Yu kin fil bad bad pen bak we yu de go dɔti? Wan shap pen we yu nɔ go ebul fɔ bia, lɛk we yu kɔt glas shard... Ɛn afta dat yu kin fil bɔku fred we yu si sɔm drop blɔd na di tɔylɛt pepa ɔ na di kɔmod. Dis na prɔblɛm we bɔku pipul dɛn kin shem fɔ tɔk bɔt, ɛn dɛn kin kip am insay. Bɔt fɔ tru, na wan wɛlbɔdi prɔblɛm we kin rili kɔmɔn. So lɛ wi tɔk bɔt am opin wan tide.
Wetin na anal fissure?
Fɔ tɔk am simpul wan, anal fissure na smɔl tear, brok, ɔ sore na di skin insay yu anal kanal. Jɔs lɛk aw wi lip dɛn kin chap, di dilik layn we de na di ɛnd pan yu an kin chap fɔ difrɛn rizin dɛn. Dis sore na wae de mek yu de fil dae excruciating pain wae yu get bowel movement.
Dis sik kin afɛkt ɛnibɔdi we ol ɛni ej, frɔm pikin dɛn we rili yɔŋ to big pipul dɛn. I kin apin mɔ pan uman dɛn we gɛt bɛlɛ ɛn yɔŋ pikin dɛn.
Wetin na di men sayn dɛm fɔ dis sik?
If yu gɛt anal fissure, yu kin gɛt wan ɔ mɔ pan dɛn sayn ya:
- Shap, stab pen we yu de defecate: Dis na di men ɛn nɔr kɔmfyut simptom. Sɔm pipul dɛn kin tɔk bɔt di pen as "lɛk fɔ waka pan glas."
- Pen we kin de fɔ lɔng tɛm: Ivin afta yu dɔn fɔ pul yu dɔti, yu kin gɛt pen we yu de bɔn ɔ we yu de fil pen fɔ sɔm awa.
- Smɔl blɔd na di stɔl: Dis kin bi smɔl brayt rɛd, fresh blɔd. Yu kin si dis na di tɔylɛt pepa ɔ na di say we di stɔl de.
- It ɔ bɔn rawnd di an: Dis kayn diskɔmfɔt kin apin bikɔs ɔf di wund.
- sכm sכm sכm tεm כ skin tεg nia di an: sכmtεm, wan skin tεg kin divεlכp wit krεse anal fכs.
Dis na ɛmoroyd ɔ na anal fissure?
Dis na say we bɔku pipul dɛn kin kɔnfyus. I kɔmɔn fɔ mek ɛmoroyd ɛn anal fissures kɔnfyus bikɔs di sayn dɛm kin fiba smɔl (lɛk blɔd ɛn it). Bɔt, klia difrɛns de bitwin dɛn tu.
Tink bɔt am, ɛmoroyd na blɔd vesel dɛn we swel na di an, lɛk wan bɔnch veins. Bɔt anal fissure na we pɔsin kin te na di skin.
Lɛ wi si wetin na di men difrɛns bitwin dɛn tu.
| Di kwaliti we pɔsin gɛt | Anal Fissure we de na di bɔdi | Ɛmɔroyd dɛn |
|---|---|---|
| Pen | Bɔku tɛm (mɔ pas 90%) wan rili shap, stab pen kin de we yu de pul di dɔti. | Nɔto ɔltɛm pen kin de. If pen de, bɔku tɛm na kɔntinyu, ebi pen. |
| Blɔd we de kɔmɔt | Bɔku tɛm, smɔl blɔd kin apia lɛk wan spat na di tɔylɛt pepa ɔ wan strɛch na di stɔl. | Ivin if yu nɔ de fil pen, wan wan tɛm blɔd kin drɔp ɔ spurt. |
| Fɔ fil se yu gɛt knot | Bɔku tɛm, dɛn nɔ kin notis wan lump. We tin kin apin fɔ lɔng tɛm, wan smɔl tin we dɛn kɔl skin tag kin kam. | Sɔft, lumpy lumps we de kɔmɔt na di anus kin kech na di an. |
Bɔt if yu gɛt sayn dɛn lɛk dis, di tin we impɔtant pas ɔl na fɔ go to dɔktɔ ɛn gɛt kɔrɛkt diagnosis, pas fɔ gɛs.
Wetin mek dis de apin? Wetin na di men rizin dɛn?
di men tin we kin mek di anal fis na di damej ɔ trauma to di dilik skin na di an. Bɔku tin dɛn de we kin mek dis apin.
Di men rizin dɛn:
- Kɔnstipɛshɔn: Dis na di nɔmba wan tin we kin mek pɔsin gɛt sik. We di stɔl dray ɛn at lɛk rɔk, di skin we de rawnd di an kin strɛch, te, ɛn krak we yu de tray fɔ pas am.
- pikin: Di prεshכn we de we yu de bכn kin pwεl di εria we de rawnd di anus εn mek i fכs.
- Dayarɛa we nɔ de dɔn: If yu kɔntinyu fɔ gɛt stɔl we nɔ de kɔmɔt na di bɔdi, dat kin pwɛl di skin na di rɛktum bak.
- Sekswal aktiviti: Sɔntɛnde, anal fissures kin apin bikɔs ɔf mami ɛn dadi biznɛs.
Ɔda tin dɛn we kin afɛkt di pɔsin:
- Inflammatory Bowel Disease (IBD): Na tin dɛm lɛk Crohn’s disease.
- Infεkshכn dεm we dεn kin gεt wit mami εn dadi biznεs (STIs).
- Di ɔpreshɔn dɛn we dɛn bin dɔn du bifo dis tɛm we gɛt fɔ du wit di rɛktum.
- I kin apin bak as wan rare simptom fɔ siriɔs kɔndishɔn lɛk rεktal kansa .
Wetin go apin if dis kɔntinyu? (Kɔmplikeshɔn dɛn) .
Mɔs pan di anal fis (acute fissures) kin wɛl insay sɔm wiks if dɛn tek kia ɔf am fayn fayn wan. Bɔt if sɔm fis nɔ wɛl ɛn las fɔ pas tu mɔnt, wi kin kɔl dɛn kronik anal fis.
Dis tin kin apin bikɔs ɔf wan bad bad saykl.
1. di anal sfinkt mכsul dεm we de rawnd di anus de tayt כtomatik bikoz fכ pen we yu de fכs.
2. We di mɔsul dɛn tayt, di wund kin strɛch mɔ, ɛn di blɔd we de go na da say de kin go dɔŋ.
3. We di blɔd nɔ bɔku, di wund nɔ kin wɛl.
4. Bikɔs di wund nɔ de wɛl, di nɛks tɛm we yu gɛt bɔdi, yu go gɛt bad bad pen bak. Dis saykl de kɔntinyu.
if dis kכntinyu, kכndishכn dεm lεk fεkal impaksh כn εn anal stεnosis kin apin.
Us tritmɛnt dɛn kin du na os?
If yu nɔr kin si dɔktɔ wantɛm wantɛm wae dis sik bigin, sɔm simpul tin dɛn de wae yu kin du na os fɔ ɛp fɔ ridyus de pen ɛn diskɔmfɔt. Bɔku tɛm, dɛn tin ya go ɛp di sik fɔ bɛtɛ.
| Wetin fɔ du | Tɔk bɔt |
|---|---|
| We yu de tek wan Sitz Bath | Dis na di bɛst tin fɔ du. Fil big bɛsin wit wata we wam ɛn sok insay fɔ 10-15 minit. If yu du dis tu ɔ tri tɛm insay di de, mɔ afta yu dɔn muv yu bɔdi, i go mek yu nɔ fil pen, i go mek yu mɔsul dɛn rilaks, ɛn ɛp di wund fɔ wɛl. Nɔ ad sop ɔ Dettol to di wata. |
| Fɔ chenj di it we yu de it | Fɔd dɛn we gɛt bɔku fayvIt mɔ. Put grɛn we gɛt lif lɛk spinach ɛn kelɛj, frut (apul, banana), vɛjitebul, ɔts, ɛn nɛt insay yu it. Dɛn tin ya go ɛp fɔ mek di stɔl sof. Ridyus di it dɛn we gɛt spays ɛn we gɛt ɔyl fɔ sɔm tɛm. |
| Drink bɔku wata. | Drink at le 2-3 lita wata wan de. Dis impɔtant fɔ mek yu nɔ gɛt kɔnstipɛshɔn. |
| Di abit fɔ de na tɔylɛt | We yu fil se yu nid fɔ pul dɔti, go na tɔylɛt we yu nɔ de te. Nɔ wet fɔ lɔng tɛm. We yu de yuz tɔylɛt, kip wan smɔl bɛnch ɔnda yu fut. Dis go mek di pozishɔn fɔ skwatin izi. |
| Fɔ mek yu klin | We yu de was, nɔ rɔb am tranga wan wit rɔf tɔylɛt pepa, bɔt yu fɔ klin am jisnɔ wit wata. Yu kin yuz wet wayp dɛn bak we nɔ gɛt rɔm. |
Us mɛrɛsin dɛn de we pɔsin kin gɛt?
If yu sik nɔr bɛtɛ afta sɔm wiks wae yu dɔn trit yu na os, mek shɔ se yu go to dɔktɔ. Di dɔktɔ go lisin to yu sayn dɛm ɛn if nid de, i go du am saful saful ɛgzam fɔ kɔnfirm se yu gɛt di sik. If di pen bad bad wan, dɛn kin bigin fɔ trit am bay di sayn dɛm wae de sho se dɛn nɔr de ɛgzamin.
Di men gol fɔ tritmɛnt na fɔ rilaks di mɔsul dɛm na di rεktum, fɔ mek di blɔd flɔ bak, ɛn alaw di wund fɔ wɛl.
- Ɔntmɛnt dɛn we gɛt mɛrɛsin:
- Nitroglycerin Ointment: Dis kin mek di blɔd vesel dɛn big, i kin mek di blɔd flɔ mɔ ɛn mɔ, ɛn i kin mek di mɔsul dɛn rilaks. Bɔt, i kin mek sɔm pipul dɛn ed at.
- Calcium Channel Blockers: If naytroglycerin krim nɔ wok, dɛn kin yuz krim dɛn lɛk diltiazem bak fɔ rilaks di mɔsul dɛn.
- Stool Softeners / Laxatives: If kɔnstipɛshɔn rili bad, mɛrɛsin dɛn de we dɛn kin gi fɔ mek di stɔl sof.
- Botox® injεkshכn: If כda tritmεnt dεm nכ wok, dεn kin gi Botox injεkshכn fכ rilaks di mכsul dεm na di rεktum fכ lεk tri mכnt, we go mek di wund hεl.
- Ɔpreshɔn:
Dɛn kin se dɛn fɔ du ɔpreshɔn as las tin fɔ di fis dɛn we nɔ de dɔn we nɔ de wɛl wit ɛni wan pan di tritmɛnt dɛn we wi dɔn tɔk bɔt. Intanɛt SphincterotomyDis smɔl ɔpreshɔn we dɛn kɔl colostomy, na fɔ mek dɛn kɔt smɔl pat na di insay mɔsul na di rɛktum fɔ pul di tin we nɔ fayn fɔ ɔltɛm. Dis na tritmɛnt we rili fayn.
Mɛmba se dis na tin we bɔku pipul dɛn kin gɛt. So, i bɛtɛ fɔ go to dɔktɔ ɛn gɛt advays ɛn nɔ shem ɔ fred. If yu bia wit di pen, dat go jɔs mek di tin wɔs.
Mɛsej we dɛn kin kɛr go na os
- Shap pen we yu de pul yu dɔti ɛn smɔl fresh blɔd na di men sayn dɛn we de sho se yu gɛt anal fissure.
- Di men rizin fɔ dis na fɔ gɛt kɔnstipɛshɔn ɛn fɔ strɛs fɔ pas stɔl.
- Bɔku pan di krak krak kin wɛl insay sɔm wiks wit simpul kia lɛk fɔ it it we gɛt bɔku fayv, fɔ drink bɔku wata, ɛn fɔ tek sitz bat.
- If yu sik kin te pas sɔm wik ɔr kin tranga, mek shɔ se yu go to dɔktɔ.
- Nɔ nid fɔ sɔfa wit pen, bikɔs mɛrɛsin dɛn de we rili fayn (ɔint, mɛrɛsin, ɛn if nid de, ɔpreshɔn) fɔ dis sik.
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