Yu kin gɛt prɔblɛm bak fɔ go na tɔylɛt? Mek wi lan bɔt prɔktitis?

Sɔntɛnde yu kin gɛt bɛlɛ pen we yu de go na tɔylɛt, ɔ yu kin notis smɔl blɔd ɔ mכkus na yu stɔl? Ɔ yu fil se yu fɔ go na tɔylɛt ɔltɛm? Nɔ ignore dɛn tin ya. Bikɔs dɛn tin ya kin bi sayn fɔ wan sik we dɛn kɔl `(Proctitis)`. Tide, lɛ wi tɔk bɔt wetin na `(Proctitis)`, wetin mek i kin apin, ɛn wetin wi fɔ du.

Wetin na dis `(Proctitis)`? Fɔ put am rili simpul wan...

Proktitis na inflameshn na di layn na di rεktum, di las pat pan di big intestin, jכs bifo di an. fכ bi prεsis, Procto min rεktum εn itis min inflameshn. dis kכndyushכn kin apin we di layn na di rεktum de irita (swεl, rεd) fכ difrεn rizin dεm, lεk baktri, kεmikכl, כ kכndishכn lεk inflammatory bowel disease. Dis kin mek yu gɛt sayn dɛm we nɔ fayn, lɛk pen, blɔd we de kɔmɔt na yu rɛkɛt, ɛn chenj na yu bɔdi.

Difrɛn kayn `(Proctitis)` de?

Yes, dipכnt pan di kכz fכ `(Proctitis)`, i kin bi sכt tεm (akyu) כ lכng tεm (krכnik) . `(Acute)` min se i kin apin wantɛm wantɛm ɛn i kin dɔn afta shɔt tɛm. `(Kronik)` min se i de las fɔ lɔng tɛm. di kayn `(Proctitis)` we kin apin bikoz fכ difrεn kכz dεm sכmtεm dεn kin kכl dεm difrεn nem dεm. fכ egzampl, di wan we dεn kכz fכ infεkshכn we dεn kin gεt pan mami εn dadi biznεs `(Sexually-Transmitted Infections - STIs)` dεn kכl am `(infectious proctitis)`. di wan we dεn kכz bay rεdyushכn tεrapi fכ kεnsar dεn kכl am `(radiation proctitis)`. semweso, di wan we wan kכndyushכn we dεn kכl `(Ulcerative colitis)` kכz dεn kin kכl am bak `(ulcerative proctitis)`.

Wetin na di sayn dɛm fɔ `(Proctitis)`?

Dis na di sayn dɛm wae pɔrsin kin si:

• Pen we de na di anɔrektal. I kin ivin at fɔ sidɔm.
• Pen na yu bɛlɛ lɛft kwata.
• Fɔ pas wata lɛk blɔd ɔ myusis wit di stɔl. Dis na di fɔs tin we bɔku pipul dɛn kin notis.
• Fɔ fil lɛk se di rɛktum dɔn swel ɛn ful-ɔp.
• Wan filin ɔltɛm se yu nid fɔ defecate (tenesmus), bɔt sɔntɛnde na smɔl tin nɔmɔ kin kɔmɔt we yu go na tɔylɛt.
• I nɔ izi ɔ i kin fil pen we yu de muv yu bɔdi (dyschezia).
• Banbɛlɛ.
• Rɔnbɛlɛ.

Wetin na di fɔs sayn dɛm fɔ `(Proctitis)`?

Bɔku tɛm, di fɔs sayn dɛn kin apin we yu go na di bafa. I nɔ kin izi fɔ yu, yu kin bɔn, ɔ yu kin fil se yu de prɛs yu we yu de pul yu dɔti.I kin fil lɛk. Yu kin fil lɛk se yu fɔ go na di bafa wantɛm wantɛm, bɔt yu nɔ go dɔn pas ɔl. Daya, blɔd ɔ mכkus na di stɔl na kɔmɔn fɔs sayn dɛm.

Wetin mek dis `(Proctitis)` kin apin? Wetin na di tin dɛn we kin mek i apin?

Bɔku tin dɛn de we kin mek pɔsin gɛt proktitis, sɔm kin bɔku pas ɔda wan dɛn.

Kɔmɔn tin dɛn we kin mek pɔsin gɛt `(Proctitis)`:

• Inflammatory Bowel Disease (IBD): Sik dεm lεk Crohn’s disease εn Ulcerative colitis kin mek difrεn pat dεm na di intestinal inflameshn fכ lכng tεm. pan lεk 30% pan di pipul dεm we gεt dεn sik ya, di inflameshn kin mεnli afekt di rεktum. Dis na di men tin we kin mek pɔsin gɛt proktitis in jɛnɛral.
• Infεkshכn we dεn kin gεt pan mami εn dadi biznεs (STI): Vayral infεkshכn dεm we dεn kin gεt wit mami εn dadi biznεs εn baktriyal infεkshכn kin kכmכt na di ans tru di an. Sɔm ɛgzampul dɛn na:
• `(Gɔna)` (Gɔna) .
• `(Klamidia)` (Klamidia) .
• `(Hɛpi simpul 2)` (Hɛpi simpul 2)
• `(Sifilis)` (Sifilis) .
• `(Human Papillomavirus - HPV)` (Mɔtalman Papilomavayrɔs)

Dis infεkshכn kin afekt uman εn man dεm we gεt anal-receptive sexual contact.

• Infεkshכn dεm na di gεstrointestinal: Baktri infεkshכn dεm na di intestinal dεm we kכz fכ it pכyzin kin afekt di rεktum sכmtεm. Ɛgzampul dɛn:
• `(Salmonela)` (Salmonela) .
• `(Shigɛla)` (Shigɛla) .
• `(Kampilobakter)` (Kampylobakter) .

If yu jɔs dɔn fɔ tek wan kɔs fɔ antibayɔtik, yu kin gɛt risk bak fɔ gɛt infɛkshɔn na yu intestin ɛn rɛkɛt we wan baktri we dɛn kɔl Clostridium difficile (C. diff) kin mek. C. diff na baktri we dɔn ɔlrɛdi de na yu intestinal. Bɔt we dɛn kil di gud baktri dɛm na yu intestinal wit antibayɔtik, di baktri dɛm we de kip C. diff in chɛk nɔ de igen, ɛn C. diff kin gro pasmak.

• di pikin in it protin alɛji: Bebi dɛn we nɔ gɛt alɛji to sɔm kayn milk, mɔ di milk we dɛn mek wit milk ɔ soya, kin gɛt inflamɛns ɛnisay na dɛn intestinal, ivin di rɛktum. di pikin dεm kin gεt dεn protin dεm ya frכm fכmula כ tru di mama in milk if dεn mama it it dεm we gεt dεn protin dεm ya.
• Redyushɔn tɛrapi fɔ kansa:we dεn gi rεdyushכn tεrapi fכ kεnsar, wan kכndyushכn we dεn kכl `(radiation mucositis)` kin apin εnisay na wi dijestiv sistεm. dis na inflameshn fכ di `(mucous lining)` insay di dijestiv sistεm. `(radiation enteritis)` (inflameshɔn na di smɔl intestin) ɛn `(radiation colitis)` (inflameshɔn na di big intestin) kin mɔs we dɛn gi redyushɔn tɛrapi to di ɔp ɔ dɔŋ bɛlɛ. we dεn gi rεdyushכn tεrapi to di `(pεlvik εria)`, yu kin divεlכp `(rεdyushכn proctitis)` (rεdyushכn inflameshn fכ di rεktum).

Di tin dɛn we nɔ kin bɔku fɔ mek pɔsin gɛt `(Proctitis)`:

• divεshכn proktitis: Dis na sayd ifekt we kin apin pan pipul dεm we dεn bin dכn du colostomy (na we dεn kin pul pat pan di big intestinal na di bכdi fכ mek wan pasej fכ stכl) כ ileostomy (na prosidכs we dεn kin pul pat pan di sכmכl intestin na di bכdi fכ mek wan pasεj fכ stכl) εn pas stכl tru difrεn rod pas tru di anus. dεn tink se biכs di stכl nכ de pas na di an, di ans nכ de gεt di nyutriεnt dεm εn sכt chen fεt asid dεm we nכmal fכ go insay di an (we de εp fכ kip di ans wet εn hεlty), we de mek di ans we dεn nכ de yuz fכ inflameshn. Bɔt, na smɔl pipul dɛn nɔmɔ kin gɛt dis sik.
• intestinal ischemic syndromes: Lεk ischemic colitis, ischemic proctitis kin apin we dεn kכt di bכdi fכ fכlכ to di rεktum, we de mek di tisu nכ gεt כksijεn. Bɔrku tɛm, dischemia kin kam bikɔs blɔd vesel kin blok, lɛk we blɔd kin klɔt, aneurysm, ɔ plek.
• Anorectal trauma: If dɛn put sɔntin ɔ kemikal we de na do tru di an, i kin mek di an ɛn di rɛktum inflamɛns. Di kεmεkal dεm we de insay sכm kayn εnεmas kin gεt dis ifekt bak.
• Eosinophilic gastrointestinal disorders (EGID): Eosinophilia na wan kayn wayt bכdi sεl we dεn kכl eosinophils. Wait blɔd sɛl dɛn de ɛp wi imyun sistɛm fɔ mek i gɛt inflammatory rispɔns. insay EGID, wi imyun sistεm de sεnd wan abnכmal hכy nכmba fכ di eosinofil dεm to wan pat pan di dijestiv trakt, we de mek di inflameshn fכ lכng tεm. Risach pipul dɛn tink se dis kin bi ɔva riakshɔn to wan alɛji fɔ it. Eosinophilic proctitis kin afɛkt pikin dɛn we nɔ rich 2 ia yet.
• Proctitis we dɛn nɔ kin fɛn ɛni kɔz fɔ (`Idiopathic proctitis`):Smɔl nɔmba pan pipul dɛm wae gɛt proctitis nɔr no wetin kin mek dɛn gɛt dis sik. Bɔt dɛn kin ansa fayn we dɛn chenj dɛn it. Idiopathic proctitis na wan sik wae kin teik lɔng tɛm, wae kin kam bak. Na lɛk 10% pan dɛn kes ya kin dɔn bi ɔlsɛrativ kɔlayt.

Yu tink se Proctitis na siriɔs sik?

Ɔnda nɔmal tin, prɔktitis nɔ de mek pɔsin in layf de pan denja ɛn i kin ansa fayn to tritmɛnt. Bɔt if i bad, i kin te fɔ lɔng tɛm, dɛn nɔ trit am, ɔ i nɔ gri fɔ tek di tritmɛnt, i kin mek i gɛt mɔ siriɔs prɔblɛm dɛn.

Fɔ ɛgzampul, ɔlsa we nɔ wɛl kin mek yu blɔd bɔku, ɔ di rɛktal wɔl kin pwɛl. Na smɔl tɛm nɔmɔ, prɔktitis kin afɛkt di nɛv dɛn we de rawnd am, we kin mek yu gɛt nyuropathy.

Kɔmplikɛshɔn dɛn we kin apin bikɔs ɔf di inflamɛns we kin de fɔ lɔng tɛm:

• Blɔd we de kɔmɔt pasmak, we kin mek yu nɔ gɛt blɔd.
• Fistulas (tכnel dεm we de pas tru di rεktal wכl).
• strikt כ stεnosis (di rεktum de sכmtεm bikoz fכ di ska dεm na di tisu dεm).

Di prɔblɛm dɛn we kin kam wit di nervɔs sistɛm nɔ kin bɔku, bɔt dɛn kin inklud:

• Nyurojɛnik blad nɔ de wok fayn.
• di sכl dεm we di fut dεm de sכmtεm εn sכmtεm de sכmtεm (paresthesia).
• Erectile dysfunction we nɔ de wok fayn.

Aw dɛn kin no se pɔsin gɛt Prɔktitis?

Dɔktɔ go aks yu fɔs bɔt yu sik dɛn ɛn afta dat i go chɛk yu rɛkɛt fɔ si if yu gɛt sayn dɛn fɔ proktitis. Dis kin inklud dijital rεktal εgzam εn anoskopi . If i tan lɛk se yu gɛt prɔctitis, yu dɔktɔ go aks yu mɔ kwɛstyɔn fɔ no wetin de mek yu gɛt am ɛn us kayn i bi. Fɔ ɛgzampul:

• Us mɛrɛsin yu dɔn tek dis biɛn tɛm?
• Ɛnibɔdi na di famili gɛt sik dɛn we pɔsin kin gɛt we i de fɛt insɛf?
• Yu kin du mami ɛn dadi biznɛs we yu nɔ protɛkt ɔ yu kin du mami ɛn dadi biznɛs wit pɔsin we yu nɔ tɛst?
• Yu dɔn travul go ɔda kɔntri dɛn i nɔ tu te yet?

Bay dɛn ansa ya ɛn wetin di tɛst dɛn sho, yu dɔktɔ go disayd us ɔda tɛst dɛn yu nid.

Ɔda tɛst dɛn kin bi:

• Blɔd tɛst: Blɔd tɛst kin no if pɔsin gɛt infɛkshɔn ɛn ɔda tin dɛn we kin mek pɔsin gɛt proktitis. I kin sho bak se di blɔd de go dɔŋ ɔ di wayt blɔd sɛl dɛn de bɔku.
• Stɔl tɛst: Di dɔktɔ go tek wan sɛmpul pan yu stɔl ɛn chɛk fɔ si if yu gɛt infekshɔn, blɔd de kɔmɔt, ɔ di wayt blɔd sɛl dɛn dɔn bɔku.
• rεktal kכlt: fכ dis tεst, di dכkta de swab insay di rεktum wit swab εn afta dat i de kכlt di sεmpl fכ no di baktri כ vayrus dεm we de de.
• proktoskopi: dis na we dεn de egzamin di insay pat pan di rεktum we dεn de yuz sכt, rigid tכb lεk instrכmεnt. Prɔktoskɔp na wan ol tiub we gɛt kamɛra ɛn layt na di ɛnd. If nid de, di dɔktɔ kin pas wan tul tru di tiub fɔ tek wan tisu sɛmpul (bayɔpsi).
• Fleksibul sigmoidoskopi: If di dɔktɔ want fɔ luk mɔ insay di sigmoid kɔlon, we na di las pat pan di big intestinal we de kɔnɛkt to di an, dɛn kin yuz wan lɔng, mɔ fleksibul tyub we dɛn kɔl fleksibul sigmoidoscopy. If prɔblɛm de wit di big intestinal, i kin sho sayn dɛm fɔ inflammatory bowel disease ɔ infekshɔn na di dijestiv trakt. Dɛn kin du wan bowel prep bifo dis tɛst.

Yu tink se Proctitis de wɛl fɔ insɛf?

I kin bi, bɔt no rizin nɔ de fɔ mek wi sɔfa. If yu gɛt infekshɔn, antibayɔtik ɔ antivayrɔs kin ɛp yu fɔ wɛl kwik kwik wan. If nɔto infekshɔn mek yu gɛt am, yu dɔktɔ kin gi yu mɛrɛsin lɛk stɛroyd fɔ ridyus di inflamɛns. If yu gɛt raytin proktitis, i kin go insay sɔm wiks afta yu dɔn gɛt redyushɔn tritmɛnt. Bɔt insay da tɛm de, di mɛrɛsin dɛn we dɛn kin tek fɔ mek pɔsin fil pen kin ɛp. If yu gɛt lɔng tɛm IBD, prɔktitis kin kam ɛn go. Bɔt yu kin yuz sɔm patikyula mɛrɛsin dɛn we i de flay.

Aw lɔng prɔktitis kin las?

Dis kin difrɛn difrɛn wan fɔ di kɔz ɛn di pɔrsin. Wit tritmɛnt, i kin sɔlv kwik kwik wan. Jɛnɛral wan, i kin tek lɛk 4 to 6 wiks fɔ wɛl afta dɛn dɔn sɔlv di tin we mek di inflamɛns dɔn. Wae di proctitis de wɛl, yu kin tek ɔva-di-kɔnta (OTC) mɛrɛsin fɔ pen ɔr dayarɛa.

Wetin na di tritmɛnt dɛm fɔ `(Proctitis)`?

Di tritmɛnt de dipen pan de tin wae de mek pɔrsin gɛt dis sik ɛn aw de sik tranga. Dis kin inklud:

• Stɔp di tin we de mek di inflamɛns.
• Antibayɔtik ɔ antivayrɔs fɔ infɛkshɔn.
• Immunosuppressants fכ proctitis we dεn kכz fכ כtoimyun kכndishכn dεm.
• Mεdisin dεm lεk Sulfasalazine כ Mesalamine fכ Ulcerative colitis/proctitis.
• Mεdisin dεm lεk Infliximab fכ Proctitis we dεn kin kכz fכ Crohn in sik.
• Dɛn kin yuz kɔtikosterɔyd dɛn we dɛn kin put pan pɔsin in bɔdi as ɔnt fɔ ridyus di pen ɛn inflamɛns.
• Dɛn kin yuz sucralfate enemas fɔ trit ɔlsa na di rεktal.
• εndoskopik prosidכs fכ stכp bכdi na di dijestiv trakt.

Wetin na di fiuja if a gɛt `(Proctitis)`?

Bɔrku pan di kes dɛm wae gɛt proctitis kin ansa fayn to tritmɛnt. If na shɔt tɛm (akyu) kɔndishɔn, i fɔ sɔlv insay 4 to et wiks pan big pipul ɔ sɔm mɔnt pan bebi. If yu gɛt lɔng tɛm proctitis we gɛt fɔ du wit IBD, yu kin si se di inflamɛns kin kam ɛn go. Yu kin trit flare-up wit anti-inflammatory drugs we nid de. Smɔl nɔmba pan pipul dɛn kin gɛt krɛse sik. Di kes dɛm we kin te fɔ lɔng tɛm kin gɛt prɔblɛm ɛn i kin at fɔ trit.

Yu kin ebul fɔ protɛkt Proctitis?

We yu tɛst yu patna bifo yu du mami ɛn dadi biznɛs, dat kin mek yu nɔ gɛt STI. Fɔ protɛkt yusɛf lɛk kɔndɔm kin ɛp pan sɔm kes dɛm, bɔt sɔm infɛkshɔn kin pas bak tru ɔral sɛks. If yu yuz dɛnt dɛm, i kin ridyus di prɛd ɔ infɛkshɔn fɔ STI tru ɔral sɛks. If yu praktis sef we fɔ pripia it ɛn tek tɛm wit wetin yu de it ɛn drink, mɔ we yu de travul go ɔda kɔntri, dat kin mek yu nɔ gɛt bɔku sik dɛn na yu bɛlɛ we yu gɛt bikɔs ɔf it pɔyzin. I sɔri fɔ no se, no we nɔ de fɔ mek dɛn nɔ gɛt IBD ɔ redyushɔn proktitis.

Ustɛm yu fɔ si dɔktɔ bɔt `(Proctitis)`?

Ɔltɛm go to dɔktɔ if yu gɛt sayn dɛn fɔ proktitis. E fayn fɔ no de tin wae de mek yu gɛt dis sik ɛn trit am fɔ mek de sik nɔr de wɔs. If yu de gɛt tritmɛnt, bɔt i stil tan lɛk se i nɔ de wok, kɔntinyu fɔ kɔntak yu dɔktɔ. Sɔm kayn proktitis kin nid sɔm tray fɔ mek dɛn ebul fɔ mɛn am fayn fayn wan. Na smɔl tɛm nɔmɔ, sɔm kes dɛn nɔ kin ansa ɛni standad tritmɛnt. If na so i bi, i kin nid fɔ du ɔpreshɔn.

De sayn dɛm fɔ proctitis, ilɛksɛf na fɔ sɔm tɛm ɔr de kɔntinyu, kin rili nɔr kin fayn. Di tritmɛnt fɔ proctitis de pe atɛnshɔn pan wetin de mek di inflamɛns ɛn di sayn dɛm. Sɔntɛnde, lɛk di raytin proktitis, na di sayn dɛm nɔmɔ dɛn kin trit. Ɔda kayn tin lɛk infekshɔn, i impɔtant fɔ mek dɛn du tɛst fɔ no di patikyula baktri ɔ vayrɔs we de mek yu gɛt di sik.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Okay, so naw yu get beta andastan fo wetin wi bin de tok abaut, `(Proctitis)`. Di tin we impɔtant pas ɔl na, if yu gɛt ɔnusual diskɔmfɔt, pen, blɔd ɔ mucus we yu de go na tɔylɛt, nɔ ignore am. Si dɔktɔ wantɛm wantɛm fɔ no di tin we mek i apin. Bɔrku tɛm, dɛn kin trit dɛn sik ya fayn fayn wan.

Nɔ fred, bɔt nɔ let bak! Yu wɛlbɔdi de na yu an.

Dɔn bak, fɔ du mami ɛn dadi biznɛs we nɔ gɛt wan prɔblɛm ɛn it klin it dɛn go ɛp fɔ protɛkt yusɛf frɔm dɛn kayn tin dɛn ya.

`Proktitis, inflameshn na di rεktum, bכdi we de bכn wit stכl, anal pen, STI, IBD, dijestiv sistεm