Saturday, 10 August 2013

PILE
 
“Ka pile a nâ, tunlai chu ka inthiar a nuam lo”

Hetiang \awngkam hi i lo
        hre ve fo tawh \hin awm e. Zûk leh hmuam ngaina hnam leh thingpui heh tak hnam kan nih avangte hi a ni mahna, mi tam tak hian pile kaihhnawih harsatna hi kan ngah em em ni.

Eng nge pile chu ?

    Pile hi a awmzia chu a mawlmang thei ang bera sawi chuan êk paha thi far emaw bâwk lawr kan ti thei awm e. A tlangpuiin, pile ringawt hi a nâ lo tura ngaih a ni, nâ  a tel chuan natna dang kaihhnawih a tel duh viau \hin.
    Pile hi a awlsam zawng-in chi 4-ah \hen a ni a -
    1. First degree - Ek zawnga thi mahse bâwk khawih fuh tur awm lo.
    2. Second Degree - Ek zawnga thi, êk zawng chauha bâwk rawn awm \hin, amaha let leh mai \hin.
    3. Third Degree - Ek zawnga thi awm bawk, bâwk rawn chhuak tel bawk mah se nawr luh leh theih.
    4. Fourth Degree - Ek zawnga thi chhuak, bâwk rawn chhuak bawk, bâwk nawr luh leh theih tawh loh.
    A \hen hran dan hrang hrang a\ang khian pile natna awmdan tlangpui chu a hriat theih awm e, nâ hi a tel ngai mang lo tih kan hriat tel a pawimawh hle. Ek zawng thi, bâwk rawn chhuak bawk, nâ em em \hin hi chu a tlangpuiin mi tam zawkah chuan  ‘Fissure’ kan tih hi a ni \hin a, kum upa lamah chuan cancer te pawh pile ang deuhin a rawn inlan ve \hin a ni.

Pile awmna chhante

    Pile awm chhan tam tak a awm a, sawi vek sen pawh a ni lem lo ang, mahse, kan ram anga pawimawh chin ang chauh han tarlang ila -
    Pile siamtu pawimawh taka hriat chu êk zawnga san vak vak hi a ni. A tlangpuiin, êk khal chi emaw inthiar harsat \hin hoah hian a awm duh em em a ni. Zûk leh hmuam avanga êk khal/mumal lo hi kan ramah chuan kan tam hle awm e. Chhan hrang hrang avanga chaw hunbi neih mumal loah te hian a tam hlea hriat a ni. Hmeichhiaah a tam zual bik duh a, vawih insum emaw êk insum emaw hrat lutuk vangte pawh hian a awm thei a ni. Kaw\halo emaw santên kan tih lampang neihte hian pile a insiam hma duh bik em em angaih a ni bawk. Chhan dang lehah chuan pum chhung nemna (pressure) sang bikah a awm duh a - naupai vangte, thau lutuk, pum chhunga bawk lian tham, khuh benvawn, hritlang benvawn, zun-kawng emaw ril fel loh vanga inthiar zawnga san vak vak ngai \hin hoah te hian a awm duh bik hle bawk a ni. Tin, zû vanga thin \ha lo nei nasa tawh takah pile hi a awm duh le a, fimkhur a ngai leh zual hle a ni. Pianpui \hat lohna (mawngbawr tinem chak lo /thisenzam chak lo) taksa pianphung dik tawk loh avangte pawha awm theia ngaih a ni.

A lan chhuah dan

    A lan chhuah dan tlangpui chu ek zawnga thisen lar lo far fep fep \hin a ni tlang pui a, bawk awm hnua hre ve chauh pawh an awm \hin. Kaihhnawih dang a neih chuan êk zawnga nâ te, bawlhhlawh chhuak (discharge) emaw mawngbawr thak te pawh a tel ve \hin. Dâng sâwp khawpa pile lo nei rei tawh, inhre ngai miah lo pawh an awm ve \hin bawk.

Pile leh natna dangte

    Pile hi enkawl vat loh chuan natna dang \ha lo tak tak a kângkai thei a, ulcer te a insiam thei a -
    1. Fibrosis (benvawn reh thei lo sak \el \ul)
    2. Strangulation (taksa peng thisen tlakchham avanga reh hlum/thih)
    3. Thrombosis (thisen zama hlawm kalkual thei)
    4. Gangrene (taksa \awih/nung thei tawh lo, infectin hnai la te thlengin a siam thei a ni.

Pile enkawl dan

    A enkawl dan han tih hian \hen hnihin ti ta ila -

    1. Damdawi hmanga enkawl - Second degree thleng hi chu zai loha enkawl dam thei a ni a, third degree hi chu zai ngai tura ngaih a ni (an zai nghal vek kher lo, damdawi hmanga enkawl phawt te a \hen chuan an duh \hin). Damdawi ei chi emaw hnawih chi bakah hian pile chiu (injection therapy) te pawh tih theih a ni.

    2. Zai (Surgery) - Zai tih hian pile hren (banding), a deh ral emaw zai (Haemorr-hoidectomy) te a ni.
    Damdawi te hi mahnia ei ngawt chi ani lova, kan sawi tawh angin natna dang tam tak pile ang taka awm ve \hin a awm. Chuvangin, doctor pan vat a \ha ber a ni, zai ngaih  kher lova enkawl dam thei a tam a, chuvangin zai hlauh avanga inentir hrehte hi a \ha lo em em a ni. A rang lamin doctor pan la, pile tei lovin hringnun hmang ang che.

- Dr. C. Laldinpuia
(Hriselna, May, 2013)

1 comment:

  1. Second degree hi inlama mahni in enkawlna damdawi han tarlang hram teh uh !

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