Anal Fistula: Chumi chungchang sawi chu zak suh!

I hnute (i taksain bawlhhlawh a paih chhuahna kawngkhar) vel ah na emaw, a hring emaw i nei fo em? A chang chuan zung ang chi tui emaw, thisen tlem emaw a chhuak tih i hmu thin em? Mi pakhat nena heng thilte hi sawi dun chu a buaithlak leh zahthlak deuh thei tih ka hria. Mahse hei hi mi tam takin an tawn a, hlawhtling taka enkawl theih a ni. Chuvangin vawiin hian he natna hi anal fistula an tih, emaw, damdawi lama an tih angin ``Anal Fistula'' tih hi tlang takin sawi ila.

A awlsam zawngin, anal fistula tih hi eng nge ni?

Kan hnute chhungah tunnel te tak te emaw, culvert emaw a lo awm a, a chhehvel vun chhungah a inhawng chhuak ang tih han ngaihtuah teh. Chu chu anal fissure kan tih chu a ni. Hei hi kan taksaah hian a tlangpuiin awm tur a ni lo va, pianphung lo taka lo piang chhuak a ni.

Hei hi kan hnute chhunga gland te te infection atanga tan a ni fo thin. Heng glands te hi an kai chuan pus-filled abscess, perianal abscess an tih chu a lo awm ta a ni. He pus hian pus chu a chhuah theihna tur kawng a siam a ni. Hun a kal zel a, chu kawng chu perianal fistula an tih tunnel a lo ni ta a ni. A chang chuan hei hi perianal fistula an ti bawk. Chu chu anus vel tihna a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Hei hi i ngaihtuah angin a tlem lo. Anal natna zingah chuan a awm fo thin. Hmeichhia aiin mipaah ​​a let hnih velin hmuh a ni. A vaiin anal gland infection nei zinga a chanve vel chauhvin abscess an nei ang. Sawi tawh ang khan anal fistulas 75% hi abscess vang a ni.

Nang pawhin heng mizia te hi i nei ve em?

Anal fissure hi a lan chhuahna bulpui leh tlanglawn tak tak engemaw zat a awm. Eng nge an nih i han thlir teh ang.

Heng symptom lian ber berte bakah hian mi thenkhat chuan symptoms te pawh an nei thei bawk:

• Khawsik
• Zun laiin natna
• Bowel movement control harsat

A châng chuan darthlalang i en chuan scrotum pawn lama khur chu i hmu thei a, i hmu lo thei bawk. Vunah khur te tak te ang mai a ni. A chhehvel vun i khawih chuan pus ang chi thil a chhuak thei. Scrotum hlui thenkhatah chuan pawn lama he khur hi khar a ni thei. Tichuan, a zung chu a inkhawm leh a, a na leh a hring a, chu khur chu a inhawng leh a, chu chu a chhuak chhuak ta a ni. Hei hi cycle ang mai a ni thei.

Engvangin nge he anal fissure hi a lo awm?

Kan sawi tawh ang khan anal fissure awm chhan ber leh awm tam ber chu hnute chhunga gland pakhat infection a ni a, chu chuan pus-filled sac (perianal abscess) a siam a ni. Fissure chu he pus hi a chhuah chhuahna kawng a lo ni ta a ni.

Mahse, chhan dang hmuh tur awm lo tak avangin anal fissures hi a awm thei bawk.

• Inflammatory bowel diseases: Entirnan, Crohn natna.
• Sexually transmitted diseases (STS) chu hnute chhunga lo awm thin a ni
• Tuberculosis natnain rectum a nghawng.
• Accident emaw, a hmaa surgery emaw, rectum nena inzawm.
• Pelvic region cancer a awm chuan radiation therapy hmanga enkawl a ni
• Bacteria infection hmuh tur awm lo tak tak, actinomycosis ang chi te.
• Hidradenitis suppurativa hi vun natna a ni a, chu chu sweat glands-ah a awm a.

Enkawl loh chuan eng nge thleng ang?

Hei hi mi tam takin an zawh thin a ni. Anal fissure chu enkawl loh chuan a mah chauhin a dam lo ang.Chutiang a nih chuan hun rei tak chhung harsatna a awm thei a ni.

• Recurrent infection: Infection hi vagina kaltlangin a active reng thei. Ni engemaw zat chhung chu natna chu a reh ang maiin lang mahse, zun a khawlkhawm leh thei a, abscess thar a lo awm thei a, chu chuan natna a thlen thei a ni.
• Cyst darh zel: Hun rei tak enkawl loh chuan he tunnel hi a branch chhuak thei a, kawng thar a siam thei a, vun hmun dang atang pawhin a chhuak thei bawk. Chutiang complex cyst enkawl chu a harsa zawk.
• Cancer hlauhawmna: Hei hi a tlem hle a, mahse kum tam tak chhung enkawl loha awm tawh, hun rei tak chhunga anal fissure nei tawhte zingah anal cancer a awm tih report a awm tawh bawk.

Chuvangin he dinhmun hi ngaihthah suh. Natna chu tuar mai mai suh, a rang thei ang bera doctor pan rawh.

Engtin nge doctor hian hei hi a hriat chhuah?

A tam zawkah chuan doctor chuan taksa enfiahnaah he hawnna hi a hre thei a ni. Mahse, a chang chuan pawn lam hawnna chu a lo dang thei a, chuvangin hawnna chhung lam hawnna chu khawi atanga intan nge tih zawn a ngai thin.

He test hi i tan a hrehawm a nih chuan doctor chuan anesthesia a pek hnuah operation room-ah he test hi tih a rel thei ang.

Bhagandara kawng kimchang zawng turin heng test te hi i lo enchhin thei bawk ang:

• MRI scan (Magnetic Resonance Imaging): Hei hian anal canal kalna hmun leh khawiah nge a inzawm tih chiang takin a hmu thei a, sphincter muscles a nghawng dan te pawh a hriat theih bawk.
• Endoscopic Ultrasound: Camera te tak te leh ultrasound device te chu rectum chhungah dahin MRI hmanga hmuh ang chi thlalak chiang tak tak hmuh theih a ni.
• Fistulography: Vagina-ah tui bik inject a, X-ray lak a ni. Chumi hnuah chuan fluid kalna kawng chu chiang takin a lang thei ta a ni.

Heng test te hian doctor chu hernia chi leh enkawl dan tur dik ber hriat theihna turin nasa takin a pui dawn a ni.

Engtin nge enkawl a nih? Surgery neih a ngai em?

Ni e, anal fissure tam zawk hi a dam theih nan operation a ngai thin. Anmahni chauha dam hun nghah chuan natna hrik leh hliam nawn leh tur chauh a awm ang. Mahse, a fissure hi Crohn natna ang chi damdawi lam thil avanga lo awm a nih chuan, natna hrik a awm loh chuan a chang chuan damdawi hmanga tihdam theih a ni.

Surgery chi hrang hrang

Surgery awm dan chu hernia hi engtiang chiahin nge a simple emaw, a complex emaw tih ah a innghat.

1. Simple Fistulas tan chuan

Fistula awlsam tak tak , rectum ruh tichhe nasa lo leh branch nei lo tan surgery ber chu fistulotomy a ni Hei hi a hlawhtling ber (95% vel) leh awlsam ber a ni. Hetah hian surgeon chuan fistula tunnel chu a hawng a, a chhung lam atanga pawn lam atanga a dam theih nan a phalsak a ni.

2. Complex Fistulas tan chuan

Hernia, rectum hmun zau tak, a hnah, emaw, damdawi lam harsatna dang nei mi pakhata awm chu thil buaithlak takah ngaih a ni. Hei hian stage engemaw zatah operation a ngai thei.

Operation hnua dam leh hun chhung

A tam zawkah chuan heng surgery te hi damdawi ina awm ngai lovin in lama haw theihna tur a ni. Painkiller hman tur pek i ni ang a, in lama i haw huna i zawm tur thupek set khat pek i ni bawk ang.

• Tui leh fiber supplement: Painkillers hian constipation a thlen theih avangin a ven nan fiber supplement ei a tha. Hengte nen hian tui tam tak i in tur a ni.
• Sitz bath: Ni khatah vawi khat tal tui lum basin-a minute engemaw zat thut hian natna a tiziaawm thei a, hliam chu a dam thuai thei bawk.
• Hliam enkawl: Hliam atanga tui lak chhuah nan gauze pads hmangin hliam chu thianghlim takin vawng la, thlak fo thin ang che.

A tlangpuiin a dam kim theih nan kar thum atanga kar ruk vel a ngai thin.

Engtikah nge doctor i hmuh ang?

I rectum-ah natna nasa tak i neih chuan doctor hnenah hrilh fo ang che. Amah chauhin a bo mai ang tih ring suh. Mi tam tak chuan hemorrhoids niin an ngai. Mahse hemorrhoids hian hetiang khawpa natna hi a thlen lo tlangpui. I doctor pangngaiin hemorrhoids a ti a nih pawhin, a natna a awm reng chuan specialist, gastroenterologist emaw surgeon emaw pan ngei ngei tur a ni.

Hetiang natna nena nun hi taksa leh rilru lamah pawh a buaithlak hle thei. Mahse, chu chu zak suh la, enkawlna zawng chu tikhawtlai rawh. Enkawlna i hmuh hma poh leh enkawl a awlsam zawk.