I-fistula yamuva

I-fistula yokuphinda ibuyele emuva yindlela yokwakhiwa kwembobo e-lumen phakathi kwe-vagina kanye ne-rectum.

Izimbangela zokubunjwa kwe-fistula

Isizathu esiyinhloko sokwakheka kwe-ftotula ye-recto-vaginal ukuzalwa kwe-pathological, okuyinto, njengoba umthetho, inenkathi enkulu ye-anhydrous, umlingiswa ophuthumayo, futhi ihambisane nokuphuka kwe- perineum.

Ukwakheka kwe-fistula yangasese kungabangela futhi izinqubo zokuvuvukala, okuwumphumela wezinkinga ngemuva kokubeletha ngenxa yokuhlukumezeka kokuthunyelwe . Ngakho-ke, uma owesifazane ekubelethweni enesisindo esincane se-canal yokuzalwa, futhi ingane yayinkulu, ukubonakala kokuphuka kungenakugwema. Ukwakhiwa kwe-fistula ye-rectovaginal kungaba umphumela wenkinga evela ekusebenzeni ezithombeni zomzimba.

Izimpawu

I-fistula engama-rectal-vaginal, kuye ngokuthi indawo nobukhulu, ingaba nezimpawu ezifihliwe nezifihliwe. Ukubonakaliswa okuvame kakhulu ukukhululwa kwegesi, kanye nesitolishi kusuka kwesifazane. Kusukela endaweni yangasese kulesi simo, kukhona njalo ukutheleleka, kukhona ukukhushulwa kwezifo ezivuthayo, kokubili kokubili kwesisu kanye ne-urinary.

Ukwelapha

Ukwelashwa kwe-fistula ephindaphindiwe kwenziwa kuphela ngokuhlinzwa. Uma i-fistula iqala ngenxa yokulimala kwe-septum yangasese, kubaluleke kakhulu ukuqeda i-fistula phakathi namahora angu-18 okuqala. Ngesikhathi esifanayo, ukuxuba emaphethelweni kanye ne-suturing kwilonda kwenziwa ngokubuyiselwa kobuqotho be-septum.

Namuhla, ukuze ukwelashwa kwesifo esinjalo njenge-fistula yokubuyisela emuva, izindlela ezingaba ngu-30 zokungenelela kokuhlinzwa ziyasetshenziswa ekusebenzeni ngokuhlinzwa. Izinhlobonhlobo zezinhlobonhlobo zokusebenza zibangelwa izici ezihlukahlukene zesimo se-anatomical andpographic zesimo ngasinye. Yingakho, ngaphambi kokungenelela kokuhlinzwa, kubalulekile ukusetha ngokunembile izici zesimo se-frettula e-rectovaginal.