A châng chuan, doctor-in damdawi lam dinhmun a hrilhfiah che a, a enkawlna tur a hrilh che hian, tlem chuan i inhnial emaw, rinhlelhna emaw i nei em? ‘Hei hi a tha ber em?’, ‘Thil dang a awm lo em ni?’ tih ang chi zawhnate. rilruah lo kal rawh, a ni lawm ni? Chutianga inhriat chu thil pangngai tak a ni a, i dikna pawh a ni. Chutah chuan ‘ngaihdan pahnihna’ chu kan tan a pawimawh em em a ni. Chu chu i damdawi lam dinhmun chungchangah doctor thiam dang zawhna zawh tihna a ni.
Engtikah nge ngaihdan pahnihna neih a ngai?
‘Natna tenau apiangah ngaihdan pahnihna ka neih a ngai em?’ tiin i ngaihtuah mai thei. Common cold hi a ngai lo mai thei. Mahse, thil pawi tak ṭhenkhatah chuan ngaihdan pahnihna neih chu nun tidanglam thei a ni. Chutiang dinhmun thenkhat chu han thlir ila.
| Huntha | A awlsam zawngin... |
|---|---|
| Natna khirh tak a nei | Doctor-in nunna atana hlauhawm natna cancer emaw thinlung natna emaw i nei tih a hrilh che chuan. |
| Damdawi hlauhawm tak a ni | I hnena enkawlna rawt (e.g. surgery, chemotherapy) chu a hlauhawm hle emaw, taksaah toxic effect a thlen thei emaw a nih chuan. |
| Diagnosis a chiang lo a nih chuan | I natna lan chhuah chhan dik tak hriat a harsat chuan, emaw, enkawlna ruahman chu research stage-ah a la awm a nih chuan. |
| Drug trial thara i tel a nih chuan | Damdawi thar clinical trial-a tel tura sawm i nih chuan doctor dang zawh a pawimawh hle. |
| Experimental surgery a nih chuan | Surgery emaw, enkawlna dang emaw hmanga hmanraw thar emaw, hmanraw thar emaw, research stage-a la awmte hmanga enkawl i nih chuan. |
Engtin nge doctor lakah thinrim lovin second opinion i zawh theih ang?
Hei hi mi tam takin zawhna lian ber an neih chu a ni. Hlauhna leh lungkhamna nasa tak ka nei a, ‘Hei hi zawt ila doctor a thinrim dawn em ni? Ka chungah thil dik lo a ngaihtuah dawn em ni?’ a ti a.
Mahse thudik chu hei hi a ni: Doctor tha tak, professional tak chuan ngaihdan pahnihna lak hi a dodal ngai lovang. An lawmpui hle a ni. A chhan chu i hriselna i ngaihsak zia a lantir vang a ni.
Zahawm takin heti hian i zawt thei ang: "Doctor, he enkawlna hi tlem tal ngaihtuah belh ka duh a ni. Ka rinhlelhna tihfel nan specialist dang hnenah he thil chungchangah hian an ngaihdan ka zawt thei ang em?" Hetiang hian thinrimna a awm lovang.
Ka doctor hnenah ngaihdan pahnihna ka zawng tih ka hrilh tur em ni?
Ni e, a ni ngei ang. Chutiang a nih chhan lian tak pahnih a awm a, chungte chu:
1. I medical records: Second opinion doctor-in i dinhmun dik taka a hriatthiam theih nan, tissue sample lak a nih chuan i medical record kimchang, test result, leh pathology slide te a mamawh ang. Tuna i doctor hnenah hriattir mai maiin awlsam takin hengte hi i hmu thei ang.
2. Doctor inkara inbiakpawhna: Hemi chungchangah hian inhawng taka i sawi chuan, a tul chuan doctor pahnihte hian i dinhmun chungchang an sawi dun thei a, an inrem dan leh an inrem lohna te an sawi dun thei bawk. Hei hi i hlawkna tur a ni. Ngaihtuah teh, i doctor hmasa ber hnenah dawt i sawi chuan doctor pahnihna chuan i natna chungchang chiang takin a hmu lovang. Thuziak pakhat bul tanna nei lovin a tawp lam chauh zawh ang a ni.
Ka doctor ngei pawh hi second opinion atan doctor tha tak recommend turin zawh hi a tha em?
Chu chu i zawt thei ang. Mahse damdawi in dang emaw damdawi in dang emawa thawk doctor pan turin theihtawp chhuah rawh .
A chhan chu, a châng chuan, damdawi in emaw, institution khata doctor-te chuan natna chi khat enkawl dân inang leh enkawl dân inang an nei thei a ni. Chu chu tihsual a ni lo, chu institution-a medical culture a ni. Mahse damdawi in dangah, khawpui sir lehlama damdawi inah pawh ni se, natna inang chiah chu thlirna danglam tak atanga thlir a, enkawl dan danglam tak rawn rawttu doctor i tawng mai thei. Chu chuan duhthlan tur hrang hrang zir theihna hun remchang a pe che a ni.
Lab report leh pathology report chungchangah hian second opinion lak a ngai em?
A ni tak zet! Hei hi mi tam takin an pumpelh thin, mahse a pawimawh em em a ni. Thudik tak ka hrilh ang che.
Hmeichhe pakhat chu hnute cancer a vei tih hmuhchhuah a ni. A biopsy atanga a lan dan chuan cancer cells te hian genetic marker HER2 tih chu an nei a ni. He HER2 marker a awm hian cancer chi khat, a na hle a, a darh chak hle tihna a ni. Tin, damdawi thar Herceptin an tih chu a tan hman theih a ni tihna a ni bawk. Mahse intensive chemotherapy a mamawh bawk a, chu chu toxic tak a ni.
He hmeichhia hian ngaihdan pahnihna a lak chuan doctor chuan pathology slide hlui chu chu damdawi in vek a pathologist hnenah ngaihdan pahnihna nei turin a thawn a. Pathologist pahnihna chuan, "HER2 a nih ka ring lo. Test hmasa berah khan tissue staining-ah technical error a awm mai thei," a ti.
Chuvangin, retest an tih chuan a takah chuan HER2 negative a ni tih an nemnghet a, chu chu chu marker chu a nei lo tihna a ni. A tawpah chuan toxicity nei lo hormone therapy hmangin a dam vek ta a ni. Ngaihtuah teh, ngaihdan pahnihna a neih loh chuan chemotherapy enkawlna hmantlak lo, toxic tak tak a neih a ngai dawn a ni. Chu chuan lab report-a second opinion hlutna a lantir a ni lawm ni?
Tuin nge thutlukna hnuhnung ber nei?
Doctor pahnih inrem lo a nih chuan engtin nge i tih ang? Hei hi zawhna dang ka rilruah a lo lang leh a ni.
Doctor chuan a thil tawn a\angin a dik nia a hriat, a \ha ber a hrilhfiah ang che. Mi thiam dang zawng turin a rawt pawh a ni thei. Mahse, i taksa, i nun chungchanga thutlukna hnuhnung ber chu i kutah a awm tih hre reng ang che.
Doctor pahnihte ngaihdan ngun takin i zir thei a, a thatna leh that lohna i hrethiam thei a, i thinlung nena inmil leh i rin ber enkawl dan tur i thlang thei bawk. Tuman zai tir turin an nawr thei lo che a, damdawi engmah an pe thei lo che. Chuvangin, hriattirna nei la, thutlukna fing tak siam rawh.
Take-Home Thuchah a ni
- Natna khirh tak i nei tih hmuhchhuah i nih emaw, enkawl tura ruahman chu a hlauhawm lutuk emaw a nih chuan ngaihdan pahnihna lak hreh ngai suh.
- I doctor hnenah ngaihdan pahnihna zawng turin inhawng takin sawi rawh. Doctor tha chuan a lawmpui reng ang.
- Ngaihtuahna pahnihna i zawn hmain i medical record zawng zawng lak chhuah theih nan i doctor awm mek hnenah hriattir hmasak a pawimawh hle.
- A theih chuan damdawi in emaw institution dang atanga doctor thlang la, ngaihdan pahnihna nei rawh. Hei hian thlirna danglam tak a pe ang che.
- Thisen test, X-ray report, a bik takin tissue test (Pathology/Biopsy) report chungchangah ngaihdan pahnihna lak a pawimawh hle thei.
- A tawpah chuan i hriselna chungchangah thutlukna siam turin dikna leh mawhphurhna famkim i nei tih hre reng la, damdawi lam ngaihdan zawng zawng i zawh hnuah.











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