Hnute cancer enkawl mek tu pawh rilruah vawi khat tal zawhna lo lang chu, ‘Tunah hian he natna hi a bo vek tawh em?’ tih hi a ni. Chu hlauhna chu a dik hle mai. Mahse thu lawmawm tak chu a tam zawkah chuan hnute cancer hi a lo let leh tawh lo. Mahse, a chang chuan a theih tho.
A lo kir leh chuan ' recurrence' kan ti thin. Hei hi a thlen theih dan kawng hrang hrang a awm. Pakhat chu cancer hmasa nen khan hnute khatah emaw, a hnaih ber hmunah emaw a rawn let leh thin. A chang chuan a bul hnaia lymph node-ah a darh thei bawk. A châng dangah chuan taksa peng hla tak tak, ruh emaw, lung emaw thlengin a darh thei a ni.
Doctor hian eng nge a ngaih pawimawh ber?
Breast cancer i vei tih hriat hmasak ber atang khan i doctor-te chuan a lo awm leh theihna tur tipungtu thilte an enfiah ang. He thu hian i tan eng enkawlna nge tha ber tih an rel theih nan a pui ang.
"Cancer hi a lo kir leh dawn tih hi 100% chiang takin kan sawi thei lo. Mahse tunah chuan a hma aia chance sang zawkin kan sawi lawk thei tawh a ni," tiin specialist pakhat chuan a sawi.
Kum 10 kalta chhung khan he kawngah hian hmasawnna nasa tak a awm a, a bik takin estrogen -receptor positive cancer-ah te hian hmasawnna nasa tak a awm a ni.
A awlsam zawngin, tumor a lian poh leh tissue dangah a darh nasa zawk a, a lo lang leh theihna a sang zawk. Tin, cancer biology hi a pawimawh hle bawk. Chu chu cancer cell-ah hian eng receptor bik nge awm tihna a ni. Entirnan, hnute cancer chi khat ``triple-negative'' (chu chu estrogen, progesterone, leh HER2 receptor pathumte nei lo cancer tihna a ni) chu a lo lang leh thei deuh a ni.
| Risk tehnaah ngaihtuah tur thil | Engvângin nge chu chu a pawimawh? |
|---|---|
| I kum leh menopause i paltlang tawh em tih te | Kum leh hormone level hian risk a nghawng thei a ni. |
| Tumor lian leh te | Tumor lian zawk hi a tlangpuiin a lo lang leh theihna a sang zawk. |
| Lymph node-ah a darh tawh em tih | Stool-a cancer cell awm hian cancer a darh theihna a tilang a ni. |
| Cancer natna receptor dinhmun | Cancer hi ER-positive, PR-positive, HER2-positive, triple-negative a nih dan azirin enkawl dan leh a hlauhawmna a inang lo. |
Risk thuk zawka thlir theihna test bik
A châng chuan cancer hi a lian hle emaw, lymph node-ah a darh tawh emaw a nih chuan a hlauhawmna dik tak sawi a harsa ṭhin. Doctor-te chuan hei hi ‘gray zone’ an ti.
Hetiang dinhmunah hian test bik a awm a, chu chuan thu belhchian dawl zawk a pe thei a ni . Mahse, heng test zawng zawng hi cancer chi hrang hrang tan a tha vek lo.
- Oncotype DX: Hei hi test hman tlanglawn ber a ni. I cancer sample tlemte atanga gene 21 a en thin. Chu genes te hnathawh that dan azirin ‘recurrence score’ 0 leh 100 inkar i hmu a, he score hian i doctor chu nakin lawkah i cancer a lo awm leh theihna tur leh chemotherapy i hlawkpui dawn leh dawn loh a hriatthiam theih nan a pui thei a ni. Mahse, he test hi cancer estrogen-receptor positive leh lymph node-a darh lo tan chauh tih theih a ni.
- Test dang: Test dang `(MammaPrint)`, `(Breast Cancer Index)`, `(Pam50)`, leh `(EndoPredict)` tih te pawh a awm bawk. Chung zinga ṭhenkhat chuan kum nga hnua cancer lo kir leh theihna tur a hrilhfiah thei a ni.
Nakin lawka thisen test tur
Tunah hian zirchiangtu pawl pakhat chuan thisen test siam tumin hma an la mek a, cancer hi a lo lang leh mai thei em tih hriat theih a ni.
Hetiang test chi hi enkawlna zawng zawng zawh hnuah a pawimawh hle a, chutih lai chuan cancer tissue enfiah tur a awm tawh lo.
"Tunge cancer vei leh tur tih chiang taka kan hriat theih chuan enkawlna dang an mamawh leh mamawh loh kan rel thei ang. Chumi hnuah chuan an tana tha zawka thawk thei tur enkawlna thar kan zirchian tan thei ang," tiin zirchiannaa inhnamhnawih scientist pakhat chuan a sawi. "Kan tum ber chu metastatic breast cancer ven hi a ni a, hei hi enkawl harsa tak a ni a, hnute cancer vanga thihna 90% vel a ni."
Mahse, doctor-te hman theih tur thisen test siam nan kum engemaw zat a la ngai dawn niin an sawi .
Engtin nge i tih theih ang?
Scientist ten hetiang test thar an hmuh hma loh chuan i tih theih tur a awm. Nitin i tih dan hian he hlauhawmna hi a tihziaawm thei a ni. Entirnan, exercise neih fo a pawimawh a, taksa rihna hrisel tak neih a pawimawh bawk .
Thil dang hriat reng tur chu recurrence risk leh survival rates hi thil hrang hrang pahnih a ni . Hei hi a pawimawh hle. Mi pakhatin hnute cancer a vei a, enkawlna a dawng a, kum hnih hnuah cancer chu a lo lang leh ta tih han mitthla teh. Mahse a hmaa hmuh a nih chuan chu mi chu kum sawm tam tak chhung chu a dam tha thei a ni.
Chuvangin, i follow-up appointment engmah lo thleng lo la . Zawhna leh ngaihtuahna i neih chuan doctor zawt ngei ang che.
"I doctor nen inbiakna neih a pawimawh a, i mimal risk chu eng nge a nih leh a awmzia dik tak hriatthiam a pawimawh. Hei hian i enkawlna chungchangah thutlukna dik siam turin a pui ang che. Cancer hmachhawn hi thil hlauhawm tak, buaithlak tak a ni thei. Chuvangin i hlauhthawnna chungchang i doctor nena inbiakna neih hi i hlim a ngai a ni.
Take-Home Thuchah a ni
- A tam zawkah chuan hnute cancer hi enkawl hnuah a lo lang leh ngai lova, chuvangin a tul lovah hlau suh.
- Cancer lo kir leh theihna hi tumor lian tham tak, a bul hnaia tissue-a a darh dan leh biological type of cancer te a innghat a ni.
- I risk dik tak hriat theih nan leh enkawlna tha ber thlan nan doctor te chuan Oncotype DX ang chi test bik an hmang thei a ni.
- Exercise neih fo leh taksa rihna hrisel tak neih hian he hlauhawmna hi tihziaawmna kawngah pawh i pui thei bawk.
- A pawimawh ber chu Doctor nen zalen taka inbiakna neih hi a ni. I hlauhthawnna leh zawhna zawng zawng ngaithla rawh. I rilru hriselna atan pawh a pawimawh hle.
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