A châng chuan i thawmhnaw chungah poop tlem tal i paih chhuak ṭhîn em, chu chu i nuih a, i exercise a, i thawk hah mai mai ṭhin em? Hei hi mi tam takin harsatna an neih, mahse mipui hmaa sawi an zak thin a ni. Mi tam tak chuan tumah hrilh lovin mahni chauhin an tuar thin. Mahse, zah tur a ni tak tak lo. Hei hi damdawi lam dinhmun a ni. Chuvangin vawiinah hian tlang takin sawi ila.
Fecal Incontinence tih hi eng nge ni?
A awlsam zawngin, fecal incontinence chu i duh loh laiin i bawlhhlawh thenkhat emaw, a zawng zawng emaw duh loh vanga hloh hi a ni. Mi thenkhat tan chuan hei hi thli paltlang lai tlemte kal tlang ang maia thil tenawm tak a ni thei. Midang tan chuan thunun theih loha riltam kim vek ang maia na a ni thei.
Kan taksa bowel leh bladder control dan hi a buaithlak hle. Tui tap ang maiin han ngaihtuah teh. Kan pelvic floor, rectum leh anus-a muscle te hi an thawk dun tha vek a ngai a ni. Heng muscle te hian thluak atanga signal dik tak an dawn a ngai bawk. He system khawi hmunah pawh chak lohna emaw, chhiatna emaw tlem a awm chuan hetiang insum theih lohna hi a awm thei a ni.
Hei hi chi hnih lian tak a ni.
He dinhmun hi chi hnihah then theih a ni. Hei hi chiang taka hrethiam tur chuan a hnuaia table hi en la.
| Status chi hrang hrang (Type) 1.1. | A awlsam zawngin... (Description) |
|---|---|
| Urge Incontinence tih hi a ni | Sual chhuah duhna nasa tak i nei nghal a, mahse toilet pawh i thlen hma chuan tlem i pass ta a ni. Hei hi a tam ber chi a ni. A chhan ber chu riltam control tu muscle chak lohna vang a ni. |
| Passive Incontinence tih a ni | Hei hi i hriat loh pawha stool i pass hian a ni. Hei hian i taksa leh thluak hian "Tun dinhmunah toilet ka kal a ngai" tih signal a hmu lo tihna a ni. I rectum chu stool-in khat mah se, i hre lo va, a tawpah chuan stool i pass ta a ni. Hei hi i nervous system-a harsatna awm vang a ni fo. |
Hetiang dinhmun a thlen chhan berte chu engte nge ni?
Hei hi chhan pakhat mah a awm lo. Thil engemaw zat a inrawlh thei a ni.
- Chronic Constipation: Chronic constipation nei chuan ek chhuah tumin a strain thei a, chu chuan bowel movement control tu muscle leh nerve te a tichhe thei a ni. Tin, a chhunga solid stool particle awmte chu a leak chhuak thei bawk.
- Diarrhea: Thinrimna (loose stools) hi solid stools aiin control a harsa zawk. Diarrhea fo hian hun kal zelah rectum chhunga thau te chu a tichak lo thei a ni.
- Muscle Damage: A bik takin hmeichhiate hian nau neih harsa tak karah forceps ang chi instrument hman a ngai emaw, episiotomy an neih a ngai a nih chuan muscle damage an tuar thei a ni. He chhiatna hi hemorrhoids ang chi condition hrang hranga surgery atanga lo awm thei a ni bawk.
- Nerve Damage: Nau neih leh surgery ang chi thilte hian taksa ruh leh a thununtu nerve te a tichhe thei a ni. Diabetes mellitus leh nervous system natna te pawh hian heng nerve te hi a tichak lo thei bawk.
- Rectal wall elasticity tlahniam: Rectum wall, stool vawngtu chu a elastic hle tur a ni. Mahse, Crohn’s disease emaw cancer enkawlna atana radiation therapy ang chi condition te hian scarring a thlen thei a, he elasticity hi a bo thei bawk. Tichuan, bawlhhlawh chu tlem a khat pawh ni se, chelh luh leh muhil harsa tak a ni thei.
- Pelvic Organ Prolapse (POP): Kan pelvic cavity chhunga taksa peng hrang hrang (uterus, bladder, leh rectum ang chi) chelhtu taksa pengte a chak loh chuan chu taksa pengte chu a tla thla thin. Hetianga rectum a tlak hniam chuan bowel control-ah harsatna a thlen thei a ni.
Tute nge hetiang hi vei theihna hlauhawm zawk?
Hetiang dinhmun hi tu chungah pawh awm thei mahse, mi thenkhat chu an hlauhawm zawk.
- Kum: Kum 65 chunglamte chu an hlauhawm zawk. Hei hi kan tar chhoh zel chuan taksa ruhte hi a pianphungah a chak lo vang a ni. Mahse hei hi tar chakna ‘normal’ part niin ngai suh. Hetiang harsatna i neih chuan doctor pan ngei ngei tur a ni.
- Gender: Hmeichhia hi mipa aiin an hlauhawm zawk a, a bik takin nau neih leh menopause hnuah.
- Damdawi lam thil dang: A hnuaia damdawi lam harsatna nei te pawh hi an hlauhawmna a sang zawk.
- `Alzheimer natna` leh `Dementia` te a ni
- `Parkinson natna` a ni
- `Type 2 Diabetes` a ni
- `Multiple Sclerosis (MS) natna vei te`
- ``Thinlung natna (IBD)''.
- ``Irritable Bowel Syndrome (IBS) natna a ni tih hi a chiang hle.
- Thai
Hetiang dinhmun hi a tam hle. Survey-ah chuan mi pathum zinga pakhat velin he harsatna hi an nei tih a tarlang. Chuvangin nangmah chauh i ni lo tih hre reng ang che.
Hei hian eng harsatna dang nge a thlen theih?
Duh loh vanga bawlhhlawh paih hian taksa leh rilru lamah harsatna a thlen thei a ni.
- Vun natna: Anus vel vun hi a hnim fo va, bawlhhlawhin a khuh a, chu chuan a sen, a ti na a, a ti na thei a, a ti na thei bawk . A chang chuan, ulcer pawh a lo awm thei bawk.
- Psychological impact: Mi tam tak chuan taksa lama harsatna aiin rilru lam harsatna an nei tam zawk tak zet a ni. Mualphona te, lungkhamna te, leh lungkhamna te hian in chhuahsan thei lo ang maiin a siam thei che a, ṭhiante nen pawh inhmu thei lo ang maiin, event-ah pawh kal thei lo ang maiin a awm thei che a ni. Hei hian khawtlang atanga chhuahsan ang maiin a siam thei che a ni.
Engtin nge hei hi i hmuh theih, Doctor?
A hmasa berah chuan hemi chungchang hi i doctor nen sawi dun hi zak suh. Hei hi an tan chuan hriselna lama harsatna awm fo a ni. I harsatnate zalen taka sawipui chauhvin enkawlna dik tak i hmu thei ang.
Doctor chuan i natna lan chhuah dan a zawt ang che a, taksa a enfiah ang che. Chu bâkah, a chhan dik tak hriat nân test pawh an ti thei bawk.
- Anorectal Manometry: Rectum chhunga thau chakna tehna test a ni.
- `Balloon Expulsion Test`: Ek paih chhuah dan a tha em tih tehna test a ni.
- `Endorectal Ultrasound` emaw `MRI`: Rectal muscle awm dan leh chhiatna a awm leh awm loh enfiah thin.
- `Anal Sphincter Electromyography (EMG):` Nerve chhiat leh chhiat loh enfiahna test a ni.
- Endoscopy: Camera hmanga tube hmanga intestine chhung lam (Colonoscopy) emaw rectum (Proctoscopy) emaw enfiah.
Hei hi eng enkawlna nge ni?
Enkawl dan hi a chhan leh a nasat dan azirin a inang lo.
Ei leh in lama inthlak danglamna
I harsatna chu riltam emaw, chaw ei kham emaw avanga lo awm a nih chuan i ei leh in thlak danglam hian hahdamna nasa tak a pe thei a ni.
- Diarrhea i neih chuan: Caffeine (coffee, tea), chaw tui tak tak, bawnghnute atanga siam, leh artificial sweeteners te tihtlem thin ang che.
- Constipation i neih chuan: Fiber tamna ei tur (thei, thlai, whole grains) ei tam rawh. Ni khatah tui glass 8-10 tal in thin tur a ni.
Exercise leh training neih a ni
- Bowel Training neih dan tur: 1.1.Nitin hun bituk chhunga toilet kal thiam (e.g. zing coffee in zawh hnuah). Hei hian taksaah tih dan phung a siam a.
- Kegel Exercises: Hengte hi a pawimawh hle. I doctor emaw physical therapist emaw hnenah heng exercise te hi dik taka tih dan tur i zawt thei a, chu chuan pelvic area-a taksa ruh te chu a tichak thei ang.
- Biofeedback: Hei hi hmanraw bik hmanga i ril control theihna tur muscle te hriatchhuah leh tihchakna hmanrua a ni.
Damdawi (damdawi) .
I doctor chuan diarrhea control na tur damdawi emaw, constipation enkawlna tur damdawi emaw a rawn rawt thei ang.
A pawimawh ber: Doctor rawn hmasa lovin damdawi lei theih loh lei ngai suh. Damdawi thenkhat chuan i dinhmun a ti na zual thei.
Inzai
Enkawlna dang a hlawhtlin loh chuan zai a ngai mai thei. Surgery chi hrang hrang a awm a, chu chu sphincteroplasty hmanga taksa ruh chhia siam that emaw, sacral nerve stimulation emaw a ni. A nasat lutuk chuan colostomy tih a ngai mai thei.
Hetiang dinhmun nena kan nun lai hian ngaihven tur thil
Enkawlna i dawn lai hian he natna hi enkawl dan tur leh nun tha tur hian thil engemaw zat tih theih a awm.
- I vun humhim rawh:
- Bowel movement apiangin sahbawn tel lovin tui lum hmangin silfai thin ang che.
- Toilet paper hmanga chak taka scrub ai chuan towelette hnim tak hmangin zawi zawiin silfai la, uluk takin vawt rawh.
- Vun venhim nan diaper rash cream (‘barrier cream’) ang chi thil hnawih thin ang che.
- Tight thawmhnaw inbel ai chuan underwear leh thawk hah thei puan, cotton ang chi atanga siam thawmhnaw ha la.
- Rilru hriselna chungchang hi han ngaihtuah teh:
- I chhuah dawn chuan i hlauthawng a nih chuan pad emaw disposable undergarment emaw hmang la. Hei hian i inrintawkna a tipung ang.
- In atanga i chhuah hmain toilet ah kal la, i ril te kha khar hmasa phawt ang che.
- I bag chhungah hian thawmhnaw set khat leh wet wipes dah belh tur a ni. Rilru thlamuanna nasa tak a pe ang che.
- I kal hmain toilet awmna hmun hi enfiah fo ang che. Chutiang chuan emergency a awm chuan i buai a ngai tawh lovang.
Take-Home Thuchah a ni
- Involuntary bowel movement hi a awm fo thin. Zak suh la, nangmah chauhin hrehawm tuar suh. Nangmah chauh i ni lo.
- Hei hi tar chakna pangngai a ni lo. Hei hi kum eng pawha enkawl dan a awm.
- Hetiang harsatna i neih chuan doctor hmu ngei ang a, tlang takin inbiakna nei rawh. Chu chu a hmasa ber leh pawimawh ber a ni.
- He dinhmun hi ei leh in thlak danglam, exercise leh enkawlna dang hmangin a tam zawk chu control theih a ni.
- I taksa hriselna ang bawkin i rilru hriselna pawh a pawimawh hle. Mimal takin la suh. A tul chuan counseling zawng rawh.











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