Cancer hi taksa peng dangah a darh - Metastasis chungchang hi i zir dawn nia

"Metastasis" tih thumal hi i hre tawh ngei ang, a bik takin cancer chungchang sawi hian. Thumal hlauhawm tak a ni. Mahse i hriatthiam dik chuan , chu hlauhna chu tlem i tihtlem thei. Chuvangin vawiinah hian metastasis chu eng nge a nih, engtin nge a lo awm tih leh a chungchanga hriat tur pawimawh engte nge ni tih hi han sawi ila.

Metastasis chu eng nge ni? A awlsam zawngin i hrethiam ang u.

A awlsam zawngin sawi ila, metastasis chu cancer intan tirh atanga taksa peng dang, chu chu taksa peng dang a darh tihna a ni. Thing te tak te, hmun khata intan a, hun kal zelah a darh a, thlai thar a lo piang chhuak ang maiin han ngaihtuah teh. Cancer zawng zawng deuhthaw hian hetiang hian darh theihna engemaw zat an nei a. Mahse, a darh leh darh loh chu thil engemaw zatah a innghat a ni. Entirnan, cancer chi, a lian leh te, leh cancer lo chhuahna hmun – ‘primary tumor’ kan ti a – heng zawng zawng hian hmun an chang vek a ni.

Tunah chuan, en teh, heng cancer cell-te hian taksa peng dangah an kal theihna tur kawng pawimawh pathum a awm a, chungte chu:

• Thil tih dan hmasa ber: Cancer cell te hi primary tumor chhehvel tissue ah direct in an lo thang lian thei a, zung an chhuah tir ang maiin an thang lian thei.
• Thiltih dân pahnihna: Hêng cancer cell-te hi thisen kal tlangin, chu chu thisen kalna kawng (circulatory system) kal tlangin taksa hmun hla tak tak, thin, lung, thluak, leh ruh ang chi taksa peng dangteah an kal a ni.
• Kawng pathumna: Lymphatic system kaltlangin . Hei hi kan taksaa system pawimawh dang a ni. Hemi hmang hian cancer cell te hi lymph node hnai tak tak leh a chang chuan hla tak takah te an darh thei a ni.

Metastasis tih hming dang engte nge ni?

Doctor-te chuan metastasis tih hming atan hian hming dang engemaw zat an hmang bawk. Heng thute pawh hi i hre tawh mai thei:

• Cancer natna hrik darh (metastatic cancer) a ni
• Stage IV (4) cancer a ni
• Secondary cancer a ni
• A chang chuan cancer an ti bawk a, a tawi zawngin "mets" an ti bawk.

A hming chu eng pawh ni se, a awmzia a inang reng a ni.

Eng ang cancer chi nge hetiang hian a darh (metastasize)?

Dik tak chuan cancer chi hrang hrang hian hetiang hian a darh thei a, a darh thei bawk. Mahse, cancer chi thenkhat chu a dang aiin a darh zau zawk niin a lang. Cancer chi hrang hrang, metastasize tam ber thenkhat chu hetiang hi a ni:

• Hnute cancer a ni
• Colorectal cancer a ni
• Chaw ei kawng cancer a ni
• Lung cancer a ni
• Ovarian cancer a ni
• Pancreatic cancer natna a ni
• Prostate cancer a ni
• Vun cancer, a bik takin melanoma
• Pum cancer a ni
• Uterine cancer a ni

He list hian hlauthawng suh. Hei hian heng cancer zawng zawng hi an lo awm chuan a darh vek dawn tihna a ni lo. Mahse heng chi hrang hrangte hian chutiang ti thei tur khawpa theihna an nei tih hriat a pawimawh.

Khawiah nge cancer hi a darh hmasak ber?

Cancer a metastasis hian a kal hmasak berna organ chu primary tumor , cancer lo chhuahna hmun hian a hril fo thin. Chumi awmzia chu cancer chi tin hian a darh duhna an nei tihna a ni. Cancer a darh tamna hmun thenkhat chu hetiang hi a ni:

• Adrenal glands (hei hi kan kal (kidney) chunga awm gland te tak te te an ni) .
• Ruh te
• Thluak
• Thin
• Chuap
• Lymph nodes a awm thin
• Peritoneum (hei hi pum chhunga taksa peng hrang hrang khuh tu membrane te tak te a ni) .

Entirnan, hnute cancer hi ruh, lung, thin leh thluak ah te a darh tam zawk. Chutiang bawkin colon cancer hian thin leh lungah a darh thei bawk.

Metastatic cancer symptoms te chu engte nge ni?

Metastasis hian symptom lian tak tak a thlen ngai lo. A châng chuan cancer cell hi thla tam tak emaw, kum tam tak emaw pawh a darh thei bawk. Chuvangin mi thenkhat chuan stage IV cancer an nei tih an hre lo mai thei .

Mahse, metastasis-a hmuh theih tlangpui chu a lan chhuah dan tlangpui engemaw zat a awm a:

• Chau lutuk, hah lutuk
• Zan a thawk hah
• Sawifiah loha taksa rihna tlahniam

Tin, cancer awmna hmun leh a darh dan azirin a natna lan chhuah dan pawh a inang lo thei bawk. Hei hi han ngaihtuah teh:

• Cancer hi liver-ah a darh tawh a nih chuan (liver metastases) , a lan chhuah dan chu: pum na, pum a zau, ei duh lohna, ei tlem hnuah pawh chaw ei kham, leh jaundice (mit leh vun sen hring) a awm thei bawk.
• Cancer hian ruh a darh tawh a nih chuan (bone metastases) : Ruh na leh awlsam taka ruh tliak a awm thei.
• Cancer hi thluaka a darh tawh (brain metastases) , natna lan chhuahna, luak chhuak, lu na nasa tak, leh seizures te a awm thei.
• Cancer hi lung (lung metastases) -ah a darh tawh a nih chuan thawk hah leh khuh chhunzawm zel ang chi symptoms a awm thei.

Pawimawh: Heng symptoms te hi i neih hian metastatic cancer i nei tihna a ni hauh lo. Hriselna lama harsatna dang vangin an awm thei bawk. Mahse, heng symptoms te hi a awm reng a nih chuan doctor pan a, thurawn lak a tha ber.

Metastasis awm chhan hi engte nge ni?

Metastasis hi cancer cell te hi primary tumor atanga inthen a, taksa peng dang panna a ni. Kan sawi tawh ang khan heng cell te hi thisen emaw lymphatic system emaw kaltlangin an kal a.

Hetiang hian cancer cell darh zelna tichhe thei thil engemaw zat a awm a, chu chu he kalphung hi tichaktu a ni. Scientist ten he thil hi an la zirchiang mek a ni. Kan hriat chinah chuan heng thilte hi a ni thei:

• Immune system chak lo tak a ni .
• Tissue-a oxygen tlakchham (Hypoxia) .
• Thisenah lactic acid a pung (Lactic acidosis) .
• Cell thihna kalphung autophagy tih a inthlak danglamna thenkhat . (Hengte hi biological process complex deuh deuh an ni.)

Heng thilte hian cancer cell te chu an tumor hmasa atanga tlanchhuakin, hmun thara an pem a, chutah chuan colony thar an din theih nan a pui thin.

Engtin nge metastatic cancer hi hmuhchhuah a nih?

Mi thenkhat tan chuan cancer an vei tih an hriat hmasak ber hian metastatic stage-ah a awm thei a, chu chu taksa peng dangah a darh tawh tihna a ni. Chutiang a nih chuan doctor chuan heng metastases te hi an test hmasa berah a hmuchhuak ang.

Mi thenkhat tan chuan cancer hmasa ber enkawl a nih hnuah metastasis a awm thei. Chuvangin doctor-te chuan cancer enkawl hnuah follow-up checkup neih an rawt fo thin. Chutih lai chuan cancer chu a lo lang leh tawh em tih leh a darh tawh em tih an enfiah thin.

Metastasis hmuhchhuah nan eng test nge tih thin?

I doctor-in metastatic cancer a rinhlelh chuan heng test zinga pakhat emaw a aia tam emaw chu an ti thei a, chu chu a nemnghet thei a ni:

• Biopsy: Hei hi rinhlelh awmna hmun atanga tissue te tak te lak a, microscope hmanga enfiah a ni. Hei hian cancer cell a awm leh awm loh leh eng chi nge an nih tih chiang taka hriat theih nan a pui thei a ni.
• Thisen test: Cancer chi thenkhatah chuan thisen chhunga thil thenkhat ( tumor marker ang chi) a pung thin. Tin, taksa peng hrang hrang (liver leh kidney ang chi) hnathawh dan pawh ngaihtuahna an pe thei bawk.
• Bone scans: Hei hian cancer chu ruh lamah a darh tawh em tih hriat nan a pui a ni.
• CT scan (computed tomography scans): Taksa chhung lam chipchiar taka thlalak a la thei. Tumor leh growth ang chi thil zawng turin a pui thin.
• MRI (magnetic resonance imaging) scan: Hei hi CT scan nen a inang a, mahse soft tissue en nan a tha zawk a, a bik takin thluak leh ruhro en nan a tha zawk.
• PET scan (positron emission tomography scans): Hei hian cancer cells active dan leh taksa chhunga khawiah nge an awm tih a hriat theih.
• Ultrasound: Sound wave hmangin taksa chhung lam thlalak a la thin.
• X-ray hmanga tihchhuah:Lung leh ruh ang chi thil en nan hman a ni.

Heng test zawng zawng hi mi zawng zawng tan tih vek a ni lo. I doctor chuan i symptoms leh cancer chi hrang hrang a zirin eng test nge i tih tur tih a rel ang.

Metastatic cancer hi engtin nge enkawl a nih?

Hetah hian thil pawimawh tak chu khawi hmunah pawh cancer hi a darh tawh a, enkawlna chu cancer lo chhuahna hmun atanga thlir a ni . Entirnan, miin hnute cancer a neih a, a hnua thin (liver)-ah a darh chuan doctor-te chuan hnute cancer an enkawl dan ang bawkin an enkawl a ni. Liver-ah hian hnute cancer cell inang chiah a awm avangin an danglam lo a, a awmna hmun chauh a danglam tawh a ni.

Metastatic cancer enkawlna tur chi hrang hrang a awm a, chungte chu:

• Chemotherapy: Hei hian cancer cells thattu emaw, an thanna tur titawptu emaw damdawi pek a ni. Chungte chu pill angin emaw, vein-a liquid angin emaw pek theih a ni.
• Hormone therapy: Cancer chi thenkhat (e.g. hnute, prostate) hi hormone-a innghat a ni. He enkawlna hian chu hormone hnathawh tihtlem emaw, tihtawp emaw hmangin hna a thawk a ni.
• Immunotherapy: Hei hian kan taksa ngeia immune system tihchak leh cancer cells do tura puih a huam a ni.
• Radiation therapy: Cancer cell tihchhiat nan high-energy rays a hmang thin. Hei hi taksa hmun bik pakhatah target theih a ni.
• Targeted therapy: Heng damdawi te hi cancer cell-a genetic change bik chauh bei tura siam an nih avangin cell hrisel tak takte chu an tichhe tlem zawk a ni.

A chang chuan local targeted therapy hmangin metastasis avanga symptoms awmte control theih a ni a, chu chu natna tihziaawmna leh ruh tliak venna te hi a ni. Entirnan, ruh pakhatah cancer a darh a, natna a thlen chuan chu hmun chu enkawl nan radiation therapy emaw surgery emaw hman theih a ni.

Metastasis hi a veng thei ang em?

Cancer hi a darh vek theih loh reng reng. Mahse, cancer hi a hmaa hmuhchhuah a nih chuan , chu chu a darh hmain, surgery hmanga tumor chu lakchhuah leh a hnu lama adjuvant therapy (chemotherapy, targeted therapy, emaw immunotherapy ang chi) chuan a hnua metastasis awm theihna chu nasa takin a tihziaawm thei a ni.

Mithiamte chuan cancer cell darh zel tur tihtawp dan tur, tihkhawtlai dan tur emaw, a taka ven theih dan tur an la zirchiang mek a ni. Mahse a chang chuan eng ang pawhin thil ti tha mah ila, metastasis an tih hi a thleng thei a ni.

Hei hi hre reng ang che: Metastatic cancer i neih chuan i sualna a ni lo.Thil dik lo i tih vang emaw, i tih loh vang emaw a ni lo. Research atanga a lan dan chuan cancer vei chakna tur ei tur bik a awm lo va, metastasis venna tur ei tur bik a awm lo bawk.

Metastatic cancer ka neih chuan eng nge ka beisei ang?

I medical team te hian cancer enkawl lai leh enkawl hnuah pawh hnatlang takin an thawk dun ang che. Appointment mumal tak i nei ang a, i hriselna chungchangah thutlukna pawimawh tak tak i siam a ngai bawk ang. Hetih lai hian i chhungte, i thiante, leh medical team te hnen atanga tanpuina neih a pawimawh hle .

Metastatic cancer nei dam rei zawng

A tam zawkah chuan metastatic cancer hi tihdam theih a ni lo . Amaherawhchu, enkawlna hian cancer thanna a thunun thei a, a natna lanchhuahna a tiziaawm thei bawk. Cancer chi hrang hrang, metastases nei pawh ni se, kum tam tak i dam thei . Tin, metastatic cancer chi thenkhat, melanoma leh colon cancer te pawh hi tihdam theih a ni.

Metastatic cancer natna damchhuak zat

Kum nga chhunga dam rei zawng hi metastasis i neih chi hrang hrang a zirin a inang lo. Entirnan, metastatic lung cancer vei zinga 9% chu kum nga hnuah pawh an la dam. Hei hian metastatic lung cancer vei mi 100 zinga 9 chu kum nga hnuah pawh an la dam tihna a ni. Chutiang bawkin metastatic breast cancer vei hmeichhia 30% leh mipa 19% chu kum nga hnuah pawh an la dam tawh a ni.

Hriatthiam a pawimawh: Heng damchhuah zat hi general estimate mai a ni . Enkawlna i dawn dan tur leh eng chen nge i dam dawn tih chiang takin an sawi lo. I doctor hnenah i dinhmun nena inzawm damchhuah zat zawt rawh.

Engtin nge ka in enkawl ang?

Metastatic cancer vei nia hriat hian harsatna a nei ve tho. Hêng harsatnate hi mi hrang hrangah a inang lo thei a, mahse hetiang hi i tawng thei a ni:

• Lungngaihna, thinrimna leh beidawnna ang chi hriatna.
• Enkawlna a hlawhtling ang emaw, cancer chu a zual thuai ang tih emaw ka hlau.
• Doctor hmuh reng leh thutlukna pawimawh siam reng hi a hahthlak hle.
• Nitin hnathawhnaah tanpui ngai.
• Enkawlna senso chungchangah beidawnna.

Counsellor emaw, social worker emaw nena inbiakna chu heng rilru natna khirh tak takte hmachhawn nân ṭanpuitu lian tak a ni thei a ni. Tin, stress enkawl hi a pawimawh hle bawk. Meditation, mindfulness ang chi thilte practice la, a nih loh leh stress tihziaawmna tur kawng dang zawng rawh.

Engtikah nge ka doctor ka hmuh ang?

Symptom thar i neih chuan, .I doctor nen in inbia nghal tur a ni. I cancer enkawltu team chuan i enkawlna tur ruahmanna chu i mamawh angin an siamrem thei a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

I dinhmun hriat chian chuan thu tlûkna dik siam tûrin a ṭanpui ang che. Doctor i zawh theih tur zawhna thenkhat chu hetiang hi a ni:

• Ka dinhmun siam\hatna tur thil ka tih theih a awm em?
• Eng enkawlna kawng nge ka neih?
• Clinical trial ka tel theihna tur a awm em?
• Cancer enkawlna ka chawlhsan pawhin palliative care ka dawng chhunzawm zel dawn em ni ? (Palliative care chu natna lan chhuah dan control thei leh nunphung tichangtlungtu enkawlna a ni)
• Follow-up checkup atan engzat nge ka lo kal ngai?
• Hospice care hi ka ngaihtuah tur em ni ?
• Thutlukna ka siam thei lo a nih chuan tunah hian ka tan damdawi lam thutlukna siamtu tur ka thlang tur em ni?
• Eng legal document nge ka buatsaih ngai?
• He diagnosis ka hmachhawn theihna tura min pui thei tur resources te min hrilh thei ang em?

A tawp berah chuan hriat reng tur (Take-Home Message) .

Cancer chu a awmna hmun aṭanga taksa peng dang, a nih loh leh metastasized , a darh tih hriat chu mi pakhatin a nunah a tawn theih thil hlauhawm ber pakhat a ni thei. Tun hnaia hetiang hi i vei tih hmuhchhuah i nih chuan i rilruah hian rilru natna chi hrang hrang (complex emotions) a tlan kual hi thil pangngai a ni.

Metastatic cancer tam zawk hi tihdam kim theih ni lo mah se, i natna lan chhuah dan tihziaawmna tur leh i dam rei thei tur enkawlna a awm a ni . Chuvangin, beiseina bansan suh.

I doctor hnenah thu belhchian dawl zawk zawt la, tanpuina i hmuh theihna tur hmun zawng rawh. A theih chuan i awmna hmuna cancer support group- ah tel ve rawh. I theih ang tawka thil tawk mek midangte nena inbiakna hian he zinkawng chhung hian i rilru a hahdam thei hle. Nangmah chauh i ni lo tih hre reng ang che.

` Cancer, metastasis, cancer darh zel, cancer symptoms, cancer enkawl dan, stage IV cancer, cancer tihdamna