“ Colon cancer, ” tih thumal kan hriat hian kan hlau deuh vek a ni lawm ni? Mahse mi tam takin an hriat loh chu he cancer hi vawi khatah a lo awm vek lo fo thin. Chu ai chuan cancer a nih hmain kan colon-ah hian inthlak danglamna engemaw zat a awm thin. A tha ber chu heng “ precancerous conditions” te hi kan hriat hmasak theih chuan cancer lo awm tur venna hun remchang kan nei a ni. Chuvangin vawiinah hian he natna hlauhawm tak a lo thlen hmaa kan hnena vaukhânna pekte hi han sawi ila.
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He cancer hmaa awmte hi engte nge ni?
A awlsam zawngin, hengte hi kan colon wall-a lo awm cell growth pangngai lo tak takte an ni. Hengte hi tun dinhmunah chuan cancer an ni lo a, mahse hun kal zelah enkawl loh chuan cancer-ah an chang thei a ni. An zingah hian condition lian tak tak engemaw zat a awm. A pakhat zel han thlir ila.
1. Adenomatous Polyps: A hlauhawmna ber
" polyps " tih thumal hi i hre tawh ngei ang. Hengte hi colon chhung lam bang-a lo piang chhuak te te an ni. Vunah chuan hnim hring ang mai an ni a, hnim hring ang mai an ni. Polyp chi hrang hrang a awm a, mahse adenomatous an tih chi hi cancer vei theihna sang ber a ni.
A pawimawh ber chu heng polyp te hian pawn lam atanga chhinchhiahna engmah an lantir lo mai thei. Chuvang chuan medical test hi a pawimawh em em a ni.
Engtin nge hengte hi an hmuhchhuah a, enkawl an nih?
Heng polyp te hi enfiah dan tha ber chu colonoscopy hmanga enfiah a ni.Exam a ni. Hetah hian doctor chuan intestine lian zawng zawng chu camera hmanga siam tube (scope) te tak te, anus kaltlanga dah hmangin a enfiah thin. He examination hian polyp ang chi thil chiang takin a hmu thei.
A enkawl dan chu hetiang hi a ni:
- Polyp lakchhuah: Thu lawmawm tak chu colonoscopy neih laia polyp hmuh a nih chuan cut chhuakin lakchhuah nghal theih a ni. Hei hian operation lian tham a ngai lo.
- Laboratory-a thawn: Polyp lakchhuah chu adenomatous nge hlauhawm lo chi dang a nih leh nih loh finfiah turin laboratory-ah thawn a ni.
- Re-screening : Polyp pakhat hmuh a nih chuan i doctor chuan a tam zawk enfiah nan full colonoscopy neih a rawt mai thei. Chumi hnuah chuan kum 1 atanga kum 3 hnuah follow-up test neih a tha tlangpui , chu chu colon chu “thianghlim” vek a nih hnuah. I test result a positive chhunzawm zel chuan i doctor chuan engtikah nge i test leh tur tih a rel ang.
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Hei hi a danglam deuh a, a pawi zawk bawk. FAP hi hereditary, a nih loh leh genetic, condition a ni. Hetiang natna vei hian an colon-ah polyp za tam tak, sang tam tak pawh ni lo, a nei a ni.
Ngaihtuah teh, hei hi a pawi em em a, FAP vei mi pakhat chu enkawl loha awm a nih chuan kum 40 a tlin chuan colon cancer a vei theihna chance chu 100% vel a ni.
Chuvangin FAP hi hmuhchhuah a nih chuan surgery hmanga enkawl a ngai ngei ang. Hei hi surgery tih dan leh enkawl dan tur chu a hnuaia table-ah hian tarlan a ni.
| Damlo dinhmun | Enkawl dan leh zai dan |
|---|---|
| Rectum-ah polyp a awm loh chuan | Total colectomy: Colon tam zawk chu operation hmanga lakchhuah a ni a, small intestine (ileum) thenkhat chu rectum nen inzawm leh a ni. Operation zawhah thla 6 danah rectum hi enfiah thin a ni (proctoscopy). |
| Rectal polyps i neih emaw, cancer risk lak duh loh emaw i nih chuan | Ileal pouch-anal anastomosis: Intestine lian leh rectum pahnih hi lakchhuah a ni. Tichuan, small intestine atang hian pouch te tak te siamin rectum tawp lamah an inzawm khawm a. Hei hian damlo chu a rilru natna pangngai a neih chhunzawm theih nan a pui a ni. |
3. Inflammatory Bowel Disease (IBD) 1. A rilru a hah lutuk chuan a rilru a buai em em a.
IBD hi intestine a inflammation rei tak a ni . Hei hi entirnan ulcerative colitis ang chi natna te hi a ni . Intestines chu rei tak a inflamed chuan, chu hmuna cell te chu a inthlak danglam a, cancer a nih theihna a awm .
IBD vei hi engtin nge i enkawl ang?
- Screening neih fo: IBD vei te hian cancer chhinchhiahna awm leh awm loh enfiah nan colonoscopy an nei fo tur a ni. Hei hian inthlak danglamna eng pawh chu a hmain man turin a pui thei a ni.
- Prophylactic Colectomy: Damlo thenkhat chuan cancer a lo awm hmain colon chu surgery hmanga lakchhuah an tum a, a lo awm hun nghah ai chuan. Hetah pawh hian a hmaa kan sawi tawh ileal pouch-anal anastomosis surgery hi nunphung tha tak neih theih nan tih theih a ni.
Heng zawng zawng hian colon cancer hi zan khat thil thua lo awm thei a ni lo tih a tilang chiang hle. Kan taksa hian a lo thlen hmain signal chi hrang hrang min pe thin. A pawimawh ber chu chutiang signal te chu kan hriat chian a, a hun takah doctor kan hmuh a, a tul anga test leh enkawlna kan neih hi a ni.
Take-Home Thuchah a ni
- Colon cancer tam zawk hi enkawl theih, cancer awm lo (precancerous conditions) angin a intan thin.
- Colonoscopy ang chi test hian heng natna te hi a hmain a hriat theih a, cancer a nih hmain a paih chhuak thei a ni. I doctor-in a rawt chuan heng test te hi skip suh.
- I chhungte zingah tu emaw chuan colon cancer, polyps, FAP ang chi natna an nei tawh a nih chuan i doctor hriattir a pawimawh. Hei hian i risk tehna atan a pui ang.
- Colon cancer hi a hmaa hriat chhuah leh enkawl dan dik a nih chuan a pumpelh vek tawh mai thei. Chuvangin hlau suh, fimkhur rawh.
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