Fɔ go na di bafa kin rili at fɔ du sɔntɛnde, nɔto so? Na nɔmal tin fɔ mek yu fred, mɔ if yu si smɔl blɔd na yu stɔl, ɔ if yu gɛt fɔ strɛch fɔ pul dɔti. I kin shem smɔl fɔ tɔk bɔt dɛn tin ya to ɔda pipul dɛn. Bɔt dɛn tin ya rili impɔtant we gɛt fɔ du wit wɛlbɔdi biznɛs. Tide wi go tɔk bɔt wan sik wae nɔr kin bɔrku kin kam wit dɛn kayn sik ya, bɔt nɔr to bɔrku pipul dɛn dɔn yɛri bɔt am. Dat na wan sik we dɛn kɔl Solitary Rectal Ulcer Syndrome (SRUS) .
Wetin na Solitary Rɛktal Ɔlsa Sindrom (SRUS)?
Fɔ tɔk am simpul wan, SRUS na wan sik we kin de fɔ lɔng tɛm, we nɔ kin gɛt kansa, we kin mek wan ɔ mɔ ɔlsa dɛn fɔm insay wi rɛktum. Naw yu kin de wɔnda, "Wetin na dis rɛktɔm?" di rεktum na di las pat pan wi big intestinal (kכlon), usay stכl de de fכ sכm tεm bifo i kכmכt na wi bכdi.
Bɔt dis nem kin mek pipul dɛn nɔ no di tru smɔl. Pan ɔl we di wɔd "solitary," sɔmtɛm i kin pas wan ɔlsa. Dɔn bak, dɛn tin ya nɔ kin bi ɔlsa ɔltɛm. Sɔntɛnde dɛn kin jɔs bi inflamed, red tissue. sכmtεm dεn kin ivin si dis kכndyushכn na wan pat pan di kכlon jכs oba di an.
Dɔktɔ ɛn pipul dɛn we de stɔdi bɔt dis sik stil de lan bɔku tin bɔt dis sik. Dɛn stil de du risach fɔ no wetin kin mek i apin ɛn di bɛst tritmɛnt dɛn.
Aw dis sik kin kɔmɔn?
SRUS na rili wan sik we nɔ kin apin so ɔltɛm. I kin afɛkt lɛk wan pan ɛvri 100,000 pipul dɛn. I kin kam pan pipul dɛm wae ol bitwin 30 ɛn 40. Bɔt i kin apin bak pan yɔŋ pikin dɛm ɛn ol pipul dɛm.
Yu tink se dis tin we de apin rili siriɔs? Yu tink se wi fɔ fred?
Dis kin bi di fɔs kwɛstyɔn we kin kam na yu maynd. Di gud nyus na dat, bɔrku tɛm dɛn lɛsin ya nɔr kin siriɔs. Dat min se dɛn nɔ kin gɛt kansa.
Bɔt di impɔtant tin ya na dat di ɔndalayn prɔblɛm we de mek dɛn gɛt dɛn lɛsin ya kin bi sɔntin we nid fɔ pe atɛnshɔn. Na dat mek i impɔtant fɔ go to dɔktɔ fɔ no di kɔrɛkt sik if yu gɛt dɛn sik ya.
Yu nɔ fɔ ɛva ignore wan symptom lɛk dis. I nɔ fayn fɔ jɔs tink se, "I go go insay sɔm dez." Bikɔs di blɔd we de kɔmɔt na di rɛktal kin bi bikɔs ɔf mɔ siriɔs kɔndishɔn pas SRUS.
Wetin na di sayn dɛm fɔ SRUS?
Dɛn sayn ya kin apin smɔl smɔl. Dɛn kin mek fɔ go na di bafa nɔ kin rili izi fɔ yu. Lɛ wi tek wan luk pan di men sayn dɛm.
| Di sayn we de sho se di sik de | Fɔ tɔk am simpul wan... |
|---|---|
| Blɔd we de kɔmɔt na di rɛktal | Brayt rɛd, fresh blɔd we de kɔmɔt wit di stɔl ɔ afta yu dɔn go na tɔylɛt. Sɔntɛnde, di tisu pepa kin gɛt blɔd. |
| Dischaj we tan lɛk mכkus wit stɔl | Filin fɔ gɛt wata we tan lɛk mɔkus, ilɛksɛf yu gɛt stɔl ɔ yu nɔ gɛt stɔl. |
| Straining fɔ defecate (Straining) . | I kin tek lɔng tɛm, bɔku tray, ɛn bɔku strɛs fɔ pas stɔl. |
| Di bɔdi we nɔ kɔmplit | Fɔ fil lɛk se stɔl stil de afta yu dɔn go na tɔylɛt, lɛk "A nɔ dɔn yet." |
| Anal pen ɔ diskɔmfɔt | Fɔ fil pen ɔ nɔ fil fayn na yu an ɛn di say we de rawnd am, mɔ we yu de go na tɔylɛt. |
| Pɛlvik Fulnɛs | Fɔ fil se yu gɛt ebi ɛn ful-ɔp na yu bɛlɛ we de dɔŋ. |
I sɔprayz fɔ no se lɛk wan pan ɛvri 4 pipul dɛn (25%) we gɛt SRUS nɔ kin gɛt ɛni sayn. Dɛn kin fɛn am bay we dɛn de tɛst am fɔ ɔda rizin.
Wetin mek dis tin kin apin?
Dɛn nɔr no yet di rayt tin we kin mek dis sik kam. Bɔt dɔktɔ dɛn biliv se i gɛt fɔ du wit bɔku tin dɛn we kin pwɛl di insay wɔl na di rɛktum. Dis min se dɛn lɛsin ya kin bi bikɔs ɔf ɔda ɔndalayn mɛdikal kɔndishɔn.
Bɔku kɔndishɔn dɛn de we dɛn kin si wit SRUS:
- di rεktal prolaps: dis na we di rεktum de kכmכt tru di an. Tink bɔt am lɛk we yu de tɔn sɔk insay to do. di frikshכn εn prεshכn we de apin we di tisu de kכmכt kin mek yu gεt sכm.
- rεktal Intussusεpshכn: Dis na we wan pat pan di rεktum de push insay כda pat pan di rεktum, lεk tεliskop. Dis kin mek bak di tisu dɛn pwɛl.
- Krɔnik Kɔnstipɛshɔn: We i nɔ kin izi fɔ wi fɔ pas stɔl, wi kin strɛs fɔ lɔng tɛm. dis prεshכn we pasmak kin pwεl di dilik tisu dεm na di rεktum. Sɔm pipul dɛn kin tray fɔ pul di stɔl wit dɛn finga dɛn we i stɔp. Dis na big tin bak we kin mek pɔsin gɛt injury na di rεktal.
- Fecal incontinence: Prɔblɛm wit di rɛktum kin apin bak we yu nɔ ebul fɔ kɔntrol yu bɔdi we yu de muv.
wan pan di men tiori na dat we wi pelvik fכl mכsul dεm we de εp wi fכ pas stכl nכ de wok fayn, di prכsεs fכ pas stכl de bi rεgulεr εn injuri lεk dis de apin.
Aw yu go fɛn dis, Dɔktɔ?
We yu go to dɔktɔ wit di sayn dɛm we yu bin dɔn tɔk bɔt, i go aks yu fɔs bɔt yu simptom dɛm ɛn yu tɔylɛt abit (e.g., yu kin tek lɔng tɛm fɔ defecate?). Dɔn, dɛn go du sɔm tɛst fɔ no if yu gɛt dɛn lɛsin ya.
Men tɛst dɛn
- Ɛndoskopi: Dis na di tɛst we dɛn kin du mɔ. insay dis tεst, dεn kin put wan tint, fleksibul tכb wit kεmεra we dεn atak tru di an fכ si eni lεsin כ כda chenj dεm insay pan skrin. Difrɛn kayn dɛn de fɔ dis tɛst:
- Anoskopi: I de egzamin di anus εn di las pat pan di rεktum.
- Fleksibul Sigmoidoscopy: I de egzamin di rεktum εn di lכw pat pan di kכlon.
- Kolonoskopi: I de chɛk di wan ol kɔlon.
Ɔda impɔtant tɛst dɛn
Yu dɔktɔ kin tɛl yu fɔ du sɔm ɔda tɛst fɔ mek shɔ se yu nɔ gɛt ɔda siriɔs sik (e.g., Inflammatory Bowel Disease (IBD) ɔ Colon Cancer ) we kin mek yu gɛt sayn dɛn we fiba SRUS.
- Transrektal Ultrasound: dεn de put sכm sכm prob insay di rεktum εn dεn de yuz sawnd wev fכ mek klia imej dεm fכ di insay wכl dεm na di rεktum.
- Defecography: Dis na spɛshal tɛst. di prכsεs we dεn de pas stכl dεn de rεkכd am bay we dεn de yuz εks-ray כ MRI mashin. dis de εp fכ no kכrekt if wan kכndyushכn de lεk rεktal prolaps.
- Anorectal Manometry: na tεst we de mכsu aw di mכsul dεm we de insay εn rawnd di an de wok εn di prεshכn. Dis kin ɛp fɔ no if di mɔsul dɛn we de insay di dɔti de wok fayn.
- Bayopsi: We dɛn de du di ɛndoskopi, dɛn kin tek wan rili smɔl tisu frɔm di lɛsin ɛn sɛn am na di lɛbɔtri fɔ mek dɛn chɛk am ɔnda maykroskɔp. Dis tɛst impɔtant fɔ mek yu shɔ 100% se dis nɔto kansa.
Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt de dipen pan aw yu de fil bad ɛn de ɔndalayn kɔz fɔ de sik. Bɔku tɛm, if yu chenj di we aw yu de liv yu layf ɛn di we aw yu de tɔylɛt, dat kin ɛp yu.
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|---|
| Di chenj we pɔsin de it ɛn di we aw i de liv in layf |
|
| Mɛrɛsin dɛn we dɛn kin yuz |
|
| Bayofidbak Tɛrapi | Dis na wan we fɔ mɛn pipul dɛn we gɛt fɔ du wit di we aw pɔsin de biev. I min se yu fɔ no di mɔsul dɛn na di bɛlɛ we de tayt we yu de muv yu bɔdi ɛn praktis fɔ rilaks dɛn instead fɔ tayt dɛn. Dis kin rili ɛp fɔ lɛf di abit fɔ strɛs. |
| Ɔpreshɔn | If dɛn injury ya na wan kɔndishɔn lɛk we di rɛktal prolaps, dɛn kin nid fɔ du ɔpreshɔn we dɛn kɔl rɛktopɛksi fɔ kɔrɛkt di sik. |
Ustɛm na di bɛst tɛm fɔ go to dɔktɔ?
Dis rili impɔtant. Sɔm sayn dɛn de we wi nɔ fɔ ɛva ignore.
If yu de blɔd na yu rεktum, yu de pas blɔd ɔ mכkus na yu stɔl, ɔ yu de fil pen ɔltɛm we yu de go na di bafa, duya nɔ ignore am, tink se "i go go insay wan de." Mek shɔ se yu go to yu dɔktɔ fɔ no di rayt tin we de mek yu gɛt am.
Mɛsej we dɛn kin kɛr go na os
- Solitary Rectal Ulcer Syndrome (SRUS) na wan sik wae nɔr kin bɔrku, nɔr kin gɛt kansa, bɔt de diskɔmfɔt wae i kin kam wit kin mek pɔrsin in layf de pan denja.
- Blɔd we de kɔmɔt na di rɛktum nɔ kin ɛva bi nɔmal. If yu notis am, mek shɔ se yu go to dɔktɔ.
- Bɔku tɛm, i impɔtant fɔ trit di ɔndalayn kɔz fɔ dɛn sos ya (e.g., kɔnstipɛshɔn, rɛktal prolaps) pas fɔ trit di aktual sos dɛnsɛf.
- Simpul tin dɛm lɛk fɔ drink bɔku wata, it it we gɛt bɔku fayv, ɛn fɔ avɔyd fɔ strɛs na di bafa kin ɛp fɔ kɔntrol dis sik.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. Gɛt di tɛst dɛn we yu nid ɛn gɛt di rayt tritmɛnt. If yu peshɛnt fɔ trit am, yu kin ebul fɔ kɔntrol dis sik fayn fayn wan.
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