I chaw ei kawngah hian Gastrointestinal Neuroendocrine Tumors (GI NETs) a lo awm thei tih i hria em?

A châng chuan pum na, pum na, a nih loh leh chhinchhiahna dang, a lo lang reng ang maia lang i nei ṭhin em? A nih loh leh chhan hriat lohvin i thau i tihtlem em? Chûngte chu natna tlanglawn chhinchhiahna a nih theih laiin, a hnung lamah hian i hriat tûr thil awm lo tak a awm thei a ni. Vawiin hian chutiang dinhmun pakhat chu kan sawi dawn a ni. Gastrointestinal Neuroendocrine Tumors , a tawi zawngin GI NETs an ti a. Ngaihtuah buai suh, he thu hi awlsam takin kan sawi dawn a ni.

Heng digestive system neuroendocrine tumor (GI NET) te hi engte nge ni?

A awlsam zawngin sawi ila, GI NETs hi cancer chi khat, i chaw ei kawng chhunga neuroendocrine cells-a lo awm thin a ni. Tunah chuan neuroendocrine cells hi eng nge ni tih i ngaihtuah mai thei. Hengte hi kan nervous system leh endocrine system inzawmkhawmtu cell chi khat bik an ni. Message center te tak te ang mai an ni. Heng cell te hi kan taksa hmun tam takah kan awm a, chaw ei leh in (digestive system) pawh a tel.

I chaw kawng chu tube ang maia sei tak a ni a, kan ei tur chu a digest a, nutrients a hip lut a, bawlhhlawh a paih chhuak bawk. Heng `GI NET` tumor (hmanlaia `carcinoid tumors` tia koh) te hi i small intestine leh rectum ah a lo awm fo thin . Mahse, i pum, appendix leh esophagus-ah te pawh an lo awm thei bawk. A châng chuan, heng tumor te hi chaw ei kawng pawnah a darh thei a, chu chu i liver thlengin a darh thei a ni .

He GI NET natna hian tute nge a nghawng ber?

Hei hi thil awm lo tak a ni. Statistics-a a lan dan chuan he natna hian mi 100,000 zinga 4 vel a nghawng a ni . United States ang ramah phei chuan kum tin puitling 8,000 vel chauh he natna hi an vei thar an ni.

He natna hian kum 55 leh 65 inkar te a vei tlangpui a, mahse kum eng pawha puitlingah a awm thei. Mihring dum aiin mipa hringte hian he natna hi an vei tam zawk deuh. Tin, data atanga a lan dan chuan hmeichhiate hian mipa aiin he `GI NET` hi an nei tam zawk deuh a ni.

GI NET hi eng symptoms nge ni?

Hetah hian a pawimawh ber. Mi thenkhat chuan heng tumor te hi an taksa ah hian symptoms awm lovin an nei thei . A châng chuan chhan dang vanga `scan` ang chi thil tih a nih chuan a thleng mai maiin an hmuchhuak ṭhin.

Mahse, a lan chhuah dan a lan chuan natna tlanglawn, na lo zawkte nen a inang thei a ni. Chuvang chuan a chang chuan an detect tlai lutuk thei a ni. Heng symptoms te hi i hriat lar angin a lang em tih en rawh:

• Pum natna: Hei hi i intestines block tihna a ni thei a, GI NET tumor vang pawh a ni thei.
• Kawthalo:Bowel movement fo thin. He symptom hi ``Carcinoid Syndrome'' (``NET'' nena inzawm symptom set dang) tih hming pu, emaw, an gallbladder emaw, an intestine thenkhat emaw surgery hmanga lakchhuah tawhte tan a tam hle.
• Nausea leh luak chhuak: Nausea leh luak chhuak a awm reng chuan natna khirh tak chhinchhiahna a ni thei.
• Tum loh vanga taksa rihna tihtlem: Diet hmang lovin, exercise la lovin, a chhan hriat loha i taksa rihna tihtlem thuai chuan GI NETs symptom tlangpui a ni.
• Thisen in stool: I stool chu dark red emaw tarry emaw a nih chuan hengte hi intestinal bleeding chhinchhiahna a ni thei.
• Jaundice: Hei hian i vun leh i mit var a ti sen a.
• Chauhna: Hei hi mutthilh mai mai a ni lo. Rin loh takin a chau reng a, engmah ti thei lovin a awm.

Heng symptoms te hi i neih mai mai hian GI NET i nei tihna a ni lo tih hre reng ang che. Mahse, heng symptoms te hi a la awm reng a nih chuan doctor pan a, thurawn lak a pawimawh hle.

GI NET awm chhante chu engte nge ni?

Dik tak chuan medical researcher te hian GI NETs awm chhan chiang tak an la hmu thei lo . Mahse, stomach acid hniam (hypochlorhydria) nei te hian he natna nen hian inzawmna an nei tih an hmuchhuak a ni.

Tin, inherited conditions leh syndromes thenkhat nei te chu GI NETs vei theihna chance a sang zawk thei bawk. Chung dinhmun thenkhat chu:

• Multiple endocrine neoplasia (MEN): Hei hi chi hnih a awm a. A chi khat (MEN1) hian i thyroid, parathyroid emaw adrenal glands te chu a thawk nasa lutuk emaw, tumor a siam emaw a ni. A chi dang (MEN2) hian i pancreas, pituitary emaw parathyroid glands te chu a ti overactive emaw, tumor a siam emaw a ni.
• Von Hippel-Lindau natna: Hei pawh hi a tlem hle. Kan taksa peng hrang hrangah cancer ni lo (benign) tumor a siam a.
• Neurofibromatosis type 1: Hei pawh hi thil awm lo tak a ni. Vun leh nerve-ah tumor a siam a, mit leh taksa peng dang a nghawng thei bawk.

Engtin nge doctor-te hian he GI NET natna hi an hriat theih?

A chunga kan sawi tak symptoms i neih chuan, a nih loh leh chhan dang avanga rinhlelhna a awm chuan doctor ten test chi hrang hrang an ti ang.

• X-ray: Hei hian taksa chhunga thil awmte thlalak a la thei. Mahse, a chang chuan GI NET tumor hi a lian lutuk emaw, a te lutuk emaw a nih chuan X-ray-ah hmuh theih a ni lo. Chutiang a nih chuan i doctor chuan scan chi dang a rawt thei bawk.
• Computed tomography (CT) hmanga enfiah a nih chuan:Hei hian computer leh X-ray hrang hrang hmangin i taksa peng leh ruh te chu three-dimensional (3D) view a siam a ni. CT scan hian tumor lian leh te leh liver emaw hmun dangah emaw a darh tawh leh tawh loh ang chi thil a hmu thei a ni.
• Magnetic resonance imaging (MRI): He test hian magnet, radio wave leh computer hmangin i taksa peng leh ruhte thlalak chiang tak tak a siam chhuak thin.
• Endoscopy: Hetiang tih danah hian doctor-te chuan endoscope, tube ang maia te tak te, a hma lamah light leh camera awmin i chaw ei kawng chunglam chhung chu an en thin. He tube hi i hmui emaw, i rectum emaw hmangin i dah thei. Colonoscope hmangin i chaw ei kawng hnuai lam chu en theih a ni.
• Endoscopic ultrasound (EUS): Hei hian endoscope leh high-energy sound wave hmangin chaw ei kawng (digestive system) thlalak a la thin. Endoscope hi ka emaw, rectum emaw hmangin dah a ni a, a tawpah probe chuan sound wave chu digestive tract-ah a thawn lut a ni. A chhunga tissue atanga echo rawn chhuak chuan sonogram an tih lem a siam thin.
• Positron emission tomography (PET) scan: He test hian neuroendocrine tumor te chu special dye (neuroendocrine tumor cells hmuhchhuahna atana siam bik) hmangin a hmuchhuak thin.
• Biopsy: Hei hi a natna hriat chian nan test hman tlanglawn ber a ni. Hemiah hian rinhlelhna hmun atang hian tissue te tak te lakchhuah a ni a, microscope hmangin cancer cell a awm em tih enfiah a ni.

Neuroendocrine tumor grade hrang hrang a awm em?

Ni e, doctor-te chuan heng tumor te hi classified turin grading system an hmang thin. An enkawl dan tur ruahmanna siam turin a pui thin. Tumor stage chu cancer cells te chu microscope hmanga enfiah a ni. Cell engzat nge an inthen tih te, an inthen chak zia te, cell hrisel aiin cancer cell nen an inang zia te an en thin. Hengte hi `GI NET` stage hrang hrangte chu a ni:

• Grade 1 (low-grade tumor): Heng cell te hi an inthen zawi zawi hle. Hei hian tumor chu a lo thang zawi zawi hle tihna a ni.
• Grade 2 (intermediate-grade tumor): Heng cell te hi an inthen darh dan hi a hniam lam a ni.
• Grade 3 (high-grade tumor): Heng cell te hi an inthen rang hle a, chuvangin tumor chu a thang chak hle.

Gastrointestinal Endocrine Tumors (GI NETs) hi eng enkawlna nge ni?

GI NETs hi enkawl dan kawng hrang hrang a awm a. Doctor-te chuan i tan enkawlna ṭha ber chu thil tam tak aṭangin an thlang a, chung zingah chuan i cancer grade, enkawlna aṭanga nghawng ṭha lo awm thei, i hriselna zawng zawng, leh i mimal duhzawng te pawh a tel a ni. Enkawlna kawng hrang hrang a awm a, chungte chu active surveillance, surgery, leh damdawi lam enkawlna te an ni.

Active Surveillance tih hi eng nge ni?

Tumor hi a lo thang zawi hle a, taksa hmun dangah pawh a darh theihna a tlem a nih chuan doctor-te chuan "active surveillance" tih damdawi an rawt thei ang. This involves checking you at regular intervals , enkawlna lian tak tak tan nghal ai chuan.

• CT scan ang chi imaging test te pawh a awm.
• Thisen test ang chi complete blood count (CBC).
• Taksa enfiahna.

GI NET tan hian eng surgery nge tih thin?

GI NET tana surgery chi hrang hrang tih hi tumor awmna hmun leh taksa hmun dangah a darh tawh em tih te a innghat a ni.

Surgery i neih hmain i surgical team te hian `(Carcinoid Syndrome)` (`neuroendocrine tumors` chhinchhiahna lang thei condition) i nei em tih an hriat a pawimawh hle . A chhan chu, `(Carcinoid Syndrome)` i neih chuan surgery hian harsatna a thlen thei a, chu chuan nunna a tichhe thei a ni. Surgeon chuan he thil hi a hriat chuan, operation hma, operation neih lai leh operation zawhah damdawi bik pein heng harsatnate hi ven a tum ang.

GI NET tana surgery tih tam ber thenkhat chu:

• Partial gastrectomy: Hei hian i pum thenkhat lakchhuah a ni .
• Small intestine resection: Hei hian small intestine atanga tumor awmna hmun chu lakchhuah a ni . Surgeon chuan anastomosis (intestine cut tawp pahnih inzawm lehna) a ti thei bawk. Small intestine bula lymph node te pawh lakchhuah a ni tlangpui a, microscope hmangin cancer cell a awm leh awm loh enfiah a ni.
• Appendectomy: Surgeon-te chuan i appendix chu incision lian tak hmangin emaw, laparoscopic surgery (incision te tak te, camera dahna hmangin emaw) an la chhuak thei a ni.
• Hemicolectomy: Hetah hian colon dinglam emaw veilam emaw chu lakchhuah a ni a, chubakah a bul hnaia thisen kalna kawng leh lymph node te pawh lakchhuah a ni.
• Lower anterior resection: Surgeon-te chuan i rectum thenkhat chu an la chhuak a, mahse i hnute chu a awm ang angin an dah thung. Hei hian chaw ei dan pangngai (normal bowel movement) i nei thei a ni.
• Abdominoperineal resection (APR): He surgery hian i hnute, i hnungzang, leh i colon hmun thenkhat a paih chhuak thin . He surgery hi colostomy hmanga tih a ni fo thin. Chumi awmzia chu i colon atanga i pum chunglam thlenga hawnna siam a ni a, chutiang chuan bawlhhlawh (digestive waste) a kal tlang thei a ni.
• Liver resection: He surgery hian GI NETs liver-a darh tawhte chu a paih chhuak thin.

He surgery hian eng complication emaw side effect emaw a neih?

Heng surgery zawng zawng hian side effect nasa tak a nei thei a ni . A châng chuan i dam leh hunah in lamah ṭanpuina dang i mamawh thei bawk. I doctor hnenah surgery bik i neih zawh hnua i beisei tur zawt rawh.

GI NET surgery hian ka nunphung a nghawng dawn em?

Ni e, side effects a awm thei . Heng surgery-te hian i chaw ei kawng thenkhat a paih chhuah fo avangin, i ei leh in danah pawh inthlak danglamna a awm thei a, bathroom-a i kal danah pawh inthlak danglamna a awm thei bawk. I surgeon chuan surgery-in engtin nge a nghawng ang che tih chiang takin a sawi ang a, chaw ei lama harsatna awm apiang enkawl turin eng nge a tih ang tih a sawifiah bawk ang.

GI NET tan hian eng enkawlna dang nge awm?

Doctor-te chuan heng enkawlnate hi operation nen an hmang dun thei ṭhin:

• Chemotherapy: Hei hian damdawi chi hrang hrang, cancer cells that tura duan a hmang thin.
• Targeted therapy: Hei hian damdawi emaw thil dang emaw hmangin cancer cell chauh a bei a, cell hrisel pangngai a tichhe lo.
• Immunotherapy: Hei hian i taksa invenna (immune system) hmangin cancer cells te chu a that emaw, an thanlenna tur a titawp emaw a ni.
• Radiation therapy: Hei hian chakna zungpui chak tak hmangin cancer cell te chu a that emaw, an thanlenna tur a titawp emaw a ni.
• Somatostatin analogs: Hengte hi hormone somatostatin siam chhuah a ni. I somatostatin hian i taksain hormone a siam tam lutuk lohna turin hna a thawk a ni.

Heng enkawlnate hian eng side effects emaw complication nge a neih?

Heng enkawlna tin hian mi tinte chu a nghawng dan a inang lo. Chuvangin, damdawi pakhat zel thatna leh a side effects chiang taka doctor nen sawiho a pawimawh hle. Chu chuan enkawlna tin hian engtin nge a nghawng ang che tih i hrethiam ang. I doctor chuan i hriselna zawng zawng leh i mimal duhzawng a zirin enkawlna tur a rawt ang che.

Gastrointestinal Endocrine Tumors hi a veng thei ang em?

Vanduaithlak takin tun dinhmunah chuan GI NETs ven dan tur a awm lo . Mahse, damdawi lam zirchiangtute chuan hereditary syndrome leh/ emaw damdawi lam dinhmun thenkhat leh neuroendocrine tumor vei theihna inzawmna a awm tih an hmuchhuak a ni. I doctor nen i medical history leh i chhungte medical history chungchang sawipui rawh. GI NETs chhinchhiahna hmasa ber hriat theihna turin test bik neih a rawt thei a, chutiang chuan tumor te chu a hmain man theih a ni a, enkawl theih a ni bawk.

Hetiang dinhmun hi ka neih chuan eng nge ka beisei ang?

I prognosis chu cancer i hmuhchhuah hun leh enkawl tan tirh a nih danah a innghat a ni. Cancer hian taksa hmun dangah a darh hmaa enkawlna dawngtu zinga 97% vel chu an damchhuak ang.Diagnosis atanga kum nga hnuah. Tumor chu a bul hnaia tissue emaw lymph node emaw-ah a darh tawh a nih chuan chu kum nga chhunga dam rei zawng chu 95%-ah a tlahniam a ni. GI NETs nei, chaw ei kawng pawna darh tawh zinga 67% vel chu an natna hmuhchhuah atanga kum nga hnuah an la dam a ni.

GI NET a rawn let leh thei. Tumor lian leh te, grade leh awmna hmun a zirin follow-up test neih fo a ngai mai thei. Entirnan, i doctor chuan enkawlna hnu kum thum hmasa berah kum khatah vawi khat CT scan neih a rawt thei a, kum tin taksa enfiahna neih a rawt thei bawk. I doctor hnenah follow-up appointment leh i dinhmun bik atana test te zawt rawh.

Engtin nge ka in enkawl ang?

Gastrointestinal neuroendocrine tumor i neih chuan operation i mamawh ngei ang. Surgeon-te chuan open incision an hmang tlangpui a, chu chu laparoscopic surgery aiin a lian zawk a ni. Hei hian damdawi inah ni engemaw zat awm a ngai dawn tihna a ni a, chutah chuan kar engemaw zat chu in lamah i dam leh a ngai dawn tihna a ni.

Engtikah nge Emergency Room-ah ka kal ang?

I cancer chu a lo let leh tawh em tih hriat nan follow-up schedule mumal tak i nei mai thei. I surgeon hnenah operation hnua eng symptom nge natna khirh tak chhinchhiahna ni thei tih zawt rawh. A hnuaia symptoms te hi i neih chuan doctor pan nghal tur a ni:

• Thâwk harsa na tak.
• Khawsik hi 100.4 degree Fahrenheit (38.3 degree Celsius) aia sang a nih chuan.
• A natna a nasat chuan, a nih loh leh i natna tidamtu damdawi hmanga thunun theih loh a nih chuan.
• Surgery hliam atang hian green, foul-smelling pus a chhuak a nih chuan, a bik takin hliam chhehvel chu khawih pawhin a lum a nih chuan, a nih loh leh a sen hle a nih chuan.
• I luak chhuak chhunzawm zel emaw, riltam i neih chuan.

Gastrointestinal neuroendocrine tumor (GI NET) hi nun tidanglam thei natna a ni thei. Chu chu hetiang natna vei tam tak hian an chaw ei kawng thenkhat emaw, a zawng zawng emaw lak chhuah nan operation an neih a ngai vang a ni. I surgery hian i ei leh in, i in leh bathroom kal dan a thlak danglam thei a ni. I medical team chuan heng inthlak danglamnate nena inmil hi thil awlsam a ni lo tih an hria. Zawhna emaw, ngaihtuahna emaw i neih chuan doctor hnenah hrilh rawh. I dinhmun an hrethiam ang a, a chinfel dan tur zawng turin an pui ang che.

He thawnthu atang hian eng thil pawimawh nge kan in lama hruai haw duh ber?

• `GI NET` hi cancer natna chi khat a ni a, mahse hriat a pawimawh hle.
• Mi thenkhat chuan hengte hi an nei thei a, engmah chhinchhiahna nei lovin , mahse, pum na, ril\am, leh tum loh taka taksa rihna tihtlem ang chi chhinchhiahnate chu hre reng ang che.
• Hengte hi lo thang lian rawh se.A chhan dik tak chu hmuhchhuah a la ni lo a, mahse ro hlu ṭhenkhat chuan a chanvo a nei thei a ni.
• Natna hriat theihna tur test hrang hrang a awm a, chungte chu `CT scan`, `MRI`, `Endoscopy`, leh `Biopsy` te hi a ni.
• Enkawlna kawng hrang hrangte chu operation, chemotherapy, leh radiation therapy te a ni . I doctor chuan eng enkawlna nge i tan a tha ber tih a rel ang.
• A hmaa hmuhchhuah leh enkawl tan hian dam theihna chance nasa takin a tipung a ni.
• Hemi chungchangah hian rinhlelhna emaw zawhna emaw i neih chuan i doctor nen inbiakna neih hlau suh . I tanpui turin an awm reng a ni.

` GI NET, Gastrointestinal Neuroendocrine Tumors, Cancer, Intestinal Cancer, Neuroendocrine Tumors, Digestive System, A lan chhuah dan