Bɔku tɛm yu kin gɛt pen ɔ swel rawnd yu an (di opin usay yu bɔdi kin pul dɔti)? Sɔntɛnde yu kin notis se wata we tan lɛk pus ɔ smɔl blɔd de kɔmɔt? A no se i kin mek a nɔ izi ɛn shem smɔl fɔ tɔk bɔt dɛn tin ya wit pɔsin. Bɔt dis na sik wae bɔrku pipul kin gɛt ɛn dɛn kin trit am fayn fayn wan. So tide, lɛ wi tɔk opin wan bɔt dis kɔndishɔn we dɛn kɔl anal fistula, ɔ as dɛn kin kɔl am na mɛrɛsin, ``Anal Fistula''.
Fɔ tɔk am simpul wan, wetin na anal fistula?
Imajin se wan smɔl tanɛl ɔ kɔlvat de fɔm insay wi an, ɛn i de opin insay di skin we de rawnd wi. Na dat wi kin kɔl anal fissure. Dis nɔto sɔntin we nɔmal fɔ de na wi bɔdi, na sɔntin we nɔ de fɔm.
dis kin stat bכku tεm wit infεkshכn na di sכm gland dεm we de insay wi anus. we dεn gland dεm ya gεt infεkshכn, wan absεs we fulכp wit pus, we dεn kכl pεrianal absεs, de fכm. Dis pus de mek wan rod fɔ mek di pus kɔmɔt. As tɛm de go, da rod de kin bi wan tanɛl we dɛn kɔl perianal fistula. Sɔntɛnde dɛn kin kɔl dis bak perianal fistula. Dat min se na rawnd di anus.
Aw dis sik kin kɔmɔn?
Dis nɔ kin apin so ɔltɛm lɛk aw yu go tink. Na wan kayn tin wae kin apun pan di sik dɛm wae de na di anal. Dɛn kin si am lɛk tu tɛm so pan man dɛn pas uman dɛn. Na avrej, na lɛk af pan di pipul dɛn we gɛt anal gland infɛkshɔn nɔmɔ go gɛt abses. as wi bin dכn tכk, 75% pan di anal fistulas de kכz fכ wan absεs.
Yu gɛt dɛn kwaliti dɛn ya bak?
Bɔku men ɛn kɔmɔn sayn dɛn de we de sho se pɔsin gɛt anal fissure. Lɛ wi tek wan luk pan wetin dɛn bi.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Pen na di anal | Dis nɔto jɔs ɛni ɔdinari pen. Na shap, nauseous pen we de kɔmɔt insay. Dis pen kin bɔku we yu sidɔm, kɔf, ɔr yu bɔdi de muv. Yu kin ivin fil pen we yu tɔch di say we yu de. |
| Swel ɛn rɛd | I kin gɛt rɛd ɛn swɛlin insay ɔ rawnd di an. Dis de sho se yu gɛt aktif infɛkshɔn ɔnda di skin, lɛk sɛlulayt . |
| Fluid we de lik | I kin gɛt wata we de kɔmɔt na di an, smɔl smɔl pus, ɔ ivin blɔd (blɔd we de kɔmɔt na di rɛktal) . Sɔntɛnde dis kin gɛt bad smel bak. |
Apat frɔm dɛn men sayn ya, sɔm pipul dɛn kin gɛt sɔm kayn sik lɛk:
- Fiva
- Pen we yu de pis
- I nɔ kin izi fɔ kɔntrol di we aw pɔsin de muv di bɔdi
Sɔntɛnde, if yu luk na miro, yu go si di ol we de na do na di skrotum ɔ yu nɔ go si am. I tan lɛk smɔl ol na di skin. If yu tɔch di skin we de rawnd am, sɔntin lɛk pus kin kɔmɔt. Insay sɔm ol skrotum dɛn, dis ol we de na do kin lɔk. Dɔn di pus kin gɛda bak, we kin mek pɔsin fil pen ɛn swel, ɛn di ol kin opin bak fɔ mek di pus kɔmɔt. Dis kin tan lɛk saykl.
Wetin mek dis anal fissure kin apin?
as wi bin dכn tכk bכt, di men εn mכst kכmכn kכz fכ anal fכs na infεkshכn na wan gland na di an, we de fכm wan sak we fulכp wit pus (perianal abscess). di fis de bi di rod fכ dis pus fכ drein kכmכt.
כltu, anal fissures kin apin bak fכ כda rizin dεm we nכ kin apin.
- Inflammatory bowel diseases: Fɔ ɛgzampul, di sik we dɛn kɔl Crohn’s disease.
- Di sik dɛm we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs (STS) we kin apin na di an
- Tuberculosis we de afɛkt di rεktum.
- Aksidɛnt ɔ ɔpreshɔn we dɛn bin dɔn du bifo we gɛt fɔ du wit di rɛktum.
- Rεdyushכn tεrapi fכ kεnsar na di pεlvik rijyכn
- Rare baktriyal infεkshכn dεm lεk actinomycosis.
- Hidradenitis suppurativa na wan sik we de apin na di skin we de apin na di swet gland dɛm.
Di tin we impɔtant pas ɔl na fɔ rili go to dɔktɔ if yu gɛt dɛn sik ya, ilɛk wetin mek yu gɛt dis sik.
Wetin kin apin if dɛn nɔ trit am?
Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. anal fissure nɔ go wɛl fɔ insɛf if dɛn nɔ trit am.If dat apin, prɔblɛm dɛn kin apin fɔ lɔng tɛm.
- Infεkshכn we de kam bak: Di infεkshכn kin stil de aktif tru di vagina. Ivin if i tan lɛk se di pen dɔn stɔp fɔ sɔm dez, di pus kin gɛda bak ɛn nyu abses kin fɔm, we kin mek pɔsin fil pen.
- di sist we de spre: If dεn nכ trit am fכ lכng tεm, dis tכnel kin branch kכmכt εn fכm nyu rod dεm εn kכmכt frכm כda pat dεm na di skin. Fɔ trit dɛn kayn kɔmpleks sist ya kin at mɔ.
- Risk fɔ gɛt kansa: Dis nɔ kin apin so ɔltɛm, bɔt dɛn dɔn ripɔt se kansa na dɛn an kin kam pan pipul dɛm wae gɛt kansa wae dɔn te fɔ lɔng tɛm wae dɛn nɔr kin trit fɔ bɔrku ia.
So nɔ tek dis sityueshɔn as sɔntin we nɔ impɔtant. Nɔ jɔs bia di pen, go to yu dɔktɔ kwik kwik wan.
Aw dɔktɔ kin no dis?
Bɔku tɛm, dɔktɔ kin no dis opin we dɛn de chɛk in bɔdi. Bɔt sɔntɛnde, di say we opin na do kin blok, so i nid fɔ fɛn usay di opin we de insay di opin bigin.
If dis tɛst de mek yu fil pen, di dɔktɔ kin disayd fɔ du dis tɛst na di ɔpreshɔn rum ɔnda anestezi.
Yu kin tray dɛn tɛst ya bak fɔ fɛn di ful rod fɔ Bhagandara:
- MRI skan (Magnetic Resonance Imaging): dis kin si klia wan usay di anal kanal de pas εn usay i de kכnekt, εn aw i de afekt di sphincter mכsul dεm.
- Endoscopic Ultrasound: Dɛn kin put smɔl kamɛra ɛn ɔltra saund divays insay di rɛktum fɔ gɛt klia pikchɔ dɛn we fiba di wan dɛn we dɛn kin gɛt wit MRI.
- Fistulography: Dɛn kin put spɛshal wata insay di vagina ɛn tek ɛkstrem rayt. Dɔn yu kin si klia wan di rod we di wata de pas.
Dɛn tɛst ya go ɛp di dɔktɔ bad bad wan fɔ no di kayn hεnia ɛn di tritmɛnt we fit am pas ɔl.
Aw dɛn kin trit am? Yu tink se i nid fɔ du ɔpreshɔn?
Yɛs, bɔku pan di anal fissures dɛn kin nid ɔpreshɔn fɔ mek dɛn wɛl. If yu wet fɔ mek dɛn wɛl fɔ dɛnsɛf, dat go jɔs mek yu gɛt infɛkshɔn ɛn abses we de kam bak. Bɔt if di fis na wan mɛrɛsin lɛk Kron sik, ɛn nɔr gɛt ɛni infekshɔn, sɔmtɛm dɛn kin mɛn am wit mɛrɛsin.
Di kayn ɔpreshɔn dɛn we dɛn kin du
Di kayn ɔpreshɔn de dipen pan aw di hεnia simpul ɔr kɔmpleks.
1. Fɔ Simpul Fistulas
di men opareshכn fכ simpul fistulas we nכ involv big damej pan di mכsul dεm na di rεktum εn we nכ gεt branch na fistulotomy . Dis na di we we kin wok fayn pas ɔl (lɛk 95%) ɛn we izi fɔ du. Na ya, di dɔktɔ we de du di ɔpreshɔn kin opin di tanɛl fɔ di fistula ɛn alaw am fɔ wɛl frɔm insay to do.
2. Fɔ Kɔmpleks Fistulas
Dɛn kin tek ɛnia we krɔs big eria na di rɛktum, branch dɛn, ɔ we de pan pɔsin we gɛt ɔda mɛrɛsin. Dis kin nid fɔ gɛt ɔpreshɔn insay bɔku stej dɛn.
| Di we aw dɛn kin du ɔpreshɔn | Wetin kin jɔs apin |
|---|---|
| Seton Drein we de na di wɔl | Dis tan lɛk spɛshal trɛd. Dɛn kin put am insay tru di vagina. wetin i de du na dat di tכnel de opin te כl di pus we de insay di vagina dεn drayn εn ɛmti. Sɔntɛnde, mɔnk dɛn kin yuz dis trɛd fɔ kɔt di vagina ɛn alaw am fɔ wɛl. |
| Flap we de advans di εndorektal | dis nכ min fכ kכt di mכsul dεm na di rεktum. bifo dat, dεn de pul di tisu we infεkt we de rawnd di opin insay di an, εn dεn de pul wan pat pan di hεlty tisu (flap) frכm insay di rεktum fכ kכloz di ol. |
| Di we aw fɔ LIFT | na ya, dεn de sutura di pat pan di vagina we de pas bitwin di tu mכsul dεm na di rεktum εn kכloz am (ligation). Dis we ya de mek di mɔsul dɛn nɔ pwɛl. |
Di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn
Bɔku tɛm, dɛn kin du dɛn ɔpreshɔn ya di we we go mek yu go na os ɛn nɔ nid fɔ de na ɔspitul. Dɛn go gi yu mɛrɛsin fɔ mɛn pen fɔ yuz ɛn wan sɛt fɔ instrɔkshɔn fɔ fala we yu go na os.
- Wata ɛn fayv sɔpɔtmɛnt: Bikɔs mɛrɛsin fɔ mɛn pen kin mek pɔsin kɔnstipɛshɔn, i fayn fɔ tek fayv sɔpɔtmɛnt fɔ mek i nɔ gɛt am. Yu fɔ drink bɔku wata wit dɛn tin ya.
- Sitz bath: If yu sidɔm na bɛsin we gɛt wam wata fɔ sɔm minit wan tɛm insay di de, dat kin mek yu nɔ fil pen ɛn ɛp di wund fɔ wɛl kwik kwik wan.
- Fɔ kia fɔ di wund: Kip di wund klin bay we yu yuz goz pad fɔ tek wata we de kɔmɔt na di wund, ɛn chenj am ɔltɛm.
Bɔku tɛm, i kin tek tri to siks wik fɔ mek i wɛl ɔl.
Ustɛm yu fɔ go to dɔktɔ?
If yu gɛt bad bad pen na yu rεktum, tɛl yu dɔktɔ ɔltɛm. Nɔ tink se i go go fɔ insɛf. Bɔku pipul dɛn kin tink se na ɛmoroyd. Bɔt ɛmoroyd nɔ kin mek pɔsin fil dis kayn pen. Ivin if yu rɛgyula dɔktɔ se na ɛmoroyd, if di pen kɔntinyu, mek shɔ se yu go to spɛshal dɔktɔ, lɛk gastroenterologist ɔ ɔspitul dɔktɔ.
Fɔ liv wit dis kayn pen kin mek yu strɛs bad bad wan, pan yu bɔdi ɛn maynd. Bɔt nɔ shem bɔt am ɛn delay fɔ go fɛn tritmɛnt. Di kwik we yu gɛt tritmɛnt, na di mɔ i go izi fɔ mek yu ebul fɔ du am.
Mɛsej we dɛn kin kɛr go na os
- anal fistula na wan abnכmal tכnel we de fכm frכm insay di anus to di כdasay na di skin.
- di men sayn dεm na we i de fil bad bad wan, i de swεla, εn di wata we de kכmכt lεk pus frכm di an. Nɔ mistek fɔ se dɛn tin ya na ɛmoroyd.
- Bikɔs dis sik nɔ kin wɛl fɔ insɛf, i rili impɔtant fɔ go to dɔktɔ.
- Bɔku tɛm, dɛn kin nid fɔ du ɔpreshɔn as tritmɛnt. Di mɔ we dɛn de fɛn tritmɛnt kwik, na di mɔ di ɔpreshɔn go simpul.
- Nɔ shem ɔ fred fɔ tɔk bɔt dis. Dis na wan sik wae dɛn kin trit ɛn wɛl ɔl.
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