Wi no se dis na tɔpik we at fɔ tɔk bɔt, bɔt bɔku pipul dɛn de na wi sosayti we de sɔfa kwayɛt wan wit dis prɔblɛm. Yu kin fil shap pen bak we yu nɔ go ebul fɔ bia we yu de go tɔylɛt, mɔ we yu de pas stɔl, lɛk se na glas chukchuk de kɔt yu? Na di sem tɛm, sɔntɛnde yu kin si sɔm drop dɛn we gɛt fresh rɛd blɔd? Dɔn chans de fɔ mek yu gɛt anal fissure bak . Nɔr wɔri, dis na wan sik wae kin pasmak. Tide wi go tɔk bɔt dis insay wan rili simpul we, insay wan we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na anal fissure?
anal fissure na sכm sכm tεm כ krak na di mכkus mεmbran we de layn insay yu anal kanal. Tink bɔt am lɛk se yu lip dɛn de krak we yu gɛt kol. Di skin we de na di ɛnd pan yu ans rili tan ɛn i kin sɛnsitiv. Fis kin apin we dis tin skin dɔn pwɛl fɔ sɔm rizin. Bɔku tɛm dis na di men tin we kin mek yu fil pen na yu an ɛn smɔl blɔd kin de na yu stɔl.
Dis sik kin afɛkt ɛnibɔdi we ol ɛni ej. I kin apin mɔ pan yɔŋ pikin dɛn, uman dɛn we gɛt bɛlɛ, ɛn yɔŋ pipul dɛn. Fɔ sɔm pipul dɛn, i kin kam wantɛm wantɛm ɛn i kin bɛtɛ fɔ insɛf insay sɔm dez ɔr wik. Fɔ ɔda pipul dɛm, e kin bi wan sik wae nɔr kin te ɛn wae kin teik lɔng tɛm.
Wetin na di men sayn dɛm fɔ dis sik?
Pɔsin wae gɛt rεktal fis kin gɛt difrɛn kayn sayn dɛm. Bɔt sɔm kayn kɔmɔn sayn dɛn de we bɔku pipul dɛn kin gɛt. A go sɔma dɛn na dis tebul fɔ mek i izi fɔ ɔndastand.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Shap pen we pɔsin kin fil | Shap, chuk, chuk pen we kin apin we yu go na di bafa, mɔ we yu pas stɔl. Dis pen kin las fɔ sɔm minit to awa afta yu dɔn fɔ pul dɔti. |
| Blɔd we de na di stɔl | Yu kin si smɔl fresh, layt rɛd blɔd na di tɔylɛt bol, na di stɔl, ɔ na di tɔylɛt pepa. Dis nɔto ebi blɔd we de kɔmɔt, bɔku tɛm na jɔs sɔm drop blɔd. |
| Inflameshɔn ɛn it | Bɔn ɔ it na di ans afta yu dɔn pul di dɔti. |
| Spasm na di rεktal mכsul dεm (spasm) . | pen kin mek di mכsul dεm we shep lεk ring we de rawnd di an (anal sphincters) tayt כ spasm fכ dεn wan. |
| Wan lump we de na di skin | Sɔntɛnde, smɔl lump ɔ skin tag kin apia na di skin nia di say we dɛn kɔt am. |
Di impɔtant tin na dat dis pen kin mek bɔku pipul dɛn fred fɔ go na di bafa. Bɔt we yu ol di stɔl, dat kin jɔs mek di stɔl at ɛn di wund kin wɔs di nɛks tɛm. I tan lɛk wan bad bad saykl.
A gɛt ɛmoroyd? Ɔ na fissure na mi rɛktum?
Dis na prɔblɛm we bɔku pipul dɛn gɛt, bikɔs di sayn dɛm fɔ ɔl tu di ɛmoroyd ɛn anal fissures kin rili fiba. Dɛn tu kin bi bikɔs ɔf kɔnstipɛshɔn, dɛn ɔl tu kin blɔd, ɛn dɛn ɔl tu kin it.
Bɔt wan big difrɛns de.
- Pen: Nayn pan 10 pipul dɛm wae gɛt anal fissures kin gɛt siriɔs pen. Bɔt nɔto ɔltɛm ɛmoroyd kin mek pɔsin fil pen. Di pen we ɛmoroyd kin fil kin bi wan dɔl pen we kin kɔntinyu. Bɔt di pen we pɔsin kin fil we i gɛt fish na shap pen we kin mek pɔsin in bɔdi we i de muv .
- Nature: Ɛmoroyd na blɔd vesel dɛn we dɔn swel rawnd di an. Dɛn tan lɛk varicose veins na di leg dɛn. Bɔt fis na we pɔsin kin rɔtin na di skin.
Bɔt if yu gɛt dɛn sik ya, i go fayn fɔ mek yu go to dɔktɔ fɔ no di rayt we pas fɔ tray fɔ disayd fɔ yusɛf if na ɛmoroyd ɔ na fis.
Wetin mek dis kayn rift kin apin? Wetin na di men rizin dɛn?
Bɔrku tɛm dis kin bi bikɔs ɔf trauma na di dilik skin na di an. Dɔn bak, sɔm wɛlbɔdi prɔblɛm dɛn kin mek di prɔblɛm bɔku.
Di men tin dɛn we kin mek i apin:
- Banbɛlɛ:Dis na di men ɛn kɔmɔn tin we kin mek pɔsin gɛt dis sik. We di stɔl at, dray, ɛn big, yu fɔ strɛch tranga wan fɔ pas am. dis kin strεch εn te di dilik skin na di rεktum.
- Dayarɛa we nɔ de dɔn: We yu de muv bɔku bɔku wata, dat kin pwɛl di skin na di rεktum bak.
- Pikin: Dis kayn kray wata kin apin bikɔs ɔf di prɛshɔn we dɛn kin gɛt we dɛn de bɔn pikin na di wɔl.
- Fɔ put sɔntin insay di rɛktum: fɔ sɔm mɛdikal tɛst ɔ ɔda rizin dɛn.
- Infant Dyschezia: Dis kכndyushכn kin apin ivin we pikin dεn de tray fכ fכs.
Ɔda tin dɛn we kin mek pɔsin gɛt dis sik:
- Di ɔpreshɔn dɛn we dɛn bin dɔn du bifo dis tɛm we gɛt fɔ du wit di rɛktum.
- Inflammatory bowel disease (IBD), lɛk di sik we dɛn kɔl Crohn’s disease .
- Infεkshכn dεm we dεn kin gεt wit mami εn dadi biznεs (STIs).
- Di kes dɛm we nɔ kin apin so ɔltɛm lɛk Tuberculosis (TB) ɛn Anal Cancer .
- Diaper rash de wɔs.
Us kɔmplikɛshɔn kin apin if dɛn nɔ trit dis sik?
Bɔrku tɛm, dɛn fis ya kin wɛl insay sɔm wiks if dɛn kia fɔ dɛn fayn fayn wan. Bɔt sɔntɛnde dɛn nɔ kin wɛl ɛn dɛn kin kɔntinyu fɔ kɔntinyu fɔ de. Wi kin kɔl dis Kronik Anal Fishɔ . Di rizin fɔ dis na di bad bad saykl we a bin dɔn tɔk bɔt.
Pen de mek di mכsul dεm na di rεktum tayt (spasm) -> di mכsul dεm de tayt, we de mek di fis de strεch mכr, εn i de ridyus di bכdi fכ fכlכ to di εria -> Di wund de hεl sloslo bikoz di bכdi fכ fכlכ dכn -> Di wund nכ de hεl, so di pen de kכntinyu.
If dis saykl kɔntinyu, ɔda prɔblɛm dɛn kin apin.
- Fecal Impaction: We yu avɔyd fɔ go na di bafa bikɔs yu de fred fɔ pen, di stɔl kin stɔp na di rɛktum.
- Anal Stenosis: Ska we yu wund fɔ lɔng tɛm kin mek di ans smɔl, we kin mek i nɔ izi fɔ pul dɔti.
- Anal Fistula: wan abnכmal tyub kin fכm bitwin di anus εn di skin we di fis de dip εn infεkt. Dis na wan sik we kɔmplikt pas ɔl.
Aw dɔktɔ kin no bɔt dis?
We yu go to dɔktɔ, i go aks yu fɔs bɔt di sayn dɛn we yu gɛt. Dɔn, i go tray fɔ chɛk yu rɛktum. dis kin bi bay we yu de tכn yu na wan say na bed εn muv yu bכtכk dεm bכku bכku wan to di sayd dεm, tray fכ fil di opin.
Bɔku pipul dɛn kin fred ɛn shem fɔ dis tɛst. Bɔt mɛmba se dis kin rili kɔmɔn fɔ dɔktɔ dɛn. If yu nɔ ebul fɔ bia di pen, di dɔktɔ nɔ go fos yu fɔ du di tɛst. Bɔku tɛm, dɛn kin no di sik bay di sayn dɛm nɔmɔ.
If yu nɔ gɛt bɔku pen, yu dɔktɔ kin put finga we gɛt lɔbrik, we gɛt glɔv insay yu rɛkɛt jisnɔ (dijital rɛktal ɛgzam) fɔ chɛk fɔ si if di mɔsul dɛn tayt ɛn ɔda prɔblɛm dɛn. Dis kin ɛp fɔ pul ɔda tin dɛn we kin apin.
Wetin yu kin du na os fɔ mɛn ɛn ridyus pen?
Di gud nyus na dat, bɔku pan di anal fissures, mɔ di nyu wan dɛn (acute fissures), dɛn kin trit am wit simpul mɛrɛsin dɛn we dɛn kin yuz na os.
| Sɔlv | Aw fɔ du am ɛn aw i impɔtant |
|---|---|
| Sitz bath (bath wit hot wata) . | Dis na di bɛst ɛn izi tritmɛnt. Fil big bɛsin wit wata we wam ɛn sidɔm insay fɔ 10-15 minit, tu ɔ tri tɛm insay di de. Dis go mek di pen ɛn it nɔ bɔku. I go mek di mɔsul dɛn na di ans rilaks bak, i go mek di blɔd flɔ mɔ ɛn mɔ, ɛn ɛp di wund fɔ wɛl kwik kwik wan. |
| Fɔ chenj di it we yu de it | I impɔtant fɔ mek yu nɔ gɛt kɔnstipɛshɔn. It mɔ it dɛn we gɛt fayv (bins, lentil, banana, spinach, ɔts, frut, vɛjitebul). Drink at le 8-10 glas wata wan de. Dis go mek di stɔl sof ɛn mek i izi fɔ pas. |
| Di abit fɔ de na tɔylɛt | We yu nid fɔ go na tɔylɛt, nɔ delay. Nɔ strɛs. We yu sidɔm na tɔylɛt, put smɔl bɛnch (stɛp stɔl) ɔnda yu leg. Dis go ɛp yu bɔdi fɔ go na kɔmfyut pozishɔn fɔ defecation. |
| Fɔ mek yu klin | Afta yu dɔn yuz di tɔylɛt, klin am jisnɔ wit wet wayp we nɔ gɛt sɛnt ɔ we nɔ gɛt rɔm ɔ sɔft tɔylɛt pepa. If i pɔsibul, i bɛtɛ fɔ was yu wit wata (bidet). |
| Di kayn tin dɛn we dɛn kin kɔt | If yu put sɔntin lɛk vatrolium jeli, dat kin ɛp fɔ mek di skin wet ɛn ɛp am fɔ wɛl. Yu kin yuz krim dɛn we de mek yu nɔ fil pen (e.g. Lidocaine) lɛk aw dɔktɔ tɛl yu. |
If di tritmɛnt dɛn we dɛn kin gi na os nɔ kin mɛn am, wetin na di mɛrɛsin dɛn we dɛn kin gi?
If di fis nɔ wɛl fɔ pas 6-8 wik (Chronic Anal Fissure), i impɔtant fɔ go to dɔktɔ. di men gol fכ tritmεnt ya na fכ rilaks di mכsul dεm na di anus εn gi di fis chans fכ hεl.
Di kayn drɔgs dɛn we dɛn kin yuz
- Nitroglycerin ointment: Dis ointment de wok bay we i de mek di blɔd vesel dɛn we de rawnd di anus big, i de mek di mɔsul dɛn rilaks, ɛn i de mek di blɔd go na di wund mɔ. Dis kin ɛp di wund fɔ wɛl kwik kwik wan. Bɔt sɔm pipul dɛn kin gɛt ed we de at we dɛn de yuz dis.
- Calcium channel blockers: Dɛn kin yuz ɔntmɛnt dɛn we gɛt drɔgs lɛk nifedipine ɔ diltiazem bak fɔ rilaks di mɔsul dɛn.
- Botox® injεkshכn: If כda tritmεnt dεm nכ wok, dεn kin yuz Botox® injεkshכn as las tin fכ trit di anal mכsul dεm. dis de mek di mכsul dεm paralayz εn rilaks fכ sכm tεm (fכ lεk 3 mכnt), we de mek di fis fכ hεl.
- Bulk Laxatives: If kɔnstipɛshɔn rili bad, yu dɔktɔ kin tɛl yu fɔ tek mɛrɛsin lɛk fayv sɔpɔtmɛnt (e.g., psyllium husk).
Ɔpreshɔn
If mɛrɛsin nɔ ɛp ɔ di fis kam bak, dɛn kin nid fɔ du smɔl ɔpreshɔn. Dɛn kɔl dis Lateral Intanɛt Sfinktɛrotɔmi .
dis involv fכ mek wan rili sכmכl insay di intanεt sfink mכsul na di rεktum כnda anεsthεsia, fכ pul di strikt fכ כltεm. Dis na tritmɛnt we kin rili wok fayn (mɔ pas 90% we kin wok fayn), ɛn di pen kin dɔn kwik kwik wan afta di ɔpreshɔn. Yu kin go na os frɔm di ɔspitul di sem de.
Mɛsej we dɛn kin kɛr go na os
- Anal fissure na wan sik we kin rili kɔmɔn ɛn we kin mek pɔsin fil pen. Nɔ shem ɔ fred am.
- Bɔrku tɛm dis sik kin kam bikɔs ɔf kɔnstipɛshɔn, ɛn i kin wɛl insay sɔm wiks wit simpul tritmɛnt na os (fɔ skata wit wam wata, it it wae gɛt bɔku fayv, ɛn drink bɔrku wata).
- If yu gɛt fresh rɛd blɔd na yu stɔl, pen we yu nɔ go ebul fɔ bia, ɔ if yu nɔ fil fayn afta sɔm wiks, nɔ west tɛm ɛn go to dɔktɔ we sabi du di wok.
- Nɔ put yusɛf bifo fɔ go na di bafa bikɔs yu de fred se yu go fil pen. Dis kin mek di tin wɔs.
- Dis sik kin wɛl ɔl if yu fala di tritmɛnt we di dɔktɔ tɛl yu fayn fayn wan ɛn mek sɔm simpul chenj dɛn na yu layf.
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