I hnute vun chu a chang chuan a danglam deuh deuh a, orange hnah, khur te te, a hring hring ang maia lang a ni tih i hmu tawh em? Damdawi lamah chuan hei hi ‘Peau D’Orange’ (peau-d’orange) kan ti a. French tawng chuan hei hi "orange peel" tihna a ni. A pawimawh ber chu hei hi natna a ni lo tih hi a ni. Mahse, taksaa thil awm dan dang (underlying condition) chhinchhiahna a ni thei. Hei hi kan hriat chian a pawimawh hle a, hlau lo tur a ni.
Eng thilin nge he orange peel skin (Peau D’Orange) hi a thlen tak tak?
A awlsam zawngin sawi ila, hei hi a chhan ber chu vun hnuaia tui awmkhawm avanga lo hring (swelling) vang a ni. Hei hi Doctor ten `(Edema)` an ti bawk. Ngaihtuah teh, vun hnuaia tui a lo awm chuan vun chunglam (`epidermis` kan tih) chu hmun siam turin a inzawm tan ta a ni. Mahse kan vunah hian thawmhnaw chhuah theihna tur pores te chu vun hian a hmunah a vawng tlat a, cushion-a button ang maiin a vawng tlat a ni. Chu chu vun chunglam chu dimples te emaw bumps emaw ang maia a lan lai a ni .
Hetiang dinhmun hi hnute natna, rit leh hliam te nen a inzawm thei a ni. A châng chuan, a khawih chuan savun ang maiin a hrual a, a thuk angin a lang thei bawk.
Hei hi cancer a ni fo em? Ka lungngai tur em ni?
Ni lo, hei hi hriatthiam hmasak ber tur a ni. Hnute tissue a lo hring, a sen, a khauh, a na thei chhan tam tak a awm. Entirnan, naupai lai te, nau hnute pek lai te, thlasik lai , a nih loh leh vun lama harsatna awm fo vang pawh a ni thei. Mahse, `Peau D'Orange` tia koh specific appearance, chu chu orange peel dimpled appearance hi a hnuaia fluid accumulation (edema) a awm chuan a lo awm thin.
Mahse, kan ngaihtuah em em chhan lian ber chu Inflammatory Breast Cancer (IBC) tih natna hi a ni.
Hei hi cancer chi khat, a tlem hle a, mahse a darh chak em em a, chuvangin hriat reng a pawimawh hle.
Inflammatory Breast Cancer (IBC) chungchangah fimkhur rawh
Sri Lanka rama hnute cancer hmuh chhuah zawng zawng zinga za zela tlemte (5% aia tlem) chu he cancer chi hi ni mah se, a nihna takah chuan enkawl vat a ngai a ni
IBC ah chuan cancer cell te hian hnute vunah lymph vessels te chu an block thin. Hei hian lymphatic fluid chu armpit hnuai emaw, collarbone chunglam emaw lymph node atanga a luang chhuak tha thei lo va, hnute chhungah a inzawm khawm tir thin. He fluid buildup hian ‘peau d’orange’ a lo lan chhan chu a ni.
Heng symptoms te hi en reng ang che, a tlangpuiin hnute pakhat chauh ah a lang nghal vat thin.
| IBC natna lan chhuah dan dangte |
|---|
| * Natna, rilru hahna, leh hnim hring. |
| * Hnute a lian emaw, a rit tih hriat emaw. |
| * Hnute chhunga lumna hriatna. |
| * A hring (swelling) a lang chiang hle. |
| * Hnute hmun thuma ṭhena hmun khat aia tam a sen. |
| * Nipples flattening emaw inverted emaw a awm thei. |
IBC enkawl dan tur chu damlo dinhmun a zirin doctor-in a ruat thin. Chung zingah chuan:
- Chemotherapy hmanga enkawl a ni
- Surgery – Vawi tam tak chu hnute pumpui lakchhuah a ngai thin.
- Radiation hmanga enkawlna a ni
- Targeted therapy hmanga enkawlna
- Hormone hmanga enkawl a ni
Cancer tih loh chhan dang eng nge awm?
Kan sawi tawh ang khan `Peau D'Orange` lo lang chhan ber chu vun hnuaia tui awmkhawm (`Edema`) vang a ni. He `Edema` natna hi cancer chauh ni lovin chhan tam tak a awm thei.
Entirna pakhat chu Lymphedema tih hi a ni. Hei hi lymph fluid a chhuak tha lo a, hmun khata a awm khawm hian a ni. Hetiang dinhmun hi hnute cancer enkawlna (surgery, radiation therapy) hnuah pawh a awm thei bawk. Chhan dang vangin a thleng thei bawk.
| Cancer ni lo natna dang, Peau D’Orange lo lang thei |
|---|
| * Bawnghnute kawngkhar (`Mastitis`) khap emaw, natna hrik a awm emaw . |
| * Connective tissue natna (`Scleroderma`, `Sarcoidosis` ang chi) . |
| * Hnute natna dang (`Infection`) . |
| * Lung lam natna |
| * Thyroid natna |
| * Natna tidamtu emaw thisen sang damdawi thenkhat avanga thil thleng |
| * Allergy a awm thei |
| * Thisen chhuak |
| * Naupai lai |
| * IBC tih loh cancer ni lo tumor (`Tumors`) dang |
Hetiang thil avanga edema lo awm a nih chuan, a hring bakah hian, a natna lan chhuahna, vun tightness, leh vun thickening te pawh i nei thei bawk Chutiang a nih chuan i doctor chuan a chhan bulpui chu enkawl a tum hmasa ang.
Chu bâkah, ei leh in thlak danglam , exercise , taksa rihna tihtlem , leh, a ṭûl chuan , diuretics emaw, tui pill emaw pawh pêk theih a ni bawk.
Hetiang symptom i hmuh chuan eng nge i tih ang?
Hei hi a pawimawh ber a ni. I hnute vunah hian dimpling, swelling, redness, pain, emaw thil dang danglam tak i hmuh chuan hlauthawng suh. Mahse, ngaihthah bawk suh.
I tih hmasak ber leh pawimawh ber chu a rang thei ang bera doctor pan a, i check out hi a ni.
Internet-a thu hriat tur zawnga hlauhthawn ai chuan a chinfel dan tha ber chu doctor thiam tak hmuh hi a ni. I doctor chuan a enfiah ang che a, a tul chuan a chhan dik tak hriat tumin ultrasound scan, mammogram, biopsy ang chi test atan a refer ang che. Hriat hmasak hian eng natna pawh enkawl hlawhtling theihna a tipung tih hre reng ang che.
Take-Home Thuchah a ni
- `Peau D'Orange` (orange peel skin) hi natna a ni lo va, a hnuaia awmte chhinchhiahna a ni.
- Hei hi a chhan lian ber chu `Inflammatory Breast Cancer (IBC)` ni mahse, cancer ni lo dang engemaw zat a awm thei a, chung zingah chuan natna hrik, naupai leh a dangte pawh a tel.
- I hnute vunah danglamna i hmuh chuan, a hring, a sen, emaw, a na emaw , tihkhawtlai suh la, doctor lam pan nghal rawh.
- Hlauthawng leh internet-a thu hriat zawng zawng ai chuan doctor pan a, a chhan dik tak hriat chhuah chu a finthlak zawk.
- A hmaa hmuhchhuah hian eng natna pawh hlawhtling taka enkawl theihna a tipung a ni.
Peau D’Orange Sinhala, Orange Peel Skin, Hnute Cancer Symptoms, Inflammatory Breast Cancer Sinhala, hnute hring, Hmeichhe hriselna, Edema Sinhala
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