Nang pawhin ek chhuah harsa i ti em? He (Anorectal Manometry) test chungchang hi han sawi ila!

Toilet i kal hian a chang chuan hrehawmna chi khat i nei ngei ang, a dik em? I pum a vawt a, a nih loh leh i rilru a buai ang maiin i inhria a ni mai thei. Mi thenkhat chuan heng thilte hi tlem an nei tam zawk mai thei. Chuvangin vawiin hian i rilru hahna chhan zawng chhuak thei tur test bik kan sawi dawn a ni. Hei hi `(Anorectal Manometry)` kan tih chu a ni.

Engvangin nge he ``Anorectal Manometry'' test hi tih a nih?

A awlsam zawngin, he test hi i hnute (thil kalna kawng) leh rectum (thil dahna hmun hun eng emaw chen atana dahna hmun) vel a thau te chu a thawk tha em tih enfiah nan tih a ni. Ngaihtuah teh, kan ei ang bawkin, chu chaw chu ei leh in a bak zawng taksa atanga hnawhchhuah pawh hi thil pawimawh tak a ni. Chutiang ti tur chuan kan thluak leh heng ruhte hi an thawk dun a ni. Chuvangin, i ek chhuah harsatna i neih chuan a chhan chu heng ruhte hnathawh danah harsatna a ni thei.

Doctor-in he test hi a tih chhan lian tak tak a awm a:

• Bowel movement laiin natna emaw, straining emaw i neih chuan: Hei hi `(Dyschezia)` an ti bawk. Lung pakhat paltlang tum ang maiin a lang.
• I bawlhhlawh a tlakbuak a, a chhuak lo ang maia i hriat chuan: Hei hi ``Obstructed defecation'' an ti. Toilet pan a ngai angin i inhria a, mahse engmah a chhuak lo.
• Persistent constipation: Hei hian ni tam tak chhung toilet-ah i kal a ngai tihna a ni a, i rilru a buai fo thin. Hei hi ``Chronic constipation'' an ti bawk.
• Bowel movement control theih lohna: A duh loh zawnga bowel movement hloh. Hei hi ``Fecal incontinence'' an ti a, hei hi mi tam tak tan chuan a nuam lo hle.

Heng symptoms bakah hian he test hi a chang chuan chu lai hmuna ruhte chu accident emaw, operation emaw hnua hnathawh dan en nan emaw, heng ruhte chetna hi hun rei tak natnain a nghawng em tih hriat nan emaw hman thin a ni.

He ``(Anorectal Manometry)`` test hian i constipation thlentu damdawi lam thil thenkhat a hriat theih a ni. Entir nan:

• Anismus emaw dyssynergic defecation: Hei hi defecation tum laiin rectum chhunga muscle te chu an inzawm khawm a, chutih lai chuan an relax tak tak tur a ni.
• Hirschsprung natna: Hei hi naupang tê tête zingah a awm tam ber a ni. Rectum chhunga nerve cell chak lohna avanga lo awm a ni.

Fecal incontinence a awm chuan eng thil nge thleng tih leh khawiah nge harsatna awm tih chiang taka hriat theih nan a pui thei bawk. Mak tak mai chu he test atana hman technology ang chiah hi a chang chuan heng taksa ruhte hi zirtir leh theih a ni (``Biofeedback therapy'' ang chi thilah te).

He ``Anorectal Manometry'' test hian engtin nge hna a thawh?

Hei hi science lam deuha sawifiah tur chuan he test atan hian ``Manometer`` an tih device hman a ni. Hei hi a takah chuan pressure sensor a ni.`(pressure transducer)`. Chu chu i rectum leh anus chhunga muscle te inzawmkhawm avanga pressure lo awm chu a teh thei tihna a ni. Hei hian he pressure hi a dik em, a tam lutuk, a tlem lutuk em, a nih loh leh heng contraction te hi a hun takah a thleng em tih i hriat theih nan a pui thei che a ni.

Doctor emaw, medical staff member trained emaw chuan i hnute kaltlangin tube (catheter) te tak te, flexible tak tak i rectum-ah a dah lut thin. He tube hian pressure sensor a nei a. He tube chhungah hian balloon te tak te an dah a. He balloon hi i rectum chhunga inflated a nih chuan bowel movement kan neih huna kan hriat ang chiah nerve stimulation a siam a ni. Chumi hnuah chuan i taksa ruhte chuan a pianphungah an chhang let tan ta a ni. He chhanna hi device hian a tehna a ni.

Test hmain engtin nge ka inbuatsaih ang?

He test neih chhung hian i rectum leh anus kha khar vek a tha ber. Chuvangin i doctor chuan test hma darkar engemaw zat ei lo turin a hrilh ang che. Tin, in lamah ``(Enema)`` (rectum tifai tu tui) hmangin a hmun chu khar turin a hrilh bawk ang che. I doctor chuan engtikah nge hetiang tih tur, tih dan tur leh eng nge hman tur tih chiang takin a hrilh ang che. Chuvangin hlau suh.

Test neih chhung hian eng nge thleng?

Okay, tunah chuan test neih chhungin eng nge thleng tih kan en ang.

• Test tura i lo kal hunah chuan i kawr hnuai lam i thawmhnaw phelh emaw, damdawi in a pek gown emaw ha turin an ti ang che.
• Tichuan dawhkan chungah i sir lamah an rawn hawitir che a, i khup chu i rilru lam hawiin an muhil tir che a ni.
• A châng chuan catheter i dah hmain doctor chuan i rectum-ah gloved finger a dah ang a, digital rectal exam a ti ang. Hei hi a chhunga thil danglam bik awm leh awm loh enfiah nan a ni. Lungngai suh, hei hi a bo thuai ang.
• Tichuan, tube tawp lamah (a luh awlsam nan) lubricant engemaw zat hnawih la, zawi zawiin hnute kaltlangin rectum chhungah dah lut rawh.
• Pressure reading hi rectum chhunga thuk hrang hrangah record a ni. Hei hian i chhungril pressure pangngai chu a hriat theih phah a ni.
• Tichuan balloon chu a inflated ta a. Balloon chu a zat hrang hranga khat a ni a, rectum chhunga hmun hrang hrangah dah a ni a, pressure reading lak a ni bawk.
• Heng inthlak danglamna te hi i hriat leh hriat loh leh toilet pan a ngai nia i hriat leh neih loh zawh che a ni bawk ang.
• Tin, hun hrang hrangah tense, relax, push (toilet kal lai ang chi), leh i taksa ruh te khuh turin an ti bawk. Hetih lai hian i taksa ruhte chu a duhthusam leh automatic-a an chhan dan angin record a ni.

A tlangpuiin, test pumpui hi minute 30 vel a ni . Minute 15 a ni thei a, minute 45 a ni thei bawk.

Hei hi fiahna hrehawm tak a ni em?

Hei hi mi tam takin harsatna an neih a ni. Dik tak chuan hei hi fiahna hrehawm tak a ni lo.I rectum emaw, i hnute emaw a hliam tlem chuan i hrehawm lo emaw, i tight deuh emaw a ni thei. Mahse, tube leh balloon atanga pressure lo chhuak chu stool i pass huna i hriat thin pressure nen a inang tlangpui.

Mahse, he thil hi i hlauthawng hle emaw, i lungkham hle emaw a nih chuan, a tul chuan light sedation (`(Sedation)`) chi khat i lak theih leh theih loh chungchang hi i doctor nen i sawi thei ang.

Balloon hnawhchhuah test tih hi eng nge ni?

A chang chuan doctor chuan Anorectal Manometry test nen a rualin test dang a ti leh thin. Balloon Expulsion Test an ti a. Hei hian balloon inflating a, "bowel movement nei ang maia" i hnawhchhuah theih leh theih loh leh eng chen nge a rei tih en a huam a ni. Hetiang hi mimal takin, thutpuiin tih turin an ti ang che. Balloon-a sensor awmte chuan a hun leh pressure a record thin.

He test hi hlauhawmna a awm em?

Dik tak chuan he test atang hian risk leh side effect lian tham a awm lo. A awm chhun chu, `(Latex)` (rubber milk) allergy i neih chuan i doctor hnenah i hrilh hmasak a ngai a ni. Tichuan `(Latex)` tel lo balloon an hmang ang.

I rectum emaw, i hnute emaw a hring deuh a, a sen deuh a nih chuan test zawhah hliam emaw thisen chhuak tlem emaw i nei thei. Mahse hei hi a dam thuai tlangpui.

Test result hian eng nge a lantir?

Okay, tunah chuan a pawimawh ber. He test result atang hian eng nge kan zir theih ang?

Heng result te hian bowel movement process-a inrawlh muscle leh nerve te hian hna an thawk tha em tih a tarlang a, khawiah nge buaina a awm tih a tarlang bawk.

Result pangngai chuan hetiang hi a lantir ang:

• Stool chu rectum chhunga a luh chuan rectum chu a relax a, a awm theih nan a zau chho ta a ni (`(Rectal compliance)`).
• Rectum bang chhunga nerve (`stretch receptors`) te chu a tichak a, thluak ah toilet kal a ngai tih signal a thawn (`(Rectal sensation)`).
• Chumi chhanna atan chuan internal anal sphincter chu a relax nghal vek (`(Rectoanal inhibitory reflex)`).
• A chhung lam a hahdam chuan pawn lam anal sphincter chu a tikhauh a, i inpeih thlengin stool chu a chelh lut (`(Rectoanal contractile reflex)`). I khuh hian a tight bawk (`(Cough reflex)`).
• Outer anal ring hian i hriatna thupek chu a chhang let a, tighten, loosen, leh push.
• Defecate i tum hian anus-a pressure a sang a, chu chuan external anal ring chu a ti relax a, stool chu a kal tlang thei ta a ni. Heng zawng zawng hi a thawk dun vek (`(Coordinated anorectal pressure changes)`).

Results pangngai lo chuan a hnuaia mi hi a tarlang thei a ni:

• Rectum kaltlangin bawlhhlawh kal mah se, toilet pan a ngai tih hriatna a awm lo. Rectum hi a dilating tha lo emaw, nerve te hian thluak ah signal an thawn lo emaw pawh a ni thei.
• Toilet kal a ngai nia i hriat pawhin i taksa peng hrang hrangte automatic response chuan hna a thawk tha lo hle.
• Muscle te hian an chhang dik lo. Entirnan, an rilru hahdamna tur hmunah an tikhauh a, an tight tur hmunah an chawl bawk.
• Muscle-te hian thil dik tak ti mah se, a hun dik takah an ti a, a nih loh leh an thawk dun lo.
• Muscle contractions hi a chak lo va, hna a thawk tha lo.
• Relax tum mah ila, ka taksa ruhte chu a tight lutuk.

He test hian enkawlna hlawhtling tak a thlen thei ang em?

Ni e, a dik tak zet! Doctor chuan eng taksa ruh nge a nghawng tih leh engtin nge a nghawng tih chiang taka a hriat theih hnu chuan, chu ruhte chu a zirtir leh theih nan kawng hrang hrang a hmang thei a ni. Enkawlna hman tlanglawn ber berte chu:

• Biofeedback therapy: Hei hian i taksa ruhte hnathawh dan hmanrua hmanga i inhriat tir a, chu chu thunun dan zirtir che a ni.
• Physical therapy for pelvic floor dysfunction: Hei hian exercise leh technique bik hmanga chu hmuna taksa ruhte tichak a, hnathawh dan tur dik tak siam a huam a ni.

Anorectal Manometry hi test rang tak, natna nei lo, i doctor-in i rilru a buai em tih enfiah nan a ti thei a ni. I doctor hnenah i rectum leh anus muscle te hnathawh dan tur pawimawh tak tak a pe thei a ni. Medical exam neih laiin i rilru hahna hman chu i zak deuh mai thei. Amaherawhchu, stool pass harsa i neih chuan a chhan hriat chian a pawimawh. A chhan hriat chian hnuah chuan i dinhmun ang zela enkawlna chu i siam thei ang.

A tawp berah chuan thil hriat reng tur

I ek chhuah laiin i rilru hahna, natna, emaw, insum theih lohna emaw i neih reng chuan, chu chu tuar mai mai suh. Zak tur leh hlauh tur a ni lo. Doctor nen inbia la, a tul chuan Anorectal Manometry test nei rawh. A chhan i hriat veleh enkawl a awlsam zawk. Engkim chinfelna a awm vek!

Heng harsatnate hi hnehin, nun hrisel, hahdam tak nei turin chakna i hmu ang che!

` Bowel dysfunction, anorectal manometry, constipation, rectal natna, chaw ei kawng, damdawi lam test, biofeedback