I doctor-in ‘Chemical Castration’ tih damdawi a hrilh che khan nangmah emaw, i hnaih ber emaw chuan mak i ti deuh mai thei. ‘Castration’ tih thumal kan hriat hian thil danglam tak tak kan rilruah a lo lang thin. Mahse, hlau suh. Hei hi i ngaihtuah angin surgical removal of genitals a ni lo. Hei hi cancer chi thenkhat control nan damdawi, chu chu damdawi hmanga enkawl dan pawimawh tak a ni. Vawiin hian hemi chungchang hi awlsam leh friendly takin kan sawi dawn a ni.
A awlsam zawngin Chemical Castration chu eng nge ni?
A awlsam zawngin sawi ila, chemical castration chu damdawi hmanga kan taksaa sex hormone siam chhuah tihtawp emaw, nasa taka tihtlem emaw tihna a ni.
Tunah chuan han ngaihtuah teh, kan taksaa hormone awmte hi thuchah (messenger) ang mai a ni. Heng hormone te hi gland hrang hrang atangin thisenah an chhuak thin. Heng tirhkohte hian taksa pum puiah an fang kual a, taksa peng hrang hrangte chu "hei hi ti rawh" tiin an hrilh thin. Entirnan, heng hormone te hian kan chakna, kan thanlenna leh kan rilru put hmang thunun ang chi thilte a nghawng a ni. Sex hormone hi hormone chi khat bik a ni. Puberty leh reproductive system hnathawhna ang chi thil atan an pawimawh hle.
Mahse, a chang chuan harsatna a awm thin. Cancer chi thenkhat, a bik takin prostate cancer leh hnute cancer chi thenkhat chuan heng sex hormone te hi "chaw" atan an hmang thin. Chu chu heng hormone te hi an awm chhung chuan cancer cell te hi an thang tha hle tihna a ni. Chuvangin, chemical castration treatment hian cancer-in a hmuh "chaw" chu a titawp a, chu chu hormone supply a ni. Tichuan cancer thanna chu a tawp emaw, a tam zawk chu control a ni emaw.
Hemi atan hian hming dang eng emaw zat hman a ni. Entir nan:
- Hormone hmanga enkawlna a ni
- Androgen tlakchhamna hmanga enkawlna
He enkawlna hi eng nge a hman tangkai theih?
Doctor-te chuan he therapy hi sex hormone-a innghat tumor enkawlna atan an hmang ber a ni.
Mipa chungchang sawi ila, kan taksaa sex hormone siam chhuah pawl lian ber chu androgens . Hengte hi hmeichhe taksaah pawh eng emaw chen siam ni mah se, a tam zawkah chuan mipa taksaah hmuh tur a awm. Testosterone hi androgen hormone ber a ni a, i hriat tawh ngei ang. He hormone hi prostate gland thanna leh hnathawhna atan a pawimawh hle. Mahse, prostate cancer a lo awm chuan cancer cell te pawhin he testosterone hi an lo thang lian thin. Chutih lai chuan he hormone tihtlem nan hian enkawlna a ngai a ni.
Hmeichhe hnute cancer-ah chuan cancer chi thenkhat chu hormone estrogen leh progesterone -ah a innghat a ni. Heng hormone control thei damdawi hi chutiang cancer tan pawh hman a ni.
Enkawl i tan hmain eng nge i tih thin?
I doctor-in he damdawi hi a pek hma che chuan i cancer chi hian hormone therapy a dawng tha em tih chiang takin 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
- Cancer kaihhnawih thisen test te
A pawimawh ber chu he enkawlna hi a awm reng lo tih hi a ni. Chu chu damdawi ei khap hnuah hormone siam chhuah dan pangngaiah a kir leh tihna a ni. Mahse, a châng chuan doctor chuan a chinfelna awm reng chungchâng pawh a sawi thei bawk. Chu chu surgery orchiectomy tih a ni . Chu chu, testicles pakhat emaw, a pahnih emaw surgery hmanga lakchhuah tihna a ni. Hei hian testosterone level chu a ti tlahniam vek a ni.
Enkawl dan leh damdawi hman dan
Hei hi vawi khat enkawlna a ni lo. Hei hi enkawlna kalpui mek a ni. Damdawi pek dan pawh a inang lo.
- Injection: A hman tlanglawn ber.
- Implants: Vun hnuaiah hian hmanraw te tak te dah a ni.
- Pills: Damdawi thenkhat chu pill angin a awm a.
Damdawi chi leh a hman dan azirin thla khatah vawi khat, thla thum danah vawi khat, kum khatah vawi khat tih nawn leh a ngai mai thei.
A hnuaia table-ah hian prostate cancer enkawlna atana hman tur damdawi chi hrang hrang thenkhat tarlan a ni. Hmingte hi a buaithlak deuh a, mahse hei hian rough idea i neih theih nan a pui tur a ni.
| Ruihhlo chi hrang hrang | A hnathawh dan leh entirnan |
|---|---|
| GnRH agonists te hi a ni | Hengte hian pituitary gland a nghawng a, testicles-a signal kal chu a titawp a, testosterone siam a ni. A tirah chuan hormone level a sang deuh thei (testosterone flare). Entirnan: Goserelin, Leuprolide tih te hi a ni. |
| GnRH dotu a ni | Hengte hian a chunga kan sawi hormone te hi tipung lovin testosterone siamchhuahna chu a titawp thin. Entirnan: Degarelix. |
| Antiandrogen hmanga enkawlna te | Chungte chuan taksaa androgen hormone lo chhuakte chu cancer cell-in an hman theih loh nan a block a ni. Entirnan: Bicalutamide, Enzalutamide te hi a ni. |
| Androgen siam chhuahna tur tikhawlotu a ni | Hengte hian taksa chhung khawi hmunah pawh androgens siamchhuahna a titawp a, testicles-ah chauh ni lovin. Entirnan: Abiraterone tih hi a ni. |
He enkawlna hian a thatna te, a that lohna te leh a side effect te chu engte nge ni?
Enkawlna dang ang bawkin hei hian hlawkna leh nghawng tha lo a nei vek a ni.
A thatna ber
- Cancer Control: Hei hi a thatna ber chu hormone-dependent cancer control nana hmanraw tangkai tak a ni.
- Reversible: Hei hi advantage lian tak a ni. Surgery angin a awm reng lo. Inenkawlna i chawlhsan hnuah i taksa hormone level leh sexual function te chu zawi zawiin a pangngaiin a lo let leh ang.
Side effect awm thei te
He damdawi hi rei tak ei hian side effect thenkhat a awm thei. Mahse, i doctor chuan heng zawng zawng hi a sawipui ang che a, enkawl dan tur thurawn tul tak tak a pe ang che.
- Sex duhna/libido hniam
- Hot flash a rawn chhuak ta
- Ruh natna (Osteoporosis) a awm
- Taksa chhunga thau leh sugar metabolism lama harsatna awm
- Lungngaihna
- Taksa rih zawng a tlahniam
- Thisen tlakchhamna (Anaemia).
- Labouriousness a ni
Hei hi a hrehawm em? Pills ei hi a hrehawm lo. Amaherawhchu, injection emaw implant emaw i lak hian tlem a na emaw, kang emaw i nei thei. Mahse chu chu rei vak lo hnuah a bo tlangpui.
Ṭhenkhat chuan zawhna an zawt fo ṭhin
Hei hi surgical castration ang mai a ni em?
No. Surgical castration chu testicles emaw ovaries emaw a awm reng theihna tur a ni. Chemical castration chu damdawi hmanga hormone siam chhuah hun engemaw chen tihtawp a ni. Damdawi ei kha tihtawp a nih chuan hormone siam chhuah a ni leh ta a ni.
Hei hi vasectomy tih hi a ni em?
Ni lo tak zet a ni. Vasectomy hi mipa tan chuan naupai venna atana hmanraw tangkai tak a ni. Semen ejaculation a titawp chauh a ni. I hormone level, sex drive leh sexual function-ah nghawng a nei lo.
Enkawl zawhah sex ka hmang thei ang em?
Awle. Mahse, mipat hmeichhiatna duhna i nei tlem a, sex hman duhna i nei tlem zawk mai thei. Tin, i erection chu a hma angin a khauh lo thei a, a rei lo thei bawk a, a lo thleng fo bawk thei bawk. Hemi chungchang hi i doctor nen inhawng takin sawi rawh.
Take-Home Thuchah a ni
- ‘Chemical castration’ tih hi a hming hlauhawm tak a ni a, mahse hormone-a innghat cancer enkawlna damdawi a kawk a ni.
- Hei hi operation nghet tak a ni lo. Enkawlna tihtawp a nih hnuah taksa hnathawh dan pangngaiah a kir leh ngei a rinawm.
- Hei hian cancer cell te tihpunna tura puitu sex hormone level a tihhniam a ni.
- Side effect a awm thei a, mahse i doctor chuan a enkawl theih nan a pui ang che.
- I hlauhthawnna, rinhlelhna, leh ngaihtuahna i neih apiang chu i doctor hnenah zalen takin sawipui rawh. I dikna a ni.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Heavy Menstrual Bleeding / Menorrhagia hi eng nge ni?
Heavy Menstrual Bleeding hi thil hlauhawm tak a ni a, thlasik hun pangngaia thisen chhuak zat chu 30-40 ml vel a ni a, mahse double/triple (80 mL aia tam) a nih chuan darkar tin i pad/tampon i thlak a ngai a, thisen zam lian tak tak (rupee coin aia lian) i neih chuan, ni 7 aia tam thisen i chhuah chuan hei hian thisen tlakchhamna a thlen thei a, damlo chu a lo awm thei bawk natna khirh tak a nei!
💬 Thlai thisen chhuak (Menorrhagia) awm chhan berte chu engte nge ni?
Hei hi a chhan lian 4 a awm a, chungte chu: 1) ‘Uterine Fibroids’ - Hengte hi cancer ni lo tumor ni mahse, nausen pum a tikhawlo lo va, thisen nasa tak a chhuah tir thin (hei hi a chhan tam ber a ni). 2) Endometrial Polyps leh Adenomyosis te a awm thin. 3) Hormone inthlauhna (PCOS/thyroid). 4) Family planning loop (IUD) te te leh a chhan hlauhawm ber: ‘Endometrial/Cervical Cancer’.
💬 Thlasik laia thisen chhuak nasa tak kan neih hian, damdawi dawr atanga damdawi ei lova damdawi inah dah nghal/VOG-a inlan vat ngai ‘nunna atana hlauhawm/emergency situations’ te chu engte nge ni?
Ni khat emaw ni hnih emaw chhung chu a tlangpui aia tam thisen i chhuah chuan kar tlemte hnuah VOG (gynecologist) hnenah i entir thei ang (ultrasound scan atan). Mahse, a hlauhawm ber chu! 1) He thisen chhuah hian 'severe anemia / hypovolemic shock' a thlen chuan, 2) Pum na tuar theih loh (severe pelvic pain) i neih chuan, 3) Hmeichhe naupai hian hetiang hian thisen a chhuah (miscarriage / ectopic) a nih chuan, nausen pum a puak thei a, damlo chu a thi thei a, chuvangin damdawi inah dah nghal a ngai a ni!
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