I stool-ah emaw, toilet paper-ah emaw thisen i hmuh hian hlauhna leh lungkhamna i neih hi thil pangngai a ni. Mahse, hlauthawng suh. Hei hi natna khirh tak chhinchhiahna a ni ngai lo. A châng chuan chhan awlsam tak avângin a thleng thei bawk. Chu zawng zawng chu chiang takin sawi ila.
Thluak chhunga thisen chu eng ang nge a nih? A rawng atang hian eng nge i hriat theih ang?
I bawlhhlawh nen thisen lo kal chu rawng hrang hrangin a lang thei. Mak ti suh, he thisen rawng hian khawi atanga thisen lo chhuak nge tih hriatna engemaw chen min pe thei a ni.
A awlsam zawngin, thisen lo chhuahna hmun azirin a rawng a danglam thin.
| Thisen rawng a ni | Thisen chu khawi atanga lo chhuak nge a nih theih tih ngaihtuahna |
|---|---|
| A sen hring hring | Hei hian thisen chu i digestive system hnuai lam atanga lo chhuak a ni tihna a ni. Hei hi i intestine lian tak, i rectum emaw, i hnute tawp lam a ni thei. Hetiang thisen sen hring hi hemorrhoid ang chi dinhmunah hian hmuh tur a awm. |
| Dark Red/Brown a ni | Thisen hi colon chunglam emaw, small intestine emaw atanga lo chhuak thei a ni. Hetiang rawng inthlak danglamna hi thisen chu taksaah rei vak lo a awm a, a chhuak leh a nih chuan a thleng thin. |
| Black/Tarry tih a ni | Hei hi damdawi lam chuan melena kan tih chu a ni. Chumi awmzia chu thisen chu pum atanga lo chhuak a ni tihna a ni. Entirnan, pum ulcer atanga thisen chhuak a awm chuan thisen chu chaw ei kawng atanga a kal laiin a dum ta hle a ni. |
A châng chuan, i mit hmanga thisen chhuak i hmu lo mai thei a, mahse thisen chu ek test laiin microscope hmanga i en chauhvin a hriat theih a ni. Hei hi ``occult bleeding'' emaw "hidden bleeding" emaw an ti a.
Pawimawh:Beetroot, tomato ang chi thil i ei chuan, iron pill i ei chuan i ek chu a sen/a dum thei. Thisen chhuak tihna a ni lo. Chuvangin i hlauthawng hmain i ei kha ngaihtuah hmasa phawt ang che.
Engtikah nge doctor i hmuh ang?
A tam zawkah chuan hei hi thil awlsam vang a nih theih laiin, doctor pan ngei ngei tur a awm. A hnuaia symptoms te hi i neih chuan sawn suh:
- Kar 3 aia rei i bawlhhlawh ah thisen i awm chhunzawm chuan .
- Anus-ah natna nasa tak i neih chuan.
- I kutah thil i hriat chuan, pum na emaw, knot emaw ang chi .
- Thisen chhuak tam ang maia i hriat chuan .
- I bawlhhlawh awm dan (tui tlak tam, a hring, a sei tam) chu kar 3 aia rei a lo danglam tawh a nih chuan .
- Thisen chhuah chhan i hriat loh chuan (i.e. a chhan hriat loh, constipation emaw diarrhea emaw ang chi).
- Thisen chhuahna chu natna dang , khawsik, khawsik, rilru hah, rilru hah, emaw, luak chhuak te nen a awm chuan .
Hetiang hunah hian doctor hnenah thurawn dil ngei ngei tur a ni.
Ek lehlamah thisen awm chhante chu engte nge ni?
I bawlhhlawh chhunga thisen awm tih awmzia chu i chaw ei kawng khawi emaw laiah hliam, mittui tlak, thisen chhuak a awm tihna a ni. A chhan langsar tak tak thenkhat han thlir ila.
A chhan tlangpui
- Hemorrhoids: Thluak chhunga thisen awm chhan ber leh awm tam ber chu hemorrhoids a ni. Hei hi rectum chhung emaw pawn lam emaw thisen kalna kawng a hring vang a ni. Bowel movement laiin straining (constipation) emaw thil rit phurh emaw ang chi thil vang pawh a ni thei. Heng vein hring te hi a puak thei a, thisen a chhuak thei bawk. Anus chhehvela natna leh natna te pawh hi chutiang chhinchhiahna a ni.
- Anal Fissure: Hei hi hnute chhehvel vunah te te te , kan hmui a inthen ang chi a ni. He mittui hi bawlhhlawh khauh tak, lian tak a paltlang hian a thleng thei a ni. A hrehawm hle thei.
- Inflammatory Bowel Disease (IBD): Hei hi hun rei tak chhung natna a ni. Kar tam tak chhung chu pum na, taksa rihna tlahniam, thisen chhuak riltam i neih tawh chuan IBD i nei thei a ni. Ulcerative Colitis leh Crohn’s disease hi chi hnih a ni.
- Diverticular Disease: Hengte hi pouche te tak te , intestine lian bang atanga rawn chhuak an ni. A tlangpuiin pawi lo mah se, a chang chuan thisen a chhuak thei a, a kai thei bawk.
- Pum emaw, chaw kawng emawa ulcer (Peptic Ulcer): .Pum chhunga lining emaw small intestine emaw a ulcer lo awm thin. Helicobacter pylori (H. pylori) natna hrik kai leh hun rei tak chhung natna tidamtu aspirin leh ibuprofen te hman thin hi a chhan ber a ni.
- Gastroenteritis: Viral emaw bacteria emaw infection (e.g., food poisoning) avanga ril\am hi thisen chhuak a ni thei a, natna lan chhuah dan, luak chhuak leh luak chhuak ang chi a awm thei bawk.
Chhan dang
- Polyps emaw Cancer emaw: Polyps hi colon chhunga lo piang chhuak tlangpui a ni. Thisen chhuak thei an ni a, chi thenkhat chu hun kal zelah cancer-ah an chang thei bawk. Colorectal cancer hi bawlhhlawh chhunga thisen awm chhan lian tak a ni.
- Esophageal Problems: Thisen chhuah tam lutuk hi esophagus (chaw kan ei chhuahna tube)-a thisen kalna kawng a hring emaw, a hrual emaw vang a ni thei.
- Sexually transmitted diseases (STIs): Mipat hmeichhiatna hmanga kai theih natna thenkhat chuan rectal bleeding a thlen thei bawk.
Naupang tê tête ek chhunga thisen awm chhan
Puitlingte nghawngtu chhan bakah hian naupangte tana thil thleng bik chi hrang hrang a awm bawk.
- Constipation: Hei hi naupang ek chhunga thisen awm tam ber a ni. Constipation hian anal fissure a siam thei a, thisen a chhuah tir thei bawk.
- Food Allergies: Naute hian allergy a nei thei a, a bik takin milk powder emaw, nu hnute pe lai ei tur thenkhat (bawng hnute, soy, peanuts ang chi) a nei thei a, chu chuan colitis leh thisen chhuahna a thlen thei a ni.
- Pum ulcer: Naupangte pawhin bacteria (H. pylori) vangin pum ulcer an nei thei bawk.
- Meckel 's diverticulum: Hei hi pianpui natna a ni. Tissue extra pouch, intestine wall-a lo awm leh natna nei lovin thisen chhuak thei. Surgery hmanga enkawl theih a ni.
Engtin nge doctor hian diagnosis a siam?
Doctor i pan hunah zawhna tlem a zawt ang che. Thisen chhuah chi, a rawng, leh a lan chhuah dan dangte chungchânga chipchiar taka i pêkte chuan natna hriat theihna tûrin a ṭanpui ang. Tichuan, taksa enfiahna (rectal exam pawh tel) an ti ang. A chhan dik tak hriat nân, a hnuaia test pakhat emaw, a aia tam emaw chu an rawt thei ang:
- Endoscopy (EGD): Ka chhunga camera dahin tube te tak te hmanga chaw kawng, pum, leh small intestine bul tanna enfiah.
- Colonoscopy: Tube hmanga intestine lian zawng zawng enfiahna, a hnute kawng atanga camera dah luh. Tissue te tak te pawh enfiah (biopsy) atan lak theih a ni bawk.
- Stool Test: Stool sample lak a, thisen thup, bacteria infection, etc. te enfiah thin a ni.
- Imaging test: Pum chhunga CT scan ang chi thil pawh tih theih a ni.
Enkawlnate chu engte nge ni?
A tam zawkah chuan thisen chhuahna hi thil awlsam tak, hemorrhoids emaw constipation emaw avanga lo awm a nih chuan, chu natna enkawl chuan thisen chhuahna chu a mah chauhin a titawp ang. Enkawlna chu thisen chhuahna chhan bik a innghat a ni.
In lama i tih theih thilte
Heng thilte hian hemorrhoids leh anal fissures ang chi condition-ah a pui thei a ni:
- Fiber tamna ei tur (legumes, thlai, thei, whole grains) ei tam. Hei hian constipation a tihziaawm ang.
- Ni khatah tui tam tak in thin .
- Sitz bath la a . Hei hian tui lum basin-ah minute 10-15 chhung thut tihna a ni. Hei hian natna leh hliam a tiziaawm ang.
- Doctor thupek angin hemorrhoid cream hmang thin ang che.
Damdawi lam enkawlna
A chhan a zirin enkawl dan a inang lo.
- Bacteria infection tan antibiotics hman tur a ni.
- Damdawi , pum chhunga acid tihtlem thei, pum chhunga natna awm thei.
- IBD ang chi natna tan anti-inflammatory damdawi .
- Polyp emaw cancer emaw surgery hmanga lakchhuah.
- Thisen chhuahna chu tihtawp theih a nih loh chuan thisen chhuahna hmun chu damdawi inject theih a ni a, electric emaw laser emaw hmanga tihlum theih a ni a, endoscopy neih laiin clip theih a ni bawk.
Take-Home Thuchah a ni
- I bawlhhlawh chhunga thisen i hmuh hian hlauhthawn hi thil pangngai a ni a, mahse thil pawi tak a ni ngai lo. Hemorrhoids ang chi thil awlsam tak vang a nih a rinawm zawk.
- Thisen rawng hian khawi atanga lo chhuak nge tih hriatna engemaw chen a pe thei che a ni. Light red chu anus atanga lo chhuak a ni thei a, black erawh chu pum atanga lo chhuak a ni thung.
- Thisen chhuah chhunzawm zel emaw, a rit emaw, natna dang, khawsik, pum na, luak chhuak emaw a awm chuan ngaihthah suh.
- Ringhlelna a awm a nih chuan a tha ber chu doctor pan a, a chhan dik tak zawn chhuah hi a ni.
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