I de it rawnd di anus na prɔblɛm we bɔku pipul dɛn gɛt, bɔt dɛn kin shem smɔl fɔ tɔk bɔt. Dis kin bi tin we pɔsin nɔ go ebul fɔ bia, insay di de ɛn mɔ na nɛt. Sɔntɛnde, i kin ivin mek yu wek. Bɔt i nɔto natin fɔ fred ɔ shem. Dis na wan sik we kin rili kɔmɔn. Tide, wi go tɔk ditayli bɔt dis diskɔmfɔt, di tin dɛn we kin mek i nɔ fil fayn, ɛn wetin wi kin du fɔ am.
Wetin rili na pruritus ani?
Fɔ tɔk am simpul wan, dis na it we de it rawnd yu an. Na mɛrɛsin, wi kin kɔl am ``Pruritus Ani''. Dis na wan sik we de ambɔg di skin. Dis it kin wɔs na nɛt ɔ afta yu dɔn go na tɔylɛt. Nɔto sik, bɔt na sayn. Dis min se dis it kin bi bikɔs ɔf ɔda tin we kin mek i it.
Tu men kayn we de fɔ dis it.
Dɔktɔ dɛn kin sheb dis sik to tu men pat dɛn, ɛn dis kin mek i izi fɔ wi fɔ no di tin we kin mek wi gɛt dis sik.
| Tayp fɔ it | Tɔk bɔt |
|---|---|
| Praymari (Praymari/Idiopatik) it | Dis na di kayn we we pipul dɛn kin gɛt mɔ. No klia, patikyula rizin nɔ de fɔ di it. Dis min se di it kin apin we yu nɔ gɛt ɛni ɔda sik ɔ infɛkshɔn. |
| Sɛkɔndari it | Di it we de ya na ɔda patikyula tin we kin mek i it. Fɔ ɛgzampul, i kin bi ɛmoroyd, wom, sik dɛn na di skin, yist infɛkshɔn, ɔ sɔm it dɛn. |
Udat go mɔs si dis sik?
Dis it kin apin pan ɛnibɔdi, pan ɛni ej. Bɔt sɔm stɔdi dɛn dɔn sho se dis sik kin bɔku pan man dɛn we ol bitwin 40 ɛn 70. Man dɛn kin gɛt dis prɔblɛm lɛk 4 tɛm pas uman dɛn. Bɔt dat nɔ min se uman dɛn nɔ kin gɛt am. Dɛn se bitwin 1% ɛn 5% pan di pipul dɛm na di wɔl kin gɛt dis diskɔmfɔt.
Di tin we impɔtant pas ɔl na dat, we pɔsin skrach, i nɔ de ɛva mek i fil fayn fɔ lɔng tɛm. I de jɔs mek di tin wɔs.
Bɔku tɛm dis it we wi kin it kin mek wi want fɔ skrach di say we wi nɔ ebul fɔ kɔntrol. Bɔt pan ɔl we we pɔsin skrach, i kin mek i fil fayn fɔ sɔm tɛm, i kin jɔs mek di prɔblɛm wɔs. di skin we de rawnd di anus rili dilik. Wi nel dɛn strɔng pas dat fa fawe. If yu skrach wit nel, dat kin pwɛl da dilik skin de, ɛn mek yu skrach, we kin mek yu gɛt infɛkshɔn. If dis "itch-scratch cycle" kɔntinyu, i kin mek yu fil bad bad wan, inflamɛns, ɛn diskɔmfɔt.
Wetin mek wi kin skrach rawnd di anus lɛk dis? Lɛ wi luk sɔm pan di rizin dɛn
Bɔku rizin dɛn kin de fɔ dis, sɔm pan dɛn rili simpul.
1. Klin ɛn di skin sɛnsitiv
di skin we de rawnd di anus kin rili sεnsitiv.
- Sop ɛn ɔda tin dɛn: Sop, paoda, loshan, ɛn krim we gɛt sɛnt kin mek sɔm pipul dɛn nɔ lɛk am. Dɛn tin ya kin dray di skin na da say de ɛn mek i it.
- Di rɔng we fɔ klin: Sɔm pipul dɛn kin tink se fɔ was wit sop ɛn rɔb tranga wan wit rɔf klos na di wangren we fɔ klin di skin. Dis na tin we nɔ rayt. I de pul in natura ɔyl dɛn na di skin, ɛn mek i dray ɛn it. Dɔn bak, fɔ yuz rɔf tɔylɛt pepa nɔ fayn.
- Nɔ klin ɔ yu nɔ klin pasmak: If yu nɔ klin fayn afta yu dɔn yuz tɔylɛt, ivin smɔl fes kin de na di skin ɛn mek yu it. Dɔn bak, if yu klin pasmak ɛn was yu wit sop bɔku tɛm insay di de, dat kin ambɔg yu skin.
- Di we aw yu de muv yu bɔdi: If yu gɛt kɔnstipɛshɔn (lɛs dan tri bɔdi insay wan wik) ɔ yu gɛt dayarɛa, yu go gɛt dis it.
2. Di it ɛn drink we wi de it
Sɔm pan di tin dɛm wae yu kin it ɛn drink kin mek yu it dis. Dɛn tin ya kin afɛkt sɔm pipul dɛn, pan ɔl we nɔto ɔlman.
- Milk ɛn it dɛn we dɛn mek wit milk
- Drink dɛn we gɛt kabon (lɛk soda) .
- Drink dɛn we gɛt kafinɛ (kɔfi, ti) .
- Spays, hot it (lɛk chili) .
- Fɔd dɛn we gɛt asid (saytrus frut dɛn lɛk tomato, ɔrɛnj) .
3. Klos fɔ wɛr
Klos lɛk ɔndawea ɛn pant kin ɛp fɔ mek dis apin. We yu wɛr tayt ɔndawea we nɔ gɛt bɛtɛ briz, dat kin mek yu swet ɛn wata we de rawnd di an. Dis ples we wam ɛn wet kin mek di it wɔs.
4. Ɔda rizin dɛn we gɛt fɔ du wit mɛrɛsin
Sɔmtɛm dis it kin bi sayn fɔ ɔda mɛrɛsin.
| Rizin | Wan shɔt diskripshɔn |
|---|---|
| Ɛmɔroyd dɛn | di bכdi we de insay כ ausayd di anus de swεla. Big big ɛmoroyd we de na do kin at fɔ klin fayn fayn wan. Dɛn kin mek yu it bak bikɔs ɔf di wata we de kɔmɔt na dɛn. |
| Yist Infɛkshɔn dɛn | Wan infεkshכn we wan fכns we dεn kכl Candida kin kכz. Dis kin mek di skin rɛd, swel, ɛn it wit smɔl smɔl krak krak. |
| Anal Fissures we de na di bɔdi | Smɔl krak krak dɛn na di skin na di rεktum. Dɛn tin ya kin kam bikɔs ɔf tin dɛn lɛk fɔ gɛt bɛlɛ ɔ fɔ strɛs fɔ pul dɔti. Dɛn krak krak ya kin mek yu fil pen ɛn it. |
| HPV ɛn wɔt | Human papillomavirus (HPV) kin mek smɔl smɔl bɔmp dɛn we tan lɛk wɔt rawnd di an. Dɛn tin ya kin mek bak yu it, inflamɛns, ɛn blɔd smɔl. |
| Pinwɔm dɛn | Dis na smɔl smɔl wayt wom dɛn. Dɛn kin kɔmɔn mɔ pan yɔŋ pikin dɛn. Dɛn wom ya kin le eg rawnd di anus na nɛt. Na dat na di men rizin we mek di it kin bɔku na nɛt. |
Aw dɔktɔ kin chɛk dis?
If yu go to dɔktɔ we gɛt dis prɔblɛm, i go aks yu sɔm kwɛstyɔn dɛn fɔs.
- Us mɛrɛsin dɛn yu kin tek?
- Aw yu tɔylɛt rutin tan lɛk?
- Wetin yu de it ɛn drink?
- Us kayn sop ɛn tɔylɛt pepa yu kin yuz?
- Yu kin wɛr tayt klos?
Dɔn, di dɔktɔ go chɛk di say we de. Dɛn go luk fɔ chenj dɛn na dɛn skin, rɛd, krak krak, ɛmoroyd, ɔ ɔda prɔblɛm dɛn. Sɔntɛnde, if dɛn nɔ ebul fɔ no di rizin ɔ if di tritmɛnt nɔ ɛp, dɛn kin sɛn yu to dɔktɔ we de mɛn yu skin .
Di ‘tep test’ fɔ wom
If yu smɔl pikin de skrach in an na nɛt, di dɔktɔ kin sɔprayz se wom de. Fɔ kɔnfɔm dis, i kin aks yu fɔ du ‘tep tɛst’. I rili simpul. Bifo yu pikin go slip na nɛt, yu kin stik wan transparent tep lɛk sɛlofin na in an ɛn pul am na mɔnin. I kin bi se wom ɔ eg dɛn kin stɔp pan am.
Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt dipen pan wetin mek di it de it.
1. Fɔ klin fayn fayn wan: Di fɔs tin we yu fɔ pe atɛnshɔn pan na fɔ klin ɛn kia fɔ yu. Afta yu dɔn yuz di tɔylɛt, i fayn fɔ klin am fayn fayn wan, dray am fayn fayn wan, ɛn put sɔm talk paoda we nɔ gɛt mɛrɛsin if nid de.
2. Krim ɛn Ɔntmɛnt: Dɔktɔ kin ɔltɛm tɛl yu fɔ yuz stɛroyd krim lɛk `(Hydrocortisone)` fɔ shɔt tɛm. Dɛn tin ya kin mek pɔsin it ɛn inflamɛns. Dɔn bak, `(Capsaicin)` krim na gud opshɔn fɔ it fɔ lɔng tɛm. Dɛn fɔ yuz dɛn tin ya ɔltɛm fɔ advays nɔmɔ we dɔktɔ gi dɛn.
3. Antibayɔtik ɛn Antifɔngal: If na baktri ɔ yist infɛkshɔn mek di it, di dɔktɔ go gi yu di rayt mɛrɛsin fɔ am.
4. Methylene Blue Injection: Dɛn kin yuz dis tritmɛnt pan tin dɛn we rili siriɔs usay no ɔda tritmɛnt nɔ ɛp. na ya, dεn de injεkt wan likwid we dεn kכl `(Methylene Blue)` כnda di skin we de rawnd di an. I de mek di nerve endings na da eria de wok, ɛn i nɔ de it ɛn pen.
We dɛn de fɔ mek pɔsin fil fayn na os?
Yɛs, fɔ tru. Yu kin tray dɛn tin ya ivin bifo yu go to dɔktɔ.
- Di rayt tɔylɛt pepa: Pik wan kayn tɔylɛt pepa we dɛn rayt "day-free" ɔ "unscented."
- Nɔ yuz sop ɛn sɛnt: Nɔ yuz sop fɔ klin di say, jɔs was am wit wata. Nɔ yuz sop we gɛt sɛnt, shawa jel, ɔ diɔdɔrant na di say.
- Wear kɔtɔn ɔndawea: Kɔtɔn ɔndawea kin absɔb mɔstɔ fayn fayn wan. I kin mek pɔsin blo bak, so swet nɔ kin gɛda. Ɔndawea fɔ fit fayn ɛn nɔ fɔ tayt.
- Tek tɛm wit di it we yu de it: Nɔ kɔt ɔl di it dɛn we kin mek yu it we wi bin dɔn tɔk bɔt. Tray fɔ kɔt wan bay wan fɔ sɔm dez fɔ si if di it de stɔp. Dɔn yu kin no us it dɛn de mek yu gɛt am.
Ustɛm yu fɔ rili go to dɔktɔ?
If di it nɔ stɔp afta wan ɔ tu wiks we yu dɔn trit yu na os, if i wɔs, ɔ if di say rɛd, swel, ɔ i tan lɛk se yu wund, yu fɔ rili go to dɔktɔ.Nɔ mek di prɔblɛm drɛg bikɔs yu shem.
It na di anus na wan tin we kin rili anɔynt ɛn nɔ kin fil fayn. Bɔt bɔku tɛm i nɔ kin denja. Bɔku tɛm, dɛn kin mɛn am if dɛn klin am fayn ɛn yuz am simpul tritmɛnt. Bɔt if i kɔntinyu fɔ de, i kin bi sayn fɔ ɔda sik, so i go fayn fɔ mek yu go to dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Anal itching na wan tin we kin apin we kin rili kɔmɔn. Nɔ shem ɔ fred fɔ tɔk bɔt am.
- Nɔ skrach we yu gɛt it. If yu du dat, i go jɔs mek di sik wɔs. If yu de it na nɛt, wɛr kɔtɔn glɔv na yu an ɛn slip.
- Ɔltɛm kip di say klin ɛn mɔ dray . Pat dray jisnɔ afta yu dɔn was ɔ yuz tɔylɛt.
- Nɔ sop we gɛt sɛnt, tɔylɛt pepa we rɔf, ɛn tayt ɔndawea.
- If di kia we dɛn de kia fɔ na os nɔ de bɛtɛ insay wan ɔ tu wiks, ɔ if di sik de wɔs, mek shɔ se yu go to yu dɔktɔ.
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