Yu fil wan strenj hevi ɔ prɛshɔn na yu vagina? I kin bi wan ɛntɛrosɛl!

Sɔntɛnde yu kin fil se yu vagina de ebi, ful-ɔp, ɔ prɛshɔn? Dis diskɔmfɔt kin bɔku, mɔ we yu tinap, laf, ɔ kɔf? If na so i bi, dis kin impɔtant to yu. Tide wi go tɔk bɔt wan sik we kin apin to uman dɛn, bɔt nɔto bɔku pipul dɛn no bɔt am. Dat na enterocele, ɔ fɔ jɔs tɔk am, smɔl intestinal we dɔn prolaps.

Wetin na Ɛntɛrosɛl?

Fɔ tɔk am simpul wan, ɛntɛrosɛl na wan kɔndishɔn we pat pan wi smɔl intestinal de push insay di bɛlɛ eria, dat na di ɔpa pat pan di vagina. Tink bɔt am, di ɔgan dɛn we de insay wi bɛlɛ fɔ de na dɛn rayt ples. so dis sכmכl intestכn de kam dכn sכmtεm frכm usay i fכ de εn i de push pan di wכl na di vagina. Dɛn kin kɔl dis bak Smɔl Bɔwel Prolaps . dis na wan kayn pεlvik כgan prolaps we kin apin na di uman rεprכdaktiv sistεm.

Aw dis sik kin kɔmɔn?

Infakt, uman dɛn de na Sri Lanka we gɛt prɔblɛm wit di ɔgan dɛn we de na dɛn bɛlɛ. Akɔdin to sɔm data frɔm di wɔl, smɔl pasɛnt pan uman dɛm (lɛk 3% - 6%) kin gɛt dis sik. Dis kin apin mɔ pan uman dɛn afta dɛn dɔn menopause , dat na uman dɛn we dɔn stɔp fɔ gɛt mɔnt ɛvri mɔnt. Dɔn bak, sɔm ripɔt dɛn se i kin apin mɔ pan wayt ɛn Hispanik uman dɛn. Bɔt, ɛnibɔdi kin gɛt dis sik.

Wetin mek di ɛntɛrosɛl kin apin?

Okay, naw mek wi si wetin mek dis de apin. di mכsul dεm, di kכnektiv tisu dεm, εn di ligament dεm na wi bכdi. na dεn tin ya de ol wi כgan dεm lεk wi uterus, intestines, εn vagina in ples. Dɛn kin sɔpɔt dɛn ɔgan dɛn ya lɛk nɛt.

So, if dɛn mɔsul ɛn tisu dɛn ya wik, strɛch, ɔ sɔntɛnde dɛn kin rɔtin, da liftin de nɔ kin apin fayn. Na da tɛm de dɛn prɔblɛm dɛn ya kin kam.

Wi smɔl intestinal na impɔtant pat pan wi dijestiv sistɛm. nכmal wan, dis sכmכl intestכn de na di lכw bכdi εn di כp pεlvis, we di mכsul dεm εn ligament dεm we wi bin dכn tכk bכt de ol in ples. bכt we dεn tisu dεm ya wik, di sכmכl intestin de slayv dכn sכmtεm εn fכl insay di gap bitwin di vagina εn rεktum. dis na we dεn de mek prεshכn pan di כp wכl na di vagina.

כda tin na dat dis kכndyushכn we dεn kכl εnterosεl kin apin in wan, כ i kin apin tכgeda wit כda pεlvik כgan dεm we de prolaps. Dat na:

• Blad prolaps (Blad prolaps ɔ Cystocele) .
• di rεktal prolaps כ Rεktosεl (na hεnia na di rεktum we de kכmכt na di bak wכl na di vagina) .
• Yuretra prolaps ɔ Yurethrocele
• di uterin we de prolaps
• Vagina prolaps we de kɔmɔt na di vagina

Udat de pan big risk fɔ gɛt dis?

Naw lɛ wi si udat go mɔs gɛt dis kayn tin.

Wan pan di tin dɛn we impɔtant pas ɔl na we pɔsin kin lɛf fɔ gɛt bɛlɛ . We di uman dɔn pas we i dɔn pas 40 ia ɛn afta i dɔn pas, wi bɔdi nɔ kin mek bɔku ɛstrojen. dis כmon de εp fכ mek di mכsul dεm na di bכdi strכng. So we di εstrojen lεvεl dכn, dεn mכsul dεm ya kin wik. Stɔdi dɔn sho se pas wan pat pan tri uman dɛn we gɛt prɔblɛm wit dɛn bɛlɛ kin ol bitwin 60 ɛn 79. Ɛn lɛk af pan dɛn kin pas 80 ia.

apat frכm dat, כda rizin dεm de we kin mek di mכsul dεm na di bכdi wik εn mek di εnterosεl:

• bεlε εn bכn pikin: fכ kכri pikin na di bεlε εn bכn de put bכku prεshכn pan di bכdi mכsul dεm. dis risk kin bכku spεshal wan we di pikin de bכn tranga wan, big pikin dεm, כ we dεn de bכn di pikin yuz instrכmεnt dεm (fכsεps, vεkyum).
• Kɔf we nɔ de dɔn: Fɔ ɛgzampul, pɔsin we de kɔf ɔltɛm, ilɛksɛf na bikɔs ɔf sik lɛk asma, brɔnkayt, ɔ smok, kin put prɛshɔn ɔltɛm pan di mɔsul dɛn na di bɛlɛ. Dis kin mek di mɔsul dɛn wik bak.
• Kɔnɛktiv tisu disɔda: Fɔ ɛgzampul, pipul dɛm wae gɛt jɛnɛtik kɔndishɔn lɛk Ehlers-Danlos syndrome kin de pan denja bak bikɔs dɛn bɔdi in kɔnektiv tisu wik pas aw i kin bi.
• Kɔnstipɛshɔn: If yu kin gɛt kɔnstipɛshɔn ɔltɛm, yu kin gɛt fɔ strɛs we yu de go na di bafa. dis kin put prεshכn we nכ nid bak pan di pεlvik fכl.
• We yu de es wet: Dis risk kin bɔku fɔ di wan dɛn we de es di wet ɔltɛm, mɔ di wan dɛn we de es di wet di rayt we. Yu nid fɔ tek tɛm wit dis we yu de du os wok ɛn na wokples.
• Fat: As di bɔdi wet de go ɔp, di lod we de pan di mɔsul dɛn na di bɛlɛ de go ɔp. Dis kin mek di mɔsul dɛn wik bak as tɛm de go.
• כpεrayshכn na di bכdi: Afta dεn כpεrayshכn, lεk we dεn kכl di hysterectomy, di sכpכt strכkchכ dεm na di bכdi kin wik sכmtεm.
• Rεdyushכn tεrapi to di pεlvik εria: Rεdyushכn tεrapi to di pεlvik εria fכ kכndishכn lεk kεnsar kin pwεl εn wik di tisu dεm bak.

Wetin na di sayn dɛm we de sho se pɔsin gɛt ɛnterɔsi?

Sɔm uman dɛn nɔ kin gɛt ɛni sayn atɔl. Dat min se dɛn nɔ kin fil am ilɛksɛf dɛn gɛt ɛntɛrosɛl. Bɔt we di sayn dɛn de sho, dɛn kin gɛt dɛn tin ya:

• filin lεk se sכmtin lεk bכl dכn kכmכt frכm insay di vagina (Bulge insay di vagina): Yu kin ivin kech am yusεf.
• I nɔ izi fɔ dɔn yu bɔdi: I kin fil lɛk se yu gɛt prɔblɛm fɔ pas di stɔl, ɔ lɛk se yu nɔ pas am ɔl. Sɔm pipul dɛn kin nid fɔ yuz finga fɔ ɛp dɛn fɔ pas wan bɔdi we dɛn de muv.
• Prɛshɔn, ebi, pen, ɔ ful-ɔp na di bɛlɛ eria: Dis diskɔmfɔt kin bɔku, mɔ we yu de du mami ɛn dadi biznɛs, ɛksesaiz, tinap fɔ lɔng tɛm, ɔ we yu de kɔf.
• Urinary incontinence: Yu kin lik smɔl urine we yu nɔ no se yu de kɔf, laf, sniz, ɔ es sɔntin we ebi.
• Di pen na yu bɛlɛ we de dɔŋ ɛn yu bak: I kin tan lɛk se dis pen kin izi smɔl we yu de ledɔm.

Imajin, afta yu dɔn wok tranga wan ɔl di de, na ivintɛm, yu fil se yu vagina de ebi, lɛk se sɔntin de kɔmɔt insay. I kin fil fayn smɔl we yu sidɔm ɔ ledɔm. If yu gɛt dis kayn ɛkspiriɛns, tek tɛm wit am.

Aw yu kin no se yu gɛt ɛnterɔsi?

If yu gɛt dɛn sik ya, i go fayn fɔ mek yu go to dɔktɔ. Bɔrku tɛm, na uman dɔktɔ kin trit dɛn sik ya.

We yu dɔktɔ chɛk yu, dɛn go du wan ɛgzam na yu bɔdi. di dכkta kin fil wan bכdi we di sכmכl intestin de push insay di vagina. Di dɔktɔ kin aks yu fɔ kɔf ɔ prɛs dɔŋ. Dɔn dɛn kin si di lump ɛn fil fayn. Dɛn kin du rɛktal ɛgzamin bak.

Apat frɔm dat, dɛn kin du wan ɔ mɔ pan dɛn tɛst ya:

• Sistoskopi: Insay dis, dɛn kin put wan tin tiub we gɛt kamɛra (cystoscope) tru di urethra fɔ chɛk di blad, usay i de, ɛn usay i de.
• Imej tɛst: Dɛn kin du MRI, ɔltra saund skan, ɔ CT skan fɔ luk di mɔsul dɛn na di bɛlɛ ɛn fɔ si ustɛm di ɔgan dɛn dɔn prolaps.
• Yurodaynamik tɛst: Dɛn tɛst ya kin ɛp fɔ no aw di blad de wok ɛn wetin de mek di prɔblɛm we yu de pis.

Wetin na di tritmɛnt dɛm fɔ dis?

di gud nyus na dat, tritmεnt dεm de fכ εnterocele. Tritmɛnt dɛn de we nɔto ɔspitul ɛn ɔspitul. Yu dɔktɔ go disayd di bɛst tritmɛnt fɔ yu bay yu ej, ɔl yu wɛlbɔdi, ɛn di kayn sik we yu gɛt.

Tri men we dɛn de fɔ trit pɔsin:

1. Fɔ put pesa insay: Dis na tin we dɛn mek wit rɔba (lɛtɛks) ɔ plastic (silikon) we dɛn kin put insay di vagina. i de wok bay we i de sכpכt di mכsul dεm na di bכdi. i de wok lεk sכpכt fכ di lכw pat pan di vagina. Dɛn kin yuz am we dɛn de wet fɔ ɔpreshɔn, ɔ dɛn kin yuz am ɔltɛm fɔ di wan dɛn we nɔ ebul fɔ du ɔpreshɔn. כltu, i nכ de pul di εnterosεl, i de כnli kכntrכl di simptom dεm. Yu dɔktɔ go sho yu aw fɔ put am, pul am, ɛn kip am klin.

2. 2. .Pɛlvik flɔ ɛksesaiz: Dɛn kin kɔl dɛn tin ya bak Kegels . Dɛn ɛgzampul ya kin mek di mɔsul dɛn na di bɔdi strɔng. Yu dɔktɔ kin sɛn yu to dɔktɔ we de mɛn yu bɔdi. Sɔm fizik thɛrapist dɛn de we spɛshal fɔ trit prɔblɛm dɛn we gɛt fɔ du wit di bɔdi we de na di bɛlɛ. Dɛn go tich yu aw fɔ du dɛn ɛgzampul ya. Dɛn kin yuz bak tɛknik lɛk bayɔfidbak fɔ ɛp yu fɔ no ɛn ɛksesaiz di mɔsul dɛm.

3. Ɔpreshɔn: If ɔda we dɛn nɔ wok, ɔ if di sik rili bad, i kin nid fɔ du ɔpreshɔn. Ɔpreshɔn kin min fɔ put di smɔl intestin bak na in ples ɛn mek di tisu we dɔn rɔtin bak. כl di tεm dεm, dεn kin du dis כpεrayshכn tru di vagina, we dεn nכ de mek big insishכn, as di minimally invasive prosidur. Sɔntɛnde dɛn kin du am bak tru di bɛlɛ. Yu dɔktɔ go ɛksplen di ɔpreshɔn we go fayn fɔ yu.

Yu tink se dɛn kin mek dɛn nɔ gɛt ɛnterosɛl?

Pan ɔl we i nɔ kin ebul fɔ avɔyd am ɔl, tin dɛn de we wi kin du fɔ ridyus wi risk. dis tin dεm kin εp fכ nכto כnli εnterosεl, bכt כda pεlvik fכl prכblεm dεm bak:

• It tin we gɛt bɔku fayv ɛn drink bɔku wata: Dis kin ɛp fɔ mek yu nɔ gɛt kɔnstipɛshɔn. Dis go mek di strɛs nɔ bɔku. Put grɛn, vɛjitebul, frut, ɛn ɔl di tin dɛn we yu de it.
• Gɛt ɛp we yu de es wet, ɛn es wet kɔrɛkt wan: Nɔ es wet we yu nɔ ebul fɔ ol yu wan. If yu de es wan wet, kip yu bak stret ɛn bɛn yu ni dɛn.
• Rich ɔ kip yu wet we fayn: Fɔ fat na wan big tin we kin mek yu gɛt dis.
• Trit we yu de kɔf ɔltɛm: If yu gɛt kɔf, fɛn di tin we mek yu kɔf ɛn trit am.
• If yu de smok, stɔp: If yu smok nɔ jɔs de mek yu kɔf, bɔt i kin pwɛl di tisu dɛn bak.

Wetin na di prɔgnosis fɔ pipul dɛm wae gɛt enterocele? (Prɔgnosis) .

Bɔrku tɛm, dɛn kin kɔntrol di sayn dɛm fayn fayn wan wit tritmɛnt dɛm wae nɔr de du ɔpreshɔn. Sɔm uman dɛn nɔ kin nid ɛni tritmɛnt if dɛn nɔ gɛt ɛni sik. Siriɔs kɔmplikeshɔn dɛn we kin kɔmɔt frɔm wan ɛntɛrosɛl nɔ kin bɔku, so nid nɔ de fɔ wɔri we nɔ nid fɔ apin. De tin wae impɔtant pas ɔl na fɔ go to dɔktɔ if yu gɛt sɔm kayn sik.

Ustɛm yu fɔ go to dɔktɔ?

If yu gɛt ɛni wan pan dɛn sayn ya, yu go mɔs go to dɔktɔ:

• Blad kɔntrol prɔblɛm dɛn.
• Blɔd we de insay di urine.
• Yu kin pis ɔ yu kin pis ɔltɛm.
• Siriɔs kɔnstipɛshɔn ɔ prɔblɛm fɔ gɛt bɔdi muvmɛnt.
• If yu fil wan ɔnusual heviness, prɛshɔn, ɔ lump na yu vagina.

Nɔ ignore dɛn tin ya. If yu gɛt tritmɛnt kwik kwik wan, dat kin mek di sik nɔ wɔs.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

We yu go si dɔktɔ, nɔ shem fɔ aks kwɛstyɔn dɛn we de na yu maynd. Fɔ ɛgzampul, yu kin aks tin dɛn lɛk:

• Wetin mek a bin gɛt dis ɛnterɔsi?
• Us tritmɛnt we bɛtɛ fɔ mi?
• A de pan denja fɔ gɛt ɔda prɔblɛm dɛn bikɔs ɔf dis?
• Us kɔmplikɛshɔn dɛn a fɔ wɔri bɔt?
• Us chenj dɛn a nid fɔ mek na mi layf afta dɛn dɔn trit mi?

I rili impɔtant fɔ aks kwɛstyɔn dɛn lɛk dis ɛn ɔndastand yu sityueshɔn fayn fayn wan.

Mɛmba as sɔmari (Tek-Home Message) .

Enterocele, ɔ prolaps of the small intestine, na wan sik we kin apin bɔku tɛm pan uman dɛn we dɔn pas 40 ia ɛn uman dɛn we dɔn bɔn pas wan pikin. Bɔt bɔku pipul dɛn nɔ go gɛt ɛni sayn ɛn dɛn nɔ go nid tritmɛnt.

Bɔt if yu gɛt sɔm sayn dɛn lɛk we yu vagina de ebi, we yu de prɛs, ɔ we i nɔ izi fɔ pas yu stɔl, i go fayn fɔ mek yu tɔk to dɔktɔ bɔt dat. Bɔku tɛm, dɛn kin kɔntrol di sayn dɛm bay we yu yuz pesary ɔ du ɛksɛsayz na di pelvik flo lɛk Kegels. I nɔ kin rili nid fɔ du ɔpreshɔn.

Di tin we impɔtant pas ɔl na fɔ ɔndastand se dis nɔto jɔs yu prɔblɛm ɛn nɔ fred fɔ aks fɔ ɛp. Yu dɔktɔ go ɛp yu.

` Enterocele, sכm bכdi prolaps, pεlvik כgan prolaps, vagina, uman dεm hεlth, mεnopos, Kegel εksεsayz