Hnute cancer i vei tih i hriat chuan hlauhna leh lungkhamna i neih hi thil pangngai a ni. A bik takin "Stage II" tih ang thumal i hriat hian i rilruah zawhna lo lut tam tak a ni. "Tunah enge ka tih ang?" leh "Hei hi tihdam theih a ni em?" i rilruah an awm ngei ang. Mahse, lungngai suh. Vawiin hian he thu hi, chu chu stage II hnute cancer leh a enkawlna hlawhtling tak takte chu, awlsam tak leh friendly takin kan sawi dawn a ni.
A hmasa berah chuan he second stage (Stage II) hi eng nge ni?
A awlsam zawngin sawi ila, stage II hnute cancer hi hnute emaw, a bul hnaia lymph node emaw-ah a la awm reng a ni. Chumi awmzia chu cancer hi taksa peng hla tak takah a darh lo tihna a ni. Hei hi a pawimawh hle a, a chhan chu cancer hi tun dinhmunah chuan enkawl theih a ni hle .
I enkawltu doctor-te chuan enkawlna kawng khat hmang lovin enkawlna inzawmkhawm an hmang fo ang. Hei hian result tha ber a pe ang che. Tunah chuan chu enkawlnate chu eng nge ni tih i en ang u.
| Enkawl dan tur | Hrilhfiahna awlsam tak |
|---|---|
| Inzai | Cancer natna hrik emaw, hnute pum emaw lakchhuah. Hei hi primary treatment hman tlanglawn ber a ni. |
| Radiation hmanga enkawlna a ni | Surgery hnua cancer cell awm reng nia rinhlelh te tihchhiat nan hman a ni. |
| Chemotherapy hmanga enkawl a ni | Damdawi chak tak tak, taksaa cancer cell darh tawh zawng zawng tichhe thei tura pek. |
| Hormone hmanga enkawlna a ni | Cancer chi hrang hrang, a lo thang lian tur chuan hormone mamawhna enkawlna bik. |
| Targeted Therapy hmanga tih a ni | Tunlai damdawi, cancer cell-a protein bikte target-a an thanlenna titawp thei. |
Enkawl dan chungchang chipchiar takin sawi ila.
Tunah chuan heng enkawl dan hrang hrangte hi chipchiar deuhin han thlir ila.
Surgery: A bulpui ber berte
Surgery hi stage II hnute cancer enkawlna standard a ni. Thil tih dan tlangpui pahnih a awm a, chungte chu:
- Lumpectomy: Hei hian cancer natna hrik leh a chhehvela tissue tlemte chauh lakchhuah a ni. Hei hi hnute humhalhna surgery an ti bawk . Hei hi a tlangpuiin cancer natna zung chu a te a nih chauhvin tih thin a ni.
- Mastectomy: Cancer natna zung chu a lian a nih chuan doctor chuan hnute pumpui lakchhuah a tum mai thei. He surgery hi `Mastectomy` an ti a.
Heng surgery pahnih zinga eng pawh hi tih ni se, surgeon chuan armpit area-a lymph node engemaw zat pawh a la chhuak ang a, a enfiah fo ang a, chutah chuan cancer chu a darh tawh em tih a enfiah ang. Mastectomy hnuah pawh i duh chuan i doctor nen hnute siam thatna surgery chungchang i sawipui thei bawk.
Radiation Therapy: Cell la awmte tihchhiat nan
Radiation therapy hi lumpectomy hnuah pek thin a ni tlangpui. Surgery hian cancer cell te tak te, hmuh theih loh tlemte a hnutchhiah thei tih hre reng ang che. He enkawlna hi cell la awm zawng zawng tihchhiat vek nan leh cancer lo kir leh tawh lo turin pek a ni. A chang chuan hmeichhe mastectomy nei tawhte pawh radiation therapy pek an ni a, a bik takin tumor lian emaw, hnute chhunga cancer cell awm emaw a nih chuan.
Chemotherapy: Damdawi chak tak a ni a, taksa pum puiah hna a thawk a ni
Hei hi mi tam takin an hriat chian em em enkawlna a ni a, mahse a hlauhawm deuh hlek a ni. `Chemotherapy` hi damdawi hmanga enkawlna chak tak a ni a, zai hnua taksa hmun danga cancer cell awm thei reng reng tihchhiat nan pek a ni.
A then phei chuan zai hmain chemotherapy pek thin a ni. A tum ber chu cancer natna lian tak chu tihtlem a ni a, chu chu a te zawk a, lumpectomy ang chi surgery awlsam tak hmanga lakchhuah awlsam zawk a ni.
He enkawlna hi kawng hrang hrangin pek theih a ni. Pill emaw liquid emaw angin pek theih a ni. Mahse a tam zawk chu thisen kaltlangin pek a ni. He enkawlna hi pek chhunzawm zel a ni lo. Cycle hrang hranga pek a ni a, taksa chu chawlh hahdamna a pe a ni.Kawng hrang hrangin pek a ni.
Hormone Therapy: Hormone-a innghat cancer tan
Hei hi enkawlna chiang tak a ni. Kan taksaa estrogen ang chi hormone hmanga thang chhuak, hnute cancer chi hrang hrang a awm. Chungte chu hormone receptor-positive cancer an ti a.
I cancer hi heng chi hrang hrang zinga mi a nih chuan i doctor chuan hormone therapy a rawt thei ang. Heng damdawi te hian cancer cell-te mamawh hormone te chu block-in hna an thawk a ni.
- Damdawi Tamoxifen hi hmeichhia kum eng pawha pek thin a ni.
- Damdawi chi hrang hrang Anastrozole (Arimidex), Exemestane (Aromasin), leh Letrozole (Femara) te hi naupai hnua hmeichhia tan hman a ni.
- Hei bakah hian damdawi chi dang a awm bawk.
Hmeichhe premenopausal tan chuan cancer tihpunna tura puitu hormone siam chhuah tihtawp nan ovary lakchhuahna tur surgery neih hi ngaihtuah theih a ni. A nih loh leh, damdawi Goserelin (Zoladex) te hian ovary te hormone siam chhuah chu rei lo te chhung atan a titawp thei a ni.
Biological/Targeted Therapy: Thil thar leh hmasawn tak a ni
Hei hi tunlai damdawi lama hmasawnna nena lo awm, enkawlna hlawhtling tak a ni. Hmeichhia hnute cancer vei zinga 25% vel chuan an cancer cell chung lamah protein HER2 an tih chu a tam lutuk a. He protein hian cancer chu a tipung a, a darh chak hle.
Targeted therapies hian HER2 protein hi a target a, a hnathawh a titawp thin.
- Hetiang damdawi hi Trastuzumab (Herceptin) leh Pertuzumab (Perjeta) te hi hman tlanglawn ber a ni.
- Heng damdawi te hi chemotherapy nen pek dun a ni fo a, chu chuan chemotherapy hlawhtlinna a tipung a ni.
Clinical trial chungchang zir rawh.
Clinical trial chu damdawi hmuhchhuah thar, damdawi emaw, enkawlna inzawmkhawm emaw, mihringte chunga a that leh him loh enfiahna zirchianna a ni. Stage II hnute cancer vei hmeichhia tam tak chuan heng trial-ah hian tel theihna hun remchang an nei a ni.
Hei hian cutting-edge, advanced treatment te a pe thei che a ni. Tunlaia kan hman enkawlna hlawhtling apiang hi engtik lai pawhin clinical trial angin a intan tih hre reng ang che. Hemi chungchang hi i doctor nen in sawi dun thei a, i tana tha tur trial a awm em tih i zawt thei bawk.
Take-Home Thuchah a ni
- Stage II hnute cancer hi tihdam theih a ni.Dinhmun. Chuvangin hlau suh.
- Doctor te chuan enkawlna hrang hrang inzawmkhawm hmangin result tha ber an pe che a ni.
- Surgery hi enkawlna bulpui ber a ni tlangpui a, chu chu radiation therapy leh chemotherapy hmanga enkawl a ni.
- I cancer awm dan (e.g. hormone-positive, HER2-positive) a zirin i tana tha ber tur enkawlna bik (hormonal emaw targeted therapy) pek i ni ang.
- Zawhna, ngaihtuahna, rinhlelhna i neih apiang chu i doctor nen zalen takin sawipui rawh. I tan a inmil ber tur treatment plan a siamsak ang.
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