I mammogram-ah "abnormal cells" a awm a nih chuan hlauhna leh lungkhamna i neih hi thil pangngai a ni. "Hei hi cancer a ni em? Ka nun hi engtin nge a awm ang?" I ngaihtuah mai thei. Mahse, hlauthawng suh. I ngaihtuah angin a pawi lo mai thei. A tam zawkah chuan hei hi hnute cancer hmasa ber a ni a, "Stage 0" tia hriat a ni. Chu chu vawiina kan sawi tum chu a ni. Eng nge a nih tak tak tih te, ngaihtuah tur a ni em tih te, eng enkawlna nge awm tih te hi han thlir thuai ila.
Hei hi eng nge ni ‘Stage 0’?
A awlsam zawngin, stage 0 tih hian cancer cell emaw, cell pangngai lo emaw chu an tan tirhna hmunah, hnute hnute tui kawng emaw, lobules emaw-ah an la awm tihna a ni. Heng cell te hi a chhehvela tissue hrisel takah hian an la darh (invade) lo. Doctor-te chuan he natna hi "in situ" tiin an sawi. Chu chu "a awmna hmun" tihna a ni.
Hnute chhunga bawnghnute kawng (milk ducts) te hi in chhunga pipe system angin han ngaihtuah teh. Heng cell pangngai lo te hi chu pipe chhungah chauh an awm a ni. Pipe bangte chu an la tichhia a, in chhung hmun dangah pawh an la darh lo. Chu chu hetah hian thil thleng a ni. Hei hi a pawimawh hle a, a chhan chu hetiang dinhmunah hian hmuhchhuah a nih chuan enkawl theih a ni a, a dam vek tawh mai thei .
‘Stage 0’ hi chi hnih a awm a. A hranin han en ila.
| Specialty a ni | DCIS (Ductal Carcinoma In Situ) tih a ni a, a rilru a hah lutuk chuan a rilru a buai em em a. | LCIS (Lobular Carcinoma In Situ) tih hi a awm lo. |
|---|---|---|
| Awmzia | Hnute hnute kawng (milk ducts)-a cell pangngai lo awm. | Hnute hnute siamtu glands (lobules)-a cell pangngai lo awm. |
| A nasat dan | Hei hi ‘pre-cancer’ condition anga ngaih a ni. Enkawl loh chuan nakin lawkah invasive cancer-ah a chang thei a ni. | Hei hi cancer a ni lo. Mahse, ‘risk marker ’ anga ngaih a ni a, chu chuan nakin lawkah hnute pahnih cancer vei theihna a tipung a ni. |
| Hriatchhuahna | Mammogram hmangin a hriat theih fo. | Vawi tam tak chu lump hi hriat theih a ni lo. A chhan dang vangin hnute biopsy an tih laiin accident-in hmuh a ni. |
| Eng nge tih tur | Enkawl tan nghal tur a ni. | Doctor nen ngun taka enfiah leh sawiho fo a ngai a ni. A hlauhawmna tihtlem nan enkawl a ngai mai thei. |
DCIS enkawl dan tur chu engte nge ni?
DCIS hi nakin lawka cancer darh zel tur a nih theih avangin, a hriat chhuah veleh enkawl vat a pawimawh hle. Vanneihthlak takin enkawlna te hi a hlawk hle.
1. Surgery tih a ni
Hei hi a enkawlna ber a ni. Surgery hi chi hnih a awm a.
- Lumpectomy: Hei hian lump emaw, cell pangngai lo awmna hmun emaw chauh lakchhuah a ni a, chubakah a chhehvela tissue hrisel thenkhat pawh lakchhuah a ni. A hnute pum pui a la chhuak lo.
- Mastectomy: A then phei chuan DCIS hi a lian emaw, hnute pumpuiah a darh tawh emaw a nih chuan doctor-te chuan hnute pumpui lakchhuah an rawt mai thei. He thutlukna hi doctor nen uluk taka sawiho hnuah siam a ni.
Hmeichhe thenkhat chuan mastectomy an tih hnuah hnute siam thatna surgery neih an tum bawk. Mimal thutlukna vek a ni.
2. Radiation Therapy hmanga enkawlna
Radiation therapy hi lumpectomy hnuah pek thin a ni tlangpui. Hei hian high-energy rays hmangin operation hnua microscopic abnormal cell awm thei zawng zawng chu a tichhia a ni. Operation hnua a hmun uluk taka tihfai ang mai a ni a, chu chuan harsatna lo awm leh theihna a ti tlem a ni.
3. Hormone hmanga enkawlna
I DCIS chu hormone-receptor positive a nih chuan i doctor chuan operation hnuah hormone therapy a rawt thei ang. Heng damdawi te hian nakin lawkah hnute pahniha cancer thar lo awm theihna a ti tlem a ni.
LCIS vei tan eng nge i tih?
Kan sawi tawh ang khan LCIS hi cancer a ni lo va, nakin hun atana vaukhânna chhinchhiahna a ni . Chuvangin a enkawl dan pawh a danglam deuh hlek a ni. Hetah hian a pawimawh ber chu hlauthawng ni lovin, ruahmanna fel tak neia thil tih hi a ni.
- Close monitoring: Hei hi a pawimawh ber a ni. I doctor-in a rawt angin hnute enfiah, mammogram leh scan tul dangte neih fo a pawimawh hle.
- Hormone therapy: LCIS vei hmeichhiate pawh nakin lawka cancer vei theihna tur tihziaawmna turin hormone therapy (e.g., Tamoxifen) pek an ni thei bawk.
- Preventive Surgery: Hei hi mi zawng zawng tih theih a ni lo. Mahse, hmeichhia hnute cancer vei theihna sang tak nei te hian a chang chuan he thutlukna hi an siam thin. He high-risk group-ah hian tute nge tlu?
- Chhungkaw member hnai tak (nu, unaunu) chuan hnute cancer a vei tawh a nih chuan.
- I hnute cancer vei theihna tipungtu gene mutations, BRCA1 emaw BRCA2 emaw i nei tih hmuhchhuah i nih chuan.
Chutiang hunah chuan hmeichhe thenkhat chuan nakin lawka an hlauhawm loh nan double mastectomy tih an tum thin. Hei hi mimal leh thutlukna pawimawh tak a ni a, doctor nen uluk taka sawiho hnua siam tur a ni.
Engtin nge i duh ber chu i thlan?
Heng zawng zawng i chhiar zawh hnu hian, "Ka tan eng nge tha ber?" A chhanna chu nangmah, i doctor kutah a awm.
'Stage 0' hi thi tura hremna a ni lo tih hre reng ang che. Hei hi enkawl theih sang tak, a hmaa hriat chhuah theih a ni.
I doctor chuan i dinhmun (DCIS emaw LCIS emaw), a lian leh te, i kum, i chhungkaw chanchin leh i mimal duh dan te ngaihtuah chungin, i tan enkawlna tur ruahmanna tha ber a rawn rawt ang che. Zawhna emaw ngaihtuahna emaw i neih chuan doctor nen sawiho ngei ang che . Zalen taka a bula inbiakna hi thutlukna i siam theih ṭha ber a ni.
Take-Home Thuchah a ni
- ‘Stage 0’ hnute cancer tih awmzia chu cell pangngai lote chu an tanna hmunah (ducts emaw glands-ah) an tang tlat tihna a ni. A chhehvel tissue-ah an la darh lo.
- DCIS hi enkawl vat a ngai a, a chhan chu enkawl loh chuan cancer darh zel a ni thei a ni.
- LCIS hi cancer a ni lo va, nakin lawka cancer vei theihna tur hriattirna a ni zawk a , damdawi lam pawhin uluk taka enkawl a ngai a ni.
- Surgery, radiation therapy, leh hormone therapy te hi a hlawhtling hle a, damna rate pawh a sang hle.
- I duhthlan tur zawng zawng, a thatna leh tha lo zawng zawng, i doctor nen sawiho a, i tana tha ber tur thutlukna siam a pawimawh. Inhriattir a pawimawh a, hlauh loh a pawimawh.
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