Engtin nge thluak cancer hi enkawl a nih? Hemi chungchang hi han sawi ila!

Doctor-in ‘brain tumor’ emaw ‘cancer’ emaw a tih hian i rilru put hmang chu thumal hmanga sawi a harsa hle. Nang leh i hmangaihte hian zawhna tam tak in nei ang. Eng enkawlna nge awm? Engtiang chiahin nge an thawh hlawk? A side effects te chu engte nge ni? Heng zawng zawng hi ngaihtuah chian hi thil awmdan pangngai a ni. Mahse lungngai suh, he zinkawngah hian pui turin leh i zawhnate chhang turin doctor leh nurse team an awm a ni.

Engtin nge enkawl dan tur ruahman ang?

Brain cancer enkawl hi thil buaithlak tak a ni. Dik tak chuan team effort a ni. Specialist team pakhatin i tana enkawlna tur ruahmanna tha ber siam turin an thawk ho a ni. I medical team-ah hian:

• Neurosurgeon: Thluak leh nervous system lama mithiamte.
• Oncologist: Cancer lama tui tak doctor te.
• Radiation Oncologists: Radiation therapy pekna lama mithiam tak tak an ni.
• I chhungkaw doctor (Primary Doctor): I hriselna zawng zawng enkawltu.

Chu bakah, mi dang nutritionist, social worker, leh physiotherapist te pawhin he team hi an zawm thei bawk.

I enkawlna tur chu thil engemaw zatah a innghat ang.

• Cancer natna chi hrang hrang.
• Tumor lian leh te leh thluaka a awmna hmun.
• I kum leh i hriselna zawng zawng.
• Enkawlna engemaw zat avanga hlauhawm awm thei.
• Natna dang i neih te.
• Eng enkawlna kawng nge i duh ber?

Surgery tih hi eng nge ni?

Brain tumor nei tam tak chuan operation an mamawh dawn a ni. Surgery neih chhung hian surgeon chuan tumor i nei tih a nemnghet hmasa ang a, chu chu paih vek a tum ang. A chang chuan tumor chu lakchhuah kim theih a nih loh chuan tissue te tak te (biopsy) chu test nan lak a ni ang a, eng chi nge a nih tih hriat theih a ni.

Surgery hmaa thil tih tur

A châng chuan operation hmain enkawlna dang engemaw zat pek i ni thei bawk .

• Swelling tihziaawm: Thluak a swelling tihziaawmna turin steroid damdawi Dexamethasone pek theih a ni.
• Seizures control nan: Seizures tihtawp emaw control emaw nan anticonvulsant damdawi pek theih a ni.
• Fluid tam lutuk paih chhuah nan:Cerebrospinal fluid thluak vel a lo awm tawh chuan plastic tube te tak te, shunt an tih chu dahin a paih chhuak thei a ni. He tube tawp khat chu tui awmkhawmna hmunah dah a ni a, a tawp dang chu vun hnuaiah taksa peng dangah dah a ni. Hei hian thluak atanga tui tam zawk chu taksa atanga awlsam taka lakchhuah theihna hmunah a chhuak thei a ni.

Surgery chi hrang hrang

Surgery hi chi hnih a awm a.

1. Craniotomy: Hei hi hmanraw hman tlanglawn ber a ni. Surgeon chuan luruh vun chu a tan a, lu ruh hmun tlemte a la chhuak a, thluak chu a pholang a ni. Chumi hnuah chuan tumor chu lakchhuah a ni a, a pum emaw, a tam thei ang ber emaw pawh a ni thei. A tawpah chuan luruh atanga lak chhuah chu a hmunah dah lehin vun chu an sewn up leh thin.

2. Neuroendoscopy: Hei hian luruh chhungah khur te tak te siam a, a nih loh leh hnar emaw hmui emaw kaltlangin, a awmna hmun azirin, hmanraw te te hmangin tumor lakchhuah a ni. Doctor chuan heng instrument pakhata camera te tak te atanga thlalak hmangin operation room-a monitor-a tumor awm chu a zawng chhuak a, a paih chhuak thin.

Radiation therapy chungchang i zir dawn teh ang.

Radiation therapy, a nih loh leh radiotherapy tih hi high-energy rays hmanga cancer cells te tihchhiat a, an lo thang lian leh darh zel tur tihtawp nan a ni.

He enkawlna hi zai theih lohte tan hman a ni. Operation hnua cancer cell awm thei zawng zawng tihchhiat nan pawh hman a ni. Hei hi local therapy a ni a . Chumi awmzia chu ray chu tumor lam chauh a ni tihna a ni. Chuvangin taksa emaw thluaka cell hrisel dangte tihchhiatna a tlem hle.

Radiation therapy pek dan tlangpui engemaw zat a awm a:

• External Radiation: Energy sang tak nei radiation beam chu cancer natna hrik awm chu a tum a. He radiation hian vun, luruh leh thluak tissue hrisel tak tak kal tlangin tumor chu a thleng a ni. He enkawlna hi kar khatah ni 5 chhung kar engemaw zat pek thin a ni tlangpui. Vawi khatah minute tlemte chauh a ngai.
• Internal Radiation: Hei hi tumor chhungah radioactive capsule te tak te dah a ni. Capsule atanga radiation chhuak hian tumor chu a tichhia a ni.
• Stereotactic Radiosurgery: Hei hian luruh hawng lovin cancer natna chu a tichhia a ni. High-energy radiation beam te chu angle hrang hrang atangin a rualin tumor lam hawiin a tichhe vek a ni. Surgery pangngai aiin harsatna a nei tlem zawk a, a dam rei zawk bawk.

Chemotherapy hi a enkawl dan tur a ni.

Chemotherapy hi damdawi chak tak hmanga cancer cell tihchhiat nan a enkawl dan a ni.

Damdawi pakhat emaw, damdawi inkawp emaw pek i ni thei bawk. Chungte chu pill angin pek emaw, IV hmanga pek emaw a ni. Damdawi thenkhat chu shunt hmangin an pe bawk a, chu chu a hmaa kan sawi tawh ang bawk kha a ni a, thluak atanga tui tam lutuk lakchhuah nan an pe bawk.

Chemotherapy hi cycle hrang hranga pek thin a ni . Hei hian hun rei lote chhung enkawlna nasa tak i dawng tihna a ni a, chumi hnuah chawlh hahdam leh damna hun i nei tihna a ni. Cycle pakhat chu kar engemaw zat a daih thei. Cycle engemaw zat neih a ngai mai thei. Tichuan, i tumor-a enkawlnain eng nge a tih tih en turin chawlh rei vak lo i nei a.

Enkawl hnuah eng nge thleng? (Follow-up Care neih dan tur) .

Brain tumor lakchhuah nan operation i neih zawh hnuah dam leh turin damdawi inah ni eng emaw zat i awm a ngai dawn a ni. He hun hi i kum, hriselna dinhmun leh enkawlna chi hrang hrang a zirin a danglam thei.

I dam chhung hian natna nei lo test, CT scan leh MRI scan te pawh i nei thei a, chu chu i thluaka thil danglam a awm leh awm loh enfiah a ni. I dinhmun azirin rehabilitation center-ah hun engemaw chen i awm a ngai mai thei.

Operation hnua pui turin specialist hrang hrang an awm a.

Complication leh doctor koh hun tur

In lama i haw hnua thawk harsatna emaw, seizure (a bik takin seizure hmasa nen a danglam a nih chuan, emaw, seizure i nei ngai lo a nih chuan) i neih chuan damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh.

Tin, a hnuaia symptoms te hi i neih chuan doctor ko nghal rawh:

• Memory lama harsatna a awm
• Thil awm lo hmuh emaw hriat emaw (Hallucinations) .
• Mood inthlak danglamna lian tak tak
• Ek chhuah leh zun harsa
• Lu na fo thin
• Ke ruh chak lohna emaw, taksa peng hrang hranga chak lohna emaw
• Luhai
• Khua hi 100.5 Fahrenheit aia sang a ni

I dam chhungin i hriselna chungchangah zawhna a awm a nih chuan i doctor nena inbiakna neih hun sawn suh.

Psychological support hi engtiang chiahin nge a pawimawh?

Cancer natna vei hi nangmah, i chhungte leh i thiante tan chuan harsatna lian tak a ni. He natna hian i nun a nghawng dan tur leh a hma ang bawkin chhungte, hnathawhna leh inṭhianṭhatna te nen hian i chhunzawm thei dawn em tih ngaihtuah hi thil pangngai tak a ni.

Vawi tam tak chu, i rilru put hmang leh hlauhnate sawi hian hahdamna nasa tak a pe thei a ni. I thiante leh chhungte hi tanpuitu ropui tak an ni thei. I tuar chhuah dân an hmuh hma loh chuan ṭanpui an hreh mai thei. Chuvangin an thusawi hun nghak suh. Inbiak a ngai a nih chuan hrilh rawh.

Mi thenkhat chuan an hmangaih tak takte tan " phurrit" nih an duh lo. Hetiang hunah hian counselor ang mi nena inbiakna neih hi a \angkai hle thei a ni. Tin, nangmah ang cancer vei midangte nena inbiakna pawh hi rintlak takin thlamuanthlak leh chakna pe thei a ni. I enkawlna damdawi inah hian support group hrang hrangte chu i hre thei ang.