Ọkpụkpụ vesicovaginal
Vesicovaginal fistula (VVF) bu isikowu nke urogenital fistula nwaanyi.
Nkwupụta[dezie | dezie ebe o si]
Vesicovaginal fistula maobu VVF bu mgbe fistulous tract na adighi mma biara ruo ebe bladder na vagina nke na ekwa ka mmariri na aputa n'ime vaginal vault. [citation needed]
Na ngbakwunye na medical sequela n'ebe fistula no, ha na enwe nsogbu n'ebe ihe emetutara echiche ndi Oria aka [citation needed]
Ihe Ndị Na-akpata ya[dezie | dezie ebe o si]
Ọ nwere ike ịbụ nsonaazụ nke ọnọdụ ọmụmụ ọmụmụ dịka Njikọ VACTERL.Ọ na-esikarị site na ịmụ nwa (n'ọnọdụ ahụ a maara ya dị ka obstetric fistula), mgbe ogologo oge na-arụsi nwa a na-amụbeghị amụ ike na pelvis, na-egbochi ọbara na-aga na mgbidi vesicovaginal. Akpụkpọ ahụ nwere ike ịnwụ, na-ahapụ oghere. [citation needed]
Fistulas nke akụkụ ahụ nwanyị nwekwara ike ịpụta site na ikpe ike nke ndina n'ike, ọkachasị ndị metụtara ọtụtụ ndị na-edina mmadụ n'ike na / ma ọ bụ ihe ndị mba ọzọ. Ụfọdụ ụlọ ọrụ ahụike na mba ndị dị ka Democratic Republic of Congo amalitela ịwa ahụ na mmezi nke fistulas nke akụkụ ahụ nwanyị.[1][2] A pụkwara ijikọ ya na hysterectomy, ịwa ahụ kansa, ọgwụgwọ radiation na cone biopsy.[3]
Ọgwụgwọ[dezie | dezie ebe o si]
A na-edozi fistulae vesicovaginal ma ọ bụ transvaginally ma ọ bụ laparoscopically, ọ bụ ezie na ndị ọrịa nwere ọtụtụ usoro transvaginal mgbe ụfọdụ na-anwa imezi mmezi ikpeazụ site na nnukwu afọ, ma ọ bụ laparotomy. [citation needed]
Ụzọ laparoscopic (nke na-emetụta obere) maka nrụzi VVF abụrụla ihe a na-ahụkarị n'ihi ọhụụ ya ka ukwuu, ọnụego ihe ịga nke ọma dị elu, na ọnụ ọgụgụ dị ala nke nsogbu.[4]
Nsogbu ndị nwere ike ịwa ahụ[dezie | dezie ebe o si]
- Ọdịdị nke fistula [5]
- Mmerụ ahụ na ureter, eriri afọ, ma ọ bụ eriri afọ
- Mgbatị akụkụ ahụ nwanyị
Akụkọ ihe mere eme[dezie | dezie ebe o si]
Tupu narị afọ nke iri na itoolu, a na-ekpe ụmụ nwanyị na-arịa ọrịa VVF ikpe siri ike ma jụ ha n'etiti ọha mmadụ. N'ime narị afọ nke iri na itoolu, ọgwụgwọ maka VVF pere mpe n'ihi na a na-ele omume nke gynecology anya dị ka ihe a machibidoro iwu. Ndị dọkịta fọrọ nke nta ka ọ bụrụ ụmụ nwoke n'oge a ma na-ele nwanyị gba ọtọ anya, ọbụlagodi maka ebumnuche ahụike, a na-ahụ ya dị ka ihe dị iche na ụkpụrụ nke narị afọ nke 19.[6]
Otu n'ime ndị dọkịta na-awa ahụ n'oge a bụ Dr. J. Marion Sims, onye mepụtara usoro na-aga nke ọma maka ịgwọ VVF n'etiti afọ 1800, nke a na-eto ya dị ka onye ọsụ ụzọ nke ọrịa ụmụ nwanyị.[7]
Ụmụ nwanyị ojii ndị ohu nọ na South America nwere ike ịnweta VVF n'ihi na a jụrụ ha nri kwesịrị ekwesị na nlekọta ahụike. Sims rụrụ ọrụ na ụmụ nwanyị ndị a na-enweghị ọgwụ na-akụnwụ ahụ, nke a na-ewepụtaghị ruo mgbe ọ malitere nnwale ya, nke Sims nwere obi abụọ iji mee ihe na mbido ya.[7] (E gosipụtara anesthesia ọzọ n'ihu ọha na Boston na 1846, otu afọ mgbe Sims malitere nnwale ya.) Sims enweghị nwanyị ọcha ruo mgbe o mere ka ha nwee ether, ọ bụ ezie na o kwuru n'ihu mmadụ na ọ dịghị mgbe ọ malitere iji anesthetics n'ihi na o kwenyere na ihe mgbu ahụ emeghị ka ihe ize ndụ ahụ bụrụ ihe ziri ezi.[1] Nnyocha zuru ezu nke Sims na-atụle ọbụna ikpe nke nwanyị ọcha nke a wara ahụ ugboro atọ, ha niile na-enweghị anesthesia.[1] A na-ewere ya dị ka ihe a na-anabata ịwa ha ahụ na-enweghị ọgwụ na-akụnwụ ahụ n'ihi na, Sims kwuru, ụmụ nwanyị Africa-America nwere ikike mgbu dị elu.[8]
Usoro ọgwụgwọ nke usoro VVF ka siri ike. Iji nwee mgbake gara nke ọma site na ịwa ahụ, ọ ga-aga nke ọma na mgbalị mbụ. [9] Ọrụ Sims na ụmụ nwanyị ohu ndị Africa America na-egosi ọdịdị dị ize ndụ nke usoro ahụ.[7] Enweghị ntụziaka doro anya banyere otu esi agbake n'ụzọ kwesịrị ekwesị site na usoro ahụ ma e wezụga ịṅụ ọgwụ nje.[1][9]
- ↑ Bhatia (8 January 2010). Rape epidemic fuels fistula cases in the Democratic Republic of Congo. Conversations for a Better World. Archived from the original on 28 August 2010.
- ↑ Nordland. "Congo: More Vicious Than Rape", Newsweek, 12 November 2006.
- ↑ (October 2007) "A new dimension in vesicovaginal fistula management: an 8-year experience at Ramathibodi hospital". Asian Journal of Surgery 30 (4): 267–71. DOI:10.1016/S1015-9584(08)60037-8. PMID 17962130.
- ↑ Fistula Repair Overview. Bladder - Vaginal Fistula Surgeons (20 October 2010). Retrieved on 11 September 2013.
- ↑ (1999) "Laparoscopic management of recurrent vesicovaginal fistula". International Urogynecology Journal and Pelvic Floor Dysfunction 10 (2): 116–7. DOI:10.1007/s001920050029. PMID 10384974.
- ↑ (March 1993) "The medical ethics of the 'father of gynaecology', Dr J Marion Sims". Journal of Medical Ethics 19 (1): 28–31. DOI:10.1136/jme.19.1.28. PMID 8459435.
- ↑ 7.0 7.1 7.2 (June 2006) "The medical ethics of Dr J. Marion Sims: a fresh look at the historical record". Journal of Medical Ethics 32 (6): 346–50. DOI:10.1136/jme.2005.012559. PMID 16731734. Kpọpụta njehie: Invalid
<ref>tag; name "Wall" defined multiple times with different content - ↑ (June 2011) "The portrayal of J. Marion Sims' controversial surgical legacy". The Journal of Urology 185 (6): 2424–7. DOI:10.1016/j.juro.2011.01.077. PMID 21511295.
- ↑ 9.0 9.1 Stamatakos, M., Sargedi, C., Stasinou, T., & Kontzoglou, K. (2014). Vesicovaginal Fistula: Diagnosis and Management. The Indian Journal of Surgery, 76(2), 131–136. http://doi.org/10.1007/s12262-012-0787-y