‘Cancer’ tih tawngkam kan hriat pawhin kan hlauthawng hle. Tin. Kan rilrua zawhna lo lutte hi a tawp thei lo. ‘Engvangin nge hetiang thil hi ka chungah a lo thlen?’, ‘Tunah hian eng nge thleng ang?’, ‘Hei hi tihdam theih a ni em?’, ‘Enkawlna a zawh hnuah a rawn let leh ang em?’... I rilruah hetiang zawhna sangkhat vel i nei ngei ang. Chuvangin vawiin hian hnute cancer-in hmeichhe naupang a nghawng dan kan sawi dawn a, heng zawhna i rilrua i neihte hi chhanna mai mai tur a ni.
Hnute pakhatah cancer a lo awm a nih chuan hnute dangah pawh a lo awm thei ang em?
Hei hi mi tam tak tan chuan hlauhthawnna lian tak a ni. Mahse a nihna takah chuan hmeichhe naupang tam zawk chuan an hnute hrisel dang ah cancer thar an vei theihna chance a hniam hle . He risk hi eng ang chiah nge a nih tih hi thil engemaw zatah a innghat a ni.
- I genetic makeup: Hei hian cancer vei theihna tipungtu genetic mutations i neih leh neih loh a nghawng a ni.
- Cancer i neih chi hrang hrang: Hnute cancer chi hrang hrang a awm a. Risk hi a chi hrang hrang a zirin a danglam thei.
- Enkawlna i dawn dan: He hlauhawmna hi i enkawlna a zirin a danglam bawk.
Chuvangin, doctor-te chuan cancer vei hnute chauh (lumpectomy) emaw, a tul chuan hnute pumpui (mastectomy) emaw lak chhuah an tum tlangpui a, chutih rualin hnute hrisel dang chu an humhim bawk. Hei hi hnute humhalhna an ti a. Risk bik a awm loh chuan hnute hrisel chu lakchhuah hi a tha lo tlangpui.
Genetic testing neih a ngai em?
Ni e, hei hi a pawimawh hle. A bik takin kum 45 hnuai lam i nih chuan hnute cancer i vei tih hmuhchhuah a nih chuan i doctor nen genetic testing chungchang hi sawipui ngei ang che.
Engvangin nge heng genetic test te hi a pawimawh em em?
Kan taksaah hian gene chi hnih a awm a, `BRCA1` leh `BRCA2`. Heng genes-ah hian mutation a awm chuan hnute cancer leh cancer dang thenkhat vei theihna a sang hle.
A pawimawh ber chu, i chhungkuaa tumahin hnute cancer nei lo mahse, he genetic mutation hi i la nei thei tho a ni. Chuvangin, "Kan chhungkuaah tumahin an nei lo" tih ngaihtuahin he test hi skip suh.
He test hian hlawkna engemaw zat a nei a:
- I hmalam hun atana i hlauhawmna chu i hre thei ang: He genetic mutation hi i neih chuan nakin lawka cancer i vei theihna tur risk i hre thei a, a venna atana a tul angin hma i la thei bawk.
- Enkawlna hriatfiah nan a pui: Cancer enkawlna thenkhat chu he genetic information atanga teh a ni.
- I chhungte tan pawh a pawimawh hle: He genetic mutation hi i nei tih i hriat chuan i chhungte hnai tak tak, i nu, i pa, i unaute leh i fate pawh hi an hlauhawm em tih enfiah theih a ni.
Kum 25 hnuah he test hi ngaihtuah a tha tlangpui a, mahse chumi hmaa hriat i duh chuan i doctor leh genetic counselor te nen inbia ang che.
Cancer Enkawlna leh a Side Effects chungchang
Enkawl dan leh a nghawng tha lo chungchangah zawhna tam tak i nei ngei ang. Anni hi han thlir ila.
Endocrine Therapy hmanga harsatna awm thei
Hnute cancer chi thenkhat hi hormone estrogen vang a ni. Endocrine therapy, a nih loh leh hormone therapy hian heng hormone te hnathawh hi a tikhawlo a ni. Hemi atan hian damdawi Tamoxifen leh Aromatase Inhibitors te hman a ni.
Doctor-te chuan he enkawlna hi hun rei tak, kum 5 emaw, kum 10 emaw chhung atan an rawt fo . Hei hian cancer lo kir leh theihna chu nasa takin a tihziaawm thei a ni. Mahse, mi thenkhat chuan he enkawlna atang hian side effect an nei thei a ni. Entirnan, hot flashes, ruh natna, leh mood inthlak danglamna te.
A pawimawh ber: Side effect i neih nia i hriat vang mai maia enkawlna kha titawp suh. I oncologist nen inbia ngei ang che. Damdawi dang i thlak thei a, a dose i thlak thei a, a side effects enkawl dan dang pawh i hmang thei bawk.
Topical estrogens hi vaginal dryness atan a him em?
Hmeichhe thenkhatin hormone therapy hmanga harsatna an tawh dang chu vaginal dryness hi a ni. Chumi atan chuan topical estrogens a awm bawk. Mahse, hnute cancer vei tawh tan chuan hengte hi engtiang chiahin nge a him tih data chiang tak a la awm lo.
Chuvangin, doctor-te chuan non -hormonal moisturizer leh lubricants te hi enchhin hmasak an rawt a ni. Hengte hian harsatna a chinfel loh chauhvin hormonal cream hi fimkhur hle chungin ngaihtuah a ni a, a tul chuan chauh ngaihtuah a ni. Hemi chungchangah hian thutlukna i siam hmain i oncologist leh gynecologist te nen inbiakna neih hmasak a pawimawh hle.
Cancer lo lang leh hlauhna nen engtin nge kan nun theih ang?
I enkawlna zawng zawng a zawh hnuah pawh "A lo let leh ang em?" Hei hi cancer atanga dam chhuak apiang tan chuan hriatna tlanglawn tak a ni. He lungkhamna hi i hmachhawn theih nan thil tlemte i tih theih a ni.
| Thiltih | A sawifiahna leh a thatna |
|---|---|
| Thâwk thûk tak | Lungkhamna emaw, lungkhamna emaw i neih chuan hmun reh takah thu la, thawk la. Hei hian i rilru leh taksa a ti hahdam thei ang. |
| Exercise tih hi a ni | Nitin exercise i duh zawng, kea kal emaw yoga emaw ang chi ti rawh. Exercise hian taksaah hormone hlim tak a tichhuak a, chu chuan stress a tiziaawm a ni. |
| Thusawi | I rilru put hmang i rintlak, i chhûngte, i doctor, a nih loh leh counselor-te nêna i rilru put hmang sawi chu a chhûnga bottle-a dah reng ai chuan a hmachhawn theih dân kawng ṭha zâwk a ni thei. |
| Nunphung hrisel tak | Mut tam la, chaw tha tak tak ei la, zu leh caffeine in tlem a, chu chuan lungkhamna a tipung thei a ni. |
Nu naupang cancer vei tawh chuan a fa chu a hnute a pe thei ang em?
Hei hi nu naupang tam tak tan pawh harsatna a ni. A châng chuan a theih a ni. Hei hi a thlen theih nan thil engemaw zat tihhlawhtlin a ngai a ni. I cancer enkawlna chu a zo vek tur a ni a, a nih loh leh i doctor thurawn angin hun eng emaw chen chu tihtawp a ni tur a ni. Tin, operation hnua hnute tissue leh hnute hnute tui siamtu thenkhat i neih a ngai bawk. Mahse, radiation therapy i lo dawng tawh a nih chuan hnute pek hi a harsa deuh mai thei. Thutlukna tha ber chu hemi chungchang hi doctor nen inbiakna neih hi a ni.
Ṭanpuina i hmuh theihna tur resources
He zinkawngah hian nangmah chauh i ni lo. I tanpui tur leh i mamawh information pe tur che mi leh pawl tam tak an awm a.
1. I medical team: A hmasa berah chuan i doctor leh medical team te nen engkim hi zalen taka sawipui a pawimawh.
2. Social Worker: Cancer damdawi in tam takah chuan rilru lam leh khawtlang harsatna hrang hranga tanpui thei tur social worker trained an nei a.
3. Website rintlak: Online-a thu hriat tur i zawn hian rintlak source chauh en fo ang che. Khawvel huapa hriat hlawh pawl hrang hrangte website-ah `Susan G. Komen`, `Living Beyond Breast Cancer`, `Young Survival Coalition`, `American Cancer Society` te hian thu tha tak tak an nei a.
Take-Home Thuchah a ni
- Kum naupan laiah hnute cancer hi a lo awm thei a, chuvangin i hnuteah danglamna i hmuh chuan doctor lam pan nghal rawh.
- Kum 40 hnuai lam chu hnute cancer a vei tih hmuhchhuah a nih chuan genetic testing neih a pawimawh hle.
- Cancer lo kir leh hlauhna hi thil pangngai a ni. Psychological support zawng hreh suh la, chawlh hahdam dan tur zawng rawh.
- Hun rei tak chhunga enkawlna, hormone therapy ang chi atanga side effect i neih chuan i doctor nen inbia la, a chinfel dan tur zawng rawh. Nangmah chauhin enkawlna hi titawp ngai suh.
- He insualnaah hian nangmah chauh i ni lo. I chhungte, i thiante leh i medical team te chuan an thlawp reng che a ni.
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