Bladder cancer hian taksa peng hrang hrangah a darh tawh em? (Muscle Invasive Bladder Cancer) Hemi chungchang hi chiang takin i hre chhuak ang u

I zun a thisen i hmuh hian hlauhna nasa tak i neih hi thil pangngai a ni. Tin, zun harsatna i neih emaw, zun kawng natna i vei fo emaw a nih chuan heng symptoms te hi ngaihthah mai mai tur a ni lo. Hengte hi bladder cancer chhinchhiahna a ni thei a, a bik takin a na zawk, Muscle Invasive Bladder Cancer a ni thei. Hei hi natna khirh tak ni mahse, hlauthawng suh. Vawiin hian he thu hi thumal awlsam takin kan sawi dawn a, chu chu a natna lan chhuah dan te, a chhan te, a enkawl dan te a ni.

Muscle Invasive Bladder Cancer (MIBC) hi eng nge ni?

A awlsam zawngin, hei hi bladder cancer natna, a hmasawn deuh, a nih loh leh darh zau deuh a ni.

Kan bladder hi sac ang chi organ a ni a, bang layer engemaw zat atanga siam a ni. Bladder cancer hi he wall chhungril ber atang hian a intan tlangpui. Bladder cancer vei mi 100 zinga 70 vel chuan he superficial cancer hi an nei a ni. A la thuk vak lo.

Mahse, Muscle Invasive Bladder Cancer (MIBC) -ah chuan cancer cells te hian bladder chhung lam chu an rawn lut a, thick muscle layer ah an lut ta a ni. A châng chuan, chu layer piah lamah chuan an darh thei bawk. Bladder cancer vei mi 100 zinga 30 velin he natna khirh tak hi an nei thin.

Engvangin nge hetiang cancer hi a lo awm? Risk factors te chu engte nge ni?

Cancer dang ang bawkin kan taksa cell-a genetic information, a nih loh leh DNA-a inthlak danglamna (`mutations`) atanga tan a ni. Heng cell pangngai lo te hi thunun theih lohvin an inthen darh a, `tumor` an siam thin. MIBC-ah chuan heng tumor te hi bladder wall chhung thuk takah an darh chhuak thin.

Mi thenkhat chuan he cancer hi an vei tam zawk. Chu risk factors te chu eng nge ni tih i han en teh ang.

He natna lan chhuah dan engte nge ni?

Bladder cancer chhinchhiahna ber leh hmasa ber chu zun chhunga thisen a ni . A chang chuan zun hi a sen angin a lang a, a chang chuan pink angin a lang. Tin, natna hrik awm lovin zunthlum kang leh na ang chi thil a awm thei bawk.

Cancer a kal zel, chu chu MIBC stage a thlen chuan symptom dang pawh a lang thei bawk.

• Zun theih loh tak tak.
• Pum hnuai lam emaw, hnungzang sir khatah emaw natna.
• Chaw ei chakna hloh leh chhan awm lova taksa rihna tlahniam.
• Ke ruh a hring chhuak.
• Ruh a na.

Engtin nge natna hi kan hriat theih ang?

MIBC hriat chian nan chuan cancer cells awm leh awm loh leh bladder wall chhunga an luh thuk dan te ngun taka i en a ngai a ni.

1. Zun test: A hmasa ber chu zun test awlsam tak a ni. Hei hian zun chhunga thisen emaw cancer cell emaw a awm leh awm loh a enfiah thin.

2. Cystoscopy leh scan te: 1.1.A dawtah chuan doctor chuan urethra kaltlangin camera hmangin tube te tak te a dah a, chu chuan bladder chhung chu a enfiah a. Hei hi cystoscopy an ti a. Scan bik `CT urogram` emaw `retrograde pyelogram` emaw pawh tih theih a ni bawk.

3. Biopsy: Bladder chhungah tumor hmuh a nih chuan damlo chu anesthetized a ni a, a tumor atanga a then te te chu la in laboratory-ah test turin an thawn thin. Hei hi biopsy an ti a. A chang chuan, he surgery (TURBT - Transurethral Resection of Bladder Tumor) hmang hian tumor pumpui chu lakchhuah theih a ni. Hei hi diagnosis leh treatment atan pawh hman a ni.

4. Cancer a darh tawh em tih scan: Natna hi finfiah a nih veleh scan chi dang eng emaw zat tih a ni a, cancer chu bladder piah lamah, lymph node, liver, lung, ruh thlengin a darh tawh em tih enfiah a ni.

• CT scan a ni
• MRI scan a ni
• PET hmanga scan a ni
• Ruh scan a ni
• Chest X-ray neih a ni

Cancer natna ‘Grade’ leh ‘Stage’ chu eng nge ni?

Heng thumal pahnih awmzia dik tak hriat a pawimawh.

• Grade: Hei hian cancer cell te chu microscope hmanga an lan dan pangngai lo emaw, an chetsual dan emaw a kawk a ni. `Low-grade` tih awmzia chu cell te hi an aggressive vak lo va, an darh zauh zauh tihna a ni. `High-grade` tih awmzia chu cell te hi an aggressive hle a, an darh chak hle tihna a ni. MIBC hi a tlangpuiin `high-grade` cancer a ni.

• Stage: Hei hian taksaa cancer a darh tawhna a kawk a ni. Hei hi tumor lian leh te (T), lymph node (N)-ah a darh tawh em tih leh taksa peng dang (M)-ah a darh tawh em tih a zirin a innghat a ni.

Cancer hi uluk taka enkawl tur chuan a dinhmun dik tak hriat a pawimawh hle.

Enkawlnate chu engte nge ni?

MIBC hi natna khirh tak a nih avangin enkawlna hi a nasa zawk thei hle. Enkawlna ber chu surgery a ni.

Inzai

• Cystectomy: Hei hi zunthlum zawng zawng lakchhuahna surgery a ni. Tin, cancer a darh theihna hmun hnai ber lymph node leh organ te pawh a paih chhuak bawk. Mipaah ​​chuan prostate gland leh hmeichhiaah chuan uterus leh ovary te pawh lakchhuah a ngai mai thei bawk.

• Zun dan thar:Bladder lakchhuah hnuah kal atanga zun lakchhuah dan thar siam a ngai a ni.
• Urostomy: Hei hi tih dan tlangpui a ni. Pum chhungah hawnna te tak te (stoma) siamin zun khawn nan bag an bun a.
• A reservoir: Intestine peng pakhat hmangin taksa chhungah bag siamin zun khawlkhawm a ni. Tube (catheter) chu pum chhunga khur te tak te hmangin bag chu a hring chhuak thin.
• Bladder thar: Intestine section pakhat atanga bladder thar siam a ni a, urethra nen inzawm a ni. Hetiang hmang hian zun pawh tube hmangin a chhuak bawk.

Bladder humhalh dan tur

Damlo thenkhat, zai theih loh emaw, an bladder lakchhuah duh lo emaw tan chuan enkawlna dang a awm bawk. `TURBT` hi tumor lakchhuah a, a ruala chemotherapy leh radiation pek thin a ni.

Enkawlna dang

• Chemotherapy: He enkawlna hi operation hmaa tumor tihtlem nan emaw, surgery nei thei lo tan emaw pek thin a ni.
• Immunotherapy: Tunlai damdawi, taksa hriselna tichaktu, cancer cell tichhe thei tur pek.
• Targeted Therapy: Cancer cells te thanlenna atana pawimawh proteins bik target a, titawp thei damdawi pek.

I doctor chuan i dinhmun atana damdawi tha ber a thlang ang. I doctor nen pawh enkawlna thar clinical trial chungchang i sawi thei bawk.