Yu kin gɛt prɔblɛm bak fɔ pul dɔti? Lɛ wi tɔk bɔt dis (Anorectal Manometry) tɛst!

Yu go mɔs gɛt sɔm kayn prɔblɛm we yu kin go na tɔylɛt sɔntɛnde, nɔto so? Sɔntɛm yu bɛlɛ dɔn dray, ɔ yu kin fil lɛk se yu dɔn stɔp na yu bɔdi. Sɔm pipul dɛn kin gɛt smɔl mɔ pan dɛn tin ya. So tide wi go tɔk bɔt wan spɛshal tɛst we go ɛp yu fɔ fɛn di tin we mek yu nɔ fil fayn. Dis na wetin wi kin kɔl `(Anorectal Manometry)`.

Wetin mek dɛn kin du dis ``Anorectal Manometry'' tɛst?

Fɔ tɔk am simpul wan, dɛn kin du dis tɛst fɔ si if di mɔsul dɛn we de rawnd yu an (di say we di stɔl de pas) ɛn di rɛktum (di say we dɛn kin kip di stɔl fɔ sɔm tɛm) de wok fayn fayn wan. Jɔs tink se, jɔs lɛk aw wi de it, fɔ digest da it de ɛn pul di ɔda wan dɛn kɔmɔt na di bɔdi na impɔtant tin bak. Wi bren ɛn dɛn mɔsul ya kin wok togɛda fɔ du dis. So, if i nɔ izi fɔ yu fɔ pul dɔti, di rizin kin bi prɔblɛm wit di we aw dɛn mɔsul dɛn ya de wok.

Bɔku men rizin dɛn de we mek dɔktɔ aks yu fɔ mek dɛn du dis tɛst:

• If yu fil pen ɔ strɛs we yu de muv yu bɔdi: Dɛn kin kɔl dis bak `(Dyschezia)`. I kin tan lɛk se yu de tray fɔ pas ston.
• If yu fil se yu stɔl dɔn stɔp ɛn nɔ de kɔmɔt: Dɛn kɔl dis ``Obstructed defecation''. Yu fil se yu nid fɔ go na tɔylɛt, bɔt natin nɔ de kɔmɔt.
• Kɔnstipɛshɔn we nɔ de chenj: Dis min se yu fɔ go tɔylɛt fɔ sɔm dez wit yu bɔdi ɔltɛm, we nɔ kin izi fɔ yu. Dɛn kin kɔl dis bak ``Krɔnik kɔnstipɛshɔn''.
• Nɔ ebul fɔ kɔntrol di bɔdi we de muv: Na di we aw pɔsin kin lɔs di bɔdi we i nɔ want. Dɛn kɔl dis ``Fecal incontinence.'' Dis kin rili nɔr kin fil fayn fɔ bɔrku pipul dɛm.

Apat frɔm dɛn sik ya, sɔntɛnde dɛn kin yuz dis tɛst fɔ si aw di mɔsul dɛn na da eria de de wok afta aksidɛnt ɔ ɔpreshɔn, ɔ fɔ no if sik we dɔn te dɔn afɛkt di we aw dɛn mɔsul dɛn ya de muv.

Dis ``(Anorectal Manometry)`` test kin no sɔm mεdikal kכndyushכn dεm wae kin de mek yu kɔnstipɛshɔn. Fɔ ɛgzampul:

• Anismus ɔ dyssynergic defecation: Dis na we di mɔsul dɛm na di rɛktum kin kɔntrakt we dɛn de tray fɔ defecate, we dɛn fɔ rili rilaks.
• Hirschsprung disease: Dis na wan sik wae kin apun bɔrku tɛm pan yɔŋ pikin dɛm. na we di nεv sεl dεm we de na di rεktum wik.

I kin ɛp bak fɔ no di rayt tin we de apin ɛn usay di prɔblɛm de if pɔsin nɔ ebul fɔ kɔntrol in fes. wetin amazing na dat di sem tεknכlכji we dεn yuz fכ dis tεst kin yus sכmtεm fכ tren dεn mכsul dεm ya bak (insay tin dεm lεk ``Biofeedback therapy'').

Aw dis ``Anorectal Manometry'' tεst de wok?

Fɔ ɛksplen dis smɔl sayɛns wan, dɛn yuz wan divays we dɛn kɔl ``Manometer`` fɔ dis tɛst. Dis na rili prɛshɔn sɛns.`(prɛshɔn transdyusɔ)`. dat min se i kin mכsu di prεshכn we dεn de mek we di mכsul dεm na yu rεktum εn yu ans de kכntrakt. Dis kin ɛp yu fɔ si if dis prɛshɔn rayt, tumɔs, tumɔs smɔl, ɔ if dɛn kɔntrakshɔn ya de apin di rayt tɛm.

Dɔktɔ ɔ pɔsin we tren fɔ mɛn pipul dɛn kin put wan tiub we rili tan ɛn we kin chenj (kateta) tru yu an insay yu rɛktum. Dis tiub gɛt prɛshɔn sɛns we dɛn tay pan am. Dɛn kin tay wan smɔl balyɔn insay dis tiub. we dis balכn inflate insay yu rεktum, i de mek di sem kayn nεv stimulashכn we wi kin fil we wi gεt bכdi muvmεnt. Dɔn yu mɔsul dɛn kin bigin fɔ ansa bay insɛf. Dis rispɔns na wetin di divays de mɛzhɔ.

Aw a fɔ pripia bifo di tɛst?

I bεst fכ mek yu rεktum εn yu anus ɛmti we yu de du dis tεst. So, yu dɔktɔ go tɛl yu nɔ fɔ it fɔ sɔm awa bifo dɛn du di tɛst. I go tɛl yu bak fɔ yuz ``(Enema)`` (wan wata we de klin di rɛktum) na os fɔ ɛmti di say. Yu dɔktɔ go gi yu klia instrɔkshɔn bɔt ustɛm fɔ du dis, aw fɔ du am, ɛn wetin fɔ yuz. So nɔ fred am.

Wetin kin apin we dɛn de du di tɛst?

Okay, naw lɛ wi si wetin de apin di tɛm we dɛn de du di tɛst.

• We yu kam fɔ di tɛst, dɛn go aks yu fɔ pul yu klos we de dɔŋ yu wes ɔ fɔ wɛr wan gɔn we di ɔspitul dɔn gi yu.
• Dɔn dɛn kin tɔn yu na yu sayd pan tebul ɛn mek yu ledɔm wit yu ni dɛn bɛn to yu chɛst.
• Sɔntɛnde, bifo yu put di kateshɔn, di dɔktɔ go put finga we gɛt glɔv insay yu rɛktum ɛn du dijital rɛktal ɛgzam. Dis na fɔ chɛk fɔ ɛnitin we nɔ kɔmɔn insay. Nɔ wɔri, dis go go kwik kwik wan.
• afta dat, put sכm lכbrik na di εnd pan di tכb (fכ i izi fכ put am insay) εn put am sכmtεm tru di an insay di rεktum.
• di prεshכn ridin dεm de rεkכd na difrεn dip dεm na di rεktum. Dis de gi yu wan aidia bɔt yu nɔmal intanɛnt prɛshɔn.
• Dɔn dɛn kin blo di balyɔn. di balכn de fulכp wit difrεn amoun dεm, put am na difrεn pכynt dεm insay di rεktum, εn dεn de tek prεshכn ridin dεm.
• Dɛn go aks yu bak if yu fil dɛn chenj ya ɛn if yu fil se yu nid fɔ go na tɔylɛt.
• Dɔn bak, difrɛn tɛm dɛn kin tɛl yu fɔ tɛns, rilaks, push (lɛk we yu de go tɔylɛt), ɛn kɔf yu mɔsul dɛn. Insay dis tɛm, dɛn kin rayt yu mɔsul dɛn as dɛn de ansa fɔ dɛnsɛf ɛn fɔ dɛnsɛf.

Bɔku tɛm, di wan ol tɛst kin tek lɛk 30 minit so . I kin bi 15 minit, i kin bi 45 minit.

Yu tink se dis na tɛst we de mek pɔsin fil pen?

Dis na prɔblɛm we bɔku pipul dɛn gɛt. Fɔ tɔk tru, dis nɔto tɛst we kin rili pen.If yu rεktum ɔ yu anus inju smɔl, yu kin fil smɔl nɔr fil fayn ɔr tayt. Bɔt di prɛshɔn we di tiub ɛn di balɔ de gi tan lɛk di prɛshɔn we yu kin fil we yu pas stɔl.

Bɔt if yu rili fred ɔ wɔri bɔt dis, yu kin tɔk to yu dɔktɔ bɔt if yu kin gɛt sɔm kayn layt sɛdishɔn (`(Sedation)`) if nid de.

Wetin na tɛst fɔ drɛb balyɔn?

Sɔntɛnde di dɔktɔ go du ɔda tɛst di sem tɛm we di Anorectal Manometry tɛst de du. Dɛn kɔl am Balɔn Ɛkspulshɔn Tɛst. dis involv fכ inflate wan balכn εn si if yu kin dכn am "lεk se yu de gεt bכdi muvmεnt" εn aw lכng i de tek. Dɛn go aks yu fɔ du dis na prayvet, sidɔm. Di sɛns dɛn we de na di balyɔn de rayt di tɛm ɛn di prɛshɔn.

Ɛni risk de fɔ dis tɛst?

Infakt, no big risk ɔ sayd ɛfɛkt nɔ de frɔm dis tɛst. Di onli tin na, if yu gɛt alɛji to `(Latex)` (rɔba milk), yu nid fɔ tɛl yu dɔktɔ bifo tɛm. Dɔn dɛn go yuz wan balɔ we nɔ gɛt `(Latex)`.

If yu rεktum ɔ yu ans swel smɔl ɛn rɛd, yu kin gɛt sɔm brus ɔ blɔd smɔl afta di tɛst. Bɔt dis kin bɛtɛ kwik kwik wan.

Wetin di tɛst rizɔlt sho?

Okay, naw di impɔtant tin. Wetin wi kin lan frɔm di tin dɛn we dis tɛst dɔn du?

dis rizulεt dεm de sho if di mכsul dεm εn nεv dεm we de insay di bכdi muvmεnt de wok fayn fayn wan, כ usay di prכblεm de.

Wan nɔmal rizɔlt go sho sɔntin lɛk dis:

• we di stכl go insay di rεktum, di rεktum de rilaks εn i de εkspכnd fכ akomoda am (`(Rεktal komplians)`).
• di nεv dεm na di wכl dεm na di rεktum (`stretch receptors`) de stimulate, we de sεnd signal to di bren se yu nid fכ go na di tכyl (`(Rεktal sensεshכn)`).
• in rispכns, di intanal anal sfinkt de rilaks כtomatכk (`(Rεktoanal inhibitory rεflεks)`).
• we di insay wan rilaks, di ekstenal anal sfinkt de tayt εn de ol di stכl insay te yu rεdi (`(Rectoanal contractile reflex)`). I kin tayt bak we yu kɔf (`(Kɔf riflɛks)`).
• Di ɔda anal ring de ansa yu kɔnshɛns kɔmand fɔ tayt, lus, ɛn push.
• we yu tray fכ defecate, di prεshכn na di anus de inkrεs, we de mek di εksternal anal ring de rilaks, we de alaw di stכl fכ pas tru. כl dis tin dεm de wok tכgeda (`(Kכdinεt anorektal prεshכn chenj dεm)`).

Wan abnɔmal rizɔlt kin sho dɛn tin ya:

• Ivin if stɔl de pas na di rɛktum, dɛn nɔ kin fil se yu nid fɔ go na tɔylɛt. Sɔntɛm di rɛktum nɔ de dilayt fayn, ɔ di nɛv dɛn nɔ de sɛn signal to di bren.
• Pan ɔl we yu fil se yu nid fɔ go tɔylɛt, di ɔtomɛtik we aw yu mɔsul dɛn de ansa nɔ de wok fayn.
• Di mɔsul dɛn nɔ kin ansa di rayt we. Fɔ ɛgzampul, dɛn kin tayt usay dɛn fɔ rilaks, ɛn rilaks usay dɛn fɔ tayt.
• Ivin if di mɔsul dɛn du di rayt tin, dɛn de du am di rɔng tɛm, ɔ dɛn nɔ de wok togɛda.
• di mכsul dεm we de kכntrikshכn wik εn i nכ de wok fayn.
• Pan ɔl we a de tray fɔ rilaks, mi mɔsul dɛn tu tayt.

Dis tɛst kin mek pɔsin gɛt di tritmɛnt we go wok fayn?

Yɛs, fɔ tru! We di dɔktɔ dɔn ebul fɔ no ustɛm di mɔsul dɛn afɛkt ɛn aw i go afɛkt am, i kin yuz difrɛn we dɛn fɔ tren dɛn mɔsul dɛn de bak. Di tritmɛnt dɛn we dɛn kin yuz mɔ na:

• Bayofidbak tɛrapi: Dis na fɔ sho yusɛf aw yu mɔsul dɛn de wok bay we yu de yuz divays ɛn tich yu fɔ kɔntrol dɛn.
• Fizik tritmɛnt fɔ di pelvik flɔ we nɔ de wok fayn: Dis kin min fɔ yuz spɛshal ɛksɛsayz ɛn tɛknik fɔ mek di mɔsul dɛn na da eria de strɔng ɛn mek dɛn wok fayn fayn wan.

Anorectal Manometry na wan kwik, we nɔ de mek yu fil pen we yu dɔktɔ kin du fɔ chɛk aw yu bɔdi de muv. I kin gi yu dɔktɔ impɔtant infɔmeshɔn bɔt aw yu rɛktum ɛn anɔs mɔsul dɛn de wok. Yu kin shem smɔl fɔ yuz yu bɔdi we yu de du mɛdikal ɛgzam. Bɔt if i nɔ izi fɔ yu fɔ pas stɔl, i impɔtant fɔ no di tin we mek yu gɛt am. Wae dɛn dɔn no di kɔz, dɛn kin mek di tritmɛnt fɔ yu sik.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

If yu nɔ kin fil fayn ɔltɛm, yu kin fil pen, ɔ yu nɔ kin ebul fɔ kɔntrol yusɛf we yu de pis, nɔ jɔs bia wit am. I nɔto natin fɔ shem ɔ fred. Tɔk to dɔktɔ ɛn if nid de, du Anorectal Manometry tɛst. We yu dɔn no di tin we kin mek yu gɛt dis sik, i kin izi fɔ yu fɔ trit am. Sɔlv de fɔ ɔltin!

Mek yu gɛt di trɛnk fɔ win dɛn prɔblɛm dɛn ya ɛn liv wɛlbɔdi ɛn rilaks layf!

` di bכwel disfכnkshכn, anorektal manometry, kכnstipεshכn, rεktal sik dεm, dijestiv sistεm, mεdikal tεst, bayofidbak