I doctor-in i hnute cancer chu i taksa peng dang ( advanced breast cancer )-ah a darh tawh tih a hrilh che chuan i hlauthawng a, i mangang a, zawhna tam tak i nei thei bawk. "Tunah eng nge thleng ang?", "Ka dam leh ang em?", "Eng nge ka tih ang?", tih ang chi zawhna neih hi thil pangngai tak a ni. Hetih lai hian a pawimawh ber chu nangmah chauh i ni lo tih hriat a, he zinkawng zawh tur hian i hriat tur zawng zawng neih hi a ni. Hetih lai hian i doctor hi i thian tha ber a ni. Chuvangin, i doctor i hmuh leh hunah chuan heng zawhnate hi lehkhaah ziak rawh. Hei hian chakna nasa tak a pe ang che.
Hriatthiam hmasa ila: Ka cancer kha eng nge thleng?
Enkawlna chungchang i sawi hmain i dinhmun hi chiang taka i hriatthiam a ngai a ni. He zawhna hi i doctor zawt hreh suh.
"Ka taksaah khawiah nge ka hnute cancer hi a darh tawh?"
He zawhna hi a pawimawh hle a, a chhan chu cancer awmna hmun (entir nan, thin, lung, ruh) hian i tan enkawlna tha ber a hril dawn a ni. Hei hi i doctor-in a hman tur thumal chu metastasis a ni. He thu i hriat hian hlauthawng suh. Chumi awmzia chu, hnute a\angin kan taksa peng dangah cancer cell a darh tawh tihna a ni. Chu chu i hriat chuan nang leh i doctor chuan in hmabak tur chu eng nge ni tih in rel thei ang.
Enkawl dan tur chiang takin i hria ang u.
Hetah hian i rilruah zawhna lian ber berte chu a awm a ni. Hetah hian zawhna pakhat chauh a awm lo va, zawhna engemaw zat zawh tur a awm.
Eng enkawlna kawng nge ka neih?
A awlsam zawngin zawhna awm thei chu, "Eng nge ka tih theih ang?" Hnute cancer natna zual zel tan hian enkawlna chi hrang hrang a awm a. I doctor chuan i cancer chi hrang hrang, a darhna hmun, i kum leh i hriselna zawng zawng a zirin a remchang ber a thlang ang.
| Enkawl dan tur | A awlsam zawngin... |
|---|---|
| Hormone hmanga enkawlna a ni | Hormone hian cancer cell thenkhat a tipung thin. He enkawlna hian chu hormone hnathawh chu a tikhawlo a ni. |
| Chemotherapy hmanga enkawl a ni | Damdawi chak tak, cancer cell inthen darh chak tak takte that thei. Chungte chu taksa pum puiah an fang kual a. |
| Targeted Therapy hmanga tih a ni | Cancer cell-a chak lohna hmun bik target-tu damdawi, cell hriselte tichhe tlem zawk. |
| Immunotherapy hmanga enkawl a ni | Mahni taksa immune system-in cancer cells a do theihna tura puitu damdawi. |
| Radiation hmanga enkawlna a ni | High-energy radiation chu cancer darhna hmun bik (e.g., ruh)-ah hruaiin natna tihziaawmna emaw, tumor control emaw a ni. |
Heng enkawlna hrang hrangte hi i doctor hnenah a hranin zawt rawh.
"Heng enkawlna pakhat zel hian eng hlawkna leh a side effect nge a neih?"
"Heng zingah hian eng nge ka tan a tha ber i rawt? Engvangin nge?"
Heng zawhna pahnih hi a pawimawh hle. Enkawlna tin hian a thatna leh a side effect a nei vek a. Entirnan, chemotherapy hmang hian sam a tlakchhiat a, a luak chhuak thei bawk. Heng zawng zawng hi i hriat lawk chuan rilru lama inbuatsaih a awlsam zawk. Tin, doctor-in i tan damdawi bik a thlan chhan i hriat hunah chuan chu chu i inringtawk zawk ang.
Enkawlna atang hian eng nge beisei tur?
Hei hi zawhna sensitive tak, mahse pawimawh tak a ni.
"Hetiang enkawlna atang hian eng nge ka beisei ang? Hei hian cancer hi a tidam vek thei ang em, a nih loh leh thunun tumna a ni em?"
Cancer natna zual tawhah chuan enkawlna tum ber chu cancer tihdam vek ai chuan, cancer vei theihna tihtlem a ni fo thin.A kal zel dan thunun, a natna lan chhuah dan tihtlem leh nunphung tha ber pek che. Chumi hriatthiamna chiang tak neih chuan rilru lama chakna nei reng turin a pui ang che.
"Enkawlna pakhat hian eng chen nge a daih?"
Chu chu i hriat chuan i hnathawh leh chhûngkaw thilte i ruahman a awlsam phah ang.
Engtin nge enkawlna a hlawhtlin leh hlawhtlin loh i hriat theih ang?
After starting treatment , a thawk tha em tih hriat kan duh vek.
"Eng test nge ka neih a ngai? Engtin nge enkawlna a thawk tha em tih kan hriat ang?"
Doctor chuan i dinhmun enfiah nan thil chi hrang hrang a hmang ang.
- Thisen Test: Tumor marker ang chi thil te enfiah thin ang che.
- Scans: CT scan leh PET scan ang chi thil ti la, cancer natna hrik lian tham a tlahniam em tih en rawh.
- I natna lan chhuah dan: I natna leh lungawi lohna a tlahniam em tih pawh tehna pawimawh tak a ni.
Heng test te hi engzat nge tih thin tih pawh zawt bawk ang che.
Enkawlna tih loh chu eng nge ka tih theih ang?
I taksa leh rilru tichak turin nangmah ngeiin i tih theih thil a awm.
"Eng exercise, diet, leh relaxation technique te hian enkawl lai hian min pui ang?"
A châng chuan exercise light, ei leh in tha tak, leh meditation ang chi thilte hian i chakna a tipung thei a, side effects te pawh a control thei bawk. Mahse eng thil pawh tih hmain doctor nen inbia a, phalna lak hmasak a pawimawh.
"Side effects-a pui thei tur complementary emaw alternative therapies emaw a awm em? Eng thil nge ka pumpelh ngei ngei tur?"
Hei hi Sri Lanka-a kan tan chuan thil pawimawh tak a ni. A chhan chu mi tam takin decoction hrang hrang, hriak chi hrang hrang, leh in lama damdawi (Sinhala damdawi) te an rawn rawt mai thei a ni. Thil thenkhat (e.g. acupuncture) hian natna chu a pui thei a, mahse thil thenkhat chu i enkawlna ber nen a inrem lo thei bawk. Chuvangin doctor zawt lovin extra engmah hmang suh.
"He hun harsa karah hian tanpuina leh thlamuanna ka hmuh theihna tur hmun leh pawl engte nge awm?"
He zinkawng hi nangmah chauhin i paltlang a ngai lo. Nangmah ang bawka harsatna tawk mek midangte nena inbiakna leh counselling neih hi chakna petu ropui tak a ni thei. Hemi chungchang hi doctor zawt rawh.
Hmalam hun leh thil dang
Enkawlna leh hriselna bakah hian thil tangkai tak tak engemaw zat a awm bawk.
"Ka insurance hian heng enkawlna senso zawng zawng hi a cover vek dawn em ni?"
"Clinical trial ang chi hun remchang ka ngaihtuah tur a awm em?"
Clinical trial hi enkawlna thar test a ni. I tan chuan duhthlan tur tha tak a ni mai thei. Hospital zawng zawng hian hengte hi pe lo mahse, hriat a phu hle.
He zawhna list hian a puih ngei ka beisei. Zawhna zawh hi i dikna a ni tih hre reng ang che. I doctor chu pui turin a awm reng a ni. Chuvangin i rilrua lo lang apiang zawh hlau suh.
Take-Home Thuchah a ni
- Nangmah chauh i ni lo: Hetiang diagnosis nena lo awm emotion hi thil pangngai a ni. I chhungte, i thiante leh i medical team te chu i hnenah an awm reng a ni.
- Zawhna zawt rawh: I dinhmun leh i enkawlna chungchang hriat belh hi thiltihtheihna a ni. Doctor zawhna zawh pawh hlau suh.
- Ziak rawh: Doctor hmu tura i kal hmain i zawhnate kha ziak hmasa phawt ang che. Chutiang chuan engmah i theihnghilh lovang.
- Mi hruai rawh: A theih chuan i chhungte emaw, i thian rintlak emaw doctor hmu turin hruai la. Mi pahnih an ngaithla lai hian thil hriatthiam a awlsam zawk.
- Damdawi dang hman danah fimkhur rawh: I doctor phalna la hmasa lovin damdawi dang, decoction, leh herb dang hmang suh. A hlauhawm thei hle.
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