Cancer dona hi a harsat zia kan hria. Enkawlna i dawn, chemotherapy leh radiation te hian a chang chuan hriselna lama harsatna dang a thlen thei a ni. Cancer enkawlna hian i thinlungah nghawng a nei thei tih i ngaihtuah ngai em? Chu chu damdawi lam chuan Cardiotoxicity kan tih chu a ni . He hming i hriat hian hlau suh. Hei hi mi zawng zawng chunga thil thleng a ni lo. Mahse hei hi hriat chian a pawimawh hle. Chuvangin vawiin hian he thu hi awlsam takin, in hriatthiam theih angin kan sawi dawn a ni.
A awlsam zawngin, Cardiotoxicity chu eng nge ni?
Cardiotoxicity hi cancer enkawlna emaw damdawi thenkhatin kan thinlung a tihchhiatna a ni. Cancer cell thattu damdawi hi indona chak tak angin han ngaihtuah teh. He indo mi hian cancer cells a do hian a chang chuan kan thinlunga cell hrisel tak tak, a bul hnaia awmte pawh hi a chhe deuh thei bawk. Chu chu cardiotoxicity chu a ni.
Thil thleng thei ber chu thinlung hian taksa pum puia thisen pump chhuah a harsat zawk hi a ni. Heart muscle hi a chak lo thei hle. Thil na tak ṭhenkhatah chuan hei hian Cardiomyopathy tih natna pawh a thlen thei a ni. Chumi awmzia chu heart muscle-in thisen a pump theihna chu nasa takin a tlahniam tihna a ni.
He natna chungchanga thil danglam tak pakhat chu a chang chuan cancer enkawlna a tawp hnu kum tam takah a lo awm thei a ni. Hetiang hlauhawmna hi puitling, naupan laia cancer enkawl tawhte zingah a sang hle.
Tu nge hlauhawm ber?
Cancer enkawl tawh tu pawhin he natna hi vei theihna chance nei mahse, mi zawng zawng hian an vei vek lo. Mahse, mi thenkhat chu an hlauhawmna a sang deuh hlek a ni.
- Mite damdawi thenkhat ei: Chemotherapy damdawi thenkhat leh enkawlna dangte hian thinlung a nghawng thei a ni. Chu chu rei lo teah kan sawi leh ang.
- Mihring rilru lam area-a radiation therapy dawng tawhte: Chhung cancer, entirnan, hnute cancer tan radiation therapy pek a nih chuan, chu radiation chuan thinlung pawh eng emaw chen a nghawng thei bawk.
- Kum naupang têa cancer enkawlna dawng tawhte: He hlauhawmna hi kum naupang têa enkawl puitlingte tan chuan a sang deuh hlek a ni.
Zirna thenkhatah chuan cancer enkawl mek puitling zinga 20% thlengin thinlung natna chi khat an nei thei a, heng zinga 7% leh 10% inkar hian cardiomyopathy emaw heart failure emaw an nei thei tih an sawi.
Cardiotoxicity hian thinlungah eng nghawng nge a neih theih?
Hetiang dinhmun hian thinlung lam harsatna chi hrang hrang a thlen thei a ni. Heng zawng zawng hi mi zawng zawngah a thleng vek lo a, mahse a chhan awm thei te hriat chian a pawimawh. A hnuaia table hi en rawh.
| Lung lam natna awm thei | A awlsam zawngin... |
|---|---|
| Lung lam natna (Cardiomyopathy) a awm | Heart muscle chu a chak lo va, thisen a pump tha thei lo. |
| Lung natna / Myocardial Infarction a awm thei | Thinlung thisen petu vein pakhat blockage. |
| Lung lam chak lohna | Thinlung hi a chak lo va, taksa mamawh phuhruk turin thisen a pump thei lo. |
| Thinlung thawk mumal lo (Arrhythmia) . | Lungphun chak lo tak, na tak, emaw, a mumal lo emaw. |
| Lung Valve Natna | Thinlung chhunga gate ang maia thawk valve te hian hna an thawk tha lo. |
| Thisen sang/hniam | I thisen sang chu a pangngai lo takin a sang emaw a hniam emaw a ni. |
| Thinlung vel ah fluid a awm khawm thin | Thinlung khuh tu membrane te tak teah tui a awm khawm a, chu chuan thinlungah pressure a siam a ni. |
Eng symptom nge i neih theih ang?
Cardiotoxicity nena inzawm heart symptoms hi a lo lang nghal thei a, a lo awm zauh zauh thei bawk. Cancer enkawl mek emaw, enkawl zo chauh emaw i nih chuan heng symptoms te hi hriat chian a pawimawh hle.
Heng symptoms te hi thil dang avanga lo awm thei a ni tih hre reng la, mahse heng zinga pakhat emaw a aia tam emaw i neih chuan doctor nen inbia ngei ang che.
| Symptom a ni | Hetiang hian i inhria mai thei. |
|---|---|
| Thâwk harsa (Dyspnea) . | Tlem ka kal lai te, stairs ka chhoh lai te, a nih loh leh ka ding reng mai emaw hian thawk ka hahdam lo va, ka thawk hah hle bawk. |
| Chhuak na emaw, nuam lo emaw | I rilru chu i hrual emaw, i hrual emaw, a na mai mai emaw ang maiin a lang. |
| Ke a hring (Edema) . | Ke, ke ruh leh ke ang chi hmunte chu kut zungtang hmanga hmet chuan a hring a, a hrual bawk. |
| Palpitations a awm | I thinlung chu a na a, a na rang ang maiin, a nih loh leh beat pakhat a skip ang maiin a lang. |
| Luak chhuak leh muhil | Spinning leh spinning te pawh a awm . Spinning leh spinning te pawh a awm . |
| Abdominal Distension a ni | Taksa chhunga tui awmkhawm vangin pum chhung chu a hring leh a lianin a lang. |
Cardiotoxicity thlentu ber berte chu engte nge ni?
Cancer enkawlna chi hrang hrang sang tam tak awm mah se, chi lian tlemte chauh hian he natna hi an thlen nasa ber a ni.
1. Chemotherapy damdawi thenkhat
Anthracyclines hi chemotherapy damdawi chi khat a ni a, hei vang hian a bik takin hriat hlawh tak a ni. Entirnan Doxorubicin (Adriamycin®) tih hi a ni. Hengte hi cancer enkawlna atan an hmang fo thin a, chu chu leukemia, lymphoma, hnute cancer, leh multiple myeloma te hi a ni.
2. Targeted Therapy damdawi hman tur
Trastuzumab (Herceptin®) hi chutiang damdawi entir nan hman a ni. Hnute cancer leh pum cancer enkawlna atan hman a ni. Cardiomyopathy vei theihna a sang hle a, a bik takin he damdawi hi anthracycline nena pek dun a nih chuan.
3. Radiation therapy hmanga rilru chhunga awm
Cancer, hnute cancer emaw Hodgkin’s Lymphoma emaw avanga rilruah radiation pek a nih chuan chu radiation chu thinlung chhungah a kal thei a ni. Hun a kal zel a, hei hian thinlung thisen kalna kawng leh ruhte a tichhe thei a ni.
Engtin nge doctor-te hian he natna hi an hriat theih?
A chunga kan sawi tak symptoms i neih chuan, emaw, high-risk group-ah i awm a nih chuan, i doctor chuan heart function test a ti mai thei. Test ber chu thinlung pump theihna enfiah a ni. Hei hi Left Ventricular Ejection Fraction (LVEF) tih tehna hmanga tih a ni. A awlsam zawngin, hei hi thinlungin a hnim apianga taksa chhunga thisen a pump chhuah zat percentage a ni.
Heng thilte tehna atana hman test thenkhatte chu a hnuaia tarlan te hi a ni.
| Fiahna | Hei hi engtin nge i tih? |
|---|---|
| Echocardiogram (Echo) hmanga tih a ni. | Hei hi hman tlanglawn ber a ni. Ultrasound wave (nausen hmuh theihna tura scan kan hmuh ang chi) hmangin thinlung thawk dan, a lian leh te, a pianzia leh thisen a pump dan te kan en thin. |
| Lung lam MRI hmanga siam a ni | Magnet leh radio wave hmanga siamThinlung thlalak chiang tak, chipchiar tak tak a la a ni. Hei hi cardiotoxicity hriat theihna kawng tha ber nia ngaih a ni. |
| Cardiac Stress Test neih a ni | Exercise i tih hunah i thinlungin a chhân lêt dân chu treadmill-a kal emaw, bike-a khalh emaw hmangin an teh a ni. |
| Multigated Acquisition (MUGA) hmanga thil tih theihna Scan hmanga thil tih a ni | LVEF value hi taksa tana hlauhawm lo radioactive substance tlemte inject a, camera hmanga thisen nena thinlung chhunga a kal lai enin a teh a ni. |
| Cardiac CT Scan hmanga tihchhuah a ni | X-ray tam tak hmangin thinlung 3D image siam a ni. Hei hi radiation therapy hmang tawh tan chuan a tangkai hle thei a ni. |
He natna hi engtin nge enkawl a nih?
Enkawl dan chu i thinlung tihchhiat nasat dan leh a chhan a innghat a ni.
- Damdawi thlak danglam: Tuna cancer enkawlna i ei mek hian i thinlung a nghawng tih finfiah a nih chuan i doctor chuan damdawi chu tihtawp a, a dose tihtlem emaw, damdawi dang hmanga thlak emaw a rel thei a ni.
- Lung damdawi: I doctor chuan thinlung hnathawh thatna tur leh natna lan chhuah dan control turin damdawi thar a pe thei ang. Entir nan:
- ACE Inhibitors: Hengte hian thisen kalna kawng a tizau a, thisen kal dan a titha bawk.
- Beta-blockers: Hengte hian heart rate a control a, heart pressure a tihziaawm bawk.
- Diuretics: Taksa atanga tui tam lutuk chu zun kaltlangin a paih chhuak thei a, chu chuan a hring (swelling) a tiziaawm a ni.
- Digoxin: Heart rate a tidanglam a, heart pump thisen a ti tha zawk bawk.
He natna hi a dam kim thei ang em?
Hei hi mi tam takin zawhna an neih a ni. A chhanna chu, "A chang chuan i ti thei a, a chang chuan i ti thei lo."
- Trastuzumab (Herceptin®) ang damdawi avanga cardiotoxicity awm hi a lo let leh fo thin . Chumi awmzia chu enkawlna tihtawp emaw, damdawi dang ei tan emaw a nih chuan thinlung hnathawh dan pangngaiah a kir leh thei tihna a ni.
- Anthracycline emaw Radiation Therapy emaw hmanga enkawl theih a niThil chhiatna a thlen chu tihdanglam theih loh a ni fo . Chutiang hunah chuan thinlung tichak thei damdawi i ei a ngai mai thei a, i dam chhung zawngin nunphung i thlak danglam a ngai mai thei.
A hlauhawmna tihtlem nan eng nge tih theih ang?
Dik tak chuan cardiotoxicity hi 100% a ven theih a ni lo. A chhan chu chu enkawlna chu cancer tihdam nan a pawimawh em em a ni. Mahse i tih theih pawimawh ber chu he dinhmun hi a rang thei ang bera hriat hi a ni.
- I doctor nen inbiakna neihpui rawh: Cancer enkawlna i tan hmain i doctor nen a thatna chungchang te, chubakah a nghawng tha lo awm thei te, thinlung chunga nghawng a neih dan te pawh zalen takin sawi rawh.
- Check-up neih fo: Cancer enkawl lai leh enkawl zawhah doctor-in a tih angin i thinlung enfiah fo (e.g., echo scan) tir thin ang che. Hei hian harsatna eng pawh a hmain hriatchhuah tir a, enkawl tan a pui dawn a ni.
Engtikah nge damdawi lam thurawn lak nghal tur!
Cancer enkawlna i dawng emaw, i dawng tawh emaw a, a hnuaia natna khirh tak tak i neih chuan damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh.
- Heart rate awm reng emaw, sang zel emaw.
- Luak chhuak, mit hmuh fiah lo emaw, muhil emaw.
- Thâwk hahna emaw, rilru natna emaw a zual zual thut.
- Ka hmui emaw, kawr emaw a hring chhuak.
- Ke emaw ke emaw a hring chhuak danglam.
- Kar khat chhungin kg 1.5 (pound 3) aia tam a rihna a pung.
Heng symptoms te hi heart attack na tak chhinchhiahna a ni thei a, chuvangin tihkhawtlai suh.
Take-Home Thuchah a ni
- Cardiotoxicity hi cancer enkawlna avanga thinlung tihchhiatna a ni. Hei hi mi zawng zawngah a thleng lo, mahse risk a awm.
- Thâwk harsa, rilru na, ke ruh hring ang chi symptoms te chu fimkhur reng tur a ni.
- Cancer enkawlna i tan hmain i doctor nen a thatna leh that lohna te leh i thinlunga nghawng a neih theih dan te sawipui hmasa phawt ang che.
- I doctor-in a rawt angin heart test (echo ang chi) neih fo a pawimawh hle a, enkawl lai leh enkawl zawhah pawh.
- Harsatna pakhat chu a hmaa hriatchhuah a nih poh leh hlawhtling taka enkawl a nih theihna a sang zawk. Hlauthawng suh, hriattir la, i doctor nen hna thawk ho rawh.
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