Sɔntɛnde yu kin fil lɛk se yu gɛt bɔku bɔku wata ɔ yu kin ebi na yu rɛkɛt afta yu dɔn go na di bafa? Yu tink se i tan lɛk se sɔntin we de insay dɔn kɔmɔt na do? Dis na wetin wi kɔl rɛktal prolaps . Pan ɔl we na tɔpik we at ɛn shem fɔ tɔk bɔt, i rili impɔtant fɔ yu wɛlbɔdi. So lɛ wi tɔk bɔt am opin wan.
Wetin rili na dis? Fɔ tɔk am simpul wan...
Tink bɔt am, dɛn kɔl di las pat na yu kɔlon di rɛktum. nכmal wan, di mכsul dεm we de insay yu bכdi de ol am in ples. Bɔt sɔntɛnde, we dɛn mɔsul ya wik, di rɛkɛt kin slip dɔŋ smɔl ɛn tray fɔ kɔmɔt na yu an. I tan lɛk sɔk we de tɔn insay ɛn kɔmɔt. Dis na wetin wi kin kɔl Rɛktal Prolaps.
Dis sik nɔto mɛdikal imejensi. Bɔt if dɛn nɔ trit am , i kin wɔs as tɛm de go. Dis kin mek yu fil pen, yu gɛt prɔblɛm wit yu bɔdi (we yu nɔ gɛt bɛlɛ ɔ yu nɔ kin ebul fɔ kɔntrol yu bɔdi), ɛn ɔda prɔblɛm dɛn.
Udat kin gɛt dis sik mɔ?
Dis nɔto tin we rili kɔmɔn. Pan ɔl we i kin kam pan ɛnibɔdi, i kin apin mɔ pan uman dɛn we dɔn pas 50. I kin apin bak afta dɛn gɛt bɛlɛ, pan pipul dɛn we gɛt kɔnstipɛshɔn fɔ lɔng tɛm, ɔ afta dɛn dɔn wund.
De impɔtant tin na dat, if dis sik kin apin to yɔŋ pikin dɛm, i nɔr kin tan lɛk big pipul dɛm. Pikin dεm kin gεt am biכs fכ wan kכz lεk we dεn de kכnsitipεshכn כ we dεn de dayariya. We dɛn trit di ɔndalayn kɔz, di mɔsul dɛn kin strɔng bak ɛn bɔku tɛm di sik kin sɔlv fɔ insɛf. I nɔ kin izi fɔ mek pikin nid ɔpreshɔn fɔ dis.
Us kayn ɔpreshɔn dɛn de fɔ dis?
Di onli we fɔ mɛn Rɛktal Prolaps pan big pɔsin na fɔ ɔpreshɔn. Dɛn kɔl dis ɔpreshɔn Rɛktɔpɛksi . Tu men kayn ɔpreshɔn dɛn de. Yu dɔktɔ go pik di bɛst we fɔ yu bay aw yu gɛt wɛlbɔdi, yu ej, ɛn aw di prɔblɛm tranga.
| Di men we aw dɛn kin du ɔpreshɔn | Fɔ tɔk am simpul wan... |
|---|---|
| Di we aw dɛn kin du tin na di bɛlɛ | Dɛn kin du dis ɔpreshɔn bay we dɛn kin kɔt sɔm smɔl smɔl say dɛn na di bɛlɛ. |
| Di we aw dɛn kin du di wok we dɛn kin du fɔ mek pɔsin gɛt di bɛlɛ | dis כpεrayshכn de kכmכt tru di skin εria bitwin di anus εn di jεnital dεm. |
Di we aw dɛn kin du am na di bɛlɛ
We dɛn de du dis ɔpreshɔn, dɛn go put yu ɔnda jenɛral anestezi. Bɔku we dɛn de fɔ du dis:
- Opin ɔpreshɔn (Abdominal Rectopexy): Di dɔktɔ kin mek wan lɔng say na yu bɛlɛ, pul di rɛktum we dɔn prolaps bak ɔp, ɛn mek i tay am na di bak wɔl na yu bɛlɛ (sakrum) wit stich dɛn we go de sote go ɔ sɔm tɛm dɛn kin yuz mɛsh sling. As tɛm de go, di ska tisu kin fɔm ɛn i kin de de fɔ ɔltɛm. Sɔntɛnde, dɛn kin du di bɔdi rɛsekshɔn (ɔpreshɔn fɔ pul pat pan di bɔdi) fɔ mek di bɔdi nɔ gɛt bɔku bɔku bɛlɛ.
- Laparoscopic Rectopexy: Bifo dɛn kɔt big say na di bɛlɛ, dɛn kin du dis ɔpreshɔn bay we dɛn mek sɔm smɔl smɔl say dɛn ɛn put wan tin tiub we gɛt kamɛra we dɛn tay (laparoskop) ɛn ɔda tin dɛn.
- Robotic Rectopexy: Dis tan lɛk ɔpreshɔn we dɛn kin du wit kihol, bɔt dɛn kin yuz rɔbɔt fɔ ɛp di dɔktɔ.
Di we aw dɛn kin du di wok na di perineal
Dɛn kin du dis ɔpreshɔn pan ol pipul dɛn ɔ di wan dɛn we nɔ ebul fɔ bia wit big ɔpreshɔn bikɔs ɔf ɔda mɛrɛsin. Dɛn kin du am ɔnda jenɛral anestezi ɔ wit epidural.
- Altemeier prosidur: Insay dis prosidur, di dכkta de pul di prolapsed rεktum εn di las pat pan di intestכn tru di an, kכt dεm kכmכt, dεn kכnekt di rεktum we rεst to di intestכn.
- Delorme in prosidur: Dɛn kin du dis fɔ smɔl prolaps. na ya, na di layn nכmכ we de na di rεktum dεn de pul, dεn de fold di mכsul layεr, εn dεn de siw am bak insay di anal kanal. dis de mek di mכsul wכl tik εn i de stכp di rεktum fכ slip kכmכt na in ples.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
I impɔtant fɔ mek yu tek tɛm fala wetin yu dɔktɔ tɛl yu bifo yu du di ɔpreshɔn. Bɔku tɛm, dɛn go aks yu fɔ du dɛn tin ya:
- Na wata nɔmɔ it di de bifo dɛn du di ɔpreshɔn.
- Stɔp fɔ tek sɔm mɛrɛsin dɛn (especially blood thinners) fɔ sɔm tɛm.
- Tek laxatives fɔ klin di intestines fayn fayn wan.
Wetin yu go ɛkspɛkt afta dɛn dɔn du di ɔpreshɔn?
Yu go nid fɔ de na ɔspitul fɔ sɔm dez afta dɛn dɔn du di ɔpreshɔn. If dɛn bin du yu ɔpreshɔn tru yu bɛlɛ, yu go nid fɔ de de fɔ lɛk wan wik so. Yu dɔktɔ go de wach yu te yu ebul fɔ it nɔmal wan bak, pas gas, ɛn gɛt bɔdi muvmɛnt. Dis na fɔ mek shɔ se yu dijestiv sistɛm de wok fayn bak.
Na sɔm sayn dɛn we kin apin insay di fɔs dez afta dɛn dɔn du di ɔpreshɔn:
- Fɔ fil pen ɔ tayt na di an ɛn di say dɛn we dɛn kɔt am.
- Blɔd we de kɔmɔt smɔl ɔ pas smɔl blɔd wit di stɔl.
Aw yu kin pik di ɔpreshɔn we go fayn fɔ yu?
Na yu dɔktɔ kin disayd dis. Bɔku tin dɛn kin afɛkt dis.
| Matter we wi de tink bɔt | Wetin mek dat impɔtant? |
|---|---|
| Ej | Pipul dɛn we dɔn ol kin wɛl kwik kwik wan afta dɛn dɔn du dɛn ɔpreshɔn pan dɛn perineal we dɛn nɔ kɔt big say. |
| Feminiti/man | we dεn de du כpεrayshכn na di bεlε, i kin rili sכm (lεk 2%) fכ damej di nεv dεm we de afekt man sεks fכnshכn. |
| Ɔda wɛlbɔdi prɔblɛm dɛn | Sɔmbɔdi wae gɛt sik lɛk fɔ fat pasmak ɛn fɔ gɛt shuga kin tek lɔng tɛm fɔ wɛl afta dɛn dɔn ɔpreshɔn in bɛlɛ. |
| Di kayn bad bad tin we de apin to am | if di rεktum kכmplitli prolaps εn blכk (inkarcerated rεktum), pεrinial כpεrayshכn kin bכku. |
Nɔto ɛni prɔblɛm de fɔ dis ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, prɔblɛm dɛn de we kin apin. Fɔ ɛgzampul, blɔd, blɔd we de klɔt, ɛn infekshɔn. Pan ɔl we di ɔpreshɔn na di bɛlɛ kin gɛt smɔl prɔblɛm, di risk fɔ mek i gɛt di bɛlɛ bak kin smɔl wit da ɔpreshɔn de . Pɛrinial ɔpreshɔn kin gɛt smɔl risk, bɔt di risk fɔ mek i kam bak kin bɔku.
Sɔm prɔblɛm dɛn we kin apin we dɛn du di ɔpreshɔn kin bi:
- Di fistulas we de na di anal
- Anastomotik lik
- Intestinal ɔbstrukshɔn
- Prɔblɛm dɛn we kin apin we pɔsin de du mami ɛn dadi biznɛs
- Kɔnstipɛshɔn kin bɔku mɔ ɛn mɔ
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin. Di tin we impɔtant pas ɔl na fɔ tɔk opin wan bɔt ɔltin wit yu dɔktɔ, aks ɛni kwɛstyɔn we yu gɛt, ɛn disayd fɔ du di bɛst tin we una ɔl tu go gri pan.
Di tɛm fɔ wɛl afta yu dɔn go na os
I kin tek sɔm wik ɔ mɔnt fɔ mek yu wɛl gud gud wan afta yu dɔn kam bak na os frɔm ɔspitul. I go tek sɔm tɛm fɔ mek yu bɔdi muv bak to nɔmal. Insay dis tɛm, yu fɔ tek kia ɔf dɛn tin ya:
- Nɔ gɛt kɔnstipɛshɔn: It bɔku it dɛn we gɛt fayv (vɛjitebul, frut). Drink at le 8-10 glas wata wan de.
- Nɔ strɛch: Nɔ ɛva strɛch tranga wan we yu de yuz tɔylɛt.
- Tin dɛn we de mek yu stɔl sof: If yu dɔktɔ tɛl yu fɔ du am, yuz tin dɛn we de mek yu stɔl sof.
Ustɛm yu want fɔ si di dɔktɔ bak?
If yu gɛt ɛni wan pan dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm:
- Blɔd we de kɔmɔt na di rɛktal pasmak.
- Kɔnstipɛshɔn we rili bad ɔ we nɔ de chenj.
- di simptom dεm fכ di rεktal prolaps (fεlin fכ hεvi, lכmp).
- Sayn dεm fכ infεkshכn (fiva, di say we dεn rεd rεd, swel).
Yu kin shem fɔ tɔk to dɔktɔ bɔt sɔntin lɛk dis. Bɔt mɛmba se, Rɛktal Prolaps nɔto sik we pɔsin kin mɛn if dɛn nɔ du ɔpreshɔn pan am. Di mɔ yu de delay fɔ go to tritmɛnt, na di mɔ di prɔblɛm kin wɔs. So, if yu gɛt dɛn sik ya, nɔ fred fɔ go to dɔktɔ ɛn tɔk to am. Da we de, yu go wɛl kwik kwik wan ɛn liv yu layf fayn bak.
Mɛsej we dɛn kin kɛr go na os
- di rεktal prolaps na di protrushכn fכ di las pat pan di big intestin tru di an.
- Ɔpreshɔn (Rectopexy) nid fɔ du fɔ mɛn dis sik pan big pipul dɛn.
- Dɛn kin du ɔpreshɔn mɔ tru di bɛlɛ ɛn di perineum. Yu dɔktɔ go pik di we we go fayn fɔ yu.
- I kin tek sɔm wiks fɔ mek i wɛl ɔl afta dɛn dɔn du di ɔpreshɔn, ɛn di advays we dɔktɔ gi am, mɔ fɔ avɔyd fɔ gɛt kɔnstipɛshɔn, rili impɔtant.
- Nɔ shem fɔ tɔk bɔt dis. If yu gɛt sɔm sayn dɛn, fɔ go to dɔktɔ kwik, dat kin ɛp fɔ mek yu nɔ gɛt siriɔs prɔblɛm dɛn.
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