Ngaba kukho unxibelelwano olungaqhelekanga phakathi kwempundu yakho kunye nelungu lobufazi? (I-Rectovaginal Fistula) Makhe sithethe ngayo!

Ngaba ngamanye amaxesha ukhe uzive ngathi kukho into engaqhelekanga okanye engathandekiyo kwindawo yakho yangasese? Kunokuba yintloni ukuthetha ngayo, kodwa inokuba yinto ebuhlungu. Namhlanje siza kuthetha ngesihloko esinobuzaza kancinci, kodwa sinokuba luncedo kubantu abaninzi. Oko kukuthi, unxibelelwano olungaqhelekanga phakathi kwempundu kunye nelungu lobufazi, imeko ebizwa ngokuba yi (Rectovaginal Fistula) ngokwezonyango.

Yintoni le (i-Rectovaginal Fistula)? Masiyiqonde ngokulula!

Kulungile, ngoku masibone ukuba yintoni le (i-Rectovaginal Fistula). Ngamafutshane, le ngumngxuma omtsha ofana nombhobho owenzeka phakathi kwe-rectum yakho - inxalenye yamathumbu akho amakhulu (ikholoni) esuka kwi-anus yakho iye kwi-rectum yakho - kunye ne-vagina yakho. Cinga ngayo, la malungu mabini asondelelene kakhulu emzimbeni. Ngokwesiqhelo, akukho nxibelelwano phakathi kwala malungu mabini. Nangona kunjalo, ukuba ngesizathu esithile izicubu eziphakathi kwala malungu mabini zonakala kwaye ziyafa, kuvela umngxuma, okanye njengoko siyibiza njalo , i-fistula .

Xa i-fistula isenzeka ngolu hlobo, indle kunye negesi evela kwi-rectum yakho ziqala ukungena kwi-vagina yakho. Le yimeko engathandekiyo kakhulu. Ezi fistula zinokuza ngobukhulu kunye neemilo ezahlukeneyo. Ezinye zinokuba ncinci, ngelixa ezinye zinokuba nkulu.

Le meko inokubangela iintlungu kunye nobunzima bokwenza imisebenzi yemihla ngemihla. Kodwa eyona nto ilungileyo kukuba iyanyangeka, kwaye kwiimeko ezininzi, inokunyangwa ngotyando. Iqela lakho lezonyango likulungele ukukunika unyango kunye neengcebiso ozifunayo.

Ngaba nawe unazo ezi mpawu? (I-Rectovaginal Fistula) Iimpawu Eziqhelekileyo

Ngoku makhe sibone ukuba zeziphi iimpawu eziqhelekileyo zale meko (i-Rectovaginal Fistula). Ukuba unenye okanye ngaphezulu kwezi, ngokuqinisekileyo kuya kufuneka ubone ugqirha.

• Ukuphuma kolwelo olungcolileyo oluphuma kwilungu lobufazi: Le yinto abantu abaninzi abayiqaphelayo kuqala.
• Ukukhupha igesi okanye ukukhupha igesi: Olu lolona phawu luphambili nolucacileyo lwale meko.
• Intlungu ngexesha lokwabelana ngesondo (iDyspareunia): Le yingxaki nakubantu abaninzi.
• Intlungu kwindawo yepelvic: Le inokuba yintlungu engapheliyo esiswini esisezantsi.
• Ukopha okuphuma kwi-rectum okanye kwi-vaginal: Ngamanye amaxesha olu hlobo lokopha lunokubonwa.

Ukuba unayo nayiphi na kwezi mpawu, nceda ubone ugqirha ngokukhawuleza, kuba le meko inokukhokelela kwiingxaki ezingaphezulu ukuba ayinyangwa.

Kutheni oku kusenzeka? (I-Rectovaginal Fistula) Izizathu

I-fistula engasemva kwesisu idla ngokuvela xa izicubu eziphakathi kwelungu lobufazi kunye ne-anus zonakele kwaye zifa. Kulapho umngxuma, okanye i-fistula, uvela khona. Ingakhula kwiintsuku ezimbalwa, okanye ingakhula kancinci kancinci kwiminyaka emininzi.

Kukho izizathu ezahlukeneyo ezinokukhokelela ekuphuhlisweni kwe-Rectovaginal Fistula. Makhe sijonge ukuba zeziphi:

• Ukwenzakala ngexesha lokubeleka: Oku kudla ngokuba yimbangela ephambili yale meko. Olu hlobo lwe-fistula lunokuvela xa i-vaginal ikrazukile (iinyembezi zesini) okanye inxeba le-episiotomy lingapholi kakuhle ngexesha lokubeleka. Ngamanye amaxesha, oku kunokwenzeka ngakumbi ukuba ukuzala kunzima kancinci, okanye ukuba kusetyenziswa izixhobo.
• Iingxaki zeDiverticulitis: Ukuba iingxowa ezincinci (diverticulum) ezakha eludongeni lwekholoni yakho ziyasuleleka kwaye zenze ithumba, linokusasaza kwaye lonakalise udonga lwelungu lakho lobufazi, lenze i-fistula.
• Izifo Zamathumbu Ezivuthayo (IBD): Izifo ezifana nesifo sikaCrohn kunye ne -ulcerative colitis zingonakalisa izicubu ze-rectum kunye ne-vagina, nto leyo ekhokelela ekwakhekeni kwe-fistula.
• Utyando lwesisu okanye lwe-pelvic: Ngexesha lotyando oluthile, olufana notyando lwe-hysterectomy, i-hemorrhoidectomy, utyando lwe-J-pouch, okanye utyando lwe-pelvic organ prolapse, i-fistula inokukhula ukuba i-rectum okanye i-vagina yonakele ngengozi, okanye ukuba amanxeba awapholi kakuhle emva kotyando.
• Umhlaza: Iifistula ezinje zinokuvela ngenxa yomhlaza womlomo wesibeleko okanye umhlaza we-colorectal. Ezi sizibiza ngokuba ziifistula ezinobungozi .
• Unyango ngemitha kwindawo ye-pelvic: Xa unyango ngemitha lunikezelwa kwizinto ezinje ngomhlaza, lunokubangela umonakalo wexesha elide kwizicubu ezikuloo ndawo, lunciphise amandla azo okuphiliswa, kwaye lubangele ukwakheka kwe-fistula.
• Ukwenzakala ngexesha lokwabelana ngesondo okanye kwenye into yangaphandle: Ngamanye amaxesha i-fistula inokuvela ukuba i-vagina okanye i-anus yenzakele kakhulu ngexesha lokwabelana ngesondo, okanye ukuba into engeyoyamvelo ifakwe kwi-vagina.
• Iintsholongwane: Iintsholongwane ze-anal glands okanye ze-Bartholin glands ngamanye amaxesha zinokubangela i-fistula.

Kunqabile kakhulu ukuba umntu azalwe ene-fistula engasemva kwesisu. Oogqirha bayibiza le nto ngokuba yi-RVF yokuzalwa .

Zithini iziphumo ebezingalindelekanga ezinokubakho ngenxa yoku?

Ukuba i-fistula engasemva kwesisu ayinyangwanga kakuhle, inokukhokelela kwiingxaki ezahlukeneyo. Yiyo loo nto kubalulekile ukufuna iingcebiso zonyango ngokukhawuleza xa kuvela iimpawu.

• Ithumba okanye usulelo: Oku kunokuba yingozi ebomini ukuba akunyangwa.
• Ukuphinda kwe-fistula: Ngamanye amaxesha le meko inokuphinda ivele nasemva konyango.
• Ukudumba nokurhawuzelelwa sisini, isitho sangasese sowesifazane, iperineum, okanye i-anus.
• Usulelo oluqhelekileyo lwendlela yomchamo (UTIs) okanye i-vaginitis.

Ukongeza kwezi ntlungu zomzimba, i-Rectovaginal Fistula inokuba nefuthe elikhulu kwimpilo yakho yengqondo. Oku kunokukwenza uzive uxhalabile kwaye ushiywe wedwa. Ukuba uvakalelwa ngolu hlobo, kubalulekile ukufuna uncedo kwingcali yezempilo yengqondo.

Ugqirha uyibona njani le nto?

Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho kunye nembali yakho yezonyango. Emva koko baza kwenza uvavanyo lomzimba kunye novavanyo lwe-pelvic.

Okulandelayo, baya kuyalela iimvavanyo ezikhethekileyo ezininzi ukuqinisekisa ukuba unayo na i-fistula engasemva kwesisu, ukufumana unobangela (ukuba ayaziwa kakuhle), kunye nokufumanisa ubungakanani be-fistula.

Ezinye zeemvavanyo ezenziweyo ngenxa yale njongo zezi:

• I-Endoscopy: Uvavanyo olufana ne-colposcopy kunye/okanye i-proctosigmoidoscopy lusetyenziselwa ukubona i-fistula. Oku kuquka ukufaka ityhubhu enekhamera kwi-rectum.
• Uvavanyo phantsi kwe-anesthesia: Ngamanye amaxesha ungafakwa i-anesthesia ukuze uhlolisise i-fistula ngokusondeleyo.
• Inani elipheleleyo legazi (i-CBC) kunye nohlalutyo lomchamo: Jonga ukuba kukho usulelo na.
• I-MRI okanye i-CT scan yendawo ye-pelvic: Fumana imifanekiso ecacileyo yesini kunye ne-rectum.
• I-Biopsy: Ukuba kukho ukurhaneleka kokuba oku kusenokuba kungenxa yomhlaza, kuya kuthathwa iqhekeza lesicwili lize lihlolwe.

Zithini iindlela zonyango? Siza kuphila!

Kukho izinto ezintathu eziphambili ekufuneka ziqwalaselwe xa unyanga i-fistula engasemva kwesisu:

1. Nyanga unobangela we-fistula.

2. Ukunyanga i-fistula ngokwayo.

3. Ukunyanga iziphumo ebezingalindelekanga ezinxulumene noko.

Kunye, wena nogqirha wakho niya kugqiba isicwangciso sonyango esilungele wena.

Ngokwesiqhelo, unyango olungelulo utyando (olugcina indalo) luqalwa kuqala kwi-fistula encinci. Ezi ziquka:

• Ii-antibiotics zosulelo.
• Amayeza esifo esibangela ingxaki (umz., i-IBD).
• Izongezo zefayibha ezigcwala indle.
• Ukhathalelo lwenxeba kunye nokususwa kwenkunkuma.

Nangona kunjalo, abafazi abaninzi kufuneka benze utyando ukuze kuvalwe le fistula.Kukho iindlela ezahlukeneyo zokwenza utyando. Umzekelo, ungasebenzisa izicwili zomzimba wakho okanye izicwili ezikhuliswe kwilebhu ukuvala umngxuma. Ugqirha wakho uya kugqiba ukuba yeyiphi indlela yotyando efanelekileyo kwimeko yakho aze akuchazele ngayo ngaphambi kotyando.

Ngamanye amaxesha, ukuba i-fistula inkulu kakhulu okanye iyinkimbinkimbi, kunokufuneka wenze i-colostomy yexeshana . Oku kubandakanya ukunqanda ukuhamba kwendle kwikholoni yakho nakwi-rectum de i-fistula iphole, kwaye uvumele indle iqokeleleke kwingxowa ngesithuba esincinci (stoma) esenziwe esiswini sakho. Kuya kufuneka uyitshintshe le ngxowa rhoqo. Emva kokuba i-fistula iphole, uya kwenziwa olunye utyando lokudibanisa amathumbu akho kunye nokuvala loo sithuba. Oku kunokuvakala kusoyikisa, kodwa kungokwethutyana nje.

Kuthatha ixesha elingakanani ukuphiliswa?

Kwiimeko ezininzi, ungabuyela kwimisebenzi yakho yesiqhelo kwiveki okanye ezimbini emva kotyando. Nangona kunjalo, kungathatha iinyanga ezininzi ukuba i-fistula iphiliswe ngokupheleleyo. Ixesha elithathayo ukuze uphiliswe lixhomekeke kwizinto ezininzi, njengobungakanani be-fistula kunye nohlobo lotyando.

Kufuneka udibane nogqirha kwakhona nini?

Emva kokuba uqalile unyango okanye utyando , kuya kufuneka ubone ugqirha wakho ukuze ufumane amadinga okulandela ukuqinisekisa ukuba i-fistula yakho iphola kakuhle. Xelela ugqirha wakho ngoko nangoko ukuba iimpawu zakho ziya zisiba mandundu okanye ukuba ubonakalisa iimpawu ezintsha.

Ungabuza ugqirha imibuzo efana nale:

• Ziziphi iingxaki ezinokubakho ngenxa yotyando?
• Ungayinyamekela njani i-fistula ekhaya?
• Ngaba kukho into endinokuyenza ukuthintela i-fistula engasemva kokuzala ukuba ingaphindi yenzeke?
• Ingaba ndisemngciphekweni wokufumana ezinye iintlobo ze-vaginal fistula?

Liza kuthini ikamva? Hlala unethemba!

Ingqikelelo yakho ixhomekeke kwizinto ezininzi:

• Ubungakanani kunye nobunzima be-RVF.
• (RVF) yimbangela.
• Impilo yakho iyonke.
• Uhlobo lonyango okanye utyando olufumanayo.

Ngokubanzi, ii-RVF ezintsonkothileyo kunzima ukuzinyanga kunezo zilula. Kusenokufuneka wenze utyando olungaphezu kolunye. Ugqirha wakho angakunika umbono olungileyo wento omawuyilindele ngokwemeko yakho.

Usenokuba awuzange uve nge-fistula ngaphambili. Kodwa emva kokufumanisa ukuba unayo (i-Rectovaginal Fistula), isenokuba ikwingqondo yakho yonke. Le meko inokuchaphazela ubomi bakho bemihla ngemihla, kwanokuzithemba kwakho. Kodwa, khumbula, unyango lunokukunceda uphinde ulawule umzimba wakho. Nangona kunjalo, kungathatha ixesha ukuphiliswa. Ngoko ke, thetha nogqirha wakho rhoqo kwaye ucele ulwalathiso nenkxaso yakhe.

Okokugqibela, khumbula oku.

Nangona imeko esithethe ngayo namhlanje (i-Rectovaginal Fistula) inzima kwaye inzima,Eyona nto ibalulekileyo kukuba kukho unyango loku. Ukuba unale mpawu, ungabi nantloni okanye ungoyiki ukufuna ingcebiso kagqirha. Ukuqala unyango kwangethuba kunokukunceda uphile ngokukhawuleza kwaye uthintele iingxaki. Awuwedwa, kwaye kukho oogqirha kunye nabasebenzi bezempilo abanokukunceda. Jongana nale meko ngesibindi!

I - Fistula ye-Rectovaginal, i-RVF, Ukukhupha ulwelo kwi-vaginal, Umoya kwi-vaginal, Utyando, Impilo yabasetyhini, i-Rectum, i-Vagina, Unyango lwe-Fistula