"Breast cancer" tih thumal kan hriat hian kan rilruah hlauhna leh mangang tak a lo lang thin tih chu kan hre vek a ni. Zawhna lian ber ka rilrua lo lang chu, "Ka hnute zawng zawng hi ka la chhuak vek a ngai dawn em ni?" Mi tam tak chuan hei hi an hlau em em a ni. Mahse, hnute cancer zawng zawngah hian mastectomy a ngai lo. Vawiin hian hetiang dinhmunah hian a pui thei che, hnute humhalh a, cancer chauh tihbo theihna tur special surgery kan sawi dawn a ni. Chu chu `Lumpectomy` surgery a ni.
A awlsam zawngin Lumpectomy tih hi eng nge ni?
Lumpectomy hi surgical procedure a ni a, cancer tumor leh a chhehvela tissue hrisel tlemte chauh a paih chhuak a, i hnute chu a awm reng a ni. Hei hi partial mastectomy an ti bawk. A tum ber chu i hnute hmel leh hnathawh dan a theih ang anga humhim chungin cancer zawng zawng paih vek a ni. Hei vang hian "breast-conserving surgery" an ti bawk.
Radiation therapy hi lumpectomy hnuah cancer lo kir leh theihna tur tihziaawmna atan pek a ni fo thin.
A chang chuan he surgery hi hnute chhunga lump awm chu cancer a nih leh nih loh enfiah nan an ti thin a, mahse a tam zawkah chuan cancer enkawlna atan an ti thin.
He surgery hi chi hrang hrang a awm em?
Ni e, i dinhmun azirin doctor-in a rel tur tih dan hrang hrang engemaw zat a awm. Eng nge an nih i en ang u.
| Surgery chi hrang hrang | A awlsam zawngin... |
|---|---|
| Excisional Biopsy hmanga tihchhuah a ni | Hei hi a takah chuan diagnostic procedure a ni. Hetah hian tumor chu lakchhuah vek a ni a, cancer (malignant nge benign) a nih leh nih loh enfiah turin an thawn a ni. |
| Local Excision zau tak neih a ni | Cancer hi a chhehvela tissue hrisel (margin) tlemte tak tak nen lakchhuah a ni. He hmun hrisel hi cancer cell awm leh awm loh enfiah a ni. Cell a awm loh chuan surgery a hlawhtling a ni. |
| Quadrantectomy tih a ni | Hetah hian hnute hmun li a\anga hmun khat vel chu lakchhuah a ni. Tumor hi a chhehvel tissue hrisel leh milk duct awmna hmun nen lakchhuah a ni. |
| Margins te chu re-excision a ni | A chunga kan sawi tak ‘Wide Local Excision’ zawhah hian tissue hrisel tak tak lakchhuahnaah hian cancer cell a awm tih report a awm chuan, a vawi hnihna atan surgery neih lehin tissue engemaw zat lakchhuah belh a ni ang. |
Lumpectomy surgery atan hian tu nge tling?
He surgery hi i tan a tha em tih i doctor chuan a rel ang. A tlangpuiin, a hnuaia thil awm danah hian he surgery hi tih hi i rawt thei a ni:
- Cancer hi i hnute hmun khatah chauh a awm a nih chuan .
- I hnute lian leh te nena khaikhin chuan cancer a lian lutuk lo a nih chuan.
- Doctor chuan tumor lakchhuah hnua tissue la awm zat chu hnute siam thar lehna tur a tling nia a hriat chuan.
- I hrisel a nih chuan operation hnua radiation therapy mamawh chu tihfel theih a ni .
He surgery hi neih loh chuan tu nge tha zawk ang?
A then phei chuan lumpectomy aiin mastectomy, hnute pumpui lakchhuah hi a tha zawk mai thei.
A pawimawh ber chu i doctor nen i dinhmun tana damdawi tha ber tur chu zalen taka inbiakna neih hi a ni.
A hnuaia chhante hi i neih chuan i doctor chuan he surgery hi a rawt lo mai thei:
- Hnute pakhatah hian cancer natna chi hrang hrang a awm chuan .
- A hnute lian leh te nena khaikhin chuan tumor a lian hle a nih chuan.
- Cancer chu hnute vun emaw rilru bang emaw ah a darh tawh a nih chuan .
- Cancer chi khat, a darh thuai (inflammatory breast cancer ang chi) i neih chuan.
- Chhungkaw cancer natna emaw, genetic factors (`BRCA` gene mutations ang chi) avanga cancer lo lang leh theihna chance sang tak i neih chuan.
- Tun hmain lumpectomy leh radiation therapy i lo nei tawh a, cancer chu a lo lang leh tawh a nih chuan .
Tin, radiation therapy nena inzawm hlauhawm a awm chuan he surgery hi a tha lo. Entirnan:
- Tun hmain hnute pakhatah radiation treatment i lo dawng tawh a nih chuan .
- Vun natna `Scleroderma` emaw `Sjögren's syndrome` emaw avanga radiation therapy avanga harsatna i neih theihna tur i nih chuan.
- Naupai i ni.(Mahse a chang chuan naupai thla thum hnuhnung berah surgery tih theih a ni a, naute pian hnuah radiation treatment pek theih a ni bawk).
Surgery neih chhung hian eng nge thleng?
Surgery ni-a thil thlengte chu step by step-in han thlir ila.
1. Tumor awmna hmun chhinchhiahna: A hmasa berin radiologist chuan ultrasound emaw mammogram hmangin hnute chhunga tumor awmna dik tak chu a hmuchhuak thin. Tichuan, surgeon-in a thlen awlsam zawk nan wire emaw chip emaw te tak te chu a hmunah an dah a.
2. Anesthesia: Natna nei lo turin damdawi pek i ni ang. A tam zawkah chuan general anesthesia pek i ni ang a, chu chuan i muhil vek ang. A châng chuan, operation tihna hmun chauh ti hlim thei tur leh mut hahdam deuh turin damdawi an pe ang che.
3. Tumor lakchhuah: Surgeon chuan a hmaa chhinchhiahna siam chu hmangin cancer tumor leh a chhehvela tissue hrisel layer te tak te chu a paih chhuak thin.
4. Marking: Tumor awmna hmunah hian metal clip te te (marker clip) tlemte dah a ni. Hei hi radiation oncologist chuan a hnua radiation therapy a pek hunah radiation target tur hmun dik tak a hriat theih nan a pawimawh hle.
5. Suturing: A tawp berah chuan vun chu an sewn leh thin. A tlangpuiin hei atan hian dissolvable stitches an hmang thin. Chuvangin anmahni cut leh turin lo kir leh a ngai tawh lo.
Leg veins lakchhuah a pawimawhzia (Sentinel Node Biopsy) .
Lumpectomy neih chhung hian i cancer hnaih ber i armpit-a lymph node pakhat emaw a aia tam emaw chu lakchhuah a ni a, lab-ah test turin an thawn thin. Hei hi Sentinel Node Biopsy (SNB) an ti a. Heng node te hi cancer cells a darh tawh a nih chuan test hmasa ber an ni. Heng node-ah hian cancer cell hmuh a nih chuan cancer chu tumor piah lamah a darh tawh tihna a ni. Enkawlna dang i mamawh mai thei.
Surgery hnuah eng nge thleng?
Operation hnuah i hmalam hun atana i enkawl dan tur chu tumor lakchhuah leh a chhehvel tissue pathology report atanga chhut a ni ang.
- Best result: Tumor-ah hian cancer cell a awm lo va, tumor chhehvela tissue hrisel tak takah cancer cell a awm lo (negative margin).
- "Positive Margin" result: Tissue hrisel tak tak lakchhuahna hmunah hian cancer cell a awm a nih chuan cancer cell la awm zawng zawng paih chhuah nan operation dang neih leh a ngai mai thei.
- Testicles-a cancer cells: Testicles-a cancer cells hmuh a nih chuan enkawlna dang emaw, test dang emaw i mamawh thei a ni .
- Cancer cells mizia bik: Cancer cell thenkhat chu hormone (estrogen ang chi) te hian an lo thang lian thei a ni. Chutiang a nih chuan, hormone therapy i ṭan a ngai mai thei .
I doctor chuan heng zawng zawng hi a hrilhfiah ang che.
Surgery avanga hlawkna leh hlauhawm awm thei te
A thatna ber
Hei hi a thatna lian ber chu cancer tihbo rualin i hnute humhalh theihna i nei a ni. A hmel, a rilru put hmang leh a inkar zawng zawng chu a humhim thei a ni.
Lumpectomy hi cancer natna bul tan tirh lamah chauh tih thin a ni. Mahse, tun hnaia zirchianna chuan a tam zawkah chuan lumpectomy leh radiation therapy, leh mastectomy, hnute pumpui lakchhuahna inkara damchhuahnaah danglamna lian tham a awm lo tih a tarlang Chuvangin tunah chuan cancer chi hrang hrang enkawlna hmasa ber atan an rawt ta a ni.
Risk awm thei (Complications) 1.1.
Surgery dang ang bawkin he surgery hian hlauhawmna tenau engemaw zat a nei thei bawk.
- Suture awmna hmunah infection a awm.
- Surgery hmuna tui awmkhawm (Seroma).
- Thisen lakkhawm `(Hematoma)`.
- Radiation hmanga enkawlna avanga hliam tuar.
- Kut emaw, kutphah emaw a hring (Lymphedema).
- Surgery hmuna natna (kar tlemte hnuah a tlahniam).
Doctor biak vat a ngaih hunah
I dam chhungin natna hrik i hmuh chuan a pawi hle thei. Chuvangin heng symptoms te hi fimkhur rawh. Heng zinga pakhat tal i neih chuan doctor hnenah hrilh nghal rawh .
- Operation hnute a sen leh a hring .
- Vun khawih hian lumna hriat.
- Hliam atang hian tui thick, milky fluid (pus) a lo chhuak thin.
- Khawsik, khawsik, thawk hahna .
- Hnute chhehvel emaw, hnute chhungah emaw tui awm tam.
- Surgery hnuah a na zual zel a .
Take-Home Thuchah a ni
- Lumpectomy hi surgery tha tak leh him tak a ni a, i hnute chu a humhim thei a, chutih rualin hnute cancer a paih chhuak thei bawk.
- He surgery hi mi zawng zawng tan a tha lo. I doctor chuan i cancer awm dan a zirin i tana enkawlna tha ber tur a ruat ang.
- Thil tam takah chuan lumpectomy leh radiation therapy hman dun hian hnute pum pui lak chhuah ang bawkin result tha tak a pe a ni.
- I ngaihtuahna leh hlauh zawng zawng chu i doctor nen inhnialna awm lovin sawipui rawh. I tana thutlukna tha ber siam hi a pawimawh hle.
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