Doctor in i taksa khawi emaw laiah "lump" i nei tih a hrilh che chuan i taksa pum hi a vawt vek lo em ni? Kan rilrua lo lang hmasa ber chu "Hei hi cancer a ni em?" Mahse lumps zawng zawng hi cancer an ni vek lo. Vawiin hian cancer chi khat, cancer nei lo, mahse ngaihven ngai tak chungchang kan sawi dawn a ni. Chu chu adenoma a ni.
Adenoma hi eng nge ni tak tak?
A awlsam zawngin, adenoma chu cancer nei lo (benign) tumor a ni . Kan taksa peng leh gland te khuh tu epithelial tissue atanga siam an ni. Heng tumor te hi cluster-ah an lo thang lian fo thin. Ngun taka i en chuan mushroom te tak te, a hnah te tak te nei ang mai an ni.
Adenoma hi a thang lian chi khat polyp an tih a ni. A chang chuan doctor te pawhin adenomatous polyp an ti bawk .
A pawimawh ber chu adenomas hi cancer a ni lo. Mahse, a chang chuan, a bik takin adenoma lian zawkte chu hun kal zelah cancer-ah an chang thei a ni. Chuvang chuan hengte chungchangah hian doctor-in a enkawl a pawimawh em em a ni.
Adenomas chi hrang hrangte chu engte nge ni?
Adenomas hi kan taksa glands-ah a lo awm tam ber. Glands te hian kan taksa hnathawhna atana pawimawh, hormone an tih chemical an siam chhuak a, an tichhuak bawk. Chutiang chuan adenomas chi hrang hrang a awm a. A chi lian ber berte chu eng nge ni tih i lo en ang u.
| Adenoma chi hrang hrang | A thlenna hmun leh a sawifiahna tawi te |
|---|---|
| Adrenal adenomas a awm thin | Hengte hi kan kal (kidney) chunga awm adrenal glands-ah te siam a ni. |
| Colon adenomas a awm thin | Hengte hi polyp chi khat, colon lining-a lo awm thin an ni. 10 mm aia lian leh cauliflower ang deuha langte chu ‘advanced adenomas’ an ti a. |
| Parathyroid adenomas a awm thin | Hengte hi parathyroid glands-ah siam a ni a, chu chu thyroid gland bulah a awm a ni. Hei hian parathyroid hormone siam chhuah tam lutuk a thlen thei a ni. |
| Pituitary adenomas a awm thin | Chungte chu thluaka pituitary gland-ah an lo thang lian thin. cm 1 aia te zawkte chu microadenomas an ti a, cm 1 aia lian te chu macroadenomas an ti bawk. |
| Pleomorphic adenomas te pawh a awm | Hengte hi kan salivary glands-ah a lo piang chhuak thin. |
| Sebaceous adenomas (sebaceous glands-a adenoma awm) te hi a inang lo hle. | Hengte hi vun chunglama oil siamtu glands-ah a awm thin. |
Tin, adenomas hi "functioning" emaw "nonfunctioning" emaw pawh a ni thei bawk. Adenoma hnathawk thei chuan a mamawh aia tam hormone a siam chhuak thin. Nonfunctioning adenoma hian hormone engmah a siam lo. Chuvangin nonfunctioning adenoma i neih chuan symptoms i nei lo mai thei.
Heng thei chi hrang hrangte hi an thang dan azirin an thliar hrang bawk.
Doctor-te pawhin heng adenomas te hi microscope hmanga enin, cell siam dan (pattern of cell formation) a zirin an classified bawk. Hei hi enkawl dan tur hriatfiah nan a pawimawh hle.
| Hmasawn dan tur | A lan dan leh a nihna |
|---|---|
| Tubular a ni | An lo thang lian a, round emaw oval emaw angin an lo thang lian thin. Adenomas inches 0.5 aia teah an awm tam ber. |
| Villous a ni | Cabbage pangpar ang maia wavy, chaotic pattern-ah an thang lian a ni. Hetiang pattern hi adenoma lian tak takah chuan a awm fo thin. |
| Tubulovillous a ni | A chunga kan sawi tak pattern pahnih inzawmkhawm. |
| Sessile a ni | A hnah nei lovin a thang lian a, a pianzia chu a zau a, a bulpui lian tak a nei bawk. |
| Serrated a ni | Microscope hmanga en chuan saw ha ang chi pattern a lang a. |
Adenoma natna lan chhuah dan chu engte nge ni?
A natna lan chhuah dan chu adenoma awmna hmun leh a lian leh te a zirin a ni. Adenoma te tak te thenkhatah chuan symptom engmah a awm lo thei. Mahse, chhinchhiahna tlanglawn tak tak hmuh tur a awm a:
- Pum a na
- Taksa hah lutuk
- Lu na
- Iron tlakchhamna avanga thisen tlakchhamna
- Muscle chak lohna
- Nausea emaw, luak chhuak emaw
- Rectal atanga thisen chhuak
Engvangin nge adenomas kan neih?
Hei hi a chhan chu kan taksaa cell te hi thunun theih lohvin an lo thang lian a, an inthen darh tan a ni. A tlangpuiin kan taksaa cell te hi hun bitukah thi turin an hrilh thin. Hei hi programmed cell thihna an ti a . Hetiang thil hi a kal sual chuan cell te chu an inzawm khawm a, tumor an siam thin. Cancer cell te pawh hetiang hian an lo thang lian thin. Mahse, adenomas hi cancer cell angin a na lo hle a, a thang zawi zawk hle.
Risk tipungtu thilte
Thil engemaw tak chuan adenoma vei theihna a tipung thei a ni.
- Kum: Kum 30 leh 40 inkar te hian pituitary adenomas an nei tam zawk.
- Genetic changes: Genetic condition thenkhat, Multiple Endocrine Neoplasia type 1 (MEN1) te hian adenomas a thlen thei a. Chungte chu rochun an ni.
- Genetic natna: Chhungkaw Adenomatous Polyposis (FAP) tih hi a ni.Natna thenkhat, chhungkaw hrang hranga kal te pawh hian adenoma vei theihna a tipung bawk.
- Gender: Hmeichhia hian parathyroid adenomas hi mipa aiin a let hnih zetin an nei tam zawk.
Engtin nge doctor hian hei hi a hriat chian?
I doctor chuan a enfiah hmasa ang che a, i medical history a zawt ang che. Tichuan, hei hi finfiah turin test thenkhat an order mai thei.
- CT scan hmanga tih a ni
- MRI scan a ni
- PET scan hmanga tih a ni
Test pawimawh ber chu biopsy a ni . Hei hian lump atanga tissue te tak te lak a, lab-a thawn a, adenoma emaw thil dang emaw a nih leh nih loh hriat a ngai a ni.
Enkawlnate chu engte nge ni?
Adenoma chi, a lian leh a awmna hmun a zirin enkawl dan a inang lo.
- Damdawi: Adenoma hian hormone lama harsatna a thlen a nih chuan doctor chuan a control nan damdawi a pe ang.
- Surgery: Adenoma lian tak tak hi a tlangpuiin cancer-ah a chang tam zawk. Chuvangin polyp 5 mm aia lian ang chi thil te chu surgery hmangin an paih chhuak thin. Tin, tumor hian hriselna lama harsatna dang a thlen a nih chuan surgery neih a tha thei bawk.
- Active surveillance: Adenoma hi a te lutuk a, hriselna lama harsatna a thlen loh chuan i doctor chuan "watch-and-wait" approach a hmang thei ang. Hei hian enkawl loh a, tumor chu a danglam leh danglam loh enfiah reng tihna a ni.
Hengte hi a thlen loh nan ven theih a ni em?
Adenomas lo awm theihna tura puitu genetic factors te hi kan control theih loh avangin 100% in kan veng thei lo. Mahse, kan tih theih ṭha ber chu cancer screening neih fo hi a ni . I doctor hnenah heng test te hi eng chen nge i tih tur tih zawt la, a bik takin adenomas vei theihna i neih chuan.
Chu bâkah, heng thilte hian hrisêlna pum pui ṭha tak vawng reng tûrin a ṭanpui ang:
- Meizial zuk loh
- Thei, thlai leh buh chi hrang hrang tamna ei leh in
- Taksa tihpun
- Zu in tam lutuk tihtlem
Take-Home Thuchah a ni
- Adenoma hi cancer ni lo tumor a ni a, mahse chi thenkhat, a bik takin a lian te chu cancer a ni thei.
- Symptoms a lang ngai lo va, chuvangin kum tling taka damdawi lam enfiah, colonoscopy ang chi hi a pawimawh hle.
- Tumor i nei tih i hriat chuan hlauthawng suh. I doctor nen eng nge a nih leh eng nge i tih tur tih chu zalen takin sawipui rawh.
- Enkawlna leh enkawl dan dik tak a awm chuan adenoma hi enkawl tha tak a ni.
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