Cervical cancer chungchang hi i zir belh ang u. Hlau lovin i sawi chhuak ang u!

Chibai! I dam em? Vawiin hian hmeichhe tam tak tan natna pawimawh tak chungchang kan sawi dawn a, a hming i hriat chuan hlauhawm deuhin a ri thei a, mahse a hmaa hriatchhuah a nih chuan a tam zawkah chuan control theih leh tihdam theih a ni. Chu chu cervical cancer a ni a, mi thenkhatin `(Cervical Cancer)` an tih angin a ni. He hming hi i hriat hian tlem a mangang deuh hi thil awmdan pangngai a ni a, mahse kan hriatthiam thiam chuan tul lova hlauh tur a awm lo. A chhan chu hriatna hi thiltihtheihna ropui ber a nih vang a ni lawm ni? Chuvangin eng nge a nih, engtin nge a lo thanglian tih, a natna lan chhuah dan te, kan inven dan tur te, a enkawl dan tur te hi i lo en ang u.

Cervical cancer chu eng nge ni?

A awlsam zawngin, cervical cancer chu i nausen pum hnuai lam, vagina nena inzawm, cervix tia koh cancer a ni. Hei hi rang taka lo piang chhuak, zan khat thil thua lo piang chhuak a ni lo tih hre reng ang che. A tam zawkah chuan serh chhunga cell hrisel te hi kum tam tak chhung chu a inthlak zauh zauh a, cancer an nih hmain ‘precancerous’ cell an lo ni ta a ni. Hei hi a chhan ber chu hrik pakhat `HPV (Human Papillomavirus)` tih a ni. Mahse hetah hian thil pawimawh tak a awm. `HPV` hrik kai zawng zawng hian serh cancer an nei vek lo. Dik tak chuan mi tam zawkah chuan he virus hi thla engemaw zat chhungin enkawlna engmah awm lovin a mah chauhin a bo vek a, kan taksa hriselna (immune system) hian a do let thin avangin. Mahse hmeichhe thenkhatah chuan he virus hi an taksaah a awm reng thei a, a chunga kan sawi tak cell inthlak danglamna hi a thlen thei a ni. Chu chu cervical cancer vei theihna sang zawk neitute an ni. Chuvangin checkup neih fo a pawimawh hle tih kan sawi fo thin a, chu chu Pap smear leh a tul chuan HPV test te hi a ni . Tin, HPV vaccine lak hian he hlauhawmna hi nasa takin a tihziaawm thei bawk. Cervical cancer hi a hmaa hmuhchhuah a nih chuan tihdam theih vek a ni tih hre reng ang che .

Cervical cancer chi hrang hrangte chu engte nge ni?

Cervical cancer hi chi hnih lian tak a awm a. Anni chu:

• Squamous Cell Carcinomas : Hei hi a tam ber a ni. Cervix pawn lam a flat cells atang hian a intan thin. Cervical cancer 80% atanga 90% vel chu hetiang chi hi a ni.
• Adenocarcinomas : Heng chi hrang hrangte hi serh chhunga line awm glandular cell atanga lo piang chhuak a ni . Cervical cancer 10% atanga 20% vel an ni .

A châng chuan cancer hi chi hnih inzawmkhawm angin a awm thei bawk.

Cervical cancer symptoms te chu engte nge ni? A hriat hma thei ang em?

Hei hi mi tam takin zawhna an zawh thin a ni a, mi tam tak ti hlauhawm tak a ni bawk. Dik tak chuan cervical cancer hian a tir lamah chuan symptom a nei lo mai thei.A ruka a lo thang lian ang mai a ni. Chuvangin kum dik takah, interval dik takah test neih a pawimawh zia kan sawi fo thin. Cancer hi a lo lian deuh deuh chuan symptoms a lo lang tan a, a chhehvel tissue-ah pawh a darh thei bawk.

A tir lama hmuh theih symptoms (Stage I ang chi):

• Vaginal discharge pangngai lo: Tui ang maia chhuak, thisen tlem a awm pawh a ni thei, a tam hle a, rimchhia pawh a awm thei.
• Thisen chhuak mumal lo : .
• Sex hman zawh hnua thisen chhuak .
• Menstrual cycle pahnih inkara thisen chhuak.
• Menopause hnua thisen chhuak leh (chu chu thla tin period a tawp vek hnuah).
• Inpawl laia natna: A hmaa awm ngai lo natna thar (dyspareunia) i nei thei.

Pawimawh: Heng symptoms pakhat emaw pahnih emaw i neih vang mai mai chuan cervical cancer a ni tihna a ni lo. Heng thilte hi chhan awlsam dang vangin a thleng thei a ni. Amaherawhchu, hetiang thil i neih chuan khawngaihin hlau lo la, mualpho suh la, doctor pan nghal la, thurawn la rawh. Chu chu i tih theih ṭha ber a ni.

Cancer a darh zel chuan a lan chhuah theih dan:

Cancer hi serh pawn lam atanga a darh chuan, a chhehvel tissue emaw, taksa peng dang emaw ah a darh chuan heng ang symptoms te hi a awm thei bawk:

• Zun harsatna, na, leh a chang chuan zun chhungah thisen a awm .
• Bowel habits inthlak danglam, constipation emaw diarrhea , bowel movement laiin natna, emaw stool-a thisen (rectum atanga) emaw.
• Chauhna leh hahna nasa tak awm reng.
• Chaw ei chakna hloh leh taksa rihna tlahniam.
• A tlangpuiin hrisel lohna leh natna awm reng.
• Lower back na emaw, ke ruh natna emaw a awm reng.
• Pelvic/abdominal na a awm.

Hetiang symptoms i neih chuan i condition hi a na deuh mai thei tihna a ni. Chuvangin damdawi lam thurawn lak vat a pawimawh hle.

Cervical cancer thlentu ber chu eng nge ni?

Kan sawi tawh ang khan serh cancer 99% vel hi `HPV (Human Papillomavirus) an tih virus kai avanga lo awm a ni.`HPV chi hrang hrang 100 chuang a awm a. A chi zawng zawng hian cancer a thlen vek lo. Cancer thlen thei "high-risk" chi hrang hrang a awm. He virus hi mipat hmeichhiatna (vaginal, anal, or oral sex) hmanga kai a ni ber. Ngaihtuah teh, HPV hi virus tlanglawn tak a ni. Mipat hmeichhiatna lama inhmang tam tak chuan an dam chhungin engtik lai pawhin HPV an kai dawn a, mahse an hre lo pawh a ni thei. Hei hi a chhan chu kan taksa immune system hian he hri hi a do thei a, a paih bo thei a ni. Amaherawhchu, a chang chuan, a bik takin HPV hlauhawmna chi hrang hrangte chuan taksa atangin an chhuak lo va, serh chhunga cell-ah hian rei tak an awm a, zawi zawiin chu cell te chu a pangngai lo takin an thlak danglam a, a tawpah chuan cancer-ah an lo chang ta a ni. Chuvang chuan HPV vaccine hi a pawimawh a ni. HPV vaccine hian serh cancer thlen tam ber HPV chi hrang hrang 90% vel lakah a venghim thei che a ni. Tin, HPV infection emaw pre-cancerous conditions emaw chu test pangngai hmanga hriat hmasak a nih chuan cancer a lo awm hmain enkawl tan theih a ni bawk.

Tute nge cervical cancer vei theihna chance sang zawk?

Mi thenkhat chuan cervical cancer vei theihna tur risk factor chiang tak an nei lo mai thei. Mahse, he hlauhawmna tipungtu thil engemaw zat a awm. Chung zinga ṭhenkhat chu kan thunun thei a, ṭhenkhat chu kan thunun thei lo bawk.

Risk factors kan control theih te:

• Test history: Pap test mumal lote chu cervical cancer vei theihna a sang zawk a, Pap test hian precancerous cells a hmuhchhuah avangin.
• HPV infection: HPV chi hrang hrang hlauhawm tak tak kai hi a hlauhawm ber a ni. HPV laka invenna hian serh cancer hlauhawmna a ti tlem thei a ni.
• Sexual history: Kum 18 an tlin hmaa mipat hmeichhiatna hmanpui leh mipat hmeichhiatna hmanpui tam tak neih hian HPV kai theihna a tipung a ni.
• Meizial zuk: Cigarette zuk hian serh cancer vei theihna a tipung nasa hle.
• HIV hrik kai: Hmeichhia HIV hrik kai te hi mipui zawng zawng aiin serh cancer vei an tam zawk.
• Immune system chak lo neih: Immune system a chak loh chuan taksain natna a do theihna a tlahniam a. Hei hian HPV virus hi taksaah a awm reng theihna a tipung a ni.

Risk factors kan thunun theih lohte chu:

• `DES (diethylstilbestrol)`: Hei hi kum 1938 leh 1971 inkar khan naupai thenkhat hnenah nau pai loh nan an pek thin a ni. I nuin naupai laiin `DES` a ei a nih chuan cervical cancer vei theihna a sang deuh mai thei.
• Chhungkaw chanchin: I chhungkuaa mi (nu, unaunu) hian serh cancer a vei tawh a nih chuan genetic predisposition i nei thei bawk. Mahse, hei hi a awm lo.

Eng chen nge cervical cancer hi a rukin a lo awm theih?

A tlangpuiin cervical cells (precancerous conditions) a inthlak danglamna pangngai lo chu cancer a nih theih nan kum 3 atanga kum 7 vel a ngai thin.A châng chuan a rei pawh a daih thei bawk. He precancerous stage hi zawi zawiin lo thang mahse, vawi khat chu cancer full-blown a nih chuan a lo thang chak thei hle. Chuvangin Pap test i neih fo chuan cervical cancer i vei theihna chance a hniam zawk kan ti a ni. A chhan chu heng test te hian precancerous cell te chu cancer an nih hmain an man thei a ni.

Cervical cancer avanga harsatna awm thei te chu engte nge ni?

Cervical cancer hi a hmaa hriatchhuah leh enkawl hi nunna atana hlauhawm harsatna awm thei laka invenna tha ber a ni. Cancer a lo zual emaw, enkawl a tlai emaw a nih chuan, harsatna hrang hrang:

• Natna: Cancer a darh chuan, a bik takin nerve a nghawng chuan natna nasa tak a awm thei.
• Bladder leh bowel inthlak danglam: Bladder emaw bowel emaw ah cancer a darh chuan zun harsatna leh constipation ang chi harsatna a awm thei.
• Kidney damage: Cancer in urinary tract a block chuan kidney a tichhe thei a, a tawpah chuan kidney failure a thlen thei a ni. Hei hi cancer natna zual tawha hmuh theih complication na tak a ni.
• Thisen zam: Cancer i neih chuan thisen chu a "thick" deuh a, chu chuan thisen zam a tipung a ni.
• Thisen chhuah: Cancer hi vagina, rectum, bladder-ah a darh chuan chu taksa peng hrang hrang atang chuan thisen a chhuak thei a ni.
• Nau neih emaw naupai emaw a nghawng dan: Enkawlna chi hrang hrang (e.g., hysterectomy) a zirin fa neih theihna a bo thei. Cervix thenkhat operation hmanga lakchhuah a nih chuan nakin lawka naupai turah nau pai theihna a sang thei hle.
• Cancer enkawlna avanga side effects: Chemotherapy leh radiation therapy hmanga enkawlna hian side effects a thlen thei a, chu chu luak chhuak, luak chhuak, hah, sam tlakchham, leh mipat hmeichhiatna lama harsatna te a thlen thei a ni.

Hengte hi hlauhawm tak angin a lang thei a, mahse hre reng ang che, heng harsatna tam tak hi cancer hi hriat hmasak a nih a, enkawl tan a nih chuan ven theih a ni.

Engtin nge cervical cancer hi hmuhchhuah a nih?

Cervical cancer hi kum tam tak chhungin zawi zawiin a lo awm tlangpui. Cell hrisel te chu cell pangngai lo (pre-cancerous cells) ah an lo thang lian a, chuta tang chuan cancer cell ah an lo chang leh thin. Cervical cancer hi cervical cancer screening neih fo hmanga man a ni fo thin. Heng test-te hian a tum ber chu serh chhunga cell-a inthlak danglamna pangngai lo awmte chu cancer an nih hmaa hriatchhuah a ni.

• Pap test (Pap test / Pap smear): Hei hian serh chunglam atanga cell tlemte lak a, microscope hmanga enfiah a, cancer hmaa thil danglam emaw, chhinchhiahna emaw a awm leh awm loh enfiah a ni.
• HPV test: A chang chuan Pap test rual hian emaw, Pap test a dik lo a nih chuan cervical cell-ah pawh HPV virus hlauhawm tak a awm leh awm loh enfiah thin a ni.

I Pap test result "abnormal" a nih chuan lungngai suh. Cancer i nei tihna a ni lo. Mahse, test belh i mamawh mai thei.

Cancer a nih leh nih loh finfiah nan test hrang hrang:

Pap smear hi a dik lo a nih chuan doctor chuan test eng emaw zat a refer leh ang che.

• Colposcopy: Hei hi hmanraw bik (colposcope) hmanga serh (cervix) tihpun leh cell pangngai lo awm zawng zawng chiang taka hriat theihna a ni.
• Biopsy: Colposcopy neih laiin rinhlelhna hmun hmuh a nih chuan tissue te tak te lak a ni a, lab-ah cancer cell awm leh awm loh enfiah turin an thawn thin. He biopsy hi tih dan hrang hrang a awm a:
• `Punch biopsy`: Instrument te tak te hmangin tissue rinhlelh awm tak chu paih chhuah a ni.
• Endocervical curettage (ECC): Cells te hi cervical canal chhung atanga scraped an ni.
• Loop electrosurgical excision procedure (LEEP): Electric wire loop hmanga tissue pangngai lo paih chhuah a ni. Hei hi a chang chuan enkawlna atan an hmang thin.
• `Cone biopsy (conization):` Cone ang maia lian, a lian deuh deuh chu cervix atanga lakchhuah a ni. Hei hi diagnosis leh treatment atan pawh hman a ni.

Biopsy result-in cervical cancer i nei tih a nemnghet a nih chuan, a dawt leh tur chu cancer hi eng chen nge a darh (metastasized) tih hriat a ni. Hei hian test te a huam thei a, chungte chu:

• Liver leh kidney hnathawh dan enfiah nan test neih thin.
• Thisen leh zun test a ni.
• X-ray hmanga bladder, rectum, intestines leh lungs te hi an enfiah thin.
• ``CT (Computed Tomography) hmanga enfiah a ni''.
• ``MRI (Magnetic Resonance Imaging) hmanga enfiah a ni''.

Doctor chuan heng test atanga information a hmuh atang hian cancer stage a ruat thin.

Cervical cancer hi eng stage nge ni?

Cancer stage chu a lian zia leh a darh zau zia a ni. Hei hi enkawl dan tur ruahmanna siam nan a pawimawh hle. Cervical cancer hi stage lian pali (Stage I atanga Stage IV) a awm a.

• Stage I: Cancer hi serh chhungah chauh a awm a. Cervix tissue thuk zawkah a darh lo.
• Stage II: Cancer hi cervix leh uterus piah lamah a darh tawh a, mahse pelvic wall emaw vagina hnuai lam emaw ah a darh lo.
• Stage III: Cancer hi vagina hnuai lam thlengin a darh tawh a. Pelvic wall, ureters leh a bul hnaia lymph node-ah te pawh a darh thei bawk.
• Stage IV: Cancer hi bladder, rectum emaw, taksa peng hla tak tak ruh leh lungah te a darh tawh a ni.

I doctor chuan i cancer stage chu eng nge a nih leh a awmzia chipchiar takin a hrilhfiah ang che.

Engtin nge cervical cancer hi enkawl a nih?

Cervical cancer enkawlna hi thil engemaw zatah a innghat a ni. Cancer stage, i kum, hriselna tlangpui, leh nakin lawka fa neih i beisei leh beisei loh te ngaihtuah a ni. Enkawlna kawng pawimawh ber berte chu:

• Inzai
• Radiation hmanga enkawlna a ni
• Chemotherapy hmanga enkawl a ni
• Targeted Therapy hmanga tih a ni
• Immunotherapy hmanga enkawl a ni

A châng chuan heng enkawlna pakhat emaw a aia tam emaw hi hman dun a ni.

Inzai:

Cancer hmasa tan chuan cancer cell chauh lakchhuah theih a ni.

• Laser surgery: Laser rays hmanga cancer cell tihchhiat a ni.
• Cryosurgery: Cancer cells te freeze leh tihchhiat nan khaw lum nasa tak a hmang thin.
• `Cone biopsy` emaw `LEEP`: Hengte hi diagnosis atan bakah cancer tenau tak tak, superficial tak tak te paih chhuahna atan pawh hman a ni.
• Trachelectomy: Hei hian serh leh serh chunglam chu lakchhuah a ni a, mahse nausen pum chu a awm ang angin dah a ni. Hei hi a chang chuan hmeichhe naupang, fa nei thei te chungah tih a ni.
• Hysterectomy: Nausen pum leh nausen pum chu lakchhuah vek a ni.
• Pelvic exenteration: Hei hi surgery lian tak a ni. Uterus, cervix, bladder, vagina, rectum leh colon thenkhat te chu lakchhuah a ni a, hei hi cancer a darh dan azirin a ni. Hei hi cancer a lo let leh tawh emaw, a darh nasa tawh emaw chauhvin tih theih a ni.

Radiation Therapy hmanga enkawlna:

High-energy rays hmangin cancer cells te chu an tichhia a ni.

• External Beam Radiation Therapy (EBRT): Taksa pawn lama machine pakhat chuan cancer awmna hmunah radiation a kaihruai thin.
• Brachytherapy: Radioactive material chu tumor chhungah emaw, a hnaih takah emaw dah a ni.

Chemotherapy hmanga enkawlna:

Cancer thattu damdawi (chemo damdawi) hi thisenah (injection hmangin) emaw, pill angin emaw pek thin a ni. Heng damdawi te hi thisenah lutin taksa pum puiah an fang kual a, cancer cell te chu an that thin. Chemotherapy hi cycle hrang hranga pek thin a ni tlangpui. A chang chuan radiation therapy leh chemotherapy te hi operation hmaa cancer tihtlem nan emaw, operation hnua cancer cell la awm zawng zawng tihhlum nan emaw (chemoradiation) pek an ni thin.

Targeted Therapy hmanga enkawlna: 1.1.

Heng damdawi te hi cancer cell te tihpun leh darh zel tura puitu protein bikte target leh tichhe thei tura siam a ni a, cell hrisel te tichhe lovin.

Immunotherapy hmanga enkawlna:

Hei hian nangmah ngeiin i taksa hriselna (immune system) a tichak a, cancer cell te chu a hriat theih nan leh a beih theih nan a tichak a ni. I medical team chuan i tana enkawlna tur tha ber tur chu an rel ang. Damdawi thar enchhinna clinical trial -ah pawh tel theihna hun i nei thei bawk.

Cervical cancer hi a dam kim thei em?

Awle! Cervical cancer hi cancer a ni a, a damna rate a sang hle a, a bik takin a hmaa hriat chhuah a nih chuan a dam rei hle. Doctor-te chuan ``cured`` tih ai chuan ``remission`` tih hi an hmang zawk a ni.`` Hei hian taksa chhunga cancer cell awmte chu hmuh theih tawh loh khawpin an control tawh tihna a ni. Mahse, an la rawn let leh thei tho. Chuvangin regular checkup neih chhunzawm zel a ngai a ni. Stage I cervical cancer tan chuan operation hi enkawlna hmasa ber a ni tlangpui. Chemotherapy hi a ngai lo mai thei. Mahse chu chu thil dang engemaw zatah a innghat a ni. Stage IV -ah hian tihdamna famkim hmuh harsa ni mah se, ``remission``-ah kal theih a ni a, chu chu natna hi control theih a ni tihna a ni. Hetiang dinhmunah hian dam rei zawkna tur leh nunphung tihchangtlun nan enkawlna (radiation, chemo, targeted therapy) pek a la ni reng a ni.

Cervical cancer hi ven theih a ni em?

Thu lawmawm tak chu, a ni, cervical cancer hi a tam zawkah chuan ven theih a ni! Thil engemaw zat tih theih a awm a:

• HPV vaccine la rawh: HPV vaccine hi kum tling (a tlangpuiin kum 9-26, a chang chuan damdawi lam thurawn angin kum 45 thleng)-ah la rawh. Hei hi venhimna ber a ni.
• Pap test neihpui la, a tul chuan HPV test pawh a hun takah nei rawh: Kum 21 i tlin hnuah (a nih loh leh mipat hmeichhiatna hman a nih atanga kum 3 hnuah) heng test te hi i doctor-in a rawt angin hunbi neiin ti thin ang che.
• Safe sex: Sex hman laiin condom ang chi barrier method hman hian mipat hmeichhiatna atanga kai theih natna lakah a veng thei che a, HPV pawh a tel. Mipat hmeichhiatna hmanpui tur zat tihtlem.
• Meizial zuk loh tur: Meizial i zuk chuan bansan rawh. Meizial zu lo tan chuan meizuk hi la suh.

Cervical cancer beiseina chu eng nge ni?

Cervical cancer hi natna khirh tak a ni a, mahse a hmaa kan sawi tawh ang khan, a bik takin a hmaa hmuhchhuah a nih chuan enkawl theih a sang hle. Cancer i vei tih i hriat chuan lungngai, hlauhna leh thinrim hi thil pangngai tak a ni. Chûng rilru put hmangte hmachhawn tûrin ṭanpuina zawng rawh. I chhungte leh i thiante nen inbia ang che. Cancer support group-a tel pawh hi a \angkai hle thei bawk. Enkawlna a zawh hnuah pawh i doctor chuan cancer a lo let leh em tih a enfiah chhunzawm zel ang che. Remission-ah i kal a nih pawhin cancer chu a lo let leh ang tih hlauhna na tak neih hi thil pangngai a ni. Hemi chungchang hi counselor emaw, i hmangaih tak emaw, i doctor emaw nen inbiakna neih a tha. National Cancer Institute statistics atanga a lan dan chuan kum nga chhunga dam rei zat chu hetiang hi a ni:

• Cervical cancer a darh loh chuan (localized): 91% .
• A bul hnaia tissue (regional)-ah a darh tawh a nih chuan: 60% .
• Hmun hla tak (hla tak)-ah a darh tawh a nih chuan: 19% .

Mahse, hengte hi statistics mai a ni tih hre reng ang che.Heng atang hian i chungah eng nge thleng dawn tih chiang taka sawi theih a ni lo. I doctor chauh hian i dinhmun leh i dam theihna chance chungchang a tha berin a pe thei che a ni.

Engtikah nge Doctor ka hmuh ang?

A hmaa kan sawi tawh ang chi natna danglam bik (thisen chhuak mumal lo, thisen chhuak pangngai lo, sex hman laiin natna) i neih chuan doctor pan nghal rawh. Tin, Pap smear i neih hnuhnun ber kha i hre thei lo a nih chuan chu pawh chu i doctor nen sawiho la, regular takin test tan rawh. Cervical cancer i vei tih hmuhchhuah a nih hian zawhna tam tak i rilruah a lo lang thin hi thil pangngai tak a ni. "Ka tan enge inenkawlna tha ber?" "Cancer chu a lo let leh dawn em ni?" Heng zawhna leh ngaihtuahna zawng zawng hi i medical team nen sawiho rawh.

Take-Home Thuchah a ni

Awle, vawiinah hian kan sawi tam tawh a ni lawm ni? Cervical cancer chungchang i hriat hian hlauhna tlem i neih hi thil pangngai a ni. Mahse, a pawimawh ber chu natna a ni a, a tam zawkah chuan ven theih a ni a, a hmaa hriat chhuah a nih chuan tihdam vek theih pawh a ni.

Hrereng:

* HPV vaccine (i tlin chuan) la rawh .

* I Pap test leh HPV test chu a hun takah tih tir rawh. Hei hi i tih theih tha ber a ni. Zak lo la, tihkhawtlai suh.

* I natna lan chhuah dan danglam (thisen chhuak mumal lo, rim danglam tak nena discharge, sex hman laia na) i neih chuan doctor pan nghal rawh.

* Meizial zuk loh tur.

* Sex him tak hmang rawh.

I hriselna chu i kutah a awm. He thu hi i tan a \angkai ngei kan beisei. Zawhna dang i neih chuan doctor zawt hreh suh. Hrisel takin awm rawh!