R-CHOP enkawl dan i zir dawn em ni? Cancer dona kawnga hmalakna pawimawh tak (R-CHOP)

I doctor-in emaw, i hmangaih tak emaw cancer i vei thu a hrilh che hian hlauhna, lungkhamna leh rinhlelhna i neih thin chu ka hrethiam. Chutih rual chuan, i doctor-in “R-CHOP” tih damdawi chungchang a hrilh che hian i rilruah zawhna tam tak a lo thleng mai thei a, chu chu, “Eng nge ni?Eng nge a tih?” Lungngai suh. Vawiin hian R-CHOP chu eng nge a nih, eng nge a tih, leh a hmachhawn dan tur chu awlsam takin i hriatthiam theih tur angin kan sawi dawn a ni.

A awlsam zawngin, R-CHOP chu eng nge ni?

R-CHOP hi cancer cells thattu damdawi panga inzawmkhawm a ni . Cancer chi khat non-Hodgkin lymphoma tih damdawi tha tak a ni. A hminga letter tin hian he enkawlna atana hman damdawi pakhat a kawk a ni.

Kan hmuh angin hei hian chemotherapy damdawi bakah immune -targeting drug (Rituximab) a huam tel bawk. Chuvangin doctor-te chuan he enkawlna hi "immuno-chemotherapy" an ti fo thin.

R-CHOP enkawlna hi eng cancer chi nge hman?

He enkawlna hi cancer chi khat non-Hodgkin lymphoma tih tan pek a ni ber. Tin, chi khat, diffuse large B-cell lymphoma (DLBCL) tan pawh a tangkai hle. Tin, R-CHOP hi a hnuaia cancer chi hrang hrang tan pawh hman a ni :

• Follicular lymphoma natna hmasawn tak a ni
• Mantle cell lymphoma natna a ni
• Waldenstrom natna hrik (macroglobulinemia) a awm

A then phei chuan i doctor chuan cancer chi dang enkawlna bakah R-CHOP pek a tum mai thei.

Engtin nge enkawlna hian hna a thawh?

R-CHOP enkawlna hi “cycle”-ah pek a ni. Cycle tin hi kar thum (ni 21) chhung a ni tlangpui. He cycle hi a ṭhen hnih a awm a:

1. Enkawlna ni: Damdawi pek i nih ni.

2. Chawlh ni: I taksa a dam leh theih nan leh a round leh tur hmaa a dam theih nan ni.

Enkawlna ni

Damdawi hi ni nga chhung pek theih a ni. Prednisone (the steroid ) hi pill i ei thin a ni. Damdawi dang pali chu saline solution angin vein-ah (intravenous infusion – IV) pek a ni. Hei hian damdawi in emaw clinic emaw pan a ngai dawn a ni. Chutah chuan chair-ah i thu ang a, machine chuan zawi zawiin damdawi chu i taksa vein pakhatah a inject ang. He vein hi i kut, kut emaw, i rilruah emaw a awm thei. Enkawlna chu rilru kaltlanga pek a nih chuan vun hnuaiah hian hmanraw te tak te `port-a-cath` (chemo port) an dah thei a ni.

Inenkawlna ni hmasa berah chuan natna hrik i neih loh nan damdawi pek i ni ang. Allergy laka invenna damdawi pek i ni bawk ang. Rituximab a niDamdawi pek a nih hian tlem a luak chhuak leh lum deuh hi thil pangngai a ni. Chuvang chuan he damdawi hi a tir lamah chuan fimkhur takin an pe thin. Mahse, ngaihtuahawm tur a awm lo, allergy na tak i neih loh nan damdawi tul tak tak pek hmasak i nih dawn avangin.

Chawlh ni te

Cycle pangngaiah chuan enkawl hnuah ni 16 vel chawlh i nei ang. R-CHOP hmanga enkawlna hian cancer cell a tihchhiat avangin taksa chu a chau hle niin a hria. Chuvangin heng ni chhung hian hah lutuka inhriat hi thil pangngai tak a ni. Hetih hun chhung hian nitin hna thawh turah chhungte leh thiante hnenah tanpuina dil hi a tha hle.

Heng chawlh ni chhung hian i tih theih ang anga i inhriat chuan doctor chuan exercise light tak tak, kea kal ang chi tih a rawt a ni. Tui tam tak in leh ei tur tha tak tak ei a pawimawh hle bawk .

He enkawlna hian eng nge a hlauhawmna leh a nghawng tha lo?

Damdawi dang ang bawkin R-CHOP hian side effect a nei thei a ni. Mahse, i doctor chuan heng side effect tam tak hi venna emaw, enkawl emaw atana i mamawh damdawi a pe ang che tih hre reng ang che. Mi zawng zawng hian heng side effects zawng zawng hi kan nei vek lo. Mi tin a inang lo. Side effects awm fo thin thenkhat han thlir ila.

Heng bakah hian hmui na, vun na, lu na, chaw ei kham emaw, luak chhuak emaw, rilru na, mut theih lohna, leh rilru natna te pawh i nei thei bawk. Chung zinga pakhat tal chu i doctor nen sawiho rawh.

Engtikah nge doctor ka biak ang?

I natna lan chhuah dan thar i neih chuan emaw, enkawl laiin i natna lan chhuah dan eng emaw a lo zual chuan doctor hnenah hrilh nghal rawh, a bik takin khawsik i neih chuan.

Thâwk harsa emaw, rilru na tak tak emaw a awm chuan damdawi in hnai ber Emergency Department (ETU)-ah kal nghal tur a ni.

Engtin nge he enkawlna hun hi ka tan awlsam zawka ka siam theih ang?

He indona hi nangmah chauha i beih tur a ni lo. He hun hi a awlsam zawk nan thil tlemte i tih theih a awm.

• Hriat tur: I doctor nen in enkawl dan leh i beisei theih turte sawipui rawh. Zawhna zawh hreh suh.
• Ṭanpuina dîl rawh: Chhungte leh ṭhiante hnênah inchhûng hna, chaw buatsaih leh damdawi ina kalna kawngah ṭanpuina dîl rawh.
• Ei leh in tha: Chaw tha tak tak ei thin ang che. Tui leh tui tam tak in thin ang che.
• Support dawng rawh: I doctor hnenah support group chungchang zawt la, chutah chuan nangmah ang bawka enkawl mek midangte pawhin cancer an hmachhawn a ni. I thil tawn sawipui tur mi neih hi chakna ropui tak a ni.

R-CHOP enkawlna kar hmasa berte hi hun harsa tak a ni thei. Damdawi ei ni hi a rei thei a, a side effect pawh hmachhawn a harsa thei bawk. Mahse mi tam tak tan chuan R-CHOP result hi a phu zawk a ni. Heng damdawi pathum (targeted, chemo, leh steroid) te hi an inzawmkhawm hian cancer cell te chu tha takin a that thei a ni. I natna hmuhchhuah dan azirin hei hian cancer chu a remission vek thei a ni.

R-CHOP, cancer, Non-Hodgkin lymphoma, chemotherapy, targeted therapy, cancer enkawlna, side effects te pawh a awm thei