Nangmah emaw, i hriat mi emaw hnute cancer vei nia hriat chuan nun tidanglam thei leh buaithlak tak a ni thei. Hetih lai hian i rilruah zawhna tam tak i nei ngei ang. "Tunah eng nge thleng?", "He thil hi engtin nge ka tih ang?" I ngaihtuah mai thei. He zin chhunga i hriat fo tur thu pakhat chu cancer "stage" tih hi a ni. A dik tak chuan hei hi i enkawlna tur ruahmanna siamtu ber a ni. Vawiin hian he thu hi i hriatthiam theih tur khawpa awlsam takin kan sawi dawn a ni.
He cancer hi eng stage nge ni?
A awlsam zawngin sawi ila, cancer staging hi doctor-te tan chuan cancer awm dan sawifiahna a ni. Map-a hmun pakhat mark ang mai a ni. A bul berah chuan thil tlemte a hrilh che a ni:
- Tumor Size: Cancer natna hi engzat nge a lian?
- Lymph Node Involvement: Cancer cells hi armpits-a lymph node -ah emaw, hnute chhehvelah emaw a darh em?
- Distant spread (Metastasis): Kan cancer hi hnute piah lamah taksa peng hla tak dang (liver, lung, ruh ang chi) ah a darh tawh em?
He information atanga chhut chuan cancer hi major stage-ah then a ni a, 0 atanga IV (zero atanga pali) thleng a ni. Hei hian nangmah emaw i doctor emaw chu a kimchangin a pe lo. I doctor chuan enkawlna tha ber a thlan hunah thil dang tam tak a ngaihtuah ang.
Enkawlna chungchanga thutlukna siamtu thil dangte
- Cancer chi hrang hrang: Hnute cancer chi hrang hrang a awm a. Enkawl dan hi a chi hrang hrang a zirin a inang lo.
- Lump awm zat: I hnuteah cancer natna pakhat aia tam i nei em?
- Growth rate: Cancer hi engtiang chiahin nge a lo thang chak?
- I kum leh hriselna : I hriselna zawng zawng hi enkawl dan tur tehnaah a pawimawh hle.
- Hormone Receptors: Hmeichhe hormone (estrogen, progesterone) hian cancer cell te hi a tipung thei em? Chutiang a nih chuan enkawlna bik hman theih a ni.
- HER2 dinhmun: Cancer cell hian a chung lamah ``(HER2)`` tih protein a nei tam lutuk em? Chutiang a nih chuan a than chakna a ti chak thei a, chutiang tur chuan targeted therapies a awm bawk.
Tunah chuan stage tin atan eng treatment nge awm tlangpui tih hi han en ila.
Stage hrang hrang leh enkawl dan hrang hrang
A hnuaia table hian hei hi eng nge a awmzia tih rough idea a pe che a ni. Mahse, hei hi kaihhruaina tlangpui chauh a ni. Eng enkawlna nge i tana tha ber tih chu nangmah thu a ni.Doctor nen inbiain thutlukna i siam a ngai a ni.
| Cancer Stage a ni | A awmzia (a awlsam zawngin) . | Enkawl dan tlangpui |
|---|---|---|
| Stage 0 ah a awm | Cancer natna (non-invasive cancer) a ni. Cancer cell te hi bawnghnute kawng chhungah chauh an awm a. A chhehvel tissue-ah an la darh lo. Hei hi DCIS (Ductal Carcinoma In Situ) an ti bawk. |
|
| Stage I a ni | Cancer hi a na hle a, mahse a tumor hi a te (centimetre 2 aia tlem) a ni. A bul hnaia lymph node-ah a darh lo emaw, a darh tlem hle emaw pawh a ni thei. |
|
| Stage II-na a ni | Tumor hi a lian khawp mai (2-5 centimetres) a,/ emaw, a bul hnaia lymph node engemaw zatah a darh thei bawk. |
|
| Stage III-na a ni | Hei hi "locally advanced" cancer a ni. Tumor hi a lian a, rilru bang emaw, vun emaw-ah emaw, lymph node tam takah emaw a darh tawh a ni. Mahse taksa peng hrang hrangah a darh lo. |
|
| Stage IV-na a ni | Cancer hi hnute leh a bul hnaia lymph node piah lamah taksa peng hla tak tak (ruh, lung, thin, thluak ang chi) thlengin a darh tawh a ni. Hei hi metastatic breast cancer an ti bawk . |
|
Hriatthiam tur pawimawh ber chu
I thianpa hian Stage I cancer a nei a, nang pawhin Stage III cancer i nei tih han ngaihtuah teh. Chu chuan i dinhmun a chhe tihna a ni hauh lo. A chhan chu enkawlna dawn dan chu cancer chi hrang hrang, i hormone dinhmun leh a dangte a zirin a danglam thei hle.
Stage III cancer thenkhat chuan Stage II cancer thenkhat aiin enkawlna an dawng tha zawk mai thei a, chuvangin stage number en mai mai hian hlau lo la, hlau suh.
I doctor nen inbia ang che.
He zinkawngah hian i doctor hi i thian tha ber a ni. Zawhna emaw, ngaihtuahna emaw i neih apiang chu sawipui rawh. Zawhna i zawh theih ṭhenkhat chu hetiang hi a ni:
- Ka cancer hi eng stage nge ni?
- Chu chu eng nge a awmzia?
- Ka cancer hormone receptor leh `(HER2)` dinhmun hi eng nge ni?
- Eng enkawlna kawng nge ka tan a tha ber?
- Chutiang enkawlnate chuan eng side effect nge a neih?
- Heng enkawlnate hnuah hian ka nun hi eng ang nge ni ang?
Heng zawhnate hi zawh hreh suh. I dinhmun i hriat tam poh leh rilru lamah i chak zawk ang a, enkawlna i tuar thei ang.
Take-Home Thuchah a ni
- Breast cancer "stage" hi enkawlna tur ruahmanna atana hman thin tehfung pawimawh tak a ni. Cancer lian leh te, a darh dan min hrilh a.
- Stage te hi 0 atanga IV thlenga then a ni. A tir lamah (0, I, II) chuan a tum ber chu cancer hi tihdam vek a ni. A hnu lama (a bik takin IV)-ah chuan a tum ber chu cancer control leh nunphung tha tak neih a ni.
- Enkawlna hi stage a zirin chauh a innghat lo. Thil tam takin a nghawng a, chung zingah chuan cancer chi, hormone dinhmun, i kum leh i hriselna te pawh a tel.
- Stage number en mai mai hian hlauthawng suh. Cancer tin hi a danglam vek. Mi tinin enkawlna kan dawn dan a inang lo.
- I chakna ber chu awareness hi a ni. I dinhmun leh i enkawl dan tur chu i doctor nen zalen takin sawipui rawh. Zawhna i neih chuan zawt rawh.
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