Natna danglam tak i neih avangin i rilru X-ray emaw CT scan emaw i nei tawh mai thei a, chu chu khuh chhunzawm zel ang chi thil vang pawh a ni thei. Report-a "pulmonary nodule" i hmuh hian hlauhna leh lungkhamna nasa tak i neih hi thil pangngai a ni. I ngaihtuah nghal mai thei, "Aw ka Pathian, hei hi cancer a ni em?" Mahse hrilh tur pawimawh ber chu heng lumps tam zawk hi cancer an ni lo tih hi a ni . Chuvangin hlauthawng lo ila, a thupui lam pan nghal ila.
Pulmonary nodule tih hi eng nge ni?
A awlsam zawngin, hei hi i lung chhunga ‘spot’ emaw ‘lump’ te tak te a ni. X-ray emaw CT scan emaw hmanga en chuan he lump hi a chhehvel lung tissue hrisel tak tak atang hian a lang chiang hle. Kawr dum chunga bawlhhlawh te tak te ang mai a ni. Report-a lump a sawi hian ngaihtuahna seng hi thil awmdan a ni a, mahse hre reng ang che, heng zinga a tam zawk hi chu benign an ni a, chu chu non-cancerous conditions tihna a ni.
A chang chuan i report-ah "ground glass opacity" tih thumal i hmuh chuan hlau suh. Hei hian lump awm dan a kawk a ni. Chu chu lump chu smoked glass ang mai a ni tihna a ni a, chuta tang chuan i hmu thei lo tihna a ni. Lump thenkhat chu a solid a, chuta tang chuan engmah hmuh tur a awm lo. Hetianga a lan dan hian doctor hnenah chuan lump awm dan tur ngaihtuahna engemaw zat a pe thei a ni.
Heng lumps te hi engtiang chiahin nge an awm?
Hengte hi i ngaihtuah aiin a tam zawk. Dik tak chuan, chest CT scan nei mi pathum zinga pakhat vel chuan an report-ah hetiang lump te tak te hi an nei ang. Chutiang chuan he dinhmun hi a awm fo thin. Chuvangin nangmah chauh ni lovin, midang tam takin an report-ah hetiang hi an nei dawn a ni.
Hengte hian symptoms a nei em?
Lung nodules te te hian symptom a nei lo tlangpui. Test neih laiin chhan dang vangin accident-in an hmuchhuak fo thin. Mahse, nodule a lian a, thlipui ang chi hmun a press a nih chuan, cancer a nih chuan symptom thenkhat a awm thei.
| Symptom a ni | Hrilhfiahna |
|---|---|
| A rilru a na | Lump a lian a, a chhehvel tissue a press chuan a thleng thei. |
| Thâwk harsa (Dyspnea) emaw, rilru hah emaw | Thli kawng inkharkhip vang a ni thei. |
| Hun rei tak chhung khuh emaw thisen nen phlegm emaw | Hei hi symptom pawi tak a nih theih avangin damdawi lam thurawn lak vat a ngai a ni. |
| Chauhna leh hahna | Taksa mamawh oxygen tlem vang a ni thei. |
| Aw ri bengchheng tak | Vocal cords nena inzawm nerve compression vang pawh a ni thei. |
| Chaw ei chakna hloh leh taksa rihna tlahniam | Chhan bik nei lova taksa rihna tihtlem hi ngaihtuahawm tak a ni. |
Engvangin nge heng lumps te hi lung chhungah an lo awm?
Lung nodules a lo awm theih chhan hi eng emaw zat a awm. Thil chi hrang hrang avanga lo awm thei a ni a, chungte chu natna hrik, taksaa thil te te lo lut te, immune system natna te, lung chhunga hliam (scarring) leh cancer te a ni.
A chhan lian ber ber thenkhat chu hetiang hi a ni:
- Infectious Granulomas: Hengte hi cancer ni lo lumps chi hrang hrang zingah chuan a tam ber a ni. Heng lumps te hi kan ramah hian a awm fo tuberculosis ang chi bacteria infection vang emaw, fungal infection thenkhat vang emaw hian lung chhungah a lo awm thei a ni. Heng lumps (Granulomas) te hi taksaa immune cells te an inzawm khawm a, infection do turin an lo awm thin.
- Noninfectious Granulomas: Heng lump chi hrang hrangte hi autoimmune natna, rheumatoid arthritis leh sarcoidosis te vang pawhin a lo awm thei bawk.
- Benign Tumors: Heng lumps te hi benign tumors (e.g., Hamartomas, Lipomas) vang pawh a ni thei.
- Cancerous Tumors: A then phei chuan he lump hi lung cancer bul tanna a ni thei. Mahse, hei hi chhan dang aiin a tlem zawk tih hre reng ang che.
- Scarring/Fibrosis awm thei: 1.1.Meizial zuk, chemical chi hrang hrang inhnim emaw, leivut emaw hian lung a tichhia a, chu hmunah chuan hliam (spot) a siam thei a ni. Hengte hi X-ray-ah pawh nodules angin kan hmu thei bawk.
Doctor, hei hi cancer a nih leh nih loh engtin nge i hriat?
Doctor chuan i report a hmuh hnuah thutlukna a siam nghal mai dawn lo. CT scan ringawt pawh hian cancer a nih leh nih loh 100% a hre thei lo. Mahse, clues pawimawh tak tak a pe thei che a ni.
Doctor chuan heng thute hi a ngaihven hle a ni:
- Lump lian tham: A tlangpuiin lumps 0.6 centimetre (6 millimeters) aia te hi cancer vei theihna a tlem hle.
- Lump pianzia: Lumps, a sir hrual, zungbun nei te hi a hlauhawm lo tlangpui. Mahse, lumps, a sir mumal lo, spiky nei lo chu chhui chian belh a ngai a ni.
- Lump lo thanglian dan: X-ray emaw CT scan hmasa nen khaikhin la, lump chu a lo thang lian em tih en rawh.
Heng clues te atang hian doctor chuan eng nge a tih tur tih a rel ang. Test dang engemaw zat neih belh a rawt mai thei.
- Specialized test dang CT scan emaw PET scan emaw te pawh a awm thei.
- Thisen test emaw sputum test emaw hmangin natna hrik a awm leh awm loh enfiah thin.
- Lump atanga tlem te te enfiah nan lak (Biopsy) .
Cancer a nih leh nih loh 100% a hriat theihna awmchhun chu biopsy neih hi a ni.
Eng dinhmunah nge biopsy neih a ngai?
Lump zawng zawng hian biopsy a ngai lo. I doctor chuan a lump chu cancer a nih an rinhlelh chauhvin biopsy lak a rawt ang. Risk factors te chu:
- Meizial zu mi emaw, tun hmaa zu in tawh emaw i nih chuan.
- Kum 65 chunglam i nih chuan.
- Nangmah emaw, i chhungte zinga tu emaw hian cancer a lo vei tawh a nih chuan.
- I rilru lam area-a radiation therapy i dawng tawh a nih chuan.
- Asbestos leh radon ang chi thil i tawn tawh chuan.
- Lump chu millimeter 9 aia lian a nih chuan.
Biopsy tih dan kawng hrang hrang a awm. Bronchoscopy-ah hian camera dahna tube te tak te chu ka emaw hnar emaw hmangin lung chhunga en a, sample lak a ni. A chang chuan needle biopsy pawh hi a rilruah incision te tak te siamin an ti thin.
Hei hi eng enkawlna nge ni?
Thu lawmawm tak chu, cancer ni lo, lump te tak te tam zawk hi chu enkawlna engmah a ngai lo.
Doctor chuan "Active Surveillance" a rawt fo thin.Chu chu enkawl ngai lovin lump chu enfiah tihna a ni.
"Doctor chuan thla 6 emaw kum khat emaw vel hnuah CT scan dang nei leh turin a hrilh ang che. Lump hi a lian emaw a danglam em tih en rawh. Kum hnih vel a awm reng chuan cancer a nih theihna chance a tlem hle tih thutlukna siam theih a ni.
- Lump awm chhan chu infection a nih chuan antibiotics emaw antifungal damdawi emaw pek tur a ni.
- Observation period chhunga lump hi a lo thang lian a, symptoms a awm a, biopsy hmanga cancer a nih thu finfiah a nih chuan lump hi lakchhuah nan operation neih a ngai mai thei.
Eng dinhmunah nge ka lungkham tur?
I report-ah lump a awm a nih chuan i doctor nen inbiakna neih a pawimawh a, an thurawn zawm a pawimawh bawk. Mahse, a hnuaia symptoms te hi i neih chuan doctor pan nghal rawh.
I rilru natna nasa tak, thawk harsa, emaw, thisen chhuak khuh (phlegm) i neih chuan damdawi in Emergency Department (ETU)-ah kal nghal rawh.
Hengte hi natna khirh tak chhinchhiahna a nih theih avangin tihkhawtlai suh.
Doctor hnenah eng zawhna nge i zawh tur?
I hlauhthawnna leh rinhlelhnate hneh theihna kawng tha ber chu i doctor zawhna zawh a, hriatthiamna chiang tak neih hi a ni. Hetiang zawhna hi i zawt thei ang:
- "Doctor, he lump hi eng nge ni thei ang?"
- "A lian leh te, a lan dan ngaihtuah chuan engtiang chiahin nge a hlauhawm theih ang?"
- "Thil dang test ka ngai em?"
- "Eng nge kan tih leh ang? Scan dang kan tih leh a ngai em? Engtikah nge chu chu?"
- "Eng symptom bik nge ka fimkhur tur?"
Take-Home Thuchah a ni
- X-ray emaw CT scan-ah emaw lung lump (pulmonary nodule) hmuh a tam hle.
- Heng lumps tam zawk hi cancer ni lo leh hlauhawm lo tak tak an nih avangin hlauthawng nghal suh.
- Meizial zu mi i nih chuan i lung hriselna atana i tih theih tha ber chu meizuk bansan hi a ni.
- I doctor thupek ang chiah kha zawm rawh. Follow-up test nei tura an tih che chuan a hun ruatah ti rawh.
- Emergency symptoms (ril na, thawk harsa, thisen chhuak) a awm chuan fimkhur rawh.
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