&lt;h1&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Botulinum Toxin Injections para sa Anal Fissures&lt;/strong&gt;&lt;/span&gt;&lt;/h1&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Ang anal fissures ay maaaring magdulot ng labis na kirot, at ang pagpunta sa banyo ay nagiging hindi kanais-nais at kinatatakutan. Maraming tao ang umiiwas sa pagpapagamot ng anal fissures dahil sa hiya o kakulangan sa kaalaman tungkol sa mga posibleng lunas.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt;Kung ang anal fissure ay hindi gumagaling sa konserbatibong paraan, maaaring gamitin ang &lt;/span&gt;&lt;/span&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt;&lt;a href=&quot;https://www.pulse-clinic.com/botulinum-toxin-injection-botox-services-in-bangkok-at-pulse-clinic-thailand&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;Botulinum Toxin injection&lt;/strong&gt;&lt;/span&gt;&lt;/a&gt;&lt;/span&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt; sa internal anal sphincter!&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt;Kapag nariyan na ang anal fissure, nagdudulot ito ng spasms sa internal anal sphincter. Layunin ng Botulinum Toxin na luwagan ang mga spasms upang maibsan ang sakit at mapabilis ang paggaling. Ang mga Botulinum Toxin injection ay hindi masakit, ngunit karaniwang isinasagawa sa ilalim ng anaesthesia upang maisagawa ang mas masusing pagsusuri at, kung kinakailangan, alisin ang mga kaugnay na skin tags.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h3 style=&quot;text-align: center;&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Magpa-Appointment na Ngayon!&lt;/strong&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&lt;a href=&quot;https://www.pulse-clinic.com/tl/booking&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/myanmar%20images/Book%20an%20appointment%20(Tagalog).png&quot; width=&quot;300&quot; height=&quot;41&quot; /&gt;&lt;/a&gt;&lt;/p&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Makipag-ugnayan sa amin sa&amp;nbsp;&lt;/span&gt;&lt;a href=&quot;mailto:info.bkk@pulse-clinic.com&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;info.bkk@pulse-clinic.com&lt;/span&gt;&lt;/a&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;o makipag-chat sa iyong napiling platform:&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&lt;strong&gt;&lt;a href=&quot;https://wa.me/66652371936&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/WhatsApp.png&quot; width=&quot;48&quot; height=&quot;82&quot; /&gt;&lt;span style=&quot;color: #ffffff;&quot;&gt;&amp;nbsp;&lt;/span&gt;&lt;/a&gt;&lt;/strong&gt;&lt;strong&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;https://wa.me/66652371936&quot;&gt;+66 65 237 1936&lt;/a&gt;&amp;nbsp;&lt;/span&gt;&amp;nbsp;&amp;nbsp;&lt;/strong&gt;&lt;strong&gt;&lt;a href=&quot;line://ti/p/@946svqfh&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/line-logo.png&quot; width=&quot;50&quot; height=&quot;85&quot; /&gt; &lt;span class=&quot;w-30 inline-block px-2 mt-3&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt; @PULSEClinic&lt;/span&gt;&lt;/span&gt;&lt;/a&gt;&amp;nbsp; &lt;/strong&gt;&lt;strong&gt;&lt;a href=&quot;weixin://dl/chat?pulseclinic&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/WeChat_App_Icon.png&quot; width=&quot;50&quot; height=&quot;85&quot; /&gt;&lt;/a&gt;&amp;nbsp;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;a href=&quot;weixin://dl/chat?pulseclinic&quot;&gt;&lt;span class=&quot;w-30 inline-block px-2 mt-3&quot;&gt;PulseClinic&lt;/span&gt;&lt;/a&gt;&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt;
&lt;h2&gt;&amp;nbsp;&lt;/h2&gt;
&lt;h2&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;Ano ang Botulinum Toxin Injections?&lt;/span&gt;&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Ang Botulinum toxin, mas kilala sa brand name na Botox, ay isang uri ng neurotoxin na humahadlang sa mga signal ng nerbiyos upang maiwasan ang pag-urong ng mga kalamnan. Bagama&amp;rsquo;t pinakasikat ito sa larangan ng cosmetic procedures, may mga benepisyong medikal din ito para sa iba&#39;t ibang kondisyon &amp;mdash; kabilang na ang anal fissures.&lt;br /&gt;Kapag ini-inject sa internal anal sphincter, ang Botulinum toxin ay nagpaparelaks sa kalamnan, na nagreresulta sa pagbaba ng presyon sa paligid ng sugat. Dahil dito, mas mabilis ang paggaling ng anal fissure.&lt;/span&gt;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong&gt;&lt;br /&gt;&lt;/strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Maaaring Gamutin ng Botulinum Toxin ang Anal Fissures?&lt;/strong&gt;&lt;/span&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Ang Botulinum Toxin Type A ay humaharang sa pag-urong ng kalamnan at karaniwang ginagamit sa mga kundisyong may kinalaman sa muscle spasms. Bagama&amp;rsquo;t kilala ito sa paggamit sa mga cosmetic facial injections, may mga pag-aaral na sumusuporta sa pagiging epektibo nito sa paggamot ng chronic anal fissures. Inirerekomenda ng American Society of Colon and Rectal Surgeons ang Botulinum Toxin Type A bilang isang epektibong opsyon para sa kondisyong ito.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Gaano Ka-Epektibo ang Botulinum Toxin para sa Anal Fissures?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Ang Botulinum Toxin Type A injections ay isang alternatibong lunas para sa anal fissures, lalo na para sa mga pasyenteng nais umiwas sa operasyon o nagsisimula pa lamang sa kanilang paggamot. Ang tagumpay ng lunas ay nasa humigit-kumulang 60%, at isinasagawa ang procedure sa ilalim ng sedation at local perianal anesthesia. Sa ganitong paraan, nababawasan ang mga panganib gaya ng impeksyon at pagdurugo na karaniwang kaakibat ng operasyon, at hindi na rin kailangang ma-ospital ang pasyente.&lt;br /&gt;Gayunpaman, maaaring makaranas ng pansamantalang side effect: isang bahagyang pagbaba (mga 5%) ng kontrol sa kalamnan ng puwitan. Karaniwan itong nawawala sa loob ng tatlong buwan habang unti-unting nawawala ang epekto ng gamot.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Bakit Kailangan ng Botulinum Toxin para sa Chronic Anal Fissures?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt;Ang pangunahing benepisyo ng Botulinum Toxin Type A ay ang pansamantalang pagkaparalisa ng kalamnan na tumatagal lamang ng 2&amp;ndash;3 buwan, na sapat na oras upang gumaling ang anal fissure. Pagkatapos ng panahong ito, ganap na bumabalik ang normal na paggana ng kalamnan. Sa karamihan ng mga kaso, hindi naitatala ang pangmatagalang o permanenteng incontinence kahit matapos ang 1&amp;ndash;2 dose ng gamot.&lt;br /&gt;Ito ay isang malaking kaibahan kumpara sa operasyon (tulad ng lateral internal sphincterotomy), kung saan umaabot sa 20% ng pasyente ang may tuloy-tuloy na banayad na incontinence at hanggang 5% naman ang nakakaranas ng ganap na kawalan ng kontrol sa pagdumi. Mas epektibo rin ang Botulinum Toxin kapag isinabay sa mga topical gel, kaysa sa paggamit nito nang mag-isa.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
&lt;h3&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong&gt;&lt;br /&gt;&lt;/strong&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Mga Benepisyo ng Botulinum Toxin para sa Chronic Anal Fissures&lt;/strong&gt;&lt;/span&gt;&lt;/span&gt;&lt;/h3&gt;
&lt;ul&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Walang peklat mula sa operasyon&lt;br /&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Mas mababang panganib ng impeksyon&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Mas kaunting komplikasyon kumpara sa operasyon, gaya ng pagdurugo pagkatapos ng procedure&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Hindi na kailangan ng hospital confinement&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;

&lt;h2&gt;&amp;nbsp;&lt;/h2&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Botulinum Toxin para sa paggamot ng anal fissures&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Ang Botulinum toxin injection ay isang epektibong alternatibo sa operasyon para sa paggamot ng mga simpleng idiopathic anal fissure. Para sa mga pasyenteng hindi tumutugon sa ganitong paggamot o may matinding anal fissure, maaaring kailanganin ang operasyon.&lt;br /&gt;Ang Botox injection para sa anal fissure ay isinasagawa sa pamamagitan ng pag-inject ng Botox sa mga kalamnan sa paligid ng puwitan. Ito ay karaniwang isinasagawa sa ilalim ng general anesthesia, habang nasa lithotomy position ang pasyente (nakahiga na ang mga binti ay nakataas at nakahiwalay).&lt;br /&gt;Ang paggamot na ito ay nakakatulong upang mapawi ang spasms sa internal anal sphincter sa pamamagitan ng pagharang sa mga signal ng nerbiyos &amp;mdash; nang hindi sinisira o pinipinsala ang mismong kalamnan. Sa ganitong paraan, gumaganap ito bilang isang &amp;ldquo;chemical sphincterotomy&amp;rdquo; na hindi kailangan ng hiwa o operasyon.&lt;/span&gt;&lt;/p&gt;
&lt;div class=&quot;flex max-w-full flex-col flex-grow&quot;&gt;
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&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;/div&gt;
&lt;/div&gt;
&lt;/div&gt;
&lt;/div&gt;
&lt;p style=&quot;text-align: center;&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/Botox%20for%20Anal%20Fissure/botox-for-anal-fissure-infographic-1.jpg&quot; width=&quot;425&quot; height=&quot;318&quot; /&gt;&amp;nbsp; &amp;nbsp;&lt;img src=&quot;https://cms.pulse-clinic.com/Files/Botox%20for%20Anal%20Fissure/botox-for-anal-fissure-infographic-2.jpg&quot; width=&quot;425&quot; height=&quot;318&quot; /&gt;&lt;/span&gt;&lt;/p&gt;
&lt;div style=&quot;text-align: center;&quot;&gt;&lt;span style=&quot;color: #808080;&quot;&gt;Reif, T., H Gurland, B., L Hull, T., Zutshi, M., &amp;amp; Department of Colorectal Surgery, Digestive Disease &amp;amp; Surgery Institute, Cleveland Clinic, Cleveland, Ohio. (n.d.). Botox&amp;reg; to treat Levator Spasm and Obstructed Defecation. In&amp;nbsp;&lt;em&gt;https://www.ics.org/Abstracts/Publish/452/eposter/414.pdf&lt;/em&gt;.&lt;/span&gt;&lt;/div&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Ano ang Anal Fissure?&lt;/strong&gt;&lt;/span&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt;Ang &lt;/span&gt;&lt;/span&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt;&lt;a href=&quot;https://www.pulse-clinic.com/anal-fissure-causes-symptoms-and-treatment&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;Anal Fissure&lt;/strong&gt;&lt;/span&gt;&lt;/a&gt;&lt;/span&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt; ay isang punit sa gilid ng puwitan na karaniwang sanhi ng paglabas ng matitigas o malalaking dumi. Karaniwang nagrereklamo ang mga pasyente ng matinding &amp;ldquo;parang hinihiwang&amp;rdquo; sakit sa puwitan habang tumatae, na maaaring may kasamang sariwang pulang dugo sa dumi o sa toilet paper. Natutukoy ito sa pamamagitan ng pagkuha ng medical history at pisikal na pagsusuri, kung saan makikita ang mismong punit sa gilid ng puwitan. &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Ano ang mga Sanhi ng Anal Fissures?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt;Ang anal fissures ay maliliit na punit o bitak sa panloob na lining ng puwitan. Maaari itong maging masakit at karaniwang dulot ng pinsala o trauma sa anal canal. Narito ang ilang karaniwang sanhi ng anal fissures.&lt;/span&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt;&lt;br /&gt;&lt;/span&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt;&lt;br /&gt;&lt;/span&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Mga karaniwang sanhi ng anal fissures:&lt;/strong&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Paglabas ng malalaki o matitigas na dumi&lt;br /&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Constipation at pag-iri nang matindi habang dumudumi&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Matagal na pagtatae&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Anal intercourse.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Panganganak&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Iba pang sanhi ng anal fissures:&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Crohn&#39;s disease o iba pang inflammatory bowel disease&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Anal cancer.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;strong&gt;&lt;a href=&quot;https://www.pulse-clinic.com/hiv&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;HIV&lt;/span&gt;&lt;/a&gt;&lt;/strong&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Tuberculosis.&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;a href=&quot;https://www.pulse-clinic.com/syphilis&quot;&gt;&lt;span style=&quot;text-decoration: underline;&quot;&gt;&lt;strong&gt;Syphilis&lt;/strong&gt;&lt;/span&gt;&lt;/a&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;a href=&quot;https://www.pulse-clinic.com/syphilis&quot;&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt;&lt;br /&gt;&lt;br /&gt;&lt;/span&gt;&lt;/a&gt;&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Mga Sintomas ng Anal Fissure&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Kasama sa mga karaniwang sintomas ng anal fissure ang mga sumusunod:&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Sakit habang dumudumi.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Patuloy na sakit pagkatapos dumumi na maaaring tumagal nang ilang oras.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Dugo sa dumi o toilet paper.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Punit o bitak sa balat na nakapalibot sa puwitan.&lt;/span&gt;&lt;/li&gt;
&lt;li style=&quot;font-weight: 400;&quot; aria-level=&quot;1&quot;&gt;&lt;span style=&quot;font-weight: 400; color: #99ccff;&quot;&gt;Maliit na umbok o skin tag malapit sa punit.&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;h2&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;&lt;br /&gt;Mga Uri ng Anal Fissure&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt;May dalawang uri ng anal fissures, na inuuri batay sa tagal o duration:&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
&lt;ol&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Acute Anal Fissure&lt;/strong&gt;&lt;/span&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;:&lt;/span&gt; Tumitindi ang mga sintomas mula ilang araw hanggang ilang linggo at kadalasang gumagaling gamit ang paggamot gaya ng laxatives para sa constipation, fibre supplements upang palambutin ang dumi, at mga gamot para sa pananakit (topical o oral).&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Chronic Anal Fissure&lt;/strong&gt;&lt;/span&gt;&lt;span style=&quot;font-weight: 400;&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;:&lt;/span&gt; Nabubuo kapag mabagal ang paggaling at kadalasan ay may kasamang spasms ng anal sphincter, na nagpapababa ng daloy ng dugo sa gitna ng puwitan at nagpapatagal ng paggaling. Tumatagal ang mga sintomas nang higit sa anim na linggo at nagdudulot ng tuloy-tuloy na sakit sa tuwing dumudumi, kahit malambot ang dumi. Maaaring magpakita ng malalim na luha, skin tags (sentinel piles), o panloob na bukol na kahawig ng almoranas (hypertrophic anal papilla). Kadalasang kailangan ng operasyon bilang lunas.&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
&lt;/ol&gt;

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