I chhungkuaa mi tu emaw, i nu emaw, i farnu emaw, i pi emaw, hnute cancer a vei tawh a nih chuan, i rilru hnung lamah, “Kei pawhin ka vei dawn em ni?” Hei hi mi tam takin an neih hlauhna a ni lo’m ni? Hmeichhe thenkhat, hnute cancer vei theihna sang tak nei te chu an hnute pahnih chu cancer a lo awm hmain surgery hmangin an la chhuak vek a ni. Hei hi preventive mastectomy kan tih chu a ni . Hei hi thutlukna lian tak a nih avangin chiang tak leh chiang takin sawi ila.
Preventive Mastectomy tih hi eng nge ni?
A awlsam zawngin, hei hi nakin lawka hnute cancer vei theihna tur tihbo emaw, nasa taka tihtlem emaw tura cancer cell awm thei hnute tissue surgery hmanga lakchhuahna a ni. Hei hi cancer a lo awm hnua tih a ni lo va, a lo thlen hmaa fimkhur nan tih a ni a, a chhan chu cancer vei theihna a sang hle a ni. Damdawi lam hawi chuan hei hi `Bilateral Prophylactic Mastectomy` an ti bawk.
He surgery hian a tum ber chu a tam thei ang ber hnute tissue cancer lo ni thei te lakchhuah a ni a, nakin lawka hlauhawm laka inven a ni bawk.
He surgery hi tu tan nge a inhmeh tak zet?
Hei hi zawhna pawimawh tak a ni. He surgery hi mi zawng zawng tan a tha lo. National Cancer Institute ang pawlte pawhin cancer vei theihna sang tak nei hmeichhia chauh ngaihtuah turin an rawt a ni.
Hei hi hnute cancer (cancer phobia) vei hlauhna i neih vang mai maia i tih a ni lo tih hre reng ang che. Hei hi damdawi lam chhan chiang tak a awm ngei tur a ni.
A hnuaia table-a risk factor pakhat emaw a aia tam emaw nei chuan he thu hi an doctor nen an inbia thei ang.
| Risk Factor a ni | Hrilhfiahna awlsam tak |
|---|---|
| BRCA1 emaw BRCA2 emaw gene mutations a awm thei | Hengte hi hnute cancer vei theihna nasa taka tipungtu gene an ni. Chungte chu genetic testing hmangin hriat theih a ni. |
| Chhungkaw chanchin nghet tak a ni | Chhungkaw hnai tak tak (nu, unaunu, fanu) engemaw zatin hnute cancer an vei tawh a nih chuan, a bik takin an naupan lai atanga he natna hi an vei a nih chuan. |
| Lobular Carcinoma in Situ (LCIS) a awm dan | Hei hi cancer ni lo mah se, nakin lawka cancer vei theihna tipungtu dinhmun a ni. Chhungkaw history-a hetiang thil hi a awm chuan a hlauhawmna a sang zawk. |
| Kum 30 a tlin hmaa a rilruah radiation hmanga enkawlna dawng tawh | Naupang i nih laiin natna dang (e.g. Hodgkin’s Lymphoma) avanga i rilru lam area-a radiation treatment i dawng a nih chuan nakin lawkah hnute cancer i vei theihna a tipung a ni. |
| Hnute pakhata cancer neih leh hnute danga cancer vei theihna sang tak nei | Hnute pakhatah cancer a dam tawh a, hnute dangah chuan genetic emaw, thil dang emaw avanga cancer vei theihna a sang hle a nih chuan. |
Hetiang thutlukna siam hma hian genetic counseling leh psychological counseling zawn a pawimawh hle , hei hi thutlukna lian tak a nih avangin taksa leh rilru pawh a nghawng a ni.
Hei hian cancer hlauhawmna hi 100% in a ti bo tak tak em?
Hei hi mi tam takin an zawh thin chu a ni. Dik tak chuan 100% guarantee pek a harsa hle. Mahse, a hlauhawmna chu percentage sang tak takin a tlahniam thei a, chu chu 90% - 95% . Hei hi BRCA gene mutation nei tan chuan a dik hle.
Chuti a nih chuan engvangin nge 100% a nih loh ang?
Ngaihtuah teh... Kan hnute tissue hi kan ngaihtuah angin hmun khatah a awm lo. Collarbone atanga lower ribs thlengin a darh a, rilru lai tak atanga armpit thlengin a darh bawk. Milk siamtu glands (milk lobules) leh milk ducts, cancer lo ni thei te hi he hnute tissue zawng zawngah hian a darh vek a, vun hnuaiah pawh a darh vek a ni.
Surgeon chu eng ang pawhin thiam mah se, eng ang pawhin uluk takin ti mah se, chutianga tissue chhunga cell awm zawng zawng chu paih chhuah vek chu thil tangkai tak a ni lo. Chuvangin tissue tlemte chauh a awm thei. Chuvang chuan risk hi 100% in a bo lo. Mahse a la awm zat chu a tlem em avangin a hlauhawmna chu nasa takin a tlahniam a ni.
Surgery hnuah... tunlai duhthlan tur a awm em?
Awle. Vanneihthlak takin tunlai hian he surgery atana hmanraw changkang zawk tak tak a awm ta a ni. Tun hma ang lo takin tunah chuan result a hlawhtling hle.
Vun tichhe thei Mastectomy tih a ni
Hei hi tunlaia hmanraw hman tlanglawn ber a ni. Hetiang tih danah hian doctor-te chuan uluk takin hnute hnuaia cancer vei theihna tur glandular tissue chauh an la chhuak a, vun a tichhe lo. Hei hian cancer thlen thei tissue tam tak a paih chhuak a ni.
A tlangpuiin hnute leh a chhehvel vun dum (areola) te chu an paih chhuak thin. Hei hi a chhan chu bawnghnute kawng zawng zawng hi hnute nen a inzawm vek a, chu hmunah chuan glandular tissue tam tak a awm a ni. Mahse, hnute vun chu a awm tawh avangin hnute siam thar leh (breast reconstruction) chu a awlsam zawk hle.
Hnute siam that nghal vat
Thil tam takah chuan tunah chuan hnute siam thar lehna chu mastectomy nen a rualin tih theih a ni tawh a, i taksa hmun danga tissue emaw, special implant emaw hmangin.
Heng hmanraw pahnih hi an inzawm khawm chuan, chu chu vun chu vawn that a nih chuan hnute chu lakchhuah a ni a, a ruala siam thar leh a nih chuan a rah chhuah chu a hlawhtling hle a ni. He surgery nei hmeichhe tam tak hian an thutlukna leh operation hnua an hmel lan danah an lawm hle.
Take-Home Thuchah a ni
- Preventive mastectomy hi mi zawng zawng tih theih a ni lo. Hmeichhia hnute cancer vei theihna sang tak nei tan chauh a tha.
- He surgery hian cancer vei theihna chu a ti bo vek lo (100%) a, mahse 90% aia tam a tihziaawm thei a ni .
- Chutiang thutlukna lian tak siam hmain genetic counseling leh psychological counseling zawn a pawimawh hle .
- Tunlai vun tichhe thei surgery leh siam that nghal dan hmang hian hmel tha tak tak kan nei leh thei ta a ni.
- A pawimawh ber chu hemi chungchanga zawhna leh hlauhna i neih apiang chu i doctor nen zalen taka sawiho hi a ni. I mimal risk leh i tana duhthlan tur tha ber berte chu a hrilhfiah ang che.
Hnute Cancer, Preventive Mastectomy, Mastectomy, BRCA, Cancer Risk, Mastectomy, Hmeichhe hriselna
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