Nangmah emaw, i hriat mi emaw cancer vei tih i hriat chuan i rilruah hlauhna lian ber pakhat chu, "Taksa peng dangah a darh tawh em?" Chu chu a nihna takah chuan hlauhna awmze nei tak a ni. Vawiin hian chu zawhna chhanna zawng tura doctor-te hman thin test pawimawh tak chungchang kan sawi dawn a ni. Sentinel Node Biopsy tih a ni.
Sentinel Node Biopsy hi a awlsam zawngin eng nge ni?
Hei hi hrethiam tur chuan kan taksaa lymph node awmte hi tlem han zir hmasa ila. Hengte hi kan taksa zawng zawnga awm, bean ang chi gland te tak te an ni. Kan taksaah hian "filter" ang mai an ni. An hna chu kan taksa chhunga tui awmte filter a, thil tha lo, hrik, bacteria leh cancer cell te man hi a ni. Police checkpoint ang mai a ni.
Tûnah chuan, cancer cell-te chu tumor aṭanga darh ṭan a nih chuan, chu cell-te chuan an tihtawp hmasak theihna tûr lymph node engemaw zat a awm tih han ngaihtuah teh . Chu 'gateway' lymph node hmasa berte chu "sentinel nodes" kan tih chu an ni.
A awlsam zawngin sawi ila, sentinel node biopsy chu checkpoint hmasa ang maia sentinel node pakhat emaw a aia tam emaw surgery hmanga lakchhuah a, cancer a darh tawh leh awm loh enfiah a, chu chu cancer cell awm leh awm loh test a ni.
Eng dinhmunah nge he test hi tih a nih?
Doctor-te chuan he test hi cancer stage hriat nan an hmang ber a ni. Chu chu cancer hi eng chen nge a darh tawh tih leh a nasat zia hriat chian nan a ni. Hei hi heng dinhmunteah hian a pawimawh zual hle a ni:
- Hnute Cancer a ni
- Melanoma vun cancer a ni
Hei bakah hian he method hmang hian penile cancer leh endometrial cancer stage hriat theih a ni bawk. Tunah hian cancer chi dang engemaw zat tan he method hi engtiang chiahin nge a tangkai tih hriat tumin zirchianna kalpui mek a ni. Chung zingah chuan serh cancer, colorectal cancer, leh thyroid cancer te pawh a tel.
A tam zawkah chuan he biopsy hi main tumor lakchhuahna atana surgery neih ruala tih a ni a, mahse a chang chuan a hranin tih theih a ni a, a hma emaw, a hnuah emaw pawh tih theih a ni.
He surgery hma hian engtin nge ka inbuatsaih ang?
Hei hi surgical procedure a nih avangin doctor thupek dik taka zawm a pawimawh hle. Thil hrang hrang chungchangah thupek i dawng tlangpui ang:
- Chaw nghei: Operation hmaa engtikah nge ei leh in chawlhsan tur tih leh eng nge ei tawh loh tur tih te.
- Damdawi:Damdawi, vitamin emaw, supplement dang emaw i ei a nih chuan, i doctor chuan i ei tawh loh a ngai em tih a zawt ang che.
Tin, operation zawhah in lama hruai turin tu emaw nen inbiakna neih a pawimawh bawk.
Engtin nge surgery hi tih a nih?
Hetiang kalphung hi systematic takin a thleng thin.
Operation hma emaw, operation neih lai emaw chuan i doctor chuan i tumor-ah thil bik a inject ang. Hei hi radioactive substance (tracer) him tak emaw, blue dye emaw pawh a ni thei. He thil hi tumor atanga sentinel node thlengin a kal a, chu chu "checkpoint hmasa ber" a ni. Hei hian surgeon chu a lak chhuah tur node dik tak a zawng chhuak thei a ni.
Tichuan, step khat hnu step khatin eng nge thleng tih i en ang u.
| Step hrang hrang | Eng thil nge thleng? |
|---|---|
| 1. Anesthesia hmanga tihdam theih | Natna engmah i hriat loh nan anesthetized vek (completely unconscious) i ni ang. |
| 2. Sentinel Node zawn chhuah | Radioactive material chu inject a nih chuan node awmna hmun chu gamma detector an tih device bik hmangin an hmu chhuak thin. Blue dye inject a nih chuan node chu blue angin a lang ang. A châng chuan tih dân pahnih hi hman a ni. |
| 3. Node atanga lak chhuah | Surgeon chuan incision te tak te a siam a, sentinel node hriat chhuah pakhat emaw a aia tam emaw (a tlangpuiin 1 atanga 5) a la chhuak thin. |
| 4. Test tura thawn | Node lakchhuah te hi lab-ah thawn a ni a, chutah chuan pathologist chuan microscope hmangin cancer cell a awm em tih a enfiah thin. Chumi hnuah chuan incision chu stitches hmangin an khar leh thin. |
Operation hnuah eng nge i beisei theih ang?
Mi tam zawk chu ni khatah an haw thei a, mahse damdawi inah zan khat riah a ngai mai thei. Surgery hnua dam hun chhung hian heng thilte hi tawn chu thil pangngai a ni tih hre reng ang che.
- Incision siamna hmunah a na a, i hmet chuan a na bawk .
- Chu lai hmuna vun chu a hlim hmel hle (chu chu chu nerve te chu a lo awm leh chuan a thleng thin).
- I zun emaw, i bawlhhlawh emaw chu ni engemaw zat chhung chu i kawr dum i hman avangin a sen emaw, a sen emaw a ni thei .
- Incision chhehvel vun chu a blue hmel hle .
- Hliam a dam chuan vun hnuaiah lump ang maia khauhna hriatna .
- I kutphah aṭanga rulhut i lak chhuah chuan i kut chu a tight emaw, a nuam lo emaw a awm thei .
Damdawi in chhuahsan hmain i doctor emaw nurse emaw hnenah i hliam enkawl dan tur leh fimkhur dan tur te zawt hmasa phawt ang che. Engtikah nge exercise i tih tan leh theih ang tih leh weights i chawi leh theih ang tih pawh zawt bawk ang che.
He surgery hian eng hlauhawmna leh harsatna nge a neih?
Hei hi a tam zawkah chuan surgery him tak a ni a, mahse surgery dang ang bawkin hlauhawmna tenau tak tak a awm.
| Risk/Complication awm thei | Hrilhfiahna |
|---|---|
| Hliam kaihhnawih harsatna | Incision na hmunah thisen a chhuak thei a, a hliam thei a, a hring thei a, a na thei bawk. A chang chuan hliam hi a inkai thei bawk. Hliam a sen a, a hring a, khawsik a nei a nih chuan chu chu natna kai chhinchhiahna a ni. |
| Allergic avanga thil thleng | A tlem hle a, mi thenkhat chuan chu rawng dum chu allergy an nei thei. |
| Lymphedema natna (Lymphedema) a awm | Lymph node te lakchhuah a nih chuan lymph fluid luang chhuak a tikhawlo thei a, chu chuan tui chu a inzawm khawm a, kut emaw ke emaw a hring chhuak thei a ni. Mahse, sentinel node tlemte chauh lakchhuah a nih chuan he risk hi a hniam zawk hle. |
| Axillary Web Syndrome (AWS) natna a awm thei lo. | Hei pawh hi thil thleng tlem tak a ni. Armpit atanga lymph node lakchhuah a nih chuan i kut chhunga vun hnuaiah hrui ang maia hriatna i nei thei. |
Heng symptoms te hi i neih chuan doctor hnenah hriattir nghal rawh.
Engtin nge test report hi a lo luh? Eng nge a awmzia?
Report result hi chi hnih a ni a, ‘Negative’ emaw ‘Positive’ emaw a ni .
- A result chu ‘Negative’ a nih chuan:
Chu chu i sentinel node-ah cancer cell hmuh tur a awm lo tihna a ni. Hei hi thu lawmawm tak a ni a, a chhan chu cancer hi lymph node dangah a darh a rinawm loh hle tihna a ni.
- A result chu ‘Positive’ a nih chuan:
Chumi awmzia chu sentinel node lakchhuah tawhah hian cancer cell a awm tihna a ni. Hetih lai hian i doctor chuan cancer hi eng chen nge a darh tih chhui chian lehzual a, lymph node tam zawk paih chhuah a tum mai thei. A nih loh leh, enkawlna dang, radiation therapy ang chi chu a rawt thei bawk.
Results hmuh theih hun chhung hi a inang lo thei. Ni khatah a ni thei a, kar engemaw zat a la ngai thei bawk.
Engtikah nge doctor ka biak ang?
Surgery hnua heng symptoms zinga pakhat tal i hriat chuan doctor ko nghal mai tur a ni.
- Khawsik i neih chuan .
- Incision site chu a hring, a sen, emaw, a lum emaw a nih chuan .
- Hliam chu thisen a chhuak chhunzawm zel a nih chuan .
- Painkiller i ei hnuah pawh tuar theih loh khawpa natna i neih chuan.
Take-Home Thuchah a ni
- Sentinel node biopsy hi kan taksa peng dangah cancer a darh tawh em tih hriat nan test pawimawh tak a ni.
- Chumi atanga result lo chhuak chu doctor-te tan chuan i cancer stage hriat chian leh nakin lawka enkawl dan tur ruahmanna siamna kawngah nasa takin a pui dawn a ni.
- Hei hi a tlangpuiin operation him tak a ni a, side effect awm thei apiang chu enkawl theih a ni fo.
- ‘Negative’ result hi cancer a darh loh zia chhinchhiahna tha tak a ni a, ‘positive’ result erawh chuan nakin lawka enkawl dan tur kaihhruaina a pe thung.
- Operation hma emaw, operation hnu emawa zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor nen zalen takin sawipui rawh.
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