Yu kin gɛt fecal incontinence bak? (Fecal Incontinence) - Nɔ shem, lɛ wi tɔk bɔt am!

Sɔntɛnde, we yu de blo, we yu de laf smɔl tumɔs, ɔ we yu de du ɛksɛsayz, yu kin aksidɛntli tɔn smɔl poop pan yu klos? Ɔ yu fil se yu nid fɔ go tɔylɛt, bɔt yu nɔ ebul fɔ kɔntrol yusɛf we yu rɔn ɛn opin di domɔt? Dis na prɔblɛm we bɔku pipul dɛn gɛt, bɔt dɛn kin shem fɔ tɔk bɔt na sosayti. Bikɔs ɔf dis tin, bɔku pipul dɛn kin de na os ɛn de fa frɔm di sosayti bikɔs dɛn kin fred ɛn shem. Bɔt i nɔ nid fɔ bi so. Lɛ wi tɔk bɔt dis opin wan tide.

Fɔ tɔk am simpul wan, wetin na fecal incontinence?

Dis na tin we rili simpul. Wi kin kɔl dis kɔndishɔn na mɛrɛsin `(Fecal Incontinence)` ɔ `(Bowel Incontinence)` we wi nɔ ebul fɔ kɔntrol di pas we di stɔl de pas we wi want. I min fɔ pas stɔl we wi nɔ want, we wi nɔ no. Fɔ sɔm pipul dɛn, dis kin bi sɔntin we smɔl lɛk fɔ pas smɔl stɔl we yu de pas briz. Ɛn fɔ sɔm, i kin bi siriɔs tin lɛk fɔ pas sɔlid stɔl we nɔ gɛt ɛni kɔntrol.

Tink bɔt am dis we: di we aw wi bɔdi de muv in bɔdi tan lɛk tim spɔt we dɛn dɔn kɔdinɛt fayn fayn wan. di mכsul dεm na wi bכdi, rεktum, εn ans nid fכ wok tכgeda fכ ol insay stכl εn kכl am we nid de. Dɛn mɔsul dɛn ya nid fɔ kɔnɛkt bak to di nerv dɛn fɔ sɛn di signal to wi bren se wi nid fɔ go na tɔylɛt. If sɔntin nɔ go fayn na dis prɔses, wi kin dɔn lɔs kɔntrol pan wi bɔdi we de muv.

Tu men kayn dis sik de.

Tu men kayn wae de wae pɔrsin nɔr kin ebul fɔ kɔntrol insɛf. Lɛ wi tek wan luk pan wetin dɛn bi.

Aw dis sik rili kɔmɔn?

I kɔmɔn pas aw yu tink. Risach dɔn sho se wan pan ɛvri tri pipul dɛn kin gɛt dis sik. Di tru tin na dat, fɔ go tɔylɛt nɔto sɔntin we wi kin du opin wan. Na dat mek bɔku pipul dɛn kin sɔfa wit dis prɔblɛm bikɔs dɛn shem ɛn shem. So mɛmba se dis nɔto jɔs yu prɔblɛm.

Wetin na di sayn dɛm fɔ dis sik?

Sɔm pipul dɛn kin jɔs gɛt dis kayn stɔl we nɔ gɛt bɛtɛ stɔl we dɛn gɛt dayarɛa. Bɔt fɔ ɔda pipul dɛn, na sɔntin we dɛn kin gɛt ɛvride. Na sɔm pan di men sayn dɛm wae de sho se yu gɛt dis sik:

• Yu nɔ want fɔ pas stɔl we yu de pas briz.
• Stul we de lik we yu de du ɛksɛsayz, waka, ɔ du tin dɛn we yu de du.
• Fɔ fil se yu nid fɔ defecate, bɔt nɔ ebul fɔ kɔntrol am te yu rich na tɔylɛt.
• Fɔ fɛn fes na yu ɔndawea ivin afta yu dɔn fɔ defecate nɔmal wan.
• Nɔ ebul fɔ kɔntrol di bɔdi we de muv ɔlsay.

Wetin go dɔn de mek dis apin?

Di men tin dɛn we kin mek dis apin na dayarɛa, kɔnstipɛshɔn, ɛn damej pan di mɔsul ɔ nerv dɛm we de ɛp fɔ kɔntrol di bɔdi we de muv. Apat frɔm dat, tin dɛn lɛk ɔpreshɔn we dɛn bin dɔn du trade kin ɛp bak fɔ mek dis apin.

• Daya: I at fɔ mek di mɔsul dɛn ol na wata stɔl pas sɔlid stɔl. If yu gɛt dayarɛa fɔ lɔng tɛm, dat kin mek di mɔsul dɛn na di rɛktum ɛn di an wik.
• Kɔnstipɛshɔn: We pɔsin gɛt kɔnstipɛshɔn ɔltɛm, i kin mek dɛn mɔsul ya wik bak. If yu strɛs fɔ mek yu bɔdi muv, dat kin pwɛl di nerv dɛn bak. Sɔntɛnde, we wan had stɔl stɔp na wan smɔl smɔl wata, wata kin lik kɔmɔt.
• di mכsul dεm we de pwεl: Dis kin apin to uman dεm, spεshal wan we i at fכ bכn pikin. If dεn yuz fכsεps fכ bכn pikin כ dεn mek episiotomy, di mכsul dεm we de rawnd kin pwεl. Dɔn bak, ɔpreshɔn fɔ ɛmoroyd ɔ fistulas kin mek di mɔsul dɛn pwɛl.
• Nεv dεm we de pwεl: Di sem tin dεm we de pwεl di mכsul dεm, lεk we i at fכ bכn pikin כ we dεn du am כpεrayshכn, kin pwεl di nεv dεm bak. Dis kin bi mɔ if di nɛf dɛn we de sho se yu gɛt bɔdi we de muv dɔn pwɛl. Kɔndishɔn lɛk dayabitis ɛn nervɔs sistɛm sik dɛn bak kin mek di risk kin bɔku.
• Di anal elasticity we de dכn:nכmal wan, di wכl dεm na wi rεktum kin elastik fכ ol stכl. Bɔt if fɔ sɔm rizin, fɔ ɛgzampul, sik lɛk ``Crohn’s disease`` ɔ redyushɔn tɛrapi fɔ kansa, i kin gɛt skata, dis ɛlastikiti kin lɔs. Dɔn dɛn nɔ kin ebul fɔ ol di stɔl igen ɛn i kin bigin fɔ lik.
• Pεlvik כgan Prolaps (POP): we di mכsul dεm na di bכdi wik, di כgan dεm lεk di rεktum, vagina, uterus, εn blad nכ de sכpכt fayn fayn wan. Dis kin mek dɛn sag dɔŋ. dis kכndyushכn kin kכz bak we di rεktum de fכl insay di an (rεktal prolaps) כ di rεktum we de push insay di bak wכl na di vagina (rεktosεl).

Udat de pan denja pas ɔl fɔ dis?

Pan ɔl we dis sik kin apin to ɛnibɔdi, sɔm pipul dɛn kin gɛt bɔku prɔblɛm.

Us kɔmplikɛshɔn kin apin bikɔs ɔf dis kɔndishɔn?

di skin we de rawnd di ans kin pwεl we di stɔl de lik. I kin mek pɔsin rɛd, it, ɛn inflamɛns. As tɛm de go, di skin sos (ɔlsa) kin kam bak.

Aw dɔktɔ kin no bɔt dis sik?

Fɔ dis, yu kin go to dɔktɔ we de mɛn yu bɛlɛ ɔ dɔktɔ we de mɛn yu kɔlorektal. I go aks yu bɔt yu sik dɛn. Dɔn, dɛn go du wan ɛgzam pan dɛn bɔdi ɛn ɛgzam na di rɛktal. I impɔtant fɔ tɔk klia wan ɛn ɔnɛs bɔt ɔl di tin dɛn we de mɔna yu insay dis tɛm.

Fɔ no di rayt rizin, yu kin nid fɔ du dɛn tɛst ya bak:

• Anorectal manometry: na tεst we de mכsu di trεnk fכ di mכsul dεm na di rεktum εn anus.
• εndorektal ultrasound כ MRI: I de egzamin di strכkchכ fכ di mכsul dεm εn tisu dεm we de rawnd di rεktum fכ si if εni damej de.
• Anal sphincter electromyography (EMG): Na tɛst fɔ chɛk fɔ si if di nerv dɛn dɔn pwɛl.
• εndoskopi: dεn kin put sכm sכm tכb we gεt kεmεra (skop) tru di an fכ egzamin insay di intestin fכ eni prכblεm, inflameshn, tכmכro, כ ska.

Aw dɛn kin trit am ɛn manej am?

Di tritmɛnt dɛn kin difrɛn difrɛn wan fɔ di kɔz ɛn aw i siriɔs. Sɔntɛnde, dɛn kin kɔntrol am wit di chenj dɛn we pɔsin kin chenj in layf nɔmɔ.

Di chenj dɛn we de apin na di it we dɛn de it

If dis sik na bikɔs yu gɛt dayarɛa ɔ yu gɛt kɔnstipɛshɔn, fɔ chenj di it we yu de it kin mek big difrɛns.

• If yu gɛt dayarɛa, nɔ de nia tin dɛn lɛk kafinɛ, rɔm, it dɛn we gɛt spays, tin dɛn we dɛn mek wit milk, ɛn tin dɛn we dɛn mek fɔ swit.
• If yu gɛt kɔnstipɛshɔn, it mɔ it dɛn we gɛt fayv (frut, vɛjitebul, ligɛm, ɔl gren) ɛn drink at le 8-10 glas wata wan de.

Ɛksesaiz ɛn trenin

• Bowel trenin: We yu wok wit dɔktɔ, yu kin lan fɔ gɛt bɔdi muvmɛnt na wan patikyula tɛm pan di de (e.g., afta yu dɔn drink yu mɔnin kɔfi).
• Kegel eksasaiz: Na di eksasaiz we de mek di mכsul dεm na di bכdi strכng. Dɛn fɔ du dɛn tin ya ɛvride.
• Bayofidbak: Na we fɔ mek di mɔsul dɛn we de rawnd di ans strɔng, no, ɛn kɔntrol am, ɔnda di gayd we spɛshal trenin tɛrapist de gi.

Mɛrɛsin dɛn we dɛn kin yuz

Dɛn kin yuz mɛrɛsin fɔ dayarɛa ɛn kɔnstipɛshɔn fɔ dis.

Ɔpreshɔn

If ɔda tritmɛnt dɛn nɔ mek dɛn du am fayn, dɛn kin tink bɔt fɔ du ɔpreshɔn.

• Sphincteroplasty: Ri-sutur ɛn ripɛnt di anal mɔsul dɛm we dɔn pwɛl.
• sakral nεv stimulashכn: fכ implant wan sכmכl divays כnda di skin fכ stimulate di nεv we de kכntro di anal mכsul dεm εn di pεlvik mכsul dεm.
• Colostomy: Na ɔpreshɔn we dɛn kin jɔs du if no ɔda tritmɛnt nɔ wok. insay dis, dεn kin mek wan sכmכl opin na di bכdi, dεn kin pul di big intestinal kכmכt tru am, εn dεn kin put wan spεshal bag fכ kכlekt stכl.

Aw yu go tek kia ɔf yusɛf?

Wae yu de liv wit dis sik, e fayn fɔ tek kia ɔf yu bɔdi ɛn maynd wɛl bɔdi.

Protɛkt yu skin

• Nɔ was am tranga wan wit tɔylɛt pepa. Bifo dat, yuz tawɛl we wet we nɔ gɛt sɛnt.
• Afta ɛni tɛm we yu muv yu bɔdi, was am wit wam wata we nɔ gɛt sop, pat dray we yu nɔ rɔb.
• Put barɛri krim (e.g. di wan dɛn we gɛt zink ɔksayd) we de protɛkt di skin.
• Nɔ wɛr klos we tayt. Wear ɔndawea we dɛn mek wit klos dɛn we nɔ de mek di wata lɛk kɔtɔn.

Mental wɛlbɔdi ɛn soshal layf

• If yu de fred fɔ go na do, yuz pad ɔ ɔnda klos we yu kin yuz wan tɛm nɔmɔ.
• Bifo yu go na trip, mek shɔ se yu go na tɔylɛt ɛn ɛmti yu bɔdi.
• Kari wan ekstra sɛt fɔ klos ɛn tin dɛn fɔ was na yu bag.
• Ɛnitɛm we yu go sɔmsay, fɛn ɔl di say dɛn we di tɔylɛt de ɛn mɛmba am. Da we de, if imejensi de, yu nɔ go nid fɔ wɔri.

Dɛn kin tich wi frɔm we wi yɔŋ se i nɔ fayn fɔ tɔk bɔt tin dɛn lɛk fɔ muv bɔdi na pɔblik. Na dat mek bɔku pipul dɛn kin shem fɔ tɔk bɔt am we i kam pan dis prɔblɛm. Bɔt di tru tin na dat, fɔ muv bɔdi na nɔmal tin na wi bɔdi. If prɔblɛm de wit am, i impɔtant fɔ tɔk to dɔktɔ bɔt am. So nɔ shem. Si yu dɔktɔ ɛn tɔk bɔt dis. I go tɛl yu bɔt tritmɛnt ɛn we dɛn we go ɛp yu fɔ kɔntrol yu bɔdi bak.