Wetin na fistula? Lɛ wi tɔk bɔt am ditayli!

Yu don eva yehri di wohd "fistula"? Sɔntɛm yu dɔn yɛri am frɔm yu dɔktɔ ɔ yu fambul. I kin mek yu fred smɔl fɔ yɛri, bɔt nɔ wɔri. Tide, wi go tɔk bɔt wetin na fistula, wetin mek i kin fɔm, ɛn us tritmɛnt dɛn de fɔ am insay wan simpul we we pɔsin kin ɔndastand.

Wetin na fistula? Lɛ wi ɔndastand am simpul wan.

Fɔ tɔk am simpul wan, fistula na nyu kɔnekshɔn bitwin tu pat dɛn na wi bɔdi we nɔmal fɔ kɔnɛkt to dɛnsɛf. I tan lɛk wan smɔl tanɛl. Tink bɔt am lɛk smɔl tanɛl bitwin tu ɔgan dɛn insay yu bɔdi, ɔ bitwin tu blɔd vesel dɛn, ɔ wan tiub we de kɔmɔt insay yu bɔdi to di say we yu skin de. Tru dis tanɛl, tin dɛn lɛk pus, fes, ɛn blɔd kin go na say dɛn na yu bɔdi we dɛn nɔ fɔ go.

Bɔku tɛm, dis fistula na sɔntin we nɔ kɔmɔn, dat na sik. So, i nid fɔ gɛt mɛrɛsin. Bɔt sɔntɛnde, dɔktɔ dɛnsɛf kin mek fistulas as tritmɛnt. Fɔ ɛgzampul, dɛn kin mek kɔnekshɔn bitwin wan at ɛn wan vein fɔ ɛp wit dayalaysis tritmɛnt fɔ di wan dɛn we gɛt kidni.

Fistulas kin mek yu fil pen ɛn mek i nɔ izi fɔ du ɛvride wok. Bɔt di gud nyus na dat, bɔku tɛm dɛn kin trit dɛn, mɔ we dɛn du ɔpreshɔn pan dɛn. Fɔ sɔm pipul dɛn, wans dɛn gɛt fistula, dɛn nɔ kin kam bak. Fɔ ɔda pipul dɛn, dɛn kin kɔntinyu fɔ kam bak, ɛn dɛn kin nid tritmɛnt fɔ sɔm mɔnt ɔ ivin fɔ lɔng lɔng tɛm. Bɔt yu wɛlbɔdi tim go gi yu di tritmɛnt ɛn sɔpɔt we yu nid.

Aw fistula kin kam? Wetin na di kayn dɛn?

Bɔku kayn fistulas de. Dɛn kin sheb dɛn akɔdin to usay dɛn fɔm. Lɛ wi luk di men kayn fistulas we dɛn kin si:

Fistula we de na di anal

Dis na di kayn fistula wae kin pasmak. dis na sכm sכm tכb we de fכm frכm insay yu ans to di skin we de rawnd am. dis kin kכz fכ infεkshכn (`(Infεkshכn)`) כ inflameshn (`(Inflammation)`) na di gland dεm we de rawnd yu an, we kin mek yu gεt absεs (`(Parianal abscess)`). As yu go no, pipul dɛm wae gɛt sɔm kayn mɛrɛsin, lɛk `(Crohn’s disease)`, kin gɛt dis kayn infεkshɔn ɛn fistula. Dis kin mek yu fil pen we yu sidɔm ɔ yu gɛt bɔdi, ɛn pus kin kɔmɔt.

Fistula we de mek pɔsin gɛt at (AV).

Tu kayn blɔd vesel dɛn de na wi bɔdi, we dɛn kɔl at ɛn vein. Nɔmal wan, dɛn tu ya kin travul fɔ dɛnsɛf. bכt insay wan `(AV) fistula`, wan dayrekt kכnεkshכn de fכm bitwin wan at εn wan vein. Di men rizin fɔ dis na injury. Bɔt nɔto ɔl `(AV) fistula` dɛn bad. As wi bin dɔn tɔk, dɔktɔ dɛn kin mek dis kayn kɔnekshɔn fɔ ɛp pipul dɛn we gɛt kidni we nɔ de wok fayn ɛn we de pan `(Dialysis)`.

kכnekshכn bitwin di aorta εn di sכmכl intestin (Aortoenteric fistula) .

Dis kin rili denja ɛn i kin mek pɔsin in layf de pan denja.Wan kayn fistula. Dis na kɔnekshɔn bitwin di aorta, we na di men blɔd vesel na wi bɔdi, ɛn di smɔl intestin. Dis kin mek blɔd bɔku pasmak frɔm di gastrointestinal system (GI bleeding), we kin ivin kil pɔsin if dɛn nɔ du ɔpreshɔn kwik kwik wan. Tu kayn dɛn de, praymari ɛn sɛkɔndari. di praymar wan dεm kin apin bikɔs di wכl na di aorta wik (Aortic aneurysm), kεnsar, TB, כ infεkshכn lεk sifilis. sεkכnd wan dεm kin apin as wan sayd ifekt we rili rεs fכ כpεrayshכn we involv di aorta.

Fistula we de apin insay di yes (perilymphatic fistula) .

dis kin apin we wan ol כ tear de divεlכp na di tכn mεmbran we de separet wi midul yes frכm wi insay yes. dis de mek wata we de kכmכt na di insay yes fכ lik insay di midul yes. Dis kin mek di prɛshɔn na di yes chenj, we kin afɛkt di we aw pɔsin de yɛri ɛn balans. Bɔrku pipul dɛn nid ɔpreshɔn fɔ kɔrɛkt dis, bɔt sɔm pipul dɛn kin wɛl we dɛn rɛst na bed.

Fistula we de na di trakiɔ-ɛsofagial (TEF) .

dis na kכnεkshכn bitwin wi windpaip (trachea) εn wi εsophagus (esophagus). Bɔrku tɛm, dis na wan sik we dɛn bɔn wit, we min se i kin de we dɛn bɔn am. Bɔku tɛm, dɔktɔ dɛn kin no ɛn trit am we di pikin dɛn stil na bebi. Bɔt sɔm big pipul dɛn kin gɛt dis sik bak bikɔs ɔf ɔda mɛrɛsin, lɛk kansa.

Fistula we de na di vagina

dis na we wan ol de fכm na di wכl fכ uman in vagina. dis ol kin kכnekt di vagina to wan כgan we de nia, lεk di uterus (`(Uterus)`), blad (`(Bladder)`), rεktum (`(Rεktum)`), big intestכn (`(Big intestin)`), כ sכmכl intestכn (`(Smכl intestכn)`). dכkta dεn kכl dis ``Vesicovaginal fistula`` if i de bitwin di vagina εn di blad, εn ``Rectovaginal fistula`` if i de bitwin di vagina εn di rεktum. wan vagina fistula we de fכm lεk kכmplikεshכn we dεn de bכn pikin dεn kכl am bak ``Obstetric fistula``.

Impɔtant: Sɔntɛnde, dɔktɔ dɛn kin mek fistulas as tritmɛnt. Wan ɛgzampul na `(Mucous fistula)`. insay dis, di sכm כ big intestin de kכnekt to wan sכmכl opin (`(Stoma)`) we dεn mek na di skin na di bכdi. dis kin εp fכ pipul dεm we dεn du כpεrayshכn fכ pul pat pan di big intestinal (`(Colostomy)`) כ fכ pipul dεm we dεn du כpεrayshכn fכ pul pat pan di sכmכl intestכn (`(Ileostomy)`).

Wetin na fistula we dɛn kin yuz fɔ dayalaysis?

dayalaysis fistula na rili ``Arteriovenous - AV'' fistula. Na bikɔs i de kɔnɛkt wan at ɛn wan vein. Bɔt nɔ lɛk ɔda ``(AV) fistulas'', dɛn tin ya nɔ kin apin bikɔs ɔf aksidɛnt injuri, bɔt na ɔspitul dɔktɔ dɛn kin mek dɛn fɔ ɛp wit dayalaysis tritmɛnt.

Wan dɔktɔ we de du ɔpreshɔn kin kɔnɛkt wan at ɛn wan vein na yu an. Dis kin mek mɔ blɔd kɔmɔt na di vein pas aw i kin flɔ. di bכdi we de kכmכt na di at de fכlכ fast εn i de fכlכ hכy prεshכn. So we sɔm pan dis blɔd de go na di vein, smɔl smɔl di vein kin big, wayd, ɛn strɔng. Dis na gud tin, bikɔs wan strɔng, big vein kin ebul fɔ ol di nidul dɛn we dɛn kin yuz fɔ dayalaysis ɛn i kin injɛkt ɛn pul blɔd kwik kwik wan.

If yu nid fɔ gɛt dayalaysis fistula, yu mɛdikal tim go ɛksplen to yu di gud ɛn bad tin dɛn ɛn dɛn go tich yu bak aw fɔ kia fɔ am na os.

Wetin na di sayn dɛm fɔ fistula?

Di sayn dɛm fɔ fistula kin difrɛn difrɛn wan bay di kayn. Na sɔm pan de sayn dɛm wae yu kin gɛt wit sɔm kayn fistula:

• Fistula we de na di anal: .
• Pen we de kɔntinyu fɔ de ɛn swel rawnd di an.
• Pen we yu de muv yu bɔdi.
• Pus ɔ wata we tan lɛk blɔd we de kɔmɔt na di skin we de rawnd di an, sɔm tɛm dɛn kin gɛt bad bad smel.
• I de it ɛn rɛd di skin we de rawnd di an.
• Fiva.
• Fistula we de na di vagina: .
• di urine ɔ stɔl we de lik frɔm di vagina.
• Wan wata we de kɔmɔt na di vagina we de smɛl fayn.
• Infεkshכn dεm na di vagina כ urinary tract כltεm.
• Pen we pɔsin de fil we i de du mami ɛn dadi biznɛs.
• Pen ɛn it na di skin we de rawnd di vagina.
• Fistula we de na di trakiɔɛsofagial (TEF): .
• Kɔf ɛn shɔt briz we yu de it ɔ drink.
• Infεkshכn dεm na di chεst כltεm (lεk nyumonia).
• Fɔ pikin, i kin tɔn blu we i de gi in mama in bɛlɛ.
• Fistula insay di yes (`Perilymphatic fistula`):
• Diziz, na filin fɔ spin.
• Fɔ lɔs balans we yu de waka.
• I nɔ de yɛri fayn igen.
• Fɔ yɛri wan ring na di yes.
• Aortoenteric fistula we dɛn kin kɔl:
• Wan bad bad bɛlɛ pen wantɛm wantɛm.
• Blɔd we de vɔmit.
• Blak ɔ blɔd stɔl.
• Diziz, fɔdɔm (bikɔs ɔf blɔd).
• Fiva.

If yu gɛt wan ɔ mɔ pan dɛn sayn ya, go mɔs go to dɔktɔ.

Wetin na di tin dɛn we kin mek pɔsin gɛt fistula?

di tin dεm we kin mek di fistula fכm kin difrεn difrεn dipכnt pan di kayn. in jεnarכl, di fכmeshכn fכ fistula kin kכz fכ dεn tin ya:

• Inflameshɔn ɛn/ɔ Infɛkshɔn: Bɔku tɛm dis na di men tin we kin mek pɔsin gɛt sik.
• Trauma ɔ injury to wan pat na di bɔdi: Ɔda aksidɛnt kin apin we dɛn de du ɔpreshɔn.
• as sayd ifekt fכ כpεrayshכn (`Kכmplikεshכn fכ כpεrayshכn`): Fistulas kin rεli divεlכp afta sכm כpεrayshכn.
• As sayd ɛfɛkt fɔ tritmɛnt: Fɔ ɛgzampul, redyushɔn tɛrapi fɔ kansa.
• di chenj dεm we de apin we di pikin de gro: dis min se prכblεm de apin we di pikin stil de na di bεlε.

Aw dɔktɔ kin no if pɔsin gɛt fistula?

Dis na aw dɔktɔ dɛn kin no if pɔsin gɛt fistula:

1. Tɔk to yu bɔt yu sayn dɛm: aks bɔt wetin yu de fil ɛn aw lɔng yu dɔn gɛt dɛn prɔblɛm ya.

2. Fyzikal ɛgzam: Dɛn go du fyzikal ɛgzam fɔ si if yu de si fistula, ɔ dɛn go ɛgzamin sɔm pat dɛn na di bɔdi (wit yu kɔnsɛntmɛnt).

3. Mɔ tɛst: Dɛn kin du tɛst fɔ no di rayt tin we de apin insay di bɔdi.

Us tɛst dɛn dɛn kin du?

Dɛn tɛst ya kin ɛp dɔktɔ dɛn fɔ ɔndastand gud gud wan bɔt wetin de apin insay yu bɔdi. Ivin if yu sɔspɛkt se yu gɛt fistula bay di sayn dɛm wae yu de tɔk bɔt, sɔm fistula nɔr de si. So tɛst dɛn we kin tek pikchɔ fɔ yu insay pat dɛn kin ɛp fɔ no bɔt dɛn tin ya:

• Us kayn fistula yu gɛt?
• Usay i rili de?
• Us ifɛkt i bin gɛt pan di tisu dɛn we bin de rawnd am?

Di tɛst dɛm we yu nid fɔ du go dipen pan di kayn fistula we yu gɛt. Yu dɔktɔ go tɛl yu bɔt dɛn. Bɔt dɛn kin aks yu fɔ du dɛn tɛst ya:

• Blɔd ɔ urine tɛst: Chɛk fɔ si if i swel ɔ if yu gɛt infekshɔn.
• X-ray, CT skan (kɔmpyuta tomografi skan) ɔ MRI (magnɛtik rɛsɔnans imej): Luk difrɛn pat dɛn na di bɔdi.
• εndoskopik כltra saund: Luk insay di dijestiv sistεm.
• Fleksibul sigmoidoscopy ɔ colonoscopy: Luk insay di big intestinal.
• Sistoskopi: Luk insay di blad ɛn di uretra.
• brכnkoskopi כ εndoskopi: Luk insay di aywe dεm (εndoskopi ya min di aywe dεm).
• Angiogram: Fɔ chɛk fɔ si if di blɔd vesel dɛn dɔn blok.

Wetin na di tritmɛnt fɔ fistula?

Di tritmɛnt dɛm we dɛn kin yuz fɔ fistulas na mɛrɛsin ɛn/ɔ ɔpreshɔn. Yu dɔktɔ go tɛl yu us tritmɛnt fayn fɔ yu sityueshɔn.

Fɔ ɛgzampul, yu dɔktɔ kin gi yu mɛrɛsin fɔ mek yu nɔ swel ɔ fɔ chenj di we aw yu bɔdi in imyun sistɛm de wok. Dɛn mɛrɛsin ya kin trit di ɔndalayn kɔz fɔ di fistula. If yu gɛt aktif infɛkshɔn, dɛn kin gi yu antibayɔtik. If di mɛrɛsin nɔ wok, ɔ if di mɛrɛsin nɔmɔ nɔ go du fɔ yu, yu kin nid fɔ du ɔpreshɔn.

Lɛ wi lan bɔt fistula ɔpreshɔn.

Fistula ɔpreshɔn na we dɛn kin mek di kɔnekshɔn we nɔmal bitwin tu pat dɛn na di bɔdi fayn. Dis kin ɛp fɔ ridyus yu sik ɛn nɔr gɛt prɔblɛm dɛn tumara bambay. Di ditel dɛm fɔ di ɔpreshɔn go difrɛn bad bad wan dipen pan di kayn fistula we yu gɛt, in saiz, ɛn usay i de. Sɔm fistula ɔpreshɔn dɛn kin rili simpul, bɔt ɔda wan dɛn kin kɔmpleks. If yu gɛt kɔmpleks fistula, yu kin nid fɔ du bɔku ɔpreshɔn.

Mɛmba se, ɔpreshɔn fɔ rɛktal fistula rili difrɛn frɔm ɔpreshɔn fɔ yes fistula. So yu mɛdikal tim go ɛksplen to yu di ɔpreshɔn, di prɔblɛm dɛn we go apin, ɛn di tɛm we yu go wɛl.

Wetin kin apin if yu gɛt fistula? Wetin fɔ ɛkspɛkt

Bɔrku tɛm, yu kin trit fistulas izi wan, bɔt yu fɔ go to dɔktɔ fɔ bigin tritmɛnt. Fɔ mɛn mɛrɛsin na os ɔ fɔ wet fɔ mek di sik go fɔ dɛnsɛf nɔ go ɛp. If yu fil ɔ si ɛnitin we nɔ kɔmɔn, go to dɔktɔ wantɛm wantɛm.

Yu dɔktɔ go tɛl yu wetin fɔ ɛkspɛkt bay di tin we de apin to yu. Sɔmtɛm, afta yu dɔn gɛt tritmɛnt, de prɔblɛm go dɔn kpatakpata ɛn yu kin fɔgɛt bɔt am. Bɔt sɔntɛnde di fistula ɔ infekshɔn kin kam bak. Dɔn yu go nid mɔ tritmɛnt ɔ ɔda ɔpreshɔn. Dis kin rili mek yu strɛs. Bɔt yu dɔktɔ go ɛp yu ɛvri step na di rod ɛn ɛksplen wetin mek dɛn de du dɛn tin ya.

Yu tink se dɛn kin mek fistula nɔ kam?

Natin nɔ de we wi kin du fɔ mek bɔku pan di fistulas nɔ fɔm. Dɛn kin kam bikɔs wi gɛt injury ɔ sik dɛn we wi nɔ ebul fɔ kɔntrol.

Bɔt sɔntɛnde, dɔktɔ dɛn kin mek pɔsin nɔ gɛt ɔbstetric fistula, we na wan prɔblɛm we kin apin we pɔsin bɔn pikin. dis kayn fistula kin kam we dεn bכn di pikin tu let כ ​​if dεn nכ gi am imejensi mεdikal kia (lεk C-sεkshכn) insay di tεm. Insay kɔntri dɛn lɛk Sri Lanka, dɛn kayn prɔblɛm ya nɔ kin apin so ɔltɛm bikɔs dɔktɔ dɛn kin kia fɔ di mama ɛn di pikin gud gud wan we dɛn de bɔn pikin. Bɔt dɛn tin ya nɔ de di sem ɔlsay na di wɔl. Ɔganayzeshɔn dɛn lɛk di Wɔl Ɛlth Ɔganayzeshɔn (WHO) de tray fɔ mek dɛn nɔ gɛt ɔbstetric fistula bay we dɛn de mek di say dɛn we dɛn de mɛn pipul dɛn bɛtɛ.

Aw a kin kia fɔ misɛf? Mental wɛlbɔdi impɔtant bak!

Fɔ liv wit fistula kin tranga, mɔ if yu gɛt kɔmpleks fistula, yu dɔn du bɔku ɔpreshɔn, ɔ yu gɛt infɛkshɔn we nɔ de dɔn. I ɔndastand se yu de pe atɛnshɔn pan yu bɔdi rayt naw. Bɔt nɔ fɔgɛt fɔ tink bɔt yu maynd wɛlbɔdi, bak.

Bɔku rizin dɛn de we mek yu kin fil strɛs ɔ wɔri. Sɔntɛm yu de tink se:

• Yu tink se di tritmɛnt go wok fayn?
• Yu tink se di fistula go kam bak?
• A kin fil difrɛn we bɔt mi bɔdi.
• Aw dis kin afɛkt mi yon padi biznɛs?

Na nɔmal tin fɔ fil dɛn tin ya, ɛn di we aw yu de fil impɔtant. Bɔt nɔ kɛr dis lod yu wan. Tɔk to yu dɔktɔ bɔt aw yu de fil. I kin ebul fɔ rifer yu to savis lɛk kɔyl, ɔr to sɔpɔt grup usay ɔda pipul dɛn we gɛt fistulas kin mit. Ɔda pipul dɛm wae de go tru di sem tin lɛk yu go ɔndastand ɛn kin ɛp yu fɔ go bifo.

Wetin na di bɛst tɛm fɔ go to dɔktɔ?

If yu gɛt sayn fɔ fistula, ɔ yu notis ɛnitin we nɔ kɔmɔn, go to dɔktɔ wantɛm wantɛm.

If yu dɔn ɔlrɛdi de gɛt tritmɛnt fɔ fistula, kɔl yu dɔktɔ ɛnitɛm:

• If nyu sayn de sho, ɔ if di sayn dɛm we dɔn de chenj.
• If yu gɛt kwɛstyɔn bɔt yu tritmɛnt plan.
• If nyu sayn dɛn de afta dɛn dɔn du di ɔpreshɔn, ɔ if di sik dɛn we bin dɔn de bifo kam bak.

Impɔtant kwɛstyɔn dɛn fɔ aks yu dɔktɔ

We yu go to yu dɔktɔ, i go fayn fɔ aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Us kayn fistula a gɛt?
• Wetin a kin du fɔ kɔntrol di sayn dɛm na os?
• Us tritmɛnt opshɔn dɛn a gɛt?
• Wetin na di prɔblɛm dɛn we kin apin we pɔsin du ɔpreshɔn?
• Aw lɔng i go tek fɔ mek i wɛl?
• Wetin a fɔ du ɛn wetin a nɔ fɔ du we a de wɛl?
• Wetin na di chans fɔ mek di fistula kam bak?
• Wetin a kin du fɔ mek fistulas nɔ fɔm tumara bambay?

Sɔntɛm yu nɔr dɔn yɛri bɔt fistula bifo, bɔt yu go dɔn de tink bɔt am frɔm we yu kam fɔ no se yu gɛt am. Fistulas kin ambɔg yu aktiviti dɛm ɛvride ɛn afɛkt yu sɛns fɔ yusɛf. Laki, tritmɛnt kin ɛp yu fɔ gɛt kɔntrol bak pan di pat dɛm na yu bɔdi wae yu fil se yu nɔr ebul fɔ kɔntrol. Bɔt, fɔ mek i wɛl kin tek tɛm. Yu dɔktɔ kin tɛl yu mɔ bɔt dis ɛn gi yu ɛni ɔda sɔpɔt we yu go nid.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

• Fistula nɔto sɔntin we yu fɔ fred, bɔt na sik we yu nid fɔ go to dɔktɔ wantɛm wantɛm.
• If yu gɛt sayn fɔ fistula, go to dɔktɔ wantɛm wantɛm.
• Bɔrku kayn fistula kin fayn fɔ trit, mɔr lɛk wae dɛn du ɔpreshɔn.
• Di tritmɛnt prɔses kin tek sɔm tɛm, bɔt if yu peshɛnt ɛn fala yu dɔktɔ in instrɔkshɔn, yu kin wɛl.
• Yu maynd wɛlbɔdi impɔtant jɔs lɛk aw yu bɔdi impɔtant. Nɔ shek fɔ aks fɔ ɛp if yu nid am.

A op se yu si dis infɔmeshɔn yusful. Stay wit wɛlbɔdi!

` fistula, anal fistula, AV fistula, vagina fistula, fistula simptom dɛm, fistula tritmɛnt, fistula ɔpreshɔn