"Cancer" tih thumal kan hriat hian kan cringe deuh vek a ni lawm ni? Hmeichhia zingah chuan hnute cancer chungchang kan hriat hian hlauhna tlem kan neih hi thil pangngai a ni. Mahse, kan hlauh hmain hei hi dik taka hriatthiam a pawimawh . Thu lawmawm tak chu tunlaia medical test hmasawn tak tak, a bik takin mammograms avang hian hnute cancer hi a tir lamah hriat theih a ni. A hmaa hmuhchhuah a nih chuan a dam vek theihna chance a sang zawk hle. Chuvangin he thu hi chipchiar takin, awlsam takin han sawi ila.
Breast cancer vei theihna tur risk factors te chu engte nge ni?
Hnute cancer thlentu pakhat mah a awm lo. Mahse, doctor-te chuan mi pakhatin he natna a vei theihna tipungtu thil engemaw zat an hmuchhuak a. Hengte hi ‘risk factors’ kan ti thin. Chung zinga pakhat emaw a aia tam emaw i neih chuan cancer i vei ngei ang tihna a ni lo. Mahse hengte hi kan hriat chian a pawimawh.
Risk factor nei lo pawhin hnute cancer a vei thei tih hre reng ang che. Chutiang bawkin, heng risk factor engemaw zat nei mi pakhat chu a dam chhung zawngin natna lakah a fihlim thei a ni. A pawimawh ber chu fimkhur hi a ni.
Hetah hian risk factors list kan rawn tarlang e. Hei hi hriatthiam awlsam zawk nan table-ah han thlir ila.
| Risk Factor a ni | A awlsam zawnga sawifiah chuan... |
|---|---|
| Hmeichhia nih hi | Breast cancer hi hmeichhiaah a awm tam ber a, mahse mipaah erawh a awm tlem hle. |
| Kum upa lam | Kum upat rualin a hlauhawmna a sang chho zel a, a bik takin kum 50 hnuah chuan a hlauhawmna a sang chho zel a ni. |
| Chhungkaw chanchin | Thisen lama i chhungte hnai tak, i nu, i farnu emaw, i fanu emaw chuan hnute cancer a vei a nih chuan i hlauhawmna chu a sang deuh hlek a ni. |
| Mimal chanchin | Tun hmaa i hnute pakhatah cancer i vei tawh a nih chuan i hnute dangah pawh cancer vei theihna a awm. |
| Nau neih leh hnute pek | Kum 30 hnua i fa hmasa ber neih te, fa neih loh te, fate hnute pek loh te hian i hlauhawmna a tipung thei a ni. |
| Thlasik lai a ni | Kum 12 an tlin hmain thlasik hi a intan a, kum 55 hnuah menopause (thlasik tihtawp) a ni. |
| Genes tihdanglam a ni | Gene BRCA1 emaw BRCA2 emawa mutations kengtute tan chuan risk hi a sang zawk hle. Hengte hi thlah kal zelah genetic changes a ni. |
| Taksa rih zawng | Thau lutuk hi risk factor a ni a, a bik takin menopause hnuah. |
| Hormone hmanga enkawl a ni | Hun rei tak chhunga hormone replacement therapy (HRT) estrogen leh progestin awmna menopause atana hman te, naupai venna atana hmanraw thenkhat hormone awmna te. |
| Zu in hman dan | Nitin zu in thinte chu zu in lote aiin an hlauhawmna a sang zawk. Risk hi a tam chhoh zel chuan a sang chho zel a ni. |
| Thil dangte pawh | Tun hmaa rilru lam area-a radiation therapy lo dawng tawh, taksa tihchak loh, thau tamna leh thei leh thlai tlem ei leh cancer ni lo hnute tumor dang fibroadenoma awm te. |
Hnam emaw, khawtlang nun emaw hian risk a nghawng em?
Hei hi zawhna buaithlak deuh a ni. Chhanna awlsam ber chu hnute cancer hi hnam, sakhaw leh chi hrang hrangah chauh natna a ni lo tih hi a ni. Hmeichhia tu pawh, khawvel khawi hmunah pawh a nghawng thei.
Amaherawhchu, khawvel ram hrang hranga zirchianna an neihah chuan mi pawl thenkhat chuan he natna vei leh thihpui theihna kawngah hian danglamna an nei tih hmuhchhuah a ni. Hei hi a chhan ber chu an genes chauh a ni lo. A pawimawh zawk chu an chenna khawtlang, sum leh pai leh nunphung (social background) hi a ni.
Hnam ṭhenkhatah chuan hmeichhiate chu natna a lo zual tawh emaw, an dinhmun a ṭhat loh lai emaw chuan cancer vei an ni thei tih hi han ngaihtuah teh. Hei hi chhan hrang hrang a awm a:
- Awareness tlakchhamna: Hnute cancer chhinchhiahna hmasa ber, i hnute mahni inenfiah dan tur leh damdawi lam pan tur chhan hriat lohna.
- Damdawi lam service hmuh harsatna: Sum leh pai lama harsatna, lirthei indaih lohna, leh chhungkaw doctor (Primary Care Provider) awm lohna te hian miten an natna a nasat hma chu an nghah tir thei a ni.
- Cultural beliefs: Mi thenkhat chuan doctor an hmuh hmain an damloh chuan traditional emaw "village medicine" dang emaw an pan thin. Hei hian a chang chuan diagnosis leh treatment a tikhawtlai thei bawk. (Pawimawh: Hei hi hnam damdawi hmuhsitna tur a ni lo. Amaherawhchu, cancer ang natna a nih chuan khawthlang lam damdawi lam danah chuan a hmaa hriatchhuah leh enkawl a pawimawh hle.)
- Healthcare system rin lohna: A chang chuan miten damdawi in leh doctor chungchanga hlauhna emaw, ngaihdan dik lo emaw an neih avangin an natna lanchhuahna chu an nei a nih pawhin an thup thin.
Heng thilte hi Sri Lanka ramah pawh kan tan a inzawm tlat a ni. Khawpui chhunga mi tu emaw tana hmanraw awmte chu khaw harsa takah mi tu emaw tan chuan a awm lo mai thei. Chuvangin a pawimawh ber chu, i khawtlang leh sum leh pai dinhmun eng pawh ni se, i taksaah inthlak danglamna i hmuh chuan hlau leh zak lo la, a rang thei ang bera doctor pan la, thurawn la rawh.
Engtin nge i tih ang? Hriat hmasak a pawimawhzia
He thuziak i chhiar zawh hnua hlauhna i neih chuan dah bo mai rawh. He thuchah hian a tum ber chu i hlauhthawn nan ni lovin, i zirtirna tur a ni. Awareness hi chakna lian ber a ni.
Nangmah ngeiin i tih tur thilte
- Thla tin hnute self-exam nei thin ang che:Thla khatah vawi khat, i period hnu ni 5-7 hnuah, i hnute pahnih chu muhil chungin darthlalang hmaah enfiah thin ang che. Lump, vun inthlak, hnute inthlak, emaw, tui chhuak eng pawh zawng rawh. Hetiang tih dan tur i hriat loh chuan chhungkaw doctor hnenah zawt la.
- I taksaa inthlak danglamna awmte chu hre reng ang che: I hnute emaw, i kutphah emaw a inthlak danglamna i hmuh chuan, a hring thar, a thim, a hring, vun rawng danglam (orange peel ang), hnute chhunga indentation, hnute atanga thisen emaw tui dang emaw, emaw vun a na emaw a sen emaw te chu ngaihthah suh.
Engtikah nge doctor i hmuh ang?
A chunga kan sawi tawh ang hian inthlak danglamna i hmuh chuan, a te pawh nise, a rang thei ang bera doctor pan rawh. Lump zawng zawng hi cancer a ni vek lo. Mahse doctor chuan cancer a nih leh nih loh a rel tur a ni.
I kum leh i risk factors a zirin i doctor chuan mammogram emaw ultrasound scan emaw ang chi test a ti thei bawk.
Take-Home Thuchah a ni
- Hnute cancer hi hlauh tur a ni lo va, fimkhur tur a ni.
- I hnute a danglamna danglam tak tak (lumps, swelling, skin changes) a awm chuan fimkhur rawh. Chung zinga pakhat tal i hriat chuan doctor pan nghal rawh.
- Thla tin hnute mahni inenkawl hi tih danah siam rawh. I nunna chhanhimna kawngah a pui thei ang.
- Nunphung hrisel (ei leh in tha, exercise, zu tihtlem) hian a hlauhawmna a ti tlem thei a ni.
- I kum leh chhungkaw chanchin a zirin i doctor-in a rawtna test (e.g., mammogram) chu a hun takah ti rawh. Hriat hmasak hi venhimna tha ber a ni.
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