Doctor-in cancer a ni a tih hian kan rilru put hmang chu thuin a sawi thei lo. Mahse chutih rual chuan doctor-in ‘hormone therapy’ kan tan a ngai tih a sawi hian ‘chemical castration’ tih thumal pawh i hre tawh mai thei. He hming i hriat hian tlem a hlauhthawn leh lungkham deuh hi thil pangngai a ni. Mahse hei hi eng nge ni tak tak? Hei hian eng nge a awmzia? Hemi chungchang hi awlsam tak leh chiang takin sawi ila.
He hormone hmanga enkawlna, a nih loh leh chemical castration hi eng nge ni?
A awlsam zawngin sawi ila, kan taksaa sex hormone siam chhuah control nan damdawi thenkhat hman tihna a ni.
Kan taksa hi company lian tak angin han ngaihtuah teh. Hormone hi he company chhunga palai tlan kual vel ang hi a ni. An taksa peng tinte chu an tih tur leh an hnathawh dan tur (entir nan, energy management, growth, mood) hrilhtu an ni. Sex hormone te hi heng special messenger thenkhat te hi an ni. Puberty leh reproductive system hnathawh dan ang chi thil control tu an ni.
Mahse cancer cell thenkhat, a bik takin prostate cancer leh hnute cancer chi thenkhat , heng sex hormone te hi an hlawkna tur atan an hmang thin. Phên dangin sawi ila, heng cancer cell-te hian heng hormone aṭang hian an ṭhanlenna leh an darh theihna tura an mamawh ‘chaw’ (energy) an hmu a ni.
Chuvangin, ‘Chemical Castration’ emaw hormone therapy-a tih thin chu heng cancer cell-te hian hormone an dawn ‘feeding’ atanga tihtawp a, chu chuan an thanlenna a thunun a ni. Cancer chu riltam taka awmtir a, tihchak loh ang mai a ni.
Hei hi hming engemaw zat hmanga hriat a ni a, ‘Medical Castration’, ‘Hormone Therapy’, leh ‘Androgen Deprivation Therapy’ te hi a ni. Heng zawng zawng hian awmzia a inang vek a, chu chu damdawi hmanga hormone level tihhniam hi a ni.
He damdawi hi eng cancer chi hrang hrangah nge hman a nih?
Doctor-te chuan he enkawlna hi sex hormone-a innghat cancer tan an hmang ber a ni.
Prostate cancer tan chuan
Mipa taksa a sex hormone siam chhuah pawl lian ber chu androgens an ti a . Chung zinga pawimawh ber chu testosterone a ni . He hormone hi prostate cancer cells te thanna atan a pawimawh hle. Chuvangin, hormone therapy hian testosterone level a tihhniam a, cancer thanna a control bawk.
Hnute cancer tan chuan
Hmeichhia taksaa hormone estrogen leh progesterone siam chhuah a innghat hnute cancer chi hrang hrang a awm bawk. Hmeichhia heng cancer chi hrang hrang nei te hi heng hormone te hnathawh tikhawlo thei damdawi pek hian control theih a ni.
Enkawl i tan hmain eng nge i tih thin?
He enkawlna hi i tan a tha em tih i ngaihtuah hmain i doctor chuan i cancer chi leh a stage dik tak a hriat a ngai ang. Hei hian test eng emaw zat a mamawh dawn a ni.
- CT scan a ni
- PET hmanga scan a ni
- Endoscopy hmanga enfiah a ni
- Biopsy - tissue chi khat enfiah tura lak
- Thisen test a ni
I doctor pawhin duhthlan tur dang a sawipui ang che. Entirnan, prostate cancer avanga i testosterone level chu a tawp thlenga tihhniam a ngai a nih chuan, testicles pakhat emaw, a pahnih emaw surgery hmanga lakchhuah (orchiectomy) i ngaihtuah mai thei Hengte hi i doctor nen sawihoin i tana tha ber tur i rel tur a ni.
Engtin nge enkawlna pek a nih a, a side effects te chu engte nge ni?
Hei hi vawi khat enkawlna a ni lo. Hei hi enkawlna kalpui mek a ni. Damdawi pek dan hi chi hrang hrangah a inang lo.
- Thla khatah vawi khat, thla thum danah emaw, thla ruk danah emaw injection pek thin a ni .
- Thil tenau (implant) vun hnuaia dah angin .
- Nitin pill anga ei tur .
He enkawlna chhung hian side effect thenkhat a awm thei bawk. Hei hi taksaa natural hormone level kan tihdanglam vang a ni. Heng zawng zawng hi mi zawng zawngin kan tawng vek dawn lo a, mahse a hnuaia table-ah hian a tlangpuiin a langsar zual thenkhat tarlan a ni.
| Side Effect a awm thei | A sawifiahna awlsam tak |
|---|---|
| Libido a hniam | Mipat hmeichhiatna hman duhna leh ngaihtuahna tlahniam. |
| Hot flash a rawn chhuak ta | Hmai, kawr leh rilruah lumna nasa tak a awm nghal a, chu chu thawk hah a ni. |
| Ruh natna (Osteoporosis) a awm | Hun a kal zel a, ruh te chu a hring lehzual a, a chhe awlsam zawk bawk. |
| Muscle mass tlahniam | Taksa ruh chakna leh lian tham a tlahniam. |
| Depression leh mood swing te | Lungngaihna, lungngaihna leh eng thil pawh ngaihven lohna rilru put hmang. |
| Thildang | Lung natna, thisen tlakchhamna, taksa thau awm dan inthlak danglam theihna. |
Heng symptoms te hi hlau suh. An enkawl dan tur a awm. A pawimawh ber chu i doctor nen i rilru hahna eng pawh chu zalen taka inbiakna neih hi a ni.
He enkawlna hian eng nge a thatna lian ber?
He enkawlna thatna ber leh pawimawh ber chu reversible a nih vang a ni.
Chumi awmzia chu enkawlna i chawlhsan hnuah i taksain hormone a siam chhuak leh dawn tihna a ni. Side effect tam zawk chu a reh zauh zauh ang. I sex drive chu a hmaa a level-ah a kir leh ang.
Hei hi surgical castration nen a danglamna lian ber a ni . Operation laiin testicles emaw ovaries emaw lakchhuah a nih chuan a awm reng a ni. Mahse he damdawi hmanga enkawlna hi hun eng emaw chen atan a ni.
Tin, hei hi cancer cell control nana hmanraw tangkai tak a ni bawk.
Hei hi vasectomy a ni em?
No. A ni lo tak zet. Vasectomy hi mipa tan chuan nau pai venna a ni. Ejaculation chauh a titawp. Vasectomy hian i hormone level, mipat hmeichhiatna duhna leh performance-ah nghawng a nei lo. Chemical Castration hi cancer enkawlna danglam tak a ni.
Engtikah nge Doctor i hmuh a ngaih?
Enkawl lai hian symptom thar i neih chuan, symptom awmsa chu a na zual a nih chuan, emaw, ngaihtuahna i neih chuan doctor hnenah hrilh nghal rawh. Nangmah ah engmah dah suh. Enkawl laia counselling pek hi rilru lama chak taka awm reng turin a pui thei hle bawk.
Take-Home Thuchah a ni
- ‘Chemical Castration’ tih hming hi hlau suh. Damdawi hmanga hormone level control leh hormone-a innghat cancer cell te than dan control dan a kawk a ni.
- He enkawlna hian a thatna lian ber chu non-permanent leh reversible a nih vang a ni. Enkawlna tihtawp a nih hnuah taksa chu a pangngaiin a lo kir leh thin.
- Enkawl lai hian side effects i nei thei a, chu chu mipat hmeichhiatna lama duhna tlahniam leh taksa lumna hriatna te hi a ni. Hengte hi i doctor nen inhawng takin sawi rawh.
- Hei hi vasectomy a ni lo va, permanent surgical removal pawh a ni lo.
- I rilru hahna eng pawh i neih chuan doctor nen inbiakna neih a pawimawh. He zinkawngah hian nangmah chauh i ni lo tih hre reng ang che.
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