Cancer kan vei tih kan hriat huna kan rilrua hlauhna leh lungkhamna lo thleng thin hi tawngkam hmanga sawi chhuah a har khawp mai. Hetih lai hian kan taksa peng dang, a bik takin thluak lamah cancer a darh tih kan hriat chuan kan hriatna chu a na zual thei hle. Mahse hlau suh, hlau suh. Vawiin hian cancer thluak a darh zel chungchang kan sawi dawn a, chu chu damdawi lam chuan `(Brain Metastases)` tia hriat a ni. Hetiang dinhmun hi eng nge a nih, engvangin nge a lo awm tih leh tunah hian eng enkawlna hmasawn nge awm tih te chu awlsam takin, i hriatthiam theih angin kan sawi dawn a ni.
Brain metastases tih hi eng nge ni?
A awlsam zawngin, hei hi i taksa hmun dangah (i lung, i hnute emaw, i vun ang chi) cancer a lo intan a, i thluak a darh hian a ni. Cancer lo chhuahna hmun chu primary cancer an ti a . He primary cancer atanga cancer cell thenkhat an inthen chuan thisen kalna kawng kaltlangin thluak thlengin an kal a, chutah chuan tumor emaw tumor thar emaw an siam thin.
Huan hmun khata buh chi, thliin a nuai a, huan hmun danga lo chhuak ang maiin han ngaihtuah teh. Hetah pawh hian chutiang bawk chu a thleng thin. Taksa hmun khata awm cancer cell te chu thluak lamah an kal a, chutah chuan an thang lian tan thin.
Hetiang dinhmun hi engtiang chiahin nge a awm?
Dik tak chuan puitling zingah thluaka natna chi khat hmuh tam ber chu metastatic brain tumor a ni. Chumi awmzia chu thluak atanga intan cancer (primary brain cancer) aiin hmun dang atanga thluaka cancer darh hi a tam zawk tihna a ni. Research atanga a lan dan chuan taksa hmun danga cancer vei zinga 10% atanga 30% inkar chuan an dam chhungin engtik lai pawhin thluak cancer vei an nei thei a ni.
He hlauhawmna hi kum 45 hnuah a pung tlangpui a, mi tam zawk chu kum 65 an tlin hnuah he natna hi an vei tih hmuhchhuah a ni.
A pawimawh ber chu thluaka tumor intan tam zawk hi non-cancerous (benign) an ni. Mahse hmun dang atanga lo darh, ``metastases,'' tia koh tumor te hi cancer (malignant) an ni fo thin.
Thluak cancer chhinchhiahna engte nge ni?
Brain cancer symptoms hi thluaka tumor awmna hmun leh chu hmun a nghawng dan azirin a danglam thei. Simptom hmuh theih ber berte han thlir ila.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Lu na | Lu natna danglam tak, na tak i tawng thei. A chang chuan he lu na hi rilru hahna leh luak chhuak nen a inzawm thei bawk. |
| Seizures a awm thin | Seizure hi i nunah a la awm ngai loh angin a lo thleng nghal thei a ni. |
| Taksa sir khata thiltihtheihna hloh (Hemiparesis) . | Kut emaw ke emaw, taksa sir khata kut leh ke pahnih emaw chu a rilru a buai emaw, a chak lo emaw a ni thei. |
| Ngaihtuah harsa | Hun rei lote chhunga hriatrengna hloh te, rilru natna inthlak danglam nghal te, leh duhthlanna dik siam theih lohna te hi a thleng thei a ni. |
| Thusawi harsa | Thumal siam a harsa a, mi dangte thusawi pawh hriatthiam a harsa ta hle. |
| Mit lama harsatna nei | I mit sir khatah mit hmuhna hloh ang maiin a lang thei. |
Cancer a zual zel chuan a lan chhuah dan thar a lo lang thei a, chu chu hriatna hloh, ei harsa, leh mit pahnih hmuh theihna te hi a ni. A tawp berah chuan a lan chhuah tam ber chu mutthilh reng hi a ni .
A chang chuan, heng thluaka natna hrik te hian stroke a thlen thei bawk. Mahse, stroke symptoms chu a lang nghal vek a. Mahse, heng cancer natna lan chhuahna tam zawk hi chu zawi zawiin a intan a, hun kal zelah a pung zauh zauh thin .
Engvangin nge cancer hi hetiang hian thluak ah a darh?
Hei hi a chhan chu taksa hmun danga cancer tumor atanga cell thenkhat chu an inthen a, thisenah an lut a, thisen nen thluaka an kal a ni. Cancer chi thenkhat chauh hetianga a darh chhan hi zirchianna a la kal zel a ni.
Heng cancer chi hrang hrangte hi thluak-ah a darh tam ber a:
- Lung cancer: Lung cancer vei zinga a chanve velin he cancer hi thluak lamah a darh zel a. Hei hi ``small cell lung cancer'' an tih chi hrang hrangah a tam hle.
- Breast cancer: Metastatic breast cancer vei zinga 10% atanga 15% velin thluak cancer an vei ang. Hetiang dinhmun hi HER2+ leh triple-negative hnute cancer-ah a tam zawk.
- Melanoma: Hei hi vun cancer chi khat na tak a ni. Melanoma vei zinga a chanve vel chu thluaka cancer hi a darh a ni.
Chu bakah, kal cancer, colon cancer, leh thyroid cancer te hi a chang chuan thluak lamah a darh thei bawk.
Engtin nge doctor hian he natna hi dik taka a hriat theih ang?
Cancer i vei tawh a, a chunga kan sawi ang symptoms i neih chuan i doctor chuan a test ang che. A châng chuan symptoms nei lo mah la, i doctor chuan thluaka a darh theihna tur cancer chi hrang hrang a screen thei che a ni.
Chumi atana test tih ber berte chu:
| Fiahna | Eng thil nge thleng? |
|---|---|
| Neurological exam a ni | Doctor chuan i balance, coordination, mental status, hearing, vision, leh reflexes te a enfiah ang. Heng inthlak danglamna te hian thluaka tumor awmna hmun hriat theihna a pe thei a ni. |
| Thisen test a ni | Cancer chi thenkhat chuan thisenah thil bik (tumor marker) an chhuah tir thin. Hengte hi thisen test hmanga hriat theih a ni. |
| MRI scan a ni | Hei hian thluak thlalak chiang tak tak a la thei a ni. A bik takin, MRI-ah hian dye chi khat, contrast an tih hmangin cancer awmna hmunte chu chiang takin a lang thei a ni. |
| Biopsy tih a ni | Test dangin information a tling tawk lo a nih chuan tumor atang hian tissue te tak te chu lakchhuah a ni a, microscope hmangin an enfiah thin. Hei hi operation neih laiin tumor lakchhuah nan tih a ni fo. |
Cancer thluaka a darh tawh enkawlna tur engte nge ni?
Heta enkawlna tum ber chu thluaka tumor lo thang lian zel tihtawp emaw control emaw a ni a, i symptoms tihziaawm a ni. Enkawl dan hi chi thum ah then theih a ni.
1. Symptoms control nana damdawi
A hmasa berin i doctor chuan i natna lan chhuah dan, lu na ang chi te control nan damdawi a ei tan ang che. Entirnan, thluaka natna (edema) tihziaawmna tur leh lu natna control turin corticosteroids an pe thei che a ni. Seizures control nan anticonvulsants an pe thei che a ni.
2. Radiation therapy leh surgery tih a ni
Hengte hi nut lakchhuah emaw tihchhiat emaw atana hmanraw lian ber berte an ni.
- Stereotactic Radiosurgery / Gamma Knife® radiosurgery: Hei hi radiation therapy hmanraw changkang tak a ni. Sniper ang bawkin, radiation beam chak tak chu tumor -ah chiang takin a kap a , chu chuan thluak hmun dang a tichhia lo. He enkawlna hi ni khatah tih zawh theih a ni fo.
- Whole Brain Radiation Therapy: I thluaka tumor tam tak i neih chuan, emaw, cancer chu i thluak khuh tu membrane-ah a darh tawh a nih chuan (leptomeningeal disease) i thluak pumpuiah radiation therapy pek thin a ni. Hei hi kar hnih atanga kar thum chhungin session 10-15 velin tih thin a ni.
- Brain surgery: A then phei chuan doctor-te chuan tumor emaw tumor emaw paih chhuah nan surgery tih an rel thin.
3. Cancer damdawi bik
Surgery emaw radiation therapy emaw bakah hian heng damdawi hmanga enkawlna te hi a tha thei bawk a, chu chu i primary cancer chi hrang hrang a zirin a ni.
- Chemotherapy: Chemotherapy damdawi tam zawk hi thluaka a lut thei lo a, a chhan chu kan thluak hi blood-brain barrier an tih hian a venghim a ni. Mahse, cancer chu thluak vel tuiah a darh tawh a nih chuan chu tuiah chuan chemotherapy inject nghal theih a ni.
- Targeted therapy: Heng damdawi te hian cancer cell-te’n an inthen darh leh an thanlenna atana an hman thin process bikte tibuaiin hna an thawk a ni. Hetiang approach hi lung leh hnute cancer chi thenkhat thluaka darh tawh tan chuan a tangkai hle tih hmuhchhuah a ni.
- Immunotherapy: Heng damdawi te hian i taksa ngeiin cancer cell a zawng chhuak a, a tichhe thei a ni. He enkawlna hi lung cancer chi hrang hrang leh melanoma thluaka darh tawh tan chuan hman a ni.
Hetiang dinhmunah hian eng nge i beisei theih ang?
Cancer hi thluaka a darh chuan mi tam tak chuan engkim a tawp tawh niin an ngai thin. Mahse chutiang chu a ni lo. Thil engemaw takah chuan, chu natna chu tihdam vek theih a ni . Tidam kim theih ni lo mah se, tuna enkawlna hmasawn tak tak awmte hian rei zawk leh nunphung tha zawk nei turin a pui thei che a ni .
Tun hma chuan he cancer chi hi a dam rei zawng chu thla ruk aia rei lo niin an ngai a. Mahse enkawlna thar a awm tawh avangin tunah chuan mi tam tak chu an dam rei tawh hle a, an natna lan chhuah dan pawh control tha takin an awm tawh bawk. Dik tak chuan thluaka cancer vei tam tak chu thluaka natna hrik a\angin an thi lo.
I enkawltu doctor chauhvin i dinhmun chungchang dik ber leh prognosis tha ber a pe thei che tih hre reng ang che. I dinhmun hi thil tam takah a innghat ang a, chung zingah chuan primary cancer i neih chi hrang hrang, thluaka tumor engzat nge i neih leh enkawlna i dawn dan te pawh a tel ang.
Engtikah nge Doctor ka hmuh ang? Engtik laiin nge ETU ah hian ka kal ang?
If you develop any new symptoms or if an existing symptom gets worse , i cancer awmsa emaw, i thluaka tumor darh tawh emaw nena inzawm emaw, i doctor hnenah hrilh nghal rawh. Heng inthlak danglamna te hi i doctor tan hriat a pawimawh hle.
Tin, Emergency Department (ETU)-a kal a ngaih chang a awm bawk. Brain tumor hi neurological problems rang tak, seizures leh limbs hloh te a awm theihna a sang hle. Tin, stroke symptoms i neih nghal chuan ETU-ah i kal nghal tur a ni. Heng symptoms te hi:
- Kal laiin balance hloh nghal
- Mit hmuhna lama inthlak danglamna
- Story twist a ni
- Taksa sir khata chak lohna
I doctor hnenah eng zawhna nge i zawh tur?
Cancer natna i vei lai hian i thluaka a darh tih i hriat chuan i rilruah zawhna tam tak a awm hi thil pangngai tak a ni. Heng zawhnate hi i doctor zawh hi hlau lo la, hreh suh. Thil awmdan hrethiam turin an pui ang che.
- He thluak cancer hian engtin nge ka nun a nghawng ang?
- Eng enkawlna nge min rawt?
- Chutiang enkawlnate chuan eng nghawng tha lo nge a neih?
- Cancer hian ka thluaka a darh tawh a nih chuan ka taksa peng dangah pawh a darh thei tihna em ni?
- Pawl dang emaw service dang emaw atanga tanpuina ka hmuh theihna tur a awm em? (e.g. palliative care) a ni.
- Ka dinhmun a zirin hmalam hun chungchang eng nge i sawi theih ang?
Cancer hian thluaka a darh tawh tih hriat chu tunnel thim takah tlu ang maiin a awm thei. Mahse, nangmah chauh i ni lo tih hre reng ang che. Medical team leh i hmangaih tak takte tanpui turin i nei a. Doctor te biak pawh hlau suh. Enkawlna atanga beisei tur leh a side effects te chu zalen takin zawt rawh. Tichuan nangmah ngeiin thutlukna tha ber ber i siam thei ang.
Take-Home Thuchah a ni
- `Brain metastases` tih hi taksa hmun danga (lung, hnute ang chi) atanga intan thluaka cancer darh dan a ni.
- Lu na na tak danglam tak, taksa sir khata chak lohna, tawng harsa, emaw, seizure ang chi symptoms i neih chuan doctor hnenah hriattir nghal rawh.
- Tunah chuan he natna hi control tur leh i nunphung tihchangtlun nan hian enkawlna tha tak tak, hmasawn tak tak (radiation therapy, targeted therapy ang chi) tam tak a awm tawh a ni.
- I enkawl dan tur te, an side effect te, leh i beisei tur te chu i doctor nen zalen tak leh rinawm takin sawi rawh. Zawhna zawh hreh suh.
- He indonaah hian nangmah chauh i ni lo. I medical team, chhungte leh i thiante hnen atangin tanpuina dawng rawh.
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