Hnute cancer hi hmeichhe tam tak tihlauhawm tak a ni. A bik takin menopause hnuah, chu chu thla tin thlasik hun a tawp hnuah, mi tam tak chuan he hlauhawmna hi an ngaihtuah thin. Chuvangin, vawiin hian he cancer chi hrang hrang vei thei hmeichhiate chu chu hlauhawmna tihziaawmna tura puitu damdawi kan sawi dawn a ni. He damdawi hi Evista an ti a. A chhunga active ingredient chu raloxifene a ni. It is used to reduce the risk of breast cancer , chubakah osteoporosis, ruh tihthianghlimna natna, menopause hnua lo awm, ruh tliak hlauhawmna tihziaawmna atan pawh hman a ni.
Invasive breast cancer chu eng nge ni tak tak?
Hei hi awlsam takin i hrethiam hmasa phawt ang u. Hnute cancer hi chi hnih a awm a. Pakhat chu noninvasive cancer a ni. Hetah hian cancer cell te hi hnute hnute kawng emaw, hnute siamtu glands (lobules) chhungah chauh an awm a, chutiang ramri chu an pel lo.
Mahse, invasive breast cancer hi a na zawk a ni. Heta thil thleng chu cancer cells te hi bawnghnute kawng leh gland atang hian an chhuak a, a chhehvela hnute hrisel tak takah an darh ta a ni. Chuta tang chuan taksa peng dang, thin, lung leh thluak thlengin an darh thei bawk. Hei hi dinhmun hlauhawm ber a ni. Chuvang chuan hetiang cancer hi a hmaa hriatchhuah leh enkawl a pawimawh hle.
Engtin nge Evista hian he cancer vei theihna hi a tihziaawm?
Damdawi Evista hi damdawi chi khat ``SERM (Selective Estrogen Receptor Modulator)'' tih zingah a tel a ni. A awlsam zawngin sawi ila, heng damdawi te hian taksa hmun thenkhatah hormone estrogen angin hna an thawk a, hmun thenkhatah chuan hormone estrogen dodal zawngin hna an thawk bawk.
I hriat angin estrogen hian hnute cancer chi thenkhat chu a tipung a. Thlai pakhatin a lo thang lian theih nan tui a mamawh ang bawkin. Evista hian hnute tissue-a estrogen receptor-te nena inzawmin hna a thawk a, chutah chuan estrogen hormone tak tak a inzawm theihna tur hmun chu a block a ni. Hei hian cancer cell te hian an thanlenna atana an mamawh estrogen message an dawn theih lohna tur a titawp tihna a ni.
Mahse hei hi hriat reng a pawimawh: Evista hi hnute cancer vei tawh tan chuan enkawlna a ni lo. Tin, cancer vei tawhte cancer a lo let leh loh nan pek a ni lo bawk. Hmeichhe menopause hnua cancer vei hmuhchhuah te tan chauh hman a ni.
Evista hian side effect a nei em?
Awle. Damdawi dang ang bawkin Evista hian side effect a nei thei a ni. Ṭhenkhat chu tenau tak tak ni mah se, side effect na tak tak i hriat tur a awm bawk. Chuvangin, he damdawi hi ei i tum hmain i doctor nen a thatna leh that lohna zawng zawng i sawipui hmasa phawt tur a ni.
| Side effect chi hrang hrang | Hrilhfiahna |
|---|---|
| Side effect na tak tak, ngaihven nghal ngai | |
| Thisen a chhuak | Ke ruh (Deep Vein Thrombosis) leh lung (Pulmonary Embolism)-a thisen zam a awm theihna a sang thei. |
| Thai | Hmeichhia, a bik takin lung natna vei hlauhawm tak takte chuan stroke vei an nei tlem thei hle. |
| Side effects awm fo, na lo zawk | |
| Taksa lama harsatna | Ke na, ruh na, ke ruh natna. |
| Harsatna dang | A natna lan chhuah dan chu khawsik, khaw lum, thawk hah, mut theih lohna, leh vaginal dryness te a ni. |
Chuti a nih chuan tunge he damdawi hi ei tling?
Hei hi zawhna pawimawh tak a ni. Evista hi damdawi pakhat chauh a ni lo. I doctor chuan i personal health history chu a sawipui ang che.Tin, hei hi a dik leh dik loh chu risk factors te hian a hril bawk. A tlangpuiin he damdawi atanga hlawkna hmu tam berte chu:
- Hmeichhia kum 60 chunglam: A chhan chu kum upat deuh deuh hian hnute cancer vei theihna a sang chho zel a ni.
- An chhungkuaa hnute cancer vei tawhte: a bik takin nu emaw unaunu emaw ang chi chhungte hnai tak takte.
- Genetic predisposition nei mi: Test-naah BRCA1 leh BRCA2 ang chi genetic mutations an nei tih finfiah a nih chuan.
- Tun hmaa hnute biopsy nei tawh leh cancer hmahruaitu ni thei tur natna, `lobular carcinoma in situ (LCIS).` tih hmuhchhuah tawhte
- Risk factor dang nei te: Entirnan, nau piang hmasak ber kum upa zawk, menopause tlai, etc.
Heng zawng zawng hi a ngaihtuah hnuah i doctor chuan i risk chu dik takin a zirchiang ang.
Evista hi tuin nge ei loh tur?
Evista hian hriselna lama harsatna nei hmeichhiate tan a thatna aiin a tichhe zawk thei. Chuvangin, a hnuaia pawl hrang hranga tel i nih chuan he damdawi hi hman khap tlat a ni.
- Hmeichhia naupai emaw, nau pai beisei emaw.
- Hmeichhia tuna emaw, a hma emawa ke, lung emaw, mit emaw-ah thisen zam a awm tawh.
- Hmeichhia pre-menopausal, thla tin an la period tihna a ni.
- Cholesterol tihhniamna damdawi Cholestyramine ang chi ei thinte.
- Mite chuan estrogen hormone hmanga enkawlna dang (supplemental estrogen) an ei thin.
Evista leh Tamoxifen hi eng nge an danglamna?
Damdawi pakhat Tamoxifen tih pawh i hre tawh mai thei. SERM class-ah pawh damdawi a ni. Zirna hrang hrangah chuan damdawi pahnih hian hnute cancer hlauhawmna tihziaawmna kawngah a thawhhlawk vek tih hmuhchhuah a ni.
Mahse, danglamna pawimawh tak tak a awm. Tamoxifen hi Evista aiin uterine cancer vei theihna a sang zawk niin an sawi. Evista hian ductal carcinoma in situ (DCIS) ang chi noninvasive cancer a veng lo tih hmuhchhuah a ni bawk a, Tamoxifen erawh chuan a veng thung.
Thisen zam leh stroke hlauhawmna hi damdawi pahnihah hian a awm tlangpui. Zirna thenkhatah chuan Evista hi Tamoxifen aiin a hlauhawmna a hniam deuh niin an sawi a, zirchianna thenkhatah chuan danglamna lian tham a awm lo niin an sawi thung.
Chuvangin a tawpah chuan heng damdawi pahnih zingah hian eng damdawi nge i tan a tha ber tih thutlukna siam hi, emaw, chutiang damdawi ei a ngai tak tak em tih thutlukna siam chu i doctor nen a thatna leh that lohna zawng zawng i sawiho hnua uluk taka ngaihtuah tur thutlukna a ni.
Take-Home Thuchah a ni
- Evista (raloxifene) hi hmeichhia, menopause hnua hnute cancer vei theihna sang tak nei te hnena pek thin a ni a, chu chu tihtlem nan Cancer damdawi a ni lo.
- He damdawi hman hian side effect na tak tak, thisen zam leh paralysis te a awm thei a ni.
- He damdawi ei leh ei loh chungchanga thutlukna siam hi mimal thil a ni a , i doctor nen uluk taka i mimal risk factors leh hriselna dinhmun chungchang i sawiho hnuah siam tur a ni.
- Evista ei hnuah pawh hmeichhe thenkhat chuan hnute cancer an la nei thei tho a, chuvangin hnute self-exam leh mammogram neih fo chhunzawm zel a pawimawh hle.
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