{"id":70764,"date":"2017-03-30T16:18:24","date_gmt":"2017-03-30T16:18:24","guid":{"rendered":"http:\/\/humanitasnet-new.local\/malattie\/fistula-rectovaginala\/"},"modified":"2025-01-13T02:48:32","modified_gmt":"2025-01-13T02:48:32","slug":"fistula-rectovaginala","status":"publish","type":"disease","link":"https:\/\/humanitas-net.humweb.webiz.team\/ro\/diseases\/fistula-rectovaginala\/","title":{"rendered":"Fistula rectovaginal\u0103"},"content":{"rendered":"

Fistula rectovaginal\u0103<\/strong><\/h2>\n

 <\/p>\n

O fistul\u0103 rectovaginal\u0103 care afecteaz\u0103 femeile reprezint\u0103 o conexiune anormal\u0103 între por\u021biunea inferioar\u0103 a intestinului gros (rect) \u0219i vagin. Con\u021binutul intestinului se poate scurge prin fistul\u0103.<\/p>\n

O fistul\u0103 rectovaginal\u0103 poate rezulta dintr-un incident în timpul nasterii, precum boala Crohn sau alte boli inflamatorii intestinale, tratamentul cu radia\u021bii sau cancer în zona pelvian\u0103, sau o complica\u021bie dupa o interven\u021bie chirurgical\u0103 în zona pelvian\u0103.<\/p>\n

Simptomele unei fistule rectovaginale cauzeaz\u0103 adesea stres emo\u021bional precum \u0219i disconfort fizic, care poate avea un impact de sine \u0219i asupra rela\u021biei intime. Este important de a consulta un medic \u0219i de a evalua fistula rectovaginal\u0103.<\/p>\n

Unele fistule rectovaginale se pot închide pe cont propriu, îns\u0103 deobicei se recomand\u0103 s\u0103 fie tratate chirurgical.<\/p>\n

 <\/p>\n

Simptome<\/strong><\/h2>\n

În func\u021bie de m\u0103rimea \u0219i localizarea fistulei, simptomele pot fi minore sau pot provoca probleme semnificative cu continen\u021b\u0103 \u0219i igien\u0103. Simptomele unei fistule rectovaginale sunt:<\/p>\n

    \n
  • trecerea gazelor, scaunelor sau puroiului din vagin,<\/li>\n
  • secre\u021bie vaginal\u0103 urât mirositoare,<\/li>\n
  • infec\u021bii ale tractului urinar sau vaginale recurente,<\/li>\n
  • irita\u021bie sau durere la nivelul vulvei, vaginului \u0219i zona dintre vagin \u0219i anus,<\/li>\n
  • actul sexual dureros<\/li>\n<\/ul>\n

     <\/p>\n

    Cauze<\/strong><\/h2>\n

    Urm\u0103toarele cauze pot fi relevante:<\/p>\n

      \n
    • Leziuni în timpul na\u0219terii. Leziunile din timpul na\u0219terii sunt cele mai frecvente cauze de fistule rectovaginal. Astfel de leziuni includ câteva pic\u0103turi în perineu, care se extind la nivelul intestinului \u0219i provoac\u0103 o infec\u021bie sau rupere epiziotom\u0103 – o incizie chirurgical\u0103 pentru a m\u0103ri perineul în timpul nasterii vaginale. Acestea pot avea loc ca urmare a unui travaliu lung, dificil.<\/li>\n
    • Cancer sau radioterapie în zona pelvian\u0103. O tumoare canceroas\u0103 în rect, col uterin, vagin, uter sau canalul anal poate duce la dezvoltarea unei fistule rectovaginale. Radioterapia pentru cancer în aceste zone poate, de asemenea, s\u0103 creasc\u0103 riscul de a dezvolta o fistul\u0103. O fistula cauzat\u0103 de radia\u021bii, de obicei, se trateaz\u0103 în termen de doi ani.<\/li>\n
    • Implic\u0103 o interven\u021bie chirurgical\u0103 la vagin, perineu, rect sau anus. Interven\u021biile chirurgicale în regiunea inferioar\u0103 pelvin\u0103, cum ar fi îndep\u0103rtarea uterului (histerectomie), în cazuri rare, poate duce la dezvoltarea unei fistule.<\/li>\n<\/ul>\n

      Alte cauze. Rar, o fistula rectovaginal\u0103 poate fi cauzat\u0103 de infec\u021bii în anus sau rect; infec\u021bii de mici pungi, care bombeaz\u0103 tractul digestiv (diverticulit\u0103); inflamatie pe termen lung a colonului \u0219i rectului (colita ulceroas\u0103); sau r\u0103nire vaginal\u0103 alta decât în \u200b\u200btimpul na\u0219terii.<\/p>\n

       <\/h2>\n

      Factori de risc<\/strong><\/h2>\n

      Factorii care pot cre\u0219te riscul de fistul\u0103 recto includ:<\/p>\n

        \n
      • boala Crohn,<\/li>\n
      • complica\u021bii dup\u0103 o interven\u021bie chirurgical\u0103 la nivelul perineului (zona dintre vagin \u0219i rect), vagin, rect sau anus,<\/li>\n
      • leziuni în timpul na\u0219terii,<\/li>\n
      • tratamentul cu radia\u021bii sau cancer în zona pelvian\u0103<\/li>\n
      • infec\u021bie perianale,<\/li>\n<\/ul>\n

        Fistula rectovaginal\u0103 poate fi, de asemenea, un simptom al diferitelor boli, inclusiv infec\u021bia cu limfogranulom, sau rezultatul neinten\u021bionat de interven\u021bii chirurgicale, cum ar fi epiziotomie sau o interven\u021bie chirurgical\u0103 de schimbare de sex.<\/p>\n

         <\/p>\n

        Complica\u0163ii<\/strong><\/h2>\n

        Complica\u021bii fizice ale fistule rectovaginale pot include:<\/p>\n

          \n
        • Infec\u021bii recurente ale tractului urinar sau incontinen\u021b\u0103 vaginal\u0103<\/li>\n
        • Probleme cu igiena<\/li>\n
        • Irita\u021bie sau inflama\u021bie a vaginului, perineului sau pielea din jurul anusului<\/li>\n
        • Fistul\u0103 infectat\u0103 care formeaz\u0103 un abces, o problem\u0103 care poate pune via\u021ba în pericol, dac\u0103 nu este tratat\u0103<\/li>\n
        • Recuren\u021ba fistulei<\/li>\n<\/ul>\n

           <\/p>\n

          Profilaxie<\/strong><\/h2>\n

          Nu exist\u0103 metode cunoscute de prevenire a fistula rectovaginale. O igien\u0103 bun\u0103 poate ajuta la problemele de disconfort \u0219i de a reduce riscul de infec\u021bii ale tractului urinar sau vaginal.<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-70764","disease","type-disease","status-publish","hentry"],"yoast_head":"\nFistula rectovaginal\u0103 - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fistula rectovaginal\u0103 - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Fistula rectovaginal\u0103   O fistul\u0103 rectovaginal\u0103 care afecteaz\u0103 femeile reprezint\u0103 o conexiune anormal\u0103 între por\u021biunea inferioar\u0103 a intestinului gros (rect) \u0219i vagin. 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