He aha ka Rectovaginal Fistula a pehea e mālama ʻia ai?

Anter

• He aha nā hōʻailona?
• He aha ka mea e hiki ai kēia?
• ʻO wai ka mea e hoʻonui i ka makaʻu?
• Pehea ia ʻike?
• Pehea e mālama ʻia ai?
• He aha nā pilikia e hiki ai ke kumu?
• Pehea e mālama ai i kēia ʻano
• Outlook

Hōʻike Overview

ʻO ka fistula kahi pilina maʻamau ma waena o nā ʻokana ʻelua. I ka hihia o kahi fistula rectovaginal, aia ka pilina ma waena o ka wahine a me ka puʻu. ʻAe ka puka i ka pahu a me ke kōkō e hemo mai ka ʻōpū mai i loko o ka ʻōpū.

ʻO kahi ʻeha i ka wā o ka hānau ʻana a i ʻole ke ʻoki ʻana hiki ke hana i kēia ʻano.

Hiki i kahi fistula rectovaginal ke hōʻoluʻolu ʻole, akā hiki ke mālama ʻia me ke kahakaha.

He aha nā hōʻailona?

Hiki i nā fistulas Rectovaginal ke hana i nā ʻano like ʻole:

• e hele ana i ka pahu a i ʻole ke ʻenekini mai kāu ʻōpala
• pilikia i ka kaohi ʻana i nā ʻōpū o ke ʻōpū
• hoʻokuʻu honi mai kāu ʻōpala
• nā maʻi palahēhē hou
• ʻeha i ka puki a i ʻole ka wahi ma waena o kāu ʻōpala a me anus (perineum)
• ʻeha i ka wā o ka moekolohe

Inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli, e ʻike i kāu kauka.

He aha ka mea e hiki ai kēia?

ʻO nā kumu maʻamau o ka fistula rectovaginal e komo pū:

• Nā pilikia i ka wā hānau. I ka wā o kahi hānau lōʻihi a paʻakikī paha, hiki i ka perineum ke haehae, a i ʻole hiki i kāu kauka ke ʻoki i ka perineum (episiotomy) e hānau ai ka pēpē.
• ʻO ka maʻi maʻi ʻōpū (IBD). ʻO ka maʻi a Crohn a me ka colitis ulcerative he ʻano o IBD. Hoʻokumu lākou i ka mumū i ka digestive tract. I nā hihia maʻamau, hiki i kēia mau ʻano ke hoʻonui i kou makaʻu i ka hoʻomohala ʻana i kahi fistula.
• Ka maʻi ʻaʻai a i ʻole radiation i ka pelvis. ʻO ka maʻi ʻaʻai i loko o kāu ʻōpū, cervix, rectum, uterus, a i ʻole anus ke kumu o kahi fistula rectovaginal. Hiki i ka radiation e mālama i kēia mau maʻi maʻi ke hana i kahi fistula.
• ʻOki kino. ʻO ke kahakaha ʻana ma luna o kou puki, pololei, perineum, a anus paha ke kumu o kahi ʻeha a maʻi paha e hiki ai i kahi wehe kino ʻole.

Nā kumu kumu ʻē aʻe e pili pū me:

• kahi maʻi i kou anus a i ʻole kou kiko
• maʻi kīnā ʻole i loko o kou ʻōpū (diverticulitis)
• paʻa ka paepae i kou kele (fecal impaction)
• nā maʻi ma muli o ka maʻi HIV
• hoʻouka kolohe

ʻO wai ka mea e hoʻonui i ka makaʻu?

Loaʻa paha iā ʻoe kahi fistula rectovaginal inā:

• he hana lōʻihi a paʻakikī hoʻi kāu
• Ua haehae ʻia kāu perineum a i ʻole wahine ʻoki paha me kahi episiotomy i ka wā o ka hana
• Loaʻa iā ʻoe ka maʻi o Crohn a i ʻole colitis ulcerative
• he maʻi ʻoe e like me ka abscess a i ʻole diverticulitis
• ua loaʻa ʻoe i ka maʻi ʻaʻai o ka puki, cervix, rectum, uterus, a i ʻole anus, a i ʻole radiation e mālama ai i kēia mau maʻi maʻi maʻi.
• Loaʻa iā ʻoe kahi hysterectomy a i ʻole kahi ʻoki lāʻau ʻē aʻe i ka wahi pelvic

E pili ana i nā wahine i loaʻa i nā moku ma ka honua holoʻokoʻa i kēia ʻano. Eia naʻe, ʻoi aku ka liʻiliʻi ma nā ʻāina kūkulu e like me ʻAmelika Hui Pū ʻIa. Hiki i nā poʻe me ka maʻi o Crohn e hoʻomohala i nā fistula rectovaginal.

Pehea ia ʻike?

Hiki i ka Rectovaginal fistula ke paʻakikī e kamaʻilio e pili ana. Akā he mea nui e haʻi i kāu kauka e pili ana i kāu mau hōʻailona i hiki ai iā ʻoe ke mālama ʻia.

E nīnau mua kāu kauka e pili ana i kāu mau hōʻailona a hana i kahi hoʻokolohua kino. Me ka lima lima lima, e nānā ke kauka i kou ʻōpū, anus, a me ka perineum. Hoʻokomo ʻia kahi mea i kapa ʻia i kahi speculum i loko o kāu ʻōpala e wehe iā ia i hiki i kāu kauka ke ʻike pono i kahi. Hiki i kahi proctoscope ke kōkua i kāu kauka e ʻike i loko o kou anus a me kou poli.

E hoʻāʻo paha i kāu kauka e hoʻohana ai e kōkua i ka diagnose rectovaginal fistula e komo pū:

• Anorectal a i ʻole transvaginal ultrasound. I loko o kēia hoʻāʻo, hoʻokomo ʻia kahi mea kani like i loko o kou anus a me kou poloka, a i loko o kāu ʻōpala. Hoʻohana kahi ultrasound i nā nalu kani e hana i kiʻi mai loko o kāu pelvis.
• Enema Methylene. Hoʻokomo ʻia kahi tampon i loko o kāu wahine. A laila, hoʻokomo ʻia i ka pena polū i kāu pā. Ma hope o 15 a 20 mau minuke, inā uliuli ka tampon, loaʻa iā ʻoe kahi fistula.
• Enema Barium. E loaʻa ʻoe i ka pena kala e kōkua ai i kāu kauka e ʻike i ka fistula ma kahi X-ray.
• ʻO ke kamepiula kamepiula kamepiula (CT) scan NineManga.com Hoʻohana kēia ho'āʻo i nā kukuna X ikaika e hana i nā kiʻi kikoʻī i loko o kou pelvis.
• Mākēneki resonance kiʻi (MRI). Hoʻohana kēia ho'āʻo i nā mākēneka ikaika a me nā nalu lekiō e hana i nā kiʻi mai loko o kāu pelvis. Hiki iā ia ke hōʻike i kahi fistula a i ʻole nā ​​pilikia ʻē aʻe me kāu mau lālā, e like me ka tumo.

Pehea e mālama ʻia ai?

ʻO ka lapaʻau nui no ka fistula ka ʻoki kino e hoʻopau ai i ka wehe kūpono ʻole. Eia nō naʻe, ʻaʻole hiki iā ʻoe ke hana ʻoki inā loaʻa ʻoe i ka maʻi a i ʻole ka pehu. ʻO nā kinona a puni ka fistula e pono ke hoʻōla mua.

E ʻōlelo paha kāu kauka e kali ʻoe no ʻekolu a ʻeono paha mahina no kahi maʻi e hoʻōla ai, a ʻike inā e pani ka fistula iā ia iho. E loaʻa iā ʻoe nā lāʻau ʻalopika e mālama ai i kahi maʻi a infliximab (Remicade) e hoʻohaʻahaʻa i ka mumū inā loaʻa ʻoe i ka maʻi o Crohn.

Hiki ke hana i ke kīʻaha Rectovaginal fistula ma o kou ʻōpū, ʻūlū, a i ʻole perineum. I ka wā o ke ʻoki kino, e lawe kāu kauka i kahi ʻāpana o nā kiko mai kahi ʻē aʻe i kou kino a hana i kahi pāpale a i ʻole plug e pani ai ka wehe. E hoʻoponopono nō hoʻi ke kaukōkō i nā mākala sphincter anal inā lākou e poino.

Pono kekahi mau wahine i kahi colostomy. Hoʻokumu kēia ʻoki i kahi wehe i kapa ʻia he stoma i kou paia ʻōpū. Hoʻokomo ʻia ka hopena o kou ʻōpū nui ma ka wehe. ʻOhi kahi ʻeke i nā ʻōpala a hoʻōla ka fistula.

Hiki paha iā ʻoe ke hoʻi i ka home i ka lā like me kāu ʻoki ʻana. No kekahi ʻano o ke kaha ʻana, pono ʻoe e noho pō i ka haukapila.

Nā pilikia paha mai ke ʻoki ʻana:

• kahe ana ke koko
• maʻi maʻi
• poino i ka pūpū, ureter, a i ʻole ʻōpū
• kāpili koko i nā wāwae a i ʻole ka akemāmā
• poloka ma ka ʻōpū
• scarring

He aha nā pilikia e hiki ai ke kumu?

Hiki i ka fistula Rectovaginal ke hoʻopili i kou ola moekolohe. ʻO nā pilikia ʻē aʻe:

• ka pilikia e kaohi ana i ka hele o ka noho (fecal incontinence)
• hana hou urinary tract a i ʻole nā ​​maʻi puʻupuʻu
• pehu o kou puki a perineum paha
• ʻehaʻeha piha i ka pus (abscess) i ka fistula
• kekahi fistula ma hope o ka mālama ʻia ʻana o ka mea mua

Pehea e mālama ai i kēia ʻano

ʻOiai ʻoe e kali ana i kahi ʻoki ʻana, e hāhai i kēia mau ʻōlelo aʻoaʻo e kōkua iā ʻoe iho e hōʻoluʻolu:

• E lawe i nā lāʻau ʻalopika a i ʻole nā ​​lāʻau ʻē aʻe i kuhikuhi ʻia e kāu kauka.
• E mālama i ka maʻemaʻe o kahi. E holoi mālie i kāu ʻōpena me ka wai mehana inā ʻoe e hele i kahi pahu a i ʻole kahi hoʻokuʻu hohono pilau. E hoʻohana wale i ke kopa ʻoluʻolu ʻole. Pākuʻi i ka wahi maloʻo.
• E hoʻohana i nā holoi ʻaila ʻole ma kahi o ka pepa holoi ke hoʻohana ʻoe i ka lua.
• E noi i ka palaoa talcum a i ʻole ka waiū pale-pale e pale ai i ka huhū i loko o kāu ʻōpū a me kou kiko.
• E ʻaahu i nā lole leʻaleʻa, hanu i hana ʻia mai ka pulupulu a i ʻole nā ​​lole maoli.
• Inā kūleʻa ʻoe i ka pahu, e komo i ka lole komo ma lalo a i ʻole ka diaper makua e mālama i nā feces mai kou ʻili.

Outlook

I kekahi manawa pani kahi fistula rectovaginal iā ia iho. ʻO ka hapa nui o ka manawa, pono ke ʻoki e hoʻoponopono i ka pilikia.

Pili ka hopena o ke kūpikipiki i ke ʻano o ke kaʻina hana i loaʻa iā ʻoe. ʻO ke ʻōpū ʻōpū ke kiʻekiʻena o ke kūleʻa, ma. ʻO ke kaha ma o ka ʻōpala a i ʻole ka pololei paha e pili ana i kahi helu kūleʻa. Inā holo ʻole ke ʻoki mua, pono ʻoe i kahi hana hou.