Fistula Yerectovaginal

Fistula yerectovaginal ibatanidzo isingafanirwe kuvapo pakati pechikamu chepasi cheura huru — rectum kana anus — nevagina. Zviri mukati zvemura zvinogona kubuda nefistula, zvichibvumira gasi kana tsvina kupfuura nevagina.

Fistula yerectovaginal inogona kubva pazvinhu izvi:

• Kukuvadzwa panguva yokubereka.
• Crohn's chirwere kana zvimwe zvirwere zvinopisa mura.
• Kurapwa ne radiation kana kenza munzvimbo yepelvic.
• Matambudziko mushure mekuvhiyiwa munzvimbo yepelvic.
• Matambudziko kubva kudiverticulitis, chirwere chemapoka maduku, anobuda anobuda munzira yokudya.

Izvi zvinogona kukonzera gasi netsvina kubuda muvagina. Izvi zvinogona kukonzera kuora mwoyo uye kusagadzikana kwemuviri kwauri, izvo zvinogona kukanganisa kuzviremekedza kwako uye hukama hwako.

Taura nachiremba wako kana uine zviratidzo zvefistula yerectovaginal, kunyangwe zvichinetsa. Mamwe mafistula erectovaginal anogona kuzvivharira, asi mazhinji anoda kuvhiyiwa kuti agadziriswe.

Chirwere chinonyanya kuoneka che rectovaginal fistula ndechekupfuudza gasi kana tsvina kubva mumukadzi. Zvichienderana nehukuru hwe fistula nekwainowanikwa, unogona kuva nezviratidzo zvishoma. Kana kuti unogona kuva nematambudziko makuru ekubuda kwegasi netsvina uye kuchenesa nzvimbo yacho. Ona chiremba wako kana uine chero zviratidzo zve rectovaginal fistula.

Ona chiremba wako kana uine zviratidzo zve fistula yekuvhura pakati pematumbo nevhenda.

Fistula yerectovaginal inogona kuumbwa semugumisiro we:

• Kukuvadzwa panguva yokubereka. Kukuvadzwa kunokonzerwa nokuzvara ndicho chikonzero chikuru chefistula yerectovaginal. Kukuvadzwa kunosanganisira kuchema muperineum — ganda riri pakati pevhina ne anus — rinopinda mumatumbu kana hutachiona. Fistula dzinoitika nekukuvadzwa panguva yokubereka dzinogona kusanganisira kukuvara kwe anal sphincter — zvidzitiro zvemamuviri kumugumo werectum zvinobatsira kuchengetedza tsvina.
• Chirwere che inflammatory bowel. Chikonzero chechipiri chinonyanya kukonzera fistula yerectovaginal i chirwere che Crohn uye, zvishoma, ulcerative colitis. Aya marwere e inflammatory bowel anokonzera kuzvimba nekutsamwa kwezvinyama zvinoputira nzira yekudya. Vanhu vazhinji vane chirwere che Crohn havazombobudirira fistula yerectovaginal, asi kuva nechirwere che Crohn kunowedzera njodzi yemugumisiro.
• Kenza kana kurapwa kwemwaranzi munzvimbo yepelvic. Tumor ye kenza iri murectum rako, cervix, vhina, nhumbu kana anal canal inogona kukonzera fistula yerectovaginal. Uyewo, kurapwa kwemwaranzi kwekenza munzvimbo idzi kunogona kukuyisa panjodzi. Fistula inokonzerwa nemwaranzi inogona kuumbwa chero nguva mushure mekurapwa kwemwaranzi, asi kazhinji inoitika mukati memakore maviri ekutanga.
• Kuoperezwa kunosanganisira vhina, perineum, rectum kana anus. Muzviitiko zvisingawanzoitika, kuoperezwa kwakapfuura munzvimbo yako yepelvic yakaderera, sekubvisa gland yeBartholin yakasvibiswa, kunogona kukonzera fistula kuti ibude. Maglands eBartholin anowanikwa kune rumwe rutivi rwekuvhura kwevhina uye anobatsira kuchengetedza vhina rakanyorova. Fistula inogona kuumbwa semugumisiro wekukuvara panguva yekuoperezwa kana kuvuza kana hutachiona hunoumbwa mushure meizvozvo.
• Zvinetso kubva ku diverticulitis. Hutachiona hwemapoka madiki, anobuda mumatumbu ako, anonzi diverticulitis, anogona kukonzera rectum kana ura guru kuti ribate nevhina uye zvinogona kutungamira ku fistula.
• Zvimwe zvikonzero. Zvishoma, fistula yerectovaginal inogona kuumbwa mushure mehutachiona muganda riri kumativi e anus kana vhina.

Fistula ye rectovaginal haina zvikonzero zvine ngozi zvakajeka.

Zvinetso zvinogona kuitika nekuda kwe fistula pakati pematumbo nemuviri wemukadzi zvinosanganisira:

• Kuparara kwesitooru usingakwanisi kudzora, kunonzi fecal incontinence.
• Zvinetso zvekuchenesa perineum.
• Kuwanda kwehutachiona hwemukadzi kana hwemukati.
• Kukwakuka kana kuzvimba kwemukadzi wako, perineum kana ganda riri pedyo nemuromo wematumbo.
• Fistula inodzokazve.
• Zvinetso zvekuzviremekedza nehukama hwepedyo.

Pakati pevanhu vane Crohn's disease vanowana fistula, mukana wezvinetso zvakawanda. Izvi zvinogona kusanganisira kurapa kwakaipa, kana imwe fistula ichizoumbwa gare gare.

Hapana matanho aunofanira kutora kudzivirira fistula yerectovaginal.

Kuti aone kana uine rectovaginal fistula, chiremba wako achakurukura newe nezviratidzo zvako ndokuzokutarisa. Chiremba wako angakurudzira bvunzo dzakati, zvichienderana nezvaunoda.

Chiremba wako anoita bvunzo yemuviri kuti aone kana aripo rectovaginal fistula uye kuti aone kana paine ganda, hutachiona kana furuncle. Bvunzo iyi kazhinji inosanganisira kutarisa bhuni rako, anus uye nzvimbo iri pakati pavo, inonzi perineum, neruoko rwakapfeka magorovhosi. Chishandiso chakagadzirirwa kupinda mukati mefistula chingashandiswa kuwana tunnel ye fistula.

Kunze kwekunge fistula iri pasi kwazvo muvagina uye iri nyore kuona, chiremba wako angashandisa speculum kubata madziro kuti aone mukati mevagina rako. Chishandiso chakafanana ne speculum, chinonzi proctoscope, chingapinda mu anus yako ne rectum.

Panyaya isingawanzoitika yekuti chiremba wako achifunga kuti fistula ingangove yakakonzerwa nekenza, angatora sampuli duku yetsinga panguva yebvunzo kuti aione. Izvi zvinonzi biopsy. Sampuli yetsinga inotumirwa ku laboratori kuti ione masero.

Kazhinji, rectovaginal fistula inoonekwa nyore panguva yebvunzo yepelvic. Kana fistula isingaonekwi panguva yebvunzo, ungada bvunzo. Idzi bvunzo dzinogona kubatsira timu yako yezvokurapa kuwana uye kutarisa rectovaginal fistula uye dzinogona kubatsira pakuronga kuvhiya, kana zvichidiwa.

• CT scan. CT scan yemudumbu rako ne pelvis inopa ruzivo rwakawanda kupfuura X-ray yakajairwa. CT scan inogona kubatsira kuwana fistula uye kuona chikonzero chayo.
• MRI. Bvunzo iyi inogadzira mifananidzo yetsinga dzakapfava mumuviri wako. MRI inogona kuratidza nzvimbo ye fistula, kana mamwe nhengo dze pelvis zviripo kana kana uine ganda.
• Bvunzo dzimwe. Kana chiremba wako achifunga kuti une chirwere che inflammatory bowel, ungave une colonoscopy kuti uone mukati me colon yako. Panguva yebvunzo, sampuli duku yetsinga inogona kuunganidzwa kuti iongororwe mu laboratori. Sampuli dzinogona kubatsira kuziva kana uine Crohn's disease kana zvimwe zvirwere zve inflammatory bowel.
• Bvunzo pasi peanesthesia. Kana bvunzo dzimwe dzisingawani fistula, chiremba wako anogona kuoda kukutarisa mukamuri yekuvhiya. Izvi zvinoita kuti uone zvakakwana mukati me anus ne rectum uye zvinogona kubatsira kuwana fistula uye kubatsira pakuronga kuvhiya.