Anal pen, mɔ di bɔn ɛn shap pen we yu de muv yu bɔdi, na sɔntin we bɔku pipul dɛn nɔ kin want fɔ tɔk bɔt, bɔt dɛn kin sɔfa bɔku pan insay. Sɔntɛnde di tin we kin mek yu gɛt am na we yu kin kɔt smɔl smɔl na di wɔl na yu anal kanal. Wi kin kɔl dis pan mɛrɛsin ‘Anal Fissure’. Bɔrku tɛm, dɛn kray wata ya kin wɛl insay sɔm wiks wit mɛrɛsin, ɔntmɛnt, ɛn chenj in layf. Bɔt fɔ sɔm pipul dɛn, i kin las fɔ sɔm mɔnt, ivin fɔ lɔng lɔng tɛm. Na dat mek dɔktɔ dɛn kin tɔk bɔt wan ɔpreshɔn we dɛn kɔl `Lateral Internal Sphincterotomy` fɔ pɔsin we gɛt dis kayn kray wata we nɔ de dɔn .
Fɔ tɔk am simpul wan, wetin na Lateral Internal Sphincterotomy?
Okay, while di nem kin sound likli komplikayt, di konsept na akchuali kwik simpul. Laytɛral intanɛnt sphincterotomy na smɔl ɔpreshɔn we dɛn kin du pan wan pan di tu ring dɛn na di mɔsul we de rawnd yu an.
Imajin, tu mɔsul ring dɛn de rawnd wi an.
1. Intanɛt Anal Sphincter: Wi nɔ gɛt ɛni kɔntrol pan dis. I kin tayt ɔltɛm ɛn i kin rilaks nɔmɔ we yu de muv yu bɔdi.
2. External Anal Sphincter: Wi kin tayt ɔ rilaks dis ɛni tɛm.
di men rizin we mek di anal fisure dεm we de fכ lכng tεm nכ de hεl na di tεnshכn fכ dis insay mכsul ring . Insay dis ɔpreshɔn, di dɔktɔ kin kɔt wan rili smɔl kɔt na di insay mɔsul we tu tayt ɛn i kin mek i nɔ tayt. I tan lɛk we yu kɔt tayt rɔba band smɔl ɛn lus am. dis dεn kכl am `(Myotomy)`, we min fכ kכt mכsul.
Wetin mek yu nid fɔ du dis ɔpreshɔn?
Yu kin de wɔnda se, "Wetin mek a go nid fɔ du ɔpreshɔn fɔ wan smɔl mol?" Na dis na di rizin.
we fis de fכm na di rεktum, di mכsul we de כndalayn de kכmכt. Dis kin mek di mɔsul tayt ɔltɛm ɛn i nɔ kin ebul fɔ kɔntrol am. Wi kin kɔl dis mɔsul spam. Dɛn spasm ya kin mek tu men prɔblɛm dɛn:
1. Stret di wund: We di mכsul tayt, di sayd dεm na di tεndon de pul tכgeda. Jɔs lɛk we wi bɛn wi an ɛn gɛt wund na wi ɛlb, di wund kin opin. Dis kin ridyus di chans fɔ mek di wund wɛl.
2. Di blɔd we de flɔ smɔl: We di mɔsul tayt tayt wan, di blɔd we de go na da say de nɔ de go ɔp. Gud blɔd saplai impɔtant fɔ mek ɛni wund wɛl. We di blɔd nɔ de flɔ, di we aw i de wɛl kin stɔp kpatakpata.
Dis kin mek di mɔsul tayt bikɔs ɔf di pen, ɛn di mɔsul we tayt kin mek di wund nɔ wɛl ɛn di pen kin bɔku. I tan lɛk wan bad bad saykl. di `Lateral Internal Sphincterotomy` ɔpreshɔn de brok da bad bad saykl de. we di mכsul tayt dכn dכn bitwin 20% εn 50%, di `spasm` dεm de stכp, di bכdi de fכlכ bak, εn di wund de bigin fכ hεl nכmal wan.
Mɛmba se nɔto ɔl di anal fissures dɛn nid ɔpreshɔn. כltu, lεk 40% pan di anal fis dεm nכ de rεspכnd to mεdikeshכn εn i kin bi krεse. If dɛn kayn tin ya apin, dɛn kin tek ɔpreshɔn as di sɔlv we go wok pas ɔl ɛn we go de sote go .
Wetin kin apin bifo dɛn du di ɔpreshɔn ɛn we dɛn de du di ɔpreshɔn?
Bɔku tɛm, dis nɔto big ɔpreshɔn. Bɔrku tɛm na ɔutpatient prosidur usay yu kin go na os di sem de afta tritmɛnt.
Fɔ rɛdi fɔ ɔpreshɔn
- Anestezi: Dɛn kin du dis ɔpreshɔn ɔnda jenɛral anestezi. Dis min se yu nɔ go fil ɛnitin we dɛn de du di ɔpreshɔn. So, yu nɔ go ebul fɔ drayv afta di ɔpreshɔn. I rili impɔtant fɔ gɛt pɔsin we go drayv yu go na os.
- Fɔ fala di instrɔkshɔn dɛn: Fɔ fala di tin dɛn we yu dɔktɔ tɛl yu fɔ du, lɛk ɔmɔs awa yu nid fɔ fast bifo yu du di ɔpreshɔn.
We dɛn de du di ɔpreshɔn
Di ɔpreshɔn kin rili tek lɛk 30 minit so. Fɔs, di dɔktɔ we de du di ɔpreshɔn kin yuz wan smɔl tin we dɛn kɔl anoscope fɔ luk insay di an ɛn fɛn di rayt say we di fis de. afta dat, dεn kin mek sכm sכm pat na di sayd we di intanεt sfink mכsul de כnda di fis. Dɛn kin mek dis say we dɛn kɔt am wit skel ɔ ilɛktrik tin we dɛn kɔl ilɛktrɔkɔtiri. di gol na fכ ridyus di stiffness fכ di mכsul to di lεvεl we yu want εn alaw di fis fכ hεl.
Wetin kin apin afta di ɔpreshɔn? Ɛn aw di pen de?
Yu go fil sɔm pen afta di ɔpreshɔn, bɔt bɔku pipul dɛn se dis pen nɔ bɔku pas di shap pen we dɛn bin gɛt bifo dɛn du di ɔpreshɔn . Di dɔktɔ go gi yu mɛrɛsin fɔ mek yu fil pen.
| Wetin fɔ ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn | Tɔk bɔt |
|---|---|
| Pen | Sɔm pen kin de fɔ sɔm dez. Dɛn kin kɔntrol dis wit mɛrɛsin dɛn we di dɔktɔ gi yu fɔ mek yu fil pen. |
| Smɔl smɔl pus ɔ blɔd we de kɔmɔt | Di wund kin kɔmɔt sɔm wata ɔ blɔd fɔ sɔm dez. Dis na nɔmal tin. |
| Fɔ mek yu nɔ gɛt dɔti | Kɔnstipɛshɔn kin apin bikɔs ɔf anestezi ɛn ɔpreshɔn. I kin tek wan ɔ tu dez fɔ di fɔs bɔdi we yu de muv. |
| Rɛst | I impɔtant fɔ rɛst fɔ wan ɔ tu wiks. Nɔ es ebi ebi tin dɛn ɛn nɔ fɔ wok tranga wan. |
Aw fɔ mek i izi fɔ pul di dɔti?
Yu kin fil sɔm pen we yu gɛt bɔdi afta dɛn dɔn du yu ɔpreshɔn. Bɔt dis nɔto nyu tin to yu. Sɔm tin dɛn de we yu kin du fɔ ɛp fɔ du dis:
- Di tin dɛn we de mek yu stɔl soft: Yuz tin dɛn we de mek yu stɔl sof (as yu dɔktɔ tɛl yu).
- Wata ɛn it dɛn we gɛt fayv: Drink bɔku wata. It mɔ it dɛn we gɛt fayv lɛk frut, vɛjitebul, ɛn ɔl gren.
- Sitz bath: Siddon insay wan bɛsin we gɛt wata we wam fɔ 10-15 minit. Dis go mek di pen nɔ bɔku ɛn ɛp fɔ mek di wund klin.
- Bebi wayp: If yu yuz bebi wayp insted of toilet pepa, i kin mek di wund nɔ pwɛl.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Lɛk ɛni ɔpreshɔn, dis wan gɛt bɛnifit ɛn i gɛt smɔl smɔl prɔblɛm dɛn.
Di men bɛnifit na dat yu kin pul di pen we dɔn de mɔna yu fɔ lɔng tɛm fɔ ɔltɛm, wit sakrifays rɛt we na lɛk 95% . Dis go mek yu layf bɛtɛ bad bad wan.
Risk dɛn (Kɔmplikeshɔn dɛn): .
Dɛn tin ya na tin dɛn we pipul dɛn nɔ kin si ɔltɛm.
- Smɔl smɔl fecal incontinence: As di mɔsul dɛn de rilaks, yu kin gɛt smɔl smɔl stɔl ɔ briz lik we yu de wɛl. Dis na fɔ shɔt tɛm fɔ bɔrku pipul dɛm ɛn i go dɔn kpatakpata insay sɔm wiks.
- Urinary retention: Sɔm pipul dɛn kin gɛt sɔm prɔblɛm fɔ pis afta dɛn dɔn du dɛn ɔpreshɔn. Bɔku tɛm, dis kin sɔlv fɔ insɛf.
- Infekshɔn ɔ blɔd: Jɔs lɛk ɛni ɔpreshɔn, na smɔl risk de fɔ mek pɔsin gɛt infekshɔn.
- Di rash kin kam bak: Na smɔl tɛm nɔmɔ, di rash kin kam bak.
Yu dɔktɔ go tɔk to yu bɔt dɛn prɔblɛm ya ɛn ɛp yu fɔ disayd fɔ du di bɛst tin fɔ yu.
Ustɛm fɔ go to dɔktɔ
If yu gɛt ɛni wan pan dɛn tin ya afta dɛn dɔn du yu ɔpreshɔn, tɛl yu dɔktɔ wantɛm wantɛm:
- Sayn dɛm fɔ infekshɔn lɛk fiva, swel, ɛn rɛd rɛd na di wund .
- Blɔd we de kɔmɔt pasmak ɔ pus we de smɛl fayn.
- Bɔrku pen wae nɔr kin ebul fɔ kɔntrol ivin wit mɛrɛsin wae de mek pɔrsin fil pen.
- Nɔ ebul fɔ pis.
Ɔda ɔda tritmɛnt dɛn de we dɛn kin yuz?
Yɛs, ɔda tin dɛn de we yu kin du. `Fissurectomy` na ɔda ɔpreshɔn we dɛn kin du. insay dis, dεn de pul di fis εn di tisu we de rawnd am we dεn nכ de kכt di mכsul. na di sem tεm, dεn de injεkt `Botox` fכ rilaks di mכsul. כltu, dεn kin kכnsidr `Lateral Internal Sphincterotomy` as di `gold standad` εn dεn bin de yuz am fכ lכng tεm wit di hεyest sakses rεt.
Fɔ pɔsin we dɔn de sɔfa wit anal fissures fɔ mɔnt, we i tink bɔt ɔpreshɔn kin mek i fred. Bɔt i kin rili mek yu gɛt di rilif we yu nid. Yu go bigin fɔ fil big difrɛns insay sɔm dez afta dɛn dɔn du di ɔpreshɔn.
Mɛsej we dɛn kin kɛr go na os
- If di anal fissure de fɔ pas tu mɔnt we i nɔ wɛl wit mɛrɛsin, dɛn kin tek am se na sik we nɔ de mɛn.
- `Lateral Internal Sphincterotomy` na wan we we rili saksesful (95%) εn simpul כpεrayshכn we de ridyus di tayt we di mכsul dεm de insay di rεktum, we de alaw di fis fכ hεl.
- Di pen afta dɛn du di ɔpreshɔn kin smɔl pas di pen we pɔsin kin fil we dɛn kɔt am.
- Pan ɔl we i kin tek lɛk 6 wiks fɔ mek yu wɛl ful wan, yu go bigin fɔ fil fayn fayn wan insay sɔm dez.
- If yu gɛt ɛnitin we de mɔna yu ɔ yu de fred bɔt di ɔpreshɔn, tɔk bɔt am opin wan wit yu dɔktɔ. Dɛn go gi yu di bɛst sɔlvishɔn.
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