Colon cancer hian liver-ah a darh tawh em? I doctor zawh tur zawhna 12 (Metastatic Colon Cancer) .

I doctor-in colon cancer i vei thu leh tunah chuan i liver-ah a darh tawh tih a hrilh che khan i hlauthawng a, i mangang a, i buai em em ang? Hetiang hunah hian zawhna leh buaina tam tak neih hi thil pangngai a ni. “Tunah hian eng nge ka chungah thleng dawn?”, “Hei hi tihdam theih a ni em?”, “Enkawl dan tur chu eng ang nge ni ang?”, tih te hi i ngaihtuah hi thil mak a ni lo. He zinkawng harsa tak i paltlang lai hian nangmah chauh i ni lo tih hre reng ang che. I medical team, i chhungte leh i thiante an awm reng a ni. He zinkawngah hian i tih theih tha ber chu i dinhmun chungchang a theih ang anga hriat chian a, i doctor nen zalen taka inbiakna neih hi a ni. I rilrua thil awm zawng zawng sawifiah hian chakna leh inrintawkna nen thutlukna siam turin a pui ang che.

I dinhmun chiang taka hrethiam turin heng zawhnate hi zawt rawh.

Doctor i hmuh leh hunah heng zawhnate hi zawh hreh suh. Hêng zawhnate chhânna hian i dinhmun chu chiang zâwkin i hrethiam ang a, i hmabak tûr chungchânga thu tlûkna inrintawk tak i siam ang.

1. He diagnosis awmzia dik tak hi eng nge ni?

Hei hi zawhna pawimawh tak a ni. “ Colon cancer has spread to the liver” tih awmzia awlsam tak chu cancer cells te chu cancer bul tanna hmun (colon) atang hian an inthen darh a, thisen kaltlangin an kal a, liver ah an awm a, chutah pawh chuan an lo thang lian tan ta a ni. Damdawi lamah chuan hei hi `Metastatic Colon Cancer` kan ti thin. Hei hi liver atanga lo chhuak cancer a ni lo va , liver atanga lo chhuak colon cancer a ni zawk. Heng pahnih enkawl dan hi a inang lo hle. Chuvangin, he dinhmun hi hriatthiamna chiang tak neih a pawimawh hle.

2. Kan cancer hi Liver tih loh chu taksa peng dangah a darh tawh em?

Cancer dinhmun dik tak hriat hi enkawl dan tur ruahmanna siam nan a pawimawh hle. Doctor hian ` CT scan` leh `PET scan` ang chi test hmangin taksaa cancer hi khawiah nge a darh tih chiang takin a hre dawn a ni. Lung leh ruh ang hmuna darh theihna a awm avangin enkawlna tur ruahmanna siam tur chuan a thlalak kimchang hriat a pawimawh hle.

3. Ka cancer hi a dam kim thei ang em?

Hei hi zawhna sensitive tak leh zawhna pawimawh tak a ni. A châng chuan cancer awmna hmun leh a awmna hmun a zirin liver tumor chu paih chhuakin `damna` kimchang tak pe turin operation tih theih a ni. Mahse, a tam zawkah chuan cancer natna zual zel kan tum ber chu natna hi tihdam vek ai chuan thunun hi a ni.Chu chu cancer chu tihtlem nan enkawl a, a lo thang lian zel tur tihtawp nan, i natna lan chhuah dan control-in nunphung tha tak i neih theih nan tanpui che tihna a ni. Hemi chungchang hi i doctor nen inhawng takin sawi rawh.

4. Eng enkawlna nge i rawt? Engati nge?

I doctor chuan thil tam tak a zirin i tana enkawlna tur ruahmanna dik ber a siam ang a, chung zingah chuan cancer chi hrang hrang, a darh zau zia leh i hriselna zawng zawng te pawh a tel ang. A tlangpuiin enkawlna pakhat emaw, a inzawm emaw a ni ang.

A awlsam zawngin sawi ila, enkawl dan tlangpui chu hetiang hi a ni:

5. Chu enkawlnate chu engtiang chiahin nge a hlawhtlin?

“Hlawhtlinna” hian thil engemaw zat a kawk thei. Cancer tihtlem te, a darh lohna tur tihtawp te, a natna lan chhuah dan tihtlem te, i dam chhung rei zawk tihna a ni thei. Enkawlna tinte hlawhtlinna chungchangah statistics a awm laiin, mi tinte result a inang lo tih hre reng ang che . I dinhmun a zirin i beisei theih turte chu i doctor nen sawiho rawh.

6. Enkawlna a hlawhtling em tih engtin nge kan hriat?

Enkawl i tan veleh i doctor chuan a thawk tha em tih a enfiah reng ang che. CT scan ang chi test, hun bi neia tih hian cancer hi a tlahniam em tih a hriat theih. Thisen test (tumor markers) leh i symptoms tlahniam te pawh hi enkawlna a thawk tha tih hriattirna tha tak a ni.

7. Ka enkawlna hian eng chen nge a daih ang?

Enkawlna hun rei zawng chu enkawlna chi hrang hrang leh i taksain a chhan danah a innghat a ni. Entirnan, chemotherapy hi cycle hrang hranga pek a ni fo thin . Hei hian kar tlemte chhung enkawlna i nei tihna a ni a, chumi hnuah kar khat emaw kar hnih emaw chawlh i nei tihna a ni. I doctor hnenah schedule chiang tak zawt rawh.

8. Eng side effect nge ka neih theih ang? Eng chen nge an awm ang? Engtin nge ka enkawl theih ang?

Hei hi a pawimawh hle. Treatment zawng zawng hian side effect a nei vek thei . Chauhna, luak chhuak, luak chhuak, ei duh lohna , sam tlakchham, leh hmui natna te hi a awm fo thin. Mahse, lungngai suh. Mi zawng zawng hian heng side effect zawng zawng hi an tawng vek dawn lo. Tin, tunah hian heng side effect tam tak control nan damdawi tha tak tak a awm tawh bawk. I doctor emaw, cancer enkawlna unit-a nurse-te emaw hnenah side effect i neih theih dan tur leh i tawn chuan eng nge i tih tur tih te zawt hmasa phawt ang che.

9. Hei hian ka ni tin nunah engtin nge nghawng a neih ang?

Cancer enkawl lai hian i nun pangngaiah inthlak danglamna engemaw zat i siam a ngai mai thei. Hnathawh aṭanga chawlh i lak emaw, i hnathawh hun tihtlem emaw a ngai mai thei. Inchhûng hnaah pawh i chhûngte ṭanpuina i mamawh mai thei bawk. Hemi chungchang hi i chhungte leh i hnathawhna hmun nen sawiho la, ruahmanna siam hmasak a pawimawh.

10. Ngaihdan pahnihna la turin i rawt em?

Second opinion lak pawh a pawi lo. Tuna i doctor hi i ring lo tihna a ni lo. Hetiang thutlukna lian tak i siam hma hian specialist dang ngaihdan lak hian inrintawkna a pe zawk thei che a ni. Doctor tam tak chuan an damlote chu hetiang ti turin an fuih thin. Chuvangin zawh hreh suh.

11. Clinical trial ka tel theih tur a awm em?

Clinical trial hi cancer enkawlna thar ber ber zirchianna a ni. Chûngte zînga tel hian, tuna standard treatment aiin a hlawk zâwk thei tûr enkawlna thar dawng theihna hun remchâng i nei thei a ni. Damdawi in zawng zawng hian hengte hi an nei vek lo. Mahse, i doctor hnenah i tana tha tur clinical trial a awm em tih zawh a tha.

12. Enkawl lai hian ka ei leh in leh exercise tih dan ka thlak a ngai em?

A ni tak zet! Inenkawl lai hian i taksain ei leh in tha pek hi a pawimawh hle. Enkawlna avanga nghawng tha lo awm thei te hmachhawn turin a pui a, i taksa chakna a pe bawk. Tin, i doctor thurawn angin i tuar theih level-a exercise light (e.g. kea kal) hi i rilru leh taksa hriselna atan pawh a tha hle bawk. I doctor emaw nutritionist emaw hnenah eng ei tur nge tha tih leh eng exercise nge i tih tur tih chungchangah thurawn zawt la.

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