Kan hmeichhe tam tak chuan Cervical Cancer tih hming an hriat hian an hlauthawng thin. Mahse hei hi i hriat chian tak tak a nih chuan hlauhna tur a awm lo. A chhan chu hei hi cancer chi khat a nih avangin a tam zawkah chuan ven theih a ni a, a tir atanga hmuhchhuah a nih chuan a dam vek thei bawk. Chuvangin vawiinah hian he thu hi Sinhala tawng awlsam berin i hriatthiam theih angin kan sawi dawn a, engmah thup lovin. I thian tha ber nena inbiakna ang maiin.
A awlsam zawngin, cervical cancer chu eng nge ni?
Cervical cancer chu i nausen pum chhunga i vagina nena inzawm, i serh chhunga cell awm atanga intan a ni. Vawikhatah a lo thanglian vek lo. I serh chhunga cell hrisel tak takte chu zawi zawiin an inthlak a, cell pangngai lo (precancerous cells) an lo nih atanga tan a ni a, chu chu cancer a ni thei a ni.
Hei hi a chhan ber chu HPV (Human Papillomavirus) an tih virus vang a ni. Dik tak chuan serh cancer vei zinga zaa 100 vel chu HPV infection vang a ni. He virus hi mipat hmeichhiatna hmanga kai a ni. Mahse, he thu i hriat hian hlauthawng suh. HPV hi hri vei tam tak a ni. Mipat hmeichhiatna lama inhmang tam tak chuan an dam chhungin engtik lai pawhin he hri hi an kai dawn a ni. Mahse a tam zawkah chuan kan taksa immune system hian he virus hi a ti bo vek a ni. Mahse, a chang chuan he hri hi taksa atanga paih chhuah lohvin a awm reng thei a ni. Chutiang a nih chuan serh chhunga cell awmte chu an inthlak danglam a, cancer-ah an lo chang thei a ni.
A pawimawh ber chu Pap smear ang chi test a hun taka neih leh HPV vaccine lak hian he hlauhawmna hi nasa takin a tihziaawm thei a ni.
A tam zawkah chuan he cancer hian a darh hma chuan symptom lian tham a lantir ngai lo. Chuvangin regular screening leh HPV vaccine hi a pawimawh em em a ni. A hmaa hmuhchhuah a nih chuan a dam theih hle.
Cervical cancer chi hrang hrangte chu engte nge ni?
Cervical cancer hi chi hnih lian tak a awm a.
1. Squamous cell carcinomas: Hetiang chi hi serh cancer zinga 80% leh 90% inkar a ni.
2. Adenocarcinomas: Hetiang cancer chi hi 10% leh 20% inkar a ni.
A châng chuan cancer hi chi hnih inzawmkhawm angin a lo awm thei bawk. Heng hmingte hriatrengna kawngah harsatna i neih chuan a pawi lo. Hei hi Doctor tan chuan a pawimawh hle. I hriat tur pawimawh ber chu a natna lan chhuah dan leh a ven dan tur a ni.
Eng symptom nge i fimkhur tur?
Kan sawi tawh ang khan cervical cancer hmasa berah khanA tlangpuiin symptom a lang lo. Chuvang chuan insidious cancer an ti bawk. Cancer a lo lian deuh hnuah symptoms a lang tan thin.
A hnuaia symptoms te hi tlem i ngaihtuah tur a ni. Heng zinga pakhat emaw a aia tam emaw i neih chuan hlauthawng suh la, i doctor hnenah thurawn dil rawh.
| Symptom chi hrang hrang | Hrilhfiahna |
|---|---|
| A lan chhuah hmasak ber |
|
| Cancer a darh huna lo awm thei symptoms |
|
Heng symptoms nei zawng zawng hian cervical cancer an nei vek lo tih hre reng ang che. Hriselna lama harsatna dang, awlsam zawk vang pawh a ni thei bawk. Mahse, thisen chhuak danglam tak i neih emaw, i vaginal discharge mak tak tak i neih chuan doctor pan ngei ngei tur a ni.
Cervical cancer vei theihna hlauhawm ber chu tute nge ni?
Cervical cancer lo awm theihna tur risk factor engemaw zat a awm a. Ṭhenkhat chu kan thunun thei a, ṭhenkhat chu kan thunun thei lo bawk.
Risk factors kan control theih
- A hun taka test loh: Hun bituk chhunga Pap test nei lote chu cervical cancer vei theihna a sang zawk a, a chhan chu Pap test hian precancerous cells te chu cancer an nih hmain a hmuchhuak thei a ni.
- HPV infection: A hmaa kan sawi tawh ang khan HPV infection hi a chhan ber a ni. HPV infection hlauhawmna tihziaawm hian serh cancer hlauhawmna a ti tlem thei a ni.
- Sexual life: Kum 18 an tlin hmaa sex hman leh mipat hmeichhiatna hmanpui tam tak neih hian HPV infection a tipung a ni.
- Meizial zuk: Cigarette zuk hian serh cancer vei theihna a tipung nasa hle.
- HIV hrik kai: HIV hrik kai te hian mi zawng zawng aiin serh cancer an vei theihna a sang zawk.
- Immune system chak lo neih: Immune system a chak loh chuan taksain natna a do theihna a tlahniam a.
Risk factor kan thunun theih loh
- DES (diethylstilbestrol): Hei hi kum 1938 leh 1971 inkar khan naupai thenkhat hnenah nau pai lo tura pek a ni a, i nu hian naupai laiin he damdawi hi a ei a nih chuan serh cancer vei theihna a sang deuh mai thei.
- Chhungkaw chanchin: I chhungkuaa mi (nu, unaunu) hian serh cancer a vei tawh a nih chuan genetic influence vangin i hlauhawm thei bawk.
Engtin nge diagnosis hi siam a nih?
Cervical cancer i vei nia i rinhlelh chuan i doctor chuan test eng emaw zat a refer ang che.
1. Pap Test / Pap Smear: Hei hi test bulpui leh pawimawh ber a ni. He test-ah hian serh chunglam atanga cell sample te tak te lak a ni a, microscope hmangin cell pangngai lo a awm leh awm loh enfiah a ni.
2. HPV Test: Pap test ang bawkin he test hian serh atanga cell lakchhuah sample hmangin HPV chi hrang hrang cancer thlen thei zawk an awm leh awm loh an enfiah thin.
3. Colposcopy: I Pap test result a dik lo a nih chuan hei hi i test leh tur a ni. Hetah hian doctor chuan magnifying instrument (colposcope) hmangin i serh chu a enfiah ang. Cell pangngai lo eng pawh chu chiang takin a lang thei.
4. Biopsy: Colposcopy neih laiin rinhlelhna hmun hmuh a nih chuan chu hmun atang chuan tissue te tak te te chu lakchhuah a ni a, laboratory-ah thawnin cancer cell a awm leh awm loh finfiah a ni. Hei hi hmanraw hrang hrang a awm a:
- Punch biopsy: Tissue rinhlelh awm tak chu instrument te tak te hmanga tan chhuah.
- LEEP (Loop Electrosurgical Excision Procedure): Electric wire loop hmanga tissue pangngai lo lakchhuah.
- Cone biopsy: Cervix atanga cone ang chi tissue lian tawk tak lakchhuah.
Heng test-te hian cancer i vei tih a nemnghet a nih chuan, taksa peng dangah cancer a darh tawh em tih hriat nan test dang, CT scan emaw MRI scan emaw tih a ngai mai thei. He information hi cancer stage hriat nan leh i tana enkawlna tha ber tur hriat nan hman a ni.
Cervical cancer enkawlna tur engte nge ni?
Cervical cancer enkawl dan tur chu cancer stage, i kum, hriselna tlangpui leh nakin lawka fa neih i beisei leh beisei loh a zirin a innghat a ni.
| Enkawl dan tur | Hrilhfiahna awlsam tak |
|---|---|
| Inzai | A tir lamah chuan nausen pum chhunga cancer cell awmna hmun emaw, nausen pum leh serh pum pui emaw chauh lakchhuah a ni (hysterectomy). Cancer a darh dan azirin surgery awm dan hi a inang lo. |
| Radiation hmanga enkawlna a ni | Energy sang tak nei ray (X-ray ang chi) hmanga cancer cell tihchhiat. Hei hi taksa pawn lama machine hmang emaw, taksa chhunga radioactive substance dah emaw hmangin tih theih a ni. |
| Chemotherapy hmanga enkawl a ni | Cancer thatna damdawi taksaah inject emaw, pill angin pek emaw a ni. Heng damdawi te hi thisen kaltlangin an kal a, taksa chhung khawi hmunah pawh cancer cell te chu an that thin. |
| Targeted Therapy hmanga tih a ni | Hei hian cancer cells te tihpun leh darh zel tura puitu protein bik target tu damdawi pek a huam a, chu chuan cell hrisel te a tichhe lo. |
| Immunotherapy hmanga enkawl a ni | Kan taksa ngeia immune system tichaktu, cancer cells te hriatchhuah leh tihchhiat theihna. |
A châng chuan heng enkawlna pakhat emaw, a aia tam emaw hi hman dun a ngai thei bawk. Entirnan, chemotherapy emaw, radiation therapy emaw hi operation hma emaw, operation hnuah emaw pek theih a ni. I doctor chuan heng zawng zawng hi a hrilhfiah ang che.
Cervical cancer hi ven theih a ni em?
A ni ngei ang! Hei hi he thuziak ah hian chanchin tha ber a ni. Cervical cancer hi a tam zawkah chuan kan ven theih a ni. Chumi chungchangah chuan thil tlemte kan tih theih a awm.
- HPV vaccine la rawh: Hei hi a pawimawh ber a ni. He vaccine hian HPV chi hrang hrang, cervical cancer thlentu lakah a venghim a ni. He vaccine hi hmeichhe naupang leh hmeichhe naupang tan a tha tlangpui. I tan kum dik takah he vaccine hi i lak dan tur chungchangah i doctor nen sawiho rawh.
- A hun takah Pap smear la rawh: Mipat hmeichhiatna hmanpui i nih hnuah doctor-in a rawt angin Pap smear la rawh. Hei hian cell pangngai lote chu cancer-a an lo chan hmain a hmuchhuak thei a, a enkawl thei bawk.
- Safe sex hmang rawh: Condom hman leh mipat hmeichhiatna hmanpui tur tihtlem hian HPV leh mipat hmeichhiatna hmanga kai theih natna dang lakah a veng thei che a ni.
- Meizial in loh tur: Meizial i zuk chuan bansan rawh. Meizial zu mite hian meizuk lote aiin cervical cancer an vei theihna chu a let hnih velin an tam zawk.
Cancer a lo neih hnua hrehawm tawrh ai chuan a lo vei hmaa ven hi engtiang chiahin nge a tha zawk? Chuvangin heng step awlsam tak takte hi zawm hi i nunah investment lian ber i tih theih tur a ni ang.
Take-Home Thuchah a ni
- Cervical cancer thlentu ber chu HPV an tih virus a ni. Mahse, he hri kai zawng zawng hian cancer an vei vek lo.
- He cancer hian a tir lamah symptom a nei tlem hle a, chuvangin a hun taka screening neih a pawimawh hle.
- Vaginal discharge danglam tak i neih emaw, thlasik laiin thisen chhuak emaw, sex hman zawha thisen chhuak emaw i neih chuan doctor pan hlau suh.
- HPV vaccine leh a hun taka Pap smear te hi serh cancer venna kawng tha ber pahnih a ni.
- A hmaa hmuhchhuah a nih chuan cervical cancer hi tihdam theih vek a ni. Chuvangin hlauh ai chuan fimkhur a, hma lak a pawimawh.
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