Hnute cancer i nei tih an hrilh che em? Ngaihdan pahnihna lak chungchang hi kan sawi tur em ni?

Doctor-in nangmah emaw, i hriat mi emaw hnute cancer a neih thu a hrilh hian, i rilru a buai a, zawhna tam tak i neih chu thil pangngai a ni. ‘Tunah engtin nge ka tih ang?’, ‘Hei hi a dam leh ang em?’, ‘Enkawlna tha ber ka hmu ang em?’ a ti a. Chutiang thil chu i rilruah a tlan lut thei a ni. Hetiang hunah hian mi tam takin zawhna dang an neih leh chu, ‘Hemi chungchang hi doctor dang ka zawt tur em ni? Ngaihdan pahnihna lak hi a tha em?’ a ti a. Dik tak chuan oncologist-te chuan, ‘Ni e, ngaihtuahna tha tak a ni’ an ti fo thin. He thuziak ah hian chutianga an sawi chhan te, ngaihdan pahnihna i neih chuan eng hlawkna nge i hmuh te, engtin nge i tih ang tih te chipchiar takin kan sawi dawn a ni.

Engvangin nge damdawi lam ngaihdan pahnihna neih hi kan tan a pawimawh em em?

Hnute cancer i vei tih i hriat chuan i rilru a buai tih hi hriatthiam theih a ni. Mahse, ngaihdan pahnihna neih hian kawng tam takah a pui thei che a ni. Hêng thute hi han ngaihtuah teh.

1. I diagnosis dik takin i confirm thei ang.

Doctor pakhatin hnute cancer i vei tih a hrilh che hi han mitthla teh. Chu chu engtiang chiahin nge a lungchhiatthlak? Chuvangin, doctor tawnhriat ngah dang, cancer specialist pawh ni mai thei, i test result zawng zawng a en a, "Ni e, he diagnosis hi a dik a ni," a tih hian chu chu thil lian tak a ni lawm ni? Chutah chuan hei hi vawi khat atan finfiah tawh thil a ni tih i hrechhuak ta a ni. A châng chuan, a tlem hle nachungin, diagnosis hmasa berah hian thil chiang lo a awm a nih chuan, ngaihdan pahnihna chuan a tichiang thei a ni. Tin, he doctor pahnihna hian i diagnosis siamtu institution chu cancer chi hrang hrang leh natna stage hrang hrangte hriatchhuahna lama tawnhriat tha tak nei hmun a nih leh nih loh a enfiah ang.

2. I enkawlna tur ruahmanna chu i nemnghet thei a, i tizau thei bawk.

Oncologist Megan Cruz chuan , "A vawi khatnaah hian enkawlna dik tak lak a pawimawh a ni," a ti. Second-opinion doctor chuan tuna i enkawlna tur ruahmanna chu a enfiah ang a, i cancer chi hrang hrang enkawlna thar ber, a hlawk ber a ni em tih a enfiah ang. Tuna i ruahmannaah hian thil engemaw a belhchhah thei a, a nih loh leh duhthlan tur ṭha zawk a rawn rawt thei bawk. Hei hian enkawlna tha ber i dawng tih a tichiang ang.

3. I natna chungchang hriatthiamna tha zawk nei turin a pui thin.

A châng chuan, i doctor hmasa ber i biak khân thil i hrethiam lo mai thei a, zawhna zawh i theihnghilh a, a sawi chu i hrethiam lo mai thei bawk. Hei hi thil pangngai a ni. Ngaihdan pahnihna i hmuh chuan zawhna i neih apiang, eng ang pawhin tlem pawh ni se, i zawt thei ang. ‘Zawhna â’ tih hi a awm lo. Engkim chiang taka i hriatthiam hma loh chuan zawt rawh. Tichuan i dinhmun leh i enkawl dan chu i hrethiam zawk ang.

4. Research-level treatment thar (Clinical Trials) chungchang i zir thei ang .

Ngaihdan pahnihna petu doctor chuan i la hriat loh enkawlna thar, clinical trial an tihte chu a hre mai thei. Hengte hi research phase-a la awm, nakin lawkah chuan standard treatment ni thei tur enkawlna an ni. Chûngte chu mi zawng zawng tân a dik lo mai thei a, mahse mi ṭhenkhat tân chuan duhthlanna ṭha tak a ni thei.

5. Hahdamna leh inrintawkna nasa tak i nei ang.

Doctor pahnihin i natna hmuhchhuah dan leh i enkawl dan tur chungchangah ngaihdan inang an pek che chuan i rilru hahdam leh inrintawkna chu han ngaihtuah teh. When you think , "Ni e, kawng dik ka zawh a, a tha ber ka hmu," i hmaa he harsatna hmachhawn turin chakna nasa tak i nei a ni.

Engtikah nge he ngaihdan pahnihna hi kan neih ang?

A awlsam zawngin, a rang thei ang bera sawi ila. Second opinion lak hun tha ber chu i natna hmuhchhuah hnuah a ni a, a tha ber chu eng enkawlna pawh tan hmain a ni. Second opinion lak tur chuan chhan bik i neih a ngai lo. Mahse, a hnuaia thil awm danah hian ngaihdan pahnihna lak a pawimawh zual thei a ni:

• Cancer chi khat hmuh tur awm lo tak i neih chuan .
• I hnute cancer lo lang leh thin i nih chuan .
• I tih tur rawtna chu eng emaw chen risky, complex treatment a ni .
• Tuna i enkawlna hian i beisei angin hahdamna a pe lo che a nih chuan .

A châng chuan, second opinion neihna tur appointment lak nan hun rei tak a ngai thei bawk. Enkawlna tan a tlai tawh mai thei tih i hlau a nih chuan, tuna i doctor nen hian inbiakna neihpui la, an thurawn lak hi a tha ber.

Okay, chuti a nih chuan engtin nge he ngaihdan pahnihna hi dawng thei tur hi kan zawn theih ang?

"Hute cancer enkawlna lama tawnhriat nei tam ber leh enkawlna lama update thar ber ber hre chiangtu damdawi in leh doctor engemawzat hming zawn i duh a ni," tiin Dr. Cruz chuan a fuih a ni. I ṭanpui theih dân ṭhenkhat chu hetiang hi a ni:

• Tuna i doctor hnenah hian hnute cancer specialist recommend turin hrilh rawh .
• I awmna hmuna cancer damdawi in emaw, cancer enkawlna hmun emaw biak tum ang che.
• Tin, i ṭhiante leh i chhûngte zîngah pawh hetiang thil tawn leh review ṭha tak dawng tawh doctor zawng rawh . An thil tawn hi a hlu em em a ni.
• Tunlai hian ‘Virtual Second Opinion’ tih hi a awm ta. Hei hian khawvel hmun hrang hranga mithiam hmingthang tak nen online hmangin i awmna hmun atang pawhin, ram dangah pawh nise, i inzawm thei tihna a ni a, thurawn i la thei tihna a ni.
• International cancer organization thenkhat, United States-a National Cancer Institute te chuan cancer enkawlna thar ber ber, quality sang ber pe thei tur center an ruat a. Chumi chungchang chu i hmu thei bawk.

A pawimawh ber chu second opinion dil tura i kal hunah i medical record zawng zawng, lab report, imaging report, a bik takin chutiang pathology slide te chu i keng tel vek tur a ni. Virtual appointment i kal dawn a nih chuan hengte hi buatsaih lawk rawh.

Ngaihdan pahnihna i neih hunah eng zawhna nge i zawh tur?

Ngaihdan pahnihna petu tur doctor i pan hmain zawhna i neih thenkhat chu i ziak hmasa phawt ang. Chutiang chuan rush-ah engmah i theihnghilh lovang. Entirna tlemte chu hetiang hi a ni:

• "Ka diagnosis hi i pawm em?"
• "Natna dang a ni thei ang tih i ring em? A nih loh leh he natna chi dang a ni thei ang em?"
• "Ka hnena treatment plan rawn rawt hi i pawm em? A nih loh leh treatment dang i rawt tur a awm em?"
• "Enkawlna tin hian eng hlawkna, hlauhawmna leh side effect nge a neih?"
• "Enkawlna tinreng hi engtiang chiahin nge hlawhtling tura kan beisei theih ang?"
• "Test dang tih belh a ngai i ti em?"
• "Ka tana tha tur leh ka tan hlawkna tur clinical trial a awm em?"

Heng zawhnate hi i tan chuan bul tanna mai a ni. I rilru a awm reng reng zawt rawh.

Second opinion i neih hnuah eng nge i tih thin?

Ngaihdan pahnihna i neih hnuah i doctor hmasa ber nen i thil zir chu sawipui ang che. I enkawlna ruahmannaah inthlâk danglamna eng emaw siam tûrin a ṭanpui ang che em tih i en duh mai thei. Doctor pahnih hian ngaihdan inang lo tak tak an neih chuan an inbia a, inremna an siam a ngai mai thei tih hre reng ang che.

Thil pawimawh dang hriat reng tur: Ngaihdan pahnihna neih hian doctor thlak a ngai tihna a ni hauh lo. Chutiang chu i ti duh mai thei – entirnan, tuna i doctor hian i mamawh enkawlna bik a neih loh chuan. Mahse a tam zawkah chuan chutiang chu a ni lo.

"Ngaihtuahna pahnihna lak hi doctor hmuh theihna hun remchang a ni a, chu chuan ngaihdan pahnihna leh i diagnosis leh treatment plan chungchangah ngaihdan danglam tak a pe thei che a ni," tiin Dr. Cruz chuan a sawi nawn leh a ni. "Hei hian doctor thlak a ngai tihna a ni lo. Vawi tam tak chu ngaihdan pahnihna hian damlote chu kawng dik zawh mek an nih thu leh an awmna hmuna doctor emaw team emaw rinna an neih theih nan a pui thei a ni.

Ngaihdan pahnihna chungchanga thu hnuhnung ber

A tawp berah chuan, ngaihdan pahnihna lak chungchangah i primary doctor nena inbiakna neih chu i rilru a hahdam lo va, i hlauthawng deuh mai thei. Mahse, hlau suh.

Dr. Cruz chuan, "I doctor chuan ngaihdan pahnihna i zawh avangin a lungawi lo va, a lungawi lo ngai lo vang," a ti. "A pangngai hle a, a fuh tak zet a ni. Doctor kan nih angin kan thawhpui te ngaihdan hriat hi kan duh ber a ni. A thlamuanthlak hle. Mahse, i duh lo tak tak a nih chuan ngaihdan pahnihna petu doctor chuan doctor hmasa ber hnenah a hrilh hi a pawi lo . Chu ngaihdan chu nangmah chauhvin i hre thei ang.

Mahse, ngaihdan pahnihna neih hian i enkawl dan tur leh thutlukna siamah i inrintawkna a tipung thei a, hnute cancer harsatna hmachhawn turin a theih ang anga inbuatsaih turin a pui thei bawk che a ni.

He thawnthu atang hian kan in lama kan hruai haw tur pawimawh ber (Take-Home Message) .

A awlsam zawngin, hnute cancer ang chi damdawi lam natna khirh tak chungchangah ngaihdan pahnihna lak hi nangmah tan chuan tanpuitu lian tak a ni a, i dikna a ni.

• Hei hian i diagnosis dik takin a nemnghet ang.
• I enkawlna tur ruahmanna tha ber, a remchang ber i dawng tih chu vawi hnih i check thei a ni .
• I rinhlelhna leh zawhnate tihfai theihna hun tha tak i nei ang .
• Enkawlna thar, clinical trial ang chite chu i zir thei ang .
• A chung berah chuan rilru hahdamna nasa tak leh hmalam pan tura inrintawkna nghet tak i nei ang .

Chuvangin, ngaihdan pahnihna zawh chu hlau leh hlauthawng ngai suh. I hriselna zinkawngah hian chakna pe thei leh hlu tak dikna a ni!

` Hnute cancer, damdawi lam ngaihdan pahnihna, cancer enkawl dan, a hriat dan, damdawi lam thurawn, hmeichhe hriselna, hriselna chungchanga thutlukna siam