Hnute cancer i enkawl tawh a, i rilru a hahdam deuh tawh chuan, rang takin i hlauthawng... 'He natna hi a lo let leh dawn em ni?' He hlauhna hi i oncologist hmu tura i kal hunah emaw, mammogram result i nghah lai pawhin a nasa zawk mai thei. Hei hi mi tam tak tan chuan harsatna a ni. Chuvangin i doctor emaw, mi rintlak emaw, support group emaw nena i rilru put hmang sawipui chu nangmah ang bawka thil tawn tawhte nen sawi dun a pawimawh hle. Chuvangin vawiinah hian hnute cancer lo lang lehna awmzia te, a pawi zia te, engtin nge kan hmachhawn theih ang tih te hi han sawi ila.
Cancer lo kir leh hi eng nge a awmzia tak?
A awlsam zawngin, hei hian a hmaa i cancer neih ang kha enkawl hnuah a rawn let leh tihna a ni. Hei hi enkawl hnu kum khat hnuah, kum 5, kum 10, a nih loh leh kum 20 hnuah pawh a thleng thei a ni.
Mahse he return hi chi hnih a awm thei.
1. Local recurrence: A hmaa cancer awmna hnute pakhata cancer cell lo kir leh.
2. Hmun dangah a darh: Kan taksa peng dang, ruh, lung, thluak thlenga darh tawh cancer. Doctor-te chuan hei hi "metastasized" emaw "distant recurrence" emaw an ti a. Hetiang dinhmun hi a hmasa ber aiin a na zawk deuh tlangpui.
Mi thenkhat chuan "recurrence" leh "metastasis" tih thumal hi inthlak danglamin hmang mahse, an pahnih hi a danglamna tlem a awm. "Recurrence" tih hi cancer a lo chhuah leh hun tur sawina tlangpui a ni. "Metastasis" hi a lo lang leh theihna tur bik a ni a, chu chu cancer chu hmun hla tak takah a darh tawh a ni.
Thil dang a awm bawk. A châng chuan, hnute dangah cancer thar tak a lo awm thei . Doctor-te chuan cancer ‘thar’ angin an en a, a lo lang leh tawh lo.
Cancer a lo let leh chuan enkawlna a danglam dawn em?
Ni e, enkawl dan tur ruahmanna pawh a inang lo thei. Thil tam takah a innghat a ni. Cancer chu hnuteah a lo let leh a nih chuan (non-metastatic) chu chu a tlangpuiin a tha zawk.
Thil pawimawh tak pakhat ngaihtuah tur chu cancer hmasa ber a lo awm atanga eng chen nge a lo awm tawh tih hi a ni . Entirnan, i cancer chu i hmuhchhuah tirh atanga kum 7 hnuah a lo let leh a nih chuan i medical team te chuan cancer thar ang maiin an enkawl ang. A tam zawkah chuan a hmasa ber chu operation hmanga tumor lakchhuah a ni.
Operation hnuah chuan enkawlna dang a tan leh ang. Radiation therapy hi operation hnuah pek thin a ni tlangpui a, mahse i hnute chu a hmaa operation hnuah radiation hmanga enkawl a nih chuan tih leh theih a ni tawh lo mai thei.
Mahse, lungngai suh, duhthlan tur dang a awm. I doctor chuan heng thilte hi a ngaihtuah ang:
- Hormone hmanga enkawl a ni
- Targeted therapy hmanga enkawlna
- Immunotherapy hmanga enkawl a ni
- Chemotherapy hmanga enkawl a ni
Mahse, cancer hmasa ber chu hun rei lote chhunga a lo lang leh a nih chuan , thla 6 ang chiah hian, medical team chuan a darh (metastasize) thuai mai thei niin an ngai mai thei. Tichuan chemotherapy ang chi thil an hmang nasa zawk mai thei.
Mahse chemotherapy round khat i zo chauh a nih chuan i taksa chu chemotherapy round khat dang atan a inpeih tawh lo mai thei. Chuvangin medical team chuan thutlukna an siam hmain chu zawng zawng chu an ngaihtuah vek ang. Entirnan, chemotherapy round hmasa khan i thinlung tichhe thei doxorubicin ang damdawi pek i nih chuan i nei leh thei tawh lo mai thei.
He relapse hi engtiang chiahin nge a pawi?
Cancer natna hi a nasat dan chu a awmna hmun atanga a darh danah a innghat a ni. Hei hi chi thum ah then theih a ni.
| Relapse chi khat | A awmzia awlsam tak |
|---|---|
| Khawtual | Cancer hi a tir lama tumor awmna hnuteah hian a rawn let leh thin. |
| Regional-a awm a ni | Cancer hi a hmaa a awmna hmunah a rawn let leh a, mahse a darh zau deuh thung. Entirnan, armpit emaw groin emaw-a lymph node- ah a darh tawh a ni . |
| Hmun hla tak a ni | Hei hi doctor-te’n metastatic cancer, a nih loh leh Stage IV hnute cancer an tih chu a ni. Hei hi cancer chu hmun hla tak tak, ruh, lung, a nih loh leh thluak thlenga a darhna hmun a ni . |
Ka cancer hi a lo let leh dawn em ni? Risk factors te chu engte nge ni?
Hei hi mi tam tak tan chuan harsatna lian ber a ni. Hriat hmasak tur chu cancer lo kir leh hi i tih leh i tih loh thil a ni lo tih hi a ni . Chumi avang chuan nangmah leh nangmah mawhpuh suh.
Mahse, cancer lo kir leh theihna tipungtu thil engemaw zat a awm.
- Cancer hmasa Stage: I cancer hmasa stage (stage I atanga IV) a san chuan a lo lang leh theihna a sang zawk a, chu chu tumor lian emaw, lymph node-a darh tawh emaw a nih chuan tihna a ni.
- Kum: Hmeichhia kum 35 hnuai lam chuan hnute cancer a vei chuan hmeichhe kum upa zawk aiin a lo let leh theihna a sang zawk.
- Cancer chi: Hnute cancer chi thenkhat chu a na zawk a, chuvang chuan a lo let leh a, a darh zau zawk. Entirnan, hnute cancer inflammatory leh triple-negative hnute cancer.
- Cancer cell thenkhat nungchang: Hormone hmanga enkawlna dawng lo cancer cell a awm a nih chuan, emaw, `(HER2 gene)` hnena targeted treatment pek a nih chuan, chu pawh chu a lo lang leh theihna sang zawk chhinchhiahna a ni thei bawk.
- Body mass index (BMI): Taksa thau tam lutuk, thau lutuk tia hriat bawk hian hnute cancer lo awm leh theihna a tipung thei a ni.
He risk hi eng chen nge a awm ang?
Tun hnaia zirchianna pakhatah chuan hnute cancer hi a hmuhchhuah hmasak ber atanga kum 32 hnuah pawh a la lo lang leh thei tih hmuhchhuah a ni. Mahse hei hi mi zawng zawng tan a inang lo. Kum 10 chhung a remission hnuah pawh a lo kir leh theihna tur chu a bul tanna tumor lian tham leh cancer a darh zat lymph node zat ang chi thilah a innghat a ni.
A awlsam zawngin, vawi khat chu hnute cancer i vei tawh a nih chuan, kum tam tak chhung hrisel tawh mah la, fimkhur reng a pawimawh a, i doctor-in a rawt angin screening leh checkup neih fo a pawimawh A hriat hma poh leh a enkawl dan a tha zawk ang. I doctor nen inbia la, eng screening schedule nge i tan a tha ber tih rel rawh.
Take-Home Thuchah a ni
- Breast cancer recurrence hi a awm thei a, mahse mi zawng zawngah a thleng lo.
- He lo lang lehna hi a hmaa cancer awmna hmunah (local) a awm thei a, taksa hmun hla tak takah (distant/metastatic) a darh thei bawk.
- Cancer a lo lang leh a nih chuan enkawlna pek dan tur chu thil tam takah a innghat a, chu chu cancer a awm rei zawng leh a hmaa enkawl tawhte a ni.
- Cancer a lo let leh hi i sualna a ni lo. Ngaihtuah buai suh.
- A pawimawh ber chu doctor nena inbiak reng tur leh checkup neih fo hi a ni. Ringhlelna emaw, lungkhamna emaw i neih chuan sawi rawh.
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