Breast cancer enkawlna paltlang hi zinkawng awlsam a ni lo tih kan hre vek. Taksa leh rilru hahthlak tak a ni thei. A châng chuan, enkawlna a side effects hian nitin nun a ti harsa hle thei a ni. Hetiang thil avang hian enkawl chhunzawm zel tur hian vawi hnih i ngaihtuah mai thei. Enkawlna tihtawp chu i tan thutlukna dik tak ni thei mah se, i ngaihtuah angin a awlsam lo. Thutlukna harsa leh sensitive tak a ni.
Hei hi insualna a ni lo, i nun a ni.
Mi tam tak chuan enkawlna chawlhsan chu an hlawhchham tihna emaw, mi an tihnat emaw tihna niin an ngai. "Hlawhchham ka ni," "Mi zawng zawng ka thlahthlam," etc. tih ang chi rilru put hmang a lo chhuak thei. Mahse i hriatthiam tur pawimawh ber chu i tana tha ber tur atanga thutlukna siam tur a ni .
Hei hi indona a ni lo. Hei hi i nun a ni. Hetah hian tumahin ‘combatant’ ni turin an inziak lut lo. I nun chungchangah thutlukna siam turin dikna i nei vek a, i thlamuanna.
Breast cancer enkawlna tihtawp i tum chuan ngaihtuah tur tam tak a awm . Mahse eng ang pawhin thutlukna siam mah la, i medical team te chu i bulah an awm reng dawn tih hre reng ang che.
I doctor nen inbia ngei ang che.
Cancer enkawlnaah hian doctor-te chuan "shared decision-making" approach an duh zawk. Chumi awmzia chu Doctor in engkim a hrilhfiah ang che, mahse thutlukna hnuhnung ber chu nangmahin i siam tihna a ni. Doctor chuan enkawlna tihtawp a thatna leh that lohna te, chubakah eng duhthlan tur dang nge i neih tih te a hrilhfiah ang che.
Oncologist Andrea Silber chuan, "Tumah tih tur hrilh hi ka hna a ni lo," a ti. "Ka hna chu mi pakhatin an tana tha ber tur a rel theih nan tanpui hi a ni."
I doctor chuan i biak hunah heng thil chi hrang hrangte hi a ngaihtuah ngei ang.
| Doctor-in a ngaihtuah thin thilte | A awlsam zawngin... |
|---|---|
| Cancer hi a darh tawh em? (Cancer natna sang tak nei) . | He cancer hi taksa peng dangah a darh tawh a, enkawl harsa tak a ni em? |
| Cancer hi tihdam theih a ni em? (Tihdam theih a ni) . | Hei hi cancer tihdam theih vek a ni em? |
| I kum leh cancer awm dan | I la naupang em? Cancer hi a aggressive em? |
| Tun hmain eng enkawlna nge an lo neih tawh? | Eng ang enkawlna nge i dawn tawh? |
| Side effects vangin i chawlhsan em? | Enkawlna tihtawp chhan ber chu a side effects tuar theih loh vang mai mai a ni em? Chutiang a nih chuan, chutiang side effects chu kan tihtlem thei ang em? |
| Natna dang a awm em? | Cancer bakah hian damdawi lam harsatna dang enkawl ngai i nei em? |
Enkawlna tihtawp i ngaihtuah chhan pawh a pawimawh hle . A châng chuan miten damdawi pangngai ai chuan science-a finfiah loh damdawi dang hman an tum duh ṭhin. "An ngaihdan hi a dik lo tih hrilh hi ka hna a ni lo. Mahse, scientifically valid leh evidence-based education leh information ka neih ang hi pek hi ka mawhphurhna a ni," tiin Dr. Silber chuan a sawi.
Palliative Care chungchang i zir dawn teh ang
Hei hi mi tam takin an hriat loh service a ni a, mahse a pawimawh em em a ni. Palliative care chu i dam kim theih loh laiin i dam chhung zawnga i nunphung tihchangtlun tumna enkawlna a ni. I natna hmuhchhuah ni atang khan i dawng thei a ni.
Enkawlna tihtawp i tum hunah chuan palliative care services a\angin tanpuina dang i dawng ang. He service hian i natna leh i rilru hahna thlentu symptoms te chu a enkawl thei a, rilru lamah pawh a tichak thei bawk.
Palliative care team-ah hian specialist hrang hrang an awm a.
- Doctor te an ni
- Nurse te an ni
- Social worker te an ni
- Psychologist te pawh an awm
- Chaplain te an ni
Heng mite hian i cancer chauh an en lo va, mi pum pui angin an en che a ni .
Palliative care service atanga tanpuina i dawnte chu:
- Natna emaw, natna dang emaw (e.g. nausea, thawk harsatna ) tihziaawmna.
- Rilru hriselna chungchangah depression leh anxiety ang chi enkawl.
- Sum leh pai emaw, dan lama harsatna emaw avanga tanpuina zawng.
- Thlarau lam ṭanpuina pe.
- Chhungkaw nena inbiak dan tur kaihhruaina.
- Nangmah ang bawka thil tawn tawhte nen support group zawng rawh.
- Diet leh exercise chungchanga thurawn pek.
- Thutlukna i siam theih loh hunah i tan damdawi lam thutlukna siamtu tur health care proxy hming vuah turin a pui ang che.
"Legacy work"-ah pawh an pui thei bawk. Chu chu i hmangaih tak takte hriatrengna tur thil danglam tak siam tihna a ni. Eng pawh a ni thei. I duh ber recipe khawlkhawm emaw, thlalak album hlui emaw, lehkha ziah emaw, i aw recording emaw pawh a ni thei.
Engtin nge nunphung (quality of life) kan vawn reng theih ang?
Telehealth services hmang rawh
I doctor nen in inbiak reng tur a ni. Mahse, chu chu damdawi inah kal reng a ngai tihna erawh a ni lo. I doctor hnenah in atanga video call hmanga i biak theih leh theih loh zawt la, i information te chu share rawh.
He zinkawngah hian i chhungte pawh rawn hruai ve rawh.
Enkawlna chawlhsan tura thutlukna i siam chu i chhungte tan chuan pawm harsa tak a ni thei. A nih loh leh, tûnah hian engtin nge an thlawp che tih an hrethiam lo mai thei bawk. I doctor emaw palliative care team emaw hnenah he thu hi hrilhfiah turin hrilh rawh. Tlemte sawifiahna hian danglamna nasa tak a thlen thei a ni.
Social support dawng rawh.
Ṭhiante, chhungte, support group-te nen inbiakna neihpui rawh. I tana pawimawh tu pawh sawipui rawh. Thu sawi hlau suh, hun rei tak chhunga i biak loh mite hnenah pawh. I tan harsa i tih chuan chutiang kawngah pawh i palliative care team hnenah tanpuina i dil thei bawk.
I tana pawimawh thilte chu dah pawimawh hmasa phawt ang che.
Cancer hi i thunun thei lo va, mahse i hun la awm chu i hman dan tur i thunun thei a ni . Huanah pangpar engemaw zat phun la, special event ruahman la, i tih duh tawh ang kha ti rawh. Chutiang thilte chu i symptoms-in a dal a nih chuan i doctor hnenah hrilh rawh.
Plan thenkhat chu tihhlawhtlin theih loh khawpa hla anga lang a nih chuan palliative care team chuan thil siam chhuah thiam takin an rawn pan thei che a ni. Entîr nân, doctor pakhat chuan hmeichhe pakhatin a nau pai lai a tu leh fate lungphu a hriat theih hun lai a sawi a. "Thla ruk hnua piang tur naute chu hmu thei lo mah se, chu naute nen chuan a inzawm thei ta a ni. Thiltihthei tak a ni tak zet a ni."
Take-Home Thuchah a ni
- Cancer enkawlna tihtawp tum hi hlawhchhamna emaw, chak lohna emaw a ni lo. I nun chungchanga mimal, thutlukna dik tak i siam a ni.
- Thutlukna i siam hmain i oncologist nen zalen takin inbiakna nei hmasa phawt ang che. Hei hi ‘shared decision-making’ an ti a.
- Palliative care hi i nunphung tihchangtlunna tura puitu, natna leh natna lan chhuah dan dangte enkawltu service a ni a, rilru lam, khawtlang leh thlarau lam tanpuina pe thei che a ni.
- Hemi chungchang hi i chhungte leh i thiante nen sawiho rawh. He thutlukna hi hriatthiam harsa an tih chuan i medical team hnen atangin tanpuina zawng rawh.
- I hun la awm chu i duhzawng leh hlimna thlentu thil tih nan hmang rawh. Nun hlimna tê tête pawh hi a hlu hle.











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