Nangmah emaw, i hriat mi emaw hnute cancer vei i nih chuan hlauhna, mangang leh rinhlelhna i neih chu thil pangngai a ni. "Tunah eng nge thleng?", "Eng ang enkawlna nge ka dawn ang?", "Hei hi a dam dawn em?" tih hi rilruah zawhna lo lang vek a ni. Pakhatnaah chuan tun dinhmunah hian nangmah chauh i ni lo tih hrethiam rawh. Vawiin hian hnute cancer enkawl dan tur tichiangtu pawimawh tak ‘stage’ chungchang leh stage tin a zirin enkawl dan tur ruahman dan kan sawi dawn a ni.
Cancer natna ‘stage’ chu eng nge ni?
A awlsam zawngin sawi ila, cancer stage hi i taksaah cancer a darh zau zia sawifiahna a ni. Map-a kan awmna hmun chhinchhiahna ang bawkin, doctor-te chuan he ‘staging’ system hi hmangin cancer dinhmun dik tak chu an hrethiam a ni. Hei hi thil pawimawh pahnihin a hril a ni.
1. Tumor lian leh te: Tumor hi engzat nge a lian?
2. Spread or Metastasis: Tumor hi hnute pawnah emaw, armpits-a lymph node -ah emaw, taksa peng hla tak tak dang (liver, lung, ruh)-ah emaw a darh tawh em?
He thu hriat a\ang hian hnute cancer hi stage lian panga (0 atanga IV) ah then a ni. Hei hi hriat hi nangmah leh nangmah enkawltu medical team tan a pawimawh hle.
Enkawlna hi stage hrang hrangah chauh tihfel a ni em?
No. Stage hi thil pawimawh tak a nih laiin, chu chu a ni lo. I doctor chuan i tana enkawlna tur ruahmanna tha ber siam turin thil dang tam tak a ngaihtuah ang.
- I hnute cancer chi hrang hrang: Hnute cancer chi hrang hrang a awm a.
- Cancer natna hrik awm zat: Tumor pakhat nge a tam zawk?
- Cancer a lo thang chak dan: Cancer thenkhat chu an thang zawi zawi a, thenkhat erawh chu an darh thuai thung.
- I kum leh hriselna zawng zawng: Damdawi dang, zunthlum emaw, thinlung natna emaw i neih leh neih loh hriat a pawimawh bawk.
- Tun hmain hnute cancer i nei tawh em?
- Cancer cell awm dan: Hmeichhe hormone hian cancer cell thanna a nghawng em (hormone receptor status), emaw, chu cell-ah chuan HER2 ang chi genetic factor bik a awm em tih te pawh enkawl dan tur hriatfiah nan a pawimawh hle.
Mi tin cancer hi a danglam vek tih hre reng ang che. Chuvângin, i ṭhianpa enkawlna ang bawk kha i tân a thawk lo mai thei. ITreatment plan hi i tan bik a siam a ni.
Stage tin atana enkawlna tur engte nge awm?
Okay, tunah chuan stage tin atan eng treatment nge a tlangpuiin a remchang tih hi han en ila. Hei hi i bul tanna tur rough guide mai a ni. I enkawl dan tur dik tak chu i doctor-in a ruat ang tih hre reng ang che.
| Cancer natna stage | A awmzia mai mai | Enkawlna hman fo thin |
|---|---|---|
| Stage 0 ah a awm (Ductal Carcinoma in Situ - DCIS) atanga lo chhuak a ni. | Hei hi a hmasa ber a ni. Cancer cell te hi hnute hnute kawng (milk ducts) ah chauh an awm a. A chhehvel tissue-ah an la darh lo. | - Surgery: a lump chauh lakchhuah (lumpectomy) emaw, hnute lak chhuah vek (mastectomy) emaw pawh a ni thei. - Radiation Therapy: Tumor lakchhuah hnuah pek fo thin. - Hormone therapy: Cancer hi hormone-a innghat chi a nih chuan. |
| Stage I a ni | Cancer hi a la tlem hle. Hnute chhungah a awm a ni. Armpit chhunga lymph node-ah a darh lo (a nih loh leh a darh tlem hle). | - Surgery: (Lumpectomy emaw Mastectomy emaw tih tur a ni). Sentinel lymph node biopsy an ti a. - Radiation therapy: Hei hi lumpectomy i neih chuan pek thin a ni deuh ber. - Enkawlna dang: Cancer awm dan azirin chemotherapy, hormonal therapy, targeted therapy emaw a ngai thei. |
| Stage II-na a ni | Lump hi a lian deuh a, leh/ emaw cancer hi armpit-a lymph node hnai tak takah a darh thei bawk. | - Surgery: (Lumpectomy emaw Mastectomy emaw tih tur a ni). - Chemotherapy: Operation hma (tumor tihtlem nan) emaw, operation hnuah emaw pek theih a ni. - Radiation hmanga enkawlna. - Hormonal therapy leh targeted therapy: cancer chi hrang hrang a zirin. |
| Stage III-na a ni | Hei hi ‘locally advanced’ dinhmun a ni. Cancer hi hnute pawn lam atanga rilru bang emaw vun emaw thlengin a darh tawh a ni. Armpit chhunga lymph node engemaw zatah a darh tawh a ni. Mahse taksa peng hla tak takah a darh lo. | - Chemotherapy: Enkawlna hi chemotherapy atanga tan a ni fo. A tum ber chu operation hmaa tumor hi tihtlem a ni. - Surgery: A tam zawkah chuan Mastectomy tih a ni. - Radiation therapy: operation hnuah. - Hormone leh targeted therapies te. |
| Stage IV-na a ni | Hei hi cancer ‘metastatic’ 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. | - Tum ber: natna thunun, a lan chhuah dan tihtlem, leh nunphung tihchangtlun. - Enkawl dan: Hengte hi systemic treatment a ni a, taksa pum pui a nghawng a ni. Chemotherapy, hormonal therapy, targeted therapy, immunotherapy te hi a pawimawh ber a ni. - Radiation therapy emaw surgery emaw hi thil bik, natna tihziaawmna atan hman theih a ni. |
I doctor nen inbia ang che.
He thu hi a buaithlak deuhin a lang thei a, mahse a pawimawh ber chu heng enkawlna zawng zawng hi i enkawlna atanga hlawkna tam ber i hmuh theih nan ruahman a ni. I medical team chuan heng zawng zawng hi an sawipui ang che.
I zawhna leh hlauh zawng zawng list siam la, i doctor hnenah rawn hruai rawh. "He enkawlna hian eng nge a side effects ?", "Eng chen nge damdawi inah ka awm a ngai dawn?", "Ka ei leh in thlak danglam a ngai em?" I hriselna chungchanga thutlukna siamnaah hian active takin i tel ve a ni.
Breast cancer enkawlna zinkawng hi a harsa thei hle. Mahse hre reng ang che, tunlai damdawi lam thiamna sang tak nen chuan he natna hi tihdam theih a ni hle a, a bik takin a hmaa hriat chhuah a nih chuan. Tin, stage tinah nunphung tha tak neih theihna tura pui thei enkawlna tha tak tak tam tak a awm bawk.
Take-Home Thuchah a ni
- Breast cancer enkawlna hi mimal tinte tana thil danglam bik, mimal tinte tana thil tih dan (highly personalized process) a ni.
- Cancer stage hi enkawl dan tur tichiangtu lian tak a ni. Mahse, a ni lo. A nghawngtu dang tam tak a awm a, chung zingah chuan cancer chi hrang hrang, i hormone dinhmun leh i kum te pawh a tel.
- Cancer hmuhchhuah a nih hma chuan enkawlna kawng a tam zawk a, a dam kim theihna chance a sang zawk bawk.
- I doctor zawhna zawh leh i hlauhthawn leh i lungkhamna te sawi hlau ngai suh. I wellness journey-ah hian thil pawimawh tak i ni.
- Chhungte leh thiante thlawpna leh hmangaihna chu he zinkawngah hian chakna nasa tak a ni ang che. Mahni chauha beih tum suh.
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