I taksa hmun dangah cancer hi i thluak ah a darh thei em? Brain Metastases'' chungchang hi han sawi ila.

Kan taksa peng khata cancer intan chu thluak lamah a darh thei em tih i ngaihtuah ngai em? A châng chuan a ni. Vawiin hian chutiang dinhmun pakhat kan sawi dawn a, chu chu cancer thluaka darh, emaw doctor-te’n `` Brain Metastases`` an tih ang chi hi a ni. Hei hi thupui pawimawh tak ni mah se, hei hi hriat chian a pawimawh hle. A chhan chu a hmaa hriatchhuah a nih poh leh enkawl a nih theihna a sang zawk a ni.

`(Brain Metastases)` tih hi eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin sawi ila, thluak metastases chu i taksa hmun danga cancer lo intan, i lung, i hnute, emaw vun (a bik takin melanoma) - hei hi primary tumor kan tih - chu thluaka a darh hian a ni. Heng cancer cell te hi thluaka an kal chuan chutah chuan tumor thar pakhat emaw a aia tam emaw an siam thin. Hmun danga thlai lo thang chhuak chi ang maiin han ngaihtuah teh.

Heng tumor te hian thluak hmun hrang hrang hnathawh a nghawng thei a ni. I natna lan chhuah dan chu thluaka khawiah nge heng tumor te hi an lo awm tih ah a innghat a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan hengte hi puitling zingah thluaka natna chi hrang hrang hmuh tam ber an ni. Mithiamte chuan taksa hmun danga cancer vei zinga 10% atanga 30% inkar velin an dam chhungin engtik lai pawhin an cancer chu thluak lamah a darh dawn niin an sawi. Hetiang hlauhawmna hi kum 45 hnuah a pung tlangpui a, kum 65 chunglam zingah he natna hi hmuhchhuah a ni tlangpui.

Amaherawhchu, thluak chhung ngeia cancer intan (primary brain cancer) hi chutiang chuan a awm lo. A tam zawkah chuan thluak chhung emaw, thluak chunglam emaw atanga intan tumor te hi non-cancerous (benign) an ni.

Cancer hi thluaka a darh chuan eng symptoms nge a awm theih?

Brain tumor awmna hmun leh thluak hnathawh a nghawng dan azirin symptoms a inang lo. Mahse, a lan chhuah dan tlangpui thenkhat chu:

• Lu na: A chang chuan luak chhuak leh luak chhuak a awm thei bawk. He lu na hi lu na pangngai ang a ni lo, a na deuh a, a awm reng thei bawk.
• Seizures: Thil hriatna hloh nghal mai leh convulsion a awm thei.
• Taksa sir khata chak lohna: Kut emaw, ke emaw a hring chhuak emaw, a sir khat hman dik theih lohna emaw (hemiparesis).
• Ngaihtuahna lama harsatna: hun rei lote chhunga hriatrengna hloh, mood inthlak danglam ang chi thil.
• Thusawi emaw hriatthiam harsa: Thusawi hrual, thusawi hrethiam thei lo ang maia lang.
• Mit lama harsatna: Mit hmuh a tlahniam emaw, a fiah lo emaw, a bik takin a sir khatah.

He ``Brain Metastases'' natna hi a lo zual zel chuan symptom thar i hmu thei ang:

• Hriat harsa, ei harsa, mit pahnih hmuh harsa.
• Mut tam lutuk: Hei hi natna tawp lama hmuh chhuah tam ber a ni.

Pawimawh: A chang chuan cancer hi thluaka a darh chuan ``stroke'' ang chi symptoms a awm thei. Mahse, ``stroke'' symptoms hi a lang nghal a, mahse metastatic brain tumor symptoms hi a lang zauh zauh tlangpui a, hun kal zelah a na zual zel thung.

Eng thilin nge thluaka cancer a darh chhan?

Metastatic brain tumor hi taksa hmun danga tumor atanga cancer cell inthen a, thluaka a kal hian a awm thin. Heng cancer cell te hi thisen kaltlangin an kal fo thin. Primary cancer chi thenkhat chu a dang aiin thluaka a darh tam zawk chhan hi zirchiangtute chuan an la hre chiang lo.

Cancer chi hrang hrang thluaka darh zau berte chu:

• Lung cancer: Lung cancer vei zinga a chanve velin he cancer hi thluak lamah a darh thei a ni. Hei hi small cell lung cancer an tih chi hrang hrangah a tam hle.
• Breast cancer: Hnute cancer hi taksa peng dangah a darh tawh (metastatic breast cancer) chu mi 10% atanga 15% velin thluak ah a darh thin. He risk hi ``HER2+ breast cancer`` leh ``triple-negative breast cancer`` tih chi hrang hrangah a sang zawk a ni.
• Melanoma: Hetiang vun cancer vei zinga a chanve vel chu thluaka cancer hi a darh dawn a ni.

Chu bakah, kal cancer, colon cancer, leh thyroid cancer te pawh hi thluak lamah a darh thei a, mahse a tlem zawkin a darh thei bawk.

Engtin nge thluaka cancer a darh tawh tih i hriat theih ang?

Cancer i vei tawh a, thluaka tumor chhinchhiahna i neih chuan i doctor chuan test engemaw zat a ti ang. A châng chuan, symptoms nei lo mah la, cancer chi khat thluaka darh tam zawk i neih chuan i doctor chuan ``brain metastases'' a awm leh awm loh a enfiah thei a ni.

Chumi atana test te chu:

• Neurological exam: I doctor chuan i balance, coordination, mental status, hearing, vision, leh reflexes te a enfiah ang a, heng inthlak danglamna hian i thluak peng engte nge a nghawng tih hriat theih nan a hmang ang.
• Thisen test: Thisen test-ah hian cancer chi thenkhatin thisenah thil (tumor marker) a lut em tih enfiah theih a ni.
• Magnetic Resonance Imaging (MRI) with contrast: MRI scan hmangin thluak chipchiar takin thlalak a la thei. Taksaah thil bik contrast an tih chu inject a, he test hi tih a nih chuan thluaka tumor awmte chu thlalak atang hian chiang takin a lang thei a ni.
• Biopsy test (`Biopsy`): 1. A rilru a hah lutuk chuan a rilru a buai em em a.Test dangin diagnosis siam theihna tur information a pe tawk lo a nih chuan biopsy lak a ngai mai thei. Hei hian tumor atanga tissue sample tlemte lak a, cancer cell awm leh awm loh enfiah a huam a ni. Hei hi tumor zawng zawng emaw, a then emaw surgery hmanga lak chhuah a nih hian tih a ni fo.

Thluaka cancer darh tawhte hi engtin nge enkawl an nih?

Metastatic brain tumor enkawlna tum ber chu thluaka tumor lo thang lian zel tur tihtawp emaw, tihkhawtlai emaw a, i symptoms control hi a ni. Enkawlna kawng hrang hrang a awm a:

• Symptoms control na tur damdawi.
• Radiation therapy leh surgery hmanga enkawl a ni.
• Cancer dona damdawi.

Symptoms control nana damdawi

Pakhatnaah chuan i doctor chuan i natna lan chhuah nghal theihna tur damdawi a pe thei che a ni. Entirnan, i thluaka lu natna thlentu swelling (edema) tihziaawmna turin corticosteroid an tih damdawi an pe thei che a ni. Seizures tihtawp leh control nan anticonvulsants an tih damdawi an pe thei che a ni.

Radiation therapy leh surgery hmanga enkawl a ni

Brain tumor zawng zawng emaw, a then emaw paih chhuahna atana hman tlanglawn ber berte chu:

• Stereotactic radiosurgery / Gamma Knife® radiosurgery: Hei hi United States ang ramah chuan thluaka metastases enkawlna hman tlanglawn tak a ni. Hetah hian radiation dose sang tak chu thluaka tumor lam hawi a ni a, i lu leh thluak dang zawng zawng hian radiation an dawng tlem hle thung. He enkawlna hi enkawlna vawi khatah tih a ni tlangpui.
• Whole brain radiation therapy: I thluaka tumor tam tak i neih chuan, emaw, cancer chu thluak membrane-ah a darh tawh a nih chuan (leptomeningeal disease an ti bawk) i doctor chuan he enkawlna hi a hmang thei ang. Hei hian kar hnih atanga kar thum chhungin session 10 atanga 15 vel a huam a ni.
• Brain surgery: Traditional surgery hmangin tumor lakchhuah theih a ni.

Cancer dona damdawi

I cancer chi hmasa a zirin i doctor chuan surgery emaw radiation therapy emaw bakah damdawi hmanga enkawlna a rawt thei ang:

• Chemotherapy: Chemotherapy damdawi tam tak hi thluaka cancer darh tawh tan chuan a hlawk lo. Hei hi a chhan chu damdawi hian thisen leh thluak inkharkhip (blood-brain barrier) a paltlang thei lo a, chu chuan thisen chhunga thil thenkhat (chemotherapy damdawi ang chi) chu thluaka a thlen loh nan a veng a ni. Mahse, cancer chu thluak vel tuiah a darh tawh a nih chuan doctor-te chuan chu tuiah chuan chemotherapy damdawi chu direct-in an inject thei a ni.
• Targeted therapy: Heng damdawi te hian cancer cell-te’n an pung zelna atana an hman thin process te chu a tibuaiin hna an thawk a ni. Research atanga a lan dan chuan heng damdawi te hi lung leh hnute cancer chi thenkhat thluaka a darh chuan a tangkai thei a ni.
• Immunotherapy: Immunotherapy hian damdawi a hmang a, chu chuan nangmah ngeiin i taksain cancer cell a zawng chhuak a, a tichhia a ni. He enkawlna hian lung cancer leh thluaka melanoma darh tawhte chu a pui thei a ni.

Cancer hi thluaka a darh loh nan ven theih a ni em?

Brain cancer hi lung, hnute leh melanoma cancer awm tawh atang hian a darh fo thin. Chuvangin, chutiang cancer te chu uluk taka enkawl hi thluak cancer darh theihna tur tihtlem nan a hmasa ber a ni. Tin, he natna hi i vei theihna tur risk hriatthiam a pawimawh bawk.

I doctor hnenah i mimal thluak cancer darh theih dan tur zawt rawh.

Cancer hian ka thluak ah a darh tawh a nih chuan eng nge ka beisei ang?

Brain metastases hi a chang chuan tihdam theih a ni . Amaherawhchu, tihdamna famkim a awm lo a nih pawhin, enkawlna hian dam rei zawkin a pui thei che a, i nunphung a titha thei bawk. Tun hma chuan thluaka metastases nei chuan thla ruk aia rei dam a harsat ang tih ngaihdan a awm thin. Mahse, enkawlna thar avang hian tunah chuan mi tam tak chu he natna hmuhchhuah nen hian an dam rei tawh a, an natna lan chhuah dan pawh an thunun tha zawk tawh a ni. Dik tak chuan thluaka cancer vei tam zawk hi chu thluaka natna hrik (brain tumor) atang ngeiin an thi lo.

Mahse, mi tam takin zawhna an neih chu, "Engtiang chiahin nge ka tumor hi a lo seilian ang?" Hei hi mi tin a inang lo fo thin. I thil tawn chu thil engemaw takah a innghat ang a, chung zingah chuan cancer chi hrang hrang, tumor i neih zat leh enkawlna i dawn dan te pawh a tel ang.

Heng thilte hian i dinhmun a nghawng dan sawifiahtu tha ber chu i doctor a ni. I diagnosis a zirin eng nge i beisei theih tih zawt rawh.

Engtin nge ka in enkawl ang?

Cancer enkawlna i buaipui tawh chuan thluaka cancer darh zel hian harsatna thar a thlen thei a ni. Mahse, i tanpui thei tur step leh resources a awm a:

• Hnathawh leh lirthei khalh dan: I thluaka tumor awmna hmun azirin seizure i neih theihna a sang zawk thei. Hei hian hnathawh theihna emaw, lirthei khalh theihna emaw a nghawng thei a ni. He hlauhawmna tihziaawmna tur hian i doctor chuan damdawi a pe thei ang.
• Enkawlna atanga dam leh: I thluaka tumor lakchhuah nan operation emaw radiation therapy emaw i neih chuan i dam chhung hian i hmangaih tak takte puihna i mamawh ang.
• Side effects enkawl dan: Cancer enkawlna avanga side effects enkawl danah tanpuina i mamawh mai thei. Cancer natna hmuhchhuah a nih avanga symptom thar leh nitin harsatna awm thin te enkawl dan tur palliative care team atanga tanpuina dil hi a tha hle.

Engtikah nge ka doctor ka hmuh ang?

Symptom thar i neih chuan, emaw, i symptoms a na zual a nih chuan, i cancer original emaw, i thluaka cancer darh tawh emaw nena inzawm emaw, i doctor hnenah hrilh nghal rawh. I doctor hian heng inthlak danglamna te hi a hriat a pawimawh a, chutiang chuan i hriselna an enfiah thei ang a, a pui thei tur enkawlna an hmuchhuak thei ang.

Engtikah nge emergency room (ER) ah ka kal ang?

Brain tumor-ah hian neurological problem, emergency treatment ngai, seizure leh kut leh ke hloh te a awm theihna a sang hle. Tin, `(stroke)` chhinchhiahna hmasa ber a lo lan veleh emergency treatment zawng nghal bawk ang che. `(Stroke)` symptoms hi a lo lang nghal a, chungte chu:

• Taksa a balance hloh.
• Mit hmuhna lama inthlak danglamna.
• Thusawi laiin thusawi slurring.
• Taksa sir khata chak lohna.

Doctor hnenah eng zawhna nge ka zawh ang?

I cancer hian i thluak a darh tih i hriat chuan he natna hmuhchhuah thar hian eng nge a awmzia tih i ngaihtuah mai thei a, a bik takin cancer chi khat i hmachhawn tawh avangin. I dinhmun hriatthiamna tur zawhna ṭhenkhat chu hetiang hi a ni:

• Engtin nge thluaka cancer darh zel hian min nghawng ang?
• Eng enkawlna nge i rawt?
• Heng enkawlnate hian eng side effect nge a neih?
• Cancer chu thluaka a darh chuan ka taksa peng dangah a darh dawn tihna em ni?
• Additional support atan eng resources nge i rawt?
• Ka natna hi eng prognosis nge ni?

Cancer hian thluaka a darh tawh tih hriat chu khawvel hriat loha ke pen ang maiin a lang thei. He diagnosis hi chhanna awlsam tak a awm lo a, mahse tanpuina a awm. Zawhna harsa tak tak, enkawlna atanga i beisei theih tur leh eng side effect nge i tawn theih ang tih te hi zawt hlau suh. I medical team chuan thutlukna tha ber siam turin an kaihruai thei che a ni.

## Thil pawimawh hriat reng tur (Take-Home Message)

Okay, chuvangin kan sawiho atang hian `(Brain Metastases)` hi hriatthiamna tha zawk in neih ka beisei. Hriat tur pawimawh ber chu a hmaa hmuhchhuah leh enkawl vat hi a ni .

• Taksa hmun danga cancer vei mi pakhatin taksa sir khatah lu natna danglam tak, seizures, emaw hriatna hloh ang chi natna a neih chuan doctor thurawn dil nghal rawh
• Brain metastases hi a thihpui ngai lo. Tunlai enkawlna hian dam chhung a ti rei thei a, nunphung a tichangtlung thei bawk.
• I doctor nen zalen takin inbiakna nei rawh . I zawhna, hlauhthawnna leh ngaihtuahna zawng zawngte chu sawi chhuak rawh.
• Chak taka awm reng a pawimawh. Chhungte, thiante leh i medical team te hnen atangin tanpuina dawng rawh.

He thu hi i tan a tangkai ngei kan beisei. Hrisel takin awm rawh!

` Brain Metastases, Cancer, Brain Tumors, Cancer Symptoms, Cancer Enkawlna, Cancer darh zel