He aha ka Fistula Vaginal? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka fistula vaginal kahi puka ʻole a i ʻole ka pilina ma waena o kou vagina a me kekahi ʻano kino ʻē aʻe, e like me kou ʻōpū, rectum, a i ʻole nā ʻōpū. E noʻonoʻo iā ia he tunnel makemake ʻole e ʻae i nā wai a i ʻole nā ​​ʻōpala e hele mai kekahi wahi i kekahi wahi i ka wā ʻaʻole pono.

Hiki i kēia kūlana ke manaʻo nui i ka wā mua āu e aʻo ai e pili ana iā ia, akā ʻaʻole ʻoe wale nō. Hoʻopili ka fistula vaginal i nā tausani o nā wahine ma ka honua holoʻokoʻa, a loaʻa nā lapaʻau kūpono e kōkua i ka hoʻihoʻi ʻana i kou ʻoluʻolu a me ke ʻano o ke ola.

He aha nā hōʻailona o ka fistula vaginal?

ʻO nā hōʻailona āu e ʻike ai e hilinaʻi ana i nā ʻano kino i hoʻohui ʻia e ka fistula. ʻIke ka hapa nui o nā wahine i ka hoʻokuʻu ʻole a i ʻole ka hoʻokahe ʻana ʻaʻole kūlike me kā lākou mau ʻano maʻamau.

Eia nā hōʻailona maʻamau e nānā ai:

• Ke hoʻokahe mau ʻana o ka mimi mai kou vagina (me nā fistulas bladder)
• Ke hele ʻana o ka ea a i ʻole ka ʻōpala ma o kou vagina (me nā fistulas bowel)
• Hoʻokuʻu vaginal maʻamau me kahi ʻala ikaika a ʻino paha
• Nā maʻi urinary tract pinepine
• ʻEha a i ʻole ka ʻoluʻolu ʻole i ka wā moe kolohe
• Hoʻonāukiuki a ʻā paha a puni kou wahi vaginal
• Paʻakikī i ka kaohi ʻana i ka mimi a i ʻole nā ​​neʻe ʻana o ka ʻōpū

Hiki i kēia mau hōʻailona ke hoʻopili nui i kou ola i kēlā me kēia lā a me kou olakino manaʻo. Inā ʻoe e ʻike ana i kekahi o kēia mau hōʻailona, ​​ʻo ka hele ʻana i kāu mea mālama ola kahi hana nui e loaʻa ai ka mālama āu e pono ai.

He aha nā ʻano o ka fistula vaginal?

Hoʻokaʻawale ʻia nā fistulas vaginal ma muli o nā ʻano kino ā lākou e hoʻohui ai. Hoʻokumu kēlā me kēia ʻano i nā hōʻailona like ʻole a pono i nā ala lapaʻau kūikawā.

ʻO nā ʻano nui e komo pū ana:

• Vesicovaginal fistula: Hoʻohui i kou ʻōpū i kou vagina, e hoʻokumu ana i ka mimi e hoʻokahe mau ana
• Rectovaginal fistula: Hoʻohui i kou rectum i kou vagina, e ʻae ana i ka ea a me ka ʻōpala e hele ma o kou vagina
• Enterovaginal fistula: Hoʻohui i kou ʻōpū liʻiliʻi i kou vagina
• Colovaginal fistula: Hoʻohui i kou ʻōpū nui (colon) i kou vagina
• Urethrovaginal fistula: Hoʻohui i kou urethra i kou vagina

ʻO nā fistulas Vesicovaginal a me Rectovaginal nā ʻano maʻamau loa. E hoʻoholo kāu kauka i ke ʻano āu e loaʻa ai ma o ka nānā pono ʻana a me ka hoʻokolokolo ʻana, kahi e kōkua ai i ka hoʻolālā lapaʻau kūpono loa.

He aha nā kumu o ka fistula vaginal?

Hoʻomohala pinepine ʻia nā fistulas vaginal i ka wā e hōʻino ʻia ai nā pūnaewele ma waena o nā ʻano kino a i nāwaliwali paha. Hiki i kēia hōʻino ke hana mālie i ka manawa a i ʻole koke ma muli o ka hōʻino a i ʻole nā ​​kaʻina hana lapaʻau.

ʻO ka hoʻomaopopo ʻana i nā kumu like ʻole e kōkua iā ʻoe a me kāu kauka e ʻike i ka mea i hiki ke hoʻokomo i kou kūlana:

• Nā pilikia hānau keiki: Ka hana lōʻihi, ka hānau paʻakikī, a i ʻole nā ​​ʻeha i ka wā hānau
• Nā pilikia ʻoki kino: ʻAʻole pinepine, nā ʻoki kino gynecological e like me ka hysterectomy a i ʻole ka cesarean section
• Maʻi inflammatory bowel: Nā kūlana e like me ka Crohn's disease a i ʻole ka ulcerative colitis
• Radiation therapy: Hiki i ka mālama ʻana i nā maʻi kanesa pelvic ke hoʻonāwaliwali i nā pūnaewele i ka manawa
• Nā maʻi: Nā maʻi pelvic koʻikoʻi a i ʻole nā ​​abscesses
• Cancer: Hiki i nā ʻōpū ma ka wahi pelvic ke hana i nā pilina ʻole
• ʻOki kino pelvic ma mua: Loaʻa i kēlā me kēia ʻoki kino ma ka ʻāpana pelvic kahi pilikia liʻiliʻi

ʻO kekahi mau kumu ʻoi aku ka liʻiliʻi e komo pū ana me ka constipation koʻikoʻi e alakaʻi ana i ka hōʻino ʻana i nā pūnaewele, kekahi mau maʻi sexually transmitted, a i ʻole nā ​​kūlana congenital i loaʻa mai ka hānau ʻana. E hana pū kāu kauka me ʻoe e ʻike i ke kumu kūpono loa i kou kūlana kikoʻī.

I ka wā e ʻike ai i ke kauka no ka fistula vaginal?

Pono ʻoe e hoʻokaʻaʻike koke i kāu mea mālama ola inā ʻoe e ʻike i kekahi hoʻokahe ʻole mai kou vagina a i ʻole nā ​​hoʻololi i kāu mau hana kino maʻamau. Hiki i ka loiloi mua ke pale aku i nā pilikia a hoʻomaikaʻi i nā hopena lapaʻau.

E ʻimi i ka mālama lapaʻau koke inā ʻoe e ʻike:

• Ke hoʻokahe mau ʻana o ka mimi mai kou vagina
• Ke hele ʻana o ka ea a i ʻole ka ʻōpala ma o kou vagina
• Hoʻomau, hoʻokuʻu vaginal ʻala ʻino
• Nā maʻi urinary tract pinepine
• ʻEha nui ma kou wahi pelvic
• Nā hōʻailona o ka maʻi e like me ka wela a i ʻole nā ​​chills

Mai kali a manaʻo hoʻohilahila e kūkākūkā i kēia mau hōʻailona. Loaʻa i kāu mea mālama ola ka ʻike me kēia mau kūlana a makemake e kōkua iā ʻoe e ʻoluʻolu hou. ʻO ka wikiwiki o kou ʻimi ʻana i ka mālama, ʻoi aku ka nui o nā koho lapaʻau i loaʻa iā ʻoe.

He aha nā mea pilikia no ka fistula vaginal?

Loaʻa i kekahi mau mea ke hoʻonui i kou hiki ke loaʻa i ka fistula vaginal. ʻO ka ʻike ʻana i kēia mau mea pilikia e kōkua i kāu hui mālama ola e hāʻawi i ka mālama palekana maikaʻi a me ka nānā.

ʻO nā mea pilikia nui loa e komo pū ana:

• Mōʻaukala o ka hānau keiki paʻakikī: Ka hana lōʻihi, ka hānau forceps, a i ʻole nā ​​hānaua he nui
• ʻOki kino pelvic ma mua: Kekahi ʻoki kino ma ka wahi pelvic, ʻoi aku hoʻi nā kaʻina hana he nui
• Maʻi inflammatory bowel: Hoʻonui nui ka Crohn's disease i ka pilikia
• Radiation therapy pelvic: Mālama ʻana i nā maʻi kanesa cervical, uterine, a i ʻole rectal
• Makua holomua: Liʻiliʻi nā pūnaewele i ka manawa
• Nā kūlana olakino lōʻihi: Ka maʻi diabetes a i ʻole nā ​​kūlana e hoʻopilikia ana i ka ho'ōla
• Pāpā: Ho'ēmi i ke kahe koko a hoʻopilikia i ka ho'ōla ʻana o nā pūnaewele

ʻO nā mea pilikia liʻiliʻi e komo pū ana me kekahi mau kūlana autoimmune, ka hoʻohana ʻana i nā steroid lōʻihi, a i ʻole ka mōʻaukala o nā maʻi pelvic. ʻO ka loaʻa ʻana o nā mea pilikia ʻaʻole ia he manaʻo e loaʻa nō ʻoe i ka fistula, akā hiki i kāu kauka ke paipai i ka nānā kokoke inā pili kekahi mau mea iā ʻoe.

He aha nā pilikia hiki ke loaʻa i ka fistula vaginal?

Me ka ʻole o ka lapaʻau, hiki i nā fistulas vaginal ke alakaʻi i nā pilikia he nui e hoʻopilikia ana i kou olakino kino a me ke ʻano o ke ola. ʻO ka ʻoiaʻiʻo maikaʻi, hiki ke pale ʻia a i ʻole ke mālama ʻia ka hapa nui o nā pilikia me ka mālama lapaʻau kūpono.

Hiki i nā pilikia kino ke komo pū ana:

• Nā maʻi pinepine: Nā maʻi urinary tract a i ʻole nā ​​maʻi vaginal
• Hoʻonāukiuki ʻili: Hiki i ka wai mau ke hana i nā rashes a i ʻole nā ​​ʻeha
• Dysfunction moekolohe: ʻEha a i ʻole ka ʻoluʻolu ʻole i ka wā pili
• Electrolyte imbalances: Nā nalowale o nā minelala koʻikoʻi ma o ka hoʻokahe mau ʻana
• Nā pilikia kidney: I nā hihia koʻikoʻi me nā fistulas bladder

Hiki i ka hopena manaʻo ke pilikia like, me ka huki ʻana mai ka lehulehu, ka manaʻo kaumaha, a i ʻole ka hopohopo e pili ana i ka ʻala a me ka hoʻokahe ʻana. ʻIke pū kekahi mau wahine i ka pilikia pilina a i ʻole ka emi ʻana o ka hilinaʻi iā lākou iho.

E hoʻomanaʻo he hiki ke pale ʻia kēia mau pilikia me ka lapaʻau kūpono. Hoʻomaopopo kāu hui mālama ola i kēia mau pilikia a hiki ke hāʻawi i ka lapaʻau lapaʻau a me ke kākoʻo manaʻo i kou huakaʻi ho'ōla.

Pehea e pale aku ai i ka fistula vaginal?

ʻOiai ʻaʻole hiki ke pale ʻia nā fistulas vaginal a pau, hiki i kekahi mau hana ke hoʻemi nui i kou pilikia. Kuhi ʻia ka pale ʻana i ka mālama ʻana i ka olakino pelvic maikaʻi a me ka mālama pono ʻana i nā kūlana underlying.

ʻO nā hana palekana nui e komo pū ana:

• Mālama prenatal kūpono: Nā nānā maʻamau i ka wā hāpai a me ka mālama hānau akamai
• Mālama ʻana i nā kūlana lōʻihi: E mālama pono i ka maʻi inflammatory bowel a i ʻole ka maʻi diabetes
• Pale ʻana i ka puhi paka: Hoʻopilikia ka hoʻohana ʻana i ka paka i ka ho'ōla ʻana a hoʻonui i nā pilikia ʻoki kino
• Mālama ʻana i nā ʻōlelo aʻo ma hope o ka ʻoki kino: E ʻae i ka manawa ho'ōla kūpono ma hope o kekahi ʻoki kino pelvic
• Mālama koke ʻana i nā maʻi: E mālama koke a piha i nā maʻi pelvic
• Mālama ʻana i ka maʻemaʻe maikaʻi: E mālama i ka wahi genital i maʻemaʻe a maloʻo

Inā ʻoe i ka pilikia kiʻekiʻe ma muli o nā kūlana lapaʻau a i ʻole nā ​​ʻoki kino ma mua, e kūkākūkā i nā hana palekana me kāu kauka. Hiki iā lākou ke paipai i ka nānā kikoʻī a i ʻole nā ​​palekana i hoʻopilikino ʻia i kou kūlana.

Pehea ka hōʻoia ʻana o ka fistula vaginal?

ʻO ka hōʻoia ʻana i ka fistula vaginal e komo pū ana me ka hoʻohui ʻana o ka nānā kino a me nā hoʻokolokolo kūikawā. E hana pū kāu kauka e hōʻoia i ka loaʻa ʻana o ka fistula a hoʻoholo i kona wahi pololei a me ka nui.

ʻO ke kaʻina hana hōʻoia e komo pū ana:

• Nānā mōʻaukala lapaʻau: Kūkākūkā ʻana i kāu mau hōʻailona, ​​nā ʻoki kino, a me nā mea pilikia
• Nānā kino: Nānā pono ʻana i kou wahi vaginal a me pelvic
• Nānā Speculum: Nānā pololei ʻana i nā paia vaginal
• Nā ho'āʻo Dye: Kōkua nā dyes kūikawā e hahai i ka pilina ʻole
• Nā haʻawina kiʻi: Nā scans CT, MRI, a i ʻole ultrasound e ʻike i nā ʻano kino kūloko
• Cystoscopy: Nānā kamera o kou ʻōpū inā pono
• Colonoscopy: Nānā ʻana i kou colon no nā fistulas bowel

Hiki i kēia mau ho'āʻo ke kani nui, akā maʻamau lākou i ka maikaʻi a hāʻawi i ka ʻike koʻikoʻi no ka hoʻolālā ʻana i kāu lapaʻau. E wehewehe kāu hui mālama ola i kēlā me kēia ho'āʻo a kōkua iā ʻoe e ʻoluʻolu i ka wā holoʻokoʻa.

He aha ka lapaʻau no ka fistula vaginal?

ʻO ka lapaʻau no ka fistula vaginal e hilinaʻi ana i ka nui, kahi, a me ke kumu underlying o kou kūlana kikoʻī. Hiki ke hoʻoponopono maikaʻi ʻia ka nui o nā fistulas, e ʻae ana iā ʻoe e hoʻi i ka hana maʻamau a me ka ʻoluʻolu.

Hiki i kāu mau koho lapaʻau ke komo pū ana:

• Mālama mālama: Ho'ōla kekahi mau fistulas liʻiliʻi ma o lākou iho me ka mālama kūpono
• Hoʻoponopono ʻoki kino: ʻO ka lapaʻau maʻamau a maikaʻi loa no nā fistulas nui
• Nā kaʻina hana liʻiliʻi: Laparoscopic a i ʻole robotic surgery i ka wā kūpono
• Nā grafts pūnaewele: Ke hoʻohana nei i kou pūnaewele ponoʻī e hoʻoikaika i ka hoʻoponopono
• Nā hoʻoponopono staged: Nā ʻoki kino liʻiliʻi he nui no nā hihia paʻakikī
• Mālama lapaʻau: Ke mālama nei i nā kūlana underlying e like me ka maʻi inflammatory bowel

E koho kāu kauka i ke ala maikaʻi loa ma muli o kou kūlana pilikino. ʻO nā helu holomua no ka hoʻoponopono ʻana i ka fistula he kiʻekiʻe maʻamau, ʻoi aku hoʻi i ka wā i hana ʻia e nā loea akamai. Hoʻololi ka manawa ho'ōla, akā ʻike ka hapa nui o nā wahine i ka hoʻomaikaʻi nui i loko o kekahi mau mahina.

Pehea e mālama ai i nā hōʻailona ma ka home i ka wā lapaʻau?

ʻOiai ke kali nei no ka lapaʻau a i ʻole i ka wā ho'ōla, hiki i kekahi mau hoʻolālā mālama home ke kōkua iā ʻoe e mālama i nā hōʻailona a mālama i kou ʻoluʻolu. Hana kēia mau ala me ka lapaʻau lapaʻau, ʻaʻole e pani i ka mālama ʻoihana.

ʻO nā hoʻolālā mālama hana e komo pū ana:

• E hoʻohana i nā huahana absorbent: Nā pads kiʻekiʻe a i ʻole nā ​​diapers makua no ka pale ʻana i ka hoʻokahe ʻana
• E hoʻomaʻamaʻa i ka maʻemaʻe mālie: E hoʻomaʻemaʻe i ka wahi pinepine me ka sapona palupalu, ʻala ʻole
• E hoʻopili i nā kirimalu pale: E pale i kou ʻili mai ka hoʻonāukiuki i hana ʻia e ka wai mau
• E noho hydrated: E inu nui i ka wai ʻoiai ke hopohopo nei e pili ana i ka hoʻokahe ʻana
• E komo i nā lole palalulu: E ʻae i ka ea e holo e pale aku i nā pilikia ʻili
• E ʻau i ka wai mahana: E ʻau i ka wai mahana maʻemaʻe e hoʻomaha i ka ʻili hoʻonāukiuki
• E pale aku i nā huahana ʻino: E haʻalele i nā douches, nā huahana ʻala, a i ʻole nā ​​detergents ikaika

E noʻonoʻo e mālama i kahi diary hōʻailona e hahai i nā hoʻololi a ʻike i nā ʻano. Hiki i kēia ʻike ke waiwai no kāu mea mālama ola i ka wā e hoʻolālā ai i nā hoʻoponopono lapaʻau.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

ʻO ka hoʻomākaukau pono ʻana no kāu hālāwai e kōkua e hōʻoia iā ʻoe e loaʻa ka ʻike a me ka mālama maikaʻi loa. Pono kāu kauka i nā kikoʻī kikoʻī e pili ana i kāu mau hōʻailona a me ka mōʻaukala lapaʻau e hāʻawi i nā ʻōlelo lapaʻau maikaʻi loa.

Ma mua o kāu kipa, e hōʻiliʻili i ka ʻike aʻe:

• Timeline hōʻailona: I ka wā hea i hoʻomaka ai nā hōʻailona a pehea lākou i hoʻololi ai?
• Nā moʻolelo lapaʻau: E lawe mai i nā hōʻike mai nā ʻoki kino ma mua a i ʻole nā ​​kaʻina hana pili
• Nā lāʻau lapaʻau i kēia manawa: E komo pū me nā lāʻau lapaʻau, nā mea hoʻohui, a me nā huahana over-the-counter
• Mōʻaukala ʻohana: Kekahi mau hoahānau me nā kūlana like a i ʻole ka maʻi inflammatory bowel
• Nā mea ola: ʻIke e pili ana i ka puhi paka, ka ʻai, a i ʻole nā ​​maʻamau olakino ʻē aʻe

E kākau i kāu mau nīnau ma mua e ʻaʻole ʻoe e poina e nīnau i nā mea nui i ka wā hālāwai. E noʻonoʻo e lawe mai i kahi hoaaloha a i ʻole ʻohana hilinaʻi no ke kākoʻo, ʻoi aku hoʻi inā ʻoe e manaʻo hopohopo e pili ana i ka kipa.

He aha ka lawe nui e pili ana i ka fistula vaginal?

ʻO nā fistulas vaginal nā kūlana pilikia, akā hiki ke mālama ʻia me ka mālama lapaʻau a me ke kākoʻo kūpono. ʻO ka mea nui loa e hoʻomanaʻo ai, ʻaʻole pono ʻoe e ʻeha i ka noho mālie a i ʻole ke manaʻo hoʻohilahila e pili ana i ka ʻimi ʻana i ke kōkua.

ʻO ka hōʻoia mua a me ka lapaʻau e alakaʻi pinepine i nā hopena maikaʻi a me nā pilikia emi. Loaʻa i nā ʻenehana ʻoki kino hou nā helu holomua kiʻekiʻe, a hoʻi ka hapa nui o nā wahine i ka hana maʻamau ma hope o ka lapaʻau. Loaʻa i kāu hui mālama ola ka ʻike me kēia mau kūlana a makemake e kōkua iā ʻoe e ʻoluʻolu a hilinaʻi hou.

ʻOiai ka huakaʻi i ka ho'ōla e lawe i ka manawa, e hoʻomanaʻo he loaʻa nā lapaʻau maikaʻi. E kālele i ka loaʻa ʻana o nā mea mālama ola akamai, e hahai ana i nā ʻōlelo aʻo lapaʻau, a e hoʻomanawanui me ke kaʻina hana ho'ōla. Me ka mālama kūpono, hiki iā ʻoe ke manaʻo i ka hoʻomaikaʻi nui i kāu mau hōʻailona a me ke ʻano o ke ola.

Nā nīnau pinepine e pili ana i ka fistula vaginal

Q1: Hiki i nā fistulas vaginal ke ho'ōla ma o lākou iho me ka ʻole o ka ʻoki kino?

Ho'ōla kekahi mau fistulas liʻiliʻi, maʻalahi ma o lākou iho, ʻoi aku hoʻi inā hoʻomohala hou lākou ma hope o ka ʻoki kino a i ʻole ka hānau keiki. Eia naʻe, pono ka hapa nui o nā fistulas i ka hoʻoponopono ʻoki kino no ka ho'ōla piha. E nānā pono kāu kauka i nā fistulas liʻiliʻi e ʻike inā lākou e hoʻomaikaʻi me ka mālama mālama ma mua o ka paipai ʻana i ka ʻoki kino.

Q2: Pehea ka lōʻihi o ka ho'ōla ma hope o ka ʻoki kino fistula?

Hoʻololi ka manawa ho'ōla ma muli o ke ʻano a me ka paʻakikī o kāu hoʻoponopono. Pono ka hapa nui o nā wahine i 6-12 mau wiki no ka ho'ōla mua, i ka wā e pono ai ʻoe e pale aku i ka hāpai kaumaha a me ka hana moekolohe. Hoʻopau ka ho'ōla piha a me ka hoʻi ʻana i nā hana maʻamau āpau ma kahi o 3-6 mau mahina. E hāʻawi kāu kauka i nā ʻōlelo aʻo kikoʻī ma muli o kāu kaʻina hana.

Q3: Hiki iaʻu ke loaʻa nā pilina moekolohe maʻamau ma hope o ka lapaʻau?

ʻAe, hoʻi ka hapa nui o nā wahine i ka hana moekolohe maʻamau ma hope o ka hoʻoponopono fistula holomua. E aʻo aku kāu kauka i ka wā palekana e hoʻomaka hou i ka hana moekolohe, maʻamau ma hope o ka ho'ōla piha. Pono kekahi mau wahine i nā lapaʻau hou aku e like me ka pelvic floor therapy e mālama i kekahi mau hopohopo e pili ana i ka ʻoluʻolu a i ʻole ka hilinaʻi.

Q4: Loaʻa nā hoʻololi ʻai āu e hana ai me ka fistula vaginal?

No nā fistulas pili i ka ʻōpū, hiki i kāu kauka ke paipai i nā hoʻololi ʻai manawa e hoʻemi ai i nā neʻe ʻana o ka ʻōpū i ka wā ho'ōla. Hiki i kēia ke komo pū me ka ʻai haʻahaʻa-fiber a i ʻole ka pale ʻana i kekahi mau meaʻai e hoʻokumu i ka ea a i ʻole nā ​​stools palalulu. No nā fistulas bladder, he mea nui ka noho hydrated ʻoiai ke hopohopo nei e pili ana i ka hoʻokahe ʻana. E hahai mau i nā ʻōlelo aʻo kikoʻī a kāu mea mālama ola.

Q5: He aha nā manawa e hoʻi mai ai ka fistula vaginal ma hope o ka ʻoki kino?

ʻO nā helu hoʻi hou ʻana he haʻahaʻa maʻamau i ka wā e hana ʻia ai nā hoʻoponopono fistula e nā kauka akamai. ʻO nā helu holomua maʻamau mai 85-95% no nā hoʻoponopono mua. ʻO nā mea e hoʻopilikia ana i ka holomua e komo pū ana me ka nui a me kahi o ka fistula, kou olakino holoʻokoʻa, a inā mālama pono ʻia nā kūlana underlying e like me ka maʻi inflammatory bowel. E kūkākūkā kāu kauka i kāu mau mea pilikia pilikino a me nā hopena i manaʻo ʻia.