I hnute atanga natna nasa tak, hring chhuak, emaw, tui chhuak reng reng i nei bawk em? He natna hi i thut emaw, toilet i kal emaw, i khuh emaw hian a zual mai thei. He thu hi tu hnenah pawh sawipuiin i zak a, tlem chuan i hlim lo mai thei. Mahse hei hi nangmah chauh nghawngtu buaina a ni lo. Hetiang dinhmun hi mi tam takah a awm thin. Vawiin hian he natna ``Anal Fistula`` tih hi kan sawi dawn a ni.
A awlsam zawngin, anal fistula tih hi eng nge ni?
Tunnel te tak te ang maiin han ngaihtuah teh. Anal fissure hi chutiang thil chu a ni. A awlsam zawngin, kan hnute chhung atanga kan vun pawn lam thlenga lo awm, tunnel ang maia kalna (unnatural tunnel) a ni. Kan hnute chunglama anal glands te te a natna a thlen hian a thleng tlangpui. Heng glands te hi an infect a, pus-a khat abscess a lo awm chuan, chu chu pus chhuahna tur kawng a ni. Chu chu a tawpah chuan fistula a lo ni ta a ni. Perianal fistula an ti bawk. A awmzia chu "anus vel" tihna a ni.
Hetiang dinhmun hi a awm fo thin. Hmeichhia aiin mipain a let hnih zetin an nei tam zawk. Mi pahnih zinga pakhat velin anus vel a fistula an nei chuan he natna hi an nei ang.
Engtin nge he thil chhinchhiahna hi ka hriat theih ang?
``Anal Fistula'' i neih chuan heng symptoms zinga pakhat emaw a aia tam emaw i nei thei. A chang chuan an awm reng a, a chang chuan an lo kal leh chhuak thin.
| Symptom a ni | Chu chu engtin nge a ngaih? |
|---|---|
| Anal natna | Hei hi a symptom ber a ni. Natna na tak, kang ang maia hriat, na tak ang maia hriat a ni. He natna hi ṭhut lai te, toilet kal lai te, khuh lai te hian a zual thei a ni. A khawih chuan a na bawk. |
| A hring leh a sen | Anus chhungah emaw, a chhehvelah emaw a sen leh a hring a awm thei. Hei hi vun hnuaia infection (cellulitis) a awm tih chhinchhiahna a ni. |
| Fluid a leak chhuak | Anus atang hian discharge a awm thei a, chu chu pus, stool tlem, thisen ang mai a ni thei. A châng chuan rimchhia a awm thei bawk. |
Heng bakah hian mizia dang a awm em?
Ni e, mi thenkhat chuan heng symptoms te hi an nei thei a, mi zawng zawng ni lo mahse:
- Khawsik nei
- Zun chhuah laiin natna hriat
- Bowel movement control harsat
A chang chuan darthlalang atanga i en chuan i hnute bulah (fistula hawnna) vunah khur te tak te i hmu thei. Mahse a chang chuan khar theih a ni. Chu khur chu a khar chuan a chhungah chuan zun a inkhawm thei a, chu chuan natna leh a hring a siam a, chu khur chu hnim tlemte nen a inhawng leh thei bawk. Hei hi cycle ang mai a ni thei.
Engvangin nge hetiang thil hi a lo thlen?
Anal fistula awm chhan ber chu a hmaa kan sawi tawh ang khan perianal abscess hi a ni. He abscess hi hnute chhunga gland te tak te a block a, a infect a nih chuan a lo awm thin. He pus hian chhuahna tur kawng a mamawh a ni. Tichuan, chu pus chuan vun chunglam panna tur tunnel ang maia kawng a siam ta a ni. A châng chuan doctor-in he pus hi a cut chhuak a, a lak chhuah pawhin a hliam chu a dam kim lo thei a, hetiang fistula hi a awm reng thei bawk.
Mahse, he thil avang hian fistula zawng zawng hi a lo awm vek lo. A chhan dang pawh a awm bawk.
- Inflammatory bowel natna, Crohn natna ang chi .
- Anal STI te hi a awm thei.
- Tuberculosis natnain rectum a nghawng.
- Accident emaw, a hmaa rectum surgery emaw a nih chuan.
- Pelvic region-a cancer awm theihna tur radiation therapy hmanga enkawl a ni.
- Infection awm lo leh vun natna `Actinomycosis` leh `Hidradenitis suppurativa` ang chi te.
A pawimawh ber chu, a chhan eng pawh ni se, ngaihthah loh a tha ber, a chhan chu enkawl loh chuan a mah chauhin a bo tam lo hle .
Enkawl loh chuan eng harsatna nge thleng thei?
"A tha mai ang" tih ngaihtuah hi a hlauhawm thei hle. Fistula enkawl loh chuan hetiang hi a thlen thei a ni:
1. Recurrent Infection: He natna hi fistula chhungah a awm reng thei. Ni engemaw zat hnuah a natna chu a reh a nih pawhin, zun a khawlkhawm leh thei a, abscess thar a lo awm thei a, chu chuan natna a thlen thei a ni.
2. Vagina thehdarh: 1.1.Hun rei tak chhunga lo awm tawh chu a branch chhuak thei a, tunnel thar a siam thei a, vun hmun dang atang pawhin a lo chhuak thei bawk. Chutiang complex wart formation pawh hi enkawl a harsa hle.
3. Cancer hlauhawmna: Hei hi a tlem hle. Mahse, kum tam tak chhunga enkawl loh, chronic fistula nena inzawm anal cancer vei theihna chance a tlem hle.
Chuvangin heng symptoms te hi i neih chuan Doctor pan vat tur a ni.
Engtin nge hei hi i hmuh theih, Doctor?
A tlangpuiin doctor chuan fistula pawn lam hawnna chu a enfiah mai mai che a ni. Mahse a pawimawh ber chu a chhung lam hawnna, chu chu tunnel bul tanna hmun zawn hi a ni.
- Taksa enfiahna: Doctor chuan i hnute vel a enfiah ang. Hei hi a hrehawm deuh mai thei. Natna a tam lutuk chuan sedated i ni thei a, chu chu sedated tlem i ni dawn tihna a ni a, operation room-ah examination tih a ni ang.
- Thil hmanraw bik: Instrument te tak te, camera nei ``Anoscope'' emaw ``Proctoscope'' emaw chu rectum chhungah dahin enfiah theih a ni.
- Imaging test: A chang chuan fistula tunnel awmna hmun dik tak hriat nan heng test te hi a ngai thin.
- MRI scan (Magnetic Resonance Imaging): Hei hian fistula kalna tur leh hnute chhunga sphincter muscles nena a inzawmna chu chiang takin a tarlang thei a ni.
- Endoscopic Ultrasound: Camera te tak te leh ultrasound device rectum chhunga dah chuan MRI ang chi thlalak a siam thei a.
- Fistulography: Fistula chu X-ray hmanga enfiah a ni a, a chhungah hian dye bik inject a ni.
Heng test te hian doctor chuan fistula chi hrang hrang a hriat theih nan a pui dawn a ni. Chu chu anal sphincter muscles a paltlang dan tihna a ni. Hei hian i enkawl dan tur a hril ang. Chutiang taksa ruhte tichhe lovin surgery hi tih a pawimawh hle.
Hei hi eng enkawlna nge ni?
A tam zawkah chuan anal fissure enkawl nan operation neih a ngai thin. Damdawi chauh hmanga tihdam theih a tlem hle. Mahse, Crohn natna ang chi natna avanga non-infectious fissure a nih chuan damdawi bik thenkhat immunomodulators an tih hmanga tihdam theihna chance a awm.
Surgery chi hrang hrang hi fistula awm dan azirin a inang lo.
| Surgery chi hrang hrang | A awlsam zawngin sawifiah a ni |
|---|---|
| Simple Fistulas tan chuan | |
| Fistulotomy tih a ni | Hei hi hmanraw hman tlanglawn ber leh hlawhtling ber (95% vel) a ni. Heta tih tur chu Bhagandara tunnel-a inchung ang maia awm chu tihtlak a ni. Tichuan hliam inhawng ang mai a lo ni ta a, a hnuai lam a\angin a khat a, a dam ta a ni. |
| Complex Fistulas tan chuan | |
| Seton Drain a ni | Chutah chuan surgeon chuan thread ang chi thil bik chu anus kaltlangin a dah lut a. Hei hian a chhunga pus zawng zawng a chhuah theihna tur kawng a siam a ni. A châng chuan, he thread hian zawi zawiin taksa ruh chu a tikehsawm a, a hnung lamah hliam chu a dam leh ṭhin. |
| Endorectal hmasawnna Flap | Hetah hian hnute chhung kawngkhar chu ruh (muscle) titawp lovin a khar a ni. Rectum chhung atangin tissue hrisel (flap) pakhat lak a ni a, a hawnna chu khar a ni. Chumi hnuah chuan hliam chu a chhung lam atanga pawn lam thlengin a dam leh ta a ni. |
| LIFT tih dan tur | Hetiang tih danah hian taksa ruh pahnih inkar a kal lai chu sutured closed a ni. Hetiang method hian taksa ruh chhiatna a ti tlem thei hle. |
I doctor chuan i dinhmun nena inmil ber enkawlna tur a thlang ang. Operation pakhatah tih zawh theih a ni lo mai thei a, operation engemaw zat tih a ngai thei bawk.
Operation hnuah in lamah eng nge ka tih ang?
He surgery neih ni vek hian in lamah i haw thei tlangpui. In lama i haw hnuah heng thilte hi i enkawl a ngai a ni.
- Painkillers: Doctor-in a pek painkillers hi a hun takah ei tur a ni.
- Constipation venna atan:Painkillers hian constipation a thlen thei. Chuvangin doctor sawi angin fiber supplement ei la, tui tam tak in rawh.
- Sitz bath: Tui lum basin-ah ni khatah vawi khat tal minute 10-15 vel dah la. Hei hian natna a tiziaawm ang a, hliam chu a dam thuai ang.
- Hliam fai taka vawn dan: Hliam atanga tui lo chhuak a awm chuan doctor thupek zawm la, a fai reng ang. Dressing chu thlak fo thin ang che.
A tlangpuiin a dam kim theih nan kar thum atanga kar ruk vel a ngai thin.
A pawimawh ber chu, hnute natna nasa tak hi ngaihthah ngai suh. "Hemorrhoids a ni ngei ang," tiin nangmah ngeiin thutlukna siam suh. Hemorrhoids hian hetiang khawpa natna hi a thlen lo tlangpui. Chuvangin zak suh la, rei lovah Doctor rawn pan rawh. Enkawlna i zawn hma poh leh enkawl a awlsam ang a, i dam leh thuai ang.
Take-Home Thuchah a ni
- Natna awm reng, a hring, emaw, hnute atanga tui chhuak ang chi a awm chuan, chu chu anal fistula chhinchhiahna a ni thei .
- Hei hi a mah chauhin a chinfel tam lo hle . Enkawl loh chuan natna hrik darh leh harsatna a thlen thei a ni.
- Hemi chungchang hi sawi zak suh. Doctor thiam tak hmu nghal la, thurawn la rawh.
- Vawi tam tak chu hei hi enkawlna tha ber leh awm reng ber chu operation hi a ni. I doctor chuan i tana tha tur surgery chi hrang hrang a ruat ang.
- Surgery zawh hnu chiaha doctor thupek zawm hi a dam thuai theih nan a pawimawh hle.
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