I fa te hian heng symptoms te hi a nei em? Neuroblastoma chungchang hi han sawi ila!

Nu emaw, pa emaw kan nih angin kan fate hriselna hi kan ngaih pawimawh em em vek a. A châng chuan, naupang khawsik awlsam tak emaw, natna leh natna emaw pawh hi kan thinlungah phurrit lian tak a ni thei. Vawiin hian nu leh pa ti hlauhawm tak, mahse vanneihthlak takin a tlem hle a, a bik takin naupang tê têah chuan cancer kan sawi dawn a ni. Chu chu neuroblastoma a ni. A hming hi hlauhawm tak angin lang mahse, hriat reng a pawimawh.

Neuroblastoma hi eng nge ni tak tak?

A awlsam zawngin sawi ila, Neuroblastoma hi kan nervous system hmun thenkhata cancer lo awm a ni. Kan taksa pum puiah information phurtu nerve network kan nei a. Kan taksa "message system" angin han ngaihtuah teh. Hei hi `sympathetic nervous system' kan ti a ni. Neuroblastoma cancer hi he nervous system cell atang hian a intan a.

Hei hi a specialty chu damlo 90% aia tam chu naupang kum 5 hnuai lam an ni a, naupang kum 10 chunglam pawhin he natna hi a vei hmuh tur a awm lo hle.

A tam zawkah chuan he cancer hi hormone siamtu gland te tak te pahnih, kal chunglam atanga intan a ni. Chungte chu adrenal glands an ti a. Mahse, he cancer hi taksa chhung khawi hmunah pawh nerve cell awmna hmunah a intan thei a ni.

A tha ber chu tunah hian he natna enkawlna tha tak tak a awm tawh avangin naupangte hian dam lehna leh nun hrisel tak an neih theihna chance tha tak an nei a ni.

Hetiang dinhmun a lo awm chhan hi eng nge ni?

A tlangpuiin, cancer eng pawh hi kan taksaa cell thenkhata inthlak danglamna, a nih loh leh mutations thenkhat avanga lo awm a ni. Chuvângin, chu cell-te chu thunun theih lohvin an lo ṭhang lian ṭan a, tumor an siam ṭan a ni.

Neuroblastoma-ah chuan naute chu nausen pum chhunga a la awm laiin nerve cell puitling lo chi khatah a thleng thin. Heng cell puitling lote hi neuroblast an ti a. Nausen hrisel tak chu pum chhunga a lo seilian chuan heng neuroblast te hi zawi zawiin nerve cell puitlingah an lo thang lian a, a bak zawng chu an thi vek a ni.

Mahse Neuroblastoma vei naupang taksaah chuan genetic mutation avang hian heng neuroblast cell puitling lote hi an thi lo va, chu ai chuan an pungkhawm a, cancer tumor-ah an lo thang lian zawk thin.

Eng symptom nge kan fimkhur tur?

He natna lan chhuah dan hi a inang lo thei hle. Cancer natna awmna hmun, a lian leh te, leh a darh zau zawngah an innghat a ni. A lan chhuah dan thenkhat chu natna tlanglawn tak takah pawh hmuh theih a ni a, chu chu khawsik emaw, pum na emaw a ni a, hei hian diagnosis chu a ti harsa deuh a ni.

"A chang chuan a chhinchhiahna hmasa ber chu thil tlanglawn tak tak, naupang ei tha lo, rilru hah, taksa na fo te hi a ni. Hengte hi virus fever awlsam tak nen pawh hmuh theih a ni," tiin pediatric oncologist chuan a sawi. Chuvangin heng symptoms te hi hriat chian a pawimawh hle.

Thil danglam bik pahnih

• Vun natna: 1.1.Nausen piang tharte chauha awm chi special takah chuan vunah blueberry ang chi bumps te te a lo lang thei a. Hei hi cancer hian vunah a darh tawh tih a tilang chiang hle. Mahse, he natna hi enkawl theih a ni a, a mah chauhin a tlahniam emaw, a dam emaw fo thin.
• Hormone effects: Neuroblastoma tumor thenkhat hian hormone an tichhuak a, chu chuan natna lanchhuahna a thlen thei a, chu chu ril\am chhunzawm zel, khawsik, thisen sang, thawk hah lutuk, vun rawn sen chhuah te hi a ni.

Engtin nge doctor hian he natna hi a hriat chian tak tak?

Kan sawi tawh ang khan heng symptom tam tak hi natna tlanglawn nen a inang a, chuvangin natna hriat chian chu thil harsa tak a ni thei. Chuvangin i doctor chuan i fain he cancer hmuh tur awm lo tak hi a nei em tih finfiah nan test eng emaw zat a kalpui ang.

• Thisen leh zun test: Heng test te hian thisen emaw zun emaw a neuroblastoma tumor atanga hormone thenkhat siam chhuah a zawng thin.
• Imaging test: Hengte hian cancer awmna hmun, a lian leh te, a darh dan hriat theih nan a pui thei a ni. Chumi atan chuan ultrasound, X-ray, CT, PET, MRI ang chi scan te pawh hman theih a ni.
• Biopsy: Anesthesia hnuaiah hian lump emaw bone marrow atanga tissue te tak te lakchhuah a ni a, microscope hmangin cancer cell a awm leh awm loh enfiah a ni.
• MIBG scan: Hei hi nuclear medicine scan chi khat bik a ni. He test hi ``MIBG scan'' tia koh hian Neuroblastoma cell awmna hmun chiang takin a hriat theih a ni.

Heng test te bakah hian naupang thisen cell count, liver, kidney function ang chi thil te pawh an enfiah bawk.

Hei hi eng enkawlna nge ni?

Naupangin enkawlna a dawn dan chu thil engemaw zatah a innghat a ni. Naupangte hi risk group pathum-ah then an ni a : low-risk, intermediate-risk, leh high-risk, chu chu naupang kum, cancer stage, a darh zau zia leh cancer cell chi hrang hrang a zirin a ni. He risk group atanga enkawl tura ruahman a ni.

Enkawl dan tlangpui engemaw zat a awm a:

• Enfiahna: Mak ti suh, risk hniam tak tak, lumps te tak te thenkhat chu enkawl lohvin a mah chauhin a tlahniam emaw, a bo emaw ang. Chutiang hunah chuan Doctor ten naupang chu uluk takin an vil ang.
• Surgery: Surgery hmanga lump chu lakchhuah kim vek.
• Chemotherapy: Damdawi chak tak tak chu thisen kaltlangin emaw, pill angin emaw pek, cancer cell tihhlum emaw, inthen darh lohna tur emaw.
• Radiation therapy: Cancer cell tihchhiat nan high-energy rays (X-ray ang chi) hman a ni.
• Stem cell thlak danglam dan:Naupang risk sang tak tak enkawlna atana hman thin. Hemiah hian naupangte stem cell hrisel tak tak te chu an la khawm a, high-dose chemotherapy hmangin cancer cells te chu an tichhia a, chumi hnuah chuan cell hrisel tak takte chu taksaah an let leh thin.
• Tunlai Enkawlna: Tunlai hian enkawlna thar leh hlawhtling tak tak tam tak a awm a.
• Targeted therapy: Cancer cells te tihpunna tura puitu protein emaw enzyme bik target leh block thei damdawi pek.
• Immunotherapy: Naupangin a taksa hriselna (immune system) a tichak a, cancer cell a hriat theih nan leh a beih theih nan a tichak a ni.

He natna atanga dam leh theihna chance engzat nge awm?

Hei hi nu leh pate tan zawhna pawimawh ber a ni. Neuroblastoma vei damchhuahna rate hi naupang kum leh risk category-ah a innghat a ni.

Chuvangin, rinhlelh awm tak tak i hmuh chuan doctor rawn vat a, thurawn la nghal mai tur a ni.