I fa hian a ke, a kut, a nih loh leh ruh dang a na tih a phunnawi fo em? Chu hmunah chuan hliam tenau tak ang chi thil i hmu tawh mai thei. Naupangte infiam lai te, an tlu lai te, thil an vuak lai te hliam a ni tih kan ngaihtuah fo thin. A tam zawkah chuan chutiang chu a ni thei. Mahse, a chang chuan hetiang symptom hi kan ngaihtuah aiin thil pawi zawk a ni thei. Vawiin hian chutiang dinhmun pakhat ngaihven ngai kan sawi dawn a, chu chu ruh cancer chi khat Osteosarcoma an tih hi a ni. He hming i hriat hian hlau suh. A pawimawh ber chu fimkhur hi a ni.
A awlsam zawngin, Osteosarcoma hi eng nge ni?
Osteosarcoma hi cancer chi khat a ni a, kan taksa ruh, a dik zawk chuan kan ruh atanga lo awm a ni. Ruh cell pangngai chauh angin a intan a. Mahse hun kal zelah heng cell te hi cancer cell an lo ni ta a, tumor an siam ta a ni. Heng tumor te hian ruh hrisel an siam lo va, ruh chak lo, natna nei an siam zawk a ni.
Doctor-te chuan hei hi `(Osteogenic Sarcoma)` an ti \hin. Hetah hian `Sarcoma` tih hi ruh, cartilage, leh muscle ang chi connective tissue-a cancer lo awmte sawina tlangpui a ni. `Osteo` tih thumal hi ruh tihna a ni. Chuvangin, a hming atang ngei hian hei hi ruh nena inzawm cancer a ni tih kan hrethiam a ni.
Hetiang cancer hi naupang leh puitling naupangte zingah a tam ber a ni . Hemi chhan hi a hnuah kan sawi leh ang.
Eng ruhte nge he cancer hi vei tam ber?
Osteosarcoma cancer hi kan taksa ruh sei takah a lo awm tam ber. Chu chu kut leh ke ruh sei takah a ni. A bik takin heng ruh tawp lam, ruhkawr hnaihah hian a awm fo thin. Chungte chu khup, hip, leh shoulder ang chi hmun hnaihah a thleng thei a ni.
Ruh natna vei tam berte chu:
- Femur (ke chunglam) 1.1.
- Shin bone (ke ruh hnuai lam) `(Tibia)`
- A kut chunglam ruh `(Humerus)`
A nghawng tlem zawkna hmun:
- Thilkawm
- Pelvis (hip ruh) 1.1.
- Luruh a ni
- A châng chuan, a tlem hle a, pum emaw, rilru emawa soft tissue-ah an lo awm thei bawk.
Osteosarcoma natna lan chhuah dan chu engte nge ni?
He natna lan chhuah dan hi mi hrang hrangah a inang lo thei a, mahse a lan chhuah dan tlangpui thenkhat a awm. Nang emaw, i fa emaw hian heng zinga pakhat emaw a aia tam emaw i neih chuan doctor nen inbiakna neih a tha ber.
| Symptom a ni | Hemi chungchang hi tlem tal sawi belh leh ila |
|---|---|
| Ruh emaw, ruh emaw a na | Hei hi a lan chhuah dan tlangpui a ni. A tirah chuan a natna chu a lo thleng thei a, a kal zel thei a, mahse hun kal zelah chuan a awm reng a ni. Zanah emaw exercise zawhah emaw a na zual thei. |
| A hring emaw, a hring emaw | Natna a intan atanga kar engemaw zat hnuah chuan a hmun chu a hring emaw, a hring emaw a ni thei. A châng chuan, a hmun chu khawih pawhin a lum hle thei. |
| Joint pakhat sawn harsat | Cancer chu ruh bulah a awm chuan chu ruh chu ben emaw, tihdik emaw a harsa thei. Entirnan, khup hnaih a nih chuan i ke i ben laiin na i nei thei. |
| Chhan awm lovin ruh a tliak | Cancer hian ruh a tichak lo. Chuvângin, a tlangpuiin ruh tichhia lo tûr tlu tê tê emaw, accident emaw pawh ni se, a tikehsawm thei a ni. Doctor te chuan hei hi pathologic fracture an ti a . |
| Thil dang pawh a awm | Chhanna hriat loh khawsik leh vun rawng danglam (a bik takin a hringna hmunah) hi a awm lo. |
Engvangin nge hetiang cancer hi a lo awm? Risk factors te chu engte nge ni?
He cancer thlen chhan dik tak hi hriatchhuah a la ni lo. Mahse, doctor-te chuan thil ṭhenkhatin a vei theihna a tipung thei niin an ngai.
- Ruh thang chak tak: 1.1.Hei hi thil pawimawh tak hriat chhuah a ni. Naupang leh puitling naupangte an lo thang chak (growth spurts) hun chhung hian an ruh te pawh a thang chak hle bawk. Hetianga cell inthen darh chak tak hi a lo awm hian thil engemaw a kal sual thei a, cancer cell a lo awm thei bawk. Hei vang hian osteosarcoma hi thalai zingah hmuh tam ber a ni.
- Radiation laka invenna: Cancer chi dang enkawlna atan radiation therapy i dawng tawh a nih chuan nakin lawkah chu radiation kai tawh ruhteah osteosarcoma vei theihna a tlem hle.
- Genetic causes: Genetic mutations thenkhat a awm thei. Entirnan, p53 gene (cancer titawptu gene) emaw Rb (Retinoblastoma) gene (naupang naupangte mit cancer nena inzawm)-a mutations engemaw zat nei te chu an hlauhawm hle.
- Damdawi lama harsatna awm lo thenkhat: Damdawi lama harsatna awm lo `Li-Fraumeni syndrome` leh `Paget’s disease of the bone` nei te pawh hi mipui zawng zawng aiin Osteosarcoma vei an hlauhawm zawk bawk.
A pawimawh ber chu heng risk factors zinga pakhat mah nei lo pawhin osteosarcoma a vei thei a ni. Tin, heng risk factors nei zawng zawng hian an vei vek dawn lo bawk.
Engtin nge doctor hian hei hi a hmuh theih?
A chunga kan sawi tak symptoms nei doctor i pan chuan step engemaw zat a zawm ang.
1. Natna lan chhuah dan zawhna: A hmasa berin doctor chuan nang leh i fa chu engtikah nge a natna intan, engtin nge a lo intan tih leh a hring a awm leh awm loh a zawt ang. I chhungkuaah hian cancer vei tawh an awm em tih pawh an zawt thei bawk.
2. Taksa enfiahna: A dawtah chuan a natna hmun chu uluk taka enfiah a ni. Anni hian a hring, a hring, a hmuna lum, leh ruh inzawmna te an enfiah thin.
3. X-ray examination: Osteosarcoma rinhlelhna tlemte pawh a awm chuan tih hmasak ber tur chu ruh natna X-ray lak a ni. Hei hian ruh hian a lan dan pangngai lo a neih leh neih loh a hril thei hle.
4. Scan dang: X-ray-ah rinhlelh tur thil a awm a nih chuan CT scan emaw MRI scan emaw hmanga chhui chian lehzual tura tih theih a ni. MRI scan hian tumor lian leh te leh ruh chhunga a darh dan leh a chhehvel soft tissue te chu chiang takin a hmu thei a ni.
5. Biopsy: Cancer a nih leh nih loh 100% a finfiah theihna tur test pawimawh ber chu biopsy a ni. Hetah hian surgeon pakhat chuan tumor atanga tissue te tak te tak te chu a la a, microscope hmangin cancer cell a awm leh awm loh a enfiah thin.
Cancer hi a finfiah hnuah chuan a dawt leh tur chu taksa peng dang, a bik takin lungah a darh (metastasized) em tih en a ni. Hei hi chest CT scan leh full-body bone scan te a ni thei. Hei hi ‘staging’ an ti a.
Hei hi eng enkawlna nge ni?
Osteosarcoma enkawlna kawng hrang hrangte chu hlawhtling takin a lo thang chho ta a ni. Enkawlna hi oncologist, surgeon leh hriselna lama mithiam dangte team-in an pe fo thin. Enkawlna lian ber berte chu:
1. Chemotherapy hmanga enkawlna
Hei hian taksaah cancer cells that thei damdawi chak tak pek a huam a ni. Chemotherapy hi operation hma leh operation hnua pek thin a ni tlangpui.
- Operation hma: A tum ber chu tumor chu tihtlem a, taksaa cancer cell inthup awm thei zawng zawng tihchhiat a ni.
- Operation hnua: A tum ber chu operation hnua cancer cell awm thei zawng zawng tihchhiat vek a, cancer lo kir leh tawh lo tura ven hi a ni.
2. Surgery tih a ni
Chemotherapy hmanga tumor chu a tihtlem hnuah, cancer natna leh a chhehvela tissue hrisel tlemte chu paih vek turin operation an ti thin. Surgery chi hrang hrang a awm a.
- Limb-salvage surgery: Hei hi tunlai surgery tih tam ber a ni. He surgery-ah hian ruh cancer awmna hmun chauh lakchhuah a ni a, metal prosthesis emaw ruh graft emaw hmanga thlak a ni. Hei hian kut emaw ke emaw hnathawh chu nasa takin a humhim thei a ni .
- Amputation: Cancer hi hmun pawimawh tak tak, nerve emaw thisen kalna kawng emaw-ah a darh tawh a nih chuan, emaw, natna hrik ang chi harsatna a awm chuan, a chang chuan a kut emaw ke emaw a natna chu lakchhuah a ngai thin. Chumi hnuah chuan prosthetic limb hman theih a ni.
3. Radiation Therapy hmanga enkawlna
Osteosarcoma tan hian radiation therapy hi hman a ni lo a, a chhan chu heng cancer cell te hi radiation lakah an sensitive vak lo a ni. Mahse, he enkawlna hi cancer chu operation hmanga lak chhuah kim theih lohna hmun (e.g., luruh, ruhro)-a awm a nih chuan hman theih a ni a, operation hnua cancer cell awm reng nia rinhlelhna a awm chuan hman theih a ni.
Enkawlna atanga dam leh theihna chance engzat nge awm?
Hei hi mi tam takin zawhna an neih a ni. Ngaithla chu a hlauhawm thei a, mahse thudik hriat a pawimawh. A dam leh theihna chance chu cancer hmuhchhuah a nih veleh taksa peng dangah a darh tawh leh tawh lohah a innghat a ni.
Cancer hi hmun dang (localized)-ah a darh lo a nih chuan enkawlna nen a dam zat chu 70% vel a ni. Chu chu mi sawm zinga pasarih chuan an dam chhuak vek dawn tihna a ni.
Cancer hi hmun dang, lungah te a darh (metastasized) tawh a nih chuan, a hmuhchhuah hunah chuan damchhuahna rate chu a hniam zawk daih a ni. Mahse chutiang hunah pawh chuan enkawlna a awm. A pawimawh ber chu hengte hi statistics chauh a ni. Damlo tin hi kan danglam vek. Chuvangin i doctor nen inbia a, i dinhmun chipchiar zawka hriat a tha ber.
Take-Home Thuchah a ni
- Naupangin a kut, ke leh ruh dang a na reng reng emaw, a hring emaw a neih chuan, "inkhelh laiin an thil tih mai mai" tiin hnawl mai suh. Doctor hmu ngei ang.
- Osteosarcoma hi ruh cancer a ni a, naupang tê tête zingah a awm tam ber. Mahse, a hmaa hriatchhuah a nih chuan tunlai hian enkawlna tha tak tak a awm a.
- Enkawl dan hi naupang tan pawh leh nangmah nu leh pa tan pawh rilru leh taksa lamah harsatna a ni thei. Chuvangin , emotional support leh strength hi naupang leh nang tan pawh a pawimawh hle.
- I doctor leh treatment team te hnenah engkim chungchangah inhawng takin sawi rawh. Zawhna, hlauhna, leh ngaihtuahna i neih apiang zawt rawh. He zinkawngah hian hriattirna i neih hi i chakna ber a ni.
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