Bathroom-a kal hi a chang chuan thil harsa tak a ni thei a ni lawm ni? Hlauhawm tih hi thil pangngai a ni a, a bik takin i ek chhungah thisen tlem i hmuh chuan, emaw, ek chhuah tur chuan i strain a ngai a nih chuan. Hêng thilte hi mi dangte nêna sawipui chu a zahthlâk deuh thei a ni. Mahse hengte hi hriselna kaihhnawih thil pawimawh tak a ni. Vawiin hian kan sawi dawn a, natna hlauhawm tak, heng symptoms te hi a thlen thei a, mahse mi tam takin an la hre lo. Chu chu Solitary Rectal Ulcer Syndrome (SRUS) tih a ni.
Solitary Rectal Ulcer Syndrome (SRUS) hi eng nge ni?
A awlsam zawngin sawi ila, SRUS hi hun rei tak chhunga awm, cancer ni lo, kan rectum chhungah ulcer pakhat emaw a aia tam emaw a lo awm thin a ni. Tunah chuan, "He rectum hi eng nge ni?" Rectum hi kan intestine lian (colon) a tawp ber a ni a, chutah chuan bawlhhlawh chu kan taksa atanga a chhuah hmain rei lo te chhung a awm thin.
Mahse he hming hian a hruai sual deuh thei. "Solitary" tih thumal hmang mah se, a chang chuan ulcer pakhat aia tam a awm thei bawk. Tin, hengte hi ulcer an ni ngai lo. A châng chuan inflamed, red tissue mai mai an ni thei. A châng chuan he natna hi colon chung lam deuhah pawh hmuh theih a ni.
Doctor leh zirchiangtute chuan he natna chungchang hi an la zir nasa hle. A chhan leh a enkawlna tha ber berte chu zirchianna an la nei mek a ni.
Hetiang dinhmun hi engtiang chiahin nge a awm?
SRUS hi a takah chuan a awm lo hle. Mi 100,000 zinga pakhat velin a nghawng a ni. Kum 30 leh 40 inkarah a tam ber a, mahse naupang tê leh tarteah pawh a awm thei bawk.
He dinhmun hi a pawi em? Kan hlau tur em ni?
Hei hi i rilrua zawhna lo lang hmasa ber a ni mai thei. Thu lawmawm tak chu heng hliam te hi a nasat loh tlangpui. Chu chu cancer vei an ni lo tihna a ni.
Mahse, hetah hian thil pawimawh tak chu heng natna thlentu harsatna bulpui hi ngaihven ngai thil a ni thei tih hi a ni. Chuvangin heng symptoms te hi i neih chuan dik taka hriat theih nan doctor pan a pawimawh hle.
Hetiang symptom hi i ngaihthah ngai lo tur a ni. "Ni engemaw zat hnuah a bo mai ang" tih mai mai hi thil tha a ni lo. A chhan chu SRUS aiin rectal bleeding hi natna khirh zawk vang a ni thei.
SRUS natna lan chhuah dan chu engte nge ni?
Heng symptoms te hi a lang zauh zauh tlangpui. Bathroom kal chu thil nuam lo tak takah an siam thei a ni. A lan chhuah dan bulpui te han thlir ila.
| Symptom a ni | A awlsam zawngin... |
|---|---|
| Rectal atanga thisen chhuak | Thin sen hring hring, thisen thar chhuak chu stool nen emaw toilet kal hnuah emaw a chhuak thin. A châng chuan tissue paper chu thisenin a hnawih thei bawk. |
| Mucus ang maia chhuak chu stool nen a chhuak thin | Mucus ang maia tui chhuak, bawlhhlawh awm emaw nei lo emaw pawh nise. |
| Straining atanga bawlhhlawh paih (Straining) . | Stool pass tur hian hun rei tak, thawhrimna tam tak, leh straining tam tak a ngai a ni. |
| Bowel movement kim lo | Toilet kal hnuah pawh stool a la awm ang maia hriatna, "Ka la zo lo" tih ang chi. |
| Anal natna emaw, nuam lo emaw | Anus leh a chhehvela natna emaw, nuam lo emaw hriatna, a bik takin toilet kal hunah. |
| Pelvic Fullness a ni | Pum hnuai lam a rit leh a khat tih hriat. |
Mak tak maiin SRUS vei mi pali zinga pakhat (25%) vel hian symptom an nei lo. Test neih laiin a chhan dang vangin accident-in hmuhchhuah a ni.
Engvangin nge hetiang dinhmun hi a lo awm?
Hetiang dinhmun hi a chhan dik tak hi hriat a la ni lo. Mahse, doctor-te chuan rectum chhung lam bang tichhe thei thil engemaw zat nen a inzawm niin an ngai. Hei hian heng hliamte hi damdawi lam dinhmun dang hnuaia awm vang a ni thei tihna a ni.
SRUS-ah hian hmuh tur awm fo thin condition engemaw zat a awm a:
- Rectal Prolapse: Hei hi rectum chu hnute kawng atanga a rawn chhuak a ni. Sock chhung lam atanga pawn lam hawi ang maiin han ngaihtuah teh. Tissue a chhuah ruala friction leh pressure lo awm hian hliam a siam thei a ni.
- Rectal Intussusception: Hei hi rectum peng pakhatin rectum hmun dangah a nawr lut a, telescope ang mai a ni. Hei hian tissue a tichhia thei bawk.
- Chronic Constipation: Ek kan chhuah harsat chuan rei tak kan strain thin. Hetianga pressure tam lutuk hian rectum tissue nalh tak tak te chu a tichhe thei a ni. Mi thenkhat chuan bawlhhlawh a tlakbuak chuan an kut zungtang hmangin lakchhuah an tum thin. Hei hi rectal injury thlentu lian tak a ni bawk.
- Fecal incontinence: Rectum nena inzawm harsatna hi chu mi chuan a ril a thunun theih lohna hmunah pawh a awm thei bawk.
Theory lian ber pakhat chu kan pelvic floor muscles, stool pass min puitu te hian hna an thawk tha lo a nih chuan stool pass dan chu a mumal lo a, hetiang hliam hi a thleng thin tih hi a ni.
Engtin nge hei hi i hmuh theih, Doctor?
A chunga i sawi tak symptoms nei doctor i hmuh chuan i symptoms leh i toilet habit te (e.g., e.g., i bawlhhlawh paih nan hun rei tak i hmang em?) a zawt hmasa ang che. Tichuan, heng natna te hi i nei em tih finfiah nan test thenkhat an ti ang.
Test lian ber berte
- Endoscopy: Hei hi test tam ber a ni. He test-ah hian camera dahna tube te tak te, flexible tak chu anus kaltlangin dahin a chhunga hliam emaw, thil dang dang emaw awm chu screen-ah hmuh theih a ni. He test hi chi hrang hrang a awm a:
- Anoscopy: Anus leh rectum hnuhnung ber a enfiah thin.
- Flexible Sigmoidoscopy: Rectum leh colon hnuai lam a enfiah thin.
- Colonoscopy: Colon pum pui a enfiah thin.
Test pawimawh dangte
I doctor chuan SRUS ang chi symptoms thlen thei natna khirh dang (e.g., Inflammatory Bowel Disease (IBD) emaw Colon Cancer ) i neih loh nan test dang engemaw zat a rawt thei ang.
- Transrectal Ultrasound: Probe te tak te chu rectum chhungah dahin sound wave hmangin rectum chhung lam bang chiang taka thlalak siam a ni.
- Defecography: Hei hi test bik a ni. Stool pass dan hi X-ray emaw MRI machine hmangin record a ni. Hei hian rectal prolapse ang chi natna a awm leh awm loh dik taka hriat theih nan a pui a ni.
- Anorectal Manometry: Test, hnute chhung leh a chhehvela thau awmte hnathawh leh pressure tehna a ni. Hei hian bawlhhlawh paihna atana inrawlh taksa ruhte chu a thawk tha em tih hriat theih nan a pui thei a ni.
- Biopsy: Endoscopy an tih lai hian lesion atanga tissue te tak te tak te chu lakchhuah a ni a, microscope hmanga enfiah turin laboratory-ah thawn a ni. Hei hi cancer a ni lo tih 100% a hriat chian nan he test hi a pawimawh hle.
Hei hi eng enkawlna nge ni?
Enkawlna chu i natna lan chhuah dan nasat dan leh i natna chhan bulpuiah a innghat a ni. A tam zâwk chuan, i nun dân leh i inthiarna tihdanglam awlsam tak chuan a ṭanpui thei a ni.
| Enkawl dan tur | Hrilhfiahna |
|---|---|
| Ei leh in leh nunphung inthlak danglamna |
|
| Damdawi chi hrang hrang |
|
| Biofeedback hmanga enkawlna a ni | Hei hi behavioral therapy method a ni. Chutah chuan chaw ei laiin pelvic floor muscles te khauh tak tak te hriatchhuah a, tihkhauh ai chuan relaxing practice te a tel a ni. Hei hian straining tih dan tihtawp nan a pui hle. |
| Inzai | Heng hliamte hi rectal prolapse ang chi natna avanga lo awm a nih chuan, chu dinhmun siamthat nan rectopexy tih surgery neih a ngai mai thei. |
Engtikah nge Doctor hmuh hun tha ber?
Hei hi a pawimawh hle. Kan ngaihthah ngai loh tur symptom thenkhat a awm.
I rectum atanga thisen chhuak, i stool-a thisen emaw mucus emaw i pass emaw, bathroom i kal dawna natna awm reng emaw i nih chuan, khawngaihin "ni khat hnuah a bo ang" tih ngaihtuahin ngaihthah suh. A chhan dik tak hriat tumin doctor hmu ngei ang che.
Take-Home Thuchah a ni
- Solitary Rectal Ulcer Syndrome (SRUS) hi natna awm lo, cancer ni lo, mahse a natna a thlen chuan nunna atana hlauhawm tak a ni thei.
- Rectum atanga thisen chhuah hi thil pangngai a ni ngai lo. I hriat chian chuan Doctor pan ngei ngei tur a ni.
- Vawi tam tak chu, hliam tak tak enkawl ai chuan heng hliam awm chhan bulpui (e.g., constipation, rectal prolapse) hi enkawl a pawimawh zawk.
- Thil awlsam tak tak, tui tam tak in te, fiber tamna diet ei te, bathroom-a straining tih loh te hian he natna hi thunun kawngah kawng thui tak a zawh thei a ni.
- I doctor thupek ang chiah kha zawm rawh. Test tul tak tak la la, enkawl dan tur dik tak dawng rawh. Dawhthei taka i enkawl chuan he natna hi i enkawl tha thei ang.
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