Rectal Prolapse atanga chhuak | Hemi chungchang hi sawi zak suh!

Toilet i kal hian a chang chuan thil rit tak emaw, i rectum atanga ball chhuak ang maiin i inhria em? Hei hi sawi tur zahthlak leh zahthlak tak a ni tih kan hria. Mahse hei hi i tan chauh harsatna a ni lo va, damdawi lam thil a ni a, mi tam tak a nghawng thei a ni. Chuvangin hlau leh mualpho suh. Vawiin hian rectal prolapse chungchang kan sawi dawn a, a nih loh leh damdawi lam atanga `(Rectal Prolapse)` an tih hi a ni.

A awlsam zawngin rectal prolapse tih hi eng nge ni?

Awle, hei hi hrethiam tur chuan kan taksa peng hrang hrang hi tlem han zir hmasa ila. I intestine lian ber hnuhnung ber chu `rectum` emaw, rectum hnuhnung ber emaw kan tih hi a ni. I hnute chungah chiah a awm. Kan chaw ei chu a hmin hnuah bawlhhlawh la awm, bawlhhlawh an tih chu he `rectum` an tih hmunah hian hun eng emaw chen a awm khawm thin. He part hi a khat tawh chuan toilet pan a ngai tih kan hria. Tichuan, a chhehvel thau te chu an inzawm khawm a, chu chu hnute kaltlangin bawlhhlawh chu a chhuah tir ta a ni.

Tunah chuan `Rectal Prolapse` ah chuan stool a chhuah meuh chuan a chelhtu rectum hnuhnung ber pawh a rawn chhuak leh ta a ni. Telescope lut ang maiin he part hi a slip lut a, anus atang hian a chhuak ta a ni. A châng chuan tlem tê chauh a chhuak thei a, a châng chuan a chhuak vek thei bawk.

"Prolapse" tih hi Doctor ten an hman thin a ni. Taksa chhunga taksa peng pakhat chu a awmna pangngai atanga a tla thla tihna a ni. Hei hi a tlangpuiin organ chu a hmuna vawn tlat muscle te a chak loh chuan a thleng thin.

He natna hi tuin nge vei tam ber? A chhante chu engte nge ni?

Hetiang dinhmun hi kum eng pawhah awm thei mah se, hmeichhia kum 50 chunglam zingah a tam ber a, chubakah naupang tê têah pawh a awm thei bawk. Hun rei tak chhunga ril\am emaw, natna ``Cystic Fibrosis`` ang chi emaw avanga lo awm a ni.

Hei hi a chhan dik tak hriat chian a harsa a, mahse thil engemaw zatin a thlen thei a ni. A bulpui ber chu rectum hmuna vawng tlattu taksa chak lohna hi a ni. Chutianga ti thei thilte chu:

• Tar: Taksa ruh zawng zawng ang bawkin hei pawh hi kan tar chhoh zel chuan a chak lo deuh thin.
• Naupai leh nau neih: Nau neih hian pelvis muscle-ah pressure nasa tak a siam a, chu chuan a tichak lo thei hle.
• Hun rei tak chhunga chaw ei kham emaw, ril\am emaw: Toilet-a bawlhhlawh pass turin inbuatsaih reng chuan heng ruhte hi a tichhe thei a ni. Hetiang dinhmun hi ril\am chhunzawm zel i neih pawhin a awm thei bawk.
• Tun hmaa operation emaw, pelvic cavity emaw a chhehvela hliam emaw a awm tawh.
• Intestinal parasitic natna hrik kai te.
• Hun rei tak chhung khuh emaw, thawk hah emaw: Hetiang natna hi damdawi lam thil, Asthma ang chi avanga khuh fo vanga pum chunga pressure vang pawh a ni thei.
• Spinal cord emaw nerve emaw tihchhiat.
• Genetic condition hrang hrang, Cystic Fibrosis ang chi te.

Hei hi hemorrhoids a ni em? Nge thil dang a ni em? Engtin nge chiang taka ka hriat theih ang?

Hei hi mi tam takin an harsatna lian ber a ni. Mi tam tak chuan he natna hi hemorrhoids nen an inzawm tir thin. Chutianga ngaihtuah chu thil pangngai a ni a, a chhan chu natna pahnih chhinchhiahna hi a inang vek a ni. Hemorrhoids hi hnute chhehvela thisen kalna kawng hring (swelled vessels) a ni. Natna te, hriselna te, thisen chhuah te pawh a thlen thei bawk. A chang chuan hemorrhoids pawh a lo chhuak thei bawk.

Mahse an pahnih inkarah hian danglamna chiang tak a awm. Hriatthiamna tha zawk pe turin he table hi han en ila.

Engtin nge doctor hian hei hi a hmuh theih?

Doctor i pan hunah i symptoms te a zawt hmasa ang che. Tichuan taksa enfiahna a nei ang. Hemi chhung hian bawlhhlawh paih tum turin a ti mai thei che a, chutih lai chuan i rectum a chhuak em tih en turin.

A châng chuan, i natna hriat chian nân emaw, harsatna dang a awm leh awm loh en nân emaw test dang neih belh tûrin refer i ni thei bawk.

• Digital Rectal Exam: Doctor chuan kut zungtang vuah hmangin rectum a enfiah thin.
• Defecography: Test, i taksa peng hrang hrang X-ray emaw MRI emaw thlalak lakna a ni.
• Anorectal Manometry: Anus vel a ruh (sphincter) chakna tehna test a ni.
• Colonoscopy: Camera dahna tube hmanga intestine lian chhung enfiah.
• Electromyography (EMG): Hei hian taksa peng (muscle function) a test a, nerve chhiatna a awm leh awm loh a enfiah thin.

Enkawl loh chuan eng nge thleng ang?

Hei hi emergency emaw, nunna atana hlauhawm emaw a ni lo. Mahse, enkawl loh chuan hun kal zelah a na zual sauh thei. Tin, hrehawmna a tipung thei a, harsatna chi hrang hrang a thlen thei bawk.

A tir lamah chuan hnute chu a chhuak tawh chuan a chhungah nawr leh theih a ni a, doctor-te chuan i sir lamah hawi la, i khup chu i rilruah hruai la, puan hnim hmangin zawi zawiin a chhungah nawr leh turin an fuih. Mahse hei hi hun rei lote chhunga chinfelna chauh a ni.

Enkawl loh chuan harsatna awm thei lian ber berte chu:

• Fecal incontinence: Hei hi i rectum chhunga thau te chu a inzawm khawm chhunzawm zel a, i hriat loh pawhin i bawlhhlawh emaw gas emaw i hloh thin. Hetiang dinhmun hian mi 50% atanga 75% vel a nghawng a ni.
• Constipation: Rectum chhunga blockage a awm chuan stool tha taka pass a harsa thei hle.
• Rectal Ulcers: Rectum hrual fo hian a hmun chu thisen a chhuak thei a, a na thei bawk. Thisen chhuah chhunzawm zel chuan thisen tlakchhamna (anemia) pawh a thlen thei.
• Incarceration leh Strangulation: Hei hi complication hlauhawm ber a ni. Rectum chu a tlakbuak thei a, a luh leh theih loh phah thei a, chutiang a nih chuan chu hmuna thisen kal chu a tawp thei a, tissue chu a thi thei bawk. Hei hi ``Gangrene`` kan ti a. Hei hi emergency medical treatment mamawhna a ni.

Chumi chinfel dan tur chu engte nge ni? (Surgery chungchang i zir ang u)

Puitlingin he natna hi a neih chuan a mah chauhin a dam lo. A chinfelna awmchhun chu surgery a ni. Naupang tê têah chuan a chhan bulpui, constipation ang chi chu enkawl a nih hnuah a mah chauhin a reh thei a ni.

Surgery chi hrang hrang a awm a. I surgeon chuan i dinhmun, kum leh hriselna zawng zawng a zirin i tana tha ber tur a thlang ang. Surgery hi chi hnih a awm a.

1. Pum chhunga thil tih dan - Rectopexy

Hei hi kalphung hman tlanglawn ber leh hlawhtling ber a ni. Surgeon chuan pum chhungah incision a siam (open surgery) emaw, camera chu khur engemaw zat kaltlangin a dah (laparoscopic surgery) emaw, prolapsed rectum chu a chawi sang leh a, pelvis hnunglam bang-ah a dah a, permanent stitches emaw mesh emaw hmangin a secure a ni. Hetiang procedure hian hlawhtlinna rate 97% vel a nei a ni. Chronic constipation i nei bawk a nih chuan i doctor chuan he surgery neih chhung hian i colon hmun tlemte chu lakchhuah a tum mai thei.

2. Anus hmanga zai (Perineal Approach) .

Hetiang hmanrua hi pum kaltlanga operation lian tham nei thei lo, tar tawh, damdawi lam harsatna dang nei tan chuan a tha ber. Hetiang hmang hian operation hi anus kaltlangin an ti thin. Hetiang hmanruaah hian incision lian tak tak a awm loh avangin dam lehna a rang zawk. Mahse, he method hnuah hian he natna hi a lo lang leh theihna chance a sang deuh hlek a ni.

Hetiang dinhmun hi venna tur leh a lo awm leh tawh loh nan eng nge tih theih ang?

Hetiang dinhmun hi a lo awm loh nan leh operation hnua a lo lang leh tawh loh nan thil engemaw zat i tih theih a ni.

• Constipation leh diarrhea control: Constipation emaw diarrhea emaw i neih reng chuan doctor pan ngei ngei tur a ni a, enkawl ngei ngei tur a ni. Fiber tamna ei tur (thei, thlai, legumes) ei la, tui tam tak in rawh.
• I pelvic floor muscle te tichak rawh: Kegel exercise i tih hian heng muscle te hi i tichak thei a ni. Heng exercise tih dan tur hi i doctor emaw physical therapist emaw zawt rawh.
• Thil rit i chawi dawnin fimkhur rawh: Thil rit i chawi dawnin posture dik tak hmang ang che.

Prolapse hi taksa ruh chak lohna avanga lo awm zauh zauh a ni. Zan khat thil thuah a thleng lo. Chuvangin, chu chu zak leh hlauhna nei lovin, i tih theih tha ber chu a rang thei ang bera doctor thurawn lak hi a ni.