Thumal awlsam takin Stomach Cancer chungchang hi i zir dawn teh ang!

Vawiin hian thupui pawimawh deuh, mahse mi tam tak tana pawimawh tak kan sawi dawn a ni. Chu chu pum cancer a ni a, thenkhat chuan `(Gastric Cancer)` an ti bawk. Ngaihtuah teh, kan pum chhunga cell, chu chu pum chhunga cell te chu thunun theih lohvin, mi â ang maiin an inthen darh nghal mai a nih chuan eng nge thleng ang? Chu chu pum cancer-ah pawh a thleng thin. Heng cancer cell te hi pum chhung khawi hmunah pawh a lo piang thei a ni. A tam zawkah chuan, a bik takin America ang ramah chuan he cancer hi pum leh kan chaw kawng (chu chu kawr atanga chhuk tube) inzawmkhawmna hmunah a lo awm a, chu chu `(gastroesophageal junction)` kan ti a ni. Mahse Sri Lanka ang ram thenkhatah chuan pum cancer a tamna hmunah chuan pum chhung hmunpuiah a lo piang tam zawk a ni.

Thil pawimawh tak chu pum cancer 95% vel chu pum chhunga lining, wall chunglam atanga intan a ni. Mahse an thang chak hle. Enkawl that loh chuan heng cell te hi an thang khawm thei a, tumor an siam thei a, pum chhung bang chhungah an thang lian thei bawk. A chang chuan he tumor hi a bul hnaia taksa peng dang, liver leh pancreas-ah te a darh (metastasize) thei bawk.

Tute nge pum cancer vei theihna sang zawk?

Dik tak chuan tu pawhin pum cancer an vei thei a ni. Mahse, thil engemaw zat a awm a, chu chuan a hlauhawmna a tipung a ni. Entir nan:

• Kum 65 aia upa i nih chuan .
• Mipa i nih chuan (hmeichhia aiin mipa an hlauhawm zawk).
• Hei hi khawvela hnam thenkhat (entir nan, South or Central American, Eastern European, etc.) zingah a awm fo.

Engtiang chiahin nge pum cancer hi a hluar?

Khawvel puma cancer chi hrang hrang zingah chuan pum cancer hi a tam ber pawl a ni. Amaherawhchu khawthlang ram thenkhatah chuan a tam lo hle a, United States-ah te pawh a awm lo. Dik tak chuan United States-a cancer hmuhchhuah thar zawng zawng zingah hian pum cancer hi 1.5% chauh a ni. Tin, kum 10 kalta chhung khan chutah chuan hri kai zat pawh a tlahniam chho zel bawk.

Pum cancer chhinchhiahna engte nge ni?

Hei hi mi tam takin harsatna an neih chu a ni. Pum cancer tan tirh lamah chuan a lan chhuah dan a awm lo tlangpui . Chu chu a hlauhawm ber a ni. A hmaa a lan chhuah tam ber ber, pum na leh sawifiah theih loha taksa rihna tlahniam te pawh hi cancer hi a lo zual deuh hnuah chauh a lang thin.

Hengte hi pum cancer-a a lan chhuah theih ṭhenkhat chu a ni:

• Anorexia , riltam lo tih hriatna.
• Chaw ei harsa (thil pakhat chu a rilruah a tang ang maiin).
• Chauhna emaw chak lohna emaw reng reng .
• Nausea leh luak chhuak .
• Chhan awm lovin taksa rihna tihtlem .
• Pum na leh chaw ei loh (gas ang chiah).
• Black stool emaw thisen chhuak emaw .
• Kawchhungah a khat tih hriatna, chaw ei zawha pum chhung boruak a khat ang maia awm .
• Abdominal pain , a bik takin pum chungah.
• Chaw tlemte ei hnu pawha chaw ei kham .

Pawimawh: Heng symptoms te hi damdawi dang dangah pawh hmuh theih a ni fo a, chuvangin heng symptoms te hi i neih chuan doctor pan a, pum cancer nge thil dang hriat chian a pawimawh .

Pum cancer tumor i man thei em?

Cancer hi eng chen nge a darh tawh tih a zirin doctor chuan i pum chhungah lump a awm tih i enfiah hian a hre thei a ni. Mahse a tam zawkah chuan symptoms chu i pum chhunga sensation a ni. I pum chu a hring emaw, a khat emaw, a na emaw a ni thei. He natna hi a tir lamah chuan a na lo deuh a, natna a zual zel chuan a na zual thei bawk.

Eng thilin nge pum cancer thlen?

A awlsam zawngin sawi ila, pum cancer hi kan pum cell DNA- a genetic mutation avanga lo awm a ni. I hria em, he DNA hi kan cell te hi engtikah nge an lo thanglian tur tih leh engtikah nge an thih tur tih hrilhtu code ang mai a ni. Chu genetic mutation avângin, cell-te chu thih ai chuan, an ṭhang chak hle a, a tâwpah chuan tumor an siam ta a ni . Heng cancer cell te hian cell hrisel te chu an paltlang thei a, taksa peng dangah an darh thei a ni.

He genetic change hi eng thil nge thleng tih chiang takin zirchiangtute chuan an la hre lo . Mahse, pumpui cancer vei theihna tipungtu thil engemaw zat an hmuchhuak a ni. Chung zingah chuan:

• Chhungkaw zinga mi tu emaw chuan pum cancer (hereditary link) a vei tawh a nih chuan .
• Bacteria hrik kai (Helicobacter pylori - H. pylori) . Hei hi thil pawimawh tak a ni.
• Gastroesophageal reflux disease (GERD) (riltam acid chu rilru chhunga lo lut).
• Gastritis (riltam natna).
• Epstein-Barr virus kai a ni.
• Tun hmaa pum chhunga ulcer emaw polyp emaw i neih tawh chuan .
• Chaw hriak, chi, meizuk emaw, pickled emaw ei tam lutuk .
• Thlai leh thei tlem ei leh in ei .
• Coal, metal, leh rubber ang chi thila inhnim fo thin.
• Meizial zu, vaping, emaw, zuk leh hmuam ei .
• Zu in tam lutuk .
• Thau lutuk .
• `(Autoimmune atrophic gastritis)` (immune system-in pum chhunga cell a beih dan).

Tin, chaw kawng cancer vei theihna tipungtu genetic condition engemaw zat a awm bawk:

• `(Lynch syndrome)` tih a ni
• `(Peutz-Jeghers natna)`
• `(Li-Fraumeni natna)`
• `(Chhungkaw adenomatous polyposis)`
• ``(Hereditary diffuse gastric cancer)'' tih a ni a, a chhuahna tur hmun tur chu a hriat theih loh.
• `(Immunodeficiency danglam bik - CVID)`

Zirchiangtute chuan a chhan dik tak chu an hre chiang thei lo nachungin, thisen chi ‘A’ nei te hian pum cancer an vei duh hle tih hmuhchhuah a ni.

Engtin nge pum cancer hi hriat chhuah a nih?

Doctor i hmuh chuan i medical history an zawt ang a, i symptoms te an zawt ang a, i pum chhunga lumps awm leh awm loh enfiah turin physical exam an ti ang. Chumi hnuah chuan test eng emaw zat an ti thei a, chu chuan stomach cancer an hmuchhuak thei a, eng chen nge a darh tawh tih (the `stage`) an hre thei bawk.

Cancer stage hriat a pawimawh hle . Hei hian doctor-in cancer a darh zau zia a hriatthiam theih nan a pui a ni. Pum cancer-ah chuan heng stage te hi 0 (zero) atanga IV (li) thleng a ni. Stage 0 tih awmzia chu cancer chu pum chhunga lining piah lamah a darh lo tihna a ni. Stage IV tih awmzia chu taksa peng dangah a darh tawh tihna a ni.

Hengte hi test tih dan tlangpui chu a ni:

• Upper endoscopy: Hei hi pum cancer hriat dan tlangpui a ni. Hetiang tih danah hian doctor chuan a tawp lamah camera te tak te awmna tube te tak te (endoscope an tih) chu i hmui kaltlangin i pum chhungah a dah thla a. Surgical instrument tenau te chu endoscope kaltlangin an kal a, chu chuan pum chhunga tissue te tak te (biopsy) an la a. Chumi hnuah tissue chu lab-ah thawn a ni a, cancer cell a awm leh awm loh enfiah a ni.
• Endoscopic ultrasound: Hei hi endoscopy chi khat bik a ni bawk. Cancer stage hriat theihna tura puitu a ni. Hemi atana hman endoscope-ah hian ultrasound probe dah a ni a, chu chuan pum chhunga thlalak a la thei a ni. Hei hi cancer chu pum chhunga lining atanga stomach wall thlengin a darh tawh em tih hriat nan hman theih a ni.
• Radiologic test: Chûng zîngah chuan CT scan , barium swallow ( X-ray-a i pum chhunga lining hmuh theihna tûr tui bik i inna hmun), leh MRI te a tel a ni. Hengte hian cancer tumor leh cancer nena inzawm thei thil danglam dangte hriatchhuahna kawngah a pui thei a ni. PET scan hmangin i taksa pum puiah cancer a darh tawh em tih hriat theih a ni bawk.
• Thisen test: Hengte hian i taksa peng hrang hrangte hnathawh dan a hriattir thei a ni. Organ pakhatin hna a thawk tha lo a nih chuan chu organ-ah chuan cancer a lo darh tawh mai thei tih a tilang thei a ni.
• Laparoscopy: Hei hi surgery chi khat a ni. Imaging ang chi less invasive method hmanga cancer zau zawng hriat chian tawk loh hunah tih a ni. Hei hian doctor chuan i pum chhungah hliam tenau engemaw zat a siam a, chuta tang chuan camera te tak te a dah a, chu chuan taksa peng hrang hrangte chu a en nghal vek a ni.

United States ang ramah chuan pum cancer hi a tlem hle a, mi zawng zawng tan chuan screening test pangngai a ni lo. Mahse, i pum cancer vei theihna tipung thei dinhmun i neih chuan, i doctor chuan cancer inthlak danglamna enfiah nan upper endoscopy ang chi test neih fo turin a rawt thei che a ni. I risk a zirin eng nge i tih tur tih doctor zawt rawh.

Engtin nge pum cancer hi enkawl a nih?

Enkawl dan tur chu i cancer a darh zau zia te, i hriselna zawng zawng te, leh i enkawl duh dan te a innghat a ni. Hei hian doctor team a huam tlangpui a, chutah chuan i chhungkaw doctor, oncologist, leh gastroenterologist te pawh an tel a ni . I tana enkawlna tha ber berte chu an rawn fuih ang che.

Inzai

Cancer a nasat dan azirin, i doctor chuan cancer cell, tumor, emaw, pum chhung hmun thenkhat emaw, a pum emaw lak chhuah nan operation neih a rawt thei ang.

• Upper endoscopy hmanga lakchhuah: A tir lamah chuan cancer hi pum chunglam layer-ah chauh a awm chuan upper endoscopy hmangin cancer hi lakchhuah theih a ni. Hetiang tih dan hi endoscopic submucosal dissection emaw endoscopic mucosal resection emaw an ti a . Hetah hian gastroenterologist chuan cancer natna chu pum chhung bang atanga a tan a, i hmui hmangin a paih chhuak thin.
• Gastrectomy: Cancer chu pum chunglam layer atanga a darh tawh chuan, pum chhung hmun thenkhat emaw, a pum emaw lak chhuah nan operation neih a ngai mai thei. Subtotal gastrectomy hian cancer natnain a nghawng pum chhung chauh a paih chhuak thin. Total gastrectomy hian pum pum pui a paih chhuak vek a ni. Pum pumpui lakchhuah a nih hnuah doctor chuan i chaw kawng leh small intestine te chu a thlunzawm ang a, chutiang chuan i ei chhunzawm thei ang.

Enkawlna dang

Heng enkawlna te hian cancer cell te chu direct in an bei thin.

• `(Chemotherapy - chemo)` (chemical therapy): Hei hian cancer cell te tihtlem nan damdawi a hmang thin. Hei hian operation hmaa lakchhuah a awlsam phah hle. `(Chemotherapy)` hi operation hnua cancer cell la awm zawng zawng tihlum nan an hmang bawk. Radiation therapy nen pek dun a ni tlangpui. `(Targeted drug therapy)` pawh `(chemo)` nen pek theih a ni.
• Radiation therapy: Hei hian targeted energy beam, X-ray ang chi hmangin cancer cell te chu a that thin. Radiation therapy ringawt pawh hian pum cancer tan a hlawk vak lo. Mahse, operation hma leh operation hnuah chemotherapy nen pek dun theih a ni. Radiation therapy hian natna lan chhuahna a tiziaawm thei bawk.
• Damdawi hmanga enkawlna tur targeted:Hei hian cancer cell chak lohnate a target a, an thih phah thin. Cancer lo awm leh tawh emaw, a lo zual zel emaw tan chemo nen pek a ni fo.
• Immunotherapy: Hei hian nangmah ngeiin i immune system chu cancer cell hriat harsa tak takte hriatchhuah leh tihchhiat turin a pui a ni. Hei hi cancer lo lang leh lo emaw, cancer na tak emaw tan pawh hman a ni fo bawk.
• Palliative care: Hei hian cancer vei mi i nih angin i nunphung a tichangtlung thei a ni. Palliative care hi damdawi lam service bik a ni. Chutah chuan doctor, nurse, leh specialist dangte pawh a tel thei a, chu chuan natna lan chhuahna tihziaawmna kawngah a pui thei a ni. I doctor pangngai hnen atanga service i dawn bakah hian he support hi i dawng thei bawk. He palliative care hi enkawlna dang nen i dawng thei bawk.

Pum cancer hi ven theih a ni em?

Pum cancer hi pumpelh kim theih ni lo mah se, a hnuaia mite hi i tih hian i hlauhawmna chu i tihziaawm thei a ni:

• H. pylori infection i neih leh neih loh test i nih chuan enkawl rawh . H. pylori infection hi pum cancer thlentu lian tak a ni.
• Pum ulcer, gastritis leh pum natna dangte chu enkawl vat rawh . Pum natna enkawl loh, a bik takin H. pylori bacteria atanga lo chhuak te hian pum cancer vei theihna a tipung a ni.
• Ei leh in hrisel ei rawh. Ei leh in hrisel, thei leh thlai tamna leh chi leh sa sen tlakchhamna ei hian pum cancer vei theihna a ti tlem thei a ni. Vitamin C, beta-carotene, leh carotenoids tamna ei tur (e.g., citrus fruits, green vegetables, carrots) te hi heng key nutrients te hi a tha hle.
• Meizial zu leh zuk leh hmuam hman loh tur. Zuk leh hmuam hman hian pum cancer chauh ni lovin, cancer chi dang tam tak a thlen theihna a tipung a ni.
• I taksa rihna hrisel tak vawng reng rawh. Thil rit hrisel tak siamtu chu mi hrang hrangah a inang lo. I tan chuan taksa rihna hrisel chu eng nge ni tih i doctor zawt rawh.

Pum cancer hi tihdam theih a ni em?

Pum cancer hi a hmaa hriatchhuah a nih chuan tihdam theih a ni. Mahse, a tam zawkah chuan natna hmuhchhuah a nih hunah chuan symptoms a lang tlai lutuk a, chu chu cancer chu a lo sang chho tawh mai thei tihna a ni. I enkawlna rah chhuah tichhe thei thilte chu i doctor nen sawiho rawh.

Pum cancer vei tan chuan eng prognosis nge ni?

Stomach cancer awm theihna tur thlirna chu cancer stage a zirin a innghat a ni. A tir lama hmuhchhuah te hian a hmaa hmuhchhuah te aiin prognosis an nei tha zawk. Kum 5 chhunga pum cancer dam rei zawng hi 70% (cancer hi a darh tha lo a nih chuan) atanga 6% (advanced spread a nih chuan) thleng a ni thei a, hei hi cancer a darh dan a zirin a ni.

I dinhmun dik zawka hriat theih nan i doctor nen inbia ang che. Cancer i neih chi hrang hrang, a darh zau zia te, i hriselna tlangpui te, leh i cancer hian enkawlna a dawn dan te hian i prognosis a nghawng vek a ni.

Engtikah nge Doctor ka hmuh ang?

Pum cancer vei theihna sang tak i nih chuan i doctor nen screening neih fo a thatna leh that lohna te sawipui rawh. Chutiang a nih loh chuan i symptoms te kha ngaihven rawh. Pum cancer nena inzawm symptom tam tak hi natna dang chhinchhiahna a ni thei bawk. Doctor chauh hian definitive diagnosis a siam thei.

I pum na leh sawifiah theih loha i taksa rihna tlahniam ang chi, a hnuaia chhinchhiahna te hi nei emaw nei lo emaw i neih chuan doctor pan rawh:

• Chaw ei harsat.
• Kawthalo.
• Luhai.
• Thisen chhuak emaw, dum emaw stool.

Doctor hnenah eng zawhna nge ka zawh ang?

Hetiang zawhna hi i zawt thei ang:

• Khawiah nge cancer hi a awm?
• Cancer hi eng stage nge ka neih?
• Hei hian engtin nge ka prognosis a nghawng?
• Eng enkawlna nge ka dawn theih ang?
• He enkawlna hian eng hlawkna nge a neih? Risk awm thei te chu engte nge ni?
• Enkawlna dang a awm em?
• Ka cancer hmuhchhuah leh enkawl dan hian engtin nge ka nitin nun a nghawng ang?
• Ngaihdan pahnihna ka la tur em ni?

A tawp berah chuan (Take-Home Message) hi hre reng ang che.

Pum cancer hi ven theih a ni lo mai thei. Mahse a hmaa hriatchhuah a nih chuan enkawl leh tihdam a nih a rinawm zawk. I cancer hmuhchhuah dan azirin i doctor chuan cancer cell emaw tumor emaw lakchhuah nan operation neih a rawt thei ang. A nih loh leh, cancer cells tihlum thei emaw, tihtlem thei emaw enkawlna inzawmkhawm an rawt thei bawk.

A pawimawh ber chu i thlirna chu i doctor nena in sawiho theih thil engemaw zatah a innghat ang. Enkawlna kawng hrang hrang, a hlawkna leh hlauhawmna te zawt hreh suh. I cancer hmuhchhuah hian engtin nge a nghawng dawn tih i doctor-te hnen atangin kaihhruaina zawng rawh. Hlauhna leh rinhlelhna tel lova ngaihthlak leh hriatthiamna i neih hi i dikna a ni. Hrisel takin awm rawh!

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