Pancreas hi kan taksa peng pakhat a ni a, mi tam takin an sawi tam vak lo a, a thup deuh bawk. A awlsam zawngin i pum chhungah, i pum hnung lamah leh i ruhro hmaah a awm a ni. He taksa peng te tak te hian kan taksa tan thil pawimawh tak tak pahnih a thawk a. Pakhat chu thisen sugar level control thei hormone siam chhuah a ni. A dang chu kan ei tur ei tur digest tura puitu enzyme siam chhuah a ni. Mahse, he taksa peng chhunga cell te hi thunun theih loha an inthlak a, an inthen chak tak chuan tumor a lo awm ta a ni. Chu chu pancreatic cancer kan tih chu a ni.
Engvangin nge he cancer hi hriat a harsat?
He natna hi a harsatna lian ber chu a tir lamah chuan a lan chhuah loh vang a ni . Routine scan pawhin heng tumor te hi a tir lamah an hmuchhuak lo. Chuvangin, mi tam zawkin he natna hi an vei tih an hriat hun chuan cancer hi pancreas pawn lama taksa peng dangah a darh (metastasized) tawh a ni. Tin, he cancer hi cancer dona damdawi tam takah a do thei a, chuvangin enkawl a harsa deuh thei bawk. Mahse lungngai suh, medical science hi nitin a lo tha chho zel a, chuvangin enkawl dan thar an zirchiang reng a ni.
Pancreatic cancer chi hrang hrangte chu engte nge ni?
Pancreatic cancer hi chi hnih lian tak a awm a.
1. Exocrine tumors: Hei hi a tam ber chi a ni. Cancer 90% aia tam chu hetiang chi hi an ni. Chung zinga a tam ber chu Adenocarcinoma a ni . Hei hi pancreatic ducts chhunga line siamtu cell-ah a intan a ni.
2. Neuroendocrine tumors (NETs): Hengte hi a tlem deuh a, case 10% aia tlem an ni.
He natna lan chhuah dan engte nge ni?
Kan sawi tawh ang khan a tir lamah chuan a lan chhuah dan langsar tak tak a awm lo. Cancer a lo lian a, a bul hnaia chaw ei leh in lama taksa peng dangte a nghawng tan hnuah chauh symptoms a lang tan thin. Chuvangin heng symptoms te hi kan hriat chian a pawimawh hle.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Vun leh mit sen (Jaundice) . | Hei hi cancer hian gallbladder atanga bile duct a block a, chu chuan taksaah bilirubin an tih chemical sen (yellow chemical) a lo awm khawm a ni. |
| Zun rawng dum | Taksaa bilirubin level a san avangin zun chu a dum emaw, a sen emaw a lo ni ta a ni. |
| Stool rawng hring hring | Bile duct a block avangin stool a brown color pe thei chemicals te chu a khawlkhawm lo va, chu chuan stool chu a light, clay ang maia rawng a nei ta a ni. |
| Pum chunglam leh hnungzang na | Tumor hi a lian thei a, a chhehvel nerve te chu a press thei bawk. Chaw ei hnuah emaw, mut lai emaw pawhin a na zual thei. |
| Chhan awm lovin taksa rihna tihtlem | Taksa metabolism a inthlak danglam vang leh cancer vanga ei duhna a tlakchham vang a ni. |
| Anorexia leh rilru hahna | Ei duh lohna, luak chhuak ang maia awm. |
| Vun a na | Vunah bilirubin a pungkhawm vang a ni thei. |
| Diabetes lo awm thar | Miin risk factor dang awm lovin zunthlum a vei thut a, a bik takin kum 50 a tlin hnuah chuan pancreatic cancer chhinchhiahna a ni thei. |
A pawimawh ber chu heng symptoms pakhat emaw a aia tam emaw i neih mai mai hian pancreatic cancer i nei tihna a ni hauh lo. Hengte hi natna dang chhinchhiahna a ni thei bawk. Mahse, heng symptoms te hi i neih chuan doctor pan vat a, thurawn lak a finthlak hle.
Pancreatic cancer vei theihna tur risk factors te chu engte nge ni?
He cancer thlen chhan dik tak hi hriatchhuah a la ni lo. Mahse, doctor-te chuan he natna vei theihna tipungtu risk factor thenkhat an hmuchhuak a.
- Meizial zuk: Cigarette, cigar leh zuk leh hmuam thil dang hman hi a hlauhawmna lian ber a ni.
- Thau lutuk: Taksa rihna tam lutuk, a bik takin pum chhunga thau tam lutuk hian a hlauhawmna a tipung a ni.
- Zunthlum: Zunthlum (a bik takin type 2) rei tak neih hi a hlauhawm hle. Tin, kan sawi tawh ang khan zunthlum lo awm nghal mai pawh hi a chhinchhiahna a ni thei bawk.
- Chronic pancreatitis: Hun rei tak chhunga pancreas natna.
- Chhungkaw chanchin leh genetic factors: Chhungkaw zinga mi pakhat (nu leh pa, unau) hian pancreatic cancer a vei emaw, cancer nena inzawm genetic mutations BRCA1 leh BRCA2 te a neih chuan a hlauhawmna a sang zawk.
- Chemical nena inzawmna: Hun rei tak chhunga pesticide leh petroleum-based chemicals ang chi thila inhriat tawnna.
- Kum: Kum upat rualin a hlauhawmna a sang chho zel.
Engtin nge natna hi kan hriat theih ang? (Diagnosis) tih a ni.
I doctor-in i symptoms a zirin pancreatic cancer a rinhlelh chuan i natna finfiah nan test eng emaw zat neih a rawt ang.
1. Imaging test te
Hengte hi taksa chhunga pancreas leh a chhehvela taksa peng hrang hrangte thlalak lak nan tumor a awm leh awm loh leh eng chen nge a darh tawh tih hriat nan an hmang thin.
- CT (Computed Tomography) hmanga tih a ni
- MRI (Magnetic Resonance Imaging) hmanga tihchhuah a ni
- PET (Positron Emission Tomography) hmanga tihchhuah a ni
- Endoscopic Ultrasound (EUS): Ka chhunga tube te tak te dah luh, camera leh scanner hmanga pancreas hnaih taka enfiah a ni.
2. Thisen test
Thisen hi cancer cell siam protein (tumor marker) thenkhat a awm leh awm loh enfiah thin a ni. Pancreatic cancer-ah chuan CA 19-9 an tih tumor marker level a sang thei hle.
3. Biopsy tih a ni
Hei hi natna finfiah dan tur dik tak a ni. Hetiang tih danah hian pancreatic tumor atanga tissue te tak te tak te lakchhuah a ni a, microscope hmangin cancer cell a awm leh awm loh enfiah a ni. He tissue piece hi EUS examination neih laiin lak theih a ni.
4. Genetic testing neih a ni
Cancer i vei tih hmuhchhuah i nih chuan i doctor chuan genetic test neih a rawt thei ang. Hei hian i cancer thlen chhan hi thlahtu a awm leh awm loh hriat theih nan a pui ang a, i tana tha ber enkawlna tur i thlan theih nan a pui bawk ang che.
Cancer stage (staging) tihfel dan .
Enkawl tan hmain cancer dinhmun hriat chian a pawimawh hle. Hei hian tumor chu pancreas-ah chauh a awm emaw, a bul hnaia thisen kalna kawng emaw, taksa peng dang emaw-ah a darh tawh tihna a ni. A awlsam zawngin, cancer natna hrik hi chi hrang hrang 4-ah then a ni.
| Cancer stage a ni | Awmzia |
|---|---|
| Resectable (surgery hmanga lakchhuah theih) . | Tumor hi pancreas-ah a innghat a ni. A chhehvel thisen kalna kawngah a darh lo. Surgery hmanga paih vek theih a ni. |
| Borderline atanga lak chhuah theih a ni | He tumor hi a chhehvel thisen kalna nen hian eng emaw chen a inzawm a, mahse surgeon thiam takin a lakchhuah theihna tur level-ah a la awm reng a ni. |
| Tualchhung lama hmasawnna | He tumor hi a chhehvel thisen kalna kawng lian tak takah a darh tha hle a ni. Surgery hmanga lakchhuah hi a harsa emaw, a hlauhawm emaw pawh a ni thei. |
| Metastatic a ni | Cancer hian taksa peng hla tak tak, thin, lung, emaw, pum chhung emaw thlengin a darh tawh a ni. |
Enkawlna kawng hrang hrangte chu engte nge ni?
Enkawl dan tur chu cancer chi hrang hrang, stage, tumor awmna hmun leh damlo hriselna zawng zawng a zirin a innghat a ni.
Inzai
Pancreatic cancer tihdam vek theihna kawng dik tak chu operation hmanga tumor pumpui lakchhuah hi a ni . Mahse hei hi a tir lamah chauh tih theih a ni a, chutih lai chuan cancer chu pancreas-ah chauh a awm a ni.
- Whipple procedure: Tumor chu pancreas lu-ah a awm a nih chuan surgery tih ber a ni. Hetiang tih danah hian pancreas lu, small intestine thenkhat, gallbladder leh a chhehvel lymph node te chu lakchhuah a ni.
- Distal pancreatectomy: Tumor chu pancreas tail-ah a awm chuan chu part leh spleen chu lakchhuah a ni.
- Total pancreatectomy: Cancer chu pancreas pumpuiah a darh tawh chuan pancreas pumpui chu paih chhuah a ni. Hei hian i dam chhung zawngin insulin injection leh digestive enzyme pill i ei a ngai dawn tihna a ni.
Chemotherapy hmanga enkawl a ni
Hei hian taksa tana cancer cell thattu damdawi pek a huam a ni. Chungte chu pill angin emaw, vein-a injection hmangin emaw pek thin a ni. Operation hmaa tumor tihtlem nan emaw, operation hnua cell la awm zawng zawng tihhlum nan emaw, cancer darh tawh enkawlna ber atan emaw an hmang thin.
Radiation hmanga enkawlna a ni
Cancer cell tihchhiat nan high-energy X-ray hman a ni. Hei hi chemotherapy (chemoradiation) nen pek dun a ni fo.
Targeted therapy hmanga enkawlna
Hengte hi damdawi chi thar a ni a, cancer cells te tihpun leh darh zel tura puitu protein bikte target-in hna a thawk a ni.
Natna enkawl dan tur
Pancreatic cancer hian pancreas chhehvela nerve a nghawng avangin a chang chuan natna nasa tak a thlen thei a ni. Chuvang chuan natna control hi a pawimawh em em a. I doctor chuan natna damdawi emaw, hmanraw dang emaw dik tak i tan a rawn rawt ang che. Natna chu tuar suh, i doctor nen inbia ang che.
He natna hi kan pumpelh thei ang em?
Pancreatic cancer hi a taka ven theih dan tur a awm lo a, mahse kan hlauhawmna tihziaawmna tur thil engemaw zat kan tih theih a awm.
- Meizial zuk loh vek tur a ni. Hei hi a pawimawh ber a ni.
- Zu in hi tihtlem rawh.
- I taksa rihna hrisel tak vawng reng rawh.
- Thlai thar, thlai thar leh buh chi hrang hrang tamna ei tur ei rawh.
- Sa sen, sugary drinks leh processed foods i ei tam loh tur.
Take-Home Thuchah a ni
- Pancreatic cancer hi silent disease a ni a, a tir lamah chuan symptom a lang lo.
- Vun leh mit sen (jaundice), pum emaw hnungzang emaw a na reng, sawifiah theih loha taksa rihna tlahniam, leh zunthlum lo awm thar te ang chi natna lanchhuahna te chu en reng ang che.
- Meizial hi he cancer vei theihna tur risk factor lian tak a nih avangin pumpelh a pawimawh hle.
- He natna hi a tir atanga hriatchhuah a nih a, operation hmanga tumor chu paih chhuah vek a nih chauhvin a dam kim thei a ni.
- Nangmah emaw, i chhungte zinga mi tu emaw hian a chunga kan sawi tak symptoms emaw risk factors emaw hi i neih chuan doctor hnenah thurawn dil turin hlau lo la, tihkhawtlai suh.
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