Cancer natna enkawl i nih a, zai i ni mai thei a, a tawp vek tawh nia i ngaih a, doctor-in enkawlna tam zawk i mamawh thu a hrilh che a nih chuan engtin nge i ngaih ang? Tlem a hlauthawng leh buai deuha inhriat hi thil pangngai a ni. "Surgery chu a hlawhtling a, cancer chu lakchhuah a ni a, chuti a nih chuan engvangin nge damdawi chu?" i ngaihtuah mai thei. Chu chu zawhna dik tak a ni. Vawiin hian chu chu chhanna tur leh i chak zawkna tur enkawlna tur kan sawi dawn a ni.
Adjuvant Therapy hi eng nge ni tak tak?
A awlsam zawngin Adjuvant Therapy tih awmzia chu "enkawlna puitu" tihna a ni. A dik tak chuan i enkawlna ber, a tlangpuiin cancer lakchhuahna atana surgery neih thin kha i tih zawh hnua pek belh tur a ni.
In pakhat chu uluk takin kan sawh fai a, kan tifai tawh ang tih han ngaihtuah teh. Mahse, mit ngeia hmuh theih loh leivut te te a awm thei a ni lawm ni? Chutiang chu a ni. Cancer tumor chu operation hmanga lakchhuah a nih hnuah, kan mit emaw, advanced scanning test (MRI, CT scan, PET scan) hmanga hmuh theih loh, microscope chauh hmanga hmuh theih cancer cell te tak te te chu taksa chhung hmun dangah thup a ni thei.
Heng enkawlna dangte hian a tum ber chu chu hmêlma thup, chu chu microscopic cancer cells te chu zawn chhuah leh tihchhiat a ni. Hei hian cancer lo lang leh theihna chu nasa takin a tihziaawm thei a ni .
He enkawlna hi tute nge mamawh? Eng dinhmunah nge?
Doctor-in hetiang damdawi dang chi hi i tan a rawt hian thil engemaw zat an ngaihtuah a ni. Mi zawng zawng tan a inang lo. A hnuaia thilte hian a nghawng thei a ni:
- Cancer chi hrang hrang: Heng enkawlnate hi cancer chi hrang hrang tan hman a ni ber. Entirnan, hnute cancer, colon cancer, lung cancer, leh vun cancer thenkhat te hi a ni.
- Cancer Stage: A tam zawkah chuan cancer hmasa ber operation hnuah he enkawlna hi cancer a lo let leh tawh loh nan pek thin a ni. A châng chuan, he enkawlna hian cancer natna zual tawh, cancer natna a darh zau tawhna hmuna damlote dam rei theihna a pui thei bawk.
- Cancer cell awm dan: Cancer cell thenkhat chu an chetsual hle a, an darh chak hle. Doctor-te chuan heng cell-te hi microscope hmangin an enfiah a, an chetsual dan an hre chiang hle. Heng additional treatment te hi cancer lo lang leh thei zawk tan chuan a tha ber mai.
Adjuvant therapy neih chhung hian eng nge thleng?
Hetiang a nih chuan "adjuvant" tih thumal i hriat hian i rilruah a lo lang hmasa ber chu "after" tih hi a ni. Chu chu enkawlna bulpui (a tam zawkah chuan surgery) hnuah tihna a ni.Tihdamna. Hei hi a lam dang a awm a, chu chu ``neoadjuvant therapy.`` an ti a, operation hmaa pek thin a ni a, tumor tihtlem nan leh operation awlsam zawk nan. Chu chu thupui hran a ni.
Adjuvant therapy-ah hian hmanraw pawimawh tak tak engemaw zat a awm a. I cancer chi leh a nih dan azirin i doctor chuan heng zinga pakhat emaw, a aia tam emaw a rawn rawt thei ang.
| Therapy chi hrang hrang | A awlsam zawngin... |
|---|---|
| Radiation hmanga enkawlna a ni | Hetiang method hian high-energy rays, X-ray ang chi hmangin operation hnua cancer cell awm thei zawng zawng chu a tichhia a ni. Hetiang method hi a chang chuan operation laiin tumor pumpui lakchhuah theih loh a nih chuan hman thin a ni. |
| Chemotherapy hmanga enkawl a ni | Hei hian damdawi chak tak tak, taksa pum puia kal a, khawi emaw laia cancer cell thup awmte tichhe thei pek a huam a ni. Adjuvant therapy hman hmasak ber chu hnute cancer operation hnua chemotherapy pek a ni. |
| Hormone hmanga enkawlna a ni | Hormone hian cancer thenkhat (e.g. hnute, prostate) a tipung thin. He enkawlna hian chu hormone te hnathawh chu a titawp a, cancer cell te chu an mamawh "fuel" te chu a hloh tir a ni. |
| Immunotherapy hmanga enkawl a ni | Kan taksa hriselna (immune system) chu cancer cell hriatchhuah leh beih theihna turin a "train" a ni. Tunah chuan hei hi lung, colon, leh hnute cancer ang chi thil atan an hmang nasa hle. |
| Targeted Therapy hmanga tih a ni | Hei hi kalphung thar a ni. Cancer cell-te’n an thanlenna atana an hman protein bikte target-tu damdawi a hmang a, an hnathawhna a titawp bawk. |
He enkawlna hian eng nge a thatna leh a that lohna?
Cancer enkawlna chungchang sawi dawn chuan a dam theihna tur 100% guarantee a awm ngai lo. Mahse , adjuvant therapy hian cancer lo kir leh theihna chu nasa takin a tihziaawm thei a ni. Cancer enkawl harsa damlote pawh dam rei zawk turin a pui thei bawk. Heng avang hian mi tam tak chuan he enkawlna dang hi dawng turin an thlang thin.
Mahse, he pawisa lem hi a sir dang a awm bawk. Heng enkawlna te hian side effect nuam lo tak tak a thlen thei a ni . I nitin nunphung a danglam thei a, doctor pan fo a ngai mai thei bawk. Tin, heng enkawlnate hi a tul tak tak em tih pawh chiang takin kan hre ngai lo. Surgery ngei pawh hian cancer 100% chu a paih chhuak thei a ni.
A pawimawh ber chu he enkawlna dawng tura thutlukna hnuhnung ber chu nangmahin i siam a ni. I medical team chuan thutlukna i siam apiang chu an zah ang. Chuvang chuan thutlukna siam hmain a thatna leh that lohna uluk taka ennawn a pawimawh hle.
Hemi chungchang hi i doctor nena in inbiak hian heng zawhnate hi i zawt thei ang. Chûngte chuan thu tlûkna siam tûrin a ṭanpui ang che:
- Eng enkawlna dang nge ka tan hian rawtna awm?
- Engvangin nge chutiang atan chuan ka fit tha i tih?
- Engtikah nge he enkawlna hi tan tur?
- Enkawlna hian eng chen nge a daih?
- Hei hian hun rei tak emaw, a awm reng emaw a nghawng theih dante chu engte nge ni?
- He enkawlna hian engtin nge ka hmalam hun hriselna dinhmun (prognosis) a nghawng ang?
Heng zawng zawng a tawp hnu hian eng chen nge a pangngai ang?
He zinkawng hi mi zawng zawng tan a danglam vek. Adjuvant therapy hian "Cancer lo kir leh tawh lo turin ka theihtawp ka chhuah a ni" tih rilru thlamuanna a pe thei che a ni. Mahse, a châng chuan, a enkawlna hlawkna aiin a nghawng ṭha lo lam chu i ngaihtuah nasa zawk mai thei.
Cancer dona hi hurdle race ang mai a ni thei. Finish line i hnaih deuh deuh chuan harsatna pakhat hnu pakhat i hneh tawh a, i zuang chhuak tur harsatna pakhat dang i nei tih i hriat chuan i chau a, i lungawi lo hle bawk. Adjuvant therapy hi extra hurdle ang maiin a lang thei.
Mahse, chu harsatna chu tlanchhiat ṭhatna leh ṭhat lohna chu hrethiam la, i doctor nên inbia la, thu tlûkna dik siam rawh. I medical team chuan chutiang thutlukna siam turin theihtawp an chhuah ang che. Tichuan chu final hurdle chu hnehna changin i paltlang thei ang.
Take-Home Thuchah a ni
- Adjuvant therapy hi enkawlna bulpui, cancer surgery ang chi hnua pek thin "helper" treatment a ni.
- A tum ber chu microscopic cancer cell thup, scan pawhin hriat theih loh tihchhiat a ni a, cancer lo kir leh tawh lo tura ven a ni.
- Adjuvant therapy hman dan chi hrang hrang a awm a, chungte chu radiation therapy, chemotherapy, leh hormonal therapy te hi a ni.
- He enkawlna hi dawng hian a thatna (reduced risk of recurrrence) leh a that lohna (side effects) a nei a ni.
- Enkawlna neih leh neih loh chu i thutlukna a ni. Chu thu tlûkna i siam hmain i doctor nên ngun takin chungchâng zawng zawng chu sawiho hmasa phawt ang che.
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