Nangmah emaw, i hriat emaw cancer vei tih i hriat chuan ‘chemo’ tih thumal i hriat hian hlauhna leh lungkhamna nasa tak i neih hi thil pangngai a ni. ‘Chemo’ tih thumal hian mi pakhatin a sam a hloh a, a thau a tlahniam a, a hrehawm tawrhna lem a rawn keng tel nghal a ni. Amaherawhchu, chemotherapy chu eng nge a nih, eng damdawi nge hman a nih tih leh taksa a nghawng dan te chiang taka kan hriatthiam chuan he hlauhthawnna hi nasa takin a reh thei a ni. Chuvangin vawiinah hian friendly takin i sawi dawn nia.
Chemotherapy hi a awlsam zawngin eng nge ni?
A awlsam zawngin sawi ila, chemotherapy hi cancer enkawlna atana damdawi chak tak tak hmanga enkawlna a ni. Hei hi a tawi zawngin ‘chemo’ kan tih chu a ni. Cancer enkawlna tha ber pakhat a ni.
Hei hian a hnathawh dan hrethiam tur chuan kan taksa chhunga cell awmte hi tlem kan hriat hmasak a ngai a ni. Kan taksa hi cell maktaduai tam tak atanga siam a ni. Cell hriselte chu a tul hunah an inthen darh a, cell thar an siam a, an mamawh tawh loh hunah an thi bawk. Hei hi cell cycle an ti a. Mahse cancer cell te hian an ti lo. An inthen darh a, an pung chak hle a, thunun theih lohvin tumor an siam a ni.
Chemotherapy hian a tih chu heng cancer cell inthen chak tak takte hi a tichhia a, an inthen darh belh zel loh nan a titawp a ni. Chu chu cancer thanna tur a control tihna a ni.
Chemotherapy hi cancer tan chauh hman a ni em?
A tam zawkah chuan, a ni. Chemotherapy hi cancer enkawlna atan hman a ni ber. Medical oncologist-te chuan chemotherapy bakah enkawlna dang, surgery leh radiation therapy te pawh an rawt a ni.
Mahse a chang chuan chemotherapy hi cancer ni lo natna dang atan pawh hman a ni.
- Autoimmune Diseases: Heng natnaah hian kan taksa ngeia immune system cells te hian kan taksa hrisel tak takte chu an bei thin. Chemotherapy hian heng immune cell inthen chak tak takte hi a thunun thei a, taksa tana chhiatna an thlen pawh a ti tlem thei bawk.
- Thisen lama harsatna: Thisen lama harsatna thenkhatah chuan ruhro (bone marrow) hian thisen cell pangngai lo a siam chhuak thin. Chutiang hunah chuan ruhro chhunga heng cell pangngai lote hi tihchhiat a, stem cell transplant hmain cell hrisel thar awmna tur hmun siam turin chemotherapy pek a ni.
Chemotherapy damdawi chi hrang hrang leh a hnathawh dan
Chemotherapy damdawi hi chi khat a ni lo. An chemical makeup leh cancer cell an tihlum dan a zirin chi hrang hrangah an inthen a ni. I doctor chuan cancer chi hrang hrang, a darh zau zia (stage) leh i hriselna zawng zawng a zirin eng damdawi nge i tan a tha ber tih a rel ang.
A châng chuan damdawi pakhat chauh ni lovin, damdawi eng emaw zat an pe khawm ṭhin. Hei hi combination chemotherapy an ti a. Damdawi chi hrang hrang pek khawm hian enkawlna hlawhtlinna a tipung a, a chhan chu damdawi tin hian cancer cell te chu kawng hrang hrangin a bei thin a ni.
Chemotherapy damdawi chi hrang hrang thenkhat han thlir ila.
| Ruihhlo chi hrang hrang | A hnathawh dan | Entirna hman tlanglawn tak tak |
|---|---|---|
| Alkylating Agents te pawh a awm | Cancer cell DNA an tichhia a, an inthen darh thei lo. Hengte hi chemo chi hrang hrang hmuhchhuah hmasak berte an ni. | Carboplatin, Cisplatin, Cyclophosphamide te a awm bawk |
| Antimetabolites a awm bawk | Cancer cell-te'n cell thar siamna atana an mamawh genetic material (DNA) an siam theih loh nan a veng a ni. In thar sakna atana hmanraw mamawh tihtawp ang mai a ni. | 5-fluorouracil, Methotrexate, Gemcitabine te a awm bawk |
| Topoisomerase tihkhawtlai a ni | Cancer cell-in a DNA copy tura puitu enzyme (topoisomerase) a block a ni. Hei hian cell chu a inthen darh thei lo. | Etoposide, Irinotecan, Topotecan tih te hi a awm a |
| Mitotic Inhibitor te hi a awm a | Hengte hi thing leh mau atanga lo chhuak tam tak an ni a, cancer cell inthen darh (mitosis) kalphung tibuaitu an ni. | Paclitaxel, Docetaxel, Vincristine te a awm bawk |
| Antitumor Antibiotics damdawi a ni | Cancer cell DNA replication an titawp a, DNA an tichhe thei bawk. | A rilru a hah lutuk chuan a rilru a buai em em a, a rilru a hah lutuk chuan a rilru a buai em em bawk a |
Corticosteroid pawh hi chemotherapy damdawi a ni em?
Ni lo, `Corticosteroids` hi chemotherapy damdawi a ni lo. Mahse, chemotherapy la mek tam tak chu side effects, luak leh luak chhuak te control nan an pe thin. Tin, `Corticosteroid` thenkhat hian cancer cells that theihna an nei bawk. `Dexamethasone` leh `Prednisolone` te hi entirnan a ni.
Mi zawng zawngin kan hlauh ber side effects te
Chemotherapy chungchang kan sawi hian mi zawng zawngin kan ngaihtuah ber chu a side effects hi a ni. Chemotherapy hian side effect a nei ve tho tih hi a dik a ni. A chhan chu chemotherapy damdawi te hian cancer cell leh cell hrisel an thliar hrang thei lo a ni. Heng damdawi te hian cell inthen chak zawng zawng chu an bei thin. Cancer cell bakah hian kan taksaah hian cell hrisel tak tak, inthen darh chak tak tak a awm bawk.
Entir nan:
- Sam zung chhunga cell awm (chuvang chuan sam a lo thang lian thin) .
- Ka chhung leh kawr chhunga cell awm (chuvang chuan hmui natna a awm thin) .
- Digestive system cells (chu chu natna hrik, luak chhuak, leh pum ti natu a ni) .
- Ruh chhunga thisen cell siamtu cell (chuvang chuan thisen tlakchhamna a awm a, natna laka invenna a tlahniam) .
Hei vang hian side effect lo awm thei tam ber chu:
- Chauhna nasa tak a awm
- Nausea leh luak chhuak
- Diarrhea emaw constipation emaw a awm thei
- Sam tlakchhamna
- Kawngkhar natna
- Chaw chakna
- Thisen cell tlahniam hian thisen tlakchhamna a thlen a, natna hrik kai theihna a tipung bawk (neutropenia).
A pawimawh ber chu mi zawng zawng hian heng side effect zawng zawng hi an tawng vek dawn lo. Tin, i doctor chuan heng side effect tam tak control nan leh a nghawng tihziaawmna tur damdawi dang a pe ang che. Chuvangin side effects vangin enkawlna hi titawp suh. I harsatna i neih apiang chu i doctor nen zalen takin sawi rawh.
Engtikah nge Doctor ka hmuh ang?
Chemotherapy i tih laiin side effect i neih chuan doctor hrilh a pawimawh hle. A bik takin, a hnuaia thilte hi i tawn chuan ngaihthah suh:
- Khawsik sang (a tlangpuiin 38°C / 100.4°F aia sang) .
- Tih theih loh khawpa ril\am emaw, ril\am emaw
- Thâwk harsa emaw, rilru na emaw
- Taksa chhung hmun hrang hrang atanga thisen chhuak chhunzawm zel
- Kawng hliam na tak avanga ei leh in theih lohna
Chutiang a nih chuan i enkawlna hmuna cancer unit-ah phone nghal la, a nih loh leh damdawi in hnai ber emergency department (ETU)-ah kal rawh. Hengte hi nghah tur a ni lo. I doctor chuan damdawi hman dan tur a thlak a ngai mai thei a, enkawl dan tur a thlak a ngai mai thei a, a nih loh leh a side effects awm thei tur damdawi dang a pe che a ngai mai thei bawk.
Take-Home Thuchah a ni
- Chemotherapy hi a chak em em a, a hlawk em em a, cancer cells a tichhe thei a ni. A tul lovah hlau suh.
- Chemotherapy damdawi chi hrang hrang a awm a. I doctor chuan i cancer leh hriselna dinhmun enkawlna tha ber a thlang ang.
- Side effect a awm thei a, mahse a tam zawk chu control theih a ni. I harsatna i neih apiang chu i doctor nen sawiho rawh.
- Enkawl lai hian a hun taka damdawi ei leh clinic-a kal a pawimawh hle.
- Nangmah chauh i ni lo. I chhungte, i thiante leh i medical team te chu i tanpui turin an awm reng a ni. Anmahni tanpuina dil hreh ngai suh.
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