We yu go na di bafa, yu kin fil lɛk se pat pan yu bɔdi de kɔmɔt na yu an? Ɔ yu kin fil ɔltɛm se yu anus ful-ɔp, yu kin ebi, ɔ yu nɔ kin fil fayn? Bɔrku pipul nɔr kin tɛl ɛnibɔdi bɔt dɛn tin ya bikɔs dɛn shem ɔr frayd. Bɔt tide wi de tɔk bɔt ‘ Rectal Prolapse ’, wan kɔndishɔn we kin afɛkt bɔku pipul dɛn, bɔt i kin shem smɔl fɔ tɔk bɔt, bɔt we yu fɔ no bɔt.
Fɔ tɔk am simpul wan, wetin na Rɛktal Prolaps?
Tink bɔt wi dijestiv sistɛm. Di it we wi de it kin pas na wi intestinal, i kin digest, ɛn di dɔti tin dɛn kin pas kɔmɔt na wi bɔdi as fes. Bifo dɛn pas am, dɛn kin kip dis fes fɔ sɔm tɛm na di las pat na wi big intestinal. Dɛn kɔl dis di rɛktum . di mכsul dεm we de insay dis rεktum de ol am na in ples.
naw, Rεktal Prolaps na we di mכsul dεm we de ol di rεktum in ples wik, we de mek di rεktum slip dכn frכm in nכmal posishכn, dכn di anus, εn sכmtεm i kכmplit kכmכt na di bכdi. i lεk tεliskop we de go insay, usay pat pan di intestinal de go insay εn pat pan di rεktum de kכmכt.
Wetin mek dis de apin? Wetin na di rizin dɛn we mek dɛn de du dis?
bכku rizin dεm de we mek di mכsul dεm we de ol di rεktum na in ples kin wik. I nɔ kin bi wan tin we kin mek i apin, bɔt na bɔku tin dɛn we kin kam togɛda.
| Rizin | Wan simpul ɛksplen |
|---|---|
| Kɔnstipɛshɔn we nɔ de dɔn | as tεm de go, di mכsul dεm we de rawnd di anus de wik biכs fכ strεn fכ tεm we yu de go na di batrum. |
| We pɔsin de ol | Lɛk ɔl di mɔsul dɛn na di bɔdi, dɛn mɔsul dɛn ya kin wik we pɔsin de ol. Dis sik kin kɔmɔn pan uman dɛn we dɔn pas 50 ia. |
| Bɛlɛ ɛn bɔn pikin | Dis risk kin bɔku mɔ fɔ mama dɛn we jɔs bɔn pikin. Di prɛshɔn we pasmak we dɛn de bɔn pikin kin mek dis apin. |
| Di ɔpreshɔn dɛn we dɛn bin dɔn du bifo tɛm ɔ aksidɛnt dɛn | Di ɔpreshɔn we dɛn bin dɔn du bifo tɛm ɔ we dɛn wund di say we di bɔdi de na di bɛlɛ kin mek di mɔsul dɛn pwɛl. |
| Dayarɛa we nɔ de dɔn | We pɔsin kin go na di bafa bɔku tɛm, dat kin mek dɛn mɔsul dɛn ya gɛt mɔ prɛshɔn bak. |
| Ɔda wɛlbɔdi prɔblɛm dɛn | Kɔf we nɔ de dɔn, sniz, intestinal parasayt infɛkshɔn, nyurolɔjik dizayd, ɛn kɔndishɔn lɛk Sistik Faybrosis . |
Dis nɔto ɛmoroyd? Aw yu go mek dɛn tu difrɛn?
Dis na big prɔblɛm fɔ bɔku pipul dɛn. Bɔku pipul dɛn kin kɔnfyus di tu bikɔs sɔm tɛm dɛn de di sayn dɛm fɔ ɔl tu di Rɛktal Prolaps ɛn Ɛmoroyd kin fiba. Bɔt dɛn tu tin ya na tu tin dɛn we rili difrɛn.
Fɔ tɔk am simpul wan, ɛmoroyd na blɔd vesel dɛn we dɔn swel rawnd di an. di rεktal prolaps na we di כl rεktal wכl de kכmכt.
Lɛ wi ɔndastand klia wan di difrɛns bitwin dɛn tu tin ya.
| Di kwaliti we pɔsin gɛt | Prɔlaps we de na di rɛktal | Ɛmɔroyd dɛn |
|---|---|---|
| wetin na di nyus? | di rεktal wכl insεf (pat pan di intestכn) de slayv dכn εn kכmכt. | di bכdi we de rawnd di an de swel εn de kכmכt lεk tכmכro. |
| Aw a luk | Wan rɛd, we tan lɛk bɔdi, we gɛt kɔnsɛntrik ring dɛn rawnd am. | Bɔku tɛm, i kin tan lɛk smɔl nat. Sɔntɛnde, i kin bi dak pepul. Nɔ luk lɛk wrinkle. |
| Nechɔ | Dis na wan sik wae de go bifo ɛn de wɔs as tɛm de go. I nɔ de bɛtɛ fɔ insɛf. | Mɔs tɛm na fɔ shɔt tɛm nɔmɔ. I kin bɛtɛ fɔ insɛf insay wan ɔ tu wik if yu gɛt di rayt tritmɛnt. |
Wetin na di sayn dɛm fɔ dis?
Pɔsin wae gɛt dis sik kin gɛt difrɛn kayn sayn dɛm. Pan ɔl we dɛn tin ya nɔ kin rili bad fɔs, dɛn kin bɔku as tɛm de go.
- Filin ɔ ful-ɔp lɛk se sɔntin lɛk bɔl de na di an.
- Ivin afta yu dɔn go na tɔylɛt, i kin tan lɛk se yu nɔ rili poop .
- Wan rɛd bɔdi we gɛt bɔdi kin kɔmɔt we yu go na tɔylɛt. Fɔs, dis kin go insay insɛf, bɔt leta yu fɔ put am wit yu an.
- di wata we tan lεk mכkus, bכdi, כ stכl we de lik frכm di an (Fecal Incontinence).
- I de it ɛn pen rawnd di an.
- Kɔnstipɛshɔn ɔ i nɔ izi fɔ pas stɔl.
Aw dɔktɔ kin fɛn dis?
If yu gɛt dɛn sik ya, di bɛst tin fɔ du na fɔ go to dɔktɔ. Di dɔktɔ go aks yu bɔt yu sik dɛn ɛn du yu bɔdi ɛgzam. Dɛn kin aks yu fɔ was yu lɛk se yu de go na di bafa ɛn chɛk yu rɛktum.
Apat frɔm dat, yu kin du dɛn tɛst ya fɔ kɔnfirm di sik ɛn chɛk fɔ ɔda prɔblɛm dɛn:
- Dijital Rɛktal Ɛgzam: Na rutin ɛgzam we di dɔktɔ kin du bay we i de yuz finga we gɛt glɔv.
- Anorectal Manometry: na tεst we de mכsu di trεnk fכ di mכsul dεm na di rεktum εn anus.
- Difekografi: Na tɛst we dɛn kin yuz ɛkstrem rayt ɔ MRI skan fɔ tek vidio fɔ di wok we yu rɛktum de du we yu de pul di dɔti.
- Kolonoskopi: dεn de put wan fleksibul tכb wit kεmεra tru di an fכ egzamin di כl kכlon.
- Lɔwa GI Seri (Barium Ɛnima): .Dɛn kin gi wan wata we dɛn kɔl barium, ɛn dɛn kin tek sɔm ɛkstrem rayt fim dɛn we i de pas na di insay.
- Electromyography (EMG): Na tɛst we de chɛk fɔ si if di nɛv dɛn we de kɔntrol di mɔsul dɛn wok dɔn pwɛl.
Wetin kin apin if dɛn nɔ trit am?
Dis nɔto tin we de mek pɔsin in layf de pan denja, bɔt if dɛn nɔ trit am fɔ lɔng tɛm, di prɔblɛm kin bɔku ɛn siriɔs prɔblɛm kin apin.
- Fecal incontinence: Dis na di kכndyushכn we di mכsul dεm na di rεktum de tayt, we de mek i nכ ebul fכ kכntrכl di pas we di stכl εn di briz de pas. Dis prɔblɛm kin afɛkt 50%-75% pan pipul dɛm wae gɛt dis sik.
- Rɛktal Ɔlsa: Di pat pan di rɛktum we de kɔmɔt kin vɛks ɛn blɔd we i rɔb pan klos ɛn dray.
- Fɔ put pɔsin na jel: Sɔntɛnde dɛn nɔ kin ebul fɔ put di pat pan di rεktum we dɔn kɔmɔt bak insay Dis na sɔm kayn denja.
Di tin we impɔtant pas ɔl: If i stɔp lɛk dis, di blɔd we de go na da say de go kɔt ɛn di tisu go bigin fɔ day. Dɛn kɔl dis Strangulation ɔ Gangrene . Dis na mɛdikal imejensi. If dis apin, yu fɔ go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
Wetin na di tritmɛnt dɛm fɔ dis?
We dis sik kin apin to big pɔsin, i nɔ kin bɛtɛ fɔ insɛf. Bɔku tɛm, di bɛst tritmɛnt fɔ dis na fɔ ɔpreshɔn . if dis kכndyushכn apin pan yכŋ pikin dεm, i kin bεtε fכ insεf wans di kכz (e.g. kכnstipeshכn) dεn dכn kכl am.
Tu men kayn ɔpreshɔn dɛn de. Yu dɔktɔ go disayd di ɔpreshɔn we go fayn fɔ yu bay aw yu gɛt wɛlbɔdi ɛn di kayn ɔpreshɔn we yu go gɛt.
1. Aprɔch fɔ di bɛlɛ - Rɛktɔpɛksi
dis involv fכ mek wan insayshכn na di bכdi (iither opin כpεrayshכn כ laparoskopik כ via kihol כpεrayshכn), pul di prolapsed rεktum bak כp, εn fכ fiks am na di bak wכl na di pεlvik kεviti wit stich כ sכmtin lεk mεsh. Dɛn ɔpreshɔn dɛn ya kin rili wok fayn.
2. Pɛrinial Aprɔch
Dɛn kin yuz dis we fɔ pipul dɛn we nɔ kin ebul fɔ du ɔpreshɔn pan dɛn bɛlɛ, we dɔn ol, ɔ we gɛt ɔda sik. insay dis mכtכd, dεn kin du di כpεrayshכn tru di anus.
- Altemeier Procedure: insay dis prosidur, dεn kin kכt di pat we de kכmכt na di intestin εn pul am, εn di rεst tu pat dεm de atak bak.
- Delorme Procedure: insay dis prosidכs, na di prolapsed mכkus layn na di rεktum nכmכ dεn de pul, εn dεn de fold di mכsul layεr εn sכm tכgeda.
Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin?
Yɛs, dis risk kin ridyus to sɔm mak. Dɛn tin ya impɔtant bak fɔ mek dis sik nɔ kam bak afta dɛn dɔn du di ɔpreshɔn.
- Kɔntrol kɔnstipɛshɔn: It it we gɛt bɔku fayv (frut, vɛjitebul, ligɛm). Drink at le 8-10 glas wata wan de. Nɔ strɛs we yu de go na di bafa.
- Strɔng yu bɔdi mɔsul dɛm: Di bɛst ɛksesaiz fɔ du dis na Kegel ɛksɛsayz . Yu kin aks yu dɔktɔ ɔr fyzikal tritmɛnt fɔ advays bɔt aw fɔ du dɛn tin ya.
- Mek yu gɛt wɛl bɔdi wet: If yu wet pasmak, dat kin mek yu gɛt ɛkstra prɛshɔn pan di mɔsul dɛn na di bɛlɛ.
Mɛsej we dɛn kin kɛr go na os
- Rektal prolaps nɔto natin fɔ shem fɔ. Na wan sik we pɔsin kin gɛt we i de mɛn pipul dɛn.
- Dis difrɛn frɔm ɛmoroyd, so if yu gɛt sɔm sayn dɛm, i impɔtant fɔ gɛt di rayt diagnosis.
- Dis sik nɔr kin bɛtɛ fɔ insɛf pan big pipul dɛm. Di diskɔmfɔt kin bɔku as tɛm de go.
- If yu gɛt dɛn kayn sik ya, nɔr frayd fɔ go to dɔktɔ ɛn aks fɔ advays.
- Simpul tin dɛm lɛk fɔ kɔntrol kɔnstipɛshɔn ɛn fɔ du Kegel ɛksɛsayz kin ɛp fɔ mek yu nɔ gɛt dis sik.
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