Cancer i vei a, enkawl harsa i lo paltlang tawh a, tunah chuan engkim a tawp tawh tih i ngaihtuah a, engkim a tha vek tawh tih i ngaihtuah lai hian... chu cancer ang chiah chu a lo let leh tawh tih hriat chhuah ai chuan thinlung na zawk a awm lo mai thei. Hei hi mi tam takin an hmachhawn tur ngaihtuah phak loh harsatna a ni tak zet a ni. Chuti a nih chuan, cancer lo kir leh, a nih loh leh ‘recur’ tih hian eng nge a awmzia? Engvangin nge a lo awm? Chutiang dinhmunah chuan eng nge kan hriat ngai? Heng zawng zawng hi awlsam takin i hrethiam ang u, kan thian hnai tak nen kan inbia ang maiin.
A awlsam zawngin, cancer lo lang leh hian eng nge a awmzia?
Cancer recurrence chu a hmaa i cancer neih tawh kha i enkawl hnuah a lo let leh a ni. Hei hi enkawl a nih hnu thla engemaw zat chhung emaw, kum tam tak chhung emaw pawhin a thleng thei a ni.
A châng chuan i doctor chuan ‘remission’- ah i awm tih a hrilh thei che a ni . Chumi awmzia chu cancer symptoms i nei lo tihna a ni a, test-ah pawh cancer cell hmuh tur a awm lo tihna a ni. Mahse, remission-ah pawh cancer hi a la lo let leh thei tho.
Mahse, cancer lo lang leh chuan a tawp vek tihna a ni lo tih hre reng ang che. Tunlaia enkawlna changkang tak tak hmang hian mi tam tak chuan an lo nawn lehna chu an thunun thei a, kum tam tak chhung chu an dam tha thei tawh a ni.
Cancer a lo awm leh theih dante chu engte nge ni?
Doctor-te chuan cancer lo awm leh dan tur chu an thliar hrang a, a lo kir lehna hmun a zirin an thliar hrang thin. Kawng lian pathum-in a thleng thei.
| Resurfacing chi hrang hrang | Hrilhfiahna awlsam tak |
|---|---|
| Local Recurrence a awm leh thin | Hei hian cancer chu a hmaa a awmna hmunah emaw a bulah emaw a rawn let leh tihna a ni . Entirnan, prostate cancer paih chhuah tura operation an tih hnuah cancer cell te chu an lakchhuahna hmunah khan an lo thang leh thei a ni. |
| Regional Recurrence a awm leh ta | Hei hi cancer chu a hmaa a awmna bula lymph node emaw tissue emaw-a a lo kir leh hun a ni. Cancer chi thenkhat, entirnan, hnute cancer subtype thenkhat (triple negative breast cancer) te hi hetiang hian an lo kir leh duh zawk. |
| Hmun hla tak atanga lo lang leh thin | Hei hi cancer chu a hmuh hmasakna hmun atanga hla tak, taksa peng dang emaw, tissue dang emawa a darh hian a ni. Entirnan, lung cancer vei tu emaw chuan chutiang cancer chu thluaka a darh a, a lo lang leh thei a ni. |
Cancer chi hrang hrang nge lo lang leh thei ber?
Dik tak chuan cancer chi hrang hrang hi a lo lang leh thei a ni. Chuvangin lung cancer chauh a lo lang leh tih hi chiang taka sawi theih a ni lo. Mahse, zirchiannaah chuan cancer chi thenkhat chu a lo lang leh thei zawk tih hmuhchhuah a ni. Chung zingah chuan:
- Ovarian cancer a ni
- Skin cancer hmuhchhuah a nih laia taksa peng dangah a darh tawh (Metastatic melanoma) .
- Peripheral T-cell lymphoma (PTCL), cancer chi khat, non-Hodgkin lymphoma an tih
Mahse, heng percentage te hi estimate mai a ni tih hriat reng a pawimawh , eng cancer chi pawh i neih pawhin. He hlauhawmna hi thil tam takah a innghat a, chu chu cancer chi hrang hrang i neih dan te, a hmuhchhuah tirh laia a dinhmun te, leh a tir lama i enkawl dan te hi a ni. Chuvangin, i doctor chauhvin hemi chungchang hi a tha berin a pe thei che a ni.
Cancer lo kir lehna symptoms te chu engte nge ni?
A châng chuan, cancer lo kir lehna lan chhuah dan hi natna tlanglawn dangte nen a inang thei bawk. Chuvang chuan enkawl zawhah i taksa ngaihsak a pawimawh. I cancer chi chu a lo let leh a nih chuan eng symptom nge i neih theih ang tih i doctor nen sawiho rawh. A hnuaia symptoms te hi i neih chuan doctor hnenah hrilh nghal rawh.
| Symptoms fimkhur tur |
|---|
| - Cancer a awm tirh laia a lan chhuah dan ang chiah kha a lo lang leh thin (entir nan, cancer awmna hmunah chuan lump emaw tumor thar emaw a lo lang thin) |
| - Natna reh lo reng reng . |
| - Khuh chhunzawm zel, a dam lo. |
| - Chhan awm lova taksa rihna tihtlem . |
| - A tlangpui aia tam hliam emaw, thisen chhuah dan pangngai lo emaw. |
| - Khua a tlahniam lo. |
| - Lu na fo thin . |
| - Thâwk harsa (Dyspnea). |
| - Thisen chhuahna chu bawlhhlawh emaw zun emaw hmanga chhuak . |
| - Nausea leh luak chhuak . |
| - Chaw ei harsa (Dysphagia). |
Engvangin nge cancer hi a lo awm leh thin?
Hei hi hriatthiam harsa deuh a ni. Cancer cell te hi inthup hmêlma angin ngaihtuah rawh. Kan enkawlna (surgery, chemotherapy, radiation ang chi) hian cancer cell kan hmuh leh hmuh theih zawng zawng a tichhe vek a ni.
Mahse, a châng chuan taksa chhûnga khawi emaw laiah cancer cell tê tak tê, hriat theih loh tlemte chu a awm reng thei a ni. Entîr nân, operation an tih laiin cancer natna hrik an paih chhuah chuan, a chhehvêlah chuan mit hmuh theih loh leh hriat harsa tak, microscope hmang pawha cell tlemte a la awm thei a ni.
Heng cell la awm, hun engemaw chen muhil rengte hi thla emaw kum emaw hnuah an lo thang leh tan thin. Chutih lai chuan cancer chu a lo lang leh tawh kan ti.
Engtin nge cancer lo awm leh tawh chu i hriat theih ang?
Cancer a lo kir leh tawh em tih hriat nan doctor-te chuan a tir lama cancer hriat theihna atana an hman thin test chi hrang hrangte chu an hmang thin.
Thisen Test neih a ni
- Complete Blood Count (CBC): Hei hian i thisena red cell, white cell leh platelet awm zat a teh a ni. Hei hian i hriselna zawng zawng leh cancer a lo kir leh tawh loh hriatna engemaw zat a pe thei che a ni.
- Tumor Marker Tests: Heng test te hian thisen chhunga thil thenkhat (tumor marker) te, cancer cell emaw taksa chhunga cell dang emaw cancer chhanna atana siam chhuah te a zawng thin. Heng level te hi a san chuan cancer a lo let leh tawh tihna a ni thei.
- Liquid Biopsy: Hei hi technique thar a ni. I thisena cancer cell fragment emaw cancer DNA lo awm tawh emaw zawngna test.
Imaging Test te pawh a awm
- Computed Tomography (CT) scan: Hei hian taksa chhungril chipchiar taka thlalak a la a, cancer natna thar a awm leh awm loh, engzat nge a lian tih leh khawiah nge a awm tih hriat a ni.
- Magnetic Resonance Imaging (MRI): Hei hian taksa chhung lam thlalak chiang tak tak a siam thei bawk. Hei hi thluak leh ruhro ang chi hmuna tumor hmuhchhuahna atan a tangkai hle.
- Positron Emission Tomography (PET) scan: Hei hian taksaah sugar chi khat bik inject a ni. Cancer cells hian he sugar hi cell pangngai aiin an absorb rang zawk a, chuvangin scan hian awlsam takin cancer awmna hmun a hre thei a ni.
Biopsies tih a ni
Cancer a lo kir leh tawh em tih 100% a hriat chian theihna tur test pawimawh ber chu biopsy a ni. Hei hian rinhlelh awmna hmun atanga tissue te tak te lak a, microscope hmanga enfiah a, cancer cell a awm leh awm loh enfiah a ni.
Cancer lo awm leh tur enkawlna tur engte nge ni?
Cancer lo awm leh tawh enkawlna chu i dinhmun azirin a inang lo hle. I doctor chuan hetiang thil hi tih a tum mai thei:
- A hmasa ber ang bawka enkawlna (e.g. chemotherapy) tih leh.
- Cancer natna lo awm tharte chu surgery hmanga lakchhuah .
- Chemotherapy damdawi hrang hrang emaw damdawi inkawp hmanga hman.
- Damdawi chi hrang hrang, targeted treatment emaw immunotherapy emaw tih tum.
Enkawl dan tur kan rel dawn hian a hnuaia thilte hi kan ngaihtuah bawk:
- Cancer i neih chi hrang hrang: Cancer zawng zawng hi a inang vek lo.
- Cancer a lo let leh hun: Cancer chu enkawl hnu lawkah a lo let leh a nih chuan enkawl a harsa zawk mai thei.
- Cancer lo kir lehna hmun: A tir lama a awmna hmuna lo awm leh cancer enkawl chu taksa peng hla takah cancer darh tawh enkawl ai chuan a awlsam zawk mai thei.
- I hriselna dinhmun zawng zawng:I taksa hi enkawlna thar avanga side effects tuar thei tur khawpa chak a ngai a ni.
Heng enkawlna te nen hian palliative care ngaihtuah a pawimawh hle. Hei hian cancer a tidam lo va, cancer vanga natna, rilru hahna, leh hahna leh enkawlna avanga a side effects te chu a enkawl a, a theih ang anga i awm theih nan a pui zawk a ni.
Cancer relapse neia nun
Hriatrengna hlui pakhatin a rawn tibuai leh che ang mai a ni. Cancer vawi khat i do a, hnehna i chang tawh nia inngai hnuah, chutiang bawka indona chu i tan leh a ngai a ni. Hetiang dinhmunah hian lungngaihna, hlauhna leh beiseina nei lo anga inhriat hi thil pangngai tak a ni. Chu rilru put hmang chu a tak tak a ni a, a pawimawh hle bawk.
I cancer chu a lo kir leh tih i hriat veleh ngaihtuah turin hun engemaw chen pe la, thil awmdan chu hrethiam rawh. Tichuan, a ṭha thei ang bera nunpui tûra i tih theihte chu ngaihtuah ṭan rawh.
- Ei leh in tha tak, inthlau tak ei rawh. I tana tha tur meal plan siam turin nutritionist tanpuina la la a tha ber.
- Exercise engemaw zat nei rawh. Kea kal ang chi thil awlsam tak pawh hian stress tihziaawmna leh taksa chakna tipung thei a ni. Mahse, exercise regimen eng pawh i tan hmain doctor hnenah zawt hmasa phawt ang che.
- Zu i in emaw, zu i in emaw chuan chutiang thil tih chu bansan tum ang che.
- Mut tha rawh. Taksa tan chawlh hahdam a pawimawh.
Engtin nge enkawl ka duh leh duh loh ka tih ang?
Hei hi thutlukna awlsam a ni lo. Hemi hun chhunga i tanpui thei tur step thenkhat chu hetiang hi a ni:
1. I enkawl dan tur leh a side effect te hrethiam rawh: I oncologist leh medical team te nen inbia ang che. Zawhna i hriat ngai apiang zawt rawh.
2. Hemi chungchang hi i chhungte leh i hmangaihte hnenah sawipui rawh: An thlawpna hian thutlukna i siam apiangah a tichak ang che.
3. Specialist dang hnen atanga ngaihdan pahnihna lak ngaihtuah rawh: Damdawi in dangah i tana tha tur enkawlna chi hrang hrang a awm thei.
4. Clinical trial-a i tel theih leh theih loh doctor zawt rawh: Hengte hi enkawlna thar him leh that loh chhui chianna zirchianna a ni.
A tawpah chuan enkawlna zawng leh zawn loh thutlukna chu nangmahin i siam a ni. I doctor, i chhungte leh midang zawng zawngin i ngaihdan hi ngaihtuah se, mahse thutlukna hnuhnung ber chu nangmah thu a ni. Chu thutlukna chu mi zawng zawngin zah vek tur a ni.
Take-Home Thuchah a ni
- Cancer recurrence chu enkawl hnua cancer ang chiah lo kir lehna a ni.
- Hei hi a hmaa cancer awmna hmun (local), a bul hnaia (regional), emaw taksa chhunga hla (distance) emaw hmunah pawh a ni thei.
- Sawifiah loh taka taksa rihna tlahniam, natna emaw khuh reng reng, leh lump thar ang chi symptoms te chu fimkhur hle ang che. Thil ngaihtuah tur i neih chuan doctor pan nghal rawh.
- Cancer lo awm leh tawh tan chuan enkawlna kawng hrang hrang a awm. Beiseina bansan suh.
- Enkawlna zawng leh zawn loh thutlukna chu nangmahin a ni. I mamawh thu hriat zawng zawng chu la la, i ṭhiante nên sawi la, i tâna ṭha nia i hriat thu tlûkna siam rawh.
- He zinkawng hi nangmah chauhin paltlang suh. I medical team, chhungte leh i thiante hnen atangin tanpuina dawng rawh.
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