Breast cancer i vei tih hmuhchhuah a nih chuan khawvel pum puiin a rawn tla thla ang maia inhriat hi thil pangngai tak a ni. Kan rilrua hlauhna leh lungkhamna lo lang chu tawngkam hmanga sawi chhuah a har khawp mai. Mahse he zinkawng hi nangmah chauhin i paltlang a ngai lo. A hmasa ber leh pawimawh ber chu i tanpui tur, i enkawltu tur leh enkawlna tha ber pe turin health care team tha tak siam hi a ni . Mahse, doctor leh damdawi in tam tak awmnaah hian engtin nge a tha ber berte i thlan? Okay, awlsam takin sawi ila.
I medical team-ah tute nge tel ang?
He zinkawngah hian specialist hrang hrangte tanpuina i mamawh dawn a ni. An vai hian i enkawlna tur ruahmanna siam turin an thawk ho ang. A dik tak chuan hei hi ‘team work’ ang mai a ni. He team-a tel tur hian tu nge awm ngei ang tih i en ang u.
| Damdawi lam thiam (Specialist) . | Engtin nge he doctor hian a puih theih che? |
|---|---|
| Hnute Cancer Surgeon a ni | Hei hi cancer natna thlentu doctor chu a ni. Cancer chi dang tam tak surgery ti thin ai chuan hnute cancer lama tui surgeon thlan a pawimawh zawk. Zawhna hrang hrang i zawt thei ang: - Hnute cancer chungchangah hian special training (fellowship) i dawng tawh em? - Kar khatah/kum khatah hnute cancer surgery engzat chiah nge tih thin? - Hemi chungchangah hian research-ah i tel ve em? - Clinical trial ka tel theihna tur a awm em? |
| Radiation Oncologist a ni | He doctor hian cancer cells that nan radiation therapy a pe ang che. Radiation therapy hi a ngai fo thin a, a bik takin lumpectomy i neih chuan. Engkim a hrilhfiah ang che, chutah chuan he enkawlna hi engvangin nge a mamawh tih te, eng chen nge a daih dawn tih te, leh a nghawng tha lote chu eng nge ni tih te pawh a hrilhfiah ang che. |
| Medical Oncologist a ni | He doctor hi i cancer chu chemotherapy, targeted therapy, immunotherapy ang chi damdawi hmanga enkawltu tur a ni. Thil pawimawh tam tak a hrilh ang che, chungte chu: - I cancer cell te hian hormone receptor an nei em? - Cancer cell-ah hian HER2 protein a tam lutuk em? - Cancer hi engtiang chiahin nge a darh chak? - Cancer hi a darh tawh em tih hriat nan eng test dang nge mamawh? - Eng enkawlna nge i tan a tha a, eng nge a thatna leh a that lohna? |
| Plastic Surgeon a ni a | Mastectomy i neih tawh chuan hnute siam thatna surgery neih a ngai mai thei. Hei hi plastic surgeon-in a ti thin. Breast reconstruction lama tui tak thlan a tha ber. |
| Fertility lama mithiam tak a ni | Nakin lawkah fa neih i tum a nih chuan enkawlna i tan hmain he specialist hi i pan hmasa phawt a pawimawh . Cancer enkawlna ṭhenkhat chuan i fa neih theihna chu hun eng emaw chen emaw, a awm reng emaw a nghawng thei avângin, i egg emaw, i embryo emaw freeze ang chi duhthlanna chungchâng a sawipui thei che a ni. |
| Cancer enkawltu Nurse (Nurse Navigator) chuan a rawn ti a. | Heng nurse te hi damlote enkawlna dawng tura pui turin training pek an ni. Damdawi ina kal leh haw te, naupang enkawlna chungchangah te chauh an pui thei che a, emotional support an pe thei che a, side effects te pawh an enkawl thei bawk. |
Engtin nge damdawi in emaw, enkawlna hmun tha tak i thlan?
Khawi atanga tan tur nge tih i hriat chian loh chuan cancer i vei tih hriat hmasak bertu doctor hnenah zawt la. Zawhna tha tak zawh tur chu, "Doctor, i chhungkuaa tu emaw hian hetiang cancer chi hi nei se, khawiah nge inenkawlna i pan ang?" Chu bâkah, hengte hi han ngaihtuah teh:
- Experience i nei em? I thlan damdawi in hian i cancer chi hrang hrang enkawlna kawngah tawnhriat a nei tam em? A tlangpuiin damdawi in lian zawkte hian tawnhriat an nei tam zawk a,...Cancer vei tan facility tam zawk a awm bawk .
- Doctor ten an ngaithla che em? Hei hi a pawimawh hle.
I doctor hian engkim chiang takin a hrilhfiah che em? I zawhnate chu ngun takin a ngaithla em? Hetiang thil hi han ngaihtuah teh. Hei hi zinkawng thui tak a nih avangin i rintlak tak nen he zinkawng zawh hi a pawimawh hle.
- I case hi ' tumor board' hmangin an sawiho dawn em ni? Chumi awmzia chu a chunga kan sawi tawh specialist zawng zawngte hi an lo kal khawm a, i dinhmun an sawiho a, i tana enkawlna tur ruahmanna tha ber tur an rel tihna a ni. Hetiang system nei hmun atanga enkawlna i hmuh theih chuan a hlu hle.
Engtikah nge ngaihdan pahnihna i neih ang?
I medical team thlanah eng ang pawhin inrintawk mah la, second opinion lak hi a tha reng a ni . Ringhlelna i neih apiang a tifai ang che a, i enkawlna kalpui zel turin inrintawkna nasa zawk a pe ang che.
Second opinion lak a tha hle a, a bik takin damdawi in tlemte awmna hmuna i awm a nih chuan, emaw, hnute cancer chi khat hmuh tur awm lo tak i neih chuan. Chutiang hunah chuan khawpui lian Colombo emaw Kandy emaw ang chi cancer natna avanga hmingthang damdawi inah specialist hmuh tum ang che.
Ngaihdan pahnihna i neih hunah hengte hi hre reng ang che:
- Hospital dang pan rawh: Hospital khata doctor-te chuan enkawlna kawng inang an ngaihtuah fo . Chuvangin, damdawi in danglam tak takah doctor i hmuh hian mit tharin i dinhmun an en thei a, ngaihdan danglam tak an pe mai thei che a ni.
- Virtual Consultation: Tunlai hian damdawi in lian thenkhatah pawh online second opinion an pe ve bawk. Hei hian i medical record zawng zawng chu specialist hnenah i thawn vek tihna a ni a, chu chu specialist hnenah a enfiah a, i medical team awmsa hnenah enkawlna tur rawtna a thawn tihna a ni. Hei pawh hi tunah chuan duhthlan tur tha tak a ni.
Cancer dona hi zinkawng awlsam a ni lo. Mahse hriatna dik tak, medical team tha ber berte thlawpna leh mahni rilru chakna nen chuan he indonaah hian hnehna i chang thei ngei ang.
Take-Home Thuchah a ni
- HnuteCancer i vei tih i hriat chuan hlauhna i neih hi thil pangngai a ni. Mahse, nangmah chauh i ni lo. A hmasa ber chu i tanpui thei tur medical team tha ber zawng chhuah hi a ni.
- I team-ah hian mi engemaw zat an tel ang a, chung zingah chuan surgeon, radiation oncologist, leh medical oncologist te pawh an tel ang.
- I doctor te zawhna zawh pawh hlau suh. I dinhmun leh i enkawl dan hi hriatthiamna tha tak i nei tur a ni.
- Damdawi in i thlan hunah, an thil tawn te, an facility te, leh doctor-te’n an ngaithla ang che em tih te chu chiang takin ngaihtuah la.
- Ringhlelna i neih emaw, nemngheh i mamawh emaw chuan ngaihdan pahnihna lak a tha fo . Ngaihtuah nawn ngai suh.
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