I vunah hmun thar a awm em? Hliam dam loh tur? Squamous Cell Carcinoma (SCC) hi i hrechiang ang u, vun cancer a ni!

Kan vunah hian a chang chuan hliam te te, bumps emaw, hliam te te, dam lo te kan nei thin a ni lawm ni? A tam zawk chuan kan ngaihsak vak lo. "Thil tenau mai mai a ni mai thei," tiin kan ngaihtuah a, anmahni chu kan theihnghilh thin. Mahse, a châng chuan, hetiang ang inthlâk danglamna tenau tak pawh hi kan ngaihven ngai dinhmun khirh tak chhinchhiahna hmasa ber a ni thei. Chuvangin, kan hriat a ngai tak zet a, vawiinah hian vun cancer chi khat, a tlangpuiin kan sawi dawn a ni. Chu chu Squamous Cell Carcinoma a ni a, a tawi zawngin SCC kan ti a ni.

A awlsam zawngin sawi ila, Squamous Cell Carcinoma (SCC) hi eng nge ni?

Squamous Cell Carcinoma (SCC) hi vun cancer chi khat a ni. Sri Lanka leh khawvel hmun hrang hrangah vun cancer chi hrang hrang zingah a tam ber pahnihna a ni.

Hei hi hrethiam tur chuan kan vun siam dan hi han thlir hmasa ila. Kan vun chunglam layer hi epidermis an ti a . He layer chhunga flat cell te hi squamous cell an ti a . Heng cell te hi a chungah an inzawm khawm a, bang chunga tiles ang maiin an inzawm khawm a ni. Chuvangin, heng squamous cells te hi a pangngai lo leh control theih loha an lo thang tan chuan SCC a lo awm thin.

Hetiang cancer chi hi kan taksa chhunga ni chhuahna hmunah a awm tam ber tlangpui. Entir nan:

• Hmai
• Luruh (a bik takin sam sam nei tan) .
• Earplugs te pawh a awm
• Ka hmui
• Kut leh ke

Amaherawhchu, he cancer hi ni êng lohna hmunah pawh a lo awm thei a ni. Chu mai ni lovin, he cancer chi hi mucous membrane awmna hmunah te pawh a awm thei a, chu chu kan hmui chhungah te, kan lung chhungah te, leh kan rectum chhungah te pawh a awm thei a ni.

He cancer chi hrang hrang hi engte nge ni?

SCC cancer hi taksaa a awmna hmun leh a darh dan azirin chi hnihah then theih a ni.

1. Cutaneous SCC: Hei hi a tam ber a ni. Hetah hian cancer hi vunah chauh a awm. Hei pawh hian subtype pahnih a nei bawk.

• In situ (Stage 0): Hetah hian cancer cells te hi vun chunglam layer (epidermis) ah chauh an awm a. An darh thuk zawk lo. Hei hi Bowen natna an ti bawk . A hmaa hmuhchhuah a nih chuan a dam kim thei a ni.
• Invasive: Hetah hian cancer cells te hi vun chunglam layer kaltlangin a hnuai lam layer ah te an darh ta a ni.

2. Metastatic SCC: Hei hi natna khirh zawk a ni. Heta thil thleng hi chu vun chhunga cancer awm kha taksa peng dang, entirnan, lymph node, lung, thin, etc. ah a darh tawh a, mahse thu lawmawm tak chu SCC cancer za zela tlemte chauh hi hetiang hian an darh a ni. A hmaa hmuhchhuah leh enkawl a nih chuan he hlauhawmna hi nasa takin a tlahniam thei a ni.

SCC cancer chhinchhiahna leh chhinchhiahnate chu engte nge ni? Engtin nge an hriat theih ang?

Hei hi a pawimawh ber a ni. I vun hi ngaihven reng a pawimawh hle. A chhan chu he cancer chhinchhiahna hmasa ber hi vunah inthlak danglamna tenau angin a lang thin. Heng chhinchhiahnate hi mi hrang hrangah a inang lo thei.

A hnuaia table-ah hian SCC cancer natna lan chhuah dan tlangpui thenkhat tarlan a ni.

He cancer hi tute nge vei theihna sang zawk?

Tu pawhin SCC cancer hi an vei thei a, mahse mi thenkhat chuan an hlauhawmna a sang deuh hlek a ni.

• Ni tlak tam lutuk te: Ni chhuahna hmuna hnathawk, lo nei, tuipui kama kal te bakah naupan lai atanga ni chhuahna hmuna hun tam tak hmang thinte chu an hlauhawm zawk a ni.
• Vun hring nei mite: Vun rawng pe theitu pigment melanin hian ni êng lakah min venghim a ni. Vun hring nei te hian melanin an nei tlem zawk a, chuvang chuan niin a tihchhiat an hlauhawm zawk. Mit blue/green leh sam sen emaw blonde emaw nei te chu an hlauhawm zawk.
• Kum 50 chunglam: Kum i upat deuh deuh chuan hun kal zelah vun chhiatna a punkhawm avangin vun cancer vei theihna a sang chho zel a ni.
• Mite taksa chak lohna nei: Organ transplant nei tawh, HIV kai, emaw, immune system titawp thei damdawi ei mekte chu an hlauhawm zawk.
• Meizial zutute: Meizial zuk hi SCC cancer thlentu lian tak a ni a, a bik takin hmui leh hmui cancer thlentu a ni.
• Chemical thenkhat nena inhnamhnawih mite: Arsenic ang chi thila inhriat tawnna pawh hi a hlauhawm hle.
• Tun hmaa vun cancer vei tawhte.

Engvangin nge he cancer hi a lo awm? A chhan chu eng nge ni?

Hei hi thawnthu buaithlak deuh a ni. A awlsam zawngin hetiang hi a ni. Kan cell chhungah hian gene an tih te hi a awm a. Heng genes te hi cell te hnathawh dan tur te, engtikah nge an inthen tur tih te, engtikah nge an thih tur tih te hrilhtu an ni.

Kan taksaah hian gene bik p53 kan nei a . Factory-a supervisor ang mai a ni. A hna chu cell inthen darh dan control hi a ni. Cell tam lutuk siam a tihtawp avangin tumor suppressor gene kan ti a ni.

Mahse, hun rei tak ni atanga UV radiation tha lo tak tak kan tawh chuan he supervisor gene p53 an tih hi a chhe thei a ni. Gene mutation kan ti a. Thil thleng chu chu control chu a bo ta a ni. Squamous cells te hian "tunah hian inthen darh tawh suh" tih thuchah hi an dawng lo. Chuvângin, thunun theih lohvin an inṭhen reng a, an inzawm khawm a, cancer natna hrik an siam ṭhîn. Hei hi SCC cancer thlentu ber a ni.

Engtin nge doctor hian SCC hi dik taka a hriat theih ang?

Doctor hnenah i vunah hmun rinhlelh awm tak i hrilh hian a tih hmasak ber chu uluk taka enfiah hi a ni. A lian leh te, a pianzia, a rawng leh a texture ang chi thil a en ang. Tichuan zawhna tlem a zawt ang che.

• "Engtik atang khan nge he thil hi i hmuh?"
• "A hma aiin a lian ta zawk em ni?"
• "A it em? A na em? Thisen a chhuak em?"

Tichuan, 100% a diagnosis confirm nan, a tam zawkah chuan skin biopsy hmangin.Pakhat tih hi ka rawt a ni.

Skin Biopsy tih hi eng nge ni?

Hei hian chu hmun chu numbing a, rinhlelhna hmun atanga vun te tak te tak tak lakchhuah a, microscope hmanga enfiah turin laboratory-a thawn a huam a ni. Hei hian a chhungah cancer cell a awm leh awm loh chiang takin kan hmu thei a ni.

Cancer a lian emaw, thuk taka a darh nia rinhlelhna a awm chuan CT scan emaw MRI scan emaw ang chi test te pawh tih theih a ni. Hei hian cancer hi eng chen nge a darh tih hriat theih nan a pui thei a ni.

SCC cancer enkawlna tur engte nge ni?

SCC cancer hi enkawlna hrang hrang a awm a. I doctor chuan eng enkawlna nge i tan a tha ber tih a rel ang. Hei hi thil tam takah a innghat ang a, chung zingah chuan cancer lian leh te, a awmna hmun, a thuk zawng leh i hriselna zawng zawng te pawh a tel ang.

Thu lawmawm ber chu SCC cancer 95% aia tam chu tihdam vek theih a ni a, a bik takin a hmaa hmuhchhuah a nih chuan!

Enkawl dan tlangpui thenkhat chu hetiang hi a ni:

• Excision: Hei hi enkawl dan tlangpui a ni. Cancer nei lump chu a chhehvela vun hrisel tlemte nen chuan an tan chhuak a, an la chhuak a, vun chu an inzawm khawm leh a ni.
• Mohs Surgery: Hei hi surgery bik a ni. A bik takin hmai, hnar leh beng ang chi hmun sensitive cancer tan hman a ni. Hetah hian cancer chu layer te tak te takah, pakhat hnu pakhatin an tan a, layer tin chu microscope hmangin an enfiah nghal a ni. Hei hi cancer cell a awm tawh lo tih finfiah a nih hma chuan tih a ni. Hei hian vun hrisel a humhim thei ang.
• Curettage leh Electrodesiccation: Hei hian cancer chu spoon ang chi hmanrua hmanga hrual a, chu chu electric current hmanga hal a ni. Hei hi cancer tenau, a chunglam (superficial cancer) tan tih a ni tlangpui.
• Cryosurgery: Cancer cells te chu thil lum tak tak, liquid nitrogen ang chi hmanga freeze-a tihchhiat dan a ni.
• Radiation Therapy: He enkawlna hi operation tih theih lohna hmunah emaw, operation hnua cancer cell awm thei zawng zawng tihchhiat nan emaw hman a ni.
• Chemotherapy leh Immunotherapy: Kan cancer hi taksa peng dangah a darh tawh (metastatic) nasat chuan damdawi injection emaw pill emaw ang chi hmanga enkawl a ngai mai thei.

SCC cancer lakah hian kan inveng thei ang em?

Ni e, a dik tak zet. He cancer laka kan inven nan hian kan tih theih tam tak a awm a. A pawimawh ber chu hengte hi tih danah siam hi a ni.

• Ni laka inveng rawh: Ni na tak hi a theih ang anga pumpelh la, a bik takin zing dar 10 leh tlai dar 4 inkarah.
• Sunscreen hmang rawh: Ni chhuahna hmuna i chhuah dawnin SPF 30 aia sang nei broad-spectrum (UVA leh UVB pahnih laka a venghim) sunscreen hmang fo ang che. I hmai, i kawr leh i kut ah te thahnemngai takin hnawih thin ang che.
• Invenna thawmhnaw ha rawh: kawr sei, pants sei, lukhum zau tak, leh UV laka invenna nei sunglass ha rawh.
• Tanning bed hi pumpelh rawh: Heng hmanrua te hian vun artificial taka tan hian a tichhe hle.
• Meizial zuk loh: Meizial zuk bânsan hian ka leh hmui cancer vei theihna a ti tlem thei hle.
• I vun enfiah fo: Thla khatah vawi khat tal darthlalang hmaah ding la, i taksa pum pui chu lu atanga i ke thlengin enfiah thin ang che. Hmun thar, pian chhinchhiahna danglam, leh hliam dam lo zawng rawh.

I vunah rinhlelh awma inthlak danglamna i hmuh chuan ngaihthah suh. Hlauthawng suh. Doctor thiam tak hnenah thurawn dil vat rawh. A chhan chu heng thilte hi i hriat hmasak poh leh enkawlna nen a dam kim theihna chance a sang zawk a ni.