Doctor-in nangmah emaw, i hmangaih tak emaw chemotherapy lak a ngai tih a hrilh hian hlauhna leh lungkhamna nasa tak i nei thei a ni. Chu chu thil pangngai a ni. "Chemo" tih thumal kan hriat hian kan rilruah lem harsa leh hrehawm tak kan nei fo thin. Mahse he enkawlna chungchang hi kan hriat belh chuan chu hlauhna chu a bo ta a ni. Chuvangin vawiinah hian chemotherapy hi eng nge a nih, eng nge a tih, leh a hmachhawn dan tur chu awlsam tak leh friendly takin kan sawi dawn nia.
Chemotherapy hi eng nge ni tak tak?
A awlsam zawngin sawi ila, Chemotherapy hi damdawi chi khat, cancer cell tihhlumna atana pek thin a ni. A tawi zawngin "chemo" an ti bawk. Hei hi cancer enkawlna chi khat chauh a ni. Damdawi chi dang pawh a awm a, chungte chu cancer cell do nan an hmang bawk.
- Hormone therapy: Hormone hian cancer chi thenkhat a tipung a. He enkawlna hian cancer hian chutiang hormone a neih loh nan a block a ni.
- Immunotherapy: Heng damdawi te hi kan taksa ngeiin cancer a do theihna tura puitu damdawi te an ni.
- Targeted therapy: Heng damdawi te hian cancer cell te inthen dan leh an awm dan a thlak danglam a, an thanlenna a titawp a ni.
Heng enkawlna te hi medical oncologist in a enkawl a ni . A chang chuan chemotherapy hi surgery emaw radiation therapy emaw nen an pe dun thin.
Engtin nge he enkawlna hian hna a thawh?
Cancer cells chu cell inthen darh leh pung chak tak leh thunun theih loha pung thin te an ni. Chemotherapy damdawi hian heng cancer cell inthen chak tak takte hi a tichhia a, an inthen darh lehzual loh nan a titawp a ni.
I doctor chuan chemotherapy hi thil chi hrang hrang atan a hmang thei a ni. Hriatthiam duh chuan he table hi en la.
| Enkawlna tum ber | A awlsam zawngin... |
|---|---|
| Adjuvant therapy hmanga enkawl a ni | Surgery emaw, radiation hmanga enkawl emaw hnuah taksaa cancer cell te tak te, hmuh theih loh awm thei zawng zawng chu tihchhiat vek tur a ni. |
| Damdawi hmanga enkawlna (curative therapy) a ni | Cancer chu tidam vek la, a lo thang leh tawh loh nan siam rawh (surgery leh radiation therapy nen pawh a inzawm mai thei). |
| Neoadjuvant hmanga enkawl a ni | Surgery emaw radiation therapy emaw i tih hmain tumor chu enkawl awlsam zawk nan tihtlem hmasa phawt tur a ni. |
| Palliative therapy hmanga enkawl a ni | Cancer tihdam kim theih lohna hmunah chuan tum ber chu tumor tihtlem a, a natna lan chhuahna (natna ang chi) tihtlem a, damlo chu nuam zawka nunpui tura tanpui a ni. |
Chemo enkawlna atan engtin nge kan inbuatsaih?
Enkawlna i tan hmain i doctor chuan i hriselna a phak em tih test thenkhat a ti ang. Chutih lai chuan hetiang hian i inbuatsaih thei ang. He inbuatsaihna hian rilru leh taksa lamah chakna nasa tak a pe ang che.
- Enkawlna chungchang zir rawh: I doctor hnenah chemotherapy damdawi chi hrang hrang i dawn tur te, a hlawkna te, leh a nghawng tha lo awm thei te zawt rawh. Hemi chungchang i hriat tam poh leh i tan i tuar a awlsam zawk ang.
- Side effects atan inbuatsaih lawk rawh: Entirnan, i sam i hloh mai thei tih i hriat chuan wig emaw, scarf mawi tak emaw ha turin i rilru i siam lawk thei ang. Vun inthlak danglam leh ni laka sensitivity a awm thei bawk. Chutiang hun chhunga hman tur chuan vun enkawlna thil nêm tak takte chu i buatsaih lawk thei a ni.
- Ha enkawltu hmu rawh: Chemotherapy hian hmui a ti na thei a, eitur thlum a tidanglam thei bawk. Chuvang chuan ha lam harsatna emaw, ha natna emaw a awm chuan enkawl tan hmain enkawl hmasak a pawimawh hle.
- Sum leh pai chungchâng ngaihtuah rawh: Insurance coverage leh damdawi ina hamṭhatnate chu hre lawk rawh. Chûng thilte chu i ruahman lawk chuan, i tân enkawlna chauh ngaihtuah chu a awlsam zâwk ang.
- I hnathawh hun tur ruahman rawh: I hnathawh ni leh darkar i thlak a ngai mai thei. I enkawl danin i hnathawh a nghawng dan tur chu i doctor nen sawiho la, chutah chuan i hnathawhna hmun neitu nen inbia la, chu mi ang chuan ruahmanna siam rawh.
- Enkawlna ni atan ruahmanna siam rawh: Enkawlna hian eng chen nge a daih dawn tih leh a chhunga i tih theih turte ruahman rawh (lehkhabu chhiar la, music ngaihthlak rawh). Enkawl hma darkar khat vel chawhmeh tlemte ei hian natna tha lo (side effects) te chu a tiziaawm thei a ni.
Enkawl lai hian eng nge thleng?
Chemotherapy pek dan azirin i thil tawn chu a inang lo thei. A tlangpuiin chemotherapy hi taksa pum puia fang kual thei tura pek a ni. Hei hi `systemic chemotherapy` an ti a.
| Enkawl dan tur | Chu chu... |
|---|---|
| Vein pakhat kaltlangin (Intravenous - IV) . | Hei hi hmanraw hman tlanglawn ber a ni. Damdawi chu vein-ah an inject a, saline ang maiin. |
| Injection angin | Vun emaw taksa ruh emaw-ah regular injection angin pek thin a ni. |
| Damdawi ei tur | Pill emaw liquid emaw angin pek a ni. |
| Topical ointment angin | Cancer chi thenkhat tan chuan vunah cream angin an hnawih thin. |
A chang chuan cancer chauh target turin chemotherapy an pe thin. Entirnan, thluak leh ruhro inkar tuiah intrathecal chemotherapy pek a ni.
IV (intravenous route) hmanga chemotherapy pek dan .
Damdawi hi thisen kal tlanga pekna atan hian hmanraw hrang hrang hman a ni.
- Needle: A tlangpuiin kut chhunga vein pakhat nena inzawm a ni.
- Catheter: Tube te tak te, flexible tak, a tlangpuiin rilru chhunga vein pakhata dah thin.
- Port: Disk ang chi thil te tak te, vun hnuaiah surgery hmanga dah a ni. Damdawi pek a ngaih hunah he port-ah hian needle an dah thin.
- Pump: Catheter emaw port emaw-a dah, taksa chhunga damdawi a rate dik leh a zat dik taka a luh dan tur control-na hmanrua.
Heng catheter leh port te hi enkawlna i dawn chhunzawm apiangin needle i dah loh nan a tangkai hle.
Chemo hian eng side effect nge a neih?
Hei hi mi zawng zawng ti hlauhawm ber chu a ni. Chemotherapy damdawi hian cell inthen darh chak tak takte chu a target a ni. Cancer cells hi cell inthen darh chak tak an ni. Mahse kan taksaah hian cancer cell chauh ni lovin, cell hrisel tak tak, inthen darh chak tak tak te pawh a awm a. Entir nan:
- Sam cells a awm
- Digestive system-a cell awmte
- Thisen cell (thisen sen, thisen var) .
- Vun cell te
Chemo damdawi hian heng cell hrisel leh cancer cell te hi a thliar hrang thei lo a, heng cell hrisel te hi a tichhe thei bawk. Chuvang chuan side effect a awm thin.
Mi tam takin side effect an neih tlanglawn thenkhat chu:
- Chau
- Nausea leh luak chhuak
- Sam tlakchhamna
- Anorexia a awm
- Constipation emaw riltam emaw
- Thisen chhuak
- Infection awlsam taka kai theih (immuity tlahniam vang) .
- Thisen tlakchhamna (Anaemia).
A pawimawh ber chu heng side effect zawng zawng hian mi zawng zawng a nghawng vek dawn lo tih hi a ni. Tin, tunah chuan damdawi tha leh tam tak enkawl dan tur tam tak a awm tawh bawk. I harsatna i tawh apiang chu i doctor emaw medical team emaw hnenah hrilh nghal rawh.
Enkawlna hnuah pawh side effect a awm reng thei em?
Side effect tam zawk chu enkawlna tihtawp hnuah a bo vek. Mahse, a nghawng ṭhenkhat chu thla tam tak emaw, kum tam tak hnuah pawh a lo lang thei a ni. Chungte chu `late effects` an ti a.
- Hriatrengna leh ngaihtuahna lama harsatna ("chemo brain") .
- Lung natna (`Cardiotoxicity`) .
- Nerve tihchhiatna (Neuropathy) 1.1.
- Menopause hmasa ber
- Fa neih theihna a nghawng dan (Infertility) .
Hemi chungchang hi i doctor nen pawh inbiain a tul angin thurawn i la thei bawk.
Chemo hian cancer hi a tidam kim thei em?
Ni e, a theih. Cancer chi thenkhat chuan chemotherapy an dawng tha hle. Chutiang hunah chuan cancer chu enkawl hnuah a bo vek a ni. Doctor-te chuan ``cure`` tih thumal hi fimkhur deuhin an hmang a, a chhan chu cancer lo awm leh theihna chance a tlem hle fo thin.
Amaherawhchu khawvel hmun hrang hrangah hian cancer atanga dam chhuak vek tawh, chemotherapy avanga nun hrisel tak nei mek mi maktaduai tam tak an awm a ni. Chuvangin hlau suh. Hei hi cancer dona atana hmanraw tangkai tak leh chak tak a ni.
Take-Home Thuchah a ni
- Chemotherapy hi damdawi chak tak, cancer cell tichhe thei a ni. Hlauh a ngai lo, hriatthiam dik a pawimawh .
- Side effect a awm thei a, mahse a tam zawk chu enkawl theih a ni. An chungchang hi i doctor nen zalen takin sawipui rawh.
- Enkawl hmaa tha taka inbuatsaih chuan rilru leh taksa chakna nasa tak a pe ang che.
- He zinkawngah hian nangmah chauh i ni lo. I medical team, chhungte leh i thiante chu i thlawp turin an awm reng a ni. Chuvangin chak takin awm rawh.
- Zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor zawt hreh ngai suh.
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