Cholangiocarcinoma hi i hria em? A awlsam zawngin sawi ila.

‘Bile duct cancer’ tih hming hi i hre tawh em? A hming hi a mak deuhin a lang thei a, mahse hei hi kan taksa peng pawimawh takah cancer a ni a, chu chuan chaw ei chakna kawngah a pui a ni. Hetiang thu i hriat hian hlauhna i neih hi thil pangngai a ni. Mahse, lungngai suh, he natna, cholangiocarcinoma chungchang hi a awlsam, chiang tak leh hriatthiam theih takin kan sawi dawn a ni.

A awlsam zawngin, bile duct cancer chu eng nge ni?

Hei hi hrethiam tur chuan heng bile duct te hi eng nge an nih kan en hmasa phawt ang u. Kan thin atanga gallbladder leh small intestine thlenga ‘bile’ an tih tui phur thei tube te tak te angin ngaihtuah rawh. He bile hian kan ei tur thau awmte chu a digest thei a ni.

Chuvangin, bile duct cancer chu heng bile duct chhunga cell pangngai lo te hi thunun theih loha an lo thang lian tan hian a ni.

Mi thenkhat tan chuan enkawlna hian he cancer hi a tidam vek thei a ni. Mi dangte tan chuan tihbo vek theih a ni lo mai thei. Chutiang hunah chuan cancer control nan chemotherapy leh radiation ang chi enkawlna i dawng chhunzawm zel a ngai mai thei. Hemi chungchang hi hriat chian a, i doctor, i medical team leh i hmangaih tak takte nena inbiakna neih hian he harsatna hmachhawn turin chakna nasa tak a pe ang che.

Bile duct cancer chi hrang hrangte chu engte nge ni?

Doctor-te chuan he cancer hi a bul tanna hmun a zirin an thliar hrang thin. Hei hi chiang taka hrethiam tur chuan a hnuaia table hi en la.

He cancer vei theihna chhan leh a hlauhawmna te chu engte nge ni?

He cancer thlen chhan dik tak hi hriatchhuah a la ni lo. Mahse, zirchianna chuan thil engemaw takah chuan a vei theihna a tipung thei tih hmuhchhuah a ni. A bik takin, hun rei tak chhunga inflammation hi risk factor lian tak a ni.

Chutiang risk factor thenkhat chu hetiang hi a ni:

• Primary Sclerosing Cholangitis: Hei hi hun rei tak chhunga bile ducts inflammation a ni. Hei hian bile duct-ah scarring a siam thin. Hetiang natna vei tam tak hian Ulcerative Colitis an nei bawk a, hei hi intestine lian tak a inflammation a ni.
• Bile duct lung: Hei hi gallstone nen a inang a, mahse a lian zawngah chuan a te zawk hle.
• Choledochal cysts: Mi thenkhat chu pianpuiin he natna hi an nei thin. Hengte hi sac ang chi cyst, bile-a khat, bile ducts-a lo awm an ni. Enkawl loh chuan hengte hi cancer-ah a chang thei a ni.
• Liver fluke infection: Hei hi Sri Lanka-ah chuan a awm lo hle a, Asia ramah erawh a awm fo. Parasitic worms kai sangha raw emaw, a tui lo emaw ei avanga lo awm a ni.
• Cirrhosis: Zu in tam lutuk leh hepatitis ang chi natna te hian thin (liver) a tichhe thei a, scar tissue a siam thei bawk. Hei hian bile duct cancer vei theihna a tipung bawk.

Risk factor dangte pawh a awm thei

• Thau lutuk
• Zunthlum
• Viral hepatitis natna a ni
• Zu in tam lutuk
• Inflammatory bowel disease (Crohn natna leh Ulcerative colitis ang chi) .

Bile duct cancer natna lan chhuah dan chu engte nge ni?

He cancer chhinchhiahna hi a tir lamah chuan hmuh tur a awm lo mai thei a, mahse natna a zual zel chuan heng chhinchhiahna te hi a lo lang thei a ni.

Pawimawh: Heng symptoms te hi damdawi lam thil dang vang pawh a ni thei. Chuvangin, heng symptoms te hi i neih chuan doctor hnenah thurawn dil ngei ngei tur a ni.

Engtin nge diagnosis hi siam a nih?

I doctor chuan taksa enfiahna a nei hmasa ang a, i hriselna chanchin, chhungkaw cancer chanchin, leh nunphung (zu in leh meizuk ang chi) te a zawt ang. Tichuan, an natna hriat chian nan test thenkhat an ti thei ang:

• Thisen test: Hengte hian liver function endik nan leh tumor marker awm leh awm loh enfiah nan a pui thin.
• Imaging test: Abdominal ultrasound, CT scan, emaw MRI scan hmangin tumor awmna, a lian leh te, leh a awmna hmun hriat theih a ni.
• Endoscopy: Hei hian taksa chhungril lam chu camera dahna tube te tak te hmanga en a ni. Hetiang hmang hian test bik engemaw zat tih theih a awm.
• ERCP (Endoscopic Retrograde Cholangiopancreatography): Endoscope hmangin bile duct-ah dye bik inject a, X-ray lak a, tumor awm leh awm loh enfiah a ni.
• Cholangioscopy hmanga enfiah a ni:Hetiang method hian bile ducts chhungah direct-a hmuh theih nan a pui a ni.
• Biopsy: Hei hi natna finfiahna definitive test a ni. Bile duct atanga tissue te tak te lakchhuah a ni a, microscope hmangin cancer cell a awm leh awm loh enfiah a ni.

Enkawlnate chu engte nge ni?

Enkawl dan tur chu cancer chi hrang hrang, a darh zau zia leh i hriselna zawng zawngah a innghat a ni. Enkawlna pakhat emaw a aia tam emaw i mamawh mai thei.

• Surgery: Cancer hi a tir lamah hmuh a nih chuan surgery hian cancer awmna hmun chu a paih chhuak thei a ni. A châng chuan, bile duct ṭhenkhat, liver ṭhenkhat, gallbladder emaw, a bul hnaia lymph node emaw lak chhuah a ngai thei bawk.
• Radiation therapy: Hei hi cancer cell tihchhiat nan high-energy rays hman a ni. Operation hmaa tumor tihtlem nan emaw, operation hnua cell la awm zawng zawng tihchhiat nan emaw hman a ni.
• Chemotherapy: Hei hi cancer cell tihhlumna tur damdawi pek a ni. Chungte chu pill angin emaw, thisenah (vein chhungah) pek theih a ni.
• Biliary drainage: Bile duct a block chuan Tube te tak te, stent an tih chu bile luang chhuak thei turin dah theih a ni. Hei hian jaundice ang chi symptoms a tiziaawm thei a ni.
• Liver transplant: Hei hi enkawlna a tlem hle. A then phei chuan cancer pawh a tidam thei.

Nunphung inthlak danglam leh rilru hahdamna

Cancer enkawl lai pawhin i theih ang anga hrisel taka awm tum hi a pawimawh hle.

• Zu leh zu in loh tur: Heng thil pahnih hi bânsan chuan i dam leh theihna kawngah nasa takin a pui ang.
• Exercise: Cancer vangin hah lutuk hi thil pangngai tak a ni. Mahse, i doctor nen chuan i tana tha tur light exercise program tan chungchang sawipui rawh. Kea kal ang chi thil awlsam tak pawh hi a tawk.
• Psychological support: Cancer i vei tih i hriat veleh hlauhna leh hmalam hun tur ngaihtuah buai hi thil pangngai tak a ni. Hemi chungchang hi i rintlak (chhungkaw member, thian, counselor) nena inbiakna neih hian inrintawkna a pe thei che a ni.