Lei cancer chungchangah i lungkham em? Kan sawi dawn nia!

A chang chuan i leiah hliam te tak te emaw, hliam te tak te emaw hmuh chu a hlauhawm deuh thin a ni lawm ni? A nih loh leh chaw ei lai hian harsatna tlem i nei em? Hengte hi lei cancer chhinchhiahna a ni thei em tih i ngaihtuah mai thei. Chuvangin vawiinah hian lei cancer chu eng nge a nih, eng nge a thlen, a natna lan chhuah dan, a enkawl dan leh a laka inven dan tur te i sawi dawn nia.

Tongue Cancer hi eng nge ni?

A awlsam zawngin, lei cancer chu i lei chhunga cell te chu thunun theih loh leh rang taka lo thang lian tan a ni. Kan lei hi i hmui leh i kawr inzawmna ruh te tak te bulah a intan a (hei hi hyoid ruh an ti bawk a, chu chu i hmui hnuaia ruh awm, i kawr intanna hmun a ni) i hmui hnuai lam thlengin a inzar pharh a ni.

Tunah chuan en teh, he cancer hi a lo chhuahna hmun azirin hming pahnihin an ko thin.

• I lei hma lam cancer i neih chuan, chu chu i hmu thei a, doctor-te chuan oral cancer emaw, oral tongue cancer emaw an ti a ni.
• Mahse, cancer hi lei chhungah, ril bulah , i hmuh theih lohna hmunah a lo awm a nih chuan oropharyngeal cancer emaw base of tongue cancer emaw an ti a ni. Hei hi a thuk deuh a, chuvangin hmuh a awlsam lo mai thei.

Leiah hian eng cancer chi nge lo awm?

Leiah cancer chi hrang hrang lo awm thei mahse, a tam ber chu squamous cell carcinoma (SCC) a ni. Squamous cells hi kan vun pawn lam layer-a awm, flat cell chi khat a ni. Bang chunga plaster ang maiin han ngaihtuah teh. SCC hi taksa chhunga ni chhuahna hmunah a awm tlangpui. Mahse, ka chhunga vun nalh tak, hnim hring (mucous membrane) ang chi hmunah pawh a lo awm thei bawk.

He lei cancer hi engtiang chiahin nge a awm?

Dik tak chuan, lei cancer hi a tlangpuiin a tlem hle . United States ang ramah hian cancer hmuhchhuah thar zinga 1% aia tlem lo a ni. Mahse, lu leh kawng cancer zingah chuan cancer chi khat zingah chuan a awm fo thin niin an ngai a ni .

Thil dang pakhat chu hmeichhia aiin mipa hian he lei cancer hi a let hnih zetin an vei tam zawk a ni . Tin, kum 40 chunglam zingah a tam zawk a, chuvangin kum upat deuh deuh hian he thil hi tlem tal fimkhur lehzual a tha.

Lei cancer chhinchhiahnate chu engte nge ni?

A hmasa berah chuan lei cancer chhinchhiahna hi a langsar lo fo. Cancer hi hmuh theih leh hmuh theih loh, leh a lan dan chu tumor awmna hmun leh natna a darh tawh danah a innghat a ni. A châng chuan, symptoms a awm lo thei bawk.

Mahse, pawn lam chhinchhiahna tlanglawn tlemte hmuh theih a awm a:

• I leiah hian a sen (doctor-te chuan ``erythroplakia'' an ti) emaw, a var (``leukoplakia'') emaw a awm thei. Chûngte chu anmahniin an bo lo mai thei.
• Lei sir lama lump emaw tumor emaw awm awlsam taka thisen chhuak .
• Leiah hliam sen emaw sen emaw a dam lo . He hliam hi kar hnih atanga kar thum hnua a dam loh chuan rinhlelh tur a ni.

Hei bakah hian symptom dang pawh a lang thei a, chuvangin hengte pawh hi lo thlir reng ang che:

• Ka chhunga vun a thim deuh tih hriatna.
• Kawng na a reh lo (chronic pharyngitis). I rilru a na reng ang maiin a lang .
• Kawng na a na .
• Beng na (hei hi a bik takin lei cancer hi kawr chhunga a darh tawh chuan a thleng thei).
• Thil pakhat chu ka rilruah a inkhung tih hriatna.
• Lei emaw, ka chhung hmun dang emaw a hring chhuak.
• Leiah a kang chhuak.
• Chaw ei emaw, ei emaw huna harsatna emaw, natna emaw.
• Aw ri bengchheng , emaw aw inthlak danglam emaw.
• A hmui a hring (swelling of the jaw).
• Ha hring (loose ha) a awm.
• I hman mek ha lem (dentures) a inthlak danglam nghal (a fit tha tawh lo ang maiin).

Heng symptoms pakhat emaw, a aia tam emaw i neih chuan doctor rawn la.

Lei cancer thlentu te chu engte nge ni?

Mithiamte chuan hei hi eng nge a chhan dik tak hriat tumin an la bei mek a ni. Mahse an hriat chu lei cancer hi cell pangngai lo tak takte chu thunun theih loha an lo thang lian tan hian a lo awm thin tih hi a ni. Mi thenkhatin an neih a, thenkhatin an neih loh chhan leh heng cell te hi thunun theih loha an lo thanglian chhan te hi zirchian mek a ni. Zirchiangtu tam tak chuan heng cancer te hi lei tichhe thei genes (DNA mutations) inthlak danglamna avanga lo awm niin an ngai . Chûng gene-te chu kan cell-te tâna zirtîrna bu ang an ni a, chu thupêkte chu a kal sual chuan buaina a lo chhuak a ni.

Lei cancer vei theihna tur risk factors te chu engte nge ni?

Mithiamte chuan lei cancer vei theihna tipungtu thil engemaw zat an hmuchhuak a. Hengte hi risk factor kan ti a. Risk factor pawimawh leh chak ber pahnih chu meizuk nasa leh zu in nasa (zu in nasa lutuk) (zu hmansualna) te hi an ni. Heng pahnih hi i neih chuan i risk a sang zawk daih. Ngaihtuah teh, cigarette-a chemical hlauhawm tak takte hian i lei cell-te a tichhe a, zu hian chu chhiatna chu a tizual thei a ni. Hliam chunga acid leih ang mai a ni.

Risk factor dangte chu:

• HPV (Human Papillomavirus) infection: Hei hi base of tongue cancer thlentu lian tak a ni. A tlem berah chuan hmui cancer a thlen thei bawk. HPV hi virus tlanglawn tak a ni a, a tam zawkah chuan symptoms a awm lo.
• Zuk leh hmuam chewing: Betel nut nena zuk leh hmuam chewing pawh hi hlauhawmna lian tak a ni. Hei hi kan ramah hian thil tih dan pangngai tak a nih avangin hei hi fimkhur bik a ngai a ni.
• Betel nut chewing: Betel nut ei ringawt pawh hian lei cancer vei theihna a tipung.
• Chhungkaw history-a oral emaw oropharyngeal cancer vei: Chhungkaw history pawhin hmun a chang ve bawk.
• Cancer i nei tawh bawk (a bik takin squamous cell carcinoma).

Doctor-te hian engtin nge lei cancer hi an hriat theih? (Diagnosis) tih a ni.

Ha enkawltu te hi lei cancer rinhlelh hmasa ber an ni fo thin . Hei hi ha enfiahna pangngai, hmui cancer screening neih lai emaw, i chhungkaw doctor (Primary Care Physician - PCP)-in natna dang a enfiah lai emaw pawh a ni thei.

Hriat belh duh chuan i doctor chuan a hnuaia mite hi a ti thei ang:

• I hmui chhungah light bik (fluorescent light) a rawn eng ang a, tissue pangngai lo eng pawh a awm ang.
• Tube (endoscope) te tak te, flexible tak, camera leh light inbun chu ka chhung leh kawr chhung lam en nan hman a ni. Hei hian a chhung lam thlir theihna a siam a ni.
• Kawr chhunga lymph node te chu a hring em tih enfiah thin a ni. Hengte hi ‘swellings’ kan ti bawk. Chungte chu cancer a awm chuan a lo hring thei a ni.

Doctor chuan lei cancer chhinchhiahna a hmuh chuan biopsy an ti mai thei . Hei hian a natna tissue sample tlemte lak a, lab-a thawn a huam a ni. Chutah chuan pathologist pakhat chuan microscope hmangin tissue chu a en a, cancer cell a awm leh awm loh a en a. Detective pakhatin evidence a zawng ang mai a ni!

Chu bâkah, i doctor chuan cancer hi eng chen nge a darh tawh tih leh a lian zia hriat nân heng ang imaging test hi a ti thei bawk ang:

• CT scan (CT - computed tomography scan) hmanga tihchhuah a ni.
• MRI (magnetic resonance imaging) hmanga enfiah a ni
• PET scan (positron emission tomography hmanga enfiah) hmanga enfiah a ni.

Lei cancer enkawlna tur engte nge ni? (Tihdamna)

Leh cancer enkawlna hi thil engemaw zatah a innghat a ni. Tumor lian leh te, a awmna hmun leh cancer cell te hi eng chen nge an darh tawh tih te ngaihtuah a ni. Enkawlna kawng hrang hrang a awm a, chungte chu:

• Lei cancer surgery neih dan: 1.1.Hei hian lei thenkhat emaw, a zawng zawng emaw lak chhuah (``glossectomy'') a huam tlangpui. A châng chuan taksa hmun danga cancer darh zel tur tihtlem nan ``neck dissection'' an ti bawk (``metastasis''). Kan taksa peng dangah a darh loh nan thing ro tak atanga a hnah hrual ang maiin han ngaihtuah teh.
• Radiation therapy: Doctor-te chuan operation hmaa tumor tihtlem nan radiation therapy an hmang \hin. Mahse a tam zawkah chuan operation hnuah cancer cell la awm zawng zawng tihhlum turin pek a ni. Tin, a chang chuan cancer hi taksa peng dangah a darh tawh a nih chuan enkawlna pakhat atan hman a ni bawk.
• Damdawi hmanga enkawlna: Chung zingah chuan chemotherapy , immunotherapy , leh targeted therapy te pawh a tel. Heng zawng zawng hian cancer cells do leh tihchhiat tumin hna an thawk vek a ni.

Leh cancer i vei chuan dam theihna chance engzat nge awm? (Hmuh dan tur) .

Leh cancer hi a hmaa hmuhchhuah leh enkawl a nih chuan a dam theihna a sang zawk . Chuvangin i leiah hnah thar, hliam thar i hmuh chuan doctor hnenah hrilh nghal a pawimawh hle a, chu chu a dam lo ang. I nghah rei poh leh enkawl a harsa thei hle.

Lei cancer avanga operation i neih hnuah speech therapy leh reconstructive surgery te hian i tawng leh ei theihna i neih leh theih nan a pui thei che a ni. Chuvangin lungngai suh, tanpui thei tur mithiam an awm. Hun engemaw chen a la ngai thei a, mahse practice chuan i normal leh thei tawh ang.

Lei cancer vei damchhuah zat hi engzat nge ni?

Lei cancer vei damchhuahna rate hi cancer chu hmun dangah a darh leh darh lohah a innghat a ni.

Heng ‘survival rates’ te hian cancer chi khat nei te leh a hlauhawmna chu mipui zahawmte nena khaikhin a ni. Entirnan, cancer chi khat kum nga chhunga dam rei zat chu 93% a nih chuan, chutiang cancer chi leh stage nei mi 100 zinga 93 chu an hmuhchhuah atanga kum nga hnuah pawh an la dam tihna a ni.

Mahse, heng damchhuah zat hi estimate chauh a ni tih hre reng ang che. Eng chen nge i dam dawn tih leh eng enkawlna nge i tan a tha ber ang tih chiang takin an sawi lo. Mi tin taksa leh natna kalphung a inang lo. Thu chiang zawk hriat duh chuan i doctor nen inbia ang che.

Engtin nge lei cancer laka inven theih ang? (Invenna) 1.1.

Lei cancer hi a pumpelh kim thei lo. Mahse, i risk nasa taka tihtlem nan thil i tih theih a awm :

• Zuk leh hmuam leh zu in loh tur:Lei cancer laka invenna tha ber chu zuk leh hmuam (cigarette, beedis, cigar, chewing tobacco) leh zu lak atanga inthiarfihlim hi a ni. Hengte hi risk factor lian ber pahnih a ni. Kum tam tak chawlhsan hnuah pawh ka leh kawr cancer chi hrang hrang vei theihna chu nasa takin a tlahniam thei a ni.
• HPV vaccine la rawh: HPV hi ril cancer thlentu lian tak a ni. A awm fo a, symptoms a nei tlem hle. HPV vaccine hian lei cancer lakah a veng thei a, chubakah cervix, penis, vagina, leh anus cancer lakah a veng thei bawk. Hemi chungchang hi doctor zawt rawh.
• Thei, thlai leh buh chi tam tak ei rawh: I ei leh in tur chu ei tur thar, siam chhuah loh atanga lak tum ang che. Sa sen, sugary drinks leh highly processed foods te kha tihtlem rawh. I doctor hnenah i tana tha tur nutrition plan zawt rawh.
• I ha enkawltu hmu fo rawh: Heng appointment neih chhung hian i ha enkawltu chuan hmui cancer a awm leh awm loh enfiahna pangngai a nei thei a ni. Tin, hmui hriselna tha hi i taksa pum hriselna leh damna atan a hlawkpui hle.

Engtikah nge Doctor i hmuh ang?

I leiah lump, blister, spot, sore, emaw color change thar i hmuh chuan, a bik takin kar hnih aia tam a awm tawh chuan , doctor pan ngei ngei tur a ni. Ngaihthah mai mai suh. Thil pawi tak a ni lo mai thei, mahse check out tir hi a tha ber.

Chu bakah, i ha enkawltu hnenah inthiarna leh checkup neihpui fo ang che. Mi tam zawk tan chuan thla ruk danah tihna a ni. Mahse, i dentist chuan i mamawh dan azirin engzat nge i lo kal tur tih a hrilh ang che. Thil rinhlelh awm a awm chuan routine checkup neih laiin an hmu thei mai thei.

Doctor hnenah eng zawhna nge ka zawh ang?

Leh cancer i vei nia hriat i nih chuan i doctor hnenah hetiang zawhna hi i zawt mai thei:

• He tumor lo awm chhan hi i hria em?
• Cancer hi a darh tawh em? A nih chuan eng chen nge?
• Ka hmabak tur chu engte nge ni? Engtin nge ka tih ang?
• Eng ang enkawlna nge ka mamawh?
• Eng chen nge enkawl a ngaih?
• Hnathawh emaw, sikul emaw atanga chawlh lak ka tum tur em ni?
• Engtikah nge enkawl a hlawhtlin leh hlawhtlin loh ka hriat ang?
• Enkawlna hian eng side effect nge a neih? An chungchângah eng nge tih theih ang?

Heng zawhnate chauh ni lovin, i rilrua i neih apiang, rinhlelhna tlemte pawh ni se, Doctor hnenah zawh hreh suh. I tanpui turin an awm reng a ni.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Nangmah emaw, i hmangaih tu emaw pawhin lei cancer a vei tih i hriat hian hlauhna, beidawnna, leh lungngaihna nasa tak pawh a awm mai thei. Mahse hlau suh, hlau suh.I doctor chu pui turin a awm reng a ni. Enkawlna kawng hrang hrang an sawipui thei che a, i kalna apiangah i tanpui thei tur resources an zawng thei bawk.

A hmaa hmuhchhuah leh enkawl hi a pawimawh hle. Chuvangin, i leiah hmun thar, lump emaw thil dang rinhlelh awm emaw i hmuh chuan – i doctor hnenah hrilh rawh. Hmanhmawh rawh, nunna chhanhim rawh! Nangmah chauh i ni lo, he zinkawngah hian tanpui turin kan awm vek a ni.

` Lei Cancer, Lei Cancer, Kawng Cancer, Cancer Symptoms, Cancer Chhan, Cancer Enkawlna, HPV