Yu kin gɛt prɔblɛm bak fɔ go na tɔylɛt? Lɛ wi lan mɔ bɔt Obstructed Defecation Syndrome!

Sɔntɛnde yu kin fil lɛk se i nɔ kin izi fɔ yu fɔ pas stɔl we yu de go na tɔylɛt? Yu kin fil se yu dɔn dray, yu tayt, ɛn yu nɔ dɔn rili dɔn? Ɔ yu kin go we yu nɔ go na tɔylɛt fɔ sɔm dez? Sɔntɛm dis nɔto jɔs ɔdinari kɔnstipɛshɔn. Tide, lɛ wi tɔk bɔt di mɛrɛsin we dɛn kin yuz fɔ dis sik, we dɛn kɔl Obstructed Defecation Syndrome. Pan ɔl we dis na lɔng nem smɔl, fɔ tɔk am simpul wan, na tin we kin ambɔg ɔ nɔ kin fil fayn we kin apin we pɔsin de kɔmɔt na di dɔti.

Wetin na dis prɔblɛm we de mek pɔsin nɔ gɛt dɔti? (Wetin na `Obstructed Defecation Syndrome`?)

Fɔ tɔk am simpul wan, Obstructed Defecation Syndrome (ODS) na wan sik we yu fɔ defecate bɔt yu nɔ ebul fɔ du am fayn. Bɔku rizin dɛn kin de fɔ dis. Sɔm na tin dɛn we pɔsin kin si, we min se na mashin dɛn we de ambɔg yu bɔdi kin mek i nɔ ebul fɔ du am. Ɔda wan dɛn kin bi saykilɔjik.

Pɔsin wae gɛt dis sik kin gɛt dɛn tin ya:

• Fɔ fil lɛk se yu nɔ go ebul fɔ go na tɔylɛt ɛnitɛm we yu want.
• A kin jɔs gɛt fɔ go na tɔylɛt wan tɛm ɛvri sɔm dez, we min se a nɔ kin poop bɔku tɛm.
• Ivin afta yu dɔn go na tɔylɛt, yu stil de fil lɛk se yu nɔ dɔn pul dɔti ɔlsay.

Dis kin mek dɛn gɛt kɔnstipɛshɔn . Sɔntɛnde, di stɔl we dɔn stɔp insay kin kɔmɔt smɔl smɔl we i nɔ ebul fɔ kɔntrol am. Dɛn kin kɔl dis bak `(Fecal Incontinence)`. Dɛn pipul ya kin spɛn bɔku tɛm na tɔylɛt, wet fɔ mek di stɔl kɔmɔt, ɔ dɛn kin strɛs tranga wan. biכs fכ strεn lεk dis fכ lכng tεm εn pas dray, had stכl, di mכsul dεm εn nεv dεm we de involv insay di prכsεs fכ defekshכn kin pwεl. Dɔn di tin kin wɔs. Imajin, if yu de tray fɔ opin domɔt ɛn i stɔp, if wi push mɔ, tin dɛn lɛk di hinj dɛn na di domɔt sɛf kin pwɛl, nɔto so? Na dat de apin na ya.

Aw dis sik kin afɛkt yu bɔdi?

ODS nɔto wan sik. I tan lɛk ambɔla. Ɔnda da ambɔla de, bɔku difrɛn tin dɛn de we kin mek pɔsin gɛt kɔnstipɛshɔn ɛn i nɔ kin izi fɔ mek i go na di dɔti. Di kɔmɔn tin fɔ ɔl dɛn tin ya na di sayn dɛm we de sho se pɔsin gɛt kɔnstipɛshɔn.

Fɔ mek dɔktɔ dɛn no se pɔsin gɛt kɔnstipɛshɔn, tu ɔ mɔ pan dɛn sayn ya fɔ de fɔ 90 dez :

• We yu strɛch pas 25% pan di tɛm dɛn we yu kin gɛt bɔdi muvmɛnt.
• di filin fכ inkכmplit evakueshכn insay mכr dan 25% pan di bכdi muvmεnt dεm.
• we yu pas had, dray stɔl pas 25% pan di tɛm.
• fכ yuz tin dεm lεk finga fכ fכs pas 25% pan di tεm.
• Difecation less dan tri tɛm insay di wik.

Bɔt dɛn sayn ya kin jɔs bi di say we di ays blɔk de. Ɔda ɔndalayn kɔndishɔn dɛn kin de we dɛn nɔ dɔn no yet.

Kɔnstipɛshɔn we nɔ de dɔn kin mek yu gɛt bɔku ɔda prɔblɛm dɛn as tɛm de go. Sɔntɛnde, i nɔ kin izi fɔ no wetin mek i kam fɔs ɛn wetin mek i kam leta.

Pipul wae gɛt prɔblɛm fɔ pas stɔl kin gɛt ɔda tin dɛm bak lɛk:

• di pεlvik fכl we nכ de wok fayn: di mכsul dεm εn di nεv dεm na yu bכdi εria (di εria dεn we de dכn yu bεlε bכtכm) nכ de wok tכgeda fayn fכ pas stכl. Tink bɔt am lɛk se wan tim de wok togɛda, bɔt ɛnibɔdi de du difrɛn tin dɛn.
• כgan prolaps: Na כgan we de na di bכdi, lεk di blad, di uterus, כ di intestin dεm we de fכl frכm in nכmal posishכn, push pan כda כgan כ tray fכ kכmכt na di bכdi.
• di rεktal hayposensεshכn: di lכs fכ di abiliti fכ sכm sכt כ di nid fכ defecate insay di rεktum. Bɔku lɛk we wi nɔ de fil lɛk se wi de fil lɛk se wi de swɛt na wi an.
• Pooping anxiety: Sɔm pipul kin no ɔr nɔr kin no fɔ defecate bikɔs ɔf di tranga, penful stɔl wae dɛn kin gɛt. Jɔs lɛk if yu tɔch sɔntin we wam ɛn bɔn yusɛf, yu kin fred fɔ tɔch am bak.

Aw dis sik kin kɔmɔn?

Na lɛk 18% pan di pipul dɛm na di wɔl, ɔr 18 pan ɛvri 100 pipul dɛm, de sɔfa wit dis kayn sik wae de bɔku pipul dɛm wae dɛn kɔl bowel incontinence. I kin apin mɔ pan uman dɛn ɛn pipul dɛn we dɔn ol . So no se nɔto yu wangren gɛt dis prɔblɛm.

Wetin na di sayn dɛm we de sho se pɔsin nɔ ebul fɔ kɔntrol in bɔdi?

Pɔrsin wae gɛt dis sik kin fil lɛk dis:

• A nid fɔ go na tɔylɛt, bɔt a fil lɛk se a nɔ ebul.
• I kin rili at fɔ pul dɔti, sɔntɛnde i kin gɛt pen.
• I nɔ mata aw a tray tranga wan, a kin fil lɛk se a nɔ pas stɔl ɔltogɛda.
• I kin tan lɛk se sɔntin dɔn stɔp na di we aw di stɔl de.

Dis kin mek yu nid bak fɔ du dɛn tin ya:

• Straining fɔ mek yu go defecate.
• Fɔ wet fɔ lɔng tɛm fɔ mek di stɔl kɔmɔt.
• Sɔntɛnde yu kin gɛt fɔ yuz yu finga dɛn fɔ ɛp yusɛf fɔ pas stɔl. (Nɔ shem fɔ dis, na pat pan di kɔndishɔn.)
• Di yus fɔ laxative ɔ enemas fɔ pul di stɔl.

Dis kayn tin kin mek ɔda tin lɛk:

• Banbɛlɛ.
• `Fecal incontinence` (di bכdi we dεn nכ de kכntrol).
• Wan prɔblɛm we kin apin ɔltɛm.
• Mental kɔndishɔn lɛk wae yu de wɔri ɔr pwɛl hat, bikɔs dis kin gɛt big impak pan ɛvride layf.

Di kɔmplen dɛn we dɛn kin kɔmplen pas ɔl na:

• di rεktum kin fil se i swel ɔ i wund.
• Bɛlɛ pen ɛn distenshɔn.
• Pen na di anal.
• Nɔs, taya, ɛn nɔ want fɔ it.

Wetin mek a nɔ ebul fɔ go na tɔylɛt fayn fayn wan? Wetin na di rizin dɛn?

Bɔku tin dɛn kin de we kin mek pɔsin gɛt ODS. Dɛn tin ya kin bi ɔrganik ɔ mɛkanikal . Dat min se tin dεm lεk di fכs tin dεm na di bכdi כ di fכs we de blok we di fεs de pas. Bɔt, tin dɛn de bak we kin mek pɔsin du sɔntin . Dɛn tin ya gɛt fɔ du wit aw di bren ɛn di nervɔs sistɛm de wok.

Bɔku tɛm, dɛn tu kayn tin ya kin de togɛda. Sɔntɛnde, wan kayn tin kin mek pɔsin gɛt di ɔda wan.

Mekanikal rizin dɛn:

• di pεrinial hεnia: di כgan dεm na yu bכdi כ yu bכdi εria de kכmכt tru di bכdi fכlכ.
• di pεlvik כgan prolaps: Na כgan we de na yu bכdi εria we de slip kכmכt na in nכmal posishכn εn push insay yu an כ rεktum. Fɔ ɛgzampul:
• di rεktal prolaps: wan pat pan di rεktum de kכmכt tru di anal opin.
• rεktal intusכsεpshכn: di כp pat pan di rεktum de kolכp insay lεk tεliskop.
• rεktosεl (wekεn rεktal wכl): pan uman dεm, di wכl bitwin di anus εn di vagina de wik, we de mek di anus kכmכt insay di vagina. Dis kin mek di stɔl trɔp na di say we de kɔmɔt na do.
• Solitary rectal ulcer syndrome: di divεlכpmεnt fכ wan כ mכr כlsa dεm na di rεktum. Dis kin bi bikɔs yu de strɛs ɔltɛm.

Di rizin dɛn we mek i de wok:

• Anismus (dyssynergic defecation): fכ pas stכl, di sphincter mכsul dεm we de rawnd di ans nid fכ rilaks. Dɛn nid bak fɔ mek di bɛlɛ mɔsul dɛn push dɛn. Dis prɔses nɔ de kɔdinɛt fayn, ɛn instead fɔ rilaks, di mɔsul dɛn kin tayt. I tan lɛk se yu de tray fɔ opin domɔt ɛn lɔk am mɔ ɛn mɔ.
• rεktal hayposensitiviti: Yu fכ ebul fכ fil di sens we yu rεktum de fulכp wit stכl. We di nerv dɛn pwɛl, dat kin mek di bren nɔ ebul fɔ sɛn signal fɔ tɛl yu fɔ mek yu bɔdi muv.
• Saikɔlɔjik disɔda: Wae pɔrsin kin wɔri, pwɛl hat, sɔm kayn frayd frayd, OCD (obsessive-compulsive disorder), ɛn wae pɔrsin nɔr de it fayn, ɔl kin afɛkt dis. Dis na gud ɛgzampul fɔ sho aw tin dɛn we de apin to pɔsin in maynd kin afɛkt di bɔdi.

Ɛni wan pan dɛn tin ya kin bi di men tin we kin mek pɔsin gɛt ODS, ɔ di sɛkɔn tin we kin mek pɔsin gɛt ODS.

Dɔn bak, dɛn tin ya kin mek dɛn kayn tin ya apin:

• Bɛlɛ ɛn bɔn pikin.
• Dɛn bin de du ɔpreshɔn na di say we di bɔdi de na di bɛlɛ.
• Injuri ɔ abiuz we pɔsin kin gɛt bikɔs ɔf aksidɛnt.

Aw ɛksaktɔli dɔktɔ dɛn kin no bɔt dis sik?

We yu go to dɔktɔ, dɛn go aks yu fɔs bɔt di sayn dɛn we yu gɛt. Dɛn kin yuz bak wan skɔring chɔt fɔ no aw yu sik dɛn kin tranga.

Pan ɔl we dɛn sayn ya kin ɛp yu fɔ no if yu kɔnstipɛshɔn nɔ de te, fɔ no di kɔrɛkt we aw yu gɛt ODS, yu dɔktɔ go nid fɔ mek shɔ se simpul tin dɛn (lɛk we yu chenj yu it fɔ sɔm tɛm) nɔ de mek yu gɛt am. Dis go min fɔ tek yu mɛdikal istri ɛn du bɔku tɛst dɛn.

Us tɛst dɛn kin du fɔ no dis sik?

Afta yu dɔn ɔndastand yu sik, yu dɔktɔ kin tɛl yu fɔ du tɛst lɛk dis fɔ no mɔ:

• Dijital Rɛktal Ɛgzam: Dis na di fɔs tɛst we dɛn kin du. Di dɔktɔ go yuz finga we gɛt glɔb ɛn we gɛt lɔbrik fɔ chɛk di rɛktum. Dis kin mek yu no di sayz we di rεktum de, wetin mek di pen, if di כgan dεm dכn prolaps, εn aw di mכsul dεm de wok fayn fayn wan. Dis kin tan lɛk se i nɔ fayn smɔl, bɔt na tɛst we rili impɔtant.
• Difekografi (X-ray ɔ MRI fɔ di bɔdi muvmɛnt): Dis min se yu fɔ tek pikchɔ fɔ di insay pat pan di bɔdi we yu de muv. Di dɔktɔ go put spɛshal tin (lɛk barium) insay yu rɛktum. Dɔn, dɛn go aks yu fɔ pas am lɛk se yu de dɔti. Dɛn kin du dis na wan spɛshal prayvet rum usay dɛn kin tek pikchɔ dɛn. Di dɔktɔ go wach yu insay ɔgan dɛn na kɔmpyuta skrin. Dis kin ɛp fɔ no aw yu rɛkɛt shep, aw yu mɔsul dɛn de wok, ɛn ɛnitin we de ambɔg yu we de mek yu nɔ ebul fɔ pas na yu stɔl.
• Anorectal Manometry: Dis tɛst de mɛzhɔ aw yu mɔsul ɛn nerv dɛn de wok togɛda fɔ ɛp yu fɔ pas stɔl. Dɛn kin put wan tin tiub (kateta) we gɛt smɔl balyɔn we dɛn tay insay yu an, ɛn dɛn kin ful-ɔp di balyɔn wit wam wata. di כda εnd pan di tiub kכnekt to wan mashin we de mכsu di mכsul dεm we de wok. dis kin mכsu di prεshכn, sεns, εn kכdכnayshכn na yu an.

Yu kin fil smɔl frayd ɔr nɔr kin fil fayn wae yu yɛri bɔt dɛn tɛst ya. Bɔt dɛn kin rili ɛp fɔ no di rayt tin we mek yu gɛt dis sik. Aks yu dɔktɔ ɛni kwɛstyɔn we yu go gɛt.

Wetin na di tritmɛnt dɛm fɔ dis?

Di tin dɛm wae kin mek pɔrsin gɛt ODS kin kɔmpleks, wit bɔrku tin dɛm wae gɛt fɔ du wit dɛnsɛf, so bɔrku tɛm di tritmɛnt kin bi ɔltin ɛn kɔnsavayv.Dɛn kin du am di we aw dɛn de du am. I nɔ go izi fɔ mek dɛn mɛn dis if dɛn jɔs du am wan ɔpreshɔn. Ivin if dɛn se dɛn fɔ du ɔpreshɔn, ɛn i kɔrɛkt pɔsin we nɔ fayn na in bɔdi, nɔto ɔltɛm i kin mek i wɛl ɔl. Di sayn dɛm kin kɔntinyu ɔr kin kam bak. Na bikɔs ɔda tin dɛn de we dɛn nid fɔ sɔlv, sɔntɛm dɛn nɔ dɔn fɛn yet.

Dis na di fɔs tin dɛn we dɔktɔ dɛn kin tɛl ɔlman fɔ du:

• Fɔ ad mɔ fayv to yu it: Na lɛk 30-40 gram fɔ wan de. Tin dɛn lɛk ligɛm, vɛjitebul, frut, ɛn ɔl gren.
• Drink mɔ wata: pas 2 lita fɔ wan de.
• Stul softeners ɔ laxatives , hom enemas , ɛn kɔlon irigashɔn if nid de.
• Yoga ɛn gayd rilaks tɛknik kin ɛp fɔ rilaks di mɔsul dɛn na di bɛlɛ ɛn ridyus strɛs.

Fɔ di wan dɛm wae gɛt sɔm kayn sik wae de kam wit dɛn nervɔs sistɛm ɔr saykilɔjik kɔz (lɛk tu-tɛd pan pipul dɛm wae gɛt dis sik kin afɛkt dɛn kayn tin ya):

• Bayofidbak tεrapi: dis kin yus fכ kכndishכn dεm lεk anismus (inability fכ rilaks di anal opin mכsul dεm) εn di pεlvik fכl dεm we nכ de wok fayn. Insay dis, dɛn kin sho yu di tin dɛn we yu bɔdi de du (lɛk we di mɔsul dɛn kin kɔntrakt) tru wan mashin. Dɔn yu kin tren yusɛf fɔ kɔntrol da wok de wit ɔl yu at.
• Saykotɛrapi: If nid de, go to ɛp frɔm saykayatrist ɔ advaysa. Dis kin trit tin dɛm lɛk wae pɔrsin de wɔri, pwɛl hat, ɛn frayd fɔ go na di dɔti.

Fɔ prɔblɛm wit yu bɔdi (lɛk prɔblɛm wit yu bɔdi lɛk fɔ prolaps): If ɔda tritmɛnt nɔ ɛp, dɔktɔ dɛn kin se yu fɔ du ɔpreshɔn. Bɔku kayn ɔpreshɔn dɛn de we dɛn kin du:

• posita kolporrafi fכ rεktosεl: fכ rεstכr εn strכng di prolapsed rεktal wכl.
• Stapled transanal rεktal rεsεkshכn (STARR) fכ rεktosεl εn intusussepshכn: כpεrayshכn fכ strכng di antεriכr wכl na di rεktum.
• rεktopεksi: fכ rεktal prolaps, di rεktum de kam bak to in nכmal posishכn εn i de fiks. Sɔntɛnde, dɛn kin yuz mɛsh fɔ dis. Sɔntɛnde, dɛn kin nid fɔ pul pat pan di kɔlon bak we dɛn de du dis ɔpreshɔn.

Mɛmba se ɔpreshɔn na las tin ɔltɛm. Yu dɔktɔ go tek tɛm chɛk yu sik ɛn tɛl yu bɔt di tritmɛnt we go fayn fɔ yu.

Wetin go apin tumara bambay fɔ di wan dɛn we gɛt dis sik?

Kɔnsɔvativ tritmɛnt kin ɛp lɛk 30% pan pipul dɛm fɔ si wan mɛrɛsin ɔr ridyus pan di sayn dɛm. Sɔntɛm dɛn kin nid fɔ kɔntinyu fɔ chenj di we aw pɔsin de liv in layf (di it, wata, ɛksesaiz) ɛn di tritmɛnt dɛn we dɛn kin gi na os (mɛdikeshɔn, ɛnima), bɔt dɛn kin rili mek pɔsin fil fayn.

Tritmɛnt lɛk bayɔfidbak ɛn saykotɛrapi kin tek tɛm ɛn dedikeshɔn fɔ mek dɛn gɛt rizɔlt, bɔt dɛn bɛnifit kin te. Di tin dɛn we kin kɔmɔt frɔm di ɔpreshɔn kin difrɛn. I tan lɛk se ɔpreshɔn kin wok fayn we dɛn put am togɛda wit ɔda tritmɛnt dɛn.

I nɔ izi fɔ pas stɔl na prɔblɛm we nid fɔ pe atɛnshɔn wantɛm wantɛm. Bɔt i kin tranga fɔ no wetin de mek yu gɛt am. yu go sɔprayz aw plεnti sistεm dεm na wi bכdi – ivin di bren – de involv insay di prכsεs fכ pas stכl!

Bɔt gud tin na dat, bɔku pan di tritmɛnt dɛn we dɔktɔ dɛn kin tɛl pɔsin fɔ gɛt ODS kin ɛp bak fɔ ɛnibɔdi we gɛt kɔnstipɛshɔn ɔltɛm. Yu kin bigin wit aw fɔ chenj yu layf, aw fɔ mɛn yu na os, ɛn aw fɔ mɛn yu tide. Bɔt i fayn ɔltɛm fɔ go to dɔktɔ fɔ mek dɛn chɛk yu. I kin pul ɔda mɛrɛsin ɔr bɔdi prɔblɛm dɛn we kin mek yu gɛt prɔblɛm ɛn trit dɛn tin dɛn de bak. Ɛn, afta i dɔn lan mɔ bɔt yu sik, i kin tɔk to yu bɔt aw yu dɔn no bɔt yu sik.

Fɔ dɔn, mɛmba dis !

Okay, so na sɔm tin dɛn we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt tide:

• Urinary incontinence (UDI) na sɔm kayn kɔmpleks kɔndishɔn we kin kam frɔm mɔ pas wan tin.
• If i nɔ izi fɔ yu fɔ go tɔylɛt, yu bɔdi dɔn dray, ɛn yu fil lɛk se yu nɔ pas stɔl, nɔ jɔs ignore am.
• If yu gɛt dɛn kayn sik ya, nɔr shem ɔr frayd, go to dɔktɔ. If yu fɛn di kɔz ɛn gɛt di rayt tritmɛnt, yu kin kɔmɔt pan dis kayn tin.
• Simpul chenj na yu layf (fud we gɛt bɔku fayv, wata, ɛksesaiz) kin mek big difrɛns.
• Sɔntɛnde spɛshal tritmɛnt lɛk `Biofeedback` ɔ ɔpreshɔn kin nid fɔ de. Yu dɔktɔ go advays yu bɔt dis.
• Nɔto yu wan gɛt dis prɔblɛm. Bɔku pipul dɛn kin sɔfa wit dis sik. So kɔntinyu fɔ strɔng ɛn fala yu dɔktɔ in advays.

Wi de wish yu gud wɛlbɔdi!

` Kɔnstipɛshɔn, I nɔ izi fɔ mek yu kɔmɔt na yu bɔdi, Obstructed Defecation Syndrome, Rɛktal Sik, Pɛlvik Flɔ Wiknɛs, Dray, Stul Tritmɛnt