Prɔlaps we de na di rɛktal | Nɔ shem fɔ tɔk bɔt dis!

Sɔntɛnde yu kin fil lɛk se sɔntin ebi ɔ lɛk bɔl we de kɔmɔt na yu rɛkɛt we yu go na tɔylɛt? Wi no se dis na tin we rili shem ɛn shem fɔ tɔk bɔt. Bɔt dis nɔto jɔs prɔblɛm fɔ yu, na mɛrɛsin we kin afɛkt bɔku pipul dɛn. So nɔ fred ɔ shem bɔt am. Tide wi de tok boht rεktal prolaps, כ wetin dεn kכl mεdikal wan `(Rεktal Prolaps)`.

Fɔ tɔk am simpul wan, wetin na rektal prolaps?

Okay, fɔ ɔndastand dis, lɛ wi fɔs lan smɔl bɔt dis pat na wi bɔdi. di las pat pan yu big intestin na wetin wi kכl `rεktum` כ di las pat pan di rεktum. I de jɔs ɔp yu anus. afta dεn dכn digεst di it we wi de it, di rεst we dεn kכl fכs, de kכmכt fכ sכm tεm na dis pat we dεn kכl `rεktum`. We dis pat ful-ɔp, wi kin fil se wi nid fɔ go na tɔylɛt. Dɔn, di mɔsul dɛn we de rawnd am kin kɔntrakt fɔ push di fes kɔmɔt tru di an.

naw, insay wan `Rεktal Prolaps`, as soon as di stכl kכmכt, di las pat pan di rεktum we bin de ol am de kכmכt bak. lεk tεliskop we de go insay, dis pat de slip insay εn kכmכt na di an. Sɔntɛnde i kin kɔmɔt jɔs smɔl, ɔda tɛm dɛn i kin kɔmɔt ɔlsay.

"Prolapse" na wɔd we dɔktɔ dɛn kin yuz. I min se wan ɔgan na di bɔdi de fɔdɔm dɔŋ frɔm in nɔmal pozishɔn. Dis kin apin we di mɔsul dɛn we de ol di ɔgan na in ples wik.

Udat kin gɛt dis sik pas ɔlman? Wetin na di tin dɛn we kin mek i apin?

Pan ɔl we dis sik kin apin pan ɛni ej, i kin apin mɔ pan uman dɛn we dɔn pas 50. Apat frɔm dat, sɔntɛnde i kin apin to yɔŋ pikin dɛn. I kin kam wit dayarɛa we kin de fɔ lɔng tɛm ɔ sik dɛn lɛk ``Cystic Fibrosis``.

I nɔ kin izi fɔ no di rayt tin we kin mek dis apin, bɔt bɔku tin dɛn kin mek i apin. di men wan na di wik we di mכsul dεm we de ol di rεktum in ples de wik. Di tin dɛn we kin mek dis apin na:

• We wi de ol: Lɛk ɔl di mɔsul dɛn na di bɔdi, dis wan bak kin wik smɔl as wi de ol.
• Bεlε εn bכn pikin: We yu bכn, i de put bכku prεshכn pan di mכsul dεm na di bכdi, we kin mek dεn wik.
• Kɔnstipɛshɔn ɔ dayarɛa fɔ lɔng tɛm: If yu strɛch ɔltɛm fɔ pas stɔl na tɔylɛt, dat kin pwɛl dɛn mɔsul ya. Dis sik kin apin bak ivin if yu gɛt dayarɛa we de kɔntinyu.
• Di ɔpreshɔn we dɛn bin dɔn du bifo ɔ injuri na di bɛlɛ ɔ di say we de rawnd am.
• Intestinal parasayt infεkshכn dεm.
• Fɔ lɔng tɛm we yu de kɔf ɔ sniz: Dis sik kin kam bak bikɔs yu de prɛs yu bɛlɛ we yu de kɔf ɔltɛm bikɔs ɔf mɛrɛsin lɛk asma.
• Damej na di spaynal kɔd ɔ di nerv dɛm.
• Jεnεtik kכndishכn dεm lεk Sistik Faybrosis.

Dis na ɛmoroyd? Ɔ na ɔda tin? Aw a go no fɔ tru?

Dis na di big prɔblɛm we bɔku pipul dɛn gɛt. Bɔku pipul dɛn kin kɔnfyus dis sik wit ɛmoroyd. Na nɔmal tin fɔ tink so bikɔs di sayn dɛm fɔ ɔl tu di sik dɛn kin fiba. Ɛmoroyd na blɔd vesel dɛn we dɔn swel we de rawnd di an. Dɛn kin mek bak pɔsin fil pen, it, ɛn blɔd. Sɔntɛnde, ɛmoroyd kin kɔmɔt bak.

Bɔt klia difrɛns de bitwin dɛn tu. Lɛ wi luk dis tebul fɔ mek wi ɔndastand mɔ.

Aw dɔktɔ kin fɛn dis?

We yu go to dɔktɔ, i go aks yu fɔs bɔt di sayn dɛn we yu gɛt. Dɔn i go du wan ɛgzam pan in bɔdi. Insay dis, i kin aks yu fɔ tray fɔ pul dɔti, fɔ si if yu rɛkɛt kɔmɔt na do da tɛm de.

Sɔntɛnde, dɛn kin rifer yu fɔ mek dɛn du ɔda tɛst fɔ no if yu gɛt dis sik ɔ fɔ si if ɔda prɔblɛm dɛn de.

• Dijital Rɛktal Ɛgzam: Di dɔktɔ de yuz finga we gɛt glɔv fɔ chɛk di rɛktum.
• Defecography: Na test we de tek X-ray ɔ MRI pikchɔ fɔ yu mɔsul dɛn we yu de defecate.
• Anorectal Manometry: na tεst we de mכsu di trεnk fכ di mכsul dεm (sphincters) we de rawnd di an.
• Kolonoskopi: fכ egzamin di insay pat pan di big intestin bay we dεn de yuz tכb wit kεmεra we dεn tay.
• Ilɛktromayografi (EMG): Dis kin tɛst di mɔsul dɛn we de wok fɔ si if di nerv dɛn dɔn pwɛl.

Wetin kin apin if dɛn nɔ trit am?

Dis nɔto imejensi ɔr layf de pan denja. Bɔt if dɛn nɔ trit am, i kin wɔs smɔl smɔl as tɛm de go. I kin mek bak yu nɔr fil fayn ɛn gɛt difrɛn prɔblɛm dɛn.

di fכs stej dεm, wans di ans dכn kכmכt, dεn kin push am bak insay.Dכkta dεn advays fכ tכn na yu sayd, bכn yu kכn dεm to yu chεst, εn push am bak insay jכnt wit wan wet klos. Bɔt dis na jɔs fɔ sɔlv di prɔblɛm fɔ sɔm tɛm.

Di men prɔblɛm dɛn we kin apin if dɛn nɔ trit am na:

• Fecal incontinence: Dis na wan sik we di mכsul dεm na yu rεktum de kכntinyu fכ kכntrakt, we de mek yu lכs stכl כ gas we yu nכ ivin no. Dis sik kin afɛkt 50% to 75% pan pipul dɛm.
• Kɔnstipɛshɔn: If di rεktum blɔk, i kin mek i nɔ izi fɔ pas di stɔl fayn fayn wan.
• Rɛktal Ɔlsa: We yu rɔb di rεktum ɔltɛm, i kin mek di say blɔd ɛn i kin at. If di blɔd kɔntinyu fɔ kɔmɔt, i kin ivin mek pɔsin nɔ gɛt bɛtɛ blɔd.
• Fɔ put pɔsin na jel ɛn fɔ mek pɔsin strangul: Dis na di prɔblɛm we de mek pɔsin denja pas ɔl. di rεktum kin stכk εn i nכ kin ebul fכ push am bak insay If dis apin, di bכdi we de go na da εria de kin kכt εn di tisu kin day. Wi de kɔl dis ``Gangrene``. Dis na wan sik wae nid fɔ gɛt mɛrɛsin kwik kwik wan.

Wetin na di sɔlv fɔ dis? (Lɛ wi lan bɔt ɔpreshɔn)

We big pɔsin gɛt dis sik, i nɔ kin wɛl fɔ insɛf. Di wangren sɔlv we go de sote go na ɔpreshɔn. Na yɔŋ pikin dɛm, i kin sɔlv fɔ insɛf wans dɛn dɔn trit di ɔndalayn kɔz, lɛk kɔnstipɛshɔn.

Bɔku kayn ɔpreshɔn dɛn de. Yu dɔktɔ go pik di we we go fayn fɔ yu bay aw yu sik, yu ej, ɛn ɔl yu wɛlbɔdi. Tu men kayn ɔpreshɔn dɛn de.

1. Aprɔch fɔ di bɛlɛ - Rɛktɔpɛksi

Dis na di tin we dɛn kin du pas ɔl ɛn we kin wok fayn. Di dɔktɔ we de du di ɔpreshɔn kin kɔt di bɛlɛ (ɔp ɔpreshɔn) ɔ put kamɛra tru sɔm ol dɛn (laparoskɔpik ɔpreshɔn), i kin es di rɛktum we dɔn prolaps bak ɔp, put am na di bak wɔl na di bɛlɛ, ɛn mek i tay wit pɔrmanent stich ɔ mɛsh. dis prosidכs gεt sakses rεt we de bכt 97%. If yu gɛt kɔnstipɛshɔn bak we nɔ de dɔn, yu dɔktɔ kin disayd fɔ pul smɔl pat pan yu kɔlon we dɛn de du dis ɔpreshɔn.

2. Ɔpreshɔn tru di anus (Perineal Approach) .

Dis we ya kin fayn fɔ pipul dɛm wae nɔr kin ebul fɔ du big ɔpreshɔn tru dɛn bɛlɛ, wae dɔn ol, ɔr gɛt ɔda mɛrɛsin. insay dis mכtכd, dεn kin du di כpεrayshכn tru di anus. Bikɔs big big say nɔ de na dis we, i kin mek i wɛl kwik kwik wan. Bɔt, chans de fɔ mek di sik kam bak afta dis we fɔ du dis.

Wetin dɛn kin du fɔ mek dis tin nɔ apin ɛn fɔ mek i nɔ kam bak?

Bɔku tin dɛn de we yu kin du fɔ mek dis sik nɔ apin ɛn fɔ mek i nɔ kam bak afta dɛn dɔn du di ɔpreshɔn.

• Kɔntrol kɔnstipɛshɔn ɛn dayarɛa: If yu gɛt kɔnstipɛshɔn ɔ dayarɛa ɔltɛm, mek shɔ se yu go to dɔktɔ ɛn mek dɛn trit am. It tin dɛn we gɛt fayv (frut, vɛjitebul, ligɛm) ɛn drink bɔku wata.
• Strɔng yu mɔsul dɛm na yu bɛlɛ: Yu kin mek dɛn mɔsul ya strɔng bay we yu du Kegel ɛksɛsayz. Aks yu dɔktɔ ɔ pɔsin we de mɛn yu bɔdi bɔt aw fɔ du dɛn ɛgzampul ya.
• Tek tɛm we yu de es wet: Yuz di rayt we aw yu de tinap we yu de es ebi ebi wet.

Prolaps na wan sik we kin apin smɔl smɔl bikɔs di mɔsul dɛn wik. I nɔ kin apin wan nɛt. So, if yu nɔ de shem ɔ fred bɔt dat, di bɛst tin we yu go du na fɔ go to dɔktɔ kwik kwik wan.