Stage IV Breast Cancer leh a enkawl dan tur kan sawi dawn em ni?

Hnute cancer chungchang kan hriat hian kan mangang hle. Tin, stage palina a ni tih kan hriat hian, chu chu cancer hian taksa peng dangah a darh tawh tih kan hriat hian a hlauhawm lehzual a, a phurrit zawk bawk. Hei hi dinhmun pawi tak a ni tak zet a ni. Mahse he medical science hmasawn tak nen hian tun dinhmunah hian enkawlna tam tak tih theih a awm a, chu chuan natna thunun thei leh dam rei theihna a pui thei a ni. Chuvangin vawiin hian he thu hi han sawi ila, i rilru a zawhna awmte chhanna awlsam tak zawng turin.

Stage IV hi eng nge ni tak tak?

A awlsam zawngin sawi ila, stage 4 tih hian hnute atanga cancer cell intan te chu thisen emaw lymph vessel emaw kaltlangin taksa peng dangah an darh tihna a ni. He darh zel hi `Metastasis` an ti a. Hetianga cancer a darh theihna hmun tam ber chu ruh, thluak, lung, a nih loh leh thin .

Heta hriatthiam tur pawimawh tak chu tun dinhmuna enkawlna tum ber chu natna tihdam kim vek a ni lo va, cancer thanna thunun a, a natna lan chhuah dan tihtlem a, a rei thei ang bera nunphung tha tak pek che hi a ni. Damlo thenkhat chu he enkawlna hmang hian kum tam tak an dam thin. Chuvangin, he thil thleng thei chungchang hi i hriat hian hlauthawng lo ila, i doctor nen uluk taka inbiak dan tur awmsa te chu i sawipui a pawimawh hle.

Enkawlna awm thei ber berte chu engte nge ni?

Stage 4-ah chuan cancer hi hmun hrang hrangah a darh tawh avangin hmun khat chauh target-a enkawlna, surgery emaw radiation therapy emaw hmanga enkawlna hlawhtling tak neih a harsa hle. Chuvangin taksa pumpui tichhe thei systemic treatment hi hman a ni ber.

Chemotherapy hmanga enkawl a ni

Hetiang dinhmunah hian chemotherapy hi enkawlna ber a ni fo thin. Cancer cell inthen darh chak tak takte chu tihlumin hna a thawk a ni. Hei hian cancer thanna a tikhawlo thei a ni. Chemotherapy hi kawng hrang hrangin pek a ni. Pill angin pek thin a ni a, mahse a tam zawkah chuan thisen kaltlangin (vein kaltlangin) pek thin a ni .

He enkawlna hi pek chhunzawm zel a ni lo. Cycle engemaw zatah pek thin a ni . Cycle khat a zawh hnuah taksa chu a dam leh theih nan chawlh hun rei lote pek a ni. Chumi hnuah chauh chuan a cycle dang chu a intan ta a ni.

Hormone hmanga enkawlna a ni

He enkawlna hi mi zawng zawng tan a tha lo. Hmeichhia cancer chi khat hormone receptor-positive an tih te tan a thawk tha ber a ni. Chumi awmzia chu an taksaa estrogen ang chi hormone te hian cancer cell te chu a tichak tihna a ni. Hetiang hian han ngaihtuah teh: hormone te hi chabi ang a ni a, cancer cell-a receptor chu lock ang a ni. Chabi i dah chuan lock chu a inhawng a, cancer chu a lo lian ta a ni.

Chuvangin heng hormone treatment te hian an tih chu chu key (hormone) siam chhuah chu tihtawp a ni a, a nih loh leh lock chhunga a in fit loh nan a block emaw a ni. Chumi atana damdawi chi hrang hrang pek thinte chu:

• ``Tamoxifen'' tih a ni.
• Aromatase inhibitor (hmeichhe naupai hnua tan) - Entirna: Anastrozole (Arimidex), Exemestane (Aromasin) .
• Hormone receptor tikhawlo thei damdawi ``Fulvestrant (Faslodex)`` te hi a ni.

A chang chuan hmeichhia menopause la thleng lo tan chuan surgery hmanga ovary lakchhuah hi a tha hle a, cancer thanna tura puitu hormone siam chhuah tihtawp dan tha tak a nih avangin.

Targeted Therapy hmanga tih a ni

Hei hi enkawlna thar leh hlawk tak a ni. Chemotherapy ang chi cell hrisel tak takte tihchhiat ai chuan cancer cell-a awm chauh protein emaw gene emaw bikte chu a target a, a bei zawk a ni . Hei hian side effects a nei tlem hle.

Hmeichhia hnute cancer vei zinga 20% vel chuan `HER2` tih protein an nei tam lutuk. Hei hian cancer chu a darh chak hle. Heng `HER2-positive` cancer te tan hian damdawi `Trastuzumab (Herceptin)` te pek thin a ni. `HER2` protein hnathawh a titawp a, cancer cell te than dan a control bawk.

A hnuaia table-ah hian targeted therapies chi dang thenkhat han en ila.

Immunotherapy hmanga enkawl a ni

Hei pawh hi enkawlna changkang tak a ni. Cancer that turin pawn lam atanga damdawi pek ai chuan nangmah ngeiin i immune system a tichak a , cancer cells te chu a zawng chhuak a, a tichhia a ni. Cancer cell thenkhat chuan immune system atanga inthup dan an hre chiang hle. Chuvangin heng damdawi te hian chutiang thup dan chu a titawp a, immune cell te chuan cancer chu an hre thei ta a ni.

Surgery leh Radiation hmanga tih a ni

Kan sawi tawh ang khan hengte hi tun dinhmunah chuan enkawlna ber atan hman a ni lo. Mahse, cancer darh tawhna hmunah, entirnan, ruhah natna nasa tak a awm chuan, chu natna leh a lan chhuah dan dangte thunun nan radiation therapy pek a ni Tin, harsatna eng pawh control a ngai a nih chauhvin surgery tih theih a ni bawk.

Thu pawimawh dangte

• Side effect management: Heng enkawlna zawng zawng hian side effect a nei thei a, chu chu luak chhuak, luak chhuak, leh hahna te hi a ni. Mahse, enkawl dan tur damdawi a awm. Chuvangin i harsatna i neih apiang chu i doctor hnenah hrilh rawh.
• Clinical Trials: A châng chuan, `Clinical Trials`-ah i tel thei a, chu chuan enkawlna thar la hmang lar tak takte chu a test ṭhin. Chûngte chuan enkawlna ṭha ber berte dawng tûrin hun remchâng a pe thei che a ni. Hemi chungchang pawh hi i doctor zawt la.

He zinkawng hi nangmah chauhin i paltlang tur a ni lo. I chhungte, i thiante, doctor te, nurse te leh medical team zawng zawng te chu i hnenah an awm reng a ni. An thlawpna dawng rawh. I rilru put hmang sawi rawh. He hun harsa tak paltlang tur hian chakna ropui tak a ni ang.