Can excretion "go the wrong way"?Urgent mother encounter a rare rectal vaginal fistula

Text/Yangcheng Evening News all -media reporter Xue Renzheng

Correspondent Wang Hui Pan Xiaodong

Photo/Interviewee provided

"Doctor, my stool came out of the vagina ..."

Women's postpartum urine is often called embarrassing social diseases. However, the 26 -year -old Xiao Cai (pseudonym) encountered more embarrassing and uncomfortable diseases after last year -rectal vaginal fistula. Recently, after treatment at the Gynecological Pot Found Diagnosis and Treatment Center of the Third Hospital of Guangzhou Medical University, Xiao Cai finally got rid of the embarrassment of manure fistula and restored his normal life.

One day after childbirth, I found that the stool "go to the wrong way" twice suture operation did not see the effect

The 26 -year -old Xiao Cai was a mother. The baby was not yet full. She should have been in close contact with her baby, but was troubled by the "dung fistula" problem. She could only travel to and from the hospital many times.

In August last year, Xiao Cai, who was pregnant full of pregnancy, gave birth in the outer hospital. Because Xiao Cai had a history of gestational weeks 2 years ago, the birth canal was relaxed, resulting in a shorter delivery process. A perineal crack.

One day after giving birth, Xiao Cai found that the feces that should have been discharged from the anus leaked from the vagina from time to time ...

One week after giving birth, Xiao Cai's wound was not healed, and the situation of the stool flowing from the vagina still did not improve. Xiao Cai returned to the local hospital to perform perineal crack wounds. Essence

In the second week of postpartum, Xiao Cai experienced another week of vaginal farting and no manure out of the mainstream ... Xiao Cai performed the second perineum cracking injury and replenishment, but because Xiao Cai's wound was in the tissue edema period, and it passed through After the pollution of the stool, the suture did not heal well.

The psychological burden of embarrassing vaginal rectal fistula

"Doctor, I basically didn't sit this confinement this time, and I experienced two more surgery, which seemed to have three children ... I was worried about my stools every day, so painful, can I help me cure the disease ..."

The painful Xiao Cai went to the Gynecological Pot Diagnosis and Treatment Center of the Third Hospital of Guangzhou Medical University, and told the chief physician Liu Juan about his pain and embarrassment, hoping to completely solve this problem.

Liu Juan asked Xiao Cai's medical history in detail, and found that the patient had a 0.5cm fistula at about 1cm after the perineal at the anal at the anal at the aurities of the patient. Considering the possibility of vaginal rectal fistula.

"Rectal vaginal fistula is a congenital or acquired channel formed between rectal and vagina. It is relatively rare clinically. There are many causes of onset. , Inflammatory bowel disease, infection, cancer fistula, etc. "Liu Juan explained," The main clinical manifestations are vaginal exhaust and defecation. In severe cases, stool cannot be controlled by itself. Generally, it cannot heal itself. Patients need surgery. If improper treatment, it will cause repeated infections, pain, etc., and will also cause patients to withstand huge mental stress and seriously affect the quality of life of patients. "

Choose the surgery time for 1 hour surgery to help patients return to normal life

Because Xiao Cai has a history of multiple surgery, it is difficult to play conservative treatment, and it needs to be repaired again. After detailed inspection and research, Liu Juan's team considers Cai for one month after giving birth and multiple perineum suture operations. The perineum is still in the tissue edema period. It is not the best time to surgery. Wait, the regular outpatient clinics evaluate the vulva wound conditions, and the optional surgery is repaired.

Three months later, Xiao Cai came to the clinic again. After scientific management, at this time her vulva wound edema had faded, fistula was formed, scars were softened, and the timing of surgery arrived.

After a few days of intestinal preparation, on January 11 this year, Liu Juan and deputy chief physician Lin Qiongyan performed surgery for Xiao Cai. After careful separation of scar tissue of the fistula wall, less than an hour of surgery will be The abnormal channels between the vagina are completely sutured and re -repairing the old perineal cracking. After surgery, the wound is carefully cared and the complete postoperative nutritional support treatment.

"Thank you doctor, I can finally stool normally!" One month after discharge, Xiao Cai came to the clinic to resume the clinic and changed the sorrowfulness. She happily told the doctor.

Normal defecation is just a very common thing for most people, but it is a valuable experience for Xiao Cai. At this point, Xiao Cai finally got rid of the embarrassment of manure fistula and restored his normal life.

Experts remind: Pregnant women should be alert to emergency delivery. Pay attention to care for perineal cracking

Urgent production refers to the length of less than 3 hours from regular contraction to placenta delivery. It is more common in those who have maternal, soft -produced tract, contraction, pelvic width, lighter fetal weight, or premature birth. Urgent production may be more harmful to maternal and infants, and emergency pregnant women are prone to severe laceration, postpartum bleeding, and puerperium infections due to the lack of expansion of the birth canal.

The urgent baby is often blocked during the birth of the placental blood circulation due to the uterine shrinkage and too short. The intracranial blood vessels of the fetus rupture, causing intracranial hemorrhage.

Liu Juan and Lin Qiongyan reminded that pregnant mothers who have a maternal, premature birth, and history of induction of labor should be alert to the occurrence of urgent birth. Pregnant mothers who do not have high risk factors should always pay attention to their own signs at all times. Secondly, the laws that lasted more than 30s more than 30s should be visited the hospital in time.

If the perineal laceration occurs after delivery, we need to strengthen the care of the perineum to avoid more serious complications: First, be sure to pay attention to the perineum cleaning and clean the perineum with warm water, especially after urination, avoid wound pollution.Second, a reasonable diet, strengthen nutrition, and promote wound healing.Third, when the perineal wound is deep, we must follow the order to increase the diet step by step to prevent constipation.Fourth, the healthy side is lying. If the wound is on the left, the right side position is taken to avoid lochia pollution.Fifth, once the wound is found to have redness, blood and pus, or without absorption, etc., go to the hospital for treatment in time.Source | Yangcheng Evening News · Yangcheng School

Responsible editor | Liu Xinyu

School Delivery | Zhao Dandan

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