A châng chuan toilet-a kal chu hlauhna emaw, kal duh lo emaw i nei ṭhin em? A bik takin i ek chhuah hian a hrehawm hle thei a, glass shard-in a tikehsawm ang maiin, a chang chuan thisen tlemte i hmu thei bawk. Mi dang nena he thu hi sawi dun chu tlemin i zak a, i hlim lo mai thei. Mahse ka hrilh ang che, hei hi i harsatna mai a ni lo. Hetiang dinhmun hi mi tam takin an tuar a, mahse an sawi chhuak lo va, ngawi rengin an tuar thin. Vawiin hian hnute chhunga hliam na tak tak, a nih loh leh damdawi lam atanga thlir chuan ``Anal Fissure'' tih kan sawi dawn a ni.
A awlsam zawngin, anal fissure tih hi eng nge ni?
A awlsam hle mai. Anal fissure chu i hnute vel emaw, i hnute chhunga vun nalh tak tak te te te te te emaw, a chhe emaw a ni. A dik tak chuan anal canal hi i intestine lian ber a ni. He lai hmuna vun hi a sensitive hle. Hetiang mittui hi i bawlhhlawh khauh tak, rei tak i chaw ei lai emaw, a chang chuan ril\am emaw pawh nise a awm thei.
He ``Anal Fissure`` condition hi kawng lian pahnih hmangin kan hre thei a ni.
- Acute Anal Fissure: Hei hi anal fissure chi khat a ni ber. Hetiang dinhmunah hian symptoms hi kar 6 aia rei lo a ni. In lama damdawi awlsam tak hmanga enkawl theih a ni tlangpui.
- Chronic Anal Fissure: Kar 6 aia rei a symptoms a awm reng chuan chronic condition ah kan ngai thin. Hengte hi a dam theih nan hun rei tak a ngai a, a chang chuan damdawi lam enkawl a ngai bawk. Tin, a then phei chuan damdawi lam dinhmun dang chhinchhiahna an ni thei bawk. Entirnan, Crohn’s disease emaw Ulcerative Colitis ang chi bowel disease nei chuan chronic anal fissures a nei thei a.
Hetiang natna lan chhuahna berte chu engte nge ni?
Heng symptoms te hi mittui tlak dan azirin a danglam deuh thei. A hranpaa thliar hran dan tur i lo en ang u. A hnuaia table hian hei hi chiang taka hriatthiamna a pe ang che.
| A crack awm dan | Features zawng tur a awm |
|---|---|
| Acute Fissure a awm |
|
| Chronic Fissure awm thei |
A pawimawh ber chu i bawlhhlawh chhunga thisen awm hi ngaihthah ngai lo tur a ni. Hetiang mittui tla mai mai a ni thei a, a nih loh leh natna khirh zawk chhinchhiahna a ni thei bawk.
Engtikah nge Doctor kan hmuh ang?
Mi tam tak chuan hetiang harsatna chungchang sawi an zak avangin doctor hmuh an sawn hla a ni. Mahse, chutiang chu ti suh. I hriselna hi a pawimawh ber a ni. A hnuaia symptoms te hi i neih chuan doctor pan ngei ngei tur a ni.
- Natna nasa tak i neih chuan i bawlhhlawh paih thei lo a nih chuan .
- I stool-ah emaw, toilet paper-ah emaw, toilet bowl-ah emaw thisen i hmuh chuan .
- Nitin natna a zual zel emaw, kar hnih aia rei emaw a awm chuan.
Doctor chuan a enfiah thei che a, hei hi ``Anal Fissure'' emaw, natna dang, hemorrhoids ang chi emaw a nih leh nih loh chiang takin a hre thei ang .
Hei hi eng enkawlna nge ni?
Thu lawmawm tak chu a tam zawkah chuan he natna (Anal Fissure) hi nunphung tihdanglam awlsam tak tak thenkhat hmangin tihdam theih a ni.
In lama i tih theih thilte
Heng thilte hi i lo enchhin hmasa thei ang:
- Fiber tamna diet ei: A pawimawh ber chu i bawlhhlawh a vawt leh a khauh loh nan khap hi a ni. Fiber tamna diet ei rawh. I eitur ah hian leafy greens, green beans, spinach, kale, thlai chi hrang hrang, leh thei (a bik takin papaya leh banana) te telh la.
- Tui tam in tur: Ni khatah tui litre 2-3 tal in tur a ni. Hei hian i stool a ti nem ang a, i pass pawh a awlsam phah ang.
- Laxatives: Constipation a nasat chuan , i doctor nen simple stool softener emaw fiber supplement emaw ei chungchang i sawi thei ang.
- Sitz Bath: Hei hi a awlsam hle a, a hlawkthlak hle bawk. Basin lian takah tui lum i theih ang tawkin khat la, minute 10-20 vel thu rawh. Tuiah hian sahbawn emaw thil dang emaw dah tel suh. Ni khatah vawi hnih emaw vawi thum emaw tih chuan, a bik takin chaw ei hnuah natna a tihziaawm ang a, chu hmuna thisen kal a tipung ang a, fissure chu a dam leh thei ang.
Doctor hnen atanga enkawl
Thla khat emaw thla hnih emaw chhung he in lama enkawlna hi i lo enchhin hnua i rilru a hahdam loh chuan i doctor chuan enkawlna dang a rawn rawt ang che.
- Ointments: Ointment bik a awm a, chu chuan anus vel sphincter muscle te chu a ti hahdam a, chu hmuna thisen kalna a ti tha a, fissure a tidam bawk. Hemi atan hian nitroglycerin (Rectiv) awmna ointment te pawh hman a ni a, thisen sang enkawlna atana hman thin damdawi diltiazem (Cardizem) emaw nifedipine (Procardia) te pawh hman a ni bawk.
- Botox injection: Hei hi a danglam deuh hlek a. Anus chhehvela taksa peng hrang hranga natna hrik awmte tihtawp nan chu hmunah chuan botulinum toxin awmna injection an pe thin.
- Surgery: A tawp berah chuan, enkawlna dang zawng zawngin a fissure chu a tidam thei lo a nih chuan, i doctor chuan operation tenau tak neih a rawt thei ang. Hei hian hnute (sphincter) vel muscle-ah incision te tak te siam a, a relax a ngai a ni. Hei hian natna leh taksa ruh inzawmkhawm chu a titawp a, fissure chu a dam thei ta a ni.
Hetiang harsatna nei doctor pan tur hian mualpho leh mualpho hi thil pangngai tak a ni. Mahse, a chang chuan he natna atanga chhanchhuahna dawng tur hian damdawi lam enkawl a ngai thin tih hre reng ang che. Doctor ten heng dinhmunte hi an hmuh fo avangin hlauhna leh mualpho lovin i sawi thei a ni.
Take-Home Thuchah a ni
- Anal fissure chu hnute chhehvel vun na tak a ni.
- A lan chhuah dan ber chu ek chhuah laiin natna nasa tak leh thisen sen hring tlem te a ni.
- Defense tha ber chu constipation pumpelh hi a ni. Chutiang ti tur chuan fiber tamna diet ei la, tui tam tak in rawh.
- Tui lum hmanga sitz bath in hian natna leh hrehawmna nasa takin a tiziaawm thei a ni.
- I ek chhungah thisen a awm a nih chuan, a natna chu tuar theih loh a nih chuan, a nih loh leh kar tlemte chhungin hmasawnna a awm lo a nih chuan,Zak lo la, doctor hmu ngei ang che.
- He natna hi damdawi hmanga enkawl chuan tihdam vek theih a ni.
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