Cancer enkawlna chungchang kan sawi hian a chang chuan damdawi kan hriatte hming hi a buaithlak deuh thin a ni lawm ni? Chutiang hming pakhat chu Lutetium Lu 177 dotatate a ni. Mahse a hming chu buaithlak tak ni mahse, a hnathawh dan kan hriatthiam mai chuan i hlauhthawnna leh rinhlelhna chu a tam zawk chu a bo vek ang. Vawiin hian he enkawlna dan bik hi han sawi ila, kan thianpa nen kan inbia ang maiin.
He Lutetium Lu 177 dotatate hi eng nge ni?
A awlsam zawngin sawi ila, hei hi damdawi bik, cancer cell tihhlumna atana pek a ni. Hei hi chemotherapy pangngai ang a ni lo. Hei hi ‘targeted therapy’ an ti a. He damdawi hi cancer cell zawng tura kal a, beitu ‘smart bomb’ angin ngaihtuah teh.
He enkawlna hi a bik takin cancer chi khat neuroendocrine tumor an tih enkawlna atan hman a ni. He damdawi hian radioactive component a pai a. Hei hi cancer cell chunglama protein (receptor) bikte nen a inzawm tlat a ni. Keyhole chhunga key fit ang mai a ni. Vawikhat a inzawm chuan damdawi atanga radiation lo chhuak chuan cancer cell chu a chhung atangin a tichhia a ni. Hetiang hmanrua hian cell hrisel tak takte chu a tichhe tlem hle.
Enkawlna ka tan hmain doctor hnenah eng nge ka hrilh tur?
He enkawlna hi i pek hma hian i doctor hian i hriselna chanchin kimchang a hriat a ngai ang. Chuvangin, he thu hi dik tak leh engmah thup lovin i pek a pawimawh hle .
- Kidney emaw liver natna: Kal emaw, thin natna emaw i neih chuan doctor hnenah hrilh ngei ang che.
- Thisen dik lo: Thisen sen, thisen var, platelet i neih tlem chuan doctor hnenah i hrilh tur a ni a, a chhan chu he enkawlna hian heng dinhmunte hi a tizual thei a ni.
- Allergy: He damdawi, Lutetium Lu 177 dotatate, emaw damdawi dang, ei tur, emaw dye dang emaw allergy i neih chuan min hriattir dawn nia.
- Naupai leh hnute pek: Hei hi naupai, naupai tum emaw, naupai lai emaw a nih chuan a pawimawh hle . Hemi chungchang hi i doctor nen zalen takin sawipui rawh.
He damdawi hi taksaa pek dan leh ngaihtuah tur dangte
He damdawi hi infusion (saline solution) angin vein chhungah pek thin a ni. Hei hi damdawi inah emaw clinic-ah emaw trained medical staff ten an ti thin. Chuvangin in lama tih theih a ni lo.
He damdawi hi naupang tê tête hnena pek hunah fimkhur bik a ngai a ni. Chuvangin, i fate hi he damdawi hi an lo pe tawh a nih chuan, i naupang enkawltu doctor nen uluk takin sawipui rawh.
Dose pakhat ka miss a nih chuan engtin nge ni ang?
I hun ruatah damdawi inah i kal thei lo a nih chuan i doctor emaw damdawi inah emaw hriattir nghal tur a ni. He damdawi hi ruahman angin ei a pawimawh hle a, a dose skip loh a pawimawh hle.
Dose a san chuan engtin nge ni ang?
Hei hi damdawi inah pek a nih avangin overdose chance a tlem hle. Mahse, hetiang hi a thleng nia i rinhlelh chuan Colombo National Hospital-a National Poisons Information Center-ah call nghal la, a nih loh leh damdawi ina Emergency Treatment Unit (ETU)-ah kal nghal rawh.
Enkawl laia kan fimkhur zual tur thilte
He damdawi i ei lai hian tlem tal i hriselna i enkawl a ngai a ni.
Naupai, nau hnute pek leh nau neih theihna
Hei hi thil pawimawh tak a ni.
- Hmeichhia: He damdawi ei lai leh enkawlna chawlhsan hnu thla 7 chhung chu naupai loh tur a ni. Hei hian nausen piang lo chu nasa takin a tichhe thei a ni. Naupai i tum a nih chuan i doctor nen inbia ang che.
- Mipa: Hetiang damdawi hi i ei a nih chuan enkawl lai leh i chawlh hnu thla 4 chhung chu fa neih loh tur a ni.
- Nau hnute pek: Naute hnute pek hnuhnung ber atanga thla 2.5 chhung chu hnute pek loh tur.
- He damdawi hian nau neih theihna a nghawng thei a ni. Hemi chungchangah hian ngaihtuahna i neih chuan i doctor nen inbia ang che.
Infection leh thisen chhuah theihna a awm
He damdawi hian i taksain natna a do theihna (immunity) a ti tlem thei a ni.
- Chuvangin flu emaw khawsik emaw ang chi natna nei te lakah inthiarfihlim tum ang che .
- Khawsik, khawsik emaw, kawr na emaw ang chi symptoms i neih chuan mahni indam lo la, doctor hnenah hrilh nghal rawh.
- Ha i sil lai leh toothpick i hman hunah fimkhur hle ang che, chu chuan hah thisen a chhuah tir thei a ni. Ha hrual nêm tak nei hmangin toothbrush hmang ang che .
- Ha enkawl tur i nih chuan ha enkawltu hnenah he damdawi hi i ei tih hrilh rawh.
- Thil danglam tak, hliam emaw thisen chhuak emaw i neih chuan doctor hnenah hrilh rawh.
Hriselna tlangpui leh damdawi dangte
- Damdawi lam thurawn tel lovin natna tidamtu (aspirin, ibuprofen ang chi) emaw khawsik tihziaawmna (acetaminophen ang chi) emaw hmang suh, hengte hian natna hrik nena lo awm khawsik chu a titawp thei a ni.
- He damdawi i ei lai hian thisen test (blood work) neih fo a ngai dawn a ni. Skip suh.
- Cancer enkawlna avanga taksain a nuam lo deuh a, a chau deuh hi thil pangngai a ni. Hei hi a chhan chu cancer cells te a chhiat chuan cell hrisel te pawh a nghawng a ni. I doctor-in chawlhsan tura a tih hma loh chuan i rilru a hah hle a nih pawhin enkawl chhunzawm zel ang che.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin he damdawi hian side effect a nei thei a ni. Mahse, mi zawng zawngin an hmu vek lo. Ṭhenkhat chu serious an ni a, ṭhenkhat chu mild an ni.
| Side effect chi hrang hrang | A sawifiahna leh a lan chhuah dan |
|---|---|
| Symptom na tak tak, doctor hnena hriattir nghal tur | |
| Thisen cell-a nghawng a neih dan | - Infection symptoms: khawsik, khawsik, ril na, khuh - Thisen chhuak chhinchhiahna: hliam awlsam, vunah hmun sen te te, zun chhunga thisen awm - Thisen sen tlahniam chhinchhiahna: hah lutuk, vun rawng, muhil |
| Heart rate a inthlak danglam thin | Chhung na, luak chhuak, thinlung thawk chak emaw, mumal lo emaw, thawk harsa. |
| Liver emaw kidney emaw a nghawng dan | - Liver: zun dum/brown, mit emaw vun emaw a sen, pum dinglam chunglam na, luak chhuak - Kidney: Zun chhuah dan inthlak danglam, zun harsa |
| Thisen sugar level a inthlak danglam thin | - Thisen thlum hniam: thawk hah lutuk, khur, riltam lutuk, buai, hriatna hloh - Thisen thlum sang: tuihal lutuk, hmui a vawt, zun tam |
| Symptom na tak dang a awm bawk | Thâwk harsa, silfai, ril\am, ke ruh natna, taksa ruh na emaw, a nghet lo emaw. |
| Symptoms nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Chaw ei dan (digestive system) a ni | Nausea, luak chhuak, pum na, chaw ei chak lohna, pum na lo |
| A tlangpuiin a dangte | Khuh, sam tlakchham, kut, ke, ke ruh natna. |
Take-Home Thuchah a ni
- Lutetium Lu 177 dotatate hi cancer cells te target leh tichhe thei damdawi bik a ni.
- Enkawl i tan hmain i hriselna chungchang zawng zawng leh damdawi dang i ei tur zawng zawng chu doctor hnenah hrilh hmasa phawt ang che.
- Naupai loh tur te, fa neih loh tur te, enkawl lai leh enkawl hnua hun engemaw chen hnute pek loh nan thupek pekte kha khauh takin zawm tur a ni .
- Infection leh thisen chhuah theihna tur fimkhur rawh. Khawsik emaw, hliam danglam tak emaw ang chi symptom i hmuh chuan doctor hnenah hriattir nghal rawh.
- Side effect na tak i hmuh chuan doctor advice la nghal rawh. Tin, side effect tlangpui awm reng reng reng pawh report bawk ang che.
- Zawhna, hlauhthawnna, rinhlelhna i neih apiang chu i doctor nen zalen takin sawipui rawh. I tanpui turin an awm reng a ni.
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