I bawlhhlawh chhunga thisen i hmuh emaw, i toilet paper-a thisen zam i hmuh emaw hian i hlau ngai em? A nih loh leh i pum chhungah natna mak tak mai, i khat tih hriatna i nei reng em? Kan rama mi tam tak chuan heng symptoms te hi "piles" ang maia normal niin an ngai a, an ngaihven vak lo. Mahse, a châng chuan hengte hi kan ngaihtuah angin thil tenawm tak a ni lo mai thei. Hengte hi colon cancer chhinchhiahna hmasa ber pawh a ni thei bawk. Tunah hian hlau lo la, hlau suh. A pawimawh ber chu he natna hi chiang taka hriat a, fimkhur taka awm hi a ni. Engkim hi chiang tak leh awlsam takin sawi ila.
A awlsam zawngin, colon cancer chu eng nge ni?
Colorectal cancer, a nih loh leh damdawi lam atanga thlir chuan colorectal cancer tih hi kan chaw ei kawng hnuhnung ber, colon emaw rectum emaw-a lo awm thin a ni. Zan khata lo thanglian zel thil a ni lo.
Kan colon chhungril bang-ah hian, rulhut te tak te, mole te tak te ang chi, a lo awm hmasa ber tih han ngaihtuah teh. Hengte hi ``Polyps`` kan ti a. Heng lumps zawng zawng hi cancer a ni vek lo. Mahse, lumps chi thenkhat chu kum tam tak (a tam zawkah chuan kum 10 vel) chhungin zawi zawiin a danglam thei a, cancer cell a lo ni thei bawk.
A tha ber chu heng lumps te hi cancer an nih hmaa hmuh leh lakchhuah theih a nih chuan cancer hi a ven theih vek a ni. Tin, cancer hi hriat hmasak a nih chuan enkawl leh dam vek theihna chance a sang hle bawk.
Heng symptoms te pawh hi fimkhur rawh!
Colon cancer hi a lo thang zawi hle a, a tir lamah chuan symptom a lantir lo mai thei. Symptoms a lan tak tak chuan natna tlanglawn dang nen a inang thei a ni. Chuvangin heng symptoms te hi hriat chian a pawimawh hle.
| Symptom a ni | Hemi chungchang hi tlem tal sawi belh leh ila |
|---|---|
| Bowel habits inthlak danglamna | Ni engemaw zat chhunga ril\am emaw, chaw ei kham emaw. Stools a hma aia thim zawk, pencil ang maia awm. |
| Thisen chhuak chu stool ah a awm | Thin dum emaw, dum emaw chu stool-ah a awm. Toilet bawm chhungah emaw, toilet paper-ah emaw thisen chhuak hmuh. |
| Pum natna | Pum na fo, pum na, pum na lutuk. |
| Toilet kal hnuah pawh stool a la awm ang maia hriat | Bowel movement i neih hnuah pawh i bowels chu a hring vek lo ang maiin i la inhria. |
| Chauhna leh chak lohna chhan awm lo | Chawlh hahdam tawk mahse chau lutuk tih hriat. Hei hi a chhan chu cancer hian taksa atanga thisen a hloh nasa lutuk a, thisen tlakchhamna (anemia) a thlen thei a ni. |
| Chhan awm lovin taksa rihna tihtlem | Diet emaw exercise emaw tel lovin i taksa rihna a tlahniam a nih chuan ngaihtuah la. |
Heng symptoms nei zawng zawng hian cancer an nei vek lo tih hre reng ang che. Pum natna leh riltam hi pumpui natna awlsam tak avanga lo awm thei a ni. Mahse heng symptoms te hi ni rei lo te aia rei a daih a nih chuan, a bik takin i ek chhungah thisen a awm a nih chuan, khawngaihin ngaihthah suh la, doctor rawn nghal rawh.
Engvangin nge he cancer hi a lo awm? Risk factors te chu engte nge ni?
Colon cancer hi a chhan bik pakhat chauh a awm lo. Mahse, colon chhunga cell hrisel tak takte gene-a inthlak danglamna engemaw zat a awm (Genetic Mutations) chuan a thleng a, chu chuan chu cell-te chu thunun theih lohvin a inthen darh a, a pung ta a ni. Chutianga cancer cell lo awmte chu an inzawm khawm a, polyp leh tumor an siam a ni.
Medical research-ah hian he cancer vei theihna tipungtu thil engemaw zat hmuhchhuah a ni. Eng nge an nih i han thlir teh ang.
| Risk factor a ni | Hrilhfiahna |
|---|---|
| Kum 50 aia upa a nih vang | He natna hi kum 50 chunglam zingah hmuh chhuah a ni ber a, mahse tun hnaiah chuan chu aia naupang zawk zingah hri kai an pung nasa hle. |
| Chhungkaw chanchin | I thisen chhung hnai tak (nu, pa, unau, fate) zinga pakhatin colon cancer emaw polyp lian tak emaw a vei a nih chuan nang pawh i hlauhawm zawk bawk. Hei hi kum 45 an tlin hmaa natna an vei a nih chuan a dik hle. |
| Genetic dinhmun (genetic) a awm | Genetic condition Lynch syndrome leh Familial Adenomatous Polyposis (FAP) te hian he cancer hi a vei theihna a tipung a ni. |
| Thau lutuk | Research atanga a lan dan chuan body mass index (BMI) 25 aia sang nei te chu an hlauhawm zawk a ni. |
| Meizial zu leh zu in | Meizial zu leh zu in fo (a tlem berah pawh) hian nasa takin a tipung a ni. |
Engtin nge hei hi i hmuh theih, Doctor?
I natna lan chhuah dan nen Doctor i pan hunah i natna lan chhuah dan chipchiar takin a zawt hmasa ang che. Tichuan i taksa chu a enfiah ang. Chu bâkah, i natna chhan dik tak hriat nân test engemaw zât neih a rawt bawk ang.
- Thisen Test: I thisen chu complete blood count (CBC) tih hmangin thisen tlakchhamna (anemia) enfiah a ni ang. Test bik, cancer marker (CEA assay) te pawh tih theih a ni.
- Imaging Test: CT scan (Computed Tomography) leh MRI scan (Magnetic Resonance Imaging) ang chi test hmangin taksa chhungah cancer natna hrik a awm leh awm loh leh eng chen nge a darh tawh tih hriat theih a ni.
- Diagnostic Colonoscopy: Hei hi colon cancer hriat theihna atana test tha ber leh dik ber a ni. He test-ah hian gastroenterologist chuan anus kaltlangin tube te tak te, flexible tak (camera attached) a dah a, screen hmangin colon pumpui a enfiah thin.
- Hetih lai hian lump rinhlelh awm tak (polyp) a awm chuan a pumin lakchhuah theih a ni emaw, a then te te (biopsy) lak a, laboratory-ah thawnin cancer cell a awm leh awm loh finfiah theih a ni.
Heng test hmanga natna hi finfiah a nih veleh, cancer awmna hmun, lymph node-ah a darh tawh em tih leh taksa peng dangah a darh tawh em tih a zirin cancer stage chu hriat theih a ni. He stage a zirin enkawl dan tur ruahman a ni.
Enkawlnate chu engte nge ni?
Ngaihtuah buai suh, tunah hian he natna hi enkawlna tha tak tak leh changkang tak tak a awm ta. Enkawl dan chu i cancer stage, a awmna hmun leh i hriselna zawng zawngah a innghat a ni.
Enkawlna ber chu surgery a ni .
- Polypectomy: Colonoscopy neih laiin cancer hmaa lo thang lian (polyps) te paih chhuah.
- Colectomy: Cancer awmna colon hmun chu surgery hmanga lakchhuah a ni.
Surgery bakah hian emaw, operation hma leh hnuah pawh heng enkawlna te hi a tul thei bawk:
- Chemotherapy: Cancer cell tichhe thei damdawi pek.
- Radiation Therapy: Energy sang tak nei rays hmanga cancer cell tihchhiat.
- Targeted Therapy: Cancer cells thanna tichhe thei molecule bik target tu damdawi pek.
I doctor chuan a sawipui ang che a, i tana tha ber tur enkawlna tur a rel ang.
He natna hi engtin nge tihdam theih ang?
He zawhna hi mi tam takin an rilruah an nei a ni. "Survival Rate" tih hi natna vei an hriat atanga kum 5 hnua damlo percentage a ni. Hei hi natna hmuhchhuahna stage-ah a innghat nasa hle.
- A tir lamah (Localized): Cancer hi colon-ah chauh a awm chuan kum 5 chhunga dam rei zat chu 91% vel a ni .
- Regional: Cancer hi a chhehvel tissue emaw lymph node emaw-ah a darh tawh a nih chuan he percentage hi 73% vel a ni .
- Hmun hla tak: Cancer hi taksa peng hla tak tak, thin leh lungah a darh tawh a nih chuan he percentage hi 13% ah a tlahniam thin .
Heng statistics te hian hlauthawng suh. Hengte hi damlo sang tam tak data atanga chhut chhuah tlangpui mai a ni. I dinhmun chu a danglam thei hle. A pawimawh ber chu a hma thei ang bera natna hriatchhuah a, enkawl dan mumal tak tan hi a ni. Tichuan dam leh theihna chance a sang hle.
Cancer laka kan him theih nan eng nge kan tih ang?
Cancer 100% inven dan tur awm lo mahse, a hlauhawmna tihziaawmna tur thil tam tak kan tih theih a awm.
- Ei leh in tha: Oil, sugar, flour, sa sen (bawngsa, vawk sa), leh sa processed (sausages, bacon) te ei tlem la. Chu ai chuan , thlai, thei, legumes, leh whole grains ang chi fiber tamna ei tur tam zawk ei rawh .
- Meizial zu lo: Meizial i zuk chuan bânsan tûrin ṭanpuina la rawh. Hei hi i hriselna zawng zawng tana hlawkna lian ber pakhat a ni.
- Zu tihtlem: Zu in hi bansan vek emaw, hman tlem lutuk emaw a pawimawh.
- I taksa rihna hrisel tak vawng reng rawh: Exercise neih fo leh ei leh in inthlau tak ei hmangin i taksa rihna control rawh.
- Kum dik takah Screening nei rawh: Hei hi a pawimawh ber a ni. Symptoms nei lo mah la, kum 45-50 vel inkarah colon cancer screening colonoscopy neih a pawimawh. I chhungkuaa mi tu emaw chuan he natna hi a vei a nih chuan i doctor chuan screening tan hma zawk turin a rawt mai thei.
Heng test te hian polyp cancer thlen hma thei te chu a hmuchhuak thei a, a paih chhuak thei a, chu chuan cancer lo awm tur a veng thei a ni.
Take-Home Thuchah a ni
- Bowel habits inthlak danglam, pum na, a bik takin stool-a thisen awm ang chi symptoms te hi ngaihthah suh. Ni engemaw zat aia rei an awm reng chuan doctor pan ngei ngei tur a ni.
- Colon cancer hi a hmaa hmuhchhuah a nih chuan tihdam theih vek a ni. Hlauhna avanga test neih hun sawn suh.
- Risk factor i neih emaw, kum 45 aia upa emaw i nih chuan, i doctor nen cancer screening chungchang sawipui la, symptom i nei lo a nih pawhin.
- Nunphung hrisel (ei leh in tha, exercise, leh meizuk leh zu in loh) hian cancer vei theihna a ti tlem thei a ni.
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