“ Leukemia ” tih thumal hriat hi hriatthiam theih a ni. Chutiang thumal hmachhawn hunah lungkhamna neih chu thil awmdan pangngai tak a ni. Mahse, eng nge a nih dik tak, engvangin nge a lo awm tih, a natna lan chhuah dan te, leh enkawlna \ha tak tak a awm tih hriatthiamna chuan chu hlauhthawnna chu nasa takin a tiziaawm thei a ni. Nirogi Lanka-ah hian he thisen kaihhnawih cancer chungchang hi awlsam tak, inzawm theih takin sawi kan duh a—i ṭhian emaw, chhungte emaw-in a hrilhfiah che ang bawkin.
Leukemia hi eng nge ni?
A awlsam zawngin, leukemia hi thisen cancer a ni . I taksaa thisen siamna factory ber chu i ruhro a ni . He "factory" chhungah hian i taksa chuan thisen cell pangngai lo—a bik takin thisen var puitling lo —a siam chhuah tan a, chu chu thunun theih lohvin a siam chhuak ta a ni. “Leukemia” tih thumal hi Grik tawnga “var” (leukos) leh “thisen” (haima) tih atanga lak chhuah a ni.
Cancer dang tam tak ang lo takin, leukemia hian X-ray ( X-ray ) emaw CT scan ( CT scan ) emawa i hmuh tur solid mass emaw (tumor) a siam tlangpui lo.
Leukemia hi chi hrang hrang a awm a. Ṭhenkhat chu naupangah an tam zawk a, ṭhenkhat erawh chu puitlingah an tam zawk thung. Enkawlna chungchanga thutlukna siamte chu leukemia chi bik, i kum leh i hriselna dinhmun zawng zawng a zirin mimal takin a siam a ni.
Engtin nge leukemia hi a lo awm?
Leukemia hi i ruhro , i ruh chhunga tissue nêm, sponge ang maia awm aṭangin a inṭan a ni. Hei hi i taksain thisen cell a siamna hmun a ni. Heng cell te hian puitling famkim an nih theih nan step engemaw zat an paltlang thin. Thisen hrisel hi chi thum atanga siam a ni a, chungte chu:
- Thisen sen : Hengte hian oxygen leh eitur pawimawh dangte chu i taksa pum puiah a keng tel a ni.
- White blood cells : Hengte hi i immune system defense team an ni a, natna hrik dotu an ni.
- Platelets : Hengte hian hliam i neih hunah i thisen a tikhawlo thei a ni.
Heng cell zawng zawng hi hematopoietic stem cell atanga lo chhuak an ni. Heng stem cells te hi kawng hnih ah an inthen a, chungte chu myeloid cells leh lymphoid cells te an ni. An lo thanglian dan pangngaia an lo thanglian chuan:
- Myeloid cells : Thisen sen, platelet, leh thisen var thenkhat (Basophils, Eosinophils , leh Neutrophils) siamtu.
- Lymphoid cells : Thisen var dang (Lymphocytes leh Natural killer cells) siamtu.
Leukemia vei mi pakhatah chuan heng cell lo piang chhuak zinga pakhat chu rang tak leh thunun theih lohvin a inthen darh tan thin . Chûngte chu “leukemia cell” kan ti a. Anni chuan ruhro chu an tikhat a, thisen sen hrisel, thisen var, a nih loh leh platelet siam chhuahna tur hmun a awm lo.
Engtin nge leukemia hian i taksa a nghawng?
Leukemia cell-in cell hriselte a hneh chuan harsatna engemaw zat a awm a:
- Leukemia cells hian cell hriselte tih angin hna pawimawh tak tak an thawk lo.
- Leukemia cell-te chuan ruhro an tihbuai avângin, cell hriselte chu an ṭhang lian thei lo va, an puitling ṭha thei lo bawk .
- Chuvângin, i taksain red cell, white cell, a nih loh leh platelet hna thawk ṭha tawk a siam thei lo.
- Chuvangin i taksa peng leh taksa peng hrang hrangte hian oxygen an dawng tlem thei a ni. Chu bâkah, i taksain natna hrik a do theihna a hloh emaw, i hliam chuan thisen a tikhawlo thei bawk.
Leukemia chi hrang hrangte chu engte nge ni?
Leukemia hi a tlangpuiin a kal chak dan leh eng cell line (myeloid emaw lymphoid emaw) nge a nghawng tih a zirin an thliar hrang thin.
Natna a zual zel chak dan hmangin
- Acute leukemia : Hetiang chi ah hian leukemia cell te hi an pung chak hle a, chu chuan natna chu a tizual thuai thin. Kar tlemte chhungin i dam lo tan mai thei. Hei hi medical emergency a ni a, enkawl vat ngai a ni. Naupang cancer chi hrang hrang zingah a tam ber a ni.
- Chronic leukemia : Hetiang chi ah hian cell thenkhat chu puitling lo an nih laiin thenkhat erawh chu cell puitling ang deuhin an awm thung. Hna engemaw zat an thawk thei a, mahse cell hrisel angin an thawk tha lo. He natna hi acute leukemia aiin a kal chak zawk hle. Kum tam tak chhung chu natna lan chhuahna langsar tak tak nei lovin i dam thei a ni. Hei hi naupang aiin puitlingah a tam zawk.
Cell chi hrang hrang a zirin
- Myelogenous or Myeloid leukemia : Myeloid cells te a nghawng a, chu chuan thisen sen, platelet leh thisen var thenkhat siamtu a ni.
- Lymphocytic leukemia : I immune system tana pawimawh tak lymphoid cells te a nghawng a ni.
Leukemia chi hrang hrang pali
Heng classification hrang hrangte hi han belhkhawm ila, primary type pali a awm a:
1. Acute Lymphocytic Leukemia (ALL) : Naupang leh puitling tleirawl (kum 39 thleng) zingah a tam ber a, mahse kum eng pawh a nghawng thei.
2. Acute Myelogenous Leukemia (AML) : Puitling, a bik takin kum 65 chunglam zingah acute type awm tam ber ni mahse naupangah pawh a awm thei.
3. Chronic Lymphocytic Leukemia (CLL) : Puitling (a bik takin kum 65 chunglam) zingah chronic type awm tam ber. Symptoms a lan chhuah theih nan kum tam tak a ngai thei.
4. Chronic Myelogenous Leukemia (CML) : Puitling kum upa lam (a bik takin kum 65 chunglam) ah a tam ber a, mahse puitling eng pawhah a awm thei. Naupangah a awm tlem hle a, natna lan chhuah nan kum tam tak a ngai thei bawk.
Leukemia hi engtiang chiahin nge a awm?
Statistics atanga a lan dan chuan cancer natna vei tam ber sawm zingah leukemia hi a tel a ni. Tu pawhin an neih theih laiin, pawl thenkhat chuan hlauhawmna sang zawk an tawk a ni:
- Kum 65 atanga kum 74 inkar te.
- Mipa a ni.
- Hnam thenkhat.
Mi tam tak chuan leukemia hi naupang natna chauh niin an ngai. Mahse, chi tam zawk hi a takah chuan puitlingah a tam zawk. Naupangte zingah leukemia hi a tlem hle laiin, naupang leh puitling naupangte zingah cancer hmuhchhuah tam ber a la ni reng.
Leukemia natna lan chhuah dante chu engte nge ni?
Leukemia symptoms hi i neih chi bik ah a innghat a ni. Entirnan, chronic leukemia i neih chuan a tir lamah chuan symptom lian tham i nei lo mai thei.
Leukemia natna lan chhuah dan tlangpui thenkhat chu hetiang hi a ni:
- Chauhna awm reng emaw, hah awlsam taka inhriatna emaw.
- Khawsik emaw zan lama thawk hah emaw .
- Hri kai fo thin .
- Thâwk hahna .
- Vun dum hring .
- Sawifiah loh takin taksa rihna tihtlem .
- Ruh emaw ruh emaw khawih a nih chuan ruh emaw ruh natna emaw, a hring emaw.
- I ruh veilam hnuaia na emaw, a khat emaw tih hriatna.
- I kawr, i kutphah emaw, i kawrfual emawa lymph node lo hring emaw, i rilru emaw, i thin emaw a lian emaw.
- Easy bruising and bleeding , chu chu hnar thisen chhuak, hmui thisen chhuak, i vunah hmun sen te te (petechiae), emaw sawifiah theih loh purple/black patches te hi a ni.
Heng symptoms zinga pakhat tal i neih chuan leukemia i vei tihna a ni hauh lo. Mahse, heng chhinchhiahnate hi i tawn a nih chuan professional evaluation neihpui turin doctor i pan a pawimawh hle.
Eng thilin nge leukemia hi a thlen?
Leukemia hi a tlangpuiin i ruhro chhunga cell pakhat DNA-a genetic mutation atanga tan a ni. DNA hian instruction set angin hna a thawk a, cell pakhat chu engtikah nge a lo seilian tur tih te, a hnathawh dan tur te, leh engtikah nge a thih tur tih te a hrilh a ni.
He mutation avang hian leukemia cell te chu thunun theih lohvin an pung tan thin. Chu original mutated cell atanga siam cell tin hian DNA pangngai lo ang chiah chu an keng tel vek ang.
Scientist-te chuan heng mutations te hi engvangin nge a awm tih chiang takin an la hriat loh laiin, leukemia chi hrang hrang nena inzawm mutations tlanglawn thenkhat an hmuchhuak a ni.
Tute nge leukemia vei theihna sang zawk?
Tu pawhin leukemia an vei thei a, mahse zirchianna chuan thil engemaw chuan i hlauhawmna a tipung thei tih a tarlang a, chung zingah chuan:
- Cancer enkawl hmasak : Radiation therapy emaw chemotherapy ang chi enkawlna i lo dawng tawh a nih chuan leukemia chi thenkhat i vei theihna a sang zawk thei.
- Meizial : Meizial i in emaw, second-hand smoke i neih chuan acute myeloid leukemia (AML) i vei theihna a sang hle.
- Industrial chemicals nena inzawmna : Chemical benzene leh formaldehyde te hi cancer thlentu nia hriat a ni. Chungte chu in sakna hmanrua leh inchhung bungrua chi hrang hrang (plastic, rubber, paint, pesticide, damdawi, detergent, sahbawn, leh shampoo)-ah te hmuh tur a awm.
- Genetic conditions thenkhat : Genetic disorder Neurofibromatosis, Klinefelter syndrome, Schwachman-Diamond syndrome, leh Down syndrome te hian i hlauhawmna a tipung thei a ni.
- Chhungkaw chanchin : Zirchianna atanga a lan dan chuan leukemia chi thenkhat hian thlahtute atanga lo piang a ni thei. Mahse, chhungkaw member leukemia vei i neih chuan i vei ngei ang tihna a ni lo. I chhungkuaa cancer emaw, genetic disorder emaw i neih tawh chuan doctor hnenah hriattir fo ang che; i mimal hlauhawmna tehna atan genetic test neih an rawt mai thei.
Engtin nge leukemia hi hmuhchhuah a nih?
Vawi tam tak chu thisen test pangngai chuan i doctor hnenah acute emaw chronic condition emaw i nei thei tih hriattirna hmasa ber a pe thei a, chu chuan chhui chian belh a ngai a ni. Symptoms i neih chuan i doctor chuan test hrang hrang neih a rawt mai thei.
Diagnostic tih dan tur chu:
- Taksa enfiah : I doctor chuan i natna lan chhuah dan a sawipui ang che a, lymph node hring, spleen emaw liver lian emaw, i hmuiah thisen chhuak emaw ang chi chhinchhiahna a awm leh awm loh a enfiah ang che. I vunah hian rashes, petechiae ang chi a awm leh awm loh an enfiah bawk ang.
- Complete Blood Count (CBC) : He test hian i doctor chuan i thisen sen, thisen var, leh platelet count te a enfiah thei a ni. Leukemia i vei chuan i thisen var (white blood cell count) hi a tlangpui aia nasain a sang fo thin.
- Thisen cell enfiah : I doctor chuan leukemia cell chhinchhiahna bik zawng turin test dang, flow cytometry emaw, peripheral blood smear emaw tih a ti thei ang.
- Bone marrow biopsy emaw aspiration emaw : I thisen zat a dik lo a nih chuan i doctor chuan he test hi a ti thei ang. I ruh (a tlangpuiin hip ruh)-ah hian needle sei tak dahin liquid sample lak a ni. Chumi hnuah lab chuan he sample hi leukemia cells awm leh awm loh a enfiah a, a natna hmuhchhuah chu a nemnghet a, i ruhroah cell pangngai lo awm zat a hriat theih bawk.
- Imaging leh test dang : I natna lan chhuah dan chuan leukemia hian i ruh, i taksa peng emaw, i tissue te a nghawng tih a hriat chuan i doctor chuan chest X-ray, CT scan, emaw MRI emaw a ti thei ang. Khawngaihin heng imaging test-ah hian leukemia cell ngei pawh hi hmuh tur a awm lo tih hre reng ang che.
- Lumbar puncture (spinal tap) : I doctor chuan i thluak leh i ruhro vel tuiah leukemia a darh em tih hriat nan i ruhro tui sample a la thei ang.
Leukemia hi engtin nge enkawl a nih?
Leukemia enkawlna chu i neih chi hrang hrang, i kum, i hriselna zawng zawng leh cancer hi taksa peng dang emaw, tissue dang emaw-ah a darh tawh em tih a innghat a ni.
A tlangpuiin, a hnuaia enkawlna pakhat emaw, a inzawmkhawm emaw hi Nirogi Lanka-a i medical team-in an hmang thin:
- Chemotherapy : Hei hi leukemia enkawlna atana hman tlanglawn ber a ni. Damdawi chak tak tak hmangin leukemia cell te chu a tichhia emaw, a inthen darh loh nan emaw a hmang thin. I protocol bik a zirin heng damdawi te hi ei emaw, thisen kal tlanga infusion emaw, vun hnuaia injection emaw hmangin i dawng thei bawk. Vawi tam tak chu, a rah chhuah tha ber tur atan chemotherapy damdawi engemaw zat inzawmkhawm hman a ni.
- Immunotherapy (biologic therapy) : He enkawlna hian i taksa natural defense system—i immune system—chu leukemia active taka do turin a tichak a ni. Heng damdawi bikte hian i immune system chu cancer cells te chu a hriat chian zawk nan a pui a, immune cells siamchhuahna a tichak a, chu chu a ti bo thei a ni.
- Targeted therapy : Hetiang approach hian leukemia cells awmna hmun hlauhawm tak tak, protein emaw gene bik emaw, thisen cell hrisel te hneh thei tura siam bik damdawi a hmang a ni. Hêng thil chi hrang hrangte hi target-in, heng damdawite hian cell-te inṭhen darhna chu a titawp thei a, an thisen supply a titawp thei a, a nih loh leh direct-in a tichhia thei a, a châng chuan cell hriselte chu a tichhe tlem hle. Entirnan, monoclonal antibodies leh tyrosine kinase inhibitor te hi a ni.
- Radiation therapy : He enkawlna hian high-energy beam emaw X-ray emaw hmangin leukemia cell te chu a tichhia emaw, a lo thang lian lo emaw a ni. Enkawl lai hian radiation hi cancer cell awmna hmun bikteah chiang takin a dah thei a, a nih loh leh taksa pum puiah a dah thei bawk a, chu chu stem cell transplant atana inbuatsaihna atan hman a ni fo bawk.
- Hematopoietic cell transplant (stem cell emaw bone marrow transplant) : Hetiang tih danah hian natna nei, leukemia siamtu cell—chemotherapy emaw radiation emaw dose sang tak hmanga tihboral fo thin—te chu stem cell thar, hrisel tak takte nen thlak a ni. Heng cell te hi nangmah ngeiin (enkawl hmaa lakkhawm) emaw, donor atanga lo chhuak emaw pawh a ni thei. Transplant an nih veleh heng cell hriselte hi an pung a, ruhro leh thisen cell pangngai (red blood cells, white blood cells, leh platelets) an siam tan ta a ni.
- Chimeric Antigen Receptor (CAR) T-cell therapy : Hei hi enkawl dan hmasawn tak a ni. Chutah chuan nangmah ngeiin T-cells—infection dona atana pawimawh tak immune cell chi khat—te chu khawl khawm a, i thisenah i leukemia cell bikte hriatchhuah leh beih theihna turin lab-ah genetically engineering i siam a ni.
Clinical trial -ah pawh tel theihna hun i nei thei bawk a, chu chuan experimental cancer therapies thar ber berte chu a test a ni. Chutiang trial-a hlawkna leh hlauhawmna awm thei chu i doctor nen sawiho ngei ang che.
Leukemia enkawlna hi eng phase nge awm?
I enkawlna ruahmanna a zirin i zinkawngah hian kal zelna tur a awm thei a, a nih loh leh phase hrang hrangah then a ni thei bawk. A tlangpuiin enkawlna hi stage thum-ah then a ni a, pakhatin thil tum bik a nei a:
1. Induction therapy : Hetah hian thil tum ber chu i thisen leh ruhroa leukemia cell tam thei ang ber tihchhiat a, remission hmuh theihna tur a ni Remission lai hian i thisen zat chu a pangngaiin a kir leh a, leukemia cells te chu hriat theih lohvin a awm a, natna chhinchhiahna leh chhinchhiahna te chu a bo ta a ni. Induction therapy hi kar li atanga kar ruk vel a ni tlangpui.
2. Consolidation therapy (intensification an ti bawk) : He phase hian a tum ber chu cancer lo kir leh tawh lo turin leukemia cell la awm, hriat theih loh zawng zawng tihbo a ni. He enkawlna hi thla li atanga thla ruk chhunga cycle hrang hranga pek thin a ni.
3. Maintenance therapy : He phase hian leukemia cells awmsa, a hmaa a dam khawchhuak thei zawng zawng tihchhiat a tum a, hei hian a lo let leh theihna a ti tlem lehzual a ni He phase hi kum hnih thleng a chhunzawm thei a ni.
Leukemia a lo kir leh a nih chuan i doctor chuan i enkawlna tur ruahmanna siam leh emaw, siamrem emaw turin a kaihruai ang che.
Leukemia hmuhchhuah hnuah eng nge beisei ang?
Mi zawng zawng zinkawng hi a danglam bik avangin prognosis bik tihfel hi a buaithlak hle. I thlirna chu thil pawimawh engemaw zatah a innghat a ni:
- Genetic abnormalities emaw mutations : I leukemia cell chhunga mutations bik hmuhchhuah te hi i prognosis tilangtu pawimawh ber a ni fo thin.
- Leukemia chi : Leukemia chi thenkhat chuan a dang aiin enkawlna an dawng tha zawk.
- Thisen cell counts at diagnosis : I hmuhchhuah tirh laia leukemia cell awm zat hian hmun a chang a ni.
- Kum : A tlangpuiin damlo naupang zawkte chuan result tha zawk an nei thei.
- Hriselna tlangpui : I taksa hriselna zawng zawng leh i taksa hriselna zawng zawng chu i natna hmuhchhuah lai hian i dam leh theihna tur a nghawng thei a ni.
- Enkawlna chhanna : Engtiang chiahin nge remission i hmuh thuai tih hian i enkawlna hlawhtlinna chungchangah clue pawimawh tak a pe a ni.
- Central nervous system-a leukemia awm : I spinal fluid-ah leukemia cells hmuh a nih chuan hei hi specialized treatment tam zawk a ngai a ni.
A tawpah chuan Nirogi Lanka-a i doctor chu heng thilte hian i tan a bik takin eng nge a awmzia tih hriatthiamna tura puitu tha ber a ni. I prognosis chungchang zawt hreh suh.
Leukemia hi tihdam theih a ni em?
Leukemia chungchangah hian “damdawi” tih thumal hi hman a nih loh laiin, damlo tam tak chuan hun rei tak chhunga tihdamna chu hlawhtling takin an hmu thei a ni . Damdawi chuan cancer chu chatuan atan a bo tawh a, a lo kir leh tawh lo vang tihna a ni ang; mahse, leukemia awm dan ngaihtuah chuan doctor-te chuan natna awm lohna chu an ngaihtuah fo ṭhin.
Hun rei tak chhunga remission tih awmzia chu cancer chhinchhiahna hmuh theih a awm lo tihna a ni a, enkawl chhunzawm zel emaw, enkawl chhunzawm loh emaw pawh ni se. He remission hi kum tam tak chhung a daih thei a, mi tam tak tan chuan leukemia hi a lo kir leh tawh ngai lo mai thei. A lo lang leh a nih chuan i medical team chuan control leh theihna turin enkawlna thar rawt turin an inpeih ang.
I dinhmun bik sawipui tura mi tha ber chu i healthcare team hi a ni a; i hmasawnna chu ngun takin an enfiah ang a, i enkawlna tur ruahmanna chu i mamawh angin an siam ang.
I doctor hnenah eng zawhna nge i zawh tur?
Hriatna hi hmanraw chak tak a ni. I natna hmuhchhuah leh enkawl dan tur hriatthiamna chuan thunun thei zawkin i inhriat theih nan a pui ang che. I zawhnate chu appointment siam hmain ziak chhuak la, a theih chuan i ṭhian emaw, chhungte emaw chu ṭanpuina dil turin rawn hruai hmasa phawt a tha hle.
Zawhna ngaihtuah tur thenkhat chu:
- Eng leukemia chi bik nge ka neih a, eng cell chi atanga lo chhuak nge a nih? Hei hi aggressive form nge slow-growing form?
- Leukemia hmuhchhuah a nih khan engtiang chiahin nge a hmasawn?
- Ka enkawlna tur awmte chu engte nge ni?
- Enkawlna kawng tinrengah hian eng hlawkna leh hlauhawmna bik nge awm?
- Eng treatment plan nge ka tan rawt a ni a, engvangin nge?
- Engtikah nge enkawl tan tur?
- Eng chen nge enkawlna (leh phase tin) hi a awh ang?
- Damdawi inah ka awm a ngai dawn em, a awm a nih chuan eng chen nge?
- A side effects te chu engte nge ni a, chu chu ven emaw, enkawl emaw theih nan eng nge tih theih?
- Nakin lawkah fa neih ka duh a nih chuan ka naupai theihna humhim turin eng nge ka duhthlan tur ?
- Ka leukemia chi khat bik hlawhtlinna rate emaw damchhuahna rate emaw chu engzat nge ni?
- Clinical trial- a tel hi ka ngaihtuah tur em ni ?
Leukemia chungchangah hian khawiah nge thu belhchian dawl zawk leh tanpuina i hmuh theih ang?
Leukemia clinical trial chungchang hriat belh duh chuan international resources, Leukemia & Lymphoma Society, National Cancer Institute, leh American Cancer Society te hi i zawt thei ang. Tin, i healthcare provider hnenah i awmna hmuna local support group leh resources awmte chungchang zawt bawk ang che.
Cancer hmuhchhuah eng pawh dawng hi a hlauhawm hle a, mahse leukemia hmuhchhuah chuan a bik takin a buaithlak thei hle. Tumor solid tak lak chhuah tur a awm loh avangin i enkawlna kawng leh hmalam hun chu eng ang nge ni ang tih ngaihtuah a harsa thei hle. Khawngaihin leukemia hi a singular condition a ni lo va, a outcome fixed a ni lo tih hre reng ang che. I enkawlna zinkawng leh hun rei tak chhunga i dam theihna tur chu thil danglam tak tam takah a innghat a ni. I hriselna leh i leukemia cell-te mizia chiang tak hriat chian loh chuan tumahin i kalna tur bik chu dik takin an sawi thei lo. He diagnosis hian i tan eng nge a awmzia tih chungchangah i doctor nen inhawng tak leh rinawm taka inbiakna neihpui turin kan fuih a che.
Key Takeaways te pawh a awm
He thu hian leukemia chungchang hi chiang zawkin a hriat theih kan beisei. Hengte hi hriat reng tur pawimawh ber berte chu a ni:
- Leukemia hi thisen cancer a ni a, ruhro chhunga cell pangngai lote chu thunun theih loha an pun chuan a lo awm a ni.
- Primary types chu acute emaw chronic emaw tiin an thliar hrang a , chubakah myeloid emaw lymphoid emaw tiin an thliar hrang bawk.
- A lan chhuah dan chu a inang lo va, mahse hahna danglam tak, natna hrik kai fo, leh hliam emaw thisen chhuah awlsam te pawh a tel thei .
- A chhan dik tak hriat a nih loh fo laiin, genetic mutations, chemical thenkhat nena inzawmna leh cancer enkawl hmasak te hi risk factor hriat a ni.
- He natna hi thisen test leh bone marrow biopsies hmanga hriat theih a ni ber .
- Enkawlna kawng hrang hrang (chemotherapy, immunotherapy, leh targeted therapy ang chi) a awm a , chu chu nangmah leh i natna profile nena inmil bik a ni.
- Khawvel pum huap damdawi lam ngaihtuah ai chuan, thil tum chu hun rei tak chhunga tihdamna hmuh a ni fo .
- I doctor zawhna zawt hreh ngai suh la , chiang zawk chu zawng rawh. Nirogi Lanka nen hian he zinkawngah hian nangmah chauh i ni lo.
He thu hi i tanpui theih kan beisei. Chak takin awm la, i hriselna enkawl rawh!
Thupui: Leukemia, thisen cancer, ruhro, thisen cell, leukemia symptoms, leukemia enkawlna
