Ciwon ciki na ciki

Fistula na ciki shine ɓarna mara kyau a cikin ciki ko hanji wanda ke ba da damar abun cikin ya malale.

• Leaks din da yake wucewa zuwa wani bangare na hanjin hanji ana kiransa fistulas entero-enteral.
• Leaks da ke ratsawa zuwa fata ana kiransa fistulas enterocutaneous.
• Sauran gabobi na iya shiga, kamar su mafitsara, farji, dubura, da ciwon ciki.

Yawancin fistulas na ciki suna faruwa bayan tiyata. Sauran dalilai sun hada da:

• Toshewa a cikin hanji
• Kamuwa (kamar diverticulitis)
• Crohn cuta
• Radiation zuwa cikin ciki (galibi ana bayar dashi azaman ɓangaren maganin kansa)
• Rauni, kamar rauni mai yawa daga soka ko harbin bindiga
• Haɗa abubuwa masu haɗiye (kamar su lye)

Dogaro da inda yoyon yake, wadannan cututtukan yoyon fitsarin na iya haifar da gudawa, da kuma rashin shan abubuwan gina jiki. Jikinka bazai sami ruwa da ruwa mai yawa kamar yadda yake buƙata ba.

• Wasu cututtukan fistula bazai iya haifar da bayyanar cututtuka ba.
• Sauran cututtukan yoyon fitsari suna haifar da abin da ke cikin hanji malala ta hanyar budawa cikin fatar.

Gwaje-gwaje na iya haɗawa da:

• Barium haɗiye don duba cikin ciki ko ƙananan hanji
• Barium enema don duba cikin cikin
• CT scan na ciki don neman yoyon fitsari tsakanin madaukai na hanjin ko wuraren kamuwa da cuta
• Fistulogram, wanda a ciki aka sanya fenti dabam a cikin buɗe fatar fistula kuma ana ɗaukar rayukan

Jiyya na iya haɗawa da:

• Maganin rigakafi
• Magungunan hana yaduwa idan fistula sakamakon cututtukan Crohn ne
• Yin aikin tiyata don cire cutar yoyon fitsari da wani bangare na hanji idan cutar yoyon fitsari ba ta warkewa
• Abinci mai gina jiki ta jijiya yayin da cutar yoyon fitsari ke warkarwa (a wasu yanayi)

Wasu cututtukan yoyon fitsari suna rufe kansu bayan aan makonni zuwa watanni.

Hangen nesa ya dogara da cikakkiyar lafiyar mutum da yadda cutar fistula take. Mutanen da suke da ƙoshin lafiya suna da kyakkyawar damar dawowa.

Fistulas na iya haifar da rashin abinci mai gina jiki da rashin ruwa a jiki, ya danganta da inda suke a cikin hanjin. Hakanan suna iya haifar da matsalolin fata da kamuwa da cuta.

Kira mai ba da lafiyar ku idan kuna da:

• Mummunan gudawa ko wasu manyan canje-canje a halaye na hanji
• Fitar ruwa daga buɗaɗɗen ciki ko kusa da dubura, musamman idan ba a daɗe da yin aikin ciki ba

Cutar fuka ta hanji; Ciwon yoyon fitsari; Fistula - ciwon ciki; Crohn cuta - fistula

• Gabobin tsarin narkewar abinci
• Ciwan yoyon fitsari

De Prisco G, Celinski S, Spak CW. Abun ciki na ciki da fistulas na ciki. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da Cututtukan Cutar hanta da na Fordtran. 11th ed. Philadelphia, PA: Elsevier; 2021: babi na 29.

Li Y, Zhu W. Pathogenesis na cututtukan Chron da ke tattare da cutar yoyon fitsari da ƙura. A cikin: Shen B, ed. Cutar lamunƙasar Cikin Cikin ventionwayar Cutar. Cambridge, MA: Elsevier Makarantar Ilimin; 2018: babi na 4.

Nussbaum MS, McFadden DW. Gastric, duodenal, da ƙananan fistulas na hanji. A cikin: Yeo CJ, ed. Tiyatar Shackleford na Tashin Alimentary. 8th ed. Philadelphia, PA: Elsevier; 2019: babi na 76.