Yu dɔn gɛt wan lump we de mek yu fil pen bak nia yu anus? I kin bi ‘Perianal Abscess’!

Yu dɔn ɛva gɛt wan bɔku bɔku pen, rɛd, swel lump rawnd yu anus (we wi kin defecate)? Dis sik wae kin mek yu fil pen sote yu nɔr kin ivin sidɔm ɔr muv, kin rili anɔynt yu. Bɔrku tɛm, dis kin bi wan kɔndishɔn we dɛn kɔl ‘Perianal Abscess’. Di nem kin tan lɛk big tin, bɔt lɛ wi tɔk bɔt am simpul wan, di we we yu go ɔndastand.

Wetin na perianal abscess?

Fɔ tɔk am simpul wan, na wan lump we ful-ɔp wit pus we de fɔm insay ɔ rawnd yu an (perineal area). I tan lɛk big blista ɔ bɔyl na wi skin, bɔt i de na say we wi kin fil mɔ.

wi rεktum na di las pat pan di dijestiv sistεm. Na tiub we lɔng lɛk tu inch. i gεt tu ring dεm fכ mכsul na di insay εn ausayd, we wi kכl ``sphinctres''. Dɛn mɔsul ya de kɔntrol aw di stɔl de pas. So, insay dis rεktum bכku gland dεm de we rili dilik. dis gland dεm de kכl sekreshכn fכ kip di rεktum wet. If wan pan dɛn gland ya blok sɔm we, i kin gɛt baktri ɛn pus kin bigin fɔ gɛda insay. Na da tɛm de dis pen we de mek pɔsin fil pen kin fɔm.

Sɔntɛnde dɛn kin kɔl dis sik ``Anal Abscess'' ɔ ``Anorectal Abscess.'' Pan ɔl we sɔm nem dɛn de, dɛn ɔl min di sem tin.

Udat dɛn kin gɛt dɛn tin ya mɔ? Udat dɛn de pan big risk?

Dis kכndyushכn we dεn kכl ``Perianal Abscess'', kin kכmכn bכku pan man dεm. E kin pasmak pan pipul dɛm wae ol bitwin 20 ɛn 60. Dɔn bak, pipul dɛm wae gɛt sɔm kayn wɛl bɔdi prɔblɛm kin gɛt bɔrku prɔblɛm.

Lɛ wi si udat kin gɛt mɔ prɔblɛm?

• If yu gɛt wan sik we dɛn kɔl Inflammatory Bowel Disease (IBD) (lɛk Crohn’s disease ɔ Ulcerative colitis). Dis na krεse inflammatory kכndishכn dεm we de afekt di intestines.
• If yu gɛt `(Dayabetes Mellitus)` (dayabitis).
• If yu gɛt wan sik we smɔl smɔl paus dɛn kin fɔm na di insay, lɛk divɛrtikulayt, ɛn dɛn kin gɛt di sik.
• If yu gɛt sik we de mek yu bɔdi wik, lɛk HIV/AIDS.
• Dis risk kin bɔku bak bay sɔm sik dɛn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs (STI).

Apat frɔm dis, sɔm ɔda tin dɛn de we kin mek pɔsin gɛt dis sik:

• If yu na mama we gɛt bɛlɛ.
• If yu na pɔsin we de smok.
• If yu de tek sterɔyd mɛrɛsin lɛk Prednisone, kansa mɛrɛsin, ɔ ɔda mɛrɛsin we de stɔp yu imyun sistɛm.
• If yu kin gɛt dayarɛa ɔ kɔnstipɛshɔn ɔltɛm.
• sכmtεm, dεn kayn injuri εn infεkshכn ya kin apin bak bikoz fכ put sכm tin dεm insay di an (fכ egzampl, we dεn de du mami εn dadi biznεs).

Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Aw yu no am?

De sayn wae de sik pasmak wae dɛn kin si na, .Lump ɔ lump we kin rɛd, we kin swel, ɛn we kin mek pɔsin fil pen we yu tɔch am nia di an. I tan lɛk big big pimple. Sɔntɛnde dis kin bi pen we de mek pɔsin de blo. Dis pen kin wɔs wae yu sidɔm, kɔf, ɔr defecate. Imajin, dis kin mek yu fil pen sote yu nɔ kin ivin ebul fɔ du di tin dɛn we yu de du ɛvride.

Ɔda sayn dɛn kin de bak:

• wan wata we de kכmכt lεk pus we de kכmכt na di an.
• Siriɔs pen na ɔ rawnd di rεktum.
• Wan rɛd, swel, penful lump ɔ swel.
• Kɔnstipɛshɔn ɔ pen we yu de muv yu bɔdi.
• Diskɔmfɔt lɛk inflamɛns ɛn it na di skin we de rawnd di an.
• Sɔntɛnde smɔl blɔd kin kɔmɔt wit di stɔl (Rɛktal bleeding).
• Di pen we de na di bɛlɛ we de dɔŋ.

Bikɔs infekshɔn de insay dis abses, sɔm pipul dɛn kin gɛt sɔm kayn tin dɛn we tan lɛk flu, lɛk fiva, kol, ɛn bɔdi we kin at .

Wetin mek abses lɛk dis kin fɔm? Wetin na di tin dɛn we kin mek i apin?

bכku tεm, di men rizin fכ di fכmeshכn fכ dis `(Parianal Abscess)` na di blכk we wan pan di dilik gland dεm insay di anus we a bin tכk bכt. we dεn gland dεm ya blok, baktri dεm כ jεm dεm we de kכmכt na di stכl kin trכp insay dεm, we kin mek infεkshכn. Na da tɛm de di pus kin gɛda ɛn dis absɛs kin fɔm.

Sɔntɛm ɔda rizin dɛn de:

• Infεkshכn pan wan anal fissure.
• εni injuri na di anal εria (fכ egzampl, we yu de du anal sεks).
• Infεkshכn dεm we dεn kin gεt wit mami εn dadi biznεs (STIs).
• Ɔda sik dɛn we kin kam na di bɔdi.
• sכmtεm, kכndyushכn lεk dis kin apin bak bikoz fכ infεkshכn fכ wan ``Epidermoid cyst`` (dis kin bi tכmכro we de fכm bikoz fכ blok di כyl gland dεm na di skin) na di skin we de rawnd di an. Bɔt i nɔ kin pen smɔl pas wan rɛgyula ``Parianal Abscess`` ɛn i nɔ kin gɛt bɔku sayn dɛn lɛk fiva.
• Hidradenitis Suppurativa na wan sik we nɔ de mɛn na di skin we kin mek yu gɛt bɔyl ɛn abses we de kam bak, we de mek yu fil pen na di swet gland dɛm na di armpit, groin, rawnd di anus, ɛn ɔnda di brɛst.

Aw dɔktɔ kin no dis kɔrɛkt wan?

If yu gɛt dɛn sik ya, yu fɔ rili go to dɔktɔ. Bɔku tɛm, di dɔktɔ go chɛk yu.

Bɔku tɛm dɛn kin no dis bay we dɛn du ɛgzam na di rεktal . Di dɔktɔ go wɛr glɔv, put sɔm lɔbrik, ɛn put finga insay di rɛktum fɔ chɛk if ɛnitin nɔ de apin. sכmtεm, dεn kin yuz wan tin we dεn kכl spεkulam fכ luk insay di rεktum.

If yu si di abses frɔm do, sɔntɛm di dɔktɔ go ebul fɔ no am we i nɔ yuz ɛni inschrumɛnt. Bɔt sɔm abses kin de dip pas di say we di skin de.

if dεn saspek de fכ dis kayn dip opin, di dכkta kin du wan tεst we dεn kכl ``Proctosigmoidoscopy``. insay dis tεst, dεn de put wan tכn tכb insay di rεktum. Na di ɛnd pan di tiub, dɛn put wan smɔl kamɛra ɛn layt. כlso, sכmtεm dεn kin nid fכ du tεst lεk ``CT scan``, ``MRI`` כ ``Ultrasound`` fכ no di εksakכt saiz εn di say we di opin de.

dεn kin du dεn tεst ya fכ kכnfכm if dis na ``Parianal Abscess'' כ כda siriכs kכndyushכn lεk rεktal kεnsar.

Aw dɛn kin trit am?

di men tritmεnt fכ dis na fכ opin di absεs εn drein di pus (drenaj). Na dɔktɔ fɔ du dis.

Di tin we impɔtant pas ɔl: Nɔ ɛva tray fɔ pop ɔ swɛt bɔyl lɛk dis yusɛf! If yu du dat, i kin mek di sik go ɔlsay ɛn mek di tin wɔs.

Bɔrku pipul kin fil big big pen afta dɛn dɔn drɛn dis pus.

Bɔku tɛm, di dɔktɔ kin pul dis pus rayt na in ɔfis (OPD) bay we i gi wan tin we de mek pɔsin nɔ fil fayn, ɛn i kin kɔt am smɔl wit skel ɔ nidul.

Bɔt if di abses big ɔ rili dip, yu kin nid fɔ mek dɛn du dis ɔpreshɔn na ɔspitul we dɛn de yuz jenɛral anestezi.

Sɔntɛnde, dipen pan di say we di opin de ɛn aw i siriɔs, dɛn kin put smɔl tiub (kateta) na di opin fɔ mek sɔm pus kɔmɔt. Bɔku tɛm, dɛn nɔ kin nid fɔ stich, dɛn kin jɔs put mɛrɛsin ɛn bandej.

Afta dɛn dɔn du di ɔpreshɔn, yu dɔktɔ go tɛl yu fɔ du dɛn tin ya:

• Tek ``sitz bath'' plenti taims fo de. Dis min se yu fɔ sidɔm na tub we gɛt wam wata wit yu an ɛn yu jɛnɛral eria we yu put insay wam wata. Dis go mek yu nɔ fil pen ɛn swel, ɛn ɛp di wund fɔ wɛl kwik kwik wan.
• Dɛn kin gi di pɔsin antibayɔtik fɔ kɔntrol di sik, ɔ if di pɔsin gɛt wik imyun sistɛm.
• Dɛn kin gi laxativ ɔ stɔl sɔftin fɔ ridyus di pen we yu de muv yu bɔdi.
• Fɔ mek yu nɔ fil pen, dɛn kin aks yu fɔ tek mɛrɛsin fɔ mɛn yu pen ɔltɛm ɔ sɔntɛm dɛn kin aks yu fɔ tek mɛrɛsin we strɔng pas am we dɔktɔ tɛl yu fɔ tek.

Yu tink se dis sik kin kɔmɔt na os?

insay sɔm kes dɛm we smɔl `(Perianal Abscess)`, wam kɔmprɛs ɛn `(Sitz bath)` kin gi sɔm rilif na os. Bɔt i go fayn ɔltɛm fɔ go to dɔktɔ ɛn aks am fɔ advays. Bikɔs, sɔntɛnde, di dɔktɔ kin disayd se i nid fɔ pul di pus tru ɔpreshɔn. If bɔyl bɔs insɛf we yu nɔ gɛt dɔktɔ advays, dat kin mek di sik go ɔlsay.

Aw lɔng i kin tek fɔ mek i wɛl?

di pεrianal absεs kin tek lεk tri to fכ wik fכ hεl kכmplit wan afta dεn dכn drayn di pus. Bɔt di American Society of Colon and Rectal Surgeons se leta lɛk af pan di pipul dɛn we gɛt abses go gɛt anal fistula (wan tanɛl we gɛt di sik bitwin di an ɛn rɛktum).

Yu fɔ pop dis nat?

Nɔ, nɔ ɛva du dat. If yu du dat, i kin mek di sik go ɔlsay ɔ i kin mek di abses wɔs. I fayn fɔ mek dɔktɔ klin dis.

Wetin yu kin du if dis abses bɔs wantɛm wantɛm?

If di abses bɔs insɛf, tray fɔ kip di say klin as yu ebul. Wash am fayn wit sop ɛn wata ɛn kɔba am wit klin bandej. Bɔt i kin stil gɛt di sik, ɔ i kin gɛt di sik. So wet fɔ sɔm dez ɛn si if i wɛl fayn fayn wan. Mek shɔ se yu go to dɔktɔ fɔ advays.

Aw a go mek i nɔ kam bak?

Yu kin du dɛn tin ya fɔ mek dis kayn abses nɔ kam bak:

• If yu gɛt tin dɛn we de mek yu gɛt dis sik, lɛk dayabitis ɔ inflammatory bowel disease, kɔntrol dɛn fayn fayn wan.
• Ɔltɛm kip yu an ɛn yu jɛnɛral eria klin. Fɔ fala di gud we aw yu fɔ klin.
• If yu yuz kɔndɔm we yu de du mami ɛn dadi biznɛs wit yu an, dat kin mek yu nɔ gɛt STI (infɛkshɔn we pɔsin kin gɛt we i de du mami ɛn dadi biznɛs) ɛn baktri dɛm.

Sɔm wɛl bɔdi kɔndishɔn (e.g., IBD) kin nɔr kin pul dis risk kpatakpata. Bɔt i impɔtant fɔ gɛt di rayt tritmɛnt fɔ dɛn sik dɛn de ɛn fɔ no se dɛn kin mek dɛn kayn ɔlsa ya.

Yu tink se dis na siriɔs tin?

Pɛrianal absεs nɔ kin siriɔs ɛn dɛn kin trit am ɛn mɛn am. Bɔt if yu sik de wɔs ɔ nɔr bɛtɛ afta yu dɔn trit yu, mek shɔ se yu tɛl yu dɔktɔ.

Wetin na di prɔblɛm dɛn we kin apin?

Bɔku tɛm, di tritmɛnt kin wok fayn. Bɔt, sɔm tɛm dɛn we nɔ kin apin so ɔltɛm, sɔm prɔblɛm dɛn kin apin:

• Anal fistula (wan tכnel we infεkt bitwin di anus εn di vagina).
• Absεs fכmeshכn we de kam bak.
• Spread of infection ɔ ``Sepsis`` (wan bad bad infɛkshɔn we kin mek pɔsin in layf de pan denja).
• Fournier’s gangrene (wan rili siriכs baktri infεkshכn we de spre to di tisu dεm we de rawnd di anus εn di jεnital dεm – dis nכ kin rili apin).

Ustɛm a fɔ go to dɔktɔ?

An anal abscess kin mek i gɛt prɔblɛm if dɛn nɔ trit am. Go to dɔktɔ wantɛm wantɛm if yu gɛt ɛni wan pan dɛn sayn ya:

• I kin fil bad bad wan ɛn nɔ kin fil fayn.
• Blɔd we de kɔmɔt na di rɛktɔ.
• Fiva ɛn kol kol.
• Swelling arawnd di anus.

Wetin na di difrɛns bitwin ɛmoroyd ɛn absɛs?

Sɔm pipul kin kɔnfyus dɛn tu tin ya bikɔs dɛn ɔl tu kin gɛt fɔ du wit diskɔmfɔt na di an. Bɔt, difrɛns de bitwin dɛn tu.

• Ɛmoroyd na blɔd vesel dɛn we dɔn swel we kin mek insay ɔ ausayd di an. Dɛn kin fil lɛk se dɛn gɛt lumps. Dɛn kin mek pɔsin nɔ fil fayn, i kin it, ɛn sɔntɛnde i kin mek i blɔd. Bɔt, ɛmoroyd nɔto infekshɔn. Bɔku tɛm, dɛn kin mɛn ɛmoroyd wit krim dɛn we dɛn nɔ kin bay na kɔt ɔ bay insɛf.
• Absεs na wan bכdi we fulכp wit pus we infεkshכn de kכz. Bɔku tɛm, i kin mek pɔsin fil pen ɛn i kin big pas ɛmoroyd. Pan ɔl we ɛmoroyd kin fil tranga smɔl we yu tɔch am, abs kin fil wam, tan lɛk, ɛn i kin fil pen we yu tɔch am. Dɔn bak, we yu gɛt abses kin mek yu gɛt sɔm sayn dɛn lɛk fiva ɛn kol, we ɛmoroyd nɔ kin du.

Fɔ tɔk am simpul wan, pan ɔl we ɛmoroyd kin mek pɔsin vɛks, absεs na sik we nid fɔ pe atɛnshɔn mɔ ɛn trit am.

Fɔ dɔn (Tek-Home Mɛsej) .

Perianal abscess na tin wae de mek yu fil bad ɛn de mek yu fil pen. Bɔt di bɛst tin na dat, na sik we pɔsin kin mɛn . Pan ɔl we sɔm kayn wɛlbɔdi prɔblɛm kin mek yu gɛt mɔ prɔblɛm, i impɔtant fɔ no bɔt am ɛn du di tin dɛn we yu nid.

If yu gɛt lump, swel, ɔ pen lɛk dis na yu an, nɔ ignore am. Ɛspɛshali if i gɛt sayn dɛn lɛk fiva ɛn kol, yu fɔ rili go to dɔktɔ. Bɔrku tɛm, yu go gɛt big rilif wans yu dɔktɔ dɔn drɛn di pus frɔm di opin. Mɛmba se, nɔ tray fɔ pop ɔ pop dɛn tin ya yusɛf!

Wi de wish yu gud wɛlbɔdi!

` Anal fis, anal absεs, pus absεs, Pεrianal Absεs, Anal Absεs, Rεktal infεkshכn, εmoroyd