I rilru na reng reng emaw, thawk harsatna emaw i nei em? Thil pangngaiah i ngai mai thei. Mahse, a chang chuan heng symptoms te hi hriselna lama harsatna lian zawk, kan hriat vak loh chhinchhiahna a ni thei. Vawiin hian cancer hmuh tur awm lo, leh hriat loh fo thin chungchang kan sawi dawn a ni.
Pleural Mesothelioma hi eng nge ni tak tak?
A awlsam zawngin sawi ila, Pleural Mesothelioma hi cancer chi khat, kan lung leh kan rilru chhungril bang vel, thin membrane, a nih loh leh lining-a lo awm thin a ni. He lining hi damdawi lam chuan pleura an ti a . Kan lung hi envelope ang maiin a venghim a ni.
He cancer hian a hming hi mesothelium an tih membrane atanga lak a ni. Hei hi kan taksa chhunga taksa peng tam tak hualtu venhimna khuhna a ni. Chuvangin, he mesothelium membrane khawi hmunah pawh cancer lo awm hi mesothelioma an ti tlangpui. Chu chu lungah a lo thang lian thin avangin Pleural Mesothelioma an ti a.
Hei hi a chhan ber leh a inzawm tlat ber chu asbestos nena inzawmna a ni . Tun hma chuan kan ramah hian in chung atan pawh asbestos sheet hi an hmang thin tih i hre tawh mai thei. He asbestos hi mineral chi khat a ni a, tun hma chuan thil tam tak, building material leh automotive industry-ah te hman thin a ni. A chhunga fiber ang chi te te kan thawk chhuah hian lung chhungah a lut a, a lo awm ta a ni. Kan taksa hian heng thil chi hrang hrangte hi a digest thei lo va, a tichhia thei lo bawk. Hun a kal zel a, heng particle te hian lungah inflammation a thlen thei a, cell abnormalities a siam thei a, a tawpah chuan cancer ah a chang thei bawk.
A pawimawh ber chu asbestos materials intact te hi a hlauhawm lo tih hi a ni. Mahse, chu thil chu a chhe a, a chhe a, boruakah leivut anga a awm chuan chu thil chi hrang hrangte hip luh a\anga hlauhawm ber a lo chhuak \hin.
He cancer chi hrang hrang hi engte nge ni?
World Health Organization (WHO) chuan he cancer hi chi thum ah a then a, chu chu a cell atanga a intan dan a zirin a ni a, cancer chi thenkhat chu a darh chak hle a, enkawl harsa tak a ni. Eng chi nge i neih tih hriat hian i doctor chu i tan eng damdawi nge tha ber tih leh i natna chu engtin nge a kal zel dawn tih a rel thei a ni.
| Cancer chi hrang hrang | Hrilhfiahna |
|---|---|
| Epithelioid Mesothelioma natna a ni | Hei hi a tam ber chi a ni (damlo zawng zawng zinga 60% leh 80% inkar). A chi dang pahnih nena khaikhin chuan enkawl a awlsam ber. |
| Sarcomatoid Mesothelioma natna a ni | Hei hi a tlem ber (damlo zawng zawng zinga 10% vel) a ni. Hetiang chi hi a thang chak hle a, enkawl harsa tak a ni. |
| Biphasic Mesothelioma natna a ni | Hei pawh hi chi khat (10% leh 15% inkar) a ni bawk. A chunga kan sawi tak cell chi hnih hi a inzawm khawm a ni. |
He natna lan chhuah dan hi eng nge ni thei ang?
He natna hlauhawm tak pakhat chu a natna lan chhuah dan a lo lang zauh zauh hi a ni. Asbestos a inhriat hnu kum 15, kum 20, a nih loh leh kum 50 vel pawh a la ngai thei a, chu chu natna lan chhuahna a ni thei. A lan chhuah hmasak ber chu khawsik pangngai ang maia tenau a nih avangin mi tam tak chuan an ngaihsak lo. Chuvang chuan doctor an hmuh meuh chuan cancer chu a lo zual tawh hle mai thei.
A lan chhuah dan lian ber pahnih chu:
- A rilru a na reng
- Thâwk harsa (thâwk tawi) .
Hei bakah hian a hnuaia thil awmte hi hmuh tur a awm bawk:
- Cough leh hoarseness awm reng
- Chaw ei harsa (Dysphagia) .
- Lower back na a awm
- Hmai leh kut a hring
- Chhan awm lovin taksa rihna tihtlem
- Zan a thawk hah
- Chauh fo thin
- Chhan awm lova khawsik lo thleng
Tute nge he natna vei theihna sang zawk?
He natna vei tam tak hian an hnathawhna hmangin kum tam tak chhung asbestos an tawk thin. Bass player hlui kha han ngaihtuah teh. Kum tam tak chhung chu in sakna hmun leh lawng siamna hmunah a thawk a. Kum 65 emaw kum 70 emaw a nih lai chauh khan symptoms a nei tan a ni.
Hna hlauhawm ber berte chu:
- Building sak leh factory-a thawkte
- Lawng siam leh siamthat hna thawk (a bik takin navy-a thawk tawhte) .
- Building hlui tichhiatute
- Auto mechanic leh rel kawng hnathawkte
- Insulation siamtu leh installer te
- Kangmei ven hna thawktute
- Plumber te an ni
- Miners te an ni
Hei mai ni lovin, i hlauhawm thei bawk:
- I chhungkuaa mi tu emaw hian hetiang hna hi thawk se, heng asbestos chi hrang hrangte hi an thawmhnaw leh pheikhawk chungah in chhungah a lut thei a ni.
- Asbestos mine bulah i awm a nih chuan, emaw, asbestos awmna in hlui an tihchhiat na hmun bulah i awm a nih chuan.
Engtin nge doctor hian he natna hi dik taka a hriat theih ang?
I doctor hnenah i natna lan chhuah dan i hrilh chuan a enfiah ang che, i hnathawh dan te, i chhehvel te, etc. te zawtin risk factors i neih leh neih loh a zawt ang che. Chumi hnuah chuan test eng emaw zat an nei thei a, an natna hmuhchhuah chu an finfiah thei a ni.
- Imaging Test: Chest X-ray tih hmasak tur a ni. This can look for things like thickening of the lining of the lungs, pleural effusion, etc. Chu bakah , CT scan, MRI scan , emaw PET scan hmangin cancer awmna hmun dik tak leh a darh tawh em tih hriat theih a ni bawk.
- Thisen Test: Thisen test thenkhatah chuan he cancer nena inzawm thil thenkhat (fibulin-3 leh soluble mesothelin-related peptides te ang chi) thisenah hian a sang em tih enfiah theih a ni.
- Thoracentesis: Hei hian i lung chhehvela tui (fluid) lo awm tawh thenkhat chu syringe hmanga lakchhuah a, cancer cell awm leh awm loh test a huam a ni. Hei hian rilru hahna leh thawk hahna a tiziaawm thei a ni.
- Biopsy: Hei chauh hi 100% a diagnosis confirm theihna tur a ni. Hetah hian lung chhunga lining atanga tissue te tak te lakchhuah a ni a, microscope hmangin cancer cell a awm em tih enfiah a ni. Hei hi bronchoscopy, thoracoscopy , emaw video-assisted thoracic (VATS) surgery ang chi technique hmangin tih theih a ni.
Cancer stage hrang hrangte hi engtin nge an thliar hrang?
Cancer dang ang bawkin stage hrang hrang a awm. Stage hi cancer a darh tawhna atanga teh a ni. Hei hi i doctor tan chuan i enkawl dan tur ruahmanna siam nan a pawimawh hle.
- Stage 1: Cancer hi lung chhunga lining (pleura)-ah chauh a awm a. Hetiang dinhmunah hian cancer chu paih vek tum turin operation tih theih a ni.
- Stage 2: Cancer hi lung lining aiin a darh zau deuh tawh a, mahse a bul tanna hmun nen chuan a la inhnaih hle.
- Stage 3: Cancer hi a bul hnaia taksa peng leh lymph node-ah a darh tawh a.
- Stage 4: Cancer hi taksa peng hrang hrang (liver, ruh, thluak ang chi) ah a darh tawh a ni. Hei hi metastasized an ti a .
Hei hi eng enkawlna nge ni?
Pleural mesothelioma hi cancer enkawl harsa tak a ni a, a chhan chu nerve, thisen kalna leh tissue kaltlangin awlsam takin a darh thei a ni. Chuvangin, oncologist-te chuan enkawlna inzawmkhawm an rawt tlangpui.
- Surgery: Cancer natna bul tan tirh lamah surgery tih theih a ni. Extrapleural pneumonectomy (EPP) an tih operation chuan lung leh a chhehvel tissue te chu a paih chhuak thin. Pleurectomy with decortication (P/D) an tih surgery chuan lung lining leh tumor chauh chu lung pum pui lakchhuah lohvin a paih chhuak thin.
- Radiation Therapy: Energy sang tak nei X-ray hmanga cancer cell tihchhiat a ni. Hei hi surgery emaw chemotherapy emaw nen pawha tih theih a ni. A chang chuan symptoms (chhung na ang chi) tihziaawm nan an hmang thin.
- Chemotherapy: Hei hian cancer cells thattu emaw, an thanna tur titawptu emaw damdawi pek a ni. Pemetrexed, carboplatin , leh cisplatin te hi damdawi hman tam ber an ni.
- Immunotherapy: Hei hi enkawlna thar a ni a, kan taksa hriselna tichaktu, cancer cell hriatchhuah leh beih theihna tura puitu a ni.
- Palliative Care: Hei hi a tum ber chu cancer tihdam a ni lo. Chu ai chuan damlo natna lanchhuahna (natna, thawk harsat) thunun a, nitin nun awlsam zawka siam a, hahdamna pek a ni zawk.
- Clinical Trials: Hengte hi enkawlna leh damdawi thar ber berte enchhinna zirchianna a ni. Chemotherapy leh immunotherapy damdawi thar inzawmkhawm, gene therapy , leh photodynamic therapy te ang chi enkawlna thar ber berte hmuh theihna hun remchang i nei thei a ni.
He natna hi tihdam kim theih ni lo mah se, heng enkawlnate hian i dam chhung a ti sei thei a, i natna lan chhuah dan a thunun thei a, nun hahdam zawka i awm theih nan a pui thei che a ni.
Engtin nge a ven theih ang? Tin, engtikah nge doctor hmuh tur?
Pleural Mesothelioma laka invenna tha ber chu boruakah asbestos chi hrang hrang thawk chhuah loh hi a ni. Tunah chuan Sri Lanka-ah pawh asbestos hman khap a ni tawh bawk. Mahse, hengte hi kum 20-30 aia upa in leh building-ah te hmuh tur a la awm tho.
- In hlui i siam that a nih chuan, a bik takin a chung emaw, a ceiling emaw ang chi i thlak dawn a nih chuan, mi hriatna nei tak hnenah asbestos a awm leh awm loh enfiah tir rawh.
- Asbestos i paih chuan, chu hna chu chutiang atana trained company hnenah hlan rawh.
- Hna hlauhawm tak i thawh chuan invenna mask leh thawmhnaw dik tak ha fo ang che . Chutiang thil chi hrang hrangte chu i thawmhnaw chungah in lama rawn hruai loh tur.
Asbestos exposure i neih tawh a, a hnuaia symptoms te hi i neih chuan doctor pan nghal ngei ang che:
- Hnung emaw, rilru emaw a na
- Cough emaw hoarseness emaw awm reng
- Thâwk harsa emaw, ei harsa emaw
- Hmai a hring chhuak
- Chhan awm lovin taksa rihna tihtlem
Heng thilte hi i doctor zawt la:
- Eng ang Pleural Mesothelioma nge ka neih?
- Cancer hi eng stage-ah nge ka awm?
- Eng enkawlna nge ka tan a tha ber?
- Heng enkawlnate hian ka dam chhung a ti rei dawn em ni? Ka symptoms te chu an ti reh dawn em ni?
- Engtin nge enkawlna avanga side effects te hi control theih ang?
- Clinical trial ka tel theihna tur a awm em?
Take-Home Thuchah a ni
- Pleural mesothelioma hi cancer hmuh tur awm lo tak a ni a, lung chhunga lining-ah a lo awm thin. Hei hi a chhan ber chu asbestos particles inhalation vang a ni.
- Symptoms (chhung na, thawk harsa) te hi kum tam tak a la ngai thei a, chuvangin ngaihthah suh.
- Asbestos (a bik takin construction emaw auto mechanics ang chi hna) i neih tawh a, a chunga kan sawi tak symptoms te hi i neih chuan doctor rawn la nghal rawh.
- He natna hi tihdam kim theih ni lo mah se, operation te, radiation therapy te, chemotherapy te, leh enkawlna thar te hian a natna lan chhuah dan a thunun thei a, dam chhung pawh a ti rei thei a ni.
- Invenna hi a tha ber. Asbestos leivut lakah a theih ang angin inveng rawh.
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