Imajin se yu dɔn go na tɔylɛt ɛn kɔmɔt na do ɛmti. Bɔt insay sɔm minit, yu kin fil bad bak, lɛk se yu nid fɔ defecate bak. Ilɛk aw yu tray tranga wan, natin nɔ de kɔmɔt. Yu kin sɔfa bak wit dis sik we nɔ kin rili fayn? Dis na wetin wi de kɔl Tenesmus insay mɛrɛsin. Dis nɔto jɔs fɔ mek yu nɔ fil fayn, bɔt na sayn fɔ sho se sɔntin nɔ rayt insay yu bɔdi.
Wetin rili na tenesmus?
Fɔ tɔk am simpul wan, tenesmus na di we aw yu kin want fɔ pul dɔti ɔltɛm, ivin afta yu dɔn ɛmti yu bɔdi ɔ blad. Yu kin gɛt bɛlɛ pen, kramp, ebi, ɔ ivin want fɔ pul dɔti wantɛm wantɛm.
Dis tin kin apin tu men we dɛn:
1. Rɛktal Tɛnɛsmɔs: Dis gɛt fɔ du wit di we aw pɔsin de kɔmɔt na di bɔdi. I min se ivin afta yu dɔn muv yu bɔdi, yu stil gɛt di filin se yu fɔ gɛt fɔ go na yu bɔdi.
2. Vesical Tenesmus: Dis kin gɛt fɔ du wit we yu de pis. I min se ivin afta yu dɔn pis, di blad kin stil fil ful ɛn i kin fil se yu fɔ pis bak.
Di impɔtant tin na dat, tenesmus nɔto nɔmal tin. Na sayn fɔ ɔda ɔndalayn mɛdikal kɔndishɔn. So, i nɔ fayn fɔ lɛ wi nɔ pe atɛnshɔn to am.
Wetin na di tin dɛm wae kin mek pɔrsin gɛt rεktal tenesmus?
Tu men kategori de we de mek yu gɛt tenesmus we gɛt fɔ du wit stɔl. Dɛn tin ya na inflamɛns ɛn kɔnstipɛshɔn. Lɛ wi luk dɛn tin ya wan bay wan.
| Rizin kategori | Diskripshɔn ɛn ɛgzampul dɛn |
|---|---|
| Swɛl | dis kכndyushכn kin apin we di lכw pat pan yu kכlon (di rεktum εn an) de swel εn sεnsitiv. Dis kin mek yu fil ful we yu pas stɔl, ɛn i kin mek bak di nerv dɛn we de sɛn signal to yu bren fɔ tɛl yu fɔ kɔntinyu fɔ gɛt bɔdi muvmɛnt. Di men rizin dɛn:
|
| Banbɛlɛ | we di had stɔl dɛn kin trɔp na di intestinal bikɔs ɔf kɔnstipɛshɔn, dɛn kin mek di intestinal wɔl dɛn ɔltɛm. Dis kin mek pɔsin fil ɔltɛm se i nid fɔ ɛmti di bɔdi, pan ɔl we di bɔdi nɔ ɛmti. Di tin dɛn we kin mek pɔsin gɛt kɔnstipɛshɔn:
|
Wetin na di tin dɛn we kin mek pɔsin gɛt urinary tenesmus (vesical tenesmus)?
Di sem rizin we mek yu fil se yu nid fɔ pis bak afta yu dɔn pis na tru bak. dis kכndyushכn kin kכz fכ di urine we de rεst na di blad כ bay inflameshn כ infεkshכn na di urinary tract.
| Rizin kategori | Diskripshɔn ɛn ɛgzampul dɛn |
|---|---|
| urine we lɛf na di blad | we di blad nɔ kin ebul fɔ ɛmti ɔl fɔ sɔm rizin, di urine we lɛf kin mek di blad mɔsul dɛn wok ɛn mek pɔsin fil se i nid fɔ kɔntinyu fɔ pis. Rizin dɛn:
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| Inflameshɔn/infεkshɔn na di urinary tract | we di urethra swel εn sεnsitiv, di nεv dεm kin stimulate, we kin mek dis sεns. Rizin dɛn:
|
Yu tink se kɔnekshɔn de bitwin strɛs ɛn dis sik?
Yɛs, kɔnekshɔn de. Tenesmus nɔr kin kam bikɔs ɔf strɛs ɔr wɔri. Bɔt if yu dɔn gɛt wan sik we de mek yu gɛt am, strɛs kin mek i wɔs. Mɛmba se we wi strɛs, di balans we de na wi nervɔs sistɛm kin chenj, ɛn dis kin mek i nɔ izi fɔ kɔntrol wi mɔsul dɛn. dis kin inkrεs di invכlכntari mכsul kכntrikshכn dεm we de apin na Tεnesmus. Dɔn bak, fɔ gɛt dis sik we de kɔntinyu fɔ de, kin rili strɛs.
Aw dɛn kin trit tenesmus?
If yu gɛt dɛn sik ya, di fɔs tin we yu fɔ du na fɔ go to dɔktɔ . Di dɔktɔ go chɛk yu ɛn tray fɔ no di rayt tin we de mek yu gɛt di sik. Dɛn kin du dɛn tɛst ya:
- Dijital Rɛktal Ɛgzam: Dɛn kin du manual ɛgzamin fɔ di rɛktum.
- Anoscopy/Flexible Sigmoidoscopy: egzamin di rεktum εn di lכw kכlon yuz tכb wit kεmεra.
- Kolonoskopi: Fɔ chɛk di wan ol kɔlon.
We dɛn dɔn no di tin we mek i gɛt dis sik, dɛn kin no di tritmɛnt bay da tin de we mek dɛn du am.
- Fɔ trit di ɔndalayn kɔndishɔn: Dɛn kin gi antibayɔtik fɔ wan infekshɔn, ɛn dɛn kin gi mɛrɛsin fɔ siriɔs kɔnstipɛshɔn. Sɔm tin dɛn kin nid fɔ du ɔpreshɔn.
- Fɔ trit inflamɛns: Dɛn kin gi mɛrɛsin lɛk kɔtikosterɔyd fɔ ridyus inflamɛns.
- Tritmɛnt fɔ di rεktal simptom dεm: Dɛn kin gi mεdikeshכn dεm we de ridyus pen εn inflameshn as suppositories we dεn put insay di rεktum.
- Muscle-targeted therapy: Dɛn kin gi mɛrɛsin dɛn we de kɔntrol di mɔsul kɔntrakshɔn we dɛn nɔ want (anticholinergics) ɔ (antispasmodics) .
- Manejmɛnt fɔ di kansa simptom dɛm: Fɔ trit di tenesmus we kansa kin kɔz kin kɔmpleks. Sɔntɛnde, dɛn kin nid fɔ yuz mɛrɛsin fɔ mek pɔsin fil pen ɔ fɔ du ɔpreshɔn.
Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?
Ɔltɛm tɔk to yu dɔktɔ bɔt dis sik. Bɔt if yu gɛt ɛni wan pan dɛn bad bad sayn ya, nɔ fɔgɛt fɔ go to dɔktɔ wantɛm wantɛm .
If yu gɛt ɛni wan pan dɛn sayn ya: fiva , nɔs ɛn vɔmit , bad bad pen , ɔ blɔd na yu stɔl/urine , go to dɔktɔ wantɛm wantɛm. If nid de, go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
Fɔ liv wit dis kayn diskɔmfɔt kin rili tranga. Nɔ shem fɔ tɔk to dɔktɔ bɔt am. Nɔ sɔfa we yu nɔ tɔk natin. Tenesmus na wan sayn fɔ wan sik wae nid fɔ trit. Ivin if de ɔndalayn kɔndishɔn na fɔ lɔng tɛm ɛn nɔr kin mɛn (lɛk IBD), wit di rayt tritmɛnt, yu kin kɔntrol dɛn sik ya we nɔr kin fayn ɛn liv nɔrmal layf.
Mɛsej we dɛn kin kɛr go na os
- Tenesmus nɔto sik, bɔt na sayn fɔ ɔda ɔndalayn kɔndishɔn.
- Dis diskɔmfɔt kin apin wit defecation (rɛktal) ɔ urinate (vesical).
- I impɔtant fɔ fɛn di rayt tin we mek yu gɛt am ɛn trit am. So nɔ ignore dɛn sayn ya.
- If yu gɛt sɔm sayn dɛn lɛk fiva, bad bad pen, ɔ blɔd na yu stɔl/urine, go to yu dɔktɔ wantɛm wantɛm.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Disopyramide / Norpace kapsul na rili pawaful mɛrɛsin fɔ sik?
Dis nɔto ɔdinari mɛrɛsin! Dis na pawaful (Klas 1A Antiarrhythmic) spɛshal ɔkayshɔn mɛrɛsin we dɛn kin yuz fɔ kɔntrol di Ventricular Arrhythmias / V-Tach / PVC dɛm we kin mek pɔsin in layf de pan denja, we na ritm dɛm we kin apin wantɛm wantɛm, we nɔ kin kɔntrol, we nɔrmal/rapid na di at in 'lɔwa chɛmba dɛm (Ventricles), we kin mek di pɔsin fɔdɔm na kɔma ɛn day, ɛn fɔ mek di at nɔmal bak!
💬 We yu at de bit lɛk krayzi, aw dis pil (Disopyramide) de ɛp fɔ mek yu at ritm kol?
fכ mek di at gεt ilektrikal impuls εn bit fast, ‘Sכdiכm’ patikyula dεm nid fכ go insay di sεl dεm! we dis pil go insay di at, i de blכk כl di sכdiכm chεnal dεm (Moderate Sodium channel blocker). pan tap dat, i de fos fכ prolכng εn delay di tεm we i tek fכ di at in ilektrikal sεl dεm fכ chaj εn rεset (Repolarization / Potassium blockade)! Wit dis tu akshɔn, ɔl di krayzi ilɛktrik signal dɛn kin kɔt ɛn di at kin slo.
💬 Wetin na di anticholinergic ɛn ‘black box warnings’ we pipul dɛn we de tek dis mɛrɛsin (Norpace) fɔ no bɔt?
di big prכblεm wit dis na dat i de dray di sekreshכn dεm na di כl bכdi (Severe Anticholinergic effect)! fכ dat, di tכng/mכt kin dray εn i at fכ hεndl, di urine kin stכk na di blad (Urinary retention), di yay dεm kin bכlכ εn siriכs kכnstipashכn kin apin. Di ɔda denja we kin kil pɔsin na dat i kin mek di ‘Negative inotropic effect’ we de na di at wik bad bad wan! So if pɔrsin wae gɛt at pwɛl hat drink dis, in at kin stɔp ɛn day (Proarrhythmic effect).
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