I doctor chuan nangmah emaw, i hriat mi emaw cancer natna avanga zai a ngai tih a hrilh tawh em? Chutianga an sawi chuan ‘surgery hmaa enkawlna’ chungchang pawh an sawi ve mai thei. Hei hi damdawi lam chuan Neoadjuvant Therapy an ti a . He hming an hriat hian mi tam tak chu an hlauthawng deuh a, "Ka zai dawn a, chumi hma chuan enkawl ka ngai em?" Mahse hei hi a takah chuan nasa takin a pui thei che a, beiseina a thlen thei che a ni. Hemi chungchang hi awlsam takin sawi ila, a chungchanga hlauhna leh rinhlelhna i neih zawng zawngte chu paih vek ila.
Neoadjuvant therapy chu eng nge ni?
A awlsam zawngin sawi ila, Neoadjuvant Therapy hi enkawlna hmanrua a ni a, tumor chu a tihtlem theih nan, chu chu a te deuh deuh a, chu chu operation tihchhuah hmain a ti tlem thei a ni. Ngaihtuah teh, thil lak chhuah harsa tak a awm a, lung lian tak ang mai a ni. A tikehsawm a, a tikehsawm a, a paih chhuak a awlsam a ni lawm ni? Hei pawh hi chutiang bawk chu a ni. Tumor a lian a nih chuan surgeon tan chuan lak chhuah vek a harsa mai thei. Mahse heng enkawlna hmanga tumor hi a tihtlem chuan operation chu a awlsamin a hlawhtling zawk hle.
A chang chuan heng enkawlnate hi a hlawhtling em em a, tumor chu a bo vek a, operation pawh a ngai lo. I doctor chuan hei hi ``perioperative therapy`` emaw ``induction therapy emaw a ti thei bawk.`` Heng zawng zawng hi thil inang vek a ni.
Heng enkawlnate hi engte nge ni?
He `neoadjuvant` enkawlna hian thil chi hrang hrang a hmang a. I cancer chi leh a nihna a zirin i doctor chuan i tana tha ber tur chu a rel ang. A hmanraw pawimawh ber berte han thlir ila.
| Therapy chi hrang hrang | Eng nge a tih? |
|---|---|
| Chemotherapy hmanga enkawl a ni | Hei hian cancer cell te chu a inthen darh a, a lo thang lian lo va, tumor a tipung thei lo a, a tichhia a ni. |
| Hormone hmanga enkawlna a ni | Cancer chi thenkhat (e.g. hnute, prostate) hi hormone hmanga tihchak a ni. He enkawlna hian chu hormone supply chu a tikhawlo a ni. Hei hian tumor chu a lo thang lian thei lo. |
| Immunotherapy hmanga enkawl a ni | Hei hian kan taksa ngei pawh a tichak a, cancer cell te a do thei a ni. |
| Radiation hmanga enkawlna a ni | Hei hi cancer cell tihchhiat nan X-ray chak tak ang chi radiation hmanga tih a ni. |
A châng chuan i team hian heng treatment pahnih hi an hmang dun thei bawk. Entirnan, chemotherapy leh radiation therapy hi pek dun (neoadjuvant chemoradiation) a ni. He enkawlna hi kar tlemte atanga thla engemaw zat, kum khat pawh a ni thei. Surgery hi enkawl zawh atanga thla khat chhungin tih a ni tlangpui.
He damdawi hi eng cancer chi hrang hrangah nge hman a nih?
Oncologist-te chuan he enkawlna hi cancer chi hrang hrang sawmhnih chuang tan an hmang a, chung zingah chuan:
- Breast Cancer: Hnute cancer chi thenkhat tan chuan operation hmain chemotherapy, hormone emaw immunotherapy emaw pek thin a ni.
- Colon Cancer: Cancer chu liver-ah a metastasized tawh a nih chuan operation hmain chemotherapy pek theih a ni.
- Lung Cancer: Chemotherapy hi lung cancer chi hrang hrang darh tawh tan chuan hman tlanglawn tak a ni.
- Prostate Cancer: He cancer hi mipa hormone testosterone atanga fuel a ni. Hormone therapy hmanga control a ni.
- Rectal Cancer: Hengte hi radiation therapy leh chemotherapy nena pek dun hi a awm fo bawk.
He enkawl dan hian eng nge a thatna?
Hei hian hlawkna engemaw zat a nei a ni. Chûngte hriatna chuan he enkawlna i hlauhthawnna hi i hneh thei ang.
- Tumor te zawk: Kan sawi tawh ang khan tumor lian zawk chu a te zawk a , chu chuan operation a ti awlsam hle. Entirnan, hnute cancer case-ah chuan tumor a te zawk a nih chuan, mastectomy ai chuan, chu chuan hnute pumpui a paih chhuak a, surgery tenau zawk, lumpectomy an tih chu tih theih a ni a, chu chuan tumor chauh a paih chhuak thei a ni.
- Tumor thenkhat bo vek: A chang chuan tumor te te chu a bo vek thei a, operation pawh a ngai lo thei bawk.
- Dam hun chhung tihtlem:Surgery a tlem chuan i taksaa incision awm zat pawh a tlem bawk. Chuvangin i dam thuai thei a, i nun pangngaiah i kir leh thei bawk.
- Enkawlna hlawhtlinna chu teh theih a ni: Operation hmaa enkawl hian doctor-te chuan cancer-in enkawlna a dawn dan leh tumor chu a tlahniam chak zia an hmu thei a ni. Chu chuan nakin lawka enkawlna chungchânga thu tlûkna ṭha zâwk siam tûrin a ṭanpui thei a ni.
- Cancer cell thup thah: A chang chuan, cancer cell te tak te, main tumor atanga inthen, mitin hmuh theih loh, scan hmanga hriat theih loh, taksa peng dang (micrometastases)-a kal thei te. Heng cell thup te hi chemotherapy ang chi enkawlna hmangin an that bawk a, chu chuan taksa pum a nghawng a ni.
- Cancer lo lang leh theihna a tihziaawm: Zirna thenkhatah chuan neoadjuvant hmanga enkawlna hian a dam hnua cancer lo awm leh theihna a tihziaawm tih hmuhchhuah a ni.
Side effect a awm lo em ni?
Cancer enkawlna dang ang bawkin side effect a awm thei bawk. Mahse eng nge an nih tih chu i enkawlna chi hrang hrangah a innghat a ni. A tlangpuiin thenkhat chu:
- Chaw chakna
- Kawthalo
- Chau
- Lei chunga thlum hloh (ageusia) .
- Nausea leh luak chhuak
Mahse heng side effects te hi hlau suh. A pawimawh ber chu heng zawng zawng hi doctor nen zalen taka sawiho hi a ni. Heng side effects te tihtlem nan damdawi leh thurawn tul tak tak a pe ang che. Tin, enkawlna bik (palliative care) a awm bawk a, chu chuan harsatna awmte chu a enkawl thei a, enkawl laiin i rilru a hahdam thei bawk.
Neoadjuvant leh Adjuvant Therapy hi eng nge an danglamna?
`Adjuvant Therapy` tih pawh i hre tawh mai thei. An pahnih hian cancer surgery atana puihna atana pek enkawlna an ni. A danglamna chu enkawl hun tur a ni.
| Mihring ziarang | Neoadjuvant Therapy hmanga enkawl a ni | Adjuvant Therapy hmanga enkawlna a ni |
|---|---|---|
| Hun hman dan tur | Surgery neih hmain | Surgery atanA hnuah |
| Tumpui ber a ni | Cancer chu a te zawk leh operation awlsam zawka siam. | Operation hnua cancer cell awm thei zawng zawng tihchhiat. |
Hei hi marathon anga i ngaih chuan `Neoadjuvant therapy` hi intlansiak hmaa `warm-up` ang a ni. Intlansiak atan a buatsaih tha hle che a ni. `Adjuvant therapy` hi intlansiak zawha `cool-down` ang a ni a, harsatna la awm zawng zawng a ti bo a, i dam kim vek a ni.
Take-Home Thuchah a ni
- Neoadjuvant therapy hi cancer surgery hmaa enkawlna pek thin a ni. He thu i hriat hian hlauthawng suh.
- Hei hi tumor te zawka siam nan tih a ni a, surgery pawh a awlsamin a hlawhtling zawk a ni.
- He enkawlna hian operation lian tak ni lovin operation tenau tak a phal thei a, operation tel lo pawhin tihdam theihna a siam thei bawk.
- Side effect a awm thei a, mahse i doctor chuan a enkawl theih nan a pui ang che. A lungawi lohna eng pawh chu sawipui rawh.
- He enkawlna hi cancer dona kawnga hmalakna pawimawh tak leh beiseina nei takah ngai rawh.
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