Fistula (Bhagandar / Nasoor) Kya Hai? Alamat, Wajuhat Aur Laser Ilaj

Tehreer: Dr. Abdullah Iqbal — MBBS, FCPS (Surgery), Member ESCP & ASCRS, PMDC #63108-S. Consultant Laser Proctologist, Karachi Piles Clinic. Aakhri Tibbi Jaiza: 29 July 2026.

Agar aap ke maqad (anus) ke ird gird koi phoड़ा, sozish, ya aisi jagah ban gayi hai jahan se baar baar pip (puss) ya paani nikalta hai, aur wo theek ho kar dobara ubhar aata hai — to mumkin hai aap ko fistula ho. Isay Urdu mein “bhagandar” ya “nasoor” kehte hain. Mere clinic mein bohat se mareez mahinon is takleef ke sath jeete hain, sharm ki wajah se doctor ko nahi dikhaate. Lekin fistula khud theek nahi hota — iska sahi ilaj zaroori hai.

Fistula (Bhagandar / Nasoor) Kya Hai?

Fistula aik chhoti si surang (tunnel) hoti hai jo maqad ke andar se shuru ho kar jild ke bahar tak banti hai. Ye aksar maqad ki aik chhoti granthi (gland) mein infection (phora / abscess) se shuru hota hai. Jab wo phora phatta hai ya nikala jata hai, to peeche aik raasta reh jata hai jise fistula kehte hain. Is surang se pip, paani ya kabhi khoon nikalta rehta hai.

Fistula Ki Alamaat (Symptoms)

• Pip ya paani ka nikalna: Maqad ke paas aik chhoti si sozish jagah se peeli ya badbudaar paani/pip nikalna. Ye sab se aam alamat hai.
• Baar baar phora banna: Wahi jagah sujti hai, dard karti hai, phir phatti hai — aur ye silsila chalta rehta hai.
• Dard aur sozish: Baithne ya paykhana ke waqt dard.
• Kapdon par daagh: Andaruni kapdon par pip/paani ke daagh.
• Khujli aur jalan: Maqad ke ird gird.
• Bukhar: Agar infection barh jaye to halka bukhar bhi ho sakta hai.

Fistula Kyun Hota Hai? (Wajuhat)

• Anal abscess (phora): Sab se aam wajah — maqad ki granthi mein infection.
• Purana infection: Jo theek na hua ho.
• Aanton ki bimariyan: Jaise Crohn’s disease (kam aam).
• TB (tuberculosis): Pakistan mein kabhi kabhi fistula TB ki wajah se bhi hota hai.
• Chot ya operation: Maqad ke ilaqe mein.

Fistula Ka Ilaj

Ye samajhna zaroori hai: fistula sirf dawaon ya creams se theek nahi hota. Surang ko band karne ke liye procedure zaroori hota hai. Achhi baat ye hai ke aaj kal jadeed aur be-dard tareeqe mojood hain:

• Laser fistula treatment (FiLaC): Laser se surang ko band kiya jata hai. Kam dard, jaldi sehat, aur maqad ke muscles mehfooz rehte hain.
• Fistulotomy: Simple fistula ke liye surang khol kar theek karna.
• Seton: Pechida (complex) fistula ke liye aik dhaaga daal kar aahista aahista ilaj.
• Antibiotics: Infection control ke liye — lekin ye sirf madadgaar hain, mukammal ilaj nahi.

Kaun sa tareeqa behtar hai, ye fistula ki qism aur gehrai par munhasir hai. Isi liye mahir doctor se muaina zaroori hai. Mere clinic mein main pehle fistula ka naqsha (MRI ya examination) banata hoon, phir mareez ke liye behtareen aur mehfooz tareeqa chunta hoon taake maqad ke muscles ko nuqsaan na ho.

Fistula Ka Operation Na Karwaya To Kya Hoga?

Fistula ko nazar-andaz karna khatarnak ho sakta hai. Waqt ke sath surang aur pechida ho jati hai, naye raaste ban sakte hain, baar baar phora banta hai, aur bohat kam surton mein purane fistula mein sanjeeda masail bhi ho sakte hain. Isi liye main hamesha kehta hoon: bar-waqt ilaj sab se aasaan ilaj hai.

Aam Sawalaat (FAQs)

Kya fistula dawa se theek ho jata hai?

Nahi. Antibiotics infection kam karti hain lekin surang ko band karne ke liye procedure (jaise laser ya seton) zaroori hota hai.

Kya fistula ka laser ilaj hota hai?

Ji haan. Laser (FiLaC) ek jadeed, kam-dard tareeqa hai jisme maqad ke muscles mehfooz rehte hain aur sehat jaldi hoti hai.

Fistula aur bawaseer mein kya farq hai?

Bawaseer nason ki sujan hai (khoon aata hai). Fistula aik surang hai jisme se pip nikalta hai. Donon bilkul alag hain.

Kya fistula dobara ho sakta hai?

Agar ilaj adhoora ho to dobara ho sakta hai. Isi liye mahir laser proctologist se mukammal ilaj karwana zaroori hai.