{"id":71421,"date":"2017-11-09T12:58:46","date_gmt":"2017-11-09T12:58:46","guid":{"rendered":"http:\/\/humanitasnet-new.local\/malattie\/rektovaginalna-fistula\/"},"modified":"2025-01-13T02:57:55","modified_gmt":"2025-01-13T02:57:55","slug":"rektovaginalna-fistula","status":"publish","type":"disease","link":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/diseases\/rektovaginalna-fistula\/","title":{"rendered":"Rektovaginalna fistula"},"content":{"rendered":"

Rektovaginalna fistula koja se javlja kod \u017eena je abnormalna povezanost donjeg dela debelog creva (rektuma) i vagine. Crevni sadr\u017eaj u tom slu\u010daju mo\u017ee da procuri kroz fistulu, \u0161to zna\u010di da gasovi i stolica mogu da pro\u0111u kroz vaginu. <\/span><\/p>\n

Rektovaginalna fistula mo\u017ee da se javi kao rezultat povrede tokom poro\u0111aja, Kronove bolesti ili nekog drugog zapaljenja debelog creva, le\u010denja radijacijom ili raka u karli\u010dnom delu, ili zbog komplikacija tokom operacija u karli\u010dnoj regiji. <\/span><\/p>\n

Simptomi rektovaginalne fistule \u010desto izazivaju emotivni stress kao i fizi\u010dku nelagodu, koja mo\u017ee da uti\u010de na ose\u0107aj samopo\u0161tovanja i uspostavljanje intimnih kontakata. Veoma je va\u017eno javiti se lekaru kako bi se izvr\u0161ila procena stanja rektovaginalne fistule. <\/span><\/p>\n

Neke rektovaginalne fistule mogu da se zatvore same od sebe, dok je za neke potrebna hirur\u0161ka intervencija. \u00a0<\/span><\/p>\n

 <\/p>\n

Simptomi<\/span><\/h2>\n

Zavisno od veli\u010dine i lokacije fistule simptomi mogu biti slabije izra\u017eeni, a mogu izazvati i ozbiljne problem prilikom pra\u017enjenja i odr\u017eavanja higijene. \u00a0Simptomi rektovaginalne fistule su:<\/span><\/p>\n

Prolazak gasova, stolice ili gnoja kroz vaginu, <\/span><\/p>\n

Vaginalni secret neprijatnog mirisa,<\/span><\/p>\n

Konstantne infekcije vagine i urinarnog trakta,<\/span><\/p>\n

Iritacija ili bol u vulvi, vagini, kao i na podru\u010dju izme\u0111u vagine i analnog otvora,<\/span><\/p>\n

Bolni seksualni odnosi<\/span><\/p>\n

 <\/p>\n

Uzroci<\/span><\/h2>\n

Od zna\u010daja za razvoj ovo stanja su slede\u0107i faktori:<\/span><\/p>\n

Povrede tokom poro\u0111aja. Povrede tokom poro\u0111aja naj\u010de\u0161\u0107i su uzroci nastanka rektovaginalne fistule. Takve povrede uklju\u010duju cepanje perineuma sve do debelog creva ili infekcija ili cepanje tokom epiziotomije \u2013 hirur\u0161kog reza u cilju pove\u0107anja perineuma tokom vaginalnog poro\u0111aja. Ovo se mo\u017ee dogoditi nakon dugog i te\u0161kog poro\u0111aja. <\/span><\/p>\n

Rak ili terapija zra\u010denjem u podru\u010dju karlice. Maligni tumor na debelom crevu, grli\u0107u materice, vagini, materici ili analnom kanalu mo\u017ee da dovede do razvoja rektovaginalne fistule. Terapija zra\u010denjem u tim delovima tela tako\u0111e mo\u017ee da dovede do razvoja fistule. Fistula koja je na taj na\u010din uzrokovana obi\u010dno se javlja u periodu od dve godine nakon le\u010denja. <\/span><\/p>\n

Operacije na vagini, perineumu, debelom crevu ili anusu. \u00a0<\/span><\/p>\n

Prethodne operacije donjeg dela karlice, poput odstranjenja materice (histerektomija), u retkim slu\u010dajevima mo\u017ee dovesti do nastanka fistule. \u00a0<\/span><\/p>\n

Ostali uzroci. U retkim slu\u010dajevima, rektovaginalna fistula mo\u017ee da bude uzrokovana infekcijama anusa ili debelog creva; infekcije malih, ispup\u010denih kesica u digestivnom traktu (diverticulitis); dugotrajnim zapaljenjem debelog creva i rektuma (ulcerativni kolitis); ili vaginalnim povredama koje nisu uzrokovane porodjajem.<\/span><\/p>\n

 <\/p>\n

Faktori Rizika<\/span><\/h2>\n

Faktori koji mogu da dovedu do pove\u0107anog rizika od pojave rektovaginalne fistule su: <\/span><\/p>\n

Kronova bolest,<\/span><\/p>\n

Komplikacije nakon operacije perineuma (podru\u010dje izme\u0111u vagine i rektuma), vagine, rektuma, ili analnog otvora,<\/span><\/p>\n

Povrede tokom poro\u0111aja,<\/span><\/p>\n

Terapija zra\u010denja ili rak u karli\u010dnom delu <\/span><\/p>\n

Perianalna infekcija,<\/span><\/p>\n

Rektovaginalna fistula tako\u0111e mo\u017ee biti simptom razli\u010ditih oboljenja, uklju\u010duju\u0107i infekciju limfogranulomom, ne\u017eeljenog hirur\u0161kog ishoda, poput epiziotomije, ili operacije promene pola.<\/span><\/p>\n

 <\/p>\n

Komplikacije<\/span><\/h2>\n

Fizi\u010dke komplikacije kod rektovaginalne fistule mogu biti: <\/span><\/p>\n

Stalne infekcije vagine ili urinarnog trakta<\/span><\/p>\n

Inkontinencija <\/span><\/p>\n

Problemi sa odr\u017eavanjem higijene<\/span><\/p>\n

Iritacija ili zapaljenje vagine, perineuma ili ko\u017ee oko anusa <\/span><\/p>\n

Inficirana fistula koja se pretvara u apsces, problem koji, ukoliko se ne le\u010di, mo\u017ee da bude opasan po \u017eivot <\/span><\/p>\n

Ponovno javljanje fistule<\/span><\/p>\n

 <\/p>\n

Prevencija<\/span><\/h2>\n

Ne postoje poznati na\u010dini da se spre\u010di rektovaginalna fistula. Pravilno odr\u017eavanje higijene mo\u017ee da smanji nelagodu i mogu\u0107nost od vaginalne ili urinarne infekcije dok se \u010deka na korektivni zahvat. <\/span><\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-71421","disease","type-disease","status-publish","hentry"],"yoast_head":"\nRektovaginalna fistula - 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=\"sr_RS\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Rektovaginalna fistula - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Rektovaginalna fistula koja se javlja kod \u017eena je abnormalna povezanost donjeg dela debelog creva (rektuma) i vagine. 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