Ingabe nawe uhlangabezana nokuvuza komchamo okungahleliwe? Lokhu kungaba yicala le-Vesicovaginal Fistula!

Ingabe ngezinye izikhathi uke uzibuze, "Kungani ngivuza umchamo ngingaqapheli?" Kungaba yinto ekhathazayo kakhulu, ikakhulukazi ngemva kokuhlinzwa noma ngenye inkinga yezempilo? Nakuba lokhu kuvame ukuba yinkinga ehlazisayo nengachazeki, kubalulekile ukuqaphela. Lokhu akuyona nje inkinga encane, kodwa isimo esingadinga ukwelashwa.

Iyini i-Vesicovaginal Fistula?

Kalula nje, i-fistula imbobo noma umgodi owakheka phakathi kwezingxenye ezimbili zomzimba wethu, ngokuvamile phakathi kwezindawo ezimbili okungafanele zixhunywe. Cabanga ngayo njengomgodi owakheka ngokuzumayo odongeni oluhlukanisa amakamelo amabili. Kungaba nezizathu eziningi zokwakheka kwalolu hlobo lwe-fistula. Isibonelo, kungaba ngenxa yokutheleleka, ukulimala, noma ukuvuvukala endaweni ethile emzimbeni. Lokhu kungenzeka ezingxenyeni ezahlukene zomzimba.

I-Vesicovaginal fistula, noma i-VVF ngamafuphi, ukuxhumana noma ukuvulwa okungajwayelekile phakathi kwesinye sakho (isikhwama lapho umchamo uqoqeka khona) nodonga lwesitho sakho sangasese sowesifazane. Kufana nokuvulwa okuncane phakathi kwesinye sakho nesitho sakho sangasese sowesifazane. Lokhu kubangela ukuthi umchamo ovela kwesinye sakho uphume ngesitho sakho sangasese sowesifazane. Ngezinye izikhathi kungaba ukuvuza okuncane kakhulu, okumanzi. Kodwa uma i-fistula inkulu, ingabangela nokuvuza komchamo okuqhubekayo .

Lokhu akusona nje isimo esibucayi sezokwelapha, kodwa futhi kungaba yinto ecindezelayo kakhulu. Kungaba yinto engakhululekile, ehlazisayo, futhi ngezinye izikhathi enuka kabi ukuchama. Yingakho abantu abaningi benqikaza ukukhuluma ngakho, kodwa kungcono ukubona udokotela esikhundleni salokho.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Ungase uzibuze, "Kungani lokhu kwenzeka kimi?" Kunezizathu eziningana eziyinhloko zalokhu.

• Izinkinga zangemva kokuhlinzwa: I-Vesicovaginal fistula ivame ukwenzeka njengenkinga ngemva kokuhlinzwa ukuze kwelashwe inkinga esinyeni noma esithweni sangasese sowesifazane. Isibonelo, ingenzeka ngemva kokuhlinzwa kwe-hysterectomy noma kwesinye. Akuyona inhloso ngesikhathi sokuhlinzwa, kodwa ngezinye izikhathi inxeba elincane lishiywa phakathi kwezitho ezimbili futhi lingapholi futhi lingaphenduka i-fistula. Cabanga ngayo njengokudabuka okuncane engutsheni okuya kukhulu ngaphandle kokuthi uqaphele.

• Izimo Zomdlavuza Wezitho Zabesifazane: Lesi simo singabangelwa nayiminye imidlavuza yezifo zabesifazane. Umdlavuza ngokwawo ungenza buthaka izicubu ezikuleyo ndawo futhi ubangele ukwakheka kwe-fistula, noma ukwelashwa komdlavuza, njengokwelashwa ngemisebe, kungabangela lesi simo.Lokhu kungenzeka futhi njengomphumela ongemuhle wokuhlinzwa.

• Izinkinga ngesikhathi sokubeletha (ikakhulukazi emazweni asathuthuka): Nakuba lesi simo sesingavamile kakhulu eSri Lanka, kwezinye izingxenye zomhlaba, ikakhulukazi lapho ukubeletha kuthatha isikhathi eside noma uma kukhona ubunzima ngesikhathi sokubeletha, i-VVF ingavela ngenxa yokucindezela phakathi kwesinyi kanye nesitho sangasese sowesifazane, okulimaza izicubu. Lokhu kuhlotshaniswa nesimo esibizwa ngokuthi 'Ukubeletha Okuvinjelwe' .

• Ukutheleleka okuvamile noma okunzima komgudu womchamo: Lokhu kuyinto engavamile. Kodwa-ke, ukutheleleka okungapheli, okungalashwanga komgudu womchamo (UTIs) ngezinye izikhathi kungenza buthaka udonga lwesinye futhi kubangele i-fistula. Kodwa-ke, lokhu akuyona imbangela evamile.

Odokotela bakuthola kanjani lokhu?

Ngokuvamile, izimpawu ze-fistula zivela ezinsukwini ezimbalwa ngemva kokuhlinzwa. Into eyinhloko isiguli esiyishoyo ukuthi, "Dokotela, bengilokhu ngivuza umchamo omningi muva nje."

Uma uya kudokotela, into yokuqala ayenzayo ukulalela ngokucophelela lokho okushoyo bese ehlola indawo ngokucophelela. Okusho ukuthi, babheka ngesitho sangasese sowesifazane bese behlola noma yiziphi izimbobo ezinjengalezi.

Ngemva kwalokho, ungase ucelwe ukuthi wenze izivivinyo ezithile ukuze uqinisekise isimo futhi unqume ubukhulu obuqondile nendawo ye-fistula.

• Ukuhlolwa ngedayi ekhethekile: Ngezinye izikhathi, kufakwa ipayipi esinyeni bese kudluliswa uketshezi olunombala (idayi) ngalo ukuze kubonakale ukuthi idayi iyaphuma yini esithweni sangasese sowesifazane. Uma iphuma, kusho ukuthi kukhona i-fistula.
• I-X-ray noma i-CT Scan: Ungase ucelwe ukuthi uthathe i-X-ray ye-pelvis yakho noma i-CT scan (i-Computed Tomography scan). I-CT scan ingase ihilele ukufaka idayi ekhethekile ebizwa ngokuthi i-contrast emthanjeni noma esinyeni. Lokhu kuzobonisa indawo eqondile yezicubu ezinenkinga kanye ne-fistula.
• I-Cystoscopy: Udokotela angafaka ithubhu elincane elifakwe ikhamera (elibizwa ngokuthi i-cystoscope) nge-urethra liye esinyeni ukuze abone ngaphakathi, njengendawo kanye nosayizi we-fistula.

Ngemva kwalezi zivivinyo, udokotela angakutshela ngqo ukuthi yisiphi isimo onaso nokuthi yini okudingeka yenziwe ngaso.

Yiziphi izindlela zokwelapha lokhu?

Izindaba ezinhle ukuthi kunezindlela zokwelapha ezisebenzayo zalesi simo esibizwa ngokuthi i-Vesicovaginal Fistula. Okuwukuphela kwendlela yokulungisa le fistula ukuhlinzwa ukuze kuvalwe isikhala esingafuneki. Ayikwazi ukwelapheka ngeminye imithi yodwa.

Ngezinye izikhathi, kudingeka ukuhlinzwa okwengeziwe ukuze kulungiswe inkinga yokuqala eyabangela i-fistula, njengokulimala kwesinye.

Ingabe ukuhlinzwa kuphumelele?

Esikhathini esiningi, ukuhlinzwa kokulungisa i-vesicovaginal fistula kuphumelela kakhulu. Kodwa-ke, kumuntu one-fistula ngenxa yesifo esifana nomdlavuza, imiphumela ingase ingabi mihle njengakwabanye. Kuncike ezicini ezifana nohlobo lomdlavuza nokuthi usabela kahle kangakanani ekwelashweni.

Ngemva kokuhlinzwa, kuzodingeka ube ne-catheter endaweni yayo amasonto ambalwa ngenkathi inxeba lisaphola. Leli yipayipi elincane elikhipha umchamo kwesinye. Lokhu kuvumela umchamo ukuthi uphume kwesinye ngaphandle kokubangela noma yikuphi ukucindezeleka noma ukungakhululeki ekulimaleni okusha, futhi kusiza inxeba ukuthi liphole ngokushesha. Akukhululeki kancane, kodwa kubalulekile ukuze ululame ngokushesha. Udokotela wakho uzokutshela ukuthi kufanele uligcine isikhathi esingakanani endaweni yalo.

Into ebaluleke kakhulu ukuthi uma unalezi zimpawu, ungabi namahloni noma wesabe, bese ubona udokotela ofanelekayo ngokushesha okukhulu. Ngemuva kwalokho inkinga ingabonakala ngokushesha bese kuqaliswa ukwelashwa okudingekayo.

Ekugcineni, kufanele ngikutshele... (Umyalezo Wokuya Ekhaya)

Nazi ezinye izinto okufanele uzikhumbule:

• I-Vesicovaginal fistula iwukuxhumana okungavamile phakathi kwesinyi kanye nesitho sangasese sowesifazane, okungabangela ukuthi umchamo uvuze ngesitho sangasese sowesifazane.
• Isizathu esiyinhloko salokhu izinkinga ngemva kokuhlinzwa kwe-pelvic. Izimo zomdlavuza kanye nokwelashwa ngemisebe nakho kungaba yizimbangela.
• Uma unezimpawu ezifana nokuchama ngokungazi, ukumanzi njalo, kanye nephunga elibi, qiniseka ukuthi ubona udokotela.
• Lesi simo singalapheka ngokuphelele ngokuhlinzwa, ngakho ungakhathazeki.
• Kubaluleke kakhulu ukulandela imiyalelo kadokotela ngqo ukuze ululame ngokushesha.

Ngiyethemba ukuthi lolu lwazi luzokusiza. Khumbula, kungumthwalo wakho ukunakekela impilo yakho.

I- Vesicovaginal Fistula, Ukutheleleka Kwendlela Yomchamo, Isitho Sangasese Sowesifazane, Isinye, Impilo Yabesifazane, Ukuhlinzwa, I-Fistula, I-VVF, Ukutheleleka Kwendlela Yomchamo