I doctor-in hnute cancer i nei tih a hrilh che chuan lu-a vuak ang maiin a awm ngei ang. Khawvel pum hi a tawp tawh ang maiin a lang a, hlauhna, lungkhamna leh zawhna lian tak tak tam takin i khat a ni ngei ang. "Engvangin nge hetiang hi ka chungah a lo thlen?", "Tunah hian eng nge ka tih ang?", "Hei hi a tha leh dawn em?" i rilruah an tlan lut mai thei. Hetiang hun lai hian i rilruah zawhna lian tak dang chu "Doctor dang ka hmu tur em ni?" Chu chu ngaihdan pahnihna lak tihna a ni. Oncologist tam zawk chuan, "Ni e, chu chu thil tha tak a ni," an ti. Vawiin hian engvangin nge a pawimawh em tih hi han sawi ila.
Engvangin nge ngaihdan pahnihna kan neih a ngaih?
Breast cancer ang natna khirh tak chungchang sawi dawn chuan ngaihdan pahnihna chu ngaihdan dang mai a ni lo. I enkawlna zinkawng zawng zawngah hmasawnna nasa tak a ni thei. Ngaihtuah teh, thil man to tak tak i lei dawn a, dawr pakhat atanga quote i dil mai mai lo a ni lawm ni? Hmun dang pahnih pathum i en a, a tha ber, man tlawm ber i thlang a ni lawm ni? Hei hi chutiang bawk chu a ni a, mahse chu aia hlu zawk chu i nun chungchanga thutlukna siam a ni.
Second opinion i neih atanga hlawkna i hmuh tur pawimawh thenkhat chu hetiang hi a ni.
| Chhawr tangkai | A awlsam zawngin... (Sawifiahna) |
|---|---|
| Diagnosis tihchian a ni | Doctor pahnihna chuan i report te, a bik takin pathology report te chu a enfiah ang a, a tir lama i hmuhchhuah chu a dik tih leh cancer chi leh stage dik taka hriat a nih thu a nemnghet ang. A châng chuan danglamna fiah lo tak tak a awm thei bawk. |
| Enkawlna ruahmanna chu nemnghet emaw, tihzauh emaw | "Enkawlna hmasa ber hi a pawimawh ber a ni." Doctor pahnihna chuan i enkawlna tur (surgery, chemotherapy, leh radiation therapy ang chi) te chu a en ang a, i cancer chi hrang hrang tan chuan a thar ber leh a hlawk ber a nih leh nih loh a enfiah ang. Anni chuan a dang ṭha zâwk pawh an rawt mai thei. |
| Natna chungchang hriatthiamna tha zawk neih | Doctor i biak hmasak ber ṭum khan i hlauhthawn leh i hlauhthawn vangin thil engemaw i ngaihtuah lo mai thei. Doctor pahnihna chuan i rilrua zawhna awm zawng zawng a zawt vek ang che a, natna leh a enkawl dan chiang takin a hriattir ang che. "Zawhna zawh loh aia harsatna pawi zawk a awm lo." |
| Experimental treatment thar (Clinical Trials) chungchang zir rawh | Doctor pahnihna hian damdawi thar, hlawhtling tak tak, tumahin an la hrilh ngai loh, research phase (clinical trials)-a awmte chu a hre mai thei. Chûngte chuan beiseina thar a pe thei che a ni. |
| Hahdamna nasa tak a nei | Specialist dangin i diagnosis leh treatment plan a dik a tih chuan i hmaa i zinkawng tur chungchangah inrintawkna leh thlamuanna nasa tak i nei a ni. Thil lian tak i hriat theih awmchhun chu, "Kawng dik ka zawh mek" tih hi a ni. |
Ngaihdan pahnihna neih theihna hun tha ber leh hun remchang tha ber berte chu engte nge ni?
A rang thei ang bera ngaihdan pahnihna lak a tha ber, eng enkawlna pawh i tan hmain . Mahse second opinion lak tur chuan chhan bik i mamawh lo. I dikna a ni. Mahse, hetiang thil thlengah hian ngaihdan pahnihna neih hi a pawimawh hle thei a ni:
- Cancer chi khat hmuh tur awm lo tak i neih chuan .
- I hnute cancer a lo awm leh tawh a nih chuan .
- I rawn rawt hi damdawi risky tak a ni a , side effect tam tak a nei bawk .
- Tuna enkawl mek hi i taksain a chhang tha lo a nih chuan.
A châng chuan second opinion lak tumin doctor appointment neih nan hun rei tak a ngai thei bawk. I lungngai mai thei, " Aw , hei hian ka enkawlna a tikhawtlai dawn em ni?" Chu chu hriatthiam theih a ni. Chutih hunah chuan i doctor awm mek nen chuan chutiang lam chu sawipui rawh. Second opinion i hmuh avangin enkawlna tan rei vak lo tihkhawtlai chu a pawi lo em tih zawt rawh. A tam zawkah chuan ni engemaw zat tihkhawtlai hi thil lian tak a ni lo.
Engtin nge second opinion la turin doctor tha tak ka hmuh theih ang?
Hei hi thil pawimawh tak a ni. Breast cancer chungchanga tawnhriat ngah tak leh enkawlna thar ber berte hre chiangtu specialist i zawn a ngai a ni.
1. Tuna i doctor zawt rawh: "Ka pu, specialist dang hnen atangin ngaihdan lak ka duh a, mi i rawt thei ang em?" Doctor tha chuan chutiang chu a ti ngai lovang.
2. Ṭhiante leh chhungte zawt rawh: I ṭhian hnai tak takte zingah cancer vei enkawl tawh an awm em tih en rawh. An thil tawn leh enkawltu doctor-te zawt rawh.
3. Damdawi in lian ber berte en rawh: Sri Lanka rama cancer chungchanga specialist hospital (entir nan, Maharagama Apeksha Hospital) emaw, zirtirna hospital-a Oncology Unit emaw sawi rawh. Chuta specialist-te chuan he kawngah hian tawnhriat ngah tak an nei a ni.
4. I medical record zawng zawng buatsaih rawh: Doctor pahnihna hmu tura i kal dawnin i medical record zawng zawng, report leh scan atanga film i hmuh zawng zawng (Mammograms, Ultrasound, CT, MRI), a pawimawh ber chu pathology report leh a kaihhnawih slide te keng vek tur a ni . Hengte tel lo chuan Doctor tan ngaihdan dik tak pek a harsa dawn a ni.
Doctor pahnihna hnenah eng zawhna nge ka zawh ang?
Doctor pan i hlauhthawn lai hian zawhna thenkhat zawh i theihnghilh mai thei. Chuvangin, i kal hmain i hriat tur zawng zawng ziak vek rawh. Zawhna pawimawh tak tak i zawh theihte chu hetiang hi a ni.
Zawhna i zawh apiang hi a hlu a ni tih hre reng ang che. I natna leh i taksa chungchang hriat theihna tur dikna i nei vek a ni.
| Zawhna chi hrang hrang | Zawhna zawh tur |
|---|---|
| Diagnosis chungchang | - Ka diagnosis hi i pawm em? - Heng report-te ang hian eng ang cancer nge ka neih? Eng stage nge a nih? |
| Enkawl dan tur ruahmanna chungchang | - Ka hnena treatment plan rawn rawt hi engtin nge i ngaih? - Enkawlna dang i rawt a awm em? |
| Enkawl dan chipchiar tak chungchang | - Enkawl dan tinte hian eng nge a thatna, a that lohna leh a side effects te chu engte nge ni? - He enkawlna hi engtiang chiahin nge a hlawhtlin theih ang? |
| Step dang tih tur chungchang | - Test dang ka tih tur a awm em? - Ka tana tha tur clinical trial a awm em? |
Ngaihdan pahnihna i lak hnuah i doctor hmasa nen inbia leh la, i thil zir chu sawiho rawh. Doctor pahnihte hian ngaihdan inang lo tak tak an nei mai thei. Chutiang hunah chuan an pahnih hian an inbia thei a, inremna an siam thei bawk.
Ka doctor a thinrim ang tih ka hlau em?
Hei hi Sri Lanka-a mi tam tak tan chuan hlauhthawnna lian tak a ni. "Doctor dang ka pan dawn tih ka hrilh che chuan ka doctor hian min ngaihtuah tha lo ang em? A thinrim ang em?"
Mahse dik tak chuan hlauh a ngai lo tak zet a ni. Second opinion dil chuan i doctor i ring lo tihna a ni lo. I hriselna chungchangah damlo ngaihsak tak, hriatna nei tak i ni tihna chauh a ni.
Doctor tha tak takte chuan ngaihdan pahnihna lak hi an fuih fo thin. A chhan chu, doctor an nih angin, mithiam dang ngaihdan lak hi an tan chakna ropui tak a ni. An damlo enkawlna tha ber an pe tih an rinna a tichak a ni.
A tawp berah chuan ngaihdan pahnihna lak hian doctor thlak a ngai tihna a ni lo. Thil tam takah chuan ngaihdan pahnihna chuan i doctor hmasa ngaihdan chu a nemnghet ang. I enkawlnaah inrintawkna a pe thei che a, i rilru hahdam zawk nan a pui thei bawk. A pawimawh ber chu i hriselna chungchanga thutlukna i siam hunah a theih ang anga inrintawkna leh hriatna nei tur a ni.
Take-Home Thuchah a ni
- Breast cancer i vei tih hriat a nih huna ngaihdan pahnihna neih hi hlauh tur a ni lo va, i dikna leh hmalakna fing tak a ni .
- I natna hmuhchhuah leh enkawl dan tur i nemnghet thei a, enkawlna kawng thar i zir thei a, rilru thlamuanna nasa tak i nei thei bawk .
- I doctor-in ngaihdan pahnihna i zawh chuan a thinrim ang tih ring suh. Doctor tha te chuan thil pangngaiah an ngai a, fuih pawh an ti hle.
- Ngaihtuahna pahnihna i zawn hmain i medical record, scan leh pathology report zawng zawng chu a hnuaia mi ang hian la khawm vek rawh.
- A tawpah chuan thutlukna eng pawh siam la, mahni inrintawkna leh hriatthiamna famkim hmangin siam rawh.
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