Lung cancer a ni em? Non-Small Cell Lung Cancer (NSCLC) chungchang hi i zir dawn teh ang!

Thâwk hahna emaw, khuh reng emaw i nei em? I chhungkuaa mi tu emaw chuan lung cancer chungchang hi a lo hre tawh mai thei. Vawiin hian lung cancer chi khat kan sawi dawn a ni. Hei hi thupui buaithlak deuh ni mahse, awlsam takin, i hriatthiam theih angin kan sawi dawn a ni.

Non-Small Cell Lung Cancer (NSCLC) hi eng nge ni?

A awlsam zawngin, Non-Small Cell Lung Cancer (NSCLC) chu i lung chhunga cell te chu a inthen darh tan a, a pangngai lo leh thunun theih lohvin a lo thang lian tan a ni. Thlai ang maiin heng cell te hian thunun theih lohvin hmun tinah darh an tum thin. Lung cancer hi chi hnih lian tak a awm a. Pakhat chu NSCLC an ti a. A dang chu Small Cell Lung Cancer (SCLC) tih a ni. Heng hming pahnih hi heng cancer cell te hi microscope hmanga an lan dan atanga siam a ni. SCLC-a cell te hi a te a, a zungpui a, ball ang maia siam a ni. NSCLC-a cell awmte hi a lian zawk a ni.

SCLC hi NSCLC aiin a aggressive deuh tlangpui a, a darh chak zawk tihna a ni. Mahse, NSCLC cell te hi lian zawk mahse, an thang zawi zawk tlangpui. Hetah hian buaina awm chu NSCLC hi a tir lamah chuan asymptomatic a ni thei a ni . Chuvangin, a hriat chhuah hun chuan cancer hi taksa peng dangah a darh (metastasized) tawh mai thei. Chuvangin a hmaa hriatchhuah leh enkawl a pawimawh em em a ni . Dik tak chuan lung cancer 80% atanga 85% vel hi NSCLC an ni.

NSCLC chi hrang hrang a awm em?

Ni e, NSCLC chi hrang hrang lian tak tak a awm. Doctor-te chuan hengte hi cancer cell-te chu microscope hmanga enin, an hmel lan dan a\angin an hre thei a ni. Kan sawi ber chu chi thum kan sawi a ni:

• Adenocarcinoma: Hei hi NSCLC chi khat zingah chuan a tam ber a ni. A tam ber chu lung pawn lam a ni.
• Large cell carcinoma: Hetiang cancer cell hi microscope hmanga en chuan chi dang aiin a lian zawkin a lang. Lung chhung khawi hmunah pawh a lo thang lian thei.
• Squamous cell carcinoma: Hei hi lungpui lai takah a intan tlangpui a, chu chu kan thawkna kawng lian ber bulah a ni.

Heng chi lian pathum bakah hian chi dang hmuh tur awm lo, sarcomatoid carcinoma leh adenosquamous carcinoma , mahse chutiang chuan hmuh tur a awm lo.

Hei hi eng symptoms nge ni?

Okay, tunah chuan NSCLC hian eng symptom nge a thlen tih i ngaihtuah mai thei. Sawi tawh ang khan a chang chuan symptoms a awm lo thei a, chu chu a hlauhawm ber a ni. Mahse a lan chhuah dan tlangpui thenkhat a awm. Heng zinga pakhat emaw a aia tam emaw i neih chuan hlauthawng suh, mahse Doctor pan a tha.

• Chest pain: Miin i rilru a hrual ang mai emaw, i thawk emaw, i nuih emaw, i khuh emaw a na zual zel ang maiin.
• Persistent cough: Khuh hi kar tam tak chhung a awm a, a chang chuan a na zual zel a, khawsik awm lo.
• Thisen khuh: Hei hi chhinchhiahna hlauhawm deuh a ni. Thisen emaw pink mucus emaw i khuh chuan doctor pan ngei ngei tur a ni.
• Voice change/hoarseness: I aw chu a hoarse emaw hoarse emaw a nih thut chuan chu pawh chu enfiah tur a ni.
• Chaw ei chakna hloh leh taksa rihna tlahniam: Ei duhna hloh, chubakah chhan hriat loha taksa rihna tlahniam.
• Thâwk lak tawi: Thawhrimna tlem tak pawha thawk harsa tih hriat, emaw, stairs chhoh ang chi thil tih hunah a hma aia chau zawka inhriatna.
• Chauhna / Chauhna: Chau tih hriat reng reng , mut that hnuah pawh.
• Thâwk chhuah laiin thawk hah (a whistling sound).
• Lung infection tam tak, bronchitis emaw pneumonia emaw a awm fo thin.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan NSCLC a ni tih ngaihtuah hlau suh. Hriselna dang pawhin heng symptoms te hi a thlen thei bawk. Mahse heng symptoms te hi a la awm reng a nih chuan doctor pan a, checkup neih a tha fo.

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

Awle, engvangin nge he NSCLC cancer hi a lo awm? Dik tak chuan doctor-te chuan mi thenkhatin an vei a, thenkhatin an neih loh chhan hi chiang takin an sawi thei lo. Mahse a nghawng thei tur risk factor engemaw zat an hmuchhuak a ni. Risk factor chu natna vei theihna tipungtu thil a ni.

Lung cancer vei theihna tur risk factor ber leh tlanglawn ber chu meizuk hi a ni. He risk hi cigarette zu thinte tan chauh ni lovin, bidis, cigar, leh hookah ang chi thil hmangtute tan pawh a sang zawk a ni. Tin, zu in lo mahse second-hand smoke (passive smoking / second-hand smoke) nena inhmuhna nei te pawh an hlauhawm hle.

Ngaihtuah teh, zu i in hian chemical tha lo sang tam tak i lungah a lut thin. Chungte chuan lung cell a tichhe a, a tawpah chuan cancer cell-ah a chang thei a ni.

Risk factor dang thenkhat chu:

• Chhungkaw zingah lung cancer vei tawh: I nu leh pate, i unaute emaw, chhungkaw member dang emaw pawhin he natna hi an lo vei tawh a nih chuan, genetic influence a awm thei bawk.
• Asbestos exposure: Tun hmaa in thenkhat sakna atana hman thin asbestos sheet ang chi thil atang te, asbestos nena inzawm industry-a hnathawh lai te pawhin hetiang hi i tawk thei a ni.
• Metal leh mineral dust nena inzawmna: Factory thenkhata hnathawkte chu arsenic, chromium, leh nickel ang chi thila inhnamhnawih theihna hlauhawm takah an awm thei.
• Radon, pianphung atanga lo chhuak radioactive gas nena inzawmna:Hei hi leia gas lo chhuak a ni. Hmun thenkhatah chuan in chhungah a level a sang thei hle.
• Thluak lam natna khirh tak tak, COPD (Chronic Obstructive Pulmonary Disease) emaw Pulmonary Fibrosis emaw nei.
• Natna dang, hnute cancer ang chi avanga i hnute emaw, i rilru emaw-ah radiation therapy i ei tawh a nih chuan.
• Thli bawlhhlawh tamna hmuna awm hian nghawng engemaw zat a nei thei bawk.

Heng thil nei zawng zawng hian cancer an vei vek dawn lo. Mahse heng thilte hian i risk a tipung tih hriat a pawimawh. Meizial zuk loh hi lung cancer vei theihna tihziaawmna tha ber a ni.

NSCLC avanga harsatna awm thei te chu engte nge ni?

NSCLC ang cancer a hlauhawm ber pakhat chu taksa peng dangah a darh (metastasize) thei hi a ni. A darh zel chuan thil awmdan chu a buaithlak zual sauh thin. NSCLC darh theihna hmun tlangpui thenkhat chu hetiang hi a ni:

• Adrenal glands (hei hi kal chunga awm gland te tak te an ni) .
• Ruh te
• Thluak
• Thin
• Lymph nodes (lumps ang chi) te chu .
• Vun

Hetianga a darh chuan taksa peng hrang hrangah symptoms a awm thei. Entirnan, ruh thlenga a darh chuan ruh natna nasa tak a thlen thei a, thluaka a darh chuan lu na leh seizure a thlen thei bawk.

Doctor-te hian engtin nge hei hi an hriat?

Okay, chuti a nih chuan tunah chuan symptoms i nei ta. Doctor hnena i kal hian engtin nge NSCLC a nih leh nih loh chiang taka i hriat theih ang?

A hmasain doctor chuan i natna lan chhuah dan te, chhungkaw chanchin te, leh i tih dan (meizial zuk ang chi) te a zawt ang che. Tichuan taksa enfiahna a nei ang a, i lung a ngaithla ang.

Tichuan, NSCLC rinhlelhna a awm chuan test eng emaw zat an ti ang a, chu chu an finfiah ang a, cancer chu eng stage-ah nge a awm tih an hre ang.

Test hman tlanglawn ber berte chu:

• Lung biopsy: Hei hi lung chhunga hmun rinhlelh awm tak atanga tissue te tak te lak a, microscope hmanga enfiah a ni. Hei hian cancer cell a awm leh awm loh leh eng chi nge an nih tih chiang takin a hre thei a ni. Biopsy lak dan hrang hrang a awm. Bronchoscopy neih laiin tih theih a ni a, a nih loh leh rilru chhunga needle te tak te dahin (needle biopsy) tih theih a ni.
• Bronchoscopy: Hetah hian camera dahna tube te tak te chu ka emaw hnar emaw kaltlangin, thlipui hnuaiah, lung chhungah an lut a. Hei hian doctor chuan lung chhung lam a hmu thei a, a tul chuan sample (biopsy) a la thei bawk.
• Imaging test hrang hrang:Chungte chuan taksa chhungril lam thlalak an la a, cancer awmna hmun, a lian leh te, a darh tawh em tih te an en thin.
• Chest X-ray: Hei hi test bulpui a ni.
• CT scan: Hei hian X-ray aiin thlalak chiang zawk, cross-sectional image a la thei.
• PET scan: Hei hian cancer cells active na hmun zawng turin a pui thin.
• MRI scan of the brain: Hei hi cancer chu thluaka a darh tawh em tih hriat nan hman a ni.
• Video-assisted thoracic surgery (VATS): Hei hi rilru chhung lam en tura surgery tenau tak a ni bawk. Camera leh instrument te chu incision tenau tlemte hmangin an dah a, an enfiah a, a tul chuan biopsy an la bawk.

Heng test atanga thu hriatte a\angin doctor chuan NSCLC i vei em tih te, i vei a nih chuan eng chen nge a darh (staging) tih te, eng ang enkawlna nge \ha tih te a tichiang \hin.

Enkawlnate chu engte nge ni?

Mi tam tak chuan cancer tih thumal an hriat hian an hlauthawng thin a, chu chu thil pangngai a ni. Mahse tunah chuan NSCLC enkawlna hmasawn tak tak a awm ta. I enkawlna chi chu thil tam takah a innghat a, chung zingah chuan cancer chi hrang hrang, a stage, cancer cell-a genetic change a awm leh awm loh, leh i hriselna zawng zawng te pawh a tel.

• Surgery: Cancer hi lung chhungah chauh a awm a, chu chu hmun dangah (a tir lamah) a darh lo tihna a nih chuan, surgery hi a hmasa ber a ni. Hei hian cancer leh a chhehvela tissue hrisel tlemte lakchhuah a huam a ni. A châng chuan cancer a darh tawhna hmun a zirin lung section khat (lobectomy) emaw, lung pum pui (lung resection / pneumonectomy) emaw tih a ngai thei bawk.

Ngaihtuah teh, huan pakhatah hian hnim hring a awm a. He surgery hi lak chhuah hmasak ang mai a ni. Mahse mi zawng zawngin surgery hi an ti thei lova, chutiang tur chuan i tlin a ngai a ni.

• Chemotherapy: Hei hi i hre tawh mai thei. Hei hian taksa tana cancer cell thattu damdawi pek a huam a ni. Heng damdawi te hi injection angin emaw, pill angin emaw pek theih a ni. Hei hi NSCLC enkawlna atana hman tlanglawn ber a ni. Chemotherapy chauh pawh pek theih a ni a, operation hmaa tumor tihtlem nan emaw, operation hnua cell la awm zawng zawng tihhlum nan emaw, radiation therapy nena hman dun theih a ni bawk.

• Immunotherapy: Hei hi enkawlna thar tak a ni a, mahse a hlawk hle. I taksa ngeia immune system tichakin cancer cells te hriatchhuah leh tihchhiat a huam a ni. Cancer dona tura nangmah sipaite training tir ang mai a ni. NSCLC chi hrang hrang tan a thawk lo a, chutiang atan pawh chuan special test neih mek a ni bawk.

• Targeted therapy hmanga enkawlna: 1.1.Hei pawh hi enkawlna chiang tak a ni. Genetic mutations bik target tu damdawi emaw, cancer cells te tihpun leh darh zel tura puitu proteins te a hmang thin. Hei hi a thatna chu chemotherapy aiin cell hrisel tak takte a tichhe tlem zawk a ni. Hetah pawh hian i cancer cell-te chu chutiang mutations bikte chu i test a ngai a ni.

• Radiation therapy: Hei hian chakna sang tak nei X-ray hmangin cancer cell te chu a that thin. Heng rays te hian cancer awmna hmun dik tak chu a tum a ni. Hei hi chemotherapy nen a rualin, a mah chauhin emaw, operation hma emaw, operation hnuah emaw pek theih a ni. A châng chuan, he enkawlna hi natna tihziaawmna atan pawh hman a ni.

Vawi tam tak chu NSCLC hi hriat hmasak a nih loh avangin doctor-te chuan heng enkawlna pakhat emaw a aia tam emaw hi an hmang dun ang (combination therapy). I oncologist chuan i tana tha ber tur treatment plan a siam ang.

Eng chen nge tihdam a ngaih?

NSCLC enkawl hnua dam leh hun chhung hi mi hrang hrangah a inang lo. Thil tam takah a innghat a, chung zingah chuan cancer lian leh te, a awmna hmun, enkawlna chi hrang hrang (sugery, chemotherapy, radiation ang chi) leh i taksa dam theih dan te a innghat a ni. Mi thenkhat chu thla engemaw zat hnuah an dam leh thei. Mi dangte chuan kum tam tak an daih thei a, follow-up neih a ngai mai thei bawk. Chuvangin, i doctor hnenah eng chen nge a daih dawn tih leh i dinhmun a zirin eng nge i beisei tur tih zawt la a tha ber.

Engtikah nge Doctor i hmuh ang?

NSCLC enkawl mek i nih chuan, emaw, enkawl zawh chauh i nih chuan, doctor pan vat a ngai hun a awm thei. Heng thilte hi hre reng ang che:

• Thâwk harsa thar i neih emaw, i thawk harsa tawh chu a zual emaw a nih chuan a pawi lo.
• 100.4 degree Fahrenheit (38 degree Celsius) aia sang i neih chuan, a bik takin chemotherapy i lak laiin.
• Natna nasa tak (e.g., rilru, ruh) i neih chuan damdawi ei chung pawha a reh lo.
• Symptom thar a lo lang a nih chuan (e.g., tawng harsa, hriatna hloh, lu na na tak), emaw, symptom awm tawhte a nasat chuan,
• Persistent vomiting emaw diarrhea emaw i neih chuan.

Chutiang dinhmunah chuan i oncologist emaw a team emaw hnenah hriattir nghal rawh. A nih loh chuan damdawi in hnai ber emergency department-ah kal rawh.

Hetiang dinhmun nen hian nun chu eng ang nge ni ang?

I ngaihtuah mai thei, "Hetiang dinhmun hi nun hi eng ang nge ni?" Dik tak chuan NSCLC (life expectancy) i dam rei theih hun chhung hi thil tam takah a innghat a, chung zingah chuan cancer hmuhchhuah a nih hun lai te, NSCLC chi hrang hrang te, leh i hriselna zawng zawng te pawh a tel a ni.

Entirnan, early-stage (localized) NSCLC te hi a niLung cancer-ah chuan kum nga chhunga dam rei zawng chu 65% vel a ni . Hei hian he natna vei hmuhchhuah mi 100 zinga 65 chu kum nga hnuah pawh an la dam dawn tihna a ni.

Cancer hi a bul hnaia tissue emaw lymph node emaw (regional NSCLC) ah a darh tawh a nih chuan he zat hi 37% vel a ni. Cancer hi taksa hmun hla tak takah (e.g., liver, thluak, ruh) (metastatic / distant NSCLC) ah a darh tawh a nih chuan kum nga chhunga damchhuah zat chu 9% vel a ni.

Mahse hre reng ang che: Heng damchhuah zat hi mi tam tak data atanga chhut averages chauh a ni. Eng chen nge i dam dawn tih leh i taksain enkawlna a dawn dan tur chiang takin an sawi lo. Mi tin kan zinkawng a inang lo. Chuvangin heng statistics te hian engtin nge a nghawng che tih hi i doctor nen inbiakna neih a pawimawh hle.

Tun hnaiah heng damchhuah zat hi enkawlna thar (a bik takin targeted therapy leh immunotherapy) avang hian a tha chho zel a ni.

NSCLC hi natna tihdam theih a ni a, a bik takin a hmaa hmuhchhuah leh enkawl a nih chuan tihdam theih a ni. Mahse, cancer chi hrang hrang, a stage leh i hriselna zawng zawng te hian a rah chhuah (prognosis) chu a hril a ni.

NSCLC hi tihdam theih ni lo mah se, a tam zawkah chuan control theih a ni a, symptoms pawh tihziaawm theih a ni (enkawl theih). NSCLC vei tam tak chuan an natna lan chhuah dan chu hlawhtling takin an enkawl a, nunphung tha tak an hmang thin.

Kan hriat reng tur pawimawh ber chu

Cancer i vei tih hriatchhuah hi i tawn tur harsa ber zinga mi a ni thei. Hlauhna, lungkhamna leh lungngaihna te hi thil pangngai tak a ni. Non-Small Cell Lung Cancer (NSCLC) stage eng pawh nei ila, enkawlna hian i natna lan chhuah dan a tihziaawm thei a, i nunphung a ti tha thei bawk.

I duhthlan tur te, enkawl dan tur te, leh a nghawng tha lo awm thei te chu i doctor nen sawiho rawh. Zawhna zawh hreh suh. He hun chiang lo tak karah hian i chhungte, i ṭhiante, leh a ṭul chuan counselor emaw, social worker emaw nena inbiakna neih chu a ṭangkai thei hle.

Tin, online emaw, i awmna hmunah emaw pawh ni se, support group-a tel hian mahni chauha awm lo turin a pui thei che a, mi dangte thiltawn a\angin i zir thei a, chakna i nei thei bawk. He insualnaah hian nangmah chauh i tel lo tih hre reng ang che.

` Lung cancer, NSCLC, Non-Small Cell Lung Cancer, Cancer natna lan chhuah dan, Cancer enkawl dan, Meizial zuk, Thluak lam natna