I aw emaw, i thawk danah emaw danglamna a awm em? Hei hi Recurrent Respiratory Papillomatosis (RRP) a ni thei!

Nangmah emaw, i fa emaw chuan thawk laiin i aw a danglam emaw, a bengchheng deuh emaw, a hnim hring emaw a awm fo em? A nih loh leh khuh chhunzawm zel ang chi thil i buaipui em? Hengte hi khawsik natna lanchhuahna a ni thei bawk. Mahse, vawiin hian thil awm lo tak, mahse ngaihtuahawm tak tak kan sawi dawn a ni. A tawi zawngin (Recurrent Respiratory Papillomatosis) emaw (RRP) emaw an ti a. A hming dang chu `(Laryngeal Papilloma)` tih a ni. Lungngai suh, he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.

Hei hi eng nge ni (RRP)? I chhui chiang teh ang em?

A awlsam zawngin (RRP) hi virus `(Human Papillomavirus)` emaw `(HPV)` emaw atanga lo chhuak a ni. Hemi kawngah hian thil thleng chu kan thawkna kawng, chu chu ka atanga hnar leh lung thlenga kalna kawngah hian rulhut ang chi te te (hei hi `(Papillomas)` kan ti) a lo awm thin a ni. A dik tak chuan heng lo thang lian te hi kan aw siamna hmuna vocal cords (`(Vocal Cords)`) awmna, chu chu `(Larynx)` a ni. Mahse, a chang chuan heng lo thang lian te hi thawkna kawng hnuai lamah pawh a darh zau thei bawk. Chu chu:

• Trachea a ni
• Bronchi-ah a awm
• Chuap

Hetiang hmun hi a awm bawk.

A pawimawh ber chu heng (RRP) tumor te hi benign an ni lo , cancer an ni lo tihna a ni. Mahse, an thang chak hle a, an lo lang leh thei a, enkawlna chu a harsa deuh a ni. Mi thenkhat chuan kum khat chhungin operation vawi tam tak an neih a ngai mai thei.

He (RRP) dinhmun hian tute nge a nghawng ber?

Hetiang dinhmun (RRP) an tih hi naupang leh puitlingah pawh a awm thei. Engtin nge a lo awm tih i lo en ang u.

Naupang atanga lo chhuak RRP

Hei hi naupang kum 5 a tlin hmain hmuhchhuah a ni tlangpui . Puitling nena khaikhin chuan naupang tê tête RRP hi a na zawk a, enkawl hnuah a lo lang leh thei bawk. Chuvangin, naupang tê tête zingah hian he dinhmun hi kan ngaihtuah a ngai hle a ni.

Puitling atanga lo chhuak RRP

Hei hi kum eng pawhah a thleng thei a, a tlangpuiin kum 14 hnuah a thleng thei a, mahse, thu lawmawm tak chu puitlingah chuan a lo lang leh thin hi a hniam deuh hlek a ni.

Engtiang chiahin nge (RRP) hi a hluar?

RRP hi a takah chuan natna hmuh tur awm lo tak a ni . Statistically chuan mi sang za zinga mi pali zinga pakhat vel a nghawng a ni.

Mahse hetah hian thil hriat tur a awm. Hetiang (RRP) natna lakah hian HPV vaccine hi a tha hle. Naupang naupang kum 11 atanga tan tan a tha tlangpui a, hriselna lama mithiamte chuan he vaccine hian nakin lawkah HPV kaihhnawih cancer leh (RRP) ang chi natna a tihziaawm theih an beisei.

HPV virus chi hrang hrang (RRP) thlentu?

Human papillomavirus (HPV) hi a kaihhnawih virus 100 chuang awmna pawl a ni. Chung zinga ṭhenkhat chuan kan vun leh kan tissue hnim (entir nan, hmui, kawr, vagina, anus)-ah warts a thlen thin. HPV hi mipat hmeichhiatna atanga kai a nih avangin a hluar hle.

HPV chi hnih hi RRP thlentu ber an ni. Hengte hi HPV 6 leh HPV 11 te an ni a, hengte hi genital warts tam zawk thlentu an ni. HPV hian cancer chi hrang hrang a thlen thei bawk a, chu chu cervical cancer leh laryngeal cancer te hi a ni. A tlem hle a, lung cancer a thlen thei bawk.

HPV infection hi a takah chuan a tam hle. Mahse a tam zawkah chuan hriselna lama harsatna awm lovin a mah chauhin a bo thin. Doctor-te chuan mi thenkhat chauhin HPV kaihhnawih natna an vei chhan chiang takin an la hre lo.

HPV hi engtin nge (RRP) ah a kai theih?

Doctor-te chuan HPV hi engtin nge (RRP) a kai theih tih hi an la hre chiang lo hle. Mahse ngaihtuahna thenkhat chu hetiang hi a ni:

Naupang tê tê tan

Nausen a pian hian nuin active `(Genital Warts)` (genital warts) a neih chuan chu `(HPV)` chu a kaltlangin naute hnenah a kai theih a ni. Mahse, hetianga naute inhriatchhuah apiang hian (RRP) an nei vek dawn lo tih hriat reng a pawimawh. Hei hian percentage tlemte chauh a thleng tihna a ni.

A chang chuan naute chu cesarean section hmanga piang pawh nise RRP a nei thei. Hei hian HPV hi nausen pum chhunga a la awm laiin a kai a ni thei tih a tilang.

Puitling tan chuan

HPV hi oral sex hmangin puitlingah a kai theih niin an ngai. Theory dang chu RRP vei puitlingte hi an pian tirh atangin HPV an tawk tawh mai thei a, chu chu taksa chhunga cell hrisel tak takah “thup” a ni thei a, chutah chuan eng emaw chhan vangin a thawk leh a, RRP a thlen thei a ni.

(RRP) natna lan chhuah dan chu engte nge ni?

Chutiang a hmaa kan sawi tawh, a lo thang lian (`(Papillomas)`) te chu vocal cord leh airways-ah a lo awm chuan thusawi, thawk leh ei harsatna a thlen thei a ni. A lan chhuah dan tlangpui chu:

• Aw ri bengchheng emaw, aw hloh vek emaw.
• Stridor hi thawk kan lak laia thawm ri nasa tak emaw, ri sang tak emaw a ni. Whistle ang maiin a ri.
• Thâwk rang emaw harsa emaw .
• Cough chhunzawm zel nei .
• Chaw ei harsat .

I doctor chuan nangmah emaw i fa emaw chu uluk takin a enfiah ang a, hei hi RRP emaw, natna dang, asthma emaw allergy emaw a nih leh nih loh a enfiah ang.

Engtin nge (RRP) natna hi hriat chhuah a nih?

A hmasain i doctor chuan nangmah emaw i fa emaw chu i symptoms chungchang a zawt ang a, taksa enfiahna a nei ang. Darthlalang leh light hmangin i rilru chhungril lam enin i vocal cords an enfiah thei a ni. I symptoms leh exam-in RRP i nei thei tih a hriat chuan i doctor chuan beng, hnar leh ril specialist (ENT specialist) hnenah a refer ang che.

Eng test nge diagnose (RRP) atan hman thin?

I ENT ​​specialist chuan laryngoscopy tih test a ti mai thei . Hei hian camera te tak te leh light dahna tur tube te tak te, flexible tak (endoscope an tih) dah a, i hnar atanga i hnar hnuai lam pan a, i larynx leh airway enfiah a ngai a ni. Hlau suh, hei hi i tih hmain:

• Nangmah emaw, i fa emaw hnar leh kawr a ri a.
• Tichuan, tube chu hnar kaltlangin, rilru hnuai lam thlengin, vocal cords chhungah a lut a.
• Tichuan doctor chuan chutiang bump te te, grape cluster ang chi, papillomas an tih te chu a enfiah thei ang.

(RRP) hriat chian nan `(ENT)` specialist chuan `(Biopsy)` a tih a ngai dawn a ni. Chumi awmzia chu lump atanga tissue sample te tak te lak a, `(HPV)` virus a awm leh awm loh enfiah a, a awm a nih chuan eng chi nge a nih tih test a ni. He `(Biopsy)` hi surgical room-ah an ti tlangpui a, general anesthesia hnuaiah an ti thin. He tissue sample hi `(Endoscope)`-a hmanraw bik bun hmanga lak a ni. Chumi hnuah lab-ah test a ni.

A tlem hle a, pulmonologist pawhin hetiang hian trachea chhung hi a en a, sample a lak a ngai mai thei bawk.

(RRP) hi a dam kim thei em?

Vanduaithlak takin tun dinhmunah RRP damdawi a la awm lo . Enkawlna tum ber chu tumor te paih chhuah a, a lo thang leh tawh lohna tura tihtawp a ni. Nang emaw i fa emaw chuan operation leh damdawi inkawp a ngai mai thei.

Engtin nge (RRP) atan surgery hi hman a nih?

RRP enkawlna ber chu operation a ni . Doctor chuan tissue hrisel tichhe lovin a tam thei ang ber tumor chu lakchhuah a tum thin. Heng tumor te hi paih chhuah dan hrang hrang a awm a:

• Laser surgery: Hei hian laser beam hmangin tumor te chu a ti tlem emaw, a tichhia emaw a ni.
• Microdebrider: Hei hi hmanraw changkang tak a ni a, slow suction hmangin tumor chu special blade lam hawiin a hruai a, rang tak leh tha takin a la chhuak thei a ni.
• Cryoablation: Hetiang method ah hian temperature lum tak tak hmangin tumor cells te chu an that thin.

RRP surgery tam zawk, a bik takin naupangte hi operation room-ah general anesthesia hmanga tih a ni. Hei hian operation neih laiin i muhil tihna a ni.

Puitling thenkhat chuan office-based laser surgery an nei thei bawk. Hei hi a rang a, general anesthesia a ngai lo. I rilru hahna i neih loh nan local anesthesia pek i ni ang a, mahse i harh ang.

RRP atan hian kei emaw ka fa emaw hian surgery engzat nge neih a ngai ang?

Operation hnuah RRP tumor hi a lo let leh duh zawk. Mi thenkhat chuan kar tlemte danah enkawl nawn leh a ngai thin. Mi dangte chuan enkawlna inkarah kum khat emaw a aia tam emaw an kal thei bawk. Hetianga lo lang leh hi naupangte zingah a tam zawk.

Engtin nge (RRP) hi damdawi hmanga enkawl a nih?

Mi thenkhat chu surgery bakah damdawi pek a ngai thin. Chung zingah chuan:

• Kum khata surgery vawi li aia tam nei thinte (RRP).
• An zung a lo thang leh thuai thinte.
• Tumor vanga thawkna kawng a inkhar vanga thawk harsatna nei te.
• Thlai rah taksa hmun engemaw zatah a darh tawhte.

Heng damdawi chi hrang hrangte hi ``adjuvant therapies'' an ti a, a chhan chu enkawlna bulpui (surgery) hnua pek a nih avangin tumor lo kir leh tawh lohna tura puitu a ni. (RRP) vei zinga 20% vel (chu chu 5 zinga 1) vel chuan hetiang enkawlna dang hi an mamawh a ni.

Adjuvant medications pek (RRP) hian kawng hrang hrangin tumor thanna a ti tlem a:

• Cidofovir hi antiviral a ni a, HPV virus pung zel tur a titawp a ni.
• Immunotherapy agents, Pembrolizumab , te hian i taksa ngeia immune system hmangin tumor cells te chu a tichhia a ni.

(HPV) vaccine hian (RRP) enkawlnaah a pui em?

Researcher te chuan HPV vaccine hi adjuvant treatment option tha tak a ni thei bawk tih an hmuchhuak. Zirchianna hmasa berah chuan HPV vaccine hian tumor lian tham a ti tlem thei a, operation mamawh pawh a ti tlem thei niin an sawi. Zirchianna dang pawh kalpui mek a ni.

(RRP) avanga harsatna awm thei te chu engte nge ni?

RRP a nasat chuan i thawkna kawng chu a block vek thei. Chutiang a nih chuan i lung chhunga boruak awm theihna turin tracheostomy tih a ngai mai thei. Hei hian i kawr chhungah khur (trachea) tih a huam a ni. Tracheostomy neih hian i thusawi theihna a nghawng thei a ni. I medical team chuan i tracheostomy enkawl dan tur leh i aw hman dan tur an zirtir ang che.

Cancer hi harsatna dang a ni bawk. Mahse hei hi a tlem hle . Benign condition (RRP) hi malignant condition ah a chang thei a ni. Hei hi natna hmuhchhuah a nih atanga kum tam tak hnuah a thleng thei a ni. He hlauhawmna hi a bik takin thawkna kawng hnuai lam a tumor a darh tawh chuan a sang hle. Doctor-te chuan engvangin nge (RRP) hi cancer-ah a chantir tih chiang takin an la hre lo.

Engtin nge (RRP) lakah i inven theih ang?

Hetiang natna laka invenna tha ber chu HPV vaccine hi a ni.Get it. Centers for Disease Control and Prevention (CDC) chuan naupang zawng zawngin kum 11 emaw 12 emaw an nih hunah HPV vaccine lak vek turin a rawt a ni. Tleirawl puitling anga vaccine la lote chuan kum 26 thlengin vaccine hi an la thei a ni.

Tin, condom hman hian mipat hmeichhiatna hmanga kai HPV hlauhawmna a tihziaawm thei a, chuvangin RRP hian venhimna engemaw zat a pe bawk. Mahse, condom-in a khuh lohna hmunah genital warts a awm chuan condom hian venhimna famkim a pe lo.

Genital warts i neih emaw, naupai emaw, naupai tum emaw i nih chuan doctor nen inbiakna neihpui ngei ngei tur a ni. A tlangpuiin i naute hnena pek chhuah theihna a tlem hle. I doctor chuan naupai laiin genital warts enkawl a tum a nih chuan enkawlna him engemaw zat a awm.

(RRP) nei te tan eng thlirna nge ni ang?

RRP vei naupang leh puitling tam zawk tan chuan outlook a tha hle . Surgery leh damdawi ei hian tumor te chu a control thei a, nitin hnathawh tibuai lo turin a veng thei bawk. A tlem hle a, tracheostomy tih a ngai a, a nih loh leh cancer-ah an lo chang ta a ni.

Engtin nge kan nunpui ang (RRP)?

Nangmah emaw i fain RRP i neih chuan i doctor chuan uluk takin a lo en ang che a, enkawlna tur ruahmanna a siam ang che. Chu thupekte chu ngun takin zawm la, i appointment-te chu zawm rawh. Chutianga tih chuan a dinhmun chu a thunun thei a, nunna atana hlauhawma thawkna kawng khar a veng thei bawk. Thâwk lama harsatna i neih chuan doctor call nghal la, 911 pawh call rawh.

(RRP) hi mihring papillomavirus (HPV) vang a ni. Doctor-te chuan operation hmangin an enkawl a, a nasat chuan damdawi hmangin an enkawl bawk. Surgery neih fo a ngai hi taksa leh rilru lamah a harsa thei hle a, a bik takin naupangte tan chuan a harsa thei hle. Support i mamawh chuan i doctor nen inbia ang che. Ani chuan natna khirh tak neia nungte ṭanpui thei resources-ah a refer thei che a ni.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuvangin kan sawi tawh atang khan i hriat reng tur thenkhat chu khaikhawm ila:

• (RRP) hi (HPV) virus avanga lo awm a ni a, thawkna kawngah, a bik takin vocal cord vel ah hian wart ang maia lo thang lian a ni. Chungte chu cancer a ni lo nain a lo lang leh thei a ni.
• Hrisel lohna, thawk harsa, khuh reng reng ang chi symptoms i neih chuan doctor rawn la.
• Surgery hi a enkawlna ber a ni. A châng chuan damdawi pawh a ngai thei bawk. Damdawi famkim awm lo mah se, he natna hi tha taka thunun theih a ni.
• HPV vaccine hi ven nan a pawimawh hle (RRP). He vaccine hi naupang hnenah a hun takah pe thin ang che.
• Hetiang dinhmun nena kan nun hian damdawi lam thurawn zawm a, rilru lama chak taka awm reng a pawimawh. I mamawh chuan tanpuina dil hlau suh.

Hemi chungchanga zawhna dang i neih chuan i doctor nen inbia ngei ang che. Hrisel takin awm rawh!

`Respiratory papilloma, RRP, HPV, hoarseness, thawk harsa, ril tumor, laryngeal papilloma te a awm bawk