Lung cancer hmuh tur awm lo (Pleural Mesothelioma): Hemi chungchang hi han sawi ila

I rilru na reng reng emaw, thawk harsatna emaw i nei em? I naupan lai khan hnathawhna hmunah asbestos i tawk tawh mai thei. Vawiin hian cancer hmuh tur awm lo mahse na tak tak, kum tam tak hnuah hetiang exposure atanga lo awm thei kan sawi dawn a ni. Hei hi damdawi lam chuan Pleural Mesothelioma an ti a. A hming hi buaithlak tak angin lang mahse, a awlsam zawngin i sawi ang u.

Pleural Mesothelioma hi eng nge ni tak tak?

A awlsam zawngin kan lung leh rilru chhungril bang vel chu khuhna ang maia membrane te tak te a awm a. Hei hi damdawi lamah chuan pleura kan tih chu a ni. He membrane hi cell chi khat bik mesothelium an tih atanga siam a ni a . Chuvangin heng mesothelium cell-a cancer a lo awm hian Pleural Mesothelioma (or malignant pleural mesothelioma) an ti a ni.

Hei hi a chhan ber leh a tam ber chu mineral asbestos an tih hi a ni . Tun hma chuan asbestos sheet hi in sakna atan an hmang thin a, a bik takin inchung atan an hmang thin tih i hria mai thei. He asbestos hi a chhe, a chhe emaw, hnathawh a nih chuan, thil te tak te, hmuh theih loh te chu boruakah a chhuak thin. Chungte chu an inhnim chuan lung chhungah an lut a, an insiamrem thin. A hlauhawm ber chu kan taksa hian heng thil chi hrang hrangte hi a dissolve thei lo emaw, a paih chhuak thei lo emaw hi a ni. Chuvângin, kum tam tak chhûng chu lung chhehvêla membrane-te chu an tichhe a, inflammation an siam a, a tâwpah chuan cell-te chu an tidanglam a, cancer-ah an chantîr a ni.

He cancer chi hrang hrang hi a awm em?

Ni e, World Health Organization (WHO) chuan he cancer hi cancer cell awm dan a zirin chi thum lian takah a then a. A chi thenkhat chu an darh chak hle a, thenkhat erawh chu an thang zawi zawk thung. Enkawl dan pawh a chi hrang hrang a zirin a inang lo.

I doctor-in eng chi nge i neih tih chiang taka a hriat chian hnuah, i tana enkawlna ṭha ber leh hmalam hun eng nge thleng dawn tih hriatna ṭha tak a pe thei ang che.

He natna lan chhuah dan engte nge ni?

Hemi chungchanga harsatna pakhat chu symptoms a lo lang zawi zawi hle a ni . Asbestos a inhriat hnu kum 20, 30, a nih loh leh kum 50 vel pawh a la ngai thei a, chu chu natna lan chhuahna a ni thei. A tir lama a lan chhuah dan chu khawsik emaw, natna tenau dang emaw nen a inang a, chuvangin mi tam takin an ngaihven vak lo. Natna a nasat deuh deuh chauhvin Doctor hmu turin an kal thin.

A lan chhuah dan lian ber pahnih chu:

• A rilru a na reng
• Thâwk harsa (thâwk tawi) .

Chu bakah, heng symptoms te hi i hmu thei 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
• Chau
• Khua a chak lo tihna a ni

Asbestos tih loh hi a chhan dang a awm em?

Asbestos exposure vang a ni a, natna hmuhchhuah zinga 70% vel a ni. Mahse, a then phei chuan asbestos vei lote pawhin he cancer hi an vei thei a ni. Scientist ten he thil hi an la zirchiang mek a ni. A chhan dang awm thei thenkhat chu:

• Tun hmain a rilru lam area-ah radiation therapy a lo dawng tawh bawk.
• Genetic changes inherited (entir nan, gene BAP1 awm lohna).
• Carbon nanotubes (tunah chuan lirthei leh infiamna hmanrua ang chi thil tihchakna atana hman thin) an tih thil pakhat nena inzawmna .

Tu nge hlauhawm ber?

He natna hi an hnathawhna hmanga kum tam tak chhung asbestos ei tawhte zingah a awm fo thin. Heng mite zinga tam tak hi tunah chuan pension tawh (kum 65 aia upa) an ni tawh. An naupan laiin asbestos nena inzawm hna an thawk a, chu chu asbestos hlauhawmna chungchanga dan siam a nih hma khan a ni.

Sri Lanka ramah pawh hetiang hna thawktute hi an hlauhawm zawk a ni:

• Mipuiin building sak leh tihchhiat hna an thawk a
• Lawng siamna hmuna hnathawkte
• Garage leh factory-a hnathawkte
• Insulation material siamtu leh installer te
• Kangmei ven hna thawktute
• Plumber te an ni
• Miners te an ni

Chubakah chuan,

• Asbestos hmanga hnathawkte nen in khata awmte pawh hi an hlauhawm hle a, a chhan chu chu thil chi hrang hrang chu an thawmhnaw leh pheikhawk atang hian in chhungah a lut thei a ni.
• Asbestos laihchhuahna hmun bula awm emaw, asbestos awmna in hlui tihchhiatna hmuna awmte pawh an hlauhawm hle.

He natna hi engtin nge kan hriat theih ang?

Doctor i hmuh chuan i natna lan chhuah dan te, i damdawi lam chanchin te, a bik takin i hnathawh dan leh asbestos i tawrh theih dan te a zawt hmasa ang. Tichuan, test ṭhenkhat an rawt thei a, chu chu:

• Imaging test: Chest X-ray hmangin lung chhunga inthlak danglamna, pleura thickening, emaw lung chhehvela tui (pleural effusion) emaw a awm thei. Chu bâkah, MRI, CT scan, a nih loh leh PET scan-ah chuan tumor awmna hmun leh cancer chu a darh tawh em tih hriat theih a ni bawk.
• Thisen test: Thisen test thenkhatah chuan thisenah hian he cancer nena inzawm thil thenkhat (fibulin-3 leh soluble mesothelin-related peptides te ang chi) level sang tak a awm tih an hmu thin.
• Thoracentesis: Hei hi lung chhehvel atanga tui sample te tak te lakchhuah a, cancer cell awm leh awm loh test a ni. Hei hian rilru natna leh thawk harsatna a tiziaawm thei a ni.
• Biopsy test hmanga enfiah: 1.1.

Cancer natna hi eng stage nge ni?

Cancer dang ang bawkin natna darh dan azirin stage 1 atanga 4-ah then a ni. He stage a zirin enkawl dan tur ruahman a ni.

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 hrang hrang hmangin enkawlna an ruahman tlangpui.

• Surgery: Natna tan tirh lamah surgery tih theih a ni. Hei hian cancer nei lung pum pui lakchhuah (extrapleural pneumonectomy - EPP) emaw, cancer tissue leh pleura chauh lakchhuah (pleurectomy with decortication - P/D) emaw a huam thei.
• Radiation Therapy: Hei hi high-energy rays hmanga cancer cell tihchhiatna a ni. He enkawlna hi operation hnua cell la awm zawng zawng tihhlum nan emaw, symptoms (chhung natna ang chi) tihziaawm nan emaw hman a ni.
• Chemotherapy: Hei hian cancer cells thattu emaw, an thanna tur titawptu emaw damdawi pek a ni. Pemetrexed, carboplatin, cisplatin te hi damdawi hman tam ber an ni.
• Immunotherapy: Hei hi enkawlna thar tak a ni a, keimahni taksa chakna (immune system) tichaktu, cancer cells te hriatchhuah leh tihchhiat theihna a ni.
• Palliative Care: A tum ber chu cancer tihdam a ni lo. Chu ai chuan damlo symptoms (natna, thawk hah) control a, nitin nun nuam leh natna awm lo thei ang bera siam a ni.
• Clinical Trials: Hengte hi enkawlna thar a him leh him loh enfiahna zirchianna a ni. Chungte chu enkawlna thar, gene therapy ang chi test nan an hmang thin. Heng trial zinga pakhatah hian i tel thei ang em tih chu i doctor nen in sawi dun thei ang.

He natna hi pumpelh dan tur a awm em?

Pleural mesothelioma venna kawng tha ber leh awmchhun chu asbestos particles inhaling loh hi a ni. Tunah chuan ram tam zawk chuan asbestos hman khap tawh mah se, kum 1980 hma lama sak in hlui leh lirtheiah te pawh a la awm thei a, i hlauhawmna tihziaawm nan a hnuaia mite hi i ti thei ang:

• I in chhungah asbestos hlui i neih chuan eng thil pawh siamthat hmain mithiam hriatna nei takin enfiah hmasa phawt ang che.
• Asbestos i paih dawn a nih chuan trained company hnenah hna chu hlan rawh. Nangmah ngeiin tih tum ngai suh.
• I hnathawhna hmanga asbestos i tawk a nih chuan invenna thawmhnaw leh hmai tuamna dik tak i vuah ngei ngei tur a ni. Hnathawh zawha i haw hunah i thawmhnaw emaw, i pheikhawk emaw-ah chuan a chi hrang hrangte chu in lama phur lo turin fimkhur rawh.