I zun rawng a danglam tih i hmu ngai em? Pinkish-red rawng a ni mai thei... A nih loh leh zun fo ngai angin i hria a, mahse i zun theih loh ang maiin i hria em? A tlangpuiin heng thilte hi ngaihven lo mah ila, a chang chuan kan taksain min pek tih signal pawimawh tak a ni thei. Chu chu chutiang thupui pawimawh tak pakhat, bladder cancer, vawiin a kan sawi tur chu a ni. Hlau suh, a pawimawh ber chu hei hi fimkhur hi a ni.
A awlsam zawngin, bladder cancer chu eng nge ni?
Bladder cancer hi cancer chi khat a ni a, a tlem hle. Kan bladder chhunga line siamtu cell atang hian a intan thin. I bladder chu i zun khawlkhawm leh dahkhawmtu, bawm ang chi taksa peng te tak te angin ngaihtuah rawh . He cancer hi enkawl dan hrang hrang a awm a, cancer cells te lakchhuahna tur surgery te pawh a awm.
Mahse hriat reng tur pawimawh tak chu bladder cancer hi enkawl hnuah a lo lang leh thei tih hi a ni. Chuvangin he natna vei tan chuan doctor nena inbiak chhunzawm zel tur leh enkawl zui zel a pawimawh hle. Hei hi hriat hmasak a nih chuan, chu chu cancer chu taksa peng dangah a darh hmaa enkawl a nih chuan result hlawhtling tak a awm thei a ni. Amaherawhchu, a tir lamah tihdam ni mah se, a lo let leh theihna chance 75% a awm. Chuvangin fimkhur a pawimawh hle a ni.
He dinhmun hian engtin nge kan taksa a nghawng?
I bladder hi i hip ruh inkar, i kal hnuaiah a awm a. I kal atanga zun siam chu he bladder ah hian a awm khawm thin. A chhungah chuan membrane bik urothelium an tih hmanga lined a ni. He membrane chhunga cell te hi zun a khat chuan an inzawm khawm thei a, a zun a chhuah chuan an inzawm leh thei bawk. Rubber balloon ang mai a ni. A tlangpuiin zun cup 2 vel a keng thei.
Bladder cancer hi bladder lining (urothelium)-a cell thenkhatin mutation an siam a, a pangngai lo leh thunun theih loha an inthen tan hian a awm thin. Heng cell pangngai lo te hi an thang khawm a, tumor an siam thin. Enkawl loh chuan heng cancer cell-te hi bladder bang kaltlangin a bul hnaia lymph node-ah te, chuta tang chuan taksa peng dang, ruh, lung emaw, thin emaw-ah te an darh thei a ni.
Bladder cancer chi hrang hrangte chu engte nge ni?
Bladder cancer hi chi hrang hrang a awm a. Chungte chu cancer intanna cell chi hrang hrang a zirin an thliar hrang a ni. A chi hrang hrang hi han thlir ila.
| Cancer chi hrang hrang | Hrilhfiahna awlsam tak |
|---|---|
| Transitional cell carcinoma a awm thin | Hei hi a tam ber chi (90% vel) a ni. Bladder chhung lam bang transitional cells atang hian a intan thin. Bladder chhung thuk takah a darh thei. Urothelial carcinoma an ti bawk . |
| Squamous cell cancer natna a ni | Bladder chhunga line awm squamous cells atang hian a intan thin. A tlem deuh (5% vel) a ni. Hun rei tak chhunga bladder inflammation emaw infection nei tawhteah a awm tam zawk . |
| Adenocarcinoma natna a ni | Hei hi cancer chi khat, glands-a lo awm thin a ni. Hetiang chi hi bladder glands atanga intan hi a tlem hle (1%-2% vel). |
| Cell tenau carcinoma a ni | Hei pawh hi cancer chi khat hmuh tur awm lo tak a ni. |
| Sarcoma a ni | Cancer chi khat hmuh tur awm lo tak, bladder muscle cell atanga intan. |
Hei bakah hian doctor-te chuan he cancer hi kawng dangin an thliar hrang a, chu chu cancer a darh thuk dan a zirin a ni.
- Non-invasive: Chumi awmzia chu cancer hi bladder chhung lam bang chunglam chauh a ni tihna a ni.
- Non-muscle-invasive: Cancer hi a thuk deuh a, mahse muscle layer-ah a lut lo.
- Muscle-invasive: Hetiang a nih chuan cancer hi bladder muscle layer-ah a lut tawh a ni. Chuta tang chuan a darh zau tawh mai thei. Hei hi case pawi zawk a ni.
He natna hi tuin nge hmu tam ber?
Bladder cancer chu eng nge ni?Mipa zinga cancer vei tam ber palina a ni. Hmeichhia aiin mipain a let li velin an vei tam zawk.
Mahse thil lungchhiatthlak tak chu hmeichhiate hian he natna hi an vei hian a hriat chhuah hunah chuan a na hle thei fo thin. Hei hi a chhan chu hmeichhiate hian a natna lan chhuah dan an hriat chian loh vang a ni. Entirnan, zun chhunga thisen (hematuria) hi he natna lan chhuahna ber ni mah se, hmeichhiate chuan hmeichhe lam harsatna pangngai (e.g., thlasik nena inzawm harsatna) niin an ngai. Chuvang chuan an ngaihven vak lo.
He cancer hian kum 55 chunglam a vei tlangpui a, he natna vei hmuhchhuah kum zat chu kum 73 vel a ni.
Bladder cancer chhinchhiahna lian ber berte chu engte nge ni?
He natna lan chhuah dan ber leh langsar ber chu zun chhunga thisen (hematuria) a ni. Amaherawhchu, i zun a thisen a awm vang mai maiin cancer a ni tih ngaihtuah hlau suh. Damdawi lam thil dang (e.g., zunthlum, infection) vang pawh a ni thei. Mahse, eng thil vang pawha i zun-ah thisen i hmuh chuan doctor pan nghal ngei ngei tur a ni.
Symptom dangte hi han en ila.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Zun chhunga thisen (Hematuria) . | Zun hi a rawng sen/pink a ni thei a, mitin hmuh theih a ni. A châng chuan thisen tlemte a awm thei a, chu chu zun enfiah laiin microscope hmanga hmuh theih chauh a ni. |
| Zun laiin natna (Dysuria) . | Zun laiin kang leh na. Mipa pawhin penis-ah natna an nei thei bawk. |
| Zun chhuah a ngai fo thin | Ni khatah a tlangpui aia tam zun a ngai. |
| Zun harsatna | Urine flow intermittent emaw slow emaw a awm thin. |
| Urinary tract infection enkawlna dawng lo | Antibiotics ei chung pawha urinary tract infection a awm reng chuan rinhlelh tur a ni. |
Bladder cancer thlentu leh risk factors te chu engte nge ni?
Doctor-te pawhin bladder cell-te chu cancer cell-ah an chantir chhan chiang takin an sawi thei lo. Mahse, hei hi a hlauhawmna tipungtu risk factor engemaw zat hmuhchhuah a ni.
- Meizial zuk: Hei hi a hlauhawm ber leh lian ber a ni. Cigarette zu mi chuan zu in lo aiin he cancer hi a vei theihna chance chu a let hnih a ni. Cigar, pipe, leh secondhand smoke inhnim hian a hlauhawmna a tipung bawk.
- Radiation Exposure: Cancer dang enkawlna atan pum chhungah radiation therapy i ei tawh a nih chuan chu pawh chu a hlauhawm hle.
- Chemotherapy: Chemotherapy damdawi thenkhat pawh hian a hlauhawmna a tipung thei bawk.
- Chemical thenkhat nena inzawmna: Chemical hmanga hnathawkte, a bik takin dye, rubber, savun, paint, puan thenkhat, leh sam siamna atana hman thinte chu an hlauhawm zawk a ni.
- Urinary tract infection awm fo: Mihring zun kawng infection leh urinary stone ang chi natna rei tak tuar te chu squamous cell carcinoma vei an hlauhawm hle.
- Hun rei tak chhunga catheter hman: Eng emaw chhan vanga hun rei tak chhunga catheter dah tawhte pawhin hetiang hlauhawmna hi an nei ve tho.
Engtin nge doctor hian hei hi a hriat chian? (Diagnosis) tih a ni.
Doctor symptoms neia i kal chuan a natna hriat chian nan test hrang hrang a nei ang.
Step khat hnu step khata test neih thin
1. Urinalysis: A hmasa ber chu zun sample test a ni. Hei hian hri kai a awm leh awm loh hriat theih nan a pui thei a ni.
2. Cytology: Zun sample-a cell awmte chu microscope hmangin an enfiah a, cancer cell a awm leh awm loh an enfiah thin.
3. Cystoscopy: Hei hi natna hriatna atana hman ber a ni.Hetah hian pencil ang maia lian, camera dahna tube (cystoscope) te tak te chu urethra kaltlangin dahin bladder chhung zawng zawng enfiah a ni. A châng chuan cancer cell chiang taka hriat theih nân blue light leh dye bik an hmang ṭhin. Hetih lai hian rinhlelhna hmun atanga tissue te tak te (biopsy) lakchhuah a, enfiah tura thawn theih a ni bawk.
Heng test-te hian cancer a awm tih finfiah a nih chuan, cancer chungchang hriat belh tumin test dang neih belh a ni.
- Transurethral resection of bladder tumor `(TURBT)`: Hei hi diagnosis leh enkawlna atan pawh tih a ni. Cystoscope ang chi hmanrua hmangin bladder chhunga tumor awm chu an tan a, an paih chhuak thin. Tumor lakchhuah chu cancer hian taksa ruh chhungah a darh tawh em tih enfiah a ni.
- MRI leh CT scan: Heng scan chi hrang hrang hmang hian cancer hi bladder piah lamah a chhehvel taksa peng hrang hrangah a darh tawh em tih enfiah theih a ni.
- Chest X-ray leh Bone Scan: Heng test te hi cancer hian lung emaw ruh emaw ah a darh tawh em tih hriat nan an ti thin.
Doctor chuan heng test hrang hrang atanga information a hmuh atang hian cancer stage a ruat thin.
Hei hi eng enkawlna nge ni?
Bladder cancer hi enkawlna lian pali a awm a. A châng chuan heng enkawlna pakhat emaw, a aia tam emaw hi hman dun theih a ni.
1. Surgery tih a ni
Hei hi damdawi hman tlanglawn ber a ni. Surgery tih chi hrang hrang hi cancer stage a zirin a inang lo.
- TURBT: A hmaa kan sawi tawh ``TURBT'' procedure hi cancer hi taksa peng hrang hranga a darh loh chuan enkawlna atan pawh hman a ni. Tumor hi cut chhuakin lakchhuah emaw, high-energy electricity hmanga hal emaw a ni.
- Radical cystectomy: Cancer chu bladder pawnah a darh tawh emaw, bladder pumpuiah tumor a awm a nih chuan bladder pumpui chu surgery hmangin lakchhuah a ni. Mipaah chuan prostate gland pawh lakchhuah theih a ni a, hmeichhiaah chuan uterus leh ovary te pawh lakchhuah theih a ni bawk. Bladder an lakchhuah hnuah zun a chhuah theih nan urinary diversion siam a ni.
2. Chemotherapy hmanga enkawlna
Hengte hi cancer cell thattu damdawi an ni. A chang chuan heng damdawi te hi tube hmangin bladder chhungah direct-in an pe lut thin. Hei hi intravesical therapy an ti a . Hei hian cell hriselte chhiatna a tihziaawm thei a ni.
3. Immunotherapy hmanga enkawlna
Hei hian i taksa ngeia immune system tichakin cancer cells te beih a huam a ni. Enkawlna hman lar ber pakhat chu Bacillus Calmette-Guérin (BCG) vaccine hi a ni.
4. Radiation Therapy hmanga enkawlna
Hei hian cancer cell tihchhiat nan high-energy rays hman a huam a ni. Surgery ai chuan hmanraw dang atan hman a ni bawk.
5. Targeted Therapy hman dan tur
Hei hi enkawlna kawng thar tak a ni. Chu chuan cell hriselte chu cancer cell-a chantirtu genetic change chauh target-tu damdawi pek a huam a ni.
Engtin nge i in enkawl ang?
Bladder cancer nena nun hi a harsa thei hle a, a bik takin a lo kir leh theih avangin. Thil tlemte tih theih a awm.
Enkawlna zawhah doctor thupek dik taka zawm leh a hun taka follow-up-a tel hi a pawimawh hle. Hmuh ngai suh.
- Thinlung hrisel ei tur zawm rawh: I eitur ah sa thau tlem, sangha, bawnghnute atanga siam, nut, leh thei leh thlai chi hrang hrang telh la.
- Fiber tamna ei tur: Hei hian enkawlna avanga chaw ei lama harsatna awmte chu a pui ang.
- Exercise: Exercise light hian stress tihziaawmna a pui a ni.
- Midang nena inzawmna siam: Hetiang natna chi hrang hrang hmachhawn mek pawh an awm. An thil tawn sawipui leh biak hi i tan rilru chakna petu ropui tak a ni thei.
Take-Home Thuchah a ni
- I zun a thisen i hmuh chuan ngaihthah ngai suh. Light sen ang mai a ni. Doctor pan nghal rawh.
- Meizial zuk hi bladder cancer vei theihna lian ber a ni. Vawiin hian meizuk i bânsan hian danglamna nasa tak i siam thei a ni.
- Cancer dang ang bawkin a hmaa hmuhchhuah a nih chuan enkawl leh tihdam theihna chance a sang hle.
- Enkawl hnuah he natna hi a lo awm leh theihna a awm. Chuvangin, medical check-up (follow-ups) neih fo a pawimawh hle .
- Hemi chungchangah hian zawhna, hlauhna, rinhlelhna i neih chuan i doctor nen inhawng takin sawi rawh.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh