Hei hi sawi tur thupui mak tak a ni mai thei, mahse kan rilru hahna hi a takah chuan kan hriselna atana thil pawimawh tak a ni . Anmahniah hian inthlak danglamna chungchang hi sawi vak lo mah ila, kan hriat chian a pawimawh. Inthlâk danglamna tenau ṭhenkhat chu thil pangngai a nih laiin, a châng chuan kan taksa chhûnga thil pawi zâwk thil thleng chhinchhiahna a ni thei bawk. Chuvangin vawiinah hian hemi chungchang hi tlem tal i sawi chhuak ang u.
He ‘bowel habits’ inthlak danglamna hi eng nge ni?
A awlsam zawngin, i rilru natna (i.e., hmel lan dan, a tam zawk) inthlak danglamna hi ‘change in bowel habits’ kan tih hi a ni. Hrilhfiahna tenau te hi ngaihtuahawm a ni lo tlangpui. Mahse inthlak danglamna lian tak i hmuh chuan i nunphungah inthlak danglamna engemaw zat siam a hun tawh tih chhinchhiahna a ni thei. Heng inthlak danglamna te hian kan taksa chhunga thil thlengte hriat theihna tur clues min pe a ni. Doctor hnena report ngai hriselna dinhmun chhinchhiahna an ni thei bawk.
Heng inthlak danglamna chi li hi kan ngaihtuah ber a ngai a ni:
1. Stool rawng
2. Thickness (nature) a awm
3. Bowel movement awm fo dan
4. Bowel movement control thiam
Stool-a danglamna langsar ber berte chu engte nge ni?
He thu hi tlem tal chiang zawka hrethiam turin he table hi han en ila.
| Section hmutu chu a danglam thin | Normal condition leh inthlak danglamna fimkhur tur |
|---|---|
| Rawng | A rawng chu brown a ni tlangpui. I ei leh in a zirin a danglam deuh thei. Dark red, tarry black, clay-colored, pale stools i neih chhunzawm zel chuan doctor pan rawh. Light red streaks ang maia an lan chuan rectal bleeding a ni thei. |
| Zenghet | A tlangpuiin stool chu a thuk a, a nem tur a ni. Lung ang maia bawlhhlawh khauh tak takte hi chaw ei khamna chhinchhiahna a ni. Tui ang maia tui an nih chuan luak chhuak chhinchhiahna an ni. Heng pahnih hi kar hnih aia rei a awm chuan thil pangngai a ni lo. |
| Zinzia | Hei hi mi zawng zawng tan a danglam vek. Mi thenkhat chu ni khatah vawi eng emaw zat an kal thin. Midangte chu kar khatah vawi khat emaw vawi hnih emaw an kal thin. Mahse a tlangpuiin ni thum aia tam riltam lova kal chu a tha lo. Chutah chuan stool chu a thim lehzual a, pass a harsa bawk. |
| Thunun | A tlangpuiin i riltam chu i thunun thei tur a ni emaw, i vawn tlat thei tur a ni a, he thunun theihna hi i hloh chuan fecal incontinence an ti a ni. Hetiang dinhmun hi i upat deuh deuh chuan a awm fo thin. Chutiang a nih chuan doctor pan ngei ngei tur a ni. |
Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?
A chhan ber chu kan thunun theih thil a ni. Chu chu kan nunphung a ni. Fiber tamna ei tlem te, tui in tlem te, exercise lak loh te, rang taka exercise tam lutuk te, leh stress te hian hei hi direct-in a nghawng a ni. Heng tih dante hi thlak danglam hian a tlangpuiin bowel movement pattern chu a normal-ah a hruai kir leh thin.
A dawtah chuan damdawi pawh hi a chhan lian tak a ni . Damdawi thenkhat chuan side effect angin diarrhea emaw constipation emaw a thlen thei. Hetiang dinhmun hi damdawi ei tihtawp a nih veleh a bo tlangpui.
A pawimawh ber chu, i damdawi ei hian he inthlak danglamna hi a thlen nia i ngaih chuan nangmah chauhin ei kha bansan ngai suh. I doctor nen thurawn dil turin inbia ngei ang che.
Heng bakah hian damdawi lam thil chi hrang hrangin ril\am tihdanglamna a thlen thei bawk.
- Anal Fissures: Anus vunah mittui tlakna a awm. I stool-ah emaw, toilet paper-ah emaw thisen sen hring hring i hmu mai thei.
- Bowel Obstruction: Hei hi damdawi lam emergency a ni. Thil pakhat chu intestine-a a tlakbuak chuan a thleng thin. A lan chhuah dan chu chaw ei kham, luak chhuak, luak chhuak, pum na te a ni.
- Celiac disease: Gluten (wheat products-a awm) ei hian chaw ei kawngah harsatna a thlen thin.
- Colon Cancer: A lan chhuah dan chu ek chhunga thisen, pum na, chaw ei kham, riltam, leh ek chhuah ngai fo te a ni thei.
- Colon Polyps: Hengte hian natna lanchhuahna a thlen lo mai thei a, mahse a chang chuan chaw ei kham, ril\am, leh thisen chhuah a thlen thei.
- Diverticulitis: Intestine lian chhunga pouch te te infection a ni. A lan chhuah dan chu pum na na tak, chaw ei kham, thisen chhuah te a ni.
- Endocrine dinhmun: 1.1.Diabetes leh hypothyroidism ang chi condition te hian constipation a thlen thei.
- Food Intolerance: Chaw thenkhat i ei theih loh chuan riltam leh pum na a thlen thei. Entirna pakhat chu lactose intolerance a ni a, chu chu bawnghnute leh bawnghnute atanga siam thil ei theih lohna hi a ni.
- Hemorrhoids: Rectum chhung emaw pawnah emaw vein a hring. I bawlhhlawh nen thisen sen hring tlemte i hmu mai thei.
- Infection: Virus, bacteria, leh parasites te hian natna lan chhuah dan, riltam ang chi a thlen thei.
- Inflammatory Bowel Disease (IBD): Natna chi khat, intestines a ti na thei. Hetiang natna chi hrang hrang entir nan Crohn’s disease leh ulcerative colitis te hi an ni.
- Irritable Bowel Syndrome (IBS): A natna lan chhuah dan hrang hrang, chaw ei kham, riltam, leh pum na.
- Liver leh gallbladder natna: Heng natna te hian pale stools a thlen thei .
- Neurologic Conditions: Thluak leh ruhro (spinal cord) tichhe thei natna (e.g., multiple sclerosis, Parkinson’s disease) te hian ek kalna tur muscle te hian signal dik tak an dawng lo thei a ni.
Engtikah nge Doctor kan hmuh ang?
Hei hi a pawimawh ber a ni. In lama awm hun tur te, Doctor koh hun tur te, Emergency Department (ETU) pan hun tur te hriat a pawimawh hle.
| Huntha | Symptoms fimkhur tur |
|---|---|
| I doctor nen inbia ang che. |
|
| Emergency Treatment Unit (ETU) ah kal nghal rawh. |
|
Kum leh naupai ang hian hei hi a nghawng em?
Ni e, nghawng a nei ngei ang.
Kum upa lam
Kum upat deuh deuh hian constipation hlauhawmna a sang chho zel. Kum 65 hnuah fecal incontinence vei theihna a sang bawk a, hei hi a chhan chu he thil ti tura puitu taksa ruh te hi kum upat deuh deuhin an chak lo thin vang a ni.
Naupai hun chhung
Naupai lai, a bik takin third trimester-ah chuan naute rihna hian intestine-ah pressure a siam thei a, constipation a thlen thei bawk. Hmeichhe naupai zinga 39% velin hetiang hi an tawk thin.
Menopause a awm
Menopause hma (perimenopause) leh menopause hnu hun chhung hian taksaa hormone level-ah inthlak danglamna lian tak a awm thin. Heng hormone inthlak danglamna hian chaw ei leh in (digestive system) a nghawng thei bawk. Chuvangin, bowel habits-ah inthlak danglamna i hmu mai thei.
Mahse, hre reng ang che, hetiang inthlak danglamna i hmuh hian, "Hormone vang a ni mai thei" tih mai mai suh. Thil pawi tak a nih loh nan doctor pan a tha ber.
Take-Home Thuchah a ni
- Bowel movement chungchangah hian eng nge "normal" tih hi mi hrang hrangah a inang lo. A pawimawh ber chu i tan eng nge pangngai tih hriat hi a ni .
- I bawlhhlawh rawng, a thuk zawng, a tam dan leh a control danah inthlak danglamna awm reng i hmuh chuan ngaihthah suh.
- Inthlâk danglamna tam tak hi nunphung avânga lo awm a ni. Tui tam tak in la, fiber tamna diet ei la, exercise la.
- Ek chhuah dawnin straining tih loh tur. Bowel movement neih hi a hnu lama bawlhhlawh paih ngai i hriat hma loh chuan sawn suh.
- Vaukhânna chhinchhiahna , bawlhhlawh chhunga thisen awm, tarry black stool, sawifiah theih loha taksa rihna tlahniam, leh pum na nasa tak te chu fimkhur fo ang che. Chutiang hunah chuan doctor pan nghal tur a ni.
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