I rilru hnuai lam ah cancer i nei em? Hypopharyngeal Cancer chungchang hi han sawi ila!

Thlarau cancer chungchang hi i ngaihtuah ngai em ? I nei tawh ngei ang. Vawiin hian kan sawi dawn a, cancer chi khat, rilru chhunga awm, mahse sawi tlem deuh a ni. Hei hi Hypopharyngeal Cancer an ti a . A awlsam zawngin kan rilru hnuai lam, chu chu kan rilru hnuai lam (`(Pharynx)`)-ah a lo thang lian a, a bik takin voice box (`(Larynx)`) hnung lamah a lo thang lian a ni. Hei hi chipchiar deuhin han thlir ila, kan ti ang em?

He cancer hi engtiang chiahin nge a awm?

Dik tak chuan he hypopharyngeal cancer hi chutiang chuan a awm lo. Ngaihtuah teh, America ang ramah pawh kum khatah mi 2000 atanga 4000 vel chauh he natna hi an vei tih hmuhchhuah a ni. Mahse lung cancer ang chi thil nen kan khaikhin chuan chu chu a tlem hle. Entirnan, kum 2023 chhung ringawt khan America ramah hian mi sanghnih chuang zetin lung cancer an vei tih hmuhchhuah a ni. Chuvangin hei hian hei hi a tlem deuh tihna a ni a, chu chu hmuh fo a ni lo tihna a ni.

Hypopharyngeal cancer natna lan chhuah dan chu engte nge ni?

Hetah hian harsatna pakhat chu he cancer hian a tir lamah chuan symptom a nei lo mai thei . A châng chuan cancer hi a lan chhuah hun thlengin a darh (metastasized) tawh thei bawk. Mahse, a lan chhuah dan chu:

• Thlarau na emaw, rilru chhunga thil awm tih hriatna emaw.
• Hoarseness a awm .
• Chaw ei harsat .
• Beng na a na .
• Kawr chhunga lymph node lo hring chhuak .
• Thâwk hahna emaw, chhan hriat loha rilru chhunga thil awm emaw .
• Chau lutuk tih hriatna (` Fatigue` ).
• Aw a inthlak .
• Thâwk harsa emaw, thawk chhuah laiin thawm ri emaw (`(Stridor)`).
• Thisen chhuak chhuak .
• Chhan awm lova thinrim .

A pawimawh ber chu heng symptoms te hi i neih vang mai maia he cancer hi i vei tih hlau loh hi a ni. A chhan chu heng symptoms te hi natna tenau dang dangah pawh hmuh theih a nih vang a ni. Mahse, heng chhinchhiahna zinga pakhat tal chu kar hnih aia rei a awm reng chuan doctor pan ngei ngei tur leh thurawn lak chu a finthlak hle.

Engvangin nge hypopharyngeal cancer hi a lo awm?

A awlsam zawngin sawi ila, he cancer hi i hypopharynx (i rilru chhunga i rilru chhunga awm, i rilru chhunga awm) cell-ah a lo awm thin. Heng cell te hi an inthlak danglam a, cancer an ni a, thunun theih lohvin an inthen a, tumor an siam thin. Mithiamte chuan hetiang thil hi a thlen chhan dik tak an sawi thei lo. Mahse, risk factor thenkhat a awm a, chu chuan he cancer hi i vei theihna chance nasa takin a tipung a ni. Anni chu:

• Meizial zuk: Hei hi ril cancer vei theihna lian ber pakhat a ni a, hypopharyngeal cancer pawh a tel. Hei hian cigarette, cigar, pipe zuk, electronic cigarette (`(e-cigarettes)`) hman, chewing tobacco, chewing gum, leh chewing tobacco te a huam a ni.
• Zu in fo leh zu in tam: Zu in tam leh zu in hi mipa tan ni khata zu unit hnih aia tam, hmeichhia tan ni khata unit khat aia tam in tihna a ni.
• HPV Infection: Human Papillomavirus (HPV) hi mipat hmeichhiatna hmanga kai theih natna (STI) a ni. Hripui vei mi nen oral sex hmanga kai theih a ni.

Hetiang dinhmun atang hian eng harsatna nge lo awm thei?

Hypopharyngeal cancer hi a tir lamah chuan kawr chhunga lymph node-ah a darh thei a ni. Chuvang chuan i kawr ah lump i hmuh chuan doctor nen inbiakna neih a pawimawh hle. Enkawl loh chuan he cancer hi a hnuaia hmun hrang hrangah hian a darh thei a ni:

• I chaw kawng (`(Esophagus)`).
• Hlohna hmun dang.
• Thyroid gland (`(Thyroid)`) tih a ni.
• Trachea (thlipui tleh) a ni.
• Hyoid ruh (`(Hyoid ruh)`).
• A rilru a buai em em a.
• Spine chunglam vel a tissue awm.
• A rilru a buai em em a, a rilru a hah em em bawk a.`(Carotid artery)`).

Engtin nge he cancer hi hmuhchhuah a nih?

Doctor i hmuh chuan i natna lan chhuah dan te, eng chen nge i neih tawh tih te, zuk leh hmuam emaw zu i hman leh hman loh te a zawt ang che, heng thilte hian he cancer hi i vei theihna a tipung a ni.

Tichuan Doctor in a enfiah ang che. I lymph nodes a hring em tih en turin i kawr chu a hre ang a, i kawr chu a enfiah ang.

I natna lan chhuah dan azirin i doctor chuan beng, hnar leh rilru lam specialist (ENT specialist emaw Otolaryngologist) hnenah a refer thei che a ni. Lu leh kawng natna hriatchhuah leh enkawl kawngah a thiam hle. Test a order thei a, chungte chu:

• Endoscopy: He test-ah hian doctor chuan i rilru hnuai lam chu enfiah turin tube sei tak, te tak te (endoscope) a dah a. Voice box (larynx) enfiah nan laryngoscopy an tih test pawh tih theih a ni bawk.
• Biopsy test (`(Biopsy)`): 1. A rilru a hah lutuk chuan a rilru a buai em em a.Doctor chuan tissue sample lak nan fine-needle aspiration (FNA) a order thei a ni. He tissue sample hi microscope hmangin pathologist chuan cancer cell awm leh awm loh a enfiah leh thin.
• Imaging test: Biopsy-in hypopharyngeal cancer i nei tih a finfiah chuan i ENT specialist chuan oncologist hnenah a refer ang che. A rilru a buai em em a, a rilru a hah em em bawk a, a rilru a buai em em bawk a, a rilru a hah em em bawk a, a rilru a buai em em bawk a, a rilru a hah em em bawk a. Chungte chu CT scan (Computed Tomography), MRI scan (Magnetic Resonance Imaging), emaw PET scan (Positron Emission Tomography) te pawh a ni thei.

Cancer staging leh grade chungchang pawh zir ila.

Cancer staging hi oncologist ten cancer chungchang chipchiar zawka an sawi theihna tur a ni. Entirnan, tumor chu khawiah nge a awm, a darh tawh em, a darh a nih chuan khawiah nge, a nih loh leh taksa peng dangah cancer a darh em tih te.

Hypopharyngeal cancer stage hrang hrangte hi Stage I atanga – cancer hi rilru hnuai lam chauh a awm a, a darh loh lai – Stage IV thleng a ni. Stage IV chu cancer hi ril leh hmui hmun dang, hnar hnunglam (nasopharynx), luruh bul leh rilru chhunga lining-a a darh tawh a ni.

Hypopharyngeal cancer pawh hi grade hrang hrangah then a ni bawk. Cancer grade hian oncologist te chu cancer a darh chak dan tur a hrilhfiah thei a ni. Heng grade te hi GX (cancer hian a darh theihna chance a nei tlem hle) atanga G3 (cancer hi a darh theihna a sang hle) thlengin a awm a ni.

Hei hi eng enkawlna nge ni?

Enkawlna hman tlanglawn ber chu tumor lakchhuahna surgery leh cancer cell la awm zawng zawng tihhlum turin radiation therapy a ni. I oncologist chuan surgery leh chemotherapy emaw immunotherapy emaw pawh a hmang dun thei bawk.

Hypopharyngeal cancer enkawlna atana surgical option thenkhat chu hetiang hi a ni:

• Partial or total pharyngectomy: He surgery hian i rilru zawng zawng emaw, a then emaw a paih chhuak vek a ni. Hei hian laryngectomy an tih surgery pawh a huam thei a, chu chuan voice box (larynx) a paih chhuak thin. I rilru hian thawk a puih avangin, laryngectomy tube dah theih turin operation hnuah stoma emaw opening emaw siam a ni. Operation hnuah he tube hmang hian i thawk chhuak ang.
• Laryngectomy (`(Laryngectomy)`) tih a ni a:Laryngectomy i neih chuan i surgeon chuan i thlipui (trachea) leh i chaw kawng (oesophagus) inkarah khur te tak te (tracheoesophageal puncture – TEP) a siam thei a ni. Hei hi voice prosthesis (laryngectomy speaking device) dahna hmun a ni.
• Neck dissection: Surgeon chuan hetiang hian a ti thei a, a kawr chhunga lymph node natna nei te chu a paih chhuak thei a ni.
• Transoral robotic surgery (TORS): He surgery hmang hian surgeon-te chuan cancer natna hrik awmte chu thlen harsana hmun, ril hnuai lam ang chi te chu an paih chhuak thei a ni.
• Reconstructive surgery: Kawngkhar emaw, aw bawm emaw zawng zawng emaw, a then emaw lak chhuah vek a nih hnuah, ei leh in, thawk, leh aw hmanrua hman theihna te siam that leh nan reconstructive surgery neih a ngai mai thei.

Thlarau cancer natna surgery hian i thusawi, ei leh in leh thawk thiamna a nghawng thei a ni. Operation i tih hmain i surgeon hnenah a enkawlnain engtin nge a nghawng ang che tih zawt hmasa phawt ang che. Entirnan, operation avanga thusawi emaw, ei leh in emaw harsatna eng pawh enkawl dan tur zir turin speech-language pathologist (Speech-language pathologist) nen in thawk dun thei ang.

He cancer hi ven dan tur a awm em?

A ven kim theih loh nachungin, hypopharyngeal cancer vei theihna tur tihziaawmna tur thil i tih theih a awm a:

• Zuk leh hmuam hman loh vek leh secondhand smoke pumpelh.
• Zu in tihtawp emaw, i in tam lutuk tihtlem emaw.
• HPV virus laka vaccine lak a, safe sex hmang la, HPV infection lakah inveng rawh.

Hetiang dinhmun hi ka neih chuan eng nge ka beisei ang?

Hypopharyngeal cancer hi enkawl hnuah a lo let leh (recur) thei a ni. Hei hian taksa hmun dangah cancer chi thar vei theihna a tipung bawk. Doctor-te chuan hei hi ``cancer pahnihna'' tiin an sawi.

Chuvangin, i cancer enkawltu team-te’n i hriselna zawng zawng an enfiah theih nan leh a lo lang leh theihna tur, a darh (metastatic) hypopharyngeal cancer emaw, cancer pahnihna emaw a awm leh awm loh enfiah turin follow-up appointment i neih fo a ngai ang. He follow-up-ah hian imaging test leh physical exam te pawh a tel thei. Heng appointment te hi a hnuaia mi ang hian ruahman theih a ni:

• Enkawl hnu kum khatna atan thla hnih danah .
• Kum hnihnaah thla li danah .
• Kum thumnaah thla ruk danah .
• Kum lina leh kum nganaah kum khatah vawi khat .
• Thil engemaw takah chuan, i cancer enkawltu team chuan dam chhung zawnga enkawl zui zel turin an rawt thei a ni .

Damchhuah zat chu engzat nge ni?

Damchhuah zat ngaihtuah hian hengte hi midang hypopharyngeal cancer vei tawhte thil tawn atanga chhut chhuah mai a ni tih hriat reng a pawimawh. Heng rates hi cancer hi a bul tanna hmun khatah a awm leh awm loh, a bul hnaia tissue leh lymph node-a a darh (‘regional’), taksa hmun danga a darh (‘hlat’) a zirin a inang lo hle.

Tin, heng rates te hi i hriselna zawng zawng leh thil dang a zirin a danglam thei bawk. I oncologist hnenah heng damchhuahna rate te hi i dinhmunah engtin nge a hman tih sawifiah turin hrilh rawh. Nangmah leh i hriselna zawng zawng a hre chiang a, chuvangin amah hi thu hriatna tha ber a ni.

Hei hi a dam kim thei ang em?

A then phei chuan hypopharyngeal cancer hi surgery leh enkawlna dang hmangin tihdam theih a ni. Hei hi tumor chu centimetre 2 aia te a nih a, a darh loh chuan a thleng tam ber. Amaherawhchu, lungchhiatthlak takin he cancer vei tam tak hi natna hi a zual lai a nih chuan an vei tih hmuhchhuah a ni.

Engtin nge ka in enkawl ang?

I ril surgery i neih tawh chuan thawk dan leh tawng dan thar i zir a ngai dawn a ni. Manage tur chuan inthlak danglamna lian tak a ni thei. Chuvangin, i speech-language pathologist hnenah tanpuina dil hreh ngai suh. Anni hian rilru surgery atanga dam lehte tanpuitu pawl siamna tur rawtna an nei thei.

I in enkawl dan dang thenkhat chu hetiang hi a ni:

• Cancer damchhuak chungchang hi han ngaihtuah teh. Hypopharyngeal cancer a lo let leh thei a, a nih loh leh cancer pahnihna a lo awm thei bawk. Nakin hun tûr chu i lungkham hle mai thei. Cancer dam lehna programme tam takah hian rilru lam hriselna lama puihna a tel a ni.
• Zuk leh hmuam hman loh chhunzawm zel la, zu in pawh tihtlem rawh.
• Chaw ei tha rawh. Throat surgery hian i ei leh in theihna a nghawng thei a ni. Chaw ei dan tur leh rawtna te chu nutritionist (nutrition expert) zawt rawh. I speech and language therapist hnenah ei leh in tha ei tibuai thei harsatna eng pawh enkawl dan tur zawt rawh.

Engtikah nge Doctor ka hmuh ang?

I dinhmun leh enkawl danah a innghat tak zet a ni. I cancer enkawltu team hnenah eng symptom emaw harsatna emaw i beisei theih tih zawt la, engtikah nge i biak tur tih zawt bawk ang che.

Oncologist hnenah eng zawhna nge ka zawh tur?

Doctor i hmuh hian hetiang zawhna hi zawh a pawimawh hle:

• Ka cancer hi eng stage nge ni?
• Eng enkawlna tur nge i rawt?
• Surgery ka neih chuan, a thlen theih inthlâk danglamnate hmachhawn tûra min ṭanpui tûrin eng ṭanpuina program nge awm?
• Engtin nge enkawlna hian ka nunphung a nghawng ang?
• Clinical trial ka neih theih tur a awm em?

Thil hriat reng tur te chu a tawi zawngin

Hypopharyngeal cancer hi nunna atana hlauhawm tak a ni. Vanduaithlak takin cancer a darh hnuah hmuhchhuah a ni fo. Chutiang a nih chuan operation lian tak i neih a ngai mai thei a, chutah chuan nunphung lian tak tak i thlak a ngai mai thei a, i dam chhung zawng doctor enkawlna hnuaiah i awm a ngai mai thei.

He cancer hi i vei a nih chuan i cancer enkawltu team-a mi zawng zawngte chu i tanpui turin an inpe tih i hriat chuan i thlamuang ang. I diagnosis leh treatment options hriatthiamna an pe ang che. Cancer enkawlnain a thlen theih danglamnate nena nun dan i zir hunah pawh an thlawp ang che. An tanpuina dil hreh ngai suh. I rilru natna, ei harsa, emaw, i aw inthlak danglam, kar hnih aia rei i neih chuan doctor thurawn lak hi a tha ber fo.