Cancer enkawl laiin pum na na tak a awm em? Typhlitis a ni thei ang em?

Cancer enkawl mek i ni mai thei. A nih loh leh immune system chak lo tak i nei thei bawk. Hetiang hunah hian hriselna lama harsatna chi hrang hrang a lo awm thei a ni. Vawiin hian hetiang dinhmun hi kan sawi dawn a, a bik takin intestine nena inzawm, a na deuh a, mahse a hmaa hmuhchhuah a nih chuan control theih a ni tha hle Hei hi Typhlitis kan tih chu a ni.

Typhlitis hi eng nge ni? A awlsam zawngin...

A awlsam zawngin Typhlitis hi kan chaw ei dan (digestive system), chu chu kan intestines-a inflammation na tak a ni. He inflammation hian bacteria leh fungal infection a thlen thei a ni. Hei hi thil awm lo tak ni mahse, chemotherapy nasa tak dawng mekte zingah a awm tam zawk a, a bik takin thisen cancer chi hrang hrang (entir nan, leukemia, lymphoma, multiple myeloma) tan a ni.

Kan intestine hi tube sei tak angin han ngaihtuah teh. Typhlitis hian he intestine hmun hrang hrang a nghawng thei a:

• Hetiang dinhmun hi cecum-ah a lang tam ber a, chu chu intestine lian tak a ni.
• Chu bakah, ascending colon
• Tin , small intestine-a tel ileum pawh a nghawng thei bawk.

Doctor-te chuan he natna hi hming dang an hmang ṭhîn a, chu chu neutropenic enterocolitis , typhlenteritis, a nih loh leh ileocecal syndrome te hi a ni. Mahse, an vai hian dinhmun inang an sawi vek a ni.

Typhlitis vei hlauhawmna chu tute nge ni?

He hlauhawmna hi cancer enkawl mekte tan chauh ni lovin, mi dang engemaw zat tan pawh a ni.

• HIV/AIDS vei te hian typhoid fever an nei thei a.
• Tin, immunosuppressants ei thinte , entirnan, stem cell/bone marrow transplant nei tawhte, emaw, taksa peng dang thlak tawhte pawhin he natna hi an vei thei a ni.

This condition can be life-threatening , symptoms hriat hmasak a nih a, enkawl tan thuai a nih chuan tihdam theih a ni tih hriat reng a pawimawh.

Typhlitis natna lan chhuahna chu engte nge ni?

Typhlitis symptoms hi a chang chuan pum na tha lo emaw, pum na ang maia hriat theih a ni. Mahse, pum na mai mai ni lovin an tam zawk. A lan chhuah dan tlangpui chu:

• Pum natna nasa tak leh rilru na tak
• Pum a zau/ a hring
• Kawthalo
• Khawsik
• Nausea leh luak chhuak

Nimali tih hming pu mi pakhat, leukemia natna avanga chemotherapy nei mek hi han mitthla teh. Vawikhatmah a pum na nasa tak, khawsik leh luak chhuak a nei ta a ni. Food poisoning a ei tawh mai thei niin a ngai. Mahse ni hnih emaw ni thum emaw hnuah pawh heng symptoms te hi a reh loh chuan doctor thurawn lak nghal a pawimawh hle . A chhan chu Typhlitis a ni thei.

Engvangin nge Typhlitis hi a lo awm? A chhante chu engte nge ni?

Zirchiangtute chuan typhoid natna hi thil hrang hrang inzawmkhawm avanga lo awm niin an ngai. Thil pawimawh pathumte chu:

1. Mucositis: Hei hi kan intestine lian leh small intestine chhunga line awm mucus membrane inflammation a ni. Kan ka chhungah ulcer a lo awm thei ang bawkin intestine chhungah pawh ulcer leh inflammation a awm thei bawk. Hei hi a bik takin chemotherapy ang chi enkawlna avanga side effect angin a thleng thei a ni.

2. Neutropenia: Neutropenia chu thisen var chi khat, neutrophils an tih, a tlahniam tihna a ni. Heng neutrophils te hi kan immune system a sipai pawimawh tak tak ang an ni . Infection dotu an ni. Chemotherapy hmang hian heng neutrophils te hi a tlahniam thei a ni.

3. Immune system chak lo: Cancer enkawlna (chemotherapy ang chi) leh HIV/AIDS ang chi infection te hian kan immune system zawng zawng a tichak lo thei hle.

Tunah chuan hetiang thil hi engtin nge a lo awm tih i lo en ang u. Pakhatnaah chuan mucositis hian intestine lining a tichhia a. Hei hian bacteria tha lo leh fungi te chu awlsam takin intestine ah a lut thei a ni . Chutih lai chuan kan taksain neutrophils (neutropenia) a neih tlem a, immune system a chak lo a nih chuan taksain heng invader te hi a do thei lo. Chumi rah chhuah chu hri kai na tak leh nunna atana hlauhawm thei khawpa harsatna a awm a ni. Entirnan:

• Gastrointestinal atanga thisen chhuak
• Gastrointestinal perforation a awm thin
• Sepsis leh septic shock - Hei hi natna khirh tak a ni a, taksa pum puiah a darh a.

Typhlitis thlentu natna hrik ber berte chu engte nge ni?

Research atanga a lan dan chuan bacteria leh fungi chi hrang hrang tam tak (pathogens kan tih) hian typhlitis a thlen thei a ni. Bacteria chi hrang hrang langsar zual thenkhat chu:

• *Clostridium septicum* tih a ni a, a man hi a to hle.
• *Enterococci* a awm bawk.
• *Gram-negative enterobacteria* a ni a, a chhuahna tur hmun leh a hmanna tur a awm lo.
• *Pseudomonas aeruginosa* a ni a, a chhuahna tur hmun leh a hmanna tur a awm lo.
• *Staphylococcus aureus natna hi a lo awm tawh a ni*
• *Streptococcus natna hi a ni*.

Tin, fungi chi hrang hrang awm tam ber chu:

• *Aspergillus* tih hi a ni.
• *Candida* a ni.

Hei hi a buaithlak deuhin a lang thei a, mahse doctor-te chuan an hriat avangin i ngaihtuah lutuk a ngai lo. A pawimawh ber chu heng natna hrik chi hrang hrangte hian buaina tizualtu an ni tih hriatthiam a ni.

Engtin nge doctor te hian Typhlitis hi an hriat theih?

A chunga tarlan symptoms te hi i neih chuan i doctor chuan physical exam a ti hmasa ang. Tichuan i medical history chungchang zawhna an zawt ang che. Entirnan, cancer enkawl i nih leh nih loh, stem cell transplant emaw organ transplant emaw i neih leh neih loh, HIV/AIDS i vei em tih te an zawt ang. Tin, thisen test leh special imaging test te pawh tih theih a ni bawk.

Thisen test a ni

Doctor chuan hetiang hian thisen test a ti thei ang:

• Complete Blood Count (CBC): Hei hian neutrophil level ang chi thil a check thei a ni.
• Kidney function test a ni
• Liver hnathawh dan test a ni
• Prothrombin time test: Thisen zam tih en rawh.

Imaging test te pawh a awm

Chumi atana test hman tlanglawn ber chu CT scan (Computed Tomography - CT scan) a ni. He scan hian i colon bang chu a tlangpui aia thuk zawk a ni em tih a hmu thei. Hetianga colon walls thickening hi inflammation vang a ni.

Typhlitis hi engtin nge enkawl a nih?

Typhoid natna hi enkawlna pakhat chauh a awm lo. Mi zawng zawng dinhmun a inang lo. Mahse a tlangpuiin, enkawlna tum ber chu natna hrik control leh i immune system thlawp hi a ni . Enkawlna hrang hrang inzawmkhawm i mamawh mai thei. Enkawlna hman tlanglawn tak tak thenkhat chu hetiang hi a ni:

• Antibiotics: Bacteria infection control. Antifungals pawh pek theih a ni.
• Thisen pek: Thisen sang i neih chuan.
• Decompressive laparotomy: Pum chhunga pressure a san lutuk chuan tihziaawmna tura surgery tih a ni.
• Granulocyte Colony-Stimulating Factor (G-CSF): Hei hi neutrophil level tihsan nan vaccine pek a ni.
• Intravenous fluids (IV fluids): Tui tlakchhamna a veng a, taksain a mamawh tui a pe bawk.
• Total Parenteral Nutrition (TPN): Hei hian chaw ei khama chawlh hahdamna pek a, a dam theihna tura phalsak a, chutah chuan vein kaltlangin direct-a ei tur mamawh pek a ni.

Cancer enkawl i nih chuan i oncologist chuan typhlitis atanga i dam leh hma loh chuan i cancer enkawlnaah a thlak danglam thei a ni. Typhlitis vangin bowel perforation a awm chuan operation neih a ngai mai thei.

Thihna hi engzat nge ni? Kan hlau tur em ni?

Typhoid fever hi natna khirh tak, thihna thlen thei a ni . Hun khat chu typhoid natna vei zawng zawng deuhthaw chu sepsis ang chi harsatna vangin an thi vek a. Mahse chutiang chu a ni tawh lo . A hmaa hriatchhuah leh enkawl vat a nih avangin tunah chuan mi tam zawk chu typhoid fever aṭangin an dam chho mek a ni. Tun hnaia zirchianna pakhatah chuan typhoid fever vanga fungal infection nei zinga 60% aia tam chu enkawl an nih hnuah an dam leh tih hmuhchhuah a ni. Chuvangin, beiseina nei reng a pawimawh .

Engtikah nge ka doctor ka hmuh ang?

Typhlitis symptoms hi i gut-a harsatna dang, awm tam zawk ang maiin a lang thei. Mahse kan sawi tawh ang khan Typhlitis symptoms hi pum natna mai ni lovin a langsar zawk. Heng symptoms te hi i neih chuan hreh lovin doctor pan rawh :

• Khawsik
• Nausea leh luak chhuak
• Pum natna nasa tak leh hliam na tak

Heng symptoms i neih hian typhoid fever i nei leh tihna a ni lo va, mahse i taksaah danglamna i hmuh chuan doctor nen inbiakna neih a tha fo.

Doctor hnenah eng zawhna nge ka zawh ang?

I taksa hriselna tichhe thei natna avang emaw, cancer enkawl mek i nih vang emaw pawhin Typhlitis i vei thei bawk. Doctor i zawh theih tur zawhna thenkhat chu hetiang hi a ni:

• Typhlitis ka vei chhan chiang takin min hrilh thei ang em?
• Hetiang hi a thleng leh thei ang em?
• Cancer enkawl hi ka chawlhsan a ngai dawn em ni?

Cancer emaw HIV/AIDS ang chi natna khirh tak enkawl chu tlang lawn ang maiin a awm thei. Enkawlna atanga side effects ang chi harsatna i navigate lai hian, dam lehna tum chu i kal zelna tur a ni. Typhlitis ang chi hriselna lama harsatna lian tak thar a lo chhuah chuan tlang dang lawn tur ang maiin a lang thei. Mahse, typhlitis tidam thei damdawi a awm tih hre reng ang che.

Chuti chung pawh chuan i beidawng mai thei. Engtin nge he harsatna thar hi i hneh ang a, i dam lehna kawngah i kal leh ang tih i ngaihtuah mai thei. I medical team chuan diagnosis thar chuan eng ang taka setback nge a neih theih tih an hrethiam a ni. Typhlitis enkawlna chungchanga i zawhnate leh i dam lehna a nghawng dan tur an chhang ang.

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

Typhlitis hi natna hlauhawm tak a ni a, mahse a hmaa hriat chhuah a, uluk taka enkawl a nih chuan tihdam theih a ni.

• A bik takin chemotherapy la mek te, HIV/AIDS vei te, leh immune system titawp thei damdawi ei thin te tan chuan hei hi hriat a pawimawh hle.
• Pum natna nasa tak, khawsik, leh luak chhuak ang chi symptoms i neih chuan pum na mai maiah ngai suh la, doctor pan nghal rawh.
• Doctor thupek dik takin zawm rawh. Enkawlna chu a chanve vel chu titawp suh.
• Chak takin awm rawh. I medical team te chuan an pui ang che.

He thu hi i tan a tangkai ngei ka beisei. Hrisel takin awm rawh!

` Typhlitis, intestine inflammation, cancer enkawlna side effects, neutropenia, chemotherapy, pum na, khawsik