Anus leh vagina-ah pawh natna nasa tak i nei em? (Levator Ani Syndrome) vang pawh a ni thei!

A chang chuan natna mak tak, nuam lo tak, i hnute (chutah chuan kan bawlhhlawh paihna hmun a ni, a dik em?) emaw, i hnute hnuai lam emaw, i pum hnuai lam thlengin thil pakhatin a rawn nawr lut tih i hre thin em?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..? Hemi chungchang hi tu hnenah pawh sawi i zak deuh maithei, chutiang thil sawi chu tlemin i zak lo em ni? Mahse hei hi nangmah chauh i ni lo, mi thenkhatah pawh a thleng thei. Chuvangin hlau suh. Vawiin hian he dinhmun, hming mak deuh, `(Levator Ani Syndrome)` an tih hi chipchiar takin han sawi ila.

`(Levator Ani Syndrome)` tih hi eng nge ni? A awlsam zawngin sawi ila...

A awlsam zawngin, `(Levator Ani Syndrome)` hi kan pelvic floor-a `(levator ani)` muscle (chu chu kan pum chhunga taksa peng pawimawh tak tak, uterus leh bladder ang chi te tlak lohna tura puitu muscle leh tissue inzawmkhawmna a ni a, chuvang chuan pelvic floor kan ti a ni). He `(levator ani)` muscle hi kan hnute leh kan hnute vel a awm a ni. Ngaihtuah teh, he ruh hian kan pelvic cavity hnuai lam chu net ang maiin a khuh a.

He `(levator ani)` muscle hian kan taksa tan thil pawimawh tam tak a ti thin. Entirnan, pelvic cavity chhunga taksa peng hrang hrangte tanpuitu angin a thawk a, kan riltam control nan min pui bawk. Chuvangin he ruh hi a tight leh constricted nghal chuan chutih lai chuan a natna chu a lo awm tan thin. Hei hi a chang chuan `(pelvic floor myalgia)`, `(pelvic floor myofascial pain)`, emaw `(pelvic floor muscle spasm)` an ti bawk.

A pawimawh ber chu he `(Levator Ani Syndrome)` hi natna hlauhawm tak, nunna atana hlauhawm tak a ni lo . Mahse, a natna lo thleng hi a na deuh a, a enkawl that loh chuan a mah chauhin a dam lo ang. Kan zavaia ang bawkin kan taksa peng hrang hrang nena inzawm harsatna kan neih hian tu pawh biak pawh hi tlemin kan zak a, kan zak deuh thin a ni lawm ni? Mahse ka hrilh ang che, hei hi enkawl dan tha tak tak a awm. Doctor chuan he natna hi a hmuchhuak thei a, i taksa ruh natna (muscle spasm) na tak i hriat chu a tiziaawm thei a, hahdamna a pe thei bawk.

Chuti a nih chuan Levator Ani Syndrome symptoms te chu engte nge ni?

Hetiang natna lan chhuah dan tlangpui chu rectum, vagina emaw pelvic area (lower abdomen)-a natna emaw, pressure na tak, dull, na tak tak a ni. He natna leh pressure hi hetiang hian sawi theih a ni:

• Mipat hmeichhiatna hman hi a hrehawm thei hle.
• Ball chungah i thu ang maiin a lang thei a, i hnute chhunga ball awm ang maiin a lang thei bawk. Ngaihtuah teh, a nuam lo mai mai, a chhungah thil awm ang maiin.
• He natna hi hmun khata rei tak i ṭhut chuan a hre zual thei. Entirnan, office chair-a ṭhu chhunzawm zel mi i nih chuan, Sri Lanka-a keini ang bus emaw rel emaw-ah darkar tam tak i zin chuan he natna hi a lo lang chhuak a, a zual zel a rinawm.
• I ding emaw, i kal emaw hian a natna chu a reh deuh tih i hre mai thei.
• Darkar tam tak a na thei a, a na zual nghal thei bawk.

A châng chuan he natna hi zing a\angin a in\an a, ni a kal zel chuan a zual \hin. Midang tan chuan a natna hi hnute (yes, your butt) emaw, upper thighs emaw thlengin a darh thei bawk. Thil tibuaitu tak chu a chang chuan he natna hi i mutthilh lai atanga intan a ni a, a nasat em avangin a tiharh thei che a ni.

Engvangin nge `(Levator Ani Syndrome)` kan neih? A chhante chu engte nge ni?

Dik tak chuan doctor-te chuan engvangin nge he ``levator ani'' ruh hi hetiang hian a nghet nghal tih an la hre chiang lo. Chu chu a chhan dik tak an la hre lo tihna a ni . Mahse, zirchianna chuan thiltih ṭhenkhat chuan heng taksa peng hrang hrangte hi a tichhuak thei emaw, a tizual thei emaw tih hmuhchhuah a ni. Chûng thil ṭhenkhat chu:

• Car rei tak zin: Hei hi hun rei tak i thut a ngaih vang a ni thei.
• Stress: Ni e, mak ti suh, pressure kan neih hian hetiang taksa lama harsatna te pawh a nghawng thei bawk.
• Sex hman: Mi thenkhat chuan hemi hnu hian natna an nei thei.
• Defecation: A chang chuan riltam laiin straining pawh a awm thei bawk.

Hengte hi tuna ka ngaihtuah mek chu a ni. Mahse, heng zinga pakhat mah tel lovin hetiang dinhmun hi i nei thei a ni.

Engtin nge doctor hian Levator Ani Syndrome hi dik taka a hriat theih ang?

He natna (Levator Ani Syndrome) hi hriat theihna tur test bik, pakhat chauh a awm lo . Chu chu thisen test emaw, scan emaw hmangin, "Aw, hei hi natna a ni," i ti nghal thei lo tihna a ni.

Doctor i hmuh hunah i symptoms te a zawt hmasa ang che. Tichuan, taksa enfiahna an nei ang. Hei hian digital rectal examination (DRE an ti bawk) leh pelvic examination te a huam fo ang. Heng test neih chhung hian doctor chuan levator ani muscle-ah tightness emaw tenderness emaw a nei thei. Heng test te hi tlem a nuam lo deuhin lang mahse, a natna hriat chian nan a pawimawh hle.

Pawimawh: Heng symptoms te hi i neih chuan zak suh la, Doctor pan rawh. Ani emaw, ani emaw chuan a pui ang che.

Awle, chuti a nih chuan hei hi eng enkawlna nge ni?

Vanneihthlak takin he natna (Levator Ani Syndrome) hi enkawlna hrang hrang a awm a. Research atanga a lan dan chuan heng enkawlnate hian hahdamna tha tak a pe thei a ni.

• Biofeedback hmanga enkawlna:Hei hi enkawlna chi khat bik a ni. I taksaa taksa peng thenkhat (he thu-ah hian levator ani ruh) control leh relax dan zirtirna a huam a ni. Physics therapist chuan sensor bik leh video hmangin i taksa ruh i tense leh relax tih a en thin. (Thli chhuak tur ven nan i hnute i hrual ang maiin han ngaihtuah teh). Therapist chuan a chhang let che a, i muscle coordination tihchangtlun nan a pui bawk che a ni. Hei hian consciously relaxing muscle chu practice theihna a siam a ni.

• Electrogalvanic stimulation: He enkawlnaah hian doctor chuan i rectum chhungah device te tak te (probe) a dah lut thin. He device hian electric current nem tak a pe a, chu chuan i rectum chhehvela taksa ruh te chu a ti hahdam thei a ni. Hei hi a pawi lo.

• Muscle relaxants: Hei hi doctor-in a pek damdawi a ni. Heng damdawi te hian taksa ruh (muscle spasm) leh taksa rihna (stiffness) tihziaawmna kawngah a pui thei a ni. Levator ani syndrome atana damdawi hman tlanglawn tak tak thenkhat chu methocarbamol (brand name Robaxin® hmanga i hre tawh mai thei), diazepam (Valium® tia hriat bawk), leh cyclobenzaprine (brand name Flexmid® emaw Flexeril® hmanga lei theih) te an ni. Doctor thurawn tel lo chuan heng damdawi te hi ei ngai suh.

• Myofascial release therapy: Hei hi massage therapy chi khat a ni bawk. Hetah hian levator ani muscle-a trigger points te chu hriatchhuah a ni a, chu hmunte chu massage nan hmanraw bik hman a ni.

• Pelvic floor physical therapy: Hei hi enkawlna pawimawh tak a ni. Physics therapist chuan i pelvic floor-ah a pui ang che. , hian pelvis leh pelvic floor ruhte tizau thei exercise thenkhat a zirtir a. Heng exercise dik taka tih hian taksa ruhte a ti hahdam thei a, natna a tiziaawm thei bawk.

• Sitz baths: Hei hi thil awlsam tak a ni. In lamah pawh i ti thei ang. Basin thuk lo takah tui lum tlem nen minute 15-20 vel thut a ngai a ni. A lum hian levator ani muscle a ti relax thei a ni. Ni khatah vawi hnih emaw vawi thum emaw i ti thei.

Enkawl hnuah eng nge thleng? Damdawi a awm dawn em ni?

Mi tam tak tan chuan a hmaa kan sawi tawh ang khan damdawi leh taksa lam enkawlna nena an inkawp chuan a natna lan chhuah dan chu nasa takin a tlahniam thin. Chuvangin beiseina a awm. Amaherawhchu, inenkawlna atanga hahdam nghal beisei suh. A rilru a hahdam theih nan hun engemaw chen a ngai.

Hetiang dinhmunah hian eng ang doctor nge ka hmuh ang?

Heng symptoms te hi i neih chuan chhungkaw doctor (general practitioner - `PCP`) hnenah i hmu hmasa mai thei. A enfiah ang che a, a tul chuan specialist hnenah a refer ang che.

A tam zawkah chuan heng natnate hi hetiang hian enkawl a ni:

• Gastroenterologist te chuan:A chhan chu heng symptoms te hi rectum nen a inzawm tlat a ni.
• Gynecologist: A bik takin hmeichhiain vaginal symptom an neih chuan.
• Colorectal surgeons: Hengte hian rectum leh colon nena inzawm natna an enkawl thin .

I chhungkaw doctor chuan eng specialist nge i tan a tha ber tih a rel ang a, a refer ang che.

Engtikah nge doctor ka hmuh leh ang?

I enkawl lai hian i natna lan chhuah dan a lo let leh emaw, a na zual emaw a nih chuan i doctor hnenah hrilh ngei ang che. Tin, symptom thar i hmuh chuan, i rectal bleeding emaw, i rectum emaw vagina-a natna thar i hmuh chuan doctor hnenah i hrilh nghal tur a ni.

`(Levator Ani Syndrome)` leh `(Proctalgia Fugax)` hi eng nge an danglamna?

Heng pahnih hi hnute natna thlentu dinhmun a ni a, mahse a danglamna tlem a awm.

`(Proctalgia Fugax)` natna hi a na hle a, a lo thleng nghal a, minute 20 chhungin a bo fo thin . Chemte kah ang maiin, i rilruah thil a inkhung ang mai emaw, natna nasa tak ang mai emaw a ni.

Mahse, `(Levator Ani Syndrome)` natna hi a chang chuan a na hle thei a, mahse a tam zawkah chuan a hmaa kan sawi tawh ang chiah kha a ni. He natna hi a lo thleng thei a, a lo kal thei bawk a, a nih loh leh darkar tam tak a awm thei bawk.

Hemorrhoids vang hian Levator Ani Syndrome a lo awm thei em?

Ni lo, hemorrhoid hian levator ani syndrome a thlen lo. Hemorrhoids hi thil danglam tak a ni. Hemorrhoids hi hnute chhung emaw pawn lam emaw thisen kalna kawng a na a ni. Vawi tam tak chu, heng thisen kalnate hi thil rit tak i chawi emaw, i rilru hah laiin i strain nasat emaw hian pressure a nei thin.

Mahse `(Levator Ani Syndrome)` hi taksa ruh (muscle) a pinch vang a ni. Kan sawi tawh ang khan a chhan dik tak chu hriat a la ni lo. Chuvangin an pahnih hi tibuai suh.

In lama hruai tur thuchah pawimawh ber

Hetiang dinhmun hi i neih chuan i hnute leh i hnute natna i tuar reng thei. Hei hi a chhan chu i hnute bula levator ani muscle chu a tight a, a constricted a, chu chuan hnute leh hnute a ti na a ni.

Mahse, a pawimawh ber chu, hei hi enkawlna tha tak tak a awm . Doctor-te chuan damdawi leh physical therapy ang chi thil hmangin hahdamna an pe thei che a ni. Heng symptoms te hi doctor nena inbiaknaah hian i hlauthawng deuh a, i mualpho deuh thei a, i hlim lo deuh thei bawk. Chu chu thil pangngai a ni. Mahse doctor chuan i rilru put hmang chu a hrethiam ang. I sawi tur chu ngun takin a ngaithla ang.

Chuvangin, hetiang harsatna i neih chuan khawngaihin vawn tlat suh la, doctor rawn rawh. Ani chuan a pui ang che a, i natna lan chhuah dan tihziaawmna tur damdawi tha ber a pe ang che. Nangmah chauh i ni lo!

` Levator Ani Syndrome, Rectal Pain, Vaginal Pain, Pelvic Pain, Muscle Cramps, Pelvic Floor Pain, Levator Ani Syndrome te hi a awm thei