Pap test hnua report-a ‘SIL’ emaw ‘Squamous Intraepithelial Lesion’ tih thumal i hmuh hian tlem chuan hlauhna leh lungkhamna i neih hi thil pangngai a ni. "Hei hi eng nge ni? Cancer ka nei em?" rilruah a lo lang nghal mai thei. Mahse, hlauthawng suh. Thâwk la la, thlamuang rawh. SIL hi cancer a ni lo. Mahse, kan hriat chian a ngai a ni. Chuvangin, vawiin hian SIL hi eng nge a nih, engvangin nge a lo thanglian tih leh eng nge tih tur tih te chu awlsam takin kan sawi dawn a ni.
A awlsam zawngin, he SIL hi eng nge ni?
SIL, a nih loh leh Squamous Intraepithelial Lesion , hi kan taksa vun chunglama cell te, a bik takin taksa peng thenkhat khuh tu membrane te tak te chhunga cell te chu a tlangpui aia danglam deuh, a mumal lo deuha an lo thang lian thinna a ni. "Intraepithelial" tih thumal ngei pawh hian he inthlak danglamna hi vun/membrane chunglam layer-ah chauh a awm tihna a ni a, a thuk zawk lo tihna a ni.
Kan vun hi brick wall, felfai taka siam angin han ngaihtuah teh. SIL-ah chuan he brick wall-a brick row chung ber chu hrual a, a pianzia danglam tak ang mai a ni. Wall chu a la nghet hle a, mahse a chung lam layer-ah chuan danglamna tlem a awm.
Heng cell inthlak danglamna chi hrang hrangte hi kan taksa peng hrang hrangah a thleng thei a. A hman tlanglawn berte chu:
- Cervix a awm
- Vagina chu
- Pawn lam atanga chhuak (Vulva) .
- Anus
- Penis a ni
- I rilru hnunglam
A pawimawh ber chu SIL hi cancer a ni lo . Mahse precancer kan ti a ni . Chumi awmzia chu heng cell inthlak danglamna te hi rei tak kan enkawl a, kan ngaihven loh chuan nakin lawkah cancer-ah an chantir theihna chance a awm tihna a ni. Chuvang chuan a hmaa hriatchhuah a pawimawh em em a ni.
SIL hi chi hnih a awm a, chungte chu:
Doctor-te chuan heng cell danglam tak takte hi microscope hmangin an en a, SIL chu chi hnih lian takah an ṭhen a, chu chu cell pangngai leh cell pangngai nena an danglamna a zirin a ni.
| SIL chi hrang hrang | Hrilhfiahna awlsam tak |
|---|---|
| SIL (LSIL) grade hniam tak takte chu . (Dysplasia na lo tak) . | Hei hi cell-a inthlak danglamna tlemte a ni. Huana hnim hring hring chhuak ang mai a ni. Chung zinga a tam zawk chu kan taksa hriselna (immune system) hian kan thunun thei a ni. Chumi awmzia chu enkawlna engmah awm lovin anmahni chauhin an dam chak zawk tihna a ni. Cancer-a an chan theihna chance a tlem hle. |
| SIL (HSIL) grade sang tak a ni. (Dysplasia na tak/Na tak) 1.1. | Hetah hian cell-ah hian inthlak danglamna langsar tak, chiang tak a awm. Huan atanga entîrna ang chiah hian hengte hi a lian deuh hlek a, hnim hring zung kai a, a lo hring chhuak ang mai a ni. Anmahni chauhin an dam tha lo zawk . Chuvângin, nakin lawka cancer-a an chan loh nân, enkawlna chi khat i tih a ngai tlangpui . |
SIL lo pian chhuah chhan ber chu eng nge ni?
SIL thlentu ber leh awm tam ber chu Human Papillomavirus , a nih loh leh HPV , mipat hmeichhiatna hmanga kai theih natna (STI) a ni. SIL vei zinga 90% vel chu HPV hian a mawhphurtu a ni.
Kan taksaah HPV virus a luh hian cell thenkhat a nghawng a, chu chuan a tlangpui aia rang zawk leh kawng dangin a inthen darh thin. Hei hi SIL thlentu a ni.
Mahse hei hi a ni: HPV chi hrang hrang 100 chuang a awm.
- A chi thenkhat (e.g. HPV 6, 11) hi risk hniam chi an ni. Hengte hian genital warts leh LSIL conditions ang chi thil a thlen tam zawk.
- Chi dang thenkhat (e.g. HPV 16, 18) chu ``high-risk`` chi anga ngaih a ni. Heng high-risk type te hian HSIL leh cancer an thlen tam zawk.
A tam zawkah chuan kan taksa invenna (immune system) hian HPV infection hi a do let thei a, thla engemaw zat emaw kum khat emaw kum hnih emaw chhungin taksa atangin a tifai thei a ni. Mahse a chang chuan, a bik takin high-risk type te hi taksaah an awm reng thei a, zawi zawiin kum tam tak chhung chu cell a tidanglam thei a, SIL a thlen thei a ni.
Hetiang natna lan chhuah dan hi engte nge ni?
Hetah hian harsatna lian ber pakhat chu SIL natna lan chhuahna chiang tak a awm lo tluk a ni . Mi tam tak chuan Pap smear emaw, chhan dang avanga gynecological exam emaw tih hmangin he natna hi an nei tih an hrechhuak thin.
Mahse, a chang chuan a hnuaia symptoms te hi a lo lang thei. Hengte hi i hriat chuan doctor i pan ngei ngei tur a ni.
Genital area chungchangah chuan:
- Vaginal discharge emaw thisen chhuak danglam tak (a bik takin thlasik pawn emaw, mipat hmeichhiatna hman hnu emaw) .
- Lump emaw genital warts emaw lo lang
- A kang emaw, a hmin emaw
- A pawi hle mai
- A hmuna sen (redness) a awm
SIL hi rilru hnung lamah a awm a nih chuan:
- Beng a na
- Aw ri bengchheng tak
- Thil ei laia natna
- Hun rei tak chhunga awm thei rilru na
- Kawr chhungah glands a lo hring chhuak
Hei vang hian hmeichhia tan chuan Pap smear test neih a pawimawh em em a, a hun takah , symptoms nei lo mahse.
Tute nge SIL vei theihna chance sang zawk?
HPV vei tu pawhin SIL vei thei mahse, mi thenkhat chu an hlauhawmna a sang deuh hlek a ni.
- Immune system chak lote: HIV vei te, organ transplant dawngtu emaw, damdawi lam thil dang avanga immune system chak lo zawkte chuan HPV virus dona kawngah harsatna an tawk nasa zawk.
- Meizial zutute: Cigarette-a chemical awmte hian kan cell-te a tichhe a, kan taksa hriselna a tichak lo a, hei hian meizu mite tan HPV infection control a harsat phah hle.
- Mipat hmeichhiatna hman dan him lo: Mipat hmeichhiatna hmanpui tam tak neih leh invenna hmanrua condom ang chi hman loh hian HPV kai theihna a tipung a ni.
Engtin nge doctor hian SIL hi a hriat theih ang?
SIL hriat theihna tur test eng emaw zat a awm a.
1. Pap Smear: Hei hi test pawimawh ber leh hman tlanglawn ber a ni. He test-ah hian serh atanga cell sample te tak te lak a ni a, microscope hmangin thil danglam a awm em tih enfiah a ni. Anal Pap smear hmangin hnute chhunga SIL hmuhchhuah theih a ni bawk.
2. Colposcopy: I Pap smear report-ah SIL a awm chuan i doctor chuan he test hi a order mai thei. Hei hian serh leh serh enfiah nan colposcope an tih magnifying lens bik hman a huam a ni. Thil danglam bik a awm chuan chiang takin a lang thei.
3. Biopsy: Colposcopy an tih laiin doctor-in rinhlelhna hmun a hmuh chuan tissue te tak te tak te chu la chhuakin lab-ah test turin an thawn thin. Hei hi biopsy an ti a. Hei hian SIL nge LSIL nge HSIL nge a pawi zawk tih a hril a ni .
‘Negative for squamous intraepithelial lesion’ tih hian eng nge a awmzia?
I Pap smear report-ah ``(NILM - Negative for Intraepithelial Lesion or Malignancy)`` tih a nih chuan thu lawmawm tak a ni. I cervical cell-ah hian thil danglam emaw, cancer hmaa chhinchhiahna emaw hmuh tur a awm lo tihna a ni. Mahse he result hi a tha a nih pawhin i doctor nen a hun bituk anga zawm a pawimawh.Pap smear test neih chhunzawm zel a pawimawh hle.
SIL enkawl dan tur chu engte nge ni?
Enkawl dan chu LSIL emaw HSIL emaw i neih leh neih loh, a awmna hmun leh i kum leh hriselnaah a innghat a ni.
- LSIL tan: LSIL vei tam zawk, a bik takin hmeichhe naupangte chu enkawl ngai lovin anmahniin an reh thin . Chuvangin i doctor chuan "watchful waiting" approach a zawm fo ang. Chumi awmzia chu thla 6 atanga kum khat danah Pap smear neih thin a, chu chu cell inthlak danglamna a nasat leh that loh enfiah thin a ni.
- HSIL tan: HSIL hian enkawl a ngai tlangpui a, a chhan chu LSIL aiin cancer a nih theihna a sang zawk a ni. Enkawlna kawng hrang hrang a awm a:
| Enkawl dan tur | Engtin nge kan tih ang |
|---|---|
| Topical treatment te pawh a awm bawk | A then phei chuan a cell pangngai lo awmna hmunah hian cream an hnawih thin. Chungte chuan cell pangngai lote chu a that emaw, taksa immune system a tichak emaw a ni. |
| Cryotherapy hmanga enkawl a ni | Thil lum tak, liquid nitrogen ang chi chu cell pangngai lo awmna tissue freeze leh tihchhiat nan hman a ni. |
| Laser hmanga enkawl a ni | Laser beam chak tak chu a kang a, tissue pangngai lo chu a paih chhuak thin. |
| Excisional surgery tih a ni | Hei hi hmanraw hman tlanglawn ber a ni. LEEP (Loop Electrosurgical Excision Procedure) emaw Cone Biopsy hmanga serh HSIL a awm leh awm loh enfiah a niHetiang method hmang hian cell pangngai lo awmna hmun chauh chu cone angin an cut chhuak a, an paih chhuak thin. |
HSIL i neih chuan cancer vei theihna chance engzat nge ni?
Hei hi mi tam tak tan chuan hlauhthawnna lian tak a ni. Report-in HSIL a tih vang mai mai chuan cancer i nei tihna a ni lo . Cancer- a inthlak thei cell thenkhat an awm tihna mai a ni.
Research atanga a lan dan chuan enkawl loh chuan HSIL vei te hian cancer-ah an chan theihna chance 2% chauh an nei a ni. Mahse chutiang thil a thlen theih nan eng chen nge a duh dawn tih chu tumahin an sawi thei lo. Kum 10 a ni thei a, thla 10 a ni thei bawk.
Chuvangin engmah risk kan la lo va, HSIL kan vei tih finfiah a nih veleh doctor-in a rawt angin enkawlna dik tak hmangin chu cell pangngai lo chu kan paih chhuak ta a ni. Chutianga kan tih chuan cancer vei theihna chu kan titawp vek mai thei.
SIL hi ven theih a ni em?
SIL laka invenna kawng tha ber leh tangkai ber chu HPV virus kai loh hi a ni a, hei hi a chhan ber a ni.
1. HPV Vaccine la rawh: Hei hi a pawimawh ber a ni. HPV vaccine hian cancer leh SIL thlentu HPV chi hrang hrang 90% lakah a venghim a ni. He vaccine hi kum dik takah (a tlangpuiin hmeichhia leh mipa kum 9-14 inkar tan) lak hian nakin lawka hlauhawmna nasa takin a tihziaawm thei a ni. Chumi kum aia upa i nih chuan he vaccine hi i kum nena inmil em tih doctor zawt la.
2. Safe sex: Sex hman apianga condom dik taka hman hian mipat hmeichhiatna atanga kai theih natna lakah a veng thei che a, HPV pawh a tel.
3. Mipat hmeichhiatna lama kawppuite tihtlem: Kawppui an tam dan azirin HPV kai theihna a sang chho zel.
4. Pap smear hi a hun takah tih tir rawh: Symptoms i nei lo a nih pawhin i kum leh risk a zirin i doctor-in a rawt hun chhungin Pap smear ti thin ang che. Hrilhfiahna a awm chuan HSIL ang dinhmun khirh zawka a kal hmain LSIL level-ah man theih a ni.
SIL i vei tih hmuhchhuah a nih chuan hlauhthawn hi thil pangngai tak a ni. Mahse khawvel tawp a ni lo. I taksa vaukhânna a ni a, "Hetah hian thil tlem a awm a, hei hi i ngaihven ang u," a ti a ni. I doctor nen zalen takin inbiakna nei la, report awmzia chu ngaithla rawh. Eng nge i tih leh tur tih chiang takin sawi rawh. A hmaa hmuhchhuah a nih a, uluk taka enkawl a nih chuan hei hi tihdam theih vek a ni.
Take-Home Thuchah a ni
- SIL (Squamous Intraepithelial Lesion) hi cancer a ni lo . Cancer hmaa awm, cancer-ah a chang thei a ni.
- Hei hi a chhan ber chu mipat hmeichhiatna hmanga kai theih HPV virus a ni.
- SIL hi chi hnih a awm a, chungte chu LSIL (mild change, often resolves on its own ) leh HSIL (high-grade change, enkawl ngai) te an ni.
- SIL hian symptom a nei lo fo va, chuvangin a hun taka Pap test neih a pawimawh hle.
- HSIL awm mahse, a hmaa hriatchhuah leh enkawl dan dik (e.g., LEEP) hian cancer lo awm tur chu a veng vek mai thei.
- HPV vaccine lak leh safe sex hman hi SIL laka invenna tha ber a ni.
- I report chungchangah ngaihtuahna emaw rinhlelhna emaw i neih chuan i doctor hnenah hriattirna zawt rawh.
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