Fistula ea mala

Fistula ea masapo ke pulo e sa tloaelehang ka mpeng kapa mala a lumellang lintho tse ka hare hore li lutle.

• Ho lutla ho kenang karolong ea mala ho bitsoa entero-enteral fistula.
• Ho dutla ho kenang letlalong ho bitswa fistula e kenang.
• Litho tse ling li ka ameha, joalo ka senya, botšehali, anus le colon.

Boholo ba fistula ea masapo e etsahala kamora ho buuoa. Lisosa tse ling li kenyelletsa:

• Thibelo ka maleng
• Tšoaetso (joalo ka diverticulitis)
• Lefu la Crohn
• Mahlaseli a mpang (hangata a fanoang e le karolo ea kalafo ea mofets'e)
• Kotsi, joalo ka maqeba a tebileng a ho hlajoa kapa ho thunngoa
• Ho metsa lintho tse kotsi (tse kang lye)

Ho its'etleha ka hore na ho dutla hokae, li-fistula tsena li ka baka lets'ollo, le ho monya limatlafatsi hampe. 'Mele oa hau o kanna oa se na metsi le maro a mangata kamoo a hlokang.

• Li-fistula tse ling li kanna tsa se bake matšoao.
• Li-fistula tse ling li baka hore mala a tsoa ka lesoba letlalong.

Liteko li ka kenyelletsa:

• Barium swallow ho sheba ka mpeng kapa mala a manyane
• Enema ea Barium ho sheba ka har'a kolone
• Ho hlahloba CT ka mpeng ho batla fistula pakeng tsa likoti tsa mala kapa libaka tsa tšoaetso
• Fistulogram, moo dae e fapaneng e kenngoang phatleng ea letlalo la fistula le x-ray li nkuoa

Kalafo e ka kenyelletsa:

• Lithibela-mafu
• Moriana o hatellang 'mele haeba fistula e le litholoana tsa lefu la Crohn
• Ho buoa ho tlosa fistula le karolo ea mala haeba fistula e sa fole
• Phepo e nepahetseng ka mothapo ha fistula e fola (maemong a mang)

Li-fistula tse ling lia koaloa ka botsona kamora libeke tse 'maloa ho isa ho likhoeli.

Ponahalo e latela bophelo bo botle ba motho ka kakaretso le hore na fistula e mpe hakae. Batho ba nang le bophelo bo botle ba na le monyetla o motle oa ho fola.

Fistula e ka baka khaello ea phepo e nepahetseng le ho omella, ho latela sebaka sa eona ka maleng. Li kanna tsa baka mathata a letlalo le tšoaetso.

Bitsa mofani oa tlhokomelo ea bophelo haeba u na le:

• Letšollo le lebe haholo kapa liphetoho tse ling tse kholo mekhoeng ea mala
• Ho dutla mokelikeli ho tsoa puleng ka mpeng kapa pela anus, haholoholo haeba o sa tsoa etsoa opereishene ea mpa

Entero-enteral fistula; Fistula e kenang; Fistula - mala; Lefu la Crohn - fistula

• Lisebelisoa tsa tsamaiso ea lijo
• Fistula

De Prisco G, Celinski S, Spak CW. Matšoafo a ka mpeng le fistula ea mala. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Fordtran's Mpeng le Mafu a Sebete. 11th ed. Philadelphia, PA: Elsevier; 2021: khaolo ea 29.

Li Y, Zhu W. Pathogenesis ea fistula e amanang le lefu la Chron le abscess. Ka: Shen B, ed. Maloetse a ho Ruruha a Bowel. Cambridge, MA: Khatiso ea Boithuto ea Elsevier; 2018: khaolo ea 4.

Mokha oa Nussbaum, McFadden DW. Li-fistula tsa mala, tsa duodenal le tse nyane tsa mala. Ka: Yeo CJ, e hlophisitsoeng. Opereishene ea Shackleford ea Alimentary Tract. La 8th. Philadelphia, PA: Elsevier; 2019: khaolo ea 76.