Doctor hnen atanga kan hmangaih tak pakhatin pum chhung zawng zawng, chu chu pum chhungah cancer a darh vek tih kan hriat atanga hlauhna leh mangang lo awm chu kan hre vek a ni. Mahse, damdawi lam thiamna a lo thang chho zel a, tunah chuan hetiang dinhmun khirh tak karah pawh beiseina pe thei tur enkawlna a awm ta a ni. Vawiin hian chutiang enkawlna bik, hmasawn tak pakhat chungchang kan sawi dawn a ni. Hei hi HIPEC an ti a.
A awlsam zawngin HIPEC chu eng nge ni?
HIPEC tih thumal hi Hyperthermic Intraperitoneal Chemotherapy tihna a ni a . A hming hi a buaithlak deuh niin a lang a, mahse he thila thil thleng hi a awlsam hle. Heng thute hi i ṭhen darh a, i hrethiam ang u.
- Hyperthermic - tih awmzia chu "a lum" tihna a ni.
- Intraperitoneal - tih awmzia chu "a pum chhunga" tihna a ni. A awlsam zawngin sawi ila, peritoneal cavity hi kan pum chhunga hmun ruak, liver, stomach leh intestines ang chi organ awmna hmun kha a ni.
- Chemotherapy - cancer cell tihchhiatna atana pek damdawi, kan hriat vek angin, "chemo" tihna a ni.
HIPEC hi enkawl dan a ni a, operation hnuah damlo pum chhungah direct-in chemo damdawi lum tak tak an inject a, a chhung lam chu uluk takin an silfai chhuak a, cancer cells te chu a tichhia a ni. Sink chu sahbawn hmanga kan sil ang bawkin, he method hian chemo lum hmangin kan pum chhunga cancer cell tenau ber ber pawh a tichhe thei a ni.
He enkawlna hi eng cancer chi hrang hrang tan nge a tha?
HIPEC enkawlna hi taksa hmun dang atanga pum chhunga cancer darh (metastasized) tan chuan hman a ni tlangpui. Cancer thenkhat, pum chhung ngeia intan tan pawh hman a ni.
| HIPEC Enkawlna atana ngaihtuah Cancer chi hrang hrang | |
|---|---|
| Cancer, taksa peng dang atanga pum chhunga darh tawh: | |
| Adrenal cancer a ni | Appendix cancer a ni |
| Colorectal cancer a ni | Liver cancer a ni |
| Ovarian cancer a ni | Pum cancer a ni |
| Pum chhunga cancer lo awmte chu: | |
| Primary peritoneal cancer a ni | A rilru a buai em em a |
| Pseudomyxoma peritonei a awm bawk | |
Pawimawh: HIPEC hmanga enkawlna hian cancer a tidam kim lo. Mahse, damlote chu rei zawk dam turin a pui thei a, natna lan chhuah dan a tihtlem thei a, nun tha zawk a nei thei bawk . I doctor chuan he enkawlna hi i tan a tha em tih leh a thatna leh that lohna te chipchiar takin a hrilhfiah ang che.
He surgery lian tak hi engtin nge i inbuatsaih?
Hei hi enkawlna nasa tak, buaithlak tak a ni. Chuvangin, a lo thlen hma hian taksa leh rilru lamah pawh i theih ang tawka inbuatsaih a pawimawh hle. Hemi kawngah hian i medical team te chuan an pui ang che. Inbuatsaihnaah hian a hnuaia thilte hi a pawimawh thei ang:
- Meizial i zuk chuan titawp vek rawh .
- Zu in hman tawh loh.
- Thluak chakna atana hmanraw bik (incentive spirometer) hmanga thawk lakna exercise.
- Cancer vei te tanpuitu group-ah tel la, emaw, psychologist tanpuina dil rawh.
Enkawlna kalphung zawng zawng hi engtin nge a awm?
HIPEC hi a ṭhen hnih a awm a, a ṭhen hnihna a ni. Procedure zawng zawng hi darkar 5 leh 10 inkar a ni thei.
A hmasa ber atan: Cytoreductive Surgery (CRS) tih a ni.
A hmasa ber chu surgery a ni. Anesthetized i ni a, chu chu i muhil vek tihna a ni. Surgeon te hian i pum chhung chu an hawng a , cancer tumor hmuh theih zawng zawng leh natna nei tissue te chu an paih vek a ni .
Step hnihna: HIPEC Enkawlna
HIPEC hmanga enkawlna hian cancer cell te tak te, cancer tumor te surgery hmanga lakchhuah a nih hnua mit chauha hmuh theih loh te tihchhiat nan hman a ni.
1. Catheterization: Surgeon ten i pum chhungah tube (catheter) engemaw zat an dah lut thin. Heng tube te hi chemotherapy damdawi te tihlumtu machine nen an inzawm a ni.
2. Chemo lum pek: Machine hian chemo damdawi te chu 41-42 degree Celsius (108°F) vel ah a ti lum a, tube hmangin pum chhungah a pump lut thin.
3. Chemo delivery: Chumi hnuah chuan medical team chuan i taksa chu a sir lehlamah zawi zawiin an rotate ang a, chemo solution lum tak chu i pum chhung kil tin a thlen theih nan an enkawl ang. Hei hian minute 30 atanga darkar 2 chhung khawi hmunah pawh a la ngai dawn a ni.
4. Chemo removal: Hun bituk hnuah pum chhunga chemo fluid pump luh chu a chhuak vek a. Chumi hnuah chuan a hmun chu saline hmangin silfai lehin a tifai leh thin.
5. Hliam suturing: A tawpah chuan operation atana incision siam zawng zawng chu khar vekin an sewn vek a.
HIPEC enkawlna hian eng hlawkna bik nge a neih?
Systemic chemotherapy hi vein hmanga pek a nih chuan thisen nen taksa pum puiah a kal kual a ni. Mahse, pum chhung hual veltu peritoneum an tih membrane barrier avang hian chemotherapy damdawi te tan chuan pum chhungah a lut tha thei lo.
Mahse HIPEC enkawlnaah chuan chemo chu pum chhunga direct-a kan pek avangin chu barrier chu a paltlang thei a, cancer cell awmna hmunah a kal a, a tichhia thei a ni.
A thatna dangte chu:
- Chemotherapy enkawlna chak tak: Damdawite hi a lum avangin cancer cell-ah nghawng nasa zawk a nei a ni. Tin, cancer cells direct-a an hit avangin cancer cells te chu an that zawk bawk.
- Treatment cycle tlem zawk: Chemotherapy pangngai angin chemotherapy round tam tak pek a ngai lo. He enkawlna hi surgery vawi khatah tih zawh theih a ni.
- Side effects tihtlem: Chemo damdawi hi pum chhungah chauh a awm tlangpui avangin, chemotherapy enkawlna pangngai hmanga taksa pum tichhe thei side effects (sam tlakchham, luak tam lutuk) te chu a tlahniam thei a ni.
Enkawl hnuah eng nge thleng? A dam leh theih nan eng chen nge hun a duh?
HIPEC enkawl hnua i dinhmun a zirin intensive care unit (ICU)-ah ni engemaw zat awm a ngai mai thei. Thâwk chhuah theih nân ``ventilator'' machine-ah pawh i connect thei bawk.
He enkawlna hian chemotherapy damdawi chak tak a hman avangin i rilru hnathawh dan pangngaia a lo awm leh hma loh chuan feeding tube hmangin nutrition pek i ni thei bawk.
Dam leh lai hian a hnuaia side effects te hi a awm thei a ni:
- Pum chhung a khat
- Constipation emaw riltam emaw
- Chau
- Nausea leh luak chhuak
- Surgery neihna hmuna natna
- Taksa hring (enkawlna atana saline hman vang) .
A dam kim theih nan kar 4 atanga kar 12 vel a ngai thei. Hei hian damdawi inah kar khat atanga kar hnih chhung a huam a ni.
Doctor nen inbia nghal vat a ngaih hunah
In lama i haw hnua heng symptoms zinga pakhat tal i neih chuan i doctor i ko nghal tur a ni .
- Khawsik hi 38.3°C (101°F) aia sang a nih chuan .
- Nausea leh vomiting tawp lo
- Surgery hliam vel chu a hring lutuk, a sen emaw, a hring emaw a awm
- Natna a zual zel a nih chuan
Hengte hi hri kai chhinchhiahna emaw, hliam dam tha lo emaw a ni thei a, chuvangin enkawl vat vat a pawimawh.
Take-Home Thuchah a ni
- HIPEC hi cancer, pum chhunga darh tawh enkawlna bik, hmasawn tak a ni.
- Hetah hian cancer cell hmuh theih te chu surgery hmangin lakchhuah hmasak a ni a, chutah chuan chemotherapy damdawi lum tak hmangin hmuh theih loh cancer cell te chu tihchhiat a ni.
- Hei hi cancer tidam kim thei damdawi ni lo mah se, damlo dam rei zawng leh natna lan chhuah dan tihtlem nan nasa takin a pui a ni.
- Hei hi surgery buaithlak tak a ni a, a dam leh theih nan kar engemaw zat a ngai a ni.
- He enkawlna hi nangmah emaw, i hnaih ber emaw hnena rawtna siam a nih chuan, a hlawkna, a hlauhawmna leh a rah chhuah chungchangah i doctor nen inhawng tak leh uluk taka sawiho a pawimawh hle.
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