Cancer enkawlna chungchang kan sawi hian ‘Adjuvant Chemotherapy’ leh ‘Neoadjuvant Chemotherapy’ tih ang chi thumal i hre tawh mai thei. Heng thumalte hi a buaithlak deuhin a lang thei a, a ti hlauhawm thei bawk. Mahse a takah chuan chutiang chuan an buaithlak lo. Vawiin hian heng enkawlna pahnih chungchang hi i hriatthiam theih tur khawpa awlsam takin kan sawi dawn a ni.
‘Adjuvant Chemotherapy’ tih hi eng nge ni?
A awlsam zawngin, adjuvant chemotherapy chu i cancer enkawlna ber (surgery ang chi) *hnua* pek chemotherapy a ni. A chang chuan "preventive chemotherapy" an ti bawk.
Hetiang hian han ngaihtuah teh. I huana hnim lian tak tak thenkhat chu hruihrual hmangin i paih chhuak thin. Mahse, leiah hian mit hmuh theih loh thlai chi te te leh hnim chi te chu a la awm thei tho a ni lawm ni? I kalsan chuan thlai chi hi rei vak lo hnuah a lo thang leh thei a ni.
Adjuvant chemotherapy hi chutiang thil chu a ni. I taksa atanga cancer chu operation hmangin i paih chhuak vek tawh ang u. Mahse, a châng chuan taksa hmun dangah cancer cell tenau tak tak tlemte, mit chauha hmuh theih loh emaw, scan hmanga hriat theih loh emaw a awm thei bawk. He enkawlna hian a tum ber chu chu cancer cell la awmte chu zawn chhuah leh tihchhiat a ni a, chu chuan cancer lo kir leh (recurrence) theihna chu a theih ang anga tihtlem a ni.
Chuti a nih chuan ‘Neoadjuvant Chemotherapy’ tih hi eng nge ni?
Hei hi a hmaa sawi tawh nen a inkalhin a ni. Neoadjuvant chemotherapy chu enkawlna bulpui *hma* pek, chu chu surgery tihna a ni.
Hei hian thil tum lian tak tak engemaw zat a nei a:
- Tumor tihtlem: Surgery hmaa chemotherapy pek a nih chuan tumor tihtlem nan surgeon tan chuan operation neih laiin lakchhuah a awlsam hle.
- Tumor lian leh te tihziaawmna tur surgery: A chang chuan, tumor lian tak a nih avangin surgery lian tak neih a ngai thin. Entirnan, hnute cancer a nih chuan, hnute pum pui lakchhuah (mastectomy), leh neoadjuvant therapy hmanga tumor chu tihtlem a nih chuan, tumor chauh lakchhuahna surgery tenau zawk (lumpectomy) hmanga tihfel theih a ni mai thei.
- Enkawlna result tihchangtlun: Surgery hmanga tumor lakchhuah hian enkawlna hlawhtlinna a tipung thei a ni.
Reference awlsam zawk nan he table hi en rawh.
| Nihphung | Adjuvant Chemotherapy hmanga enkawl a ni | Neoadjuvant Chemotherapy hmanga enkawl a ni |
|---|---|---|
| Thilpek hun | Enkawlna ber (surgery) hnuah . | Enkawlna bulpui (surgery) hmain . |
| Tum ber chu | Cancer cell la awmte tihchhiat la, cancer lo kir leh tur venna | Surgery awlsam zawk nan tumor tihtlem |
Heng enkawlnate hian eng side effect nge a neih tlangpui?
Chemotherapy chungchang sawiin mi tam takin an hlauh ber pakhat chu a side effects hi a ni. Damdawi pahnih (e.g. 5-FU, Taxanes, Anthracyclines)-a hman te hi a inang fo avangin a side effect pawh a inang hle.
Engvangin nge heng side effects te hi a lo awm? A awlsam zawngin, chemotherapy damdawi chuan cell inṭhen darh chak takte chu a target a ni . Cancer cell hi cell chi khat, a inthen darh chak em em a ni. Mahse kan taksaa cell hrisel thenkhat, entîr nân, hair follicle cell, kan ka chhûnga line siamtu cell, thisen cell leh immune cell-te pawh hi an inṭhen darh chak hle bawk. Chuvangin chemotherapy damdawi hian heng cell hrisel tak takte hi a tichhe deuh thei bawk. Chuvang chuan side effect a awm thin.
Hengte hi side effects awm fo thin thenkhat chu an ni:
- Chau lutuk
- Sam tlakchhamna
- Kawngkhar natna
- Nausea leh luak chhuak
- Diarrhea emaw constipation emaw a awm thei
- Natna hrik kai awlsamna
- Nerve lama harsatna, taksa peng hrang hranga natna (numbness) ang chi te
- Harsatna concentrating a awm
A pawimawh ber chu heng side effects te hi hlau lo tur a ni. I medical team te chu anmahni enkawl dan tur leh an nghawng tih tlem nan tanpui turin an awm a ni. Tin, mi zawng zawng hian heng side effect zawng zawng hi an tawng vek dawn lo. Mi thenkhatin side effect an neih loh vang mai mai chuan enkawlna a thawk tha lo tihna a ni lo.
Zawhna i doctor zawh ngei ngei tur
I doctor-in hetiang enkawlna chi hi a rawt a nih chuan chiang taka sawi chu i dikna a ni. Engmah kha chelh tlat suh. Zawhna pawimawh tak tak i zawh theihte chu hetiang hi a ni.
| Adjuvant Chemotherapy chungchang zawt la (operation hnuah) . | Neoadjuvant Chemotherapy chungchang zawt la (operation hmain) |
|---|---|
| Engtin nge he enkawlna hi ka pek ang? (Intravesically? Pills angin?) | He enkawlna atan hian eng damdawi nge ka pek ang? |
| He enkawlna hian eng chen nge a daih? | He enkawlna hian eng chen nge a daih? |
| He damdawi hi ei loh chuan cancer lo let leh theihna tur eng nge ni? | He enkawlna hian engtin nge ka surgery hi a nghawng ang? |
| Side effect awm thei te chu engte nge ni? Eng chen nge an awm ang? | Side effect awm thei te chu engte nge ni? Eng chen nge an awm ang? |
| Engtin nge chutiang side effects chu i control theih ang? | Chutiang side effects te chu engtin nge i tih? |
| He enkawlna ai hian a dang a awm em? | Hetiang enkawlna ai hian thil dang tih theih a awm em? |
Heng zawng zawng hi i doctor nen inhawng takin sawi rawh tih hre reng ang che. I hlauhthawnna leh rinhlelhna zawng zawng chu a ngaithla vek ang. I dikna a ni a, i enkawlna tha taka tuar chhuak thei turin chakna a pe ang che.
Take-Home Thuchah a ni
- Adjuvant chemotherapy chu enkawlna lian tham , surgery ang chi, chemotherapy pek a ni. A tum ber chu cancer cell la awm zawng zawng tihchhiat a, cancer lo kir leh tawh lo tura ven hi a ni.
- Neoadjuvant chemotherapy hi enkawlna lian tak, surgery ang chi hmaa chemotherapy pek thin a ni. A tum ber chu tumor tihtlem a ni a, surgery awlsam zawk leh hlawhtling zawka siam a ni.
- Heng enkawlna pahnihte hian side effect a nei thei a, mahse a enkawl dan leh a nghawng tih tlem nan hmanraw leh damdawi chi hrang hrang a awm a ni.
- I doctor nen hian zalen takin inbiakna nei la, eng damdawi nge i tan a tha ber tih hriatthiamna chiang tak i nei ang a, a thatna leh that lohna te pawh i hrethiam ang.
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