I hnute pawh na rang tak, na tak i nei em? Proctalgia Fugax chungchang hi han sawi ila!

I hna i thawh lai emaw, i mut that lai emaw khan i hnute (a bawlhhlawh chhuahna hmun)-ah tuar theih loh khawpa natna nasa tak i nei nghal tawh em? Minute tlemte chhungin a lo kal a, a bo vek a, engmah thleng lo ang maiin a awm. Hei hi nangmah chauh a ni lo, mi tam takin an tawn thin hrehawmna tlanglawn tak a ni. Damdawi lam hawi chuan hei hi (Proctalgia Fugax) kan ti a ni. A hming hi mak tak angin lang mah se, hriat chian a pawimawh hle.

Hei hi eng nge ni (Proctalgia Fugax)? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin sawi ila, Proctalgia Fugax hi hnute natna nasa tak a ni a, a intan nghal a, hun rei lote chhung (minute 30 aia rei lo) chhungin a mah chauhin a bo ta a ni. Vawi khata thil thleng a ni lo. Mi thenkhat chuan he natna hi kar tlemte emaw, thla engemaw zat emaw chhung pawhin an nei thei.

He hming awmzia hi kan han thlir ve dawn em ni?

• Proctalgia tih thumal hi "rectum emaw rectum emaw a natna" tihna a ni. Rectum tih hi i intestine lian inches ruk hnuhnung ber hming a ni. Anus chungah direct-a awm a ni. Rectum hi i chaw ei kawng inches hnuhnung ber (Gastrointestinal Tract - GI Tract) a ni . Hetah hian sphincter muscles , i rilru a buai a ngai a, a tikhauh thin te chu a awm a ni. Chuvangin, he natna hi he hmuna nerve leh muscle te nen a inzawm tlat a ni.
• Fugax hi Latin tawng a ni a, a awmzia chu "instant" emaw "rang taka boral" tihna a ni.

A pawimawh ber chu he natna hian rectal tissue-ah tissue a tichhia lo. Amaherawhchu, a natna hi a nasat em avangin sikul kal leh hnathawhna leh in lama awm reng theih loh khawpin a nuam lo thei hle.

Hetiang natna (Proctalgia Fugax) hi engtiang chiahin nge a awm?

I ngaihtuah aiin a tam zawk. Zirchiangtute chuan mipui zahawm zinga mi 100 zinga 18 vel (a nih loh leh 18%) vel chuan an dam chhungin engtik lai pawhin he natna hi an tawk dawn niin an chhut. Mahse thil lungchhiatthlak tak chu, heng mi 100 zinga 20 vel (or 20%) vel chauh hian an natna chungchangah doctor an hmu ngai lo. Hetiang thil sawi tur hian an zak lutuk emaw, an zak lutuk emaw vang pawh a ni thei, mi tam tak chuan ngawi rengin an tuar thin.

(Proctalgia Fugax) natna lan chhuah dan chu engte nge ni?

Hetiang natna lan chhuahna ber leh a lan chhuahna awmchhun pawh a ni mai thei, chu chu rectum-a natna hi a ni. A hnuaia mite hian a inlan bawk a ni:

• Hun rei lote chhung: A natna hi minute 30 aia rei lo a ni tlangpui. A chang chuan second tlemte chhungin a bo thei bawk.
• A lo awm fo dan hi a inang lo: Mi thenkhat tan chuan kum khatah vawi khat emaw vawi hnih emaw a awm thei a, thenkhat tan chuan he natna hi thla khatah vawi eng emaw zat a awm thei bawk.
• Natna awm dan: 1.1.
• It’s often felt as a sharp, stabbing pain , dull, squeezing pain emaw, pum na ang maia cramping pain emaw angin a ni lo.
• Natna chu hnute chhung atanga lo chhuak emaw, hnute bula lo awm ang maiin a lang. Chunglam atanga lo chhuak a ni lo, taksa chhung lam ang maiin.
• Chhan awm lovin a intan: A tam zawkah chuan he natna hi chhan chiang tak a awm lo. A intan nghal a. Mahse, mi thenkhat tan chuan thil engemaw takin a tizual thei (chu chu a hnuah kan sawi leh ang).
• Chhun emaw zan emaw: He natna hi nitin engtik lai pawhin a awm thei. A châng chuan, mut thuk tak aṭangin a kaitho thei che a ni .

Dik tak chuan a natna hi a na em em a, mi thenkhat chuan chutih lai chuan thil dang tih harsa an ti thin. Naupang sikul kal emaw, hnathawk emaw tan chuan hei hian nitin hna an thawh loh phah hial thei a ni.

(Proctalgia Fugax) Engtin nge a natna chu a awm?

Hetiang natna tawk tawh ṭhenkhat chuan Charley sakawr ang maiin a awm niin an sawi a, chu chu hnute natna nasa tak a ni . Natna a awm lai chuan a nasa em em a, thil dang ngaihtuah theih a ni lo. Chutih hunah chuan he hrehawmna hi a tawp ngai lovang tih i hre mai thei. Mahse a pawimawh ber chu he natna hi eng ang pawhin na mahse hun engemaw chen hnuah a mah chauhin a tawp fo thin .

(Proctalgia Fugax) hi eng nge a chhan?

A chhan pakhat, chiang tak hmuh tur a la awm lo a, mahse doctor leh zirchiangtute chuan hei hi a thlen thei thil engemaw zat a awm niin an ngai a:

• Muscle spasms: He natna hi i pelvic floor-a anal sphincter muscle emaw, muscle dang emaw a tihkhauh (contraction) nghal vang a ni thei. I keah taksa ruh (muscle) a rawn inher ang maiin a lang.
• Nerve harsatna: Pudendal nerve hi i pelvic area atanga i thluak thlenga sensation phurtu ber a ni. He nerve hi engti kawng pawhin a chhiat emaw, a hnathawh dan a inthlak emaw ( pudendal neuralgia an ti bawk) , proctalgia fugax a awm thei.

Pelvic area-a damdawi thenkhat tih avanga side effect angin a awm thei bawk. Entir nan:

• Hemorrhoids hi Sclerotherapy hmanga enkawl a ni a, hemorrhoids hi a tihtlem nan chemical inject a ni.
• Vaginal hysterectomy tih a ni .

Proctalgia fugax hi damdawi lam thil dang thenkhat nen pawh a inzawm tih hmuhchhuah a ni bawk. A hnuaia natna te hi i neih chuan Proctalgia fugax i vei theihna a sang zawk:

• Irritable Bowel Syndrome (IBS): Hei hi intestines natna a ni. A lan chhuah dan chu pum na, pum na, chaw ei kham emaw, riltam emaw a ni.
• Anxiety disorders: Rilru lam thil, lungkham lutuk leh hlauhna te.

(Proctalgia Fugax) natna tipungtu trigger a awm em?

A tam zawkah chuan Proctalgia Fugax natna hian trigger bik a nei lo . Natna chu a intan nghal a. Mahse, mi ṭhenkhat chuan a hnuaia mite hian natna hi a tichhuak emaw, a tizual emaw tih an hmu mai thei:

• Stress: Pressure lutuk leh lungkhamna ang chi thil.
• Sex hman dan.
• Thlasik / Period awm dan.
• Bowel movement neih / Pooping neih.

Hemi atan hian tute nge hlauhawm ber?

Proctalgia fugax hi mipa aiin hmeichhiaah a tam zawk deuh. Kum lama inzawmna a nei bawk. Kum 30 leh 60 inkar puitlingah hmuhchhuah a ni tlangpui.

Engtin nge (Proctalgia Fugax) hi kan hriat theih ang?

Proctalgia Fugax hi hriat theihna tur test bik a awm lo. Doctor-te chuan ‘Diagnosis of exclusion’ tih hmangin an enfiah thin. Chu chu, doctor chuan Proctalgia Fugax i nei tih chu i symptoms a zirin rectal pain thlentu pangngai dang zawng zawng (entir nan, hemorrhoids, anal fissures) chu paih chhuah a nih theih nan a finfiah hnuah chauh a thutlukna siam ang.

Chuvangin, Doctor i pan dawnin i symptoms hriat chian a pawimawh. Anal pain chungchang sawi hi a buaithlak deuh thei. Kan naupan lai atang tawh khan ‘butt talk’ (defecation chungchang, gas passing, the anus chungchang) hi thil zahthlak leh mualphothlak tak a ni tih kan zirtir thin a.

Mahse, i doctor nen i hriselna chungchang sawipui chu thil tha lo a ni ngai lo tih hre reng ang che, rectal pain pawh a tel. Zahpui tur a ni lo. I thu hriatte hian i doctor chu diagnosis leh solution, rang taka hahdamna pe thei tur i neih theih nan a pui dawn chauh a ni.

Doctor chuan hetiang hi a zawt thei che a ni:

• Engtin nge a natna chu a awm? (e.g., a sharp, dull, stabbing a ni em?)
• Eng chen nge natna hi a awm tawh?
• He natna hi eng chen nge a lo awm? (Ni khatah vawi engzat nge? Kar khatah? Thla khatah?)
• Natna tizualtu trigger i hmu tawh em? (e.g. ei leh in, stress, thiltih thenkhat) .

Diagnostic test te pawh a awm

Proctalgia Fugax test chiang tak awm lo mah se, i doctor chuan i rectal natna thlentu tur thil dang a awm loh nan test thenkhat a ti thei ang. Chûng zîngah chuan:

• Thisen test a ni
• Digital rectal exam neih a ni
• Pelvic exam (a bik takin hmeichhia tan) .
• Colonoscopy hmanga enfiah a ni
• Colon hnuai lam chauh enfiah (Flexible sigmoidoscopy) .
• Pelvic floor muscle hnathawh dan test(Pelvic floor test) a ni.

Proctalgia Fugax hi engtin nge enkawl a nih?

Thu lawmawm tak chu hei hi enkawl dan tur a awm tih hi a ni. Mahse damdawi erawh a la awm lo . Enkawlna tum ber chu natna lan chhuah dan control a, a chhan hriat tawhte pumpelh a, natna a lo awm veleh tihziaawm a ni.

I natna lan chhuah dan nasat dan azirin hei hi in lamah i enkawl thei a, damdawi emaw, enkawlna dang emaw i mamawh thei bawk.

In lama damdawi hman tur

Natna a lo thlen hunah hahdamna i hmuh theih nan in lamah heng thilte hi i lo enchhin thei ang:

• Compress lum emaw vawt emaw: A natna hmunah hian heating pad (minute 15-20 vel) emaw ice pack (puan te tak tea khuh) emaw i hnawih thei.
• Tui lum takah i hnim thei: Bath lum takah minute 15-20 chhung i hnim thei a, sitz bath i la thei bawk . Sitz bath chu tui lum (a lum ni lo, mahse a lum lo) awmna basin thuk lo takah i rectum tuiah thut a ngai a ni.
• Painkiller hman tlanglawn: Over-the-Counter (OTC) painkiller (e.g. paracetamol, ibuprofen) hi damdawi dawr atanga prescription tel lovin hman theih a ni. Amaherawhchu, ei hmaa doctor rawn hmasak a tha ber fo.
• Relaxation techniques: Relaxation techniques, meditation, yoga, leh deep breathing exercise te hi enchhin rawh . Chûngte chuan stress tihziaawmna leh taksa ruhte ti hahdam thei a ni.

Doctor hnen atanga enkawlna awm thei (Prescription leh in-office treatment) .

In lama damdawi hian hahdamna a pe lo a nih chuan, emaw, a natna a awm reng a nih chuan doctor pan ngei ngei tur a ni. Enkawlna hrang hrang an rawt thei a, chungte chu:

• Topical medications: Damdawi thenkhat chu rectum-ah an hnawih thin. Entirnan, nitroglycerin hriak . Chungte chuan rectum chhunga thau te a ti hahdam a, natna a tiziaawm bawk.
• Botox injection: Botox injection hi a chang chuan anal sphincter muscle tih hahdam nan an hmang thin.
• Electrical stimulation: Hei hian rectum chhunga taksa peng hrang hrangte tihreh nan electrical signal pe chhuaktu special device (probe) hman a ni.
• Pelvic floor physical therapy hmanga biofeedback hmanga enkawlna:Hei hi enkawlna chi khat bik a ni. Physics therapist chuan i pelvic floor muscle te hriatchhuah, control leh relax dan tur a zirtir che a ni. Biofeedback tih technique hmangin i taksaa sensation awmte (entir nan, i taksa ruhte a tight zia) hriat tir i ni. Chumi hnuah chuan i rectal muscle te a tight lai hriat thiam leh relax i zir thei ang.
• Counselling emaw therapy emaw: I natna hi stress emaw, lungkhamna emaw nena inzawm nia i ngaih chuan counseling zawn hian hahdamna a pe thei bawk.

Proctalgia Fugax vei hian eng ang hmalam hun nge a beisei theih ang?

Hetiang dinhmunah hian mi zawng zawngin result inang an beisei thei lo. Mi thenkhat chuan an nunah vawi engemaw zat chauh hrehawmna an tawk a, an hmachhawn leh ngai tawh lo. Mi dangte tan chuan a natna chu a awm reng thei a, nitin hnathawhna a tibuai thei bawk.

I thil tawn chu i natna nasat dan leh a lo awm fo danah a innghat ang. A pawimawh ber chu i doctor nen thawk hovin i mamawh enkawlna i hmu thei ang. A dang pawhin, a natna a lo thlen hunah a reh nghal vat theih nan topical gel ang chi thil te chu i kutah dah a tha.

Engtikah nge Doctor ka hmuh ang?

I rectal pain lo awm leh, awm reng, emaw, na tak emaw i neih chuan doctor pan ngei ngei tur a ni . I zak vang emaw, "hei hi rei lo te hnuah a bo ang" tih emaw i ngaihtuah vangin diagnosis emaw treatment emaw lak chu tihkhawtlai suh. Damdawi lam thurawn i lak hma poh leh i rilru a hahdam thuai ang.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor i pan dawnin i rilrua awm zawng zawng zawt hreh suh. Hetiang zawhna hi i zawt thei ang:

• Ka dinhmun dik taka hriat theih nan eng test nge ka tih ang?
• Ka rectal na chhan ber chu eng nge ni?
• Eng treatment nge ka tan i recommend?
• In lamah eng thil nge ka tih theih ang?
• Nakin lawkah hetiang natna chi hrang hrang hmachhawn tur hian eng nge ka tih theih ang?
• He natna tihziaawmna tur hian nunphung tihdanglam ka mamawh em?

(Proctalgia Fugax) leh (Chronic Proctalgia / Levator Ani Syndrome) te hi eng nge an danglamna?

An pahnih hian rectum-a natna ni mahse, danglamna engemaw zat a awm. A hminga "fugax" (Proctalgia Fugax) hi "fugax" tih thumal atanga lo chhuak a ni a, a awmzia chu "hun rei lote chhunga awm" tihna a ni. Chumi awmzia chu a natna chu rei lo te (minute 30 aia rei lo) a awm tihna a ni.

Mahse, i natna chu minute 30 aia rei a nih chuan, emaw, ni khat chhunga i hriat tam emaw, a tlem emaw chuan, chronic proctalgia i nei thei a ni. Hei hi levator ani syndrome an ti bawk . I levator ani hi i pelvic floor-a muscle pawimawh tak a ni. Levator ani syndrome-ah chuan he ruh atanga natna hi a intan thin.

Proctalgia Fugax ang lo takin Levator ani syndrome hi a natna a ni a, a natna chu pelvis sang zawkah hriat a ni a, hnute hnaih zawkah hriat a ni lo. A dull emaw, a na emaw, a rit emaw pawh a ni thei. Tin, ṭhut lai hian a na zual tlangpui bawk. Proctalgia Fugax-ah chuan taksa dinhmun hian natna hi a nghawng nasa lo hle.

Eng ang natna pawh hi kan nunah mikhual duh loh tak a ni. A bik takin, hnute (anus) ang chi hmun sensitive, private area-ah chuan a nasa lehzual thei a, a buaithlak zawk thei bawk. Chu thiltawn chu lungngaihna leh zahthlâk tak a ni thei. Mahse, i hrehawmna eng pawh zah emaw thup emaw a ngai lo. I taksa hi nerve leh muscle atanga siam a ni a, chu chuan i hnathawhna kawngah a pui a, harsatna a awm chuan a hriattir bawk che a ni. I taksa peng dang ang bawkin heng pengte hi a chang chuan a kal sual thei a, natna ang chi symptoms i nei thei bawk. A pawimawh ber chu eng emaw tih hi a ni. I mamawh ṭanpuina dawn chu tihkhawtlai ngai suh, zak vang emaw, hlauh vang emaw pawh ni se.

He thawnthu atanga in lama kan hruai duh ber chu

• Proctalgia fugax hi hnute natna nasa tak, na tak, na tak a ni a, a intan nghal a, hun rei lote (minute 30 aia rei lo) hnuah a bo vek a ni.
• Hei hi thil pawi tak, nunna atana hlauhawm tak ni lo mah se, a natna hian a nuam lo hle thei a, nitin hnathawhna a tibuai thei bawk.
• Hetiang natna hi a lo awm fo a nih chuan, a natna a nasat chuan emaw, rinhlelhna i neih chuan doctor hnenah thurawn dil ngei ngei tur a ni. Zak leh hlau suh.
• Natna tihziaawmna tur in lama damdawi awlsam tak tak a awm a, chubakah damdawi leh enkawlna dang doctor hnen atanga lak theih a awm bawk.
• Chuvangin, nangmah chauhin hetiang natna nen hian i tuar a ngai lo. A pawimawh ber chu thu dik hriat a, damdawi lam thurawn tul tak tak lak a ni.

` Proctalgia Fugax, rectal pain, anal na, sudden anal na, constipation na, pelvic pain, muscle spasms