Meizial zu mi i ni em ? A nih loh leh, zu in tawh, tuna bânsan tawh i ni em? Chutiang a nih chuan he thuziak hi i tan a pawimawh hle ang. Vawiin hian mi tam takin an hlauh em em, mahse a hmaa hriat chhuah a nih chuan tihdam theihna chance sang tak nei natna chungchang kan sawi dawn a ni. Chu chu lung cancer a ni . Symptoms a lan tan chuan a tlai lutuk thei fo. Chuvangin, vawiin hian taksa chhunga cancer lo awm tan tawh, a lan chhuah loh lai pawha hriat theih dan tur kan sawi dawn a ni.
Lung cancer screening hi eng nge ni?
A awlsam zawngin, lung cancer screening hi lung cancer i neih leh neih loh hriat hmasakna test a ni a, chu chu symptoms i neih hmain a ni . Hei hi kum khatah vawi khat tih thin special scan hmanga tih a ni. Hei hi low-dose CT scan (LDCT) an ti a.
Kan taksa chhunga lungphu thlalak chiang tak tak lak ang maiin han ngaihtuah teh. Heng thlalak atang hian cancer cell (tumor) clump te tak te, hmuh theih loh te pawh kan hmu thei a ni.
I ngaihtuah mai thei, "Harsatna ka nei lo, ka khuh lo, ka khawsik pawh ka nei lo, engvangin nge cancer hi ka zawn ang?" Chu chu buaina chu a ni. Lung cancer chungchanga thil pawi ber chu a tir lamah chuan a lan chhuah loh vang a ni . Khuh, khawsik , leh rilru natna ang chi symptoms a lan tan meuh chuan cancer hi hla takah a darh tawh a, enkawl a harsa tawh mai thei. Mahse he `screening` hian a tih chu chu cancer chu chutiang dinhmun hlauhawm tak a thlen hmain a man a, chutih lai chuan thlai te tak te a la ni. Tichuan enkawlna hmanga tihdam kim theihna chance a sang zawk hle.
He test hi tuin nge tel duh?
Hei hi mi zawng zawng tana hman tur test a ni lo. A bik takin lung cancer vei theihna sang tak nei tan chauh hman a ni. Damdawi lam thiamte sawi dan chuan a hnuaia tehfung pathumte hi i tlin vek chuan kum khatah vawi khat he test hi neih a finthlak hle.
| Eligible theihna tur | Hrilhfiahna |
|---|---|
| Kum | Kum 50 leh 80 inkar i ni tur a ni. |
| Meizial zuk chanchin | Tuna zu in tawh i ni tur a ni a, a nih loh leh, i zuk bânsan tawh a nih chuan i bânsan aṭanga kum 15 aia rei lo a ni tur a ni. |
| Meizial zu zat (Pack-Year History) 1.1. | Meizial zuk tawhna hi pack kum 20 tal i nei tur a ni (hei hi a hnuaia chhut dan tur kan sawi dawn a ni). |
Engtin nge ‘Pack-Year’ hi chhut a nih?
Hei hi thumal thar angin a lang thei a, mahse a takah chuan a awlsam khawp mai. ‘Pack-year’ hi i dam chhunga cigarette i in zat tehna a ni. A zawn dan tur chu hetiang hi a ni:
Kum i in tawh zat chu ni khata cigarette pack i in zat nen puntir la (pack khatah cigarette 20 a awm tih hre reng ang che).
Entirna pakhat han en ila:
- Entirna 1: Sunil hian kum 20 chhung ni khatah cigarette pack 1 (cigarette 20) a zu a.
- A ‘pack-years’ = kum 20 x ni khatah pack 1 = ‘pack-years’ 20 .
- Entirna 2: Kamal hian kum 10 chhung zet zu a in a. Mahse ni khatah cigarette pack 2 (cigarette 40) a zu thin.
- A ‘pack-years’ = kum 10 x ni khatah pack 2 = ‘pack-years’ 20 .
- Entirna 3: Piyal hian kum 40 chhung ni khatah cigarette pack chanve (cigarette 10) a zu a.
- A ‘pack-years’ = kum 40 x ni khatah pack 0.5 = ‘pack-years’ 20 .
Chuvangin, i ‘pack-year’ count chu 20 aia tam a nih a, criteria dang pahnih i tlin chuan he test hi neih hi i ngaihtuah tur a ni. He chhut dan hi i chiang lo a nih chuan a pawi lo. I chhungkaw doctor nen inbiain, chiang zawka hriattirna i dil thei bawk.
Scan tih dan tur
Scan hmain inbuatsaih a ngai em?
A tlangpuiin he `LDCT` scan atan hian inbuatsaihna bik a ngai lo. Chumi awmzia chu chaw nghei leh damdawi bik ei a ngai lo tihna a ni. Mahse, scan na hmun hian thupek dang a pe che a nih chuan, chu chu zawm dik rawh. Thawmhnaw awlsam taka i thlak theih tur leh i taksaa thir thil, jewelry leh darthlalang awm zat tihtlem nan a tha ber.
Thil pawimawh dang chu, scan ni a khawsik emaw khuh emaw ang chi thawkna lama natna i neih chuan scan provider hnenah hriattir hmasak phawt tur a ni. Chutiang huna scan tih chuan result dikna a nghawng thei a ni. Chuvangin ni dang an pe mai thei che a ni.
Scan neih chhung hian eng nge thleng?
Hei hi i ngaihtuah angin a hlauhawm lo. A rang hle a, a hrehawm lo hle bawk.
1. Pakhatnaah chuan scan titu technician chuan i taksa atanga thir thil, darthlalang, jewelry awm zawng zawng chu paih vek turin a ti ang che. I kawr atanga an pek tur gown ha turin an ti mai thei che.
2. Chumi hnuah chuan scanner hmangin khumah mu turin an siam ang che.
3. Tun ṭumah hian damlo chu scanner chhungah a kal lut a, chu chu donut lian tak ang maia siam a ni.
4. Machine chu i vel a inher a, thlalak a lak chuan khum chu hmalam leh hnunglam deuhin a kal thei.
5. Hetih lai hian technician chuan microphone hmangin thu a sawi ang che a, hun rei lote chhunga thawk chhuah, thawk chhuah, leh thawk khap ang chi thupek a pe ang che. Results chiang zawka hriat theih nan heng instruction te hi zawm dik a pawimawh hle.
6. Technician chu i bulah room khatah awm lo mah se pawn lam atangin engkim a en reng a, a biak che a ni. Chuvangin hlauhna tur a awm lo.
7. Thlalak tul zawng zawng an lak zawh hnu chuan khum a rawn chhuak leh a, i tho chhuak thei ang. A kalphung zawng zawng hi minute tlemte chauh a ni.
He test hian eng hlauhawmna leh hlawkna nge a neih?
Medical test dang ang bawkin, hlauhawmna tlem leh hlawkna lian tak a awm vek. Chu chu i fimkhur ang u.
Risk a awm thei
- False positive: Hei hi a hlauhawm ber a ni. Chumi awmzia chu scan-ah chuan lung chhungah cancer (pulmonary nodule) ang maia lump te tak te a awm thei tihna a ni a, mahse a takah chuan cancer a ni lo mai thei. Lung nodules tam zawk hi chu a hlauhawm lo. Mahse, cancer a nih leh nih loh a hriat chian hma loh chuan test dang (leh operation pawh a ni thei) neih a ngai hi a lungchhiatthlak hle thei a ni.
- Radiation exposure: LDCT scan atanga radiation chhuak zat hi a tlem hle. CT scan pangngai aiin a tlem zawk hle. Mahse zero a ni lo. Kum tam tak chhung he radiation hi a awm chhunzawm zel chuan cancer vei theihna a tipung deuh thei a ni. Mahse, meizuk mi tan chuan lung cancer vei theihna nen khaikhin chuan he scan atanga hlauhawmna hi a tlem hle.
- Incidental thil hmuhchhuah:A châng chuan, lung cancer zawng tûra scan an tih chuan, thil dang chu a lo lang thei a ni. Entirnan, COPD (chronic obstructive pulmonary disease) an tih emaw, hnute chhunga lump emaw hmuh tur a awm thei. Chûng zînga ṭhenkhat chu enkawl a ngai mai thei a, ṭhenkhat erawh chu enkawl ngai lo pawh a ni thei. Mahse, a tul lova test leh stress an thlen thei bawk.
A thatna te
He test hian a thatna lian ber leh awmchhun chu nunna chhanhim theihna a neih hi a ni.
- Hriat hmasak: Cancer natna hrik te tak te, chest X-ray pangngaia hmuh theih loh pawh CT scan hmangin chiang takin a lang thei. Cancer hmuhchhuah hma poh leh enkawl leh tihdam theihna chance a sang zawk.
- Radiation dose hniam: A hmaa kan sawi tawh ang khan hei hian CT scan pangngai aiin radiation dose hniam zawk a hmang a, chuvangin a hlauhawmna a hniam zawk.
I report-a thil awm thei te
Scan zawhah radiologist leh i doctor te chuan thlalak te chu an enfiah ang a, report an pe ang che. Report-ah hian hetiang thu hi a awm thei. An awmzia awlsam tak hi han thlir ila.
| Report-a tarlanna a ni | A awmzia awlsam tak |
|---|---|
| Dik lo | Scan-ah chuan cancer awm thei engmah a lang lo. Chanchin lawmawm tak! |
| Benign (a hlauhawm lo) . | Lump chu hmuh theih a ni a, mahse a nihna chuan cancer a ni lo tih a tilang. |
| Benign a ni mai thei | Lump hi cancer ang maia lang lo mahse, a hnuah scan dang neih leh a tha a, a dik tih finfiah a tha. |
| Ringhlel | I hmuh lump hi cancer a nih theihna a awm. Scan dang emaw biopsy emaw lak belh a ngai mai thei a, chu chu confirm theih a ni. |
| Ringhlelhawm tak a ni | Lump hi cancer a nih theihna chance a sang hle. Test dang leh biopsy neih a ngai ngei ang. I doctor chuan oncologist, cancer specialist hnenah a refer ang che. |
| A kim lo | Scan hi dik taka zir chian theih a ni lo. Lung infection vang pawh a ni thei. Thla engemaw zat hnuah scan dang tih lehin result dik tak hmuh tur an ti. |
Results a dik lo a nih chuan eng nge i tih leh ang?
Scan report-ah hian rinhlelh tur thil a awm a nih chuan lungngai suh. Cancer i nei tihna a ni lo. A awmzia chu chhui chian belh a ngai tihna chauh a ni. I doctor chuan engkim a hrilhfiah ang che a, a hnua i tih tur chu a kaihruai ang che.
A dawt leh tur chu heng zinga pakhat hi a ni thei:
- Thla 3-6 hnuah LDCT scan leh tur (tumor a danglam em tih en tur)
- Chipchiar zawka `Diagnostic CT` scan emaw `PET/CT` scan emaw.
- Oncologist nen inhmuhkhawmna.
- Cancer ni lo thawkna lama harsatna dang tan chuan pulmonologist pan tur a ni.
Engtikah nge he test hi kan tih loh theih ang?
He kum tin test hi dam chhung atan a ngai lo. I titawp thei a ni:
- Kum 81 aia upa i nih chuan.
- Kum 15 emaw a aia rei emaw i zuk tawh a nih chuan (cigarette tel lova i awm rei poh leh cancer vei theihna a hniam zawk).
- Hriselna lama harsatna dang avang hian lung cancer hmasa ber nia hriat ni mah la, operation i nei thei lo a nih chuan, emaw, operation i duh loh chuan.
Thutawp atan chuan lung cancer hi natna khirh tak a ni. Mahse, he scan awlsam tak, kum khata vawi khat tih thin hi hmanraw chak tak a ni a, he natna khirh tak hi a hmain a hmuchhuak thei a, nunna a chhanhim thei bawk. Lung cancer hi thisen test hmanga hriat theih a ni lo. Chuvangin, he natna hi i vei theihna a sang zawk nia i hriat chuan hemi chungchang hi i doctor nen inbia ang che.I nunna chhanhimna chhan a ni thei.
Take-Home Thuchah a ni
- Lung cancer screening hi meizuk avanga hlauhawmna sang zawk nei tan chauh tih a tha.
- Hei hi low-dose CT scan (LDCT) test a ni a, kum khatah vawi khat tih thin a ni.
- He test hian a thatna ber chu cancer hi a tir lamah a hmuchhuak thei a, chu chu eng symptoms pawh a lan hmain a ni.
- He test atan hian i tling em tih hriat duh chuan i doctor nen sawiho ngei ngei tur a ni.
- Hriat hmasak chuan nunna a chhanhim thei a ni. Meizial zuk bansan hi invenna tha ber a ni.
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