I X-ray-ah i lungah hmun te tak te (pulmonary nodule) i nei em? Ngaihtuah buai suh, sawi ila!

Eng emaw chhan dang vangin i rilru X-ray emaw CT scan emaw i nei tih han ngaihtuah teh, chu chu i rilru a tight vang pawh a ni thei. Ni engemaw zat hnua report i hmuh chuan ‘pulmonary nodule’ a awm tih i hmu a. Hlauhna nasa tak a lo chhuak nghal mai hi thil pangngai a ni. "Aw ka Pathian, hei hi cancer a ni em?" Zawhna chu i rilru hnung lamah a lo chhuak thin. Mahse, hlauh tur thil a ni tak tak em? A tam zawkah chuan a ni lo. Hemi chungchang hi awlsam tak leh chiang takin sawi ila.

Pulmonary nodule tih hi eng nge ni?

A awlsam zawngin, pulmonary nodule chu i lung tissue chhunga thil te tak te, zungbun emaw, oval emaw ang chi, X-ray emaw CT scan-a lung tissue pangngai nen a danglamin a lang a ni. Chungte chu a lian lo deuh fo thin.

Report-a hetiang thil i hmuh hian hlauhthawn hi a hriatthiam theih. Mahse kan hriat reng tur pawimawh tak chu heng spot emaw lumps emaw zinga 95% aia tam hi cancer (`benign`) an ni lo tih hi a ni. Chumi awmzia chu an hlauhawm lo va, taksa peng dangah an darh lo tihna a ni.

I report-ah hian `ground glass opacity` tih thumal hi i hmu tawh mai thei. Doctor hian a sawi tum chu i hria em? Chumi awmzia chu a hmunte chu a te lutuk a, chuta tang chuan a hnuaia lung tissue chu i hmu thei lo tihna a ni a, chu chu smoked glass atanga thlir ang mai a ni. Spot thenkhat chu a solid vek a, a hnuaiah engmah i hmu thei lo tihna a ni. Spot thenkhat chu a pahnih inzawmkhawm a ni thei. Hetianga a lan dan hian doctor chu a lump awm dan tur a hriat theih nan a pui thin.

Hetiang dinhmun hi engtiang chiahin nge a awm? Tin, symptoms a awm em?

Hei hi i ngaihtuah aiin a tam zawk hle. Dik tak chuan, an lung CT scan nei mi pathum zinga pakhat vel chuan an report-ah he hmun tlemte hi an nei ang. Chuvangin hei hi a hluar zia chu i ngaihtuah thei ang.

Symptoms chungchang sawi dawn chuan a tam zawkah chuan heng lumps te te hian symptoms a siam lo. Scan neih laiin chhan dang vangin i nei tih i hrechhuak mai thei. Mahse, a tlem berah chuan lump chu a lian zawk a nih chuan, emaw, thawkna kawng bulah a awm a, a press a nih chuan, cancer a nih chuan symptom engemaw zat i nei thei.

Engvangin nge lungah hian hetiang spot hi a lo awm?

Hei hi chhan tam tak a awm thei. A bulpui berte han thlir ila.

• Infection hlui atanga hliam: Hei hi a chhan tam ber a ni. I natna hmasa ber, fungal infection emaw tuberculosis emaw, a dam tawh a, i lungah hliam ang chi (granuloma) te tak te a hnutchhiah tawh a ni thei. Hengte hi a hlauhawm lo tak zet a ni. Vun hliam a dam chuan hliam te tak te a hnutchhiah ang mai a ni.
• Benign tumors: Cancer ni lo, hlauhawm lo tumor pawh lungah a lo awm thei bawk. Entirnan hamartomas leh lipomas te hi a ni.
• Immune system natna: Heng lump chi hrang hrangte hi taksa hriselna hnathawh tidanglam thei natna, rheumatoid arthritis emaw sarcoidosis emaw vang pawh a ni thei.
• Lung (`Fibrosis`): A chhan hrang hrang, zuk leh hmuam, chemical chi hrang hrang inhnim, leivut te hian lung a tichhe thei a, hliam a siam thei bawk. Hei hi lumps angin a lang thei bawk.
• Cancer natna hrik awm thei:Ni e, a tlem berah chuan he lump hi cancer bul tanna a ni thei. Lung cancer (`non-small cell lung cancer`, `small cell lung cancer`) te hi hetiang hian a intan thei a ni. Tin, taksa peng dang atanga cancer chu lung (`metastasis`)-a a darh chuan hetiang lumps hi hmuh tur a awm bawk.

Doctor hian eng nge a tih leh ang?

I doctor-in i report-a hetiang lump a hmuh hian thil engemaw zat a ngaihtuah ang a, chung zingah chuan i medical history kimchang, i kum, i zuk lehzual loh, leh i chhungte zingah cancer vei an awm tawh em tih te pawh a tel ang. Tin, scan-a hmuh angin lump lian leh te, a pianzia (smooth or rough edges), leh a lan dan te pawh a ngaihven hle ang.

Hei hi CT scan atang hian cancer a ni em tih i hre thei ang em?

Hei hi chhanna dik tak chu ni lo tih hi a ni. CT scan en mai mai hian cancer a nih leh nih loh chu 100% chiang takin i hre thei lo. Cancer a nih leh nih loh finfiah theihna awmchhun chu biopsy a ni a, chu chu lump sample tlemte lak a, enfiah a ni.

Mahse, CT scan hian doctor hnenah thu hlu tak tak a pe a ni.

• Size: Lumps 0.6 centimetre (6 millimeters) aia te hian cancer vei theihna a tlem hle.
• Shape: Lumps, a sir smooth, rounded tak tak te hi cancer ni lo a nih a rinawm zawk. Lumps rough, jagged, irregular edges nei te hi a buaithlak deuh.

Engtikah nge biopsy lak a ngai?

I doctor chuan a hnuaia thil awmte hi biopsy lak a rawt zawk ang:

• Lump chu millimeter 9 aia lian a nih chuan.
• Hun kal zelah scan-ah lump chu a lian zauh zauh a nih chuan.
• Lung cancer vei theihna tur risk factor dang i neih chuan.

Biopsy tih dan kawng hrang hrang a awm. Bronchoscopy, VATS (Video-assisted thoracic surgery), emaw needle biopsy te hi a then a ni. I doctor chuan eng method nge i tan a tha ber tih a rel ang.

Enkawlnate chu engte nge ni?

A tam zawkah chuan lump te tak te, cancer nei lo te hian enkawlna engmah an mamawh lo. I doctor chuan "active surveillance" an tih chu a ti fo ang. Chu chu lungngai lova nghah tihna a ni.

Thla 6 emaw thla 12 emaw hnuah CT scan dang nei leh turin an ti ang che. Hei hian lump size a danglam em tih a enfiah ang. Kum hnih vel chhunga scan-a lump chu a lian leh te a inang reng emaw, a lo tlem emaw chuan cancer a nih theihna chance chu zero vel a ni.

• Infection vang a nih chuan: Lump hi infection vang nia hriat a nih chuan antibiotics emaw antifungal damdawi emaw pek tur a ni.
• Lump a lo lian a nih chuan: Enfiahna hun chhunga lump a lo thang a nih chuan, symptoms a lo awm a nih chuan, biopsy atanga cancer a nih thu a hriat chuan surgery hmanga lump hi lakchhuah a ngai mai thei.

Engtikah nge doctor i hmuh ang?

I scan-ah lung nodule a awm tih a report chuan, i ngaihtuahna i neih apiang sawipui turin i doctor hmu ngei ang che. Tin, a hmaa kan sawi tawh ang chi symptoms eng emaw zat, rilru na, khuh reng emaw, thawk harsa emaw i neih chuan i doctor pawh i hriattir nghal tur a ni.

Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang?

Hetiang symptom na tak tak i neih thut chuan damdawi in Emergency Department (ETU) ah kal nghal la, 1990 ah call rawh.

• A rilru natna nasa tak, tuar theih loh
• Thâwk lak a har hle mai.
• Khuh laiin thisen chhuah tam lutuk

A tawp berah chuan i doctor hnenah hetiang zawhna hi zawt hreh suh:

• He lump ka neih chhan hi eng nge ni thei ang?
• Test tam zawk tih ka ngai em?
• Eng symptom nge ka ngaihtuah bik tur?