I-Fistulas iyacasula kakhulu futhi ezimweni eziningi Zingabangela izinkinga eminyakeni eminingi. Ukuxhumana okungavamile phakathi kwezitho ezimbili zangaphakathi zomzimba, ngokuvamile ezithinta izitho ezimbili ezihlukene futhi kwezinye izimo sikhuluma ngezingxenye ezingavamile ezifana nomminzo kanye noqhoqhoqho. Okuvame kakhulu yi-anal noma perianal.
Abantu abaningi bazinika isikhathi sokuqaphela ukuthi bane-fistula, njengoba iqala ukubonakala kwenduna ephuma ubomvu bese bebona ukuthi ayiqedi ukulapha ngokuhamba kwesikhathi. Ngenxa yokukhathazeka, banquma ukuya kudokotela lapho kutholakala khona i-fistula.
Kungani i-fistula ivela?
Sizokhuluma ngendaba ka i-fistula yangemuva, uma kubhekwa ukuthi yibo abahlupheka kakhulu futhi abaphindelela kakhulu. Kwenzeka lapho kukhona ukuvinjelwa kwezindlala, okuthi ngokuhamba kwesikhathi kubangele le fistula engathandeki.
Zivela njenge iqhubu noma ithumba noma uhlobo lwesigaxa lapho ngisho ubuhlungu. Zibomvu ngombala, ezinye zinkulu futhi eziningi zazo Zikhipha uketshezi oluphuzi noma olubomvu. Lokhu kungenxa yokuthi enye ye-orifices ye-fistula ivaliwe futhi ibangela ukungakhululeki okunjalo, ezimweni eziningi uzwa umkhuhlane noma ukungakhululeki okukhulu okukuvimbela ukuba uhlale phansi.
Lesi sifo sivame ukuvela emadodeni, phakathi kweminyaka engama-30 kuya kwengama-50, nakuba ubudala bungase buhambisane. Eziningi zalezi zimo zivame ukuhlotshaniswa futhi zibangelwa Isifo sikaCrohn noma ama-neoplasms, ukwakheka okungavamile kwengxenye ethile yomzimba yethishu yemvelo enobungozi noma enesimila.
Udokotela uzokwenza ukuxilonga okunembe kakhudlwana ngokwenza a ukuhlolwa ngokubonisana nokwenza ezinye izivivinyo, njenge-endoanal ultrasound, i-pelvic resonance noma i-colonoscopy.
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Izimbangela nezimpawu ze-fistula
I-fistula ye-anal ibangelwa isifo esiqala endlaleni yangemuva. Lokhu kutheleleka kubangela ukuphuma lapho kufanele khona drain uthe ukutheleleka, ngokuvamile ibonakala eduze kwesikhumba se-anus. Kuyoba ngesimo somhubhe ngaphansi kwesikhumba eduze kwaleli pheshana lokufihla. Lo mhubhe uxhuma i-anal noma i-anal canal nendawo yokuphuma eya ngaphandle, ngokuvamile ezungeze ididi.
Izimpawu ezijwayelekile zivamile imbobo esikhumbeni ezungeze ididi Izoba nefomu elivuvukele, elinendawo ebomvu noma egcwele ubomvu, enethuba elikhulu lokuvulwa ukuze kuxoshwe ukutheleleka. Bangakwazi futhi avele angakhululeki kakhulu, ikakhulukazi lapho uzikhulula noma ufuna ukuhlala. Abanye abantu bazwela kakhulu ekuthelelekeni futhi baba nomkhuhlane.
Kungani lezi fistula ziphuma?
Ziningi izimbangela zokuvela kwayo. Abanye abantu sebevele bazalwa bene-fistula kanti abanye baye badala lesi sifo ngokulimala, izifo, izinkinga ngemva kokuhlinzwa noma ngokuba khona kwesifo sikaCrohn noma i-ulcerative colitis.
Ziyini i-colonic ne-anorectal fistula?
Njengoba sesichazile, i-fistula yangaphakathi emhubheni owakhiwe ngaphakathi emzimbeni, ngokuvamile ukuxhumana nezitho ezimbili zangaphakathi. I-fistula yangaphandle ingumhubhe ongavamile phakathi kwesitho sangaphakathi nesingaphandle.
- Una i-colon fistula kuwumhubhe ongavamile osuka ekoloni oya phezu kwesikhumba. Noma isitho sangaphakathi esifana nesinye, imomozi, noma ithumbu elincane elinengaphandle lesikhumba.
- La i-anorectal fistula Kuwumhubhe ongavamile osuka endunu noma endunu uye phezu kwesikhumba, ngokuvamile uzungeze ididi. Abesifazane bafika bazohlushwa i-fistula ye-rectovaginal, bane-anorectal futhi baxhumane ne-anus noma i-rectum ngesitho sangasese sowesifazane.
Ilashwa kanjani i-fistula?
Ngokuvamile, ukwelashwa Kuzoya ngembangela nobulukhuni. Amanye ama-fistula avame ukuzivalela ngokwawo, amanye ngosizo lwemithi elwa namagciwane, kanti kwezinye kusetshenziswa ukuhlinzwa.
Ukungenelela nini ukuhlinzwa kuyadingeka, lapho kudingekile ukuphulukisa ipheshana le-fistulous futhi lithulule. Kwezinye izimo kuphela, ukuhlinzwa kungaba nzima ngokuthi kungenelele izitho ezimbili nalapho kufanele kube khona lungisa zombili izimbobo, lapho ukufakwa kwe-anus yokwenziwa kuyadingeka.
Ukusebenza okulula kuvame ukuthatha imizuzu engama-30 kuye kwengama-90, bese kuba nosuku olungu-1 lokungeniswa esibhedlela. Umuntu ohlinziwe uzobona ubungcono ngemva kwezinsuku ezimbalwa, nakuba kuyinqubo ende yokuphulukisa futhi ezimweni eziningi kubuhlungu kakhulu. Sichaza ngemininingwane yezinyathelo zokuhlinzwa:
- I i-anesthesia yendawo ukuze ungezwa ubuhlungu.
- Kuzofakwa uphenyo lokho kuzosebenza njengomhlahlandlela wokusika eduze kwe-fistula.
- Udokotela ohlinzayo uzosebenzisa ithuluzi ukuze khumula noma yikuphi ukunqwabelana kwezicubu etholakala ku-fistula. Amathumba nawo azovuleka akhishwe amanzi.
Ekugcineni, izovala ukuvulwa kwe-rectal ye-fistula. Okunye ukuvuleka kuzohlala kuvulekile kwamanye ama-sutures. Kwezinye izimo, intambo enhle efana nentambo ibekwa ukusiza khipha uketshezi enxebeni. Usuku nosuku isiguli kufanele siphole leso silonda ngamabhati e-sitz nangaphansi kwezinkomba zezokwelapha.