Mipa pawhin hnute cancer an vei thei em? (Male Breast Cancer) Hemi chungchang hi han sawi ila!

Hnute cancer kan ngaihtuah hian hmeichhia kan ngaihtuah thin a ni lawm ni? Mi tam tak chuan he natna hi hmeichhia chauh a vei niin an ngai. Mahse mipa pawhin hnute cancer (Male Breast Cancer) an vei thei tih i hria em. Dik tak chuan a tlem deuh. Hnute cancer vei 100 zinga pakhat vel chauh hi mipa an ni. Mahse, a tlem vang mai maiin kan ngaihthah thei lo. I rilruah lump emaw tumor emaw i hmuh chuan "Aw, hei hi mipaah ​​a thleng ngai lo" tih mai mai suh. Lump rinhlelh awm apiang doctor hnenah entir a, enfiah tir a pawimawh hle.

Mipa hnute Cancer hi eng nge ni?

A awlsam zawngin, mipa hnute cancer chu i rilru chhunga hnute tissue-a cell-te chu a pangngai lo leh thunun theih loha lo thanglian tan a ni. Mipa pawhin hnute tissue an nei a, hmeichhia ang bawkin, mahse a tlem zawk. He tissue ah hian cancer a lo awm thei a ni.

Sri Lanka ramah pawh hetiang dinhmun hi hriat a pawimawh hle. A chhan chu, a châng chuan mualphona emaw, "mipa tan eng ang hnute cancer nge ni?" Hei hian natna a zual zel theihna a tipung a ni.

Mipa hnute cancer chi hrang hrangte chu engte nge ni?

He cancer hi i rilru chhunga hnute tissue atanga tan a ni. Mipa hnute pawh hmeichhe hnute ang bawkin bawnghnute siamna gland te te (lobules) leh tube te te (ducts) a nei a, chu chuan hnute (a awm chuan) chu hnute thlengin a phur a ni. Amaherawhchu, mipaah ​​chuan hengte hi chutiang chuan an lian lo, a chhan chu nau hnute pek a ngai lo. Chuvangin, a tam zawkah chuan he cancer hi duct atang hian a intan thin. Kawng lian pahnih a awm a, chungte chu:

• Ductal Carcinoma: Hetiang cancer chi hi mipa hnute cancer vei 10 zinga 9 vel a ni. Hetiang chiah hian cancer hi bawnghnute phurhna kawng hrang hrangah a intan a, chumi hnuah hnute hmun dangah a darh leh thin. Hetiang chi hi chi hnih a awm a:
• Invasive Ductal Carcinoma: Hei hi a tam ber a ni. Cancer hi duct-ah a intan a, a chhehvel hnute tissue-ah a darh a ni.
• Ductal Carcinoma In Situ (DCIS): Hei hi a tam lo deuh. Hetah hian cancer hi duct chhungah a awm a, pawnah a darh lo.

• Lobular Carcinoma: Hei hi cancer chi khat a ni a, bawnghnute siamtu glands (lobules) atanga intan a ni. Invasive Lobular Carcinoma tih awmzia chu a chhehvel tissue-ah a darh tawh tihna a ni. Mahse, he chi hi mipaah ​​chuan a tlem hle a, a chhan chu mipa hian lobules an nei tlem hle emaw, an nei lo emaw a ni.

Pawimawh tak chu cancer cell hian a chang chuan ‘antennae’ ang chi receptor bik an nei thin. Hormone thenkhat chu heng antennae te hi an inzawm chuan cancer cell te chu an inthen darh tan a, an thang chak hle bawk. Chabiin lock a hmuh ang maiin ngaihtuah rawh. Mipa hnute cancer vei tam zawkah chuan, .Hormone estrogen leh progesterone te chhanna pe thei receptor a awm a. Mipa zingah invasive ductal carcinoma chi khat awm tam ber chu estrogen receptor-positive (ER+) a ni.

Mipa hnute cancer chhinchhiahna engte nge ni?

Vawi tam tak chu chhinchhiahna hmasa ber chu hnute chhunga natna nei lo, khauh tak, a tam zawkah chuan hnute hnuaiah a ni . A lan chhuah dan dangte chu:

• Armpit-a lump a awm.
• A rilru vun chu a hring a, orange hnah ang mai a ni a, khur ang mai a ni.
• A rilru emaw, a hnute emaw a vun chu a sen a, a hring bawk.
• A rilru emaw, a hnungzang emaw a na emaw, a tight emaw hriat.
• Tui chiang tak emaw, hnute atanga thisen ang chi emaw, hnute inverted emaw.

Hetiang thil i hmuh chuan "Hei hi a thleng chauh a ni" ti mai mai suh. Doctor pan nghal rawh.

Mipa hnute cancer thlentu engte nge ni?

A dik tak chuan, hnute cancer hi hnute cell-a DNA, a nih loh leh mutations, inthlak danglamna avanga lo awm a ni. Heng mutated cells te hi rang tak leh thunun theih lohvin an inthen tan a, an thi lo. A tawpah chuan heng cancer cell te hi an inzawm khawm a, tumor an siam ta a ni. A châng chuan heng tumor chi hrang hrangte hi a chhe thei a, lymphatic system emaw thisen kaltlangin taksa hmun dangah a darh thei bawk. Chutiang a lo thlen chuan metastatic cancer an ti a.

Scientist-te chuan engvangin nge cell hriselte chu cancer cell-ah an chantir tih an la zirchiang mek a ni.

Risk Factors awm thei te

Thil ṭhenkhat chuan hnute cancer vei theihna a tipung thei a ni. Eng nge an nih hi han thlir ila:

• Kum: Kum upat deuh deuh hian he natna vei theihna hi a pung deuh deuh a. Mipa hnute cancer hi kum 60 chunglam ah hmuhchhuah a ni ber a, chu chu naupang zawkah a awm lo tihna a ni lo va, kum upat deuh deuhin a hlauhawmna a sang chho zel a ni.
• Biological family history: I nu, i pa, i unaupa, i farnu emaw, i fa emaw chuan hnute cancer emaw, ovarian cancer emaw a vei tawh a nih chuan i hlauhawmna a sang hle. Hei hi a chhan chu cancer thenkhat chu genes hmanga inthlunzawm theih a nih vang a ni.
• Genes: Genetic mutations thenkhat hian hnute cancer vei theihna a tipung a. Chung zinga a tam ber chu BRCA1 leh a bik takin BRCA2 te hi an ni. Hei bakah hian Cowden syndrome-a PTEN gene, Li-Fraumeni syndrome-a TP53 gene, leh Lynch syndrome-a MMR gene inthlak danglamna hian a hlauhawmna a tipung thei bawk.
• Estrogen hormone tihpun: 1.1.Damdawi lam thil thenkhat, cirrhosis of the liver, thau lutuk emaw, genetic condition Klinefelter syndrome an tih te hian taksaah estrogen level a tisang thei a ni. Zu in tam lutuk hi a chhan a ni thei bawk.
• Testicular issues: I testicles pakhat chu surgery hmanga lakchhuah (orchiectomy) i nih chuan, i testicles-ah trauma i neih chuan, orchitis ang chi natna i neih chuan, emaw, undescended testicles i neih chuan i risk sang zawk a ni.
• Radiation therapy: Tun hmain i rilru lam area-ah radiation therapy i lo nei tawh a nih chuan hnute cancer vei theihna a sang thei.

Engtin nge a risk tihziaawm theih ang?

Cancer vei theihna tipungtu genetic mutation i nei mai thei nia i ngaih chuan genetic testing neih a tha. I chhungkuaa mi tu emaw chuan hnute emaw ovarian cancer emaw a vei tawh a nih chuan BRCA2 gene mutation i nei thei tih chhinchhiahna a ni. He gene mutation hian hnute cancer chauh ni lovin, vun cancer (melanoma), pancreatic cancer, leh prostate cancer te pawh a thlen thei a ni.

Doctor chuan genetic testing hi i tan a tha em tih ngaihtuah turin a pui thei che a ni.

Engtin nge doctor-te hian hei hi an hriat chian?

Doctor i hmuh hunah i symptoms leh risk factors te a zawt ang che. Tichuan mipa hnute cancer i neih leh neih loh hriat tumin test eng emaw zat an ti ang:

• Breast exam: Doctor chuan i hnute tissue chu a hre ang a, vun danglamna, lumps, emaw, thil dang danglam emaw a awm leh awm loh a enfiah ang.
• Imaging test: Mammogram hian mipa hnute cancer tam zawk a hmuchhuak thei. Hei hian hnute X-ray a la a. A châng chuan mammogram neih hma emaw, tih zawh hnuah emaw ultrasound tih a ni thei a, chu chuan lump chungchang hriat belh a ni.
• Biopsy: Hei hi a chiang ber . Doctor chuan lump emaw rinhlelhna hmun atang hian tissue te tak te a la a, lab-ah microscope hmanga cancer cell awm leh awm loh en turin a thawn a ni.

Lab-ah hian pathologist-te chuan tissue sample chu cancer cell a awm em tih an enfiah a, a hmaa kan sawi tawh ang khan hormone receptor a nei em tih te, HER2 receptor (cancer tipungtu protein) a nei em tih te an enfiah bawk. He thu hi i doctor tan chuan i enkawlna tur ruahmannaah a \angkai hle ang.

Mipa hnute cancer stage hrang hrang

Cancer hmuhchhuah a nih veleh doctor-te chuan a `stage` an ruat ang. Hei hian tumor lian leh te, a awmna hmun enin eng chen nge a darh tawh tih leh a nasat zia en tihna a ni. Hetih lai hian `imaging` test dang pawh i nei thei a, chubakah `sentinel node biopsy` i nei thei bawk. Hei hian cancer cell awm leh awm loh enfiah nan tumor bula lymph node pakhat emaw a aia tam emaw lakchhuah a huam a ni.

Mipa hnute cancer stage lian ber berte chu:

• Stage 0: Cancer cell te hi hnute kawng chhungah chauh an awm. Hei hi Ductal Carcinoma In Situ an ti bawk.
• Stage I: Tumor hi a te a, lymph node-ah a darh lo.
• Stage II: Tumor hi stage I aiin a lian deuh a, axillary lymph node engemaw zatah a darh thei bawk.
• Stage III: Cancer hi lymph node engemaw zatah a darh tawh a, tumor chu a lian thei a, cancer cells te chu chest wall emaw vunah emaw a darh tawh thei bawk.
• Stage IV: Cancer cell te hi taksa hmun hla tak takah an darh tawh a. Mipa hnute cancer-ah chuan a darh tamna hmun chu ruh, lung, leh thin .

Mipa hnute cancer hi engtin nge enkawl a nih?

I enkawlna tur chu thil tam takah a innghat ang a, chung zingah chuan cancer chi leh a darh dan (stage) te pawh a tel ang. Treatment engemaw zat chu series-a tihsak i ngai mai thei. I doctor chuan hei hi chipchiar takin a hrilhfiah ang che.

Inzai

Mipa hnute cancer hmasa ber enkawlna hman tlanglawn ber chu surgery a ni. A tam zawkah chuan hnute pum pui hi lakchhuah a ni. Hei hi mastectomy an ti a . A chang chuan lumpectomy, tumor chauh lakchhuahna pawh tih a ni a, mahse mipa tan chuan mastectomy hi a tam ber.

A châng chuan ``radical mastectomy`` an ti bawk. Chutah chuan hnute tissue zawng zawng, armpit chhunga lymph node te leh chest muscle thenkhat te chu lakchhuah a ni. Mahse tunah chuan a tlangpui ber chu ``modified radical mastectomy.`` Hetah hian muscle tissue te chu lakchhuah a ni lo va, lymph node tlemte pawh lakchhuah a ni bawk.

Radiation hmanga enkawlna a ni

Breast cancer tan radiation therapy hmangin X-ray emaw, high-energy rays chi dang emaw hmangin cancer cell te chu a tichhia a ni. He enkawlna hi lumpectomy hnuah cancer cell la awm zawng zawng tihhlum nan pek thin a ni tlangpui. A chang chuan radiation therapy hian cancer cell te tak te, rilru bang emaw vun hnaih tak tak te chu a that thei a, operation hmanga lakchhuah theih a ni lo. Hei hian tumor a lo lian leh tawh loh nan a pui thei a ni.

Chemotherapy hmanga enkawl a ni

Chemotherapy hi taksa pum puia cancer cell awmte tihhlumna atana damdawi bik hman hi a ni. Localized (non-malignant) tumor tan chuan operation hmain chemotherapy hmanga tumor tihtlem theih a ni. A nih loh leh, chemotherapy hi operation hnuah radiation therapy hmanga pek theih a ni a, chu chuan tumor lo kir leh emaw, cancer chu taksa hmun danga a darh theihna tur emaw a ti tlem thei a ni. Heng enkawlnate hi a ruala pek a ni lo va, a hnu pakhatin pek a ni.

Hormone hmanga enkawl a ni

Cancer cell-te hian estrogen ang chi hormone an hman chuan an lo thang lian a nih chuan doctor-te chuan hormone therapy hmangin estrogen level tihhniam emaw, a nghawng dan tur emaw an titawp thei a ni. Tamoxifen hi mipa hnute cancer enkawlna atana hman tlanglawn tak a ni. Tin, aromatase inhibitor an tih damdawi te hi gonadotropin-releasing hormone (GnRH) agonists te nen an inzawm chuan hormone avanga cancer cell te lo thang chakna chu a titawp thei bawk.

Targeted therapy hmanga enkawlna

Targeted therapies hian cancer cell te tihpunna tura puitu process bikte tibuaiin hna a thawk a ni. Heng enkawlnate hian cancer cell chi hrang hrangah chauh hna a thawk a ni. Entirnan, enkawlna thenkhat chuan hormone receptor nei hnute cancer-ah chauh hna an thawk a ni. Cancer cell BRCA gene mutation nei tan pawh PARP inhibitor ang chi enkawlna a awm bawk.

Engtikah nge Doctor ka hmuh ang?

Kar hnih hnuah pawh i hnuteah sawifiah theih loh lump i neih chuan doctor pan ngei ngei tur a ni. Tin, cancer screening vawi engzat nge neih tur tih i doctor thupek zawm bawk ang che.

Mipa hnute cancer ka neih chuan eng nge thleng ang? (Prognosis) tih a ni.

Cancer chi leh a dinhmun hian i natna kal zel dan, chu chu a hmalam hun tur (prognosis) chu nasa takin a nghawng a ni. A hmaa hmuhchhuah a nih chuan a damna rate a sang zawk hle.

Tun hnaia zirchianna pakhatah chuan cancer stage hrang hranga hnute cancer (hormone-responsive - `HR+` type) vei mipa thihna rate chu hetiang hi a ni tih hmuhchhuah a ni a, kum 20 chhungin:

• Stage I: 12.4% chu hnute cancer vangin an thi.
• Stage II: 26.2% chu hnute cancer vangin an thi.
• Stage III: 46% chu hnute cancer vangin an thi tawh a ni.

Vanduaithlak takin mipa tam tak chuan doctor hmuh an tikhawtlai thin. Chuvang chuan an natna hmuhchhuah a nih meuh chuan cancer chu a lo zual tawh hle a, enkawl a harsa hle.

Chuvangin kan sawi dan chuan, i hnuteah hian lump danglam tak i hmuh chuan doctor pan nghal rawh. Mipa tam tak chuan hnute cancer neiah an ngai lo. Chuvangin a symptoms chu an hre lo mai thei. Mahse mipa hian hnute cancer an vei ve tho.A hmaa hmuhchhuah leh enkawl hian i nunna a chhanhim thei a ni. I chhungkuaa tu emaw chuan hnute cancer a vei tawh a nih chuan i doctor nen cancer hriat hmasak dan tur sawipui rawh.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Okay, chuvangin kan sawi tawh atang khan i hriat reng tur thenkhat chu khaikhawm ila:

• Mipa pawhin hnute cancer an nei thei bawk. A tlem hle nachungin ngaihthah suh.
• Hnute chhunga natna nei lo lump , a bik takin hnute hnuaia awm hi a chhinchhiahna lian tak a ni thei. Tin, armpit-a lumps, vun inthlak danglam, leh nipple discharge te pawh zawng bawk ang che.
• I chhungkuaa mi pakhatin hnute cancer a neih tawh chuan, kum 60 aia upa i nih chuan, emaw, genetic condition engemaw zat (BRCA) i neih chuan a hlauhawmna a sang zawk.
• Rinhlelhna i neih chuan zak suh la, reilote lova Doctor rawn pan rawh. Mammogram leh biopsy ang chi test te hian natna hi a finfiah thei a ni.
• A hmaa man a nih chuan a dam theihna chance a sang zawk hle! Enkawlna chi hrang hrang a awm a, chu chu surgery, radiation therapy, chemotherapy, leh hormone therapy te hi a ni.

Hei hi hriat chian hian i nunah leh i hriat mipa dangte nunah danglamna nasa tak a thlen thei a ni. Hrisel takin awm rawh!

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