" Leukemia " tih thumal i hriat khan i hlau deuh mai thei. Chu chu thil pangngai a ni, a chhan chu hetiang thu kan hriat hian kan hlau fo thin. Mahse eng nge a nih, engvangin nge a lo awm tih, a natna lan chhuah dan te, a enkawl dan tur a awm leh awm loh te i hriat chian chuan chu hlauhna chu nasa takin a tlahniam a ni. Chuvangin vawiin hian he thisen cancer natna leukemia an tih hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni. I thian emaw chhungte emaw chuan a hrilh che ang bawkin.
Leukemia hi eng nge ni?
A awlsam zawngin, leukemia hi thisen atanga intan cancer a ni . Kan taksaa thisen siamna hmunpui ber chu ruhro (bone marrow) a ni. Factory ang mai a ni. He ruhro chhungah hian thisen cell, a bik takin thisen var puitling lo , chu rang tak leh a pangngai lo takin an thang tan thin. "Leukemia" tih thumal hi Greek tawng "leukos" (var) leh "haima" (thisen) atanga lo chhuak a ni.
Cancer chi dang ang lo takin leukemia hian X-ray emaw CT scan emaw a hmuh theih tur tumor a nei lo tlangpui.
Leukemia hi chi hrang hrang a awm a. A chi thenkhat chu naupang tê têah a tam zawk a, ṭhenkhat erawh chu puitlingah a tam zawk thung. Enkawl dan tur chu thil tam takah a innghat a, chung zingah chuan leukemia chi hrang hrang, i kum, leh i hriselna zawng zawng te pawh a tel.
Engtin nge leukemia hi a lo awm?
Leukemia hi bone marrow , kan ruh nêm, sponge ang deuhah a intan a. Hei hi kan taksa mamawh thisen cell siamna hmun a ni. Heng thisen cell te hi vawi khatah an lo piang vek mai lo va, an puitlin hmain stage engemaw zat an paltlang thin. Thisen hrisel, puitling chi thum a awm a, chungte chu:
- Thisen sen (Red blood cells) : Hengte hian kan taksa pum puiah oxygen leh thil pawimawh dangte a phur lut a ni.
- Thisen var : An hna chu hri kai dona a ni.
- Platelets : Hengte hian thisen zam a pui thin.
Heng thisen cell zawng zawng hi hematopoietic stem cells an tih cell bik atanga tan a ni. Chumi hnuah chuan heng stem cell te hi chi hnih ah an inthen a, chungte chu myeloid cells leh lymphoid cells te an ni. Chungte chu a lo thanglian dan pangngaia lo thanglian a nih chuan, cell puitling lo awmte chu:
- Myeloid cells (`(Myeloid cells)`) te chu a awm a.Thisen sen, platelet, leh thisen var chi thenkhat (basophils, eosinophils , leh neutrophils) te an siam chhuak thin.
- Lymphoid cells hian thisen var chi dang (lymphocytes) leh natural killer cells a siam chhuak thin.
Mahse, leukemia vei miah chuan heng thisen cell lian zel zinga pakhat chu rang tak leh thunun theih lohvin a inthen darh tan thin . Heng cell pangngai lo te hi "leukemia cells" kan ti thin. Heng leukemia cell te hian ruhroah hmun an luah a, red cell hrisel, white cell leh platelet te awmna hmun chu an tikhawtlai a ni.
Engtin nge leukemia hian i taksa a nghawng?
Leukemia cell tam lutuk leh cell hrisel tlem lutuk a nih chuan eng nge thleng tih han ngaihtuah teh. Hei hian zawhna engemaw zat a siam a ni:
- Leukemia cells hian i taksa hriselna tur engmah a ti lo.
- Leukemia cell-te chuan ruhro a luah khat avângin, thisen hriselte chuan ṭhanlenna leh ṭhanlenna tûr hmun an nei lo .
- Chuvang chuan taksain thisenah a khawlkhawm theih nan thisen sen (red blood cells), thisen var hrisel tak tak, platelet te a siam chhuak tawk lo.
- Chuvang chuan i taksa peng leh taksa peng hrang hrangte hian oxygen an hmu tlem hle. I taksa hian thisen i chhuah chuan natna hrik a do thei lo va, thisen a tikhawlo thei lo bawk.
Leukemia chi hrang hrangte chu engte nge ni?
Leukemia hi chi li a awm a, subtype engemaw zat a awm bawk. Doctor-te chuan leukemia hi natna a darh chak dan leh leukemia cells te hi myeloid emaw lymphoid cell atanga lo chhuak nge an nih dan a zirin an thliar hrang thin.
Natna a zual zel chak dan hmangin
- Acute leukemia : Hetiang leukemia chi ah hian cell te hi an inthen rang hle a, natna hi a zual chak hle. Acute leukemia i neih chuan kar tlemte chhungin natna i nei tan ang. Hei hian nunna a tichhe thei a, chuvangin enkawl tan nghal tur a ni . Naupang tê tête cancer chi hrang hrang zingah Acute leukemia hi a tam ber a ni.
- Chronic leukemia : Hetiang chi ah hian leukemia cell te hi a chang chuan cell puitling lo angin an che a, a chang chuan cell puitling angin an che bawk. Cell thenkhat chu a tlem berah an thang lian a, an hna chu eng emaw chen an thawk a – mahse cell hrisel angin an thawk tha lo. He natna hi acute leukemia aiin a zual zawi zawk. Chronic leukemia i neih chuan kum tam tak chhung chu symptom lian tham i nei lo mai thei. Naupang aiin puitlingah a tam zawk.
Cell chi hrang hrang a zirin
- Myelogenous emaw Myeloid leukemia : Hei hi myeloid cell atanga lo chhuak a ni. Myeloid cell pangngai hian thisen sen, thisen var leh platelet te a siam chhuak thin.
- Lymphocytic leukemia vang a ni: Hei hi lymphoid cell atanga siam a ni. Lymphoid cell pangngai atanga thisen var (white blood cells) siam hi kan taksa hriselna atana pawimawh tak a ni.
Leukemia chi hrang hrang pali
Heng classification pahnih te hi inzawmkhawmin leukemia chi hrang hrang pali hmuhchhuah a ni a:
1. Acute Lymphocytic Leukemia (ALL) : Hei hi naupang leh puitling tleirawl (kum 39 thleng) zinga hmuh tam ber a ni. Mahse, puitling kum eng pawhah a awm thei.
2. Acute Myelogenous Leukemia (AML) : Hei hi puitling zingah acute leukemia vei tam ber a ni. A bik takin kum 65 chunglam ah a tam hle a, naupang tê têah pawh a awm thei bawk.
3. Chronic Lymphocytic Leukemia (CLL) : Hei hi puitling (a bik takin kum 65 chunglam) zingah chronic leukemia chi khat a ni ber. CLL-ah chuan symptoms a lan theih nan kum engemaw zat a ngai thei.
4. Chronic Myelogenous Leukemia (CML) : Hei hi kum upa lam (a bik takin kum 65 chunglam) ah pawh a tam zawk a, mahse puitling kum eng pawh a nghawng thei. Naupang tê têah a tlem hle. CML-ah chuan symptoms a lan theih nan kum engemaw zat a ngai thei.
Leukemia hi engtiang chiahin nge a awm?
Khawvel ram thenkhata statistics atanga a lan dan chuan leukemia hi cancer vei tam ber sawmnaah ngaih a ni. Tu chungah pawh a lo awm thei a, mahse pawl thenkhatah chuan a hlauhawmna a sang zawk tih hmuhchhuah a ni:
- Kum 65 leh 74 inkar te.
- Mipa.
- Hnam thenkhat zingah (e.g. Caucasians/whites - hengte hi ramdang data a ni).
Mi tam tak chuan leukemia natna hi naupang tê tê chauh natna niin an ngai a. Mahse, leukemia chi thenkhat chu puitlingah a tam zawk. Leukemia hi naupangte zingah a awm lo hle nachungin naupang leh puitling tleirawl zingah cancer chi khat a tam ber a ni.
Leukemia natna lan chhuah dante chu engte nge ni?
A lan chhuah dan chu leukemia chi hrang hrangah a innghat. 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:
- Sudden fatigue , awlsam taka chau.
- Zan lama khawsik emaw thawk hah emaw .
- Hri kai fo thin .
- Thâwk lak harsat .
- Vun dum hring .
- Chhan awm lovin taksa rihna tihtlem .
- Ruh/ruh na emaw , a hring emaw.
- Natna emaw, veilam sir a ruh hnuai lama a khat tih hriatna emaw.
- Kawng, kawr, kawr, emaw, pum chhunga lymph node lo hring , spleen emaw liver emaw a lian.
- Bruising leh thisen chhuah awlsamHnar thisen chhuak, hmui thisen chhuak, vunah hnah sen te te (petechiae) emaw vunah purple/black spot ang maia lang.
Heng symptoms pakhat emaw a aia tam emaw i neih chuan leukemia i vei tihna a ni hauh lo. Amaherawhchu, heng symptoms te hi i neih chuan doctor pan a, thurawn lak a pawimawh hle.
Leukemia hi engte nge ni?
Leukemia hi i ruhro chhunga cell pakhat DNA inthlak danglamna (mutation) atanga tan a ni. DNA hi "set of instructions" ang mai a ni. He DNA hian cell pakhat chu engtikah nge a lo thanglian tur tih te, a lo pian dan tur te, engtikah nge a thih tur tih te a hrilh a ni.
He mutation avang hian leukemia cell te chu an inthen chhunzawm zel tan thin. Original mutated cell atanga lo piang cell tin hian he mutated DNA hi an nei vek a ni.
Scientist-te chuan heng cell-te hi engvangin nge an inthlak danglam tih chiang takin an la hre lo a, mahse leukemia chi hrang hrang vei te zinga hmuh theih mutations tlanglawn thenkhat an hmuchhuak a ni.
Tute nge leukemia vei theihna sang zawk?
Tu pawhin leukemia an vei thei. Mahse, zirchiannaah chuan thil engemaw chuan a hlauhawmna a tipung thei tih hmuhchhuah a ni. Chûng thil ṭhenkhat chu:
- Cancer enkawl hmasa tawh : Cancer enkawlna radiation therapy emaw chemotherapy emaw i lo dawng tawh a nih chuan leukemia chi thenkhat i vei theihna a sang zawk.
- Meizial zuk : Meizial zu mi i nih emaw, second-hand smoke i neih chuan acute myelogenous leukemia (AML) i vei theihna a sang hle.
- Industrial chemicals nena inzawmna : Benzene leh formaldehyde te hi cancer thlen thei chemical an ni. In sakna hmanrua leh inchhung chemical (plastic, rubber, dye, pesticide, damdawi, detergent, sahbawn, shampoo, cleaner)-ah te hmuh tur a awm.
- Genetic conditions thenkhat : Genetic conditions neurofibromatosis, Klinefelter syndrome, Schwachman-Diamond syndrome, leh Down syndrome te hian a hlauhawmna a tipung thei a ni.
- Chhungkaw history-a leukemia : Zirchianna atanga a lan dan chuan leukemia chi thenkhat chu chhungkaw zingah a kal thei a ni. Mahse, a tam zawkah chuan i chhungte zinga mi pakhatin leukemia a vei vang mai mai chuan nangmah emaw, i chhungte zinga mi dang emaw pawhin leukemia an vei tihna a ni lo. Nangmah emaw, i chhungte emaw hian genetic condition an neih chuan i doctor hnenah hrilh rawh. I risk tehna atan genetic test neih an rawt mai thei.
Engtin nge leukemia hi hmuhchhuah a nih?
Thisen test pangngai result chuan i doctor hnenah acute emaw chronic leukemia emaw i vei thei tih a hriattir thei a, test dang neih belh a ngai tih a hriattir thei bawk. A nih loh leh, leukemia symptom i neih chuan i doctor chuan test hrang hrang neih a rawt thei bawk.
Diagnostic test-ah hian:
- Taksa enfiah : Doctor chuan i natna lan chhuah dan a zawt ang che a, i taksaah lymph node hring, spleen lian emaw, liver emaw a awm leh awm loh a hre ang. Tin, hmui thisen chhuak emaw, a hring emaw pawh an enfiah ang. Tin, vun vun rawng an zawng thei bawk a, chu chu a sen, a sen, a sen emaw a ni thei a, leukemia nen a inzawm bawk.
- Complete Blood Count (CBC) : He thisen test hian i thisen sen, thisen var, leh platelet count a dik lo em tih doctor hnenah a hriattir thei a ni. Leukemia i vei chuan i thisen var cell count chu a tlangpui aia tam a nih a rinawm.
- Thisen cell test : I doctor chuan leukemia cell emaw leukemia chi khat emaw chhinchhiahna zawng turin thisen test dang a ti thei bawk. Flow cytometry leh peripheral blood smear te hi i doctor-in a tih tur test dang a ni.
- Bone marrow biopsy (or bone marrow aspiration) : I thisen var cell zat dik lo i neih chuan i doctor hian he test hi a ti thei ang. He test-ah hian i ruhro (a tlangpuiin i hip ruh-ah)-ah needle sei tak dahin tui sample lakchhuah a ni. Chumi hnuah sample chu lab-ah test a ni a, leukemia cell a awm leh awm loh enfiah a ni. Bone marrow biopsy hian i bone marrow-a cell pangngai lo awm zat dik tak a hriat theih a, hei hian leukemia i hriat chian theih nan a pui thei a ni.
- Imaging leh test dang : I natna lan chhuah danin 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 scan emaw a ti thei ang. Mahse, heng imaging test te hian leukemia cells a hmu thei lo.
- Lumbar puncture (or spinal tap) : Doctor chuan spinal fluid sample a test thei a, thluak leh spinal cord (spinal fluid) vel tuiah leukemia a darh em tih a enfiah thei.
Leukemia hi engtin nge enkawl a nih?
Leukemia enkawl dan tur chu leukemia i neih chi hrang hrang, i kum leh hriselna zawng zawngah a innghat a, leukemia hi taksa peng dang emaw tissue dang emaw-ah a darh tawh em tih a innghat a ni.
Enkawlna tlanglawn tak takte chu a hnuaia mi pakhat emaw, a aia tam emaw a ni thei:
- Chemotherapy (`(Chemotherapy)`) tih a ni.: Hei hi leukemia enkawlna atana hman tlanglawn ber a ni. Chemical (drugs) hmangin leukemia cell te a that emaw, a inthen darh loh nan emaw a hmang thin. Enkawl lai hian heng chemical (drugs) te hi pill angin emaw, vein-a injection angin emaw, vun hnuaia injection angin emaw i dawng thei a ni. Chemotherapy hi damdawi engemaw zat nena inkawp a pek thin a ni.
- Immunotherapy (or biologic therapy) : He enkawlna hian damdawi bik hmangin i taksa invenna system—immune system—leukemia dona atan a tichak a ni. Immunotherapy hian i immune system hian cancer cells te chu a hriat theih nan a pui a, anmahni do turin immune cells tam zawk a siam chhuak thei bawk.
- Targeted therapy : He enkawlna hian leukemia cell hmun bik (protein emaw gene emaw ang chi) bei thei tura siam damdawi a hmang thin. Heng parts te hi leukemia cells te hi thisen cell pangngai aia tam tirtu an ni. Targeted therapy hian leukemia cells inthen darh chu a titawp thei a, cells thisen supply a titawp thei a, a that nghal thei bawk. Targeted therapy hian cell pangngai a tichhe tlem zawk. Heng damdawi 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 that emaw, a thang chak lohna emaw a titawp thin. Enkawl lai hian machine chuan cancer cell awmna hmun dik takah radiation chu a kaihruai thei a, taksa pum puiah a sem darh thei bawk. Hematopoietic cell transplant hmain taksa pum radiation pek theih a ni.
- Hematopoietic cell transplant (or `stem cell` emaw `bone marrow transplant`) : He enkawlnaah hian cancer thisen siamtu cell, chemotherapy leh/ emaw radiation therapy hmanga tihchhiat tawhte chu thisen stem cell thar, hrisel tak tak hmanga thlak a ni. I doctor chuan heng cell hrisel tak takte hi chemotherapy leh radiation therapy hmain i hnen atangin a la thei a, a nih loh leh donor atanga lo chhuak pawh a ni thei bawk. Heng cell hrisel tharte hian an inthen darh a, ruhro leh thisen cell (i taksa mamawh thisen sen, thisen var, leh platelet) thar an siam a ni.
- Chimeric Antigen Receptor (CAR) T-cell therapy : Hei hi enkawlna chi thar a ni. Chu chu i taksa ngeia infection dotu T-cells (immune cell chi khat T-cell emaw T-lymphocyte an tih) lak a, leukemia cell do turin engineer thar leh a, chu chu i taksaah dah leh a ni.
Cancer enkawlna thar enchhinna clinical trial -ah pawh tel theihna hun i nei thei bawk. Chutiang trial-a telna ṭhatna leh ṭhat lohna chu i doctor nen sawiho rawh.
Leukemia enkawlna stage hrang hrangte chu engte nge ni?
I enkawl dan azirin hun rei tak chhung chu leukemia enkawlna i dawng chhunzawm zel thei a, a nih loh leh stage engemaw zatah enkawlna i dawng thei bawk. A tlangpuiin staged treatment hi hmun thum a awm thin. Stage tin hian tum bik an nei vek a.
1. Induction therapy : Hei hi a tum ber chu i thisen leh ruhroa leukemia cell tam thei ang ber tihlum a, remission-a dah che a ni. Remission-ah chuan i thisen cell zat chu a pangngaiin a kir leh a, i thisenah i leukemia cells te chu hmuh theih a ni tawh lo va, natna chhinchhiahna leh chhinchhiahna zawng zawng chu a bo vek a ni. Induction therapy hi kar li atanga kar ruk vel a ni tlangpui.
2. Consolidation therapy (``(Intensification)`` tia koh bawk) : Hei hian a tum ber chu leukemia cell la awm, hriat theih loh zawng zawng tihchhiat a ni. Hei hian cancer a lo let leh tawh loh nan a pui thei a ni. He enkawlna hi cycle engemaw zatah pek a ni tlangpui a, thla li atanga thla ruk chhungin pek thin a ni.
3. Maintenance therapy : Hei hi a tum ber chu treatment cycle hmasa pahnih hnua leukemia cell awm thei zawng zawng tihchhiat a, cancer lo let leh (relapse) loh nan a ni. He enkawlna hi kum hnih vel an chhunzawm zel a ni.
Leukemia a lo let leh chuan i doctor chuan i enkawlna chu a tan leh thei a, a thlak danglam thei bawk.
Leukemia hmuhchhuah hnuah eng ang result nge ka beisei theih ang?
Leukemia awm dan tur dik tak sawi a harsa a, mi zawng zawng tawnhriat hi a inang lo vek a ni. A rah chhuah chu thil engemaw zatah a innghat a ni:
- Genetic abnormalities emaw mutations (`(Mutations)`) : Leukemia cell chhunga mutations te hi a chhuah dan tur tilangtu pawimawh ber a ni.
- Leukemia chi : Leukemia chi thenkhat chuan a dang aiin outcome tha zawk an nei thin.
- Diagnosis-a thisen cell count : Diagnosis-a leukemia cell awm zat hian i result a nghawng thei bawk.
- Kum : A tlangpuiin, natna hmuhchhuah a nih laiin i naupang zawk chuan a rah chhuah a tha zawk a rinawm.
- Hriselna dinhmun : A tlangpuiin, natna hmuhchhuah a nih chuan i hrisel zawk chuan a rah chhuah a tha zawk a rinawm.
- Enkawlna chhanna : Cancer chu remission-a a kal theih hun chhung (`(Remission)`) hian enkawlna a hlawhtlin dan tur ngaihtuahna a pe thei a ni.
- Central nervous system-a leukemia cell awm : I spinal fluid-ah cell a awm chuan enkawl a harsa mai thei.
A tawpah chuan i doctor hi i cancer hian a danglam bikna a nghawng dan hrethiam thei tur mi tha ber a ni. Enkawlna chhuah dan tur zawt rawh.
Leukemia hi a dam kim thei ang em?
Leukemia hi "complete cure" tih hi a awm lo. Mahse chutiang a nih chuan mi thenkhat chu long-term remission-ah an lut lo tihna erawh a ni lo. Leukemia tihdam a nih chuan cancer chu a bo tawh tihna a ni a, a lo let leh tawh lo vang a, enkawl belh a ngai tawh lo. Mahse leukemia nen chuan hei hi sawi chian a harsa hle.
A lehlamah chuan hun rei tak chhung remission tih awmzia chu cancer chhinchhiahna a awm lo tihna a ni a, enkawl leh enkawl loh pawh a ni. He remission hi kar tlemte atanga kum engemaw zat thleng a awm thei. Leukemia hi a lo kir leh tawh lo mai thei. A lo kir leh a nih chuan i doctor chuan remission neih theihna turin enkawlna thar a rawt thei ang.
I medical team hian, "Ka leukemia hi a dam tawh em?" I hriselna uluk takin an enfiah ang a, i tana tha tur treatment plan an siam ang.
I doctor hnenah eng zawhna nge i zawh tur?
I cancer hmuhchhuah hian a bik takin engtin nge a nghawng che tih i theih ang tawkin zir chhuakin in chakna pe rawh. Doctor hmu tura i kal dawnin thil ziak chhuak a, i thianpa hruai ve mai tur a ni. Zawhna zawh hreh suh.
Zawhna i zawh theih ṭhenkhat chu:
- Eng ang leukemia nge ka neih? Eng chi cell nge a nih? Cancer a lo thang chak em em a, a lo thang chak lo em ni?
- Engtiang chiahin nge leukemia hi hmuhchhuah a nih?
- Eng enkawlna kawng nge ka neih?
- Enkawl dan tinte hian eng hlawkna leh hlauhawmna nge an neih?
- Eng treatment plan nge ka tan a tha ber? Engati nge?
- Engtikah nge enkawl tan tur?
- Enkawlna (leh enkawlna phase tin) hian eng chen nge hun a duh?
- Eng chen nge damdawi inah ka awm a ngai dawn?
- Enkawlna hian eng side effect nge a neih? Anmahni venna tur emaw, tihtlem nan eng nge tih theih ang?
- Fa neih ka duh chuan engtin nge ni ang? Ka nau neih theihna humhalh tur hian eng duhthlan tur nge awm?
- Ka leukemia chi khat damchhuahna rate chu engzat nge ni?
- Clinical trial-ah ka tel tur em ni?
Leukemia chungchangah hian khawiah nge thu belhchian dawl zawk leh tanpuina ka hmuh theih ang?
Leukemia clinical trial chungchang hriat belh duh chuan international website (e.g., Leukemia & Lymphoma Society, National Cancer Institute, American Cancer Society) ah te i lut thei ang. Tin, i doctor hnenah tualchhung resources leh support group te zawt bawk ang che.
Cancer hmuhchhuah eng pawh hi a hlauhawm hle. Mahse leukemia diagnosis chu a hlauhawm zawk thei. Tumor lak chhuah tur awm lo se chuan enkawlna experience chu eng ang nge a nih dawn tih leh hmalam hun eng nge thleng dawn tih hriat a harsa thei hle. Leukemia hi mi zawng zawng tan thil pakhat chauh a ni lo tih hre reng ang che. I enkawl dan leh hun rei tak chhunga i dam theihna chance chu thil tam takah a innghat a ni. I hriselna leh leukemia te, leukemia cells te mizia te pawh hrethiam lovin tumahin i result an sawi thei lo. Leukemia diagnosis hian i tan eng nge a awmzia tih i doctor nen sawiho rawh.
Thu tawite hriat reng tur
Okay, chuvangin kan sawiho atang hian leukemia chungchangah hian ngaihdan tha tak i neih ka beisei. Hriat reng tur pawimawh thenkhat chu hetiang hi a ni:
- Leukemia hi thisen cancer a ni a, ruhroa cell dik lo, thunun loha lo thang lian vang a ni.
- Hei hi chi hnih a awm a, chungte chu: acute leh chronic, leh myeloid leh lymphoid .
- A lan chhuah dan chu a inang lo va, hah thut, natna hrik kai fo, leh hliam awlsam tak te pawh a ni thei .
- A chhan dik tak hriat ni lo mah se, genetic change te, chemical thenkhat te, leh cancer enkawl hmasak te hi risk factor a ni thei.
- He natna hi thisen test leh bone marrow biopsy hmanga hriat theih a ni ber .
- Enkawlna kawng hrang hrang (``Chemotherapy'', ``Immunotherapy'', ``Targeted therapy'' ang chi) a awm a , chu chu damlo leh natna chi hrang hrangah a innghat a ni.
- Damdawi famkim chungchang sawi ai chuan, hun rei tak chhunga tihdamna kan beisei thei a ni .
- Zawhna zawh leh doctor hnen atanga thu hriat tur lak pawh hlau suh . Nangmah chauh i ni lo.
He thu hi i tan a tangkai ngei kan beisei. Hrisel takin awm rawh!
` leukemia, leukemia, thisen cancer, bone marrow, thisen cell, leukemia symptoms, leukemia enkawlna











💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment