I vunah, a bik takin ni chhuahna hmun, i pum emaw, i kekawrte emaw-ah chuan vun rawng emaw, hnah hring emaw i nei nghal em? An itch emaw, eczema ang maia lang emaw an ni thei. Mi tam tak chuan hei hi vun lama harsatna pangngai anga an ngaih laiin, a chang chuan vun natna hmuh tur awm lo Mycosis Fungoides an tih chhinchhiahna hmasa ber a ni thei bawk. Ngaihtuah buai suh, hemi chungchang hi chipchiar takin kan sawi dawn a ni.
A awlsam zawngin Mycosis Fungoides hi eng nge ni?
A hming hian fungal infection a nih thu a sawi a, mahse chutiang chu a ni lo. Mycosis Fungoides hi a takah chuan kan thisena thisen var chi khat T cells cancer cell-a inthlak avanga lo awm a ni.
Hetiang hian han ngaihtuah teh, heng T cell te hi kan taksaa sipai ang mai an ni. An hna chu taksaa lut virus leh bacteria ang chi natna hrik doin natna laka min humhim hi a ni. Mahse he natnaah hian heng T cell vek hi cancer cell-ah an chang a, kan vun a nghawng tan ta a ni.
He natna hi cancer pawl pakhat Cutaneous T-cell Lymphoma (CTCL) tih zingah a tel a ni. Chu chu T-cell lymphoma a ni a, vun a nghawng a ni. Chuvangin hre reng ang che, hei hi vun cancer a ni lo, thisen cancer a ni a, vun a nghawng a ni. Hetah hian vun cell ni lovin thisena T cell te hi cancer cell ah an lo chang ta a ni.
He natna lan chhuah dan engte nge ni? Engtin nge stage khat atanga stage dangah a inthlak thin?
Mycosis Fungoides symptoms hi a lo lang nghal lo. Stage hrang hrangin an lang a, vunah pawh a inthlak danglam thin. Mahse, mi zawng zawng hian heng stage zawng zawng hi kan tawng vek lo. Mi thenkhat chuan a rualin stage engemaw zat an nei thei.
Hriatthiam awlsam zawk nan heng stage hrang hrangte hi han thlir ila.
| Dawhsan | A lan dan leh a lan chhuah dan |
|---|---|
| Premycotic stage a ni | Scaly rash a lo awm thin. Hengte hi ni chhuahna hmun, pum hnuai lam, kawrfual, hnute leh hnuteah te hmuh tur a tam ber. |
| Patch phase a ni | Rash vel vun chu a hring deuh deuh thin. Heng hmunte hi a hring thei a, a vawt bawk. Eczema ang maiin an lang thei. |
| Plaque stage a ni | Vunah hian bumps te, sang tak tak emaw plaques emaw a lo lang thin. Hengte hi bumps khauh tak, sang tak, hriat theih a ni. |
| Tumor stage a ni | Vunah hian tumor a lo awm thin. Hengte hi a hmaa kan sawi tawh plaque aiin vun chhungah a thuk zawk a ni. A tlangpuiin kekawrte, kekawrte, kutphah leh inner elbows-ah te an awm thei. Heng tumor te hi hliam an neih chuan a kai thei bawk. |
Hetiang dinhmun hi a nasat chuan thisenah cancer T cell tam tak a kal tan thin. Heng cell te hi Sézary cells an ti a . Heng cell te hi thisenah an tam lutuk a nih chuan, chu natna chu Sézary Syndrome tih ang chi natnaah a lo chang thei a ni. Hei hian taksa pum puiah vun sen (red rash) a siam thei a ni.
Engvangin nge hetiang thil hi a lo thlen?
Hemi chhan dik tak hi hriat a la ni lo , mahse mithiamte chuan genetic mutations hian chanvo a nei thei niin an ngai. A awlsam zawngin kan cell-a DNA-a tihsual a awm avangin T cell-te chu cancer-ah a chang ta niin an ngai.
Mahse a pawimawh ber chu heng genetic changes te hi thlah khat atanga thlah dangah a kal zel a ni lo. Chumi awmzia chu i nu leh paten an neih vang mai maiin i tipung lo tihna a ni. Researcher-te chuan environment toxin emaw, infection emaw thenkhatin hetiang hi a thlen thei em tih an la chhui mek a ni.
A pawimawh ber chu Mycosis Fungoides hi natna hrik kai theih a ni lo tih hi a ni. Mi pakhat atanga mi dang hnenah engti kawng mahin a kai lo.
Engtin nge doctor hian hei hi a hmuh theih?
He natna hi hriatchhuah hi a harsa deuh thei a, a chhan chu a tir lamah chuan a natna lan chhuah dan hi vun natna tlangpui eczema emaw psoriasis emaw nen a inang hle a ni. Chuvangin, vun en mai mai hian Mycosis Fungoides a ni em tih hriat a harsa hle.
Chuvangin, i doctor chuan he natna hi a nemnghet emaw, a finfiah loh nan emaw test dang eng emaw zat a ti leh ang.
- Skin biopsy: Hei hi test pawimawh ber a ni. Vun natna hmun atanga tissue te tak te lak a, lab-a test a ni.He tissue sample hi Mycosis Fungoides nena inzawm cancer cell awm leh awm loh enfiah a ni. Cancer cell dik tak hriat theih nan biopsy test eng emaw zat tih a ngai mai thei.
- Thisen test: Thisen sample lak a ni a, thisen cell leh chemical marker thenkhat inthlak danglamna te en a ni.
- Imaging procedures: CT scan emaw PET scan ang chi test hmangin cancer hi lymph node emaw chhungril taksa peng dang emaw-ah a darh tawh em tih hriat theih a ni.
Engtin nge natna stage hi an hriat theih?
Natna hi hmuhchhuah a nih veleh doctor-te chuan a 'stage' an ruat ang. Hei hi cancer hi eng chen nge a darh tih leh a nasat dan, stage I atanga IV thlenga thliar hranna a ni. Hei hi i tana enkawlna tha ber tur ruahmanna siamnaah a pawimawh hle.
He stage chungchanga thutlukna siam hian a hnuaia thute hi ngaihtuah a ni:
- Vun natna (spots, boils, boils) te lian leh te.
- Heng hliamte hi vun engzat nge a darh tawh.
- Cancer hi lymph node-ah a darh tawh em?
- Thisenah cancer cell a lut tawh em?
- Vun bakah taksa peng dangah a darh tawh em?
Hei hi eng enkawlna nge ni?
Mycosis Fungoides enkawlna hi natna stage leh i vun inthlak danglamnaah a innghat a ni. Enkawlna tam zawk tum ber chu natna lan chhuah dan control leh i nunphung tihchak hi a ni.
I doctor chuan heng ang enkawlna hi a pe thei ang:
- Skin-directed therapy: Hengte hi vun natna hmuna direct-a hnawih a ni. Chûng zîngah chuan topical gel, steroid, retinoid, leh phototherapy te pawh a tel a ni.
- Systemic therapy: Heng damdawi hi pill anga pek emaw, thisen kal tlanga pek thin a ni. Kan taksa pum puia cancer cell awmte an nghawng a ni. Entirnan damdawi methotrexate ang chi te hi a ni .
- Immunotherapy: Hei hian kan taksa hriselna (immune system) tichakin cancer cells te hriatchhuah leh tihchhiat a huam a ni.
- Targeted therapy: Heng damdawi te hian cancer cell chauh direct-in an hmuchhuak a, an tichhia a, chu chuan cell pangngai a tichhe tlem zawk a ni.
- Radiation therapy: Cancer cells tihchhiat emaw, an thanlenna tihtawp emaw nan energy beam chak tak tak hman a ni.
Cancer chungchang kan sawi dawna kan hriat fo thin Chemotherapy hi he natna atan hian kan hmang nasa lo hle a, a chhan chu he natna atan hian a hlawk vak lo va, side effect tam tak a nei bawk.
He natna nen hian nun hi eng ang nge ni ang?
He natna hiDamdawi a la awm lo. Mahse, lungngai suh. A hmaa hriatchhuah leh enkawl a nih chuan mi tam tak chuan kum tam tak chhung chu natna lanchhuahna nei lovin nun pangngaiin an hmang thei a ni.
I prognosis hi thil engemaw zatah a innghat a, chung zinga pawimawh ber chu natna stage a ni.
Statistics atanga a lan dan chuan a tir (early-stage) atanga hmuhchhuah a nih chuan kum 10 dam theihna chance chu 95% vel a ni. Natna a nasat (advanced-stage) a nih chuan he hun hi kum thum atanga kum nga thlenga tihhniam theih a ni. Mahse hengte hi number mai a ni tih hre reng ang che. Hei hi thil tam takin a nghawng a, chu chu i kum leh hriselna zawng zawng te hi a ni. Chuvangin, i doctor chauhvin i dinhmun sawifiahna tha ber a pe thei che a ni.
Hei hi ven theih a ni em? Engtin nge ka tih ang?
Mycosis Fungoides lo awm tur venna tur kawng finfiah a la awm lo. Mahse natna hi a na zawka a kal theihna tur tihziaawmna tur thil i tih theih a awm. Chu chu, medical checkup neih fo turin kal tihna a ni.
A pawimawh ber chu thla khatah vawi khat tal nangmah ngeiin i vun i check thin a ni. Darthlalang bulah kal la, i taksa zawng zawng chu en rawh. Spot thar, moles thar, warts thar emaw, a awm tawhte rawng emaw, a lian leh te inthlak danglam emaw zawng rawh. Hrilhfiahna i hmuh chuan ngaihthah suh la, dermatologist pan nghal rawh. I hriat chian hma chuan enkawlna a hlawhtling zawk thin.
I doctor zawh tur zawhna
He natna hi i vei tih hriatchhuah i nih chuan i rilruah zawhna tam tak i nei thei a ni. Engmah tikhawlo suh, i doctor hnenah zawt rawh.
- Eng enkawlna kawng nge ka neih?
- Heng enkawlnate hian side effect a nei em?
- Enkawl hnua natna lo haw leh theihna chance chu engzat nge ni?
- Enkawlna ka hmuh loh chuan eng nge thleng ang?
- Natna lo kir leh tawh lo turin eng nge ka tih theih ang?
Take-Home Thuchah a ni
- Mycosis Fungoides hi vun cell cancer a ni lo. Cancer a ni a, thisen a T cells ah a awm a, mahse vun a nghawng a ni.
- A tir lamah chuan a natna lan chhuah dan hi vun natna tlanglawn tak, eczema emaw psoriasis emaw nen a inang hle.
- He natna hi kai theih a ni lo tak zet a ni. Mi pakhat atanga mi dang hnena hlan chhawn hlauh a ngai lo.
- He natna hi a hmaa hriatchhuah hi a pawimawh hle a, chu chu enkawl hlawhtling tur leh dam rei tak, hrisel tak a nih theih nan a pawimawh hle.
- I vunah hmun thar, awm reng emaw, danglam reng emaw, hliam emaw, lump emaw i rinhlelh chuan doctor pan nghal rawh.
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