Wilms Tumor chu eng nge ni? I fa chu hlauhawmah a awm em? I fimkhur ang u!

I inbual lai te, i inchei lai te, a nih loh leh i fa te chu i chelh mai mai a, an pum chhungah hnah te tak te i hriat chuan engtin nge i awm ang? Chu chu a hlauhawm takzet a ni lawm ni? Hetiang hunah hian Wilms-a tumor an tih hi kan ngaihtuah a ngai a ni. Vawiin hian awlsam takin sawi ila.

Wilms Tumor hi eng nge ni tak tak?

A awlsam zawngin sawi ila, Wilms tumor hi kidney cancer chi khat a ni a, naupang tê tête zingah a awm ṭhin. Naupangte kal cancer zinga zaa 90 vel a ni. A châng chuan Wilms tumor hi nau piang laia awm natna dang nen a awm dun thei bawk. Hengte hi congenital syndromes'' emaw, nau piang laia awm thin dinhmun hrang hrang inzawmkhawm emaw kan ti thin.

Hei hi (Wilms' tumor) leh (nephroblastoma) an ti bawk. A tam zawkah chuan kal pakhatah hian tumor pakhat chauh a awm thin. Mahse, naupang thenkhat chuan kal pahnih (bilateral), ah tumor an nei thei a, kal pakhatah cancer awmna hmun pakhat aia tam a awm thei bawk.

He thil hi tuin nge hmu tam ber?

Hei hi puitlingte nghawng thei thil awm lo tak a ni. Wilms tumor hi cancer a ni a, naupang kum 15 hnuai lam a vei ber a, he natna vei zinga 95% chu kum 10 an tlin hmain an vei tih hmuhchhuah a ni.

African hnam chhuak naupang dumte chu an hlauhawmna a sang deuh hlek a ni. Asian naupangte hi an hlauhawmna a hniam zawk. Tin, mipa aiin hmeichhe naupangin an vei tam deuh bawk.

Chhungkaw za zela tlemteah pawh hei hi gene atanga lo chhuak thil a nih thu an sawi bawk.

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Hetiang dinhmun hi engtiang chiahin nge a awm?

America ang ramah chuan kum tin Wilms tumor vei thar 500 vel an awm niin an sawi. Sri Lanka-a a awm dan tur statistics dik tak hmuh a har hle a, mahse hei hi naupang zinga hmuh theih cancer a ni.

Wilms tumor-a congenital syndromes hmuh theihte chu engte nge ni?

Wilms tumor nei naupangte hian pianpui natna dang an neih hi a tlem hle. Mahse a thleng thei tho. Syndrome lian ber ber thenkhat chu hetiang hi a ni:

• Beckwith-Wiedemann syndrome: Hetiang syndrome nei naupangte hi Wilms tumor vei theihna chance 5% atanga 10% vel an ni. Hei hi taksa peng hrang hrangte chu a tlangpui aia lian zawka lo thanglian zelna dinhmun a ni. A chang chuan taksa sir khat chu a sir dang aiin a lian zawk thei bawk.
• WAGR syndrome: Hetiang syndrome nei naupangte hian Wilms’ tumor (a hminga W hi Wilms tihna a ni) vei theihna chance 50% an nei a ni. Hei hian iris (Aniridia) thenkhat a hloh thei a, chubakah genital leh renal problem a thlen thei bawk.
• Denys-Drash natna hi a ni:Hetiang symptoms inzawmkhawm nei naupangte hian Wilms tumor an vei theihna chance a sang hle a, hei hian reproductive organs leh kidney-ah pawh harsatna a thlen thei bawk.

Wilms tumor hi eng symptoms nge ni?

I fate zingah hian heng chhinchhiahnate hi zawng rawh:

• Pum (belly) chhunga lump emaw firmness/lump emaw a awm. He lump emaw lump emaw hian a chang chuan a na thei a, mahse a tam zawkah chuan a na lo.
• A pum na.
• Zun chhunga thisen (hematuria) a awm.
• Khawsik.
• Thisen sang (hypertension). Hei hian naupang chu hnar thisen, lu na, thisen chhuak mit a thlen thei a ni.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan , doctor i pan nghal tur a ni.

Eng thilin nge Wilms tumor hi a thlen?

Dik tak chuan Wilms-a tumor hi eng nge ni tih chiang takin kan la hre lo. Mi tlemte chauhvin genetic predisposition nei mahse, a tam zawkah chuan engvangin nge a lo awm tih erawh a chiang lo.

Engtin nge Wilms tumor hi hmuhchhuah (diagnose) theih?

I naute diaper area-ah lump i hmuh chuan, emaw, lump vangin diaper lian zawk i hmang a nih chuan, i doctor chuan Wilms tumor test a duh mai thei. Heng tumor te hi a chang chuan kal aiin a lian thei bawk.

I fa hian a hmaa kan sawi tawh syndrome zinga pakhat emaw, genetic problem emaw a neih chuan i doctor nen inbiain test chhunzawm leh chhunzawm leh tur loh chu i rel thei ang.

Wilms tumor hriat theihna atana test hmante chu:

• Taksa enfiahna: Hemi chhung hian doctor chuan uluk takin naupang pum chu a palpate thin.
• Imaging test hrang hrang:
• Pum chhunga ultrasound scan hmanga enfiah a ni.
• CT scan - Hei hi tui bik (contrast) inject hmanga tih a ni fo.
• Doctor chuan chest X-ray emaw CT scan emaw hmangin cancer chu lungah a metastasized em tih a enfiah thei bawk.
• Heng imaging test te hian i fain tumor a neih leh neih loh a hriat theih nan a pui thei a ni. Wilms tumor leh kidney cancer chi dang thliar hrang turin an pui thei bawk.
• Thisen leh zun test: Heng zingah hian liver function test leh thisen zam test te a tel.
• Biopsy: Hei hi tumor atanga tissue te tak te la chhuakin lab-ah test turin thawn a ni.

Cancer staging chungchangah eng nge hriat tur i neih?

Wilms tumor stage hriat theih dan kawng hnih a awm a, chu chu cancer hi eng chen nge a darh tih hi a ni. Hei hi staging'' an ti a, a tam poh leh cancer hi a darh zau zawk a ni.

Europe ram hrang hranga Doctor-te chuan International Society of Pediatric Oncology (SIOP) system an hmang a. United States leh Canada-a Doctor-te chuan Children’s Oncology Group (COG) system an hmang a.

Heng method pahnih inthlauhna pakhat chu COG method-ah hian operation hnuah leh chemotherapy (anti-cancer drugs) pek hmain tumor stage enfiah thin a ni. SIOP method-ah chuan chemotherapy zawhah surgery tih a ni a, chumi hnuah chauh stage enfiah a ni.

COG system hnuaia stage hrang hrangte chu hetiang hian then a ni.

• Stage I: Tumor hi naupang kal (kidney)-ah chauh a awm a, operation hmangin a pumin lakchhuah theih a ni.
• Stage II: Tumor hi kal atang hian a lo thang chhuak tawh a, mahse operation hmangin a bo vek thei.
• Stage III: Tumor hi a chhuak kim thei lo. Cancer cells chu naupang pum chhungah (abdominal cavity) a awm reng a.
• Stage IV: Cancer hi naupang pum leh pelvis piah lamah hmun dang, lung, thin, ruh leh thluak thlengin a darh tawh a ni.
• Stage V: Tumor hi kal pahnih (bilateral) ah a awm a. Hetiang stage-ah hian doctor-te chuan kal pahnih stage chu a hranin an en thin.

Wilms tumor hi engtin nge enkawl a nih?

Wilms-a tumor hi surgery leh chemotherapy hmanga enkawl a ni fo. A châng chuan radiation therapy pawh hman theih a ni.

Naupang low-risk tumor nei, cancer a darh lohna leh tumor chu a chhuah vek theihna hmunah chuan anmahni chauhin operation an nei thei mai thei. A châng chuan, operation hmain chemotherapy pek theih a ni a, chu chuan tumor chu a ti tlem thei a, chu chuan operation chu a him zawk a ni.

Chemotherapy hi thisen zam (IV) hmanga pek a ni fo. Hei hi outpatient basis emaw hospital setting-ah emaw tih theih a ni.

I fa hian chemotherapy emaw radiation therapy emaw a\angin side effect a nei thei a ni. Hetiang a nih chuan doctor hnenah hrilh ngei ang che. I fate side effects tihziaawmna tur leh damdawi i pek theih tur te pawh a awm.

Wilms-a tumor hi a veng thei ang em?

Wilms tumor thlen leh venna tur hian nangmah emaw i fa emaw hian engmah tih theih a awm lo tak zet a ni. Hei hi kan thunun theih loh thil a ni.

Wilms tumor vei tan chuan eng prognosis nge a awm?

Wilms’ tumor prognosis hi a tlangpuiin a tha ber a ni. A rah chhuah chu a tha hle tlangpui a, a bik takin doctor-in tumor chu a paih chhuak vek thei a, cancer chu taksa hmun dangah a darh lo a nih chuan a tha hle. Mahse, Wilms-a tumor hi a lo lang leh'' theihna chance tlemte a awm.

Wilms tumor hian thihna a thlen thei em?

Wilms tumor hi surgery, chemotherapy, leh/ emaw radiation therapy hmanga enkawl hlawhtling thei mah se,Hei hi cancer a la ni reng a ni. Chuvangin, thihna thlen thei a ni. Chuvang chuan hriat hmasak a, enkawl tan a pawimawh.

Wilms tumor hi engzat nge damchhuah?

Wilms tumor vei hmuhchhuah zinga 90% vel chu kum nga hnuah pawh an la dam tawh a ni. He rate hi cancer stage, tumor lian leh te, microscope (histology) hmanga cancer cell awm dan te a zirin a danglam deuh thei a ni. Naupang kum 2 hnuai lam chuan natna lo lang leh theihna an nei tlem zawk tih sawi thin a nih laiin, tunah chuan kum hi a hma aia factor a ni tawh lo.

Wilms tumor chungchangah hian engtikah nge ka doctor ka hmuh ang?

I fa chu Wilms-a tumor enkawl mek a nih chuan, ngaihtuahna emaw zawhna emaw i neih chuan doctor rawn rawh. A bik takin symptom thar i hmuh emaw, thil a na zual ang tih emaw a nih chuan hriattir nghal rawh.

I enkawl chhung hian i medical team chuan i fimkhur tur, zun kawng natna chhinchhiahna te chu an hrilh ang che. Chutiang a nih chuan emergency room-ah i kal a ngai mai thei.

Naupang chu a dam tha em tih enfiah nan a hun takah follow-up visit neih a ngai bawk ang. Doctor chuan naupang chu kidney specialist (nephrologist) emaw, urinary system specialist (urologist) emaw hnenah a refer thei bawk.

Wilms tumor enkawl hnuah engtin nge ka fa chu a hrisel theih nan ka puih theih ang?

I fain heng thilte hi a tih a pawimawh:

• I kal (kidney) a thawk tha thei tur khawpa tui in thin ang che.
• Damdawi aspirin, ibuprofen, leh naproxen te hman tlem. I fa doctor hnenah eng product nge i fa kal (kidney) tichhe lo ber tih sawipui rawh.
• I thisen sang chu a hun takah enfiah thin ang che.

Wilms tumor hi a na em?

Wilms-a tumor hi a chang chuan a na thei a, mahse a na reng reng lo.

Wilms-a tumor (nephroblastoma) leh neuroblastoma hi eng nge an danglamna?

Heng thumal pahnih hi a ri inang viau nachungin, cancer chi hnih, cell chi hrang hrang pahnih atanga intan an ni. Nephroblastoma hi kal cancer a ni. Neuroblastoma hi cancer a ni a, nerve cell atanga intan a ni. Adrenal glands-ah a intan tam ber a, mahse kal (kidney) pawh a rawn lut thei bawk. Cancer chi hnih hi naupangah a awm a, an pahnih hian pum chhungah lump angin an lang thei bawk. Chuvangin diagnosis dik tak neih a pawimawh hle.

I fa chu Wilms tumor a vei tih hmuhchhuah a nih chuan i doctor chuan naupang cancer enkawlna lama tui tak medical center pan turin a rawt mai thei. Wilms tumor hi a tlem hle nachungin, enkawl theih natna a ni. I fa chu clinical trial-ah pawh a tel thei bawk. Wilms tumor nei naupang tam tak chu he program-ah hian an inziak lut a ni. Wilms tumor enkawlna lama hmasawnna tam tak hi heng clinical trial te atanga lo chhuak a ni.