‘Colon polyps’, emaw, intestine lian chhunga lo thang lian lo te te i hre tawh em? I doctor-in an chanchin a hrilh che a ni mai thei, a nih loh leh khawi emaw laiah i lo hre tawh pawh a ni mai thei. He hming i hriat hian tlem a hlauhthawn hi thil pangngai tak a ni. Mahse hei hi i hriat tak tak chuan hriselna lama harsatna lian tak tak tam tak i pumpelh thei a ni. Chuvangin vawiin hian he thu hi awlsam tak leh friendly takin i sawi dawn nia.
Colon polyps hi eng nge ni tak tak?
A awlsam zawngin, hengte hi kan chaw ei dan (digestive system) chhunga tel, intestine lian (colon) chhungril lama lo piang chhuak te te an ni. Vunah bump te te angin ngaihtuah rawh. A tam zawk hi chu harsatna nei lo leh harsatna thlen lo an ni. Mahse
, a lo thang lian chi thenkhat chu hun rei tak enkawl loh chuan colon cancer ah a chang thei. Chuvangin doctor-te chuan heng tumor te hi an hriat chian veleh paih chhuah an rawt a ni.
An tam em avangin puitling 15% atanga 40% inkar velin an vei thei niin an ngai. Kum 50 chunglam leh mipaah chuan a hlauhawmna a sang deuh hlek a ni.
Engvângin nge chûngte chu a lo awm? Tute nge risk sang zawk?
A tam zawkah chuan heng tumor te hi kan cell chhunga genes inthlak danglam (mutations) vang a ni. Mahse doctor-te chuan heng inthlak danglamna hi engvangin nge a lo awm tih chiang takin an la hre lo. Tu pawhin an nei thei a, mahse mi thenkhat chu an hlauhawm zawk. Hêng thudikte hi i tân a inmil em tih en rawh:
- Chhungkaw zingah hian a hmain colon tumor emaw cancer emaw nei tawh an awm chuan .
- Kum 50 aia upa i nih chuan .
- I thau lutuk ( BMI 25 aia tam) emaw, thau lutuk (BMI 30 aia tam) emaw i nih chuan.
- Meizial i zuk chuan .
- Zu i in chuan (a bik takin ni khata in tam lutuk).
- Thau tamna leh fiber tlem diet i hman tawh chuan .
- Hetiang tumor emaw, colon cancer emaw i neih tawh chuan.
- Inflammatory bowel disease , Ulcerative Colitis emaw Crohn’s disease emaw i neih chuan.
- Type 2 diabetes control tha lo i neih chuan.
- Exercise tlem zawkNunphung i hman chuan.
Chu bakah, thlahtu natna (hereditary condition) hmuh tur awm lo thenkhat chuan heng tumor leh cancer te hi a tipung thei bawk. Entirnan, `(Familial Adenomatous Polyposis - FAP)` leh `(Lynch syndrome)` ang chi dinhmun te. Hetiang hi chhungkaw history i neih chuan doctor nen inbiakna neih a pawimawh hle.
Ei leh in hian nghawng a nei em?
Ni e, nghawng engemaw zat a awm. Zirna hrang hrangah chuan heng ang ei tur hi tihtlem hian a hlauhawmna a tihziaawm thei tih hmuhchhuah a ni:
- Sa siam chhuah - sausage leh bacon ang chi.
- Sa sen - bawngsa leh vawk sa ang chi.
- Chaw thau - deep-fried ei tur.
Heng nut chi hrang hrang hi a awm em?
Ni e, tumor zawng zawng hi a inang vek lo. Tin, tumor zawng zawng hi cancer a ni vek lo. Doctor-te chuan microscope hmanga enin an classified a. A chi hrang hrangte hi han thlir thuai ila.
| Polyp chi hrang hrang | Sawifiah leh pawimawhna |
|---|
| Adenomatous polyps a awm a | Hengte hi a tam ber chi (70% vel) an ni. Colon cancer tam zawk hi heng tumor chi hrang hrang atang hian a intan thin. Mahse cancer-a lo chang turin kum tam tak an ngai a ni. Hengte hi subtype pawh a awm a, an pianzia a zirin. |
| Serrated polyps a awm bawk | He hming hi heng hliam kilte hi saw ha ang deuh a nih vang a ni. Heng natna chi hrang hrang thenkhat hi cancer-ah a chang thei bawk. Hengte hi precancerous condition anga ngaih a ni. |
| Hyperplastic polyp hmanga siam a ni | Hengte hi a tlem tlangpui a, cancer vei theihna chance a tlem hle. Chuvangin ngaihtuahawm tur a awm lo. |
| Inflammatory polyps a awm thin | Hengte hi a takah chuan tumor dik tak an ni lo. Colon chhunga hun rei tak inflammation awm chhanna atan an lo piang thin. Cancer-ah an chang lo. |
Heng nut te hi eng ang nge an nih?
Doctor chuan heng tumor te hi an hmel, an lian leh te, an pianzia a zirin a nasat dan tur chu a hre thei a ni.
- Size: A tlangpuiin, tumor a lian poh leh cancer a nih theihna a sang zawk.
- Shape: Ṭhenkhat chu sessile an ni a, intestinal wall-ah an innghat. Midang erawh chu pedunculated an ni. Heng tumor chi hrang hrangte hi lakchhuah a awlsam hle.
Eng nge a lan chhuah dan?
Hetah hian a pawimawh ber.
A tam zawkah chuan colon polyp hian symptom a nei lo! I nei tih pawh i hre lo mai thei. Chhan dang avanga test i neih hunah i hrechhuak ang. Mahse, a châng chuan heng ang symptoms hi i nei thei a ni:
- Stool-a thisen : Toilet-a thisen chhuak i hmuh emaw, toilet paper-a thisen awm emaw i hmuh chuan intestine chhunga thisen chhuak chhinchhiahna a ni thei.
- Thluak rawng inthlak danglam: Ekna chu a dum emaw, a sen hring emaw a nih chuan thisen a awm thei bawk.
- Kar khat aia rei constipation emaw diarrhea emaw.
- Pum na emaw, na emaw.
- Chauhna leh hah lutuk: Cysts te thisen zawi zawiin iron tlakchhamna avanga thisen tlakchhamna (anemia) a lo awm thei a, chu chuan hetiang symptoms hi a thlen thei a ni.
Pawimawh: Hetiang symptom hi i neih chuan colon tumor i nei tihna a ni hauh lo. A chhan dang, awlsam zawk, hemorrhoids ang chi pawh a awm thei bawk. Mahse, a chhan dik tak hriat tumin doctor pan nghal a pawimawh. Skip suh.
Engtin nge hengte hi an hmuhchhuah a, enkawl an nih?
Heng tumor te hi hmuh hmasak hi cancer laka invenna tha ber a ni. Hei hi screening method hrang hrang a awm a.
| Fiahna | A awlsam zawngin... |
|---|
| Colonoscopy hmanga enfiah a ni | Hei hi "Gold Standard" a ni.Anesthetized i ni ang a, i colon pumpui chu camera attached tube te tak te, flexible tak hmangin an enfiah ang. Tumor eng emaw hmuh a nih chuan lakchhuah nghal theih a ni. Chumi hnuah biopsy nei tura tirh an ni ang a, cancer cell awm leh awm loh enfiah an ni ang. |
| Virtual Colonoscopy (CT Colonography) hmanga enfiah a ni. | Hei hi CT scan technology hmanga tih a ni. Taksa chhungah hian tube engmah dah a ni lo. Mahse, tumor a paih chhuak thei lo. Tumor a awm chuan colonoscopy tih a ngai dawn a, chu chu lakchhuah a ngai dawn a ni. |
| Sigmoidoscopy (Flexible Sigmoidoscopy) hmanga enfiah a ni. | Hei hi colonoscopy nen a inang a, mahse colon hnuai lam chauh enfiah a ni. |
| Stool Test neih a ni | Test, bawlhhlawh chhunga thisen tlemte awm (FIT/FOBT). Hengte hi positive a nih chuan colonoscopy neih a ngai ngei ang. |
Enkawlna chu polyp (polypectomy) lakchhuah a ni. Hei hi colonoscopy neih laiin tih theih a ni fo a, a na lo. Polyp pakhat chu lakchhuah vek a nih chuan a lo let leh theihna a tlem zawk. Mahse,
doctor-in a rawt angin (e.g. kum 3-5 danah) checkup neih fo a pawimawh a, polyp thar a lo awm thei a ni. A ven nan eng nge tih theih ang?
Genetic cause kan thlak danglam thei lo nain, nunphung hrisel tak hmangin a hlauhawmna chu kan tihtlem thei a ni.
- Thei, thlai, leh fibrous foods (beans, lentils, chickpeas) tamna ei tur ei rawh .
- I thau lutuk a nih chuan i taksa rihna tihtlem tum ang che .
- Sa sen, sa processed, leh ei tur thau tak takte chu tihtlem rawh.
- Exercise neih fo thin ang che.
- Meizial zu leh zu in tam lutuk hi pumpelh tur a ni.
- Calcium leh vitamin D i ei tlem em tih hriat nan i doctor nen inbia ang che.
- Kum 50 chunglam i nih chuan, emaw, chhungkaw history-a risk i neih chuan, i doctor nen screening chungchang sawipui rawh.
Take-Home Thuchah a ni
- Colon polyps hi i ngaihtuah angin hlauh tur a ni lo a, mahse ngaihthah tur pawh a ni lo.
- A tam zawkah chuan symptoms a awm lo va, chuvangin kum upat deuh deuha screening neih hi a pawimawh hle.
- Chungte chu hriatchhuah theih a ni a, colonoscopy hmangin lakchhuah nghal theih a ni.
- Nunphung tihdanglam awlsam tak hian hengte hi a vei theihna a ti tlem thei a ni.
- I natna lanchhuahna rinhlelh awm tak tak, i bawlhhlawh chhunga thisen awm ang chi i neih chuan hlauthawng suh la, rei lovah doctor pan rawh.
Colon polyps, colonoscopy, bawlhhlawh chhunga thisen, pum na, colon cancer
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