Ọkpụkpụ vesicovaginal

Vesicovaginal fistula (VVF) bu isikowu nke urogenital fistula nwaanyi.

 Nkwupụta 
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 
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. A pụkwara ijikọ ya na hysterectomy,  ịwa ahụ kansa, ọgwụgwọ radiation na cone biopsy.

 Ọgwụgwọ 
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.

 Nsogbu ndị nwere ike ịwa ahụ 

 Ọdịdị nke fistula 
 Mmerụ ahụ na ureter, eriri afọ, ma ọ bụ eriri afọ
 Mgbatị akụkụ ahụ nwanyị

 Akụkọ ihe mere eme 
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.

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.

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.Wall LL (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. PMC 2563360. PMID 16731734.  (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.

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. 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 Ọrụ Sims na ụmụ nwanyị ohu ndị Africa America na-egosi ọdịdị dị ize ndụ nke usoro ahụ.Wall LL (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. PMC 2563360. PMID 16731734. Enweghị ntụziaka doro anya banyere otu esi agbake n'ụzọ kwesịrị ekwesị site na usoro ahụ ma e wezụga ịṅụ ọgwụ nje.[1]