Vagina chhunga inhawng pangngai lo a awm em? Vaginal Fistula chungchang hi han sawi ila!

I vagina kaltlangin zun emaw, bawlhhlawh emaw i chhuah ang maiin i hria em? A nih loh leh vaginal infection i nei fo em? Heng thilte hi sawi harsa deuh a ni. Mahse a chang chuan hengte hi Vaginal Fistula an tih natna lanchhuahna a ni thei. Chuvangin vawiinah hian he thu hi chipchiar takin kan sawi dawn a, kan thianpa nen kan inbia ang maiin. Hlau suh, hei hi hriat chian a pawimawh hle.

Vaginal fistula tih hi eng nge ni?

A awlsam zawngin, vaginal fistula hi i vagina wall leh i bula organ dang inkara inzawmna pangngai lo, khur te tak te emaw, drain emaw ang chi a ni. Hetiang hian han ngaihtuah teh: i vagina chu kalna kawng khat a ni a, i bladder chu kawng dang a ni a, i rectum chu kawng dang a ni. Hengte hian direct connection an nei lo tlangpui. Mahse fistula a lo awm chuan heng taksa peng hrang hrangte inkarah hian inzawmna duh loh tak a lo awm ta a ni.

A tam zawkah chuan he fistula chi hi vagina emaw, i urinary system thenkhat emaw, i digestive system thenkhat emaw inkarah a lo awm thin. Hei hi a chhan ber chu nau neih, operation, accident, infection avanga vaginal tissue a chhiat vang a ni.

Vaginal fistula hi eng chi nge ni?

Heng fistula chi hrang hrangte hi eng nge ni tih i lo en ang u. Fistula awmna hmun a zirin chi hnih a awm a.

Genitourinary vaginal fistulas a awm thin

Hei hian i vagina emaw uterus emaw leh i urinary system chhunga organ hrang hrang inkara fistula lo awm tihna a ni. Hei hian i vagina chhungah zun a luang lut thin.

• Vesicovaginal fistula: Hei hi a tam ber a ni. Hei hi vagina leh bladder inkarah khur a lo awm a, chutah chuan zun a awm khawm thin. Tichuan, bladder atanga zun chu vagina chhungah a luang lut tan ta a ni.
• Ureterovaginal fistula: Hei hi i kal atanga i bladder thlenga zun phurtu ureter leh vagina inkara inzawmna a awm chuan an ti thin.
• Urethrovaginal fistula: Urethra, bladder atanga taksa pawn lam panna tube leh vagina inkarah fistula a lo awm thei.

Chaw ei kawngah fistula a awm

Hetiang dinhmun hi vagina leh i digestive system organs inzawmna a ni a, chu chuan vagina kaltlangin bawlhhlawh a kal thei a ni.

• Rectovaginal fistula: Hei hi vagina leh rectum inkar a khur a ni a, chutah chuan bawlhhlawh chu vagina chhungah a lut thei a ni.
• Colovaginal fistula: Hei hi vagina leh colon inzawmna hming an vuah a ni.
• Enterovaginal fistula: Hetah hian vagina leh small intestine inkarah fistula a lo awm a.

Vaginal fistula natna lan chhuah dan chu engte nge ni?

Vaginal fistula hian natna a thlen ngai lo. A lan chhuah dan chu fistula awmna hmun leh a lian leh te te a innghat a ni. Heng symptoms te hi zawng rawh:

• Urinary incontinence: I khuh emaw, i nuih emaw, thil i chawi emaw hian i zun a leak palh em ? A nih loh leh i vagina chu a hnim reng ang maiin i hria em?
• Vagina, vulva, emaw anus vel vun a inflammation leh itching: Heng natna hi a hnim reng vang a ni thei.
• Mipat hmeichhiatna hman laia natna (Dyspareunia).
• Urinary tract infection (UTIs), kal natna, emaw, vaginitis (vaginitis) emaw a awm fo thin.
• Vaginal discharge rimchhia tak.
• Fecal incontinence emaw thli emaw.
• Rectum emaw vagina atanga thisen chhuak.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan zak leh hlau lova damdawi lam pan a pawimawh hle a, a chhan chu he natna enkawlna tha tak tak a awm avangin.

Vaginal fistula i hre thei em, i hmu thei em?

Ni lo, i kut zungtang hmangin fistula i hre thei lo. Tin, hrehawmna pawh i hre lo mai thei bawk. Fistula hi pawn lam atanga hmuh theih a ni lo. Doctor chuan a awmna hmun dik tak hriat tumin test a ti ang.

Engvangin nge he vaginal fistula hi a lo awm?

A chhan ber chu vagina tissue-a thisen kalna a tlahniam a, tissue chu a thi emaw, a chhe emaw a ni. He chhiatna hian khur, fistula an tih chu a siam a ni. Hei hi ni rei lo te chhungin a thleng thei a, kum tam tak a daih thei bawk. A tlem hle a, mi pakhat chu fistula neiin a piang thei.

A chhan lian ber tlemte han thlir ila:

• Hun rei tak nau neih: Hei hi ram changkang zawkah chuan a chhan tam ber a ni. Naute pian hun a rei lutuk chuan vaginal tissue-ah pressure a siam a, thisen kal dan a tichhe thei bawk.
• Nau neih laiin vaginal tearing emaw episiotomy emaw: A chang chuan, nau neih awlsam zawk nan vagina-ah hian cut te tak te an siam a, chu chu episiotomy an ti. Heng hliamte hi a dam tha lo a nih chuan fistula a lo awm thei a ni.
• Abdominal emaw pelvic surgery: Fistulas hi cesarean section (C-sections) leh hysterectomies te operation hnuah a lo awm tam lo hle.
• Pelvic cavity cancers: Cervical cancer emaw colorectal cancer emaw ang chi natna.
• Chaw ei leh in lama natna khirh tak tak (Inflammatory bowel diseases - IBD):Entirnan, Crohn natna leh ulcerative colitis te hi a ni.
• Colon natna: diverticulitis ang chi.
• Pelvic area-ah radiation therapy hmanga enkawl a ni.
• Thil engemaw accident emaw hliam emaw.

Fistula hi mipat hmeichhiatna hmanga kai theih natna (STD) a ni em?

No. Vaginal fistula hi mipat hmeichhiatna hmanga kai theih natna (STI) a ni lo . Chu chu mipat hmeichhiatna hmanga kai theih natna (STI) nen chuan inzawm tir suh.

Tute nge vaginal fistula vei theihna chance sang zawk?

A hmaa kan sawi tawh chhan, nau neih laiin harsatna, operation, leh natna hrik kai te hian fistula vei theihna a tipung a ni.

Vaginal fistula avanga harsatna awm thei te chu engte nge ni?

Vaginal fistula hi taksa leh rilru lamah pawh a buaithlak hle. I hriat lohvin zun emaw, ek emaw i leak thei a nih chuan a zahthlak ang tih han ngaihtuah teh. Midang hmaa kal pawh i zak mai thei.

Harsatna dangte chu:

• Urinary tract, vaginal, emaw kidney infection neih fo thin.
• Vagina leh anus te a tawi (Stenosis).
• Fistula hi enkawl hnuah pawh a lo lang leh thei a ni.

Vaginal fistula hi a puak thei em?

Ni lo, vaginal fistula hi fluid-filled sac a nih loh avangin a puak lo ang. Fistula hi thil awmze nei lo hawnna a ni. He kawngkhar atang hian zun leh bawlhhlawh ang chi thil a leak thei a, mahse chu chu bawm chhunga khawlkhawm a, puak chhuak thil a ni lo.

Engtin nge doctor-te hian vaginal fistula hi an hriat theih? (Diagnosis) tih a ni.

Doctor i hmuh chuan i natna lan chhuah dan a ngaithla hmasa ang a, a chanchin a hre hmasa ang. Tichuan taksa enfiahna an nei ang a, pelvic exam pawh an ti ang. I natna lan chhuah dan zawng zawng chu i doctor hnenah hrilh vek ang che. A châng chuan heng test te hian fistula i neih leh neih loh hriat theih nan a pui thei bawk. Chutiang a nih loh chuan test dang neih belh a ngai mai thei.

Fistula hmuhchhuah nan hian test eng emaw zat neih a ni a:

• Thisen chhiar kim (CBC) leh zun enfiah: Infection awm leh awm loh enfiah.
• Dye test: Dye bik chu bladder emaw rectum emaw-ah dahin, vagina kaltlangin a chhuak em tih an en thin.
• Fistulogram X-ray: Fistula engzat nge awm tih leh a lian leh te en rawh.
• CT urogram (computed tomography urogram): Vagina leh urinary system thlalak lak.
• Pelvic MRI (magnetic resonance imaging): Vagina leh rectum chiang takin en rawh.
• Cystoscopy: Camera nei tube hmangin bladder leh urethra chhung lam kan en thin.
• Flexible sigmoidoscopy hmanga enfiah a ni:Rectum leh intestine hnuai lam chu an enfiah thin.
• Colonoscopy: Intestine lian zawng zawng leh rectum chhung lam a enfiah thin.
• Retrograde pyelogram: Dye leh X-ray hmangin vagina leh urethra inkarah leak a awm leh awm loh enfiah thin a ni.

Vaginal fistula hi eng enkawlna nge ni?

Enkawlna chu fistula awmna hmun leh chi hrang hrangah a innghat a ni.

Operation tel lova damna case te

Fistula te tak te thenkhat, a bik takin bladder nena inzawm te hi operation tel lovin a dam thei a ni. Hei atan hian:

• Antibiotics: Infection control nan, a awm chuan. Inflammatory bowel disease (IBD) tan pawh damdawi pek thin a ni.
• Temporary catheterization: Hei hian vesicovaginal fistula a dam hma loh chuan zun a chhuah tir a, fistula chu a dam thei a ni.
• Ureteral stents: Hengte hi fistula inrawlhna ureters te chu tube te a dam hma loh chuan hawn reng turin dah a ni.

Surgery hmanga enkawl a ni

Vawi tam tak chu fistula khar nan operation neih a ngai thin. Surgeon hian fistula chi hrang hrang a zirin a tih theih dan kawng hrang hrang a awm. Surgery hi vagina kaltlangin tih theih a ni a, camera leh instrument hmanga pum chhunga incision tenau tlemte hmanga tih theih a ni (Laparoscopically emaw Robotically emaw), hnute kawng hmanga tih theih a ni bawk.

Surgeon chuan i tissue, lab-a siam tissue emaw, special mesh (surgical mesh patch) emaw hmangin a hawnna chu a khar thei a ni.

Thu lawmawm tak chu vaginal fistula vei hmeichhia 10 zinga 9 chu operation hnuah an dam kim vek a ni!

Rectovaginal fistula a dam hnuah eng nge thleng?

I vagina leh i digestive system hmun thenkhat, i hnute inkarah fistula lian tak i nei a, chu chu operation hmanga siamthat a nih chuan temporary ostomy tih a ngai mai thei.

• Chutiang a nih chuan surgeon chuan i pum (belly) ah hawnna te tak te (stoma) a siam a.
• He opening-ah hian intestine lian tan colostomy leh small intestine tan ileostomy an inzawm a, chuta tang chuan stool chu taksa atangin a chhuak thei a ni.
• Taksa pawn lamah bag an bun a, chu chu stool la khawm a ni. Medical staff te hian he bag hi thlak dan tur leh stoma thianghlim taka vawn dan tur an zirtir ang che.
• Fistula a dam vek hnuah operation dang tih leh chuan intestine chu anus nen a inzawm leh ang a, stoma chu a khar leh ang.

Vaginal fistula surgery hnua dam leh hun chhung hi eng ang nge ni?

Heng thilte hian operation hnua i dam leh thuai theih nan a pui ang che:

• Infection laka inven nan antibiotics tih ang chiah chiah hmang thin ang che.
• Doctor-in phalna a pek che hma chuan sex hmang suh, tampon hmang suh, vagina chhungah engmah dah suh.
• Constipation leh diarrhea laka inven nan fiber tamna diet ei la, tui tam tak in tur a ni. A tul chuan doctor hnenah laxatives emaw stool softeners emaw ei chungchang zawt la.

Vaginal fistula hi a mah chauhin a dam thei em?

Awle. A châng chuan, vesicovaginal fistula te tak te emaw, rectovaginal fistula emaw chu antibiotics leh catheter hmangin a mah chauhin a dam thei a (fistula chu dam theihna hun a pe).

Vaginal fistula hi ven theih a ni em?

Vaginal fistula lo awm tur ven hi a harsa fo thin. Mahse, fistula lo awm chhan ṭhenkhat chu i hre chiang thei a, control i tum thei bawk. Entir nan:

• Hun rei tak chhunga natna i neih chuan Crohn’s disease emaw ulcerative colitis , i neih chuan uluk takin control rawh.
• Pelvic infection i neih chuan enkawlna zawng vat la, i doctor-in enkawlna tur a pek ang chiah kha zawm rawh.
• Naupai laiin nau neih hmaa enkawlna dawng chhunzawm zel tur a ni . Hei hian nau neih hun tikhawtlai thei tur harsatna awmte hriatchhuahna kawngah a pui dawn a ni.
• Surgery i neih chuan, hysterectomies ang chi i neih chuan, he procedure lama tawnhriat nei doctor thlang rawh. Hei hian fistula vei theihna a tihziaawm thei a ni.

Hmeichhia vaginal fistula vei te tan engtin nge an hmalam hun?

Surgery hmanga enkawl hi a hlawhtling hle. Hmeichhe tam zawk chuan damna famkim an nei a, symptom nei lovin nun pangngai an hmang thin.

Mahse, fistula thenkhat chu a dam tha lo thei a, enkawl hnuah pawh a lo lang leh thei bawk. Hei hi cancer emaw Crohn natna emaw i neih chuan a dik hle. Enkawlna tel lova fistula chhinchhiahna nena nun hian lungngaihna emaw lungkhamna emaw a thlen thei a ni.

Engtikah nge Doctor ka hmuh ang?

Vaginal fistula symptoms te hi i neih chuan doctor pan nghal rawh:

• Vaginal discharge atanga bawlhhlawh emaw zun emaw.
• Sex hman laiin natna.
• Pum na, khawsik, luak chhuak emaw, luak chhuak emaw.

Vaginal fistulas enkawltu doctor te hi tute nge ni?

Fistula i neih chi hrang hrang a zirin heng doctor pakhat emaw a aia tam emaw hian an enkawl ang che:

• Hmeichhia lam doctor
• Urologist (Urologist) a ni
• Urogynecologist a ni
• Colorectal surgeon a ni

Doctor hnenah eng nge ka zawh ang?

Doctor i hmuh hunah heng zawhnate hi i zawt thei ang:

• Engtin nge he vaginal fistula hi ka neih?
• Eng ang vaginal fistula nge ka neih?
• Fistula ka neih chuan engtin nge ka in enkawl ang?
• Eng enkawlna kawng nge ka neih?
• Surgery avanga harsatna awm thei te chu engte nge ni?
• Vaginal fistula a lo awm leh tawh loh nan thil ka tih theih a awm em?

Take-Home Thuchah a ni

Vaginal fistula hi natna hlauhawm tak leh zahthlak tak tak a thlen thei a, a bik takin incontinence a thlen thei a ni. He risk hi hun rei tak nau neih emaw, pelvic surgery emaw hmanga tihpun theih a ni. Fistulas hi ven theih reng ni lo mah se, a lan chhuah veleh damdawi lam pan vat a pawimawh.

Nangmah chauh i ni lo tih hre reng ang che. He natna hi enkawlna tha tak tak a awm a. Fistula te te hi a chang chuan operation tel lovin a dam thei. Operation hnua dam kim theihna chance pawh a sang hle. Chuvangin, hemi chungchang hi i doctor nena inbiakna neih chu hlau lo la, zak suh. Enkawl hmasak chuan i dam thuai thei!

` Vaginal fistula, hmeichhe hriselna, zun, ek chhuah, gynecology, surgery, nau neih