Sɔntɛnde yu kin fil lɛk se yu nɔ ebul fɔ kɔntrol yu bɔdi? A ɔndastand aw i kin shem ɛn shem, mɔ we yu aksidɛntli lik smɔl urine ilɛksɛf yu tray tranga wan. We yu ɔndawea de wet ɔltɛm ɛn yu fil lɛk se yu de smɛl bad, yu nɔ ivin want fɔ fes sosayti. Dis na prɔblɛm we bɔku uman dɛn kin sɔfa we dɛn nɔ tɔk natin, bɔt dɛn nɔ kin want fɔ tɔk bɔt. Bɔt nɔ wɔri, nɔto yu wan de. Tide wi go tɔk bɔt wan mɛrɛsin we kin mek dis sik, dat na Vesicovaginal Fistula (VVF).
Wetin na di Vɛsikovajinal Fistula (VVF) rili?
Fɔ tɔk am simpul wan, Vesicovaginal Fistula (VVF) na wan abnɔmal opin ɔ kɔnekshɔn bitwin yu blad ɛn yu vagina . Tink bɔt am, nɔmal wan di urine na wi blad de kɔmɔt na di bɔdi tru di urethra. Na di rayt we dat.
bכt we dis VVF kכndishכn de apin, i lεk se dεn de mek nyu sכm "sכtkat" bitwin di blad εn di vagina. Dis ol na wetin wi kin kɔl fistula. so biכs fכ dis ol, sכm pan di urine na di blad nכ de go di rayt we, bכt insted i de stat fכ lik kכmכt tru dis nyu sכtkat, we de tru di vagina, we i nכ no. Sɔntɛnde dis kin bi smɔl wet, ɔ sɔmtɛm i kin bi we yu de urine ɔltɛm.
Pan ɔl we dis na prɔblɛm wit in bɔdi, di strɛs we i kin gɛt na in maynd nɔ kin rili impɔtant. Bɔt di gud nyus na dat, bɔku tɛm dɛn kin wɛl dis sik kpatakpata if dɛn du ɔpreshɔn pan am. Yu dɔktɔ ɛn di mɛdikal tim rɛdi ɔltɛm fɔ gi yu di tritmɛnt ɛn sɔpɔt we yu nid.
Wetin na de kɔmɔn sayn dɛm fɔ dis sik?
Pɔsin wae gɛt VVF kin gɛt difrɛn kayn sayn dɛm. Dɛn sayn ya kin difrɛn difrɛn wan bay di sayz fɔ di ol ɛn ɔda tin dɛn. If yu de gɛt ɛni wan pan dɛn sik ya, i impɔtant fɔ go to dɔktɔ kwik kwik wan.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| Urinary Inkontinɛns we pɔsin kin gɛt | Dis na di men ɛn di sayn we de sho klia wan. Yu nɔ ebul kɔntrol am, urine jɔs de lik kɔmɔt na yu vagina. |
| Fɔ wet ɔndawea ɔltɛm | If yu ɔndawea fil wet ivin afta yu dɔn go na di bafa, dat kin bi sayn fɔ dis sik. |
| Dischaj ɔ smel we nɔ kɔmɔn na di vagina | Yurin kin mek chenj na di vagina invayrɔmɛnt, we kin mek wata ɔ dɔti smel. |
| Inflameshɔn/it na di vagina ɔ di say we de rawnd am | If yu tɔch yu urine ɔltɛm, i kin mek di vagina ɛn di skin we de rawnd am (vulva) rɛd, inflamed, ɛn it. |
| Pen we yu de du mami ɛn dadi biznɛs | Dis sik kin mek mami ɛn dadi biznɛs bi tin we kin mek pɔsin fil pen. |
| I kin apin afta dɛn dɔn du di ɔpreshɔn | Bɔku tɛm, if dis urine lik bigin wan ɔ tu wik afta dɛn dɔn ɔpreshɔn di bɛlɛ (e.g., hysterectomy), i go mɔs bi se na bikɔs ɔf VVF. |
Wetin na di tin dɛn we kin mek pɔsin gɛt VVF?
VVF kin apin we di tisu bitwin di blad ɛn di vagina dɔn pwɛl ɛn day. Dɔn dis damej kin mek wan ol. Bɔku men rizin dɛn de fɔ dis damej.
- Pɛlvik Ɔpreshɔn: Dis na di men tin we kin mek pɔsin gɛt VVF na kɔntri dɛn lɛk wi yon. εspεshali we dεn de kכl di hysterectomy εn blad כpεrayshכn, dεn tisu dεm ya kin pwεl bay mistek. Dis nɔto di dɔktɔ in fɔlt, bɔt na kɔmplikeshɔn we kin apin we dɛn de du di ɔpreshɔn.
- Obstrukt Leba:we i at fכ bכn pikin, usay dεn bכn di pikin tu let, di pikin in ed kin prεs tranga wan pan di tisu bitwin di blad εn di vagina, we kin kכt di bכdi fכ fכlכ to da εria de εn mek di tisu day. dis ol kin fכm εn di urine kin stat fכ lik fכ de afta di pikin bכn. Pan ɔl we dis kɔz dɔn go dɔŋ smɔl bikɔs ɔf di impɔtant mɛdikal fasiliti dɛm na Sri Lanka, di risk stil nɔ dɔn kɔmɔt kpatakpata.
- Di kɔndishɔn ɛn tritmɛnt fɔ kansa: Kɔndishɔn lɛk sɛvikal kansa ɛn blad kansa kin mek bak gɛt VVF. Dɔn bak, redyushɔn tɛrapi fɔ kansa kin mek di tisu wik ɛn mek dɛn kayn ol ya fɔm as tɛm de go.
Ɛni ɔda prɔblɛm dɛn de we kin apin bikɔs ɔf dis?
If dɛn nɔ trit VVF fayn, ɔda wɛlbɔdi prɔblɛm dɛn kin apin.
- Infεkshכn we de kam bak: Bikɔs di urine kin trɔp ɔltɛm na di vagina, urinary tract infection (UTI) ɛn vagina infεkshכn kin apin bכku tεm.
- Absεs כ Infεkshכn: If dεn nכ trit di infεkshכn, i kin bכku εn i kin mek absεs, we kin mek yu layf de pan denja.
- I kin kam bak ivin afta dɛn dɔn trit am: Sɔntɛnde, ivin afta dɛn dɔn du di ɔpreshɔn, smɔl chans kin de fɔ mek dis fistula kam bak.
- Prɔblɛm dɛn we gɛt fɔ du wit yu maynd ɛn aw yu de wit ɔda pipul dɛn: We yu de pis bɔku tɛm ɛn yu de blo bad bad wan, dat kin mek i nɔ izi fɔ yu fɔ de wit ɔda pipul dɛn, fɔ atɛnd program dɛn, ɔ fɔ de wit yu fambul dɛn. Dis kin mek yu gɛt pwɛl hat ɛn nɔr de wit ɔda pipul dɛm.
If yu de fil strɛs bɔt dis tin, nɔr shem fɔ tɔk to dɔktɔ ɔr pɔrsin wae sabi bɔt mɛntɛl hεlth bɔt am. I rili impɔtant.
Aw dɔktɔ kin fɛn dis?
We yu go to dɔktɔ, dɛn go aks yu fɔs bɔt di sayn dɛn we yu gɛt, di ɔpreshɔn dɛn we yu bin dɔn du trade, ɛn di histri we yu bin dɔn bɔn. Dɔn dɛn go du fizik ɛgzam ɛn pelvik ɛgzam. Fɔ kɔnfirm dis ɛn plan di ɔpreshɔn, di dɔktɔ go disayd fɔ du sɔm spɛshal tɛst dɛn.
| Tɛst | Wetin kin jɔs apin |
|---|---|
| Tɛst fɔ Day | di dɔktɔ go put blu day na yu blad ɛn aks yu fɔ put tampon insay yu vagina. If di tampon tɔn blu afta sɔm tɛm, dat min se di urine de lik frɔm yu blad ɛn go insay yu vagina, we min se yu gɛt VVF. |
| Sistoskɔpi we dɛn kin du | insay dis, dεn kin put wan tin tכb we gεt kεmεra we dεn tay along di urethra fכ si di insay pat pan di blad εn di εksakכt say we di fistula opin. |
| CT Yurogram we dɛn kin yuz | Dis na spɛshal CT skan. dεn injεkt wan kכntrast day insay di bכdi εn dεn tek ditayl imej dεm fכ di urinary sistεm (kidni, blad). |
| Ɔda tɛst dɛn | Sɔntɛnde, dɛn kin du MRI skan ɔ spɛkul ɛgzam ɔnda anestezi. |
Wetin na di tritmɛnt dɛm fɔ dis?
Di men tritmɛnt we kin wok fayn pas ɔl na ɔpreshɔn . Dɛn kin yuz ɔpreshɔn fɔ lɔk di ol.
Wan rili smɔl, nyu fistula kin wɛl sɔm tɛm dɛn fɔ insɛf we dɛn nɔ du ɔpreshɔn pan am, bay we dɛn kip wan Foley kateshɔn na in ples fɔ sɔm wiks ɛn gi di blad rɛst. Bɔt, dis nɔ kin apin so ɔltɛm.
Bɔku pipul dɛn nid ɔpreshɔn. Dis ɔpreshɔn kin bi bay vagina ɔ tru wan say we dɛn kɔt di bɛlɛ (tru di bɛlɛ) . Sɔntɛnde, dɛn kin yuz ɔpreshɔn fɔ kihol, lɛk laparoskɔpi. Yu dɔktɔ we de du ɔpreshɔn go tɔk to yu us ɔpreshɔn we go fayn fɔ yu.
Afta yu dɔn ɔpreshɔn, yu go nid fɔ gɛt urinary catheter fɔ tu to tri wiks. Dis na fɔ gi di say we dɛn de du di ɔpreshɔn tɛm fɔ wɛl we nɔ gɛt ɛni prɛshɔn. Afta da tɛm de, di dɔktɔ go pul di kateshɔn afta i dɔn chɛk fɔ si if di fistula dɔn wɛl fayn fayn wan.
Aw lɔng i kin tek fɔ mek i wɛl afta dɛn dɔn du di ɔpreshɔn?
I kin tek lɛk 6 to 8 wiks fɔ mek i wɛl bak afta dɛn dɔn du VVF ɔpreshɔn.I rili impɔtant fɔ tek tɛm fala yu dɔktɔ in instrɔkshɔn dɛn insay dis tɛm. Bɔku tɛm, dɛn go advays yu fɔ avɔyd dɛn tin ya insay dis tɛm:
- Fɔ du mami ɛn dadi biznɛs: Yu fɔ avɔyd fɔ du mami ɛn dadi biznɛs te di say we dɛn de du di ɔpreshɔn dɔn wɛl ɔl.
- We yu de es wet: Nɔ es ebi ebi tin dɛn ɛn du ɛksɛsayz we yu go tranga.
- Di tin dɛn we yu fɔ du we yu de tray tranga wan: I impɔtant fɔ avɔyd fɔ du ɛnitin we go mek di bɔdi fil taya.
If yu rɛst dis kayn we, dat go rili ɛp di wund we dɛn du di ɔpreshɔn fɔ wɛl ɛn mek i nɔ gɛt mɔ prɔblɛm.
Insay ɔspitul dɛn we gɛt ɛkspiriɛns ɛn we kin du dis kayn ɔpreshɔn bɔku tɛm, pan ɔl 100 pipul dɛn, 85-95 pipul dɛn kin wɛl afta dɛn dɔn du di fɔs ɔpreshɔn. Dis min se di urine fכ fכlכ de stכp kכmplit wan. Sɔm pipul dɛn kin nid fɔ gɛt ɔpreshɔn fɔ di sɛkɔn tɛm. I dipen pan tin dɛm lɛk di sayz fɔ di fistula, usay i de, ɛn yu ɔl wɛl bɔdi.
Mɛsej we dɛn kin kɛr go na os
- Vesicovaginal fistula (VVF) na wan abnכmal opin bitwin yu blad εn yu vagina, we kin mek yu lik urine tru yu vagina we yu nכ de kכntrכl.
- Dis nɔto yu fɔlt . dis kכndyushכn kin apin biכs fכ rizin dεm lεk כpεrayshכn lεk hysterectomy כ we i at fכ bכn pikin.
- Dis nɔto sɔntin we wi fɔ shem ɛn sɔfa pan. Tritmɛnt dɛn de we rili fayn fɔ dis . Di men tritmɛnt na fɔ lɔk di ol tru ɔpreshɔn.
- If yu gɛt dɛn sik ya, nɔ fred ɔ shem fɔ go to dɔktɔ wantɛm wantɛm . Di kwik we yu bigin fɔ trit yu, na di mɔ di tin dɛn we yu go gɛt go fayn.
- If yu de fil strɛs bikɔs ɔf dis kayn tin, e fayn fɔ tɔk to yu dɔktɔ ɔr pɔrsin wae de gi yu mɛntɛl hεlth bɔt dis. Nɔto yu wan de.
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