Breast cancer a vei tih hriat a nih hnuah zawhna, hlauhna leh buaina neih hi thil pangngai tak a ni. Hetih lai hian i doctor chuan test leh enkawlna chungchang a sawipui ang che. Chumi zinga pakhat chu "i armpit atanga lumps thenkhat lakchhuah a ngai" tih hi a ni thei. He thu i hriat hian tlem a ti mangang che a ni mai thei. He operation hi eng nge ni tak tak? Engvangin nge a pawimawh em em? I hriatthiam theih tur khawpin ṭhian ṭha takin i sawi ang u.
A hmasain, heng armpit lumps te hi eng nge ni?
A awlsam zawngin kan taksa hian lymphatic system a nei a. Hei hi kan taksaa tihfai dan ang a ni. He system pumpuiah hian lymph an tih tui a luang chhuak vek a ni. He lymph kawngpui dungah hian checkpoint tlemte chauh a awm. Chu chu lymph nodes , a nih loh leh tawngkam hmanga "nodules" kan tih chu a ni.
I armpit-ah hian lymph node 20 atanga 40 vel a awm a. Hengte hi ``axillary lymph nodes'' kan ti a. An hna ber chu i kut, i hnute leh i rilru bang atanga lo chhuak lymph fluid filter leh tihfai hi a ni. He filtering-ah hian chu tuiah chuan natna hrik, thil duh loh leh cancer cell te chu an man a ni. Chuvangin, hnute cancer a darh chuan i armpit chhunga lymph node-ah a darh hmasa ber tlangpui.
Engvangin nge he operation hi neih a ngai?
I surgeon (surgical oncologist) chuan he surgery hi a rawt theih chhan hrang hrang a awm. Lumpectomy emaw mastectomy emaw tih rualin tih a ni tlangpui.
| Surgery lama inrawlh chhan ber | Hei hian a awmzia chu... |
|---|---|
| Ankle a hring chhuak | I armpit-ah emaw, i collarbone bulah emaw lump i neih chuan i khawih chuan a hmin a, hei hi cancer cells a pungkhawm vang a ni thei. |
| Scan-a a lan dan | Ultrasound scan , CT scan , emaw PET scan emaw i nei tawh em?Report-ah chuan armpit lumps chu a hring emaw, a pangngai lo anga lang emaw a nih chuan. |
| Sentinel Node Biopsy atanga lak chhuah a ni | Hei hian cancer thehdarh thei ber cell hmasa berte lak a, test a huam a ni. Test-naah hian cell pathum aia tam cancer cell a awm tih a chiang a nih chuan, . |
| Chemotherapy hmanga enkawl hnuah | A chang chuan hnute tumor tihtlem nan operation hmain chemotherapy pek thin a ni. Chu enkawlna hnuah chuan armpit-a cancer chu a reh lo a nih chuan, . |
Engtin nge operation hi an tih thin?
Thil ngaihtuah lutuk tur a awm lo. Hei hi surgery ruahman lawk a ni.
Surgery neih hmain
General anesthesia pek i ni ang . Chumi awmzia chu operation neih chhungin engmah i hre lo ang a, i muhil vek tawh ang. I doctor chuan operation hmain engtikah nge ei leh in i chawlhsan tur tih chiang takin a hrilh ang che.
Surgery neih lai hian
1. Incision siam: Surgeon chuan i armpit vunah hian incision te tak te a siam ang. Hei hian cancer cell awmna nia rinhlelh lumps awmna hmunte chu awlsam takin i thleng thei ang.
2. Tissue Removal: Chumi hnuah chuan pus awmna tissue chu uluk takin lakchhuah a ni. Hei hi ``Pathologist``, tissue lama tui doctor hnenah thawn a ni.
3. Surgical Drain: Surgical site-ah hian tube te tak te dahin, chuta tui tam lutuk (thisen emaw, zun emaw) a awm khawm chu a chhuah tir thin. Hei hi ni rei lo te chhungin tihbo a ni.
4. Incision stitching: A tawpah chuan incision chu fusible thread emaw regular thread emaw hmangin an sew thin.
Hei hian eng hlawkna leh hlauhawmna nge a neih?
He surgery thatna lian ber chu cancer hi armpit-ah a darh tawh em tih leh eng chen nge a darh tih chiang taka hriat theih a ni. He information hi hmalam pan zel tura eng enkawlna nge i pek tur tih relna atan a pawimawh hle.
Surgery dang ang bawkin, hlauhawmna tenau tak tak a awm a, chu chu hriat chian a pawimawh hle.
| Risk awm thei | Hrilhfiahna |
|---|---|
| Lymphedema natna (Lymphedema) a awm | Hei hi risk lian ber a ni. Lymph node te lakchhuah a nih chuan lymph fluid luang chhuak tur a tikhawtlai deuh thei a ni. Hei hian operation lam hawi kut chu a hring thei a ni. Chutiang laka invenna tur exercise leh instruction bik a awm bawk. |
| Axillary Web Syndrome (AWS) natna a awm thei lo. | Armpit hnuaiah na a awm thei a, vun hnuaiah hrui ang maia hriatna a awm thei bawk. Hei hi physiotherapy hmanga enkawl theih a ni bawk. |
| Risk dang pawh a awm thei | Surgery dang ang bawkin thisen chhuah, natna hrik kai leh nerve chhiatna tenau te a awm thei. |
Ngaihtuah buai suh, i doctor chuan heng hlauhawmnate hi a tihziaawm theih nan theihtawp a chhuah ang. Lymphedema laka invenna tur lymphedema specialist hnenah pawh a refer thei bawk che.
Report hian eng nge a sawi?
Surgery zawhah tissue lakchhuah chu enfiahin report pek a ni. Tissue sample engzat nge cancer cell awm tih a sawi. Hei hi cancer stage hriat theihna atan a pawimawh hle.
| Node category hrang hrang a awm | A awmzia awlsam tak |
|---|---|
| N1 | Armpit chhunga lymph node 1 atanga 3 ah cancer cell a awm a. |
| N2 | Armpit chhunga lymph node 4 atanga 9 vel ah cancer cell a awm a. |
| N3 | Armpit-a lymph node 10 emaw a aia tam emaw-ah cancer cell a awm a, a nih loh leh cancer chu collarbone hnuaia lymph node-ah a darh tawh a ni. |
Mahse hei hi hre reng ang che: Tumor-a cell awm zat chauh hi cancer nasat dan tur tichiangtu a ni lo.
I doctor chuan cancer dinhmun dik tak a hriat hunah thil dang engemaw zat a ngaihtuah ang.
- Breast tumor lian tham leh awmna hmun.
- Cancer hi a chhehvel tissue-ah a darh tawh em (metastasized).
- Cancer cells hormone receptor dinhmun. Chu chu estrogen receptor emaw progesterone receptor emaw an neih pawhin a ni.
Hei hi hriatthiam harsa i tih chuan lungngai suh. He report hian eng nge a awmzia leh i dinhmun a nghawng dan hi i doctor zawt hlau suh.
Engtikah nge doctor i biak nghal tur?
Operation hnua in i thlen chuan heng symptoms te hi fimkhur rawh. Heng zinga pakhat tal i neih chuan doctor hnenah hrilh nghal rawh.
- Surgery-a hliam chu a sen, a hring, a nih loh leh tui a chhuak a nih chuan, hei hi natna kai chhinchhiahna a ni thei.
- Beisei aia nasa zawka natna i neih chuan, a nih loh leh natna tidamtu damdawi i ei hnuah pawh a reh lo a nih chuan.
- Surgery sir lama kut emaw kut zungtang emaw a hring a nih chuan , hei hi `(Lymphedema)` tih natna bul tanna a ni thei.
Cancer hmachhawn hi zinkawng awlsam a ni lo. Mahse, ke pen tin hi damna kawng a ni tih hre reng ang che. He surgery hi chu zinkawngah chuan thil pawimawh tak a ni. Chuta tang chuan information i hmuhte chu i dam lehna kawngah chakna nasa tak a ni ang.
Take-Home Thuchah a ni
- Axillary Lymph Node Dissection hi hnute cancer enkawlna atana hmalakna pawimawh tak a ni.
- Hei hi cancer hian taksa peng dangah a darh tawh em tih finfiah nan tih a ni ber.
- Operation hnua kut zungtang (lymphedema) awm theihna tur hriat reng tur. I doctor thupek leh exercise te dik takin zawm la, a veng thei ang.
- Test report i dawn chungchangah zawhna i neih chuan engmah lo dang suh la, i doctor hnenah chiang zawka dil pawh hlau suh.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh