Nangmah emaw, i hriat miin emaw hnute cancer chungchang i sawi hian doctor-te’n test hrang hrang an sawi i hre tawh ngei ang. A chang chuan heng thute hi a buaithlak deuhin a lang thei. Vawiin hian hetiang test na atana hman tur special injection chungchang kan sawi dawn a ni. Hei hi enkawlna a ni lo a, mahse i doctor chuan i tana tha ber tur a thlan theih nan a pui thei a ni.
A awlsam zawngin Fluoroestradiol F 18 hi eng nge ni?
Okay, he hming hi a sei deuhin a ri a ni lawm ni? A awlsam zawngin i vawng ang u. Fluoroestradiol F 18 hi damdawi ni mah se, cancer tihdamna atana pek tur thil a ni lo. "Detection agent" angin hna a thawk a ni. A awlsam zawngin sawi ila, ``(PET Scan)`` bik tih hmaa taksaah radioactive tlem "dye" inject ang mai a ni.
" Aw, radioactive a ni em?" i ngaihtuah mai thei. Ni miah lo. Hei hian radioactive material tlemte, him tak a hmang a ni. Darkar tlemte chhungin taksa a chhuahsan thin. Hei hi a tum ber chu doctor hnenah i hnute cancer cells awm dan dik tak hriattir hi a ni. Chu chu, chu cancer cell-te chuan ``(Oestrogen)`` tih hormone chu an lo thang lian zel em tih hriat nan a ni.
Engtin nge hei hian hna a thawh? A mak khawp mai!
Hei hi hrethiam tur chuan entirnan tlem han la ila. Cancer cell thenkhat chu "chabi i dah theihna tur lock te te" tam tak awmna kawngkhar angin ngaihtuah rawh. Heng lock te hi "estrogen receptors" (or "ER") an ti a. Kan taksaa estrogen hormone hi heng lock-te nena inmil "key" ang hi a ni. He chabi hi lock-a dah a nih chuan, chu chu estrogen hormone chu cancer cell lock-ah a inzawm chuan cancer cell chuan a lo thang lian a, a inthen darh turin signal a dawng a ni. Chutiang cancer chu `(ER-positive)` cancer kan ti a.
Tunah chuan, kan pek `Fluoroestradiol F 18` injection-ah hian eng nge awm i hria em? Estrogen key ang chiah chiah ``fake key'' a awm a. Mahse he fake key hian thil danglam deuh tlem a nei. A chhungah hian radioactive part ``F 18`` tih a inbun a, chu chuan ``light bulb te tak te'' ang maiin hna a thawk a ni.
He injection hi i pek hian heng "fake keys with light bulbs attached" te hi thisen kaltlangin taksa pum puiah an kal kual a, chu cancer cell-a "lock" (`Estrogen Receptors`) zawng zawngah chuan an inzawm vek a ni.
Tichuan darkar khat vel hnuah ``PET Scan'' machine-ah dah i ni ang. He scanner hi camera bik ang mai a ni a, chu "electric bubble" atanga êng lo chhuak chu a hmu thei a ni. He camera hmanga i en chuan taksa hmun dangah pawh chutiang ``ER-positive'' cancer cells te chu an awm a nih chuan an eng vek ang.
Hetiang hmang hian doctor chuan cancer awmna hmun, taksa peng dangah a darh tawh em tih te, a pawimawh ber chu ER-positive type of cancer a nih leh nih loh te chu chiang takin a hre thei a ni.
Engvangin nge he test hi i mamawh?
A tlangpuiin hnute cancer nia rinhlelh a nih chuan Doctor chuan tumor te chu a la a, test a ti thin. Hei hi ``biopsy'' an ti a, hei hian cancer chi hrang hrang a hril thei a ni.
Mahse case thenkhatah chuan he `Fluoroestradiol F 18` test hi a tangkai hle.
- Cancer hi taksa peng dangah a darh tawh em tih chiang taka hriat i duh hunah (metastasis).
- Tun hmaa enkawl tawh cancer a lo let leh tawh nia rinhlelhna a awm chuan.
- Biopsy tih harsa hmuna cancer a awm chuan.
- Tuna hormone enkawlna hman mekte hi cancer hian a chhang let em tih enfiah rawh.
Heng thute a\ang hian i doctor chuan hormone therapy ang chi enkawlna te chu i tan a \ha leh \ha lo tih a hre thei ang.
He vaccine i pek hmaa i doctor hnena i hrilh tur thilte
Hei hi a pawimawh hle. He vaccine hi pek i nih hma hian i medical team te chuan zawhna tlemte an zawt ang che. I himna atan chuan dik taka i chhan vek hi a pawimawh hle.
- Allergy: He `Fluoroestradiol F 18` emaw damdawi dang emaw, ei tur emaw, dye dang emaw allergy i neih chuan min hrilh ngei ang.
- Naupai: Naupai emaw, naupai tum emaw i nih chuan i doctor hnenah i hrilh ngei tur a ni. Hei hi a chhan chu radiation tlemte hman a nih avangin nausen pum chhunga naute tan a him lo.
- Nu hnute petu i nih chuan: Nau hnute i pek chuan doctor i hrilh bawk tur a ni. He vaccine i dawn hnu darkar engemaw zat emaw, ni khat emaw chhung chu nau hnute pek tawh loh turin hriattir i ni thei bawk.
- Damdawi dang i ei tur: Hnute cancer emaw, natna dang emaw damdawi i ei a nih chuan i damdawi ei zawng zawng, a bik takin hormone nena inzawm damdawi te chu i doctor hnenah hrilh rawh.
| Damdawi thenkhat chuan he damdawi nen hian an inzawm thei a ni. |
|---|
He test result tichhe thei damdawi thenkhat a awm a. Heng damdawi te hi i ei a nih chuan doctor hnenah hrilh rawh. Test hma ni engemaw zat i ei tawh loh a ngai a nih chuan a hrilh ang che. Entirna thenkhat chu:
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| Note: He list hi a kimchang lo hle. Damdawi, vitamin, emaw, hnam damdawi emaw i ei lai pawh i doctor hnenah hrilh rawh. |
Side effect a awm em?
Damdawi lam thil dang ang bawkin side effect tenau te pawh a awm thei a, mahse a tlem hle a, a na lo hle bawk.
| Side effect a awm thei | Engtin nge i tih ang? |
|---|---|
| I medical team hnena report nghal tur thil | |
Allergy na tak a awm thei
| Hengte hi a tlem hle a, mahse a pawi thei hle. Heng symptoms te hi i neih chuan i doctor emaw nurse emaw hnenah hrilh nghal rawh . |
| Thil pawi tak ni lo, mahse a awm reng chuan report tur a ni | |
| Ka chhunga thlum inthlak danglamna | Hei hi rei vak lo hnuah a reh tlangpui. A awm reng chuan doctor hnenah hrilh rawh. |
| Injection pekna hmuna natna, sen, emaw, hring emaw | Hei pawh hi a mah chauhin a reh tlangpui. A natna emaw, a hring emaw a pun chuan medical team te hriattir tur a ni. |
Damdawi dose a san chuan eng nge tih tur?
Hei hi in lama i hman theih tur damdawi a ni lo. He vaccine hi damdawi inah emaw, clinic-ah emaw training nei tawh medical staff ten an pe thin a ni. Chuvangin dose dik lo dawn theihna chance a tlem hle. Hei hi a thleng tawh nia i hriat chuan, a tlem berah pawh ETU (Emergency Treatment Unit) -ah kal nghal rawh. A tul chuan Colombo National Hospital-a National Poisons Information Center-ah pawh thurawn dil theih a ni.
Take-Home Thuchah a ni
- `Fluoroestradiol F 18` hi cancer damdawi a ni lo. Test bik atana hman thin injection a ni a, hnute cancer awm dan hriat theihna a ni.
- Hei hian i cancer cell te chu ``Estrogen Receptor-Positive'' (ER-positive) an nih leh nih loh a en ber a, chu chu hormone estrogen hian cancer a tipung em tih a ni.
- He information hi i doctor tan chuan i tana enkawlna tha ber tur a hriat theih nan a pawimawh hle a, a bik takin hormone therapy a ni.
- Hei hi damdawi inah doctor enkawlna hnuaia pek a nih avangin a him hle. Side effects hi a tlem hle.
- Test hmain i allergy zawng zawng, naupai leh damdawi dang i ei zawng zawngte chu doctor hnenah hriattir hmasa phawt ang che .
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