Ngaba ngamanye amaxesha uziva ngathi awukwazi ukulawula umzimba wakho? Ndiyaqonda ukuba kunokuba yintloni kwaye kuhlazise kangakanani, ingakumbi xa ngengozi uvuza umchamo omncinci nokuba uzama kangakanani na. Xa impahla yakho yangaphantsi ihlala imanzi kwaye uziva ngathi unuka kakubi, awufuni nokujongana noluntu. Le yingxaki abafazi abaninzi abajongene nayo buthule, kodwa abafuni ukuthetha ngayo. Kodwa ungakhathazeki, awuwedwa. Namhlanje siza kuthetha ngemeko yezonyango enokubangela oku, ebizwa ngokuba yiVesicovaginal Fistula (VVF).
Yintoni kanye kanye iVesicovaginal Fistula (VVF)?
Ngamafutshane, i-Vesicovaginal Fistula (VVF) ngumngxuma ongaqhelekanga okanye unxibelelwano phakathi kwesinyi sakho kunye nelungu lobufazi . Cinga ngayo, ngesiqhelo umchamo kwisinyi sethu uphuma emzimbeni nge-urethra. Yindlela eyiyo leyo.
Kodwa xa le meko ye-VVF isenzeka, kuba ngathi kukho "indlela emfutshane" entsha phakathi kwesinyi kunye nelungu lobufazi. Lo mngxuma yinto esiyibiza ngokuba yi-fistula. Ngenxa yalo mngxuma, umchamo othile kwisinyi awuhambi ngendlela eyiyo, kodwa endaweni yoko uqala ukuvuza ngale ndlela imfutshane intsha, edlula kwilungu lobufazi, ngaphandle kokuqaphela. Ngamanye amaxesha oku kunokuba bubumanzi obuncinci, okanye ngamanye amaxesha kungaba kukuhamba komchamo rhoqo.
Nangona le yingxaki yomzimba, uxinzelelo lwengqondo oluyibangelayo alubalulekanga kangako. Kodwa iindaba ezimnandi zezokuba le meko idla ngokupheliswa ngokupheleleyo ngotyando. Ugqirha wakho kunye neqela lezonyango bahlala bekulungele ukukunika unyango kunye nenkxaso oyifunayo.
Ziziphi iimpawu eziqhelekileyo zale meko?
Umntu one-VVF unokufumana iimpawu ezahlukeneyo. Ezi mpawu zinokwahluka ngokuxhomekeke kubukhulu bomngxuma kunye nezinye izinto. Ukuba ufumana naziphi na kwezi mpawu, kubalulekile ukubona ugqirha ngokukhawuleza.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukungakwazi ukuzibamba komchamo | Olu lolona phawu luphambili nolucacileyo. Awunakukwazi ukululawula, umchamo uphuma nje kwilungu lobufazi. |
| Ukumanzisa rhoqo impahla yangaphantsi | Ukuba impahla yakho yangaphantsi ivakala ifumile nasemva kokuba uye kwigumbi lokuhlambela, oko kungaba luphawu lwesi sifo. |
| Ukukhupha ulwelo okanye ivumba elingaqhelekanga kwilungu lobufazi | Umchamo unokubangela utshintsho kwindawo yelungu lobufazi, nto leyo ebangela ukukhupha amanzi okanye ivumba elibi. |
| Ukudumba/ukurhawuzelela kwilungu lobufazi okanye kwindawo engqongileyo | Ukudibana rhoqo nomchamo kunokubangela ukuba isini kunye nolusu olujikelezileyo (i-vulva) lube bomvu, luvuvuke, kwaye lurhawuzelele. |
| Intlungu ngexesha lokwabelana ngesondo | Le meko inokwenza ukuba ukulala ngesondo kube ngamava abuhlungu. |
| Ukwenzeka emva kotyando | Kwiimeko ezininzi, ukuba oku kuvuza komchamo kuqala iveki enye okanye ezimbini emva kotyando lwesisu (umz., i-hysterectomy), kusenokwenzeka ukuba kungenxa ye-VVF. |
Zithini izizathu ze-VVF?
I-VVF yenzeka xa izicubu eziphakathi kwesinyi kunye nelungu lobufazi zonakele kwaye zifa. Lo monakalo emva koko wenza umngxuma. Kukho izizathu ezininzi eziphambili zalo monakalo.
- Utyando lwePelvic: Le yeyona nto ibangela i-VVF kumazwe afana neli lethu. Ingakumbi ngexesha lotyando lwe-hysterectomy kunye notyando lwesinyi, ezi zicubu zinokonakala ngempazamo. Oku akusiyo impazamo kagqirha, kodwa yingxaki enokwenzeka ngexesha lotyando.
- Umsebenzi Othintelweyo:Xa umntwana ebeleka nzima, apho umntwana ezelwe kade kakhulu, intloko yomntwana ingacinezela kakhulu izicubu eziphakathi kwesinyi kunye nelungu lobufazi, inqande ukuhamba kwegazi ukuya kuloo ndawo kwaye ibangele ukuba izicubu zife. Lo mngxuma ungenziwa kwaye umchamo ungaqala ukuvuza emva kweentsuku ezimbalwa umntwana ezelwe. Nangona esi sizathu sehlile kancinci ngenxa yezibonelelo zonyango eziphuculweyo eSri Lanka, umngcipheko awukapheli ngokupheleleyo.
- Iimeko zomhlaza kunye nonyango: Iimeko ezifana nomhlaza womlomo wesibeleko kunye nomhlaza wesinyi nazo zinokubangela i-VVF. Kwakhona, unyango lwemitha yomhlaza lunokwenza buthathaka izicubu kwaye lubangele ukuba olu hlobo lwemingxunya lwenzeke ngokuhamba kwexesha.
Ngaba zikho ezinye iingxaki ezinokuvela koku?
Ukuba i-VVF ayinyangwa kakuhle, ezinye iingxaki zempilo zinokubakho.
- Usulelo oluphindaphindayo: Ngenxa yokuba umchamo uhlala uvaleleke kwilungu lobufazi, usulelo lomchamo (UTIs) kunye nosulelo lwelungu lobufazi lunokwenzeka rhoqo.
- Ithumba okanye Usulelo: Ukuba alunyangwa, usulelo lunokuba nzima kakhulu luze lube lithumba, nto leyo enokuba yingozi ebomini.
- Ukuphinda-phinda kwanasemva konyango: Ngamanye amaxesha, kwanasemva kotyando, kukho ithuba elincinci lokuba le fistula iphinda ivele.
- Iingxaki zengqondo nezentlalo: Ukuchama rhoqo kunye nokuphefumla kakubi kunokukwenza kube nzima ukuba udibane nabantu, ukuya kwimicimbi, okanye ukuba nosapho. Oku kunokukhokelela ekudandathekeni nasekuzihlukaniseni nabantu.
Ukuba uziva uxinezelekile ngale meko, ungathandabuzi ukuthetha nogqirha okanye ingcali yezempilo yengqondo ngayo. Ibaluleke kakhulu.
Ugqirha uyifumana njani le nto?
Xa usiya kugqirha, baza kuqala bakubuze ngeempawu zakho, utyando lwangaphambili, kunye nembali yokuzala. Emva koko baza kwenza uvavanyo lomzimba kunye novavanyo lwe-pelvic. Ukuqinisekisa oku kunye nokucwangcisa utyando, ugqirha uza kugqiba ekubeni enze uvavanyo oluthile olukhethekileyo.
| Uvavanyo | Kwenzeka ntoni nje |
|---|---|
| Uvavanyo lweDayi | Ugqirha uza kufaka idayi eluhlaza okwesibhakabhaka kwisinyi sakho aze akucele ukuba ufake i-tampon kwisinyi sakho. Ukuba i-tampon ijika ibe luhlaza okwesibhakabhaka emva kwexesha elithile, oko kuthetha ukuba umchamo uphuma kwisinyi sakho uye kwisinyi sakho, oko kuthetha ukuba une-VVF. |
| I-Cystoscopy | Kule nto, kufakwa ityhubhu encinci enekhamera ecaleni kwe-urethra ukuze kubonwe ngaphakathi kwesinyi kunye nendawo evulekileyo ye-fistula. |
| I-CT Urogram | Olu luvavanyo olukhethekileyo lwe-CT scan. Kufakwa idayi yomahluko emzimbeni kwaye kuthathwe imifanekiso eneenkcukacha zenkqubo yomchamo (izintso, isinyi). |
| Ezinye iimvavanyo | Ngamanye amaxesha i-MRI scan okanye uvavanyo lwe-speculum lunokwenziwa phantsi kwe-anesthesia. |
Zithini iindlela zonyango zoku?
Unyango oluphambili noluphumelele kakhulu lutyando . Utyando lusetyenziselwa ukuvala umngxuma.
I-fistula encinci kakhulu, esandul’ ukwakheka ngamanye amaxesha inokuphola yodwa ngaphandle kotyando, ngokugcina i-catheter ye-Foley endaweni yayo iiveki ezimbalwa nokunika isinyi ukuphumla. Nangona kunjalo, oku kunqabile kakhulu.
Abantu abaninzi badinga utyando. Olu tyando lungenziwa ngendlela yabasetyhini okanye ngokusikwa esiswini (ngesisu) . Ngamanye amaxesha, utyando lwe-keyhole, olufana ne-laparoscopy, lungasetyenziswa. Ugqirha wakho uza kuxoxa nawe ngotyando olulungele wena.
Emva kotyando, kuya kufuneka ube ne-catheter yomchamo kangangeeveki ezimbini ukuya kwezintathu. Oku kwenzelwa ukunika indawo yotyando ixesha lokuphola ngaphandle koxinzelelo. Emva kwelo xesha, ugqirha uya kuyisusa i-catheter emva kokujonga ukuba i-fistula ipholile kakuhle na.
Kuthatha ixesha elingakanani ukuphola emva kotyando?
Kuthatha malunga neeveki ezi-6 ukuya kwezi-8 ukuze umntu aphile ngokupheleleyo emva kotyando lwe-VVF.Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngononophelo ngeli xesha. Ngokwesiqhelo, uya kucetyiswa ukuba uphephe oku kulandelayo ngeli xesha:
- Ukwabelana ngesondo: Ufanele uphephe ukwabelana ngesondo ude indawo yotyando iphole ngokupheleleyo.
- Ukuphakamisa iintsimbi: Kuphephe ukuphakamisa izinto ezinzima nokwenza umthambo onzima.
- Imisebenzi enzima: Kubalulekile ukuphepha ukwenza nantoni na eyenza umzimba uzive udiniwe.
Ukuphumla ngale ndlela kuya kunceda kakhulu ukuba inxeba lotyando liphiliswe kakuhle kwaye kuthintele ezinye iingxaki.
Kwizibhedlele ezinamava ezenza olu hlobo lotyando rhoqo, abantu abangama-85-95 kwabangama-100 baphiliswa ngokupheleleyo emva kotyando lokuqala. Oku kuthetha ukuba ukuhamba komchamo kuyayeka ngokupheleleyo. Abanye abantu banokufuna utyando lwesibini. Kuxhomekeke kwizinto ezifana nobukhulu be-fistula, indawo ekuyo, kunye nempilo yakho iyonke.
Umyalezo Wokuya Ekhaya
- I-Vesicovaginal fistula (VVF) ngumngxuma ongaqhelekanga phakathi kwesinyi sakho kunye nelungu lobufazi, onokubangela ukuba uvuza umchamo ngelungu lobufazi lakho ngaphandle kokulawula.
- Asikuko oku okubangela ingxaki yakho . Le meko inokubangelwa zizizathu ezifana notyando olufana nokususwa kwesibeleko okanye ubunzima bokuzala.
- Asinto yokuba neentloni kwaye ubandezeleke yiyo. Kukho unyango olusebenzayo kakhulu koku . Unyango oluphambili kukuvala umngxuma ngotyando.
- Ukuba unale mpawu, ungoyiki okanye ungathandabuzi ukubona ugqirha ngoko nangoko . Okukhona uqala unyango ngokukhawuleza, kokukhona iziphumo ziya kuba nempumelelo.
- Ukuba uziva uxinezelekile ngenxa yale meko, kubalulekile ukuthetha nogqirha wakho okanye nomcebisi wezempilo yengqondo ngayo. Awuwedwa.
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