Fistula yesisu

Umxholo

• Iindidi zee-GIFs
• 1. Fistula yamathumbu
• 2. I-fistula engaphandle
• 3. I-fistula yangaphandle
• 4. I-fistula enobunzima
• Oonobangela be-GIF
• Iingxaki zotyando
• Uyilo lwe-GIF oluzenzekelayo
• Umonzakalo
• Iimpawu kunye neengxaki ze-GIF
• Uza kubona nini ugqirha
• Ukuvavanywa kunye nokuxilongwa
• Unyango lwe-GIF
• Umbono wexesha elide

Yintoni ifistula yamathumbu?

I-fistula yamathumbu (GIF) kukuvula ngokungaqhelekanga kwindlela yakho yokwetyisa ebangela ukuba ulwelo lwesisu ludlule kumngxunya wesisu sakho okanye amathumbu. Oku kunokubangela usulelo xa olu lwelo luvuza kulusu lwakho okanye kwamanye amalungu.

I-GIF ixhaphake kakhulu emva kotyando lwangaphakathi esiswini, olo luqhaqho ngaphakathi esiswini sakho. Abantu abaneengxaki zokugaya ezingapheliyo banomngcipheko omkhulu wokukhula kwefistula.

Iindidi zee-GIFs

Zine iindidi eziphambili ze-GIF:

1. Fistula yamathumbu

Kwifistula yamathumbu, ulwelo lwesisu luvuza ukusuka kwelinye icala lamathumbu ukuya kwelinye apho izihlwitha zithinta khona. Oku kukwabizwa ngokuba yi "gut-to-gut" fistula.

2. I-fistula engaphandle

Olu hlobo lwefistula lwenzeka xa ulwelo lwesisu luvuza ukusuka emathunjini akho ukuya kwamanye amalungu akho, njengesinyi, imiphunga, okanye inkqubo yemithambo.

3. I-fistula yangaphandle

Kwifistula yangaphandle, ulwelo lwesisu luvuza ngesikhumba. Kwakhona kwaziwa ngokuba yi "fistula."

4. I-fistula enobunzima

I-fistula entsonkothileyo yenzeka kwilungu elinye.

Oonobangela be-GIF

Kukho izizathu ezahlukeneyo ze-GIFs. Ziquka:

Iingxaki zotyando

Phantse iipesenti ezingama-85 ukuya kuma-90 ze-GIF zikhula emva kotyando lwangaphakathi esiswini. Kungenzeka ukuba uhlakulele i-fistula ukuba unayo:

• umhlaza
• unyango lwemitha kwisisu sakho
• isithintelo samathumbu
• iingxaki zotyando
• iingxaki zokucanda indawo
• ithumba
• usulelo
• ihematoma, okanye ihlwili legazi phantsi kolusu lwakho
• ithumba
• ukungondleki

Uyilo lwe-GIF oluzenzekelayo

Iifom ze-GIF ngaphandle kwesizathu esaziwayo malunga neepesenti ezili-15 ukuya kuma-25 zeepesenti zamatyala. Oku kukwabizwa ngokuba kukwenziwa okuzenzekelayo.

Izifo zesisu ezivuthayo, ezifana nesifo sikaCrohn, kunokubangela ii-GIFs. Uninzi lwabantu abanesifo sikaCrohn lukhula isifo sefistula ngaxa lithile ebomini babo. Usulelo lwamathumbu, njenge-diverticulitis, kunye nokungonelanga kwe-vascular (ukunganeli kwegazi) zezinye izizathu.

Umonzakalo

Ukonzakala ngokwasemzimbeni, okunje ngokudutyulwa okanye amanxeba emela angena esiswini, kunokubangela ukuba i-GIF iphuhle. Oku kunqabile.

Iimpawu kunye neengxaki ze-GIF

Iimpawu zakho ziya kwahluka ngokuxhomekeke ekubeni unefistula yangaphakathi okanye yangaphandle.

Iifistula zangaphandle zibangela ukukhutshwa kwesikhumba. Zihamba nezinye iimpawu, kubandakanya:

• intlungu zesisu
• isisu esibuhlungu
• ifiva
• inani eliphezulu leeseli ezimhlophe

Abantu abanefistula zangaphakathi banokuba namava:

• urhudo
• ukuphuma kwegazi
• usulelo lwegazi okanye isifo sepsis
• ukufunxeka okungafunekiyo kwezakha mzimba kunye nokwehla kobunzima
• ukuphelelwa ngamanzi emzimbeni
• ukwanda kwesi sifo

Eyona ngxaki inkulu ye-GIF yi-sepsis, imeko yongxamiseko kwezonyango apho umzimba uphendula ngokuqatha kwintsholongwane. Le meko inokukhokelela kuxinzelelo lwegazi oluyingozi, ukonakala komzimba kunye nokufa.

Uza kubona nini ugqirha

Nxibelelana nogqirha wakho ukuba unazo naziphi na kwezi mpawu emva kotyando:

• utshintsho olukhulu kwimikhwa yakho yamathumbu
• urhudo oluqatha
• ukuvuza kolwelo ukusuka ekuvulekeni esiswini sakho okanye kufutshane ne-anus yakho
• iintlungu zesisu ezingaqhelekanga

Ukuvavanywa kunye nokuxilongwa

Ugqirha wakho uya kuqala aqwalasele imbali yakho yonyango kunye notyando kwaye avavanye iimpawu zakho zangoku. Banokuqhuba uvavanyo lwegazi oluninzi ukunceda ukufumanisa i-GIF.

Olu vavanyo lwegazi luza kuhlala luvavanya i-serum electrolyte yakho kunye nenqanaba lesondlo, elingumlinganiso wamanqanaba akho ealbumin kunye ne pre-albumin. Zombini ezi proteni zidlala indima ebalulekileyo ekunyangeni inxeba.

Ukuba i-fistula ingaphandle, ukukhutshwa kungathunyelwa kwilebhu yohlalutyo. I-fistulogram inokwenziwa ngokujova idayi eyahlukileyo kwindawo evulekileyo kulusu lwakho kunye nokuthatha i-X-ray.

Ukufumana i-fistula yangaphakathi kunokuba nzima ngakumbi. Ugqirha wakho unokuqhuba olu vavanyo:

• I-endoscopy ephezulu kunye esezantsi ibandakanya ukusetyenziswa kwetyhubhu encinci, eguqukayo enekhamera eqhotyoshelweyo. Oku kusetyenziselwa ukujonga iingxaki ezinokubakho kwindawo yakho yokwetyisa okanye yesisu. Ikhamera ibizwa ngokuba yi-endoscope.
• I-radiografi ephezulu kunye esezantsi yamathumbu emathunjini enendlela eyahlukileyo inokusetyenziswa. Oku kunokubandakanya ukugwinya kwe-barium ukuba ugqirha wakho ucinga ukuba unokuba nesisu okanye i-fistula yamathumbu. I-enema ye-barium ingasetyenziselwa ukuba ugqirha wakho ucinga ukuba une-colon fistula.
• I-ultrasound okanye i-CT scan ingasetyenziselwa ukufumana i-fistula yamathumbu emathumbu okanye iindawo ezingenamntu.
• I-fistulogram ibandakanya ukujoba idayi eyahlukileyo ekuvulekeni kwesikhumba sakho kwi-fistula yangaphandle emva koko uthathe imifanekiso ye-X-ray.

Kwi-fistula ebandakanya imiphantsi yesibindi sakho okanye iipancreas, ugqirha wakho unokuyalela uvavanyo lokucinga olukhethekileyo olubizwa ngokuba yi-magnetic resonance cholangiopancreatography.

Unyango lwe-GIF

Ugqirha wakho uya kwenza uvavanyo olupheleleyo lwe-fistula yakho ukumisela amathuba okuzivalela ngokwakho.

Iifistula zihlelwa ngokusekwe kubungakanani besisu esiswini esivula ngokuvula. Iziphumo eziphantsi zefistula zivelisa ngaphantsi kweemililitha ezingama-200 (mL) zesisu esiswini ngosuku. Iziphumo eziphezulu zefistula zivelisa malunga ne-500 ml ngosuku.

Ezinye iintlobo zefistula zivala zodwa xa:

• usulelo lwakho ilawulwa
• Umzimba wakho utsala izondlo ezaneleyo
• impilo yakho iyonke intle
• sisixa esincinci kuphela samanzi esiswini esiza ngokuvula

Unyango lwakho luya kugxila kukugcina wondleke kakuhle kwaye uthintele nosulelo lwenxeba ukuba ugqirha wakho ucinga ukuba i-fistula ingavala yodwa.

Unyango lunokubandakanya:

• Ukuzalisa ulwelo lwakho
• ukulungisa i-serum electrolyte yakho yegazi
• ukulungelelanisa i-asidi kunye nokungalingani kwesiseko
• ukunciphisa ukuphuma kwamanzi kwi-fistula yakho
• ukulawula usulelo kunye nokugada ngokuchasene ne-sepsis
• ukukhusela ulusu lwakho kunye nokubonelela ngononophelo oluqhubekayo lwenxeba

Unyango lwe-GIF lunokuthatha iiveki okanye iinyanga.Ugqirha wakho unokucebisa ukuvala i-fistula yakho ukuba awuphuculanga emva kweenyanga ezintathu ukuya kwezintandathu zonyango.

Umbono wexesha elide

I-Fistula ivala yodwa malunga neepesenti ezingama-25 zexesha ngaphandle kotyando kubantu abaphilayo nokuba kuveliswa amanani amancinci esisu esiswini.

Ii-GIF zihlala zikhula emva kotyando lwesisu okanye ngenxa yesifo esingapheliyo sokugaya ukutya. Thetha nogqirha wakho malunga nomngcipheko wakho kunye nendlela yokuzibona iimpawu zefistula ekhulayo.