Esophageal cancer chungchangah zawhna i nei em? Kan sawi dun teh ang!

Esophageal Cancer chungchang hi i hre tawh mai thei. Hei hi natna khirh tak a ni a, mahse hriat chian a pawimawh hle. A chhan chu a châng chuan cancer hi a lan chhuah hun chuan a lo zual tawh hle thei a ni. Mahse, lungngai suh, engkim hi a awlsam zawngin sawi ila.

Esophageal cancer chu eng nge ni? Engtin nge a lo thanglian?

A awlsam zawngin sawi ila, chaw kawng (esophagus) hi taksa peng (muscle) atanga siam a ni a, kan ei hian kan rilru atanga chaw ei tur a phur lut thin. Chuvangin, cancer hi he chaw kawng chhunga cell te hi a pangngai lo leh thunun theih loha inthen darh tan hian a lo awm thin. Chutianga cell lo awmte chu an inzawm khawm a, tumor an siam a ni.

Esophageal cancer hi khawvela cancer awm tam ber sawmna a ni. A pawi deuh thei a, a chhan chu ka sawi tawh ang khan he cancer hi a lan chhuah lohvin hun engemaw chen a lo thang lian thei a ni . A chhan chu kan chaw kawng (esophagus) hi a inzawm tlem thei a, chu chu ei tur hmui lian tak kan ei lai ang hian a ni. Chuvangin cancer hi a lian deuh hma chuan kan hrehawm lo mai thei. Mahse tumor chu a lian a, chaw kawng hawnna a block tan chuan chaw ei a harsa a, kan ei hian a na bawk.

Esophageal cancer hi chi hnih a awm a, a dik em?

Ni e, chi hnih a awm ber a:

1. Adenocarcinoma: Hei hi a tam ber a ni a, a bik takin khawthlang ramah chuan a tam ber a ni. Esophagus-a glands cell-ah a lo thang lian a, chu chuan mucus a siam a, chu chuan ei leh in a pui thei a ni. Hetiang chi hi chaw kawng hnuai lam ah a lo awm tlangpui.

2. Squamous cell carcinoma: Hetiang chi hi chaw kawng chhunga line awm squamous cell atanga tan a ni. A tlangpuiin chaw kawng chunglam leh a laiah a lo thang lian ber.

He cancer hi a dam kim thei ang em?

Hei hi cancer hmuhchhuah hma danah a innghat tak zet a ni. A hmaa hriatchhuah a nih chuan, chu chu cancer a tlem lai chuan operation hmanga lakchhuah theih a ni a, a chang chuan a dam vek thei bawk. Mahse, vanduaithlak takin he cancer vei zinga 25% chauh hi cancer a darh hmain hmuhchhuah an ni. Chuvang chuan, symptom tlemte pawh i neih chuan ngaihtuah rawh kan ti a ni.

He cancer hi tute nge vei theihna sang zawk?

A tlangpuiin statistics atanga a lan dan chuan he natna hi mipa kum 60 chunglam ah a tam ber a, chubakah hnam thenkhatah hian danglamna engemaw zat a awm bawk. Entirnan, squamous cell carcinoma hi mipa hring leh Asian mite zingah a tam zawk a, adenocarcinoma erawh mipa hring zingah a tam zawk thung. Mahse, hengte hi thil hmuhchhuah tlangpui mai a ni a, tu pawhin he natna hi an nei thei a ni.

Esophageal cancer symptoms te chu engte nge ni? Engtin nge kan hriat theih ang?

Mi tam takin an tawn hmasak ber chu ei harsa (dysphagia) a ni. Thil pakhat chu a rilruah a inkhung ang maiin a awm thei. Chu bakah, a lan chhuah dan te pawh a awm thei bawk:

• Kawngkhar emaw, rilru hnunglam emawa natna, chu chu hnute ruh hnunglam emaw, kekawrte inkar emaw tihna a ni.
• Luak chhuak, thisen chhuak pawh a ni thei.
• Thisen a khuh chhuak.
• Lung na fo thin.
• Aw ri bengchheng tak, emaw, khuh chhunzawm zel emaw.
• Tum loh vanga taksa rihna tihtlem .

Heng symptoms pakhat emaw a aia tam emaw i neih chuan esophageal cancer i nei tihna a ni hauh lo. Mahse, heng symptoms te hi a awm reng a nih chuan doctor pan a, checkup neih a tha ber.

He cancer hi engtiang chiahin nge a darh chak?

Esophageal cancer hi a tlangpuiin cancer chi khat a ni a , a lo thang chak hle a ni . Ka sawi tawh ang khan kan esophagus hi a flexible khawp mai a, cancer a lo lian zel chuan a rawn inkhuh ve duh hle. Hei vang hian cancer hi tlem a darh hnuah symptoms a lo lang fo thin.

He cancer thlentu berte chu engte nge ni? Risk factors te chu engte nge ni?

A chhan dik tak chu eng nge ni tih chiang taka sawi a harsa khawp mai. Mahse, doctor-te chuan he cancer vei theihna tipungtu thil engemaw zat an hmuchhuak a. Eng nge an nih hi han thlir ila:

• Zuk leh hmuam hman: Hei hian zuk leh hmuam leh meikhu tel lo (e.g. chewing gum nena chewing tobacco, chewing gum nena chewing gum) te a huam vek a ni. Chungte chuan chaw kawng cell te a tichhe thei a, cancer vei theihna pawh nasa takin a tipung thei bawk.
• Zu in: Hun rei tak emaw, a tam lutuk emaw in hi a hlauhawmna lian tak a ni bawk.
• Thau lutuk: Thau lutuk emaw thau lutuk emaw hian chaw kawng (esophagus) ah inflammation a thlen thei. He inflammation hian a tawpah chuan cancer a thlen thei a ni.
• Barrett’s esophagus leh chronic acid reflux: Hun rei tak chhunga acid reflux, chu chu stomach acid backflow in esophagus a ni a, a enkawl that loh chuan esophagus hnuai lam cell-ah inthlak danglamna a thlen thei a ni. Hetiang dinhmun hi Barrett’s esophagus an ti a. Cancer a ni lo va, cancer a nih theihna tur a sang hle. Barrett’s esophagus nei lo mahse hun rei tak chhunga heartburn nei te pawhin esophageal cancer an vei theihna a sang hle.
• Human Papillomavirus (HPV): HPV hi hri vei tam tak a ni. Vocal cord, hmui, kut, ke leh mipat hmeichhiatna tissue te a tidanglam thei a ni. HPV chi thenkhat chuan chaw kawng cancer vei theihna a tipung a.
• Cancer i lo vei tawh a nih chuan: Lu emaw, kawng emaw cancer vei tawhte chu chaw kawng cancer vei theihna a sang zawk.
• Damdawi lam harsatna dangte:He cancer hi natna hmuh tur awm lo leh thlahtute atanga lo chhuak thenkhat nen pawh a inzawm bawk. Entirnan, achalasia , natna hmuh tur awm lo tak, ei harsa tak , leh tylosis , natna hmuh tur awm lo, thlahtute atanga lo piang, ke kutphah leh kephah vun a thim thin.
• Chemical thenkhat nena inzawmna: Dry cleaning solvent ang chi chemicals rei tak nena inhmukhawmte pawhin he cancer hi an vei theihna a sang zawk.

Doctor-te hian engtin nge he cancer hi an hriat theih? (Diagnosis) tih a ni.

A chunga kan sawi tak symptoms i neih chuan i doctor chuan i symptoms leh i medical history te a zawt hmasa ang che. Tichuan, test ṭhenkhat an ti thei a, chu chu:

• Barium swallow test: Hei hi barium an tih thil awmna tui in tir a, X-ray hrang hrang lak tir a ni. Barium hian X-ray image-ah hian esophagus chu chiang takin a lang thei a ni. Chumi hnuah chuan chaw kawng chhungah thil danglam a awm em tih hriat theih a ni.
• CT scan (Computed Tomography scan): He test hmang hian doctor-te chuan cancer hi rilru leh pum (belly) hmun dangah a darh tawh em tih an en thei a ni.
• Esophagogastroduodenoscopy (EGD): Hetah hian tube te tak te, flexible tak, endoscope (camera nei) an tih chu hmuiah dahin chaw kawng chhungah direct-in an en a. Hei hian esophagus wall-a inthlak danglamna emaw, tumor emaw awm reng reng chu chiang takin a hmu thei a ni.
• Esophageal endoscopic ultrasound: Hei hi EGD nen a rualin tih theih a ni bawk. Sound wave hmangin chaw kawng chhung lam thlalak a la thin. Hei hian cancer hi esophagus wall chhungah eng chen nge a thuk tih hriat theih a ni a, a bul hnaia lymph node-ah a darh em tih hriat theih a ni.
• Biopsy: EGD an tih laiin Doctor-in rinhlelhna hmun a hmuh chuan tissue te tak te an la ang a, microscope hmangin an enfiah ang. Hei hi cancer cell awm leh awm loh an finfiah theih dan a ni.

Doctor-te chuan heng test atanga information an hmuhte hi cancer stage leh grade hriat nan an hmang thin. Cancer stage chu cancer hi eng chen nge a darh tawh tih a ni (e.g., tumor lian leh te, lymph node-ah emaw, taksa peng hla tak takah emaw a darh tawh em). Tumor grade hi cancer cell te hi cell hrisel te nen an inang em em tih leh an inthen chak dan a ni. He stage leh grade a zirin enkawl dan tur ruahman a ni.

Hei hi eng enkawlna nge ni?

Esophageal cancer enkawl dan chu a chunga kan sawi tawh ang khan cancer stage leh grade leh damlo hriselna zawng zawngah a innghat a ni. Enkawlna kawng hrang hrang a awm a, chungte chu:

• Surgery: Esophageal cancer hmasa ber enkawlna hman tlanglawn ber chuOperation pakhat chu esophagectomy tih a ni. Hei hian chaw kawng (esophagus) thenkhat emaw, a pum emaw, a chhehvel tissue te nen lakchhuah a huam a ni. Tichuan, pum chhung hmun thenkhat chu lak chhuah a ni a, rilru leh kawr nen an inzawm a, chaw kawng thar a siam ta a ni.
• Radiation therapy: Hei hian cancer cells that turin high-energy rays (radiation beams) chu tumor-ah target a ni. Operation hma emaw, operation hnuah emaw adjuvant treatment atan pawh hman a ni.
• Chemotherapy: Hei hian cancer cell thattu emaw, an thanna tur titawp thei damdawi pek a ni. Hei hi operation hma emaw, operation hnuah emaw, radiation therapy nen pawh pek theih a ni.
• Endoscopic Submucosal Dissection (ESD): Hetiang tih dan hi cancer hmasa ber ber, chaw kawng (esophageal wall) chunglam layer-a awmte tihbo nan hman a ni.
• Endoscopic Mucosal Resection (EMR): Hei hi ESD ang chi a ni a, chaw kawng chhunga cancer natna awmte paih chhuahna atana hman thin a ni.
• Endoscopic laser therapy: Cancer natnain esophagus a block a, ei harsa a tih chuan laser beam hmangin tumor thenkhat chu lakchhuah a ni a, chu chuan a natna chu a tiziaawm thei a ni.
• Photodynamic therapy (PDT): Hemiah hian damdawi bik, photosensitizer an tih chu taksaah pek a ni a, chumi hnuah chuan êng bik chu cancer awmna hmun lam pan a ni. He light hi a rawn tlak chuan damdawi chu a thawk chhuak a, chemical reaction a siam a, chu chuan cancer cells te chu a tichhe vek a ni.
• Targeted therapy: Esophageal cancer cell thenkhatah chuan protein HER2 protein tih chu a awm lo hle. He protein hian cancer cell te chu a ti thang lian thei a ni. Targeted therapy ah hian he HER2 protein target tu damdawi pek a ni.
• Immunotherapy: Hei hian kan taksa ngeia kan taksa chakna (immune system) chu cancer cells do turin a tichak a ni. Hemi atan hian damdawi immune checkpoint inhibitor an tih te hi hman a ni.

Heng enkawlna zawng zawng hi damlo tin tan a tha vek lo tih hre reng ang che. I medical team chuan i dinhmun nena inmil ber tur treatment an rel ang.

Esophageal cancer vei chuan eng nge a beisei theih ang?

Hei hi thil tam takah a innghat tak zet a, i hriselna zawng zawng leh cancer hmuhchhuah a nih huna a darh dan ang chi te hi a ni. A man hma chuan doctor ten hlawhtling takin an enkawl thei fo thin. Mi enkawl hmasak zinga 46% vel chu an natna hmuhchhuah atanga kum nga hnuah pawh an la dam a ni.

Amaherawhchu, cancer hi a lo darh tawh a nih chuan tihchhiat vek theih a ni lo mai thei. Chutiang hunah chuan doctor-te chuan damlo chu a rei thei ang bera dam theihna tur, nunphung ṭha vawng reng thei tur leh natna lan chhuah dan tihziaawmna tur enkawlna pek hi an ngaih pawimawh ber a ni. Hei hi palliative care an ti bawk . Damlo chu hahdam tak leh hrehawmna awm lovin a awm theih nan a pui thin.

Engtin nge he cancer ka vei theihna tur hi ka tihtlem theih ang?

A pumpelh kim thei lo nain, a hlauhawmna tihtlem nan thil engemaw zat kan tih theih a awm a:

• Ei leh in tha zawm: Ei leh in inthlau tak ei la, thei leh thlai ei tam la, i taksa rihna hrisel tak, i duh ang ang vawng reng rawh.
• Zuk leh hmuam laka inthiarfihlim: Hengte hi a hlauhawmna ber pahnih a ni.
• Chemical thenkhat (hnathawh dan azirin) nena inhnamhnawih loh tur.
• HPV infection hi chaw kawng cancer vei theihna tur risk factor a ni. HPV vaccine chungchang hi doctor zawt rawh.
• Barrett’s esophagus ang chi natna i neih chuan i doctor chuan screening test neih fo turin a rawt ang che. Chu thupekte chu zawm rawh.

Tunah hian mipui zahawm tak tan chuan esophageal cancer screening test atana rawtna a awm lo a, mahse doctor-te chuan risk factor sang tak nei tan EGD ang chi test hi an rawt mai thei.

Engtin nge enkawl zawhah ka inenkawl ang?

Esophageal cancer avanga operation hnuah side effect thenkhat a awm thei bawk. Entirnan, luak chhuak, luak chhuak, leh luak chhuak. Chûngte enkawl nân ṭanpuina i mamawh mai thei. Mi tam tak chuan harsatna an tawk thei a, chungte chu:

• Chaw ei harsa: Cancer leh a enkawl dante hian chaw ei harsa leh hrehawm tak a siam thei. Hei hian taksa rihna a ti tlahniam thei bawk. Chutiang a nih chuan doctor hnen atangin thurawn la rawh. Chaw ei te, ei tam leh nutritional supplement ei te ang chi thil an rawt mai thei.
• Dumping syndrome: Hei hi operation hnua chaw kawng (esophagus) aiah pumin a thlak hian a awm thin. Pum hian chaw a chelh thei lo va, a hmin thei lo va, chaw chu rang takin intestine tenauah a kal ta a ni. Hei hian natna lan chhuahna a thlen thei a, chu chu rilru hahna, luak chhuak, pum na, thawk hah, leh luak chhuak te a ni.

Heng thilte hi i medical team nen sawiho la, i hmachhawn dan tur thurawn la rawh.

He cancer hi a lo kir leh thei ang em?

Ni e, a chang chuan cancer hi a lo let leh thei (recurrence). Chu hlauhawmna tihtlem nan heng thilte hi i ti thei ang:

• Zu khap: Zu in tam lutuk hian cancer lo let leh theihna a tipung.
• Zuk leh hmuam hman loh tur: I zuk chuan bansan tum ang che. A tul chuan damdawi lam thurawn la rawh.

Engtikah nge Doctor ka hmuh ang?

Hei hi i dinhmun azirin a danglam ang. Early stage cancer surgery hmanga lak chhuah tawhte follow-up schedule chu cancer darh tawhte schedule nen a danglam a ni.

I enkawlna a hlawhtlin chuan i doctor chuan kum hnih hmasa berah thla thum atanga thla ruk danah check-up turin a rawn lut tlangpui ang a, kum thum chhung chu thla ruk atanga thla sawm leh pahnih danah check-up turin a rawn lut ang che. Heng check-up-ah hian taksa enfiahna, thisen test, imaging test, leh endoscopy te pawh a tel thei.

Doctor hnenah eng zawhna nge ka zawh ang?

Esophageal cancer hi nunna atana hlauhawm tak a ni. Hetiang dinhmun hi i neih chuan i doctor hnenah hetiang zawhna hi i zawt mai thei:

• Eng ang esophageal cancer nge ka neih?
• Ka cancer hi eng stage-ah nge a awm?
• Eng enkawlna nge i rawt?
• Hei hi a dam kim thei ang em?
• Ka dam kim thei lo a nih chuan eng nge min puih theih ang?
• He cancer hi eng chen nge ka dam theih ang?
• Genetic testing emaw biomarker testing emaw tih a ngai em?

Heng zawhnate hi zawh hreh suh. I dinhmun hriat chian a pawimawh hle.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Esophageal cancer hi khawvela cancer awm tam ber sawmna a ni a, enkawl harsa tak a ni bawk. Hei hi a chhan chu cancer a darh hnuah symptoms a lo lang tlangpui a ni. Damdawi famkim hmuh a harsa fo thei. Chutiang hunah chuan doctor-te chuan damlote chu a rei thei ang bera dam theihna leh nunphung ṭha ber tûra ṭanpui thei enkawlna pêk chu an ngaih pawimawh ber a ni.

"Natna tihdam theih loh i nei" tih ai chuan nunah hian thil harsa zawk a awm lo mai thei. Chutiang hunah chuan thil awmdan tihfel nân hun leh ṭanpuina i mamawh mai thei. Doctor ten hei hi an hrethiam a, theihtawp chhuahin an pui ang che. A tul chuan mental health specialist hnenah pawh an refer ang che.

A pawimawh ber chu i taksaa inthlak danglamna awmte hriat chian a, harsatna i neih chuan a rang thei ang bera damdawi lam thurawn lak hi a ni. I hriat hma poh leh enkawlna a hlawhtlin theihna a sang zawk.

` Esophageal Cancer, Esophageal Cancer, Cancer Symptoms, Esophagus, ei harsat, Cancer enkawl dan, Chemotherapy