Natna tihdam vek tih awmzia chu eng nge ni? (Cure) Hei hi eng nge a awmzia dik tak i zawng chhuak ang u!

Damdawi lama kan hman \awngkam \henkhat, a awmzia dik tak kan hriat loh chuan harsatna lian tak a thlen thei a. Chutiang thumal pakhat chu ‘Cure’ tih hi a ni. A awlsam zawngin sawi ila, natna chu a dam kim chuan a dam a, a lo let leh tawh dawn lo. Mi tam tak tan chuan ‘damdawi’ tih hian chu aia nasa zawk a kawk a ni. Natna laka fihlim, enkawl dan tur ruahmannaa tang tlat lo, doctor pan reng ngai lo, leh mahni inrem taka awm tihna a ni. Hei hi Alzheimer’s Disease, Parkinson’s Disease, heart disease na tak, cancer ang chi natnaah chuan a pawi zawk. Damdawi beiseina chu thih hlauhna tel lova, i thunun theih loh diagnosis avanga i nun thlak danglam ngai phurrit nei lova nun theih hi a ni. Mahse hetah hian ‘Cure’ tih thumal hi a buaithlak deuh thei. Hriselna tha leh a kaihhnawih rilru thlamuanna pe thei tur magic bullet a ni lo. Entirnan, cancer chi hrang hrang ang chi natna tihdam theih loh nei tam tak chuan symptom nei lovin nun pumhlum an hmang thin. Chuvangin, ‘damdawi’ chu eng nge a nih leh eng nge a nih loh tih hriatthiamna hian dam theih loh dinhmun i nei tih i hriat chuan hmalam hun tur ruahmanna siam turin a pui thei che a ni.

"Cure" leh "Treatment" hi eng nge a danglamna?

Enkawlna tih hian i hriselna leh hriselna tihchangtlunna tura damdawi, damdawi lam kalphung leh enkawlna pekte a kawk a ni. Damdawi chu enkawlna atanga chhuak pakhat chauh a ni a, chu chuan he hmasawnna hi a thlen thei a ni. Enkawlna dangte pawhin hrisel takin a vawng thei che a, i duh ang nun i hmang thei bawk. Enkawlna atanga chhuak thenkhat chu hetiang hi a ni:

• Damdawi: I natna emaw, i natna emaw chu a bo vek tawh. A lo let leh tawh dawn lo. Entirnan, bacteria infection atana antibiotics hian tuna bacteria awmte chu a that a, natna chu a tidam a ni. Mahse, bacteria nena inzawmna thar lo awm leh tur chu an dang thei lo. Mahse tuna i natna thlentu bacteria bik chu an that thei a ni.
• Invenna : Natna emaw, dinhmun emaw a lo awm hmaa invenna. Entirnan, HPV vaccine lak hian cancer thlen thei human papillomavirus (HPV) chi hrang hrang lakah a veng thei che a ni. Chûng cancer-te chu anus, cervix , penis, leh throat cancer te a ni.
• Natna enkawl dan: 1.1.Natna a la awm laiin a nasat dan tihtlem leh i dinhmun tlangpui tihchangtlun. Entirnan, Type 1 diabetes i neih chuan i thisen sugar level control nan insulin hmang thin ang che. Zunthlum hi tihdam theih vek ni lo mah se, damdawi dik tak ei leh thisen sugar level enfiah reng avanga nunpui theih natna a ni.
• Palliative care: Natna emaw, chak lohna emaw neia khawsa mi pakhat nunphung tihchangtlun a, enkawlna atanga a lan chhuah dan leh a nghawng tha lo tihziaawm. Entîr nân, khum aṭanga i tho thei lo a nih chuan, health care worker chuan khum natna laka invenna hmangin a ṭanpui thei che a, mi dang khawih chuan thlamuanna i nei thei bawk. Palliative care hian i dinhmun a tidam thei lo va, i natna nasatzia pawh a tiziaawm thei lo bawk. Amaherawhchu, a tel lo chuan i nun a titha thei zawk a ni.

"Cure" leh "Recovery" inthlauhna.

Mi tam tak chuan ‘damna’ leh ‘dam lehna’ tih thumal hi an hmang dun a, a chhan chu an pahnih hian dam lehna ngaihtuahna an thlen a, beiseina an nei bawk. Amaherawhchu, damna famkim awm lovin damna a awm thei. Entirnan, substance use disorder nei mi pakhat chu ‘recovery’-ah a awm thei. Chumi awmzia chu an hriselna a tha chho zel a, intihhlimna atana ruihhlo leh zu an hmang tawh lo tihna a ni. Mahse, dam lehna chuan chutiang thilte chu hman duhna an nei leh tawh ngai lovang tihna erawh a ni lo. Chu ai chuan ruihhlo tel lo nun chatuan atana inpekna an thlang tihna a ni zawk.

"Cure" leh "Remission" inthlauhna.

Cancer enkawltu doctor, emaw oncologist-te chuan enkawlna hlawhtlinna chu cancer chu ‘remission’-ah a awm leh awm loh hmangin an teh fo thin. ‘Tidam’ tih awmzia chu natna chu a bo vek tawh tihna a nih laiin, ‘remission’ hian chu chu a tichiang lo. Remission hi a kim emaw, a then emaw pawh a ni thei:

• Complete remission: I doctor chuan cancer chhinchhiahna a hmu thei lo va, symptom pawh i nei lo. Mahse, cancer cells chu tissue-ah hian thup a ni thei a, test emaw, imaging emaw hmanga hriat theih loh a ni. Tin, 100% cancer-free i ni thei bawk.
• Partial remission: I taksaah cancer cell i la nei a, mahse a hma aiin a tlem zawk. Tumor te chu a tlahniam thei a, i thisena cancer cell awm zat pawh a tlahniam thei bawk.

Remission hian hun bituk a neih loh avangin a buaithlak deuh thei. I cancer chu i dam chhung zawng remission-ah a awm tawh mai thei. A tawpah i thih hunah chuan cancer nena inzawm lo thil vang a ni thei. A nih loh leh, i doctor-in cancer chhinchhiahna a hmuh leh hmain i cancer chu kar tam tak, thla tam tak, kum tam tak chhung chu remission-ah a awm tawh mai thei bawk. Chutiang a nih chuan i cancer chu a lo let leh tawh (recurred). Cancer lo kir leh tawh chuan enkawlna thar a mamawh thei a, chu chuan cancer chu remission-ah a dah leh thei a ni. I cancer chu remission-ah a awm tih hriat hi thu lawmawm a ni. Mahse, cancer chu a bo tawh tih rintlak i duh hunah pawh a beidawnthlak thei bawk.

Cancer hi tihdam theih a ni em?

Chhanna tawi chu a ni lo. Cancer hi a tlem berah chuan a la dam lo hle a, a dam kim thei lo. Mahse chhanna thui tak chu a buaithlak zawk hle. Cancer hi tihdam theih a nih loh laiin, cancer chi thenkhat enkawlna chuan i taksa atangin a bo vek thei a ni. Hei hi mi tam zawkin an hriat duh chhanna chu a ni. Hetiang hian han ngaihtuah teh. “Cancer” tih thumal hi natna pakhat ang maiin a ri thei a, mahse chutiang chu a ni lo. Cancer chi hrang hrang 100 chuang a awm a. An vai hian i taksa a nghawng dan hrang hrang, a nasat dan hrang hrang, enkawlna mamawh hrang hrang, leh heng enkawlnate chhan dan hrang hrang an nei vek a ni. Cancer enkawlna a hlawhtlin chhan pakhat chu zirchiangtute chuan cancer chi hrang hrang an zirchian a, anmahni ang zela enkawlna an siamsak vang a ni. Chumi avang chuan tunah chuan mite chu kum sawmhnih tlemte kalta chauha thihna thlen thei tur cancer a\angin an damchhuak ta a ni. Heng cancer thenkhat hi enkawl hnuah remission kimchang takah an kal a, an lo kir leh tawh ngai lo. Heng enkawlnate hlawhtlinna avang hian oncologist thenkhat chuan cancer thenkhat chu a hun takah (a tlangpuiin a hma, cancer a darh hma) enkawl a nih chuan ‘dam theih’ an ti a. Hetiang a nih chuan ‘curable’ tih awmzia chu rang tak leh mumal taka enkawl i hmuh chuan i doctor chuan cancer chu a tidam thei tihna a ni. Oncologist dangte chuan cancer enkawlna rah chhuah chungchang an sawi hian ‘cure’ emaw ‘curable’ emaw tih thumal hi an hmang ngai lo. Cancer lo kir leh theihna chance tlem hle mahse, hun khata cancer cell hmuh loh chuan nakin lawkah cancer a thlen leh tawh dawn lo tih hi 100% guarantee a awm lo.

Eng cancer nge damchhuah ("cure") rate sang ber?

Oncologist thenkhat chuan kum nga emaw a aia rei emaw remission-a i awm tawh chuan i cancer chu ‘dam’ a ni an ti mai thei. Kum nga chhunga cancer damchhuahna sang tak nena inzawm cancer i neih chuan ‘cured’ tih thumal hi an hmang nasa zawk.

Cancer damchhuak Rate hi engzat nge ni?

Cancer damchhuah zat hi cancer chi khat vei nia hriat zinga za zela engzat nge hun bituk (a tlangpuiin kum nga) hnuah pawh an la dam tih tehna a ni. Kum nga mark hi thil pawimawh tak a ni a, a chhan chu cancer lo kir leh tam zawk chuan kum nga chhungin an ti thin. I cancer chi hrang hrang a zirin chutih lai chuan cancer chu a lo kir leh tawh lo a nih chuan a lo let leh tawh loh theihna chance a awm. Oncologist-te’n i enkawlna atanga a chhuah dan tur sawi lawkna atana an hman number pawimawh ber pakhat chu kum nga chhunga dam rei zawng zat (relative survival rate) hi a ni. Cancer chi khat nei mi engzat nge an hmuhchhuah atanga kum nga chhunga dam tawh tih a hrilh che a, chu chu cancer chi khat nei lote nen khaikhin chuan a ni. Heng number te hian i thil tawn danglam tak chu a sawi lawk thei lo nain, midangte thil tawn atanga beisei tur chungchang tlangpui a pe thei che a ni. Cancer tam tak, a hmaa hmuhchhuah leh enkawl te hi kum nga chhunga dam rei zawng chu 90% aia tam a ni. Chumi awmzia chu mi 100 zinga 90 chu kum 5-ah an dam tawh dawn tihna a ni a, cancer vei hmuhchhuah lohte nen khaikhin chuan. Heng cancer vei tam tak, enkawl mekte hi rei tak an dam a, a tam zawkah chuan cancer chhinchhiahna engmah an nei lo. Heng cancer chi hrang hrang thenkhat hi han thlir ila:

Hnute Cancer a ni

Hnute cancer hi hnute pakhatah (a tam ber) emaw, hnute pahnihah emaw a awm thei.

• Kum nga chhunga dam rei zat: Hnute cancer, hnute tissue atanga darh lo nei zinga 99% vel chu kum nga hnuah pawh an la dam reng a ni. Non-invasive emaw stage 0 breast cancer (Ductal Carcinoma In Situ) nei zawng zawng deuhthaw chu kum nga hnuah pawh an la dam vek a ni. Cancer darh tawh tan chuan dinhmun hi a tha vak lo.
• Engvangin nge dinhmun hi a tha? Breast cancer screening hian cancer hi a hriat hma thei a, chuvangin enkawl tan thuai theih a ni. Hei hian cancer laka awm theihna chance a tipung a ni. Cancer zirchianna avang hian scientist-te chuan hnute cancer chi hrang hrang target-a enkawlna tur an siam chhuak a, chu chu an ti bo thei a ni.

Cervical Cancer a awm a ni

Cervical cancer hi i serh (cervix)-ah a lo awm a, chu chu i vagina leh uterus inzawmkhawmna canal a ni.

• Kum nga chhunga dam rei zat: Cervix cancer vei, cervix emaw uterus emaw piah lama darh lo zinga 92% vel chu kum nga hnuah pawh an la dam reng a ni. Cervical dysplasia, cell pung dan pangngai lo, cervical cancer-a lo chang thei, enkawl hnuah pawh damchhuahna rate a sang hle. Cervical cancer lymph node emaw taksa peng dang emaw a darh tawh chu enkawl a harsa zawk hle.
• Engvangin nge dinhmun hi a tha?Cervical cancer hi a thang zawi zawi a. Pap smear neih fo hian cancer hi a tir lamah a hriat theih nan a pui thei a, chutih lai chuan enkawlna a hlawk ber a ni.

Hodgkin Lymphoma natna a ni

Hodgkin lymphoma hi cancer chi khat a ni a, thisen var cell-ah a lo awm a, chu chu lymphocytes an ti a.

• Kum nga chhunga dam rei zat: Non-Hodgkin lymphoma vei, taksa peng lian, ruhro, emaw diaphragm chung leh hnuai lama lymph node-a darh lo zinga 92% vel chu kum nga hnuah pawh an la dam reng a ni.
• Engvangin nge thlirna a tha? Hodgkin lymphoma hian cancer enkawlna, radiation therapy leh chemotherapy te hi a chhang tha hle.

Melanoma natna a ni

Melanoma hi vun cancer chi khat a ni.

• Kum nga chhunga dam rei zat: Vun chunglam atanga darh lo melanoma vei zinga 99% vel chu kum nga hnuah pawh an la dam reng a ni. Cancer chu a hnuaia layer-ah a darh tawh a nih chuan dinhmun a chhe zawk.
• Engvangin nge dinhmun hi a tha? Vun inthlak danglamna hi hmuh a awlsam zawk a, a man hma zawk bawk. Surgery hian vun chunglam layer-a lo awm melanoma hi a paih chhuak fo thin. Target therapy leh immunotherapy ang chi enkawlna lama hmasawnna thar a awm avangin kum 10 aia rei cancer laka awm theih a ni ta a ni.

Prostate Cancer natna a ni

Prostate cancer hi i prostate gland ah a lo awm thin.

• Kum nga chhunga dam rei zat: Mipa 99% vel chu prostate cancer, gland pawna darh lo nia hriatte chu an hmuhchhuah atanga kum nga hnuah an la dam a ni.
• Engvangin nge thlirna a tha? Prostate cancer hi a thang zawi zawi a, a tlangpuiin hriatchhuah leh enkawl hmasak a ni a, a darh hmain. Prostate cancer darh (metastasized) tihdam a harsa hle.

Testicular Cancer a ni

Testicular cancer hi testicle pakhatah (a tam ber) emaw, testicles pahnih ah emaw a lo awm thin.

• Kum nga chhunga dam rei zat: Testicular cancer, testicular pawn lama darh lo nia hriat zinga 99% vel chu an hmuhchhuah atanga kum nga hnuah pawh an la dam a ni. Testicular cancer enkawlna hi a hlawk hle a, metastatic cancer vei tam zawk (73%) chu an hmuhchhuah atanga kum nga hnuah pawh an la dam reng a ni.
• Engvangin nge dinhmun hi a tha? Cancer nei testicle lakchhuahna tur surgery hian cancer chu a tidam fo thin. He cancer hian chemotherapy pawh a chhang tha hle.

Thyroid Cancer a ni

Thyroid cancer hi i thyroid gland-ah a lo awm a, chu chu i kawr bul bul hnaia hnim hring ang maia awm a ni.

• Kum nga chhunga dam rei zat: Thyroid cancer thyroid gland piah lama darh lo zawng zawng deuhthaw chu kum nga hnuah pawh an la dam vek a ni. Thyroid cancer chi khat, anaplastic thyroid cancer an tih, a prognosis hi a chhe zawk a ni.
• Engvangin nge prognosis hi a tha? Hetiang cancer chi hi a thang zawi zawi a. Thyroid gland lakchhuahna tur surgery hian cancer hi a ti bo fo thin.

I doctor-in ‘cure’, ‘treatment outcomes’, ‘survival rates’, emaw ‘remission’ tih ang chi thumal a hman hian chipchiar zawkin zawt rawh. Heng thumal tin hian i natna hmuhchhuah dan hriatthiamna leh nakin hun atana ruahmanna siam thei tur thu pawimawh tak tak a thlen a ni. I enkawl dan tur thil tumte chu nang leh i doctor in inrem a pawimawh hle.

Mi tam zawkin an nun atana diagnosis awmzia hriat tumna atana an duh hnuhnung ber chu tawngkam lama inhnamhnawih hi a ni. Vanduaithlak takin "damdawi" tih ang chi thumal hi a bik takin cancer ang chi diagnosis chungchangah chuan a buaithlak thei hle. Cancer i vei a nih chuan i doctor chuan "damdawi" tih thumal hman hi vawi hnih a ngaihtuah thei a, cancer nei lo i nih a, a lo let leh theihna chance a tlem hle a nih pawhin.

Take-home message hnuhnung ber a ni

I dinhmun hi tihdam theih loh a nih thu i hriat chuan hlauthawng suh. Chu ai chuan i tana pawimawh berte hmangin zawhna zawt rawh. I zawt mai thei:

• "Ka natna lanchhuahna tihziaawmna tur hian eng enkawlna nge awm?"
• "Enkawlna te hian ka hnathawh dan pangngaia ka awm leh theih nan min pui dawn em ni?"
• "Hrisel taka awm theih nan eng tih dan nge ka neih theih ang?"

I rilru hahdamna tur chhanna i mamawh chu hmu rawh. Dam theih loh dinhmunah pawh enkawl tha leh palliative care hmangin nunphung tha tak i nei thei tih hre reng ang che.

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` Damna, cancer, enkawl dan, natna tihtawp dan, damchhuah zat, hriselna, damdawi lam thurawn