I hnute (i bawlhhlawh i pass na hmun) vel ah natna, hring, emaw, hnim hring emaw i nei fo em? Mi tam tak chuan heng thu sawi hi an zak a, an zak bawk. Mahse hengte hi hriselna lama harsatna a nih avangin mualpho leh thup tlat hian dinhmun a tichhe zual mai dawn a ni. Vawiin hian hetiang thupui sensitive tak, mahse pawimawh tak, anal fistula, emaw `(Anal Fistula)` tih hi kan sawi dawn a ni.
A awlsam zawngin, anal fistula tih hi eng nge ni?
Kan hnute chhung atanga a chhehvel vun chunglam thlenga kal tunnel danglam tak angin han ngaihtuah teh. A dik tak chuan he inzawmna hi kan chaw ei kawng hnuhnung ber, hnute chhung lam leh a chhehvel vun inkarah a awm a ni.
A tlangpuiin hnute chhunga gland te tak te infection atanga tan a ni. He infection hian pus a khawlkhawm a, lump a siam thin. Hei hi scientifically chuan abscess kan ti a. He lump hi a dam tha lo a nih chuan pus chhuahna tur kawng thar a siam a, chu chu tunnel an ti a ni. Chu tunnel chu fistula kan tih chu a ni.
He dinhmun hi a mah chauhin a dam lo. Chuvang chuan enkawl a pawimawh hle a ni. Hei hian operation tenau a mamawh tlangpui.
Bhagandara chi hrang hrang a awm em?
Ni e, he tunnel hi a awmna hmun leh a kalna tur kawng a zirin chi hrang hrangah then a ni. Kan hnute khar leh inhawng thei tur ring ang chi muscle pahnih a awm a. Hengte hi sphincter muscle kan ti a. Classification lian ber chu heng muscle te hi vagina kal tlang dan a ni.
- Intersphincteric anal fistula: Hei hi a tam ber a ni. Chutiang a nih chuan tunnel chu internal leh external sphincter muscle inkarah a lo piang a ni.
- Transsphincteric anal fistula: Hetiang chi ah hian tunnel hian chhungril leh pawn lam ruh a paltlang vek a.
- Suprasphincteric anal fistula: Hetah hian tunnel hi internal muscle chungah a kal a, vun chunglam a thleng a ni.
- Extrasphincteric fistula: Hei hi a tlem zawk chi a ni. Rectum hmun sang zawkah a intan a, muscle pahnih pawnah a kal thin.
- Superficial anal fistula: Hetiang chi hi a dangte nen a danglam. Anus chhungah tan mahse, anal sphincter kaltlangin a kal lo va, a vel a kal a, vun chung lamah a inhawng zawk thin.
He classification hi i tan chuan a buaithlak hle mai thei a, mahse i doctor chuan eng chi nge i neih tih chiang takin a hre thei ang a, enkawlna \ha ber a pe thei ang.
Hernia vei chhan leh hlauhawmna ber berte chu engte nge ni?
A hmaa ka sawi tawh ang khan, .A chhan ber chu hnute chhunga abscess lo awm a ni. Anus chhunga gland te te a block chuan bacteria an pungkhawm a, infection an siam a, chu chuan pus-filled abscess a siam thin. He abscess hi enkawl loh chuan a lo thang lian thei a, vunah hian khur a siam thei a, chu chu pus a chhuah theih nan a ni. Anus chu gland leh vun chhunga khur inzawmkhawmtu tunnel a ni.
Chu bakah chuan damdawi lam thil dang thenkhat pawhin genital warts a thlen thei a, mahse chu chu a tlem deuh.
- Tuberculosis natna a ni
- Mipat hmeichhiatna hmanga kai theih natna thenkhat
- Hun rei tak chhunga ei leh in lama inflammatory condition, Crohn’s disease emaw ulcerative colitis emaw ang chi te.
- Rectal cancer enkawl dan tur
- A hmaa boil lo awm tawh leh pus-filled tawh chu paih chhuah
- Accident emaw hliam emaw, hnute nena inzawm
Engtin nge hymen i neih leh neih loh i hriat theih ang? Eng nge a lan chhuah dan?
A hnuaia symptoms pakhat emaw a aia tam emaw i neih chuan yeast infection chhinchhiahna a ni thei. Hetiang thil i neih chuan hun khawhral lovin doctor pan a tha ber .
| Symptom a ni | Hrilhfiahna |
|---|---|
| Natna leh hliam reng reng | Anus vel a natna leh hring dup reng, thut, kal emaw, khuh emaw a pung thin. |
| Vun sen leh lumna | Anus vel vun chu a sen a, khawih chuan a lum hle. |
| Pus emaw discharge emaw a awm | Anus bula vunah khur te tak te chuan rimchhia emaw thisen chhuak tui emaw a chhuah thei. I underwear a ti bawlhhlawh thei. |
| Thil dang pawh a awm | Mi thenkhat chuan khawsik, chak lohna, ek emaw, zun emaw huna natna, leh thisen chhuah te pawh an nei thei bawk. |
Doctor, engtin nge hei hi i diagnose?
Doctor i pan hunah i symptoms leh medical history te a zawt ang che. Tichuan, taksa enfiahna an nei ang. Fissure thenkhat chu hmuh theih a nih avangin hmuh a awlsam hle. Fissure thenkhat chu a chang chuan a khar thei a, a inhawng leh thei bawk. Doctor chuan uluk takin hnute chhehvel chu a enfiah ang a, chu chu a zung emaw, tui emaw, a hring emaw a awm leh awm loh a en ang.
A châng chuan, a natna chu a nemnghet lehzual theih nân, colon leh rectal natna lama mithiamte hnênah a refer thei che a ni. X-ray emaw CT scan emaw ang chi test pawh an ti thei bawk. A châng chuan, colonoscopy neih a rawt mai thei a, chu chu i hnute kal tlanga camera hmanga tube dahin i ril chhung lam enfiah a ngai ṭhin. He test hi anesthesia (muthilh tir) hmanga tih a nih avangin harsatna i nei lovang.
Phlegm enkawlna tur engte nge ni?
Anal fissures enkawl nan hian operation neih a ngai fo thin. I enkawlna tur chu fissure awmna hmun, a lian leh te, a chi hrang hrangah a innghat ang. Enkawl dan tlangpui thenkhat chu hetiang hi a ni.
| Enkawl dan tur | A awlsam zawngin... |
|---|---|
| Fistulotomy tih a ni | Hei hi hernia simple, non-penetrating hernias tan chuan surgery hman tlanglawn ber a ni. Doctor chuan tunnel chu a tikehsawm a, a zung chu a chhuah tir a, hliam chu a dam theih nan a inhawng reng a ni. |
| Seton dahna hmun a ni | Hetiang method hi complex, muscle-passing fistulas tan hman a ni. Tunnel chhungah hian surgical thread (seton) an paltlang a, an khih a. Hei hian pus chu a chhuah chhunzawm zel thei a, hun kal zelah chuan thread chuan muscle chu a tikehsawm zauh zauh a, fistula chu a dam theih nan a pui a ni. |
| Fistulectomy tih a ni | Hetah hian ganglion cyst pumpui chu lakchhuah a ni a, lakchhuah a ni. Hetiang method hi complex emaw recurring ganglion cysts tan pawh hman theih a ni. |
| LIFT tih dan tur | Hei hi complex hernias tan pawh surgery a ni. Hetah hian taksa ruh inkar tunnel chu stitches hmangin an khar a. Hei hian taksa ruh (muscles) chhiatna a ti tlem hle. |
| Thiltih dan dang | Tin, tunlai hmanraw hmanraw hrang hrang pawh a awm a, chu chu mucosal advancement flap hmanga fistula khar emaw, tunnel khar nan special plug (fistula plugs) hman emaw a ni. |
Enkawl loh chuan eng harsatna nge a awm?
Anal fissure hi mahni insiamthatna a ni lo. Enkawl loha i dah chuan harsatna a thlen thei a ni.
- Infection recurrent: Vagina enkawl lohah hian bacteria leh pus a awm chhunzawm zel thei a, chu chuan infection nawn leh a thlen thei a ni. Chungte chu hun kal zelah a na zual thei a, enkawl a harsa thei bawk.
- I ril control harsa: I vagina chu sphincter muscle-in a tihchhiat chuan i bowel movement control harsa i ti thei. Hei hi ``Fecal incontinence'' an ti a.
- Infection Na tak: Vagina chhunga natna hi a chhehvel tissue emaw thisenah emaw a darh chuan natna khirh tak, nunna atana hlauhawm tak ``Sepsis'' an tih chu a awm thei a ni.
- Gangrene kawng thar siam: Gangrene enkawl loh chu a branch chhuak thei a, tunnel thar a siam thei a, hei hian thil a ti buai zual hle.
- Cancer hlauhawmna: Hei hi a tlem hle. Mahse, hun rei tak enkawl loh genital warts avang hian rectal cancer vei theihna a tlem hle.
Chuvangin, mualphona dah bovin, i tih tur tha ber chu heng symptoms te hi i neih chuan a rang thei ang bera damdawi lam pan hi a ni.
Take-Home Thuchah a ni
- Anal fistula chu hnute chhung leh a chhehvel vun inkara tunnel pangngai lo tak a ni.
- Hei hi a chhan ber chu enkawl loh abscess, hnute chhunga lo awm a ni.
- A lan chhuah dan ber chu natna awm reng, hliam, sen, leh hnute chhehvela zun emaw, tui chhuak emaw a ni.
- This condition does not heal on its own , chuvangin damdawi lam enkawlna zawng hi a pawimawh hle.
- A tam zawkah chuan hei hi operation a ngai thin. I doctor chuan i tana tha ber tur enkawlna a ruat ang.
- Mualphona leh hlauhna avanga enkawlna tikhawtlai suh. Chutianga tih chuan a dinhmun a tichhe thei a, harsatna a thlen thei bawk.
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