Liver cancer tan TACE hmanga enkawlna (Transarterial Chemoembolization) hman dan i hria em?

"Cancer" tih thumal kan hriat hian kan hlau deuh vek a ni lawm ni? Chu chu thil pangngai tak a ni. Mahse medical science a lo thang chho zel a, tunah chuan cancer enkawlna hlawhtling leh changkang tak tak a awm ta. Vawiin hian special treatment kan sawi dawn a, chu chuan liver tumors a bik takin a target a, chemotherapy pangngai aiin side effects a nei tlem zawk a ni. Hei hi TACE an ti a. A chipchiar zawng hi han thlir ila.

TACE hian eng nge a awmzia mai?

TACE hming kimchang chu Transarterial Chemoembolization tih a ni. A hming hi a buaithlak deuh niin a lang a, mahse he procedure-a thil thleng hi a awlsam hle. A awlsam zawngin, cancer tumor supply tu thisen kalna kawngte tikhawlotu, a thisen supply titawptu enkawlna a ni.

Huana hnim duh loh tak chu han ngaihtuah teh. Chu plant-a tui supply chu kan titawp a nih chuan eng nge thleng ang? Tui awm lo se chuan ni engemaw zat chhungin thing chu a thi mai ang. Chu chu he TACE enkawlnaah hian a thleng thin. Cancer tumor pawh hi duh loh, thang chak tak a ni bawk. A thang lian tur chuan thisen tam tak a mamawh a ni. He enkawlnaah hian doctor-te chuan tumor-a thisen petu thisen kalna kawng chu an hmu chhuak a, a chhungah thil bik an inject a, an block a ni. Hemiah hian thil pawimawh pahnih inzawmkhawmin vein chhungah a thawn lut a:

• Chemotherapy damdawi: Hengte hi cancer cell thattu damdawi an ni.
• Embolic agents: Hengte hi plastic chi hrang hrang te tak te ang mai an ni. Chemo damdawi te chu tumor chhunga awm reng turin an pui thin. Hei hian damdawi te hian taksa peng dang pan lovin, cancer chu direct-in a target thei a ni.

Hei hi chemotherapy pangngai nen engtin nge a danglam?

Chemotherapy i hriat hian taksaa damdawi an inject na hmun kha i hre mai thei. Chu chu `Systemic Chemotherapy` kan ti a. TACE hi a danglam deuh hlek a, targeted treatment a ni. An pahnih inthlauhna ber chu eng nge ni tih i lo en ang u.

TACE enkawlna hi tute tan nge a tha?

He enkawlna hi puitling leh naupang tan pawh hman a ni. Liver cancer (`Hepatocellular carcinoma`) tan hman a ni ber. A bik takin, TACE hi tumor lian lutuk, surgery hmanga lak chhuah theih loh nei tan chuan enkawlna hmasa ber atan an rawt fo thin.

Chu mai ni lovin, he enkawlna hi hmun dang atanga thin (liver)-a cancer darh (metastasized) tan pawh hman a ni. Entir nan:

• Hnute cancer a ni
• Colon cancer a ni
• `Carcinoid natna hrik awm`
• `Neuroendocrine natna hrik awmte`
• Mit melanoma (mit cancer) 1.1.
• `Sarcoma` tih a ni

TACE hian liver function a tichhe dawn em ni?

Hei hi mi tam takin harsatna an neih a ni. Liver-a thisen kal tihtawp hian a tichhe dawn em tih ngaihtuah a dik. Mahse, ngaihtuahawm tur a awm lo. A chhan chu kan thin (liver)-a thisen pe chhuaktu thisen kalna kawng lian pahnih a awm vang a ni.

1. Hepatic artery: He artery hian liver thisen supply zawng zawng atanga a tlem ber chauh a pe chhuak thin. Mak tak maiin, liver-a cancer natna hrik awmte hian an thisen supply zawng zawng deuhthaw chu he artery atang hian an dawng vek a ni.

2. Portal vein: He main vein hian liver mamawh thisen tam zawk a supply a.

TACE-ah chuan doctor-te chuan chu vein te tak te, hepatic artery . Cancer-a thisen pekna chu tihtawp ni mah se, liver cell hrisel tak takte chuan an mamawh thisen zawng zawng chu main vein, portal vein -ah an dawng chhunzawm zel a ni. Chuvangin liver hnathawh dan pangngaiah hian nghawng lian tham a nei lo.

Enkawlna tih dan tur

He enkawlna hi Interventional Radiologist ten an enkawl thin a ni . Chu chu X-ray ang chi imaging technology hmanga taksa chhunga incision lian tak tak siam lovin taksa chhung enkawl nan tube te te (catheter) hmanga enkawltu specialist a ni.

Hetah hian enkawlna hnathawh dan step-by-step process chu tarlan a ni:

1. Inbuatsaihna: Naupangte chu general anesthesia pek an ni. Puitlingte chu mut hahdam leh hahdam taka an awm theih nan sedation pek an ni.

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3. Kawng zawn: Tichuan, live X-ray technique bik (fluoroscopy) hmangin, tube chu uluk takin liver-a cancer natna thlentu thisen petu vein-ah an hruai a.

4. Dye injection: Tumor leh a chhehvel vein te chiang taka hmuh theih nan tube kaltlangin dye bik (`contrast dye`) an inject thin.

5. Enkawlna pek: Tichuan, chemo damdawi leh a hmaa kan sawi tawh `embolic agent` inzawmkhawm chu tube kaltlangin cancer natna thlenna vein-ah direct-in an inject a.

6. Finishing: Enkawlna a zawh chuan doctor chuan tube chu a la chhuak ang a, a incision chungah chuan plaster te tak te a hnawih ang. Hei hian stitches a mamawh dawn lo.

Enkawlna hnuah eng nge beisei tur?

TACE enkawlna hnuah mi tam tak chuan natna, rilru hahna, luak chhuak, leh khawsik tlemte an nei thei a ni . Hetiang dinhmun hi `postembolization syndrome` an ti a. Hei hi thil pangngai a ni a, ngaihtuahawm tur a awm lo. Heng symptoms te hi a reh hma loh chuan ni khat emaw ni hnih emaw chhung damdawi inah i awm a ngai tlangpui ang.

In haw hnuah kar engemaw zat chawlh hahdam a pawimawh.

• Doctor-in a tih ang chiah khan natna leh nausea tan damdawi hi hmang ang che.
• Kar khat vel chu khawsik tlem i nei thei.
• Kar engemaw zat chhung chu i chau thei a, ei duhna i hloh thei bawk.

I doctor hriattir nghal tur dinhmun

A hnuaia symptoms te hi i neih chuan doctor emaw, damdawi in emaw, a enkawltu che hnenah hriattirna pe hmasa phawt ang che.

• Damdawi ei chung pawha luak chhuak leh luak chhuak i thunun theih loh chuan .
• I buai thut emaw, i thunun theih loh emaw a nih chuan .
• Khawsik chhunzawm zel, khawsik, leh thawk hah ang chi symptoms i neih chuan .
• Vun emaw mit sen (jaundice) i neih chuan liver failure chhinchhiahna a ni.