Endoscopy hmanga cancer cell lakchhuah thu i hriat khan i hlau em? (Endoscopic Mucosal Resection) Hemi chungchang hi han sawi ila!

Endoscopy i tih a, doctor in, "I pum chhungah hian tumor te tak te a awm a, kan paih chhuah a ngai" a ti tawh em? A nih loh leh "I colon ah polyp te tak te a awm a, cancer a nih hmain i paih chhuak ang"? Chu thu i hriat chuan, "Aw, surgery?" I pum i tan a ngai dawn em tih te, damdawi inah ni engemaw zat i awm a ngai dawn em tih te, engzat nge natna a thlen dawn tih te i ngaihtuah mai thei. Mahse i hlim thei a, a chhan chu engkim hi major surgery a ngai tawh lo. Vawiin hian technology hmasawn tak leh him tak kan sawi dawn a, chu chuan i endoscopy tube chhung atanga heng tissue pangngai lo te hi a paih chhuak thei a, i pum a tikehsawm lo.

Endoscopic Mucosal Resection (EMR) hi eng nge ni?

He hming hi a buaithlak deuhin a lang thei a, mahse a takah chuan a awlsam khawp mai. A tawi zawngin EMR ti ila.

A awlsam zawngin, hei hi surgery a ni lo. I chaw ei kawng chhunga tissue pangngai lo paih chhuaktu procedure a ni a, i pum chhungah cut engmah siam lovin. He tissue pangngai lo hi cancer cell a ni thei a, a nih loh leh precancerous growth a ni thei a, nakin lawkah cancer-ah a chang thei bawk.

I digestive system hi tube sei tak angin ngaihtuah rawh. He tube chhung lam (mucosa kan ti) ah hian cell pangngai lo tak tak te hi an thang lian thin. EMR procedure-ah chuan endoscopy-a i tih ang bawkin, i hmui emaw, i rectum emaw hmangin, i hmui emaw, i rectum emaw kaltlangin, tissue pangngai lo awmna hmunah chuan, tube chhunga hmanraw te tak te kal tlang hmangin, surgeon chuan chu tissue chu a cut chhuak a, a la chhuak ta a ni.

Hei hi gastroenterologist-in a ti thin. Hetiang tih dan thatna lian ber chu pawn lam incision a awm loh avangin natna i nei tlem hle a, rang takin i dam leh thei a, i nun pangngaiah i kir leh thei bawk.

He EMR system hi eng natna chi hrang hrang atan nge hman a nih?

Hetiang method hi cancer leh precancerous conditions enkawlna atan hman a ni ber. Pawimawh tak chu he method hi natna hi a tir lama hmuhchhuah a nih chauhvin a hlawhtling thei a ni . Chu chu, tissue pangngai lo chu esophagus wall chhungril ber chauh a awm lai a ni.

EMR method hi a hnuaia thil awm danah hian hman a ni ber.

• Esophageal cancer: Esophagus (chaw kan ei chhuahna tube) a cancer hmasa ber.
• Barrett’s esophagus: Hei hi i esophagus chhunga cell te an inthlak a, cancer-a an lo chan theihna hun a ni. Hetiang hian heng cell pangngai lo te hi paih chhuah nan hman a ni.
• Stomach cancer: Early stage cancer, pum chhung bang chung atanga intan.
• Colourectal cancer hi a awm thei lo.Hetiang method hian colon emaw rectum-a polyp emaw early stage cancer emaw tihbo nan a tangkai hle.
• Small intestine cancer: Hei hi small intestine peng hmasa ber (duodenum)-a cancer awm tan pawh hman a ni.

He enkawlna hi tute tan nge a inhmeh ber?

I doctor chuan EMR enkawlna hi i tan a tha em tih a rel ang. Thil engemaw zatah a innghat a ni. A bulpui ber chu tissue pangngai lo lian tham leh a thuk dan a darh dan te hi a ni .

He enkawlna hi a tlangpuiin i tan a tha mai thei:

• I tissue pangngai lo (tumor emaw mass) chu a lian lo a nih chuan.
• Digestive tract bang layer thuk zawka a luh tawh loh chuan.

Mahse, tumor chu a lian emaw, bang chhung thuk takah a lut tawh emaw a nih chuan EMR ringawt pawh a tawk lo mai thei. Chutiang hunah chuan enkawlna dang i hman a ngai mai thei.

Engtin nge he kalphung atan hian i inbuatsaih lawk thin?

I doctor chuan hei hi inbuatsaih dan tur chiang takin a pe ang che a, chu chu zawm dik a pawimawh hle.

• Upper digestive tract (esophagus, stomach) tan: I tih hmain darkar engemaw zat ei leh in loh vek turin an ti ang che. Hei hi a chhan chu doctor-in a hmui chiang a, him takin tissue a la chhuak thei a, chu chu pum a ruak a nih chuan.
• Intestine lian (colon) tan: Hei atan hian "bowel prep" i neih a ngai dawn a ni. Doctor chuan damdawi bik ( laxative ) in tur a pe ang che. Hei hi i in zawh chuan bathroom-ah i kal fo a ngai dawn a ni. Hei hi a nuam lo deuh nachungin, i colon chhungril uluk taka tihfai nan hetiang hi tih a pawimawh hle. Hei hian doctor-in tube a thun hunah chiang takin a hmu thei ang.

A kal zelnaah eng nge thleng?

Hetiang a nih chhung hian i rilru hahna leh hrehawmna i neih loh nan a tul angin hma kan la ang.

General anesthesia hnuaiah dah i ni ang a, chu chu i muhil vek tawh tihna a ni. A châng chuan i harh ang maiin i inhria ang a, mahse a hnuah engmah i hre reng lo vang (conscious sedation) . Chuvangin engmah i hre lo vang a, i hre reng lo vang.

Tichuan doctor chuan hengte hi a zawm ang:

1. I upper digestive tract a nghawng chuan enkawlna chu hmui hmanga tih a ni . I chaw ei kawng hnuai lam a nghawng chuan endoscope tube chu zawi zawiin hnute kaltlangin an dah lut thin .

2. Camera hmangin tube chu tissue pangngai lo awmna hmun dik takah a kal a.

3. Tichuan, surgical instrument te te te chu tube chhungah an pass a, tissue chu an la chhuak thin. Chutianga tih theih dan kawng hrang hrang a awm. A châng chuan tissue chu suction hmangin an la chhuak a, a nih loh leh tissue hnuaiah tui an inject a, an chawi kang a, an cut a, a nih loh leh electric wire loop hmangin an tan bawk.

4. Tissue lakchhuah chu uluk takin la chhuak rawh.

Hetiang zawng zawng hi minute 30 atanga 60 vel a ni tlangpui .

Procedure hnuah eng nge thleng?

Enkawlna a zawh hnuah recovery room-ah sawn i ni ang. Anesthesia-in a nghawng a reh hma loh chuan darkar engemaw zat chu doctor enkawlna hnuaiah i awm a ngai ang.

• In lam pan chuan:Anesthesia-in a nghawng chu a bo vek theih nan darkar 24 thleng a ngai thei a, chuvangin in lama hruai tur che i mamawh ngei ang. Motor khalh emaw, mahni chauha haw emaw phal a ni lovang.
• Tissue examination: Tissue lakchhuah chu laboratory-ah thawn a ni. Chutah chuan pathologist pakhat chuan microscope hmangin a enfiah a, report kimchang tak a pe a, chutah chuan cancer cell a awm em tih te, lak chhuah vek a nih leh nih loh te, leh a nihna eng nge a nih tih te pawh a tel a ni.

Side effect tenau te a awm em?

Ni e, ni khat emaw ni hnih emaw chhung chu hrehawmna tenau engemaw zat i nei thei. Hei hi thil pangngai a ni a, a bo thuai ang.

• Bloating (bloating) a awm
• Cramping a awm
• Gas natna leh influlence
• Nausea emaw, luak chhuak emaw
• Tube chu ka chhunga dah a nih chuan rilru natna tlem a awm

Chungte chu ni khat emaw ni hnih emaw chhungin an dam vek tlangpui.

He EMR system hian eng nge a thatna leh a hlauhawmna?

Damdawi dang ang bawkin hlawkna leh hlauhawmna tenau tak tak a awm bawk.

Eng chen nge a dam theih a, a hnuah eng nge ka tih ang?

EMR method thatna lian ber pakhat chu rang taka dam leh hi a ni.

• Hnathawh tur kal: Mi tam zawk chuan a tuk zingah an thiltih pangngaiah an kir leh thei .
• Diet: I doctor chuan i chaw ei kawng a dam hma loh chuan ni engemaw zat chhung chu liquid diet ei turin a rawt mai thei. Chumi hnuah chuan zawi zawiin chaw pangngaiah i inthlak leh thei tawh ang.
• Follow-up: I enkawl atanga kar 12 vel hnuah doctor hmu turin lo kir leh turin an ti ang che. Endoscopy hmangin tissue pangngai lo zawng zawng chu paih vek a nih leh nih loh leh a hmun chu a dam tha em tih enfiah a ni ang. Tissue report a zirin enkawlna dang i mamawh leh mamawh loh chungchangah thutlukna siam a ni ang.

Doctor koh ngai emergency engte nge ni?

Enkawlna hnua a hnuaia symptoms te hi i neih chuan ngaihthah suh. Doctor ko nghal la, a nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah tlai lovin kal rawh.

• I ek chhungah thisen i awm chuan (black or dark red) .
• A rilru a na hle
• I luak chhuak emaw i muhil emaw a nih chuan .
• Khawsik emaw, khawsik emaw, khur leh khur emaw i neih chuan
• Thâwk harsa (dyspnea) .

Hengte hi kan sawi tawh ang khan harsatna awm thei chhinchhiahna a ni thei a, chuvangin damdawi lam pan vat a pawimawh.

EMR hi surgery lian tak a ni lo va, minimally invasive procedure a ni. Tunlai technology ang chi te hian cancer i vei emaw, cancer vei theihna i neih emaw hriatna avanga hlauhna leh lungkhamna lo awm thin chu a tihziaawm thei a ni. Surgery lian tak hnua dam leh hun leh natna nena khaikhin chuan EMR hian nun hrisel takah i kir leh thuai thei a ni.