"Cancer" tih thumal hian min ti hlauhawm deuh vek a ni lawm ni? Mahse, cancer chi thenkhat, a bik takin colon cancer kan sawi tur hi a hmaa hmuhchhuah a nih chuan a dam vek mai thei tih i hria em ? Mi tam tak chuan an toilet hman dan inthlak danglam chungchang te, emaw, an bawlhhlawh chhunga thisen awm chungchang sawi hi an zak emaw, an hlau emaw a ni. Mahse chu mualphona leh hlauhna chu dah bo a, doctor nena inbiakna chu i nunna chhanhimna chhan a ni thei. Chuvangin vawiin hian he thu hi tlang takin leh awlsam takin i sawi dawn nia.
Colorectal cancer chu eng nge ni?
A awlsam zawngin kan pum chhungah hian tube ang maia sei tak a awm a, chu chuan kan ei tur chu a digest a, taksa atangin bawlhhlawh angin a hnawtchhuak thin. He cancer hi a ṭhen hnihna, chu chu intestine lian (`colon` tia koh bawk) leh rectum (`rectum`)-ah a awm a ni. A châng chuan he tube chhung lam bang-ah hian sa ang maia lian te te a lo awm ṭhin. Damdawi lamah chuan heng polyp te hi ``Polyps`` kan ti thin.
Kum 50 chunglam puitling pali zinga pakhat chuan polyp pakhat tal a nei thei tih han ngaihtuah teh. Mahse, lungngai suh, heng polyp zawng zawng hi cancer a ni vek lo. A tam zawk chu harsatna nei lo an ni. Mahse, heng chi thenkhat, a bik takin adenomatous polyps an tih chi hi chu hun kal zelah cancer-ah a chang thei a ni.
Polyp a lian poh leh cancer a nih theihna a sang zawk. Entirnan, polyp centimeter 1 aia te zawk chuan cancer vei theihna chance 1% a nei a, polyp centimeter 2 aia lian chuan cancer vei theihna chance 40% a nei thung.
Hetah hian thil pawimawh tak chu: He cancer hi hmuhchhuah leh enkawl hmasak a nih chuan, tumor chu intestinal wall-ah a la inkhung reng laiin , a dam kim theihna chance chu 90% vel a ni. Chu chu mi sawm zinga 9 an dam dawn tihna a ni!
Mahse enkawlna a tlai chuan heng cancer cell-te hian intestinal wall chu an tichhia a, taksa pum puiah a bul hnaia lymph node, tissue dang, taksa peng hrang hrang liver emaw thisen emaw thlengin an darh thei a ni. Vawikhat an darh tawh chuan enkawl a harsa hle. Natna zau zawng a zirin damchhuah theihna chance chu 11% atanga 72% ah a tlahniam thei a ni.
He cancer vei theihna tur risk factors te chu engte nge ni?
Hei chauh hi he cancer thlentu a ni tih chiang taka sawi theih ni lo mah se, doctor-te chuan he natna vei theihna tipungtu risk factor engemaw zat an hmuchhuak a ni. Eng nge an nih i han thlir teh ang.
| Risk Factor a ni | Hrilhfiahna awlsam tak |
|---|---|
| Kum | Kum 50 i tlin hnuah pawh a hlauhawmna a sang hle a, i upat deuh deuh chuan a hlauhawmna a sang zual sauh bawk. |
| Chhungkaw chanchin | I chhungte hnai tak zinga pakhat (nu, pa, unaupa, fa) hian he cancer hi a vei tawh a nih chuan nang pawh hi i hlauhawm zawk a ni. Chhungkaw engemaw zatin an lo nei tawh a nih chuan a hlauhawmna a sang zawk. |
| Natna dang | Nangmah emaw, i chhungte zinga tu emaw hian tun hmain colon polyps emaw cancer emaw i lo nei tawh a nih chuan, inflammatory bowel disease (ulcerative colitis) emaw Crohn’s disease emaw i neih chuan i risk a sang zawk. |
| Genetic conditions chu thlah khat atanga thlah dangah a inthlak danglam thin (Heredity) . | Mi thenkhat chuan he natna hi an vei theihna tur genetic predisposition an nei a. Familial Adenomatous Polyposis (FAP) ang chi natna nei te hian kum naupang takah polyp tam tak an nei thin. Heng mite hi cancer vei theihna chance a sang zawk hle. |
| Ei leh in | Hemi chungchangah hian zirchianna a la kal zel a ni. Mahse, thlai leh thei ei tam zawkte chuan an hlauhawmna a hniam zawk niin a lang. Zirchianna thenkhatah chuan rannung thau leh protein tam tak ei thin, a bik takin sa sen (bawngsa, vawk sa) ei thinte chu an hlauhawm zawk tih an hmuchhuak. Carcinogens hi a lo awm thei tih rinna a awm bawk a, a bik takin temperature sang taka (e.g., barbecue-a siam) a nih chuan. |
| Nunphung | Kar khata zu 4 aia tam meizuk leh in hian a hlauhawmna a tipung bawk. |
| Tun hmaa Surgery & Radiation neih tawhte | He cancer hi i lo vei tawh a nih chuan (a bik takin kum 60 i tlin hma) chuan a lo let leh theihna a awm. Tin, pum chhunga radiation hmanga enkawlna i neih tawh chuan chu hmunah chuan cancer vei theihna a sang thei bawk. |
I mualphona chu dah bo la, doctor chu hmu rawh.
He thuziak chhiartu i tana thuchah pawimawh ber ka neih chu hei hi a ni: I riltam inthlak danglam thut (e.g., riltam nasat lutuk, chaw ei kham, a nih loh leh riltam nasat dan inthlak danglam), i ek chhunga thisen, pum chhunga natna emaw, natna emaw, sawifiah theih loha i taksa rihna tlahniam i hmuh chuan, khawngaihin ngaihthah suh.
"Aw, engtin nge he thu hi doctor hnenah i hrilh theih ang?" I doctor chu nitin damlote hnena heng thil chungchang sawipui leh enkawltu a ni. A hnathawhna hmun a ni. I mualphona aiin i nunna hi a hlu zawk.
Hei hi doctor hnenah i va entir hmasa a nih chuan test awlsam tak (endoscopy ang chi) hmangin polyp ang chi thil a hmuchhuak thei a, a paih chhuak thei a, harsatna lian tak a veng thei bawk. Chuvangin i doctor hmuh chu hlau lo la, zak suh.
Take-Home Thuchah a ni
- Colorectal cancer hi a intan fo thin a, chu chu polyps an tih te, sa ang maia lian a ni.
- Heng polyp te hi a hmaa hriatchhuah leh lakchhuah hian cancer a veng thei a ni.
- Kum 50 an tlin hnuah he cancer vei theihna hi a sang hle.
- I ei leh in, nunphung (zu in/zu), leh chhungkaw damdawi lam chanchin te hi a hlauhawmna lian ber a ni.
- I natna lan chhuah dan danglam tak tak, toilet hman dan thlak danglam emaw, i ek chhunga thisen kal emaw i neih chuan zak suh la, doctor pan nghal rawh. Hriat hmasak hian nunna a chhanhim thei tih hre reng ang che!
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