Umngxuma ongaqhelekanga kwilungu lobufazi? Masithethe ngeVaginal Fistula!

Ngaba ngamanye amaxesha uziva ngathi uvuza umchamo okanye ilindle ngelungu lobufazi bakho? Okanye ngaba uhlala ufumana usulelo lobufazi? Ezi zinto kunzima ukuthetha ngazo. Kodwa ngamanye amaxesha ezi zinokuba ziimpawu zesifo esibizwa ngokuba yiVaginal Fistula. Ngoko ke namhlanje siza kuthetha ngale nto ngokweenkcukacha, ngokungathi sithetha nomhlobo. Musa ukoyika, kubaluleke kakhulu ukuqaphela oku.

Yintoni i-fistula yesini?

Ngamafutshane, i-vaginal fistula lunxibelelwano olungaqhelekanga, njengomngxuma omncinci okanye umsele, phakathi kodonga lwe-vaginal yakho kunye nelinye ilungu elikufutshane. Cinga ngale ndlela: i-vaginal yakho yenye indlela, i-bladder yakho yenye, kwaye i-rectum yakho yenye. Ezi zihlala zingenalo unxibelelwano oluthe ngqo. Kodwa xa i-fistula isenzeka, unxibelelwano olungafunekiyo lwenziwa phakathi kwezi zitho.

Amaxesha amaninzi, olu hlobo lwe-fistula lukhula phakathi kwelungu lobufazi, inxalenye yenkqubo yakho yomchamo, okanye inxalenye yenkqubo yakho yokugaya ukutya. Eyona nto ibangela oku kukonakala kwezicubu zelungu lobufazi ngenxa yokubeleka, utyando, ingozi, okanye usulelo.

Ziziphi iintlobo ze-fistula yesini?

Masibone ukuba zeziphi ezi ntlobo ze-fistula. Kukho iintlobo ezimbini eziphambili, kuxhomekeke ekubeni i-fistula yakheka phi.

I-Fistula yesini ye-genitourinary

Oku kubhekiselele kwi-fistula eyenzeka phakathi kwelungu lobufazi okanye isibeleko kunye namalungu omzimba kwinkqubo yakho yomchamo. Oku kubangela ukuba umchamo uvuzele kwilungu lobufazi.

• I-Vesicovaginal fistula: Olu lolona hlobo luxhaphakileyo. Kulapho kuvela khona umngxuma phakathi kwelungu lobufazi kunye nelungu lesinyi, apho umchamo uqokelelana khona. Emva koko, umchamo ovela kwisinyi uqala ukuvuza ungene kwilungu lobufazi.
• I-Ureterovaginal fistula: Oku kubizwa ngokuba kukudibana phakathi kwee-ureters ezithwala umchamo ukusuka kwizintso zakho ukuya kwisinyi sakho nakwilungu lobufazi.
• I-Urethrovaginal fistula: I-fistula inokukhula phakathi kwe-urethra, umbhobho othwala umchamo ukusuka kwisinyi ukuya ngaphandle komzimba, kunye nelungu lobufazi.

I-fistula yokugaya ukutya

Olu hlobo lwemeko lubandakanya unxibelelwano phakathi kwelungu lobufazi kunye namalungu enkqubo yakho yokugaya ukutya, okuvumela indle ukuba idlule kwilungu lobufazi.

• I-fistula engasemva: Le ngumngxuma ophakathi kwelungu lobufazi kunye ne-rectum, apho indle inokungena khona kwilungu lobufazi.
• I-Colovaginal fistula: Eli ligama elinikwe unxibelelwano phakathi kwelungu lobufazi kunye ne-colon.
• I-fistula ye-Enterovaginal: Kule nto, i-fistula iyenzeka phakathi kwelungu lobufazi kunye namathumbu amancinci.

Zithini iimpawu ze-vaginal fistula?

I-fistula yesini ayisoloko ibangela iintlungu. Iimpawu zixhomekeke kwizinto ezifana nendawo ekuyo i-fistula kunye nobukhulu bayo. Khangela ezi mpawu:

• Ukungakwazi ukuzibamba komchamo: Ngaba ngempazamo uyavuza umchamo xa ukhohlela, uhleka, okanye uphakamisa into ethile? Okanye uziva ngathi isini sakho sihlala simanzi?
• Ukudumba nokurhawuzelelwa lusu olujikeleze i-vagina, i-vulva, okanye i-anus: Oku kungakhululeki kunokubakho ngenxa yokufuma okungaguqukiyo.
• Intlungu ngexesha lokwabelana ngesondo (iDyspareunia).
• Usulelo oluqhelekileyo lwendlela yomchamo (UTIs), usulelo lwezintso, okanye usulelo lwangasese (vaginitis).
• Ukuphuma kwamanzi kwilungu lobufazi okunuka kakubi.
• Ukungakwazi ukuzibamba okanye umoya.
• Ukopha okuphuma kwi-rectum okanye kwi-vaginal.

Ukuba unenye okanye ngaphezulu kwezi mpawu, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngaphandle kokuba neentloni okanye ukoyika, kuba kukho unyango olufanelekileyo lwesi sifo.

Ngaba ungaziva okanye ubona i-fistula yesibeleko?

Hayi, awunakuyiva i-fistula ngeminwe yakho. Kwaye usenokungayiva ntlungu. I-fistula ayibonakali ngaphandle. Ugqirha uza kwenza uvavanyo ukuze afumanise ukuba iphi kanye kanye.

Kutheni le nto i-fistula yesini isenzeka?

Eyona nto iphambili kukuba ukuhanjiswa kwegazi kwizicubu zelungu lobufazi kuyancipha, kwaye izicubu ziyafa okanye zonakale. Lo monakalo ubangela ukuba kubekho umngxuma, obizwa ngokuba yi-fistula. Oku kungenzeka kwiintsuku ezimbalwa okanye kuthathe iminyaka. Kunqabile kakhulu ukuba umntu azalwe ene-fistula.

Makhe sijonge izizathu ezimbalwa eziphambili:

• Ukuzala ixesha elide: Le yeyona nto ixhaphakileyo kumazwe asakhasayo. Ukuba umntwana uthatha ixesha elide ukuzalwa, inokubangela uxinzelelo kwizicubu zesini kwaye iphazamise ukuhamba kwegazi.
• Ukukrazuka kwesini okanye i-episiotomy ngexesha lokubeleka: Ngamanye amaxesha, kwenziwa isilonda esincinci kwisini ukuze kube lula ukuzala, esibizwa ngokuba yi-episiotomy. Ukuba la manxeba awapholi kakuhle, i-fistula inokukhula.
• Utyando lwesisu okanye lwe-pelvic: I-Fistula ayifumaneki rhoqo emva kotyando olufana notyando lwe-cesarean (C-sections) kunye ne-hysterectomies.
• Umhlaza wesisu se-pelvic: Iimeko ezinje ngomhlaza womlomo wesibeleko okanye umhlaza we-colorectal.
• Iimeko ezingapheliyo zokudumba kwenkqubo yokugaya ukutya (Izifo zokudumba kwamathumbu - IBD):Imizekelo ibandakanya isifo sikaCrohn kunye ne -ulcerative colitis .
• Usulelo lwamathumbu amakhulu: olufana ne-diverticulitis.
• Unyango lwemitha kwindawo ye-pelvic.
• Ingozi okanye ukwenzakala okuthile.

Ingaba i-fistula sisifo esidluliselwa ngesondo (STD)?

Hayi. I-fistula yesini ayilosulelo oludluliselwa ngesondo (STI). Musa ukuyibhidanisa loo nto nosulelo oludluliselwa ngesondo (STI).

Ngubani osengozini enkulu yokufumana i-fistula yesibeleko?

Izizathu ezikhankanyiweyo ngaphambili, ezifana neengxaki ngexesha lokubeleka, utyando, kunye nosulelo, ziyandisa umngcipheko wakho wokuba ne-fistula.

Ziziphi iingxaki ezinokubakho ze-vaginal fistula?

I-fistula yesini yimeko ebangela uxinzelelo olukhulu emzimbeni nasengqondweni. Khawuthelekelele indlela ekunokuba yintloni ngayo ukuba ungavuza umchamo okanye ilindle ungaqondanga. Usenokuziva uneentloni ukuya phambi kwabanye.

Ezinye iingxaki:

• Usulelo oluqhelekileyo lwendlela yomchamo, i-vaginal, okanye izintso.
• Ukuncitshiswa kwelungu lobufazi kunye ne-anus (i-Stenosis).
• I-fistula inokuphinda ivele nasemva konyango.

Ngaba i-fistula yesini ingaqhuma?

Hayi, i-fistula yesini ayisosingxobo esizele lulwelo, ngoko ke ayizukudubula. I-fistula ngumngxuma ongaqhelekanga. Izinto ezifana nomchamo kunye nendle zinokuvuza ngale mngxuma, kodwa ayisiyonto iqokelelana kwingxobo ize iqhume.

Oogqirha bayixilonga njani i-fistula yesini? (Ukuxilongwa)

Xa ubona ugqirha, uza kuqala akuphulaphule iimpawu zakho aze afunde ngazo. Emva koko uza kwenza uvavanyo lomzimba, kuquka novavanyo lwe-pelvic. Qiniseka ukuba uxelela ugqirha wakho ngazo zonke iimpawu zakho. Ngamanye amaxesha ezi mvavanyo zinokunceda ekuqinisekiseni ukuba une-fistula. Ngaphandle koko, kunokufuneka ezinye iimvavanyo.

Kuye kwenziwa iimvavanyo ezininzi ukuze kufunyanwe i-fistula:

• Ubalo lwegazi olupheleleyo (i-CBC) kunye novavanyo lomchamo: Jonga ukuba azikho na izifo.
• Uvavanyo lwedayi: Kufakwa idayi ekhethekileyo kwisinyi okanye kwi-rectum ukuze kubonwe ukuba iphuma ngelungu lobufazi.
• I-X-ray yeFistulogram: Jonga ukuba zingaphi iifistula ezikhoyo kunye nobukhulu bazo.
• I-CT urogram (i-computed tomography urogram): Thatha imifanekiso yelungu lobufazi kunye nenkqubo yomchamo.
• I-Pelvic MRI (i-magnetic resonance imaging): Jonga ngokucacileyo i-vagina kunye ne-rectum.
• I-Cystoscopy: Ityhubhu enekhamera isetyenziselwa ukujonga ngaphakathi kwesinyi kunye ne-urethra.
• I-sigmoidoscopy eguquguqukayo:I-rectum kunye nenxalenye esezantsi yamathumbu amakhulu ziyahlolwa.
• I-Colonoscopy: Ihlola amathumbu amakhulu onke kunye nangaphakathi kwe-rectum.
• I-retrograde pyelogram: Idayi kunye ne-X-ray zisetyenziselwa ukujonga ukuvuza phakathi kwelungu lobufazi kunye ne-urethra.

Ziziphi iindlela zonyango lwe-fistula yesini?

Unyango luxhomekeke kwindawo kunye nohlobo lwe-fistula.

Amatyala okuphiliswa ngaphandle kotyando

Ezinye iifistula ezincinci, ingakumbi ezo zichaphazela isinyi, zinokuphiliswa ngaphandle kotyando. Ngenxa yesi sizathu:

• Ii-antibiotics: Ukulawula usulelo, ukuba lukhona. Kukwanikwa namayeza esifo samathumbu esidumbileyo (IBD).
• Ukufakwa kwe-catheter okwethutyana: Oku kunceda ekukhupheni umchamo de i-fistula ye-vesicovaginal iphole, okuvumela i-fistula ukuba iphole.
• Iistenti zomchamo: Ezi zibekwe ukuze kugcinwe i-fistula ebandakanya ii-ureters ivulekile de iityhubhu ziphiliswe.

Unyango ngotyando

Amaxesha amaninzi, kufuneka utyando ukuze kuvalwe i-fistula. Zininzi iindlela ugqirha anokukwenza ngazo oku, kuxhomekeke kuhlobo lwe-fistula. Olu tyando lungenziwa nge-vagina, ngokusikwa okuncinci esiswini kusetyenziswa ikhamera kunye nezixhobo (nge-Laparoscopically okanye nge-Robotically), okanye nge-anus.

Ugqirha angasebenzisa izicubu zakho, izicubu ezenziwe kwilebhu, okanye i-mesh ekhethekileyo (i-surgical mesh patch) ukuvala umngxuma.

Iindaba ezimnandi zezokuba abafazi abali-9 kwabali-10 abane-fistula yesibeleko bayachacha ngokupheleleyo emva kotyando!

Kwenzeka ntoni emva kokuba i-fistula engasemva kwesibeleko iphiliswe?

Ukuba une-fistula enkulu phakathi kwelungu lakho lobufazi kunye nenxalenye yenkqubo yakho yokugaya ukutya, njenge-anus yakho, kwaye ilungiswa ngotyando, kunokufuneka wenze i-ostomy yexeshana.

• Kwimeko enjalo, ugqirha wenza umngxuma omncinci (stoma) esiswini sakho (esiswini).
• I-colostomy yamathumbu amakhulu kunye ne-ileostomy yamathumbu amancinci zidibene nale ndawo ivulekileyo, nto leyo evumela isitulo ukuba siphume emzimbeni ngayo.
• Ingxowa incamatheliswe ngaphandle komzimba ukuze kuqokelelwe isitulo. Abasebenzi bezonyango baza kukufundisa indlela yokutshintsha le ngxowa kunye nendlela yokugcina i-stoma icocekile.
• Emva kokuba i-fistula ipholile ngokupheleleyo, olunye utyando luya kubuyisela amathumbu kwi-anus kwaye luvale i-stoma.

Linjani ixesha lokuchacha emva kotyando lwe-vaginal fistula?

Ezi zinto ziya kukunceda uphile ngokukhawuleza emva kotyando:

• Sebenzisa amayeza okubulala iintsholongwane kanye njengoko kuyalelwe ukuze uthintele usulelo.
• Musa ukulala nomntu, ukusebenzisa ii-tampons, okanye ukufaka nantoni na kwisini de ugqirha wakho akunike imvume.
• Ukuze uthintele ukuqhina kunye norhudo, yitya ukutya okunefayibha eninzi kwaye usele amanzi amaninzi. Ukuba kuyimfuneko, buza ugqirha wakho malunga nokusela amayeza okuhambisa isisu okanye izinto zokuthambisa isitulo.

Ngaba i-fistula yesini ingaziphilisa ngokwayo?

Ewe. Ngamanye amaxesha, i-vesicovaginal fistula encinci okanye i-rectovaginal fistula ingaziphilisa ngokwayo ngee-antibiotics kunye ne-catheter (inika i-fistula ixesha lokuphiliswa).

Ngaba i-fistula yesini ingathintelwa?

Kudla ngokuba nzima ukuthintela ukuphuhliswa kwe-fistula yesini. Nangona kunjalo, ungazazi ezinye zezinto ezibangela ukuphuhliswa kwe-fistula kwaye uzame ukuzilawula. Umzekelo:

• Ukuba unezigulo ezihlala ixesha elide ezifana nesifo sikaCrohn okanye i-ulcerative colitis , zilawule kakuhle.
• Ukuba unesifo se-pelvic, funa unyango ngokukhawuleza kwaye ulandele imiyalelo yonyango oyinikwe ngugqirha wakho ngokuchanekileyo.
• Qhubeka ufumana unyango ngaphambi kokukhulelwa. Oku kuya kunceda ekuchongeni iingxaki ezinokulibazisa ukuzala.
• Ukuba utyando, olufana notyando lwe-hysterectomy, khetha ugqirha onamava kule nkqubo. Oku kunokunceda ukunciphisa umngcipheko wokuba ne-fistula.

Iyintoni imbono yabasetyhini abane-fistula yesini?

Unyango lotyando luphumelele kakhulu. Uninzi lwabasetyhini luyaphola ngokupheleleyo kwaye baphila ubomi obuqhelekileyo ngaphandle kweempawu.

Nangona kunjalo, ezinye iifistula zisenokungaphili kakuhle okanye ziphinde zibuye emva konyango. Oku kuyinyani ngakumbi ukuba unomhlaza okanye isifo sikaCrohn. Ukuphila neempawu zefistula ngaphandle konyango kunokukhokelela ekudandathekeni okanye ekuxhalabeni.

Ndifanele ndimbone nini ugqirha?

Bona ugqirha ngokukhawuleza ukuba unenye yezi mpawu ze-fistula yesini:

• Ukukhupha ilindle okanye umchamo kwisini.
• Intlungu ngexesha lokwabelana ngesondo.
• Intlungu yesisu, umkhuhlane, isicaphucaphu, okanye urhudo.

Ngoobani oogqirha abanyanga i-fistula yesini?

Ngokuxhomekeke kuhlobo lwe-fistula onayo, omnye okanye ngaphezulu kwaba gqirha baya kunyanga:

• Ingcali yezifo zabesifazane
• Ingcali yoMchamo
• Ingcali yezifo zomchamo
• Ugqirha wotyando lwe-colorectal

Ndingayibuza ntoni ugqirha?

Ungabuza le mibuzo xa ubona ugqirha wakho:

• Ndiyifumene njani le fistula yesibeleko?
• Loluphi uhlobo lwe-fistula yesibeleko endinalo?
• Ndingazinyamekela njani ukuba ndine-fistula?
• Ziziphi iindlela zonyango endinazo?
• Ziziphi iingxaki ezinokubakho xa utyando?
• Ngaba kukho izinto endinokuzenza ukuthintela i-fistula yesibeleko ukuba ingaphindi ivele?

Umyalezo Wokuya Ekhaya

I-fistula yesini yimeko enokubangela iimpawu ezingathandekiyo nezibangela iintloni, ingakumbi ukungakwazi ukuzibamba. Le ngozi inokwandiswa ngokubeleka ixesha elide okanye utyando lwe-pelvic. Nangona kungenzeki rhoqo ukuthintela i-fistula, kubalulekile ukufuna uncedo lwezonyango ngokukhawuleza xa kuvela iimpawu.

Khumbula, awuwedwa. Kukho unyango olusebenzayo kakhulu kwesi simo. I-fistula encinci ngamanye amaxesha inokuphola ngaphandle kotyando. Amathuba okuchacha ngokupheleleyo emva kotyando nawo aphezulu. Ngoko ke, ungoyiki okanye ube neentloni ukuthetha nogqirha wakho ngale nto. Ngonyango lwangethuba, ungaphila kungekudala!

I- fistula yesini, impilo yabasetyhini, ukuchama, ukukhupha isisu, i-gynecology, utyando, ukuzala