Liver cancer tumor tihtlem thei Y-90 Treatment chu eng nge ni?

Doctor-in nangmah emaw, i hriat emaw, liver cancer a neih thu a hrilh a, operation tih theih loh a tih chuan hlauhna leh lungkhamna nasa tak i neih hi thil pangngai a ni. "Tunah hian engtin nge ka tih ang?" Amaherawhchu, tunlai damdawi lama hmasawnna a lo awm chhoh zel avang hian, chutiang dinhmunah pawh chuan hahdamna leh beiseina nasa tak min thlen thei tur enkawlna a awm ta a ni. Vawiin hian chutiang enkawlna bik, hmasawn tak pakhat chungchang kan sawi dawn a ni. Chu chu Y-90 enkawlna chu a ni.

Okay, chuti a nih chuan he Y-90 treatment hi eng nge ni?

A awlsam zawngin Y-90 therapy hi radiation therapy chi khat a ni a, liver cancer tan bik a ni. Hetah hian "Y-90" tih hi radioactive substance "Yttrium-90" tih hming tawi a ni.

Cancer tumor hi hmêlma sual camp ang maiin han ngaihtuah teh. Chu camp-a thisen petu thisen kalna kawngte chu chu camp-a ei leh in phurtu kawngpui ang a ni. He enkawlnaah hian doctor-te chuan cancer tumor-a thisen petu thisen kalna kawngpui lian takah chuan Y-90 an tih radioactive substance, mit ngeia hmuh theih loh khawpa te tak te awmna microscopic bead maktaduai tam tak an inject a ni.

Heng thil te te hi thisen kal tlangin an kal a, tumor chhunga thisen kalna kawng te tak teah an awm thin. Chutah chuan an awm hnu chuan cancer cell-ah direct-in radiation dose sang tak an pe chhuak a ni. A tha ber chu he radiation hi hmun tlemteah a innghat a, chuvangin tumor chhehvel liver tissue hrisel tak takte chu a tichhe tlem hle emaw, a tichhia lo emaw a ni.

He enkawlna hi hming dang engemaw zatin hriat a ni a, entirnan, ``Transarterial Radioembolization - TARE'' leh ``Selective Internal Radiation Therapy - SIRT'', i doctor-in a hmang thei ang.

He enkawlna hi tute tan nge a inhmeh ber?

He enkawlna hi i tan a tha em tih i doctor chuan a rel ang. A tlangpuiin Y-90 hmanga enkawl hi a tha ber a ni.

• Liver atanga cancer lo chhuak (primary cancer) nei tan.
• Hmun dang atanga liver-a cancer (metastatic cancer) darh tawhte tan.
• Bile duct cancer chi thenkhat tan pawh hman a ni.

He enkawlna hi cancer natna hrik paih chhuah theihna tura operation tih theih loh hunah ngaihtuah a ni fo thin.A then phei chuan cancer hi thisen kalna kawng lian tak takte hnaih takah a awm a, operation hian liver nasa takin a tichhe thei a ni. Chutiang hunah chuan Y-90 therapy hian cancer thanna a control thei a, liver function a humhim thei bawk.

Thil pawimawh dang chu mi thenkhat tan chuan Y-90 hmanga enkawlna hmasa berin tumor chu a tihtlem hnuah, a hnuah operation emaw, liver transplant emaw an nei thei mai thei a ni . Hei hi damna kawngah hmasawnna pawimawh tak a ni thei.

Engtin nge enkawl hmain i inbuatsaih thin?

Enkawl hmain i doctor chuan uluk takin a enfiah ang che a, i taksa a dam tha em tih a chiang ang. Hei hian a tlangpuiin:

• Taksa enfiahna a ni
• Thisen test a ni
• Liver hnathawh dan test a ni

Tin, i doctor chuan enkawl hmain heng thilte hi chiang takin a sawipui ang che:

• I medical history kimchang, allergy i neih zawng zawng, leh naupai i nih leh nih loh te.
• Tunah hian eng damdawi nge i ei a, eng damdawi nge enkawl hmain i ei tawh loh tur.
• Inenkawl zawha in lama hruai tur che tur ruahmanna i siam a ngai a ni.
• Enkawl hma hian ei leh in bansan a hun tawh.
• Enkawlna kalpui dan zawng zawng chungchang.

Hei hi doctor hnena zawhna emaw rinhlelhna emaw zawh hun tha ber a ni.

Enkawlna hnathawh dan tur kan sawi dawn em ni?

Y-90 enkawlna hi step lian pahnih a awm a. Heng pahnih hi kar hnih vel inkara tih thin a ni tlangpui. Hetiang kalphung hi specialist physician-in a kaihruai a ni.

Y-90 enkawlna hian eng hlawkna nge a neih?

Y-90 therapy hian traditional radiation therapy (EBRT) aiin thatna engemaw zat a nei a.

• Targeted therapy: Radiation hi cancer-ah direct-a kal a nih avangin tissue hrisel tan chhiatna a tlem hle. Chuvangin side effect a tlem zawk.
• Minimally invasive: Surgery incision lian tak tak a awm lo. Incision te tak te tak hmanga tih a ni a, chu chu needle dah ang chi a ni. Chuvang chuan a dam hun a rei lo va, hliam a awm lo tluk a ni.
• Dam thuai: Surgery lian tak neih ai chuan nun pangngaiah i kir leh thuai thei.

Side effect emaw risk emaw a awm em?

Damdawi hmanga enkawlna dang ang bawkin, side effect tenau leh harsatna awm lo tak tak a awm thei bawk.

Thil awm dan hmuh fo thin

Inenkawl hnu kar khat emaw kar hnih emaw chhung chau anga inhriat hi thil pangngai a ni. Mi thenkhat chuan post-embolization syndrome (PES) tih natna an nei thei a ni. Hei hian a huam tel a ni:

• Nausea leh luak chhuak
• Chaw chakna
• Pum natna
• Feverish tih hriatna

Heng symptoms te hi ni thum vel hnuah a intan tlangpui a, kar khat chhungin a reh thin. Heng symptoms te hi i neih chuan doctor hnenah hrilh la, chutiang chuan a mamawh damdawi a pe thei ang.

Harsatna awm lo tak tak

• Infection: Catheter dahna hmunah hian infection a awm thei. Hei hian antibiotics a mamawh mai thei.
• Allergy: Dye hman ang chi thil hi allergy neih theih a ni. Chuvangin doctor chuan i allergy chungchang a zawt hmasa ang.
• Stomach ulcers: A tlem hle a, hei hi Y-90 particles te hi pum emaw small intestine emaw ah a lut a nih chuan a thleng thei. Mahse, he hlauhawmna hi a tlem hle a, a chhan chu doctor chuan mapping angiogram an tih laiin chutiang hmuna thisen kalna kawngte chu a block a ni.

Enkawl zawhah eng thilah nge fimkhur tur?

Enkawl hnuah ni engemaw zat chawlh hahdam rawh. I doctor thupekte chu uluk takin zawm la, a bik takin lirthei khalh leh exercise tih khapna eng pawh zawm rawh.

Thil pawimawh dang chu radioactivity chungchang a ni. Damdawi in atanga i haw hnuah pawh Y-90 particle atanga radiation tlemte chu ni engemaw zat chhung chu a chhuak ang. Chuvangin i doctor chuan hetiang hian thurawn engemaw zat a pe thei che a ni:

• Ni engemaw zat chu i kawppui nen khum khata mut loh tur.
• Hun rei tak mi hnaih taka ṭhut loh tur.
• Hmeichhe naupai leh taksa hriselna chak lote nena inzawmna hnai tak neih tihtlem.

I khawsik a nih chuan, i khawsik a nih chuan, catheter dahna hmunah a hring, a sen emaw, a lum emaw a nih chuan, pum na nasa tak i neih chuan, emaw, i ke a hrual a nih chuan, i doctor hnenah hriattir nghal rawh

I taksaa radioactive substance dah tur i ngaihtuah hian hlauhna i neih hi thil pangngai a ni. Mahse, Y-90 therapy hi liver cancer enkawlna atana him leh tangkai tak a ni. Cancer symptoms nei lova dam rei theihna chakna a pe thei bawk. Chuvangin, i doctor-in he damdawi hi a rawt che a nih chuan uluk takin sawipui la, i zawhna zawng zawng zawt rawh.