Lung Carcinoid Tumors chungchang hi i zir chiang ang u. Hlau suh, kan inbia ang u!

Ni engemaw zat chhung chu khuh i nei tawh em? Tlemte hnim hring nen pawh a ni mai thei? Hengte hi khawsik chhinchhiahna angin kan ngai tlangpui. Mahse a chang chuan heng chhinchhiahna tenau te hnuaiah hian thil dang kan ngaihven a ngai thei bawk. Vawiin hian lung natna pakhat, mi tam takin an hriat ngai loh, mahse hriat a pawimawh thu kan sawi dawn a ni. Chu chu Lung Carcinoid Tumors a ni. He hming leh "tumor" tih thumal hi i hriat hian hlau suh. Hei hi chiang takin i hrethiam ang u.

Lung Carcinoid Tumors hi eng nge ni?

A awlsam zawngin sawi ila, hei hi cancer natna chi khat, lung chhunga lo awm a ni. Mahse "cancer" tih thumal kan hriat hian kan ngaihtuah angin a aggressive emaw fast-spreading emaw a ni lo. Heng tumor te hi kan lung chhunga cell chi khat ``Neuroendocrine cells'' tih atanga lo piang chhuak an ni.

Heng ``Neuroendocrine`` cells te hi kan taksaa thuchah tlemte angin han ngaihtuah teh. Nerve cell ang chi thuchah an dawng thei a, endocrine cell ang bawkin chu thuchah hmangin taksa chhunga hnathawh hrang hrang thunun turin hormone an siam chhuak thei bawk. Lung chhungah hian heng cell te hian boruak kan thawh zat leh thisen kal dan ang chi thil te chu a thunun thei a ni.

Chuvangin, eng emaw chhan vangin heng cell te hi thunun theih loha an inthen tan chuan chutah chuan tumor a lo awm ta a ni. Hei hi `(Carcinoid Tumor)` kan tih chu a ni. Heng tumor te hi taksa hmun hrang hrangah, chaw ei kawng leh kal (kidney) ah te pawh a lo awm thei bawk. Mahse hmun thuma ṭhena hmun khat vel chu lungah an lo piang a ni.

Heng nut hi chi hnih a awm a.

Hei hi hriat a pawimawh hle a, a chhan chu natna chi hrang hrang a zirin a enkawl dan leh a nih dan a inang lo.

1. Carcinoid Tumor awm tlangpui

Hei hi a tam ber chi a ni . Lung carcinoid tumor hmuhchhuah zinga 90% a ni. A tha ber chu heng tumor te hi an thang zawi hle a, taksa hmun dangah an metastasize tlem hle . Chuvangin hlawhtling taka enkawl theih an ni fo.

2. Carcinoid Tumor awm lo (Atypical Carcinoid Tumor) te hi a awm thei

Hetiang chi hi a tam lo hle. A chi pangngai aiin a thang chak deuh thei. Tin, taksa peng dangah pawh a darh zau zawk bawk. He ``(Atypical)`` type hi meizuk zingah hian vei theihna a sang zawk tih hmuhchhuah a ni bawk.

Hei hi eng symptoms nge ni?

A tam zawkah chuan, a bik takin ``Typical'' cysts nei te hian mi tam tak chuan engmah an nei lo.Hengte hi chhan dang vangin chest X-ray neih laiin accident-in hmuh tur a awm fo bawk. Mahse, mi thenkhat chuan a hnuaia symptoms te hi an nei thei a ni:

Heng miziate hi hriatthiam awlsam zawk nan table-ah ka rawn tarlang ang.

Heng symptoms, `Carcinoid Syndrome` tia koh hi tumor hian taksa mamawh aia tam hormone a siam chhuak a, thisenah a belhchhah vang a ni. Mahse, hei pawh hi hmuh tur a tlem hle.

Engvangin nge heng tumor te hi an lo awm? Risk factors te chu engte nge ni?

Scientist-te chuan heng "neuroendocrine" cell-te hi thunun theih loha an inthen darh nghal chhan chiah hi an la hre lo a , mahse mi ṭhenkhat chuan he natna hi an vei theihna chance a sang deuh hlek tih an hmuchhuak.

• Genetic causes: Genetic condition hmuh tur awm lo, inherited genetic condition ``Multiple Endocrine Neoplasia type 1 (MEN1) tih a awm.`` Hetiang natna vei te hi carcinoid tumor vei theihna an sang hle.
• Meizial zuk: Meizial zuk hian tumor a tipung thei a, a bik takin ``atypical`` tumor a siam thei a ni.
• Gender: Hmeichhia te hian he natna hi an vei theihna chance a sang deuh hlek a ni.
• Kum: Kum 45 leh 55 inkar zingah a tam ber nachungin, he natna hi kum eng pawhah a awm thei a, naupang tê têah pawh a awm thei.

Engtin nge natna hi kan hriat theih ang?

Okay, heng symptoms te hi i nei ta ang u. Doctor i pan dawn chuan i natna lan chhuah dan a zawt hmasa ang che, chutah chuan i lung chu stethoscope hmangin a enfiah ang. Tichuan, a natna hriat chian nan test eng emaw zat a ti thei ang.

1. Imaging: A hmasa ber chu chest X-ray . Hei hian lungah thil danglam a awm leh awm loh hriat theih nan a pui thei a ni. CT scan (Computed Tomography scan) hmangin tumor lian leh te chiang zawka hriat theih a ni.

2. Thisen leh zun test: Heng test te hian heng tumor atanga hormone thenkhat siam chhuah hi thisen emaw zun emaw ah a awm em tih hriat nan a pui thin.

3. Biopsy: Hei hi 100% a natna finfiah nan test pawimawh ber a ni. Heta tih tur chu tumor atanga tissue te tak te tak te la chhuakin microscope hmanga enfiah a ni. Hei hian tumor chu ``Typical`` nge ``Atypical`` tih chiang takin a hre thei bawk. He tissue piece hi hmuh theihna atana hman tlanglawn ber chu bronchoscopy a ni . Hetah hian camera dahna tube te tak te, flexible tak chu hmui emaw hnar emaw kaltlangin lung chhunga thawkna kawngah an lut a, tumor thenkhat chu an hmu chhuak a ni.

Engtin nge enkawl a nih?

I enkawl dan tur chu a chi, a lian leh te, a awmna hmun leh i hriselna zawng zawngah a innghat ang. A tam zawkah chuan heng tumor te hi tihdam vek theih a ni .

Inzai

Hei hi enkawlna ber leh hlawhtling ber chu surgery hmanga tumor lakchhuah hi a ni.

• Wedge Resection: Tumor leh a chhehvel lung hmun tlemte chauh lakchhuah.
• Lobectomy: Lung pakhat lobe, a nih loh leh a hmun lian tak tak lakchhuah.
• Pneumonectomy: A tlem hle a, a tul chuan lung pum pui lakchhuah a ni.

Surgery neih chhung hian tumor bula lymph node engemawzat pawh lakchhuah a ni a, cancer cell-in a darh tawh em tih enfiah a ni bawk.

Enkawlna dang

Tumor hi lak chhuah kim theih a nih loh chuan, hmun dangah a darh tawh a nih chuan enkawlna dang a ngai mai thei.

• Radiation Therapy: Energy sang tak nei rays hmanga cancer cell tihchhiat.
• Damdawi hmanga enkawl dan: `(Octreotide)` ang chi hi `Carcinoid Syndrome` symptoms control nan hman a ni a, `(mTOR inhibitors)` ang chi damdawi te hi tumor thanna tur control nan hman a ni.
• Chemotherapy: Heng tumor te hi a lo thang zauh zauh fo avangin, cell inthen chak tak takte thattu chemotherapy hi hman a ni lo. Mahse, a chang chuan ``atypical'' type tumor lian chak tak tan chuan a tul thei bawk.

He natna hi a dam kim thei ang em?

Hei hi mi tam takin zawhna an neih a ni. Doctor-te chuan cancer chungchang sawi dawnin "completely cured" tih thumal hi hman an hreh deuh a, a chhan chu a lo let leh theihna chance tlemte a awm fo thin.

Atypical tumor enkawl hi a harsa deuh. Enkawlna hrang hrang inzawmkhawm an mamawh mai thei. A pum puiin he natna vei hmuhchhuah zinga 89% (a chi hnih telin) chu kum 5 hnuah pawh hriselna tha tak an la nei reng a ni. Hei hi cancer chi khat tan chuan result tha tak a ni.

Engtikah nge damdawi lam thurawn i lak ang? Engtikah nge ETU-ah hian i kal ang?

A pawimawh ber chu i taksa ngaihsak hi a ni. A hnuaia dinhmun hrang hrangah hian hmalak vat a pawimawh.