Anus vel a itching hi mi tam takin an nei a, mahse sawi tur chuan an zak deuh thin. Hei hi tuar theih loh a ni thei a, nitin leh a bik takin zan lamah pawh. A châng chuan a harh reng thei che a ni. Mahse hlauh tur leh zah tur a ni lo. Hei hi a awm dan tlangpui a ni. Vawiin hian he harsatna hi chipchiar takin kan sawi dawn a, a chhan leh kan tih theihte kan sawi dawn a ni.
Eng chiah nge pruritus ani tih hi?
A awlsam zawngin, hei hi i hnute vel a itchy rash a ni. Damdawi lamah chuan ``Pruritus Ani'' kan ti thin. Hei hi vun natna a ni. He itching hi zanah emaw, toilet kal hnuah emaw a na zual thei. Natna a ni lo va, symptom a ni zawk. Hei hian he itching hi a chhan dang avanga lo awm a ni thei tihna a ni.
He itching hi chi hnih a awm a.
Doctor-te chuan he natna hi hmunpui pahnih-ah an ṭhen a, chu chuan a chhan hriat a awlsam phah hle.
| Itching chi hrang hrang | Hrilhfiahna |
|---|---|
| Primary (Primary/Idiopathic) atanga lo chhuak a ni | Hei hi a tam ber chi a ni. A natna hi a chhan chiang tak, chiang tak a awm lo. Chumi awmzia chu natna dang leh infection dang awm lovin itching hi a awm tihna a ni. |
| Secondary itching a ni | Heta itching hi a chhan bik dang vang a ni. Entîr nân, hemorrhoid, rulhut, vun natna, yeast infection, a nih loh leh ei tûr ṭhenkhat a ni thei. |
He dinhmun hi tuin nge hmu tam ber?
He itch hi tu pawhah, kum eng pawhah a awm thei. Mahse, survey-ah chuan he natna hi mipa kum 40 leh 70 inkar zingah a tam ber tih hmuhchhuah a ni a, hmeichhia aiin mipain he natna hi a let li velin an tawng tam zawk a ni. Mahse, hmeichhiain an hmu lo tihna erawh a ni lo. Khawvel mihring 1% atanga 5% inkar velin he harsatna hi an tawk niin an sawi.
A pawimawh ber chu scratching hian hun rei tak chhunga relief a pe ngai lo. Thil awmdan a tichhe zual chauh a ni.
He itching hian a hmuna hrual duhna thunun theih loh kan nei fo thin. Mahse, hrual hian rei lo tê chhûnga hahdamna a pe thei a, mahse, buaina chu a tizual zâwk chauh a ni. Anus vel vun hi a nalh hle. Chu aia kan nail te hi a chak zawk hle. Nail hmanga scratching hian chu vun nalh tak chu a tichhia thei a, scratching a siam thei a, chu chuan infection a thlen thei bawk. Hetiang "itch-scratch cycle" hi a kal zel chuan natna nasa tak, inflammation, leh discomfort a thlen thei a ni.
Engvangin nge hetiang hian anus vel hi kan scratch thin? A chhan thenkhat han thlir ila
Hei hi chhan tam tak a awm thei a, a then chu a awlsam hle.
1. Faina leh vun sensitivity
Anus vel vun hi a sensitive hle.
- Sahbawn leh thil dang: Sahbawn rimtui, powder, lotion, leh cream te hian mi thenkhat tan allergy a nei thei a. Chungte chuan chu lai hmuna vun chu a ti vawt thei a, a ti na thei bawk.
- Thianghlim dan dik lo: Mi thenkhat chuan sahbawn hmanga sil leh puan hrual hmanga chak taka hnawih hi vun tihfai dan awmchhun niin an ngai. Hei hi a dik lo a ni. Vun atanga a natural oil te chu a hlihsak a, a vawt a, a ti na bawk. Tin, toilet paper rough hman hi a tha lo.
- Faina tawk lo emaw, fai lutuk emaw: Toilet i hman zawh hnua i tifai tha lo a nih chuan bawlhhlawh tlemte pawh vunah a awm reng thei a, a ti na thei bawk. Tin, ni khatah vawi tam tak sahbawn hmanga tihfai lutuk leh silfai hi vun tan a pawi hle bawk.
- Bowel movement pattern: Constipation (kar khatah vawi thum aia tlem lo) emaw, diarrhea emaw i neih chuan he itching hi i nei tam zawk.
2. Kan ei leh in te
I ei leh in thenkhat hian he itching hi a thlen thei a ni. Chûngte chuan mi zawng zawng ni lo mah se, mi ṭhenkhat a nghawng thei a ni.
- Bawnghnute leh bawnghnute atanga siam ei tur
- Carbonated drinks (soda ang chi) .
- Caffeine awmna in tur (coffee, tea) .
- Chaw tui tak, lum (chili ang chi) .
- Acid nei ei tur (citrus thei chi hrang hrang tomato, orange ang chi) .
3. Thawmhnaw hak tur
Chumi atan chuan thawmhnaw, underwear leh pants te hian a pui thei a ni. Underwear tight, boruak lut tha lo ha chuan hnute chhehvela thawmhnaw leh tui awm chu a trap thin. Hetiang boruak lum leh hnim hian a ti na zual sauh sauh a ni.
4. Damdawi lam thil dang
A châng chuan he itching hi damdawi lam thil dang chhinchhiahna a ni thei bawk.
| Chhan | A sawifiahna tawi |
|---|---|
| Hemorrhoids natna (Hemorrhoid) a awm | Anus chhung emaw pawnah emaw thisen kalna kawng a hring. Pawn lam hemorrhoid lian tak takte hi uluk taka tihfai a harsa thei hle. An atanga tui chhuak avang hian itching an siam bawk. |
| Yeast Infection awm thei te | Candida tih hming pu fungus avanga natna hrik. Hei hian vun a sen, a hring, leh a ti na thei a, chubakah vun a ti na thei bawk. |
| Anal Fissures a awm | Rectum vunah hian crack te te a awm. Chungte chu chaw ei kham emaw, ek chhuah tumna (straining to defecate) ang chi thil vang a ni thei. Heng crack te hi a na thei a, a itchy thei bawk. |
| HPV leh warts te a awm | Human papillomavirus (HPV) hian hnute chhehvelah hian rulhut ang chi bump te te a siam thei a. Chungte chuan itching, inflammation, leh thisen chhuah tlem a thlen thei bawk. |
| Pinworms te hi a awm | Chungte chu rulhut te tak te, var te an ni. A bik takin naupang tê tête zingah an tam hle. Heng rulhut te hian zan lamah anus vel ah rulhut an nei thin. Chu chu zan lama itching a pun chhan ber a ni. |
Engtin nge doctor hian hei hi a check ang?
Hetiang harsatna nei doctor i hmuh chuan zawhna tlem a zawt hmasa ang che.
- Eng damdawi nge i ei thin?
- I toileting routine hi eng ang nge ni?
- Eng nge i ei leh in?
- Eng ang sahbawn leh toilet paper nge i hman?
- Thawmhnaw tight i ha em?
Tichuan, Doctor chuan a hmun chu a enfiah ang. Vun danglam, sen, hring, hemorrhoid emaw, harsatna dang emaw an zawng ang. A châng chuan, a chhan hmuh theih loh emaw, enkawlnain a ṭanpui loh emaw chuan, vun lam doctor hnênah hruai i ni thei bawk .
Worms te tana ‘tape test’ tih hi a ni
I fate hian zanah a hnute a hrual a nih chuan doctor chuan rulhut a ringhlel mai thei. Chu chu nemnghet turin ‘tape test’ ti turin a ti mai thei che. A awlsam khawp mai. Zanah i fa a mut hmain a hnuteah transparent tape, cellophane ang chi i thun a, zing lamah i la chhuak thin. A chhungah hian rulhut emaw, rulhut emaw a awm thei.
Hei hi eng enkawlna nge ni?
Enkawlna chu a natna chhan a innghat a ni.
1. Faina dik: I ngaih pawimawh hmasak ber chu faina leh enkawl dan dik a ni. Toilet hman zawh hian uluk taka tihfai a, uluk taka vawt a, a tul chuan damdawi tel lo talcum powder engemaw zat hnawih a tha.
2. Cream leh Ointment: Doctor chuan hun rei lote chhung atan steroid cream `(Hydrocortisone)` ang chi hi a rawt tlangpui thei. Chungte chuan itching leh inflammation a tiziaawm. Tin, `(Capsaicin)` cream hi hun rei tak chhunga itching tan chuan duhthlan tur tha tak a ni. Hengte hi damdawi lam thurawn chauha hman tur a ni.
3. Antibiotics leh Antifungals: Itching hi bacteria emaw yeast infection avanga lo awm a nih chuan doctor in a damdawi dik tak a pe ang.
4. Methylene Blue Injection: He damdawi hi natna khirh tak tak, enkawlna dangin a puih loh avangin hman a ni. Hetah hian hnute vel vun hnuaiah tui `(Methylene Blue)` an inject a. Chu hmuna nerve endings te chu a deactivate a, itching leh natna a ti bo thin.
In lama hahdamna hmuh theih dan a awm em?
Ni e, a dik ngei ang. Heng thilte hi Doctor i hmuh hma pawhin i lo enchhin thei a ni.
- Toilet paper dik tak: Toilet paper chi khat, "dye-free" emaw "unscented" emaw tih ziak thlang rawh.
- Sahbawn leh rimtui hman loh tur: Sahbawn hmang lo la, tuiin silfai mai tur a ni. A hmunah hian sahbawn rimtui tak tak, shower gel, deodorant hmang suh.
- Cotton underwear ha rawh: Cotton underwear hian tui a hip tha hle. Thâwk a la thei bawk a, chuvangin thawmhnaw a pung khawm lo. Underwear hi a fit tha tur a ni a, tight lo tur a ni.
- I ei leh in lamah fimkhur rawh: A hmaa kan sawi tawh ang khan itching thlen thei ei tur zawng zawng kha cut vek suh. Ni engemaw zat chhung chu pakhat khatin cut chhuak la, a natna chu a reh em tih en rawh. Tichuan eng ei tur nge i tan a thlen tih i hre thei ang.
Engtikah nge doctor i hmuh ngei ang?
In lama enkawl kar khat emaw kar hnih emaw hnua i natna chu a reh lo a nih chuan, a na zual a nih chuan, a hmun chu a sen a, a hring emaw, a hliam angin a lang emaw a nih chuan doctor i pan ngei tur a ni.Mualphona avang hian buaina chu a rei lo ang.
Anus-a itching hi thil tibuaitu leh nuam lo tak a ni. Mahse a tlangpuiin a hlauhawm lo. Faina dik leh enkawlna awlsam tak hmanga tihdam theih a ni fo. Mahse, a la awm reng chuan natna dang chhinchhiahna a ni thei a, chuvangin damdawi lam thurawn lak a tha ber.
Take-Home Thuchah a ni
- Anal itching hi a awm fo thin. Zak leh sawi hlau suh.
- Itch i neih chuan scratching kha pumpelh rawh. Chutianga tih chuan dinhmun chu a tichhe zual mai ang. Zanah i itching a nih chuan i kut ah cotton gloves bun la, mu rawh.
- A hmun chu fai leh a bik takin vawt takin vawng reng tur a ni . Inbual hnuah emaw toilet i hman hnuah zawi zawiin pat dry rawh.
- Sahbawn rimtui tak tak, toilet paper hrual, leh underwear tight tak tak te chu pumpelh rawh.
- Kar khat emaw kar hnih emaw chhunga home care a ṭhat loh chuan emaw, a natna a zual emaw chuan doctor pan ngei ngei tur a ni.
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