Cervix-a cell than dan pangngai lo chungchang pawh i hre tawh em? (Cervical Dysplasia) Hlau suh, he thu hi han sawi ila!

I Pap test report-in i serh chhunga cell-ah inthlak danglamna a awm tih a sawi hian hlauhna tlem i neih hi thil pangngai a ni. "Cancer a ni em tih ka hre lo," tiin i ngaihtuah mai thei. Mahse, lungngai suh. A tam zawkah chuan he natna ‘cervical dysplasia’ an tih hi cancer ni lovin, precancerous condition a ni. Hemi chungchang hi awlsam takin, i hriatthiam theih dan tur angin sawi ila.

Cervical dysplasia tih hi eng nge ni?

A awlsam zawngin, i serh chunglama cell pangngai lo lo thang lian zel hi a ni. I hria em, cervix hi i uterus hawnna a ni a, chu chu i vagina chunglam nen a inzawm a ni. Cervical intraepithelial neoplasia, emaw (CIN) an ti bawk. ‘Intraepithelial’ tih hian cell pangngai lo chu serh chhunga epithelial tissue-ah chauh an awm a, chu layer piah lamah chuan an la darh lo tihna a ni. ‘Neoplasia’ tih awmzia chu cell than dan pangngai lo tihna a ni.

Kan vun chunglam layer-a inthlak danglamna tlemte ang maiin han ngaihtuah teh. A châng chuan a mah chauhin a ṭha thei a, a nih loh leh enkawl tlem chuan a dam thei bawk.

He dinhmun hi engtiang chiahin nge a pawi? Kan hlau tur em ni?

"Precancerous" tih thumal hi a hlauhawm thei tih chu a dik a ni. Mahse a pawimawh ber chu cervical dysplasia nei zawng zawng hian cancer an vei vek dawn lo tih hi a ni. Hetiang natna hi i vei tih hmuhchhuah a nih chuan a tul anga enkawlna i hmuh loh chuan, i vei thei a, ka sawi tum chauh chu , cervical cancer i vei thei tihna a ni. Cancer a lo awm tak tak a nih pawhin, a lo awm theih nan kum tam tak a ngai a ni. Chuvangin i doctor hian heng harsatna awmna hmunte hi zawng chhuakin paih chhuah nan hun tam tak a nei a ni. Chuvangin hlauthawng lo leh doctor thurawn zawm a pawimawh.

He cell than dan pangngai lo hi engte nge classified?

Tun hma chuan he natna hi ‘mild’, ‘moderate’, or ‘severe’ tiin an thliar hrang thin a, chu chu cell pangngai lote chu cancer-a an chan theih dan azirin a ni. Mahse tunah chuan a nasat dan classified dan thar a awm ta. I serh chunglam tissue atanga cell pangngai lo awm zat atanga lo chhuak a ni. Hei hi ``CIN'' classification an ti a. Pakhat atanga pathum thlenga scale a ni.

• CIN 1: Hei hian a awmzia chu serh chhunga tissue thickness hmun thuma ṭhena hmun khat velah cell pangngai lo a awm tihna a ni.
• CIN 2: Hetah hian cell pangngai lo chu tissue thickness hmun thuma ṭhena hmun khat atanga hmun thuma ṭhena hmun hnih velah a awm thei.
• CIN 3: Hetah hian cell pangngai lote hian tissue thickness hmun thuma ṭhena hmun hnih aia tam an khuh a.

Tunah chuan han en teh, `(CIN 1)` dinhmun hi a tam zawkah chuan cancer a ni tlem hle. Tin, a mah chauhin a tha chho fo bawk. Amaherawhchu, `(CIN 2)` leh `(CIN 3)` dinhmun hi cancer lo awm lo turin enkawl a ngai tam zawk.

Hetiang dinhmun hian tute nge a nghawng nasa ber?

Cervical dysplasia hian mipat hmeichhiatna hmanpui hmeichhia a nghawng a ni. Hmeichhia Human Papillomavirus (HPV) vei te zingah a tam hle. Khawvela mipat hmeichhiatna hmanga kai theih natna (STI) zingah HPV hi a tam ber pawl a ni tih i hria em?

Hetiang dinhmun hi hmeichhia kum 25 leh 35 inkar zingah a tam ber a, chu chu fa neih theih kum an ni tihna a ni.

Hei hi eng symptoms nge ni? Engtin nge i hriat?

A tam zawkah chuan , cervical dysplasia hian symptom a nei lo. I doctor chuan heng cell pangngai lo te hi Pap test neih thin lai chauhvin a hmu ang. Chuvangin Pap test hi a hun taka tih a pawimawh em em a ni. Mahse, a chang chuan sex hman zawhah spotting emaw thisen chhuah emaw ang chi thil i hmu thei.

Engvangin nge hetiang dinhmun hi a lo awm? A chhan ber chu eng nge ni?

Hei hi a chhan ber chu `(HPV)` hri kai a ni. He hri hi mipat hmeichhiatna hmanga kai darh a ni. A tam zawkah chuan i taksa immune system hian he virus hi a ti bo thei a ni. `(HPV)` virus chi hrang hrang 100 chuang a awm a. Chung zinga chi thenkhat, `(HPV-16)` leh `(HPV-18)` te hian i reproductive system a kai tam zawk a, serh chhunga cell tha lo tak tak (Cervical Dysplasia) a thlen thei bawk.

Scientist-te chuan hmeichhe sexually active zinga 75% aia tam chuan an dam chhungin engtik lai pawhin HPV an vei dawn niin an chhut. Heng natna vei tam ber chu kum 15 leh 25 inkar vel a ni a, mahse heng natna tam zawk hi chu harsatna awm reng tur awm lovin anmahniin an bo vek a ni. A tlem hle a, hun kal zelah cell pangngai lo a lo awm a, chu chuan cervical dysplasia an tih natna a thlen thin.

Pawimawh: HPV vei i nih chuan cervical dysplasia i nei dawn tihna a ni hauh lo.

Hmeichhe thenkhatin HPV an kai hian cervical dysplasia an vei chhan dik tak chu hriat a la ni lo. Mahse, HPV chi hrang hrang hlauhawm tak tak leh a kai rei zawng te hian hmun a chang thei a ni. Chu bakah, risk factor dang engemaw zat a awm bawk:

• Kum 55 chunglam: Zirna hrang hrangah HPV natna hi hmeichhia kum 55 chunglam ah a rei zawk tih hmuhchhuah a ni a, kum 25 hnuai lam ah chuan heng natna hi a thianghlim nghal vat thin.
• Meizial zuk: Cigarette zu leh zuk leh hmuam hmangtute chuan an serh cell pangngai lo an neih theihna chu a let hnih in an nei thei a ni.
• Immune system chak lo: Immunosuppressant damdawi i ei a nih chuan i taksain HPV infection dona a harsat zawk thei. Tin, Human Immunodeficiency Virus (HIV) i kai a nih chuan i taksain natna a do theihna a ti tlem thei bawk. Immune system chak lo leh HPV i vei chuan cervical dysplasia i nei thei.

Engtin nge he natna hi hriat chhuah a nih? (Diagnosis) tih a ni.

A tam zawkah chuan i doctor chuan i Pap test neih thinnaah he natna hi a hmu ngei ang. Pap test result a chiang lo emaw, cell pangngai lo a awm emaw a nih chuan a dawt leh tur chu colposcopy a ni thei a, chu chu i serh enfiahna test a ni.

He ``(colposcopy)`` test hi doctor office-ah tih theih a ni. He test-ah hian doctor chuan ``colposcope`` an tih, lighted instrument hmangin i cervix emaw vaginal wall-a cell pangngai lo awmte chu a zawng thin.

Doctor chuan tissue sample (biopsy) a la thei bawk a, heng cell chungchang hi hriat belh duh chuan lab-ah a thawn thei bawk. A châng chuan DNA test hmangin HPV chi hrang hrang hlauhawm tak tak an awm leh awm loh enfiah theih a ni.

Hei hi eng enkawlna nge ni? (Tihdamna)

Enkawlna hi thil tam takah a innghat a ni. I cervical dysplasia nasat dan te, i kum te, i hriselna te, leh i enkawl dan duh dan te. Cervical dysplasia enkawlna thenkhat hian nakin lawka naupai theihna a nghawng thei tih hre reng ang che. Chuvangin, naupai i nih emaw, nakin lawka naupai i tum emaw a nih chuan i doctor nen in enkawl dan tur chungchang sawipui rawh.

Cell pangngai lo awm leh awm loh enfiah

Natna na lo zawk `Cervical Dysplasia` (CIN 1) i neih chuan enkawlna i mamawh lo mai thei. A tam zawkah chuan he dinhmun hi a mah chauhin a tha chho zel ang. Heng zinga za zela tlemte chauh hi cervical cancer-ah an chang a, 1% vel a ni. Chuvangin, i doctor chuan cell inthlak danglamna pangngai lo awm leh awm loh enfiah nan Pap test neih fo turin a rawt mai thei.

Cell pangngai lo paih emaw tihchhiat emaw

I cervical dysplasia a na zawk (CIN 2 emaw CIN 3 emaw) chuan i doctor chuan cancer lo ni thei cell pangngai lo chu a paih chhuak thei emaw, a tichhia thei emaw a ni.

Chumi atan chuan hmanraw hrang hrang hman a ni a:

• Loop Electrosurgical Excision Procedure (LEEP): Hetiang procedure-ah hian wire loop te tak te, electric charged hmangin tissue pangngai lo tak tak lakchhuah a ni. Hetiang tih dan hian tissue sample lak belh theih a ni bawk. Hetiang tih zawh hian hmeichhia 1% leh 2% inkar chuan harsatna an nei thei a, chu chu thisen chhuah tlai emaw, serh (cenosis) emaw a ni thei.
• Cold knife cone biopsy (conization): Hetiang tih danah hian doctor chuan cone ang chi tissue, cell pangngai lo awmna chu a la chhuak thin. He procedure hi a hmain cervical dysplasia enkawlna atan hman thin a ni a, tunah chuan case na zawk tan hman a ni ta. Hetiang tih dan hian tissue sample lak belh theih a ni bawk. Mahse, harsatna a thlen theihna a keng tel a, chu chu cervix a zim leh operation hnua thisen chhuah te hi a ni.
• Hysterectomy: Hei hi nausen pum atanga lak chhuah vek a ni. Cervical dysplasia hi a awm reng emaw, enkawlna dang hnuah pawh a tha lo emaw a nih chuan hysterectomy hi tih theih a ni.

He natna hi a dam kim thei ang em?

Ni e, a dik tak zet! `(Cervical Dysplasia)` vei zawng zawng zinga 90% vel chu cell pangngai lo paih emaw, tihchhiat emaw hmangin tihdam theih a ni. `(Cervical Dysplasia)` hi cancer-ah a kal tam lo hle. A lo thleng a nih pawhin a hmasawn zawi zawi hle. Chuvangin doctor inrawlh a, a enkawl theih nan hun a tam hle.

Hetiang dinhmun lakah hian engtin nge i inven theih ang? (Invenna) 1.1.

Cervical dysplasia venna awmchhun chu HPV infection laka inven hi a ni. HPV i neih tawh chuan Pap test neih fo hian cervical cancer vei theihna a ti tlem thei a ni. Pap test hian cervical dysplasia hi a veng thei lo a, mahse cervical dysplasia hi a hmaa hriatchhuah a, cancer-a a chan loh nan a pui thei a ni.

I tih theih ṭhenkhat chu hetiang hi a ni:

• HPV vaccine la rawh: HPV leh cervical dysplasia laka invenna tha ber chu vaccine lak hi a ni. FDA chuan HPV chi hrang hrang, cervical dysplasia nena inzawm tam ber laka invenna vaccine pathum a pawm a, chungte chu Gardasil®, Gardasil 9®, leh Cervarix® te an ni. CDC chuan kum 9 leh 26 inkar zawng zawngin vaccine hi lak vek turin a rawt a ni. Kum 27 leh 45 inkar i nih chuan i doctor nen vaccine lak that dan tur sawipui rawh. Vaccine hian HPV emaw cervical dysplasia nei tawhte chu a enkawl thei lo a, mahse a then phei chuan nakin lawka hri kai tur venna atan a pui thei a ni.
• Sex hman loh emaw, safe sex hman loh emaw: HPV infection hi mipat hmeichhiatna hman lohvin i veng thei a, chutah chuan vaginal, anal, leh oral sex te pawh a tel. Safe sex hmang hian i risk i tihtlem thei bawk. Sex hman laiin condom emaw ha dam emaw hmang thin ang che. Mipat hmeichhiatna hmanpui tur zat tihtlem.
• Pap test neih fo rawh: Kum 21-ah Pap test hmasa ber i nei tur a ni a, i Pap test hi a pangngai a nih chuan tuna rawtna awm mek chu kum 21 atanga 29 inkar kum thum danah Pap test neih thin tur a ni a, kum 30 leh 65 inkar i nih chuan kum nga danah Pap test leh HPV test neih thin tur a ni.
• Meizial zu leh zuk leh hmuam hman loh tur: Meizial zu mi i nih chuan HPV infection, a bik takin cervical dysplasia, natna khirh tak i vei theihna a sang zawk.

Hetiang dinhmun hi ka neih chuan eng nge thleng ang?

A hmaa hmuhchhuah a nih chuan cervical dysplasia damna rate a sang hle. Hmeichhia high-risk dysplasia neiah chuan enkawl hnu kum riat chhungin cervical cancer vei theihna chu 95% in a tlahniam a ni.

Cervical dysplasia i vei tih hriat a nih hnuah i doctor chuan i hriselna chu uluk takin a enfiah ang a, chu cell pangngai lo chu a lo thang lian leh em tih emaw, cancer a lo ni leh em tih emaw a enfiah ang. Tin, Pap test leh HPV test neih fo a ngai bawk ang. Enkawl zawhah i doctor chuan thla thum atanga thla ruk danah kum khat emaw kum hnih emaw chhung Pap test neih tir thin turin a rawt mai thei. Chumi hnuah chuan kum tin Pap test i nei thei tawh ang.

Doctor hnenah eng zawhna nge ka zawh ang?

Cervical dysplasia i vei tih i hriat chuan i rilruah zawhna tam tak awm hi thil pangngai tak a ni. Doctor i zawh theih tur zawhna thenkhat chu hetiang hi a ni:

• HPV vaccine hi ka la tur em ni?
• Ka `(Cervical Dysplasia)` natna hi engtiang chiahin nge a nasat?
• Cervical cancer vei theihna chance ka nei sang zawk em?
• He natna `(Cervical Dysplasia)` hian engtin nge ka naupai hi a nghawng ang? (Naupai emaw, naupai beisei emaw i nih chuan)
• Ka dinhmun enfiah nan eng test nge ka neih ang? Eng chen nge ka neih ang?
• `(Cervical Dysplasia)` enkawlna hian engtin nge nakin lawka ka naupai theihna a nghawng ang?

Zawhna i neih apiang, eng ang pawhin tlem pawh ni se, i doctor hnenah zawh hreh suh, tih hre reng ang che. I hriselna fimkhur a pawimawh hle.

A tawp berah chuan hriat reng tur (Take-Home Message) .

I cervix-ah precancerous condition ``Cervical Dysplasia'' tih i neih tih i hriat chuan hlauhna i neih hi thil pangngai a ni. Mahse, hei hian cancer a thlen ngai lo tih hre reng ang che . A hmaa hmuhchhuah a nih a, uluk taka enkawl a nih chuan cervical cancer hi a veng thei a ni.

Chuvangin, HPV infection lakah inveng rawh. HPV vaccine hi la rawh. Sex him tak hmang rawh. Pap test pawh paltlang ngai suh. I hriselna enkawl rawh! Nangmah chauh i ni lo, i doctor chu biak tur leh tanpuina dawng turin a awm reng a ni.

` Cervical Dysplasia, cervical cells pangngai lo, HPV, Pap test, hmeichhe hriselna, cancer hmaa awm, serh cancer