Doctor-in nangmah emaw, i hriat emaw hnenah "prostate cancer" a nei tih a hrilh a nih chuan, chu thu i hriat chuan hlauhna leh mangang nasa tak i neih chu thil pangngai a ni. "Cancer" tih thumal kan hriat hian surgery, chemotherapy, leh radiation therapy ang chi thilte kan ngaihtuah thin. Mahse, prostate cancer zawng zawng hian hetiang enkawlna lian tak hi a mamawh nghal vek lo tih i hria em? Vawiin hian chutiang thila hman dan bik kan sawi dawn a ni.
A awlsam zawngin Active Surveillance chu eng nge ni?
"Active Surveillance" tih awmzia chu "active observation" tihna mai a ni. Chu chu, prostate cancer enkawlna emaw, radiation therapy emaw tan nghal lovin, doctor enkawlna hnuaiah cancer awm dan enfiah reng a ni.
Hei hian a tum ber chu a tul tak tak hma loh chuan enkawl tan hun sawn hlat a ni. Hetiang method hi low-risk , chu chu slow-growing, early-stage cancers tan chauh hman a ni. Tun hnaia zirchianna pakhatah chuan prostate cancer hlauhawmna nei mipa 10 zinga 6 chu he Active Surveillance method hnuaiah hian an awm tih hmuhchhuah a ni. Hei hian tunah chuan hman lar tak, pawm hlawh tak a ni tawh tihna a ni.
He Active Surveillance method hi tute tan nge a tha?
Hei hi one-size-fits-all approach a ni lo. I doctor-in hetiang approach hi a rawn rawt theih nan i cancer hian heng mizia te hi a nei tur a ni:
- Cancer hi prostate gland pawnah a darh lo .
- The cancer may not be aggressive , chu chu tumor lian leh te, a than chak dan, leh i Gleason score (biopsy hnua cancer cells te aggressive dan tehna atana hmanraw bik) a zirin a ni.
Cancer i vei tih i hriat chuan, ‘Aw, hei hi enkawl leh tihfel vat ka mamawh’ tih hi thil pangngai tak a ni. Hemi chungchang hi doctor nen inhawng takin sawipui hlau suh.
Active Surveillance neih chhung hian eng nge thleng?
He system hnuaiah hian in lama awm mai mai a ni lo. I oncologist chuan a check fo ang che. Car service ang bawkin i taksa dinhmun an enfiah fo ang.
| Fiahna | Engtianga zingin? (Zinzia) |
|---|---|
| Digital Rectal Exam (DRE) neih a ni ang. | A tlangpuiin kum khatah vawi khat emaw vawi hnih emaw a ni |
| PSA thisen enfiahna (PSA Test) 1.1. | A tlangpuiin kum khatah vawi khat emaw vawi hnih emaw a ni |
| Prostate Ultrasound leh Biopsy hmanga tih a ni | Kum 1-5 danah (doctor-in a ruat angin) . |
| MRI hmanga biopsy neih a ni | A châng chuan doctor-in a rawt thei bawk. |
Heng test te hian i doctor chuan i cancer chu a lian chho zel em tih leh a darh zel em tih enfiah turin a pui ang. Symptom thar i neih chuan emaw, i test-naah i cancer a lo pung zel tih a hriat chuan i doctor chuan a bia ang che a, Active Surveillance chu a titawp ang a, damdawi lam enkawlna \ha takah a refer ang che.
Hetiang hmanrua hi eng nge a thatna leh a hlauhawmna?
A thatna ber chu
Hei hi a thatna lian ber chu enkawlna avanga side effects awm lovin i nung thei hi a ni. Prostate cancer tan surgery leh radiation therapy hian zun harsatna leh mipat hmeichhiatna lama harsatna te a thlen thei a ni. Active Surveillance hian heng enkawlna te hi a mamawh tak tak hma loh chuan tihkhawtlai hian i nunphung a humhim thei a ni.
Tum chhin
A hlauhawm ber chu cancer hi a lo thang lian tan a nih chuan enkawl tan hun a tlai thei a ni. A chang chuan cancer hi a lo thang lian thei a, taksa peng dangah a darh thei (metastasize). Mahse, a hun takah test i neih chuan he hlauhawmna hi nasa takin a tlahniam thei a ni. Chuvangin hei hi "active surveillance" an ti a ni.
Active Surveillance leh Watchful Waiting hi eng nge an danglamna?
Heng thumal pahnih hi a inang deuh a, chu chuan mi thenkhat chu a ti buai thei hle. "En dan" pahnih ni mahse, an inkarah hian danglamna lian tak a awm.
| Mihring ziarang | Active Surveillance neih a ni | Fimkhur taka nghah |
|---|---|---|
| Tum ber chu | Cancer awm dan enfiah a, a hun takah enkawl tan a, cancer tihdam tumna nen. | Cancer tihdam ai chuan a natna lan chhuah dan control a ni zawk. Enkawlna hi symptoms a awm chuan chauh pek thin a ni. |
| Test neih a ni | PSA, DRE, leh Biopsy ang chi test te hi schedule ruat angin systematic takin an ti thin. | Systematic testing tih a ni lo. Damlote chu symptom an neih chuan test an ni chauh. |
| Tu tan nge a inhmeh? | Hrisel, dam rei zawk leh cancer vei theihna tlem zawk nei tan. | Kum upa zawk, natna dang na tak nei, dam rei lote tan. |
Engtikah nge Doctor ka hmuh ang?
Active Surveillance i neih chuan, symptom thar (e.g., zun harsatna, ruh na) i neih chuan emaw, i symptom awmsa a zual a nih chuan doctor hnenah hriattir nghal rawh. Tin, clinic appointment ruat saah pawh tel ve ngei ang che.
Take-Home Thuchah a ni
- Active Surveillance hi prostate cancer hlauhawm lo, zawi zawia lo thang lian lo enkawlna atana hman thin a ni .
- Hetah hian thil tum ber chu enkawlna avanga nghawng tha lo awm thei lo leh nunphung tha vawn reng a ni a,Enkawlna a tul hun thlenga tihkhawtlai.
- Hei hi nghah leh en mai mai a ni lo va, doctor enkawlna hnuaia PSA, DRE, leh biopsy ang chi test te tih fo thinna a ni
- Cancer vei theihna chhinchhiahna a lo lang a nih chuan doctor chuan a enkawl tan nghal ang.
- Hei hi i doctor nen in inrem dun tur a ni. I ngaihtuahna leh hlauh zawng zawng chu i doctor nen sawiho la, hriatthiamna famkim nen he thutlukna hi siam rawh.
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