Udat na dis dɔktɔ we de mɛn di kɔlorektal? Mek wi no di rayt tin!

Yu kin sɔprayz smɔl we yu yɛri di nem 'Colorectal Surgeon', de tink se, "Udat na dis? Wetin dɛn de du?" Nɔ wɔri, i nɔ kɔmplikt so. Fɔ tɔk am simpul wan, dis na dɔktɔ we sabi fɔ mɛn sik dɛn ɛn du ɔpreshɔn pan yu big intestinal, rɛktum , ɛn yu an . So mek wi tok abaut dis likl mo ditel, laik se yu de tok to yu padi, okay?

Udat na dis dɔktɔ we de mɛn di kɔlorektal? Fɔs, dɛn bin de kɔl am proktɔlɔjis?

Yes, yu go mɔs dɔn yɛri di wɔd ‘proctologist’. Infakt, trade, dɛn bin de kɔl dɔktɔ dɛn we de trit dɛn kayn sik ya, proktɔlɔjis. ‘Colorectal surgeon’ na di mɔ ɔpdet, mɔdan nem fɔ da mɛdikal fild de.

Smɔl difrɛns de pan minin bitwin dɛn tu nem ya. we wi se ‘proctologist’, i de mεntal to di rεktum εn di anus. bכt we wi se ‘kכlorektal’, i inklud כl tu di kכlon εn di rεktum. Yu no, dɛn tu tin ya na di big pat dɛn na di big intestinal. Bɔt insay prɔsis, ilɛk uswan pan dɛn tu nem ya dɛn kɔl dɛn, dɛn spɛshal pipul ya kin trit ɔl dɛn pat ya . So natin nɔ de fɔ tink bɔt am tumɔs.

Wetin mek wi nid fɔ go to dɔktɔ we de mɛn di kɔlorektal?

Imajin se yu gɛt sɔm diskɔmfɔt ɔ simptom na yu bɛlɛ we de dɔŋ, dat na, yu lɔwa gastrointestinal (GI) trakt. Dɔn yu kin go fɔs to jenɛral dɔktɔ ɔ dɔktɔ we de mɛn yu bɛlɛ.

If, afta we di dɔktɔ dɔn chɛk yu, tink se yu sik nid fɔ ɔpreshɔn , i go sɛn yu to dɔktɔ we de mɛn yu kɔlorektal.

Sɔm kɔlorektal kɔndishɔn dɛn we kin mek dɛn nid ɔpreshɔn na:

• Kansa ɛn polyposis : Dis de tɔk bɔt kansa kɔndishɔn na di kɔlon ɔ smɔl smɔl tin dɛn we de gro (polyps) we kin bi kansa.
• Inflammatory bowel disease (IBD): Dis na we di layn na di intestines kin inflamesh fɔ lɔng tɛm. Sɔm ɛgzampul dɛn na tin dɛn lɛk Crohn’s disease ɛn ulcerative colitis .
• Ischemia: Dis na we wan pat pan di intestin deBlɔd we dɔn go dɔŋ ɔ we i nɔ de gi igen . We dat apin, da pat de kin ivin day.
• di strכkchכral difεkt dεm: fכ egzampl, fistulas - na abnכmal kכnεkshכn bitwin di intestinal εn כda כgan, hεnia - we pat pan di intestin de kכmכt tru wan wik ples, εn prolaps - we wan pat pan di bכdi de kכmכt כ kכmכt, lεk di rεktum.

Yu tink se di wan dɛn we de du ɔpreshɔn pan di kɔlorektal kin jɔs trit di kɔlon?

Nɔ, dat nɔto tru. Pan ɔl we di dɔktɔ dɛn we de du ɔpreshɔn pan di kɔlɔrɛktal kin spɛshal mɔ pan di big intestinal , dɛn kin tren dɛn bak fɔ bi jenɛral ɔspitul dɔktɔ dɛn .

Apat frɔm dat, prɔblɛm we de na wan pat na wi bɔdi kin afɛkt ɔda pat dɛn, nɔto so? So, dɛn spɛshal pipul ya gɛt fɔ trit ɔda ɔgan dɛn we gɛt fɔ du wit di kɔlon ɔ we di sem sik dɔn afɛkt. Dɛn kayn ɔgan dɛn ya na:

• Smɔl Intestin
• di mכsul dεm na di bכdi (dεn ya de εp fכ kכntrכl di bכdi εn di blad) .
• Yurinari sistɛm
• Female Riprodaktiv Sistɛm

Us kwalifayeshɔn dɛn fɔ bi pɔsin we de du ɔpreshɔn pan kɔlorektal?

Dis na rili impɔtant pɔynt. Kolorektal sajin na pɔsin we gɛt rili ay levul fɔ tren ɛn we sabi du tin . Fɔ ɛgzampul, na kɔntri lɛk Amɛrika, fɔ mek pɔsin bi kɔlorektal ɔspitul, i fɔ tren fɔ bi jenɛral ɔspitul fɔ at le fayv ia. Afta dat, pɔsin fɔ gɛt ɔda ia ɔ mɔ fɔ tren fɔ de na di kɔlorektal kɔndishɔn.

Afta dis trenin, dɛn kin pas rayt ɛn ɔral ɛgzam ɛn bi spɛshal pipul dɛn we gɛt bɔd sɛtifiket frɔm di mɛdikal bɔd dɛn we gɛt fɔ du wit am (e.g., American Board of Colorectal Surgery). So as yu si, dis nɔto izi waka, na dat mek wi kin abop pan dɛn no ɛn di tin dɛn we dɛn ebul fɔ du.

Wetin speshali wan kolorektal sajin kin lan pas wan jenerol sajin?

Dɛn spɛshal pipul ya de stɔdi dip dip intestinal ɛn anorektal physiology , dat na aw dɛn ɔgan ya de wok ɛn aw dɛn de miks wit dɛnsɛf.

fכ dis dip no, di prכblεm dεm we de kam na di intestines εn rεktumDɛn gɛt wan spɛshal abiliti fɔ analayz kɔmpleks prɔblɛm dɛn we de na dɛn bɔdi ɛn gi di dilik tritmɛnt dɛn we dɛn nid . Infakt, na dɛn sabi du dis wok.

Wetin rili dɔktɔ we de du ɔpreshɔn pan di kɔlɔrɛkt kin du?

Di dɔktɔ dɛn we de mɛn yu kɔlɔrɛkt kin yuz ɔl di ɛndoskopik ɛn ɔspitul tɛknik dɛn we pɔsin kin yuz fɔ trit yu dijestiv sistɛm. Dis min se dɛn gɛt ɔl di tin dɛn we dɛn nid fɔ trit kɔmpleks kɔndishɔn.

Dɛn kin trit yu we dɛn nɔ de du ɔpreshɔn (e.g., tru ɛndoskopi), wit ɔpreshɔn we nɔ de tek bɔku mɔni , ɔ, if nid de, wit ɔpreshɔn we dɛn opin .

Sɔm we dɛn we dɔktɔ dɛn we de du ɔpreshɔn pan di kɔlorektal kin yuz na:

• Kolonoskopi: Dis min se yu fɔ put wan tin we tan lɛk tin we kin chenj (ɛndoskop) wit kamɛra ɛn layt tru di an fɔ chɛk di wan ol big intestin . dis kin yus fכ pul sכm sכm polip dεm εn tek tisu sεmpl dεm (bayopsi).
• εnteroskopi: Dis na we bak fכ egzamin di sכmכl intestin we dεn de yuz εndoskop.
• Sigmoidoscopy: dis de egzamin di las pat pan di big intestinal (sigmoid colon), rεktum, εn anus.
• Laparoscopy: Dɛn kin kɔt wan rili smɔl say na di bɛlɛ, we dɛn kin yuz spɛshal kamɛra (laparoskop) fɔ chɛk di insay ɔgan dɛn na di bɛlɛ.
• Laparoscopic surgery: Dɛn kin kɔl am bak "keyhole surgery," dis na prosidur we dɛn kin mek sɔm smɔl smɔl say dɛn na di bɛlɛ ɛn yuz laparoscope ɛn spɛshal inschrumɛnt dɛn. Dis kin mek dɛn ebul fɔ du di ɔpreshɔn we dɛn nɔ kɔt big say, ɛn dis kin mek di tɛm we pɔsin kin wɛl nɔ bɔku.
• Robot ɔpreshɔn: Dis na wan kayn ɔpreshɔn bak we dɛn kin du wit laparoskopik. Bɔt na ya di dɔktɔ we de du ɔpreshɔn kin kɔntrol wan rɔbɔt an tru wan kɔmpyuta kɔnsol. Dis kin mek dɛn ebul fɔ du ɔpreshɔn we rili dilik ɛn kɔmpleks .

Sɔm pan di ɔpreshɔn ɛn di tin dɛn we dɔktɔ dɛn we de du ɔpreshɔn pan di kɔlorektal kin du na:

• Polypectomy: fכ pul di polip dεm (sכm sכm we dεn de gro) na di kכlon tru εndoskopi.
• εndoskopik mכkus rεsεkshכn (EMR) / εndoskopik sכbmכkus dεsεkshכn (ESD): Advans mεtכd dεm fכ εndoskopik fכ pul di tכmכro dεm na di insay layεr dεm na di intestin we at fכ pul.
• transanal endoscopic microsurgery: na כpεrayshכn we dεn de put spεshal instrכmεnt (proctoscope) tru di anus fכ pul big tכmכro dεm כ tin dεm we de ambɔg di rεktum.
• Di ɔpreshɔn we dɛn kin du fɔ pul di bɔdi: Dɛn kin pul pat ɔ ɔl di big intestinal, i kin dipen pan di kɔndishɔn.
• Ostomy ɔpreshɔn: Dis kin min fɔ chenj di we aw di stɔl de kɔmɔt na di bɔdi ɛn mek wan stoma bay we yu kɔnɛkt wan ɛnd pan di intestin to di skin safa na di bɛlɛ. Dɛn kɔl dis kɔlostomi ɔ ileostomi.
• Anastomosis ɔpreshɔn: Fɔ kɔnɛkt tu pat dɛn na di intestin bak bay we yu pul wan ostomy we dɛn bin dɔn mek bifo.
• Apɛndiks: Dɛn kin pul di apɛndiks we i inflam (appendicitis).
• Anoplasty: Ripa ɔ shep di anus bak.
• Rεktopeksi: We dεn de du כpεrayshכn fכ mek di rεktal prolaps kam bak.
• Sacrocolpopexy: Ripa di pelvik ɔgan we dɔn prolaps.
• εnia ripa: Ripa di εnia na di intestin (e.g. inguinal hεnia, incisional hεnia) yuz laparoskopik כ rכbכtik tεknik.
• Cecostomy / antegrade colonic enema (ACE) surgery: Dɛn kin put wan tiub insay di kɔlon fɔ gi inema sɔlvushɔn as tritmɛnt fɔ sɔm kɔndishɔn dɛn, lɛk kɔnstipɛshɔn.

dεn kin du tin dεm lεk dis bak fכ chεk aw yu kכlכrektal εn rεktal trakt de wok:

• Dijital rɛktal ɛgzam: Na tɛst we di dɔktɔ de put finga we gɛt glɔv insay di rɛktum.
• Anoscopy / Proctoscopy: fכ put sכm sכm instrכmεnt fכ si di anus εn di lכw rεktum.
• Difekografi: Fɔ chɛk di bɔdi we de muv bay we dɛn de yuz ɛkstrem rayt ɔ MRI.
• εndorektal כltra saund: na skan fכ di rεktum εn di tisu dεm we de rawnd am bay we dεn de put כltra saund prob tru di rεktum.
• Anorectal manometry: dεn de mכsu di prεshכn εn di wok we di mכsul dεm na di rεktum εn anus de du.

Us kayn tin dɛn we dɔktɔ dɛn we de du ɔpreshɔn pan di kɔlorektal kin trit?

Bɔku tin dɛn de we kin mek yu nid fɔ go to dɔktɔ we de mɛn yu kɔlorektal. Lɛ wi luk sɔm pan dɛn na grup:

Kolorektal kansa, ɛgzampul dɛn:

• Kansa na di kɔlon
• Kansa na di rεktal
• Kansa na di anal
• Apɛndiks kansa
• Pɛritonial kansa - we di kansa de skata to di layn na di bɛlɛ
• Gastrointestinal stromal tכmכro dεm (GIST) .
• Nyuroɛndokrin tɔmɔs dɛn
• Sɔm kansa we pɔsin kin gɛt frɔm in mama ɛn papa, lɛk kansa we pɔsin kin gɛt frɔm in mama ɛn papa (HNPCC) ɔ Lynch syndrome

Kolorektal polip dεm εn inhεrit polyposis sεndrכm dεm, εgzampl dεm:

• famili adenomatous polyposis syndrome (FAP) - dis kin mek כndrεd כ tכwzin polip dεm na di kכlon.
• Lynch syndrome - (dεn kin mεn am bak כnda kεnsar) .
• Poliposis we gɛt fɔ du wit MUTYH (MAP) .
• Serrated polyposis sindrom we gɛt di sik
• Desmoid tכmכro dεm
• Di sik we dɛn kɔl Peutz-Jeghers sindrom
• Juvenile polyposis sindrom we gɛt di sik
• PTEN hamartoma sindrom we gɛt di sik

Kɔmplikɛt kɔlayt (inflameshɔn na di kɔlon), ɛgzampul dɛn:

• Divεrtikulayt - Infεkshכn כ inflameshn fכ sכm sכm pכch dεm (divεrtikul) na di wכl na di intestin.
• Ɔlsɛrativ kɔlaytis
• Di sik we dɛn kɔl Crohn in sik
• Maykroskɔpik kɔlaytis
• Pseudomembranous colitis - Na wan kכndyushכn we kin apin bכku tεm afta dεn yuz sכm antibaytik dεm.
• Apɛndiks - Inflameshɔn na di apɛndiks.
• Necrotizing enterocolitis - Na siriכs kכndyushכn we de afekt nyu bכbi dεm.
• Ischemic colitis - Inflamεshכn we de kכz bay we di bכdi de dכn to di kכlon.

Di prɔblɛm dɛn we kin apin na di bɔdi we kin wok, ɛgzampul dɛn:

• di pelvik fכl disfכnkshכn - na kכndyushכn we de mek i at fכ fכs.
• I nɔ ebul fɔ kɔntrol di stɔl (Fecal incontinence) .
• Obstructed defecation
• Anismus - I nɔ ebul fɔ rilaks di mɔsul dɛn na di rεktum fayn fayn wan we yu de pul di dɔti.

Strukchɔral difrɛns, ɛgzampul dɛn:

• Big big bɔdi we de ambɔg
• Anal fistula - na di fכmeshכn fכ wan pasεj we nכ nכmal bitwin di skin εn di intestכn nia di an.
• rεktovajinal fistula - na wan kכnεkshכn we nכ nכmal bitwin di rεktum εn di vagina.
• Pɛrinial hεnia
• Absεs we de na di pεrianal
• Di rεktal prolaps
• Pεlvik כgan prolaps

כda benign kכndishכn dεm na di kכlon, εgzampl dεm na:

• Blɔd we de kɔmɔt na di bɛlɛ / blɔd we de kɔmɔt na di rɛktal
• Di fis dɛn we de na di anal
• Anal wɔt dɛn
• Ɛmɔroyd dɛn
• Ɔlsa dɛn na di rɛktal
• Kɔnstipɛshɔn ɛn fekal impakshɔn

Smɔl mɛmba bɔt yu kɔlon ɛn di lɔwa dijestiv sistɛm

Yu big intestinal na wan men pat pan yu lower gastrointestinal tract . Di it we wi de it de travul tru yu dijestiv sistɛm, ɛn na dis kin mek di dɔti tin dɛn we wi de it dɔn kɔmɔt na yu bɔdi. So, if yu de gɛt sɔm sayn dɛm lɛk pen na yu bɛlɛ ɔ chenj na yu bɔdi (e.g., blɔd, dayarɛa, kɔnstipɛshɔn), i go mɔs bi se na prɔblɛm wit yu lɔwa bɛlɛ.

Dis na we di advays ɛn tritmɛnt we dɔktɔ we de mɛn di kɔlorektal kin gi kin impɔtant. Nɔto ɔl di tin dɛn we kin apin kin nid fɔ gɛt ɔpreshɔn . Bɔt we dɛn nid fɔ du ɔpreshɔn, we yu go to spɛshal dɔktɔ lɛk dis, dat go ɛp yu fɔ gɛt di tritmɛnt we go wok fayn pas ɔl. Yu jenɛral prɛktishɔn ɔ gastroenterologist go rifer yu to kɔlorektal ɔspitul if dɛn fil se dis spɛshal dɔktɔ kin ebul fɔ manej yu kɔndishɔn di bɛst we.

Fɔ dɔn, a fɔ tɛl una... (Tek-Home Message)

a op se yu geht gud aidia naw boht udat na kolorektal sajin, wetin dem de du, en wich kain sik dem de trit.

Di impɔtant tin na dat dɛn spɛshal pipul ya de fɔ ɛp yu . Dɛn gɛt di ɛkspɛriɛns ɛn trenin we dɛn nid fɔ yu kɔndishɔn.

• If yu gɛt ɛni ɔda kayn sayn we gɛt fɔ du wit yu kɔlon, rɛkɛt, ɔ yu an (e.g., yu bɛlɛ de pen ɔltɛm, blɔd de na yu stɔl, chenj na yu bɔdi, yu wet we yu nɔ ɛksplen), nɔ ignore am . Go to dɔktɔ wantɛm wantɛm.
• If yu dɔktɔ rifer yu to dɔktɔ we de mɛn yu kɔlorektal, nɔ fred . I jɔs min se yu go nid spɛshal tritmɛnt .
• Mɛmba se, wit di advans mɛdikal sayɛns tide, dɛn kin ebul fɔ kɔntrol bɔku sik dɛn we gɛt fɔ du wit dis wok fayn fayn wan ɛn mɛn dɛn .

So, yu nid fɔ gɛt wɛlbɔdi! If yu gɛt ɛni prɔblɛm, di tin we impɔtant pas ɔl na fɔ gɛt di rayt advays frɔm di rayt ples.

` Kolorektal sajin, rεktal sik dεm, kכlכrektal sכja, kכlon kεnsar, kכlonskכpi, dijestiv sistεm, כpεrayshכn