Breast cancer i do a nih chuan i zinkawng hi a harsat theih zia kan hria. Tunlai damdawi lam hmasawnna avang hian tunah chuan hnute cancer enkawlna tha tak tak a awm ta. Chuvang chuan cancer natna atanga dam chho mek pawh an pung chho zel a ni. Mahse he indonaah hian hriselna lama harsatna dang, i hriat loh pawh i tawk thei a ni. Chu chu ruhte chu a chak lo va, a hring a, awlsam takin a chhe thei tihna a ni. Hei hi damdawi lamah chuan ‘Osteoporosis’ kan ti thin. A lan chhuah loh avangin a lo thleng fo thin avangin mi thenkhat chuan "silent disease" an ti bawk. Chuvang chuan hemi chungchang hi inzirtir a pawimawh hle a ni.
Hnute cancer leh ruh hring (bone thinning) hi eng nge inzawmna?
A awlsam zawngin, hnute cancer leh ruh natna (osteoporosis) hi inzawmna nghet tak a awm a ni. Hei hi thil engemaw zat vang a ni.
Hei hi han ngaihtuah teh: Hmeichhia kum 60 chunglam ah hian hnute cancer hi a tam ber a, he kum ah hian ruh hloh theihna pawh a sang hle. A bik takin menopause hnuah, taksaa estrogen level a tlahniam chuan. Estrogen hi hormone a ni a, chu chuan kan ruhte a tichak reng a ni. Chuvangin he hormone hi a tlahniam chuan kan ruh chakna pawh a tlahniam zauh zauh tan thin.
Tin, cancer ngei hian taksaah inflammation a siam bawk. Hei hian ruh cell hlui a chhe chakna a tipung a, ruh cell thar siam chakna a ti hniam bawk. Hei hi ruh chak lohna chhan dang a ni bawk.
Zirna hrang hrangah chuan postmenopausal hnute cancer damchhuak zinga 80% vel chu ruh chakna hloh theihna an nei tih hmuhchhuah a ni.
Engtin nge cancer enkawlna hian ruh a tihchak loh?
Ruh hloh hi cancer vang chauh a ni lo. Cancer enkawlna thenkhat pawhin hei hi direct-in a nghawng thei bawk. A bik takin hormone therapy leh chemotherapy hmang hian ruh density a tlahniam thei a ni. Osteopenia hi a lo awm hmasa thei a, chu chu osteoporosis-ah a kal thei a ni.
A pawimawh ber chu cancer enkawlna avanga ruh hloh hi tar chakna nena inzawm tlat aiin a let sarih velin a rang zawk thei a ni .
Hnute cancer hmun thuma ṭhena hmun hnih vel chu hormone receptor-positive an ni. Chumi awmzia chu cancer cell te hi estrogen ang hormone te hian an thang lian turin a tichak tihna a ni. Chuvangin he natna enkawlna hian taksaa estrogen level tihhniam emaw, hormone block emaw hmangin hna a thawk a ni. Hei hi cancer control nan a pawimawh hle laiin, vanduaithlak takin kan ruhte mamawh estrogen pawh a la bo bawk.
A hnuaia table hi han en ila, ruh tichhe thei cancer enkawlna lian ber berte chu engte nge ni.
| Enkawlna chi hrang hrang | Ruh a nghawng dan |
|---|---|
| Tamoxifen a ni | He damdawi hian cancer cell-a hormone estrogen hnathawh a titawp a ni. Hmeichhia menopause hmaa ruh tihthianghlim theihna chu tlem a tipung a, mahse menopause hnua hmeichhiaah chuan a ti tlem zawk a ni. |
| Aromatase tihkhawtlai (AI) te hi a awm a. | Heng damdawi (e.g. Anastrozole, Letrozole) te hian taksain estrogen a siam chhuah a ti tlem a, hei hian ruh ti sei theihna nasa takin a tipung a ni. |
| Ovarian Suppression a ni | Ovaries hian estrogen a siam chhuak tawh lo. Hei hi Goserelin (Zoladex) ang damdawi hmangin hun eng emaw chen emaw, ovary surgery hmanga lakchhuah emaw hmangin tih theih a ni. Hei hian ruh hloh theihna a tipung a ni. |
| Chemotherapy hmanga enkawl a ni | Heng damdawi chak tak takte hian cancer cells te a that rualin, ovary te pawh a tichhe thei a, naupan lai atang pawhin menopause a thlen thei a, ruh tihthianghlim theihna a tipung bawk. |
Thil dang, a hlauhawmna tipungtu
Breast cancer enkawlna i neih lai hian a hnuaia thilte hi i chungah pawh a hman theih chuan ruh hring (bone thinning) i neih theihna chu a sang zawk thei a ni:
- Kum 65 chunglam a nih vang a ni.
- Meizial zuk.
- Nitin zu in tam lutuk.
- Tun hmaa a ruh tliak tawh bawk.
- Hun rei tak chhung steroid damdawi hman.
- Taksa rih zawng kilogram 57 (pound 125) aia tlem a ni.
Chung zinga pakhat emaw, a aia tam emaw chu i tan a hman chuan, i mimal hlauhawmna chungchang chu i doctor hnenah sawipui ngei ang che. Hlauthawng a ngai lova, hriattir lawk a pawimawh.
Engtin nge ruh hriselna kan enfiah ang?
I doctor chuan cancer enkawl hma, enkawl lai leh enkawl hnuah i ruh hriselna a enfiah thei a ni. Hei atan hian test hman ber chu DEXA scan a ni .
Hei hi test hrehawm lo, awlsam tak a ni. X-ray bik ang mai a ni. I ruhro leh i hip ruh mineral density a teh thin. Enkawl tan hmain he scan hi tih hmasak phawt a tha a, baseline measurement atan dah reng a tha. Tichuan i ruh density a tlahniam em tih chu a hnuah i khaikhin thei ang.
He test result hi T-score angin pek a ni. He value hi -2.5 aia hniam a nih chuan osteoporosis anga ngaih a ni a, enkawl a ngai mai thei.
Ruh tichak turin eng enkawlna nge pek thin?
Ruh density hniam i neih emaw, ruh tliak hlauhawm i nih chuan i doctor chuan ruh tichaktu damdawi a pe thei che a ni. I risk chhut nan FRAX tool ang chi tool an hmang thin.
| Ruihhlo chi hrang hrang | Functionality leh entirnan te |
|---|---|
| Bisphosphonates a awm bawk | Hengte hian ruh hloh a veng a, ruh tliak theihna a ti tlem bawk. Pill emaw intravenous injection emaw angin pek thin a ni. Entirnan: Alendronate, Ibandronate, Zoledronic acid te hi a awm thei. |
| Denosumab (Denosumab - Prolia) tih hi a tha hle. | Hei hi bisphosphonates hmang thei lo tan chuan a danglamna a ni. Thla 6 danah injection angin pek thin a ni. Hei hian ruh tissue tihchhiatna a ti tlem bawk. |
| Raloxifene (Raloxifene - Evista) tih hi a tha hle. | Ruh chunga hormone estrogen angin hna a thawk a, ruh a tichak a ni. Osteoporosis venna atan leh enkawl nan hman a ni. |
I ruh venhimna atana nangmah ngeiin i tih theih thil
Damdawi bakah hian i nunphung thlak danglam hian i ruhte a tichak thei bawk.
- Calcium leh vitamin D tamna ei tur ei rawh.Heng nutrient pahnih hi ruh tan a pawimawh hle. Ni khatah calcium milligram 1000-1200 vel leh vitamin D international unit (IU) 800-1000 vel i mamawh a ni. Hengte hi bawnghnute leh bawnghnute atanga siam, yogurt, cheese, dark green vegetables (spinach, kale), leh sangha te tak te (sardines ang chi)-ah te a tam hle. I ei leh in atanga i hmuh tlem chuan damdawi lam thurawn hnuaia supplement ei hi ngaihtuah rawh .
- Weight-bearing exercise te pawh ti rawh. Kea kal te, stairs chhoh te, tennis khelh te hian i ruhte chu pressure a siam a, a tichak bawk. Weight chawi leh resistance band hman pawh a tha hle.
- Meizial zu leh zu bânsan vek rawh. Heng pahnih hian ruh a tichak lo hle. A bik takin meizuk hian taksain chaw atanga calcium a lakluh theihna a ti tlem a ni.
Cancer i enkawl lai leh enkawl zawhah i ruh hriselna chu i doctor nen sawiho fo ang che. I ngaihtuahna leh zawhna i neih apiang zawh hlau suh.
Take-Home Thuchah a ni
- Breast cancer leh a enkawlna thenkhat (a bik takin hormone therapy) hian i ruh a tichak lo thei a, ruh natna (osteoporosis) i vei theihna a tipung thei bawk.
- Hei hi "silent disease" a nih avangin, a natna lan chhuah hun nghah ai chuan, hei hi hriat hmasak a pawimawh hle.
- I doctor nen inbia la, a tul chuan DEXA scan neih dan tur ngaihtuah rawh.
- Calcium leh vitamin D tamna ei leh in, taksa rihna tichhe thei exercise tih te, meizuk/zu in loh te hmangin i ruh i humhim thei a ni.
- I hriselna nena inzawm thil eng pawh, a bik takin ruh hriselna nena inzawm ngaihtuahna eng pawh i doctor nen zalen takin sawi rawh.
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