Hei hi thupui sawi harsa tak a ni tih kan hria a, mahse kan khawtlang nunah hian he harsatna avanga ngawi renga tuar hi an tam hle. Toilet-a i kal hian tuar theih loh khawpa natna khirh tak i nei bawk em, a bik takin stool i pass lai hian glass hlingin a tihkeh ang maiin i nei em? Chutih rual chuan thisen sen thar tlemte i hmu fo thin em? Tichuan anal fissure pawh i neih theihna chance a sang hle . Ngaihtuah buai suh, hei hi a awm fo thin. Vawiin hian he thu hi a awlsam em em, i hriatthiam theih dan tur angin kan sawi dawn a ni.
A awlsam zawngin, anal fissure tih hi eng nge ni?
Anal fissure chu i anal canal chhunga mucous membrane-a te te emaw, a chhe emaw a ni. Khawsik i neih laiin i hmui a chhe ang maiin ngaihtuah rawh. I hnute tawp lama vun hi a hring hle a, a sensitive hle bawk. He vun te tak te hi eng emaw chhan vanga a chhiat chuan fissure a awm thin. Hei hi anal pain leh i stool-a thisen tlemte awm chhan ber a ni fo thin.
He natna hian kum eng pawh a nghawng thei a ni. A bik takin naupang tê tê, naupai, leh puitling tleirawlte zîngah a hluar hle. Mi thenkhat tan chuan a lo thanglian nghal a, ni engemaw zat emaw, kar tlemte emaw chhungin a mah chauhin a lo tha leh thin. Mi dangte tan chuan natna khirh tak, rei tak daih thei a lo ni thei bawk.
Hetiang natna lan chhuahna berte chu engte nge ni?
Rectal fissure nei chuan symptom hrang hrang a nei thei. Mahse, mi tam zawkin an tawn thin symptoms tlanglawn tlemte a awm. Hriatthiam awlsam zawk nan he table -ah hian ka khaikhawm ang.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Natna nasa tak | Bathroom-a i kal lai, a bik takin stool i pass hian a lo awm thin, na tak, hliam na tak, hliam na tak. He natna hi i ek chhuah zawh hnuah minute tam tak atanga darkar tam tak chhung a awm thei. |
| Thisen chhuak chu stool ah a awm | Thisen thar, sen hring tlemte chu toilet bowl-ah te, stool-ah te, toilet paper-ah te hmuh tur a awm thei. Hei hi thisen chhuak nasa tak a ni lo va, a tlangpuiin thisen tla tlemte chauh a ni. |
| Inflammation leh itching a awm | Ek chhuah hnua hnute chhunga kang emaw, a hring emaw. |
| Rectal muscle a lo chhuak thin | Natna hian hnute chhehvel ring ang maia thau (anal sphincters) te chu a tikhauh thei a, a tikhauh thei bawk. |
| Vun chungah lump a awm | A châng chuan incision bulah vun chung lamah lump te tak te emaw skin tag emaw a lo lang thei bawk. |
A pawimawh ber chu he natna hian mi tam tak chu inbualna lama kal hlauhna a siam a ni. Mahse stool- a vawn hian stool chu a tikhauh zawk a, a dawt leh hunah chuan hliam chu a ti na zual sauh sauh a ni. Vicious cycle ang mai a ni.
Hemorrhoids ka nei em? A nih loh leh ka rectum-ah fissure a awm em?
Hei hi mi tam takin harsatna an neih a ni a, a chhan chu hemorrhoid leh anal fissures pahnih symptoms hi a inang tlang hle a ni. An pahnih hian constipation vang an ni thei a, an pahnih hian thisen an chhuak thei a, an pahnih hian itchy an nei thei bawk.
Mahse, danglamna lian tak a awm.
- Natna: Anal fissures nei mi 10 zinga 9 chuan natna nasa tak an nei thin. Mahse hemorrhoid hi a na reng reng lo. Hemorrhoid natna hi a tlangpuiin dull ache a ni thei a, rei tak a daih thei bawk. Mahse, fissure natna chu a tlangpuiin natna khirh tak, mittui tla thei, rilru natna (bowel movements) laiin a awm thin .
- Nature: Hemorrhoids hi hnute kawng vel a thisen kalna kawng a na a ni. Kea varicose vein ang mai an ni. Mahse fissure chu vun chhunga mittui tlakna a ni.
Mahse, heng symptoms te hi i neih chuan hemorrhoids nge fissure tih hi nangmah ngeiin i rel tum ai chuan doctor pan a, diagnosis dik tak neih a tha zawk.
Engvangin nge hetiang rift hi a lo awm? A chhan berte chu engte nge ni?
Hei hi hnute vun nalh tak a trauma vang a ni fo thin. Tin, hriselna dinhmun thenkhat chuan a hlauhawmna a tipung thei bawk.
A chhan bulpui ber chu:
- Ek khal:Hei hi a chhan ber leh a tam ber a ni. Stool a khauh a, a vawt a, a lian a nih chuan, a pass theih nan nasa taka i strain a ngai a ni. Hei hian rectum vun nalh tak chu a tizau thei a, a tikehsawm thei bawk.
- Chronic Diarrhea: Chaw ei tam hian rectum vun a tichhe thei bawk.
- Nau neih: Hetiang mittui hi natural childbirth laia pressure vangin a awm thei.
- Rectum chhunga thil dah luh: medical test thenkhat emaw thil dang vang emaw.
- Infant Dyschezia: He natna hi naute hian ek chhuah an tum lai pawhin a awm thei.
Condition dangte chuan a pui thei ang:
- Tun hmaa surgery neih tawhte chu rectum nena inzawm a ni.
- Inflammatory bowel disease (IBD), Crohn natna ang chi .
- Mipat hmeichhiatna hmanga kai theih natna (STIs).
- A tlem hle a, Tuberculosis (TB) leh Anal Cancer .
- Diaper rash a zual zel.
He natna hi enkawl loh chuan eng harsatna nge awm thei?
A tam zawkah chuan heng fissures te hi uluk taka enkawl chuan kar tlemte chhungin an dam leh thin. Mahse a chang chuan an dam lo va, an awm chhunzawm zel a ni. Hei hi Chronic Anal Fissure kan ti a . Hei hi a chhan chu a hmaa ka sawi tawh vicious cycle kha a ni.
Natna hian rectum chhunga ruhte a tikhauh (spasm) -> A ruh a tikhauh a, chu chuan fissure chu a tizau lehzual a, chubakah a hmuna thisen kal a tihtlem bawk -> Thisen kal tlem avangin hliam chu a dam zawi zawi zawk -> Hliam chu a dam lo va, chuvangin natna chu a la awm reng a ni.
Hetiang cycle hi a kal zel chuan harsatna dang a awm thei bawk.
- Fecal Impaction: Natna hlauhna avanga bathroom kal loh chuan bawlhhlawh chu rectum-ah a tang thei a ni.
- Anal Stenosis: Hun rei tak hliam avanga hliam tuar hian hnute a ti tawi thei a, chu chuan ek chhuah a ti harsa zawk.
- Anal Fistula: Anus leh vun inkarah tube pangngai lo a lo awm thei a, chu chu fissure a thuk a, a natna a thlen chuan a ni. Hei hi dinhmun buaithlak zawk a ni.
Engtin nge doctor hian hei hi a hriat chian?
Doctor i pan hunah i symptoms te a zawt hmasa ang che. Tichuan, i rectum chu enfiah a tum ang. Hei hi khum sir khatah i hawitir a, zawi zawiin i hnute chu a sir lamah i sawn a, a hawnna chu hriat tum a ni.
Mi tam tak chuan he test hi an hlau a, an mualpho bawk. Mahse, hei hi doctor-te tan chuan a hluar hle tih hre reng ang che. Natna i tuar thei lo a nih chuan Doctor chuan test ti turin a nawr lui lovang che. He natna hi a lan chhuah dan ringawt atanga hriat theih a ni fo.
Natna i neih tlem chuan i doctor chuan i rectum-ah lubricated, gloved finger (digital rectal exam) zawi zawiin a dah thei a, chu chuan muscle tightness leh harsatna dang a neih leh neih loh a enfiah thei ang. Hei hian condition dangte chu a paih chhuak thei a ni.
Natna tihdam leh tihziaawmna turin in lamah eng nge i tih theih?
Thu lawmawm tak chu anal fissure tam zawk, a bik takin a thar (acute fissures) hi in lama damdawi awlsam tak hmanga enkawl theih a ni.
| Damdawi | Tih dan tur leh a pawimawhna |
|---|---|
| Sitz bath (tui lum hmanga inbualna) . | Hei hi enkawlna tha ber leh awlsam ber a ni. Basin lian takah tui lum takin khat la, minute 10-15 vel, ni khatah vawi hnih emaw vawi thum emaw thut rawh. Hei hian natna leh itching a tiziaawm ang. Tin, hnute chhunga ruh (muscles) te a ti hahdam ang a, thisen kal a tipung ang a, hliam chu a dam thuai theih nan a pui bawk ang. |
| Diet thlak danglam | Constipation ven nan a pawimawh hle. Fiber tamna ei tur (bean, lentils, banana, spinach, oats, thei, thei, thlai) ei tam zawk rawh. Ni khatah tui glass 8-10 tal in thin tur a ni. Hei hian stool a ti nem ang a, pass pawh a awlsam phah ang. |
| Toilet hman dan tur | Toilet kal a ngaih hunah chuan tihkhawtlai suh. Straining tih loh tur. Toilet-a i thut laiin i ke hnuaiah bench te tak te (step stool) dah la. Hei hian i taksa chu a pianphungah bawlhhlawh paihna tur hmun nuam takah a awm theih nan a pui ang. |
| Faina | Toilet i hman zawh chuan rimtui lo emaw, zu tel lo emaw wet wipe emaw toilet paper nem tak emaw hmangin zawi zawiin silfai tur a ni. A theih chuan tui (bidet) hmanga silfai hi a tha ber. |
| Coating chi hrang hrang | Petroleum jelly ang chi thil hnawih hian vun a hnim reng thei a, a dam thei bawk. Doctor-in a tih angin natna tidam thei cream (e.g. Lidocaine) hi hman theih a ni. |
In lama inenkawlnain a tidam lo a nih chuan eng damdawi hmanga enkawlna nge ni ang?
Fissure hi kar 6-8 aia rei a dam loh chuan (Chronic Anal Fissure) doctor pan a pawimawh hle. Heta enkawlna tum ber chu hnute ruhte tih hahdam leh fissure dam theihna hun pek hi a ni.
Damdawi chi hrang hrang
- Nitroglycerin ointment: He ointment hian hnute chhehvela thisen kalna kawng a tizau a, taksa ruhte a ti hahdam a, hliam a thisen kalna a tipung bawk. Hei hian hliam chu a dam thuai thei a ni. Mahse, mi thenkhat chuan hei hi an hnawih hian lu na an nei thei.
- Calcium channel blockers: Nifedipine emaw diltiazem emaw ang chi damdawi awmna ointment pawh hi taksa ruh tih hahdam nan hman a ni.
- Botox® injection: Enkawlna dang a hlawhchham chuan Botox® injection hi anal muscles enkawlna atana hmanraw hnuhnung ber atan hman theih a ni. Hei hian hun engemaw chen chu ruhte chu a ti paralyze a, a ti relax bawk (thla 3 vel), fissure chu a dam thei ta a ni.
- Bulk Laxatives: Constipation a nasat chuan i doctor chuan fiber supplement (e.g., psyllium husk) ang chi damdawi a rawn rawt thei ang.
Inzai
Damdawiin a puih loh emaw, fissure a lo awm leh emaw chuan operation tenau tak neih a ngai mai thei. Hei hi Lateral Internal Sphincterotomy an ti a .
Hei hian anesthesia hmangin rectum chhunga sphincter muscle-ah incision te tak te tak siam a, stricture chu a tawp thlengin a paih chhuak a ni. Hei hi enkawlna hlawhtling tak (90% aia tam hlawhtling) a ni a, operation hnuah a natna chu a bo nghal vat thin. Damdawi in a\angin chu ni vek chuan i haw thei bawk.
Take-Home Thuchah a ni
- Anal fissure hi a awm fo a, a na hle bawk. Zak leh hlau suh.
- Hetiang dinhmun hi chaw ei kham vang a ni fo a, in lama enkawlna awlsam tak (tui lum hmanga tihlum, fiber tamna ei tur ei, leh tui tam tak in) hmangin kar tlemte chhungin tihdam theih a ni.
- I ek chhungah thisen sen thar i awm a, tuar theih loh khawpa natna i neih emaw, kar engemaw zat hnuah pawh i rilru a hahdam lo a nih chuan hun khawhral suh la, doctor thiam tak hmu rawh.
- Natna hlauvin bathroom kal chu sawn hlat suh. Hei hian dinhmun a tichhe zual thei a ni.
- He natna hi doctor-in a tih angin uluk taka zawm a, nunphung awlsam tlemte tihdanglamna hmanga tihdam vek theih a ni.
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