Thil danglam tak, a dam lo ang chi, i hmui chunglam khauh takah, kan inbiakna emaw, kan ei emaw huna kan khawih khauh takah hian i hmu ngai em? I ngaihtuah vak lo a ni mai thei. Mahse, i hmui chung lama cancer lo awm, doctor-te’n an tih angin (Hard Palate Cancer) , hi kan ngaihven a ngai tak zet a ni. Hei hi cancer chi khat, hmui cancer zinga za zela tlemte siam tihna ni mah se, nang leh kei tan chuan hei hi kan hriat chian a pawimawh hle.
Hard Palate Cancer hi eng nge ni?
A awlsam zawngin sawi ila, hei hi cancer a ni a, kan hmui chung khauh tak, ruhkawr (bony palate)-ah a lo awm a ni. He palate hian kan hmui (oral cavity) leh hnar chhunga hmun (hnar chhunga hmun) a then a. He cancer hi chi hnih a awm thei. Pakhat chu `Squamous Cell Carcinoma` tih chi a ni. Hei hi hmui chhunga awm flat cells-ah a lo thang lian thin. A dang chu salivary glands nena inzawm cancer chi khat `(Salivary Gland Cancer)` a ni.
Ngaihtuah teh, kan in chung lama harsatna tenau tak, game pumpui tichhe thei ang mai a ni. Kan hmui chung pawh hi kan inbiak leh eitur pawimawh tak a ni. Chuvang chuan kan enkawl a ngai a ni.
Hei hi cancer natna a ni vak lo. United States ang ramah pawh hian cancer zawng zawng zinga 3% vel chu hmui cancer a ni. Heng zingah hian 1% atanga 5% chauh hi upper palate cancer an ni. Amaherawhchu, a tlangpui lo mah se, mi pakhat chunga nghawng a neih chu a nasa hle.
He natna lan chhuah dan engte nge ni?
Tunah chuan hetiang dinhmunah hian kan tawrh theih tur symptoms te hi han en ila. Chûng zînga pakhat emaw pahnih emaw pawh i tawng tawh mai thei.
- Kawng chung lama natna a dam tawh lo: Hei hi a lan chhuah dan ber leh a langsar ber a ni. Hripui te tak te anga intan a, hun kal zelah a dam loh chuan rinhlelh tur a ni.
- Bad breath (Halitosis): I hmui i brush leh silfai hnuah pawh i hmui atanga rimchhia i la nei a nih chuan chu pawh chu chhinchhiahna a ni thei bawk.
- I ha a hrual ang maia hriat: I ha chu a hlim deuh emaw, a inher deuh emaw chauh a nih chuan.
- Ha lem vuah thinte tan: Ha lem i bun chuan a hma angin i ka chhungah a in fit tha lo mai thei a, a tight hle bawk.
- Difficulty swallowing (Dysphagia): Chaw ei harsa emaw, ei leh in emaw ei harsa tih hriatna.
- Kawngkhar chhunga lump: A chang chuan i kawr sir lamah lump te tak te emaw, lump ang chi emaw i hre thei bawk. Hei hi lymph node a hring vang pawh a ni thei.
Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor thurawn la rawh . Ngaihthah suh.
Eng thilin nge he cancer hi a thlen?
Damdawi lam zirchiangtute sawi dan chuan he cancer chi hi lo awm chhan lian tak pahnih a awm a, chungte chu:
1. Zuk leh hmuam hman dan:Cigarette, cigar, beedis, leh meikhu awm lo (e.g., chewing tobacco) hman hi a chhan lian ber a ni.
2. Zu in: Zu in tam leh in tam lutuk hian he cancer vei theihna a tipung bawk.
"A nihna takah chuan zu i in laiin zu i in chuan he hlauhawmna hi a pung zual sauh sauh a ni."
Enkawl loh chuan eng harsatna nge thleng thei?
Hetiang natna hi uluk taka enkawl a nih loh chuan a awm mai mai lovang. Cancer cell te chu a darh tan dawn a ni.
- A kawr chhunga lymph node-ah a darh hmasa thei a ni.
- Tichuan, hnar kawngah pawh a darh thei a ni.
- Cancer cell lymph node thleng tawhte chuan taksa pum puiah an kal thei a, taksa peng dangteah tumor thar, a nih loh leh metastases , an siam thei a ni. Chutiang a nih chuan thil awmdan chu a pawi lehzual a ni.
He natna hi Doctor ten engtin nge an hriat chian?
Doctor i pan hunah i symptoms te a zawt hmasa ang che. Entir nan:
- "I hmui chung lamah na i nei em?"
- "Engtik atang khan nge chu hliam ah chuan danglamna i hriat?"
- "A lian chho zel em?"
- "Hliam chu thisen a chhuak em?"
- "A ei harsa em?"
Chu bâkah, i tih dân ṭhenkhat chungchâng pawh kan zawt thei bawk:
- "Zuk leh hmuam (cigarette, chewing tobacco, etc.) i hmang em?"
- "Zu engzat nge i hman?"
Tichuan, doctor chuan i kâ chhung lam chu uluk takin a enfiah ang a, i kawr chhunga hnim hring awmte chu a hring em tih a hriat theih nan.
Hei atan hian eng test nge tih thin?
Symptoms leh initial examination neih zawhah test eng emaw zat tih a ngai dawn a, natna hi finfiah a ngai dawn a, a zau zawng hriat theih a ni bawk ang.
1. Biopsy test neih dan tur:
Hei hi cancer a nih leh nih loh hriat theihna atana test ber a ni. Heta tih tur chu lesion emaw tumor emaw atanga tissue te tak te lak a, microscope hmanga enfiah a, cancer cell a awm leh awm loh enfiah a ni. He test hi specialist doctor ten `Medical Pathologists` an tih te an ti thin a ni. Hmai chunglam cancer a nih chuan tissue hian `Squamous Cell Carcinoma` leh `Salivary Gland Cancer` te ang chi a nei em tih an en thin.
Biopsy tih dan kawng hrang hrang a awm a:
- `Fine Needle Aspiration Biopsy`: Tumor atanga cell sample te tak te chu needle te tak te leh syringe hmangin lakchhuah a ni.
- `Punch Biopsy`: Tumor chhungah hian hmanraw bik hmangin khur te tak te siamin tissue chi khat an la a.
- Incisional Biopsy: Incision te tak te siamin tumor atanga tissue thenkhat chu scalpel hmangin lakchhuah a ni.
2. Imaging Test hrang hrang: 1.1.
Biopsy-in cancer a nihzia a finfiah chuan heng test-te hi cancer lian zia leh a darh zau zia hriat nan an ti thin.
- `Computed Tomography (CT) Scan hmanga tihchhuah a ni` (CT Scan): 1.1.Hei hian cancer lian leh te, luruh ruh thlenga darh tawh leh darh tawh emaw, kawr chhunga lymph node-a darh tawh emaw chiang takin kan hmu thei a ni.
- `Positron Emission Tomography (PET) Scan` (PET scan): Hei hian cancer hi kawr chhunga lymph node-ah chauh ni lovin, taksa hmun hla tak tak, lung ang chite pawh a darh tawh em tih hriat nan a pui a ni.
Cervical cancer hi eng stage nge ni?
Doctor-te chuan a chunga kan sawi tak test (biopsy, scan) atanga thu hriatte chu cancer stage hriat nan an hmang thin. Hei hi cancer staging an ti a . A awlsam zawngin, cancer hi eng chen nge a lo thanglian tawh tih leh eng chen nge a darh tawh tih a hrilh che a ni. Oral cancer chi hrang hrangah pawh staging system chi khat hi hman a ni.
Chumi atan chuan `TNM` method an tih method hman a ni:
- T (Tumor): Hei hian tumor lian leh te, a awmna hmun a kawk a. Tin, tumor hian tissue a luh thuk zia a en bawk (`depth of invasion`).
- N (Nodes): Hei hian cancer hi a bul hnaia lymph node-ah a darh tawh em tih a hriattir a, a darh a nih chuan eng chen nge a darh tih a hriattir bawk.
- M (Metastasis): Hei hian cancer chu a bul tanna hmun atanga taksa peng hla tak tak (e.g. lung, thin, ruh) ah a darh (‘metastasis’) em tih a kawk a ni.
T letter hmanga sawi tum tumor awmte chu:
- Tis `(Carcinoma in situ)`: Hei hi a hmasa ber a ni. Cancer cell te hi tissue layer khatah chauh an awm a.
- T1: Tumor hi centimetre 2 aia tlem lo a ni. Tissue chhunga invasion thuk zawng hi millimeter 5 aia tlem lo a ni.
- T2: Tumor hi centimetre 2 leh 4 inkar a lian a ni. Tissue chhunga invasion thuk zawng hi millimeter 5 leh 10 inkar a ni.
- T3: Tumor hi centimetre 4 aia lian a ni a, a nih loh leh tissue chhungah millimeter 10 aia thuk zawkah a lo thang lian tawh bawk.
- T4: Tumor hi a bul hnaia ruh (e.g., luruh, hnar ruh)-ah a darh tawh a ni.
Number-a stage pawimawh tak takte (Stages I-IV):
Tunah chuan heng main stage te hi chu `TNM` information chu khawlkhawmin an ruat ta a ni.
- Stage I: Tumor hi T1 level (2 cm aia tlem, 5 mm aia thuk lo)-ah a awm a. Lymph node emaw hmun hla takah emaw a darh lo.
- Stage II: Tumor hi T2 level (2-4 cm, 5-10 mm thuk) ah a awm a. Lymph node emaw hmun hla takah emaw a la darh lo.
- Stage III: Tumor hi T3 (4 cm aia lian, emaw 10 mm aia thuk zawk) a ni thei a, T1 emaw T2 emaw pawh a ni thei a, mahse a bul hnaia lymph node pakhat chauh a darh (chu pawh chu cm 3 aia te pawh a ni tur a ni). Hmun hla takah a darh lo.
- Stage IV: Hei hi hmun thum (IVa, IVb, IVc) ah then a ni.
- IVa: Tumor hi T4a level-ah a awm (a chhehvel ruh, vun, etc.-ah a darh) emaw, node pakhat aia tam a darh tawh emaw, node lian takah a darh tawh emaw a ni. Mahse hnar kawng pawnah a darh lo.
- IVb: 1.1.Cancer hi luruh piah lamah a darh tawh a, a nih loh leh kawng thuk zawk, ruh leh ruhroah a darh tawh a, a nih loh leh T4b level-ah a awm (luruh bul thlengin, kawr chhunga thisen kalna bulpui vel a darh) a ni.
- IVc: Cancer hi upper palate leh neck ruh kaltlangin taksa peng hla tak tak (e.g., lungs)-ah a darh tawh a ni.
He staging process hi a buaithlak deuhin a lang thei a, mahse lungngai suh. I doctor chuan engkim a hrilhfiah ang che. I hriatthiam loh thil a awm a nih chuan zawh leh hlau suh.
Hei hi engtin nge enkawl a nih?
A tam zawkah chuan lu leh kawng cancer enkawlna ber chu surgery hmanga tumor lakchhuah a ni. Cancer hi kawr chhunga lymph node-ah a darh tawh a nih chuan, chu node te chu operation hmanga lakchhuah a ngai thei bawk.
Surgery hi chi hnih a awm a, chungte chu:
1. Maxillectomy (Maxillectomy): Hei hi kan kawchhunga cancer natna hrik awm chu paih chhuah nan surgery a ni. A châng chuan, hmui chung lamah incision te tak te siamin, tumor chu paih chhuah theih a ni. Mahse, tumor a lian a nih chuan hmui chunglam a then emaw, a zawng zawng emaw lak chhuah a ngai mai thei. Hetianga lakchhuahna avanga hmun ruak awm chu tihpun nan doctor-te chuan acrylic plate bik `palatal plate` (ha siam chhuah set ang chi) an hmang thin. A nih loh leh, taksa peng dang (kut emaw ke emaw) atanga tissue an la a, chu chu an luah khat (hei hi `flap surgery` an ti).
2. Neck Dissection: Servical cancer hi kawr chhunga lymph node-ah a darh thei a, a darh chuan taksa pum puiah a darh thei a, doctor-te chuan a chang chuan kawr chhunga lymph node thenkhat emaw, a vai emaw an paih chhuak thin.
Enkawlna avanga harsatna awm thei leh side effects te
Surgery neih hian harsatna engemaw zat a awm thei. Hengte hi hriat chian a tha bawk:
- Thusawi, ei leh ei harsa: Cleft palate surgery hnuah ei leh in ei leh ei a harsa thei. Thusawi harsa i nei thei bawk. Hei hian operation dang emaw, speech therapy emaw a mamawh thei bawk.
- Nerve tihchhiat: Kawr chhunga lump awm chu paih chhuah tura operation an tih lai hian a chhehvel nerve thenkhat chu a chhe thei a ni.
A châng chuan operation bakah hian radiation therapy emaw chemotherapy emaw pawh pek theih a ni a, chu chu cancer stage leh thil dang a zirin a ni.
He cancer hi ven theih a ni em?
A pumpelh vek theih loh laiin, a hlauhawmna tihziaawmna tur thil kan tih theih a awm. Hengte hi i ngaihtuah vek ang u:
- Zuk leh hmuam hman loh tur: Cigarette i in emaw, zuk leh hmuam chi dang i hman emaw chuan bansan tum ang che . Hemi chungchangah hian tanpuina i mamawh a nih chuan doctor nen inbia la, programme awm thei te chu zawt rawh.
- Zu hi tihtlem rawh:Zu i in fo chuan i in tam leh in tam loh tur. Zu chungchangah harsatna i neih nia i hriat chuan chu mi chungchangah pawh doctor thurawn zawng rawh.
- Ei leh in hrisel: Ei leh in inthlau tak, thei leh thlai tam tak ei thin ang che.
- Ha enfiah fo: Kum khatah vawi khat tal ha enkawltu hnenah i hmui enfiah tir thin ang che. Kum 20 leh 40 inkar tan kum thum danah tal oral cancer screening neih a pawimawh hle a, kum 40 chunglam tan kum tin neih a pawimawh hle bawk.
Cervical cancer hi tihdam theih a ni em?
Ni e, tihdam theih a ni . A bik takin a tir lamah chuan, chu chu kum naupan lai atanga tumor hmuhchhuah a nih chuan operation hmanga dam kim theihna chance a sang tihna a ni. Mahse, tumor hi a lian a, a darh tawh chuan enkawl a harsa deuh. Tin, enkawl hnua tihdam a nih pawhin a chang chuan he cancer hi kum tam tak hnuah `a lo lang leh thei` a ni. Chuvang chuan medical test neih chhunzawm zel a tha.
Engtin nge ka in enkawl ang? Enkawl hnuah eng nge tih tur?
I hmui chunglam cancer i neih chuan enkawl hnua a side effects (ei hah harsatna ang chi) enkawl danah tanpuina i mamawh mai thei. Hei hian nutritionist leh speech therapist-te puihna pawh a huam thei a ni.
A pawimawh ber chu regular medical checkup neih hi a ni . Hei hi cancer lo lang leh leh tawh loh enfiah nan leh i hriselna zawng zawng enfiah nan a pawimawh hle.
National Comprehensive Cancer Network (NCCN) rawtna angin, enkawl zawh hnuah kum 10 tal screening neih chhunzawm zel tur a ni. Hetah hian schedule chu a awm:
- Kum khatna: Thla khat atanga thla thum danah vawi khat.
- Kum hnihna: Thla hnih atanga thla ruk danah.
- Kum nga atanga kum sawmna thleng: Kum khatah vawi khat.
Doctor hnenah eng zawhna nge ka zawh ang?
I doctor hnenah hetiang zawhna thenkhat hi i zawt thei ang:
- "He tumor hi surgery hmanga lakchhuah theih a ni em?"
- "Engtin nge surgery hian min nghawng ang?"
- "Surgery hian min tidam vek dawn em ni?"
- "Surgery vawi khat aia tam ka tih a ngai dawn em ni?"
- "Eng enkawlna dang nge ka mamawh ang?"
Take-Home Thuchah a ni
Hard palate cancer hi natna awm lo mahse na tak a ni thei. Zuk leh hmuam hman leh zu in tam lutuk hi a hlauhawmna lian ber a ni. I hmui chung lama hliam dam lo, ei harsa, emaw, thawk hah ang chi symptoms i neih chuan doctor lam pan nghal rawh . A hmaa hriat chhuah a nih chuan operation hian a tidam thei fo thin. Inenkawl zawhah check-up neih reng a pawimawh bawk. I hriselna enkawl rawh.
` Hard Palate Cancer, Upper Palate Cancer, Oral Cancer, Squamous Cell Carcinoma, Salivary Gland Cancer, Cancer Symptoms te a awm thei











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