Mi tam tak chuan "cancer" tih thumal kan hriat hian tlem kan hlauthawng a, kan hlauthawng deuh hi thil pangngai a ni. Mahse, natna thenkhat, a bik takin hnute cancer hi kan hriat chian a, a hlauhawmna kan hriatthiam chuan, a chhiatna nasa tak thleng thei chu kan veng thei tih i hria em? Vawiin hian thupui pawimawh tak kan sawi dawn a ni. Chu chu Breast Cancer Risk Assessment a ni. Ngaihtuah buai suh, he thu hi awlsam takin kan sawi dawn a, i hriatthiam theih tur angin.
A awlsam zawngin, he hnute cancer hlauhawmna tehna hi eng nge ni?
Weather report ang maiin han ngaihtuah teh. Weather report-ah hian "vawiin hian ruah a sur dawn" tih a awm lo a, "ruah sur theihna a awm" tih a ni. Chutiang chu a ni. Breast cancer risk assessment hi i dam chhunga hnute cancer i vei theihna tur, a nih loh leh i chance neih dan tur chhut dan a ni. 100% dik takin "cancer i vei ang" emaw "i lo ang" emaw a ti thei ngai lo.
Hei hi i kum leh i background hmeichhe dangte nena khaikhin chuan i risk chu a tlangpui aia sang emaw a hniam emaw tih hriat nan tih a ni. He information hi i doctor tan chuan a pawimawh hle. A chhan chu i hnute hriselna i ngaihven tur zat leh eng test nge i neih tur tih i rel thei a ni. Tunah hian heng risk assessment method te hi hmeichhia tan chauh ruahman a ni. Mipa hnute cancer vei theihna tehna atan an hmang lo.
Chuti a nih chuan, heng risk assessment methods te hian engtin nge hna an thawh?
Tunah hian hnute cancer hlauhawmna tehna model hrang hrang 24 chuang a awm tawh a ni. Heng zinga a tam zawk hi online questionnaire a ni a, minute 10 chhung lek chhungin nangmah chauhin i tifel thei a ni. Heng zawhnate hi i chhan hnu chuan software chuan i risk factors hmangin score a chhut chhuak thin .
Risk factor chu natna vei theihna tipungtu thil a ni. Hnute cancer vei theihna tur risk factor lian ber berte han thlir ila. Hei hi chiang taka hrethiam tur chuan a hnuaia table hi en la.
| Risk Factor a ni | A sawifiahna awlsam tak |
|---|---|
| Kum | Kum upat deuh deuh hian hnute cancer vei theihna hi a pung zauh zauh a. |
| Chhungkaw chanchin | I chhungkuaa mi tu emaw, a bik takin i nu, i farnu emaw, i fanu ang chi i chhungte hnai tak emaw chuan hnute cancer a vei a nih chuan i hlauhawmna a sang zawk a ni. |
| Genetic Mutations a awm thin | BRCA1 emaw BRCA2 emaw genes mutated copy i neih chuan a hlauhawmna a sang hle. Chungte chu rochun theih a ni. |
| Hnute Density a awm | Hmeichhia thau aiin hnute tissue dense zawk nei te chu an hlauhawmna a sang deuh hlek a ni. Hei hi mammogram hmangin a hriat theih a ni. |
| Tun hmaa hnute biopsies te | A hmaa hnute biopsy-a cell pangngai lo (e.g., atypical hyperplasia) awm nia report a nih chuan a hlauhawmna a sang zawk. |
| Hormone hmanga thil tihsual | Taksa chhunga hormone estrogen leh progesterone te hi rei tak a awm chuan a hlauhawmna a sang hle. Hei hi a pianphungah chuan thlasik lai hian a lo awm thei a, chubakah naupai venna damdawi thenkhat emaw hormone replacement therapy (HRT) emaw pawh a awm thei bawk. |
| Kum chu Menarche-ah a ni | Kum naupang tak atanga puitlin tan (e.g. kum 12 hmaa) a nih chuan hormone nena rei zawk a awm avangin a hlauhawmna a sang chho zel a ni. |
| Kum chu Menopause-ah a ni | Kum upa lam (e.g., kum 55 hnuah) i thlasik chhunzawm zel chuan a hlauhawmna a sang zawk a, hei hian hormone i hman hun a tipung a ni. |
| Nau neih chanchin | Hmeichhia fa la nei ngai lote chu an hlauhawm zawk. Hmeichhia kum 35 hnu lama fa hmasa ber nei te pawh an hlauhawm zawk. Fa neih, a bik takin kum naupang zawka neih hian a hlauhawmna a ti tlem a ni. |
Mahse, risk factor zawng zawng hi a inang vek lo tih hre reng ang che. Entirnan, kum upa lam a zirin a hlauhawmna a sang deuh laiin, BRCA1 gene mutation neih hian cancer vei theihna chu 60% velin a tipung thei a ni. Chu chauh chu mi pakhat chu high-risk category-a dah turin a tawk.
Risk assessment hman ber berte chu engte nge ni?
Assessment method hrang hrang hian heng risk factors te hi weight hrang hrang a pe a. Chu chu score hrang hrang an chhut tihna a ni. A hmanraw hman tlanglawn tak tak thenkhat han thlir ila.
Gail Model (BCRAT) hmanga siam a ni.
Hei hi khawvela hmanraw hriat hlawh ber leh hman lar ber a ni. United States-a National Cancer Institute-in a siam a ni. He zawhna hi minute nga aia rei lovah zawh theih a ni. A bik takin kum nga chhunga cancer vei theihna tur leh kum 90 an tlin hunah cancer vei theihna tur ngaihtuahna a pe ber a ni.
Hemi chungchanga zawhna lian ber berte chu:
- i kum zat
- Hnam/hnam
- Fa neih dan chanchin
- A hmain hnute biopsy tih a nih leh nih loh
- Thlasik hmasa berah kum upa lam
- Chhungkaw history-a hnute cancer vei tawh
Hei hian kum nga chhunga risk 1.67% aia tam a thlen chuan "high-risk" anga ngaih a ni. Chutiang a nih chuan i doctor chuan Tamoxifen ang damdawi a pe thei a, chu chuan cancer hlauhawmna a ti tlem a ni. Mahse, he method hi cancer vei tawh emaw, BRCA ang genetic mutation nei nia hriat emaw tan chuan a tha lo hle.
IBIS (Tyrer-Cuzik Model) hmanga siam a ni.
Hetiang method hi Gail model aiin a chipchiar deuh hlek a ni. Kum 10 lo awm tur leh dam chhunga risk awm tur chu a chhut chhuak thin. Tin, thil hrang hrang a ngaihtuah bawk a, chungte chu:
- Hnute density a awm
- Taksa rih zawng tehna (BMI) .
- Ovarian cancer chanchin
- Hormone therapy (HRT) hman dan .
- BRCA1 emaw BRCA2 gene mutation chungchang hriat
Results a\angin doctor-te chuan hnute screening engzat nge i mamawh tih emaw, BRCA gene test neih a ngai em tih emaw an rel thei a ni.
BRCAPRO chuan a rawn ti a
Hei hi a chiang deuh deuh. He assessment hian i taksaah BRCA1 emaw BRCA2 gene mutation i neih theihna tur a en ber a ni. Hei hi i chhungkaw cancer history-ah a innghat vek mai. Thu thuk tak tak a mamawh a, a bik takin chhungkaw member-te cancer an vei kum te, an genetic testing neih tawh te, leh hnute emaw ovarian emaw lakchhuahna surgery te a mamawh a ni. Hei hi result atang hian genetic testing neih tur nge neih loh tur tih chu i rel thei ang.
Engtin nge ka doctor hian heng result te hi a hman ang?
Hei hi a pawimawh ber a ni. Hetiang online assessment i lak a, "high-risk" i nih thu i sawi chuan hlauthawng suh la, hlau suh. Cancer i nei tihna a ni lo. I doctor nen inbiakna bul tanna tur hmun tha tak mai a ni.
Heng result atang hian i doctor hian hetiang hian hma a la thei ang:
- Hnute enfiah tam zawk tura rawtna: Mammogram emaw test dang (e.g., MRI) emaw neih tam zawk tura tih i ni thei.
- Genetic Counseling atana Referral: Cancer vei theihna tipungtu genetic mutations test hi a dik em tih leh a result-in i nun leh chhungte a nghawng dan tur sawifiah turin specialist hnenah refer theih i ni.
- Risk-reducing damdawi pek dan: Tamoxifen ang damdawi hian cancer cells te a tipung thei lo.
- Preventive Surgery chungchang sawiho: Risk sang tak nei (e.g., BRCA gene mutation nei) tan chuan cancer a lo awm hmain prophylactic mastectomy chungchang sawiho theih a ni. Hei hian nasa takin a hlauhawmna a tihziaawm thei a ni.
Heng tehnate result hi engtiang chiahin nge rintlak?
Hei hi rinawm taka kan sawi a ngai a ni. Heng assessment methods te hi mipui tam tak atanga data lakkhawm atanga lakkhawm a ni. Chu chu, hmeichhe cancer vei sang tam tak hnen atanga thu dawnte chu i thu hriatte nen khaikhin a ni a, he result hi pek a ni. Mahse, tumah hi statistics kan ni lo. Risk factor inang kan nei a nih pawhin mi pahnih taksa hi a inang lo.
Chuvangin, heng hmanrua te hian tihkhawtlai engemaw zat a nei a:
- Data Variations: Assessment method thenkhata data hmante hi hnam pakhat lam hawia biased a nih avangin result chu mi zawng zawng tan a dik tawk lo thei.
- Cancer zawng zawngah hman theih a ni lo: Heng hmanrua te hian invasive cancer te hi an chhut tam ber. Tin, cancer vei tawh chungchang pawh an pe thei lo bawk.
- Risk factor zawng zawng ngaihtuah lovin:Risk factor zawng zawng hi assessment pakhatin a huam vek lo. Ṭhenkhat chu genetic zawk an ni a, ṭhenkhat erawh chu nunphung lam hawi zawk an ni thung. Chuvangin a chang chuan i doctor chuan assessment pakhat aia tam tih turin a ti thin che a ni.
Heng tihkhawtlai te hi awm mahse, heng risk assessment te hi mi pakhat risk estimate tling thei tur khawpa tangkai a ni a, chuvang chuan doctor te chuan clinical practice-ah an hmang chhunzawm zel a ni.
A tawpah chuan hnute cancer risk assessment hian cancer i vei dawn em tih a sawi thei lo. Mahse i doctor chu i risk chungchang a hriattir thei a ni. Breast cancer screening neih hi mi zawng zawng tan a pawimawh hle. He assessment hi i hriselna enkawl dan tur i ngaihtuah theihna tur hmanraw pakhat chauh a ni. Checkup mumal tak neih theihna turin a pui thei bawk. A tum ber chu cancer hmuhchhuah hmasak a ni a, chutih hunah chuan enkawl theih a ni.
Take-Home Thuchah a ni
- Breast cancer risk assessment hi cancer vei theihna chance (probability) tehna a ni a, diagnosis a ni lo.
- Results chungchangah hlau suh, i doctor nen sawiho rawh . Chu chu a pawimawh ber a ni.
- High-risk result chuan cancer i vei dawn tihna a ni lo. Tin, low-risk result i hmuh vang mai maia test neih tawh loh chu thil tha a ni lo.
- Heng assessment methods te hian nang leh i doctor te chu proactive zawk leh i hriselna ngaihsak zawk turin a pui thin.
- Cancer hi a hmaa hmuhchhuah a nih chuan a dam vek theihna chance a sang hle. Chuvangin, kum dik takah hnute enfiah ngai lovang.
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