Toilet kal pawh i harsat em? Proctitis chungchang hi i zir dawn em ni?

Toilet i kal hian a chang chuan pum na i nei em, a nih loh leh i ek chhungah thisen emaw, mucus emaw tlem i hmu em? A nih loh leh toilet-a kal reng ngai angin i inhria em? Heng thilte hi ngaihthah suh. A chhan chu hengte hi `(Proctitis)` an tih natna chhinchhiahna a nih theih avangin. Vawiin hian `(Proctitis)` chu eng nge a nih, engvanga lo awm nge, eng nge kan tih tur tih te han sawi ila.

Hei hi eng nge ni `(Proctitis)`? A awlsam zawngin sawi ila...

Proctitis hi hnute hma lawka, intestine lian ber hmun hnuhnung ber, rectum lining inflammation a ni. A dik tak chuan Procto tih awmzia chu rectum tihna a ni a, itis tih awmzia chu inflammation tihna a ni. Hetiang dinhmun hi chhan hrang hrang, bacteria, chemical emaw, inflammatory bowel disease ang chi emaw avanga rectum lining a irritated (swollen, reddened) a awm thin. Hei hian natna lan chhuahna nuam lo tak tak a thlen thei a, chu chu natna, rectal bleeding, leh bowel habits inthlak danglamna te hi a ni.

`(Proctitis)` chi hrang hrang a awm em?

Ni e, `(Proctitis)` awm chhan a zirin hun rei lote (acute) emaw, hun rei tak (chronic) emaw pawh a ni thei. `(Acute)` tih awmzia chu a lo awm thut a, rei vak lo hnuah a bo vek tihna a ni. `(Chronic)` tih awmzia chu rei tak a daih tihna a ni. A chhan hrang hrang avanga `(Proctitis)` chi hrang hrang lo awmte hi a chang chuan hming hrang hrangin an ko thin. Entirnan, mipat hmeichhiatna hmanga hri kai `(Sexually-Transmitted Infections - STIs)` avanga lo awm chu `(infectious proctitis)` an ti a. Cancer natna atana radiation therapy avanga lo awm chu `(radiation proctitis)` an ti a. Chutiang bawkin `(Ulcerative colitis)` tih natna avanga lo awm chu `(ulcerative proctitis)` an ti bawk.

`(Proctitis)` natna lan chhuah dan chu engte nge ni?

Hengte hi a lan chhuah dan tlangpui chu a ni:

• Anorectal natna a awm. Thut reng pawh a harsa mai thei.
• I pum veilam quadrant-ah natna a awm.
• Thisen emaw mucus ang chi liquid chu stool nen passing. Hei hi mi tam zawkin an hriat hmasak ber a ni.
• Rectum chu a hring leh a khat ang maia hriat.
• Efecate ngai tih hriat rengna (tenesmus), mahse a chang chuan toilet i kal hian tlemte chauh a chhuak thin.
• Bowel movement laiin harsatna emaw natna emaw (dyschezia).
• Ek khal.
• Kawthalo.

`(Proctitis)` natna lan chhuahna hmasa berte chu engte nge ni?

Vawi tam tak chu bathroom i kal hian symptom hmasa ber a lang thin. Harsatna, kang, emaw, bawlhhlawh paih laiin nawrna a awm.A hriat theih ang. Bathroom-a kal nghal mai tur angin i inhria mai thei a, mahse i muhil vek lo mai thei. Diarrhea, thisen emaw, bawlhhlawh chhunga mucus emaw hi a hmaa a lan chhuah dan tlangpui a ni.

Engvangin nge hetiang `(Proctitis)` hi a lo awm? A chhante chu engte nge ni?

Proctitis hi chhan hrang hrang a awm a, a then chu a dang aiin a tam zawk.

`(Proctitis)` awm chhan tlangpui:

• Inflammatory Bowel Disease (IBD): Crohn’s disease leh Ulcerative colitis ang natna te hian intestine hmun hrang hrangah hun rei tak chhung inflammation a thlen thin. Heng natna vei zinga 30% vel ah chuan inflammation hian rectum a nghawng ber a ni. Hei hi a tlangpuiin proctitis thlentu ber a ni.
• Sexually-Transmitted Infections (STIs): Sexually transmitted viral infection leh bacteria infection te hi hnute kaltlangin hnute chhungah a lut thei a. Entirnan:
• `(Gonorrhea)` (Gonorrhea) 1. A rilru a hah lutuk chuan a rilru a buai em em a.
• `(Chlamydia)` (Chlamydia) tih a ni.
• `(Herpes simplex 2)` (Herpes simplex 2) tih a ni a, a chhuahna tur hmun hi a lar hle.
• `(Syphilis)` (Syphilis) 1. A rilru a hah lutuk.
• `(Mihring Papillomavirus - HPV)` (Mihring Papillomavirus) .

He natna hian hmeichhia leh mipa anal-receptive sexual contact nei te pawh a nghawng thei a ni.

• Gastrointestinal infection: Food poisoning avanga intestines-a bacteria infection awm hian a chang chuan rectum a nghawng thei. Entirnan:
• `(Salmonella)` (Salmonella) tih hi a awm a.
• `(Shigella)` (Shigella) chuan a rawn ti a.
• `(Campylobacter)` (Campylobacter) tih hi a awm a.

Tun hnaia antibiotics i ei zawh tawh chuan i intestines leh rectum-ah Clostridium difficile (C. diff) an tih bacteria avanga natna hrik i vei theihna a awm thei bawk. C. diff hi i intestines-a awm tawh bacteria a ni. Mahse i intestine-a bacteria tha tak takte chu antibiotics-in a tihlum chuan C. diff control-tu bacteria te chu a bo vek a, C. diff chu a lo thang lian lutuk thei bawk.

• Nausen ei tur protein allergy: Naute bawnghnute chi hrang hrang, a bik takin bawnghnute emaw soy emaw allergy nei te hian an intestine khawi hmunah pawh inflammation an nei thei a, rectum pawh a tel thei. Naute hian heng proteins te hi formula atang emaw, nu hnute tui hmangin emaw an hmu thei a, chu chu an nuin heng proteins awmna ei tur a ei chuan a ni.
• Cancer enkawlna atana radiation therapy hmanga enkawlna:Cancer tan radiation therapy pek a nih hian kan chaw ei dan khawi hmunah pawh `(radiation mucositis)` an tih hi a awm thei a ni. Hei hi chaw ei kawng chhunga `(mucous lining)` inflammation a ni. `(radiation enteritis)` (inflammation of the small intestine) leh `(radiation colitis)` (inflammation of the large intestine) te hi a tam zawk hi chu radiation therapy hmanga pum chunglam emaw hnuai lam emaw a pek hian a tam zawk. `(pelvic area)`-ah radiation therapy pek a nih chuan `(radiation proctitis)` (radiation inflammation of the rectum) i nei thei a ni.

`(Proctitis)` thlentu tam lo zawk:

• Diversion proctitis: Hei hi side effect a ni a, colostomy (taksa atanga intestine lian thenkhat lakchhuah a, stool kalna tur siamna) emaw ileostomy (taksa atanga intestine te tak te thenkhat lakchhuah a, stool kalna tur siamna) emaw, hnute kawng atanga ek kalna tur kawng danglam tak hmanga bawlhhlawh pass thin te tan a ni. Thluak hian hnute kawng a paltlang loh avangin hnute chhunga thil tha leh short-chain fatty acids, a tlangpuiin hnute chhunga lut thin (anus hnim leh hrisel taka awm tir thin) te chu a hloh a, chu chuan hman loh hnute chu a ti na thin niin an ngai. Mahse, mi tlemte chauhvin symptom an nei thin.
• Intestinal ischemic syndromes: Ischemic colitis ang bawkin ischemic proctitis hi rectum-a thisen kal chu tihtawp a nih chuan a lo awm thei a, chu chuan tissue-ah oxygen a hloh thei a ni. Ischemia hi thisen kalna kawngkhar a block vang a ni tlangpui a , chu chu thisen zam, thisen zam, plaque emaw a ni.
• Anorectal trauma: Pawn lam thil emaw chemical emaw chu hnute kaltlanga dah luh a nih chuan hnute leh hnungzang a ti na thei a ni. Enemas chi thenkhata chemical awmte pawhin hetiang hian nghawng a nei thei bawk.
• Eosinophilic gastrointestinal disorders (EGID): Eosinophilia hi thisen var chi khat, eosinophils an tih, a pangngai lo taka siam chhuah tamna a ni. White blood cells hian kan immune system chu inflammatory response mount turin a pui thin. EGID-ah chuan kan immune system hian digestive tract hmun khatah eosinophils tam tak a thawn chhuak a, chu chuan hun rei tak chhung inflammation a thlen thin. Researcher te chuan hei hi food allergy avanga overreaction a ni thei niin an ngai. Eosinophilic proctitis hian naupang kum 2 hnuai lam a vei tam ber.
• Proctitis, a chhan hmuh theih loh (`Idiopathic proctitis`):Proctitis vei tlemte hian a chhan hriat an nei lo. Mahse, ei leh in inthlak danglamna chu an chhang tha hle. Idiopathic proctitis hi hun rei tak chhunga awm, a lo lang leh thin a ni. Heng zinga 10% vel chu a tawpah chuan ulcerative colitis-ah an chang ta a ni.

Proctitis hi natna khirh tak a ni em?

Thil awmdan pangngaiah chuan proctitis hi nunna atana hlauhawm a ni lo va, enkawlna a dawng tha hle. Mahse , a nasat a, rei tak a daih a, enkawl loha awm a nih chuan, a nih loh leh enkawlna a dawn loh chuan harsatna lian zawk a thlen thei a ni.

Entirnan, ulcer a dam loh chuan thisen a chhuah nasa lutuk thei a, rectal wall a tichhia thei bawk. A tlem berah chuan proctitis hian a chhehvel nerve a nghawng thei a, neuropathy a thlen thei.

Hun rei tak chhunga inflammation avanga harsatna awm thei:

• Thisen chhuak tam lutuk, thisen tlakchhamna (anemia) a thlen thin.
• Fistulas (rectal wall kal tlanga tunnel awm).
• Stricture emaw stenosis (tissue-a hliam vanga rectum a tawi).

Nervous system-a harsatna awm hi a tlem hle a, mahse hengte hi a ni thei:

• Neurogenic bladder hnathawh that lohna.
• Ke ruhroah natna leh tingling sensation (paresthesia) a awm.
• Erectile dysfunction a awm thin.

Engtin nge Proctitis hi an hriat theih?

Doctor chuan i natna lan chhuah dan a zawt hmasa ang che a, chutah chuan i rectum chu a enfiah ang a, proctitis chhinchhiahna i nei em tih a enfiah ang. Hei hian digital rectal exam leh anoscopy te pawh a huam thei . Proctitis i vei ang maia a lan chuan i doctor chuan eng thil nge a thlen tih leh eng chi nge a nih tih hriat tumin zawhna tam zawk a zawt ang. Entir nan:

• Tun hnaiah eng damdawi nge i ei tawh?
• Chhungkaw zingah hian autoimmune natna nei an awm em?
• Invenna tel lovin sex i hmang em, test loh kawppui nen sex i hmang em?
• Tun hnaiah ram pawnah i zin tawh em?

Heng chhannate leh test-in a lantir dan a\angin i doctor chuan eng test dang nge i mamawh tih a rel ang.

Test dangte chu:

• Thisen test: Thisen test hian natna hrik leh proctitis thlen thei thil dang a hriat theih. Thisen tlahniam emaw, white blood cell count tihpun emaw a lantir thei bawk.
• Stool test: Doctor chuan i stool sample a la ang a, infection, thisen chhuah leh white blood cells a pun leh awm loh a enfiah ang.
• Rectal culture: He test atan hian doctor chuan rectum chhung chu swab hmangin a swab a, chutah chuan sample chu culture a, bacteria emaw virus emaw awmte chu a hriat theih nan a hmang thin.
• Proctoscopy: Hei hi tube ang maia hmanraw tawi, rigid tak hmanga rectum chhung enfiahna a ni. Proctoscope chu hollow tube a ni a, a tawp lamah camera leh light a awm a. A tul chuan doctor chuan tube kaltlangin hmanrua a pass thei a, tissue sample (biopsy) a la thei bawk.
• Flexible sigmoidoscopy: Doctor chuan sigmoid colon, intestine lian ber, hnute nena inzawm hnuhnung ber, a sei zawk, a flexible zawk tube flexible sigmoidoscopy an tih chu hman theih a ni. Intestine lianah harsatna a awm chuan inflammatory bowel disease emaw, digestive tract-a infection emaw a lantir thei. He test hma hian bowel prep pawh tih theih a ni.

Proctitis hian a mah chauhin a dam em?

A ni mai thei, mahse hrehawm tawrh chhan tur a awm lo. Infection i neih chuan antibiotics emaw antiviral emaw hian i dam thuai thei a ni. Infection avanga lo awm a nih loh chuan i doctor chuan a inflammation tihziaawmna turin steroid ang chi damdawi a pe thei ang. Radiation proctitis i neih chuan radiation hmanga enkawl hnu kar tlemte chhungin a bo tlangpui. Mahse chutih lai chuan topical pain medications hian a pui thei a ni. Hun rei tak IBD i neih chuan proctitis a lo thleng thei a, a kal lo thei bawk. Mahse a flare up hunah damdawi bik i hmang thei.

Proctitis hi eng chen nge a awm?

Hei hi a chhan leh mi a zirin a danglam thin. Enkawlna nen chuan a reh nghal vat tlangpui. A tlangpuiin, a natna chhan chu a reh hnuah kar li atanga kar ruk vel a ngai a ni. Proctitis a dam lai hian natna emaw, riltam emaw tan over-the-counter (OTC) damdawi i ei thei bawk.

`(Proctitis)` enkawlna tur engte nge ni?

Enkawlna chu a chhan leh a natna a nasat danah a innghat a ni. A huam thei ang:

• Inflammation awm chhan tihtawp.
• Infection tan antibiotics emaw antiviral emaw a ni.
• Autoimmune condition avanga proctitis awm thei tur immunosuppressants.
• Ulcerative colitis/proctitis damdawi Sulfasalazine emaw Mesalamine emaw ang chi te.
• Crohn natna avanga Proctitis damdawi Infliximab ang chi te.
• Topical corticosteroids hi ointment atan hman a ni a, natna leh inflammation tihziaawmna atan hman a ni.
• Sucralfate enemas hi rectal ulcer enkawl nan hman a ni.
• Endoscopic hmanga chaw ei kawng a thisen chhuah tihtawp nan.

`(Proctitis)` ka neih chuan hmalam hun eng nge ni ang?

Proctitis vei tam zawk chuan enkawlna an dawng tha hle. Hun rei lote (acute) a nih chuan puitlingah kar li atanga kar riat chhung emaw, nausen thla engemaw zat chhungin a reh tur a ni. IBD nena inzawm proctitis rei tak i neih chuan inflammation chu a lo thleng a, a bo vek tih i hmu mai thei. Flare-ups hi a tul hunah anti-inflammatory drugs hmangin i enkawl thei bawk. Mi tlemte chuan chronic radiation proctitis an nei a. Hun rei tak vei te chuan harsatna an nei tam zawk a, enkawl a harsa zawk thei bawk.

Proctitis hi ven theih a ni em?

Sex hman hmaa partner te test hian STIs vei theihna a ti tlem thei a ni. Condom ang chi invenna hmanrua hian a then chuan a pui thei a, mahse natna thenkhat chu oral sex hmangin a darh thei bawk. Dental dam hman hian oral sex hmanga STIs darh zel emaw, hri kai emaw a tihziaawm thei a ni. Chaw buatsaih dan him taka kalpui leh i ei leh in tur fimkhur hian, a bik takin ram pawna i zin hunah, ei tur rimchhia avanga chaw kawng natna (gastrointestinal infection) vei theihna a ti tlem thei a ni. Vanduaithlak takin IBD emaw radiation proctitis emaw ven dan tur a awm lo.

`(Proctitis)` chungchangah engtikah nge doctor i hmuh ang?

Proctitis symptoms i neih chuan doctor pan fo ang che. A chhan hriat chian a, enkawl a pawimawh a, chu chuan natna a zual zel loh nan. Enkawlna i dawng a, mahse a la thawk lo niin a lang a nih chuan i doctor chu biak chhunzawm zel ang che. Proctitis chi thenkhat chu tha taka enkawl tur chuan theihtawp chhuah a ngai thin. A tlem berah chuan case thenkhat chuan standard treatment engmah an dawng lo thei. Chutiang hunah chuan zai a ngai mai thei.

Proctitis symptoms hi hun eng emaw chen emaw, kal zel emaw pawh nise, a nuam lo hle thei. Proctitis enkawlnaah hian inflammation awm chhan leh a symptoms te hi a langsar ber a ni. Thil engemaw takah chuan radiation proctitis ang chiah hian a natna lan chhuah dan chauh enkawl theih a ni. Thil dang, infection ang chiah hian, i natna lan chhuahna thlentu bacteria emaw virus emaw bik hriat chian nan test neih a pawimawh hle.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuti a nih chuan tunah chuan kan sawi thin kha i hrethiam tawh zawk a, `(Proctitis)`. A pawimawh ber chu, toilet i kal dawna natna danglam tak, natna, thisen emaw, mucus emaw i neih chuan ngaihthah suh. A chhan hriat tumin doctor hmu nghal rawh. A tam zawkah chuan heng natna te hi enkawl tha tak a ni.

Hlau suh, mahse tlai suh! I hriselna chu i kutah a awm.

Tin, sex him taka hman leh ei tur thianghlim ei hian chutiang dinhmun laka invenna a pui bawk ang.

`Proctitis, rectum inflammation, stool hmanga thisen chhuak, anal na, STIs, IBD, digestive system