Doctor-in lehkha phek khat a pek che a, "Hetah hian i report a awm?" A chunga thumal thenkhat awmzia pawh i hre thei lo a nih chuan hlauhna tlem i neih hi thil pangngai a ni. Mi tam tak chungah a thleng thin. Chuvangin hlau suh. Vawiin hian hetiang hun laia i dawn medical report pawimawh tak, ``Pathology Report'' kan sawi dawn a ni. A awlsam zawnga hriatthiam dan i zir ho ang u.
A awlsam zawngin, Pathology Report tih hi eng nge ni?
A awlsam khawp mai. I taksa sample tlemte (entir nan, i vunah hnah te tak te, thisen sample emaw, taksa tui dang emaw) test nan lak a ni ang tih han ngaihtuah teh. Hei hi ``Biopsy'' an ti bawk.
Specialist pakhat chuan hetianga lak section te tak te chu microscope hmangin a enfiah thin. He specialist hi pathologist kan ti a. Detective ang mai a ni. Chu section tê têa cell-te chu ngun takin a en a, thil tam tak a zir a, chu chu an pianzia te, an lian zawng te, leh an pawl hrang hranga an awm dân te hi a ni.
Tichuan, a thil hmuh zawng zawng sawifiahna a ziak a. Chu sawifiahna chu ``Pathology Report'' kan tih chu a ni.Chu chu, hei hi i taksa atanga sample lak chhuah cell leh tissue chungchanga specialist doctor-in report chipchiar tak a ziah a ni
He report hian a hnuaia mite hi a tarlang ber a ni:
- Engtin nge sample lak leh buatsaih? - Chu chu, surgery hmanga lak nge needle aspiration hmanga lak a ni em, ``formalin'' ang chi thilah dah a ni em, cell te chu hmuh awlsam zawk nan stained a ni em?
- Microscope hmangin cell leh tissue te hi engtin nge an lan? - Cell te hi a pangngai em, a nih loh leh a lian lo em ni emaw, a pianzia a danglam em?
- Cell, protein, etc. engzat nge awm? - Number chu a tlangpui aia tam nge a hniam zawk?
- Hrik a awm em? - Sample-ah hian pawn lam atanga natna hrik, bacteria, virus, fungi te a awm em tih.
‘Pathology’ tih thumal hian eng nge a awmzia?
Pathology chu natna hrang hrang, a chhan leh kan taksa a nghawng dan zir chianna a ni. I taksa atanga fluid emaw tissue emaw sample test nan lak a nih chuan Pathology Lab ah thawn a ni. Chuta specialist-te chuan natna thlentu a nih leh nih loh an enfiah thin.
`(Pathology)` hian thil hrang hrangah min pui thin:
- Natna leh hriselna dinhmun hriatchhuah, enkawl , leh natna thenkhat hriat hmasak (screening).
- I tana enkawlna tha ber tur chu thutlukna siam rawh .
- Nakin lawka natna awm dan tur (prognosis) ngaihtuahna nei rawh.
- Natna thenkhat vei theihna tur tehfung siam. Entirnan, cancer thlen thei gene mutations awm leh awm loh enfiah nan genetic testing.
Pathology Report i dawn theihna chance engzat nge awm?
``Pathology report`` hi cancer enfiahna atana ``biopsy`` hnua lo thleng angin kan ngai fo thin. Mahse a takah chuan chu aia dinhmun tam takah heng report te hi kan hmu thin. He report hi taksa atanga sample lak a, cancer chauh ni lovin eng condition pawh hriat theihna tura test a nih apiang deuhthaw siam a ni.
Entirna thenkhat chu hetiang hi a ni:
| Test/procedure hming | Hrilhfiahna awlsam tak |
|---|---|
| Biopsy tih a ni | Taksa atanga tissue te tak te enfiah tura lak (e.g., vun natna, hnute chhunga lump). |
| Thisen test a ni | Thisen chhunga cell leh chemical awmte hi han en teh. |
| Colonoscopy hmanga enfiah a ni | Colon chhunga camera hmanga enfiah laiin tissue sample te tak te (polyps) lak te enfiah tur. |
| Endoscopy (Endoscopy / EGD) hmanga enfiah a ni. | Pum leh chaw kawng enfiahnaah tissue sample lakte enfiah turin. |
| Surgery hmanga parts lakchhuah | Entirnan, an lak chhuah hnua gallbladder, uterus, hnute thenkhat (lumpectomy) emaw, hnute pumpui (mastectomy) emaw enfiah tur. |
| Taksa tui test te | Zun, ek, khuh, etc.-a natna hrik emaw thil danglam dang emaw zawng turin. |
Chumi awmzia chu, i taksa peng eng emaw test tura tirh a nih chuan, chu mi atan chuan ``Pathology Report`` siam a ni tihna a ni.
Pathology Report-a thil pawimawh ber berte chu engte nge ni? I han en teh ang!
Awle, tunah chuan he report-a thu mak tak tak hmanga chhiar tur thenkhat hi han en ila. Report zawng zawng hian heng part zawng zawng hi an neih vek a ngai lo. Mahse hengte hi a langsar zual thenkhat an ni.
| Report-a a tel ve | A awmzia mai mai |
|---|---|
| Zawm tur | I taksa atanga he sample lak dan. (e.g. ‘Excision Biopsy’, ‘Colonoscopy with Polypectomy’ tih te hi a ni. |
| Gross sawifiahna | Sample chu specialist doctor-in chiang taka a hmuh theih dan sawifiahna, microscope hmang lovin. Hetah hian a rawng, a rih zawng leh a lian zawng ang chi thilte chu ziah a ni. |
| Microscopic hmanga sawifiahna | Hei hi report thinlung ber a ni. Microscope hmanga cell te an lan dan a sawi a . He part hian cell te chu a pangngai em, a pangngai lo em, cancer cell a awm em tih a hril a ni. |
| Margins te pawh a awm | Cancer tumor chu lakchhuah a nih chuan hei hi tumor chhehvel tissue hrisel tak a ni. Margin ‘Clear’ emaw ‘Negative’ emaw a awm thei‘Positive’ margins tih awmzia chu tumor chu a chhuak vek tawh a, a margin-ah cancer cell a awm lo tihna a ni. ‘Positive’ margin tih hian margin-ah cancer cell a la awm thei tihna a ni a, chuvangin enkawl belh a ngai mai thei. |
| Stage leh Grade a ni | Hei hi cancer report-ah a pawimawh hle. Stage chu kan taksaa cancer a darh zau zia a ni. Grade chu cancer cell leh cell hrisel te an lan dan a danglam dan a ni. |
| Lymph Nodes (Lymph Nodes) te a awm | Swab te hi cancer a darh tawh em tih enfiah thin a ni. ‘Positive’ tih awmzia chu swab-ah hian cancer cell a awm tihna a ni. ‘Negative’ tih hian cancer cell a awm lo tihna a ni. |
| Molecular Results atanga lo chhuak | Cancer cell thenkhata genetic changes (mutations) bik zawnga test. Heng result te hian enkawlna bik hriat theihna kawngah a pui thei a ni. |
| Diagnosis tih a ni | Hei hi thutlukna hnuhnung ber a ni . Heng thu zawng zawng atanga specialist-in natna chu eng nge a nih a sawina hmun. (Entirnan: ‘Chronic gastritis’, ‘Invasive Ductal Carcinoma’ tih te hi a ni. |
| Thurawn pek te | A châng chuan, specialist chuan eng nge tih leh tur tih rawtna a siam thei (e.g. ‘Follow-up colonoscopy in 3 years’). |
Report a thlen theih nan eng chen nge a ngaih?
``Pathology Report'' dawng tur hian ni engemaw zat atanga kar khat emaw a aia rei emaw a ngai tlangpui. Hei hi a chhan chu sample chu uluk taka buatsaih a, enfiah a, report ziah nan hun engemaw chen a duh vang a ni. A chang chuan specialized test tam zawk neih a ngai a nih chuan rei vak lo a la ngai thei.
I doctor hnenah result a lo chhuah leh theih nan eng chen nge a ngaih dawn tih i zawt thei bawk.Mahse, beisei aia rei a ni tih hlau suh. Thil tha lo tihna a ni ngai lo.
Hetiang result nghah a harsat zia kan hria. Chumi chhung chuan i rilru chu thil dang lamah sawn tum ang che. I duhzawng thil ti la, i chhungte leh i thiante nen inbia ang che. I rilruah chauh phurrit chu phur suh.
Report-ah hian thil danglam tak a awm a nih chuan eng nge thleng ang?
Report-ah hian thil danglam emaw, beisei loh emaw a awm a nih chuan, i doctor chuan specialist-in a hmuh leh i enkawl dan tur a zirin, a hnua i tih tur chu a hrilhfiah ang che.
``Pathology Report'' chhiar hi khawpui i tlawh ngai loh map en ang mai a ni. Thumal mak tak mai a ni a, kawngpuiin khawi lam nge a pan tih pawh i hre thei lo. Mahse, chu map chhiar thiam chu i doctor a ni. Chu map chu i diagnosis hriatthiam nân leh i tâna enkawlna ṭha ber tûr ruahman nân a hmang ang.
Chuvangin, i report result leh a nghawng dan tur i hriat chian hma loh chuan i doctor hnenah zawhna zawt rawh. In pahnih hian in hmalam hun tur chu in ruahman thei a ni.
Take-Home Thuchah a ni
- ``Pathology Report'' hi i taksa chhunga cell awmte ngun taka zirchianna a ni. Thumal buaithlak tak tak hi hlau suh.
- Report-a thumal tinreng hriatthiam tum ai chuan ‘Diagnosis’ tih section leh i doctor-in a sawifiahna hi a pawimawh ber a ni.
- Hetiang article hi chhiar la, doctor nena inbiak hmain inzirtir hmasa phawt a tha. Mahse internet-a thu hriatte hmanga thutlukna siam ngai suh.
- Doctor hnenah zawhna zawh hreh ngai suh. "He thil hi ka hriatthiam theih nan i hrilhfiah leh thei ang em?" I chiang vek hma loh chuan zawt rawh.
- He report hi i hlauhthawn tur thil a ni lo. Enkawlna dik tak i hmuh theih nan hmanraw pawimawh tak a ni.
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