Vawi tam tak chu hmeichhiate hian an pawn lam genital area (vulva) inthlak danglamna chungchang sawi hi an zak deuh a, an hlau pawh a ni mai thei. Ngaihtuah teh, i hrual, hrual tê, a nih loh leh vun rawng inthlâk danglamna ang chi thil i hmu a nih pawhin, ‘Amah chauhin a ṭha leh ang’ tia i ngaihthah hun a awm ṭhin. Mahse heng chhinchhiahna tenau tak anga langte hi a chang chuan kan ngaihtuah aia natna khirh zawk chhinchhiahna hmasa ber a ni thei. Chuvangin vawiinah hian thupui pawimawh tak dang, pawn lam mipat hmeichhiatna cancer , emaw `(Vulvar Cancer)` kan sawi dawn a ni.
A awlsam zawngin Vulvar Cancer hi eng nge ni?
Vulvar cancer chu hmeichhe pawn lam serh, ‘vulva’-a cancer cells control loha lo thanglian zel hi a ni. Hei hi vaginal cancer nen a danglam a, chu chu vagina chhunga cancer awm a ni .
Okay, tunah chuan he pawn lam genital area (vulva)-ah hian eng nge awm tih hi han en ila.
- Vagina hawn : Nausen pum atanga pawn lam panna kawng luhna.
- Labia: Vun fold hnih, hmui ang maia lang. A pawn lam sa nei chu ``Labia majora`` an ti a, a chhung lam zungbun te zawk chu ``Labia minora`` an ti bawk.
- Clitoris: Labia minora inzawmkhawmna hmun, vunain a khuh, lump sensitive tak a ni.
- Mons pubis: Pelvic bones hmaa hmun nem, sang tak, puitlin laiin sam in a khuh thin.
- Perineum: Pawn lam serh leh hnute inkar vun.
Heng hmun hrang hrangte hian khawi hmunah pawh cancer a thlen thei.
He cancer natna lan chhuah dan hi engte nge ni?
A tir lamah chuan symptoms a awm lo mai thei. Mahse, hun kal zelah a hnuaia symptoms te hi a lo lang thei a ni. Heng zinga pakhat emaw a aia tam emaw i neih leh neih loh enfiah rawh.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Vun rawng a danglam | Pawn lam genital area (white, red, pink, or dark)-a vun rawng inthlak danglamna. |
| Lump emaw, a lo thang lian lo emaw | Bumps rough, thickened emaw wart ang chi lo thang lian lo lang. |
| Itching reng reng | Damdawi engmahin a tihziaawm theih loh itch awm reng. |
| Natna emaw, inflammation emaw | Chu hmuna natna, natna hriatna, emaw, inflammation emaw. |
| Vun a thim emaw, a hliam emaw a awm | Vun thicking, emaw, open sore lo awm, dam lo. |
| Thisen chhuah dan pangngai lo | Thisen chhuah emaw, thisen chhuak pangngai lo emaw, thlasik hun nena inzawm lo. |
Heng symptoms te hi damdawi lam thil dang vang pawh a ni thei tih hre reng la, chuvangin i hlauthawng hmain doctor pan ngei ngei tur a ni a, hei hi sawipui a tha ber .
Vulvar cancer chi hrang hrang a awm em?
Ni e, he cancer hi chi hrang hrang lian tak tak a awm a.
- Squamous Cell Carcinoma: Hei hi a tam ber a ni. Vun cell atang hian a intan thin . A bik takin hmeichhe naupangah chuan hrik pakhat `Human Papillomavirus (HPV) nen a inzawm thei a ni.`
- Adenocarcinoma: Hetiang chi hi Bartholin’s glands atanga tan a ni tlangpui a, chu chu vaginal opening sir lehlamah a awm a ni. A chang chuan cyst ang maiin a lang thei bawk.
- Melanoma natna : 1.1.Cancer chi khat, vun rawng petu cell atanga intan. Ni chhuahna vunah a awm tlangpui a, mahse pawn lam mipat hmeichhiatna hmunah erawh a awm tlem hle.
- Sarcoma: Cancer chi khat, ruh, ruh, emaw connective tissue-a cell atanga intan a ni. Kum eng pawhah a lo awm thei a, naupang tê têah pawh a lo awm thei.
He cancer vei theihna chhan leh a hlauhawmna te chu engte nge ni?
Hei hi a chhan dik tak chu hriat chian a la ni lo a, mahse thil thenkhat chuan he cancer vei theihna a tipung thei a ni.
- Kum: Hmeichhia kum 70 chunglam zingah a awm fo.
- HPV infection: `Human Papillomavirus (HPV)` kai hi a hlauhawmna lian tak a ni.
- Meizial zuk: Meizial zu thinte hi an hlauhawmna a sang hle a, a bik takin HPV natna vei te hi an hlauhawm hle.
- Reduced immunity: HIV emaw AIDS ang chi natna avanga immunity chak lo.
- Cancer hmaa awm dan: Cancer hmaa cellular inthlak danglamna, `Vulvar Intraepithelial Neoplasia (VIN).`
- Lichen Sclerosus: External genital area-a vun a ti hring leh a ti na a, a natna a ni.
- Cancer dang: Cervical emaw vaginal cancer emaw nei tawh.
- Chhungkaw chanchin: Chhungkaw zinga mi tu emaw chuan melanoma a vei tawh a nih chuan.
Doctor, engtin nge hei hi i diagnose?
Doctor i hmuh hunah chuan heng test ṭhenkhat hi a ti ngei ang.
1. Medical History: Doctor chuan i hriselna tih dan leh i natna chungchang zawhna a zawt ang.
2. Pelvic Exam: Pawn lam mipat hmeichhiatna hmun, nausen pum, serh, leh a chhehvela taksa peng hrang hrangte enfiah thin a ni.
3. Colposcopy: Thil rinhlelh awmte chu magnifying instrument (colposcope) hmanga ngun zawka enfiah a ni.
4. Biopsy: Thil rinhlelhna hmun atanga tissue te tak te la chhuakin microscope hmanga enfiah a ni . He test hi cancer a nih leh nih loh chiang taka hriat nan hman a ni .
5. Imaging Test: Cancer hi eng chen nge a darh tawh tih hriat nan `(X-ray, CT, PET scan, MRI)` tih ang chi scan an ti thin.
Cancer natna hi eng stage nge ni?
Test-naah cancer a awm tih finfiah a nih chuan doctor chuan a dawtah chuan tumor lian leh te, a darh tawh em tih a en ang. Hei hi ‘staging’ an ti a.
| Dawhsan | Awmzia |
|---|---|
| Phase I ah hian a awm | Cancer hi a te a, pawn lam mipat hmeichhiatna hmun piah lamah a darh lo. |
| Phase II-na a ni | Cancer hian a chhehvel tissue-ah a darh tawh a, mahse lymph node a thleng lo. |
| Stage III-na a ni | He natna hi groin area-a sebaceous glands-ah pawh a darh tawh bawk. |
| Stage IV-na a ni | Vagina chunglam, urethra, anus emaw taksa peng hla tak takah a darh tawh. |
Enkawlnate chu engte nge ni?
Enkawlna hi thil tam takin a hril a, chung zingah chuan cancer chi hrang hrang, a stage leh i hriselna zawng zawng te pawh a tel. Enkawlna kawng hrang hrang pali a awm a.
1. Surgery tih a ni
Hei hi enkawl dan tlangpui a ni. Cancer leh a chhehvel tissue te lakchhuah a ni. Surgery tih chi chu cancer lian leh te, a darh danah a innghat a ni. Pawn lam mipat hmeichhiatna hmun thenkhat emaw, a zawng zawng emaw (vulvectomy) i lak chhuah a ngai mai thei. Cancer a darh tawh chuan a chhehvela sebaceous glands te pawh lakchhuah theih a ni.
2. Radiation Therapy hmanga enkawlna
Radiation, high-energy X-ray ang chi hmanga cancer cell tihchhiat. Hei hi machine hmanga pawn lam atanga radiation thawn chhuah emaw, tumor bulah radioactive chi te tak te dah emaw hmangin tih theih a ni.
3. Chemotherapy (Chemotherapy / “Chemo”) tih a ni.
Cancer cells that thei emaw, a lo thang chak lohna tur emaw damdawi pek. Chungte chu pill angin pek theih a ni a, injection (IV) angin pek theih a ni a, a chang chuan vunah cream hnawih angin pek theih a ni bawk.
4. Immunotherapy hmanga enkawlna
Tunlai enkawlna hmanraw tha tak, taksa chakna (immune system) tichaktu leh taksain cancer cell dona atana puitu.
Enkawl hnuah eng nge thleng?
Enkawl zawhah en reng a ngai dawn a ni. Chuvangin , i doctor pan fo a ngai dawn a ni (follow-up visits).Kum hnih hmasa berah thla 3-6 danah test neih tur a ni a, a hnu kum 3-5 chhung chu thla 6-12 danah test neih tur a ni.
Enkawlna hian side effect engemaw zat a thlen thei. Surgery zawhah hliam fai taka vawn reng a pawimawh. Tin, ke ruh (Lymphedema), zun kawng infection te, sex hman laia natna te a awm thei bawk. I harsatna i tawh apiang chu i medical team hnenah hriattir rawh . Anmahni enkawl danah an pui thei che a ni.
Sexual dysfunction engemaw chen tawn hi thil pangngai a ni. Taksa lem inthlak danglamna, natna leh rilru lama nghawng dangte pawh a awm thei bawk. Hemi chungchang hi i doctor emaw, nurse emaw, counselor emaw nen inhawng taka sawi dun chu zak suh.
Take-Home Thuchah a ni
- Itching awm reng, vun rawng danglam, natna, emaw pawn lam genital area-a lump danglam tak tak awm reng reng chu ngaihthah ngai suh.
- Thil danglam danglam tak i hmuh chuan hlau lo la, mualpho suh la , doctor pan nghal rawh.
- Cancer hi a hmaa hriatchhuah a nih chuan enkawl leh tihdam theihna chance a sang hle.
- Safe sex hman leh HPV vaccine lak hian he cancer vei theihna a ti tlem thei a ni.
- Meizial zuk bânsan hi i hriselna zawng zawng atan a pawimawh a, chubakah he cancer vei theihna tihtlem nan a pawimawh bawk.
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