Dis kin bi tɔpik we at ɛn shem fɔ tɔk bɔt. Bɔt fɔ tru, we yu nɔ ebul fɔ kɔntrol yu bɔdi ɔ we yu nɔ ebul fɔ kɔntrol yu bɔdi na prɔblɛm we bɔku pipul dɛn kin gɛt, mɔ we dɛn de ol. Nɔr to siriɔs sik, bɔt e kin gɛt big impak pan yu ɛvride layf ɛn soshal rileshɔnship. Na dat mek i impɔtant fɔ no gud gud wan ɛn gɛt di rayt advays.
Wetin rili na di bɔdi we nɔ ebul fɔ kɔntrol insɛf?
Fɔ tɔk am simpul wan, di lɔs we yu nɔ ebul fɔ kɔntrol yu bɔdi na wetin wi kin kɔl bɔdi inkɔntinɛns pan mɛrɛsin. Difrɛn lɛvul dɛn kin de fɔ dis.
Mɛmba se sɔntɛnde yu kin pas smɔl stɔl we yu nɔ want we yu de pas gas. Ɔda wan dɛn nɔ kin ebul fɔ kɔntrol di rit we dɛn kin pas stɔl gud gud wan. Dis kin bi prɔblɛm fɔ shɔt tɛm we kin bɛtɛ ɔr kin bi pɔrmɛnt sik.
Dis kin mek bɔku pipul dɛn fred fɔ kip kɔmpin wit ɔda pipul dɛn, fɔ go na di ivent dɛn, ɔ fɔ mit dɛn padi dɛn. Di fred na, "Wetin if dis apin to mi we a nɔ ivin no?" Bɔt di bɛst tin na dat, tritmɛnt dɛn de we rili fayn fɔ dis. So bifo yu shem ɛn pwɛl at fɔ dat, di fɔs tin we yu fɔ du na fɔ tɔk to yu dɔktɔ.
Wetin na di sayn dɛm fɔ dis sik?
Di men sayn fɔ dis na wae yu nɔr ebul fɔ kɔntrol aw yu bɔdi de muv, bɔt di we aw i kin apin kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin.
- Urge Incontinence: Wan wantɛm, strɔng nid fɔ go na tɔylɛt, bɔt di stɔl kin kɔmɔt bifo yu ivin rɔn go na tɔylɛt.
- Passive incontinence: Yu nɔ de fil se yu nid fɔ defecate, bɔt yu notis se yu ɔndawea dɔn dɔti smɔl wit fes.
- Ɔda prɔblɛm dɛn na yu bɔdi: Apat frɔm dɛn men sayn ya, yu kin gɛt ɔda tin dɛn. Fɔ ɛgzampul:
- Rɔnbɛlɛ
- Banbɛlɛ
- Bloating ɛn gas
De tin wae impɔtant pas ɔl na fɔ tɔk to dɔktɔ if yu gɛt dis sik, ɛn nɔr fɔ ayd am. Bikɔs if dɛn fɛn di tin we kin mek i apin, i kin izi fɔ trit am.
Wetin na di rizin dɛn we mek dɛn de du dis?
Nɔto wan tin de we kin mek pɔsin nɔ ebul fɔ kɔntrol in bɔdi, bɔt bɔku tin dɛn kin mek i gɛt dis sik. Sɔmtɛm, sɔm tin kin kam togɛda fɔ mek dis sik. Lɛ wi luk di men tin dɛn we kin mek wi du dis.
| Rizin | Wan simpul ɛksplen |
|---|---|
| Damej pan di mכsul dεm we de rawnd di anus | Dis na di tin we kin mek pɔsin gɛt dis sik. di tεm we dεn de bכn pikin (especially we dεn de bכn wit di vagina), di mכsul dεm we de rawnd di an (anal sphincters) כ di nεv dεm kin pwεl. Dis na di rizin we mek uman dɛn kin gɛt dis sik tu tɛm pas man dɛn. Dis damej kin apin bak bikɔs ɔf ɔpreshɔn pan di an. |
| Rɔnbɛlɛ | di stɔl we lɔs kin at fɔ kɔntrol pas sɔlid stɔl. Dayrɛa kin kam bak bikɔs ɔf infɛkshɔn ɔ tin dɛn lɛk Irritable Bowel Syndrome (IBS). |
| Sivɛri kɔnstipɛshɔn | if yu nכ gεt bכdi fכ bכku dez i kin mek big, dray mas fכ sכl (impacted stuol) de lod insay di rεktum. Dis kin mek di mɔsul dɛn wik ɛn mek di stɔl we gɛt wata lik kɔmɔt. Dis kin apin to pipul dɛn we dɔn ol. |
| Nɛv dɛn we dɔn pwɛl | Sik dεm lεk dayabεtis, spεnal kכd injuri, εn mכltipl sklεrosis kin pwεl di nεv dεm we de kכntro di mכsul dεm na di rεktum. |
| Ɔda tin dɛn we kin apin to pɔsin we sik | Kכndishכn dεm lεk Inflammatory Bowel Disease (e.g., Crohn’s disease, Ulcerative colitis), rεdyushכn tεrapi fכ kεnsar, strכk, εn rεktal prolaps kin mek dis bak. |
Dɔktɔ, aw yu kin no dis?
We yu go to yu dɔktɔ, i go aks yu kwɛstyɔn dɛn ɛn du ɛgzam fɔ yu bɔdi fɔ no wetin de apin. dijital rεktal εgzam kin chεk di trεnk fכ di mכsul dεm we de rawnd di rεktum. Apat frɔm dat, dɛn kin se dɛn fɔ du ɔda tɛst dɛn fɔ ɛp fɔ no di rayt tin we mek dɛn du dis.
- Stul test: If yu gɛt dayarɛa, yu kin fɛn sɔntin we kin mek yu gɛt am, lɛk infekshɔn.
- εndoskopi: dεn de put wan tכb we gεt kεmεra we dεn tay tru di an fכ egzamin insay di kכlon. dis kin bi bay we yu yuz mεtכd dεm lεk ``Anoscopy``, ``Sigmoidoscopy``, כ ``Colonoscopy``.
- Anorectal manometry: na tεst we de mכsu di prεshכn εn trεnk fכ di mכsul dεm na di rεktum.
- εndosonografi: dεn kin put wan כltra saund tכb insay di rεktum fכ chεk fכ prכblεm wit di mכsul dεm εn di wכl dεm.
- Nyurolɔjik tɛst: Chɛk aw di nɛv dɛn we de kɔntrol di mɔsul dɛn de wok.
- MRI skan: Dis de ɛp fɔ gɛt ditayli pikchɔ bɔt di mɔsul dɛn ɛn ɔda pat dɛn na di say we di bɔdi de.
Wetin na di tritmɛnt dɛm fɔ dis?
Di gud nyus na dat, bɔrku tɛm dɛn kin trit dis sik , ɛn sɔm tɛm dɛn kin mɛn am kpatakpata. Di tritmɛnt dipen pan wetin mek yu sik ɛn aw i siriɔs.
Tritmɛnt we nɔto ɔpreshɔn
Fɔs, di dɔktɔ de tray fɔ kɔntrol dis we dɛn nɔ du ɔpreshɔn pan am.
- Di chenj dɛn we dɛn kin mek na di it we dɛn de it:
- Ad lɛk 20-30 gram fayv to yu it ɛvride. Dis go ɛp fɔ mek yu stɔl tik ɛn mek i izi fɔ kɔntrol am.
- Ridyus di kafin (ti, kɔfi) we yu de it.
- Drink bɔku glas wata ɛvride fɔ mek yu nɔ gɛt kɔnstipɛshɔn.
- Di mɛrɛsin dɛn we dɛn kin yuz:
- Mεdikeshכn dεm lεk `(Imodium)` we de ridyus di frεkuεns εn urgency fכ bכwel muvmεnt.
- Mεdisin dεm lεk `(Methylcellulose)` we de tik likwid stכl.
- Impɔtant: Ɛni wan pan dɛn mɛrɛsin ya fɔ jɔs yuz ɔnda dɔktɔ advays .
- Ɛksesaiz ɛn trenin:
- Kegel eksasaiz: Dis eksasaiz de mek di pelvik mכsul dεm strכng bay we i de tayt εn rilaks di mכsul dεm we dεn de yuz fכ ol urine.
- Fɔ tren yu bɔdi: If yu yus fɔ go tɔylɛt di sem tɛm ɛvride, dat kin ɛp fɔ mek yu nɔ muv yu bɔdi di tɛm we yu nɔ want.
- Bayofidbak: we dεn de yuz sεns divays, dεn de gi trenin fכ no εn strכng di rεktal mכsul dεm kכrekt wan.
Ɔspitul tritmɛnt
Dɛn kin jɔs tink bɔt ɔpreshɔn if ɔda tritmɛnt dɛn nɔ wok.
- sfinktכr כpεrayshכn: dis involv fכ atak di anal mכsul dεm we dεn dכn pwεl bak εn strכng (sphincteroplasty).
- Sakral nεv stimulatɔ: .wan sכmכl tin we de mek di bכdi nεv dεm, dεn kin put am כnda di skin.
- Kolostomi: Dɛn nɔ kin du dis, ɛn na if ɔl di ɔda tritmɛnt dɛn nɔ wok. insay dis prosidכs, dεn de bכn di big intestin na di sεf fכ di skin na di bכdi εn dεn de alaw am fכ kכlekt insay wan paus.
Di mɔdan we dɛn we nɔ de du ɔpreshɔn
Dɛn tin ya na nyu we dɛn we nɔ gɛt bɔku prɔblɛm pas ɔpreshɔn.
- Radiofrequency anal sphincter remodeling: I de yuz hεt enεji fכ tik εn strכng di mכsul dεm na di an.
- bayomatirial dεm we dεn kin injεkt: dεn kin injεkt mεtirial dεm lεk silikon insay di rεktal mכsul dεm fכ mek dεn tik εn fכ wok.
Mɛsej we dɛn kin kɛr go na os
- Inkontinɛns nɔto natin fɔ shem fɔ. Na kɔmɔn wɛl bɔdi prɔblɛm wae bɔrku pipul kin gɛt.
- Bɔrku tɛm, dɛn kin ebul fɔ mɛn dis sik fayn fayn wan ɛn mɛn am, so nɔr giv ɔp.
- Di impɔtant ɛn fɔs tin we yu fɔ du na fɔ tɔk to yu dɔktɔ opin wan bɔt dis.
- Ivin simpul chenj dɛn na di it ɛn di we aw dɛn de liv dɛn layf kin mek big difrɛns.
- Nɔ sɔfa yu wan, go to dɔktɔ ɛn pik di tritmɛnt we go fayn fɔ yu.
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