Fecal incontinence pawh i nei em? (Fecal Incontinence) - Zak suh, sawi ila!

A châng chuan thlipui tleh lai te, i nuih ri nasa lutuk emaw, exercise i tih lai emaw hian i thawmhnaw chungah poop tlem i paih palh em? A nih loh leh toilet pan a ngai ang tih i hria a, mahse i tlan a, kawngkhar i hawn chuan i insum thei lo em ni? Hei hi mi tam takin harsatna an tawh a, mahse khawtlang nunah sawi chhuah an zak hle. Hetiang dinhmun avang hian mi tam tak chu hlauhna leh mualphona avangin in lamah an awm a, khawtlang atanga hla takah an awm thin. Mahse chutiang chu a nih a ngai lo. Hemi chungchang hi vawiinah hian tlang takin sawi ila.

A awlsam zawngin, fecal incontinence chu eng nge ni?

Hei hi a awlsam hle. Kan duh huna bawlhhlawh kal dan kan thunun theih loh chuan he natna hi damdawi lamah chuan `(Fecal Incontinence)` emaw `(Bowel Incontinence)` emaw kan ti thin. Kan duh loh lai, kan hriat loh laia stool pass tihna a ni. Mi thenkhat tan chuan hei hi thli paltlang laiin stool tlemte pass ang chi thil tenawm tak a ni thei. Tin, thenkhat tan chuan control nei lovin solid stool pass ang chi natna khirh tak a ni thei bawk.

Hetiang hian han ngaihtuah teh: kan taksa riltam hi team sport inrual tak ang mai a ni. Kan pelvic floor muscle, rectum leh anus te hian thawk hovin stool-ah an chelh a, a tul hunah hnawhchhuah an mamawh a ni. Heng muscle te hi nerve te nena inzawm a ngai bawk a, chu chuan kan thluak ah toilet kan kal a ngai tih signal a thawn thei a ni. Hetiang kawngah hian thil a dik lo a nih chuan kan riltam control theihna kan hloh thei a ni.

Hetiang dinhmun hi chi hnih a awm a.

Incontinence hi chi hnih lian tak a awm a. Eng nge an nih i han thlir teh ang.

Hetiang dinhmun hi engtiang chiahin nge a awm tak tak?

I ngaihtuah aiin a tam zawk. Research atanga a lan dan chuan mi pathum zinga pakhat chu he natna hian a vei a ni. Thudik tak chu, toilet-a kal hi tlang taka kan tih tur a ni lo. Chuvang chuan mi tam takin mualpho leh mualphona avanga he harsatna hi an tuar thin a ni. Chuvangin hei hi i harsatna chauh a ni lo tih hre reng ang che.

Hetiang natna lan chhuah dan hi engte nge ni?

Mi thenkhat chuan hetiang chiah hian loose stool hi an nei thei chauh a ni. Mahse midang tan chuan nitin an tawn thin thil a ni. A lan chhuah dan tlangpui thenkhat chu hetiang hi a ni:

• Thli pass laiin tum loh taka stool pass.
• Exercise, kea kal emaw, taksa tihchaknaah emaw stool leak.
• Ek chhuah ngai nia inhria, mahse toilet i thlen hma loh chuan thunun theih loh.
• I underwear-a bawlhhlawh hmuh dan pangngaia i chhuah zawh hnuah pawh.
• Bowel movement control kim thei lo.

Eng thilin nge hetiang hi a thlen theih?

Hei hi a thlen chhan ber chu ril\am, chaw ei kham, leh taksa peng emaw, nerve emaw tihchhiat a ni a, chu chuan ril\am control-na a pui a ni. Chu bakah, a hmaa surgery neih tawh ang chi thilte pawhin hei hi a thlen thei bawk.

• Diarrhea: Solid stool aiin liquid stool-ah hian taksa ruhte hian an vawn harsa zawk. Hun rei tak riltam hian rectum leh anus-a taksa ruhte a tichak lo thei a ni.
• Constipation: Constipation neih fo hian heng ruh te hi a tichak lo thei bawk. Bowel movement neih tumin straining hian nerve a tichhe thei bawk. A châng chuan, stool khauh tak chu lump-ah a inkhung a, fluid a chhuak thei bawk.
• Muscle damage: Hei hi hmeichhiaah a thleng thei a, a bik takin nau neih harsa lai hian a thleng thei. Naute hrin nan forceps hman emaw, episiotomy tih emaw a nih chuan a chhehvel taksa ruhte chu a chhe thei a ni. Tin, hemorrhoid emaw fistulas emaw surgery hian taksa ruh a tichhe thei bawk.
• Nerve tihchhiat: Taksa tichhe thei thil ang chiah, nau neih harsa emaw, surgery emaw pawh hian nerve a tichhe thei bawk. Hei hi a bik takin bowel movement nei tura signal tu nerve te a chhiat chuan a dik hle. Diabetes leh nervous system natna ang chi natna te pawhin a hlauhawmna a tipung bawk.
• Anal elasticity tlahniam: 1.1.A tlangpuiin kan rectum bang hi elastic tawk tak a ni a, stool a vawng thei a ni. Mahse eng emaw chhan vanga, entirnan, Crohn natna emaw, cancer tan radiation therapy emaw ang chi natna, a hliam a nih chuan he elasticity hi a bo ta a ni. Tichuan stool chu a chelh thei tawh lo va, a leak tan ta a ni.
• Pelvic Organ Prolapse (POP): Pelvic cavity chhunga taksa peng hrang hrangte a chak loh chuan taksa peng hrang hrang, rectum, vagina, uterus, leh bladder te chu a nghet lo hle. Hei hian hnuai lam hawiin an sag thei a ni. Hetiang dinhmun hi rectum chu anus chhunga a tlak (rectal prolapse) emaw, rectum chu vagina hnunglam bang chhunga a nawr (rectocele) vang pawh a ni thei.

Hemi atan hian tute nge hlauhawm ber?

Hetiang dinhmun hi tu chungah pawh awm thei mahse, mi thenkhat chu an hlauhawm zawk.

Hetiang dinhmun avang hian eng harsatna nge awm thei?

Anus vel vun hi stool leakage vangin a chhe thei a ni. A sen, a ti na a, a ti na thei bawk. Hun kal zelah vun natna (ulcer) pawh a lo awm thei bawk.

He natna hi engtin nge doctor hian a hriat theih ang?

Hei atan hian gastroenterologist emaw colorectal surgeon emaw i pan thei ang. I symptoms te chu a zawt ang che. Tichuan, taksa enfiahna leh rectal exam an nei ang. Hemi hun chhung hian i ngaihtuahna zawng zawngah inhawng leh rinawm taka sawi a pawimawh.

A chhan dik tak hriat theih nan a hnuaia test te hi i tih a ngai thei bawk:

• Anorectal manometry: Rectum leh anus chhunga ruh chakna tehna test a ni.
• Endorectal ultrasound emaw MRI: Rectum chhehvela ruh leh tissue awm dan a enfiah a, chhiatna a awm leh awm loh a enfiah thin.
• Anal sphincter electromyography (EMG): Nerve chhiat leh chhiat loh enfiahna test a ni.
• Endoscopy: Tube te tak te, camera (scope) nei chu anus kaltlangin dahin, intestine chhungah harsatna, inflammation, tumor, emaw scarring emaw a awm leh awm loh enfiah thin a ni.

Engtin nge enkawl leh enkawl a nih?

Enkawlna hi a chhan leh a nasat dan azirin a inang lo. A châng chuan nunphung tihdanglam ringawt pawhin a thunun theih a ni.

Ei leh in lama inthlak danglamna

Hetiang dinhmun hi ril\am emaw, chaw ei kham emaw avanga lo awm a nih chuan i ei leh in thlak danglam hian danglamna nasa tak a thlen thei a ni.

• Diarrhea i neih chuan caffeine, zu, ei tur rimtui, bawnghnute atanga siam, leh artificial sweeteners ang chi thil te chu hlat rawh.
• Constipation i neih chuan fiber tamna ei tur (thei, thlai, legumes, whole grains) ei tam la, ni khatah tui glass 8-10 tal in thin ang che.

Exercise leh training neih a ni

• Bowel training: Doctor nena thawh dun hian ni khata hun bituk (e.g., zing coffee in hnuah) bowel movement neih i zir thin.
• Kegel exercise: Pelvic floor ruh tichaktu exercise a ni. Hengte hi nitin tih tur a ni.
• Biofeedback: Anus chhehvela taksa peng hrang hrangte tihchakna, hriatchhuahna leh control dan, specially trained therapist kaihhruaina hnuaiah.

Damdawi chi hrang hrang

Chumi atan chuan ril\am leh ril\am damdawi hman \hin a ni.

Inzai

Enkawlna dangin hlawhtlinna a chhuah loh chuan operation tih ngaihtuah theih a ni.

• Sphincteroplasty: Anal muscle chhia te re-suture leh siamthat.
• Sacral nerve stimulation: Vun hnuaia hmanraw te tak te dah a, chu chuan anal muscle leh pelvic muscle control tu nerve a tichak a ni.
• Colostomy: Enkawlna dang a hlawhtlin loh chuan surgery tih chauh a ni. Hemiah hian pum chhungah hawnna te tak te siam a ni a, chuta tang chuan intestine lian tak chu chhuahtir a ni a, bawlhhlawh khawlkhawm nan bag bik dah a ni.

Engtin nge i in enkawl theih ang?

Hetiang dinhmun nena khawsak hian i taksa leh rilru hriselna enkawl a pawimawh hle.

I vun venghim rawh

• Toilet paper hmanga chak taka phih loh tur. Chu ai chuan towelette hnim rimtui lo hmang zawk ang che.
• Bowel movement apiangin sahbawn tel lovin tui lum hmangin silfai la, pat dry la, rubbing lovin.
• Vun venghimtu barrier cream (e.g. zinc oxide awmna) hnawih thin ang che.
• Thawmhnaw tight hak loh tur. Cotton ang chi moisture-wicking fabric hmanga siam underwear ha rawh.

Rilru hriselna leh khawtlang nun

• I chhuah hlauh chuan pad emaw disposable undergarment emaw hmang la.
• Khualzin i kal hmain toilet-ah kal la, i ril chu khar hmasa phawt ang che.
• I bag chhungah thawmhnaw leh toiletries set khat dang keng la.
• Khawi hmunah emaw i kal apiangin toilet awmna hmun zawng la, i rilruah vawng reng ang che. Chutiang chuan emergency a awm chuan i buai a ngai tawh lovang.

Kan naupan lai a\angin kan zirtir \hin a, vantlang hmaa ril\am ang chi thu sawi hi a \ha lo. Chuvang chuan mi tam takin he harsatna chungchang hi sawi chhuah an zak thin. Mahse thudik tak chu kan taksaah hian riltam hi thil pangngai tak a ni. Harsatna a awm chuan Doctor nen sawiho a pawimawh hle. Chuvangin zak suh. Doctor hmu la, hemi chungchang hi sawi rawh. I rilru hahna control leh theihna tur enkawlna leh hmanraw hrang hrang a rawn rawt ang che.