Lung carcinoid tumor chungchanga hriat tur awmte

Hun engemaw chen chu khuh i nei tawh em? Phlegm nen a inzawm mai thei em? A nih loh leh thawk hah deuhin i inhria em? Chûng thilte chu khawsik pangngai mai mai anga ngaihin kan theihnghilh fo ṭhîn. Mahse a tlem hle a, chutiang chhinchhiahna tenau tak hnuaiah hian thil dang kan ngaihven a ngai mai thei. Vawiin hian lung cancer natna hmuh tur awm lo mahse pawimawh tak tak kan sawi dawn a ni. Chu chu Lung Carcinoid Tumors a ni.

A awlsam zawngin, heng lung carcinoid tumor te hi engte nge ni?

Hei hian sawifiahna tlem a mamawh a ni. Kan taksaah hian cell chi khat bik a awm a, chu chu nervous system leh hormonal system-a mi a ni. Hengte hi neuroendocrine cell kan ti a. Heng cell te hi kan taksaa coordinator angin han ngaihtuah teh. Nervous system atanga thuchah a lo chhuah chuan an hna chu a chhanna atan hormone siam chhuah leh taksa chhunga thiltih hrang hrang thunun hi a ni. Entirnan, heng cell te hian kan thaw chu lung chhunga a luh dan leh chaw ei tur chu chaw ei kawng atanga a kal dan te control turin a pui thin.

Chuvangin, eng emaw chhan vangin heng neuroendocrine cell te hi thunun theih loha an inthen darh a, an pung chhoh tan chuan chu hmunah chuan tumor a lo awm ta a ni. Lung carcinoid tumor hi lung chhunga heng neuroendocrine cells atanga intan cancer tumor kan ti a.

Mahse, "cancer" tih thumal i hriat hian hlau suh. A chhan chu heng carcinoid tumor hi chi hnih a awm avangin. An pahnih hian an awm dan a inang lo hle.

Cassinoid cyst chi hnih lian ber

An than chak dan leh an darh theih dan a zirin chi hnihah then an ni.

Hetiang dinhmun hi eng symptoms nge ni thei ang?

A tam zawkah chuan, a bik takin typical cyst nei te tan chuan symptoms a awm lo . Anni hi accident-a hmuhchhuah an ni a, chhan dang vangin chest X-ray-ah ang maiin an hmuchhuak a ni. Mahse, mi thenkhat chuan a hnuaia symptoms te hi an nei thei a ni:

• Khuh chhunzawm zel (a chang chuan thisen emaw, mucus emaw) .
• A rilru a na
• Thâwk harsa (dyspnea) .
• Thâwk chhuah (wheezing) laiin ‘whistling’ ri hlim lo tak hriat .

A bik takin Carcinoid Syndrome an ti a

A tlem hle a, heng tumor te hian hormone serotonin hi an siam tam lutuk tan thin. Hei hian taksaa hormone inthlauhna a thlen thei a, symptom hrang hrang a thlen thei a ni. Hei hi carcinoid syndrome an ti a . A natna lan chhuah dante chu:

• Diarrhea na tak a awm
• Hmai leh kawr a sen emaw, lumna hriatna (flushing) .
• Chhan awm lovin taksa rihna a pung
• Thâwk harsa emaw, asthma ang chi natna emaw a awm

Heng symptoms te hi a awm a nih chuan doctor thurawn lak nghal a pawimawh hle.

Engvangin nge hetiang tumor hi a lo awm? Risk factors a awm em?

Dik tak chuan, heng neuroendocrine cell-te hi thunun theih loha an inṭhen darh ṭan chhan dik tak chu hmuhchhuah a la ni lo .

Mahse, mi thenkhat chuan he natna hi an vei theihna chance a sang deuh tih hmuhchhuah a ni. Heng thilte hi:

• Multiple Endocrine Neoplasia type 1 (MEN1) tih hming pu, genetic condition hmuh tur awm lo, inherited nei.
• Meizial zuk (a bik takin atypical type tan) .
• Hmeichhia nih (hmeichhia hian he natna hi an nei tlem zawk) .
• Being between the ages of 45 and 55. He natna hi he kum lama mite zingah hian hmuh tam ber ni mahse, he natna hi kum eng pawhah a awm thei a, naupang tê tak têah pawh a awm thei.

Engtin nge he dinhmun hi kan hriat theih ang?

A chunga kan sawi tak symptoms te hi i neih chuan doctor rawn hmasa phawt tur a ni. I natna lan chhuah dan a zawt ang che a, i rilru chu stethoscope hmangin a ngaithla ang che a, rinhlelhna i neih chuan i natna hriat chian nan test thenkhat neih a rawt ang che.

1. Imaging: A hmasa ber chu chest X-ray lak a ni . Thil danglam bik hmuh a nih chuan CT scan (Computed Tomography scan) tih tur a ni. CT scan hian lungte chu chiang takin, cross-sectional image a siam thei a, chu chuan tumor lian tham leh awmna hmun chu a hriat theih phah a ni.

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

3. Biopsy: Hei hi 100% a natna finfiah nan test pawimawh ber a ni. Hetah hian tumor atanga tissue te tak te tak te chu lakchhuah a ni a, microscope hmangin an enfiah thin. Hei hian tumor chu carcinoid tumor, typical nge atypical tih chiang takin a hre thei a ni. He tissue sample lakna atana hman tlanglawn ber chu bronchoscopy a ni . Hetah hian camera te tak te nei tube te tak te chu airways kaltlangin tumor enfiah nan an hmang a, a then te te an la a.

Enkawlna kawng hrang hrangte chu engte nge ni?

I tana enkawlna tha ber chu a chi, a lian leh te, a awmna hmun leh i hriselna zawng zawngah a innghat ang. Thu lawmawm tak chu lung carcinoid tumor tam zawk hi operation ringawt pawhin a dam kim thei tih hi a ni.

Enkawlna kawng hrang hrang a awm a, chungte chu:

• Inzai:
• Lobectomy: Tumor awmna lung chhunga lobe chu lakchhuah vek a ni.
• Wedge Resection: Tumor leh a chhehvela tissue tlemte chauh lakchhuah.
• Pneumonectomy: A tlem hle a, lung pum pui lakchhuah a ngai mai thei.
• Lymph node lakchhuah: Surgeon chuan cancer hi a darh tawh em tih en tur leh a darh belh zel loh nan a bul hnaia lymph node te lakchhuah a tum mai thei.

• Radiation Therapy: He enkawlna hi operation hmanga tumor lak chhuah kim theih loh emaw, damlo chu operation tih theih loh khawpa damdawi lam dinhmun a nih chuan pek thin a ni. External-beam radiation emaw, tumor bula radioactive material te te dah (brachytherapy) emaw a ni.

• Chemotherapy hmanga enkawlna:Heng tumor te hi an lo thang zawi zawi a, a chhan chu conventional chemotherapy, cell pung chak zawkte beitu chu a hlawk vak lo. Chuvangin, he enkawlna hi chi hrang hrangah pek a ni tlem hle. Mahse, he enkawlna hi atypical type lian chak tak emaw, taksa peng danga an darh tawh emaw tan chuan a tul thei a ni.

• Damdawi dang: 1.1.
• Octreotide: He hormonal damdawi hi carcinoid syndrome avanga natna lan chhuah dan control nan pek a ni.
• MTOR inhibitors (e.g. Everolimus): Damdawi chi khat, tumor thanna tikhawlo thei.

Recovery rate leh outlook chu engzat nge ni?

Hei hi mi tam tak tan chuan harsatna a ni.

Atypical carcinoid tumor hi enkawl a harsa deuh. Recurrence risk hi a sang deuh hlek a ni. Mahse, he natna hi enkawlna hrang hrang inzawmkhawm hmangin hlawhtling taka control theih a ni bawk.

A pum puiin, lung carcinoid tumor chi hrang hrang kum nga chhunga dam rei zawng hi 89% a sang hle a ni . Chumi awmzia chu he natna vei mi 100 hmuhchhuah zinga 89 chu kum 5 hnuah pawh an la hrisel a ni.

Engtikah nge doctor i hmuh ang?

I natna lan chhuah dan thar emaw, a zual zel emaw, a bik takin thawk hah, ril\am, emaw, sawifiah theih loha i taksa rihna tlahniam emaw i neih chuan i doctor hnenah hriattir rawh. Zawhna leh ngaihtuahna eng pawh sawi hreh suh.

Engtikah nge ETU (Emergency Treatment Unit) pan nghal tur

A hnuaia symptom na tak tak i neih chuan damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh:

• Thâwk hah lutuk (chawlh lai pawhin).
• Thisen a khuh chhuak.
• Chest na thar emaw, na zual emaw.
• Buaina emaw, hriatna tihdanglam emaw.
• Vun, hmui emaw kut zungtang emaw a rawng blue a inthlak (cyanosis).

I doctor zawh tur zawhna

Hetiang diagnosis i dawn hian zawhna i neih hi thil pangngai a ni. I doctor hnenah hetiang zawhna hi zawh hi a \angkai thei ang:

• Hei hi typical nge atypical?
• Hei hi hmun dangah a darh tawh em?
• Eng enkawlna nge i rawt?
• Hetiang tumor chi hi eng nge a hmalam hun?
• In lama symptoms te hi engtin nge kan enkawl ang?

Cancer eng pawh nia hriat chhuah chu thil harsa tak a ni. Mahse hre reng ang che, lung carcinoid tam zawk hi enkawl theih a ni a, a lo lang leh theihna a tlem hle. I dinhmun atana i beisei tur chu i medical team nen zalen takin sawiho rawh. Enkawl dan tha ber berte an hrilhfiah ang che a, zawhna i neih apiang an chhang ang che.