"Breast cancer" tih thumal kan hriat hian mi zawng zawng chu an hlauthawng deuh vek a ni lawm ni? Chu chu thil pangngai tak a ni. Mahse a pawimawh ber chu hei hi a famkima hriat chian hi a ni. A chhan chu chutih hunah chuan a natna lan chhuah dan chu kan hre thuai thei a, damdawi lam thurawn tul tak tak kan dawng thei bawk. Vawiin hian hnute cancer chi hnih tlanglawn tak tak pahnih , Ductal Carcinoma chungchang kan sawi dawn a ni. Hemi chungchang hi awlsam takin, i hriatthiam theih angin kan sawi dawn a ni.
A awlsam zawngin sawi ila, Ductal Carcinoma hi cancer chi khat a ni a, hnute hnute tui kawng atanga intan a ni. Hei pawh hi chi hnih lian tak a awm tih i hria em?
1. Invasive Ductal Carcinoma (IDC): Hemi ah hian cancer cell te hian bawnghnute kawng bang te chu an tichhia a, a chhehvel tissue ah an darh chhuak thin.
2. Ductal Carcinoma in Situ (DCIS): Hemiah hian cancer cell te hi bawnghnute kawng chhungah an awm a, pawnah an la darh lo.
Heng chi hnih te hi an natna lan chhuah dan, an hriat dan leh an enkawl dan a inang lo hle. A chi hman tlanglawn ber IDC chungchang hi han sawi hmasa ila.
Invasive Ductal Carcinoma (IDC) hi eng nge ni?
Invasive Ductal Carcinoma (IDC) hi hnute cancer chi khat a ni a, hnute cancer zawng zawng zinga 80% vel a ni. Milk duct cell atang hian a intan thin. Mahse, chutah chuan a tawp lo. Cell te hi an thang lian a, duct bang te chu an tichhia a, hnute chhehvela tissue hrisel takah an darh tan ta a ni. Hun kal zelah heng cancer cell te hi taksa peng dangah a darh thei a ni.
IDC lo awm theihna tur risk factors te chu engte nge ni?
Breast cancer zawng zawng hi a chhan dik tak hriat chian a harsa tak zet. Mahse, risk factor thenkhat chu kan hre chiang hle. Chûng zînga ṭhenkhat chu kan nun dân nêna inzawm a ni a, ṭhenkhat chu hormone leh chhûngkaw chanchin nêna inzawm a ni .
A pawimawh ber chu heng risk factor pakhat emaw a aia tam emaw i neih hian cancer i vei dawn tihna a ni lo. Tin, heng zinga pakhat mah nei lo tu pawhin cancer a vei thei bawk. Kan nunphung kan tihdanglam theihte kan hriat chian theih nan hengte hi kan fimkhur a pawimawh hle.
A hnuaia tarlan te hi IDC leh hnute cancer dangte tana hlauhawmna langsar tak tak hmuhchhuah a ni.
| Risk factor a ni | A sawifiahna awlsam tak |
|---|---|
| Genetic variation, thlah kal zelah a inthlak danglam thin | Gene mutations BRCA1 leh BRCA2 te hi chhungkaw atanga rochun a ni. |
| Chhungkaw chanchin | Chhungkaw hnai tak, nu emaw, unaunu emaw, hnute cancer vei neih. |
| Kum | Kum 55 hnuah pawh a hlauhawmna a sang chho zel. |
| Hormone hmanga nghawng a neih dan | Kum 12 hmaa puitlin, kum 55 hnua menopause, fa nei lo emaw kum 30 hnu lama fa hmasa ber neih te, hormonal birth control method leh menopause tan hormone therapy ei te. |
| Nunphung | Zu in te, thau lutuk te, taksa tihchak loh te, meizuk te. |
| Thil dangte pawh | Kum naupan lai atanga a rilruah radiation therapy a neih tawh avangin, hnute tissue density a tipung a ni. |
IDC natna lan chhuah dante chu engte nge ni?
IDC vei chuan heng symptoms zinga pakhat emaw a aia tam emaw a nei thei a ni. Heng symptoms i neih apiang hian cancer a ni lo, mahse hetiang thil i hmuh chuan doctor pan nghal a, checkup neih a pawimawh.
- Hnute chhunga lump: kut chhunga lump ang maia hriatna.
- Skin thickening: Hnute chunga vun thenkhat a thim ang maia hriatna.
- Redness or rash : Hnute vun sen.
- Swelling: Hnute pianzia emaw, a lian zawng emaw inthlak danglamna nena inzawm swelling.
- Natna: Hnute natna thar, a hmaa awm ngai lo.
- Skin sagging: orange ang mai a niHnute vun pores te chu a lian a, a pil a, orange peel ang maia awm.
- Nu hnute tui kawng (breast milk duct) inthlak danglamna: duct chu a pil lut a, a na a, a nih loh leh hnute tui dang (a bik takin thisen rawng) a leak emaw a ni.
- Armpit lumps: Armpit area-a lumps awm, kut atanga hriat theih.
- Thla tin thlasik hun nena inzawm lo inthlak danglamna: Thlai hmaa inthlak danglamna pangngai nena danglam, inthlak danglamna pangngai lo.
Engtin nge IDC hi hmuhchhuah a nih? (Diagnosis) tih a ni.
IDC hi mammogram-a thil dik lo hmuh a nih chuan rinhlelh hmasak a ni tlangpui. A châng chuan doctor chuan taksa enfiahnaah lump a hmu thei bawk.
1. Mammogram leh Ultrasound: Hengte hi test bulpui ber a ni. Mammogram hmangin hnute chu X-ray-in a la a. Ultrasound hian sound wave hmangin hnute chhunga tissue leh lumps awm zawng zawng chu a tha hle.
2. Biopsy: Hei hi cancer a nih leh nih loh 100% a finfiahna test a ni. Hetah hian rinhlelh awm tak lump atang hian tissue te tak te tak te chu needle hmangin lakchhuah a ni a, microscope hmangin an enfiah thin. He test hnuah chauh hian cancer cell a awm leh awm loh kan hre chiang thei ang.
Biopsy report-in cancer a nih thu a finfiah chuan doctor chuan test eng emaw zat a ti leh ang. Hei hi cancer hi engtiang chiahin nge a lian tih leh a darh tawh em tih hriat nan a ni. Hemi atan hian test hrang hrang `CT scan`, `PET scan`, `MRI` te hman theih a ni.
Enkawlna kawng hrang hrangte chu engte nge ni?
IDC tan hian enkawlna kawng hrang hrang a awm a. I doctor leh i medical team te chuan i tan enkawlna tha ber tur an ruat ang. Hei hian thil tam tak a ngaihtuah ang a, chung zingah chuan cancer stage, a lian leh te, hormone receptor-positive a nih leh nih loh te pawh a tel ang.
Enkawl dan tlangpui chu:
- Inzai:
- Lumpectomy: Hei hian cancer tumor leh a chhehvela tissue hrisel tlemte chauh lakchhuah a ni.
- Mastectomy: Hei hi surgery hmanga hnute zawng zawng lakchhuahna a ni.
- Radiation Therapy: High-energy rays hi operation hnua cancer cell awm thei zawng zawng tihchhiat nan hman a ni.
- Chemotherapy: Heng damdawi chak tak tak, cancer cell taksa pum puia darh tawhte tihlum tura pek an ni. Operation hmaa tumor tihtlem nan emaw, a hnua cell la awm zawng zawng tihhlum nan emaw pek an ni.
- Hormone Therapy: Cancer hi hormone-sensitive (HR+) a nih chuan estrogen ang chi hormone hnathawh tikhawlo thei damdawi pek thin a ni.
- Targeted Therapy: Heng damdawi te hian cancer cell te thanna tichhe thei target bik ah hna an thawk a.
- Immunotherapy hmanga enkawlna:Taksa ngeiin a taksa hriselna a tichak a, cancer cell hriatchhuah leh tihchhiat kawngah a pui a ni.
Heng enkawlna pakhat emaw, a inzawmkhawm emaw pawh i pe thei bawk. Heng enkawlnate hian side effect engemaw zat a thlen thei a ni. Mahse tunah chuan tam tak thunun theih dan a awm ta. Chuvangin i doctor nen inhawng taka sawi tum chu hlau suh.
Tunah chuan Ductal Carcinoma in Situ (DCIS) hi han en ila.
DCIS hi a hmaa kan sawi tawh ang khan non-invasive cancer a ni a, bawnghnute kawng pawnah a darh lo. Hei hi cancer stage hmasa ber, a nih loh leh stage 0 cancer a ni.
DCIS hi aggressive lo mahse, enkawl loh a nih chuan nakin lawkah IDC ang aggressive cancer-ah a lo chang thei dawn a ni. Hei vang hian DCIS hi hmuhchhuah a nih veleh enkawl vat a pawimawh hle.
DCIS natna lan chhuah dan leh enkawl dan
DCIS vei tam zawk hian symptom an nei lo. A tlangpuiin mammogram hmanga hriat theih a ni. A châng chuan, hnute a lump emaw, hnute aṭanga thisen chhuak emaw ang chi symptoms a awm thei bawk.
DCIS enkawlna ber chu surgery a ni.
- Lumpectomy (tumor chauh lakchhuah) hi tih a ni fo a, chu chu radiation therapy hmanga tih a ni .
- Thil bik thenkhatah (e.g. DCIS chu hnute pum puiah a darh tawh a nih chuan) mastectomy (hnute pumpui lakchhuah) a ngai thei.
DCIS vei tan chuan Chemotherapy hi a ngai lo tlangpui.
Cancer vei theihna tihziaawm nan eng nge kan tih theih ang?
Risk factor thenkhat, heredity ang chi hi kan thlak danglam thei lo. Mahse, kan nunphung thlak danglam hian hnute cancer vei theihna chu eng emaw chen a tihziaawm thei a ni.
- Zu tihkhawtlai: Zu in loh hi a tha ber.
- I taksa rihna hrisel tak vawng reng rawh: Thau lutuk hi a hlauhawm hle.
- Active takin awm rawh: Kar khatah minute 150 tal kea kal emaw tlan emaw ang chi exercise la.
- Meizial zuk loh tur.
- Ei leh in inthlau tak ei: Thlai leh thei chi hrang hrang tamna ei tur ei rawh.
- I fate hnute pe rawh: Nau hnute pek hian hnute cancer vei theihna a ti tlem tih hmuhchhuah a ni.
- I doctor thurawn zawm rawh: I chhungkaw cancer history chungchang hi doctor nen sawiho rawh. Mammogram ang chi screening neih fo thin ang che.
Take-Home Thuchah a ni
- IDC (Invasive Ductal Carcinoma) hi hnute cancer chi khat a ni a, bawnghnute kawng atanga intan a, a chhehvel tissue-ah a darh thin.
- DCIS (Ductal Carcinoma in Situ) hi cancer hmasa ber a ni a, bawnghnute kawng pawnah a darh lo.
- Heng pahnih hi enkawl theih dinhmun an ni. A pawimawh ber chu an natna hriat hmasak a, enkawl dan mumal tak neih hi a ni.
- I hnuteah danglamna danglam tak (a lump, na, vun inthlak danglam) i hmuh chuan hlauthawng suh la, tihkhawtlai suh la , doctor pan nghal rawh.
- Nun hrisel taka nun leh medical checkup neih fo hian a hlauhawmna chu tihziaawm theih a ni.
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