Cancer vei nia hriat chuan hlauhna leh manganna nasa tak a nei a ni. Amaherawhchu, enkawl lai hian cancer hi taksa peng dangah a darh tawh tih hriat a har lehzual. Vawiin hian hetiang dinhmun hi kan sawi dawn a ni. Chu chu taksa peng danga cancer awm chu ruhroah a darh chuan a ni. Damdawi lamah chuan hei hi `Spinal Metastasis` kan ti a.
A awlsam zawngin, spinal metastasis chu eng nge ni?
Mi pakhatin hnute cancer, lung cancer, a nih loh leh cancer dang eng pawh neiin han mitthla teh. A châng chuan, chu cancer aṭanga cell ṭhenkhat chu an inṭhen a, kan thisenah an kal a, ruhro (spinal cord kan tih ṭhin) thlengin an lo thang lian ṭan a ni. Chu chu `Spinal Metastasis` emaw, ruhroa secondary cancer emaw kan tih chu a ni.
A pawimawh ber chu hei hi ruhroah cancer thar lo piang a ni lo. Hetiang dinhmunah hian thil thleng chu cancer bulpui (entir nan, hnute cancer) cell te pawh hi ruhroah an darh tawh a ni. Chuvangin, enkawl lai hian a enkawlna chu chu original cancer nen chuan a inzawm tlat a ni.
Hetiang dinhmun hi cancer vei zingah chuan harsatna awm fo a ni. A tam zawkah chuan heng cancer cell te hi ruhro lai (thoracic spine) leh ruh hnuai lam (lumbar spine)-a vertebrae-ah te an darh thin. A châng chuan, cancer hi hetiang hian ruhro (spinal cord)-ah pawh a darh thei a ni.
Engtin nge he thil chhinchhiahna hi i hriat theih?
Cancer natna lan chhuahna chu ruhroah a darh thei a, chu chu cancer awmna hmun (i.e., ruhroah emaw, ruhroah emaw) a zirin a inang lo thei. I natna lan chhuahna bulpui ber berte chu han thlir ila.
| Symptom a ni | Engtin nge a awm a, engvangin nge? |
|---|---|
| Hnunglam emaw, kawr emaw a na | Hei hi a lan chhuah dan tlangpui a ni. Cancer hian ruh ruh a tichhia a. Hei hian dull ache emaw, sharp, stabbing pain emaw a thlen thei. He natna hi zan lamah a na zual thei. |
| Spine pianzia a inthlak danglam | Cancer hian ruhro (spine) pianphung (natural shape) a thlak danglam thei a, chu chuan a hunched over emaw arched emaw a siam thei a ni. |
| Numbness, chak lohna emaw, tingling sensation emaw | Cancer hian ruhro (spinal cord) a press chuan kut leh ke thlenga tlan nerve te chu a press a ni. Hei hian kut leh keah rilru hahna leh hriat lohna a thlen thei a ni. A châng chuan, i rilruah pin-and-needles pawh i nei thei. |
| Zun leh bawlhhlawh control harsa | Kan bladder leh bowels hnathawh pawh hi spinal cord hian a thunun a ni. Chuvangin tumor in spinal cord a press chuan i hriat loh pawhin urinary incontinence emaw fecal incontinence emaw i nei thei a ni. |
| Paralysis a awm | Hei hi dinhmun pawi tak a ni. Spinal cord chhunga nerve te hi cancer in nasa taka a tihchhiat chuan thluak atanga thuchah lo lutte hian taksa dang a thleng lo. Hei hian taksa peng hrang hranga hriatna hloh leh paralysis a thlen thei a ni. |
Engvangin nge hetiang hi a lo awm? Eng cancer nge ruhroah a darh tam ber?
Kan sawi tawh ang khan hei hi cancer bulpui atanga cell te thisen kal tlanga kal a, ruhro thlenga an thlen hun a ni. Cancer eng pawh hian hetiang hian a darh thei a, mahse cancer chi thenkhatah chuan a tam ber. Cancer chi hrang hrang hmuh tam berte chu hetiang hi a ni:
- Hnute cancer a ni
- Lung cancer a ni
- Prostate cancer a ni
- Kidney cancer a ni
- Colorectal leh gastrointestinal cancer dangte pawh a awm thei
- Thyroid cancer a ni
Engtin nge doctor hian hei hi a hriat chian? (Diagnosis) tih a ni.
Cancer i vei a, hnungzang na ang chi symptom i neih chuan i doctor-in a tih hmasak ber tur chu uluk taka a enfiah che hi a ni. I balance leh i kut leh ke a chak zia an enfiah ang. Natna chungchang an zawt ang. Chu chu eng ang natna nge ni, engtikah nge a lo awm a, a awm reng em tih leh awm reng lo tihna a ni.
Tichuan, i medical history an zawt ang a, he natna hi finfiah nan test engemaw zat neih an rawt ang.
- Thisen test: Cancer vanga ruh a chhiat chuan chu ruh atanga chemical calcium leh alkaline phosphatase te chu thisenah a lut thin. Chuvangin thisenah heng thilte hi a tam lutuk em tih enfiah nan test an nei thin.
- Imaging test: MRI scan hian ruhro, nerve leh ruhro te chu chiang takin a lang thei a. CT scan hmangin ruh ruh (vertebrae)-ah harsatna a awm tih a hriat theih. X-ray pangngai pawhin ruhroah hian a lo thang dan pangngai lo a awm thei.
- Bone scan: Hei hian ruhroah thil dik lo eng pawh a hmu thei a, chu chu cancer darhna hmun pawh a ni thei.
- Fine needle aspiration / Biopsy: A chang chuan, ruhroa tumor emaw ruh emaw sample tlemte tak tak test nan lak a ni. Hei hian eng cancer chi nge ruhroah a darh tih chiang taka hriat theih nan a pui thei a ni.
Hei hi eng enkawlna nge ni?
Kan hriatthiam hmasak tur chu spinal metastasis hi cancer stage hmasawn tak a ni tih hi a ni. Chumi awmzia chu tihdam kim a harsa tihna a ni. Mahse, tuna enkawlna hman mekte thil tum ber chu natna thunun a, a theih ang anga ruhro hnathawh vawn reng leh cancer lo thang chak lohna tur a ni.
I enkawlna tur chu thil engemaw zatah a innghat ang.
- Original cancer chi: Entirnan, lung cancer hi ruhroah a darh chuan ruhroah hian lung cancer cell a awm bawk. Chuvangin lung cancer damdawi tha ber ber hmanga enkawl a ni.
- I hriselna zawng zawng: Cancer hi i ruhroah chauh ni lovin, i taksa peng dang (i thluak emaw, i thin emaw)-ah pawh a darh tawh mai thei. Enkawlna tur thutlukna siam hunah heng zawng zawng hi ngaihtuah tel vek a ni ang.
- Cancer awmna hmun: Cancer chu ruh ruh emaw, ruh ruh emaw a awm leh awm loh a zirin enkawl dan a inang lo thei.
Enkawlna hmanraw hman berte chu:
- Chemotherapy: Hei hian taksain cancer cell thattu damdawi pek a huam a ni. Hengte hi pill angin emaw, vein-a injection angin emaw pek theih a ni. Heng damdawi te hi taksa pum puiah a kal avangin ruhroa cancer cell te bakah taksa peng dang cancer cell te pawh a that thei a ni.
- Radiation therapy: Hei hian high-energy X-ray hmangin cancer cell a tichhia emaw, tumor a ti tlem emaw a ni. Hei hian natna lakah hahdamna nasa tak a pe thei a ni.
- Stereotactic radiosurgery hmanga tih a ni:Hei hi surgery a ni lo. Cancer tumor-ah chauh radiation beam thlenna tur, targeted method dik tak a ni. A chhehvela tissue hrisel tak takte chu a tichhe tlem hle.
- Surgery: Surgery hi a tlangpuiin enkawlna dang a hlawhtlin loh chuan tih chauh a ni. A chang chuan compression fracture a awm chuan ruh tihchak nan leh natna tihziaawm nan `Vertebroplasty` emaw `Kyphoplasty` ang chi surgery tenau te pawh tih theih a ni.
- Palliative care: Hei hi enkawlna atana pawimawh tak a ni. Hei hi a tum ber chu natna tihdam a ni lo va, damlo nunphung tihchangtlun a ni. Natna thunun te, enkawlna avanga nghawng tha lo awmte enkawl te, leh an natna hmachhawn tura puih te a huam a ni.
Heng enkawlnate hian side effect a nei em?
Ni e, enkawlna dang ang bawkin side effect a awm thei.
- Chemotherapy leh radiation hmanga enkawlnaah hian hahna, sam tlakchham, luak chhuak, leh luak chhuak ang chi thil a awm fo thin.
- Stereotactic radiosurgery neih lai hian: I chau berin i inhria mai thei.
- Kyphoplasty emaw Vertebroplasty surgery neih lai hian: Infection, thisen chhuah, natna nasa zawk, leh rilru hahna hi a awm tlem hle thei.
I doctor nen hian side effect i neih apiang sawipui hlau ngai suh. Chutiang tan pawh enkawlna a awm bawk.
Engtin nge i in enkawl theih ang?
Heng hun harsa tak karah hian mahni inenkawlna tha tak neih bakah inenkawlna zawn hi a pawimawh hle.
- Chaw ei \ha: Cancer leh a enkawl dante hian ei duhna a tichhe thei a ni. Mahse i taksa mamawh chakna i hmuh theih nan ei leh in inthlau tak ei tum ang che. Chaw ei harsatna i neih chuan nutritionist hnen atangin thurawn la rawh.
- I rilru hriselna ngaihtuah rawh: Hetiang dinhmun nen hian lungngaihna emaw lungkhamna emaw i nei fo thin. I harsatna i neih chuan rilru lam hriselna lama counselor nena inbiakna neih hi i rilru hahdamna nasa tak a ni thei.
- Stress enkawl dan: Meditation leh thawk lakna exercise ang chi thilte hian stress tihziaawmna kawngah a pui thei a ni.
- I doctor zawhna zawt rawh: I dinhmun, i enkawl dan, a nghawng tha lo, leh i natna enkawl dan chungchang te chu i doctor nen zalen takin sawi rawh. Hlauhna emaw, ngaihtuahna emaw i neih apiang zawt rawh.
Ngaihtuah vat ngai dinhmunte chu engte nge ni?
Heng symptoms te hi i fimkhur hle tur a ni. Heng symptoms zinga pakhat tal a lo lang a nih chuan , damdawi in pakhat Emergency Department (ETU) ah i kal nghal tur a ni.
| Huntha | Eng nge tih tur |
|---|---|
| Doctor-in natna a tihdamna damdawi hmanga a natna chu a thunun theih loh chuan. | I doctor ko rawh. |
| I hnungzang emaw, kawr emaw na nghal, na tak, tuar theih loh i neih chuan (hei hi ruh tliak chhinchhiahna a ni thei). | I doctor ko rawh. |
| Emergency Treatment Unit (ETU) ah kal nghal rawh! | |
| I ke leh i pum a ti na a nih chuan. | Damdawi inah kal nghal rawh. |
| I ke chet harsa a nih chuan, nunna nei lo anga inhriat a nih chuan. | Damdawi inah kal nghal rawh. |
| I zun emaw, i bawlhhlawh emaw i thunun thei lo a nih chuan. | Damdawi inah kal nghal rawh. |
| I zun theih loh chuan. | Damdawi inah kal nghal rawh. |
Hetiang diagnosis i dawn hian i rilru a buai a, i hlau a, i thinrim a, i hmalam hun tur i chiang lo bawk. I medical team chuan heng rilru put hmang zawng zawng hi an hrethiam vek a ni. Chuvângin, i ngaihtuahna leh ngaihtuahnate chu hrilh rawh. I tanpui turin an inpeih reng a ni.
Take-Home Thuchah a ni
- Spinal metastasis hi cancer thar a ni lo va, taksa hmun dang atanga ruhro thlenga cancer darh zel hi a ni.
- Cancer i vei chuan i hnungzang emaw, i kawng emawa natna danglam, na tak chu ngaihthah ngai suh. I doctor hnenah hrilh nghal rawh.
- He natna hi tihdam kim theih ni lo mah se, natna enkawl dan tur leh i nunphung tichangtlung thei tur enkawlna tha tak tak tam tak a awm a ni.
- Ke ruh natna emaw, bladder/bowel control hloh emaw ang chi symptoms a awm chuan emergency anga ngaih tur a ni a, damdawi in Emergency Treatment Unit (ETU) pan nghal tur a ni.
- I dinhmun te, enkawl dan tur te, leh i hlauhthawnna te chu i doctor nen zalen tak leh rinawm taka inbiakna neih a pawimawh hle.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh