I doctor-in nangmah emaw i hriat mi emaw hnenah "Stage III" hnute cancer i vei tih a hrilh hian hlauhna, mangang leh rinhlelhna i neih hi thil pangngai a ni. ‘Tunah hian engtin nge ka tih ang?’, ‘Hei hi tihdam theih a ni em?’, ‘Enkawlna chu a khauh dawn em?’ tih ang chi zawhnate. ka rilruah a rawn lang mai thei. Mahse, lungngai suh. Tunlai damdawi hi a changkang hle. Chuvangin vawiin hian he natna leh a enkawlna hlawhtling tak takte hi i hriatthiam theih tur awlsam takin i sawi dawn nia.
‘Stage III’ hi eng nge ni tak tak?
A awlsam zawngin, hetiang dinhmunah hian cancer hi hnute kaltlangin a bul hnaia lymph node-ah emaw, tawngkam hmanga sawi chuan, armpit-ah emaw a darh tawh a ni. A châng chuan, tumor chu a lianin a lian thei a, chu chu rilru bang emaw, hnute vun ngeiah emaw a inzawm thei a ni.
Hei hi a hlauhawm hle tih chu a dik a, mahse a pawimawh ber chu tun dinhmunah chuan enkawlna kawng khat hmang lovin enkawlna inzawmkhawm hman theih a ni a, hlawhtlinna nasa tak a awm thei a ni.
Tunah chuan heng enkawlnate hi eng nge ni tih i lo en ang u.
Enkawlna ber berte chu engte nge ni?
Stage 3 hnute cancer enkawl hunah i medical team chuan i dinhmun bik atana enkawlna tur ruahmanna tha ber an siam ang. Hemi atan hian enkawlna kawng hrang hrang hman a ni. Anni hi han thlir ila.
| Enkawl dan tur | A awlsam zawngin... |
|---|---|
| Chemotherapy hmanga enkawl a ni | Cancer cell tichhe thei damdawi chak tak pek. |
| Inzai | Cancer natna hrik leh a chhehvel tissue te chu surgery hmanga lakchhuah a ni. |
| Radiation hmanga enkawlna a ni | Cancer cell la awm zawng zawng tihchhiat nan high-energy rays hman. |
| Hormone hmanga enkawlna a ni | Cancer tihpunna tura puitu hormone hnathawh tihtawp. |
| Targeted Therapy hmanga tih a ni | Cancer cells tana process bik target-a enkawlna. |
Okay, tunah chuan heng enkawlna kawng tinreng hi chipchiar deuhin han sawi ila.
Chemotherapy hmanga enkawl a ni
Hei hi stage 3 cancer enkawlna atana hman tlanglawn ber a ni.
- Operation hmain: A châng chuan tumor lian tak tak a awm chuan, tumor tihtlem nân operation hmain chemotherapy an pe ṭhin . Hei hian surgery a ti awlsam a, a hlawhtling zawk bawk.
- Surgery zawhah: Chemotherapy hian operation hnua taksaa cancer cell awm reng thei, mahse mitin hmuh theih loh zawng zawng chu a tichhia thei a ni.
- Enkawlna ber angin: A then phei chuan operation tih theih loh chuan chemotherapy hi enkawlna ber atan hman a ni.
He enkawlna hi pill emaw liquid emaw angin ei theih a ni a, mahse a tam zawk chu vein (intravenous emaw IV emaw) hmanga pek a ni. I taksa a insiamrem theih nan cycle inkarah chawlh pek i ni ang.
Inzai
Surgery hi chemotherapy hmanga tumor a tihtlem hnuah tih a ni tlangpui. A chi hnih a awm a, chungte chu:
- Lumpectomy: Hei hian cancer tumor leh a chhehvela tissue hrisel tlemte lakchhuah a ni a, hnute chu a awm reng ang.
- Mastectomy: Hei hian hnute pumpui lakchhuah a ni.
Eng surgery pawh nei ila, cancer darh nana armpit-a lymph node te pawh lakchhuah a ni ang . Operation hnuah, a bik takin mastectomy hnuah pawh i duh chuan hnute siam thatna surgery neih theihna option i nei thei bawk. Hemi chungchang hi i doctor nen sawiho rawh.
Radiation hmanga enkawlna a ni
Surgery hnuah he treatment hi surgery area-a cancer cell te tak te awm thei zawng zawng tihchhiat nan hman a ni. Scrubbing leh rinsing tha tak ang mai a ni. Hei hian hmun khata cancer lo kir leh theihna chu nasa takin a tihziaawm thei a ni.
Hormone hmanga enkawlna a ni
He enkawlna hi mi zawng zawng tan a tha lo. "Hormone receptor-positive" cancer nei tan chauh a pawimawh.
Chu chu eng nge a awmzia?
A awlsam zawngin kan taksaa estrogen ang hormone te hian chu cancer cell te chu a tipung thei a ni. Chuvangin he enkawlna hian chu hormone te chu cancer cell te hnena thlen chu a titawp emaw, chu hormone te hnathawh chu a tikhawlo emaw a ni.
- Hemi atan hian damdawi `Tamoxifen` hi hman tlanglawn tak a ni.
- Aromatase inhibitor, anastrozole (Arimidex) leh letrozole (Femara) te hi postmenopausal hmeichhiate hnenah pek thin a ni.
Enkawl dan thar: Targeted Therapy
Hei hi cancer enkawlna kawng hmasawn ber pakhat a ni. Chemotherapy ang lo takin heng enkawlnate hian cancer cell-a chak lohna emaw target bik emaw an target a ni.
- HER2-Positive Cancer: Hnute cancer thenkhatah chuan protein `HER2` tih hi a tam lutuk a. Hei hian cancer chu a tipung chak hle. Heng mite hi damdawi `trastuzumab (Herceptin)` leh `pertuzumab (Perjeta) te pek an ni.` Hengte hian `HER2` protein hnathawh tihtawp a, cancer control-na hmangin hna an thawk a ni.
- BRCA gene mutations: Cancer thenkhat hi `BRCA` gene a mutations avanga lo awm a ni. Heng mite tan hian damdawi chi khat `PARP inhibitors` (e.g. `olaparib (Lynparza)`) tih hi a tangkai hle thei a ni.
- Hei bakah hian targeted therapies dang `CDK 4/6 inhibitors` leh `PIK3CA inhibitors` te pawh a awm bawk. I cancer awm dan azirin doctor-te chuan heng zingah hian eng enkawlna nge i tana tha ber tih an rel ang.
Clinical trial chungchang pawh ngaihtuah bawk ang che.
Hengte hi zirchianna, research stage-a la awm, cutting-edge treatment test-na a ni. Stage 3 cancer vei thenkhat chuan hetiang `Clinical Trial`-ah hian tel theihna hun remchang an nei thei a ni. Hemi hmang hian khawvela enkawlna thar ber ber i dawng thei ang. Hemi chungchang hi i doctor hnenah zawhfiah theihnghilh suh.
Take-Home Thuchah a ni
- Stage 3 hnute cancer hi natna khirh tak ni mahse, enkawl theih leh enkawl theih a ni . A bik takin enkawlna tam tak hman dun a nih chuan result hlawhtling tak tak a awm thei a ni.
- Treatment plan i dawn chu i tan bik a ni a, i cancer awm dan (e.g., hormone-sensitive, HER2-positive) a zirin a ni.
- Enkawlna emaw, a nghawng tha lo emaw chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i doctor hnenah zawt mai rawh . I tanpui turin an inpeih reng a ni.
- He zin kawngah hian rilru dinhmun nghet tak neih leh chhungte leh thiante thlawpna neih hi a pawimawh hle. Mahni chauhin hrehawm tuar suh.
- Tunlai hmanraw tha tak tak, targeted therapies te avang hian tunlai hian hnute cancer enkawlna tur beiseina tha zawk a awm tawh a, a hma aia nasain a awm tawh a ni.
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