A chang chuan hriselna lama harsatna, sawi harsa deuh, mahse hrehawm tak tak kan nei thin. Anus bula lump sen, hring, na tak chu chutiang thil pakhat chu a ni. I ṭhut lai te, kea kal lai te, toilet-a kal laia a natna chu a tithinur thei hle a, nitin hnathawh pawh i ti thei lo. Hetiang thil tawn hi i tawng tawh em? Tichuan he dinhmun hi hlau suh. Chipchiar tak leh awlsam takin sawi ila.
Anal abscess hi eng nge ni tak tak?
A awlsam zawngin, anal abscess chu i hnute emaw, i hnungzang emaw vel vun hnuaia lo awm, natna nei, zun (pus-filled lump) a ni. I hnute chhungah hian gland te te a awm a, chu chuan tui a vawng reng thei a ni. Eng thil vang pawha heng glands te hi an block chuan bacteria infection a lo awm thei a, an chhungah hian pus a lo awm thei bawk. Chu pus chu a lo pungkhawm a, lump na tak a siam ta a ni.
Abscess chi khat awm tam ber chu perianal abscess an ti a, chu chu hnute kawng hawnna bulah a lo awm a ni. A tlangpuiin lump sen, tender angin a lang thin. A châng chuan, hnute chhûngah, hnute kawng (rectum)-ah pawh hliam (abscesses) a lo awm thei bawk. Hmuh theih an ni lo.
Anal fissure leh fistula inzawmna
Hemi chungchang i sawi dawna i hriat chian tur dang chu fistula an tih hi a ni. Mi tam tak (50% vel) chuan anal fistula an nei a, a hnuah fistula an nei leh ang.
Fistula chu tunnel pangngai lo, pus-filled abscess awmna hmun (anus chhungah) atanga vun chunglam thlenga lo awm a ni. Hei hi taksain natna hrik vanga zun (pus) a lo pungkhawm chu a chhuah theihna tur a ni.
He fissure hian vun chhunga khur te tak te atang hian zun a chhuak fo thei a, a chang chuan bawlhhlawh emaw thisen tlem emaw a awm thei bawk. A châng chuan he khur hi a khar chuan zun a lo khawl khawm leh thei a, abscess thar a siam thei bawk. Chuvangin anal fissure i neih fo chuan a chhan chu fissure a nih theihna chance a awm.
Heng tumor lo awm chhan leh risk factor te hi engte nge ni?
Anal fissure awm chhan pakhat mah a awm lo. Hei hi a chhan hrang hrang leh risk factor hrang hrang a awm a, hei hian a tichhe thei a ni. Table pakhatah han en ila.
| A chhan/Risk factor a ni | A sawifiahna awlsam tak |
|---|---|
| Anal glands block a awm | Hei hi a chhan ber leh a tam ber a ni. Glands chhunga bacteria infection hian pus a siam khawm thin. |
| Anal Fissures a awm | Bacteria hi rectum-a crack te te hmangin constipation ang chi thil vangin a lut thei a, infection a thlen thei bawk. |
| Digestive system natna hrang hrang | Inflammatory bowel diseases (IBD) Crohn’s disease emaw ulcerative colitis emaw nei te chu an hlauhawmna a sang hle. |
| Zunthlum | Zunthlum vei te hian eng hri kai pawh an vei theihna chance a sang hle. |
| Immunity a chak lo | Cancer damdawi (chemotherapy), steroid damdawi (prednisone), HIV ang chi natna avanga immune system chak lo nei te pawh hi an hlauhawm zawk bawk. |
| Chhan dang | Mipat hmeichhiatna hmanga kai theih natna, hnute hliam, zuk leh hmuam, leh chaw ei kham rei tak takte pawhin a pui thei bawk. |
Hei hi hemorrhoids a ni em? A nih loh leh anal fissure a awm em? A danglamna i hria ang u.
Mi tam tak chuan he natna hi hemorrhoids nen an inzawm tir thin. He buaina hi a dik a ni, a chhan chu an pahnih hian hmun khatah an awm a, an pahnih hian natna leh hrisel lohna an thlen a ni. Mahse, hengte hi damdawi lam dinhmun hrang hrang pahnih a ni.
Hemorrhoids hi natna hrik a ni lo. Anus chhunga thisen zam (swellen veins) an ni. Anal fissure chu bacteria infection avanga pus-filled abscess a ni.
He inthlauhna hi a hnuaia table hmang hian i chiang lehzual ang u.
| Mihring ziarang | Anal Abscess a awm | Hemorrhoids natna (Hemorrhoid) a awm |
|---|---|---|
| Nihphung | Lump, pus-a khat, sen, hring, khawih pawhin a lum tih hriatna. | Thisen kalna kawng hring, purple-blue, solid lump ang maia lang. |
| Na | Constant, sharp, hliam na tak. A bik takin thut laiin a na hle. | Natna, hrisel lohna emaw, nuam lo emaw i nei thei a, mahse a na lo reng reng. |
| Khawsik leh khawsik | Yes , hei hi natna hrik a ni a, khawsik, khawsik, leh khur na thei a ni. | No , hemorrhoids hi infection a nih loh avangin khawsik a thlen lo. |
| Pus atanga chhuak | Boil a puak chuan pus a ooze chhuak thei. | Pus a awm lo. Thisen tlem a awm mai thei. |
Engtin nge doctor hian hei hi a hriat chian?
Heng symptoms te hi i neih chuan doctor pan a pawimawh . Doctor chuan i natna lan chhuah dan a zawt tlangpui ang che a, a hmun chu a enfiah ang.
- Taksa enfiahna: Doctor chuan rectum leh a chhehvel a en ang a, a hring, a sen leh a na em tih a enfiah ang.
- Digital Rectal Exam: Gloved finger chu rectum chhungah dahin lumps emaw thil danglam dang emaw enfiah a ni.
- Test dangte chu:A châng chuan, a bîk takin tumor chu internal a nih chuan, a natna hriat chian nân ultrasound, CT scan, MRI ang chi scan neih a ṭha thei bawk. IBD ang chi natna dang awm lo turin colonoscopy neih a tha bawk.
Engtin nge enkawl a nih? Hei hi a mah chauhin a tha leh dawn em ni?
Hetah hian hriat reng tur pawimawh tak chu anal fissure hi a tlangpuiin a mah chauhin a dam lo. Damdawi lam enkawlna a mamawh tak zet a ni.
Vaukhânna: Eng dinhmunah pawh hian in lamah he boil aṭanga hnim hring hi lak chhuah tum suh la, thil hrual hmangin chhuhsak tum suh. Hei hian natna a ti na zual thei a, nunna atana hlauhawm tak tak, sepsis ang chi harsatna a thlen thei bawk.
Surgery hmanga tui chhuahna (Drainage) a ni
Vawi tam tak chu anal fissure enkawlna tha ber leh awmchhun chu surgery tenau tak tih a ni a, chu chuan a zung chu a chhuah vek a ni.
- Pawn lam cyst te te: Hengte hi doctor office (OPD)-ah minute tlemte chhungin local anesthesia hmangin tih theih a ni tlangpui.
- Internal emaw large tumors: Chutiang a nih chuan damdawi inah dah a ngai ang a, anesthetized a ngai ang a, he surgery hi operation room-ah general anesthesia hnuaiah tihsak i ngai ang.
Operation hnuah chuan incision chu a zung a chhuah vek hma loh chuan hawn reng a ni. A stitch lo.
Operation hnua dam leh hun chhung
Operation hnua natna hi nasa takin a tlahniam a ni. I dam thuai theih nan i doctor chuan a hnuaia mi hi a rawn rawt thei ang:
- Painkillers: Natna thunun nan damdawi pek a ni ang.
- Antibiotics: Infection control nan antibiotics pek theih a ni a, a bik takin zunthlum ang chi natna dang i neih chuan. Heng damdawi te hi a hun chhung zawnga ei a pawimawh.
- Sitz Bath: Hei hi a pawimawh hle. Tui lum basin-a minute 10-15 chhung ni khatah vawi tam tak thut hian natna a tiziaawm thei a, hliam chu a tifai thei a, a dam thuai thei bawk.
- Constipation venna: Laxatives ( laxatives ) ei leh fiber tamna ei tur (thei, thlai) ei hian hliam a dam hma loh chuan bathroom kal laiin harsatna a tiziaawm thei a ni.
Enkawlna dik tak lak loh chuan harsatna awm thei
Hei hi thil tenawm tak anga ngaihthah a nih chuan harsatna lian tak tak a thleng thei a ni.
- Fistula formation: Kan sawi tawh ang khan tumor a lo awm chuan fistula a lo awm theihna chance a sang hle.
- Hri kai darh zel dan: 1.1.He natna hi thisenah lutin taksa pum puiah a darh thei a, natna hlauhawm tak sepsis an tih chu a thlen thei a ni.
- Cyst siam fo: Pus hi uluk taka lakchhuah a nih loh emaw, abscess a lo awm emaw chuan heng cyst te hi a lo awm chhunzawm thei a ni.
- Fournier’s gangrene: Hei hi natna hlauhawm tak ni mahse nunna atana hlauhawm tak a ni a, mipat hmeichhiatna chhehvela tissue te chu rang takin a thihpui thin.
Chuvang chuan a tha ber chu symptoms a lan veleh damdawi lam thurawn lak hi a ni.
Take-Home Thuchah a ni
- Anal abscess chu natna nei, pus-a khat, anus vel a lo awm a ni.
- Hei hi hemorrhoids nen hian inthlau tur a ni lo. Khawsik leh natna nasa tak hi anal fissure symptom a ni thei.
- He natna hi a tlangpuiin amah chauhin a dam lo va, chuvangin symptoms i neih chuan hun khawhral suh la, doctor pan rawh.
- In lamah cyst hi squeeze emaw pop emaw tum loh tur. A hlauhawm hle thei.
- Vawi tam tak chu enkawlnaah hian surgery tenau tak hmangin a zung chu lakchhuah a ngai thin. Hei hi enkawlna hlawhtling leh him tak a ni.
- Cyst i neih fo chuan chu chu i doctor nen pawh sawipui la, a hnuaiah fistula thup a awm thei a ni.
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