Ni rei lo te chhungin a reh lova ril na i nei em? A nih loh leh, darthlalang i en hian tonsil pakhat chu a dang aiin a lian zawk tih i hmu em? Heng thilte hi common cold emaw inflamed tonsil emaw tiin kan hnawl fo thin. Mahse a chang chuan, hengte hi thil pawi zawk, tonsil cancer chhinchhiahna hmasa ber a ni thei. Lungngai suh, he hming i hriat hian i hlauthawng a ngai lo. A pawimawh ber chu hemi chungchang hi uluk taka hriattir a ni. Vawiin hian he thu hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.
A awlsam zawngin, tonsil cancer chu eng nge ni?
Tonsil cancer hi i kawr hnung lama gland pahnih tonsils an tih atanga lo awm a ni. Heng tonsils te hi i rilru hnunglam bang, a nih loh leh i rilru chhunga ``pharynx'' an tih laiah a awm a ni.A nihna takah chuan tonsil cancer hi i rilru chhunga cancer chi hrang hrang, a nih loh leh ``oropharyngeal cancer'' lo awm tam ber zinga mi a ni.
A tha ber chu he cancer hi a hmaa hmuhchhuah a nih chuan a dam vek tawh mai mai a, chu chu taksa peng dangah a darh hmain a ni. Chuvang chuan a symptoms hriat chian a pawimawh em em a ni.
Mahse hei hi cancer a ni vak lo. Chumi awmzia chu mi zawng zawng tuar thei natna a ni lo tihna a ni. Mahse risk factor nei te tan chuan he thil hi a bik takin fimkhur a tha hle.
Heng symptoms te hi i ngaihtuah tur a ni.
Tonsil cancer chhinchhiahna ber leh langsar ber chu kawr na, ni tam tak emaw, kar tam tak emaw chhung a reh lo hi a ni. Tin, a lan chhuah dan ber pakhat chu tonsil pakhat chauh a hring a, a dang aiin a lian zawk a ni. Heng symptoms te hi ngun zawkin han thlir ila.
| Symptom a ni | Hrilhfiahna awlsam tak |
|---|---|
| Hloro na reng reng | I rilru a na a, kar tam tak chhung a na a nih chuan, ni hnih emaw ni thum emaw chhunga a dam chhuah ai chuan, khawsik pangngai angin. |
| Tonsil pakhat tihpun | Darthlalang a en hian tonsil pakhat chu a dang aiin a lian zawkin a hring zawka lang a nih chuan, . |
| Thâwk rimchhia (Halitosis) . | Ha sil leh hmui silfai hnuah pawh a reh lo thei tur khawpa rimchhia i neih chuan. |
| Thisen chu hmuiah a awm | I khuh emaw, i chil emaw laiin thisen tlem i hmuh chuan. |
| Chaw ei leh tawng harsa | Chaw i ei laiin i rilruah thil a inkhung ang tih i hriat chuan, emaw, i aw a danglam ang tih i hriat chuan. |
| Beng a na hle | A bik takin a sir khata beng pakhat a na reng chuan (a chhan chu rilru chhunga nerve te chu beng nen an inzawm tlat avangin). |
| Cervical lymphadenopathy a awm thei a ni | I kawr sir, i hmui hnuaiah, lump te tak te i hriat chuan hei hi ‘whole lump’ kan ti thin. |
Pawimawh: Heng symptoms te hi i neih chuan tonsil cancer i nei tihna a ni lo. Tonsillitis infection awlsam tak a ni thei bawk. Mahse heng symptoms te hi ni engemaw zat aia rei a awm chuan doctor pan ngei ngei tur a ni.
Engvangin nge hetiang cancer hi a lo awm? Risk factors te chu engte nge ni?
Scientist te hian engvangin nge cell hrisel te hi cancer cell ah an chantir tih chiang takin 100% in an la chiang lo. Mahse, tunah chuan hetianga thlentu risk factor pawimawh engemaw zat an hmuchhuak ta a ni.
1. Human Papillomavirus (HPV): Hei hi risk factor pawimawh ber hriatchhuah tawh a ni. HPV hi mipat hmeichhiatna hmanga kai theih hrik a ni. Research atanga a lan dan chuan he virus chi thenkhat, a bik takin HPV-16 hian tonsil cancer lo awm theihna kawngah nghawng nasa tak a nei a ni.
2. Zuk leh hmuam hman: Cigarette, cigar, leh beedis chauh ni lo, e-cigarette (vaping) te pawh hi a hlauhawm hle. Zuk leh hmuam chhunga chemical awmte hian kawr chhunga cell awmte a tichhe thei a, cancer a thlen thei bawk.
3. A rilru a hah lutuk chuan a rilru a buai em em a.Zu in tam lutuk: Meizial zu laia zu in chuan he cancer hi a vei theihna a sang zawk hle. Heng pahnih hi an inzawm khawm chuan cancer vei theihna a sang lehzual a ni.
4. Immune system chak lo: HIV vei emaw, organ transplant avanga immunosuppressant ei thinte hian he cancer chi hi an vei theihna a sang hle.
Engtin nge doctor hian hei hi a hriat chian? (Diagnosis) tih a ni.
A chunga i sawi tak symptoms neia doctor i pan chuan a tih hmasak ber tur chu i kawr uluk taka enfiah hi a ni. I tonsils, sores, etc. a inthlak danglam leh awm loh an enfiah ang a, infection a awm leh awm loh enfiah nan throat culture an ti thei bawk.
Tonsil cancer rinhlelhna tlemte pawh a awm chuan beng, hnar leh kawr specialist (ENT Surgeon - Otolaryngologist) hnenah a refer ang che. Chutah chuan test dang engemaw zat a tih a ngai dawn a ni.
Biopsy tih a ni
Hei chauh hi cancer a nih leh nih loh hriat chian theihna a ni. Hei hian rinhlelh awm tonsil atanga tissue te tak te tak tak lak a, microscope hmanga enfiah a, cancer cell a awm leh awm loh enfiah a ngai a ni. Hei hi kawng hrang hrangin tih theih a ni.
- Incisional Biopsy: Tissue chi khat hmuh theih nan incision te tak te siam a ni.
- Fine-Needle Aspiration (FNA): Kawngkhar ah lump a awm chuan fine needle dahin cell sample te tak te chu enfiah turin lakchhuah a ni.
Imaging Test te pawh a awm
Biopsy-in cancer a ni tih a finfiah chuan a dawt leh tur chu eng chen nge a darh tawh tih leh hmun dangah a darh tawh em tih en a ni. Chumi atan chuan hetiang test hi hman a ni.
- CT scan (Computed Tomography hmanga enfiah) a ni.
- MRI scan (Magnetic Resonance Imaging hmanga enfiah) a ni.
- PET scan (Positron Emission Tomography hmanga scan) hmanga enfiah a ni.
Heng test result hian cancer stage a hril a ni. Chu stage a zirin enkawl dan tur ruahman a ni. A awlsam zawngin, early stage tih awmzia chu cancer hi tonsils-ah chauh a awm tihna a ni. Later stage tih awmzia chu lymph node emaw taksa peng dang emaw-ah a darh tawh tihna a ni a, metastasize an ti.
Enkawlnate chu engte nge ni?
Tonsil cancer hi enkawlna hrang hrang a awm a. I tana enkawlna tha ber chu tumor lian leh te, a awmna hmun, a darh leh darh loh leh i hriselna zawng zawngah a innghat ang. Enkawlna ber chu surgery, radiation therapy, leh chemotherapy te a ni.
1. Surgery tih a ni
Cancer hi a te a, a bul tanna a nih chuan operation hmangin a bo vek thei a ni.
- Transoral Robotic Surgery (TORS) hmanga tihchhuah a ni a:Hei hi hmanraw thar ber leh hmasawn ber a ni. Robot technology hmangin cancer natna hrik chu ka chhung atanga ka hnunglam thlengin nalh takin an la chhuak thin. Incision lian tak a awm loh avangin a dam thuai a ni.
- Lymphadenectomy (Neck Dissection): Cancer chu kawr chhunga lymph node-ah a darh tawh a nih chuan kawr section pakhat chu tan a ni ang a, chu lymph node te chu lakchhuah a ni ang.
2. Radiation Therapy hmanga enkawlna
Hei hian cancer cell tihchhiat nan high-energy rays (X-ray ang chi) hman a huam a ni. He enkawlna hi a chang chuan operation ai chuan pek a ni a, a nih loh leh operation hnua cancer cell awm thei zawng zawng tihhlum nan an pe bawk.
3. Chemotherapy hmanga enkawlna
Hei hian taksaah cancer cell thattu damdawi chak tak pek a huam a ni. Hei hi cancer a darh nasa lutuk a nih chuan pek thin a ni a, emaw, radiation therapy hmanga enkawlna tihpun nan emaw pek thin a ni.
I doctor team chuan eng enkawlna nge i tana tha ber tih an rel ang a, chuvangin zawhna emaw, ngaihtuahna emaw i neih chuan anmahni nen sawiho hreh suh.
Enkawlna hian side effect a nei em?
Ni e, cancer enkawlna dang ang bawkin side effect engemaw zat a awm thei a, mahse tunah chuan enkawl dan tur tam tak a awm ta.
- Operation hnuah: Thisen chhuak, natna hrik kai, ei harsa (dysphagia), leh aw inthlak danglam a awm thei.
- Radiation leh chemotherapy hnuah , hahna, rilru hah, luak chhuak, sam tlakchham, hmui natna, leh ei duh lohna te hi a awm fo thin.
Heng side effect tam zawk hi chu hun eng emaw chen atan a ni. Enkawlna an zawh veleh an reh zauh zauh thin. Hemi hun chhung hian ei leh in tha leh Doctor thupek zawm a pawimawh hle.
He cancer hi ven dan tur a awm em?
A pumpelh kim thei lo nain, a hlauhawmna tihziaawmna tur thil engemaw zat i tih theih a awm.
- Meizial zuk loh vek: Zuk leh hmuam chi hrang hrang hman tawh loh tur.
- Zu in tlem: A theih ang anga tihtlem a tha ber.
- HPV lakah inveng rawh: HPV vaccine lak hian virus chi hrang hrang, HPV-16 te lakah a veng thei che a, chungte chu he cancer thlentu ber an ni. Safe sex pawh a pawimawh.
- I hmui hriselna enkawl rawh: I hmui chu ha enkawltu hnenah enfiah fo thin ang che. Hei hian a tir lamah inthlak danglamna a hriat theih nan a pui dawn a ni.
Take-Home Thuchah a ni
- Ni engemaw zat aia rei ril na, tonsils hring, ei harsa tih ang chi symptoms i neih chuan ngaihthah suh. Doctor hmu nghal rawh.
- Tonsil cancer thlentu ber chu HPV virus a ni. Meizial leh zu in pawh hi hlauhawmna lian tak a ni.
- He cancer hi a tir lamah hmuhchhuah a nih chuan a damna rate a sang hle. Chuvangin, a hmaa hriat chian a pawimawh hle.
- Enkawlna kawng hrang hrang a hmasawn hle. Surgery, radiation therapy leh chemotherapy te hian result hlawhtling tak a nei thei a ni.
- Cancer vei nia hriat i nih chuan beidawng suh. I chhungte, i ṭhiante, leh medical team-te nen pawh zalen takin sawi rawh. Support dik tak hmuh hi damna kawngah chakna nasa tak a ni.
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