Colon polyps i nei em? Ngaihtuah buai suh, sawi ila!

‘Colon polyps’ tih hi i hre ngai em? I doctor-in a sawi a ni mai thei, a nih loh leh test neihpui turin a rawt pawh a ni mai thei. Mi tam tak chuan a hming an hriat hian an hlauthawng deuh thin a, a chhan chu cancer vei an nih theih thu an hriat vang a ni. Mahse, eng nge an nih tak tak? Polyp zawng zawng hi a hlauhawm vek em? An chungchanga zawhna i neih apiang tichiang turin he thu hi awlsam tak leh chiang takin sawi ila.

Heng colon polyps te hi engte nge ni?

A awlsam zawngin, hengte hi i colon emaw rectum chhung lam wall-a lo awm, extra growth te tak te an ni. I vunah bump te te angin ngaihtuah rawh. Chûng zînga a tam zâwk chu hlauhawm lo, benign growth an ni .

Mahse, tumor chi thenkhat chu rei tak enkawl loh chuan cancer a ni thei . Hei vang hian doctor-te chuan i hmuh veleh paih nghal turin an fuih a ni. A pawimawh ber chu puitling 15% atanga 40% inkar hian heng tumor chi hrang hrang hi an nei thei a ni. Chumi awmzia chu i ngaihtuah angin thil mak a ni lo tihna a ni. Kum 50 chunglam leh mipa te hian an vei nasa hle.

Engvângin nge chûngte chu a lo awm? Risk factors te chu engte nge ni?

Heng tumor te hi kan intestinal cells genes a inthlak danglamna (mutations) thenkhat avanga lo awm a ni fo thin. Heng inthlak danglamna hi engvangin nge a awm tih chiang taka sawi theih ni lo mah se, thil thenkhat chuan heng tumor te hi a lo awm theihna a tipung thei a ni.

Tu pawhin hengte hi an vei thei a, mahse a hnuaia natna te hi i neih chuan a hlauhawmna a sang zawk:

Chu bakah, hereditary condition hmuh tur awm lo thenkhat pawhin he risk hi a tipung thei bawk. Entirnan, `Familial Adenomatous Polyposis (FAP)` tih natna hian kum naupang takah polyp za tam tak emaw, sang tam tak emaw pawh a siam thei a ni. `Lynch Syndrome` pawh chutiang chi thlahtu natna dang a ni. I chhungte hian hetiang hi an lo neih tawh chuan i doctor nen genetic testing leh early screening chungchang sawipui a pawimawh hle.

Intestinal tumor chi hrang hrang a awm em?

Ni e, tumor zawng zawng hi a inang vek lo. Doctor-te chuan microscope hmanga an hmel lan dan a zirin an thliar hrang thin. A chi thenkhat chu cancer vei an tam zawk a, thenkhat erawh chu an vei lo thung.

• Adenomatous polyps / Adenomas: Colon polyp 70% vel chu hetiang chi hi a ni. Colon cancer tam zawk hi chu he polyp chi atang hian a intan thin . Mahse, he polyp chi hi cancer a nih theih nan kum tam tak a ngai tlangpui. Chuvang chuan a hmaa hriatchhuah leh paih chhuah a pawimawh hle.
• Serrated polyps: Heng hming hi an vuah chhan chu an kilte chu saw ha ang deuh a nih vang a ni. Hetiang chi subtype pawh cancer vei thei a awm bawk.
• Hyperplastic polyps: Hengte hi cancer a nih a rinawm loh.
• Inflammatory polyps: Hengte hi a takah chuan polyp dik tak an ni lo. Hun rei tak chhunga natna hrik emaw, colon-a inflammation emaw avanga lo awm an ni. Cancer vei an ni lo.

Hei hi eng symptoms nge ni?

Mi tam tak mak tih tur chu hetiang hi a ni: Colon tumor tam zawk hian symptom an nei lo. I nei tih pawh i hre lo mai thei. A tam zawkah chuan chhan dang avanga test an tih laiin an hmu thin.

Mahse, a chang chuan a bik takin cyst te hi a lian deuh deuh chuan a hnuaia symptoms te hi a lo lang thei thin:

• Stool-a thisen: Toilet-a thisen bawlhhlawh hmuh, toilet paper-a thisen hmuh ang chi thil.
• Stool rawng inthlak danglamna: stool dum emaw, red streaks nei emaw (hei hian thisen a inhmeh tih a tilang).
• Bowel function inthlak danglamna: constipation emaw diarrhea kar khat aia rei.
• Pum na emaw, na emaw: A chang chuan tumor lian tak hian intestinal obstruction a thlen thei a, pum na a thlen thei bawk.
• Fatigue leh extreme fatigue: Hei hi cyst atanga thisen chhuak chhunzawm zel hian taksaah iron a tlakchham avangin thisen tlakchhamna a thlen thin vang a ni.

Pawimawh tak: Heng symptoms i neih vang mai mai hian colon tumor emaw cancer emaw i nei tih ngaihtuah hlau suh. Heng symptoms te hi thil awlsam dang, hemorrhoids te pawh a awm thei bawk. Mahse, heng symptoms te hi i neih chuan ngaihthah suh la, i doctor hnenah thurawn dil ngei ang che.

Engtin nge hengte hi an hmuhchhuah a, enkawl an nih?

Colon cancer venna tha ber chu heng tumor te hi a hmaa hriatchhuah leh paih chhuah hi a ni. Hei hi screening method hrang hrang a awm a.

• Colonoscopy: Hei hi hmanraw hman tlanglawn ber leh dik ber a ni. Hetah hian anesthetic (engmah i hriat loh nan) pek che a ni a, i hnute kaltlangin camera vuah tube te tak te, flexible tak tak dahin i intestine lian zawng zawng enfiah a ni.
• A tha ber: He test chhung hian doctor chuan polyp awm zawng zawng chu a paih chhuak thei bawk (polypectomy) . Chumi hnuah polyp te chu lab-ah thawn a ni a, cancer cell awm leh awm loh enfiah a ni.
• Test dang: `CT Colonography` (virtual colonoscopy) leh stool test ang chi hmanraw awm mahse, tumor rinhlelh a nih chuan colonoscopy tih a ngai a, chu chu finfiah leh paih chhuah a ngai a ni.

Vawikhat tumor lakchhuah a nih chuan a lo let leh tawh lovang. Mahse, mi pakhatin tumor a neih veleh hmun dangah tumor thar a lo awm theihna chance 30% vel a awm.Chuvangin, i doctor chuan kum 3-5 hnuah test dang tih leh turin a rawt fo ang. Chu thupekte chu zawm a pawimawh hle.

Hengte hi a thlen loh nan ven theih a ni em?

Genetic cause kan thlak danglam thei lo nain, kan nunphung thlak danglamin heng tumor kan neih theihna tur hi kan ti tlem thei a ni.

• Ei leh in tha: Thei, thlai leh fiber tamna ei tur (bean, lentils, chickpeas, brown rice) ei tam rawh.
• Weight control: I thau lutuk a nih chuan i taksa rihna tihtlem tum ang che.
• Thil tihkhawtlai tur: Sa sen, sa tihdam (sausage, bacon ang chi), leh ei tur thau tak takte tihtlem.
• Meizial zu leh zu in: Heng tih dante hi bansan vek a tha.
• Exercise: Kar khatah ni engemaw zat tal chak takin exercise la.
• I doctor nen inbiakna nei rawh: I chhungkaw chanchin a zirin, calcium, vitamin D, aspirin ang chi damdawi ei hi i tan a tha em tih zawt rawh. Damdawi hi damdawi lam thurawn tel lo chuan hun rei tak hmang ngai suh.