I vunah bumps leh rashes te hi a normal lo em ni? Cutaneous T-cell Lymphoma (CTCL) chungchang hi i zir dawn a ni.

I vunah hian rash leh bumps chi hrang hrang i nei ngei ang, a dik em? A chang chuan an peel leh itch nasa hle. Chûngte chu allergy pangngai, eczema, a nih loh leh psoriasis mai mai niin kan ngai fo ṭhîn. Mahse kum tam tak chhung vun lama harsatna awm reng, a dam lo chu a chang chuan thil pawi deuh deuh a ni thei. Chu chu kan hriat vek tur thil awm lo tak tak zinga mi a ni.

Cutaneous T-cell Lymphoma (CTCL) hi eng nge ni?

A awlsam zawngin sawi ila, CTCL hi thisen cancer chi khat, kan vun tichhe thei, a tlem hle a ni. Kan taksa peng lian ber chu vun hi a ni. He cancer hian kan vun hi direct-in a nghawng a ni. A nihna takah chuan cancer pawl lian tak `(non-Hodgkin lymphoma)` an tih zingah a tel a ni.

Tunah chuan thisena cancer hian engtin nge vunah a thlen theih ang tih i ngaihtuah mai thei. Awle, kan thisenah hian thisen var chi khat ``lymphocytes`` an tih a awm a. Hengte hi kan taksa invenna peng pawimawh tak a ni. Heng lymph cell chi khat chu ``T-cells`` an ti a. CTCL-ah chuan heng T-cells te hi cancer cell an lo ni ta a, thunun theih lohvin an inthen tan thin. Tichuan heng cancer cell te hi vunah an lo kal a, an lo pung khawm ta a ni. Chutah chuan vun symptoms a lo lang tan ta a ni.

Cancer a ni tih hi hlau suh. CTCL vei tam tak chuan enkawl hnuah (`remission`) natna hi an control thei a ni. Chuvangin buaina tam tak awm lovin nun pangngai an hmang thei a ni. Mahse cancer i vei tih i hriat chuan lungngaihna i neih chu thil pangngai a ni. I doctor leh medical team te chu an awm reng che a ni.

CTCL chi hrang hrangte chu engte nge ni?

CTCL hi chi hrang hrang a awm a. Mahse chung zingah chuan chi hnih lian tak hmuh tur a awm. Hengte hi chiang takin i hrethiam ang u.

He natna lan chhuah dan hi eng nge ni thei ang?

CTCL natna lan chhuah dan hi mi hrang hrangah a inang lo thei. Tin, vun natna tlanglawn tak nen pawh an inang hle a, chuvang chuan hriat a harsa fo thin.

• Vunah lumps lo lang thin. A châng chuan hengte hi a chhe thei a, hliam a lo awm thei bawk.
• Sam tlakchhamna .
• Rash ang chi natna, taksa pum puia lang leh itchy reng thin .
• Vunah hian a rawng danglam (discoloured patches) a lo lang thin.
• Itchy, a chang chuan scaly, vun atanga lo chhuak plaques .
• Glands ( in the throat , armpits, groin, etc. ah) a lo hring chhuak thin.
• Kutphah leh kephah vun thickening leh roughening .

Engvangin nge hetiang natna hi a lo awm?

CTCL-ah hian T-cells te hi cancer cells an lo ni ta tih min hrilh tawh a. Mahse doctor-te chuan hetiang thil hi a thlen chhan chiang takin an la hre lo. Mahse thil pahnih chanvo nei tura ngaih a awm.

1. Genetic variants: Genes hian kan cell hnathawh dan a thunun a. Zirchiangtute chuan gene thenkhata inthlak danglamna (mutations) hian he natna hi a thlen thei tih an hmuchhuak a.

2. Infection: Kan taksain natna khirh tak a neih chuan eng nge thleng tih han ngaihtuah teh. Kan immune system hian do turin a inbuatsaih thin. Chu chu kan ruhro hian thisen var, a bik takin lymphocyte te chu rang takin a siam tan tihna a ni. Factory pakhatin production a ramp up nghal ang mai a ni. Chutianga chak taka hna i thawh hian a chang chuan tihsual a awm thei. Chutiang chuan cell DNA-ah tihsual a awm thei a, cancer cell lo awm theihna chance a tipung a ni.

He natna vei theihna hlauhawm ber chu tute nge ni?

Hengte hi risk factors chauh a ni. An nei apiangin natna an vei vek dawn lo.

• Kum 50 chunglam tan.
• Hmeichhia aiin mipa hi an hlauhawmna a sang deuh hlek a ni.
• Immune system chak lo nei tan (entir nan, organ transplant nei tawhte tan).
• Zirna thenkhatah chuan African hnam chhuak mite.

Engtin nge doctor hian hei hi a hmuh theih?

Doctor i hmuh hunah vun lama harsatna i neih chuan i symptoms te a zawt hmasa ang che. Tichuan i vun chu uluk takin an enfiah ang. Mahse, CTCL i neih leh neih loh finfiah nan chuan test eng emaw zat neih a ngai a ni.

CTCL enkawl dan tur chu engte nge ni?

CTCL hi a chi, a stage leh i hriselna zawng zawng a zirin enkawl a ni. Mi zawng zawng tan enkawlna pakhat chauh a awm lo. I doctor chuan i tana tha ber tur treatment plan a siam ang.

• Cream leh ointment vunah: Hengte hi cream, steroid ang chi damdawi awmna cream a ni. Hengte hi a tir lama damlo tan chuan a tawk mai thei.
• Light therapy (Phototherapy): Ultraviolet (UV) light chi khat bik chu vun lam hawiin cancer cells te tihchhiat a ni.
• Extracorporeal photopheresis (ECP): Hei hi enkawl dan a buaithlak deuh a. Hetah hian i thisen thenkhat chu lak a ni a, machine hmangin an pass a, chutah chuan damdawi leh light hmangin cancer cells te enkawl a ni a, chutah chuan i taksaah inject leh a ni.
• Radiation therapy: High-energy rays hmangin vun chhunga cancer cell awmte chu tihchhiat a ni.
• Immunotherapy: Kan taksa hriselna tichaktu leh cancer cell dotu damdawi kan pe a.
• Chemotherapy: Damdawi chak tak, cancer cell thattu. Hengte hi pill emaw injection emaw angin pek theih a ni.

He natna nen hian nun hi eng ang nge ni ang?

Hei hi mi zawng zawng rilrua zawhna lian ber a ni. CTCL chi tam zawk hi chu a thang zawi zawi hle. Chuvangin nunna atana hlauhawm an ni lo. Doctor ten he natna hi an tidam kim thei lo nain, enkawlnain a natna lan chhuah dan chu hlawhtling takin a thunun thei a ni.

Mahse, thudik kan hriatthiam a ngai bawk. Cancer dang ang bawkin CTCL hian a advanced stage a thlen chuan thihna a thlen thei a ni.

Zirchianna atanga a lan dan chuan he natna hi a bul tanna (stage I emaw II emaw) atanga hmuhchhuah mi 10 zinga 9 chu kum 10 hnuah pawh an la dam reng a ni. Chu chu 90% damchhuahna rate a ni. Natna zual nei tan chuan 53% chauh a ni. Hengte hi statistics mai a ni. I dinhmun dik tak hriat theihna tur mi tha ber chu i doctor hi a ni.

Engtin nge kan vun hi kan enkawl ang a, a hlauhawmna kan tihziaawm ang?

CTCL lo awm tur venna tur hian engmah tih theih a awm lo, a nghawngtu risk factors te hi tihdanglam theih a nih loh avangin. Mahse kan immune system chak taka vawn reng hi natna zawng zawng tan a tha.

Tin, CTCL i neih chuan i vun enkawl a pawimawh hle bawk.

• I vun chu a vawt reng ang: Inbual zawhah leh nilengin moisturizer tha tak hmang ang che. Hei hian dryness, peeling, leh itching tihziaawmna turin a pui ang.
• Vun natna laka inveng rawh: Sahbawn rimtui lo leh silfai detergent hmang ang che. Ni chhuahna hmuna i chhuah dawnin i vun khuh thei thawmhnaw ha la, sunscreen hnawih bawk ang che. Thawmhnaw hring, thawk hahdam tak ha rawh.
• Stop scratching: Heng damlote hian harsatna lian ber an tawh chu itching hi a ni. An hrual chuan vun an tikehsawm a, bacteria a lut thei a, natna hrik a thlen thei a ni. Chuvangin, a theih ang anga scratching control tur a ni. Tui lum hmanga inbual te, oatmeal tui inbual te, doctor-in a rawt antihistamines te hman te hian hahdamna i hmu thei a ni.

Doctor hmuh hun tha ber berte chu engte nge ni?

Enkawl i tan veleh i doctor chuan a hmu fo tur a ni. Mahse, chutih lai chuan hetiang thil hi a thleng a nih chuan i doctor nen inbia ngei ang che.

• I vunah inthlak danglamna thar i hmuh chuan .
• Vun natna (e.g., a sen, a na, a hring, emaw, a hring chhuak emaw) i neih chuan.
• I khawsik 100.4 Fahrenheit (38 Celsius) aia sang i neih chuan .

A tlangpuiin kan vunah rash emaw mole emaw kan neih hian thil pangngaiah kan ngai thin. Hetiang cancer hmuh tur awm lo tak a ni thei tih tumahin an ngaihtuah lo. Mahse a pawimawh ber chu, i vunah danglamna i hmuh chuan ngaihthah suh la, Doctor hnenah entir rawh. Cancer a ni lo mai thei. Mahse a nih chuan a rang thei ang bera enkawl tan hi i nunna atana i tih theih tha ber a ni.