Chii chinonzi Rectovaginal Fistula? Zviratidzo, Zvinokonzera, & Kurapa

Rectovaginal fistula ibatanidzo isina kunaka pakati perectum yako nevagina inobvumira manyowa negasi kupfuura nemuromo wevagina. Kuvhurwa uku hakufanirwe kuvapo, uye kana kwakaitika, kunogona kunzwa kwakanyanya uye kunoparadzanisa. Hausi wega munzira iyi, uye kurapwa kunobudirira kuripo kubatsira kudzoreredza hupenyu hwako hwakanaka.

Chii chinonzi rectovaginal fistula?

Rectovaginal fistula inoumba nzira yakaita segomba pakati perectum yako (chikamu chekupedzisira cheura hwako guru) nevagina yako. Kubatanidzwa uku kunobvumira zviri mukati meura kuti zvinyepe muvagina yako panzvimbo yekubuda ne anus sezvazvinoita kazhinji.

Saizi yemafistula aya inogona kusiyana zvikuru. Zvimwe zvidiki zvakaita sepinhole openings, nepo zvimwe zvingave zvikuru uye zvakaoma. Nzvimbo iri pamusoro pe rectovaginal wall inosiyanawo, izvo zvinoita kuti zviratidzo nekurapa zviite zvakasiyana.

Iyi mamiriro anoita kuti hupenyu hwako hwezuva nezuva huve nemigumisiro yakakura, ichikanganisa zvinhu zvese kubva pakuchenesa kwemunhu kuenda pakushamwaridzana kwepedyo. Kunzwisisa zviri kuitika mumuviri wako ndiyo nhanho yekutanga yekuwana rubatsiro rwaunoda.

Ndeapi zviratidzo zve rectovaginal fistula?

Chiratidzo chinoonekwa zvikuru ndechemanyowa kana gasi rinopfuura nevagina yako panzvimbo perectum yako. Izvi zvinogona kuitika zvisingatarisirwi uye zvinogona kunzwa zvakashata, kunyanya kana uri kuyedza kutonga mabasa ako ezuva nezuva.

Heano zviratidzo zvikuru zvaunogona kusangana nazvo:

• Manyowa anobuda muvagina yako
• Gasi rinopfuura nevagina yako
• Vaginal discharge ine kunhuhwirira kwakaipa
• Utachiona hwakawanda hwevagina kana urinary tract
• Kurwadziwa panguva yekubuda manyowa
• Kukwenya kana kupisa munzvimbo ye vaginal yako
• Kurwadziwa panguva yekubatanidzwa pabonde
• Kurwadziwa kwemudumbu kana kusagadzikana

Vakadzi vamwe vanogonawo kuwana kukwenya kweganda munzvimbo yekuvhurwa kwevagina nekuda kwekusangana nemanyowa. Migumisiro yemanzwiro inogona kuva yakaoma sezviratidzo zvemuviri, kazhinji ichitungamira kune kunetseka nezvemamiriro ezvinhu enharaunda kana kushamwaridzana kwepedyo.

Ndeapi marudzi e rectovaginal fistula?

Vachiremba vanoronga rectovaginal fistulas zvichienderana nenzvimbo yavo uye kuoma kwavo. Kunzwisisa rudzi rwako runokosha kunobatsira kuona nzira yakanaka yekurapa mamiriro ako.

Marudzi makuru anosanganisira:

• Low rectovaginal fistula: Iri pedyo nekuvhurwa kwevagina, kazhinji iri nyore kugadzirisa
• High rectovaginal fistula: Iri kumusoro muvaginal canal, inogona kuda kuvhiya kwakaoma
• Simple fistula: Kuvhurwa kudiki, kwakapfava kwakapoteredzwa ne tishu dzakagwinya
• Complex fistula: Kuvhurwa kukuru, nzira dzakawanda, kana yakapoteredzwa netishu dzakakuvadzwa kana dzine utachiona

Chiremba wako achaona rudzi rwawakaita kuburikidza nekuongorora uye kuongorora mifananidzo. Iyi classification inotungamirawo nzira yekuvhiya uye nguva yako yekudzorera.

Chii chinokonzera rectovaginal fistula?

Zviitiko zvakasiyana-siyana zvinogona kutungamira pakukura kwe rectovaginal fistula. Chikonzero chakajairika ndemigumisiro panguva yekuzvarwa, asi mamwe mamiriro ezvechiremba nemabatiro anogonawo kuita aya makombi ekubatanidza.

Zvinokonzera zvikuru zvinosanganisira:

• Obstetric trauma: Kukuvadzwa kwakanyanya panguva yekuzvarwa kwevagina, kunyanya fourth-degree tears inosvika ku rectum
• Inflammatory bowel disease: Crohn's disease inogona kukonzera kuzvimba kunoparadza tishu pakati pema organs
• Surgical complications: Migumisiro kubva pakugadzirisa episiotomy, hemorrhoid surgery, kana mamwe mabatiro e pelvic
• Radiation therapy: Kurapa kenza munzvimbo ye pelvic kunogona kusimbisa tishu nekufamba kwenguva
• Utachiona: Abscesses yakanyanya munzvimbo iri pakati perectum nevagina
• Cancer: Tumors iri mu rectum, vagina, kana cervix inogona kuita makombi pakati pema organs
• Pelvic trauma: Zviitiko zvakanyanya kana kukuvara munzvimbo ye pelvic

Mumazuva mashoma, vakadzi vamwe vanozvarwa ne rectovaginal fistulas nekuda kwekusakwana kwekusimukira panguva yekuzvitakura. Dzimwe nguva chikonzero chaicho hachizivikanwi, izvo zvinogona kunzwa zvine hasha asi hazvikanganisi sarudzo dzako dzekurapa.

Rini unofanira kuona chiremba we rectovaginal fistula?

Unofanira kubata chiremba wako pakarepo kana ukaona manyowa kana gasi richibuda muvagina yako. Ichi chiratidzo chinoda nguva dzose kuongororwa kwechiremba, sezvo zvisiri chimwe chinhu chichagadzirisa pachacho.

Tsvaga rubatsiro rwechiremba kana ukasangana nezviratidzo izvi:

• Chero huwandu hwemanyowa hunopfuura nevagina yako
• Vaginal discharge ine kunhuhwirira kwakaipa kwenguva refu
• Utachiona hwakawanda hwevagina kana urinary tract
• Kurwadziwa kwakanyanya panguva yekubuda manyowa kana pabonde
• Zviratidzo zvekutachiona sekurwadziwa kwemudumbu, chills, kana kurwadziwa kwakanyanya kwepelvic

Kurapa kwekukurumidza kazhinji kunotungamira kumigumisiro iri nani uye kunogona kudzivirira matambudziko. Usazvidya mwoyo nezvekutaura nezviratidzo izvi nechikura wako - vakadzidziswa kubata nemamiriro ezvinhu aya nekunzwira tsitsi uye hunyanzvi.

Ndeapi njodzi dze rectovaginal fistula?

Zvinhu zvimwe zvinogona kuwedzera mukana wako wekukura rectovaginal fistula. Kunzwisisa izvi njodzi kunobatsira iwe nechikwata chako chehutano kuita sarudzo dzakachenjera nezve kudzivirira nekurapa.

Njodzi huru dzinosanganisira:

• Kuzvarwa kwakaoma: Kubata kwenguva refu, forceps kana vacuum delivery, kana mwana mukuru
• Kuvhiya kwepelvic kare: Nhoroondo yemabatiro munzvimbo ye anal kana vaginal
• Inflammatory bowel disease: Kunyanya Crohn's disease inokanganisa rectum
• Radiation therapy kare: Kurapa kenza kunangidzirwa munzvimbo ye pelvic
• Zera rakakura panguva yekuzvarwa: Kuve nemakore anopfuura 35 panguva yekuzvarwa
• Chronic constipation: Kubata kwenguva refu panguva yekubuda manyowa
• Kushomeka kwezvokudya: Mamiriro anoita kuti tishu dzirape zvisina kunaka
• Kusvuta: Kunokanganisa kuyerera kweropa nekurapa kwetishu

Kuve nenjodzi hazvirevi kuti iwe uchava nefistula. Vakadzi vazhinji vane njodzi idzi havazombovi neichi mamiriro, nepo vamwe vasina njodzi dzinooneka vanowana fistulas.

Ndeapi matambudziko anogona kuitika e rectovaginal fistula?

Kana isina kurapwa, rectovaginal fistulas inogona kutungamira kumatambudziko akawanda anokanganisa hutano hwako hwemuviri uye hupenyu hwakanaka. Kunzwisisa izvi zvinhu zvinokosha kunosimbisa kuti nei kutsvaga kurapwa kwakakosha.

Matambudziko anogona kuitika anosanganisira:

• Utachiona hwakawanda: Utachiona hwakawanda hwevagina, urinary tract, kana pelvic
• Kukuvadzwa kweganda: Kukwenya nemavanga munzvimbo dzevagina ne anal
• Kuparadzana nevanhu: Kunetseka kuchengetedza mabasa enguva dzose nekuda kwekushanduka kwemanzwiro nekunyorova
• Sexual dysfunction: Kurwadziwa panguva yekubatanidzwa pabonde nekukanganisa ukama
• Manzwiro asina kunaka: Kuora mwoyo, kunetseka, uye kurasikirwa nekuvimba kwemunhu
• Electrolyte imbalance: Mumazuva mashoma ane fistulas huru inokonzera kurasikirwa kwakanyanya kwemvura

Mashoko akanaka ndeakuti nekurapa kwakakodzera, akawanda ematambudziko aya anogona kudzivirirwa kana kudzoreredzwa. Chikwata chako chehutano chichaita basa newe kugadzirisa zvese zviri zviviri zviratidzo zvemuviri nemanzwiro eichi mamiriro.

Rectovaginal fistula inoziiwa sei?

Chiremba wako achatanga nehurukuro yakadzama nezviratidzo zvako nenhoroondo yako yekurapa. Vachabvunza nezvekuzvarwa, kuvhiya kare, uye chero inflammatory bowel conditions kuti vanzwisise zvinokonzera.

Maitiro ekuongorora kazhinji anosanganisira kuongororwa kwemuviri kwaunenge uchiongororwa nechikura wako munzvimbo dzevagina ne rectal. Kuongororwa uku kunogona kunzwa kusagadzikana, asi kunokosha kuwana fistula uye kuona saizi yayo nekuoma kwacho.

Kuongororwa kuwedzerwa kunogona kusanganisira:

• Fistulogram: X-ray ine contrast dye kuti ione nzira ye fistula
• CT scan kana MRI: Mifananidzo yakadzama kuti ione tishu dzakapoteredza uye kudzivisa mamwe mamiriro
• Colonoscopy: Kuongorora kamera ye colon yako kuti uone inflammatory bowel disease
• Anorectal manometry: Kuongorora kuti uwane anal sphincter function
• Endorectal ultrasound: Kuongorora kwemashoko ekuona anal sphincter muscles

Chiremba wako anogonawo kuita methylene blue test, kwaunenge uchinyorwa neblue dye mu rectum yako kuti uone kana ichioneka muvagina yako. Aya maitiro anobatsira kuita mufananidzo wakakwana wemamiriro ako uye anotungamira pakuronga kurapa.

Kurapa kwe rectovaginal fistula ndekupi?

Kurapa kunotsamira pazvinhu zvakawanda zvinosanganisira saizi nenzvimbo ye fistula yako, chikonzero chayo, uye hutano hwako hwese. Chiremba wako achaita purogiramu yekurapa yakagadzirirwa iwe inokupa mukana wakanaka wekurapa kwakabudirira.

Fistulas diki, dzakapfava dzimwe nguva dzinorapwa dzoga nekurapa kwakapfava. Nzira iyi inogona kusanganisira kuchinja kwezvokudya, mishonga yekuderedza kubuda kwemanyowa, uye kuchenesa kwakanyanya. Chiremba wako achaongorora kufambira mberi kwako pedyo panguva ino.

Kuvhiya kazhinji kunodiwa kune fistulas huru kana dzakaoma. Nzira huru dzekuvhiya dzinosanganisira:

• Fistulotomy: Kuvhura nekuchenesa nzira ye fistula
• Advancement flap repair: Kushandisa tishu dzakagwinya kufukidza kuvhurwa
• Muscle interposition: Kuisa tishu dzemhasuru pakati perectum nevagina
• Temporary colostomy: Kutora manyowa kure nenharaunda kuti abvumire kurapa

Kune fistulas dzakakonzerwa ne Crohn's disease, chiremba wako anogona kunyora mishonga yekuderedza kuzvimba usati waedza kuvhiya. Nzira iyi yakasanganiswa kazhinji inowedzera huwandu hwekubudirira.

Ungadzikamisa sei zviratidzo pamba?

Paunenge uchitarisira kurapwa kana panguva yekudzorera, nzira dzakawanda dzekutarisira pamba dzinogona kukubatsira kudzikamisa zviratidzo uye kuchengetedza kunyaradza kwako. Aya maitiro anoshanda pamwe chete nekurapa kwechiremba, kwete sechinoshandiswa pakurapa kweprofessional.

Nzira dzekutarisira pamba dzinoshanda dzinosanganisira:

• Kuchenesa kwakapfava: Chenesa nzvimbo nemvura inodziya mushure mekunge wabuda manyowa
• Barrier creams: Shandisa zinc oxide kana petroleum jelly kudzivirira ganda kubva pakukwenya
• Kuchinja kwezvokudya: Idya zvokudya zvisina fiber kuti uderedze huwandu hwemanyowa uye huwandu
• Mvura yakakwana: Inwa mvura yakawanda kuchengetedza manyowa akapfava
• Nguo dzakapfava: Pfeka nguo dzakapfava, dzakapfava uye shandura underwear kazhinji
• Sitz baths: Nyoro munzvimbo inodziya kweminiti 10-15 kudzikamisa tishu dzakakwenya

Funga kuchengeta diary yezviratidzo kuti utevedze maitiro uye zvinokonzera. Iyi ruzivo inobatsira chikwata chako chehutano kugadzirisa purogiramu yako yekurapa sezvinodiwa.

Unofanira kugadzirira sei kuonana nechikura wako?

Kugadzirira kuonana nechikura wako kunobatsira kuve nechokwadi chekuti unowana zvakanyanya kubva pakushanya kwako nemugove wako wehutano. Kuve neruzivo rwakarongeka rwakagadzirira kunobvumira kuongororwa nekukurumidza uye kuronga kurapa.

Usati waenda kuonana nechikura wako,unganidza ruzivo urwu:

• Nguva yezviratidzo: Zviratidzo zvakatanga rini uye zvakachinja sei
• Nhoroondo yekurapa: Kuvhiya kare, kuzvarwa, uye mamiriro ekurwara kwenguva refu
• Mishonga iri kushandiswa ikozvino: Sanganisira mishonga inorayirwa, mishonga inotengeswa pasina kuraira, uye zvinowedzerwa
• Nhoroondo yemhuri: Vamwe vemhuri vane inflammatory bowel disease kana mamiriro akafanana
• Rondedzero yemibvunzo: Nyora zvinetso zvaunoda kutaura nazvo

Zvinobatsira kuuya neshamwari yakavimbika kana nhengo yemhuri kuti ikubatsire. Usazengurire kubvunza kuti unzwisise kana usinganzwisisi chimwe chinhu chiremba wako anotsanangura. Iyi ndiyo hutano hwako, uye unofanira kuwana ruzivo rwakajeka, rwakakwana.

Chii chinonyanya kukosha nezve rectovaginal fistula?

Rectovaginal fistula mamiriro akakomba asi anorapika anoda kurapwa kwechiremba. Kunyangwe zvingakanganisa zvikuru hupenyu hwako hwezuva nezuva uye hutano hwako hwemanzwiro, kurapwa kunobudirira kuripo kubatsira kudzoreredza hutano hwako uye hupenyu hwakanaka.

Chinhu chinonyanya kukosha chekuyeuka ndechekuti hausi wega munzira iyi. Vakadzi vazhinji vanokunda mamiriro aya nehutano hwakanaka hwechiremba nerubatsiro. Kurapa kwekukurumidza kazhinji kunotungamira kumigumisiro iri nani, saka usakurumidza kutsvaga rubatsiro kana uri kusangana nezviratidzo.

Shanda pedyo nechikwata chako chehutano kuita purogiramu yekurapa inogadzirisa zviratidzo zvako zvemuviri nemanzwiro. Nekushivirira nekutarisirwa kwakakodzera, vakadzi vazhinji vane rectovaginal fistulas vanogona kudzoka kumabasa avo enguva dzose nehukama.

Mibvunzo inobvunzwa kazhinji nezve rectovaginal fistula

Rectovaginal fistula icharapwa here pachayo?

Fistulas diki, dzakapfava dzimwe nguva dzinorapwa pasina kuvhiya, kunyanya kana dzakawanikwa pakutanga uye dzakatarisirwa nekurapa kwakapfava. Nekudaro, rectovaginal fistulas yakawanda inoda kuvhiya kuti irapwe zvizere. Chiremba wako achaona nzira yakanaka zvichienderana nemamiriro ako chaiwo.

Ndingazvitakura here kana ndine rectovaginal fistula?

Kunyangwe kuzvitakura kunogoneka ne rectovaginal fistula, zvinokurudzirwa kugadzirisa fistula usati waedza kuzvitakura. Kuzvitakura nekuzvarwa kunogona kuipa mamiriro acho kana kuita kuti kuvhiya kuve kwakaoma. Kurukura nezvekurapa nemhuri yako nechikura wako kuti uone nguva yakanaka yekurapa nekuzvitakura.

Nguva yakareba sei yekudzorera mushure mekuvhiya kwe fistula?

Nguva yekudzorera inosiyana zvichienderana nerudzi rwekuvhiya uye maitiro ako ekurapa. Vakadzi vazhinji vanoda mavhiki 6-8 ekurapa kwekutanga, nekudzorera kwakakwana kuchitora mwedzi 3-6. Chiremba wako achapa mirairo chaiyo yekuita uye maitiro ekutevera zvichienderana nekuvhiya kwako.

Chii chiyero chekubudirira che rectovaginal fistula repair?

Chiyero chekubudirira chinoshanduka zvichienderana nezvinhu senge saizi ye fistula, nzvimbo, chikonzero chayo, uye hutano hwako hwese. Fistulas dzakapfava dzine chiyero chekubudirira che 85-95%, nepo fistulas dzakaoma dzichigona kuda mabatiro akawanda. Chiremba wako achakurukura zvaunotarisira zvichienderana nemamiriro ako chaiwo.

Rectovaginal fistulas inogona kudzoka here mushure mekurapwa?

Kudzokazve kunogoneka, kunyanya ne fistulas dzakaoma kana dzakakonzerwa ne inflammatory bowel disease. Njodzi yakaderera ne fistulas dzakapfava uye kana mamiriro ekurwara akadzora zvakanaka. Kuongororwa nguva dzose kunobatsira kuona uye kugadzirisa chero matambudziko pakutanga kana akaitika.