Fistula m'mimba

Fistula ya m'mimba ndikutseguka kwachilendo m'mimba kapena m'matumbo komwe kumalola zomwe zili mkati kutuluka.

• Kutuluka komwe kumadutsa gawo la matumbo kumatchedwa entero-enteral fistula.
• Kutuluka komwe kumadutsa pakhungu kumatchedwa fistulas yolowera.
• Ziwalo zina zimatha kutenga nawo mbali, monga chikhodzodzo, nyini, anus, ndi colon.

Fistula yambiri yam'mimba imachitika pambuyo pochitidwa opaleshoni. Zina mwa zifukwa zake ndi izi:

• Kutsekedwa m'matumbo
• Matenda (monga diverticulitis)
• Matenda a Crohn
• Cheza kumimba (nthawi zambiri chimaperekedwa ngati gawo la chithandizo cha khansa)
• Kuvulala, monga zilonda zakuya zakubayidwa kapena kuwomberedwa ndi mfuti
• Kumeza zinthu zowononga (monga lye)

Kutengera komwe kutayikira kuli, ma fistulawa amatha kuyambitsa kutsekula m'mimba, komanso kuyamwa kwa michere. Thupi lanu silikhoza kukhala ndi madzi ndi madzi ambiri momwe amafunikira.

• Mafistula ena sangayambitse zizindikiro.
• Fistula ina imayambitsa matumbo kutuluka kudzera pakhungu pakhungu.

Mayeso atha kuphatikiza:

• Barium swallow kuti ayang'ane m'mimba kapena matumbo ang'onoang'ono
• Enema wa Barium kuti ayang'ane m'matumbo
• CT scan pamimba kuti ayang'ane fistula pakati pa malupu am'mimba kapena malo omwe ali ndi matenda
• Fistulogram, momwe utoto wosiyanasiyana umalowetsedwera pakhungu la fistula ndipo ma x-ray amatengedwa

Chithandizo chitha kukhala:

• Maantibayotiki
• Mankhwala opondereza chitetezo cha mthupi ngati fistula ndi chifukwa cha matenda a Crohn
• Kuchita opaleshoni kuchotsa fistula ndi gawo lina la matumbo ngati fistula sichichira
• Zakudya zopatsa thanzi kudzera mumitsempha pomwe fistula imachira (nthawi zina)

Fistula ina imadzitseka yokha patadutsa milungu ingapo mpaka miyezi.

Maganizo amatengera thanzi la munthuyo komanso momwe fistula ilili yoipa. Anthu omwe ali ndi thanzi labwino amakhala ndi mwayi wabwino wochira.

Fistula imatha kubweretsa kuperewera kwa zakudya m'thupi komanso kuchepa kwa madzi m'thupi, kutengera malo omwe ali m'matumbo. Zitha kupanganso mavuto a khungu komanso matenda.

Imbani wothandizira zaumoyo wanu ngati muli ndi:

• Kutsekula m'mimba koipa kapena kusintha kwina kwakukulu pamatumbo
• Kutuluka kwamadzimadzi kuchokera potsegulira pamimba kapena pafupi ndi anus, makamaka ngati mwangopanga kumene opaleshoni yam'mimba

Entero-enteral fistula; Fistula yolowera; Fistula - m'mimba; Matenda a Crohn - fistula

• Zakudya zam'mimba ziwalo
• Fistula

De Prisco G, Celinski S, Spak CW. Zilonda m'mimba ndi fistula m'mimba. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 11th ed. Philadelphia, PA: Elsevier; 2021: chaputala 29.

Li Y, Zhu W. Pathogenesis wa fistula yokhudzana ndi matenda a Chron. Mu: Shen B, mkonzi. Matenda Opatsirana Opatsirana. Cambridge, MA: Atolankhani a Elsevier Academic; 2018: mutu 4.

Nussbaum MS, McFadden DW. (Adasankhidwa) Mimba, duodenal, ndi fistula yaying'ono yamatumbo. Mu: Yeo CJ, mkonzi. Opaleshoni ya Shackleford of the Alimentary Tract. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 76.