I pum hnuai lam natna mak tak mai, nitin a pung zauh zauh a, chubakah hnungzang natna pawh i nei fo thin em? I zun a tlahniam , i ke pakhat a hring a, i vun rawng pawh a danglam tawh mai thei? Chûngte chu thil pangngai angin lang mah se, a châng chuan natna hmuh tur awm lo mahse pawimawh tak chhinchhiahna a ni thei bawk. Vawiin hian chutiang dinhmun pakhat kan sawi dawn a ni – Retroperitoneal Fibrosis . A hming hi buaithlak tak angin lang mahse, a awlsam zawngin i sawi ang u.
Retroperitoneal Fibrosis hi eng nge ni?
A awlsam zawngin, hei hi kan pum chhunga intestines ang chi taksa peng hrang hrang hualtu protective membrane (peritoneum) hnung lama fibrous tissue lo thang lian (retro tih thumal hian ‘hnunglam’ tihna a ni) a ni. A bik takin he tissue hi kan pum chhunga thisen kalna bulpui (abdominal aorta) leh a atanga chhuak thisen kalna kawng dang vel ah a thang lian a ni.
He tissue duh loh hi a lo thang lian chuan eng nge thleng tih han ngaihtuah teh. Chu tissue chuan ureters, kan kidney atanga kan bladder thlenga zun phurtu tube te chu a block thei a ni. Hei hian zun kalna a tikhawlo thei a ni. Pum chhunga taksa peng dangte pawh a nghawng thei bawk. Hetiang dinhmun hi Ormond natna tia hriat a ni bawk.
Chutianga tissue lo thang lian chu cancer emaw cancer ni lo emaw pawh a ni thei. Hei hi natna tlanglawn tak a ni. Kum chanve vel mipaah a tam ber. Mahse an zingah phei chuan a tlem hle.
Eng thilin nge hetiang dinhmun hi a thlen?
Doctor-te chuan a chhan dik tak chu an la hre lo a, mahse mithiam thenkhat chuan kan immune system-a thil engemaw nen a inzawm niin an ngai. Chu chu keimahni taksa invenna (defence system) ngeiin min do a che tihna a ni.
Chu bakah, he natna thlentu thil dang engemaw zat hmuhchhuah a ni bawk.
| Chhan | Hrilhfiahna |
|---|---|
| Cigarette zuk leh hmuam | Hemi atana risk factor lian takah meizuk hi ngaih a ni. |
| Taksa hliam (Trauma) . | Pum emaw a chhehvel emaw-ah hliam na tak a awm. |
| Inzai | Pum surgery thenkhat hnuah pawh a awm thei. |
| Chemical thenkhat | Asbestos ang chi thila inhnamhnawih. |
| Infection awm thei te | Bacteria emaw fungal emaw infection thenkhat. |
| Tumor/Neoplasm awm thei te | Cancer natna dangte side effect angin. |
| Radiotherapy hmanga enkawl a ni | Cancer tan radiation therapy hmanga enkawl a ni. |
| Damdawi thenkhat | Damdawi hlui thenkhat, migraine natna atana hman thin. |
| Ruihhlo hman dan | Dan lova ruihhlo, cocaine ang chi hman. |
He natna hi thlah khat atanga thlah dangah a darh zel tih finfiahna chiang tak a awm lo . A tam zawkah chuan random takin a thleng thin.
He natna lan chhuah dan engte nge ni?
Mi tin hian natna lan chhuah dan a inang lo thei. Tin, ka sawi tak tissue duh loh chu eng chen nge a darh tawh tih leh khawiah nge a lo awm tih a zirin symptoms pawh a inang lo.
A tir lamah chuan i pum hnuai lam natna nasa tak, dull tak i nei thei. He natna hi ni tin a pung thei a ni. Chutih rual chuan i kea thisen pek pawh a tlahniam thei bawk.A tlahniam chuan i ke rawng a danglam emaw, i ke pakhatah a hring emaw i hmu thei .
A pawimawh ber chu heng symptoms te hi i hriat veleh ngaihven vat hi a ni. I pum hnuai lam emaw, hnungzang emaw pawh na i neih chuan, a bik takin i zun chhuah zat a tlahniam nasa hle a nih chuan doctor pan nghal rawh.
| Retroperitoneal Fibrosis nena inzawm natna dang | |
|---|---|
| – Nausea leh luak chhuak | - Khawsik |
| – Testicles natna (mipa tan) . | – A hma aia tuihal a tam zawk |
| – Taksaah nunna nei lo anga inhriatna | – Hnung lam natna |
| – I taksa rihna tihtlem | – Zun harsa ( zun theih lohna, thisen chhuak, zan lama zun tam) . |
Engtin nge doctor hian hei hi a hmuh theih?
Doctor i pan hunah i medical history a zawt hmasa ang a, taksa enfiahna a nei ang. Chumi hnuah chuan i natna lan chhuah chhan chu Retroperitoneal Fibrosis emaw, natna dang emaw a nih leh nih loh hriat tumin test eng emaw zat a nei ang.
Chumi atana hman theih tur test te chu a hnuaia mite hi an ni:
- Thisen test : Taksa lama natna hrik awm dan leh kal hnathawh dan hriat chian.
- Zun test : Zun chhunga thisen emaw thil dang danglam emaw a awm leh awm loh enfiah thin ang che.
- Ultrasound of the kidneys: Kal leh ureters dinhmun enfiah thin ang che.
- Pum chhunga CT scan hmanga enfiah:Hei hian extra tissue awmna hmun, a lian leh te, a chhehvel taksa peng hrang hranga nghawng a neih dan chiang takin a hmu thei a ni.
- MRI scan of the abdomen: CT scan ang chi, mahse a chipchiar zawka thlalak a awm.
- X-ray test: A then phei chuan a tul thei bawk.
- Biopsy: Hei hian a lo thang lian zel atanga a te tak te tak te chu lak a, microscope hmanga enfiah a, cancer a nih leh nih loh enfiah a ni.
Engtin nge enkawl a nih? Dam theih a ni em?
Ni e, he natna hi enkawlna a awm. Enkawl dan tur chu natna thlentu, natna nasat dan leh chhiatna a thlen tawh danah a innghat a ni.
Enkawl dan tlangpui engemaw zat a awm a:
- Anti-inflammatory medications: Taksa chhunga inflammation leh tissue thanna control nan damdawi dose sang tak corticosteroids pek thin a ni.
- A chhan bulpui enkawl dan: He natna hi natna hrik emaw cancer emaw avanga lo awm a nih chuan a chhan bulpui chu enkawl a ni.
- Surgery: Surgery hmanga a lo thang lian chu lakchhuah. Hei hi urethra block a nih chuan a tul hle.
- Kidney atanga zun lakchhuah: Ureters a block vek chuan vun kaltlangin tube te tak te (stent) dahin kidney-a zun awmkhawm chu paih chhuah a ni.
- Immune-suppressing medications: Hei hi immune system chak lutuk avanga lo awm a nih chuan control nan damdawi pek thin a ni.
Thu lawmawm tak chu mi tam zawkin enkawlna an dawng tha hle tih hi a ni. Enkawlna an tan atanga kar hnih chhungin kal dam lehna chhinchhiahna a lang tan thin. Hetiang dinhmun hi kal (kidney failure) famkim thlengin a kal tam lo hle.
Mahse, enkawl leh dam hnuah pawh doctor pan fo a, enkawl zui a pawimawh tih hre reng ang che. Hei hi a chhan chu mi thenkhatah chuan kum tam tak enkawl hnuah pawh natna hi a lo lang leh thei a ni.
Cancer nei lo (benign) Retroperitoneal Fibrosis vei te hian cancer (malignant) natna vei te aiin dam leh dam theihna chance an nei tha zawk.
Hei hi ven dan tur a awm em?
Hei hi natna hmuh tur awm lo tak a nih avangin a venna atana tih theih a tlem hle. Mahse thil pawimawh pakhat a awm. Research atanga a lan dan chuan hun rei tak chhung damdawi `methylergide`, migraines tan a hman chuan he natna hi a thlen thei tih hmuhchhuah a ni. Chuvangin Doctor thurawn tel lo chuan damdawi hi rei tak hmang ngai suh.
A pawimawh ber chu symptoms a lan veleh damdawi lam thurawn lak hi a ni. Natna hi a hriat hma chuan harsatna awm thei tur venna leh enkawl hlawhtling theihna chance a sang zawk.
Take-Home Thuchah a ni
- Retroperitoneal Fibrosis hi natna awm lo tak a ni a, pum chhunga taksa peng hnung lamah duh loh fibrous tissue a lo thang lian thin.
- A lan chhuah dan ber chu hnungzang leh pum hnuai lam natna, zun tlem leh ke ruh hring te a ni thei.
- Heng symptoms te hi i neih chuan ngaihthah suh la , doctor rawn nghal rawh. A hmaa hriat chian a pawimawh hle.
- Enkawlna hian natna a tidam thei fo a, mahse natna a lo awm leh theih avangin enkawl zui reng a pawimawh hle.
- Damdawi eng pawh hi doctor thurawn tel lova hun rei tak hman loh tur a ni.
Retroperitoneal Fibrosis, Ormond natna, Back na, Pum na, Zun kawng natna, Kal natna, Mipa hriselna
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