Ingabe ngezinye izikhathi uzizwa sengathi awukwazi ukulawula umzimba wakho? Ngiyaqonda ukuthi kungaba namahloni futhi kube namahloni kangakanani, ikakhulukazi uma uvuza umchamo omncane ngengozi kungakhathaliseki ukuthi uzama kangakanani. Uma izingubo zakho zangaphansi zihlala zimanzi futhi uzizwa sengathi unuka kabi, awufuni ngisho nokubhekana nomphakathi. Lena inkinga abesifazane abaningi ababhekana nayo buthule, kodwa abanqikazi ukukhuluma ngayo. Kodwa ungakhathazeki, awuwedwa. Namuhla sizokhuluma ngesimo sezokwelapha esingadala lokhu, okungukuthi i-Vesicovaginal Fistula (VVF).
Iyini ngempela i-Vesicovaginal Fistula (VVF)?
Kalula nje, i-Vesicovaginal Fistula (VVF) iwukuvuleka noma ukuxhumana okungavamile phakathi kwesinye sakho nesitho sangasese sowesifazane . Cabanga ngakho, ngokuvamile umchamo kwesinye sethu uphuma emzimbeni nge-urethra. Yileyo ndlela efanele.
Kodwa uma lesi simo se-VVF sivela, kufana nokuthi kwakheka "indlela emfushane" entsha phakathi kwesinye kanye nesitho sangasese sowesifazane. Le mbobo yilokho esikubiza ngokuthi i-fistula. Ngakho-ke ngenxa yale mbobo, omunye umchamo esinyeni awuhambi ngendlela efanele, kodwa kunalokho uqala ukuvuza ngale ndlela emfushane entsha, edlula esitho sangasese sowesifazane, ngaphandle kokuqaphela. Ngezinye izikhathi lokhu kungaba ukumanzi okuncane, noma ngezinye izikhathi kungaba ukugeleza komchamo okuqhubekayo.
Nakuba lokhu kuyinkinga engokomzimba, ukucindezeleka kwengqondo okukubangelayo akubalulekile. Kodwa izindaba ezinhle ukuthi lesi simo singelapheka ngokuphelele ngokuhlinzwa. Udokotela wakho kanye nethimba lezokwelapha bahlala bekulungele ukukunikeza ukwelashwa nokusekelwa okudingayo.
Yiziphi izimpawu ezivamile zalesi simo?
Umuntu one-VVF angaba nezimpawu ezahlukahlukene. Lezi zimpawu zingahluka kuye ngobukhulu bembobo nezinye izici. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, kubalulekile ukubona udokotela ngokushesha okukhulu.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukungakwazi ukuzibamba komchamo | Lolu uphawu oluyinhloko nolusobala kakhulu. Awukwazi ukululawula, umchamo uvele uphume esithweni sakho sangasese sowesifazane. |
| Ukumanzisa njalo izingubo zangaphansi | Uma izingubo zakho zangaphansi zizizwa zimanzi ngisho nangemva kokuya endlini yokugezela, kungaba uphawu lwalesi simo. |
| Ukuphuma koketshezi noma iphunga elingavamile esithweni sangasese sowesifazane | Umchamo ungabangela ukuphuma kwamanzi noma iphunga elibi, njengoba indawo yesitho sangasese sowesifazane ishintsha. |
| Ukuvuvukala/ukuluma esithweni sangasese sowesifazane noma endaweni ezungezile | Ukuthintana njalo nomchamo kungabangela ukuthi isitho sangasese sowesifazane kanye nesikhumba esizungezile (i-vulva) sibe bomvu, sivuvuke futhi silume. |
| Ubuhlungu ngesikhathi socansi | Lesi simo singenza ucansi lube yinto ebuhlungu. |
| Ukwenzeka ngemva kokuhlinzwa | Ezimweni eziningi, uma lokhu kuvuza komchamo kuqala isonto elilodwa noma amabili ngemva kokuhlinzwa kwesisu (isb., ukususwa kwesibeletho), kungenzeka kakhulu ukuthi kungenxa ye-VVF. |
Yiziphi izimbangela ze-VVF?
I-VVF yenzeka lapho izicubu eziphakathi kwesinyi nesitho sangasese sowesifazane zonakele futhi zifa. Lo monakalo ube usudala imbobo. Kunezizathu eziningana eziyinhloko zalo monakalo.
- Ukuhlinzwa Kwesinqe: Lena yimbangela eyinhloko ye-VVF emazweni anjengelethu. Ikakhulukazi ngesikhathi sokuhlinzwa kwe-hysterectomy kanye nokuhlinzwa kwesinye isinyi, lezi zicubu zingalimala ngephutha. Lokhu akulona iphutha likadokotela, kodwa inkinga engenzeka ngesikhathi sokuhlinzwa.
- Umsebenzi Ovinjiwe:Ekubelethweni okunzima, lapho umntwana ezalwa sekwephuzile kakhulu, ikhanda lomntwana lingacindezela kakhulu izicubu eziphakathi kwesinye kanye nesitho sangasese sowesifazane, linqande ukugeleza kwegazi kuleyo ndawo futhi libangele ukuthi izicubu zife. Lo mgodi ungakheka futhi umchamo ungaqala ukuvuza ezinsukwini ezimbalwa ngemva kokuzalwa komntwana. Nakuba lesi sizathu sehlile kancane ngenxa yezikhungo zezokwelapha ezithuthukisiwe eSri Lanka, ingozi ayikaqedwa ngokuphelele.
- Izimo zomdlavuza kanye nokwelashwa: Izimo ezifana nomdlavuza wesibeletho kanye nomdlavuza wesinye nazo zingabangela i-VVF. Futhi, ukwelashwa ngemisebe yomdlavuza kungenza buthaka izicubu futhi kubangele ukuthi lezi zinhlobo zezimbobo zakheke ngokuhamba kwesikhathi.
Ingabe zikhona ezinye izinkinga ezingase zivele ngenxa yalokhu?
Uma i-VVF ingelashwa kahle, kungase kuvele ezinye izinkinga zempilo.
- Ukutheleleka okuphindaphindiwe: Ngenxa yokuthi umchamo uhlala uvaleleke esithweni sangasese sowesifazane, ukutheleleka komgudu womchamo (UTIs) kanye nokutheleleka kwesitho sangasese sowesifazane kungavela njalo.
- Ithumba noma Ukutheleleka: Uma lingelashwa, ukutheleleka kungaba kubi kakhulu futhi kwakheke ithumba, okungaba yingozi empilweni.
- Ukuphinda kuvele ngisho nangemva kokwelashwa: Ngezinye izikhathi, ngisho nangemva kokuhlinzwa, kunethuba elincane lokuthi le fistula izophinde ivele.
- Izinkinga zengqondo nezenhlalo: Ukuchama njalo kanye nomlomo omubi kungenza kube nzima ngawe ukuhlangana nabantu, ukuya emicimbini, noma ukuba nomndeni. Lokhu kungaholela ekucindezelekeni nasekuzihlukaniseni nabanye.
Uma uzizwa ucindezelekile ngalesi simo, ungangabazi ukukhuluma nodokotela noma uchwepheshe wezempilo yengqondo ngaso. Kubaluleke kakhulu.
Udokotela ukuthola kanjani lokhu?
Uma uya kudokotela, bazoqala bakubuze ngezimpawu zakho, ukuhlinzwa kwangaphambilini, kanye nomlando wokubeletha. Bese bezokwenza ukuhlolwa ngokomzimba kanye nokuhlolwa kwesinqe. Ukuqinisekisa lokhu nokuhlela ukuhlinzwa, udokotela uzonquma ukwenza izivivinyo ezikhethekile.
| Ukuhlolwa | Kwenzekani nje |
|---|---|
| Ukuhlolwa Kodayi | Udokotela uzofaka idayi eluhlaza okwesibhakabhaka esinyeni sakho bese ekucela ukuthi ufake i-tampon esithweni sakho sangasese. Uma i-tampon iphenduka ibe luhlaza okwesibhakabhaka ngemva kwesikhashana, kusho ukuthi umchamo uvuza esinyeni sakho ungene esithweni sakho sangasese, okusho ukuthi une-VVF. |
| I-Cystoscopy | Kulokhu, kufakwa ipayipi elincane elinekhamera eceleni kwe-urethra ukuze kubonwe ingaphakathi lesinye kanye nendawo eqondile yokuvula kwe-fistula. |
| I-CT Urogram | Lokhu kuyi-CT scan ekhethekile. Kufakwa idayi yokungafani emzimbeni bese kuthathwa izithombe ezinemininingwane zesistimu yomchamo (izinso, esinyeni). |
| Ezinye izivivinyo | Ngezinye izikhathi ukuhlolwa kwe-MRI noma i-speculum kungenziwa ngaphansi kwe-anesthesia. |
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa okuyinhloko nokuphumelela kakhulu ukuhlinzwa . Ukuhlinzwa kusetshenziswa ukuvala imbobo.
I-fistula encane kakhulu, esanda kwakheka ngezinye izikhathi ingaziphulukisa ngokwayo ngaphandle kokuhlinzwa, ngokugcina i-catheter ye-Foley endaweni yayo amasonto ambalwa nokunikeza isinye ukuphumula. Kodwa-ke, lokhu akuvamile kakhulu.
Abantu abaningi badinga ukuhlinzwa. Lokhu kuhlinzwa kungenziwa ngesitho sangasese sowesifazane noma ngokusikwa esiswini (ngesisu) . Ngezinye izikhathi, ukuhlinzwa kwe-keyhole, njenge-laparoscopy, kungasetshenziswa. Udokotela wakho ohlinzayo uzoxoxa nawe ngokuthi yikuphi ukuhlinzwa okukulungele.
Ngemva kokuhlinzwa, kuzodingeka ube ne-catheter yomchamo amasonto amabili kuya kwamathathu. Lokhu kwenzelwa ukunikeza indawo yokuhlinzwa isikhathi sokuphulukiswa ngaphandle kwengcindezi. Ngemva kwaleso sikhathi, udokotela uzoyisusa i-catheter ngemuva kokuhlola ukuthi i-fistula ipholile kahle yini.
Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa?
Kuthatha cishe amasonto ayi-6 kuya kwayi-8 ukululama ngokuphelele ngemva kokuhlinzwa kwe-VVF.Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngokucophelela phakathi nalesi sikhathi. Ngokuvamile, uzokwaziswa ukuthi ugweme okulandelayo phakathi nalesi sikhathi:
- Ucansi: Kufanele ugweme ucansi kuze kube yilapho indawo yokuhlinzwa isipholile ngokuphelele.
- Ukuphakamisa izinsimbi: Gwema ukuphakamisa izinto ezisindayo nokwenza ukuzivocavoca okunzima.
- Imisebenzi ekhathazayo: Kubalulekile ukugwema ukwenza noma yini eyenza umzimba uzizwe ukhathele.
Ukuphumula ngale ndlela kuzosiza inxeba lokuhlinzwa ukuba liphilise kahle futhi kuvimbele izinkinga ezengeziwe.
Ezibhedlela ezinolwazi ezenza lolu hlobo lokuhlinzwa njalo, abantu abangu-85-95 kwabayi-100 bathola ukwelashwa okuphelele ngemva kokuhlinzwa kokuqala. Lokhu kusho ukuthi ukugeleza komchamo kuyama ngokuphelele. Abanye abantu bangadinga ukuhlinzwa kwesibili. Kuye ngezici ezifana nobukhulu be-fistula, indawo ekuyo, kanye nempilo yakho iyonke.
Umlayezo Wokuya Nawe Ekhaya
- I-Vesicovaginal fistula (VVF) iwumngxuma ongavamile phakathi kwesinye sakho nesitho sangasese sowesifazane, ongabangela ukuthi uvuza umchamo ngesitho sangasese sowesifazane ngaphandle kokulawula.
- Akulona iphutha lakho lokhu. Lesi simo singabangelwa yizizathu ezifana nokuhlinzwa okufana nokususwa kwesibeletho noma ukubeletha okunzima.
- Lokhu akuyona into okufanele ube namahloni ngayo futhi uhlupheke ngayo. Kunezindlela zokwelapha ezisebenza kahle kakhulu kulokhu . Ukwelashwa okuyinhloko ukuvala imbobo ngokuhlinzwa.
- Uma unalezi zimpawu, ungesabi noma ungabaze ukubona udokotela ngokushesha . Uma uqala ukwelashwa ngokushesha, imiphumela iba yimpumelelo kakhulu.
- Uma uzizwa ucindezelekile ngenxa yalesi simo, kubalulekile ukukhuluma nodokotela wakho noma umeluleki wezempilo yengqondo ngakho. Awuwedwa.
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