I-fistula emathunjini

I-fistula yamathumbu ukuvuleka okungavamile esiswini noma emathunjini okuvumela okuqukethwe ukuthi kuvuze.

• Ukuvuza okudlulela engxenyeni yamathumbu kubizwa ngokuthi ama-entero-enteral fistula.
• Ukuvuza okudlulela esikhunjeni kubizwa ngokuthi ama-fistula angena ngaphakathi.
• Ezinye izitho zingabandakanyeka, njengesinye, isitho sangasese sowesifazane, indunu nekholoni.

Ama-fistula amaningi emathunjini avela ngemuva kokuhlinzwa. Ezinye izimbangela zifaka:

• Ukuvaleka emathunjini
• Ukutheleleka (njenge-diverticulitis)
• Isifo seCrohn
• Imisebe eya esiswini (imvamisa inikezwa njengengxenye yokwelashwa komdlavuza)
• Ukulimala, njengamanxeba ajulile okugwazwa noma okudutshulwa
• Ukugwinya izinto eziyimbangela (njenge-lye)

Kuya ngokuthi kukuphi lapho kuvuza khona, la mafistula angadala isifo sohudo, nokumunceka okunomsoco. Umzimba wakho kungenzeka ungabi namanzi namanzi amaningi njengoba udinga.

• Amanye ama-fistula kungenzeka angabangeli izimpawu.
• Amanye ama-fistula abangela ukuthi okuqukethwe kwamathumbu kuvuze ngembobo esikhunjeni.

Ukuhlolwa kungafaka:

• Ukugwinya kwe-Barium ukubheka esiswini noma emathunjini amancane
• I-Barium enema ukubheka kukholoni
• I-CT scan yesisu ukubheka ama-fistula phakathi kwezingodo zamathumbu noma izindawo zokutheleleka
• I-Fistulogram, lapho kufakwa khona udayi wokungafani ekuvulekeni kwesikhumba se-fistula bese kuthathwa ama-x-ray

Ukwelashwa kungafaka:

• Imithi elwa namagciwane
• Imithi ecindezela ama-immune uma i-fistula ingumphumela wesifo seCrohn
• Ukuhlinzwa ukususa i-fistula nengxenye yamathumbu uma i-fistula ingapholi
• Ukudla okunomsoco ngomthambo ngenkathi i-fistula iphulukisa (kwezinye izimo)

Amanye ama-fistula avale yedwa ngemuva kwamasonto ambalwa kuya ezinyangeni.

Umbono uncike empilweni yomuntu jikelele nokuthi i-fistula imbi kangakanani. Abantu abaphilile ngenye indlela banethuba elihle kakhulu lokululama.

Ama-fistula angaholela ekungondlekeni kahle nasekuphelelweni ngamanzi emzimbeni, ngokuya ngendawo akuyo emathunjini. Kungadala nezinkinga zesikhumba nokutheleleka.

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma une:

• Uhudo olubi kakhulu noma olunye ushintsho olukhulu emikhubeni yamathumbu
• Ukuvuza koketshezi oluvela ekuvulekeni esiswini noma eduze kwendunu, ikakhulukazi uma usanda kuhlinzwa isisu

I-entero-enteral fistula; I-fistula engena ngaphakathi; I-Fistula - isisu; Isifo seCrohn - fistula

• Izitho zohlelo lokugaya ukudla
• UFistula

UDe Prisco G, uCelinski S, uSpak CW. Amathumba esiswini kanye nefistula yamathumbu. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 29.

U-Li Y, u-Zhu W. Pathogenesis we-Chron's ohambisana nezifo i-fistula kanye nethumba. Ku: Shen B, ed. Izifo Zamathumbu Okungenelela. ICambridge, MA: I-Elsevier Academic Press; 2018: isahluko 4.

INussbaum MS, iMcFadden DW. I-gastric, duodenal, ne-fistula encane yamathumbu. Ku: Yeo CJ, ed. Ukuhlinzwa kukaShackleford we-Alimentary Tract. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 76.