Ingabe kukhona ukuxhumana okungajwayelekile phakathi kwendunu yakho nesitho sangasese sowesifazane? (I-Rectovaginal Fistula) Ake sixoxe ngakho!

Ingabe ngezinye izikhathi uzizwa sengathi kukhona into engajwayelekile noma engakhululekile endaweni yakho yesitho sangasese sowesifazane? Kungaba yinto ehlazisayo kancane ukukhuluma ngayo, kodwa futhi kungaba yinto ebuhlungu. Namuhla sizokhuluma ngesihloko esibucayi kancane, kodwa singabaluleka kubantu abaningi. Okungukuthi, ukuxhumana okungavamile phakathi kwendunu nesitho sangasese sowesifazane, isimo esibizwa ngokuthi (i-Rectovaginal Fistula) ngokwezokwelapha.

Kuyini lokhu (i-Rectovaginal Fistula)? Masikuqonde kalula!

Kulungile, manje ake sibone ukuthi iyini le (i-Rectovaginal Fistula). Kalula nje, lena imbobo entsha efana nethubhu eyakheka phakathi kwe-rectum yakho - ingxenye yamathumbu akho amakhulu (ikholoni) esuka endunu yakho iye e-rectum yakho - kanye nesitho sakho sangasese sowesifazane. Cabanga ngakho, lezi zitho ezimbili zisondelene kakhulu emzimbeni. Ngokuvamile, akukho ukuxhumana phakathi kwalezi zitho ezimbili. Kodwa-ke, uma ngesizathu esithile izicubu eziphakathi kwalezi zitho zonakala futhi zifa, kwakheka imbobo, noma njengoba siyibiza kanjalo , i-fistula .

Uma i-fistula yakheka ngale ndlela, indle kanye negesi elivela e-rectum yakho kuqala ukungena esithweni sakho sangasese sowesifazane. Lesi yisimo esingathandeki neze. La ma-fistula angafika ngosayizi nokwakheka kwawo wonke. Amanye angaba mancane, kanti amanye angaba makhulu.

Lesi simo singakubangela ubuhlungu nobunzima ekwenzeni imisebenzi yansuku zonke. Kodwa into engcono kakhulu ukuthi siyelapheka, futhi ezimweni eziningi, singelapheka ngokuhlinzwa. Ithimba lakho lezokwelapha likulungele ukukunikeza ukwelashwa neseluleko osidingayo.

Ingabe nawe unalezi zimpawu? (I-Rectovaginal Fistula) Izimpawu Ezivamile

Manje ake sibone ukuthi yiziphi izimpawu ezivame kakhulu zalesi simo (i-Rectovaginal Fistula). Uma unesinye noma ngaphezulu kwalezi, kufanele nakanjani ubone udokotela.

• Ukuphuma koketshezi olunuka kabi esithweni sangasese sowesifazane: Lokhu kuyinto abantu abaningi abayibona kuqala.
• Ukuphuma komoya noma igesi esithweni sangasese sowesifazane: Lolu uphawu oluyinhloko nolusobala kakhulu lwalesi simo.
• Ubuhlungu ngesikhathi socansi (i-Dyspareunia): Lokhu kuyinkinga futhi kubantu abaningi.
• Ubuhlungu endaweni yesitho sangasese sowesifazane: Lokhu kungaba ubuhlungu obuqhubekayo esiswini esingezansi.
• Ukopha okuvela endukwini noma esithweni sangasese sowesifazane: Ngezinye izikhathi lolu hlobo lokopha lungabonakala.

Uma unezinye zalezi zimpawu, sicela ubonane nodokotela ngokushesha, ngoba lesi simo singaholela ezinkingeni ezengeziwe uma singelashwa.

Kungani lokhu kwenzeka? (I-Rectovaginal Fistula) Izimbangela

I-fistula yangemuva kokuzala ivame ukwenzeka lapho izicubu eziphakathi kwesitho sangasese sowesifazane nendunu zonakele futhi zifa. Yilapho kwakheka khona imbobo, noma i-fistula. Ingakhula ezinsukwini ezimbalwa, noma ingakhula kancane kancane eminyakeni.

Kunezizathu eziningana ezingaholela ekuthuthukisweni kwe-Rectovaginal Fistula. Ake sibheke ukuthi ziyini:

• Ukulimala ngesikhathi sokubeletha: Lokhu kuvame ukuba imbangela enkulu yalesi simo. Lolu hlobo lwe-fistula lungavela lapho isitho sangasese sowesifazane sidabukile (ukudabuka kwesitho sangasese sowesifazane) noma inxeba le-episiotomy lingapholi kahle ngesikhathi sokubeletha. Ngezinye izikhathi, lokhu kungenzeka kakhulu uma ukubeletha kunzima kancane, noma uma kusetshenziswa amathuluzi.
• Izinkinga ze-Diverticulitis: Uma izikhwama ezincane (i-diverticulum) ezakheka odongeni lwekholoni lakho zitheleleka futhi zakha ithumba, zingasakazeka futhi zilimaze udonga lwesitho sakho sangasese sowesifazane, zakhe i-fistula.
• Izifo Zamathumbu Ezivuvukalayo (IBD): Izifo ezifana nesifo sikaCrohn kanye ne-ulcerative colitis zingalimaza izicubu ze-rectum kanye nesitho sangasese sowesifazane, okuholela ekwakhekeni kwe-fistula.
• Ukuhlinzwa kwesisu noma kwe-pelvic: Ngesikhathi sokuhlinzwa okuthile, njengokuhlinzwa kwe-hysterectomy, i-hemorrhoidectomy, ukuhlinzwa kwe-J-pouch, noma ukuhlinzwa kwe-pelvic organ prolapse, i-fistula ingavela uma i-rectum noma i-vagina yonakele ngengozi, noma uma amanxeba engapholi kahle ngemva kokuhlinzwa.
• Umdlavuza: Ama-fistula anjengalawa angavela futhi ngenxa yomdlavuza wesibeletho noma umdlavuza we-colorectal. Siwabiza ngokuthi ama-fistula abulalayo .
• Ukwelashwa ngemisebe endaweni ye-pelvic: Uma ukwelashwa ngemisebe kunikezwa izinto ezifana nomdlavuza, kungabangela umonakalo wesikhathi eside ezicutshini ezikuleyo ndawo, kunciphise ikhono lazo lokuphulukisa, futhi kubangele ukwakheka kwe-fistula.
• Ukulimala ngesikhathi socansi noma okuvela kwenye into yangaphandle: Ngezinye izikhathi i-fistula ingavela uma isitho sangasese sowesifazane noma i-anus ilimele kakhulu ngesikhathi socansi, noma uma into engeyona eyemvelo ifakwa esitho sangasese sowesifazane.
• Ukutheleleka: Ukutheleleka kwezindlala zendunu noma izindlala zeBartholin ngezinye izikhathi kungabangela i-fistula.

Akuvamile kakhulu ukuthi umuntu azalwe ene-fistula ye-rectovaginal. Odokotela babiza lokhu ngokuthi i-RVF yokuzalwa .

Yimiphi imiphumela engemihle engaba khona ngenxa yalokhu?

Uma i-fistula ye-rectovaginal ingelashwa kahle, ingaholela ezinkingeni eziningi. Yingakho kubalulekile ukufuna iseluleko sezokwelapha ngokushesha nje lapho kuvela izimpawu.

• Ithumba noma ukutheleleka: Lokhu kungaba yingozi empilweni uma kungelashwa.
• Ukuphinda kwe-fistula: Ngezinye izikhathi lesi simo singaphinde sibuye ngisho nangemva kokwelashwa.
• Ukuvuvukala nokulunywa kwesitho sangasese sowesifazane, i-vulva, i-perineum, noma i-anus.
• Ukutheleleka okuvamile komgudu womchamo (UTIs) noma i-vaginitis.

Ngaphezu kwalokhu kungakhululeki ngokomzimba, i-Rectovaginal Fistula ingaba nomthelela omkhulu empilweni yakho yengqondo. Lokhu kungakwenza uzizwe ukhathazekile futhi uhlukaniswe nabantu. Uma uzizwa ngale ndlela, kubalulekile ukufuna usizo kuchwepheshe wezempilo yengqondo.

Udokotela ukubona kanjani lokhu?

Uma uya kudokotela, uzoqala ngokukubuza ngezimpawu zakho kanye nomlando wezokwelapha. Bese bezokwenza ukuhlolwa ngokomzimba kanye nokuhlolwa kwesinqe.

Okulandelayo, bazoyala ukuhlolwa okuningana okukhethekile ukuqinisekisa ukuthi une-fistula yangemuva kokuzala, ukuthola imbangela (uma ingaziwa kahle), kanye nokunquma ubukhulu be-fistula.

Ezinye zezivivinyo ezenziwe ngale njongo yilezi:

• I-Endoscopy: Ukuhlolwa okufana ne-colposcopy kanye/noma i-proctosigmoidoscopy kusetshenziselwa ukuthola i-fistula. Lokhu kuhilela ukufaka ipayipi elinekhamera e-rectum.
• Ukuhlolwa ngaphansi kwe-anesthesia: Ngezinye izikhathi unganikezwa i-anesthesia ukuze uhlole i-fistula eduze.
• Inani Eliphelele Legazi (i-CBC) kanye nokuhlolwa komchamo: Hlola ukutheleleka.
• I-MRI noma i-CT scan yendawo ye-pelvic: Thola izithombe ezicacile zesitho sangasese sowesifazane kanye ne-rectum.
• Ukuhlolwa Kwegazi: Uma kukhona okusolakala ukuthi lokhu kungenzeka ukuthi kungenxa yomdlavuza, kuzothathwa ingcezu yezicubu bese ihlolwa.

Yiziphi izindlela zokwelapha? Sizolulama!

Kunezinto ezintathu ezibalulekile okufanele uzicabangele lapho welapha i-fistula ye-rectovaginal:

1. Yelapha imbangela ye-fistula.

2. Ukwelapha i-fistula uqobo lwayo.

3. Ukwelapha imiphumela emibi ehambisana nayo.

Ngokubambisana, wena nodokotela wakho nizonquma uhlelo lokwelashwa olulungele wena.

Ngokuvamile, ukwelashwa okungenalo ukuhlinzwa (okulondolozayo) kuqala kuqaliswa kuma-fistula amancane. Lokhu kufaka phakathi:

• Ama-antibiotic okutheleleka.
• Imithi yesimo esiyisisekelo (isb., i-IBD).
• Izithako zefayibha ezigcwala indle.
• Ukunakekelwa kwamanxeba nokususwa kwawo.

Kodwa-ke, abesifazane abaningi kufanele bahlinzwe ukuze kuvalwe le fistula.Kunezindlela eziningana zokwenza ukuhlinzwa. Isibonelo, ungasebenzisa izicubu zomzimba wakho noma izicubu ezikhuliswe elabhorethri ukuvala umgodi. Udokotela wakho uzonquma ukuthi iyiphi indlela yokuhlinzwa engcono kakhulu ngesimo sakho futhi uzokuchazela yona ngaphambi kokuhlinzwa.

Ngezinye izikhathi, uma i-fistula inkulu kakhulu noma iyinkimbinkimbi, kungadingeka ukuthi uhlinzwe i-colostomy yesikhashana . Lokhu kuhilela ukuvimba ukugeleza kwendle kusuka kumathumbu akho kanye ne-rectum kuze kube yilapho i-fistula iphola, nokuvumela indle ukuthi iqoqeke esikhwameni ngembobo encane (stoma) eyenziwe esiswini sakho. Kuzodingeka ushintshe lesi sikhwama njalo. Ngemva kokuba i-fistula ipholile, uzobe nokuhlinzwa okunye ukuze uxhume kabusha amathumbu akho futhi uvale imbobo. Lokhu kungase kuzwakale kusabeka, kodwa kungokwesikhashana nje.

Kuthatha isikhathi esingakanani ukuphulukiswa?

Ezimweni eziningi, ungabuyela emisebenzini evamile zingakapheli isonto noma amabili ngemva kokuhlinzwa. Kodwa-ke, kungathatha izinyanga eziningana ukuthi i-fistula iphole ngokuphelele. Isikhathi esithathayo ukuze uphole sincike ezintweni eziningana, njengobukhulu be-fistula kanye nohlobo lokuhlinzwa.

Kunini lapho udinga ukuphinde ubonane nodokotela?

Ngemva kokuqala ukwelashwa noma ukuhlinzwa , kuzodingeka ubone udokotela wakho ukuze uthole ama-aphoyintimenti okulandelela ukuze uqiniseke ukuthi i-fistula yakho ilulama kahle. Tshela udokotela wakho ngokushesha uma izimpawu zakho ziba zimbi kakhulu noma uma uthola izimpawu ezintsha.

Ungabuza udokotela imibuzo efana nale:

• Yiziphi izinkinga ezingaba khona ngenxa yokuhlinzwa?
• Indlela yokunakekela i-fistula ekhaya?
• Ingabe kukhona engingakwenza ukuvimbela i-fistula yangemuva kokuzala ukuthi ingaphinde yenzeke?
• Ingabe ngisengozini yokuthola ezinye izinhlobo ze-vaginal fistula?

Ikusasa lizosiphathelani? Hlala unethemba!

Ukubikezela kwakho kuncike ezintweni eziningana:

• Ubukhulu kanye nobukhali be-RVF.
• (RVF) yisona sizathu.
• Impilo yakho iyonke.
• Uhlobo lokwelashwa noma ukuhlinzwa okutholayo.

Ngokuvamile, ama-RVF ayinkimbinkimbi kunzima kakhulu ukuwaphatha kunelula. Kungadingeka ukuthi uhlinzwe ngaphezu kokukodwa. Udokotela wakho angakunikeza umbono omuhle wokuthi yini ongayilindela kuye ngesimo sakho.

Kungenzeka ukuthi awukaze uzwe nge-fistula ngaphambili. Kodwa ngemva kokufunda ukuthi unayo (i-Rectovaginal Fistula), ingase ibe sengqondweni yakho yonke. Lesi simo singathinta impilo yakho yansuku zonke, ngisho nokuzethemba kwakho. Kodwa, khumbula, ukwelashwa kungakusiza ukuthi uphinde ulawule umzimba wakho. Kodwa-ke, kungathatha isikhathi ukuphulukiswa. Ngakho-ke, khuluma nodokotela wakho njalo futhi ufune isiqondiso nokusekelwa kwabo.

Ekugcineni, khumbula lokhu.

Nakuba isimo esixoxe ngaso namuhla (i-Rectovaginal Fistula) siyinkimbinkimbi futhi sinzima,Into ebaluleke kakhulu ukuthi kukhona ukwelashwa kwalokhu. Uma unalezi zimpawu, ungabi namahloni noma wesabe ukufuna iseluleko sezokwelapha. Ukuqala ukwelashwa kusenesikhathi kungakusiza ukuthi ululame ngokushesha futhi kuvimbele izinkinga. Awuwedwa, futhi kukhona odokotela nabasebenzi bezempilo abazokusiza. Bhekana nalokhu ngesibindi!

I - Fistula Yangemuva Kokuhlinzwa, i-RVF, Ukukhishwa kwesitho sangasese sowesifazane, Umoya wesitho sangasese sowesifazane, Ukuhlinzwa, Impilo Yabesifazane, I-Rectum, Isitho sangasese sowesifazane, Ukwelashwa kwe-Fistula