Nangmah emaw, i hriat mi emaw cancer vei tih i hriat chuan doctor-in, "Lump thenkhat kan paih chhuah a ngai" a tih hi i hre tawh ngei ang. Chutih lai chuan hlauhna leh hriat duhna tlem a awm chu thil pangngai tak a ni. Heng lumps te hi engte nge ni? Cancer enkawl lai hian engvangin nge an lakchhuah? He surgery hi a hlauhawm em? Vawiin hian heng zawng zawng hi awlsam takin, i hriatthiam theih angin kan sawi dawn a ni.
Lymph Nodes leh Lymphadenectomy surgery hi eng nge ni?
Okay, a hmasa berin heng tlangval te te hi eng nge an nih kan en ang. Kan taksa pum puiah hian thisen kalna kawng ang bawkin thisen kalna kawng (network of vessels) kan nei a. Hei hi Lymphatic System kan ti a . He system hnathawh ber pakhat chu kan taksa venhimna atana puih hi a ni.
Kan ramah hian lymphatic system hi kawngpui network ang mai a ni ang tih han ngaihtuah teh. Tichuan lymph node te chu chu kawngpui dunga police checkpoint awm ang mai a ni. Heng checkpoint te hian bawlhhlawh, hrik, cell chhia, a bik takin kan taksaa cancer cell te chu an man a, an filter thin. Chuvangin hengte hi kan taksa chhunga vengtute ang an ni.
A awlsam zawngin sawi ila, Lymphadenectomy chu heng lymph node pakhat emaw a aia tam emaw surgery hmanga lakchhuahna a ni.
Engvangin nge he surgery hi i mamawh?
A tlangpuiin doctor chuan cancer vei nia hriat tawh hnenah he surgery hi a rawt ang. Hei hi chhan lian tak pahnih a awm a.
1. Diagnosis and Staging: Lymphatic system hi cancer cells te hmun khat atanga hmun danga an darh dan ber a ni. Chuvangin, tumor bula node tlemte kan lakchhuah a, kan enfiah chuan cancer chu tumor pawnah a darh tawh em tih chiang takin kan hre thei ang (Metastasis). Hei hi cancer stage tichiangtu (Cancer Staging) kan ti a. He stage hi a zirin doctor-te chuan eng treatment method (e.g., chemotherapy, radiation therapy) nge i tan a tha ber tih an rel thin.
2. Enkawlna atan: Lump lakchhuah tawhah hian cancer cell a awm tih hmuhchhuah a nih chuan operation an neih lai khan cancer cell pawh lakchhuah a ni tihna a ni. Tin, cancer hi a darh tawh a nih chuan he surgery hian lump tam zawk a paih chhuak thei a, taksaah cancer a darh belh zel loh nan a pui thei bawk.
Chumi awmzia chu he surgery hi test leh enkawlna a ni vek tihna a ni.
Surgery chi hrang hrang lian ber berte chu engte nge ni?
He surgery hi chi hnih ah then theih a ni. Thil tih dan bik a awm bawk.
| Surgery chi hrang hrang | Awmzia awlsam tak |
|---|---|
| Regional (Selective) hmanga Lymphadenectomy tih a ni | Cancer tumor hnaih ber cell tlemte chauh sample atan lakchhuah. |
| Radical (A famkim) Lymphadenectomy tih a ni | Cancer awmna hmuna tissue zawng zawng emaw, a tam zawk emaw lak chhuah vek. |
Sentinel Node Biopsy hmanga tihchhuah a ni
A châng chuan surgeon-te chuan tumor hnaih ber node chauh an la chhuak hmasa ang a, an enfiah hmasa ang a, chu chu cancer cell-te a darh hmasak theihna tur "first checkpoint" ang mai a ni. Hei hi Sentinel Node Biopsy an ti a . Chu node-ah chuan cancer cells a awm lo a nih chuan node dangte pawhin cancer cells an neih a rinawm loh hle. Chutiang a nih chuan operation lian tham a ngai lo mai thei.
Taksa chungah khawiah nge moles i paih chhuah?
Moles hi kan taksaah hmun khatah an awm lo va, cluster-ah an awm zawk. Eng cluster nge lak chhuah tih chu cancer awmna hmunah a innghat. Cancer chi hrang hrang chu mole cluster hrang hrang hmangin a darh thin.
| An lak chhuah tur hmun chu Kuddeti area an ti a. | Cancer chi hrang hrang awm tam ber |
|---|---|
| Axillary a ni | Hnute cancer, kut a vun cancer (Melanoma) . |
| Inguinal hernia a awm thin | Penis, vagina, rectum te cancer natna a awm |
| Cervical a ni | Lu leh kawng cancer, thyroid cancer |
| Pelvic cavity (Pelvic) a awm thei lo. | Bladder, rectum, prostate leh uterus-a cancer a awm |
| Retroperitoneal a awm a ni | Testicles, ovaries, leh kidney-a cancer a awm |
| Mediastinal lam a ni | Lung cancer, Lymphoma natna a ni |
Pawimawh: "Cervical" tih thumal hian awmzia pahnih a nei!
Kawr chhunga lymph node te lakchhuahna surgery hi `(Cervical Lymphadenectomy) an ti a. Hetah hian ``Cervical'' tih hian kawng nena inzawm tihna a ni. Cervix cancer hi ``Cervical Cancer'' an ti a, heng pahnih hi an danglam vek a ni. Chuvangin thu hriat hian hlauthawng suh. I doctor chuan a hrilhfiah ang che.
Surgery neih chhung leh operation zawhah eng nge thleng?
Surgery hmain i doctor chuan scan ang chi thil a ti ang a, chu chuan testicles dinhmun a enfiah ang. Needle biopsy pawh an ti thei a, chu chu tissue sample tlemte lak a ni.
Surgery hi general anesthesia hmanga tih a nih avangin natna engmah i nei lovang. Open surgery (incision vawi khat hmanga) emaw laparoscopic surgery (camera hmanga incision tenau engemaw zat hmanga) emaw angin tih theih a ni. Stitch te hi lakchhuah a nih hnuah hliam chhungah hian tui a awm loh nan drain dah a ni. Hei hi ni engemaw zat emaw, kar engemaw zat emaw hnuah doctor-in a paih chhuak thin.
Operation hnuah ni khat emaw ni hnih emaw chhung damdawi inah i awm a ngai dawn a ni. A natna hi a tlangpuiin a na lo hle a, natna tidamtu pangngai hmanga control theih a ni.
He surgery hian eng nge a hlauhawmna leh a harsatna awm thei?
Surgery dang ang bawkin he surgery hian risk tenau tak a nei a ni.
- Hliam natna.
- Nerve chhiat hian a hmunah a ti na emaw a ti na emaw a ni.
- Thisen a chhuak.
Operation hnua harsatna awm tam ber leh hun rei tak chhunga awm thei chu Lymphedema tih hi a ni.
Lymphedema hi eng nge ni?
Thau tam tak lakchhuah a nih chuan lymph fluid luang chhuak chu a block ta a ni. Tichuan, chu tui chu kut emaw, ke emaw-ah a lo awm khawm a, chu chuan a hring chhuak a ni. Hei hi `Lymphedema` an ti a. Hei hi mi thenkhat tan chuan hun rei lote chhung atan a lo thleng thei a, thenkhat tan erawh chuan a awm reng thei a ni. He risk hi chemotherapy emaw radiation therapy emaw i dawng bawk a nih chuan a sang deuh hlek a ni. Mahse tunah chuan enkawl dan tur leh exercise tha tak tak a awm ta.
Eng symptoms nge doctor ka hmuh ang?
Operation hnua in lama i haw hunah a hnuaia symptoms te hi fimkhur hle ang che. Heng zinga pakhat tal i neih chuan doctor ko nghal rawh.
- Hliam chu a sen a, a hring chhuak a, a nih loh leh khawsik (infection chhinchhiahna) a nei bawk .
- Thunun theih loh natna, rilru hahna, emaw, rilru hahna emaw.
- Ke leh kut zungtang tha taka chet harsat.
- Surgery neihna sir lama kut, ke emaw kut zungtang emaw a hring danglam (lymphedema chhinchhiahna a ni thei).
Take-Home Thuchah a ni
- Cancer enkawlna kawngah hian lymphadenectomy hi thil pawimawh tak a ni. I cancer stage chungchangah thu hlu tak tak a pe a ni.
- He surgery hi cancer a darh tawh em tih enfiah nan hman a ni a, cancer cell darh tawhte paih chhuakin natna tihdamna atan hman a ni bawk.
- Surgery dang ang bawkin hlauhawmna tenau a awm laiin, hun rei tak chhunga harsatna awm thei ber chu Lymphedema (ke leh ke ruh hring) a ni. Hei hi hriat chian a pawimawh hle.
- Surgery zawhah doctor thupek uluk takin zawm rawh. I natna lan chhuah dan danglam tak chu doctor hnenah report nghal rawh.
- Hemi chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen inbiakna neih hreh ngai suh.
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