Pum cancer a darh tawhna atana special Chemotherapy treatment (HIPEC) pek dan hi i zir chiang ang u

I doctor-in i pum chhungah, chu chu i pum chhungah cancer a darh tawh tih a hrilh che chuan hlauhna nasa tak i neih chu thil pangngai a ni. Chemotherapy hman thin bakah hian vawiin hian heng case hrang hrangte bik atana hmanraw tangkai zawk kan sawi dawn a ni. Hei hi HIPEC an ti a. Eng ang nge a nih i en ang u.

A awlsam zawngin HIPEC chu eng nge ni?

HIPEC awmzia kimchang chu Hyperthermic Intraperitoneal Chemotherapy tih a ni . A hming chu buaithlak tak angin lang mah se, thil thleng chu a awlsam hle. Hei hi cancer enkawlna hmun hnih a ni.

I pum chhungah (abdominal cavity) cancer natna hrik i nei ang tih han ngaihtuah teh. He cavity ah hian i liver leh stomach ang chi organ pawimawh tak tak a awm a.

1. Step hmasa ber: Doctor te hian operation an ti hmasa ang a, pum chhunga cancer tumor hmuh tur awm zawng zawng deuhthaw chu an paih vek ang.

2. Step hnihna: Tichuan, mit hmuh theih loh cancer cell la awm zawng zawng tihchhiat nan, chemotherapy solution lum tak (Hyperthermic) chu pum chhungah (intraperitoneal) direct-in inject a, uluk taka silfai a, cavity hawn a ni.

A awlsam zawngin sawi ila, he enkawlna hian cancer natna hrik awmte chu paih chhuakin, cancer cell la awm zawng zawng tihchhiat nan chemotherapy damdawi lum tak hmangin pum chhung chu silfai a ngai a ni.

He enkawlna hi eng cancer chi nge pek a nih?

HIPEC enkawlna hi taksa hmun dang atanga pum, chu chu pum chhunga cancer darh (metastasized) tan chuan hman a ni tlangpui. Tin, a chang chuan cancer, pum chhung ngeia intan tan pawh hman a ni.

He surgery hma hian engtin nge i inbuatsaih ang?

Hei hi a pawi hle a, surgery leh enkawlna lian tak a ni. Chuvangin, i tawrh hmain taksa leh rilru hriselna tha ber i neih a pawimawh hle. I doctor chuan i inbuatsaih nan i hriat tur zawng zawng a hrilh ang che. Hei hian a huam thei ang:

• Meizial i zu a nih chuan titawp vek rawh.
• Zu in loh tur.
• Thâwk lakna exercise (incentive spirometer ang chi hmanrua hmangin) hmangin i lung kha tichak rawh.
• Nangmah ang cancer do mek midangte nena support group-a tel emaw, counselor nena inhmuh emaw hi i rilru hriselna tichaktu tha tak a ni thei.

Enkawl lai hian eng nge thleng?

Kan sawi tawh ang khan hei hi a then hnih a awm a ni.

A ṭhen khatna: Cytoreductive Surgery (CRS) tih a ni.

Hei hi a hmasa ber leh a lian ber a ni. Surgeon-te chuan i pum chhunga cancer lian leh natna nei tissue hmuh theih zawng zawng chu an cut chhuak vek ang a, an paih vek ang. He procedure zawng zawng hi general anesthesia hnuaiah i awm ang. Chuvangin engmah hrehawmna i nei lovang. Mut thuk takah i awm ang.

Part hnihna: HIPEC Enkawlna

He part hi cancer tumor lakchhuah hnu lawkah tih a ni a, anesthesia hnuaia i awm laiin.

1. Tube dah luh: Doctor chuan i pum vunah hian incision te tak te a siam ang a, chuta tang chuan tube (catheter) hmangin i pum chhungah a thun ang. He tube hi chemotherapy damdawi te tihlumtu machine nen an inzawm a ni.

2. Chemotherapy lum tak pek: He machine hian chemotherapy chu 41 degree Celsius (108 degree Fahrenheit) velin a ti lum a. Chumi hnuah chuan tui lum chu tube hmangin i pum chhungah pump lut a ni.

3. Damdawi pek dan: A dawtah chuan doctor chuan i taksa chu a sir lehlamah zawi zawiin a her kual ang a, chu chuan damdawi chu i pum chhung kil tin a thlen theih nan a enkawl ang. Basin kan vawrh ang bawkin hei hian i pum chhung chu damdawi hmangin uluk takin a silfai thin.

4. Damdawi lakchhuah dan: Minute 30 atanga 90 vel hnuah chuan pum chhunga chemo damdawi thawn chhuah tawh kha lakchhuah leh a ni. Tichuan, pum chu saline solution hmangin an silfai leh thin.

5. Incisions stitching: A tawp berah chuan surgery neih chhunga incision siam zawng zawng chu stitched closed vek a ni.

A kalphung zawng zawng, surgery leh HIPEC telin, khawi hmunah pawh darkar 5 atanga darkar 10 chhung a awh thei , chu chu cancer chu pum chhunga a darh dan a zirin a ni.

HIPEC enkawlna hian eng hlawkna leh hlauhawmna nge a neih?

Enkawlna dang ang bawkin HIPEC hian hlawkna leh hlauhawmna a nei vek a ni.

Enkawl hnuah eng nge thleng?

Operation hnua i dinhmun a zirin thil a danglam thei.

• Intensive Care Unit (ICU)-ah awm rawh: Operation hnuah ni engemaw zat ICU-ah dah theih a ni a, chutah chuan uluk taka enkawl i ni ang. Thâwk lakna tur ventilator-ah pawh connect theih a ni bawk.
• Tube hmanga chaw pek: I ril hnathawh dan pangngaia a lo kir leh hma chuan i hnar atanga chaw pekna tube dah hmangin tui tui pek i ni thei bawk.
• Side effects: Recovery period chhung hian a hnuaia mi te hi a thleng thei:
• Pum chhung a khat
• Constipation emaw riltam emaw
• Chauh lutuk
• Nausea leh luak chhuak
• Kawngpui cut vel a natna
• Swelling (pum chhung silfai nana saline solution hman vang) .

Eng chen nge tihdam a ngaih?

He enkawlna atanga a dam kim theih nan kar 4 atanga kar 12 vel a ngai thei . Hei hian damdawi inah ni engemaw zat atanga kar hnih chhung a huam a ni. I doctor chuan in lama i haw hnua i in enkawl dan tur a hrilh ang che.

Engtik hunah nge doctor ka biak ang?

In lama i haw hnua heng symptoms zinga pakhat tal i neih chuan doctor ko nghal tur a ni.

HIPEC atana hman tur damdawi chi hrang hrang

He enkawlna atana hman tlanglawn tak tak chemotherapy damdawi chi hrang hrang a awm a. Doctor chuan eng damdawi nge i pek tih leh engvangin nge i pek tih a hrilhfiah ang che.

• Carboplatin a ni
• Cisplatin a ni
• Doxorubicin hman a ni
• Mitomycin hmanga siam a ni
• Oxaliplatin a ni

Doctor-te chuan HIPEC enkawlna hi a hlawknain a hlauhawmna aiin a tam zawk tih a chiang a nih chauhvin an rawt a ni. Hetiang enkawlna hi i rawt a nih chuan i doctor hnenah a chhan leh i dinhmun a zirin eng result nge i beisei theih tih zawt ngei ang che.