Fistula tih hi eng nge ni? Chipchiar takin sawi ila!

"Fistula" tih thumal hi i hre tawh em? I doctor emaw, chhungkaw member emaw hnen atangin i hre tawh mai thei. Ngaithla chu a hlauhawm deuh thei a, mahse lungngai suh. Vawiin hian fistula hi eng nge a nih, engvangin nge a lo awm tih leh a enkawlna tur engte nge awm tih te chu awlsam leh hriatthiam awlsam takin kan sawi dawn a ni.

Fistula tih hi eng nge ni? A awlsam zawngin i hrethiam ang u.

A awlsam zawngin sawi ila, fistula hi kan taksa peng pahnih, a tlangpuiin inzawm lo, inzawmna thar a ni. Tunnel te tak te ang mai a ni. I taksa chhunga taksa peng pahnih inkara tunnel te tak te, emaw thisen kalna kawng pahnih inkar emaw, i taksa chhung atanga i vun chunglam thlenga lo chhuak tube angin ngaihtuah rawh. He tunnel hmang hian thil zung, bawlhhlawh, thisen ang chi te chu i taksa chhunga hmun hrang hrangah a kal tur a ni lo.

A tam zawkah chuan he fistula hi thil danglam tak a ni a, chu chu natna a ni. Chuvangin, damdawi lam enkawlna a ngai a ni. Mahse, a chang chuan doctor-te ngei pawhin fistulas hi enkawlna atan an siam thin. Entirnan, kal vei te dialysis enkawlna atana pui turin artery leh vein inzawmna an siam a.

Fistulas hian natna a thlen thei a, nitin hnathawh a ti harsa thei bawk. Mahse chanchin lawmawm tak chu enkawl theih an ni fo a, a bik takin operation hmangin an enkawl thei a ni. Mi thenkhat tan chuan vawikhat fistula an neih chuan an lo kir leh tawh lo. Mi dangte tân chuan an lo kir leh zel a, thla tam tak emaw, kum tam tak emaw pawh enkawl an mamawh thei bawk. Mahse, i healthcare team chuan i mamawh enkawlna leh puihna an pe ang che.

Engtin nge fistula hi a lo awm theih? Eng chi hrang hrang nge ni?

Fistulas hi chi hrang hrang a awm a. An siamna hmun a zirin an thliar hrang a ni. Fistula chi hrang hrang hmuh tur lian ber berte hi han en ila:

Anal fistula a awm

Hei hi fistula chi khat a ni ber. Hei hi i hnute chhung atanga a chhehvel vun thlenga lo awm tube te tak te a ni. Hei hi i hnute chhehvela glands infection (`(Infection)`) emaw inflammation (`(Inflammation)`) vang a ni fo thin a, chu chuan abscess (`(Parianal abscess)`) a thlen thei a ni. I hriat angin, damdawi lam harsatna thenkhat, `(Crohn’s disease)` nei te hian he natna chi hrang hrang leh fistula hi an vei theihna a sang zawk a ni. Hei hian ṭhut emaw, riltam emaw a ti na thei a, zun a chhuak thei bawk.

Arteriovenous (AV) atanga chhuak fistula

Kan taksaah hian thisen kalna kawng chi hnih a awm a, chu chu arteries leh veins an ti a. A tlangpuiin heng pahnih hi a hranin an kal thin. Mahse `(AV) fistula` ah chuan artery leh vein inkarah direct connection a awm thin. Hei hi a chhan ber chu inhliam vang a ni. Mahse `(AV) fistula` zawng zawng hi a chhe vek lo. A hmaa kan sawi tawh ang khan doctor-te chuan kal (kidney failure) nei leh `(Dialysis)` hmang mekte tanpui nan hetiang connection hi an siam thin.

Aorta leh small intestine inzawmna (Aortoenteric fistula) .

Hei hi a hlauhawm hle a, nunna atana hlauhawm tak a ni thei bawk.Fistula chi khat. Hei hi kan taksaa thisen kalna bulpui ber aorta leh small intestine inzawmna a ni. Hei hian gastrointestinal system (GI bleeding) atanga thisen chhuah tam lutuk a thlen thei a, emergency surgery tih thuai loh chuan thihna pawh a thlen thei a ni. Chung chu chi hnih a awm a, primary leh secondary a ni. Primary te hi aorta bang chak lo (Aortic aneurysm), cancer, TB emaw, syphilis ang chi natna emaw avanga lo awm thei a ni. Secondary te hi aorta inrawlhna surgery atanga side effect hmuh tur awm lo tak angin a awm thei.

Beng chhunga fistula awm (perilymphatic fistula) .

Hei hi kan beng lai tak leh kan beng chhung lam inthenna membrane te tak teah khur emaw, tear emaw a lo awm hian a thleng thin. Hei hian beng chhung lam atanga tui chu beng lai takah a luang lut thei a ni. Hei hian beng chhunga pressure a tidanglam thei a, chu chuan hriatna leh balance a tichhe thei a ni. Mi tam zawk chuan hei hi siamthat nan operation an mamawh a, mahse mi thenkhat chu khumah chawlh hmangin an dam leh thin.

Tracheoesophageal fistula (TEF) a awm a, a chhuak thei lo.

Hei hi kan thlipui (trachea) leh kan chaw kawng (oesophagus) inzawmna a ni. A tam zawkah chuan hei hi pianpui natna a ni a, pian tirh lamah a awm thei tihna a ni. Doctor-te chuan naute an la la nih laiin an enfiah a, an enkawl tlangpui. Amaherawhchu, puitling thenkhat chuan damdawi lam thil dang, cancer ang chi te avangin he natna hi an nei thei bawk.

Vaginal fistula a awm thin

Hei hi hmeichhe serh bang chhunga khur a lo awm hian a ni. He khur hian vagina chu a bul hnaia organ pakhat, uterus (`(Uterus)`), bladder (`(Bladder)`), rectum (`(Rectum)`), large intestine (`(Large intestine)`), emaw small intestine (`(Small intestine)`) te nen a thlunzawm thei a ni. Doctor-te chuan hei hi vagina leh bladder inkar a nih chuan ``Vesicovaginal fistula`` an ti a, vagina leh rectum inkar a nih chuan ``Rectovaginal fistula`` an ti bawk. Nau neih laiin vaginal fistula complication anga lo awm chu ``Obstetric fistula`` an ti bawk.

Pawimawh: A chang chuan doctor-te chuan fistulas hi enkawlna atan an siam thin. Entirna pakhat chu `(Mucous fistula)` tih hi a ni. Hemiah hian intestine te emaw, lian emaw chu pum vunah hawnna te tak te (`(Stoma)`) siamah an inzawm a ni. Hei hi intestine lian thenkhat lakchhuahna tur operation nei tawhte tan (`(Colostomy)`) emaw, small intestine thenkhat lakchhuahna tur surgery nei tawhte tan pawh a tangkai hle (`(Ileostomy)`).

Dialysis atana hman thin fistula hi eng nge ni?

Dialysis fistula hi a takah chuan ``Arteriovenous - AV'' fistula a ni. A chhan chu artery leh vein a thlunzawm a ni. Mahse ``(AV) fistula'' dang ang lo takin hengte hi accident-a hliam avanga lo awm a ni lo va, dialysis enkawlna atana pui turin surgeon-te siam a ni.

Surgeon chuan i kut chhunga artery leh vein pakhat a thlunzawm a. Hei hian thisen kalna kawng pangngai aiin thisen a ti tam zawk a ni. Artery atanga thisen chhuak chu a luang chak zawk a, pressure sang zawkin a luang chhuak bawk. Chuvângin, he thisen zînga ṭhenkhat chu thisen zam chhûnga an hruai lêt chuan, thisen chu zawi zawiin a lian a, a zau a, a chak zual sauh sauh a ni. Hei hi thil tha tak a ni, a chhan chu vein chak tak, lian tak chuan dialysis-a hman tur needle te chu a tuar thei a, rang takin thisen a inject thei a, a paih chhuak thei bawk.

Dialysis fistula i mamawh chuan i medical team chuan a thatna leh that lohna an hrilhfiah ang che a, in lama enkawl dan tur pawh an zirtir bawk ang che.

Fistula natna lan chhuah dan chu engte nge ni?

Fistula natna lan chhuah dan hi a chi hrang hrangah a inang lo. Fistula chi hrang hrang i neih theih tur symptom thenkhat chu hetiang hi a ni:

• Anal fistula a awm chuan:
• Anus vel a na leh a hring reng.
• Efecation laiin natna.
• Anus vel vun atanga pus emaw thisen ang chi tui chhuak, a chang chuan rimchhia tak tak a awm bawk.
• Anus vel vun a na leh a sen.
• Khawsik.
• Vaginal fistula awm thei: 1.1.
• Vagina atanga zun emaw bawlhhlawh emaw leak.
• Vagina atanga tui rimchhia lo chhuak.
• Vaginal emaw urinary tract infection awm fo thin.
• Inpawl laia natna.
• Vagina chhehvel vun natna leh hnim hring.
• Tracheoesophageal fistula (TEF) a awm chuan a chhuak thei lo.
• Chaw ei leh in laia khuh leh thawk hah.
• Chest infection (pneumonia ang chi) awm fo thin.
• Naute tan chuan a hnute a pek laiin a rawn sen (blue) thin.
• Beng chhunga fistula awm (`Perilymphatic fistula`):
• Luak chhuak, a inher chhuak tih hriatna.
• Kal laiin balance hloh.
• Hriatna hloh.
• Beng chhunga ri ri hriat.
• Aortoenteric fistula (aortoenteric fistula) te hi a awm thei lo.
• Vawikhatmah pum na na tak.
• Thisen chhuak.
• Thianghlim dum emaw thisen chhuak emaw.
• Luak chhuak, luak chhuak (thisen chhuah vang).
• Khawsik.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor pan ngei ngei tur a ni.

Fistula lo awm chhante chu engte nge ni?

Fistula siam chhan hi a chi hrang hrangah a inang lo. A tlangpuiin fistula lo awm hi a hnuaia mi ang hian a awm thei a ni:

• Inflammation leh/ emaw Infection: Hei hi a chhan ber a ni fo.
• Taksa peng pakhata hliam emaw hliam emaw: Accident dang pawh operation neih laiin a thleng thei.
• Surgery avanga side effect (`Complication of surgery`): Operation thenkhat hnuah fistulas hi a lo awm tam lo hle.
• Enkawlna avanga side effect angin: Entirnan, cancer enkawlna atana radiation therapy hmanga enkawlna.
• Nausen pian laia inthlak danglamna: Chumi awmzia chu nausen pum chhunga a la awm laiin harsatna a awm tihna a ni.

Engtin nge doctor hian fistula a hriat theih ang?

Hei hi doctor-te’n fistula an hriat dan chu a ni:

1. I symptoms chungchang sawipui rawh: i rilru put hmang leh heng harsatnate hi eng chen nge i lo neih tawh tih zawt rawh.

2. Taksa enfiahna: Fistula hmuh theih a nih leh nih loh finfiahna (physical examination) neih a ni ang a, taksa hmun thenkhat chu (i remtihnain) enfiah a ni ang.

3. Test tam zawk: Taksa chhunga thil thleng dik tak hriat tumin test an ti thin.

Eng test nge tih thin?

Heng test te hian doctor te chu i taksa chhunga thil thlengte hriatthiamna tha zawk an neih theih nan a pui thei a ni. I sawi lan symptoms atanga fistula i neih nia rinhlelh pawhin fistula thenkhat chu a lang lo. Chuvangin i chhungril taksa peng thlalak la thei test te hian heng thilte hi a hriat theih nan a pui thei a ni:

• Eng ang fistula nge i neih?
• Khawiah chiah nge a awm?
• A chhehvel tissue-ah eng nghawng nge a neih?

Test i neih tur chu fistula i neih chi hrang hrangah a innghat ang. I doctor chuan an chanchin a hrilh ang che. Mahse, a hnuaia test te hi tih tir i ni thei ang:

• Thisen emaw zun emaw test: A hring emaw, natna hrik a awm leh awm loh enfiah thin ang che.
• X-ray, CT scan (computed tomography scan) emaw MRI (magnetic resonance imaging): Taksa peng hrang hrang en.
• Endoscopic ultrasound: Digestive system chhung lam en rawh.
• Flexible sigmoidoscopy emaw colonoscopy emaw: Intestine lian chhung lam en rawh.
• Cystoscopy: Bladder leh urethra chhung lam en rawh.
• Bronchoscopy emaw Endoscopy: Thlawhna kawng chhung lam en rawh (hetah hian endoscopy tih hian thawkna kawng a kawk).
• Angiogram: Thisen kalna kawng a block leh awm loh enfiah nan.

Fistula enkawl dan tur chu engte nge ni?

Fistulas enkawlna hman tlanglawn ber chu damdawi leh/ emaw operation hmanga enkawl a ni. I doctor chuan i dinhmun atan eng enkawlna nge dik tih a hrilh ang che.

Entîr nân, i doctor chuan a hring tihziaawmna tûr emaw, i taksa dodâlna hnathawh dân tihdanglam nân emaw damdawi a pe thei a ni. Heng damdawi te hian fistula awm chhan bulpui ber chu a tidam thei a ni. Active infection i neih chuan antibiotics pek i ni thei bawk. Damdawi hian hna a thawk lo a nih chuan, emaw, damdawi chauh pawh a tawk lo a nih chuan operation tih a ngai mai thei.

Fistula surgery chungchang i zir dawn teh ang.

Fistula surgery hi taksa peng hnih inzawmna pangngai lo siamthatna a ni. Hei hian i natna lan chhuah dan a tihziaawm thei a, nakin lawka harsatna i neih loh nan a pui thei bawk. Surgery chungchang chipchiar tak chu fistula i neih chi hrang hrang, a lian leh te, leh a awmna hmun a zirin a inang lo hle ang. Fistula surgery thenkhat chu a awlsam hle a, thenkhat erawh chu a complex hle thung. Complex fistula i neih chuan operation vawi tam tak neih a ngai mai thei.

Rectal fistula surgery hi ear fistula surgery nen a danglam hle tih hre reng ang che. Chuvangin i medical team chuan operation chungchang te, a hlauhawmna te, leh a dam leh hun tur te an hrilhfiah ang che.

Fistula i neih chuan eng nge thleng? Eng nge beisei tur

Fistulas hi awlsam taka enkawl theih a ni fo a, mahse enkawl tan nan doctor i pan tur a ni. In lama damdawi emaw, a natna lan chhuah dan chu a mah chauha a bo hun nghah emaw hian a pui dawn lo. Thil danglam bik i hriat emaw, i hmuh emaw chuan Doctor pan nghal rawh.

I doctor chuan i dinhmun a zirin i beisei tur a hrilh ang che. A châng chuan, enkawl zawh hnuah buaina chu a bo vek ang a, i theihnghilh thei bawk. Mahse a chang chuan fistula emaw infection emaw chu a lo let leh thei. Tichuan enkawlna tam zawk emaw, operation dang emaw i mamawh mai thei. Hei hian a ti buai thei tak zet a ni. Mahse i doctor chuan i kalna apiangah a pui ang che a, heng thil tih chhan hi a hrilhfiah ang che.

Fistula siam hi a veng thei ang em?

Fistula tam zawk a lo awm loh nan engmah kan tih theih a awm lo. Hliam emaw, kan thunun theih loh natna emaw avanga lo awm an ni.

Mahse, doctor-te chuan a chang chuan nau neihna lama harsatna awm thei obstetric fistula hi an veng thei a ni. Hetiang fistula hi naute pian tlai lutuk emaw, emergency medical care (C-section ang chi) a hun taka pek a nih loh chuan a lo awm thei a ni. Sri Lanka ang ramah chuan hetiang harsatna hi a awm lo hle a, a chhan chu doctor ten nau an neih laiin nu leh naute an enkawl tha hle a ni. Mahse, khawvel hmun tinah heng facility te hi a inang vek lo. World Health Organization (WHO) ang pawlte chuan damdawi in siamṭhatna hmangin obstetric fistula laka ven tumin hma an la mek a ni.

Engtin nge ka in enkawl ang? Rilru hriselna pawh a pawimawh!

Fistula nena nun hi a harsa thei hle a, a bik takin fistula complex tak i neih chuan, operation vawi tam tak i neih tawh chuan, emaw, natna hrik kai chhunzawm zel i nih chuan. Tunah hian i taksa lam a ni tih hi hriatthiam theih a ni. Mahse, i rilru hriselna pawh ngaihtuah theihnghilh suh.

I rilru hah emaw, i lungkham emaw chhan tam tak a awm thei. I ngaihtuah mai thei:

• Enkawlna chu a hlawhtling ang em?
• Fistula hi a lo awm leh dawn em ni?
• Ka taksa hi a danglamin ka hria.
• Hei hian engtin nge ka mimal inlaichinna a nghawng?

Heng thilte hi hriat chu thil pangngai a ni a, i rilru put hmang pawh a pawimawh hle. Mahse he phurrit hi nangmah chauhin phur suh. I doctor nen i rilru put hmang chungchang sawipui rawh. Counselling ang chi service-ah emaw, fistulas vei dangte inhmuhkhawmna tur support group-ah emaw a refer thei che a ni. Nangmah ang bawka tawn mek midangte chuan an hrethiam ang a, hmalam pan turin an pui thei ang che.

Doctor hmuh hun tha ber berte chu engte nge ni?

Fistula symptoms i neih chuan, emaw thil danglam tak i hriat chuan doctor pan nghal rawh.

Fistula enkawlna i dawng tawh a nih chuan engtik lai pawhin i doctor ko la:

• Symptom thar a lo lang a nih chuan, emaw, symptom awmsa a danglam chuan.
• I treatment plan chungchanga zawhna i neih chuan.
• Operation hnua symptom thar a lo lang a nih chuan, a nih loh leh a hmaa symptoms lo awm leh a nih chuan.

I doctor zawh tur zawhna pawimawh

Doctor hmu tura i kal hian hetiang zawhna hi zawh a \angkai mai thei:

• Eng ang fistula nge ka neih?
• In lama symptoms enkawl nan eng nge ka tih theih ang?
• Eng enkawlna kawng nge ka neih?
• Surgery neih hian eng hlauhawmna nge a neih?
• Eng chen nge a dam theih ang?
• Recovery lai hian eng nge ka tih tur leh eng nge ka tih loh tur?
• Fistula lo awm leh theihna chance chu engzat nge ni?
• Nakin lawkah fistulas a lo awm loh nan eng nge ka tih theih ang?

Fistula hi i hre ngai lo mai thei, mahse i vei tih i hriat atang khan i ngaihtuah tawh ngei ang. Fistulas hian nitin hnathawhna a tibuai thei a, i inhriatthiamna pawh a nghawng thei bawk. Vanneihthlak takin enkawlna hian i taksa peng hrang hrang, i thunun theih loh nia i hriatte chu i thunun leh thei a ni. Amaherawhchu, dam lehna tur hian hun a duh rei thei. I doctor chuan he thil chungchang hi a hrilh belh thei che a, i mamawh tur tanpuina dang a pe thei bawk che a ni.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

• Fistula hi hlauh tur a ni lova, mahse damdawi lam pan vat ngai natna a ni.
• Fistula symptoms i neih chuan doctor pan nghal tur a ni.
• Fistula chi hrang hrang tam tak chu hlawhtling taka enkawl theih a ni a, a bik takin operation hmanga enkawl theih a ni.
• Enkawl dan tur hian hun rei tak a daih thei a, mahse dawhtheihna leh doctor thupek zawm chuan i dam leh thei a ni.
• I rilru hriselna hi i taksa hriselna ang bawkin a pawimawh a ni. I mamawh chuan tanpuina dil hreh suh.

He thu hi i tangkaipui ngei ka beisei. Hrisel takin awm rawh!

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