I thluaka heng tumor hmuh tur awm lo tak takte hi i nei em? Gangliocytoma leh Pineocytoma chungchang i zir dawn teh ang!

Aw, a chang chuan, ‘brain tumor’, ‘Lu na ka nei a, ka enfiah ang’ tih te kan hre fo thin. Chutiang thil ka hriat chuan ka thinlung a ti na tak zet. Mahse, i hria em, thluaka tumor lo awm zawng zawng hi cancer chi khat hlauhawm tak an ni vek lo. Tumor thenkhat chu a lo thang zawi zawi a, benign, chu chu cancer ni lo tihna a ni. Vawiin hian chutiang, eng emaw chen hmuh tur awm lo, mahse hriat hlawh tak, thluaka tumor chi hnih kan sawi dawn a ni. Chungte chu gangliocytoma leh pineocytoma te an ni.

Gangliocytoma leh Pineocytoma te hi eng nge ni?

A awlsam zawngin, heng pahnih hi thluaka tumor chi hrang hrang, hlauhawm lo (i.e. non-cancerous - `benign`) chi hrang hrang an ni.

Gangliocytoma hi tumor chi khat a ni a, i central nervous system (CNS tia hriat bawk) hmun thenkhat a nghawng a ni.

A chi dang, pineocytoma chu pineal gland-ah a lo piang a, chu chu i thluak chhung thuk taka awm gland te tak te a ni. Pineal gland hi kan mut thunun theitu gland a ni. Ngaihtuah teh, he gland te tak te hi zan mut leh zing thawh ang chi thil atan a pawimawh hle.

Tumor chi hnih hi a thang zawi zawi a . Chuvang chuan a chang chuan symptoms a lan theih nan hun rei tak a ngai thin. Doctor-te chuan operation hmangin an enkawl tlangpui a, a chang chuan radiation therapy hmangin an enkawl bawk.

Hetiang thluaka natna chi hrang hrang hi tuin nge vei tam zawk?

Dik tak chuan gangliocytoma an tih tumor chi khat chu kum eng pawhah a lo awm thei a ni. Chumi awmzia chu naupang tê tê emaw, tar emaw pawh a hlauhawm thei tihna a ni. Mahse, thalai kum 10 leh 30 inkar ah a lang tam ber .

Pineocytoma tumor hian puitling a nghawng tlangpui a, chu chu kum 20 leh 64 inkar a ni tihna a ni a, kum 38 vel a ni.

Kan central nervous system (CNS) hmun eng hmunah nge gangliocytoma tumor hi a lo awm?

Gangliocytomas hi i thluak hmun thenkhat temporal lobes an tih ah a lo awm tam ber . Hengte hi i beng hnung lamah a awm a. Heng temporal lobes te hian i hriatrengna, hriatna leh rilru natna ang chi thilte chu a thunun thei a ni. Ngaihtuah teh, thilthleng hlui i hre reng a, hla i ngaithla a, nuam i ti a, heng hmun hrang hrangte thiltih avang hian i hlim emaw, i lungngai emaw a ni.

Chu mai ni lovin, he tumor hi i taksa hmun hrang hrangah hian a lo awm thei bawk:

• Brainstem: Hei hi i thluak chunglam (cerebrum), spinal cord leh cerebellum inzawmkhawmtu, bridge ang chi a ni. I thawk leh heart rate ang chi hna pawimawh tak takte control thei signal a thawn chhuak thin.
• Cerebellum tih chu: 1.1.He i thluak peng, i lu hnung lama awm hian i balance, movement leh vision a control a ni. Ngaihtuah teh, i thluak peng hi i kal laiin i ding nghet a, tlu lo turin a veng a, ball man turin i kut a phar bawk.
• Third ventricle floor: Hei hi thluak hmalam a khur tawi tak a ni. Thluak hi hliam lakah a venghim a, ei leh in leh bawlhhlawh te a kal kual theih nan a pui bawk.
• Spinal cord: Hei hi i thluak atanga i taksaah leh i taksa atanga i thluak thlenga nerve signal thawn chhuahna kawngpui ber a ni. Heng nerve signal te hian thil ( lum, vawt, natna) i hriat tir a, i taksa a ti che thin.

Pineal cyst leh pineocytoma hi eng nge an danglamna?

Hei pawh hi mi tam tak tibuai thei thil a ni. Ngaihtuah teh, pineal cyst chu tui emaw boruak emawa khat bawm a ni . Tui hrual ang mai a ni. Hengte hi scan laiin accident-in hmuh tur a awm fo thin. Mahse, pineocytoma chu tumor a ni a, chu chu cell pangngai lo tam tak inzawmkhawm atanga lo piang a ni .

Pineal cyst hi a lian lo tlangpui a, chu chu a lian leh te a inthlak tlem tihna a ni. Pineocytomas erawh chu a thang zawi zawi a. Mahse, an pahnih hian benign (non-cancerous) condition an ni. Hei hian cancer vei an ni lo tihna a ni.

Heng natna avanga natna lan chhuah dan te hi engte nge ni?

A tam zawkah chuan gangliocytoma i neih pawhin symptom i nei lo mai thei. A châng chuan doctor-te chuan harsatna dang neia imaging test (MRI emaw CT scan ang chi) an tih laiin heng tumor te hi a thleng mai maiin an hmu ṭhin.

Mahse, tumor chi hnih, gangliocytoma leh pineocytoma tia koh te hian natna thenkhat, symptom hrang hrang nei a thlen thei a ni.

Gangliocytoma natna lan chhuah dan tlangpui

He tumor hian symptoms a thlen thei a, chungte chu:

• Movement inthlak danglamna: Muscle control hloh ang mai. Entirnan, khur, paralysis, chak lohna. Ngaihtuah teh, rang takin no i chelh harsa a, a nih loh leh i ke chu i kal laiin a tlu ang maiin i hria.
• Hriatthiamna inthlak danglamna: Hmun thenkhata rilru hahna, kea tingling sensation ang chi.
• Thusawi harsatna: Thusawi thiam lo, tawng thei lo ang mai. I sawi duh chu chiang takin i sawi thei lo.
• Mit a danglam: Mit hmuh chu a fiah lo thei a, hmun hnih a i hmu ang maiin a lang thei a, a chang chuan i mit hmuhna hmun thenkhat i hloh ang maiin a lang thei bawk.

Gangliocytoma hian damdawi lam harsatna na tak a thlen thei em?

Ni e, he tumor hian damdawi lam harsatna na tak tak a thlen thei a ni. Entir nan:

• Endocrine system lama harsatna nei te: 1.1.Hengte hi i taksaa glands-te hormone siam chhuah a pun emaw, a tlahniam emaw a nih chuan a awm thin. Hei hian i taksa hnathawh tam tak a tibuai thei a ni.
• Seizures: Hei hi i hre tawh mai thei, hriatna hloh nghal leh convulsions. Heng tumor te hian thluak tichaktu hmangin he natna hi a thlen thei a ni.
• Thluak chhunga pressure sang: Hei hian lu na, luak chhuak, luak chhuak, leh buaina a thlen thei. I lu chu chhungril atanga i hrual ang maiin a lang thei.
• Lhermitte-Duclos disease (LDD): Hei hi tumor hmuh tur awm lo tak, hlauhawm lo tak a ni. I cerebellum-ah a lo thang lian thin. A then chuan cerebellum-a dysplastic gangliocytoma an ti bawk. LDD vei chuan lu na, luak chhuak, thluaka tui (hydrocephalus), kal harsatna leh balance hloh (ataxia), leh mit lama harsatna te a nei thei. LDD vei te hian Cowden syndrome tih hming pu genetic condition an nei thei bawk a, hei hian vun natna a thlen a, cancer vei theihna a tipung bawk.

Pineocytoma natna lan chhuah dan tlangpui

Pineocytoma hian i thluak chhungah tui a tipung thei a, chu chuan pressure a tisang thei a ni. Hei hi hydrocephalus an ti a . Hydrocephalus i neih chuan a lan chhuah dan te chu i nei thei a ni:

• Balance lama harsatna: Kal laiin balance hloh, tlu mai tur ang maia inhriatna.
• Mit chetna lama harsatna (`Parinaud syndrome`): Mit lam hawi harsa, a bik takin hmalam hawi dik tak a nih chuan. Mit pahnih chu a rualin i che thei lo mai thei.
• Lu na: Lu na nasa tak, awm reng i nei thei. A chang chuan he natna hi zing i thawh chuan a na zual thin.
• Hriatrengna lama harsatna: Thil theihnghilh, thil thar hriatreng harsa.
• Nausea leh luak chhuak: Hei hi a na zual thei a, a bik takin zing lamah.
• Sleep disorders: Mut theih loh, emaw, mut tam lutuk. Hei hi pineal gland hi mutnaah a inrawlh vang a ni.
• Kal harsa: I kal thei lo ang maiin a lang a, i ke a nghing bawk.

Heng thluaka natna hrik awm chhan tak tak hi eng nge ni?

Tumor dang tam zawk ang bawkin gangliocytomas leh pineocytomas te hi kan cell-te genetic instruction a inthlak chuan a lo awm thin. Hetiang hian han ngaihtuah teh: kan taksaa cell te hi factory te tak te ang mai an ni. Hnathawh tur thupek an dawng thin. Heng thupekte hi a inthlak chuan cell te chu thunun theih lohvin an inthen tan thin. Chutah chuan tumor an siam ta a ni.

Mahse, zirchiangtute chuan heng inthlak danglamna thlentu ``trigger'' dik tak chu eng nge ni tih chiang takin an la hre lo. Chu chu, heng cell-te hian hetiang hian an awm nghal thut chhan hi chhanna chiang tak a awm lo tihna a ni.

Mahse, Lhermitte-Duclos natna nena inzawm Cowden syndrome hi PTEN an tih gene-a mutation vang a ni tih an hmuchhuak ta a ni. He PTEN gene hian protein a siam a, chu chuan cell te an than dan leh an inthen dan control nan a pui thin. Chuvangin, PTEN gene chu a inthlak danglam chuan chu protein siam chhuah chu a tawp a, cell-te chu thunun theih lohvin an lo thang lian tan ta a ni.

Engtin nge doctor-te hian heng tumor te hi an hriat chhuah? (Diagnosis) tih a ni.

Heng symptoms te hi i neih chuan doctor chuan i symptoms te leh i chhungkuaa tu emaw chuan heng natna hi an nei tawh em tih te a zawt hmasa ang che (`family health history`). Tichuan, an enfiah ang che. `Neurologic exam` an ti ang a, a bik takin i nervous system test an nei ang . Hei hian a hnuaia mite hi a zawng ang:

• I mit leh i hmui a che dan.
• Muscle chakna.
• Reflexes (hammer te tak te hmanga khup chunga vuak a nih chuan ke a zuang dawn em tih ang chi) .

Chu bakah, doctor chuan heng test te hi a ti thei bawk:

• Magnetic Resonance Imaging (MRI): Hei hi natna nei lo test a ni. Magnet lian tak, radio wave leh computer hmangin i taksa chhunga taksa peng leh thil awmte chu chiang takin a la thei a ni. Tumor a awm leh awm loh, engzat nge a lian tih leh khawiah nge a awm tih hriat nan hman a ni.
• CT (computed tomography) scan: Hei hian X-ray hrang hrang leh computer hmangin i soft tissue leh ruh te chu three-dimensional image a siam a. MRI ang bawkin tumor zawngin enfiah nan hman a ni.
• Thisen test: Hei hi i thisena melatonin level dik lo (a bik takin pineocytoma, pineal gland nena inzawm a nih avangin) i neih leh neih loh hriat nan tih theih a ni.
• Spinal tap (lumbar puncture): Hei hian i thluak leh ruhro vel a cerebrospinal fluid (CSF) sample lak a, tumor cells a awm leh awm loh enfiah a ni.
• Biopsy: Hei hian tumor atanga cell sample te tak te lak a, lab-a test a, eng tumor chi nge tih chiang taka hriat a ni. Doctor-te chuan minimally invasive technique, endoscopy emaw stereotactic needle biopsy emaw an hmang fo thin.

Gangliocytoma hi engtin nge enkawl a nih?

Gangliocytoma i nei a, mahse symptom i nei lo tih han ngaihtuah teh. Chutih hunah chuan i doctor chuan, "I en ang u," a ti ang che. Chu chu, natna lan chhuahna thar i neih leh neih loh enfiah turin regular check-up turin a rawn lut ang che, a nih loh leh tumor chu a danglam emaw, a lian zawk emaw a nih leh nih loh enfiah turin a hrilh ang che tihna a ni. Imaging test leh thisen test ang chi thil pawh a ti thei bawk.

Mahse,Enkawlna i mamawh chuan doctor-te chuan thluak surgery hmangin tumor an paih chhuak tlangpui. Vanneihthlak takin hetiang chi lakchhuah hnuah hian gangliocytomas hi a lo kir leh a rinawm loh hle.

Pineocytoma hi engtin nge enkawl a nih?

Pineocytoma vei thenkhatah chuan doctor-te chuan thluak surgery hmangin tumor zawng zawng emaw, a then emaw chu an paih chhuak thei a ni. Radiation therapy tih damdawi pawh an hmang thei bawk .

Surgery neih lai hian hydrocephalus (thluak tuiin a khat a, pressure a sanna dinhmun) i neih chuan doctor-te chuan plastic tube te tak te, shunt an tih chu i thluak chhungah an dah thei a ni. He shunt hian i thluak atanga cerebrospinal fluid extra chu a paih chhuak a, i lu chhunga pressure a ti tlem a ni. Hei hian i symptoms nasa takin a tihziaawm thei a ni.

Heng thluaka tumor lo awm tur hi kan ven theih dan tur a awm em?

Awle, heng tumor te hi a lo awm loh nan engmah tih theih i nei lo tak zet a ni . Sawi tawh ang khan cell te an inthlak danglam a, thunun theih loha an inthen tan chuan an lo piang thin. Cowden syndrome nena inzawm a nih loh chuan zirchiangtute chuan he mutation hi eng nge a thlen tih chiang takin an la hre lo. Cowden syndrome hi cell thanna control tu gene inthlak danglam vang a ni. Chuvangin, hei hi kan thunun theih thil a ni lo.

Hetiang tumor i neih chuan eng nge thleng ang? Eng nge i beisei theih ang?

A tam zawkah chuan he tumor hi lakchhuah tumin operation an tih hnuah a lo kir leh theihna chance a tlem hle . Chu chu a thlamuanthlak takzet a ni lawm ni? Chu chu enkawlna hnuah pawh nun pangngai takin i hmang thei tihna a ni. Mahse, doctor-in a sawi angin `follow-up` check-up-a kal a ngai a ni.

Engtikah nge Doctor ka hmuh ang?

I dinhmun azirin i doctor chuan i hriselna zawng zawng enfiah turin follow-up appointment mumal tak a siam thei ang. Tumor lakchhuahna tur operation i neih chuan, tumor chu a lo let leh tawh em tih emaw, tumor thar a lo awm tawh em tih emaw enfiah turin imaging test pawh an rawt thei bawk.

A pawimawh ber chu engtik lai pawhin doctor pan tur a ni a, a hmaa tumor symptoms i neih chuan, emaw, i taksaah thil thar, rinhlelh awm tak tak i hmuh chuan Tih sawn suh, a tha em? A chhan chu i natna i hriat hma poh leh enkawl a awlsam zawk a ni.

Kan sawiho tawh a\anga hriat reng tur pawimawh ber berte (Take-Home Message) .

Gangliocytoma leh pineocytoma hi thluaka tumor pahnih, a lo thang chak lo hle a, a tha lo hle a, i central nervous system (CNS) leh pineal gland-ah a lo awm thin.

Hengte hi cancer ni lo mah se, i nun tichhe thei damdawi chi hrang hrang a thlen thei a ni. Tumor i neih chi hrang hrang a zirin doctor-te chuan surgery emaw, radiation therapy emaw hmangin an enkawl thei a ni. Heng tumor te hi operation hmanga lakchhuah an nih hnuah an lo kir leh a rinawm loh hle.

Hetiang tumor tha lo tak i neih chuan i doctor nen in enkawl dan tur te, enkawl hnua i beisei tur te, leh he tumor chi hrang hrang nena nun dan tur i hriat tur te sawipui rawh. Engmah kha vawng tlat suh, engkim ngaithla rawh . Chakna a pe ang che. Hlau suh, a pawimawh ber chu heng thilte hi fimkhur a, doctor thupek zawm hi a ni.

` Thluaka natna hrik, gangliocytoma, pineocytoma, CNS, pineal gland, natna lan chhuah dan, enkawl dan