I doctor-in i Pap smear report-ah hian ‘abnormal cells’ a awm tih a hrilh che chuan hlauhna leh mangang tak tak i nei ngei ang, a dik em? Tu pawhin "precancerous" tih thumal an hriat hian an hlauthawng thei. Mahse ka sawi hmasa ang, hlauthawng suh. Hei hian cancer i nei tihna a ni lo . Hei hi a hmaa hmuhchhuah a nih chuan tihdam vek theih leh cancer-a a lo chan loh theih loh tur a ni. Hemi chungchang hi awlsam takin, chiang takin, i rilruah phurrit awm lovin i sawi ang u.
Cervical dysplasia tih hi eng nge ni?
A awlsam zawngin, hei hi i serh chunglama cell pangngai lo lo thang lian a ni. Cervix hi eng nge a nih i en ang u. I uterus hnuai lam, i vagina chhunga inhawngtu a ni. Chuvangin, i serh chunglama cell hrisel tak takte ai chuan, cell danglam deuh deuh chu a lo thang tan ta a ni.
Kawngpuiah khur te tak te ang maiin han ngaihtuah teh. Chutianga dah a nih chuan hun kal zelah khur lian takah a chang thei a ni. Mahse kan hmuh veleh kan siam that chuan kawng a tichhe lovang, a dik em? Chutiang chu a ni. Heng cell pangngai lo te hi cancer cell an ni lo . Mahse rei tak enkawl loh chuan serh cancer-ah an chan theihna chance a awm. Chuvangin "precancerous" kan ti a ni.
Hei hi damdawi lama hming dang a awm a, chu chu Cervical Intraepithelial Neoplasia (CIN) . Heng thute hian hlauthawng suh. "Intraepithelial" tih hian heng cell pangngai lote hi serh chunglam (epithelium)-ah chauh an awm a, a chhungah an darh lo tihna a ni. "Neoplasia" tih hian cell thar a lo thang lian tihna a ni.
Hetiang dinhmun hi a nasat dan tur stage a awm em?
Ni e, doctor-te chuan heng cell pangngai lote hi cervical tissue chhunga an darh thuk dan azirin stage thum (CIN stages)-ah an dah a. Hei hi microscope hmanga tissue enfiah atanga hriat theih a ni.
| Dawhsan | Awmzia leh hrilhfiahna |
|---|---|
| CIN 1. A chhuahna tur hmun | Hei hi risk level bulpui ber leh hniam ber a ni.. Hetah hian cell pangngai lo chu serh chhung hmun thuma ṭhena hmun thuma ṭhena hmun khat chauh a ni. A tam zawkah chuan kan taksa immune system hian amah chauhin a tidam thin. Chuvangin enkawlna lian tham a ngai lo. |
| CIN 2. A chhuahna tur hmun | Hei hi a moderate condition a ni. Cell pangngai lo chu serh chhunga surface layer hmun thuma ṭhena hmun khat aṭanga hmun thuma ṭhena hmun hnih thlengin a darh tawh a ni. |
| CIN 3. A chhuahna tur hmun | Hei hi stage serious ber a ni . Cell pangngai lote hian surface layer hmun thuma ṭhena hmun hnih aia tam an khuh a ni. CIN 2 leh CIN 3 te hi cancer laka inven nan enkawl a ngai vek a ni. |
A pawimawh ber chu CIN 1 hi cancer a ni tlem hle. Mahse, CIN 2 leh 3 hi doctor-in a tih angin ngaihven leh enkawl tur a ni ngei ang.
Hetiang natna lan chhuah dan hi engte nge ni?
Mi tam tak mak tih thin chu hetiang hi a ni. Cervical Dysplasia hian a tlangpuiin symptom a nei lo. Inthlâk danglamna, natna, leh lungawi lohna i nei lo mai thei.
A tlem hle, hmeichhe thenkhat
- Vaginal bleeding mumal lo.
- Sex hman zawhah thisen tlem (spotting) a chhuak.
Chutiang thil chu a thleng thei a ni.
Hei hian a hun taka Pap smear lak a pawimawh zia a tilang chiang hle. Harsatna i neih hmaa he natna hi i neih leh neih loh hriat theihna awmchhun a ni a, a lan chhuah hun nghah ngai lovin.
Engvangin nge hetiang hi a lo awm? Hei hi eng nge a chhan?
Hei hi a chhan ber leh awmchhun chu HPV (Human Papillomavirus) tih virus hi a ni. Hei hi mipat hmeichhiatna hmanga kai theih hrik a ni.
Tunah chuan heti hian i ngaihtuah mai thei: "Cervical dysplasia ka neih chuan HPV ka nei em?" Ni e, chu chu a dik a ni. Mahse hei hi a flip side chu a dik lo. Chu chu HPV virus kai zawng zawng hian cervical dysplasia an nei vek dawn lo tihna a ni. A tam zawkah chuan kan taksa invenna (immune system) hian he hri hi a do let thei a, kum khat emaw kum hnih emaw chhungin taksa atangin a tifai vek thei a ni.
HPV virus chi hrang hrang 100 chuang a awm a. Ṭhenkhat, a bik takin HPV-16 leh HPV-18,"High-risk" chi hrang hrang, cervix cells tidanglamtu leh cervical dysplasia thlen tam zawk ang chi te hi a ni.
A hlauhawmna tipungtu thilte chu engte nge ni?
HPV vei thenkhat chauhvin cervical dysplasia an vei chhan chiang taka sawi theih ni lo mah se, a hlauhawmna tipungtu thil engemaw zat hmuhchhuah a ni.
- Meizial zuk: Hmeichhia zuk leh hmuam hmang emaw, zuk leh hmuam hmang emaw hian he natna hi a let hnih zetin an vei tam zawk. Meizial zuk hian taksa natna dotu (immune system) a tichak lo va, HPV a do thei lo.
- Immune system chak lo neih: I immune system hi natna dang (e.g. HIV) emaw damdawi thenkhat emaw avanga chak lo a nih chuan i taksa tan HPV infection tihfai a harsa zawk thei.
Engtin nge hei hi i hmuh theih, Doctor?
He diagnostic process hi a hnuaia mi ang hian step by step in a thleng thin.
1. Pap Smear: Hei hi a hmasa ber a ni. I gynecologist chuan i serh chunglam atanga cell sample a la ang a, microscope hmanga enfiah turin laboratory-ah a thawn ang. Hei hi a bul berah chuan cell pangngai lo awm leh awm loh enfiah nan a ni.
2. Colposcopy: I Pap smear-a cell pangngai lo a lan chuan i doctor chuan he test hi a rawt thei ang. Hei hian i serh (cervix) chu light leh magnifying device bik (telescope ang chi) hmanga enfiah a huam a ni. Hei hian cell pangngai lo eng pawh chiang takin a hmu thei a ni.
3. Biopsy: Colposcopy an tih laiin Doctor-in rinhlelhna hmun a hmuh chuan tissue te te an la a, lab-ah an thawn ang. Hei hi biopsy an ti a. Report chuan CIN 1, 2, 3 i neih leh neih loh a nemnghet ang.
I doctor chuan step tinah engkim a hrilhfiah vek ang che. Hlauhna tur a awm lo.
Hei hi eng enkawlna nge ni?
Enkawl dan hi thil tam takin a hril a, chung zingah chuan CIN i neih stage, i kum, i hriselna zawng zawng, leh fa neih i tum leh neih loh te pawh a tel.
CIN 1 enkawl dan tur
Low-risk condition (CIN 1) i neih chuan enkawlna engmah i mamawh lo mai thei. Hei hi a chhan chu condition hi a mah chauhin a thianghlim a rinawm vang a ni. I doctor chuan, "I nghak ang u," a ti ang che. Chu chu a hun takah (thla 6 emaw kum khat danah emaw) Pap smear lak a, chu chu cell pangngai lote chu a inthlak emaw, a bo emaw tih enfiah a ngai tihna a ni.
CIN 2 leh CIN 3 enkawlna
CIN 2 emaw CIN 3 ang chi natna hniam tak emaw, na tak emaw i neih chuan i doctor chuan cell pangngai lote chu paih chhuah a rawt ang che. Hei hian 90% chance a nei a, chu chuan a natna chu a tidam vek thei a ni. Chumi atan chuan hmanraw pawimawh tak tak engemaw zat a awm.
- LEEP (Loop Electrosurgical Excision Procedure): Hetiang procedure-ah hian electric wire loop hmangin tissue-a cell pangngai lo awmna hmun chu na takin an tan a, an paih chhuak thin.
- Cold Knife Cone Biopsy / Conization: Surgical knife hmangin serh chhung atanga cone ang chi tissue chu lakchhuah a ni. Hei hian cell pangngai lo zawng zawng a paih vek a ni.
- Hysterectomy: Hei hi tih tam a ni lo. Enkawlna dangin a puih loh emaw, natna a awm reng emaw chauhvin, i doctor chuan fa neih a ngaihna ngaihtuah chungin, nausen pum leh serh zawng zawng chu operation hmanga lak chhuah a rawt thei ang.
Heng enkawlna tin hian a thatna leh that lohna a nei vek a ni. I doctor chuan eng enkawlna nge i tan a tha ber tih a sawipui ang che.
Hetiang dinhmun lakah hian engtin nge i inven theih ang?
Cervical dysplasia venna tha ber chu a thlentu HPV virus kai loh hi a ni. I tanpui theih tur thil engemaw zat a awm.
- HPV Vaccine la rawh: Hei hi a pawimawh ber a ni. He vaccine hian HPV chi hrang hrang, cervical cancer leh genital warts thlentu te lakah a veng thei a ni. HPV i vei tawh emaw, cervical dysplasia i neih emaw chuan he vaccine hian a tidam thei lo. Mahse, nakin lawkah HPV chi dang kai loh nan a pui thei a ni.
- Safe sex hmang rawh: Condom hman hian HPV kai theihna a ti tlem thei.
- A hun taka Pap smear lak: Hei hian natna lo awm tur a veng thei lo nain, natna hi a hmasa berah hriatchhuah a, cancer a nih hmaa enkawl theihna hun remchang tha tak a pe a ni. Kum 21 an tlin hnuah kum 3 danah tal Pap smear lak a tha.
- Meizial zuk loh vek rawh: Kan sawi tawh ang khan meizuk hian he natna hi nasa takin a tipung a ni.
Take-Home Thuchah a ni
- Cervical Dysplasia hi cancer a ni lo . Cancer a lo awm thei tih hriattirna mai a ni.
- Hei hi a chhan ber chu virus tlanglawn tak HPV an tih hi a ni.
- Vawi tam tak chu hetiang dinhmunah hian symptoms a lang lo.
- Hei hi a hmaa hriat theih dan tha ber chu a hun taka Pap smear test neih tir hi a ni.
- A hmaa hmuhchhuah a nih a, uluk taka enkawl a nih chuan cervical cancer hi a pumpelh vek thei a ni.
- Hemi chungchangah hian zawhna, hlauhna, rinhlelhna i neih chuan i doctor nen zalen takin sawipui rawh.
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