mumū mau loa o ka ʻōnaehana hoʻoheheʻe (Nā maʻi ʻōpū mumū - IBD):ʻO nā hiʻohiʻona e komo pū me ka maʻi o Crohn a me ka ulcerative colitis .
• Nā maʻi ʻōpū: e like me ka diverticulitis.
• ʻO ka radiation therapy i ka ʻāpana pelvic.
• Kekahi ulia a ʻeha paha.

He maʻi laha pili i ke moekolohe (STD) anei ka fistula?

ʻAʻole. ʻAʻole he maʻi laha pili i ke moekolohe (STI) ka fistula vaginal. Mai huikau i kēlā me kahi maʻi laha pili i ke moekolohe (STI).

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka fistula vaginal?

ʻO nā kumu i ʻōlelo ʻia ma mua, e like me nā pilikia i ka wā hānau keiki, ke ʻoki ʻana, a me nā maʻi, e hoʻonui i kou pilikia o ka loaʻa ʻana o ka fistula.

He aha nā pilikia e hiki mai ana o ka fistula vaginal?

He kūlana hoʻoluhi loa ka fistula vaginal, ma ke kino a me ka noʻonoʻo. E noʻonoʻo i ka hilahila inā hiki iā ʻoe ke hoʻokahe i ka mimi a i ʻole ka ʻōpala me ka ʻike ʻole. Hiki paha iā ʻoe ke hilahila ke hele i mua o nā poʻe ʻē aʻe.

Nā pilikia ʻē aʻe:

• Nā maʻi pinepine o ke ala mimi, ka ʻōpū, a i ʻole nā ​​​​​​maʻi puʻupaʻa.
• Ka hāiki ʻana o ka vagina a me ka anus (Stenosis).
• Hiki i ka fistula ke hoʻi hou ma hope o ka mālama ʻia ʻana.

Hiki ke pahū kahi fistula vaginal?

ʻAʻole, ʻaʻole he ʻeke piha wai ka fistula vaginal, no laila ʻaʻole ia e pohā. He puka kūlohelohe ʻole ka fistula. Hiki i nā mea e like me ka mimi a me ka ʻōpala ke kahe ma o kēia puka, akā ʻaʻole ia he mea e hōʻiliʻili i loko o kahi ʻeke a pohā.

Pehea e ʻike ai nā kauka i ka fistula vaginal? (Diagnosis)

Ke ʻike ʻoe i ke kauka, e hoʻolohe mua ʻo ia i kāu mau hōʻailona a aʻo e pili ana iā lākou. A laila e hana lākou i kahi hoʻokolokolo kino, me kahi hoʻokolokolo pelvic. E hōʻoia e haʻi i kāu kauka e pili ana i kāu mau hōʻailona āpau. I kekahi manawa hiki i kēia mau hoʻokolohua ke kōkua i ka hoʻoholo ʻana inā he fistula kou. A i ʻole, pono paha nā hoʻokolohua hou aʻe.

Hana ʻia kekahi mau hoʻokolohua e ʻike ai i ka fistula:

• Helu koko piha (CBC) a me ka urinalysis: E nānā no nā maʻi.
• Hoʻāʻo hoʻoluʻu: Hoʻokomo ʻia kahi hoʻoluʻu kūikawā i loko o ka ʻōpū mimi a i ʻole ka rectum e ʻike ai inā puka mai ia ma o ka vagina.
• ʻO ke kiʻi X-ray Fistulogram: E ʻike i ka nui o nā fistulas a me ko lākou nui.
• CT urogram (computed tomography urogram): E kiʻi i nā kiʻi o ka vagina a me ka ʻōnaehana urinary.
• Pelvic MRI (magnetic resonance imaging): E ʻike maopopo i ka vagina a me ka rectum.
• Cystoscopy: Hoʻohana ʻia kahi ʻōmole me kahi kāmela e nānā i loko o ka ʻōpū mimi a me ka urethra.
• ʻO ka sigmoidoscopy maʻalahi:Ua nānā ʻia ka ʻōpū a me ka ʻaoʻao haʻahaʻa o ka ʻōpū nui.
• Colonoscopy: Nānā i ka ʻōpū nui holoʻokoʻa a me loko o ka rectum.
• Pyelogram Retrograde: Hoʻohana ʻia kahi dye a me X-ray e nānā i nā leaka ma waena o ka vagina a me ka urethra.

He aha nā lāʻau lapaʻau no ka fistula vaginal?

Hoʻopili ʻia ka lāʻau lapaʻau i ka wahi a me ke ʻano o ka fistula.

Nā hihia o ka ho'ōla ʻana me ke ʻoki ʻole

Hiki i kekahi mau fistula liʻiliʻi, ʻoiai nā mea e pili ana i ka ʻōpū mimi, ke ho'ōla me ka ʻole o ke ʻoki ʻana. No kēia:

• Nā lāʻau antibiotic: No ka kāohi ʻana i nā maʻi, inā loaʻa. Hāʻawi ʻia nā lāʻau lapaʻau no ka maʻi ʻōpū mumū (IBD).
• Ka catheterization manawa pōkole: Kōkua kēia i ka hoʻokahe ʻana i ka mimi a hiki i ka ho'ōla ʻana o ka fistula vesicovaginal, e ʻae ana i ka fistula e ho'ōla.
• Nā stent ureteral: Ua kau ʻia kēia mau mea e mālama i kahi fistula e pili ana i nā ureters a hiki i ka wā e ho'ōla ai nā ʻōmole.

Lapaʻau ma ke ʻoki kino

I ka manawa pinepine, pono ke ʻoki ʻana e pani i ka fistula. Aia kekahi mau ala e hiki ai i ke kauka lapaʻau ke hana i kēia, ma muli o ke ʻano o ka fistula. Hiki ke hana ʻia ke ʻoki ʻana ma o ka vagina, ma o kekahi mau ʻoki liʻiliʻi ma ka ʻōpū me ka hoʻohana ʻana i kahi kāmela a me nā mea hana (Laparoscopically a Robotically paha), a i ʻole ma o ka anus.

Hiki i ke kauka lapaʻau ke hoʻohana i kou ʻiʻo ponoʻī, ʻiʻo i hana ʻia i loko o kahi keʻena hoʻokolohua, a i ʻole kahi ʻupena kūikawā (ʻāpana ʻupena ʻokiʻoki) e pani ai i ka puka.

ʻO ka nūhou maikaʻi, 9 o loko o 10 mau wahine me ka fistula vaginal e hoʻōla piha ʻia ma hope o ke ʻoki ʻana!

He aha ka mea e hana ʻia ma hope o ka ho'ōla ʻia ʻana o ka fistula rectovaginal?

Inā he fistula nui kou ma waena o kou vagina a me kahi ʻāpana o kāu ʻōnaehana hoʻoheheʻe, e like me kou anus, a ua hoʻoponopono ʻia me ke ʻoki ʻana, pono paha ʻoe e loaʻa kahi ostomy manawa pōkole.

• I kēia hihia, hana ke kauka lapaʻau i kahi puka liʻiliʻi (stoma) i loko o kou ʻōpū (ʻōpū).
• Ua pili kahi colostomy no ka ʻōpū nui a me kahi ileostomy no ka ʻōpū liʻiliʻi i kēia puka, e ʻae ana i ka ʻōpala e puka i waho o ke kino ma o ia mea.
• Hoʻopili ʻia kahi ʻeke ma waho o ke kino e hōʻiliʻili i ka ʻōpala. E aʻo aku ke limahana lapaʻau iā ʻoe pehea e hoʻololi ai i kēia ʻeke a pehea e mālama ai i ka maʻemaʻe o ka stoma.
• Ma hope o ka ho'ōla piha ʻana o ka fistula, e hoʻopili hou kekahi hana ʻoki i ka ʻōpū i ka anus a pani i ka stoma.

Pehea ka manawa hoʻōla ma hope o ke ʻoki ʻana i ka fistula vaginal?

E kōkua kēia mau mea iā ʻoe e hoʻōla koke ma hope o ke ʻoki ʻana:

• E hoʻohana i nā antibiotics e like me ke kauoha e pale aku ai i nā maʻi.
• Mai moe kolohe, hoʻohana i nā tampons, a hoʻokomo i kekahi mea i loko o ka vagina a hiki i ka wā e ʻae ai kāu kauka iā ʻoe.
• I mea e pale aku ai i ka paʻa ʻana o ka ʻōpū a me ka maʻi kahe, e ʻai i ka meaʻai kiʻekiʻe i ka fiber a inu i ka wai he nui. Inā pono, e nīnau i kāu kauka e pili ana i ka lawe ʻana i nā laxatives a i ʻole nā ​​mea hoʻomālielie ʻōpala.

Hiki i ka fistula vaginal ke ho'ōla iā ia iho?

ʻAe. I kekahi manawa, hiki i kahi fistula vesicovaginal liʻiliʻi a i ʻole rectovaginal fistula ke ho'ōla iā ia iho me nā antibiotics a me kahi catheter (e hāʻawi ana i ka fistula i ka manawa e ho'ōla ai).

Hiki ke pale ʻia ka fistula vaginal?

He mea paʻakikī pinepine ke pale aku i ka hoʻokumu ʻana o kahi fistula vaginal. Eia nō naʻe, hiki iā ʻoe ke ʻike i kekahi o nā kumu e kōkua ai i ka ulu ʻana o kahi fistula a hoʻāʻo e kāohi iā lākou. Eia kekahi laʻana:

• Inā loaʻa iā ʻoe nā maʻi lōʻihi e like me ka maʻi a Crohn a i ʻole ka ulcerative colitis , e mālama pono iā lākou.
• Inā loaʻa iā ʻoe kahi maʻi pelvic, e ʻimi koke i ka lāʻau lapaʻau a hahai pololei i nā ʻōlelo aʻoaʻo lapaʻau i hāʻawi ʻia e kāu kauka.
• E hoʻomau i ka loaʻa ʻana o ka mālama prenatal i ka wā hāpai. E kōkua kēia i ka ʻike ʻana i nā pilikia e hiki ke hoʻopaneʻe i ka hānau ʻana.
• Inā ʻoe e hana ʻoki kino ana, e like me nā hysterectomies, e koho i ke kauka i loaʻa ka ʻike i ke kaʻina hana. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka pilikia o ka loaʻa ʻana o ka fistula.

He aha ke kūlana no nā wahine me ka fistula vaginal?

He holomua loa ka lāʻau lapaʻau. Hoʻōla piha ka hapa nui o nā wahine a ola i nā ola maʻamau me ka ʻole o nā hōʻailona.

Eia nō naʻe, ʻaʻole paha e ho'ōla pono kekahi mau fistula a i ʻole e hoʻi hou mai ma hope o ka mālama ʻana. He ʻoiaʻiʻo loa kēia inā loaʻa iā ʻoe ka maʻi kanesa a i ʻole ka maʻi Crohn. ʻO ka noho ʻana me nā hōʻailona o ka fistula me ka ʻole o ka mālama ʻana hiki ke alakaʻi i ke kaumaha a i ʻole ka hopohopo.

Āhea wau e ʻike ai i ke kauka?

E ʻike koke i ke kauka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona o ka fistula vaginal:

• Ka hoʻokuʻu ʻia ʻana o ka ʻōpala a i ʻole ka mimi ma ka ʻōpū.
• ʻEha i ka wā o ka moekolohe.
• ʻEha ka ʻōpū, ke kuni, ka nausea, a i ʻole ka maʻi pākī.

ʻO wai nā kauka e mālama i nā fistulas vaginal?

Ma muli o ke ʻano o ka fistula āu, e mālama kekahi a ʻoi aku paha o kēia mau kauka iā ʻoe:

• Kauka wahine
• Kauka Urology
• Kauka ʻUroginetika
• Kauka lapaʻau colorectal

He aha kaʻu e nīnau aku ai i ke kauka?

Hiki iā ʻoe ke nīnau i kēia mau nīnau ke ʻike ʻoe i kāu kauka:

• Pehea i loaʻa ai iaʻu kēia fistula vaginal?
• He aha ke ʻano o ka fistula vaginal i loaʻa iaʻu?
• Pehea wau e mālama ai iaʻu iho inā he fistula koʻu?
• He aha nā koho lapaʻau e loaʻa iaʻu?
• He aha nā pilikia e hiki ke loaʻa mai ke ʻoki kino?
• Aia kekahi mau mea hiki iaʻu ke hana e pale aku ai i ka ulu hou ʻana o ka fistula vaginal?

Leka Lawe-Home

ʻO ka fistula vaginal kahi kūlana e hiki ai ke hoʻoulu i nā hōʻailona ʻoluʻolu ʻole a hilahila hoʻi, ʻoiai ka incontinence. Hiki ke hoʻonui ʻia kēia pilikia e ka hana lōʻihi a i ʻole ke ʻoki pelvic. ʻOiai ʻaʻole hiki ke pale mau i nā fistula, he mea nui e ʻimi i ke kōkua lapaʻau i ka wā e ʻike ʻia ai nā hōʻailona.

E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi. Aia nā lāʻau lapaʻau kūpono loa no kēia ʻano. Hiki i nā fistula liʻiliʻi ke ho'ōla i kekahi manawa me ka ʻole o ke ʻoki ʻana. Kiʻekiʻe nō hoʻi ka manawa e ho'ōla piha ai ma hope o ke ʻoki ʻana. No laila, mai makaʻu a hilahila paha e kamaʻilio me kāu kauka e pili ana i kēia. Me ka mālama mua ʻana, hiki iā ʻoe ke ola koke!

ʻO ka fistula vaginal, ke olakino wahine, ka mimi ʻana, ka ʻōpū, ka wahine, ke ʻoki kino, ka hānau keiki ʻana