Toilet-ah i kal a, i chhuak vek tawh ang tih han ngaihtuah teh. Mahse minute tlemte chhungin i rilru a rit leh ta a, i ek chhuah leh ngai ang maiin i awm leh ta a ni. Engtiang pawhin bei mah la, engmah a chhuak lo. Hetiang dinhmun nuam lo tak hi nang pawhin i tuar ve em? Hei hi damdawi lamah Tenesmus kan tih chu a ni. Hei hi hrehawmna mai ni lovin, i taksa chhungah thil dik lo a awm tih hriattirna a ni.
Tenesmus hi eng nge ni tak tak?
A awlsam zawngin, tenesmus chu i ril emaw, i bladder emaw i tihthianghlim hnuah pawh, bawlhhlawh paih duhna reng reng a ni. I pum na, i hrual, i rit a, a nih loh leh rang taka bawlhhlawh paih duhna pawh i nei thei.
Hetiang dinhmun hi kawng lian pahnihin a thleng thei a:
1. Rectal Tenesmus: Hei hi bawlhhlawh paih nen a inzawm a ni. Bowel movement i neih hnuah pawh efecate ngai ang maia inhriatna i la nei tihna a ni.
2. Vesical Tenesmus: Hei hi zun chhuah nen a inzawm a ni. Chumi awmzia chu zun hnuah pawh zun (bladder) chu a la khat reng a, zun leh tur anga inhriatna a awm tihna a ni.
A pawimawh ber chu tenesmus hi thil pangngai a ni lo. Damdawi lam dinhmun hnuaia awm dang chhinchhiahna a ni. Chuvangin ngaihthah hi a tha lo.
Rectal tenesmus hi engte nge ni?
Stool nena inzawm tenesmus awm chhan hi chi hnih a awm a. Chungte chu inflammation leh constipation te an ni. Hengte hi a hranin han thlir ila.
| Chhanna category a ni | Sawifiahna leh entirnan |
|---|---|
| Pun | Hetiang dinhmun hi i colon hnuai lam (rectum leh anus) a lo hring a, a sensitive a nih chuan a lo awm thei a ni. Hei hian stool i pass hian i khat thei a, i thluaka signal thawntu nerve te pawh a tichak thei a, chu chuan bowel movement neih chhunzawm zel turin a hrilh bawk. A chhan lian ber berte chu:
|
| Ek khal | Constipation avanga bawlhhlawh khauh tak takte chu intestines-ah a tang a nih chuan intestinal walls te chu a tichak reng thin. Hei hian ril chu a hring lo nachungin, a ril chu a hring chhuak ngai lo tih hriatna a siam fo thin. Constipation awm chhan: 1.1.
|
Urinary tenesmus (vesical tenesmus) hi engte nge ni?
I zun zawh hnua zun leh tur anga i hriat chhan ang chiah hi zun kawng (bladder)-a zun awm reng emaw, zun kawng chhunga inflammation emaw infection emaw vang pawh a ni thei.
| Chhanna category a ni | Sawifiahna leh entirnan |
|---|---|
| Bladder chhunga zun awm chhunte | Eng emaw chhan vanga bladder chu a chhuah vek theih loh chuan zun la awm chuan bladder muscle te a tichak a, zun chhunzawm zel a ngai tih hriatna a siam thin. A chhan: 1.1.
|
| Urinary tract inflammation/infection awm thei a ni | Urethra a lo hring a, a sensitive chuan nerve a tichak thei a, chu chuan he sensation hi a siam thei a ni. A chhan: 1.1.
|
Stress leh he dinhmun hi inzawmna a awm em?
Ni e, inzawmna a awm. Tenesmus hi stress leh lungkham vang a ni lo. Mahse, a thlentu condition i neih tawh chuan stress hian a ti na zual thei a ni. Kan stress hian kan nervous system balance a danglam a, chu chuan kan taksa ruhte thunun a harsat phah tih hre reng ang che. Hei hian Tenesmus-a involuntary muscle contraction awm thin chu a tipung thei a ni. Tin, he dinhmun hi a awm reng hi a buaithlak hle thei bawk.
Engtin nge tenesmus hi enkawl a nih?
Heng symptoms te hi i neih chuan i tih hmasak ber tur chu doctor pan hi a ni . Doctor chuan a enfiah ang che a, i natna lan chhuah chhan dik tak hriat a tum ang. A hnuaia test te hi an ti thei ang:
- Digital Rectal Exam: Rectum chu kut hmanga enfiah a ni.
- Anoscopy/Flexible Sigmoidoscopy: Camera hmanga tube hmanga rectum leh lower colon enfiah.
- Colonoscopy: Colon pum pui enfiah.
A chhan an hriat veleh chu a chhan a\angin enkawl dan tur an rel \hin.
- A hnuaia dinhmun enkawl dan: Infection pakhat tan antibiotics pek theih a ni a, constipation na tak tan damdawi pek theih a ni bawk. Condition thenkhatah chuan operation a ngai thei bawk.
- Inflammation enkawl dan: Inflammation tihziaawm nan damdawi corticosteroids te pek theih a ni.
- Rectal symptoms enkawlna: Natna leh inflammation tihziaawmna damdawi chu rectum chhunga suppositories dah angin pek theih a ni.
- Muscle-targeted therapy: Involuntary muscle contraction control thei damdawi (anticholinergics) emaw (antispasmodics) emaw pek theih a ni.
- Cancer symptom management: Cancer vanga tenesmus enkawl hi a buaithlak hle. A châng chuan natna tidamtu emaw, zai emaw a ngai thei bawk.
Engtikah nge Doctor i hmuh nghal tur?
Hetiang dinhmun hi i doctor nen inbia fo ang che. Mahse, a hnuaia chhinchhiahna na tak takte hi i neih chuan damdawi lam thurawn la nghal mai mai suh .
Heng symptoms te hi i neih chuan: khawsik , luak chhuak leh luak chhuak , natna nasa tak , emaw i bawlhhlawh/ zun chhunga thisen awm , doctor thurawn zawng nghal rawh. A tul chuan damdawi in hnai ber Emergency Department (ETU) ah kal thin ang che.
Hetiang harsatna nena nun hi a harsa hle thei. Hemi chungchang hi Doctor hnena sawipui zak suh. Ngawi rengin hrehawm tuar suh. Tenesmus hi enkawl ngai natna lanchhuahna a ni. A bulpui ber chu a rei lo va, tihdam theih loh (IBD ang chi) ni mah se, enkawlna dik tak a awm chuan heng natna lan chhuahna nuam lo tak takte hi i thunun thei a, nun pangngaiin i nung thei a ni.
Take-Home Thuchah a ni
- Tenesmus hi natna a ni lo va, a hnuaia awm natna dang chhinchhiahna a ni.
- Hetiang harsatna hi bawlhhlawh paih (rectal) emaw, zun (vesical) emaw a awm thei.
- A chhan dik tak zawn chhuah a, enkawl a pawimawh hle. Chuvangin heng symptoms te hi ngaihthah suh.
- Khawsik, natna nasa tak, emaw i bawlhhlawh/ zun chhunga thisen awm ang chi symptoms i neih chuan doctor pan nghal rawh.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Disopyramide / Norpace capsules hi natna pakhat tan damdawi chak tak a ni em?
Hei hi damdawi pangngai a ni lo! Hei hi damdawi chak tak (Class 1A Antiarrhythmic) special occasion medicine a ni a, nunna atana hlauhawm Ventricular Arrhythmias / V-Tach / PVCs control nan hman a ni a, chu chu thinlung 'lower chambers (Ventricles)-a rhythm rang tak, control loh, abnormal/rapid rhythm lo awm thin, damlo chu coma-ah a tla a, a thi a, thinlung chu a pangngaia siam leh nan!
💬 I thinlung chu mi â ang maia a nat lai hian engtin nge he pill (Disopyramide) hian i thinlung rhythm tihreh nan a puih?
Thinlung hian electrical impulse a neih theih nan leh a beat chak zawk tur chuan ‘sodium’ particle te chu cell chhungah an lut a ngai a ni! He pill hi thinlunga a luh chuan sodium channel zawng zawng a block vek (Moderate Sodium channel blocker). Chu bakah, thinlunga electrical cell-te charge leh reset hun chhung chu tharum hmangin a ti rei a, a tikhawtlai bawk (Repolarization / Potassium blockade)! Heng thiltih pahnih hmang hian electrical signal rilru na zawng zawng chu a tawp vek a, thinlung chu a slow ta vek a ni.
💬 He damdawi (Norpace) ei thinte hriat tur anticholinergic leh ‘black box warnings’ te hi engte nge ni?
Hemi chungchanga harsatna lian ber chu taksa pum puia secretions a ti vawt (Severe Anticholinergic effect)! Chuvang chuan lei/ka chu a vawt a, khawih a harsa a, zun chu bladder-ah a tang (Urinary retention), mit a fim a, constipation nasa tak a awm bawk. Thihna thlen thei dang chu thinlung ‘Negative inotropic effect’ nasa takin a tichak lo a ni! Chuvangin heart failure (Heart Failure) nei chuan hei hi a in chuan a thinlung chu a ding thei a, a thi thei bawk (Proarrhythmic effect).
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