Pum chhungah hian lump ang chi hi a awm em? (Abdominal Mass) Hemi chungchang hi han sawi ila!

A châng chuan i pum chhungah thil mak tak, hnah te tak te ang chi i hre thei bawk. A nih loh leh doctor-in i enfiah hunah chutiang thil chu a hmu mai thei bawk. Hetiang thil i hriat hian hlauhna tlem a neih hi thil pangngai a ni lawm ni? Mahse lungngai suh, a chhan chu pum chhunga lump zawng zawng hi a hlauhawm vek lo. Hemi chungchang hi chipchiar zawkin han sawi ila.

Abdominal mass tih hi eng nge ni?

A awlsam zawngin sawi ila, ‘Abdominal Mass’ chu i pum chhungah, chu chu i pum chhungah, a pangngai lo taka lo thanglian emaw, lump emaw a lo awm a ni. Chûngte chu chi hrang hrangin a lo thleng thei a ni. Ṭhenkhat chu cyst chauh an ni a, ṭhenkhat chu cancer vanga tumor an ni. Natna dang pawhin heng lumps te hi a thlen thei bawk.

A pawimawh ber chu pum chhunga tumor zawng zawng hi a hlauhawm vek lo . Ṭhenkhat chu hlauhawm lo leh ṭhang lian (benign) mai an ni. Mahse, ṭhenkhat chu nunna atana hlauhawm tak an ni thei. Chuvangin i pum chhungah lump emaw tumor emaw nei ang maia i inhriat chuan eng nge a nih chiang taka hriat theih nan doctor hnenah entir a pawimawh hle.

Heng tumor te hi pum chhung khawi hmunah pawh a lo awm thei. Entir nan:

• Pum dinglam chunglam ah chuan.
• Pum dinglam hnuai lam ah.
• Pum veilam chunglam ah chuan.
• Pum veilam hnuai lam ah chuan.
• Rib cage hnuaiah, pum lai takah (epigastric region) a awm.
• Umbilicus chhehvel (periumbilical region) ah chuan.
• A châng chuan pum pawn lam bang (subcutaneous leh muscle wall)-ah pawh a lo awm thei bawk.

Rikrum! I rilruah lump i nei a, i thinlung a na ang maia i hriat a, i pum na tak i neih chuan damdawi inah kal nghal rawh . Aortic aneurysm a ni thei a, i thisen kalna kawng lian tak (aorta) wall-a bulge a ni thei. Hei hi a rupture chuan i taksa chhungah thisen a chhuak thei a, nunna atana hlauhawm a ni. Hei hi emergency a ni.

Pum natna lanchhuahna chu engte nge ni?

Symptoms i neih leh neih loh chu thil engemaw zatah a innghat a ni. Chung zingah chuan tumor awm chhan, a chi, a lian leh a awmna hmun te a tel. Mak tak maiin, a chang chuan doctor chuan hetiang tumor hi i hmuh hmain a hmu thei a, chu chu routine checkup neih lai chauh a ni.

Mahse, a lan chhuah dan chu pum chhunga natna hrik avanga lo awm a nih chuan:

• Pum natna.
• Zun chhunga thisen (hematuria) a awm.
• Ek khal.
• Kawthalo.
• Pum chhunga puar leh rit tih hriatna.
• Khawsik.
• Nausea leh luak chhuak.
• Rectal atanga thisen chhuak.
• Tumor awmna hmunah a hring emaw, a hring emaw a awm.
• Sawifiah loha taksa rihna inthlak danglam (a chhan awm lova taksa rihna tlahniam emaw tihpun emaw).

Pum ulcer awm chhante chu engte nge ni?

Hriselna lama harsatna hrang hrang hian pum chhunga natna (stomach ulcers) a thlen thei a ni. A chhan berte han thlir ila.

Cyst chi hrang hrang

Cysts chu tui emaw, hnim emawa khat bawm a ni. Taksa khawi hmunah pawh an insiam thei. Cyst hi pum chhungah hetiang hian hmuh tur a awm a:

• Ovarian cysts - Hei hi hmeichhe ovary-a cyst lo awm thin a ni.
• Pancreatic cyst a awm thin.
• Pancreatic pseudocysts - Hengte hi cyst dik tak an ni lo va, pancreas chhunga tui awmkhawm avanga lo awm a ni.
• Peritoneal inclusion - Peritoneum hi pum chhunga awmte line siamtu membrane a ni. He hmuna cyst lo awm thin.
• Operation hnua seroma (fluid accumulation) a awm thin.

Ngawt

Vanduaithlak takin pumpui natna thenkhat chu cancer a ni thei. Chutiang cancer chi hrang hrang chu hetiang hi a ni:

• Colon cancer a ni.
• Endometrial cancer a ni.
• Gallbladder cancer a ni.
• Kidney cancer a ni.
• Liver cancer a ni.
• Cancer of the nervous system (Neuroblastoma) - a bik takin naupang tê têah hmuh tur a awm.
• Pum cancer a ni.
• Uterine sarcoma a awm.
• Cancer chi khat bik, chaw ei kawng (Gastrointestinal stromal tumor - GIST) a awm thin.

Damdawi lam thil dang

Cancer leh common cyst bakah hian pumpui natna hi damdawi lam thil dang chi hrang hrang avanga lo awm thei a ni. Entirna thenkhat chu:

• Abdominal aortic aneurysm - a hmaa kan sawi tawh emergency kha.
• Crohn natna - chaw ei kawng (digestive tract) a natna khirh tak a ni.
• Diverticulitis - Intestine lian tak chhunga pouche te te a inflammation.
• Thin lian (Hepatomegaly) a awm.
• Spleen lian tak a awm.
• Gallbladder natna (Cholecystitis) a awm.
• Hydronephrosis (zun avanga kal a hring).
• Uterine fibroids - Hengte hi a tlangpuiin cancer a ni lo.

Stomach tumor avanga harsatna awm thei te chu engte nge ni?

Pum chhunga tumor hian a chhehvela taksa peng dangte a press thei a, harsatna tlangpui a thlen thei a, chungte chu:

• Na.
• Vung.
• Bloating (bloating) a awm.
• Chaw chu a thlum lo.

Chu bakah, tumor awm chhan bulpui a zirin harsatna dang pawh a awm thei bawk. Entirnan, Crohn natna avanga tumor chuan intestinal blockage a thlen thei a ni. Uterine fibroids hian uterine bleeding pangngai lo a thlen thei a ni.

I pum chhungah tumor a awm leh awm loh engtin nge i hriat theih ang?

Doctor hmu tura i kal chuan a taksa a enfiah hmasa phawt ang. Tun hmaa i natna te, i chhungte natna te, tuna i natna lan chhuah dan te a zawt ang.

Tichuan, doctor chuan khumah mu turin a siam ang che a, i pum chu a palpate ang che. Hei hian i pum chhungah khawi hmunah pawh lump a awm em tih te, taksa peng eng emaw zat a hring em tih te, i khawih chuan a na em tih te a hriat theih nan a pui ang.

Doctor chuan i pum chhunga a hriat laiin he mass hi a hre thei a nih chuan ‘palpable abdominal mass’ kan ti thin. ‘Palpable’ tih awmzia chu hriat theih emaw, khawih theih emaw tihna a ni.

Pum chhunga natna hrik hriat theihna tur test neih thin

Taksa enfiah hnuah doctor chuan a zir belh theih nan test dang engemaw zat a tih belh a ngai mai thei. Heng test hrang hrangte hi:

• Angiogram - Thisen kalna kawng hrang hrang a enfiah a, thisen kalna kawng (arteries) ah blockage a awm em tih a enfiah thin.
• Thisen test - Hormone level enfiah leh taksa chhunga natna hrik awm leh awm loh enfiah.
• Colonoscopy emaw Upper Endoscopy - Camera awmna tube dahin chaw ei kawng chhunga en theih a ni.
• Imaging test - entirnan, pum chhunga X-ray, CT scan (computed tomography scan) emaw MRI scan (magnetic resonance imaging) emaw.
• Transvaginal ultrasound - Hmeichhe nausen pum chhunga tumor awm leh awm loh enfiah nan vagina kaltlangin ultrasound test an ti thin.
• Urinalysis - Urinary system-a thil dik lo awm leh awm loh enfiah thin ang che.

Pum natna enkawl dan tur chu engte nge ni?

Stomach tumor enkawl dan chu tumor awm chhan bulpuiah a innghat a ni. Doctor chuan a hnuaia awm chu enkawl a tum ang.

Stomach tumor enkawl dan tur chu:

• A hnuaia natna awm enkawlna tur damdawi .
• Surgery hmanga pum chhunga tumor awm chu paih chhuah a ni .
• Chemotherapy emaw radiation therapy emaw hmanga tumor tihtlem nan (a tam zawkah chuan operation hmain).
• Enkawlna engmah awm lovin, hun kal zelah a inthlak leh danglam em tih ngun taka enfiah (Surveillance emaw watchful waiting emaw).

He dinhmun hi engtin nge kan ngaihtuah theih ang? (Hmuh dan tur) .

I result pum pui chu tumor awm chhan a zirin a innghat ang. Pum natna thenkhat, cyst chi hrang hrang te hi enkawl ngai lo mai thei. Mahse, pum chhunga natna dang, cancer ang chite chuan enkawlna bik a mamawh thei a ni. Hei hian operation, chemotherapy, emaw radiation therapy emaw a huam thei a ni.

Chutiang thiamna hrang hrang nei chuan i doctor chu ring rawh. I dinhmun dik takin a hmu thei a, i tana tha tur enkawlna ruahmanna a siam thei bawk.

Pum natna hi ven theih a ni em?

Pum natna hi a veng thei ngai lo. A chhan chu a chang chuan risk a awm leh awm loh pawh kan hre lo. Thil thenkhat chu chhan hriat lohvin a thleng thin.

I tih theih ṭha ber chu i natna hnuaia awm thei zawng zawng enkawl leh thunun hi a ni. Doctor pan fo a pawimawh bawk a, checkup neih reng a pawimawh bawk.

Engtikah nge Doctor ka hmuh ang?

Pum natna lan chhuahna, pum na, beisei loh taka i taksa rihna sang, a nih loh leh i rilru natna inthlak danglam te i neih chuan doctor hmu nghal turin appointment siam nghal rawh . "A danglam bik" tih i hriat chuan doctor hnenah hrilh rawh. I natna lan chhuah chhan hriat tumin test a kalpui thei a ni.

Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang ?

Heng symptoms te hi i neih chuan 911 (1990 Suwaseriya Ambulance Service in Sri Lanka) ah call la, damdawi in emergency room hnai ber ah kal rawh:

• Pum natna nasa tak a ni.
• Pum chhunga tumor chu a pulsating ang maia a hriat chuan, heart beating ang maia a awm chuan.

Hei hi medical emergency a ni. Heng symptoms te hian aortic aneurysm i nei tih a tilang thei a, chu chu i thisen kalna kawng lian tak (aorta) a bulge a ni. He bulge hi a rupture chuan nunna atana hlauhawm tak a ni thei.

Doctor hnenah eng zawhna nge i zawh tur?

I pum chhunga natna i nei tih i hriat veleh i doctor hnenah hetiang zawhna hi i zawt thei ang:

• Eng ang tumor nge ka neih?
• Hei hi cancer a ni em? A nih loh leh cancer ni lo a ni em?
• Eng ang enkawlna nge ka mamawh?
• Surgery ka mamawh dawn em? A nih chuan engtiang chiahin nge?
• Tumor tihtlem nan chemotherapy emaw radiation therapy emaw ka mamawh em?
• Ka enkawlna hi eng chen nge a daih ang?
• Enkawlna engmah ka hmuh loh chuan eng nge thleng ang?
• Ka diagnosis pumpui chungchangah eng nge sawi tur i neih?

"Mass" leh "diagnosis" tih thumal i hriat dun hian mangang leh hlauhna i nei hi thil pangngai a ni. "Eng ang mass nge ni?", "Cancer ka nei em?", "Hei hi nunna atana hlauhawm a ni em?" i rilruah an tlan lut a, nangmah chauh i ni lo. I doctor chuan heng symptoms te hi i neih chhan te, eng mass chi nge i neih te, eng treatment nge a puih theih tih te a hriat theih nan a pui ang che.

A pawimawh ber (Take-Home Message) .

I pum chhungah thil danglam tak, lump, swelling, emaw, natna awm reng emaw i hriat chuan ngaihthah suh. Damdawi lam pan nghal rawh. Pum natna zawng zawng hi a hlauhawm vek lo nain, eng nge a nih chiang taka hriat a, a tul chuan a rang thei ang bera enkawl tan hi a finthlak hle. Natna hi a hriat hma poh leh enkawlna a hlawhtlin theihna a sang zawk tih hre reng ang che. I hriselna enkawl la, Doctor biak pawh hlau suh.

` Pum natna, pum na, pum cancer, pum harsatna, pum na, symptom, enkawl dan