Fistula

Fistula ndikulumikizana kwachilendo pakati pa ziwalo ziwiri za thupi, monga chiwalo kapena chotengera chamagazi ndi chinthu china. Fistula nthawi zambiri amakhala chifukwa chovulala kapena kuchitidwa opaleshoni. Kutenga kapena kutupa kumathandizanso kuti fistula ipangidwe.

Fistula imatha kupezeka m'malo ambiri amthupi. Amatha kupanga pakati pa:

• Mitsempha ndi mitsempha
• Miphika yamadzi ndi khungu (kuchokera ku opaleshoni ya ndulu)
• Khomo lachiberekero ndi nyini
• Khosi ndi pakhosi
• Danga mkati mwa chigaza ndi nkusani yammphuno
• Matumbo ndi nyini
• Thupi ndi pamwamba pa thupi, zomwe zimapangitsa nyansi kutuluka kudzera potsegula kupatula pa anus
• Mimba ndi nkhope ya khungu
• Chiberekero ndi chiberekero cha peritoneal (danga pakati pamakoma am'mimba ndi ziwalo zamkati)
• Mitsempha ndi mitsempha m'mapapu (zimabweretsa magazi osatenga mpweya wokwanira m'mapapu)
• Mchombo ndi m'matumbo

Matenda opatsirana otupa, monga ulcerative colitis kapena matenda a Crohn, amatha kupangitsa fistula pakati pa matumbo amodzi ndi ena. Kuvulala kumatha kupangitsa fistula kupanga pakati pamitsempha ndi mitsempha.

Mitundu ya fistula ndi iyi:

• Akhungu (otseguka kumapeto amodzi okha, koma amalumikiza kuzinthu ziwiri)
• Complete (ali ndi mipata kunja ndi mkati mwa thupi)
• Horseshoe (amalumikiza anus pamwamba pakhungu atazungulira rectum)
• Chosakwanira (chubu chochokera pakhungu chomwe chatsekedwa mkatimo ndipo sichimalumikizana ndi mawonekedwe amkati)

• Zovuta za fistula
• Fistula

De Prisco G, Celinski S, Spak CW. Zilonda m'mimba ndi fistula m'mimba. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Matenda a Mimba ndi Chiwindi a Sleisenger & Fordtran: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 28.

Lentz GM, Krane M. Anal incontinence: kuzindikira ndi kuwongolera. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 22.

Tsamba la Taber's Medical Dictionary Online. Fistula. Mu: Venes D, mkonzi. Wachitatu. Taber Intaneti. Kampani ya FA Davis, 2017. www.tabers.com/tabersonline/view/Tabers-Dictionary/759338/all/fistula.