I fain Non-Hodgkin’s Lymphoma chungchang hi a hriat i duh em? Kan sawi dawn nia!

Kan tê tête chu khawsik deuh pawh ni se, an hlauthawng hle a ni lawm ni? A châng chuan natna pangngaiah i ngai a nih pawhin, a pawi deuh deuh pawh a ni thei. Chu chu a dik a ni, naupang cancer chi khat, mahse enkawl dan dik a nih chuan tihdam theih chu Non-Hodgkin’s Lymphoma an ti a. He hming i hriat hian hlau suh, a chhan chu a chungchang hriat chian a pawimawh em em a ni. Hemi chungchang hi chipchiar deuhin kan sawi dawn em ni ?

Min nghak teh, he Non-Hodgkin’s Lymphoma hi eng nge ni?

A awlsam zawngin sawi ila, non-Hodgkin lymphoma hi cancer chi khat a ni a, naupangte lymphatic system atanga intan a ni. I taksa hian lymphatic system tih hming pu thil a nei a . Kan taksa invenna (defence system) ang mai a ni. Natna leh hrik lakah min humhim thei a ni . He system hian lymph node leh lymph vessels ang chi part a nei a. Chungte chu taksa pum puiah a darh vek a ni.

He natna hian naupang kum 5 leh 19 inkar a vei tlangpui a, mahse a chang chuan nausen piang thar te pawh a vei thei bawk. Thu lawmawm tak chu Doctor ten hemi atan hian enkawlna tha tak tak an nei a, naupang tam tak pawh an dam thei a ni. Mahse, naupang ṭhenkhat chuan enkawlna hnu kum tam takah nghawng tlai tak an nei thei a ni. Chuvangin zirchiangtute chuan enkawlna tha zawk, late effect tlem zawk nei tur zawngin an bei fo thin.

He dinhmun hian engtin nge ka fa chu a nghawng?

He natna hi Non-Hodgkin’s Lymphoma tia koh a ni a, naupang taksa khawi hmunah pawh lymphoid tissue-ah a lo awm thei a ni. Central nervous system pawh a nghawng thei . He lymphoid tissue hi immune system-ah pawh a tel ve a ni.

He cancer hi lymphatic system-a cell chi hrang hrangah a intan a ni. Chungte chu B-lymphocyte (B-cells), T-lymphocytes (T-cells), emaw Natural Killer (NK) cells te an ni. Heng cell te hian bacteria leh virus infection hrang hrang lakah min venghim a ni .

Naupang zingah non-Hodgkin’s lymphoma hi chi thum a awm a. A chi tin hian naupangte chu a nghawng dan a inang lo thei.

1. B-cell lymphomas puitling tak takte

Hengte hi B-cells atanga lo chhuak lymphoma chi hrang hrang an ni. Naupang zingah non-Hodgkin lymphomas zawng zawng zinga a chanve aia tam an ni. Thu lawmawm tak chu hetiang lymphoma vei naupang 90% aia tam chuan enkawl hnuah an dam kim vek a ni. A chi hrang hrang a awm a, chungte chu:

• Burkitt lymphoma/leukemia: Hengte hi natna chi hrang hrang a ni. Enkawl dan pawh a inang hle. A tlangpuiin pum chhung emaw, rilru chhunga lymph node-ah emaw a intan thin. Mahse a chang chuan ruhro, ke ruh sei tak tak emaw, central nervous system emaw a nghawng thei a ni. Burkitt leukemia-ah hian naupang thisenah hian cell pangngai lo tam tak a awm a, chu chu ruhro chhunga cell atanga lo chhuak a ni. Burkitt lymphoma leh leukemia te hi an thang chak hle.
• Diffuse large B-cell lymphoma: Hei hi naupang naupang zawk aiin naupang kum 12-19 inkar ah a tam zawk.
• Primary mediastinal B-cell lymphoma: Hei hi naupang hnute ruh hnung lama awm mediastinum-a B-cells atanga tan a ni. Lymph node-ah pawh a darh thei bawk. Hei hi naupang tê têah pawh a tam ber.

2. Lymphoblastic lymphoma natna (Lymphoblastic lymphoma) a awm thei

Hetiang chi hi naupang zingah non-Hodgkin lymphomas zawng zawng hmun thuma ṭhena hmun khat vel a ni. Tin, naupang kum upa zawk aiin naupang naupang zawkah a tam zawk bawk. Lymphoblastic lymphoma hian B-cells emaw T-cells emaw a nghawng thei a ni.

A tlangpuiin naupang mediastinum (a rilru ruh hnung lam) emaw, a kawngah emaw lymph node-ah a intan thin. Mahse pum chhunga lymph node te, ruhro emaw, taksa peng dang emaw a nghawng thei bawk. Hetiang chi enkawl naupang zinga 80% aia tam chu an damchhuak.

3. Anaplastic large cell lymphoma (ALCL) a awm thei lo.

Hei hi naupang non-Hodgkin lymphomas zawng zawng zinga 15% vel a ni. T-cells a nghawng a, a tlangpuiin lymph node-ah a intan thin. Tin, vun leh ruh a nghawng thei bawk. ALCL vei naupang 70% vel chu an damchhuak.

He natna hi naupang zingah engtiang chiahin nge a hluar?

Kum tin naupang 800 leh 1,000 vel chu non-Hodgkin’s lymphoma vei an ni tih hmuhchhuah a ni. Tlemin mipa var zingah a tam zawk. He natna vei theihna hi naupang kum a zirin a inang lo va, naupang a lo puitlin chuan a hlauhawmna hi a pung deuh thei bawk.

Non-Hodgkin lymphoma natna lan chhuahna chu engte nge ni?

He natna lan chhuah dan hi a chang chuan natna dang, natna khirh lo zawkte nen a inang thei bawk. Chuvang chuan i ngaihtuah tur a ni. I fain lymph node a hring a, thawk harsatna a neih reng chuan, khuh a nei reng a, a hnar a luang chhuak a nih chuan, .Doctor i pan ngei ngei tur a ni.

A lan chhuah dan dangte chu:

• Chhan awm lovin khawsik fo thin.
• Khuh.
• Zan a thawk hah.
• Chhan awm lovin taksa rihna tihtlem.
• Lu, kawr, taksa chunglam emaw, kut zungtang emaw a hring chhuak.
• Chaw ei harsa (dysphagia).

Heng chhinchhiahna pakhat emaw pahnih emaw i neih chauh hian i fain he natna hi a nei tihna a ni lo tih hre reng ang che. Mahse, heng symptoms te hi a awm reng emaw, a na zual emaw a nih chuan doctor thurawn i lak ngei ngei tur a ni.

He natna hi naupangte zingah eng nge thlen?

Dik tak chuan naupang zingah non-Hodgkin’s lymphoma awm chhan dik tak hi hmuhchhuah a la ni lo. Mahse, doctor-te chuan risk factor eng emaw zat an hmuchhuak a ni. Heng risk factors te hi awm mahse naupangin he natna hi a vei ngei ang tihna a ni lo. Mahse hengte hi fimkhur a tha.

I fa hian heng hriselna lama harsatna te hi a neih chuan i doctor hnenah he natna chungchang hi zawt la:

• I fa chu cancer chi dang enkawl a nih chuan.
• I fa chu mononucleosis (Mononucleosis – Epstein-Barr virus) emaw HIV (Human Immunodeficiency Virus) emaw a vei a nih chuan.
• I fain taksa hriselna a chak lo a nih chuan (entir nan, taksa peng emaw ruhro emaw thlak a nih chuan).
• Naupangin immune system titawp thei damdawi a ei a nih chuan.
• Naupang hian natna chi hrang hrang, natna hrik (immune system) tichhe thei a neih chuan.

Inherited immune system natna te

A hnuaia natna chi hrang hrangte hian non-Hodgkin’s lymphoma vei theihna a tipung thei a ni:

• Ataxia-telangiectasia: Hei hi thluak lam natna a ni a, naupangte zingah central nervous system, immune system leh taksa system dangte a nghawng a ni.
• Chediak-Higashi syndrome: Hei hian naupang immune system leh nervous system a nghawng a.
• Common variable immunodeficiency: Hetiang natna vei naupangte hian an thisenah antibodies (infection dotu protein) an nei tlem hle.
• Nijmegen breakage syndrome: Hetiang natna vei naupangte hian immunodeficiency an nei a, immune system protein leh T-cells an nei tlem bawk.
• Severe combined immunodeficiency disorder (SCID): Hei hian naupang T-cell leh B-cell a nghawng a, immune system a tichak lo va, cancer thenkhat, non-Hodgkin lymphoma te pawh an vei theihna chance a sang zawk a ni.
• Wiskott-Aldrich natna vei hi:Hei hian naupang thisen cell leh immune system cell a nghawng a ni. Hetiang natna vei naupangte hian platelet an nei tlem hle. Platelets hi thisen zam tura puitu cell a ni. Chungte chu a hniam chuan awlsam takin hliam leh thisen chhuahna a thlen thei a ni. He syndrome hian immune system-a T-cells leh B-cells te a nghawng bawk.
• X-linked lymphoproliferative syndrome: Hei hian naupangte immune system a nghawng a ni. Hetiang syndrome nei naupangte hian Epstein-Barr virus infection hi a danglam bik hle thei.

Engtin nge doctor-te hian naupangte zingah non-Hodgkin lymphoma hi an hriat theih?

He natna hi hriatchhuah hi a chipchiar deuh hlek a ni. A tlangpuiin thisen test hrang hrang, imaging test hrang hrang, biopsies te an ti thin. Doctor chuan uluk takin naupang chu a enfiah ang a, thil danglam a awm leh awm loh, lumps emaw, glands hring emaw a awm leh awm loh a en ang. Chhungkaw hriselna chungchang, chu chu chhungte hnai tak leh chhungte hla tak takte, cancer vei tawhna history a awm leh awm loh an en bawk ang.

Thisen test a ni

• Complete blood count (CBC): Hei hian i fa thisena cell chi hrang hrang awm zat a teh a ni. Chu result chuan i fain an ruhroah lymphoma chhinchhiahna a neih leh neih loh emaw, enkawlnain an ruhro a nghawng em tih emaw a hriat theih nan a pui thei a ni.
• Thisen chemistry zirchianna: Thisen sample lak a ni a, naupang taksa peng emaw tissue emaw atanga thisena thil engemaw chhuak zat tehna atan a ni. Thil pakhat a tam emaw a hniam emaw chu natna chhinchhiahna a ni thei.
• Liver function test: Hei hi thisen test a ni bawk. Thisen chhunga liver-in thil engemaw a chhuah zat a teh a ni. A tlangpui aia tam a awm chuan cancer chhinchhiahna a ni thei.

Hei bakah hian doctor-te chuan thisen test hmangin naupang non-Hodgkin’s lymphoma nena inzawm thei virus an awm leh awm loh an enfiah bawk.

Imaging test te pawh a awm

• CT scan (Computed tomography – CT scan): Hei hian i fa taksa chhung hmun hrang hrang chipchiar takin a la thei a. He test hi lymph node hring emaw, lymphoma chhinchhiahna dang emaw zawng tura tih a ni.
• MRI scan (Magnetic resonance imaging – MRI): Hei hian magnet, radio wave leh computer hmangin taksa chhung lam thlalak chipchiar tak tak a siam a. Naupang thluak emaw, ruhro (spinal cord)-ah lymphoma chhinchhiahna a awm leh awm loh enfiah nan hman a ni.
• PET scan (Positron emission tomography – PET scan) hmanga enfiah a ni.Hei hi naupangin lymphoma a neih leh neih loh emaw, enkawlnain lymphoma a nghawng dan emaw hriat nan hman a ni. PET scan-ah hian naupang taksaah radioactive glucose, a nih loh leh sugar chi khat, tlem te te inject a ni. Cancer cells hi cell pangngai aiin an thawkrim zawk hle a, chuvangin glucose an hmang nasa hle. Chuvangin he scan hian cancer cell awmna hmun a tarlang thei a ni.
• Ultrasound: Hei hian chakna sang tak nei sound wave a hmang a. Heng wave te hi taksa chhunga tissue emaw organ emaw atanga rawn chhuakin echo an siam thin. Heng echo te hi sonogram an tih thlalak siam nan an hmang thin. Hei hi naute taksa chunglam hnaih tak, emaw, pum, thin emaw, rilru chhunga awm emaw lymph node zawng nan hman a ni.

Biopsies tih a ni

Doctor-te chuan biopsies hmangin lymph node, cancer natna hrik leh ruhro sample an la a, microscope hmangin emaw, lab test dang emaw hmangin an enfiah ṭhin. Biopsy hmang hian natna hi chiang taka hriat theih a ni. Chu aia pawimawh zawk chu biopsy result hian lymphoma chi dik tak hriat theih nan a pui thei a ni. Chumi hnuah chuan chutiang chi enkawlna tha ber hriat theihna turin a pui thei a ni.

Biopsies hi chi hrang hrang a awm a. Doctor-te chuan naupang tana side effect awm tlem ber tur leh test-na atana cell leh tissue tling tawk la chhuak thei tur biopsy chi an thlang thin. Heng test neih chhung hian naupang chu a rilru hahdamna damdawi, numbing medication emaw, local emaw general anesthesia emaw pek a ni a, chu chu a rilru hahna a awm loh nan a ni.

• Surgical biopsy: Lymph node pum pui, tissue lump emaw, cancer natna lian zawk chi te te chu surgery hmangin lakchhuah theih a ni.
• Needle biopsies: Core biopsies emaw fine-needle biopsies emaw hmangin tissue emaw lymph node thenkhat emaw lakchhuah a ni.

Biopsy chi dang

I fain non-Hodgkin’s lymphoma a neih chuan test dang neih belh lehin tissue lakkhawm a ni thei a, chu chu lymphoma a darh tawh em tih hriat theih a ni. Biopsies dang ang bawkin, hengte hi i fain harsatna a neih loh nan sedation leh/ emaw anesthesia hnuaiah tih thin a ni.

• Lumbar puncture (spinal tap): Hei hi cancer hian naupang thluak leh ruhroah a darh tawh em tih hriat nan an ti thin.
• Bone marrow aspiration leh bone marrow biopsy: Heng test te hi lymphoma hi i fa ruhroah a darh tawh em tih hriat nan tih a ni. Chutiang ti tur chuan doctor chuan i fa hipbone-ah hollow needle a thun a, ruhro leh ruh sample tlemte a la a.
• Thoracentesis tih dan tur: 1.1.Lymphoma hi i fate rilru chhunga lining emaw, an lung khuh tu membrane emaw-ah a darh tawh chuan tui a awm khawm thei a ni. Fluid hi hollow needle hmangin lakchhuah a ni a, cancer cell awm leh awm loh enfiah a ni.
• Paracentesis: Hei hian naute pum atanga tui lakchhuah a huam a ni.
• Mediastinoscopy: Hei hi general anesthesia hmanga surgery tih a ni. I fa lung inkara taksa peng hrang hrang, tissue leh lymph node-a thil danglam awmte zawn nan tih a ni. Mediastinoscope an tih hmanrua hmanga tih a ni. Tube ang maia te tak te, light leh lens hmanga hmuh theihna tur, tissue emaw lymph sample lakna hmanrua a ni. I fa hnute ruh chunglam atanga incision te tak te hmanga dah a ni.

Doctor-te hian naupang non-Hodgkin lymphoma hi stage hrang hrangah an ṭhen em?

Ni e, Non-Hodgkin’s lymphoma hi classified dan tur stage a awm. Heng cancer staging system te hi enkawlna tur ruahmanna siam nan hman a ni.

Hodgkin ni lo lymphoma stage hrang hrang

• Stage I: Cancer hi hmun khatah chauh a awm a, chu chu naupang diaphragm (ril leh pum inthenna ruh lian tak) chung lamah emaw, a hnuaiah emaw a awm a ni.
• Stage II: Cancer hi hmun khat leh a bul hnaia lymph node-ah emaw, lymph node pahnih emaw a aia tam emaw, diaphragm sir khata hmun dangah emaw a awm a.
• Stage III: Cancer hi a hnuaia stage pali zinga pakhatah a awm a:
• Diaphragm sir lehlamah tissue emaw lymph node emaw ah cancer a awm a.
• Naupang hian hnute cancer a nei a.
• Naupang hian pum cancer a nei a, operation hmanga lakchhuah theih a ni lo.
• Stage IV: Cancer hi naupang ruhro, ruhro, leh/ emaw thluaka awm a ni.

Naupang non-Hodgkin lymphoma hi engtin nge enkawl a nih?

Doctor-te chuan enkawlna thar an zawng chhunzawm zel a, a bik takin lymphoma tihdam dan tur, tlai lama nghawng na tak nei lo tihdam dan tur an zawng chhunzawm zel a ni. Late effects hi hriselna lama harsatna lian tak a ni a, enkawlna a tawp hnu kum tam takah leh naupang non-Hodgkin’s lymphoma a awm tawh loh hnuah pawh a lo awm thei a ni.

Enkawlna chi paruk a awm a, chungte chu:

• Chemotherapy: Hei hi naupang non-Hodgkin lymphoma vei tan chuan enkawlna ber a ni. Doctor-te chuan damdawi pakhat chauh emaw, damdawi engemaw zat inzawm emaw an hmang thei a ni.
• Surgery: A then phei chuan cancer natna hrik awmte chu biopsy neih rualin surgery hmangin lakchhuah a ni. Chuti chung pawh chuan naupang chuan enkawlna dang, chemotherapy emaw, immunotherapy emaw a mamawh thei a ni.
• Targeted therapy hmanga enkawlna: 1.1.Hei hian cancer gene bik, protein emaw, lymphoma cell chhunga thil te te a nghawng a, chu chuan chemotherapy nghawng atanga dam khawchhuahna a pui a ni.
• Immunotherapy: He enkawlna hian naupang immune system tichaktu emaw, immune system-a artificial components hmanga lymphoma cells tihchhiat emaw hmangin hna a thawk a ni.
• Radiation therapy: A then phei chuan cancer cell la awm zawng zawng tihchhiat nan radiation therapy hman a ni.
• Stem cell transplantation: Thisen emaw bone marrow atanga stem cell lakchhuah te hi cell hrisel lo thlak nan cell hrisel tak tak hmanga thlak a ni.

Cancer enkawlna hian a hnu lama nghawng a neihte chu engte nge ni?

Cancer enkawlnain nghawng a neih hnuhnung ber chu hriselna a tawp atanga thla emaw kum emaw hnuah a lo awm thei a ni. Late effect thenkhat chu nunna atana hlauhawm tak a ni thei. Naupang tam zawkin non-Hodgkin’s lymphoma enkawl an nih hnuah an dam rei chho zel a, doctor-te chuan heng tlai lam thilte hi a hma thei ang bera hriatchhuah leh enkawl an tum a ni.

Naupang non-Hodgkin lymphoma vei zingah late effect hmuh tur awm tam ber thenkhat chu:

• Secondary cancers: A hming ang bawkin hengte hi non-Hodgkin lymphoma enkawl hnua naupangte cancer thar lo awm thin an ni. A tlangpuiin acute myeloid leukemia, myelodysplastic syndrome, hnute cancer, leh thyroid cancer te hi a ni.
• Lung lam natna: Chemotherapy dawng naupang thenkhat chuan thinlung natna an nei thei a, chu chu congestive heart failure, thinlung chak lohna (cardiomyopathy), thisen kalna kawng khauh emaw, zim emaw (coronary artery disease), thinlung thawk dan pangngai lo (arrhythmia), emaw thinlung venna khuhna (pericarditis) emaw a ni thei.
• Pneumonitis (lung inflammation): Chemotherapy damdawi thenkhat chuan naupang lung a tichhe thei a.
• Liver lama harsatna: Naupang chemotherapy damdawi thenkhat ei chuan liver lian emaw, liver cirrhosis emaw an nei thei.

Naupang non-Hodgkin lymphoma clinical trial neih dan tur chu engtin nge ni ang?

I fa doctor chuan non-Hodgkin’s lymphoma enkawlna atana clinical trial-a tel turin a rawt thei che a ni. Clinical trial-ah chuan mi thenkhat chuan standard of care an dawng a, thenkhat erawh chuan enkawlna endik mek an dawng thung.

Standard treatment chu damdawi leh enkawlna dang pawm tawh, a thawk tha tih finfiah tawhte a ni. Trial treatment, a hming ang bawkin, standard treatment aiin a thawk tha zawk em tih enfiah a, a hnathawh dan inang mahse side effect a nei tlem zawk em tih enfiah a ni.

Clinical trial-ah hian damdawi thar, damdawi awmsa dose thar, emaw, enkawlna awmsa inzawmkhawm thar emaw a tel thei a ni. Vawi tam tak chu naupang cancer center-a doctor-te chuan heng clinical trial-te hi an enkawl ṭhin. Clinical trial hi i fa enkawlna tur a ni thei em tih i doctor zawt rawh.

Naupang non-Hodgkin lymphoma hi tihdam theih a ni em?

Ni e, doctor-te chuan naupang tam tak non-Hodgkin’s lymphoma vei chu an enkawlna an neih hmangin an tidam thei a ni. Chu chu a thlamuanthlak takzet a ni lawm ni?

Naupang non-Hodgkin lymphoma vei damchhuah zat hi engzat nge ni?

Naupang non-Hodgkin’s lymphoma vei damchhuah zat hi lymphoma chi hrang hrang a zirin a inang lo. A vaiin naupang he natna vei zinga 70% leh 90% inkar chu an hmuhchhuah atanga kum nga aia rei an dam thei a ni.

Ka fain non-Hodgkin lymphoma enkawlna a zawh hnuah eng nge thleng?

Cancer enkawlna a zawh hunah chuan nang leh i fa hian hahdamna leh hlimna nasa tak in nei ngei ang. Chu hlimna chu lawm rawh, mahse, i fa chuan kum engemaw zat chu doctor nêna inzawmna a la neih reng a ngai dawn tih hre reng ang che.

Enkawlna hnu kum engemaw zat chhung hian i doctor chuan follow-up examination leh test neih reng a rawt mai thei. Hei hian i fa hriselna zawng zawng enfiah turin a pui ang a, cancer a lo lang leh leh awm loh enfiah a, a hnu lama nghawng a neih leh awm loh enfiah nan a pui bawk ang. I fa hian thisen test leh scan a mamawh dawn a ni.

Engtin nge kei/ka fa hian cancer enkawlna hnu lama thil thlengte hi kan enkawl theih ang?

Naupangte chuan cancer enkawlna hnu thla emaw, enkawlna a tawp hnu kum tam tak emaw pawh ni se, a hnu lama nghawng a nei thei a ni. Chu chu i hriatna chuan nang leh i fa chu nakin hun atân lungkham takin a siam thei a ni. Mahse i fa doctor-in i fa enkawl hnuah a hriselna a vil reng dawn tih hria la, chuvangin harsatna eng pawh chu hriatchhuah leh enkawl thuai theih a ni.

I fain a hnu lama nghawng a neih theih dan leh a hmaa a lan chhuah dante chu i doctor hnenah zawt rawh. I fate chu an naupan deuh deuh a, anmahni hriselna an enkawl tan tirh chuan heng a hnu lama thil thlengte chhinchhiahnate chu fimkhur turin fuih rawh.

Ka fain non-Hodgkin lymphoma a vei theihna chance ka tihtlem thei ang em?

Naupang taksa chak lohna nei te hian non-Hodgkin’s lymphoma an vei tam zawk thei. Entirnan, i fa hian ruhro emaw, taksa peng hrang hrang emaw a thlak tawh a nih chuan he natna hi an vei thei a ni. Tin, i fain natna chi hrang hrang, taksa hriselna tichhe thei a neih chuan a hlauhawmna a sang thei bawk.

I fa doctor chuan i fa hriselna chanchin a hre chiang hle. Hemi chungchangah hian ngaihtuahna i neih chuan i fain he natna vei theihna tur dinhmun a neih leh neih loh i doctor zawt la. Tichuan, non-Hodgkin lymphoma chhinchhiahna hmasa ber ni thei thil chiang tak takte chu i enfiah thei ang.

Ka fa hian non-Hodgkin lymphoma a nei a. Engtin nge ka tanpui theih ang?

Cancer hi mi zawng zawng tan a harsa a, mahse naupang tan chuan a harsa zual hle. Naupang tê tête chu an tâna a harsat chhan hrethiam tûrin an puitling lo mai thei. Test leh enkawlna an hlau mai thei. Naupang tê tê, an natna chanchin hre mekte tân chuan an dinhmun chungchânga thinrim leh hlauhna an neih hi thil awmdan pangngai a ni. Nang leh i fain cancer natnain a nghawng dan tur i tuar nasa hle a nih chuan, i doctor hnenah naupang nunna atana rawngbawlna chungchang zawt rawh. Heng service te hi specialist ten an pe a, naupang leh chhungkua te chu cancer harsatna tawk thei tura puitu an ni.

Vawikhat chu fa hrisel tak i nei a, natna pangngai an nei niin i ngai. A dawt leh hunah chuan cancer vei naupang i nei ta a ni. I fa hian non-Hodgkin lymphoma a nei tih hriat a awlsam lo. Doctor-te chuan he natna vei naupang tam tak tidam mah se, i fa hian an nitin nun tibuaitu damdawi lam enkawlna nasa tak a la hmachhawn a ngai a ni. Enkawlna hnuah pawh i fa hian a hnu lama nghawng a nei thei a, chu chu hriselna lama harsatna lian tak, enkawl belh ngai a ni. A tuar harsa vek. I khawvel chu a inthlak danglam tawh ang maiin i inhria mai thei a, engtikah emaw chuan a dik leh ang em tih i ngaihtuah mai thei bawk.

Mahse, i fa doctor hian nang leh i fate tawn mek chu a hrethiam tih hre reng ang che. Ṭanpuina dîl la, chutah chuan i fa dinhmun chungchâng, nang leh i chhûngte tâna hmanraw awmte pawh a tel thei a, an tih theih apiang chu an ti hlim hle a ni.

A tawp berah chuan take-home message

• Naupang zingah Non-Hodgkin’s Lymphoma hi cancer natna a ni a, chu chu lymphatic system-ah a awm a.
• Hei hi hlawhtling taka enkawl theih a ni fo a, a bik takin a hmaa hriat chhuah a nih chuan.
• A natna lan chhuah dan (Lymph node hring, khuh chhunzawm zel, khawsik, taksa rihna tlahniam) te chu fimkhur rawh. Chungte chu a awm reng chuan doctor pan rawh.
• Enkawlna kawng hrang hrang a awm (chemotherapy, surgery, leh radiation therapy te ang chi). Doctor chuan i fa tana enkawlna tha ber a thlang ang.
• Enkawl hnuah pawh after-effect a awm thei a, chuvangin medical check-up neih chhunzawm zel a pawimawh.
• Nangmah chauh i ni lo. Doctor, nurse leh counselor te chu nang leh i naute tanpui turin an awm reng a ni. An hnenah tanpuina dil hlau suh.

He thu hian he natna chungchangah hian hriatthiamna engemaw chen i neih theih ka beisei. Ngaihtuahna \ha leh damdawi inenkawlna \ha tak i neih chuan he harsatna hi i hneh thei tih hre reng ang che.

` Non-Hodgkin’s Lymphoma, Naupang Cancer, Lymphoma, Lymphatic System, Cancer Symptoms, Cancer Enkawlna, Naupang hriselna