Cancer enkawlna atana Atezolizumab vaccine: I hriat tur!

Doctor-in nangmah emaw i hriat mi emaw cancer ang chi damdawi lam natna a neih thu a hrilh hian i damdawi pek tur chungchangah zawhna leh hlauhna tam tak i nei a ni. "He damdawi hi eng nge ni? Engtin nge taksa a nghawng ang? Side effect a awm dawn em?" Vawiin hian cancer chi hrang hrang enkawlna atana hman tur vaccine `(Atezolizumab)` kan sawi dawn a ni. A brand hming `(Tecentriq)` tih pawh i hre tawh mai thei. He damdawi chungchang hi i hriatthiam theih tur awlsam takin sawi ila.

``(Atezolizumab)'' hi eng damdawi nge ni? Eng natna atan nge hman a nih?

A awlsam zawngin sawi ila, `(Atezolizumab)` hi damdawi chi khat bik `(monoclonal antibody)` an tih zinga mi a ni. Tunah chuan `(monoclonal antibody)` chu eng nge ni tih i ngaihtuah mai thei. Kan taksa hian immune system `(immune system) an tih hi han ngaihtuah teh. Kan ram humhalhtu sipai ang mai a ni. He sipai hian natna thlentu hrik leh cancer cell ang chi hmelma te chu an do thin. Mahse a chang chuan heng cancer cell te hi an fing hle. Kan sipaite laka inthup nan kawng hrang hrang an hmang thin.

Hetah hian damdawi `(Atezolizumab)` ang chi hi a lo lut a, he damdawi hian a tih chu kan immune system "sipai" (i.e. T-cells) te hian heng cancer cell tricky tak tak te hi hriatchhuah tir a, an beih theih nan a pui a ni. Chumi awmzia chu he damdawi hian kan taksa ngeiin cancer a do theihna tur kawng a tikhawlo tihna a ni.

Tunah chuan he damdawi hi eng cancer chi hrang hrangah nge hman a nih ber tih hi han en ila:

• Urothelial cancer: Hei hi zun kawng atanga lo chhuak cancer a ni.
• Liver cancer (hepatocellular carcinoma): Liver cell atanga intan cancer a ni.
• Lung cancer: Hei hi lung cancer chi hrang hrang tan hman a ni.
• Skin cancer (melanoma): Hei hi cancer chi hlauhawm tak a ni a, vun pigment siamtu cell-ah a lo awm a.

A chunga kan sawi tak cancer chi hrang hrangte bakah hian i doctor chuan a chang chuan he damdawi hi natna dang atan a pe thei bawk. Chuvangin he damdawi hi pek i nih chuan i doctor hnenah engvangin nge i dinhmun a puih theih ang tih chiang taka zawh a pawimawh hle.

Damdawi ei hmaa doctor hnena i hrilh tur pawimawh te chu engte nge ni?

`(Atezolizumab)` hmanga enkawl tan hmain i hriselna dinhmun kimchang doctor hnenah hriattir hmasak a pawimawh. Hei hi a chhan chu he damdawi hi natna thenkhat nei te hnena pek dawnin a bik taka fimkhur a tul vang a ni. Chutiang thil thenkhat chu hetiang hi a ni:

• Autoimmune natna: 1.1.I taksa immune system-in i taksa a beih theihna natna, Crohn’s disease (digestive tract-a inflammatory condition), ulcerative colitis (intestine lian inflammatory condition), emaw lupus (vun, ruh leh kal natna) emaw i neih chuan i doctor hnenah hrilh ngei ang che. Atezolizumab hian immune system a nghawng avangin doctor-te chuan heng natna vei te hnena an pek hian an fimkhur hle a ni.
• Allogeneic stem cell transplant i neih tawh emaw, neih i tum emaw a nih chuan: Hei hian mi dang atanga stem cell transplant i neih tawh chuan, emaw, nakin lawkah tih i tum a nih chuan, chu chu min hrilh teh tihna a ni.
• Organ transplant history: A hmaa organ transplant (kidney emaw liver ang chi) i neih tawh chuan.
• I rilruah radiation treatment i lo nei tawh a nih chuan: Tun hmaa i rilruah radiation treatment i lo neih tawh chuan a pawimawh bawk.
• Nervous system lama harsatna: Nervous system natna i neih chuan, myasthenia gravis (muscle tichak lo thei natna) emaw Guillain-Barre syndrome (nerve tichhe thei natna) emaw i neih chuan.
• Allergy: Atezolizumab, damdawi dang, ei tur, dye, emaw preservative dang eng pawh allergy (allergy) i neih chuan min hrilh tur a ni.
• Naupai emaw, naupai tum emaw i nih chuan: Hei hi thil pawimawh tak a ni. Hemi chungchang hi a hnuah chipchiar zawkin kan sawi leh ang.
• Nu hnute petu i nih chuan: Hei pawh hi fimkhur hle tur thil a ni.

Hriselna lama harsatna i neih emaw, damdawi dang i ei lai emaw, he list-a tel lo pawh ni se, i doctor hnenah hrilh la a tha ber.

He damdawi hi engtin nge i hman?

He damdawi `(Atezolizumab)` hi thisen zam chhunga injection (intravenous infusion) angin pek thin a ni. A awlsam zawngin, saline solution i pek ang bawkin, vein hmanga i taksa chhunga lut damdawi chu a ni. Hei hian darkar chanve vel a daih tlangpui a, mahse a chang chuan a tam emaw a tlem emaw pawh a ni thei.

A pawimawh ber chu hei hi in lama i pek theih damdawi a ni lo. He enkawlna hi damdawi inah, cancer vei tan specialized clinic-ah tih a ni a, chutah chuan doctor emaw, trained nursing staff emaw an awm a ni.

Treatment session neih apiangin i doctor emaw nurse emaw chuan leaflet bik ``MedGuide'' tih chu a pe ang che. He damdawi chungchangah hian thu pawimawh tak tak, a side effect awm thei te, leh i hriat tur thil te a awm a ni. Chuvang chuan a hun apiangah uluk taka chhiar leh hriatthiam a pawimawh. I hriatthiam loh thil a awm em tih zawh zak suh.

Naupang tê tê tanHe damdawi hi i pe a nih chuan naupang enkawltu doctor nen sawiho la, an thurawn zawm tur a ni, enkawlna bik an mamawh thei a, a dose pawh a inang lo thei bawk.

Damdawi ka ei tam lutuk chuan engtin nge ni ang? Dose pakhat ka miss a nih chuan engtin nge ni ang?

He damdawi hi doctor enkawlna hnuaia pek a nih avangin overdose theihna a tlem hle. Mahse, overdose i ei tawh mai thei nia i hriat chuan, emaw, natna danglam tak i neih chuan emergency room hnai ber pan emaw, poison control center-ah emaw i call nghal tur a ni.

He damdawi hi ni ruat saah leh hun ruat saah ei a pawimawh hle. Ni ruat saah i damdawi i ei thei lo a nih chuan, emaw, a dose i ei loh chuan i doctor emaw clinic emaw call nghal la, hriattir rawh. I tih leh tur chu an hrilh ang che. I enkawl dan tur chu i duh angin thlak ngai suh.

He damdawi hi kan hman dawna fimkhur tur bikte chu engte nge ni?

Atezolizumab i ei lai hian doctor ten uluk takin i hriselna an enfiah ang.

• Test neih fo: I dinhmun enfiah nan, damdawi hian i taksa a nghawng dan en tur leh, thin leh kal ang chi taksa peng hrang hrangah nghawng a neih leh neih loh enfiah nan thisen hnathawh mumal leh test dang i neih a ngai dawn a ni.
• Naupai leh hnute pek (hei hi a pawimawh hle!):
• Hmeichhia i nih chuan he damdawi (Atezolizumab) i ei lai leh enkawlna i chawlhsan hnu thla 5 tal naupai loh vek tur a ni. Hei hi a pawimawh hle a, a chhan chu he damdawi hian nausen piang lo chu nasa takin a tichhe thei a ni.
• Naute i beisei a nih chuan, emaw, naupai i nih i ring a nih chuan, i doctor hnenah hrilh nghal la, tihkhawtlai ngai lovin. Naupai venna atana hmanraw \ha tak takte chu i doctor nen sawiho rawh.
• Tin, he damdawi hi i ei lai hian naute hnute pek loh tur a ni a, a hnuhnung ber i ei hnu thla 5 tal chu i hnute pek loh tur a ni. He fimkhurna hi a pawimawh hle a, a chhan chu he damdawi hi nu hnute hmangin naute hnenah a kal thei a ni.

Hemi chungchang hi hriat belh i duh chuan i doctor emaw pharmacist emaw zawh hreh ngai suh.

Hriat tur: He damdawi hi nangmah tan chauh a ni. He damdawi hi midang hnenah pe ngai suh, nangmah ang natna vei pawh nise.

He damdawi hian eng side effect nge a neih theih? (`Side Effects`) tih a ni.

Damdawi dang ang bawkin `(Atezolizumab)` hian mi thenkhatah side effect a nei thei a. Mi zawng zawngin kan dawng vek lo va, an nasat dan pawh mi tin a inang lo thei. A pawimawh ber chu heng side effects te hi hriat chian a, ngaihtuahna i neih chuan doctor hnenah hrilh rawh.

Side effect na tak tak, i doctor hnena i hrilh nghal tur:

Heng symptoms zinga pakhat tal i neih chuan doctor pan nghal rawh.Okay, emergency room-ah kan hriattir a ngai a ni:

• Allergic reactions: Vun vun rawng, hives, taksa pum puia natna, mitmeng, hmui, lei emaw hmai emaw a hring, thawk harsa, rilru a na.
• Digestive system lama harsatna nei: 1.1.
• Black, tarry stools (hei hi intestines-a thisen chhuak chhinchhiahna a ni thei).
• Thisen emaw tui emaw riltam , pum na nasa tak.
• Thâwk harsa: Thâwk harsa lo ṭan thar, khuh tam, rilru na.
• Mit hmuh dan inthlak danglamna: Mit hmuhna a fiah lo nghal a, thil pahnih a hmuh theih.
• Chest na emaw a rilru a na emaw .
• Chills, khawsik .
• Hmai sen hring .
• Lu na na tak .
• Thisen sugar sang chhinchhiahna leh lanchhuahna: Tuihâl lutuk , hmui a vawt, zun tam, riltam lutuk, luak chhuak, vun ro, thei rimtui, luak chhuak, pum na.
• Liver hliam chhinchhiahna leh lanchhuahna: mit emaw vun sen emaw, zun dum emaw sen emaw, bawlhhlawh rawng hring, chaw ei chak lohna, luak chhuak, pum dinglam chunglam na, hah lutuk, leh khawsik ang chi rilru hahna hriatna.
• Pum natna nasa tak .
• Zun harsatna: zun a tlem, zun chhunga thisen, zun laiin na.
• A lan chhuah dan pawi dang: ruh natna nasa tak, taksa ruh chak lohna nasa tak, vun hring emaw hliam emaw, rilru buai, leh hriatna hloh.

Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur:

Heng side effects te hi a nasat loh tlangpui a, mahse a awm reng emaw, a tibuai emaw chuan doctor hnenah hrilh rawh :

• Ruh natna
• Khuh
• Normal diarrhea (thisen tel lo) .
• Joint natna
• Muscle na emaw chak lohna emaw
• Kut emaw ke emaw a hring chhuak
• Chau lutuk
• Rihna tihtlem

He list-ah hian side effect zawng zawng a tel lo. Symptom danglam dang i neih chuan i doctor nen sawiho rawh.

He damdawi hian damdawi dang nen a inzawm em? (`Drug nena inzawmna`)

He damdawi ``(Atezolizumab)`` tih hi damdawi dang nena a inzawmna chungchangah hian thui takin zirchian a la ni lo. Chu chu,Hei hian hei hian i ei mek damdawi dang nen a inzawm thei tihna a ni a, a nih loh leh chu damdawi hnathawh dan pawh a thlak danglam thei tihna a ni.

Chuvangin, he enkawlna i tan hma hian tuna i damdawi ei zawng zawng – i doctor-in a pek chauh ni lovin, damdawi dawr atanga i lei te (e.g. natna tidamtu, khawsik damdawi), hnam damdawi, herb, vitamin, dietary supplement, etc. i doctor hnenah hriattir hmasa phawt tur a ni . Hei hi a chhan chu thil thenkhatin he damdawi thatna hi a nghawng thei a ni. Tichuan Doctor chuan a tul angin hma a la thei ang.

Damdawi chu khawiah nge i dah?

He thil hi i ngaihtuah buai a ngai lo. A chhan chu, `(Atezolizumab)` hi damdawi in lama hruai theih a ni lo. Damdawi in emaw, cancer enkawlna hmunah emaw a bik takin dahkhawm a ni a, i mamawh hunah pek che a ni. Chuvangin in lama vawn reng tur ngaihtuah buai a ngai lo.

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

Okay, chuvangin `(Atezolizumab)` vaccine hmanga kan sawi tawh atang khan point pawimawh tak tak i la chhuak niin ka hria. Hei hi damdawi lama hmasawn lama thil hmuhchhuah pawimawh tak, cancer dona atana pui thei che a ni tih hre reng ang che. Mahse, hetiang damdawi chak tak kan hman huna kan fimkhur tur thil te, leh a side effect awm thei te hi kan hriat chian a pawimawh hle.

He damdawi chungchangah hian zawhna emaw, rinhlelhna tlemte emaw pawh i neih chuan, i doctor, nurse, emaw, damdawi lam thiam emaw zawh chu hlau leh zak ngai suh. I tanpui tur leh i zawhnate chhang turin an awm reng a ni.

I enkawlna chhung zawngin doctor thupek dik takin zawm rawh. Ni ruat saah clinic-ah kal la, a tul anga test tihsak rawh. Tichuan he enkawlna atang hian hlawkna tam ber i hmu thei ang a, i dam thuai thei ang. Dam leh thuai turin duhsakna ka hlan e!

` Atezolizumab, cancer damdawi, monoclonal antibody, Tecentriq, cancer enkawlna, side effects, urothelial cancer