A châng chuan i vun hnuaia hnah te tak te ang chi thil i hmu tawh mai thei. I hmaiah, i kawngah emaw, i hnungzangah emaw pawh a ni thei. I press chuan a chhungah thil awm ang maiin a lang a, ball te tak te, i kut hmanga i kal kual theih ang mai a ni, a dik em? Mi tam tak chuan hei hi an hlau a, cancer nge natna khirh tak a ni em tih an ngaihtuah thin. Mahse a tam zawkah chuan hengte hi hlauh tur a ni lo. Vawiin hian lump chi khat, a tlangpuiin kan sawi dawn a ni. Damdawi lamah chuan hei hi ‘Epidermal Inclusion Cyst’ kan ti a.
Epidermal Inclusion Cyst tih hi eng nge ni?
A awlsam zawngin, i vun chunglam (epidermis) hnuaia tui pocket te tak te lo awm a ni. I vun hnuaia balloon te tak te inthup ang mai a ni. Mole chu i vun hnuaiah hian bump te tak te ang maiin a lang.
Mi tam tak chuan heng cyst te hi ‘Sebaceous Cysts’ an ti bawk. Mahse chu chu a takah chuan a dik lo deuh. A chhan chu ‘sebaceous’ tih hian kan vunah hriak siamtu glands a kawk a ni. Heng glands atanga siam oil substance hi ‘sebum’ kan ti a. Mahse kan sawi tum cyst te hi ‘sebum’ in a khat lo.
Chuti a nih chuan heng nut chhungah hian eng nge awm?
Heng cysts te hian an khat tak tak chu protein chi khat ‘Keratin’ an tih hi a ni a, chu chu vun cell thi tawh (dead skin cell debris) a ni. Keratin hi kan vun, nail leh sam siamtu protein ber a ni. Chuvangin heng cyst-a awm chu oil ni lovin, cheese ang chi thil thuk tak a ni. Doctor-in heng cyst pakhat hi a drain chuan a chhuak chu a sen, a thuk, a chang chuan a rimchhia deuh a ni.
A chi tak tak ‘sebaceous cyst’ an tih hi a tlem hle. ‘Sebum’ a khat te hi an ni. Mahse nitin kan hmuh thin leh a tam ber chi chu ‘epidermal inclusion cyst’ hi a ni.
He tumor hi eng ang chiah nge a nih?
Hetiang tumor i neih chuan heng symptoms zinga pakhat emaw a aia tam emaw i hmu thei. Hei hi chiang taka hrethiam turin table pakhat han en ila.
| Mihring ziarang | Hrilhfiahna |
|---|---|
| Riruang | A tlangpuiin a pianzia chu a zung emaw, a zung emaw a ni a, vun chungah a sangin a lang. |
| Punctum (punctum) a ni | Vawi tam tak chu cyst hi a laiah dot dum te tak te ang maiin a lang thin. Hei hi sam zung (blocked hair follicle) hmui a ni. |
| Lenzawng tehna | An lian zawng chu inch kua (0.25) vel atanga inches hnih aia lian thlengin an lian thei. An lian hle fo thin. |
| Rawng | A châng chuan i vun rawng aiin pink, red emaw, a dum emaw a lang thei bawk. |
| Natna/lumna | A tlangpuiin a na lo a, mahse a kai chuan a na thei a, khawih pawhin a lum thei bawk. |
| Chet | A khawih chuan vun hnuaiah hian a kal leh haw deuh thei a ni. |
Heng tumor te hi taksa khawi hmunah pawh lo awm thei mahse, hmai, rilru, hnungzang, kawr, lu vun, kut leh keah te hmuh tur a tam ber a ni .
Engvangin nge hetiang tumor hi a lo awm? A chhan chu eng nge ni?
Hei hi a chhan ber chu kan vunah hair follicle block vang a ni. Hair follicle chu kan taksa chhunga khur te tak te, sam emaw vun emaw a chhuak mai mai a ni.
Ngaihtuah teh, kan vun hi a insiam thar reng a ni. Vun cell hlui te chu an thi a, an luang chhuak thin. Hei hi thil awmdan pangngai a ni. Mahse, eng emaw chhan vangin, entîr nân, hliam te tak te, hrual emaw, surgery hmanga hliam emaw, vun hrual emaw, niin vun a tihchhiat emaw avangin heng cell thite chhuahna kawng chu a inkharkhip a ni. Tichuan heng cell te hi keratin nen chuan vun hnuaia bawm te tak teah an awm khawm tan ta a ni. Hun a kal zel a, he sac hi a lo thang lian a, tumor angin kan hmu thin.
Lirthei pawl pakhat chu kawngpuiah an tang nghal a, traffic jam a siam ang dinhmun han ngaihtuah teh. Chutiang chuan heng cell te hi hmun khatah an tang tlat thin.
Tute nge heng tumor te hi vei theihna chance sang zawk?
Kum eng pawhah an lo thang lian thei a, mahse kum 20 leh 60 inkar vel an ni tlangpui.Kum upa zawkah a tam ber. Hengte hi puitlin hmaa lo awm hi a tlem hle. Hmeichhia aiin mipaah a tam deuh bawk.
Chu bakah, genetic condition hmuh tur awm lo thenkhat leh natna dang thenkhat pawhin heng tumor tam tak hi taksaah a siam thei bawk.
- Gardner natna a ni
- Gorlin natna (Gorlin syndrome) a ni
- Favre-Racouchot natna a ni
- Mihring Papillomavirus (HPV) hrik kai a ni
Hetiang hlauhawmna hi damdawi thenkhat ei thinte tan pawh a sang deuh thei bawk. Entirnan, damdawi `BRAF inhibitors`, `Imiquimod`, leh `Cyclosporine` te ang chi te.
A pawimawh ber chu heng cyst te hi kai theih a ni lo . Chu chu khawih emaw, kawng dang emaw hmangin mi pakhat atanga mi dangah an darh lo tihna a ni.
He tumor hi a hlauhawm thei ang em? Eng harsatna nge a awm?
A tam zawkah chuan heng tumor te hian harsatna a thlen lo a, mahse a chang chuan harsatna engemaw zat a thlen thei bawk.
| Complication awm thei | Awmzia |
|---|---|
| Tumor a inflammation a awm | Lump chu a hring a, a sen a, khawih pawhin a na bawk. Hei hi infection a ni lo. |
| Tumor atanga natna hrik awm | Germ, bacteria ang chi chu abscess chhungah a lut a, pus a siam thin. Hei hian natna nasa tak a thlen thei a, a hring thei a, a sen thei bawk. |
| Tumor chu a rupture a | Cyst chhunga pressure a sang a, vun hnuaiah emaw, vun chung lamah emaw a puak chhuak thin. Tichuan a chhunga thil sen, rimchhia chu a rawn chhuak thei ta a ni. Hei hian natna leh hliam a thlen bawk. |
Hei hi cancer a ni thei ang em?
Hei hi mi tam takin an hlauh ber chu a ni. A tlem hle.Hetiang tumor hi cancer a nih dan chu a ni. Chu chu, hetiang tumor nei mi sang tam tak zinga pakhat mah hian he hlauhawmna hi an nei lo tihna a ni. Chuvangin he tumor hi i neih chuan a rah chhuah tur chu hlau suh. Mahse, a tlem berah chuan he tumor chhungah hian vun cancer `Squamous cell carcinoma` emaw `Basal cell carcinoma` emaw a lo awm thei a ni.
Mahse, i tumor hian heng symptoms te hi a neih chuan doctor pan nghal tur a ni.
- Infection chhinchhiahna (na, sen, hring, vun) a awm chuan.
- Tumor chu a lo thang chak hle a nih chuan .
- Tumor chu centimetre 5 aia lian a nih chuan.
Engtin nge doctor hian hei hi a hriat chian?
A tam zawkah chuan doctor chuan i lump chu a enfiah thei a, a chungchang a zawt thei che a, ‘epidermal inclusion cyst’ a ni a ti thei bawk.
Mahse a chang chuan, a bik takin tumor a lian emaw, harsatna dang rinhlelhna a awm emaw chuan test dang engemaw zat tih belh theih a ni.
- Ultrasound scan: Hei hian tumor chhunga thil chi hrang hrang awm chu chiang takin a hmu thei.
- CT scan: Tumor lian tak tak a awm chuan hei hian engtiang chiahin nge a darh tih leh a chhehvel tissue a nghawng em tih hriat nan a pui thin.
- Biopsy: Tumor chu cancer a ni thei tih rinhlelhna tlemte pawh a awm chuan doctor chuan tumor te tak te tak te chu a la ang a, a enfiah ang.
Engtin nge enkawl a nih? Tumor hi lakchhuah tur em ni?
A tam zawkah chuan he tumor avanga harsatna emaw, natna emaw i neih loh chuan i doctor chuan engmah enkawlna awm lovin nghah turin a hrilh ang che . Tumor thenkhat chu kum tam tak chhung chu a size inang rengin a awm thei.
Mahse cyst chu a hring a, a na a nih chuan in lama tih theih awlsam tak a awm. Compress lum tak hmangin hnawih rawh . Puan fai tak chu tui lum takah hnim la, hrual chhuak la, minute engemaw zat cyst chungah dah rawh. Ni khatah vawi tam tak tih hian a hring leh natna a tiziaawm thei a ni.
Warning: In lamah hian heng cyst te hi nangmah ngeiin squeeze, prick, pop ngai suh! Chutianga tih chuan natna hrik a kai thei a, natna a tizual thei a, hliam a hnutchhiah thei bawk.
Doctor i pan chuan a dinhmun a zirin enkawl dan tur a rel thin.
- Cyst a infect a nih chuan antibiotics pek theih a ni.
- Tumor chu a lo hring a, a na a nih chuan steroid injection hmangin tumor chhungah ngei pawh pek theih a ni a, chu chuan rang takin a hring chu a tiziaawm thei a ni.
Tumor hian a tibuai chhunzawm zel che a, a lian a, a nih loh leh cosmetic thila paih i duh chuan i doctor chuan surgery hmanga lakchhuah a rawt thei ang. Chumi atan chuan hmanraw lian pahnih a awm.
| Enkawl dan tur | Eng thil nge thleng? |
|---|---|
| Incision leh drainage te pawh a awm | Cyst chungah hian incision te tak te siamin a chhunga thil awmte chu an hrual chhuak thin. Hei hian natna leh hliam a tiziaawm nghal vat a ni. Mahse, cyst chu a capsule-ah a awm reng avangin cyst chu a lo awm leh theihna chance a sang hle. |
| Surgery hmanga tihfai a ni | Surgery tenau tak an nei a, a chhehvel tissue te nen tumor chu paih vek a ni. Hei hi a hmun chu numbing hmanga tih a ni. Hetiang hmang hian tumor lo kir leh theihna chance a tlem hle. |
Doctor hnenah eng zawhna nge i zawh tur?
Hetiang tumor chungchanga zawhna i neih chuan i doctor hnenah i kal hunah heng thilte hi zawt la.
- ‘Epidermal inclusion cyst’ emaw thil dang emaw ka nei em?
- Hei hi a mah chauhin a tha ang em, a nih loh leh enkawl a ngai em?
- He tumor hi a lian lehzual dawn niin i hria em?
- Eng enkawlna nge ka tan a tha ber?
- Hei hi paih ka duh chuan dermatologist emaw surgeon emaw ka pan tur em ni?
- Tumor chu lakchhuah a nih hnuah a lo let leh a nih chuan engtin nge ka tih ang?
Take-Home Thuchah a ni
- Epidermal inclusion cyst hi a tam hle a, a tam zawkah chuan a hlauhawm lo, vun thanna a ni. Anmahni hmuh hlau suh.
- Heng nut te hian oil ni lovin ‘keratin’ an tih protein an nei a.
- In lamah eng chhan pawh nise heng cyst te hi squeeze emaw pop emaw tum suh. Hei hian infection a thlen thei a ni.
- I vunah lump emaw tumor thar emaw i hmuh chuan nangmah chauhin chhui chhuah tum suh la, doctor hnenah entir ngei ang che.
- Tumor chu a lo thang chak hle a nih chuan, emaw, natna, hliam, sen emaw ang chi symptoms a awm chuan tihkhawtlai lohvin doctor rawn la.
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