Yu gɛt wan sik we dɛn kɔl Inflammatory Bowel Disease (IBD)? Ɔ yu de sɔfa wit sɔm sayn dɛn we gɛt fɔ du wit am? If na so, yu dɔktɔ go dɔn gi yu wan mɛrɛsin we yu kin gi yu na yu rεktal. Dis na wetin wi kɔl Hydrocortisone Rectal Enema. Yu kin fil smɔl fɔ fred ɛn kɔnfyus we yu yɛri dis nem. Bɔt nɔ tink ɛnitin bɔt am. Lɛ wi tɔk bɔt dis mɛrɛsin, aw fɔ yuz am, ɛn ɔltin we yu nid fɔ no insay wan rili simpul we, lɛk se yu de tɔk to yu padi.
Fɔ tɔk am simpul wan, wetin na dis Hydrocortisone Enema?
Haydrokɔtizɔn na wan stɛroyd . Di men wok we i de du na fɔ ridyus di inflamɛns , we na fɔ swel ɛn inflamɛns na di bɔdi. Dis mɛrɛsin de ɛp fɔ kɔntrol di inflamɛns ɛn swel we dɔn apin na yu insay. Bikɔs dɛn kin gi am tru di rɛktum (as inema), di mɛrɛsin kin go dairekt na di say we di prɔblɛm de ɛn i kin wok. So, yu kin gɛt fridɔm kwik kwik wan. Na Sri Lanka, yu kin si dis mɛrɛsin ɔnda brand nem dɛm lɛk `(Colocort)`.
Tin dɛn we yu fɔ rili tɛl yu dɔktɔ bifo yu tek mɛrɛsin
Bifo yu yuz dis mɛrɛsin, i rili impɔtant fɔ gi yu dɔktɔ wan kɔmplit pikchɔ bɔt yu wɛlbɔdi kɔndishɔn. Bikɔs wi nid fɔ rili tek tɛm we wi de yuz dis mɛrɛsin wit sɔm mɛrɛsin dɛn. If yu gɛt ɛni wan pan dɛn tin ya, nɔ fɔgɛt fɔ tɛl yu dɔktɔ bɔt am.
| Wɛlbɔdi prɔblɛm dɛn we de afɛkt yu | Wetin mek yu fɔ tɛl pipul dɛn? |
|---|---|
| Eni infεkshכ n we de naw (baktri, vayral, fεnshכn) . | Stɛroyd kin ridyus di imyuniti ɛn mek di infɛkshɔn bɔku. |
| Shuga | Dis kin mek di shuga we de na di blɔd go ɔp. |
| Glaukoma ɔ katarakt | I kin mek di yay prɛshɔ ɔ i kin mek di sik wɔs. |
| Ay Blɔd Prɛshɔn | Blɔd prɛshɔn kin go ɔp mɔ. |
| Prɔblɛm dɛn we de na di imyun sistɛm | di wok we di imyun sistεm de du kin wik mכr. |
| Wan at atak we bin dɔn de bifo | Di at kin afɛkt. |
| Di ɔpreshɔn we dɛn jɔs du na di bɔdi (ileocolostomy) . | Di we aw pɔsin kin wɛl kin afɛkt. |
| di rεktal obstrכkshכn, absεs, pεrforeshכn, כ fistula | I go mɔs bi se dɛn tin ya go wɔs. |
| Ɔda sik dɛn we de na di bɛlɛ ɔ di insay | Ɔda sayn dɛn kin wɔs. |
| Fɔ gɛt bɛlɛ ɔ fɔ tray fɔ gɛt bɛlɛ, fɔ bi mama we de gi pikin in bɛlɛ | I impɔtant fɔ gi dɔktɔ advays bikɔs i kin afɛkt di pikin. |
| Alɛji to ɛni mɛrɛsin, it, ɔ day | Fɔ mek yu nɔ gɛt alɛji. |
Aw fɔ yuz dis mɛrɛsin kɔrɛkt wan?
Bikɔs dis na sɔm kayn mɛrɛsin we strenj, i rili impɔtant fɔ no di rayt we fɔ yuz am. Fɔ fala di step dɛn we de dɔŋ ya.
1. 1. 1. .Di tin we impɔtant pas ɔl: Dɛn fɔ yuz dis mɛrɛsin nɔmɔ na di bɛlɛ . Nɔ tek am wit yu mɔt fɔ ɛni rizin.
2. Wash yu an fayn fayn wan wit sop bifo yu yuz am ɛn afta yu yuz am.
3. Ledɔm fayn fayn wan. Di bɛst pozishɔn na fɔ ledɔm na yu lɛft say wit yu rayt ni we yu put insay yu chɛst . dis posishכn de rilaks di rεktum εn mek i izi fכ put di mεdisin insay.
4. Slow slow εn tek tεm put di tכp fכ di apliketa insay di rεktum. Dɔn, swɛt di bɔtul fɔ mek di mɛrɛsin kɔmɔt.
5. Afta yu dɔn put di mɛrɛsin insay, ledɔm na di sem pozishɔn fɔ at le 30 minit . Dis go mek di mɛrɛsin de insay ɛn wok fayn fayn wan.
6. Tray as yu ebul, kip dis mɛrɛsin insay yu bɔdi fɔ at le wan awa, ɛn if i pɔsibul, di wan ol nɛt . Dɔn yu kin gɛt maksimal rizɔlt.
7. Nɔ yuz mɔ pas wetin di dɔktɔ tɛl yu fɔ du.
I rili impɔtant: Nɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm, ilɛksɛf yu fil fayn. If yu du dat, dat kin mek yu rili fil bad. If yu nid fɔ stɔp fɔ tek di mɛrɛsin, du am smɔl smɔl, lɛk aw yu dɔktɔ tɛl yu.
Wetin a go du if a tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek bɔku mɛrɛsin, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital wantɛm wantɛm . Ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Wetin a go du if a mis wan doz fɔ tek mɛrɛsin?
If yu mis wan doz, tek am jɔs afta yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz, skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu dɔn sɛtul. Nɔ ɛva tek dɛbul doz ɔ tek ɛkstra doz.
Ɔda tin dɛm wae kin miks wit dis mɛrɛsin
Dis mɛrɛsin kin miks wit ɔda mɛrɛsin, vaytamɛn, ɔ sɔpɔtmɛnt dɛn we yu de tek. So, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔltin we yu de tek. Ɛspɛshali if yu de yuz ɛni wan pan dɛn tin ya:
- Aspirin ɛn ɔda tin dɛn we de mek pɔsin fil pen (NSAID) lɛk Ibuprofen ɛn Naproxen
- Blɔd tin dɛn lɛk Warfarin
- Mɛrɛsin fɔ gɛt dayabitis
- Antiepileptic drɔgs lɛk Phenobarbital, Carbamazepine, Phenytoin
- Antifכngal dεm lεk kεtokonazכl
- Antibayɔtiks lɛk Klarithromycin, Erythromycin, Rifampin
- Di ɔmon dɛn we uman kin gɛt, lɛk di pils dɛn we dɛn kin yuz fɔ kɔntrol di pikin
- Wata pils (Diuretics) .
- Digoxin we dɛn kin yuz
- Sayklɔspɔrin we dɛn kɔl
- Sɔm kayn vaysin `(Toxoids ɛn vaksin)`
Dis list nɔ kɔmplit. If yu de smok ɔ drink rɔm, tɛl yu dɔktɔ bɔt dat bak.
Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
- Chek up ɔltɛm: Go to yu dɔktɔ pan di de dɛn we dɛn dɔn sɛtul fɔ chɛk aw yu de du.
- If no impɔtant tin nɔ de: If yu nɔ fil ɛni impɔtant tin afta yu dɔn yuz am fɔ sɔm dez, tɛl yu dɔktɔ bɔt am.
- Sayn dɛm fɔ wɔn yu: Nɔ yuz dis mɛrɛsin if yu gɛt blɔd na yu stɔl. Dɔn bak, tɛl yu dɔktɔ wantɛm if yu gɛt blɔd we de kɔmɔt na yu rεktal, yu de fil bad bad wan, yu de bɔn, yu de it, yu gɛt blista, ɔ ɛni ɔda tin we nɔ kɔmɔn.
- Risk fɔ gɛt infɛkshɔn: Dis mɛrɛsin kin mek yu imyun sistɛm wik smɔl. Dis min se yu kin sik mɔ. So, nɔr de fa frɔm pipul dɛm wae gɛt kol ɛn flu. If yu dɔn gɛt kɔntakt wit pɔsin we gɛt mizɛl ɔ chukchuk, tɛl yu dɔktɔ bɔt am.
- Blɔd shuga: Dis mɛrɛsin kin mek di blɔd shuga go ɔp. If yu gɛt dayabitis, aks yu dɔktɔ if yu nid fɔ mek ɛni chenj pan yu it ɔ mɛrɛsin.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, dis wan kin mek sɔm pipul dɛn gɛt sayd ɛfɛkt. Sɔm siriɔs, sɔm kɔmɔn. I impɔtant fɔ no bɔt dɛn tin ya.
| Klasifikɛshɔn fɔ di sayd ɛfɛkt dɛn | |
|---|---|
Siriɔs sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Di sik we dɛn kɔl Cushing syndrome | fεt de dכn na di bεlε, nεk, εn כp bak, pink/pכpul strεk dεm na di skin, εn tin skin we de brus izi wan. |
| Di blɔd shuga we de go ɔp (Hyperglycemia) . | Tɔsti mɔ, pis ɔltɛm, taya we nɔ kɔmɔn, yu nɔ de si fayn. |
| Blɔd prɛshɔn we de go ɔp | Ɛd we de at, we yu de tɔn diziz. |
| Sayn dɛn we de sho se pɔsin gɛt di sik | Fiva, kol, kɔf, trot we de at, wund dɛn we nɔ de wɛl. |
| Di chenj dɛn we de apin na di maynd ɛn di we aw pɔsin de biev | Wɔri, nɔr de rɛst, pwɛl hat, tink bɔt fɔ kil yusɛf. |
| Bɛlɛ we de kɔmɔt na di bɛlɛ | Blak stɔl we tan lɛk blɔd ɔ tar, ɛn tin dɛn we de vɔmit we tan lɛk kɔfi grɔn. |
| Di bɔdi we de swel | Di anklɛ, an, ɔ fut kin swel. |
Tin dɛm fɔ tɛl yu dɔktɔ if dɛn kɔntinyu ɔr de mɔna yu | |
| Jɛnɛral diskɔmfɔt ɛn taya | Jɛnɛral diskɔmfɔt na di bɔdi. |
| Bɔn/it na di say we dɛn put am | Smɔl rɛktal diskɔmfɔt. |
| Riktal pen, inflamɛns, ɔ blɔd de kɔmɔt | Smɔl blɔd ɔ pen afta yu dɔn yuz di mɛrɛsin. |
Mɛsej we dɛn kin kɛr go na os
- Hydrocortisone enema na stεroyd mεdikeshכn we dεn kin gi fכ kכntrכl intestinal כlsa εn inflameshn.
- Dis fɔ jɔs yuz am na di rεktal. Nɔ ɛva tek am wit yu mɔt.
- Tɛl yu dɔktɔ bɔt ɛni ɔda sik we yu gɛt ɛn ɛni ɔda mɛrɛsin we yu de tek.
- Yuz am jɔs lɛk aw yu dɔktɔ tɛl yu, fɔ di lɔng tɛm. Nɔ stɔp fɔ tek am wantɛm wantɛm, ilɛksɛf yu fil fayn.
- If yu gɛt blɔd we de kɔmɔt na yu rɛkɛt, yu de fil pen bad bad wan, yu de swel, ɔ yu gɛt sayn dɛn fɔ se yu gɛt alɛji, go to dɔktɔ wantɛm wantɛm.
- Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ tɛl ɔda pipul dɛn bɔt am.
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