Nangmah emaw, i hmangaih tu emaw cancer vei nia hriat a nih huna hlauhna leh mangang i neih chu thu hmanga sawi a harsa hle. Mahse tunlai damdawi lama hmasawnna avang hian cancer cell chauh target a, taksa tichhe tlem thei tur enkawlna tha tak tak a awm nual. Chutiang enkawlna pakhat, a bik takin liver cancer tan chuan TACE hi a ni. Hemi chungchang hi vawiinah hian thumal awlsam takin han sawi ila.
A awlsam zawngin, TACE enkawlna chu eng nge ni?
TACE hming kimchang chu Transarterial Chemoembolization tih a ni. A hming hi a buaithlak deuh a, mahse he thila thil thleng hi a awlsam hle. Cancer hi misualte inthup na hmun angin ngaihtuah rawh. An dam theih nan chaw leh tui (i.e. thisen) an mamawh a ni. He enkawlnaah hian cancer hnena thisen petu thisen kalna kawngpui ber i hmu a, chu kawng kaltlangin cancer dona damdawi ( chemo ) thenkhat chu cancer chhungah direct-in i inject a ni. Tichuan, thisen kalna kawng chu particle te tak te hmangin a block ta a ni.
A awlsam zawngin, hei hian vawi khatah thil pahnih a ti a:
1. Cancer cells thattu damdawi chu tumor ah direct in a thleng thin .
2. Tumor hian thisen a dawn tawh loh chuan a mamawh oxygen leh nutrients a hloh a, tumor chu a chak lo a, a thi tan a, "caught in a coma" ang maiin a thi ta a ni.
Hei hi chemotherapy pangngai nen a danglam em?
Ni e, hei hi kan hriat tlangpui chemotherapy nen chuan a danglam hle. A danglamna ber chu eng nge ni tih i lo en ang u.
| Nihphung | TACE hmanga enkawl a ni | Systemic Chemotherapy hmanga enkawlna a ni |
|---|---|---|
| A pek dan tur | Damdawi hi cancer tumor ngeiah direct-in pek a ni. | Damdawi chu thisen kal tlangin taksa pum puiah a kal kual a. |
| Damdawi hman dan tur | Damdawi concentration sang tak tak chu tumor-ah chauh pek a ni. | Taksa tuar theihna chhunga awm dose pek a ni. |
| Side effects a awm thei | Damdawi hi taksa pum puiah a kal loh avangin side effect na tak tak, sam tlakchham leh luak tam lutuk te hi a tlem hle. | Taksa pumpui a nghawng avangin sam tlakchham, luak chhuak, leh hriatna hloh te ang chi side effect a awm fo thin. |
He TACE enkawlna hi tute tan nge a tha?
He enkawlna hi liver cancer (hepatocellular carcinoma) vei tan hman a ni ber a, a bik takin tumor lian lutuk, operation hmanga lakchhuah theih loh nei tan a ni.
He enkawlna hi hmun dang atanga liver-a darh (metastasized) cancer chi hrang hrang tan pawh hman a ni.
- Hnute cancer a ni
- Colon cancer a ni
- Neuroendocrine tumors (nervous system nena inzawm cancer) .
- Sarcoma (` Sarcoma `) a ni.
- Mit lam melanoma a awm
Hei hian liver a tichhe dawn em ni?
Hei hi mi tam tak tan chuan hlauhthawnawm tak a ni. Mahse mak tak maiin kan liver-a thisen kalna kawng lian pahnih a awm a.
1. Hepatic artery: He artery hian thisen tlem te te chu thin (liver) ah a pe chhuak thin. Mahse, liver-a cancer natna hrik awmte chuan an thisen supply zawng zawng deuhthaw chu he artery atang hian an dawng vek a ni.
2. Portal vein: Hei hi liver-in a thisen supply tam zawk a dawnna hmun a ni.
TACE enkawlnaah chuan cancer hnena thisen petu hepatic artery chauh a block thin. Liver peng hrisel tak takte chuan portal vein atanga thisen mamawh an dawng chhunzawm zel avangin liver hnathawhnaah chhiatna lian tham a awm lo.
A awlsam zawngin, cancer "food pipe" chauh kan block. Liver hmun tha tak takte chuan an mamawh ei tur tha tak tak an dawng chhunzawm zel a.
TACE enkawl ngai lo tur an awm em?
Ni e, he enkawlna hi mi zawng zawng tan a tha lo. I doctor chuan a enfiah ang che a, hei hi i tan a tha em tih a rel ang. A tlangpuiin a hnuaia natna nei tan a tha lo:
- Bile ducts a block chuan
- Thisen zam (blood clotting disorder) i neih chuan
- Kidney natna i neih chuan
- Cancer hi taksa peng hrang hrangah a darh tawh a nih chuan
- Liver natna khirh tak dang (hepatic encephalopathy, portal vein thrombosis) i neih chuan .
- Enkawlna atana hman thin dye bikte allergy na tak i neih chuan
Okay, tunah chuan he TACE treatment hian engtin nge hna a thawh tih kan en ang.
He enkawlna hi Interventional Radiologist ten an enkawl thin a ni . Chu chu X-ray ang chi machine bik hmanga taksa en a, a chhunga tube te (catheter) te dah luhtu doctor a ni.
Enkawl hmain eng nge i tih thin?
I doctor chuan i enkawlna tur ruahmanna siam turin test eng emaw zat a ti ang.
- CT scan emaw MRI scan emaw a ni
- Thisen test hmanga kal (kidney function) leh thisen zam (blood clotting) te enfiah thin a ni
Tin, enkawl hmain natna hrik laka invenna tur antibiotics te, rilru hahna tihziaawmna tur damdawi te, cancer cell thih huna thil chhuak laka i kal venna damdawi te pek i ni thei bawk.
Enkawl lai hian eng nge thleng?
Hei hi operation lian tak a ni lo. Hetah hian thil thleng chu a awm:
1. Naupang te te chu general anesthesia pek an ni . Chumi awmzia chu an muhil vek tawh tihna a ni. Puitlingte chu sedation chauh pek an ni a, chu chuan an muhil deuh a ni .
2. Doctor chuan i groin emaw i kutphah bula thisen kalna kawngah cut te tak te tak tak a siam ang.
3. Chu incision hmang chuan catheter an tih tube te tak te chu an dah lut a.
4. Tichuan, X-ray ang chi machine bik (`fluoroscopy`) en laiin, chu tube chu uluk takin liver cancer tumor-a thisen petu vein thlengin an kal hmasa a.
5. A dawtah chuan tube chhungah hian dye bik an pass leh a. Chumi hnuah chuan cancer leh a chhehvel thisen kalna kawngte chu chiang takin a lang ta a ni.
6. A hmun dik tak an hriat veleh doctor chuan chemotherapy damdawi leh thisen kalna kawngkhar chhunga thisen kalna kawngkhar tikhawlotu chi te te (embolic agents) inzawmkhawmin a inject a.
7. Procedure an tih zawh chuan catheter chu lakchhuah a ni a, a incision te tak teah chuan bandage an vuah thin. Incision lian tak a awm loh avangin stitches a ngai tawh lo.
He enkawlna hian eng hlawkna leh hlauhawmna nge a neih?
Damdawi dang ang bawkin TACE hian hlawkna leh hlauhawmna a nei vek a ni.
| Hlawkpuina | Risks & Side Effects a awm thei |
|---|---|
| Hlawhtlinna sang: Cancer thanna hi damlo 70% vel ah tihtawp emaw control theih a ni. | Infection: Enkawlna dang ang bawkin natna kai theihna a tlem hle. |
| Liver hnathawh a humhim: Liver hmun hrisel tak takte chu a chhe lo hle. | Kidney chhiatna: A hlauhawmna a sang deuh a, a bik takin zunthlum vei tan chuan a hlauhawmna a sang hle. |
| Dam thuai: Cancer enkawlna pangngai aiin i dam leh thei a, nun pangngaiah i kir leh thuai thei. | Liver chhiatna: A tlem hle a, damdawi chu hmun dik lovah a kal chuan liver chhiatna a awm thei. |
| Side effect tlem zawk: Taksa pumpuiah nghawng a neih tlem avangin side effect a tlem zawk. | Postembolization Syndrome: Khawsik, luak chhuak, leh enkawl hnua natna. (Hei hi a awm fo). |
Enkawl hnuah eng nge thleng? A dam leh theih nan eng chen nge hun a duh?
Inenkawl zawhah mi tam tak chuan khawsik, luak chhuak, luak chhuak, leh natna an nei thin. Hei hi postembolization syndrome an ti a . Hei hi a awm fo thin. Heng symptoms te hi a reh hma chuan ni khat emaw ni hnih emaw chhung damdawi inah i awm a ngai dawn a ni.
In i haw hnuah tlem i chawlh a ngai a ni.
- I doctor-in a pek che damdawi kha ei la, natna leh rilru hahna atan.
- Kar khat vel chu khawsik tlem a awm thei.
- Kar engemaw zat chhung chu i chau thei a, ei duhna i hloh thei bawk.
Heng zawng zawng hi a reh zauh zauh a. Mi tam zawk chu kar tlemte chhungin an dam vek a, nunphung tha tak an hmang thin. Mahse, tumor thar a lo awm leh awm loh enfiah chhunzawm zel a ngai dawn a ni.
Heng symptoms te hi i neih chuan doctor pan nghal rawh!
Inenkawl hnua in lama i haw hnua a hnuaia symptoms te hi i neih chuan i doctor ko nghal la , a nih loh leh i enkawlna hmun damdawi inah kal rawh.
- Damdawi ei chung pawha luak chhuak leh luak chhuak i thunun theih loh chuan.
- Thil ngaihtuah harsa i neih emaw, i buai emaw, kal harsa i tih emaw chuan.
- Khawsik reh lo tur i neih a, i taksa a vawt a, a thawmhnaw a chhuak a nih chuan.
- Mit emaw vun emaw a sen (jaundice) a nih chuan - hei hi thin chhiatna chhinchhiahna a ni thei.
Take-Home Thuchah a ni
- TACE hi enkawlna tha tak a ni a, liver cancer chu direct-in a target a, damdawi a thlen a, a thisen supply a titawp a ni.
- Hei hian taksa a tichhe tlem zawk a, chemotherapy pangngai aiin side effect a nei tlem zawk bawk.
- Enkawlna hi incision lian tak nei lo, taksa chhunga tube te tak te dah luh hmanga tih a ni. Chuvang chuan dam leh hun hi a rei lo hle a ni.
- Enkawl hnua khawsik leh riltam ang chi symptoms nei hi thil pangngai a ni a, mahse symptoms na tak tak a awm chuan fimkhur a pawimawh hle.
- I doctor hi he enkawlna hi i tan a tha em tih reltu tha ber a ni a, chuvangin a chungchang hi zalen takin sawipui rawh.
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