I ek chhuah hian natna nasa tak i nei bawk em? Natna na tak, tuar theih loh, glass shard-in a tihtlak ang mai... Tin, chutah chuan toilet paper-ah emaw, commode-ah emaw thisen tlemte i hmuh chuan hlauhna nasa tak i nei a ni. Hei hi mi tam takin an sawi zak thin buaina a ni a, an chhungril lamah an vawng tlat thin. Mahse a takah chuan hriselna lama harsatna awm fo tak a ni. Chuvangin vawiinah hian tlang takin sawi ila.
Anal fissure tih hi eng nge ni?
A awlsam zawngin, anal fissure chu i anal canal chhunga vun te te te, a chhe emaw, a na emaw a ni. Kan hmui a chhe thei ang bawkin i hnute tawp lama lining nalh tak chu chhan hrang hrang avangin a chhe thei bawk. He natna hi i rilru natna (bowel movement) i neih hian chutiang natna nasa tak thlentu chu a ni.
He natna hian kum eng pawh a nghawng thei a, naute naupang tak tak atanga puitling thlengin a nghawng thei a ni. A bik takin hmeichhe naupai leh naupang tê têah a tam hle.
Hetiang natna lan chhuahna berte chu engte nge ni?
Anal fissure i neih chuan heng symptoms zinga pakhat emaw a aia tam emaw i nei thei ang:
- Thianghlim chhuah laiin na tak, hliam na tak: Hei hi a lan chhuah dan ber leh nuam lo ber a ni. Ṭhenkhat chuan a natna hi "glass chunga kal ang mai" tiin an sawi.
- Darkar tam tak chhung natna: I ek i chhuah zawh hnuah pawh darkar engemaw zat chhung chu kang emaw, natna emaw i nei thei.
- Thluak chhunga thisen tlem: Hei hi a tlangpuiin thisen sen hring hring, thisen thar tlem a ni. Hei hi toilet paper-ah emaw, stool chung lamah emaw i hmu mai thei.
- Anus vel a itching emaw burning emaw: Hetiang chi natna hi hliam vangin a awm thei.
- Anus bulah lump emaw skin tag te tak te: A chang chuan, skin tag hi chronic anal fissures nen a lo awm thei bawk.
Hei hi hemorrhoids nge anal fissure a ni em?
Hei hi mi tam tak buaina hmun a ni. Hemorrhoids leh anal fissures te hi a symptoms a inang deuh (thisen chhuah leh itching ang chi) a nih avangin a buaithlak fo thin. Mahse, an pahnih inkarah hian danglamna chiang tak a awm.
Ngaihtuah teh, hemorrhoids hi hnute chhunga thisen kalna kawng hring, thisen kalna kawng hrang hrang ang mai a ni. Mahse anal fissure chu vun chhunga mittui tlakna a ni.
An pahnih inthlauhna ber chu eng nge ni tih i lo en ang u.
| Mihring ziarang | Anal Fissure a awm | Hemorrhoid natna (Hemorrhoid) a awm |
|---|---|---|
| Na | Vawi tam tak (90% aia tam) hian bawlhhlawh paih laiin natna na tak, hliam na tak a awm thin. | Natna a awm reng reng lo. Natna a awm chuan natna chhunzawm zel, rit tak a ni fo thin. |
| Thisen chhuak | Vawi tam tak chu thisen tlemte chu toilet paper-a hmul angin emaw, stool chung lamah streak angin emaw a lang thin. | Natna awm lo pawhin a chang chuan thisen a tla emaw, a chhuak emaw a awm thei. |
| Knot a awm tih hriat | Lump a awm chu a langsar lo tlangpui. Hun rei tak chhunga awm chuan vun tag te tak te a lo awm thei. | Anus atanga lo chhuak lumps nem tak tak, lumpy tak tak te chu kut ah a man thei. |
Mahse, hetiang symptoms i neih chuan a pawimawh ber chu doctor pan a, diagnosis dik tak neih a ni a, guess aiin.
Engvangin nge hetiang hi a lo awm? A chhan berte chu engte nge ni?
Anal fissures awm chhan ber chu anus vun nalh tak tihchhiat emaw, trauma emaw a ni. Hei hi a thlen thei thil engemaw zat a awm.
A chhan lian ber berte chu:
- Constipation: Hei hi a chhan number one a ni. Thal chu lung ang maia a vawt a, a khauh chuan, a hnute vel vun chu a inzawm thei a, a chhe thei a, a chhe thei bawk a, a paltlang tumnaah a chhe thei bawk.
- Nau neih: Nau neih laiin pressure hian hnute vel a tichhia a, fissure a siam thei bawk.
- Chronic Diarrhea: Ekna chhuak chhunzawm zel hian rectum vun a tichhe thei bawk.
- Sexual activity: Mipat hmeichhiatna hman vangin anal fissures a awm thei.
Thil dang nghawngtu: 1.1.
- Inflammatory Bowel Disease (IBD): Crohn natna ang chi natna.
- Mipat hmeichhiatna hmanga kai theih natna (STIs).
- Tun hmaa surgery neih tawhte chu rectum nena inzawm a ni.
- Rectal cancer ang chi natna khirh tak tak symptom hmuh tur awm lo tak angin a awm thei bawk .
Hetiang hi a kal zel chuan eng nge thleng ang? (Buaina awm thei) .
Anal fissures (acute fissures) tam zawk hi chu uluk taka enkawl chuan kar tlemte chhungin a dam leh thin. Mahse, fissure thenkhat a dam loh a, thla hnih aia rei a awm chuan chronic anal fissures kan ti thin.
Hetiang dinhmun hi vicious cycle vang a ni.
1. Anus vel a anal sphincter muscle te chu ek chhuah laiin na a awm avangin automatic in a tikhauh thin.
2. Muscle te a inkhauh chuan hliam chu a inzawm lehzual a, chu lai hmuna thisen kal chu a tlahniam ta a ni.
3. Thisen supply a tlem chuan hliam damna a tlai.
4. Hliam a dam loh avangin a hnua i ek i chhuah leh chuan natna nasa tak i tawng leh thin. He cycle hi a chhunzawm zel a ni.
Chutianga a kal zel chuan fecal impaction leh anal stenosis ang chi condition a awm thei.
In lamah eng enkawlna nge tih theih ang?
Hetiang dinhmun hi a lo intan tirh hian doctor i pan nghal thei lo a nih chuan, in lama i tih theih tur thil awlsam tak tak a awm a, chu chuan natna leh hrehawmna tihziaawmna tur a ni. Chûngte chuan dinhmun chu a ṭhat leh theih nân a ṭanpui fo ang.
| Eng nge tih tur | Hrilhfiahna |
|---|---|
| Sitz Bath lak a ni | Hei hi a tha ber a ni. Basin lian takah tui lum takin khat la, minute 10-15 vel hnim rawh. Ni khatah vawi hnih emaw vawi thum emaw tih chuan, a bik takin riltam hnuah, natna a tiziaawm ang a, taksa ruhte a ti hahdam ang a, hliam a dam theih nan a pui bawk ang. Tuiah hian sahbawn emaw Dettol emaw dah loh tur. |
| Diet thlak danglam | Fiber tamna ei turEi tam zawk rawh. I eitur ah hian leafy greens, spinach leh kale, thei (apple, banana), thlai, oats, leh nuts te telh bawk ang che. Hengte hian stool a ti nem thei ang. Chaw rimtui, hriak nei te chu rei lo te chhung tihtlem thin ang che. |
| Tui tam tak in thin ang che. | Ni khatah tui litre 2-3 tal in tur a ni. Hei hi constipation ven nan a pawimawh hle. |
| Toilet hman dan tur | Ek chhuah a ngai nia i hriat hunah chuan toilet-ah tlai lovin kal la. Rei lutuk lo nghak suh. Toilet i hman dawnin i ke hnuaiah bench te tak te dah la. Hei hian squatting position a ti awlsam ang. |
| Faina | I sil dawnin toilet paper hrual hmangin nasa takin hnawih lo la, tuiin zawi zawiin silfai tur a ni. Zu tel lo wet wipe pawh i hmang thei bawk. |
Eng damdawi lam enkawlna nge awm?
In lama enkawl kar tlemte hnuah pawh i dinhmun a ṭhat loh chuan doctor pan ngei ngei tur a ni. Doctor chuan i natna lan chhuah dan chu a ngaithla ang a, a tul chuan a natna hriat chian nan zawi zawiin a enfiah ang. Natna a nasat chuan enfiah ngai lovin a natna lan chhuah dan a zirin enkawl tan theih a ni.
Enkawlna tum ber chu rectum ruhte tih hahdam a, thisen kal dan siam that leh hliam chu a dam theih nan a ni.
- Damdawi hmanga siam Ointments: 1.1.
- Nitroglycerin Ointment: Hei hian thisen kalna kawng a tizau a, thisen kal a tipung a, taksa ruh a ti hahdam bawk. Amaherawhchu, mi thenkhatah chuan lu na a thlen thei a ni.
- Calcium Channel Blockers: Nitroglycerin cream a hlawhchham chuan diltiazem ang chi cream te pawh hi taksa ruh ti hahdam nan hman a ni.
- Stool Softeners / Laxatives: Constipation a nasat chuan stool ti nem turin damdawi pek theih a awm.
- Botox® injection: Enkawlna dang a hlawhtlin loh chuan Botox injection hmangin thla thum vel chhung chu rectum chhunga taksa ruhte chu a ti hahdam thei a, chu chuan hliam chu a dam thei a ni.
- Inzai:
A chunga kan sawi tak enkawlna zinga pakhat mah hmanga dam lo, persistent fissures te tan chuan surgery hi a tawp ber atan hman a tha thei. Internal Sphincterotomy tih a niHe surgery tenau tak, colostomy tia hriat hi, rectum chhungril muscle-ah incision te tak te siamin, a nghet lo chu a awm reng theih nan a ni. Hei hi enkawlna tha tak a ni.
Hei hi natna tlanglawn tak a ni tih hre reng ang che. Chuvangin, mualpho leh hlauthawng lova Doctor hmu a, thurawn lak a tha ber. Natna tuar chuan thil awmdan chu a tichhe zual mai ang.
Take-Home Thuchah a ni
- Efecation laiin natna nasa tak leh thisen thar tlem te hi anal fissure chhinchhiahna ber a ni.
- Hei hi a chhan ber chu constipation leh straining to pass stool vang a ni.
- Crack tam zawk hi chu fiber tamna diet ei te, tui tam tak in te, sitz bath te ang chi enkawlna awlsam tak hmangin kar tlemte chhungin a dam leh thin.
- I natna lan chhuah dan hi kar tlemte aia rei emaw, a nasat emaw chuan doctor thurawn la ngei ang che.
- Natna tuar a ngai lo, he natna hi damdawi (ointment, damdawi, leh a tul chuan surgery) tha tak tak a awm avangin.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh