I colon-ah pawh hetiang tumor hi i nei em? (Tubular Adenomas) chungchang hi i zir dawn teh ang!

A châng chuan `(Colonoscopy)` kan tih hian doctor-te chuan kan ril chhungah hian thinghnah te te an hmu thei a. Chu chu `(Polyps)` an tih chu a ni. Heng `(Tubular Adenomas)` te hi colon chhunga lo piang, cancer an nih hmaa lo piang chhuak te te chi khat an ni bawk. Hengte i hriat hian hlauhna tlem i nei mai thei, mahse lungngai suh. Chung zinga 9% aia tlem chu cancer-ah an chang thin. Mahse hei hi vaukhânna hmasa tak i hmuh ang mai a ni. He vaukhânna hian colorectal cancer i vei theihna tihziaawmna kawngah nasa takin a ṭanpui thei a ni.

Heng (Tubular Adenomas) te hi (Villous Adenomas) te nen hian an inang em? Nge an danglam em?

Tunah chuan heng `(Tubular Adenomas)` leh `(Villous Adenomas)` te hi a inang em tih i ngaihtuah mai thei. Dik tak chuan microscope hmanga en chuan an pahnih hian i colon lining-a lump te tak te ang mai, a nih loh leh cauliflower chi te te ang mai an ni. I colon wall-a cauliflower pangpar te tak te inbun ang maiin ngaihtuah rawh. Mahse an pahnih than danah hian danglamna chiang tak a awm.

A awlsam zawngin ``Tubular Adenomas`` hi i colon lining atanga siam test tube te tak te series ang mai a ni. Chumi awmzia chu an cell te chu felfai tak, tubular ang maia inrem a ni tihna a ni.

Mahse ``Villous Adenomas'' an tih hi a danglam hle. Fern hnah hmun hrang hranga random taka lo chhuak ang mai an ni a, a buai deuh a, kut zungtang ang maia projection tam tak an nei bawk.

Tunah chuan engvangin nge he thanlen dan inang lo hi a pawimawh tih i ngaihtuah mai thei. Heng a than dan hriatthiamna hian doctor-te chuan i adenoma chu cancer a nih theih dan tur a zirchiang thei a ni. Entirnan, Villous Adenomas te hi Tubular Adenomas aiin an thang chak zawk a, cancer an nih theihna a sang zawk. Chuvang chuan an inthlauhna hi hriat chian a pawimawh hle.

Engvangin nge heng (Tubular Adenomas) te hi an lo awm? Risk factors te chu engte nge ni?

Dik tak chuan tu pawhin heng `(Tubular Adenomas)` te hi an nei thei a ni. Mahse mi thenkhat chuan an vei theihna chance a sang zawk . Tute nge an nih i en ang u:

• Cigarette emaw, zuk leh hmuam thil dang emaw i hman chuan: Meizial hi natna tam tak thlentu lian tak a ni. Hemi pawh hi direct in a nghawng a ni. Zuk leh hmuam chhunga chemical awmte hian colon chhunga cell te a tichhia a, hetiang polyp te hi a lo thang lian thei a ni.
• I taksa rih zawng hi a rawt aia tam a nih chuan (Obesity): Obesity pawh hi a chhan pakhat a ni. Taksaa taksa rihna tam lutuk avanga hormone inthlak danglamna leh inflammation te hian heng ``Adenomas`` te hi a tipung thei a ni.
• Kum 50 aia upa i nih chuan: Kum upat deuh deuh hian natna thenkhat i vei theihna a sang chho zel a. Kan taksa cell siam that dan hi kan tar chhoh zel chuan a slow thin avangin cell pangngai lo kan nei tam zawk thin.
• Mipa i nih chuan:Statistically chuan hmeichhia aiin mipa te hian heng ``Adenomas'' te hi an vei theihna chance a sang zawk tih hmuhchhuah a ni.
• Chhungkaw cancer vei tawh: I nu leh pa, i unaute emaw, i fate emaw chuan colorectal cancer an vei tawh a nih chuan i vei theihna chu a let hnih velin a sang zawk a ni. Hei hian genetic influence a awm tih a tilang.
• Damdawi lam dinhmun awm tawh thenkhat: Entirnan, Crohn’s disease emaw ulcerative colitis ang chi inflammatory bowel disease (IBD) i neih chuan , colon cancer, ovarian cancer i neih tawh chuan i hlauhawm hle bawk.
• Gene inthlak danglamna thenkhat: Colon cancer leh polyps thlen thei thil engemaw zat a awm a, chungte chu Familial Adenomatous Polyposis (FAP) emaw MUTYH-associated Polyposis (MAP) te hi a ni. Hengte hi chhungkaw member-te nghawng thei genetic condition a ni.

"Hetiang risk factor zawng zawng hi i neih vek a ngai lo. Pakhat emaw pahnih emaw nei mah la, a chang chuan chhan hriat lohvin an lo awm thei. Chuvangin doctor nena inbiakna leh `(Screening)` test chungchang zir hi a pawimawh em em a, a bik takin kum 45-50 hnuah.

(Tubular Adenomas) natna lan chhuah dan chu engte nge ni? Engtin nge an hriat chian?

A tam zawkah chuan heng `(Tubular Adenomas)` te hian symptoms an nei lo . Chu chu thil hlauhawm ber a ni. Symptoms a awm loh avangin taksa chhungah hetiang thil hi a thleng tih pawh kan hre lo. Ngawi rengin an thang lian thei. Mahse, a tlem hle a, symptoms a lo lang a nih chuan a symptom langsar ber chu bowel movement laiin dark red emaw light red blood emaw natna nei lo taka kal hi a ni. He thisen hi bawlhhlawh nen chawhpawlh emaw, bawlhhlawh chung lamah hnawih emaw pawh a ni thei.

Chumi piah lamah chuan symptom dang engemaw zat a awm thei a, mahse hengte hi a tam vak lo:

• Constipation emaw diarrhea: Kar engemaw zat chhung chu i toilet hman danah chhan awm lo taka inthlak danglamna a awm a nih chuan.
• Tum loh vanga taksa rihna tihtlem: Diet hmang lova i taksa rihna tihtlem chuan, a hma ang anga i ei lai pawhin.
• Chaw ei duh lohna: Chaw ei duh lo anga inhriatna.
• Pum natna: Pum natna emaw, natna emaw, a awm reng, a fiah lo.
• Iron-deficiency anemia: Polyp-te hian thisen a chhuah tlem avangin a chang chuan taksaa iron level a tlahniam a, chu chuan natna lanchhuahna chu hahna leh sen hring ang chi a thlen thin.

Mahse hre reng ang che, heng symptoms te hi i neih vang mai mai chuan Tubular Adenomas i nei tihna a ni lo. Heng symptoms te hi hriselna lama harsatna dang, hemorrhoids leh intestinal infection dang vang pawh a ni thei. Chuvangin hetiang thil hi i neih chhunzawm zel chuan doctor pan a, thurawn lak a tha ber tih a chiang. Mahni inhriatthiamna nei suh.

Engtin nge doctor ten heng (Tubular Adenomas) te hi an hriat theih?

A tlangpuiin doctor-in a enfiah che chuan Digital Rectal Exam-ah Tubular Adenoma chu rectum bula awm a nih chuan a hmu thei a ni. Mahse , a tam zawkah chuan Tubular Adenomas hi Colonoscopy, colorectal cancer screening test neih laiin hmuh a ni.

``(Colonoscopy)`` chu tube ang maia thil awlsam, te tak te (camera te tak te leh a tawp lama light dahna) chu hnute kaltlangin dahin, intestine lian (colon) leh rectum zawng zawng enfiah a ni. Hetah hian doctor chuan intestine-a inthlak danglamna tenau tak tak, ``(Polyps)`` ang chi pawh monitor-ah chiang takin a hmu thei a ni. Chuvangin i en hian heng ``(Adenomas)`` te hi an man thin. He test hma hian i intestines uluk taka i tihfai a ngai a, chumi atan chuan doctor chuan in tur bik emaw damdawi emaw a pe ang che.

(Tubular Adenomas) hi eng enkawlna nge ni?

Chumi atana enkawlna ber leh tangkai ber chu heng `(Adenomas)` te hi i colon atanga paih chhuah hi a ni. Thu lawmawm tak chu a tam zawkah chuan heng `(Adenomas)` te hi `(Colonoscopy)` test-a an hmuhchhuah nen a rualin an paih chhuak thin. Chumi awmzia chu ni hranpa, surgery lian tham tak nei tura luh a ngai lo tihna a ni. Hetiang tih dan hi `(Polypectomy)` tih a ni.

Doctor-te chuan hmanraw bik, wire loop snare emaw biopsy forceps emaw an hmang tlangpui a, chu chu colonoscope kaltlangin an kal a, chu chuan colon lining atanga adenoma chu a paih chhuak thin. Polyp lian tak tak chu chi hrang hrangah then a, lakchhuah theih a ni. I hrual emaw, i hrual emaw tih hriatna tlem i nei thei a, mahse colonoscopy hi painkiller leh sedation hmanga tih a nih tlangpui avangin , i na vak lo vang.

Chumi hnuah doctor chuan a adenoma a lakchhuah te chu a la a, microscope (Histopathology/Biopsy) hmanga enfiah turin laboratory-ah a thawn a ni. Hei hi cancer cell a awm leh awm loh leh eng ang adenoma nge a nih tih chiang taka an finfiah theihna hmun a ni. Hei hi kalphung pangngai a ni.

Tubular Adenomas vei theihna ka tihtlem thei ang em?

`(Tubular Adenomas) i vei tih i hriat chuan colorectal cancer vei theihna chance tlem a sang zawk tihna a ni.Chu chu a dik a ni. Mahse, lungngai suh. Colon cancer hi risk factor tam tak a awm a. Ṭhenkhat chu kan thlak danglam thei a, ṭhenkhat erawh chu kan thlak thei lo (e.g., kum, chhungkaw chanchin, genes).

Mahse, i risk tihtlem nan thil engemaw zat i tih theih a awm :

• Zu i in emaw, i in tlem emaw, i chawlhsan vek emaw a nih chuan: a theih ang anga tihtlem a tha ber.
• Meizial zu leh zuk leh hmuam hman kha bansan vek rawh: Hei hi i tih ngei ngei tur thil a ni. Hemi chungchangah hian tanpuina i mamawh chuan doctor nen inbia ang che.
• Rihna hrisel tak nei rawh: Exercise leh ei leh in inthlau tak hian hei hi a pui thei a ni. Ni khatah minute 30 chhung kea kal ang chi thil awlsam tak hmangin i tan thei ang.
• Ei leh in hrisel ei: Fiber tamna thlai, thei, legumes leh whole grains te ei tam rawh. Sa sen (bawnghnute, vawk sa ang chi) leh sa processed (sausage, bacon ang chi) te chu tihtlem tur a ni.
• Exercise neih fo: Kar khatah ni engemaw zat tal exercise chakna (moderate-intensity exercise) nei thin ang che.

"Hetiang thil tih hian `(Tubular Adenomas)` lo awm lehna hi a titawp vek lo mai thei a, mahse colon cancer vei theihna zawng zawng tihtlem nan nasa takin a pui dawn a ni. Tin, doctor-in a sawi angin hun ruat saah `(Colonoscopy)` test neih a pawimawh hle bawk.

(Tubular Adenomas) ka neih chuan eng nge ka beisei ang?

Tubular adenomas hi i colon leh rectum-a cancer hmaa lo thang lian chi khat a ni. A tlangpuiin colonoscopy, colon cancer enfiahna atana hman thin test an neih laiin an hmu thin. Chuvangin, i doctor chuan colonoscopy neih laiin heng polyp te hi a hmu a nih chuan midang aiin colonoscopy tih nawn fo a ngai mai thei. Chumi awmzia chu tubal adenoma nei lo mi pakhat chu kum 5 atanga kum 10 danah colonoscopy neih tir tura rawtna a awm laiin, kum 1 atanga kum 3 danah ang bawkin checkup dang nei leh turin an ti leh thei lo tihna a ni.

He ``Follow-up`` interval hi i doctor-in a ruat a ni. A nghawngtu thil engemaw zat a awm a:

• I chhunga `(Adenomas)` hmuh zat.
• An lian leh te.
• An microscopic appearance (`Histology`), chu chu ``Villous`` features an neih leh neih loh emaw, ``High-grade dysplasia`` ang chi inthlak danglamna nasa tak an neih leh neih loh emaw tihna a ni.
• I chhungkaw history-a colon cancer vei te.
• I hriselna zawng zawng.

Chuvangin, a pawimawh ber chu doctor-in a hrilh che schedule angin colonoscopy neih hi a ni.

Tubular Adenomas hi a lo awm leh thei em?

Ni e, vanduaithlak takin Tubular Adenomas hi a lo lang leh thei a ni.Colonoscopy hi vawi khat lak chhuah a nih vang mai maiin a lo thang leh dawn lo tih sawi theih a ni lo. A bik takin meizuk i nih emaw, a hmaa kan sawi tawh ang risk factors i la neih chuan he thanlenna hi a sang zawk daih. Chuvangin doctor-te chuan a hun takah ``Colonoscopy`` tih leh turin an rawt a, chu chu a lo thang thar leh awm loh enfiah a ni. He ``Surveillance Colonoscopy`` emaw ``Follow-up Colonoscopy`` hi a pawimawh a, a chhan chu a tir lamah, cancer an nih hmain, a lo thang tharte chu a hriatchhuah theih a, a paih chhuak thei a ni.

(Tubular Adenomas) ka neih chuan engtin nge ka in enkawl ang?

Dik tak chuan `(Colonoscopy)` i neih a, `(Tubular Adenomas)` i nei tih i hriatchhuah hian i in enkawl dan tur kawngah hmasawnna lian tak i nei a ni. `(Colonoscopy)` result chungchangah tlem i lungkham emaw, i hlau emaw a nih chuan `(Tubular Adenomas)` chungchanga heng thudik tlemte hi hriat reng a \angkai mai thei:

• Colonoscopy ti thin doctor te chuan test an tih rual hian i tubular adenomas te chu an paih chhuak tlangpui thin. Chuvangin buaina lian tak chu chinfel nghal a ni.
• `(Tubular Adenomas)` hmuhchhuah zinga 90% vel chu cancer an ni lo. Hei hi thlamuanna lian tak a ni lawm ni? Chu chu a tam zawk hi an hlauhawm lo tihna a ni.
• Colonoscopy hi regular taka neih a nih chuan Tubular Adenomas thar lo awm mahse doctor-te chuan cancer an nih hmain an hmuchhuak thei a, an paih chhuak thei tihna a ni. Hei hian him, early-detection system-ah i awm tihna a ni.

"Chuvangin, a pawimawh ber chu doctor thupek zawm dik hi a ni. A hun taka follow-up test neih te, nunphung tihdanglam tul (meizial zuk bânsan, ei leh in hrisel ei, exercise) te hi i tan thil tha ber a ni. Zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen inbiakna neihpui rawh.

Engtikah nge doctor ka hmuh leh ang?

I scheduled ``Follow-up Colonoscopy`` nghah lai hian i taksaah inthlak danglamna thar i hmuh chuan, a bik takin ``Tubular Adenomas`` thar i nei thei nia i ngaih chuan, emaw, colon cancer symptoms i nei thei nia i hriat chuan, i doctor pan hmasa phawt ang che.

A tam zawkah chuan Tubular Adenomas hian symptom a nei lo tih hre reng ang che. Mahse, symptoms a awm tak tak a nih chuan a lan chhuah tam ber chu natna nei lo, dark red emaw light red blood emaw a ni a, chu chu bowel movement hnuah a ni. Hetiang thil hi i hriat chuan ngaihthah suh. Doctor hnenah hrilh ngei ang che. Tin, a hmaa kan sawi tawh ang chi natna thar emaw, a zual zel emaw (pum na, riltam inthlak danglam, taksa rihna tlahniam) te pawh hre reng ang che.

Engtik laiin nge colonoscopy hnuah Emergency Department (ETU) ah ka kal ang?

Colonoscopy hnua harsatna lian tham tak tak awm hi a tlem hle. Mahse, an lo awm a nih chuan hmalak vat a pawimawh. Colonoscopy hnuah (a tlangpuiin ni engemaw zat chhungin) a hnuaia harsatna te hi i neih chuan damdawi in hnai ber emergency room-ah i kal nghal tur a ni a, a nih loh leh i doctor ko tur a ni :

• Pum natna nasa tak emaw, cramping emaw a na zual zel. (Test zawh hnua bloating emaw gas emaw tlem a awm chuan a pangngai a, mahse natna nasa tak erawh a ni lo.)
• I pum chu a khauh, lungpui ang maia a awm a, i kut hmanga i hmet chuan a na nasa hle a nih chuan.
• Gas pass emaw, bawlhhlawh paih emaw harsatna awm reng.
• Khawsik sang (a tlangpuiin 100.4°F emaw 38°C aia sang).
• I luak chhuak emaw, i muhil emaw a nih chuan.
• I luak chhuak chhunzawm zel a nih chuan.
• Bowel movement tam tak emaw, thisen chhuak nasa tak emaw.
• Rectal bleeding tihtawp theih loh a nih chuan, emaw, thisen tablespoon hnih aia tam a chhuak a nih chuan.

Heng symptoms te hian colonoscopy hnua harsatna awm thei, mahse a tlem hle (e.g., bowel perforation, thisen chhuah tam lutuk) a awm tih a tilang a ni. Chuvangin hengte hi fimkhur rawh.

Tubular Adenoma chungchangah hian ka doctor hnenah eng zawhna nge ka zawh tur?

I routine colonoscopy neih laiin Tubular Adenomas i nei tih i hriat chuan i doctor hnenah heng zawhnate hi i zawt thei ang. Heng zawhnate zawh hian natna chungchang hriatthiamna tha zawk i neih theih nan leh i hlauhthawnna tihziaawmna turin a pui thei che a ni:

• "Doctor, `(Tubular Adenoma)` hi eng nge ni tak tak? Thumal awlsam takin min hrilhfiah thei ang em?"
• "Hei hian colorectal cancer ka nei tihna em ni? A nih loh leh nakin lawkah ka vei dawn em ni?"
• "Heng `(Tubular Adenomas)` enkawl dante hi eng nge ni? Ka taksaa hmuhte kha lakchhuah an ni em? An paih vek em?"
• "Biopsy report-ah khan adenomas lakchhuah te chungchangah eng nge a sawi? High-grade dysplasia ang chi inthlak danglamna hlauhawm tak a awm em?"
• "Hetiang natna avang hian colon cancer vei theihna genetic predisposition ka nei em? Hemi chungchang hi ka chhungte pawh ka hriattir tur em ni?"
• "Engtiang chiahin nge ka colonoscopy neih leh tur chu?"
• "Colon cancer ka vei theihna tur tihtlem nan eng nge ka tih theih ang? Ka nun danah eng inthlak danglamna nge ka siam ang?"
• "Heng `(Adenomas)` te hi an lo thang leh theihna chance chu eng nge ni?"

"Hetiang zawhnate hi zawh hlau leh hreh ngai suh. I hriselna chungchang hriat theihna tur dikna i nei vek. Doctor chuan engkim a hrilhfiah vek ang che. I hriatthiam loh chuan zawt leh rawh."

A tawp berah chuan heng zawng zawng atanga kan hriat reng tur (Take-Home Message) .

Tubular Adenomas hi colorectal cancer hriatna hmasa ber anga ngaih theih a ni. Tubular Adenomas hi cancer a ni lo va, cancer vei theihna chance a tlem hle a, a bik takin a te a, a lan chhuah loh chuan a tlem hle.

Mahse, heng thilte hi neih hian, ‘Hey, colon cancer ka vei theihna tur tihtlem nan eng nge ka tih theih tih zirchianna ka neih a ngai a, doctor-in a sawi angin follow-up ka tih a ngai bawk’ i ti tihna a ni. I doctor nen inbia la, i tih theih turte zawt rawh. I tanpui thei tur programme leh service te an hrilh thei che a ni. Meizial zuk bânsan nâna ṭanpuitu a ni thei a, a nih loh leh taksa rihna hrisel vawng reng tûra ṭanpuitu a ni thei a, ei leh in hrisel hman thiamna a ni thei bawk.

A pawimawh ber chu hlau lo, hlauthawng lo, damdawi lam thurawn dik zawm leh test ngai te skip loh hi a ni. Tichuan he risk hi i enkawl tha thei ang a, hrisel takin i awm thei ang a, i hlim thei bawk ang!

` Tubular adenoma, colon polyps, colonoscopy, colon cancer, polyps, colon polyps, ek chhunga thisen, cancer hlauhawmna, hriselna endikna te