Uturu fistula

Utumbo fistula kuvhurika zvisina kujairika mudumbu kana ura izvo zvinobvumira zvirimo kubuda.

• Zvinodonha zvinoenda kune chikamu chemuura zvinonzi entero-enteral fistula.
• Zvinodonha zvinopinda mukati meganda zvinonzi enterocutaneous fistula.
• Dzimwe nhengo dzinogona kuvepo, senge dundira, nyini, anus, uye colon.

Mazhinji gastrointestinal fistula anoitika mushure mekuvhiyiwa. Zvimwe zvikonzero zvinosanganisira:

• Kuvharika muura
• Utachiona (hwakadai se diverticulitis)
• Chirwere cheCrohn
• Radiation kune dumbu (inowanzo kupihwa sechikamu checancer kurapwa)
• Kukuvadza, senge maronda akadzika kubva pakubaya kana pfuti
• Kumedza zvinokonzeresa zvinhu (senge lye)

Zvichienderana nekuti panobvinza papi, mafistula aya anogona kukonzera manyoka, uye kusatora zvakanaka zvinovaka muviri. Muviri wako unogona kunge usina mvura kana mvura yakawanda sezvainoda.

• Mamwe mafistula anogona kusakonzera zviratidzo.
• Mamwe mafistula anokonzera zvemukati kutumbuka kuburikidza nekuvhura muganda.

Miedzo inogona kusanganisira:

• Barium kumedza kutarisa mudumbu kana mudumbu mudiki
• Barium enema kutarisa mukoloni
• CT scan yemudumbu kutsvaga fistula pakati pezvishongo zvemukati kana nzvimbo dzehutachiona
• Fistulogram, umo dhayi yekusiyanisa inoiswa mukati mekuvhurika kweganda re fistula uye x-ray inotorwa.

Mishonga inogona kusanganisira:

• Mishonga inorwisa mabhakitiriya
• Immune inodzvinyirira mishonga kana fistula iri mhedzisiro yechirwere cheCrohn
• Kuvhiya kubvisa fistula uye chikamu chemuura kana fistula isiri kupora
• Kudya zvinovaka muviri kuburikidza netsinga apo fistula inopora (mune dzimwe nguva)

Mamwe fistula anozvivhara ega mushure memavhiki mashoma kusvika kumwedzi.

Iko kutaridzika kunoenderana nehutano hwomunhu hwese uye kuti yakaipa sei fistula. Vanhu vane hutano hwakanaka vane mukana wakanaka kwazvo wekupora.

Fistula inogona kukonzera kushomeka uye kushaya mvura mumuviri, zvichienderana nenzvimbo yavo mumatumbu. Zvinogona zvakare kukonzera matambudziko eganda uye hutachiona.

Fonera wako mupi wezvehutano kana iwe uine:

• Manyoka akaipa kwazvo kana imwe shanduko huru muhunhu
• Kuvuza kwemvura kubva pakuvhura padumbu kana padyo neanus, kunyanya kana iwe uchangobva kuvhiyiwa mudumbu

Entero-enteral fistula; Enterocutaneous fistula; Fistula - dumbu; Chirwere cheCrohn - fistula

• Digestive system nhengo
• Fistula

De Prisco G, Celinski S, Spak CW. Abdominal abscesses uye gastrointestinal fistula. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 11th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 29.

Li Y, Zhu W. Pathogenesis wechron's chirwere-chakabatana fistula uye abscess. Mune: Shen B, ed. Inopindirana Inoputira Bowel Chirwere. Cambridge, MA: Elsevier Dzidzo Press; 2018: chits. 4.

Nussbaum MS, McFadden DW. Gastric, duodenal, uye mudumbu ura fistula. Mune: Yeo CJ, ed. Kuvhiya kwaShackleford kweAlimentary Tract. 8th ed. Philadelphia, PA: Elsevier; 2019: chits. 76.