I-ftotula yangaphambili ye-fistula yindlela yokwakhiwa kwengxowa kwi-lumen phakathi kwesini kunye ne-rectum.
Izizathu zokubunjwa kwe-fistula
Isizathu esiyinhloko sokwakheka kwe-fttula ye-recto-sexinal pathological birth, leyo, ngokusemthethweni, inexesha elininzi elinomdla, i-character extracted, kwaye ihamba kunye ne - perineum.
Ukwakheka kwe-fistula yangasese kungakhokelela kunye neenkqubo zokuvuvukala, eziyimiphumo yeengxaki emva kokubeleka ngenxa yokuxhatshazwa kokuhamba emva. Ngoko ke, ukuba umfazi ekubelethweni wayenomlinganiselo omncinci womngxube wokuzalwa, kwaye umntwana wayemkhulu, ukubonakala kokuphuka kungenakupheka. Ukubunjwa kwe-fistula ephindaphindiweyo kungabangelwa yinkcenkcesha evela kwintsebenzo kwizitho zeplavic.
Iimpawu
I-fistula engama-esiswini, ngokuxhomekeka kwindawo kunye nobukhulu, inokubakho impawu ezifihliweyo kunye ezifihliweyo. Ubonakaliso obuninzi ngokuphindaphindiweyo kukukhutshwa kwee-gesi, kunye nesitulo esisuka kwisini. Ukususela kummandla wesini kwimeko, kukho ukusuleleka kwintsholongwane, kukho ukukhushulwa kwezifo ezinokuvuthayo, zombini isondo kunye nomchamo wamanzi.
Unyango
Utyando lwe-fistula ephindaphindiweyo lwenziwa kuphela yindlela yokuhlinzwa. Xa i-fistula ikhula ngenxa yokulimala kweseva yecala, kubaluleke kakhulu ukuphelisa i-fistula ngexesha leeyure eziyi-18 zokuqala. Ngexesha elifanayo, ukugqitywa kwemida kunye nokuxutywa kwesilonda kwenziwa ngokubuyiswa kwengqibelelo ye-septum.
Namhlanje, ukwenzela unyango lwesifo esinjenge-fistula ephindaphindayo, malunga neendlela ezingama-30 zokungenelela ngophakanyiso zisetyenziselwa ukuhlinzwa. Olu hlobo lweentlobo zemiSebenzi lwenziwa ngenxa yeempawu ezahlukeneyo ze-anatomical kunye nezobugcisa kwimeko nganye. Kungoko, phambi kokungenelela kwongqongqeleko, kuyimfuneko ukuseka ngokuchanekileyo iimpawu zesimo se-fistula.