“Cancer” tih thumal kan hriat hian hlauhna leh manganna nasa tak kan nei hi thil pangngai tak a ni. Chutiang bawkin “chemo” leh “ radiation ” tih thumalte pawh hi a ni. Nangmah emaw, i hmangaih tak emaw chu heng enkawlnate hi i lo hrilh tawh pawh a ni mai thei. Chûngte chu eng nge an nih, engvângin nge an tih, leh an pahnih inthlauhna chu eng nge ni tih chungchângah zawhna lian tak tak i rilruah i nei thei a ni. Lungngai suh. Vawiin hian he thu hi awlsam tak leh ngilnei takin i sawi dawn nia.
Engvangin nge he enkawlna hi tih a nih? Tum berte chu engte nge ni?
Chemotherapy leh radiation therapy te hi cancer cell tihhlum emaw control nana hmanraw lian ber pahnih a ni. A awlsam zawngin sawi ila, cancer hi kan taksaa cell-te chu thunun theih loha an lo thang lian a, a chhehvel tissue-ah a darh zel a ni. Chuvangin heng enkawlna pahnih tum ber chu a inang vek a ni.
- Damna famkim: A tum ber leh pawimawh ber chu taksaa cancer cell zawng zawng tihchhiat a, cancer lo kir leh tawh lo tura ven hi a ni.
- Control: Tumor tihtlem, a than chak lohna , emaw, cancer cell taksa hmun danga darh zel tur tihtawp emaw, control emaw.
- Relief : A then phei chuan cancer hi a dam kim thei lo. Chutiang hunah chuan heng enkawlnate hian a tum ber chu cancer tihtlem a, natna leh natna dangte tihziaawm a ni. Hei hi “Palliative Care ” kan ti bawk.
Chumi awmzia chu, cancer hi tihdam theih loh pawh nise, heng enkawlnate hian i nunphung nasa takin a tichangtlung thei a, natna nei lova nun a pui thei che a ni.
Engtin nge heng pahnih hian hna an thawh? Hetah hian a danglamna ber chu a awm!
Chemo leh radiation pahnih hian cancer cell te chu bei mah se, hmanraw danglam tak an ni. He danglamna hi hriatthiamna hian he thupui chungchanga i zawhna tam tak chu a chhang ang.
Chemotherapy hmanga enkawl a ni
Hetiang hian han ngaihtuah teh: Chemo hi damdawi chi khat bik a ni a, kan taksa pum puiah a kal kual a ni. He damdawi hi pill angin emaw, tui (saline ang) angin pek a ni a, chu chu vein-ah inject a ni. He damdawi hi kan thisenah a lut a, kan taksa pum puiah a fang kual a. Chuvangin, cancer bul tanna primary tumor chauh ni lovin, taksa peng danga cancer cells te pawh a hmuchhuak thei a, a tichhia thei bawk. Taksa system pumpui a nghawng avangin “systemic treatment” kan ti a ni.
Radiation hmanga enkawlna a ni
Radiation hi damdawi chi khat a ni lo. Energy sang tak nei ray, X-ray ang chi beam hmangin cancer cell te a tichhia a ni. Torch lian takin hmun khatah êng zungbun chiang takin a ti eng ang maiin han ngaihtuah teh. He inenkawlna hi “local treatment” an ti tlangpui. Chumi awmzia chu, rays te hi cancer cell awmna hmun bik chauh a ni tihna a ni. Chuvangin taksa pumpui a nghawng lo.
Engtin nge eng enkawlna nge i mamawh tih i rel?
Hei hi mi tam takin zawhna lian ber a ni. “Chemo ka mamawh em?Radiation?A nih loh leh a pahnih hian?”
He thutlukna hi medical team-in an siam a, i doctor kaihhruaina hnuaiah . Thil engemaw zatin a nghawng a ni.
- Cancer i neih chi hrang hrang.
- Cancer stage, chu chu a darh zau zia a ni.
- Cancer natna awmna hmun leh a lian zawng.
- I hriselna zawng zawng.
Vawi tam tak chu doctor-te chuan enkawlna kawng khat chauhah an innghat lo. A rah chhuah ṭha ber tûr chuan, tumor paih chhuahna tûr operation te, chemotherapy te, radiation therapy te, leh enkawlna thar zâwkte chu an inzawm khawm thei a ni.Thiltih dan engemaw zat, "targeted therapies" leh " immunotherapy ," te chu inzawmkhawmin enkawlna ruahmanna siam theih a ni.
Doctor zawhna zawh pawh hlau suh. Treatment plan hrang hrang, an thatna leh that lohna te chiang takin sawi rawh. Engkim hrethiam turin dikna i nei a ni.
Enkawl dante chu engte nge ni?
Heng enkawlna pahnihte hi a tlangpuiin damdawi in emaw, clinic emaw-ah ni bik lo kal a, kar emaw thla engemaw zat emaw chhunga dawng tur a ni. Mahse, a hun rei zawng leh enkawl dan hi mi hrang hrangah a inang lo. Heng enkawlna pek dan hrang hrangte hi han thlir ila.
| Enkawlna chi hrang hrang | Delivery dan leh sawifiahna |
|---|---|
| IV (thil thisenah) 1.1. | Cannula emaw special tube (port) emaw hmanga vein chhunga direct-a damdawi pek. Hei hi hmanraw hman tlanglawn ber a ni. |
| Oral hmanga tih a ni | In lama i ei theih tur pill emaw capsule emaw angin pek a ni. |
| Injection pek a ni | Damdawi vun hnuaiah emaw, taksa ruh chhungah emaw needle hmanga inject. |
| Pawn lam atanga Radiation a awm | Taksa pawn lama machine lian tak chuan cancer tan chauh high-energy rays a pe chhuak thin. Natna engmah i hre lovang. |
| Internal Radiation a awm thin | Hei hi a hming dang chu brachytherapy a ni. Hetah hian radioactive chi te tak te chu cancer natna hrik chhungah emaw, a hnaih hle emaw hmangin surgery hmangin an dah a ni. |
| Systemic Radiation hmanga siam a ni | Hei hi hman tlanglawn lo mah se, a chang chuan radiation hi taksa pum tichhe thei tur, chemotherapy ang chiah hian pek a ni. Chumi awmzia chu ei tur pill angin emaw, vein-a injection angin emaw pek a ni tihna a ni. |
Side effects te pawh i fimkhur ang u.
Hei hi mi zawng zawng ti hlauhawm ber chu a ni. Ni e, cancer cell an tihchhiat chuan an chhehvela cell hrisel thenkhat pawh a chhe thei bawk. Chu chuan side effect a thlen thin. Mahse, heng side effects te hi enkawlna chi hrang hrang, a zat leh mi tinte a zirin a inang lo hle tih hre reng ang che. Mi pakhat tana hnathawk chu mi dang tan a thawk lo mai thei.
Enkawlna pahnih nena inmil lo thei tur side effect thenkhat chu:
- Chau lutuk
- Sam tlakchhamna
- Nausea leh luak chhuak
- Kawthalo
- Vun inthlak danglam (vun vawt, sen, hring) .
- Anemia, taksaa thisen tlakchhamna tihna a ni
Side effect hrang hrang a awm
Radiation hi local treatment a nih avangin side effects hi enkawl mekna hmunah a tam ber a ni. Entirnan, mi pakhatin a kawr thlenga radiation dawngtu chuan ei harsa a ti thei. Mi pakhatin a rilruah radiation a dawng a, a khuh emaw, thawk harsatna emaw a nei thei.
Mahse, chemo hi systemic treatment a nih avangin a side effects hian taksa pum a nghawng tlangpui.
A pawimawh ber chu i doctor emaw, medical team emaw hnenah side effect i neih apiang, a tenau tak tak pawh ni se, hrilh hi a ni . A tam zawk chu control leh tihtlem nan damdawi a awm. Chuvang chuan engmah lo vawn reng suh la, hrehawm tuar rawh.
Take-Home Thuchah a ni
- Chemotherapy hi taksa pumpui (systemic) a fang kual a ni. Radiation hi cancer awmna hmun bik (local) chauh target-a enkawlna a ni. Hei hi a danglamna ber a ni.
- Enkawlna pahnih hian a tum ber chu cancer tihdam, control emaw, a natna lan chhuah dan atanga hahdamna pek emaw a ni.
- I tana tha tur treatment plan chu i medical team ten i cancer chi leh stage a zirin an ruat ang a, chubakah i hriselna zawng zawng a zirin a ni bawk ang.
- Side effect hi a awm fo a, mahse a tam zawkah chuan control theih a ni. I rilru hahna eng pawh doctor hnenah hrilh hreh suh .
- He zinkawngah hian nangmah chauh i awm lo. Medical team lian tak tak, doctor leh nurse te pawh an awm a, an tanpui tur che leh enkawltu tur che an ni. Chuvangin chak takin awm rawh.
Cancer, Chemo, Radiation, Cancer, Cancer Enkawlna, Side Effects, Sri Lanka
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