A chang chuan i pum a khat ang maiin i inhria em, a nih loh leh i pum hnuai lam chu tlem a na deuh fo thin? Thil pangngaiah i ngai mai thei a, ei leh in lama harsatna a ni mai thei bawk. Mahse heng symptom tenau te, a bik takin hmeichhia kan nih angin ngaihthah tur a ni ngai lo. Vawiin hian cancer chi khat, mi tam takin an hriat ngai loh, mahse hmeichhe hriselna atana pawimawh tak chungchang kan sawi dawn a ni. Chu chu fallopian tube cancer a ni.
A awlsam zawngin Fallopian Tube Cancer hi eng nge ni?
Awle, a bul atang hian tan ila. Fallopian Tubes hi tube te tak te pahnih, kan ovary atanga uterus thlenga phur thei tube a ni. A awlsam zawngin, egg leh sperm inhmachhawn a, naute siamna atana thil pawimawh ber an ni. Chuvangin he cancer hi heng fallopian tube chhunga cell atang hian a intan thin.
A tam zawkah chuan he cancer hi fallopian tubes line-tu tissue atanga intan a ni. Damdawi lam hawi chuan hei hi epithelial tissue kan ti a. Mak tak maiin he cancer hi a awm dan te, a darh dan te, kan enkawl dan te hi ovarian cancer nen a inang hle. Chuvangin doctor te hian cancer pahnih hi a inang tlangin an enkawl a, an enkawl bawk.
He cancer hi a harsatna lian ber chu a tir lamah a symptoms a lantir lo va , a darh chak hle a ni . Mahse thu lawmawm tak chu a tir lamah dik taka hmuhchhuah a nih a, cancer cell te chu operation hmanga lakchhuah vek theih a nih chuan natna tihdam theih vek a ni Mahse a hriat chhuah meuh chuan cancer hi a darh tawh a, enkawl a harsa deuh tawh a ni.
He cancer hi engtiang chiahin nge a awm?
Hun rei tak chhung chu doctor-te chuan fallopian tube cancer hi hmeichhe cancer chi khat, a awm lo hle niin an ngai a. Hmeichhe cancer zawng zawng zinga 1% vel chauh hi fallopian tube cell-ah a intan a ni.
Mahse zirchianna thar chuan cancer chi hrang hrang kan sawi fo thin, epithelial ovarian cancer tia koh tam zawk hi a takin fallopian tube atanga tan a ni tih hmuhchhuah a ni. A bik takin, fimbriae-ah a intan a, chu chu ovary atanga egg fallopian tube-a a luhna tawp ber a ni. Chumi hnuah chuan ovary chung lamah leh pelvis leh abdomen hmun dangah a darh ta a ni.
Eng symptom nge kan fimkhur tur?
He cancer chungchanga harsatna lian ber chu a natna lan chhuah dan hi a tir lamah hriat a harsa a, thil pangngai anga ngaihin kan ngaihthah duh hle. Cancer chu pum chhung zawnga a darh hma chuan danglamna lian tham i hmu lo mai thei. Mahse heng symptoms te hi kan hriat chian a pawimawh hle.
Heng symptoms nei zawng zawng hian cancer an nei vek lo tih hre reng ang che. Mahse an awm reng chuan i doctor hnenah thurawn dil ngei ang che.
A hnuaia table-ah hian heng symptoms te hi eng nge ni tih i lo en ang u.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Pelvic natna emaw, lump awm emaw | Natna awm reng emaw, pelvic area-a lump awm emaw. |
| Pum na, pum na, emaw, a khat emaw | Bloating, chhan awm lovin a khat tih hriatna. Hmeichhe tam tak chuan hei hi thil pangngaiah an ngai. |
| Ei duhna hloh emaw, chaw ei chak loh emaw | Chaw ei duhna hloh, ei tlem hnu pawha chaw ei kham, leh rilru hahna. |
| Toilet hman dan inthlak danglam | Constipation emaw diarrhea emaw ang chi dinhmun. |
| Zun chhuah a ngai fo thin | A tlangpui aia tam zun chhuah a ngai. |
| Menopause hnua thlasik emaw thisen chhuah dan pangngai lo | Hmeichhe thlasik chawlhsan (menopausal)-a thlasik hun mumal lo emaw, thisen chhuah leh emaw. Hei hi ngun taka ngaihven ngai symptom a ni. |
| Vaginal discharge pangngai lo | Tui emaw thisen emaw vaginal discharge. |
I chhungkuaa mi pakhatin cancer a vei tawh a nih chuan, a nih loh leh risk factor dang i neih chuan hetiang ang inthlak danglamna tenau tak i hmuh pawhin doctor pan a tha ber.
He cancer hi engte nge a chhan leh a hlauhawmna?
He cancer thlen chhan dik tak hi zirchiangtute chuan an la hmuchhuak lo. Mahse he cancer 90% vel hi chu organ line tu glandular cells atanga lo chhuak a ni tih kan hria a, chu chu a hmaa kan sawi tawh ``epithelial cells'' te kha a ni. Hengte hi ovarian cancer siamtu cell chi khat an ni. Hemi avang hian fallopian tube leh ovarian cancer te hi ``high-grade serous tumors'' an ti fo thin a, hei hian hengte hi cancer lian tham tak tak an ni tihna a ni.
Risk tipungtu thilte
He cancer hi i vei theihna tipungtu thil engemaw zat a awm. Chung zinga pakhat tal i nei em tih en rawh.
- Kum: Fallopian tube emaw ovarian cancer vei zinga a chanve aia tam chu kum 63 chunglam an ni a, hei hian kum upat deuh deuhin a hlauhawmna a sang tihna a ni.
- Chhungkaw chanchin: I thisen chhung hnai tak (nu, unaunu, fanu) zinga pakhatin hnute cancer, ovarian cancer, fallopian tube cancer a neih chuan i hlauhawmna a sang zawk.
- Genetic mutations: Breast cancer-related gene (BRCA)-a inthlak danglamna (mutations) hian he cancer hi nasa takin a tipung a ni.
- Hriselna dang: Hereditary condition Lynch syndrome leh Peutz-Jeghers syndrome te, leh endometriosis an tih te hian a hlauhawmna a tipung thei bawk.
- Pregnancy history: Naupai ngai lo leh kum 35 hnu lama fa hmasa ber nei te tan chuan a hlauhawmna a sang deuh hlek a ni.
- Menstrual cycle history: Kum 12 i tlin hmaa i period hmasa ber neih leh kum 51 hnua menopause neih te pawh hi risk factor a ni.
- Thau lutuk: Body mass index (BMI) 30 aia sang, a bik takin kum naupang tak atanga thau i nih chuan i hlauhawmna a tipung thei a ni.
He natna hi Doctor ten engtin nge an hriat chian?
A hmaa kan sawi tawh ang khan a tir lamah chuan natna lanchhuahna a awm lo va, chuvangin natna hi a darh zau deuh tawh chuan hriat chhuah a ni fo thin. I doctor-in routine check-up a tih laiin pelvic exam laiin lump i hmu mai thei.
Ringhlelna a awm hnuah doctor chuan a dinhmun chhui chian lehzual turin test eng emaw zat a ti ang.
1. Thisen test: 1.1.CA-125 thisen test hian thisenah protein pakhat cancer antigen 125 an tih level a teh a ni. Fallopian tube cancer vei tan chuan he level hi a sang thei hle. Mahse, cancer tih loh chhan dang vang pawhin he level hi tihsan theih a ni tih hriat reng a pawimawh.
2. Imaging test: `(Transvaginal ultrasound)`, `(CT scan)`, `(MRI)` emaw `(PET scan)` ang chi scan te hian fallopian tube leh ovary te chiang taka thlalak a siam thei. Hei hian cyst emaw lumps emaw a awm leh awm loh hriat nan a pui thei a ni.
Mahse, heng test te ringawt pawh hian cancer a ni tih hi 100% in a finfiah thei lo. Natna hi chiang taka hriat theih nan tissue sample lak a ngai a, microscope hmanga enfiah a ngai a ni. Chumi atana hmanraw hmante chu:
- Exploratory surgery: Surgical procedure, taksa peng hrang hrangte direct-a en a, rinhlelh awm tissue a awm leh awm loh enfiah thin. Hei hian fallopian tube, ovary leh a bul hnaia lymph node te sample lak a, lab-a test turin thawn a huam a ni. He surgery hi open (laparotomy) emaw camera hmanga incision te te (laparoscopy) hmanga tih theih a ni.
- Biopsy: Tumor rinhlelh awm tak atanga tissue te tak te chu needle hmangin lakchhuah a ni a, enfiah a ni.
Engtin nge cancer staging hi an hriat theih?
Cancer a nih chuan a pawimawh ber chu a ``stage'' hriat chian a ni. A awlsam zawngin, cancer hi eng chen nge a darh (metastasized) tih hriatchhuah a ni. Hei hi enkawlna ruahmanna siamna atan leh natna hmalam hun tur ngaihtuahna neih nan a pawimawh hle.
| Cancer stage a ni | Awmzia |
|---|---|
| Stage 1-na a ni | Cancer hi fallopian tube pakhat emaw, pahnih emaw chauh a ni. |
| Stage 2-na a ni | Cancer hi fallopian tube bakah pelvis bula tissue dang ah pawh a darh tawh a ni. |
| Stage 3-na a ni | Cancer hi pelvis pawnah emaw, lymph node-ah emaw, a bul hnaia taksa peng dang dangah emaw a darh tawh a ni. |
| Stage 4-na a ni | Cancer hi taksa peng hla tak tak, thin, lung emaw, thluak emaw thlengin a darh tawh a ni. |
Enkawlnate chu engte nge ni?
I enkawlna tur chu thil tam takah a innghat ang a, chung zingah chuan cancer stage leh i hriselna zawng zawng pawh a tel ang. I doctor chuan i tana tha ber tur treatment plan a siam ang.
- Surgery: Surgery hi enkawl hmasak ber a ni fo. Hei hian nausen pum (hysterectomy), fallopian tube pahnih (salpingectomy), leh ovary pahnih (oophorectomy) te lakchhuah a huam a ni. Cancer a darh tawh dan azirin a bula tissue dangte pawh lakchhuah a ngai thei bawk. Hmeichhe naupang, fa nei ṭhenkhatah chuan cancer hi hriat hmasak a nih chuan cancer tumor chauh lakchhuah a ni a, chu chuan reproductive organs a chhanhim a ni.
- Chemotherapy: Hengte hi damdawi chak tak, cancer cell tihhlumna atana pek an ni. He enkawlna hi operation hmaa tumor tihtlem nan emaw, operation hnua cancer cell awm thei zawng zawng tihhlum nan emaw pek thin a ni.
- Targeted therapy: Hei hi enkawlna thar tak a ni. Cancer cells te thanlenna atana pawimawh molecule bik target tu damdawi a hmang a, regular chemotherapy angin cell hrisel te a tichhe lo. He enkawlna dan hi a hlawhtling thei hle a, a bik takin `(BRCA)` gene mutation nei tan chuan a hlawhtling hle.
- Immunotherapy: Hei hian kan taksa ngeia immune system tihchak a, cancer cell do theihna chakna a pe a ni.
- Palliative care: Hei hi ngaihdan dik lo awm fo a ni. Palliative care hi natna tihdam theih loh tan chauh a ni lo. Cancer enkawlna avanga nghawng tha lo, natna leh rilru hahna te enkawl dan leh nunphung tha tak neih theihna tura tanpui chungchang a ni. He enkawlna hi cancer stage eng pawhah pek theih a ni.
Enkawl hnuah eng nge thleng?
Enkawl an nih hnuah damlo 80% vel chu ``remission``-ah an kal a, chu chu cancer chhinchhiahna awm lohna state a ni. Mahse, cancer hi ``a lo lang leh`` theihna a awm.
- Cancer a tir atanga hmuhchhuah te hi a lo lang leh thin hi 25% vel a ni.
- A darh zel a, advanced stage cancer hi 80% thlengin a lo lang leh thei a ni.
Chuvangin inenkawlna kan neih hnuah pawh a hun ruatah Doctor hmuh a, test neih a pawimawh hle.Hei hi a pawimawh hle a, a bik takin kum nga chhungin a pawimawh hle.
Damchhuak zat
Heng statistics te hian hlauthawng suh. Hengte hi damlo sang tam tak data atanga averages chauh a ni. I dinhmun chu a danglam thei hle a, a tha zawk thei hle bawk. Hengte hi natna nasat zia hriat chian nan chauh a ni.
- Cancer hi fallopian tubes (local)-ah chauh a awm chuan: Kum 5 chhunga damchhuah zat chu 94% a ni.
- A bul hnaia taksa peng hrang hrangah a darh tawh a nih chuan (Regional): kum 5 chhunga dam rei zawng chu 53% a ni.
- Hmun hla tak takah a darh tawh a nih chuan (Distant): Kum 5 dam chhung chu 44% a ni.
He cancer laka inven dan tur a awm em?
A pumpelh kim thei lo nain, a hlauhawmna tihziaawmna tur thil engemaw zat kan tih theih a awm.
I chhungkuaa mi tu emaw chuan hnute, ovarian emaw, fallopian tube emaw cancer a vei a nih chuan, BRCA gene genetic test neihpui turin i doctor nen inbiakna neihpui i duh mai thei. Mutation i vei nia hriat i nih chuan nau i neih hnua invenna atan prophylactic salpingo-oophorectomy (ovaries leh fallopian tubes surgery hmanga lakchhuah) tih theih dan tur i doctor nen sawiho i duh mai thei. Hei hian cancer vei theihna chu 96% velin a tihniam thei a ni.
Chu bakah, heng thilte hian a hlauhawmna tihziaawmna kawngah a pui thei bawk:
- Ei leh in hrisel tha ei leh active taka awm.
- I taksa rihna hrisel tak, i duh ang taka vawn reng.
- Meizial zu leh zu in hi bansan emaw tihtlem emaw.
- A theih chuan fate hnute pe rawh.
- Hormonal birth control hman, birth control pill ang chi (mahse BRCA gene mutation i neih chuan hei hi i tan a tha em tih doctor nen sawiho rawh).
Take-Home Thuchah a ni
- Fallopian tube cancer hi natna darh chak tak a ni a, a tir lamah chuan a lan chhuahna a awm lo. Chuvangin kan taksa hi kan ngaihsak reng tur a ni.
- I natna lan chhuah dan pangngai anga lang, pum hnuai lam na, pum na, leh ei duh lohna te i neih chhunzawm chuan ngaihthah suh.
- I chhungte cancer history hre reng ang che. I risk hriatthiamna a pe thei che a ni.
- A hmaa hmuhchhuah chuan he cancer hi a tidam vek thei a ni. Chuvangin rinhlelhna i neih chuan tihkhawtlai lovin Doctor pan rawh.
- He natna hi hlau suh. Hriatna dik leh damdawi inenkawlna dik tak i neih chuan he harsatna hi i hmachhawn thei a ni.
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