I hnute bulah pawh natna hrik i nei tawh em? ‘Perianal Abscess’ a ni thei!

I hnute (kan bawlhhlawh paihna hmun) vel ah hian natna nasa tak, sen, hring hring i nei tawh em? Hetiang dinhmun, thut leh che pawh theih loh khawpa hrehawm thei hi a tithinur tak zet a ni. A tam zawkah chuan hei hi ‘Perianal Abscess’ an tih natna a ni thei. A hming hi thil lian tak angin a lang thei a, mahse a awlsam zawngin, i hriatthiam theih angin sawi ila.

Perianal abscess tih hi eng nge ni?

A awlsam zawngin, i hnute (perineal area) chhungah emaw, a chhehvelah emaw, pus-a khat lump a ni. Kan vunah hian blister lian tak emaw, boil emaw ang mai a ni a, mahse a sensitive zawkna hmunah a awm thung.

Kan rectum hi chaw ei kawng hnuhnung ber a ni. Tube inches hnih vel zeta sei a ni. A chhung leh pawnah ruh ring pahnih a nei a, chu chu ``sphinctres'' kan ti a ni. Heng taksa peng hrang hrangte hian bawlhhlawh kal dan an thunun a ni. Chuvangin, he rectum chhungah hian glands nalh tak tak tam tak a awm a. Heng gland te hian rectum a hnim reng theih nan secretion an tichhuak thin. Heng gland pakhat hi eng emaw ti takin a block chuan bacteria a kai a, a chhungah hian pus a awm tan thin. Chutah chuan he hliam na tak hi a lo piang ta a ni.

Hetiang dinhmun hi ``Anal Abscess'' emaw ``Anorectal Abscess'' emaw an ti \hin.Hming engemaw zat awm mahse, an awmzia chu a inang vek a ni.

Hengte hi tuin nge nei tam zawk? Tute nge risk sang zawk?

He natna hi ``Perianal Abscess'' tia koh hi mipaah ​​a tam ber a ni. A bik takin kum 20 leh 60 inkar te zingah a awm fo a, chubakah hriselna lama harsatna thenkhat nei te pawhin an vei theihna a sang zawk bawk.

Tute nge risk sang zawka awm thei tih i en ang u?

• Inflammatory Bowel Disease (IBD) tih (Crohn’s disease emaw Ulcerative colitis ang chi) i neih chuan. Hengte hi chronic inflammatory conditions a ni a, intestines a nghawng a ni.
• `(Diabetes Mellitus)` (zunthlum) i neih chuan.
• Intestines-ah pouch te te, diverticulitis ang chi a lo awm a, an kai theihna tur condition i neih chuan.
• Immune system tichak lo thei natna, HIV/AIDS ang chi i neih chuan.
• He hlauhawmna hi mipat hmeichhiatna hmanga kai theih natna (STI) thenkhatin a tipung thei bawk.

Hei bakah hian risk factor dang engemaw zat a awm a:

• Nu naupai i nih chuan.
• Meizial zu mi i nih chuan.
• Steroid damdawi Prednisone ang chi, cancer damdawi, emaw, i taksa hriselna tichhe thei damdawi dang emaw i ei a nih chuan.
• Diarrhea emaw constipation emaw i neih fo chuan.
• A châng chuan, heng hliam leh natna chi hrang hrangte hi hnute chhûnga thil engemaw dah luh avângin (entir nân, mipat hmeichhiatna hman laiin) a awm thei bawk.

Eng nge a lan chhuah dan? Engtin nge i hriat chian?

Symptom hmuh tam ber chu, .Anus bulah lump emaw lump emaw, a sen, a hring, leh khawih pawhin a na. Pimple lian tak ang mai a ni. A châng chuan hei hi throbbing pain a ni thei bawk. He natna hi i thut emaw, i khuh emaw, i ek chhuah emaw hian a zual thei hle. Ngaihtuah teh, hei hi a hrehawm lutuk thei a, i nitin hnathawh pawh i ti thei lo.

Symptom dang pawh a awm thei bawk:

• Anus atanga pus ang chi tui chhuak.
• Rectum chhungah emaw a chhehvelah emaw natna nasa tak.
• Lump emaw, a hring emaw, a sen, a hring, a na.
• Constipation emaw bowel movement laiin natna emaw.
• Discomfort te chu inflammation leh anus vel vun a itching te hi a ni.
• A chang chuan ek nen thisen tlem a chhuak thin (Rectal bleeding).
• Pum hnuai lam natna.

He hliam chhungah hian natna hrik a awm avangin mi thenkhat chuan flu ang chi natna, khawsik, khawsik, leh taksa na te an nei thei a ni .

Engvangin nge hetiang hian abscess hi a lo awm? A chhante chu engte nge ni?

A tam zawkah chuan he `(Parianal Abscess)` lo awm chhan ber chu ka sawi tawh ang khan hnute chhunga gland nalh tak pakhat a block vang a ni. Heng glands te hi an block chuan an chhungah hian bawlhhlawh atanga bacteria emaw germs emaw a awm a, chu chuan infection a thlen thin. Chutah chuan pus a awm khawm a, he abscess hi a lo awm ta a ni.

A chhan dang pawh a awm thei:

• Anal fissure atanga natna hrik awm.
• Anal area-a hliam eng pawh (entir nan, anal sex neih laiin).
• Mipat hmeichhiatna hmanga kai theih natna (STIs).
• Intestinal natna dangte.
• A châng chuan, hetiang dinhmun hi hnute vêla vunah ``Epidermoid cyst`` (hei hi vunah oil glands blockage avanga lo awm tumor a ni tlangpui) infection vang pawh a awm thei bawk. Mahse, ``Parianal Abscess`` pangngai aiin a na lo deuh a, khawsik ang chi symptoms a nei tlem zawk bawk.
• Hidradenitis Suppurativa hi vun natna rei tak a ni a, a lo awm leh thin a, na tak tak, armpits, groin, anus vel leh hnute hnuaiah te sweat glands ah te, a na leh abscesses te a awm thin.

Engtin nge doctor chuan hei hi dik taka a hriat theih?

Heng symptoms te hi i neih chuan doctor pan ngei ngei tur a ni. Doctor in a enfiah tlangpui ang che.

Hei hi rectal exam hmangin a hriat theih fo . Doctor chuan gloves a bun ang a, lubricant engemaw zat a hnawih ang a, rectum chhungah kut zungtang a dah ang a, thil dik lo awm leh awm loh a enfiah ang. A châng chuan, speculum an tih hmanrua hmangin rectum chhung chu an en thei bawk.

Pawn lam atanga abscess hmuh theih a nih chuan doctor chuan engmah hmanrua hmang lovin a hre thei mai thei. Mahse, abscesses thenkhat chu vun chunglam aiin a thuk zawkah a awm thei.

Chutiang khawpa thuk taka inhawng rinhlelhna a awm chuan doctor chuan ``Proctosigmoidoscopy`` tih test a ti thei a ni. He test-ah hian tube te tak te chu rectum chhungah dah a ni. Tube tawp lamah chuan camera te tak te leh light a awm a. Tin, a chang chuan ``CT scan``, ``MRI`` emaw ``Ultrasound`` ang chi test te pawh a ngai thei bawk a, chu chu a hawnna hmun dik tak leh a awmna hmun dik tak hriat theih nan a ni.

Heng test te hi hei hi ``Parianal Abscess'' emaw, rectal cancer ang chi natna khirh tak dang emaw a nih leh nih loh finfiah nan an ti thin.

Engtin nge enkawl a nih?

Hei hi enkawl dan ber chu abscess hawn a, pus (drainage) chhuah tir hi a ni. Hei hi Doctor-in a tih tur a ni.

A pawimawh ber: Nangmah ngeiin hetiang boil hi pop emaw squeeze emaw tum ngai suh! Chutianga tih chuan hri kai chu a darh zau thei a, dinhmun a tichhe zual thei bawk.

Mi tam tak chuan he zun hi an chhuah hnuah natna reh nasa tak an nei thin.

A tlangpuiin doctor chuan he zung hi a office (OPD)-ah ngei hian numbing agent hmangin a paih chhuak thei a, scalpel emaw needle emaw hmangin incision te tak te a siam thei a ni.

Mahse, abscess a lian emaw, a thuk hle emaw a nih chuan he surgery hi damdawi inah general anesthesia hmanga tih a ngai mai thei.

A châng chuan, a hawnna hmun leh a nasat dân a zirin, a hawnna hmunah hian tube te tak te (catheter) dah theih a ni a, chu chuan zun ṭhenkhat a chhuah theih nân a ni. A tam zawkah chuan stitches hi a ngai lo va, damdawi leh bandage chauh an hnawih thin.

Operation hnuah i doctor chuan a hnuaia mi hi ti turin a hrilh thei che a ni:

• Ni khatah vawi tam tak ``sitz bath'' in thin ang che. Hei hian tui lum tub-a thut a, i hnute leh i serh hmun chu tui lum takah thun tihna a ni. Hei hian natna leh hliam a tiziaawm ang a, hliam chu a dam thuai theih nan a pui bawk ang.
• Infection control nan antibiotics pek theih a ni a, a nih loh leh chu mi chuan immune system a chak lo a nih chuan pek theih a ni bawk.
• Laxatives emaw stool softeners emaw pek theih a ni a, chu chuan riltam laiin natna a tiziaawm thei a ni.
• Natna tihziaawm nân, natna tidamtu damdawi emaw, doctor-in a pêk natna tidamtu chak zâwk emaw ei tûrin an ti mai thei che a ni.

Hetiang dinhmun hi in lamah tihdam theih a ni em?

`(Perianal Abscess)` tenau thenkhatah chuan warm compress leh `(Sitz bath)` te hian in lamah hahdamna engemaw chen a pe thei a ni. Amaherawhchu, Doctor hmuh a, a thurawn lak hi a tha ber fo. A chhan chu, a then phei chuan doctor chuan operation hmanga pus chu lakchhuah a ngai tih a rel thei a ni. Damdawi lam thurawn tel lova boil a puak chuan natna kai darh theihna a awm.

A dam leh theih nan eng chen nge hun a duh?

Perianal abscess hi a tlangpuiin kar thum atanga kar li vel a ngai a, chu chu a zung a chhuah hnuah a dam vek a ni. Mahse, American Society of Colon and Rectal Surgeons-te sawi dan chuan, abscess nei zinga a chanve vel chuan a hnuah anal fistula (anus leh rectum inkara infected tunnel) an nei ang.

He nut hi i pop tur em ni?

Ni lo, chutiang chu ti ngai suh. Chutianga tih chuan natna chu a darh thei a, a nih loh leh abscess a ti na zual thei bawk. Hei hi doctor-in a tihfaisak hi a him ber.

He abscess hi a puak nghal a nih chuan engtin nge i tih ang?

Abscess chu a mah chauhin a puak a nih chuan a hmun chu a thianghlim thei ang bera dah tum ang che. Sahbawn leh tuiin uluk takin silfai la, bandage fai takin khuh rawh. Mahse, a la kai thei a, a kai thei bawk. Chuvangin ni engemaw zat nghak la, a dam tha em tih en rawh. Doctor hnenah thurawn dil ngei ngei tur a ni.

Engtin nge a lo awm leh loh nan ka ven theih ang?

Hetiang abscess hi a lo awm leh loh nan hengte hi i ti thei ang:

• Hetiang natna vei theihna tipung thei tur condition i neih chuan diabetes emaw inflammatory bowel disease emaw i neih chuan control tha rawh.
• I hnute leh mipat hmeichhiatna hmun chu thianghlim takin vawng reng ang che. Faina dan tha zawm rawh.
• Anal sex neih laiin condom hman hian STI (sexually transmitted infections) leh bacteria darh zel tur a veng thei a ni.

Hriselna lama harsatna thenkhat (e.g., IBD) hian he hlauhawmna hi a ti bo vek lo thei. Mahse, chutiang dinhmunte chu enkawlna dik tak neih a pawimawh a, heng ulcer chi hrang hrangte hi a thlen thei tih hriat a pawimawh bawk.

Hei hi dinhmun pawi tak a ni em?

Perianal abscess hi a tlangpuiin a na lo hle a, enkawl leh tihdam theih a ni. Mahse, enkawl hnua i natna lan chhuah dan a zual emaw, a ṭhat loh emaw chuan doctor hnenah hriattir ngei ngei tur a ni.

Eng harsatna nge awm thei?

Enkawlna hi a hlawhtling fo thin. Mahse, a tlem berah chuan harsatna thenkhat a awm thei a:

• Anal fistula (anus leh vagina inkara infected tunnel).
• Abscess lo awm leh thin.
• Infection darh zel emaw ``Sepsis`` (infection na tak, nunna atana hlauhawm thei) emaw.
• Fournier’s gangrene (bacteria infection na tak, hnute leh serh chhehvel tissue-ah a darh – hei hi a tlem hle).

Engtikah nge Doctor ka hmuh ang?

Anal abscess hi enkawl loh chuan harsatna a thlen thei a ni. Heng symptoms te hi i neih chuan doctor pan nghal rawh:

• Natna nasa tak leh hrehawmna.
• Rectal atanga thisen chhuak.
• Khawsik leh khawsik.
• Anus vel a hring chhuak.

Hemorrhoid leh abscess hi eng nge an danglamna?

Mi thenkhat chuan heng pahnih hi an buaipui thei a, a chhan chu an pahnih hian hnute chhunga harsatna an neih vang a ni. Mahse, an pahnih inkarah hian danglamna a awm.

• Hemorrhoids hi thisen kalna kawng hring, hnute chhung emaw pawn lam emawa lo awm a ni. Lump ang maiin an inhria. Hrisel lohna a thlen thei a, a na a, a chang chuan thisen a chhuak thei bawk. Mahse, hemorrhoid hi natna hrik a ni lo. A tam zawkah chuan hemorrhoid hi over-the-counter cream emaw, a mah chauhin emaw tihdam theih a ni.
• Abscess chu infection avanga pus-a khat lump a ni. Hemorrhoid aiin a na zawkin a lian zawk tlangpui. Hemorrhoid hi i khawih chuan a khauh deuh a, abscess erawh i khawih chuan a lum a, a hring a, a na bawk. Tin, abscess hian khawsik leh khawsik ang chi symptoms a thlen thei bawk a, chu chu hemorrhoids hian a ti lo.

A awlsam zawngin, hemorrhoids hi a tithinur hle laiin, abscess hi ngaihven leh enkawlna tam zawk mamawhna a ni.

A tawp berah chuan (Take-Home Message) .

Perianal abscess hi thil tibuaitu leh hrehawm tak a ni. Mahse a tha ber chu enkawl theih a nih vang a ni. Hriselna lama harsatna thenkhat hian i hlauhawmna a tipung thei a, mahse, chu chu hriat reng a, a tul anga hmalak a pawimawh hle.

I hnuteah hian hetiang hian lump, swelling, emaw na i neih chuan ngaihthah suh. A bik takin khawsik leh khawsik ang chi symptoms nen a awm chuan doctor pan ngei ngei tur a ni. A tam zawkah chuan i doctor-in a hawnna atanga a chhuah chhuah hnuah chuan hahdamna nasa tak i hmu ang. Hengte hi nangmah ngeiin pop emaw pop emaw tum suh tih hre reng ang che!

Hriselna tha neih duhsakna kan hlan e!

` Anal fissure, anal abscess, pus abscess, Perianal Abscess, Anal Abscess, Rectal infection, Hemorrhoids te a awm thei