I hnute a inthlak danglam tih i hmu mai thei a, i doctor pawhin mammogram hnua biopsy lak a rawt pawh a ni thei. Chu biopsy report i hmuh a, "Atypical Ductal Hyperplasia" emaw "ADH" emaw tih a awm tih i hmuh chuan hlauhna leh lungkhamna i neih chu thil pangngai a ni. "Hei hi cancer a ni em?" "Tunah enge ka chungah a thleng dawn?" I rilruah zawhna tam tak i nei mai thei. Mahse, lungngai suh. Vawiin hian ADH chu eng nge a nih, engvangin nge a lo awm tih leh a chungchanga tih tur chu awlsam tak, hriatthiam awlsam takin kan sawi dawn a ni.
Atypical Ductal Hyperplasia (ADH) hi eng nge ni tak tak?
A awlsam zawngin sawi ila, ADH hi i hnute hnute tui kawng chhunga cell awm dan pangngai lo tak a ni. Cancer a ni lo . Mahse, thil pangngai a ni lo bawk.
Ngaihtuah teh, kan hnute chhunga bawnghnute kawng (milk ducts) te hi tube te tak te ang mai a ni. Heng tube chhung lam bang hi cell atanga siam a ni. Mi hrisel takah chuan heng cell te hi layer hnih-ah an inrem a, felfai takin, mawi takin an inzawm khawm a ni.
Mahse ADH vei mi pakhatah chuan heng cell te hi a buai deuh a, a chungah an inzawm khawm a, layer engemaw zatah an thang lian thin. Tin, heng cell te pianzia pawh hi a danglam deuh hlek bawk. Heng cell te hi cancer cell an ni lo va, chu chu ‘benign’ an ni tihna a ni. Mahse, an mizia thenkhat chu ``DCIS - Ductal Carcinoma In Situ'' an tih dinhmuna cell te nen a inang a, chu chu hnute cancer hmasa ber a ni.
Chuvangin doctor-te chuan ADH status hi ‘marker’ emaw ‘risk factor’ emaw angin an ngai a, chu chuan nakin lawkah mi pangngai aiin hnute cancer vei theihna a sang zawk tih a tilang a ni
Hei hi kawngpuiah chuan eng sen hring ang mai a ni. Accident a awm tihna a ni lo va, hmalam pan dawnin fimkhur hle a ngai tihna a ni.
ADH leh ALH: Heng pahnih hi eng nge an danglamna?
‘Atypical Hyperplasia’ tih thumal pawh i hre mai thei. Hei hi he cell than dan pangngai lo hming tlangpui a ni. Hei hi chi hnih lian tak a ni. An pahnih inthlauhna hriat a pawimawh.
| Status hming | Khawiah nge cell pangngai lote chu an awm? | A awlsam zawngin... |
|---|---|---|
| Atypical Ductal Hyperplasia (ADH) natna a awm thei lo. | Hnute hnute tui kawngkhar (milk ducts) ah te. | Nipple-a bawnghnute phurtu ‘duct’ chhunga cell than dan pangngai lo. Hei hi he thuziak ah hian kan sawi tum chu a ni. |
| Atypical Lobular Hyperplasia (ALH) natna a awm thei lo. | Hnute hnute siamtu glands (lobules) ah te. | Duhthusamin bawnghnute siamna ‘chamber’ chhunga cell than dan pangngai lo. Hei pawh hi cancer a ni lo a, mahse risk factor a ni. |
Heng chi hnih hian nakin lawka cancer vei theihna a tipung a ni. Zirna hrang hrangah chuan heng zinga pakhat ve ve nei hmeichhia hian hnute cancer nei lo aiin a let liin a tam zawk thei tih a tarlang.
ADH natna lan chhuah dan chu engte nge ni?
A tam zawkah chuan ADH hian symptom bik a nei lo. Thil thleng mai maiin hmuhchhuah a ni fo. ADH hi a tlangpuiin chhan dang avanga mammogram an tih laiin hnute a dik lo (e.g., microcalcifications) hmuhchhuah a nih a, biopsy tih a nih chuan a dik lo chu chhui chiang lehzual a ni.
Mahse, a tlem hle a, mi thenkhat chuan hetiang symptom hi an nei ve thei bawk:
- Hnute chhunga lump chu kut ah a awm tih hriat a ni.
- Hnute chhunga natna hriat.
- Nipple discharge pangngai lo (a bik takin thisen chhuak).
Hetiang symptoms i neih chuan ADH vang a ni hauh lo. Mahse, i hnuteah danglamna danglam tak i hmu a nih chuan , i doctor hmu nghal a, enfiah nghal mai chu a finthlak hle.
ADH awm chhan leh a hlauhawmna
Doctor-te chuan heng milk duct cell-te hian hetianga an awm dan dik lo hi an la hre chiang lo. Mahse, hnute cancer vei theihna tipungtu thil thenkhat chu ADH vei theihna nen pawh a inzawm niin an ngai.
Heng risk factors te hi engte nge ni?
- Chhungkaw chanchin: Chhungkaw member (a bik takin nu, unaunu, fanu ang chi chhungte hnai tak) chuan hnute cancer a vei a nih chuan.
- Genetic changes: Hnute cancer hlauhawmna tipungtu `(BRCA1, BRCA2)` ang chi genetic mutations neih.
- Mimal chanchin: Cancer dang i lo vei tawh a nih chuan.
- Obesity: Taksa rihna hrisel tak vawn that loh.
- Nunphung: 1.1.Zu in fo leh zuk leh hmuam hman thin.
Heng risk factors zinga pakhat mah nei lo pawhin ADH emaw, hnute cancer emaw a vei thei tih hriat reng a pawimawh.
ADH hmuhchhuah leh enkawl dan
ADH a hmuhchhuah hnua i doctor-in a tih leh thin chu han thlir ila.
1. Surgical / Excisional Biopsy hmanga tihchhuah a ni
ADH hi ‘needle biopsy’ hmanga hriat hmasak a ni fo a, chu chu hnute atanga tissue te tak te chu needle ang chi hmanrua hmanga lak a, enfiah a ni.
ADH tih finfiah a nih hnuah doctor-te tan chuan ‘surgical biopsy’ emaw ‘excisional biopsy’ emaw tih a ni ang. Hei hian cell pangngai lo awmna hmun zawng zawng, an chhehvela tissue hrisel thenkhat pawh surgery hmanga lak chhuah a huam a ni.
"Engvangin nge operation dang ka mamawh? ADH hi cancer a ni lo?" i ngaihtuah mai thei. A chhan chu a châng chuan cancer cell emaw DCIS cell emaw, cancer hmasa berte chu ADH cell awmna hmun hnaih takah an inthup thei a ni. Needle biopsy hian tissue tlemte chauh a man avangin heng cancer cell thup te hi an man lo mai thei.
Chuvangin, a hmun zawng zawng hi paih chhuakin i enfiah chuan a chhehvelah cell hlauhawm dang a awm lo tih 100% in i chiang thei ang. Hetianga surgery tih zinga 20% vel ah hian ADH bakah hian cancer cell hmuhchhuah a ni bawk. Chuvangin he surgery hi i himna atan tih a ni.
2. Risk-Reducing Damdawi
Operation hnua tissue enfiah a nih a, cancer cell la awm lo a nih chuan a tam zawkah chuan enkawl belh a ngai tawh lo. Mahse, i doctor chuan nakin lawka cancer i vei theihna chu a sang hle niin a ngai a nih chuan , i mimal leh chhungkaw chanchin ang chi thilte a zirin, chu hlauhawmna tihziaawmna tura pui turin damdawi a pe thei a ni.
Heng damdawi te hian taksaa hormone estrogen hnathawh a tikhawlo a, hei hian hnute cancer chi thenkhat a tipung tih hriat a ni.
- Tamoxifen hi hmeichhe naupai hmaa awm tan a ni.
- Hmeichhe naupai hnua damdawi Raloxifene emaw Anastrozole emaw ang chi.
Heng damdawi te hi kum 5 vel ei tur a ni tlangpui. Side effect engemaw zat nei thei mahse, side effect na tak erawh a tlem hle. He damdawi hi i tan a tha em tih hi i doctor nen in sawiho tur a ni.
3. Close Surveillance neih a ni
ADH i vei tih hmuhchhuah a nih hnuah a pawimawh ber chu i hnute kha uluk taka ngaihven a ni. I doctor chuan a hnuaia mi hi a rawn rawt thei ang:
- Kum tin Mammogram: Hei hi skip ngai suh.
- Clinical Breast Exam: Thla 6 atanga thla 12 danah doctor hnenah i hnute enfiah tir thin.
- Breast MRI: I risk a sang a nih chuan mammogram bakah kum khatah vawi khat MRI scan neih a tha thei bawk.
- Self-Breast Exam: Thla khatah vawi khat in lama i hnute enfiah dan zir la, tih danah siam rawh. Thil danglam i hmuh chuan doctor hnenah hrilh nghal rawh.
ADH vei tan chuan cancer vei theihna chance eng nge ni?
ADH hi cancer a ni lo a, mahse nakin lawkah chuan a hlauhawmna a tipung a ni. Heng statistics te hian hlauthawng suh, ADH vei zawng zawng hian cancer an vei vek dawn tihna a ni lo.
- ADH an vei tih hmuhchhuah a nih atanga kum 5 chhungin mi 100 zinga 7 vel (7%) velin hnute cancer an vei dawn a ni.
- Kum 10 hnuah , mi 100 zinga 13 vel (13%) velin an vei thei a ni.
- Kum 25 hnuah , mi 100 zinga 30 vel (30%) velin an vei thei a ni.
Hei hian regular screening a pawimawh zia a tilang a, hun kal zelah a hlauhawmna a sang chho zel a ni. A chhan chu eng emaw ti takin cancer hi a lo awm ve tho a nih pawhin hetianga screening neih fo hian a tir lamah a hmuchhuak thei a ni. Tichuan enkawl leh dam kim theihna chance a sang zawk hle.
Risk tihtlem nan eng nge ka tih theih ang?
ADH venna kawng chiang tak a awm loh laiin, nakin lawka hnute cancer i vei theihna tur tihtlem nan thil engemaw zat i tih theih a awm. Hengte hi i hriselna pum pui atan pawh a tha hle.
- I taksa rihna hrisel tak vawng reng rawh: I san zawng a zirin taksa rihna hrisel takah awm tum ang che.
- Nitin exercise la: Ni khatah minute 30 tal exercise chak tak nei rawh.
- Zu tihkhawtlai: Zu i in chuan a theih ang anga tihtlem tur a ni. A theih chuan zu in hi bansan vek a tha.
- Meizial zuk loh tur: Meizial zu leh zuk leh hmuam hman kha bansan vek rawh.
- Ei leh in hrisel: Thlai, thei leh thlai chi tamna ei tur, leh hriak, sugar leh chi tlem te ei tur a ni.
Take-Home Thuchah a ni
- ADH hi cancer a ni lo.Hnute hnute tui kawngkhar (milk ducts)-a awm cells lo thang chakna pangngai lo, mahse hlauhawm lo tak a ni.
- Hei hi nakin lawka hnute cancer vei theihna tipungtu ‘risk factor’ mai a ni. Cancer i vei ngei ang tihna a ni lo.
- ADH hmuhchhuah a nih hnuah tih dan pangngai chu cancer cell dang thup a awm loh nan cell pangngai lo awmna hmun zawng zawng chu surgery hmanga lak chhuah a ni.
- A pawimawh ber chu regular checkup hi a ni. I doctor-in a rawt angin, a ruahman angin mammogram, MRI leh medical test-ah te kal ngei ngei tur a ni.
- Nun hrisel tak i hman chuan i hmalam hun atana i hlauhawmna chu i tihtlem belh thei a ni.
- I hlauhthawnna leh lungkhamnate chu i doctor, chhungte, a nih loh leh i ṭhian rintlak tak nêna zalen taka sawipui chu hahdamna nasa tak a ni thei a ni.
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