Bathroom i kal hian i hnute atanga i ril thenkhat a chhuak ang maiin i hria em? A nih loh leh i hnute chu a khat, a rit emaw, a nuam lo emaw i nei fo em? Mi tam tak chuan zah leh hlauh vangin heng thilte hi tumah an hrilh ngai lo. Mahse vawiinah hian ' Rectal Prolapse ' kan sawi dawn a, chu chu mi tam tak tuar thei, mahse sawi tur chuan a zahthlak deuh a, mahse i hriat reng tur a ni.
A awlsam zawngin, Rectal Prolapse hi eng nge ni?
Kan chaw ei dan (digestive system) hi han ngaihtuah teh. Kan ei tur chu kan intestin-ah a kal a, a digested a, bawlhhlawh chu kan taksa atangin bawlhhlawh angin a kal chhuak ta a ni. He bawlhhlawh hi a chhuah hmain kan intestine lian ber tawp lamah hian rei lo te chhung a awm thin. Hei hi rectum an ti a . He rectum chhunga thau te hian a hmunah an vawng tlat a ni.
Tunah chuan Rectal Prolapse chu rectum awmna hmuna vawngtu taksa pengte a chak lo a, chu chuan rectum chu a awmna pangngai atanga a tlak thlak a, hnute hnuai lam a pan a, a chang chuan taksa atanga a chhuah vek thin a ni. Telescope lut ang mai a ni a, chutah chuan intestine thenkhat a lut a, rectum thenkhat a chhuak bawk.
Engvangin nge hetiang hi a lo awm? Hei hi eng chhan nge ni?
Rectum a hmuna vawn tlat tu muscle te hi a chak lo thei hle. A chhan pakhat ni lovin, thil engemaw zat inzawmkhawm a ni thei.
| Chhan | A sawifiahna awlsam tak |
|---|---|
| Chronic Constipation a awm thei | Hun a kal zel a, bathroom-a kal laiin a straining fo avangin anus vel muscle te chu a chak lo ta hle a ni. |
| Kum upa lam | Taksa taksa peng zawng zawng ang bawkin heng ruh te hi kum upat deuh deuhin an pianphungah an chak lo thin. Hetiang dinhmun hi hmeichhe kum 50 chunglam zingah a awm fo thin. |
| Naupai leh nau neih lai | Hetiang hlauhawmna hi nu nau piang thar tan chuan a sang hle. Nau neih laiin pressure nasa lutuk hian hei hi a thlen a ni. |
| Tun hmaa surgery emaw accident emaw a awm tawh | Tun hmaa operation emaw, pelvic area-a hliam emaw a awm chuan taksa ruh a tichhe thei a ni. |
| Chronic diarrhea a awm thin | Bathroom-a zin fo hian heng ruhte hi pressure a siam belh bawk. |
| Hriselna lama harsatna dangte | Khuh rei tak, thawk hah, intestinal parasitic infection, thluak lam harsatna, leh Cystic Fibrosis ang chi natna te. |
Hei hi hemorrhoids a ni lo maw? Engtin nge an pahnih hi i thliar hrang ang?
Hei hi mi tam tak tan chuan harsatna lian tak a ni. Mi tam tak chuan Rectal Prolapse leh Hemorrhoids pahnih symptoms hi a chang chuan a inang vek avangin an pahnih hi an buaipui thin. Mahse, heng pahnih hi dinhmun hrang hrang pahnih an ni.
A awlsam zawngin sawi ila, hemorrhoids hi hnute chhehvela thisen kalna kawng hring hring a ni. Rectal prolapse hi rectal wall pumpui atanga lo chhuak a ni.
Heng pahnih inthlauhna hi chiang takin i hrethiam ang u.
| Mihring ziarang | Rectal Prolapse a awm thin | Hemorrhoid natna (Hemorrhoid) a awm |
|---|---|---|
| engnge ni ta? | Rectal wall ngei pawh (intestine thenkhat) chu a tla thla a, a rawn chhuak ta a ni. | Anus vel thisen kalna kawngte chu a hring chhuak a, tumor ang maiin a chhuak chhuak thin. |
| Landan | Lump sen, tisa nei, a chhehvelah concentric ring a awm. | A tlangpuiin thei te tak te ang maiin a lang. A chang chuan dark purple pawh a ni thei. Wrinkle ang maiin a lang lo. |
| Nihphung | Hei hi progressive condition a ni a, hun kal zelah a na zual zel a ni. Amah chauhin a tha lo. | A tam zawkah chuan hun eng emaw chen atan a ni. Enkawlna dik tak a awm chuan kar khat emaw kar hnih emaw chhungin a mah chauhin a dam thei. |
Hei hi eng symptoms nge ni?
Hetiang natna vei hian natna lan chhuahna chi hrang hrang a nei thei a ni. Chûngte chu a tirah chuan a na lo mai thei a, mahse hun kal zelah a pung thei a ni.
- Anus chhungah ball ang chi thil awm ang maia hriatna emaw, a khat emaw .
- Toilet i kal hnuah pawh i poop tak tak lo ang maiin a lang .
- Toilet i kal chuan lump sen, sa ang mai a rawn chhuak thin . A tirah chuan hei hi a mah chauhin a lut a, mahse a hnuah chuan manual in i insert a ngai ta a ni.
- Anus atanga mucus ang chi tui, thisen emaw, bawlhhlawh emaw a luang chhuak (Fecal Incontinence).
- Anus vel ah hian itching leh natna a awm .
- Constipation emaw, bawlhhlawh kal harsa emaw.
Engtin nge doctor hian hei hi a hmuh theih?
Heng symptoms te hi i neih chuan a tha ber chu Doctor pan a ni. Doctor chuan i symptoms te a zawt ang che a, physical exam a ti ang che. Bathroom-a kal ang maia i phihfai a, i rectum enfiah turin an ti mai thei che.
Chu bakah, a hnuaia test te hi i ti thei bawk a, i natna hi i finfiah thei a, harsatna dang i neih leh neih loh i enfiah thei bawk.
- Digital Rectal Exam: Doctor-in kut zungtang vuah hmanga a tih dan pangngai.
- Anorectal Manometry: Rectum leh anus chhunga ruh chakna tehna test a ni.
- Defecography: X-ray emaw MRI scan hmanga i taksa peng (rectum) hnathawh dan video-a i chhuah laiin test a ni.
- Colonoscopy: Camera nei flexible tube chu anus kaltlangin dahin colon pumpui enfiah a ni.
- GI Series hnuai lam (Barium Enema): 1. A rilru a hah lutuk chuan a rilru a buai em em a.Liquid barium an tih chu pek a ni a, chu chu intestine a paltlang laiin X-ray video hrang hrang lak a ni.
- Electromyography (EMG): Test a ni a, taksa ruh hnathawh control tu nerve a chhiat leh chhiat loh enfiahna a ni.
Enkawl loh chuan eng nge thleng ang?
Hei hi nunna atana hlauhawm tak a ni lo va, mahse rei tak enkawl loh chuan a lungawi lohna a zual thei a, harsatna lian tham a thleng thei bawk.
- Fecal incontinence: Hei hi rectum chhunga ruh te a tikhauh a, chu chuan bawlhhlawh leh boruak kal dan a thunun thei lo a ni. He harsatna hian he natna vei zinga 50%-75% vel a nghawng a ni.
- Rectal Ulcers: Rectum atanga chhuak chu thawmhnaw a hnawih a, a vawt avangin a thinrim thei a, thisen a chhuak thei bawk.
- Tâng: A châng chuan rectum aṭanga chhuak chu dah leh theih a ni lo va, hei hi thil hlauhawm tak a ni.
A pawimawh ber: Hetianga a tlakbuak chuan chu lai hmuna thisen kal chu a tawp ang a, tissue chu a thi tan ang. Hei hi Strangulation emaw Gangrene emaw an ti a . Hei hi medical emergency a ni. Hetiang a nih chuan damdawi in pakhat Emergency Department (ETU) ah i kal nghal tur a ni.
Hei hi eng enkawlna nge ni?
Hetiang dinhmun hi puitlingah a lo awm chuan a mah chauhin a dam lo. A tlangpuiin, hei hi enkawlna tha ber chu operation hi a ni . Hetiang dinhmun hi naupang tê têteah a awm a nih chuan a chhan (e.g. constipation) a bo hnuah a mah chauhin a ṭha leh thei a ni.
Surgery hi chi hnih a awm a. I doctor chuan i hriselna dinhmun leh i prolapse awm dan a zirin i tan surgery tha ber tur a ruat ang.
1. Pum chhunga thil tih dan - Rectopexy
Hei hian pum chhungah incision siam (open surgery emaw laparoscopically emaw keyhole surgery emaw hmangin), prolapsed rectum chu a chungah hruai leh a, pelvic cavity hnunglam wall-ah stitches emaw mesh ang chi emaw hmanga fix a ni. Heng surgery te hi a hlawhtling hle.
2. Perineal lam hawia hmalakna
Hetiang hmanrua hi pum zai theih loh, kum upa tawh, damdawi lam harsatna dang nei te tan hman a ni. Hetiang hmang hian operation hi anus kaltlangin an ti thin.
- Altemeier Procedure: Hetiang procedure ah hian intestine atanga chhuak chu cut chhuakin lakchhuah a ni a, a bak pahnih chu a inzawm leh a ni.
- Delorme Procedure: Hetiang procedure-ah hian rectum-a prolapsed mucosal lining chauh lakchhuah a ni a, muscle layer chu fold leh sewn khawm a ni.
Hetiang dinhmun hi ven theih a ni em?
Ni e, he hlauhawmna hi eng emaw chen chu tihziaawm theih a ni. Heng thilte hi operation hnua he natna lo awm leh tur venna atan pawh a pawimawh hle.
- Constipation control: Fiber (thei, thlai, legumes) tamna ei tur ei tur a ni. Ni khatah tui glass 8-10 tal in thin tur a ni. Bathroom-a kal dawnin straining tih loh tur.
- I pelvic floor muscle te tichak rawh: Chutianga tih theihna tur exercise tha ber chu Kegel exercises . Hengte tih dan tur hi i doctor emaw physical therapist emaw hnenah thurawn i dil thei ang.
- I taksa rihna hrisel tak vawng reng rawh: I taksa rihna tam lutuk hian pelvic floor muscle-ah pressure a pe nasa hle.
Take-Home Thuchah a ni
- Rectal prolapse hi zah tur a ni lo. Damdawi lam thil a ni.
- Hei hi hemorrhoids nen a danglam a, chuvangin symptoms i neih chuan diagnosis dik tak neih a pawimawh hle.
- Hetiang dinhmun hi puitlingah chuan a mah chauhin a tha lo. Hun kal zelah chuan a hrehawmna chu a pung thei a ni.
- Heng symptoms te hi i neih chuan Doctor hmuh hlau suh la, thurawn la rawh.
- Thil awlsam tak tak, constipation control leh Kegel exercise tih te hian he natna hi a veng thei a ni.











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