In lama i fapa naupang tak hian hnar thisen a nei fo em? A sir khatah hnar a khuh niin a lang em? A châng chuan hengte hi thil pangngaiah kan ngai a, mahse hemi hnuaiah hian kan ngaihven ngai dinhmun bik a awm thei. Chuvang chuan mipa naupangte chauha awm thin tumor rare tak chungchang kan sawi dawn a ni. Hei hi `Juvenile Nasopharyngeal Angiofibroma` emaw, a tawi zawngin `(JNA)` emaw an ti a.
A awlsam zawngin, he JNA hi eng nge ni?
He hming sei tak hian hlau suh. I ṭhen darh a, i hrethiam ang u.
- "Juvenile" - Hei hi "naupang" tihna a ni. Chumi awmzia chu he natna hi thalai zingah a awm tam ber tihna a ni.
- "Nasopharyngeal" - Hei hian kan hnar hnung lama awm, kan hmui chunglam nena inzawm a kawk a ni. Chutah chuan tumor chu a lo piang ta a ni.
- "Angiofibroma" - Hei hi hmun hnih ah then theih a ni. "Angio" tih hian thisen kalna (blood vessels) a kawk a ni. "Fibroma" tih hian cancer ni lo tumor, connective tissue atanga siam a kawk a ni.
Chuvangin, a awlsam zawngin, JNA hi cancer ni lo tumor a ni a, thisen kalna kawng tam lutuk atanga siam a ni a, a naupan lai atanga hnar hnung lamah a lo awm thin.
Mahse hetah hian a pawimawh ber chu hei hi cancer ni lo mahse, tumor aggressive tak a ni. Chumi awmzia chu, hnim hring ang maiin he tumor hi a hnai ber hmunah a darh thei tihna a ni. Hnar kawng, hnar, luruh, leh thluak thlengin a darh thei. Enkawl loh chuan nunna atana hlauhawm hial a ni thei. Chuvang chuan hei hi hriat chian a pawimawh hle. Mahse thu lawmawm tak chu, enkawl dan dik a nih chuan he tumor hi a dam vek thei a ni.
He dinhmun hi tuin nge hmu tam ber?
Hei hi condition bik tak a ni. A chhan chu JNA hi mipa naupang kum 10 leh 25 inkar chauh a awm tlangpui a , a tlem hle a, mipa kum 25 chunglam emaw naupang kum 7 hnuai lam emaw ah a awm thei a, hmeichhe naupang hian he natna hi an vei lo tih hi a dik a ni.
Tin, hei hi a awm lo hle bawk. Mi maktaduai khat zinga pakhat chauh a nghawng a ni mai thei. Chuvangin heng symptoms nei hi i nih hlau suh, mahse a pawimawh ber chu fimkhur hi a ni.
JNA natna lanchhuahna chu engte nge ni?
Tumor hi a te chuan symptom lian tham a lantir lo. A natna lan chhuah dan chu a lo thang tlem a, hnar thawkna kawng a tikhawlo tan chauh a ni. A lan chhuah dan ber chu eng nge ni tih i lo en ang u.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Hnar thisen chhuak fo thin | Hei hi a symptom ber leh langsar ber a ni . A chang chuan thisen chhuak nasa tak a awm thei a, chu chu tihtawp harsa deuh a ni. |
| Hnar hmanga thawk harsa | A tam zawkah chuan hnar sir khat chu a inkhar reng niin a lang. Mucus a awm ang mai a ni a, mahse mucus a awm lo. |
| Hmai a hring chhuak | Tumor a lo lian chhoh zel chuan a lo hring thei a, a bik takin hmui ang chi hmunah chuan a lo hring thei a ni. |
| Lu na | Lu na reng reng a awm thei a, a chhan chu tumor hian a chhehvel a press vang a ni. |
| Mit emaw hriatna lama inthlak danglamna | Hei hi dinhmun pawi zawk a ni. Tumor hian mit emaw beng emaw inzawmkhawmtu nerve a press chuan mit a fiah lo thei a, mit pahnih a hmu thei a, hriatna a tichhe thei bawk. |
Engvangin nge he JNA hi din a nih? Eng nge a chhan?
Dik tak chuan hei hi a chhan dik tak chu hriat a la ni lo. Mahse mipa naupangah chauh a awm avangin doctor-te chuan mipa hormone hian inzawmna a nei niin an ngai. Mahse chu chu finfiah a la ni lo.
Hei hi thlahtu natna a ni lo. Chumi awmzia chu pain a neih vang mai mai chuan fapain a hmu dawn lo tihna a ni. Mahse, zirchiangtute chuan thil pakhat an hmuchhuak a. Chhungkaw zinga mi pakhatin natna dang ``Familial Adenomatous Polyposis (FAP)`` tih a neih chuan JNA vei theihna a tlem hle. Heng dinhmun pahnih inzawmna hi zirchian mek a ni.
Engtin nge hei hi i hmuh theih, Doctor?
Hetiang symptom nei doctor i pan hunah hetiang hian a enfiah ang che.
1. Symptoms chungchang zawhna:A hmasa berin, doctor chuan nang leh i fa chu a natna lan chhuah dan te, hnar thisen chhuak chu eng chen nge a awm tawh tih leh engzat nge a nih tih te a zawt ang.
2. Taksa enfiah: Chumi hnuah i hnar chu enfiah a ni ang. Beng, hnar leh rilru lam specialist (ENT surgeon) hnenah refer i ni fo ang .
3. Special test: Heng test te hi natna hriat chian nan tih theih a ni.
- Imaging test: CT scan emaw MRI emaw hmangin tumor awmna hmun dik tak, engzat nge a lian tih leh a darh tawh em tih te hriat theih a ni ang. Hei hian tumor chungchang chiang takin a hmu thei a ni.
- Nasal endoscopy: Test, camera te tak te hmanga tube te tak te chu hnar chhungah dahin tumor chu direct-a en theih a ni. Hei hian tumor dinhmun a hriat chian theih phah a ni.
JNA enkawlna tur engte nge ni?
JNA hi finfiah a nih chuan enkawlna kawng hrang hrang a awm. Doctor chuan tumor lian leh te, a darh dan a zirin enkawl dan tur dik ber a ruat ang.
| Enkawl dan tur | Eng thil nge thleng? |
|---|---|
| Inzai | Hei hi enkawlna ber a ni . Doctor chuan tumor chu paih vek a tum ang. A tam zawkah chuan he surgery hi engmah incision siam lovin, hnar kawngkhar kaltlangin endoscope hmangin an ti thin. Mahse, tumor a lian a nih chuan incision te tak te a ngai mai thei. |
| Embolization tih hi a ni | Hei hi operation hmaa tih thin a ni. JNA tumor hi thisen kalna kawng tam tak atanga siam a nih avangin operation neih chhung hian thisen a chhuak nasa thei hle. Chu chu tihtawp nan chuan, hei hian tumor supply tu thisen kalna kawngte chu artificial-a block tihna a ni. Chutianga tih a nih chuan him taka surgery tih a awlsam zawk. |
| Radiation hmanga enkawlna a ni | He enkawlna hi operation hnua tumor te te a la awm chuan emaw, tumor a lo let leh chuan emaw hman thin a ni. Hei hian high-energy rays hmanga cell la awmte tihchhiat a huam a ni. |
Tumor hi a lo thang leh thei ang em?
Ni e, a chang chuan a lo let leh thei. Zirna atanga a lan dan chuan a lo kir leh theihna chance 37% a awm. Chuvangin doctor chuan operation hnuah pawh a enkawl chhunzawm zel ang che (follow-up). Hun bituk chhungin a enfiah ang che a, a tul chuan MRI scan hmangin tumor chu a lo let leh tawh em tih a enfiah ang. A lo kir leh a nih chuan enkawl thuai theih a nih avangin ngaihtuahawm tur a awm lo.
Engtikah nge Doctor ka hmuh ang?
I fa naupangte chuan hnar khuh ang chi symptoms a nei nghal a, a bik takin hnar thisen chhuak tam tak, tihtawp harsa tak tak a neih chuan thil pangngai angin ngaihthah suh.
Nang aia i taksa hi tumahin an hre chiang lo. Naute taksa inthlak danglamna hrethiam bertu chu nangmah i ni. Ringhlelna emaw, inthlak danglamna tlemte emaw pawh i neih chuan doctor pan nghal la, thurawn la rawh. Hei hian harsatna lian tak a nih hmain dinhmun chu i thunun thei a ni.
JNA hi cancer ni lo mahse enkawl vat ngai natna a ni. A hmaa hmuhchhuah a, enkawl a nih chuan a dam kim thei a, nun pangngai a nei thei bawk.
Take-Home Thuchah a ni
- JNA hi cancer ni lo, mahse rang taka darh thei tumor a ni a, naupang mipa naupangte zingah a awm thin.
- A lan chhuah dan ber chu hnar thisen chhuak fo leh a sir khatah hnar khar a ni.
- Heng symptoms te hi i hriat chuan hlauthawng suh la, beng, hnar leh kawr (ENT) specialist te pan nghal rawh.
- Enkawlna kawng hrang hrangah surgery leh radiation therapy te a awm. Enkawl zawhah dam kim theih a ni.
- Tumor hi a lo lang leh thei a, chuvangin doctor-in a rawt angin follow-up test neih chhunzawm zel a pawimawh hle.
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