I doctor-in hnute cancer avanga operation neih a ngai tih a hrilh che chuan hlauhna, lungkhamna leh rinhlelhna nasa tak i neih hi thil pangngai a ni. I rilruah zawhna sangkhat i nei ngei ang, ‘Eng ang surgery nge ka tih ang?’, ‘Ka hnute hi lakchhuah vek a ni ang em?’, ‘Eng nge thleng leh ang?’ tih te hi a ni. Chûng zawng zawng chu a dik vek a ni. Chuvangin hlau suh, vawiinah hian heng zawng zawng hi kan sawi dawn a, i hriatthiam theih tur Sinhala tawng awlsam takin, i thian hnai tak nen in inbia ang maiin.
Surgery tih tum ber chu eng nge ni?
A awlsam zawngin, hnute cancer surgery tum ber chu tumor leh a chhehvela tissue hrisel tlemte chu paih vek a ni . Hei hi cancer cell awm loh nan tih a ni. Hei hian cancer hi a lo kir leh a, taksa peng dangah a darh loh nan a ven theih beisei a ni. Doctor ten theihtawp chhuahin hnute pianphung hmel chu a theih ang anga humhalh an tum bawk.
Surgery i neih chi chu thil engemaw zatah a innghat ang. Entirnan, tumor lian leh te, hnute chhunga a awmna hmun te, cancer a darh dan te, leh a chungchanga i mimal ngaihtuahna leh rilru put hmang te. Chung zawng zawng chu i sawipui hnuah i doctor chuan i tana tha ber tur surgery a thlang ang.
Breast cancer enkawlna chi hrang hrang
Breast cancer surgery hi chi hnih ah then theih a ni. Pakhat chu hnute thenkhat chauh lakchhuahna surgery a ni a, pakhat zawk chu hnute pumpui lakchhuahna surgery a ni. Heng zawng zawng hi a hranin han thlir ila.
| Surgery Hming | A awlsam zawngin, eng thil nge thleng? | Tu tan nge a recommend tlangpui? |
|---|---|---|
| Lumpectomy tih a ni (Partial Mastectomy an ti bawk) | Cancer tumor leh a chhehvela tissue hrisel tlemte chauh lakchhuah a ni a, hnute dang zawng zawng chu a awm reng a ni. | Hei hi cancer lian vak lo leh operation hnua radiation therapy dawng thei tan chuan duhthlan tur tha tak a ni. |
| Mastectomy awlsam/Total tih a ni | A hnute zawng zawng, a hnute pawh tiamin, a chhuak vek a ni. A chang chuan armpit-a lymph node pakhat emaw a aia tam emaw pawh lakchhuah theih a ni bawk. | Cancer lymph node-a darh theihna chance hniam tak nei emaw, nakin lawka cancer vei theihna tihziaawmna tura operation nei mekte tan. |
| Radical Mastectomy siam danglam a ni | A hnute zawng zawng, hnute leh a hnute hnuai lama thau tam zawk chu paih vek a ni a, mahse a rilru ruhte chu a awm reng thung. | Hei hi invasive breast cancer vei tan chuan a tha mai thei. |
| Radical Mastectomy tih a ni | A hnute zawng zawng, armpit hair, leh hnute hnuaia chest muscles thlengin a la chhuak vek a ni. | Tunah chuan he surgery hi a tlem hle a, a tlangpuiin cancer hi rilru ruh a darh tawh chauhvin tih a ni. |
| Vun tichhe thei Mastectomy tih a ni | Hnute chhunga tissue chu lakchhuah ni mah se, a chunga vun tam zawk chu a hnutchhiah a ni. A vun la awm chu hnute siam thatna surgery atan hman theih a ni. | Cancer cell vun hnaih vak lo leh hnute siam thatna surgery nei thuai tur tan a tha. |
| Nipple-Sparing Mastectomy tih a ni | Hnute tissue lakchhuah ni mah se, hnute leh a chhehvel vun (areola) chu a awm reng a ni. Hei hian hnute siam thar leh hunah pawh natural look a siam thei bawk. | Hei hi cancer cell-te chu hnute emaw a chhehvel vun emaw-ah a darh lo tan chuan a tha mai thei. |
Engvangin nge armpit lymph node te hi lakchhuah an nih?
Hei hi mi tam takin harsatna an neih a ni. Lump hi kan taksaa checkpoint te tak te angin ngaihtuah rawh. Cancer cells taksa pum puia a darh tan chuan heng checkpoint-ah te hian an kal hmasa a, an tang tlat thin. Chuvangin, armpit hnuai atanga lumps tlemte lakchhuah a, enfiah hian cancer chu hnute pawnah a darh tawh em tih chiang takin i hre thei ang. He information hi i doctor tan chuan operation hnua eng treatment dang (e.g. chemotherapy, radiation) nge i mamawh tih a rel theih nan a pawimawh hle.
Warts tihbo dan tlangpui pahnih a awm a, chungte chu:
- Sentinel Lymph Node Biopsy: Hei hian cancer a darh chuan a kal theihna tur "first checkpoint" emaw sentinel node emaw zawn chhuah a, chu node chauh chu enfiahna atan lakchhuah a ni. Cancer cell a awm loh chuan node dangte chu lakchhuah a ngai lo. Hetiang hmanrua hian kut zungtang (lymphedema) a ti na thei lo.
- Axillary Lymph Node Dissection (ALND): Hetiang tih danah hian armpit hnuaia lymph node 10 atanga 20 vel lakchhuah a ni a, cancer cell awm leh awm loh enfiah a ni.
Hnute siam thar lehna
Hmeichhe tam tak, mastectomy nei te chuan hnute siam thatna surgery neih an tum thin. Hei hi mimal thutlukna a ni vek.
He surgery hi i cancer surgery nen hian tih theih a ni a, thla tam tak emaw kum tam tak hnuah pawh tih theih a ni bawk. I taksa peng dang (a tam zawkah chuan i pum atanga lak) breast implant emaw tissue lak emaw a hmang thei. I duhthlan tur chungchangah i doctor nen zalen takin sawi rawh.
Operation hmain engtin nge i inbuatsaih thin?
Eng ang surgery pawh nei ila, a hmain inbuatsaihna engemaw chen a ngai a ni.
A hmasain, i doctor chuan i medical history kimchang a zawt ang .
- I damdawi ei zawng zawng (vitamin leh supplement te pawh tel) i doctor hnenah i hrilh tur a ni.
- Damdawi emaw anesthesia emaw avanga allergy i neih tawh chuan min hrilh teh.
- Damdawi dang i neih chuan thinlung natna, zunthlum, thisen sang i neih chuan min hriattir ngei ang che.
Surgery i hnaih deuh deuh chuan doctor chuan i taksa chu operation atan a inpeih tawh em tih a enfiah ang.Test thenkhat tih turin a ti a .
- Chest X-ray neih a ni
- EKG test a ni
- Thisen leh zun test a ni
- CT scan emaw, hnute MRI emaw hmangin tumor lian leh te, a awmna hmun dik tak hriat theih a ni.
Eng chen nge damdawi inah ka awm a ngai dawn?
Damdawi ina i awm hun tur chu i surgery chi hrang hrang leh operation hnua i hriselna dinhmun te a innghat a ni.
- Lumpectomy surgery hi outpatient basis-a tih a ni tlangpui. Chumi awmzia chu operation hnu darkar tlemte chhung chu enkawl i ni ang a, chu ni vek chuan in lamah i haw thei mai thei bawk.
- Mastectomy emaw ALND emaw i neih chuan ni khat emaw ni hnih emaw chhung damdawi inah i awm a ngai dawn a ni.
He zinkawng hi solo a ni lo. I chhungte, i thiante, a bik takin i medical team te chu i hnenah an awm reng a ni. Zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen inbiakna neih hreh suh.
Take-Home Thuchah a ni
- Breast cancer surgery chungchang i hriat hian hlauhna i neih hi thil pangngai a ni. I duhthlan tur chungchangah i doctor nen zalen takin sawi rawh.
- I tana tha tur surgery chi chu thil engemaw zatah a innghat a, chu chu cancer awm dan leh a zau zawng te, leh i mimal duh dan te hi a ni.
- Armpit-a lymph node awmte enfiah hi cancer a darh tawh em tih hriatna leh nakin lawka enkawl dan tur ruahmanna siamna atana thil pawimawh tak a ni.
- A hnute chu lakchhuah vek a nih chuan hnute siam thar lehna tur surgery neih theihna tur option a awm. Hei hi i doctor nen sawiho rawh.
- Operation hma leh operation hnua puitu tur medical team i nei tih hre reng ang che. I ngaihtuahnate chu anmahni hnenah hrilh rawh.
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