Anal fissure i vei em? He surgery (Lateral Internal Sphincterotomy) chungchang hi i zir dawn teh ang!

Anal pain, a bik takin kang leh ril na tak hi mi tam takin sawi an hreh hle a, mahse a chhungril lamah chuan an tuar nasa hle. A châng chuan a chhan chu i anal canal wall-a mittui tê tê a awm vang a ni. Hei hi medical lamah chuan ‘Anal Fissure’ kan ti a. A tlangpuiin, heng mittui te hi damdawi, hriak, leh nunphung tihdanglamna hmangin kar tlemte chhungin a dam leh thin. Mahse mi thenkhat tan chuan thla tam tak, kum tam tak chhung pawh a daih thin. Chuvangin doctor-te chuan hetiang mittui tla rei tak nei mi pakhat tan `Lateral Internal Sphincterotomy` tih surgery an neih thu an sawi thin .

A awlsam zawngin Lateral Internal Sphincterotomy tih hi eng nge ni?

Okay, a hming hi a buaithlak deuhin a lang thei a, mahse a takah chuan concept hi a awlsam khawp mai. Lateral internal sphincterotomy hi i hnute hual vel muscle ring pahnih zinga pakhata surgery tenau tak tih a ni.

Ngaihtuah teh, kan hnute vel ah hian muscle ring pahnih a awm a.

1. Internal Anal Sphincter: Hei hi kan thunun thei lo. A tight reng a, bowel movement lai chauh a relax thin.

2. External Anal Sphincter: Hei hi engtik lai pawhin kan tighten emaw kan relax thei bawk.

Hun rei tak chhunga anal fissures a dam loh chhan ber chu he inner muscle ring tension vang a ni . He surgery-ah hian surgeon chuan inner muscle-ah cut te tak te tak tak a siam a, chu chu a tight lutuk a, a tightness a ti tlem bawk. Rubber band khauh tak tlem tal tan a, tihzauh ang mai a ni. Hei hi `(Myotomy)` an ti a, chu chu ruh (muscle) tan tihna a ni.

Engvangin nge he surgery hi i mamawh?

I ngaihtuah mai thei, "Engvangin nge mole te tak te pakhat chu operation ka neih a ngai ang?" A chhan chu hei hi a ni.

Rectum-a fissure a lo awm chuan a hnuaia awm muscle chu a lang chhuak thin. Hei hian taksa ruh chu a tikhauh fo va, thunun theih lohvin a tikhauh thin. Hei hi muscle spasm kan ti a. Heng spasm te hian harsatna lian tak pahnih a thlen a:

1. Hliam hrual (stretching the wound): Muscle a tight chuan tendon sir lam te chu a inzawm khawm thin. Kan kut kan ben a, kan elbow-a hliam kan neih ang bawkin, hliam chu a inhawng chhuak thin. Hei hian hliam dam theihna chance a ti tlem a ni.

2. Thisen kal tlem: Muscle pakhat khauh taka a inzawm chuan chu lai hmuna thisen kal chu a tlahniam thin. Eng hliam pawh a dam theih nan thisen supply tha hi a pawimawh hle. Thisen kal a tlem chuan a damna chu a tawp vek a ni.

Hei hian na vangin taksa ruh a tikhauh a, ruh a tihkhauh chuan hliam a dam lo va, a na a tizual bawk. Vicious cycle ang mai a ni. `Lateral Internal Sphincterotomy` surgery hian chu vicious cycle chu a titawp ta a ni. Muscle tightness 20% leh 50% inkar a tlahniam chuan `spasms` te chu a tawp a, thisen a kal leh a, hliam chu a pianphungah a dam tan ta a ni.

Operation hma leh operation neih chhung hian eng nge thleng?

Hei hi a tlangpuiin surgery lian tak a ni lo. Outpatient procedure a ni fo a, enkawl zawh ni vek hian in lamah i haw thei bawk.

Surgery atana inbuatsaihna

• Anesthesia: He surgery hi general anesthesia hmanga tih a ni tlangpui. Chumi awmzia chu operation neih chhungin engmah i hre lovang tihna a ni. Chuvangin, zai zawhah chuan i khalh thei tawh dawn lo a ni. In lama lirthei khalhtu tur i neih a pawimawh hle.
• Thupek zawm rawh: I doctor thupek dik takin zawm la, operation hma darkar engzat nge chaw nghei i mamawh tih te hi zawm rawh.

Surgery neih lai hian

Surgery hi a takah chuan minute 30 vel a ni. Surgeon chuan a hmasa berah chuan hmanraw te tak te anoscope an tih hmangin hnute chhung chu a en a, a fissure awmna dik tak chu a zawng chhuak thin. Tichuan, fissure hnuaia internal sphincter muscle sir lamah incision te tak te siam a ni. He incision hi scalpel emaw electric device electrocautery an tih hmanga siam theih a ni. A tum ber chu ruh (muscle) a nghet lo (stiffness) chu duh ang level-a tihhniam a, fissure chu a dam theih nan a ni.

Surgery hnuah eng nge thleng? Tin, engtin nge a natna chu?

Operation hnuah natna engemaw zat i nei ang a, mahse mi tam tak chuan he natna hi operation hmaa an natna nasa tak, tuar theih loh aiin a tlem zawk hle niin an sawi Doctor chuan painkiller a pe ang.

Engtin nge efecation awlsam zawka kan tih theih ang?

Operation hnua i ril a chhuah chuan natna engemaw zat i nei thei. Mahse hei hi i tan chuan thil thar a ni lo. Hemi kawngah hian i tanpui theih tur thil tlemte a awm a:

• Stool softeners: Stool softeners (doctor-in a tih angin) hmang ang che.
• Tui leh fiber tamna ei tur: Tui tam tak in tur a ni. Fiber tamna ei tur, thei, thlai leh buh chi hrang hrang ei tam zawk rawh.
• Sitz bath: Tui lum basin-ah minute 10-15 vel thu la. Hei hian natna a tiziaawm ang a, hliam chu a thianghlim reng theih nan a pui bawk ang.
• Baby wipes: Toilet paper aiah baby wipes hman hian hliam chhiatna a ti tlem thei.

He surgery hian eng hlawkna leh hlauhawmna nge a neih?

Surgery dang ang bawkin he surgery hian hlawkna a nei a, hlauhawmna pawh a tlem hle.

A thatna ber chu hun rei tak chhunga i natna lo awm tawh kha i paih bo thei a, hlawhtlinna rate chu 95% vel a ni. Hei hian i nunphung nasa takin a tichangtlung ang.

Risk (Complication awm thei): 1.1.

Hengte hi hmuh tur a tlem hle.

• Minor fecal incontinence: Muscles te a relax chhoh zel chuan a dam chhung hian stool emaw air leakage emaw tlem te te i nei thei . Hei hi mi tam zawk tan chuan hun eng emaw chen atan a ni a, kar tlemte chhungin a bo vek ang.
• Urinary retention: Mi thenkhat chuan operation hnuah zun harsatna engemaw zat an nei thei. Hei hi a mah chauhin a reh tlangpui.
• Infection emaw thisen chhuah emaw: Surgery dang ang bawkin natna kai theihna a tlem hle.
• Rash lo lang leh: A tlem hle a, rash hi a lo lang leh thei.

I doctor chuan heng hlauhawmnate hi a sawipui ang che a, i tana tha ber tur thutlukna siam turin a pui ang che.

Doctor hmuh hun tur

Operation hnua a hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal rawh:

• Infection chhinchhiahna , khawsik, hliam, leh hliam sen .
• Thisen chhuah tam lutuk emaw, zun rimchhia emaw.
• Natna nasa tak, natna tidamtu damdawi hmang pawha thunun theih loh.
• Zun theih lohna.

Damdawi dang dang a awm em?

Ni e, duhthlan tur dang a awm bawk. `Fissurectomy` tih hi surgery tih dan dang a ni. Hetah hian fissure leh a chhehvel tissue te chu taksa ruh (muscle) titawp lovin lakchhuah a ni. Chutih rual chuan `Botox` inject a, taksa ruh tih hahdam nan. Mahse, `Lateral Internal Sphincterotomy` hi `gold standard` anga ngaih a ni a, hun rei tak chhung chu hlawhtlinna sang ber nen hman a ni.

Thla tam tak chhung anal fissures vei tawh tan chuan operation ngaihtuah hi a hlauhawm thei hle. Mahse, a takah chuan i mamawh thlamuanna chu a rawn thlen thei che a ni. Operation hnu ni engemaw zat chhungin danglamna lian tak i nei tan ang.