Doctor chuan nangmah emaw i hriat mi emaw hnenah "prostate cancer a nei" a tih chuan, i rilruah a lo lang nghal thin chu surgery, chemotherapy, emaw radiation therapy ang chi thilte hi a ni em?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..? Chutiang thil i hriat chuan hlauhna leh lungkhamna i neih chu thil pangngai tak a ni. Mahse, prostate cancer vei zawng zawng hian chutiang enkawlna lian tham tak chu an tan nghal a ngai lo tih i hria em? Vawiin hian chutiang thila hman dan tur kan sawi dawn a, mi tam takin an hre lo.
A awlsam zawngin ‘Active Surveillance’ tih hi eng nge ni?
A hming ang ngeiin ‘active surveillance’ tih awmzia chu enkawl ngai lovin cancer chu active taka en, chu chu ngun taka en reng tihna a ni. Hei hian cancer chu ngaihthah tihna a ni lo. A dik zawk chuan, low-risk, non-malignant prostate cancer vei chu enkawl nghal lohvin, operation ang chi, cancer a awm dan enfiah reng reng tihna a ni.
Hetiang hian han ngaihtuah teh. In chhungah chuan naupang nalh tak mai a awm a. Room chhunga a khelh chhung chuan harsatna kan nei lo. Mahse thil hlauhawm tak a ti dawn em tih kan en reng a, current a khawih dawn em tih kan en reng a ni. Chutiang thil hlauhawm tak tih a tum phawt chuan kan inrawlh vat thin. ‘Active surveillance’ hi chutiang thil chu a ni. Cancer chu prostate-ah a awm hma chu kan nghak a , mahse a zual zel tur chhinchhiahna a lantir chauhvin enkawl kan tan thin.
Hei hian a tum ber chu surgery leh radiation therapy ang chi thila side effects awmte chu a tul hmaa tihkhawtlai a ni. Hei hian nunphung tha tak vawng reng turin a pui ang che.
He method hi tute tan nge a inhmeh ber?
‘Active surveillance’ an tih dan hi mi zawng zawng tan a tha lo. I doctor-in he method hi a rawn rawt che a nih chuan thil engemaw zat tihhlawhtlin a ngai a ni.
- Cancer hi i prostate gland pawnah a darh lo mai thei.
- Cancer hi a aggressive thei lo. Hei hi hriat chian nan hian doctor-te chuan ‘Gleason score’ ang chi thil an hmang a, chu chu cancer cell te la chhuakin test a ni. He score hi a hniam tur a ni.
- Tumor hi a lian lo hle tur a ni.
A awlsam zawngin, cancer hmasa, a lo thang chak lo, leh non-malignant cancer i neih chuan, he method hi i tan chuan duhthlan tur tha tak a ni thei.
‘Active surveillance’ neih chhung hian eng nge thleng?
Hemi hun chhung hian nangmah chauh i awm lovang. I oncologist chuan uluk takin a lo enkawl ang che. Chumi atan chuan ruahmanna bik, a nih loh leh ‘protocol’ a awm a ni. Hei hi he hun chhung hian a thleng tlangpui a ni.
| Test / Process tih dan tur | Hun hman dan pangngai |
|---|---|
| Digital Rectal Exam neih a ni ang | A tlangpuiin kum khatah vawi khat emaw vawi hnih emaw a ni. |
| PSA thisen enfiahna (PSA Test) 1.1. | Kum khatah vawi khat emaw vawi hnih emaw. Hei hian prostate gland hriselna chungchang ngaihtuahna a pe a ni. |
| Prostate Biopsy hmanga tih a ni | Kum 1 atanga kum 5 chhungin vawi khat. Hei hi cancer-a inthlak danglamna awm leh awm loh enfiahna atan a ni. |
| MRI scan a ni | A châng chuan, doctor chuan biopsy kaihruai tûrin MRI scan pawh a rawt thei bawk. |
He schedule hi i dinhmun a zirin a danglam thei. A pawimawh ber chu i doctor thupek dik taka zawm a, test engmah skip loh hi a ni.
Hetiang hmanrua hi eng nge a thatna leh a hlauhawmna?
Damdawi lam thil dang ang bawkin, a hlawkna leh a hlauhawmna a awm vek. Thutlukna siam hmain a pahnih hi hriatthiam a pawimawh.
Hlawkpuina
A thatna ber chu surgery leh radiation therapy ang chi thila lo awm thei side effects te pumpelh emaw, tihkhawtlai emaw theihna hun remchang a ni. Entir nan:
- Zun control harsat (urinary incontinence) .
- Erectile dysfunction a awm thin
- Infection leh natna
I nun pangngai, hetiang thil te tel lova nunpui theih hi thil ropui tak a ni.
Risk a awm thei
Risk ber chu kan nghah chhung hian cancer hi a lo thang lian a, a darh (metastasize) theihna a ni.Chutiang a nih chuan a hnu lama enkawlna chu a buaithlak zawk thei. Mahse, he hlauhawmna hi a tam zawkah chuan checkup neih fo hian a enkawl theih a ni.
Cancer i vei tih i hriat lai pawha enkawlna dawng lo tura hlauhna leh lungkhamna neih hi thil pangngai a ni. "Aw, hei hi ka chhungah a lo thang lian dawn em tih ka hre lo," tiin i ngaihtuah mai thei. Chutianga i inhriat chuan i doctor nen inhawng takin sawi rawh. I rilru put hmang chu a hrethiam ang.
‘Active observation’ leh ‘watchful waiting’ hi eng nge a danglamna?
Mi tam tak chuan heng thumal pahnih hi eng emaw chen an in ang em avangin an buaipui thin. Mahse, heng hmanraw pahnih hi a danglamna lian tak a awm a ni.
| Mihring ziarang | 'Active Surveillance' tih a ni. | 'Watchful Waiting' tih a ni. |
|---|---|---|
| Tum ber a ni | Enkawl tan hun tha ber nghah, cancer tihdam tumna nen. | A tum ber chu cancer tihdam a ni lo va, a symptoms control a, nunphung tha tak vawn reng a ni. |
| Testing neih a ni | PSA leh biopsy ang chi test te hi tih fo thin a ni . | Regular testing tih a ni lo va , symptoms a lan chauhvin enkawl a ni. |
| A remchang ber | Tlangval deuh, hrisel tak, dam rei beisei thei tan. | Kum upa lam tan te, natna khirh tak dang nei te tan te, leh enkawlna avanga nghawng tha lo tuar harsa te tan. |
A awlsam zawngin ‘Active Surveillance’ tih awmzia chu fimkhur leh enkawlna nghah tihna a ni. ‘Watchful Waiting’ tih awmzia chu a natna lan chhuah dan enkawl loh a, a lo awm chuan enkawl chauh tihna a ni.
Engtik hunah nge doctor nen kan inbia ang?
‘Active surveillance’ hun chhung hian i taksaa inthlak danglamna i ngaihven a pawimawh hle. Symptom thar i neih chuan, emaw, symptom awm tawh chu a zual zel nia i hriat chuan, i doctor hnenah hriattir nghal rawh .
Entir nan,
- Zun laiin a hma aia harsa zawk
- Zun chhuah a ngai fo thin
- Hnunglam emaw ruh emaw na
Hetiang thilte hi fimkhur rawh: Zawhna i neih apiang, eng ang pawhin tlem pawh ni se, i doctor zawh hreh ngai suh. I enkawlna chungchanga thutlukna siamnaah pawh chanvo lian tak i nei a ni.
Take-Home Thuchah a ni
- ‘Active Surveillance’ hi non-malignant, zawi zawia lo thang lian Prostate cancer enkawl dan a ni.
- Hetah hian tum ber chu cancer hi ngaihthah a ni lo va, a tul hmaa enkawlna avanga nghawng tha lo awm thei te tihkhawtlai a ni.
- Hemi chhung hian cancer awm dan uluk taka enfiah turin regular medical test (PSA, biopsy) neih thin a ni.
- Cancer vei loh leh enkawl loh avanga hlauhthawn emaw, lungkham emaw hi thil pangngai tak a ni. Hemi chungchang hi doctor nen zalen taka sawipui a pawimawh.
- Hei hi ‘watchful waiting’ an tih dan nen a danglam a ni. ‘Active surveillance’ tum ber chu a tul chuan natna enkawl leh tihdam a ni.
- Thutlukna hnuhnung ber i siam hmain, a hlawkna te, a hlauhawmna te, leh he hmanraw hi i tan a tha em tih te ngun takin i doctor nen sawiho rawh.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh