I doctor-in ‘Stage 0’ hnute cancer i neih thu a hrilh che chuan hlauhna leh hriat duhna i nei ve ve mai thei. Hei hi cancer tak tak a ni em? A nih loh leh cancer hmahruaitu a ni em? Eng nge thleng leh ang? Hetiang zawhna sangkhat chu i rilruah a rawn tlan lut mai thei. Ngaihtuah buai suh, thil pangngai tak a ni. Hemi chungchang hi awlsam takin, i hriatthiam theih angin i sawi ang u.
Stage 0 hnute cancer hi eng nge ni tak tak?
Dik tak chuan hemi chungchangah hian doctor-te zingah ngaihdan engemaw zat a awm. Mithiam thenkhat chuan hei hi hnute cancer stage hmasa ber niin an ngai. Mi dangte chuan precancer stage niin an ngai.
A awlsam zawngin sawi ila, cancer chu cell pangngai lote thunun loha in\hen darhna a ni. Heng cell te hian a chhehvel tissue hrisel te chu an rawn lut thei a ni. Mahse, Stage 0 hnute cancer-ah chuan heng cell pangngai lote hi an darh lo (`non-invasive`). Chumi awmzia chu cell te chu an bul tanna hmunah an awm reng a, a chhehvel tissue-ah an darh lo tihna a ni. Mahse, nakin lawkah an tih theih theihna chance a awm. Hei hi Stage I cancer aiin stage hmasawn lo zawk a ni.
Stage 0 hnute cancer hi chi hnih a awm a .
1. Noninvasive Paget’s disease: Hei hi a tlem hle. Cancer natna a ni a, nipple-ah a awm a ni.
2. Ductal Carcinoma in Situ (DCIS): Hei hi Stage 0 hnute cancer chungchang kan sawi hian kan sawi fo thin. Chutiang a nih chuan i hnute chhunga bawnghnute kawng chhungah chauh cell pangngai lo chu a lo thang lian thin. Pawimawh tak chu heng cell te hi duct pawnah an la darh lo a, chu chu hnute thau tissue tam zawk awmna hmun a ni.
DCIS awm chhan dik tak erawh hriat a la ni lo. Mi tam tak chuan symptom engmah an nei lo. Mahse, a châng chuan hrual tê tê a awm thei a, a nih loh leh hnute aṭanga thisen chhuak a lo chhuak thei bawk .
Heng cell pangngai lo te hi invasive cancer ah an lo chang thei a, an lo thang lo thei bawk. Hetiang thil hi engtikah nge a thlen dawn tih hi tumahin an sawi chiang thei lo . Chu chu he dinhmunah hian harsatna lian ber a ni.
Hei hi enkawl a ngai em? Engtin nge thutlukna ka siam ang?
DCIS i vei tih i hriat hnuah pathology report i dawnah grade pek a ni.
- Nuclear grade 3: Hei hi a darh theihna sang ber chi a ni.
- Nuclear grade 1: Hei hian a darh theihna chance a nei tlem hle.
I cancer cell-te hian estrogen receptor an nei em tih pawh test i ni ang. I doctor chuan hei hi "ER-positive" emaw "ER+" emaw a ti mai thei. Chutiang a nih chuan i cancer chu a lo thang zawi zawk mai thei tihna a ni.
Chutih lai chuan, i doctor chuan genetic test neih a rawt thei bawk a, chu chuan i gene-ah hian hnute cancer vei theihna tipung thei thil danglam i neih leh neih loh a hre thei ang .
I tih leh tûr chu heng zawng zawngah hian a innghat a, chu bâkah i mi mal duhzâwngah pawh a innghat bawk .
Doctor tam zawk chuan Stage 0 cancer hi a darh lo a nih pawhin nakin lawkah a danglam thei a, a chhan chu enkawlna engemaw chen neih a tha an ti. Chuvangin, "Ngaidam ai chuan him a tha zawk" tih thu hi hetah pawh hian a hman theih.
Enkawl dan chi thum a awm a. Table pakhatah han en ila.
| Enkawlna duhthlan tur | A awlsam zawngin... (Sawifiahna awlsam tak) |
|---|---|
| Lumpectomy tih a ni | Hei hian cell pangngai lo awmna hmun leh a chhehvela tissue hrisel tlemte awmna hmun chauh surgery hmanga lak chhuah a ngai a ni. |
| Lumpectomy leh radiation therapy hmanga tih a ni | A chunga kan sawi tak surgery hnuah hian radiation therapy hmangin cell pangngai lo awm thei zawng zawng chu tihchhiat a ni. |
| Mastectomy tih a ni | He surgery hian hnute zawng zawng a la chhuak vek a ni. DCIS hi hnute pum puiah emaw, thil dang vang emawa a darh tawh chuan a tha thei ang. |
Enkawlna tel lovin tlem tal kan nghak tur em ni? (Ngaihthlak takin a nghak) .
Hei hi thupui sawisel hlawh tak a ni. Mithiam thenkhat chuan "watchful waiting" tih strategy, enkawl nghal mai lo mahse test mumal tak hmanga a dinhmun enfiah tihna chu duhthlan tur tha tak niin an ngai. DCIS vei hmeichhia hmun thuma ṭhena hmun khat vel chuan nakin lawkah cancer darh zel tur an vei dawn a ni.
Chuvângin, i doctor chuan enkawl nghâl loh tûrin a rawt mai thei a, chu ai chuan screening test neih reng nân i dinhmun chu enfiah zâwk tûrin a rawt thei che a ni.
Hei hian thatna leh that lohna a nei ve ve a ni. Ngaihtuah teh...
Surgery (radiation therapy hmang pawh ni thei) i neih hmasak chuan cancer lo awm ngai lo darh zel tur chu i pumpelh thei mai thei. Kawng lehlamah chuan, harsatna awm ngai lo tur thil pakhat enkawlna hrehawm tak i tawk tawh mai thei.
Mahse, operation tel lovin nghah i tum a, vanduaithlak takin i dinhmun chu metastatic cancer-ah a lo chang ta a nih chuan, a hmuhchhuah hunah chuan a na zawk (leh enkawl harsa zawk) a ni thei.
Hei hi mimal thutlukna a ni. Nang leh i doctor hian he thutlukna hi in siam dun tur a ni a, uluk taka in sawiho hnuah. I ngaihtuahna leh hlauh zawng zawng chu doctor hnenah hrilh rawh.
Take-Home Thuchah a ni
- Stage 0 hnute cancer, a nih loh leh DCIS hi non-invasive condition a ni. Cell pangngai lo chu bawnghnute kawng chhungah chauh a awm.
- He natna hi nakin lawkah cancer-ah a chang thei a, a lo chang lo thei bawk. Hrilh lawk theih a ni lo.
- Enkawlna neih leh neih loh te, eng enkawlna nge hman tur tih te hi thil engemaw zat (cancer grade, ER status) leh i mimal duh danah a innghat a ni.
- A duhthlan tur ber chu surgery (`Lumpectomy` emaw `Mastectomy`), radiation therapy, emaw enkawl loh (`watchful waiting`) emaw a ni.
- Hei hi nangmah chauhva thutlukna siam tur a ni lo. I tana tha ber tur thutlukna siam turin i doctor nen zalen tak leh uluk takin inbiakna nei rawh.
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