Sɔntɛnde yu kin fil se sɔntin de we strenj ɔ we nɔ fayn na yu vagina? I kin shem smɔl fɔ tɔk bɔt, bɔt i kin mek yu fil pen bak. Tide wi go tɔk bɔt wan tɔpik we gɛt smɔl smɔl tin, bɔt i kin impɔtant fɔ bɔku pipul dɛn. dat min se, wan abnכmal kכnεkshכn bitwin di anus εn di vagina, wan kכndyushכn we dεn kכl (Rectovaginal Fistula) insay mεdikal tεm dεm.
Wetin na dis (Rɛktovajinal Fistula)? Lɛ wi ɔndastand am simpul wan!
Okay, naw mek wi si wetin na dis (Rectovaginal Fistula). fכ simpul wan, dis na nyu ol we lεk tכb we de fכm bitwin yu rεktum - di pat pan yu big intestכn (kכlon) we de kכmכt na yu ans to yu rεktum - εn yu vagina. Tink bɔt am, dɛn tu ɔgan ya kin rili nia dɛnsɛf na di bɔdi. Nɔmal wan, no kɔnekshɔn nɔ de bitwin dɛn tu. Bɔt if fɔ sɔm rizin di tisu bitwin dɛn tu tin ya pwɛl ɛn day, wan ol, ɔ as wi kin kɔl am , fistula, kin fɔm.
we fistula fכm dis we, stכl εn gas we de kכmכt na yu rεktum de bigin fכ go insay yu vagina. Dis na kɔndishɔn we nɔ kin rili fayn. Dɛn fistula ya kin gɛt ɔl kayn saiz ɛn shep. Sɔm kin smɔl, ɛn ɔda wan dɛn kin big.
Dis sik kin mek yu fil pen ɛn nɔr kin izi fɔ du ɛvride. Bɔt di bɛst tin na dat dɛn kin trit am, ɛn bɔku tɛm, dɛn kin mɛn am if dɛn du ɔpreshɔn pan am. Yu mɛdikal tim dɔn rɛdi fɔ gi yu di tritmɛnt ɛn advays we yu nid.
Yu gɛt dɛn sik ya bak? (Rɛktovajinal Fistula) Di Kɔmɔn Simptom dɛn
Naw lɛ wi si wetin na di kɔmɔn sayn dɛm fɔ dis sik (Rectovaginal Fistula). If yu gɛt wan ɔ mɔ pan dɛn tin ya, yu fɔ rili go to dɔktɔ.
- Wan wata we de kɔmɔt na di vagina we de smɛl bad bad wan: Dis na di fɔs tin we bɔku pipul dɛn kin notis.
- di vagina dischaj ɔ gas: Dis na di men ɛn klia sayn fɔ dis sik.
- Pen we yu de du mami ɛn dadi biznɛs (Dyspareunia): Dis na prɔblɛm bak fɔ bɔku pipul dɛn.
- Pεlvik εria pen: Dis kin bi pen we de kɔntinyu fɔ de na di lכw bεlε.
- Blɔd we de kɔmɔt na di rɛktum ɔ vagina: Sɔntɛnde dɛn kin si dis kayn blɔd.
If yu gɛt ɛni wan pan dɛn sik ya, duya go to dɔktɔ wantɛm wantɛm, bikɔs dis sik kin mek yu gɛt mɔ prɔblɛm if yu nɔ trit yu.
Wetin mek dis kin apin? (Rɛktovajinal Fistula) Di tin dɛn we kin mek i apin
rεktovagina fistula kin kכmכt we di tisu bitwin di vagina εn anus dεn dכn pwεl εn day. Dis na we di ol ɔ fistula kin fɔm. I kin kam fɔ sɔm dez, ɔr kin kam smɔl smɔl fɔ sɔm ia.
difrεn rizin dεm de we kin mek di divεlכpmεnt fכ Rεktovagina Fistula. Lɛ wi tek wan luk pan wetin dɛn bi:
- Injury we yu de bɔn pikin: Bɔku tɛm dis na di men tin we kin mek yu gɛt dis sik. dis kayn fistula kin kam we di vagina dεn tכn (vagina tears) כ wan episiotomy wund nכ de hεl fayn we dεn de bכn pikin. Sɔntɛnde, dis kin apin mɔ if di delivri at smɔl, ɔ if dɛn yuz inschrumɛnt.
- divεrtikulεt kכmplikεshכn dεm: If di sכm sכm paus dεm (divεrtikul) we de fכm na di wכl na yu kכlon gεt infεkshכn εn fכm absεs, i kin spre εn pwεl di wכl na yu vagina, fכ fכm fistula.
- Inflammatory Bowel Diseases (IBD): Sik dεm lεk Crohn’s disease εn ulcerative colitis kin pwεl di tisu dεm na di rεktum εn vagina, we kin mek fכm fכ fistulas.
- Ɔpreshɔn na di bɛlɛ ɔ di bɛlɛ: Sɔm ɔpreshɔn dɛn, lɛk fɔ pul di bɛlɛ, fɔ pul ɛmoroyd, ɔpreshɔn fɔ J-pauch, ɔ ɔpreshɔn fɔ mek di ɔgan we de kɔmɔt na di bɛlɛ, kin mek pɔsin gɛt fistula if di rɛktum ɔ di vagina dɔn pwɛl bay aksidɛnt, ɔ if di wund dɛn nɔ wɛl fayn afta dɛn dɔn du di ɔpreshɔn.
- Kansa: Fistulas lεk dis kin kam bak bikoz fכ sεvikal kεnsar כ kכlכrektal kεnsar. Wi kin kɔl dɛn malignant fistulas ya .
- Rεdyushכn tεrapi to di pεlvik εria: We dεn gi rεdyushכn tεrapi fכ tin dεm lεk kεnsar, i kin mek di tisu dεm na da εria de damej fכ lכng tεm, i kin mek dεn nכ ebul fכ hεl, εn mek fistulas fכ fכm.
- Injuri we yu de du mami ɛn dadi biznɛs ɔ frɔm ɔda tin we de na do: Sɔntɛnde, fistula kin kam if di vagina ɔ di anus inju bad bad wan we yu de du mami ɛn dadi biznɛs, ɔ if dɛn put sɔntin we nɔto natura insay di vagina.
- Infεkshכn: Infεkshכn na di anal gland dεm כ di Bartholin gland dεm kin mek yu gεt fistulas sכmtεm.
Na smɔl tɛm nɔmɔ dɛn kin bɔn pɔsin wit rɛktovagina fistula. Dɔktɔ dɛn kɔl dis RVF we dɛn bɔn wit .
Wetin na di sayd ɛfɛkt dɛm we dis kin gɛt?
if dεn nכ trit di rεktovagina fistula fayn, i kin mek i gεt difrεn kכmplikεshכn dεm. Na dat mek i impɔtant fɔ go to dɔktɔ jɔs lɛk aw di sik dɔn sho.
- Absεs ɔ infεkshכn: Dis kin mek yu layf de pan denja if yu nɔ trit am.
- Fistula kin kam bak: Sɔmtɛm dis kin kam bak ivin afta dɛn dɔn trit am.
- inflameshn ɛn it na di vagina, vulva, perineum, ɔ anus.
- Urinary tract infection (UTI) ɔ vaginaitis we kin kam bɔku tɛm.
Apat frɔm dɛn tin ya we kin mek yu nɔ fil fayn na yu bɔdi, Rɛktovajinal Fistula kin gɛt bɔku impak bak pan yu maynd wɛlbɔdi. Dis kin mek yu fil wɔri ɛn nɔr de wit ɔda pipul dɛm. If yu fil dis kayn we, e fayn fɔ aks fɔ ɛp frɔm pɔrsin wae sabi bɔt mɛntɛl hεlth.
Aw dɔktɔ kin no dis?
We yu go to dɔktɔ, i go aks yu fɔs bɔt di sik dɛn we yu gɛt ɛn di mɛdikal istri. Dɔn dɛn go du ɛgzam fɔ dɛn bɔdi ɛn ɛgzam fɔ dɛn bɛlɛ.
Neks, dɛn go ɔda sɔm spɛshal tɛst fɔ no if yu gɛt rɛktovagina fistula, fɔ no di kɔz (if dɛn nɔ no am gud gud wan), ɛn fɔ no aw di fistula dɔn rich.
Sɔm pan di tɛst dɛn we dɛn kin du fɔ dis na:
- εndoskopi: dεn de yuz tεst dεm lεk kolposkopi εn/כ proktosigmoidoskopi fכ no di fistulas. dis involv fכ put tכb wit kεmεra insay di rεktum.
- Fɔ chɛk yu ɔnda anestezi: Sɔntɛnde, dɛn kin anestez yu fɔ chɛk di fistula gud gud wan.
- Kɔmplit Blɔd Kɔnt (CBC) ɛn Urinalysis: Chɛk fɔ infɛkshɔn.
- MRI כ CT skan fכ di pεlvik εria: Gεt klia imej fכ di vagina εn rεktum.
- Bayopsi: If pipul dɛn tink se dis kin bi bikɔs ɔf kansa, dɛn go tek wan pat pan di tisu ɛn chɛk am.
Wetin na di tritmɛnt dɛn? Wi go wɛl!
Tri men tin dɛn de we yu fɔ tink bɔt we yu de trit rɛktovagina fistula:
1. Trit di tin we de mek yu gɛt di fistula.
2. Fɔ trit di fistula insɛf.
3. Fɔ trit di sayd ɛfɛkt dɛn we gɛt fɔ du wit am.
Yu ɛn yu dɔktɔ go disayd di tritmɛnt plan we go fayn fɔ yu.
Bɔku tɛm, dɛn kin bigin fɔs fɔ trit dɛn we nɔ gɛt ɔspitul (kɔnsɔvativ) fɔ smɔl fistulas. Dɛn tin ya na:
- Antibayɔtik fɔ infɛkshɔn.
- Mεdikeshכn fכ di כndalayn kכndyushכn (e.g., IBD).
- Stul-bulking fayv sɔpɔtmɛnt dɛn.
- Fɔ kia fɔ wund ɛn fɔ pul di wund.
Bɔt bɔku uman dɛn kin gɛt ɔpreshɔn fɔ lɔk dis fistula.Bɔku we dɛn de fɔ du di ɔpreshɔn. Fɔ ɛgzampul, yu kin yuz tisu frɔm yu yon bɔdi ɔ tisu we dɛn gro na lɛbɔtri fɔ lɔk di ol. Yu dɔktɔ go disayd us ɔpreshɔn we go fayn fɔ yu sityueshɔn ɛn i go ɛksplen am to yu bifo dɛn du di ɔpreshɔn.
Sɔntɛnde, if di fistula rili big ɔ i kɔmplikt, yu kin nid fɔ du wan tɛmporari colostomy . dis involv fכ stכp di fכlכ fכ stכl frכm yu kכlon εn rεktum te di fistula hεl, εn alaw di stכl fכ kכlekt insay bag tru wan sכmכl opin (stoma) we dεn mek na yu bכdi. Yu go nid fɔ chenj dis bag ɔltɛm. Afta di fistula dɔn wɛl, yu go gɛt ɔda ɔpreshɔn fɔ kɔnɛkt yu bɔdi bak ɛn lɔk di say we opin. Dis kin tan lɛk se i de mek pɔsin fred, bɔt na fɔ shɔt tɛm nɔmɔ.
Aw lɔng i kin tek fɔ mek i wɛl?
Bɔku tɛm, yu kin go bak to nɔmal tin dɛn insay wan ɔ tu wiks afta dɛn dɔn du di ɔpreshɔn. Bɔt i kin tek sɔm mɔnt fɔ mek di fistula wɛl ɔltogɛda. Di tɛm we yu kin tek fɔ wɛl kin dipen pan bɔku tin dɛn lɛk di sayz we di fistula gɛt ɛn di kayn ɔpreshɔn we dɛn du.
Ustɛm yu nid fɔ go to dɔktɔ bak?
Afta yu dɔn bigin fɔ trit yu ɔr gɛt ɔpreshɔn , yu go nid fɔ go to yu dɔktɔ fɔ fala-ap apɔntinmɛnt fɔ mek shɔ se yu fistula de wɛl fayn fayn wan. Tɛl yu dɔktɔ wantɛm wantɛm if yu sik de wɔs ɔ if yu gɛt nyu sik.
Yu kin aks di dɔktɔ kwɛstyɔn dɛn lɛk:
- Us prɔblɛm dɛn kin apin we dɛn du ɔpreshɔn?
- Aw fɔ kia fɔ fistula na os?
- enitin de we a kin du fכ mek rεktovagina fistula nכ apin igen?
- A de pan denja fɔ gɛt ɔda kayn vagina fistula?
Wetin go apin tumara bambay? Stay wit op!
Yu prɔgnosis de dipen pan sɔm tin dɛm:
- Di saiz ɛn di kayn we aw di RVF siriɔs.
- (RVF) na di rizin.
- Yu ɔl wɛlbɔdi biznɛs.
- Di kayn tritmɛnt ɔ ɔpreshɔn we yu de gɛt.
in jεnarכl, komplεks RVF dεm kin at fכ trit pas simpul wan dεm. Sɔntɛm yu go nid fɔ du pas wan ɔpreshɔn. Yu dɔktɔ kin gi yu gud aidia bɔt wetin fɔ ɛkspɛkt bay di tin we de apin to yu.
Sɔntɛm yu nɔ bin dɔn yɛri bɔt fistula bifo. Bɔt afta yu dɔn lan se yu gɛt wan (Rectovaginal Fistula), i kin de ɔlsay na yu maynd. Dis sik kin afɛkt yu ɛvride layf, ivin aw yu kin gɛt kɔnfidɛns pan yusɛf. Bɔt, mɛmba se, tritmɛnt kin ɛp yu fɔ kɔntrol yu bɔdi bak. Bɔt, i kin tek sɔm tɛm fɔ mek i wɛl. So, tɔk to yu dɔktɔ ɔltɛm ɛn aks fɔ dɛn gayd ɛn sɔpɔt.
Fɔ dɔn, mɛmba dis.
Pan ɔl we di kɔndishɔn we wi tɔk bɔt tide (Rectovaginal Fistula) kɔmplikt smɔl ɛn i at, .Di tin we impɔtant pas ɔl na dat, tritmɛnt de fɔ dis. If yu gɛt dɛn kayn sik ya, nɔr shem ɔr frayd fɔ go to dɔktɔ. If yu bigin fɔ trit yu kwik kwik wan, dat kin ɛp yu fɔ wɛl kwik ɛn mek yu nɔ gɛt prɔblɛm dɛn. Nɔto yu wan de, ɛn dɔktɔ ɛn wɛlbɔdi wokman dɛn de fɔ ɛp yu. Fes dis wit maynd!
` Rεktovagina Fistula, RVF, Vagina dischaj, Vagina εya, כpεrayshכn, Uman dεm hεlth, Rεktum, Vagina, Fistula Tritmεnt
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