Mi pakhatin cancer a vei tih hmuhchhuah a nih huna zawhna, hlauhthawnna leh lungkhamna lo langte chu thuin sawi chhuah a harsa hle. Nang emaw i hriat emaw pawhin hetiang thil hi i tawng tawh a nih chuan i doctor nena in inbiaknaah "Stage" tih thumal hi i hre tawh ngei ang. "Hei hi Stage II a ni," "Stage IV a nih avangin a serious deuh" tih ang chi thu i hriat hian heng number leh letter te awmzia hriatthiam hi a buaithlak deuh thei. Mahse, hlau suh. Hei hi i hriatthiam theih dan tur, awlsam tak tak hmanga sawifiah tum a ni.
Cancer stage hi eng nge ni tak tak?
A awlsam zawngin sawi ila, cancer stage hi i taksaah cancer a darh zau zia leh a nasat dan tehna a ni. Kan zin chhuah hunah kan kalna tur zawng turin map kan hmang ang bawkin, he map ‘Stage’ tih hian doctor-te chu i cancer enkawlna tha ber tur ruahmanna siam turin a pui a ni.
Oncologist-te chuan he hmanrua hi natna hriatchhuahna atan te, enkawl dan tur ruahmanna siam nan te, leh chu enkawlnate hlawhtlinna tehna atan te an hmang thin.
Heng number leh letter te hian ti hlauhawm che suh. Hei hi doctor-te’n enkawlna tha ber an pek theihna tura scientific method mai a ni. I doctor chuan hei hi chipchiar takin a hrilhfiah ang che.
Engvangin nge he stage hi doctor te tan a pawimawh em em?
Cancer enkawl hi team sport ang mai a ni. Doctor pakhat chauh a ni lo va, mi tam tak chuan surgeon, oncologist, leh radiation therapist te thawhhona tha tak tak an duh a ni. Chuvangin mi zawng zawng hian cancer dinhmun hi chutiang bawka hrethiam tur chuan tawng inang kan mamawh a ni. Chu tawng hman tlanglawn chu Staging System a ni .
Hei hi a pawimawh chhan lian tak tak engemaw zat a awm a:
- Enkawlna tha ber thlang rawh: Cancer stage hian surgery, chemotherapy, radiation, a nih loh leh heng zawng zawng inzawmkhawm hman a nih leh nih loh a hril a ni. Stage I cancer enkawl dan hi Stage IV cancer enkawl dan nen a inang lo.
- Nakin hun tur ngaihtuahna nei rawh: Cancer stage a zirin, cancer chi hrang hrang a zirin, doctor-te chuan damlo dam leh theihna chance leh eng chen nge enkawl a ngaih dawn tih chu a rough idea an nei thei a ni.
- Medical team tan awlsamna: Doctor pakhatin doctor dang hnenah damlo chungchang a hrilh a, "Stage IIIB hnute cancer" a tih chuan ngaithlatu doctor chuan damlo dinhmun chiang zawkin a hmu thei a ni.
- Research thar atana tanpuina:Hetiang hmanrua hi khawvel hmun hrang hranga cancer zirchiangtu scientist-te tan a \angkai hle a, damlo chi khat leh a hun laia enkawl damlote enkawlna result tehkhin a, damdawi thar \ha zawk zawng chhuak turin a \angkai hle.
Engtin nge he cancer stage hi an hriat theih?
Doctor-te chuan cancer stage an hriat hian thil pawimawh pathum an ngaihtuah a, chungte chu:
1. Tumor lian leh te: Tumor hi engzat nge a lian? Engtiang chiahin nge a chhehvel tissue-ah a darh tawh?
2. Tumor awmna hmun: Cancer hi a bul tanna hmunah a awm em?
3. Insem darh: Cancer hi a bul tanna hmun piah lamah, a bul hnaia lymph node-ah emaw, taksa peng hla tak tak dangah emaw a darh tawh em?
Heng thilte hriatchhuahna atana test hman dan te hi a hnuah kan sawi leh ang. Tunah chuan heng case hrang hrangte hi an classified dan tlangpui hi han thlir ila.
Cancer stage hrang hrang zat (Stages 0-IV) 1.1.
Solid tumor tam zawk hi zero atanga pali thlenga number hmanga classified an ni. A pakhat zel hi awlsam takin han thlir ila.
| Dawhsan | A awmzia mai mai |
|---|---|
| Stage 0 ah a awm | Hei hi ‘pre-cancerous’ condition tia sawi theih a ni bawk. Hetah hian cell pangngai lo thenkhat a awm. Mahse chu cell te chu an bul tanna hmun aiin an darh zau lo. Thlai chi la chhuak lo, mahse a lo chhuak thei ang mai a ni. If detected at this stage , a dam vek thei fo. |
| Stage I (Stage 1) a ni. | Cancer chu a darh tawh a, mahse a tumor chu a te hle . Tin, a bul tanna hmunah chauh a innghat bawk. A bul hnaia lymph node emaw taksa peng dangah emaw a darh lo. |
| Stage II (Stage 2) a ni. | Tumor hi a hma aiin a lian deuh hlek a .. A hnai ber rulhut chu pakhat emaw pahnih emaw-ah an darh tawh mai thei a, a bo mai thei bawk. Mahse taksa hmun hla takah an darh lo. |
| Stage III (Stage 3) a ni. | Tumor hi a lian chho zel a, a chhehvel tissue te chu a rawn lut ta a ni. A bul hnaia lymph node engemaw zatah pawh a darh tawh a rinawm . Mahse taksa peng hrang hrang (liver emaw lung emaw ang chi)-ah a la darh lo. |
| Stage IV (Stage 4) a ni. | Hei hi stage serious ber a ni . Cancer hi a bul tanna hmun atanga hla takah taksa peng dangah a darh (metastasized) tawh a ni. Entîr nân, hnute cancer hi thin, lung, a nih loh leh thluak lamah a darh thei a ni. Hei hi metastatic cancer an ti bawk . |
Hêng letter A, B, leh C te hian eng nge a awmzia?
A châng chuan i doctor-in "Stage IIA (2A)" emaw "Stage IIIB (3B)" emaw a tih i hre thei bawk. Hei hi cancer stage chungchang chipchiar zawka hriat theih nan number-ah lehkha dah a ni.
A tlangpuiin, number inang hnuaiah hian A letter hian a darh zau zawk, a na lo zawk tih a tilang a ni. Letter te hmalam pan zel (B, C) chuan a nasat dan leh a tlan chakna a sang chho zel a.
Entir nan:
- Stage IIB hi Stage IIA aiin a na deuh deuh a.
- Mahse Stage IIIA hi Stage IIB aiin a na zawk (a chhan chu III a nih vang a ni).
TNM system hi eng nge ni?
Hei hi scientific method dang a ni a, khawvel hmun hrang hrangah cancer vei te thliar hranna atana hman lar tak a ni. A hmaa kan sawi tawh thil pawimawh pathumte chu a teh a ni.
| Lehkhathawn | A hming kimchang | Hei hian eng nge a teh? |
|---|---|---|
| T. A rilru a buai em em a | Tumor a ni | Cancer tumor hmasa ber ang khaTin, a chhehvel tissue-ah eng chen nge a darh tawh tih a teh bawk (e.g. T1, T2, T3, T4 - a tam poh leh tumor a lian/thuk zawk). |
| N | Node a ni | Cancer chu a bul hnaia lymph node -ah a darh em tih a teh a, a darh a nih chuan eng chen nge (e.g., N0 - a darh lo, N1, N2 - a darh zau) tih a teh bawk. |
| M | Metastasis (hla taka darh) 1.1. | Kan taksa peng hrang hrang (e.g. M0 - hla taka darh lo, M1 - hla taka darh)-ah cancer a darh tawh em tih a teh a ni. |
I doctor chuan T, N, leh M value te chu a add up ang a, i stage pum pui (e.g., Stage IIB) a hriat theih ang. Mahse, TNM system hi solid tumor, hnute, lung, leh colon cancer te tan hman a ni ber. Thisen cancer, leukemia ang chi classification system dang hman a ni.
Cancer vei theihna tur eng test nge tih thin?
Doctor-te chuan i cancer dinhmun dik tak hriat nan test hrang hrang an hmang thin. Chung zinga ṭhenkhat chu:
- CT scan (Computed Tomography scan): Hei hian taksa chhung lam chu three-dimensional (3D) image a la a, cancer awmna hmun, a lian zia leh a chhehvel taksa peng hrang hrangah a darh tawh em tih chiang takin a hmu thei a ni.
- PET scan (Positron Emission Tomography scan): Hei hian cancer cell taksa hmun hla tak tak a darh tawhte a zawng ber a ni. Cancer cells te hi an thawkrim hle a, chuvangin he scan ah hian awlsam takin an hmu thei a ni.
- Endoscopy: Tube te tak te, flexible tak, camera dahna hmun (e.g., pum, colon) chhunga dahin a chhung lam chu cancer a awm leh awm loh enfiah a ni.
- Biopsy: Hei hi test pawimawh ber a ni. Chu lump emaw tissue rinhlelh awm tak chu surgery hmangin lakchhuah a ni a, microscope hmangin an enfiah thin. He test hian cancer a nih leh nih loh chiang takin a hre thei a, a nih chuan eng cancer chi nge a nih tih a hriat chian bawk.
- Thisen test: Cancer chi thenkhat chuan thisenah special proteins (tumor markers) a tisang thei a. Chungte tehna chuan tumor lian tham tak emaw, cancer hnathawh dan emaw hriat theih a ni.
Ka cancer stage hi a hnuah a danglam thei ang em?
Hei hi mi tam tak tan chuan zawhna pawimawh tak a ni. Mi tam tak chuan cancer a darh zel angin stage a danglam thin niin an ngai. Mahse thudik tak chu, i natna hmuhchhuah hmasak ber ṭumin stage number an pek che kha a danglam ngai lo.
Entirna hmangin i hrethiam ang u.
Mi pakhat chu a tir lamah Stage II hnute cancer a vei tih hmuhchhuah a nih thu han ngaihtuah teh. Enkawlna tul zawng zawng a dawng vek a ni. Mahse kum engemaw zat hnuah chuan cancer chu a liver-ah a darh ta a ni.
Tichuan doctor te chuan "Stage IV cancer" an ti lo ang .
A hmingah chuan " Stage II hnute cancer chu liver-ah a darh (metastatic) ." I initial stage chu chutiang chuan report a ni fo thin. Tichuan, a inthlak danglamna chu a hranin tarlan a ni.
Tin, enkawl hnua cancer chhinchhiahna hmuh tur a awm loh chuan chu dinhmun chu Complete Remission emaw NED (natna finfiahna awm lo) an ti bawk.
Cancer natna nena khawsak hi thil awlsam a ni lo. Chûng number te, hawrawp te, leh thute hriat chu a buaithlâk thei hle. Mahse, heng zawng zawng hi i enkawlna tha ber pek theihna tura tih a ni tih hre reng ang che. Zawhna emaw hlauhthawnna emaw i neih apiang chu i doctor nen zalen takin sawipui rawh. Chu chuan he zinkawng chhunzawm turin chakna a pe ang che.
Take-Home Thuchah a ni
- Cancer staging hi i taksaa cancer a darh dan tehna map a ni a, doctor-te pawhin enkawl dan tur ruahmanna siam turin a pui bawk.
- Hei hi cancer lian leh te, a awmna hmun leh taksa peng dangah a darh tawh leh tawh loh a zirin a innghat ber a ni.
- Stage 0 atanga IV (Stage 0-IV) hian cancer nasat dan a tarlang a, Stage IV hi a na ber nia ngaih a ni.
- TNM system hi khawvel pum huapa pawm dan a ni a, tumor size (T), a bul hnaia tissue-a darh (N), leh hla taka darh (M) te a teh a ni.
- A tir lama stage number i pek kha a hnuah cancer hi a darh emaw, tihdam theih a nih pawhin a danglam lo.
- I cancer hlauhawmna emaw, i enkawlna emaw chungchanga zawhna, hlauhthawnna, rinhlelhna i neih apiang chu i doctor nen zalen takin sawi rawh.
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