Umgodi ongajwayelekile esithweni sangasese sowesifazane? Ake sixoxe nge-Vaginal Fistula!

Ingabe ngezinye izikhathi uzizwa sengathi uvuza umchamo noma indle ngesitho sakho sangasese sowesifazane? Noma uvame ukuthola izifo zesitho sangasese sowesifazane? Lezi zinto kunzima ukukhuluma ngazo. Kodwa ngezinye izikhathi lezi zingaba izimpawu zesimo esibizwa ngokuthi i-Vaginal Fistula. Ngakho-ke namuhla sizoxoxa ngalokhu ngokuningiliziwe, njengokungathi sikhuluma nomngane. Ungesabi, kubaluleke kakhulu ukuqaphela lokhu.

Iyini i-fistula yesitho sangasese sowesifazane?

Kalula nje, i-vaginal fistula iwukuxhumana okungajwayelekile, njengomgodi omncane noma umsele, phakathi kodonga lwesitho sakho sangasese sowesifazane nesinye isitho esiseduze. Cabanga ngale ndlela: isitho sakho sangasese sowesifazane siyindlela eyodwa, isinyi sakho singenye, kanti i-rectum yakho ingenye. Lokhu ngokuvamile akunawo uxhumano oluqondile. Kodwa lapho kwakheka i-fistula, kwakheka uxhumano olungafuneki phakathi kwalezi zitho.

Ngokuvamile, lolu hlobo lwe-fistula luvela phakathi kwesitho sangasese sowesifazane, ingxenye yesistimu yakho yomchamo, noma ingxenye yesistimu yakho yokugaya ukudla. Imbangela eyinhloko yalokhu ukulimala kwezicubu zesitho sangasese sowesifazane ngenxa yokubeletha, ukuhlinzwa, ingozi, noma ukutheleleka.

Yiziphi izinhlobo ze-vaginal fistula?

Ake sibone ukuthi ziyini lezi zinhlobo ze-fistula. Kunezinhlobo ezimbili eziyinhloko, kuye ngokuthi i-fistula yakheka kuphi.

I-Fistula yesitho sangasese sowesifazane

Lokhu kubhekisela ku-fistula eyakheka phakathi kwesitho sakho sangasese sowesifazane noma isibeletho kanye nezitho zomzimba ohlelweni lwakho lomchamo. Lokhu kubangela ukuthi umchamo uvuzele esithweni sakho sangasese sowesifazane.

• I-Vesicovaginal fistula: Lolu uhlobo oluvame kakhulu. Yilapho kwakheka khona imbobo phakathi kwesitho sangasese sowesifazane kanye nesinye, lapho umchamo uqoqana khona. Ngemuva kwalokho, umchamo ovela kwesinye uqala ukuvuza ungene esitho sangasese sowesifazane.
• I-Ureterovaginal fistula: Yilokhu okubizwa ngakho uma kukhona ukuxhumana phakathi kwama-ureter athwala umchamo usuka ezinso zakho uye kwesinye kanye nesitho sangasese sowesifazane.
• I-Urethrovaginal fistula: I-fistula ingakheka phakathi kwe-urethra, ipayipi elithwala umchamo lisuka kwesinyeni liye ngaphandle komzimba, kanye nesitho sangasese sowesifazane.

I-fistula yomgudu wokugaya ukudla

Lolu hlobo lwesimo luhilela ukuxhumana phakathi kwesitho sangasese sowesifazane kanye nezitho zohlelo lwakho lokugaya ukudla, okuvumela indle ukuthi idlule esitho sangasese sowesifazane.

• I-fistula ye-rectovaginal: Lena imbobo eyakheka phakathi kwesitho sangasese sowesifazane kanye ne-rectum, lapho indle ingadlulela khona esitho sangasese sowesifazane.
• I-Colovaginal fistula: Leli igama elinikezwa ukuxhumana phakathi kwesitho sangasese sowesifazane kanye ne-colon.
• I-fistula ye-Enterovary: Kulokhu, kwakheka i-fistula phakathi kwesitho sangasese sowesifazane kanye namathumbu amancane.

Ziyini izimpawu ze-vaginal fistula?

I-fistula yesitho sangasese sowesifazane ayihlali ibangela ubuhlungu. Izimpawu zincike ezintweni ezifana nendawo lapho i-fistula ikhona kanye nobukhulu bayo. Bheka lezi zimpawu:

• Ukungakwazi ukuzibamba ngomchamo: Ingabe uvuza umchamo ngephutha uma ukhwehlela, uhleka, noma uphakamisa okuthile? Noma uzizwa sengathi isitho sakho sangasese sowesifazane sihlala simanzi?
• Ukuvuvukala nokulunywa kwesikhumba esizungeze isitho sangasese sowesifazane, i-vulva, noma i-anus: Lokhu kungakhululeki kungenzeka ngenxa yomswakama oqhubekayo.
• Ubuhlungu ngesikhathi socansi (i-Dyspareunia).
• Ukutheleleka okuvamile komgudu womchamo (UTIs), ukutheleleka kwezinso, noma ukutheleleka kwesitho sangasese sowesifazane (vaginitis).
• Uketshezi oluphuma esithweni sangasese sowesifazane olunuka kabi.
• Ukungakwazi ukuzibamba noma umoya.
• Ukopha okuvela endukwini noma esithweni sangasese sowesifazane.

Uma unesinye noma ngaphezulu salezi zimpawu, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngaphandle kokuba namahloni noma ukwesaba, ngoba kunezindlela zokwelapha ezinhle zalesi simo.

Ungayizwa noma uyayibona i-vaginal fistula?

Cha, awukwazi ukuzwa i-fistula ngeminwe yakho. Futhi ungase ungazizwa ngisho nobuhlungu. I-fistula ayibonakali ngaphandle. Udokotela uzokwenza izivivinyo ukuze athole ukuthi ikuphi ngempela.

Kungani le fistula yesitho sangasese sowesifazane ivele?

Isizathu esiyinhloko ukuthi ukugeleza kwegazi ezicutshini zesitho sangasese sowesifazane kuyancipha, futhi izicubu ziyafa noma zonakale. Lo monakalo ubangela ukwakheka kwembobo, ebizwa ngokuthi i-fistula. Lokhu kungenzeka ezinsukwini ezimbalwa noma kuthathe iminyaka. Akuvamile kakhulu ukuthi umuntu azalwe ene-fistula.

Ake sibheke izizathu ezimbalwa eziyinhloko:

• Ukubeletha isikhathi eside: Lena yimbangela evame kakhulu emazweni asathuthuka. Uma umntwana ethatha isikhathi eside kakhulu ukuba azalwe, kungabangela ingcindezi ezicutshini zesitho sangasese sowesifazane futhi kuphazamise ukuhamba kwegazi.
• Ukudabuka kwesitho sangasese sowesifazane noma i-episiotomy ngesikhathi sokubeletha: Ngezinye izikhathi, kwenziwa ukusikeka okuncane esitho sangasese sowesifazane ukuze kube lula ukubeletha, okubizwa ngokuthi i-episiotomy. Uma la manxeba engapholi kahle, i-fistula ingavela.
• Ukuhlinzwa kwesisu noma kwe-pelvic: Ama-fistula awavamile ukuvela ngemva kokuhlinzwa okufana nokuhlinzwa kwesisu (ukuhlinzwa kwesisu) kanye nokuhlinzwa kwesisu.
• Umdlavuza we-pelvic cavity: Izimo ezifana nomdlavuza wesibeletho noma umdlavuza we-colorectal.
• Izimo zokuvuvukala okungapheli kwesistimu yokugaya ukudla (Izifo zamathumbu ezivuvukalayo - IBD):Izibonelo zifaka phakathi isifo sikaCrohn kanye nesifo sofuba esiswini .
• Ukutheleleka kwamathumbu amakhulu: njenge-diverticulitis.
• Ukwelashwa ngemisebe endaweni ye-pelvic.
• Ingozi noma ukulimala okuthile.

Ingabe i-fistula iyisifo esithathelwana ngocansi (STD)?

Cha. I-fistula yesitho sangasese sowesifazane ayisona isifo esithathelwana ngocansi (STI). Ungakudidanisi nalokho.

Ubani osengozini enkulu yokuthola i-fistula yesitho sangasese sowesifazane?

Izizathu ezishiwo ngaphambilini, njengezinkinga ngesikhathi sokubeletha, ukuhlinzwa, kanye nokutheleleka, zandisa ingozi yakho yokuthola i-fistula.

Yiziphi izinkinga ezingaba khona ze-vaginal fistula?

I-fistula yesitho sangasese sowesifazane iyisimo esicindezelayo kakhulu, ngokomzimba nangokwengqondo. Cabanga ukuthi kungaba namahloni kangakanani uma ungavuza umchamo noma indle ungaqapheli. Ungase uzizwe unamahloni ngisho nokuya phambi kwabanye.

Ezinye izinkinga:

• Ukutheleleka njalo komgudu womchamo, wesitho sangasese sowesifazane, noma sezinso.
• Ukuncipha kwesitho sangasese sowesifazane kanye ne-anus (i-Stenosis).
• I-fistula ingaphinde ivele ngisho nangemva kokwelashwa.

Ingabe i-vaginal fistula ingaqhuma?

Cha, i-fistula yesitho sangasese sowesifazane ayisona isikhwama esigcwele uketshezi, ngakho-ke ngeke iqhume. I-fistula imbobo engavamile. Izinto ezifana nomchamo nendle zingavuza ngale mbobo, kodwa akuyona into eqoqana esikhwameni bese iqhuma.

Odokotela bayixilonga kanjani i-fistula yesitho sangasese sowesifazane? (Ukuxilongwa)

Uma ubona udokotela, uzoqala alalele izimpawu zakho futhi afunde ngazo. Ngemuva kwalokho bazokwenza ukuhlolwa ngokomzimba, okuhlanganisa nokuhlolwa kwe-pelvic. Qiniseka ukuthi utshela udokotela wakho ngazo zonke izimpawu zakho. Ngezinye izikhathi lezi zivivinyo zingasiza ekunqumeni ukuthi une-fistula. Ngaphandle kwalokho, kungase kudingeke ezinye izivivinyo.

Kuyenziwa izivivinyo eziningana ukuze kutholakale i-fistula:

• Inani eliphelele legazi (i-CBC) kanye nokuhlolwa komchamo: Hlola ukutheleleka.
• Ukuhlolwa kodayi: Kufakwa idayi ekhethekile esinyeni noma endukwini ukuze kubonakale ukuthi iphuma ngesitho sangasese sowesifazane.
• I-X-ray ye-Fistulogram: Bona ukuthi zingaki i-fistula kanye nosayizi wazo.
• I-CT urogram (i-computed tomography urogram): Thatha izithombe zesitho sangasese sowesifazane kanye nesistimu yomchamo.
• I-Pelvic MRI (i-magnetic resonance imaging): Bona isitho sangasese sowesifazane kanye ne-rectum ngokucacile.
• I-Cystoscopy: Ipayipi elinekhamera lisetshenziswa ukubheka ngaphakathi kwesinye kanye ne-urethra.
• I-sigmoidoscopy eguquguqukayo:Kuhlolwa ingxenye engezansi yamathumbu amakhulu kanye nengxenye engezansi yamathumbu amakhulu.
• I-Colonoscopy: Ihlola wonke amathumbu amakhulu kanye nengaphakathi le-rectum.
• I-retrograde pyelogram: Idayi kanye ne-X-ray kusetshenziswa ukuhlola ukuvuza phakathi kwesitho sangasese sowesifazane kanye ne-urethra.

Yiziphi izindlela zokwelapha i-vaginal fistula?

Ukwelashwa kuncike endaweni kanye nohlobo lwe-fistula.

Amacala okuphulukiswa ngaphandle kokuhlinzwa

Amanye ama-fistula amancane, ikakhulukazi lawo athinta isinyi, angaphola ngaphandle kokuhlinzwa. Ngenxa yalokhu:

• Ama-antibiotic: Ukulawula izifo, uma zikhona. Kunikezwa nemithi yesifo samathumbu esivuvukalayo (IBD).
• Ukufakwa kwe-catheter kwesikhashana: Lokhu kusiza ukukhipha umchamo kuze kube yilapho i-fistula ye-vesicovaginal iphola, okuvumela i-fistula ukuthi iphole.
• Ama-stents e-Ureteral: Lawa abekwa ukuze kugcinwe i-fistula ehilela ama-ureter ivulekile kuze kube yilapho amapayipi ephola.

Ukwelashwa ngokuhlinzwa

Ngokuvamile, kudingeka ukuhlinzwa ukuze kuvalwe i-fistula. Kunezindlela eziningana udokotela ohlinzayo angakwenza ngazo lokhu, kuye ngohlobo lwe-fistula. Ukuhlinzwa kungenziwa ngesitho sangasese sowesifazane, ngokusikwa okuncane esiswini kusetshenziswa ikhamera namathuluzi (nge-Laparoscopically noma nge-Robotically), noma nge-anus.

Udokotela ohlinzayo angasebenzisa izicubu zakho, izicubu ezenziwe elebhu, noma i-mesh ekhethekile (i-surgical mesh patch) ukuvala imbobo.

Izindaba ezinhle ukuthi abesifazane abangu-9 kwabayi-10 abane-fistula yesitho sangasese sowesifazane balulama ngokugcwele ngemva kokuhlinzwa!

Kwenzekani ngemva kokuba i-fistula ye-rectum isiphulukisiwe?

Uma une-fistula enkulu phakathi kwesitho sakho sangasese sowesifazane kanye nengxenye yesistimu yakho yokugaya ukudla, njenge-anus yakho, futhi ilungiswa ngokuhlinzwa, kungadingeka ukuthi uhlinzwe i-ostomy yesikhashana.

• Kulesi simo, udokotela ohlinzayo udala imbobo encane (stoma) esiswini sakho (esiswini).
• I-colostomy yamathumbu amakhulu kanye ne-ileostomy yamathumbu amancane kuxhunywe kule ndawo evulekile, okuvumela indle ukuthi iphume emzimbeni ngayo.
• Isikhwama sinamathiselwa ngaphandle komzimba ukuze kuqoqwe indle. Abasebenzi bezokwelapha bazokufundisa ukuthi ungayishintsha kanjani le sikhwama nokuthi ungayigcina kanjani i-stoma ihlanzekile.
• Ngemva kokuba i-fistula isipholile ngokuphelele, okunye ukuhlinzwa kuzoxhumanisa amathumbu ne-anus bese kuvala i-stoma.

Sinjani isikhathi sokululama ngemva kokuhlinzwa kwe-vaginal fistula?

Lezi zinto zizokusiza ukuthi ululame ngokushesha ngemva kokuhlinzwa:

• Sebenzisa ama-antibiotic njengoba nje uyalelwe ukuze uvimbele ukutheleleka.
• Ungenzi ucansi, usebenzise ama-tampon, noma ufake noma yini esithweni sangasese sowesifazane kuze kube yilapho udokotela wakho ekunike imvume.
• Ukuze uvimbele ukuqunjelwa kanye nesifo sohudo, yidla ukudla okune-fiber eningi bese uphuza amanzi amaningi. Uma kudingeka, buza udokotela wakho mayelana nokuphuza imithi yokuhlanza noma yokuthambisa indle.

Ingabe i-vaginal fistula ingaziphilisa ngokwayo?

Yebo. Ngezinye izikhathi, i-fistula encane ye-vesicovaginal noma i-fistula ye-rectovaginal ingaziphilisa ngokwayo ngama-antibiotic kanye ne-catheter (okunikeza i-fistula isikhathi sokuphulukiswa).

Ingabe i-fistula yesitho sangasese sowesifazane ingavinjelwa?

Ngokuvamile kunzima ukuvimbela ukukhula kwe-fistula yesitho sangasese sowesifazane. Kodwa-ke, ungaqaphela ezinye zezinto ezibangela ukuthuthukiswa kwe-fistula bese uzama ukuzilawula. Isibonelo:

• Uma unezimo zesikhathi eside njengesifo sikaCrohn noma i-ulcerative colitis , zigcine zilawulwa kahle.
• Uma uhlaselwa yisifo se-pelvic, funa ukwelashwa ngokushesha bese ulandela imiyalelo yokwelashwa enikezwe udokotela wakho ngqo.
• Qhubeka uthola ukunakekelwa kwangaphambi kokubeletha ngesikhathi sokukhulelwa. Lokhu kuzosiza ekutholeni izinkinga ezingase zibambezele ukubeletha.
• Uma uhlinzwa, njenge-hysterectomy, khetha udokotela onolwazi kule nqubo. Lokhu kungasiza ekunciphiseni ingozi yokuthola i-fistula.

Iyini inhloso yabesifazane abane-fistula yesitho sangasese sowesifazane?

Ukwelashwa ngokuhlinzwa kuphumelele kakhulu. Iningi labesifazane liyalulama ngokuphelele futhi liphila impilo evamile ngaphandle kwezimpawu.

Kodwa-ke, amanye ama-fistula angase angaphili kahle noma angase aphinde avele ngemva kokwelashwa. Lokhu kuyiqiniso ikakhulukazi uma unomdlavuza noma isifo sikaCrohn. Ukuphila nezimpawu ze-fistula ngaphandle kokwelashwa kungaholela ekucindezelekeni noma ekukhathazekeni.

Kufanele ngimbone nini udokotela?

Bheka udokotela ngokushesha uma unezinye zalezi zimpawu ze-vaginal fistula:

• Ukuphuma kwendle noma umchamo esithweni sangasese.
• Ubuhlungu ngesikhathi socansi.
• Ubuhlungu besisu, umkhuhlane, isicanucanu, noma isifo sohudo.

Obani odokotela abaphatha i-vaginal fistula?

Kuye ngohlobo lwe-fistula onayo, oyedwa noma ngaphezulu kwalaba odokotela bazokulapha:

• Udokotela Wezifo Zabesifazane
• Udokotela Wezifo Zomchamo
• Udokotela wezifo zomchamo
• Udokotela ohlinzayo we-colorectal

Yini okufanele ngiyibuze udokotela?

Ungabuza le mibuzo uma ubona udokotela wakho:

• Ngithole kanjani le fistula yesitho sangasese sowesifazane?
• Uhlobo luni lwe-vaginal fistula enginayo?
• Kufanele ngizinakekele kanjani uma ngine-fistula?
• Yiziphi izindlela zokwelapha enginazo?
• Yiziphi izinkinga ezingaba khona ngenxa yokuhlinzwa?
• Ingabe kukhona engingakwenza ukuvimbela i-fistula yesitho sangasese sowesifazane ukuthi ingaphinde ivele?

Umlayezo Wokuya Nawe Ekhaya

I-fistula yesitho sangasese sowesifazane yisimo esingabangela izimpawu ezingakhululekile nezihlazisayo, ikakhulukazi ukungakwazi ukuzibamba. Le ngozi ingandiswa ngokubeletha isikhathi eside noma ukuhlinzwa kwesitho sangasese sowesifazane. Nakuba kungenzeki njalo ukuvimbela i-fistula, kubalulekile ukufuna usizo lwezokwelapha ngokushesha nje lapho kuvela izimpawu.

Khumbula, awuwedwa. Kunezindlela zokwelapha eziphumelela kakhulu zalesi simo. Ama-fistula amancane ngezinye izikhathi angaphola ngaphandle kokuhlinzwa. Amathuba okululama ngokugcwele ngemva kokuhlinzwa nawo aphezulu. Ngakho-ke, ungesabi noma ube namahloni okukhuluma nodokotela wakho ngalokhu. Ngokwelashwa kusenesikhathi, ungalulama ngokushesha!

I - fistula yesitho sangasese sowesifazane, impilo yabesifazane, ukuchama, ukuphuma kwendle, i-gynecology, ukuhlinzwa, ukubeletha