Ngaba nawe ufumana ukuvuza komchamo ngokungazi? Oku kusenokuba yimeko yeVesicovaginal Fistula!

Ngaba ngamanye amaxesha ukhe uzibuze, "Kutheni ndivuza umchamo ndingazi nokuba yintoni?" Kunokuba buhlungu kakhulu, ingakumbi emva kotyando okanye ngenye ingxaki yempilo? Nangona oku kudla ngokuba yingxaki ebangela iintloni nengathethekiyo, kubalulekile ukuyiqonda. Le ayisiyongxaki incinci nje, kodwa yimeko enokufuna unyango.

Yintoni iVesicovaginal Fistula?

Ngamafutshane, i-fistula ngumngxuma okanye umngxuma owakheka phakathi kwamalungu amabini omzimba wethu, ngesiqhelo phakathi kweendawo ezimbini ezingafanelanga ziqhagamshelwe. Cinga ngayo njengomngxuma owakheka ngequbuliso eludongeni olwahlula amagumbi amabini. Kunokubakho izizathu ezininzi zokuba olu hlobo lwe-fistula lwenzeke. Umzekelo, inokuba ngenxa yosulelo, ukwenzakala, okanye ukudumba kwindawo ethile emzimbeni. Oku kunokwenzeka kwiindawo ezahlukeneyo zomzimba.

I-Vesicovaginal fistula, okanye i-VVF ngamafutshane, lunxibelelwano olungaqhelekanga okanye umngxuma phakathi kwesinyi sakho (ingxowa apho umchamo uqokelelana khona) kunye nodonga lwesinyi sakho. Kufana nomngxuma omncinci owenzeka phakathi kwesinyi sakho kunye nesinyi sakho. Oku kubangela ukuba umchamo ovela kwisinyi sakho uphume nge-vaginal yakho. Ngamanye amaxesha kunokuba kukuvuza okuncinci kakhulu, okumanzi. Kodwa ukuba i-fistula inkulu, inokubangela ukuvuza komchamo rhoqo .

Le ayisiyongxaki yempilo imbi nje kuphela, kodwa inokuba yingxaki enkulu. Ingangonwabisi, ibe neentloni, kwaye ngamanye amaxesha ibe nevumba elibi xa uchama. Yiyo loo nto abantu abaninzi bengafuni ukuthetha ngayo, kodwa kungcono ukubona ugqirha endaweni yoko.

Kutheni oku kusenzeka? Zithini izizathu?

Usenokuba uzibuza, "Kutheni le nto yenzeka kum?" Kukho izizathu ezininzi eziphambili zoku.

• Iingxaki emva kotyando: I-Vesicovaginal fistula idla ngokuba yingxaki emva kotyando lokunyanga ingxaki kwisinyi okanye kwisini. Umzekelo, inokwenzeka emva kotyando lwe-hysterectomy okanye isinyi. Ayisiyonjongo ngexesha lotyando, kodwa ngamanye amaxesha inxeba elincinci lishiywa phakathi kwamalungu amabini kwaye alipholi kwaye linokujika libe yi-fistula. Cinga ngayo njengokukrazuka okuncinci kwisambatho okuya kukhula ngaphandle kokuba uqonde.

• Iimeko zoMhlaza weZibeleko: Le meko inokubangelwa nazizinye iintlobo zomhlaza weZibeleko. Umhlaza ngokwawo unokwenza buthathaka izicubu ezikuloo ndawo kwaye ubangele ukuba kubekho i-fistula, okanye unyango lomhlaza, olufana nonyango lwemitha, lunokubangela le meko.Oku kungenzeka nanjengesiphumo esingesosiso sotyando.

• Iingxaki ngexesha lokuzala (ingakumbi kumazwe asakhasayo): Nangona le meko ingaqhelekanga ngoku eSri Lanka, kwezinye iindawo zehlabathi, ingakumbi xa ukuzala kuthatha ixesha elide okanye ukuba kukho naziphi na iingxaki ngexesha lokuzala, i-VVF inokwenzeka ngenxa yoxinzelelo phakathi kwesinyi kunye nelungu lobufazi, olonakalisa izicubu. Oku kunxulunyaniswa nemeko ebizwa ngokuba yi -'Obstructed labor' .

• Usulelo oluqhelekileyo okanye olunzima lwendlela yomchamo: Oku kuyinto engaqhelekanga. Nangona kunjalo, usulelo olungapheliyo nolunganyangwanga lwendlela yomchamo (UTIs) ngamanye amaxesha lunokwenza buthathaka udonga lwesinyi kwaye lubangele i-fistula. Nangona kunjalo, oku akusiyo imbangela eqhelekileyo.

Oogqirha bayifumana njani le nto?

Amaxesha amaninzi, iimpawu ze-fistula zibonakala emva kweentsuku ezimbalwa emva kotyando. Eyona nto iphambili isigulane siyithethayo kukuba, "Gqirha, bendivuza umchamo omninzi kutshanje."

Xa usiya kugqirha, into yokuqala ayenzayo kukumamela ngononophelo into oyithethayo aze emva koko enze uvavanyo olucokisekileyo lwendawo leyo. Oko kukuthi, bajonga ngaphakathi kwilungu lobufazi baze bajonge naziphi na izikhewu ezinje.

Emva koko, ungacelwa ukuba wenze uvavanyo oluthile ukuqinisekisa imeko ngakumbi kwaye umisele ubungakanani obuchanekileyo kunye nendawo ye-fistula.

• Uvavanyo ngedayi ekhethekileyo: Ngamanye amaxesha, kufakwa ityhubhu kwisinyi kwaye kudlule ulwelo olunemibala (idayi) kuyo ukuze kubonwe ukuba idayi iyaphuma na kwisini. Ukuba iyaphuma, oko kuthetha ukuba kukho ifistula.
• I-X-reyi okanye i-CT Scan: Usenokucelwa ukuba uthathe i-X-reyi yesinqe sakho okanye i-CT scan (i-Computed Tomography scan). I-CT scan ingabandakanya ukufaka idayi ekhethekileyo ebizwa ngokuba yi-contrast emthanjeni okanye kwisinyi. Oku kuya kubonisa indawo echanekileyo ekuyo izicubu zengxaki kunye ne-fistula.
• I-Cystoscopy: Ugqirha unokufaka ityhubhu encinci efakwe ikhamera (ebizwa ngokuba yi-cystoscope) nge-urethra iye kwisinyi ukuze abone ngaphakathi, njengendawo kunye nobukhulu be-fistula.

Emva kwezi mvavanyo, ugqirha angakuxelela ngqo imeko onayo kunye noko kufuneka kwenziwe ngayo.

Zithini iindlela zonyango zoku?

Iindaba ezimnandi zezokuba kukho unyango olusebenzayo kwesi sifo esibizwa ngokuba yiVesicovaginal Fistula. Indlela ekuphela kwayo yokulungisa le fistula kukwenza utyando lokuvala umngxuma ongafunekiyo. Ayinakuphiliswa ngamanye amayeza kuphela.

Ngamanye amaxesha, kufuneka utyando olongezelelweyo ukulungisa ingxaki yokuqala eyabangela i-fistula, njengokonakala kwesinyi.

Ngaba utyando luphumelele?

Ixesha elininzi, utyando lokulungisa i-vesicovaginal fistula luphumelela kakhulu. Nangona kunjalo, kumntu one-fistula ngenxa yesifo esifana nomhlaza, iziphumo zisenokungabi ntle njengezinye. Kuxhomekeke kwizinto ezifana nohlobo lomhlaza kunye nendlela osabela ngayo kunyango.

Emva kotyando, kuya kufuneka ube ne-catheter endaweni yayo kangangeeveki ezimbalwa ngelixa inxeba liphola. Le yityhubhu encinci ekhupha umchamo kwisinyi sakho. Oku kuvumela umchamo ukuba uphume kwisinyi sakho ngaphandle kokubangela uxinzelelo okanye ukungakhululeki kwisilonda esitsha, kwaye kunceda inxeba ukuba liphole ngokukhawuleza. Akukhululeki kancinci, kodwa kubalulekile ukuze uphile ngokukhawuleza. Ugqirha wakho uya kukuxelela ukuba kufuneka uyigcine ixesha elingakanani endaweni yayo.

Eyona nto ibalulekileyo kukuba ukuba unezi mpawu, ungabi nantloni okanye ungoyiki, kwaye ubone ugqirha ofanelekileyo ngokukhawuleza. Emva koko ingxaki ingachongwa ngokukhawuleza kwaye unyango olufunekayo lunokuqaliswa.

Okokugqibela, kufuneka ndikuxelele... (Umyalezo Wokuya Ekhaya)

Nazi ezinye izinto ekufuneka uzikhumbule:

• I-Vesicovaginal fistula lunxibelelwano olungaqhelekanga phakathi kwesinyi kunye nelungu lobufazi, olunokubangela ukuba umchamo uvuza ngaphakathi kwilungu lobufazi.
• Isizathu esiphambili soku ziingxaki emva kotyando lwe-pelvic. Iimeko zomhlaza kunye nonyango lwe-radiation nazo zinokuba zizizathu.
• Ukuba uneempawu ezifana nokuchama ngokungazi, ukumanzi rhoqo, kunye nevumba elibi, qiniseka ukuba ubona ugqirha.
• Le meko inokunyangeka ngokupheleleyo ngotyando, ngoko ke ungakhathazeki.
• Kubaluleke kakhulu ukulandela imiyalelo kagqirha ngqo ukuze uphile ngokukhawuleza.

Ndiyathemba ukuba olu lwazi luza kukunceda. Khumbula, luxanduva lwakho ukunyamekela impilo yakho.

I- Vesicovaginal Fistula, Indlela Yokuchama, Ilungu Lesini, Isinyi, Impilo Yabasetyhini, Utyando, I-Fistula, I-VVF, Indlela Yokuchama