I doctor-in hnute cancer i vei tih a hrilh che a, i hlauhthawn leh mangangzia chu thuin sawi chhuah a harsa hle. "Engtin nge he thil hi ka neih?", "Hei hi a dam dawn em ni?", "Ka fate hi engtin nge an awm ang?" Hetiang zawhna sangkhat chu i rilruah a rawn ri chhuak ngei ang. Hei hi mi tam takin an hmachhawn thin thil tawn a ni. Chuvangin vawiin hian i hlauhthawnna tihbo nan chiang tak leh awlsam takin he thu hi i sawi dawn nia.
Engtin nge taksaah hnute cancer hi a lo awm tan?
Dik tak chuan cancer zawng zawng hi a intan dan inang vek a ni. Chu chu kan taksa chhunga cell te chu an inthen rang lutuk a, thunun theih lohvin an inthen tan tihna a ni. Kan taksa hi brick hmanga siam building lian tak angin han ngaihtuah teh. Hetah hian brick te hi "cell" an ni. A tlangpuiin brick (cell) hlui te an thih chuan brick thar siamin a hmun ruak luah khat turin brick thar a lo piang thin. Hei hi kalphung mumal tak a ni.
Mahse cancer cell-ah chuan he order hi a bawhchhia a ni. Chu cell-a genetic information, chu chu DNA chu a dik lo ta a ni . He DNA dik lo hi nu leh pa a\angin fate hnenah a kal thei a ni. A nih loh leh, kan chenna boruak a thil engemaw kan tawn hian DNA a tichhe thei a ni.
Hei hi control hloh tawh cell te chu an inthen rang lutuk a, an inzawm khawm a, lump te tak te an siam thin. Breast cancer-ah chuan heng cell pangngai lote hi hnute hnute thlenga hnute phurtu duct- ah te, emaw, hnute hnute siamtu glands (lobules) -ah te an thang lian a ni. Heng lumps of cells te hi tumor kan ti a .
Engtin nge hnute cancer hi taksa pum puiah a darh?
Cancer cell te hi chi tha lo ang mai an ni. Hmun khatah an intan a, chu chu hnute a ni a, rei vak lo hnuah an inthen a, taksa peng dangah an darh tan ta a ni. Heng cell te hian thisen emaw lymph node kaltlangin taksa hmun hla tak takah an kal thei a, cell thar an tipung thei a ni.
Hnute cancer cells darh theihna hmun tam ber chu:
Hetianga kan taksa peng dangah cancer a darh chuan metastatic cancer emaw secondary cancer emaw kan ti thin. Mi thenkhat chuan cancer natna an hmuhchhuah hian he advanced stage hi an nei thei a ni. A dangah chuan cancer hi hriat hmasak a nih pawhin enkawl hnuah a lo let leh thei a ni.
Chuvangin i hnuteah danglamna i hmuh chuan, emaw, lump thar i hmuh chuan doctor pan nghal rawh.Chu chu, a hriat hma poh leh enkawl leh tihdam theihna chance a sang zawk tihna a ni.
Hormone hian cancer natna a pui em?
Hei hi a buaithlak deuh a, mahse a pawimawh hle. Breast cancer cell thenkhat chuan an chung lamah "receptors" an tih protein bik an nei a. Heng receptor te hi "keyhole" angin ngaihtuah rawh. Kan taksain a pianphung a siam chhuah hormone pahnih , estrogen leh progesterone te hi heng keyhole-a in fit "key" ang hi an ni.
He hormone, key tia koh hian cancer cell-a keyhole, receptor an tih nen a inzawm chuan cancer cell hian "a thang lian zawk" tih signal a dawng a ni. Phên dangin sawi ila, heng hormone te hian cancer chu a tipung chak zawk a ni.
- Cancer thenkhat chuan hormone estrogen chauh an chhang let thin.
- Mi dangte chuan hormone progesterone an dawng .
- Cancer thenkhat chuan heng hormone pahnih hi an chhang let thin.
Hei hi hormone receptor-positive hnute cancer kan ti a. I doctor chuan i cancer cell te chu hormone an chhang let em tih a enfiah ang. An tih chuan a tana thawk thei enkawlna bik a awm a ni.
Hnute cancer enkawlna tur engte nge ni?
Tunlai hian hnute cancer enkawlna tha tak tak a awm nual a. I enkawlna tur chu i cancer chi hrang hrang, a darh zau zia leh i hriselna zawng zawngah a innghat ang. Enkawlna pakhat aia tam hman theih a ni.
| Tihdamna | A awlsam zawngin, eng nge thleng? |
|---|---|
| Inzai | Taksa atanga cancer natna hrik awm chu a tam thei ang ber paih chhuah. Cancer a tlem chuan a lump thenkhat chauh lakchhuah a ni (lumpectomy) . Cancer a lian a nih chuan hnute pum (mastectomy) emaw, hnute pahnih (double mastectomy) emaw chu lakchhuah theih a ni. |
| Chemotherapy hmanga enkawl a ni | Hei hian cancer cells thattu emaw, inthen darhtu emaw taksaah damdawi chak tak tak inject a huam a ni. Heng damdawi te hian thisen kaltlangin taksa pum puiah an kal a, cancer cell darh tawh te pawh an that thei a ni. |
| Radiation hmanga enkawlna a ni | High-energy rays hmangin cancer cells te chu an tichhia a ni. Hetiang method hi operation hnua cell awm thei zawng zawng tihchhiat nan hman a ni. |
| Hormone hmanga enkawlna a ni | Hei hi cancer hormone estrogen emaw progesterone emaw chhanna nei tan chauh pek a ni. Heng damdawi te hian taksaa estrogen level a tihhniam emaw, cancer cell nena estrogen inzawmna a tikhawlo emaw a ni. |
| Targeted Therapy hmanga tih a ni | Hetianga enkawlna hi ‘missile’ ang mai a ni. Cell pangngai tichhe lovin cancer cell-ah protein bik, HER2 -te chu a target a ni. |
| Immunotherapy hmanga enkawl a ni | Hei hian kan taksa ngeia immune system tihchak a, cancer cells te hriatchhuah leh tihchhiat theihna a huam a ni. |
Dam leh theihna chance engzat nge awm?
"Eng chen nge ka dam ang?" Ngaihtuah buai hi thil awmze nei tak a ni. Doctor-te chuan hei hi "kum 5 chhung relative survival rate" an tih hmangin an teh a ni. A awlsam zawngin sawi ila, stage engemaw chen hnute cancer vei mi 100 zinga kum 5 hnu lama la dam (natna nei lo mipui zawng zawng nena khaikhin chuan) zat a ni.
- Cancer hmasa ber: 99% (chu chu mi 100 zinga 99 chu kum 5 chhung an dam tihna a ni) .
- Cancer hi a chhehvel tissue-a a darh tawh chuan: 86% .
- Taksa hmun hla tak takah a darh chuan (Metastatic): 30% .
A pawimawh ber chu:Hengte hi mipui tam tak data atanga statistics chauh a ni. I mimal dinhmun chu a danglam vek thei. Hei hi i kum, hriselna leh i taksain enkawlna a dawn dan azirin a danglam vek a ni. Chuvangin heng number te hian beidawng ngai suh.
Cancer hi a lo awm leh thei ang em?
Enkawl zawhah taksaah cancer cell hmuh tur a awm loh laiin remission-ah kan awm an ti. Mahse, nakin lawkah cancer hi a lo let leh theihna chance a awm. Hei hi recurrence kan ti a ni .
Cancer lo kir leh theihna hi enkawl hnu kum hnih chhungin a sang ber a ni. Chu risk chu hun kal zelah a tlahniam zauh zauh thin. Hei vang hian i doctor chuan hun bituk chhungin a check ang che . Chuvangin doctor thupek zawm a, ni ruat saah clinic-ah kal a pawimawh hle.
I hriatthiam loh emaw, i hlauh loh emaw chu i doctor emaw, i treatment team member dangte emaw zawh hreh ngai suh. I rilru a hah lutuk chuan counselor tanpuina zawng rawh. He zinkawng hi nangmah chauhin i paltlang a ngai lo.
Take-Home Thuchah a ni
- Breast cancer hi cell te thunun theih loha thanlenna a ni. I sualna a ni lo.
- Cancer hi a hmaa hmuhchhuah a nih chuan enkawl leh dam kim theihna chance a sang zawk. Chuvangin hnute mahni inenfiahnaah hian rilru fim tak pu rawh.
- Tûn laiah hian enkawlna kawng hmasawn leh hlawhtling tak tak tam tak a awm a, chu chu surgery, chemotherapy, leh radiation therapy te hi a ni.
- Zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor nen zalen takin sawipui rawh.
- He zinkawngah hian nangmah chauh i ni lo. I chhungte, i thiante leh i medical team te chu i hnenah an awm reng a ni. Huaisenna hloh suh.
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