Doctor-in hnute cancer i vei thu a hrilh che chuan hlauhna, mangang, leh zawhna tam tak neih hi thil pangngai tak a ni. Doctor-in, "Hei hi Stage 2 cancer a ni" emaw, "Grade 3" emaw a tih hian heng thute hi eng nge a awmzia tak tak tih i ngaihtuah mai thei. Hetiang tawngkam i hriat hian hlauhna nasa zawka inhriat hi thil pangngai a ni. Amaherawhchu, hêng thilte chiang taka hriattîr i nih chuan nang leh i chhûngte chu rilru lama chakna leh nakin lawka inenkawlna chungchânga thu tlûkna siam tûrin a ṭanpui ang. Chuvangin vawiin hian he thu hi awlsam takin han sawi ila.
Cancer chi hrang hrang pahnih ‘Stage’ leh ‘Grade’ a awm em?
Ni e, hei hi thil pahnih chungchang a ni. Heng pahnih hian doctor-te hnenah i cancer awm dan tur chungchangah thu pawimawh tak tak a pe a ni.
A awlsam zawngin:
- Cancer Stage: Cancer hi in chhunga kangmei te tak te atanga intan angin ngaihtuah rawh. ‘Stage’ tih hian in chhunga mei chu eng chen nge a darh tawh tih a kawk a, hnute piah lam atanga armpits-a lymph node-ah emaw, taksa peng dangah emaw a darh tawh emaw a ni. Stage number a hniam poh leh cancer a darh tlem zawk.
- Cancer Grade: Chu mei chu han ngaihtuah leh teh. ‘Grade’ tih hian kangmei a nasat dan leh a darh chak dan a kawk a ni. Doctor-te chuan cancer cell-te chu microscope hmangin an en a, cell hrisel nen an inang em em a, an inthen chak em em bawk. Grade a san poh leh cancer hi a aggressive zawk thei.
Heng thu pahnih hi doctor-in i tana tha ber tur enkawlna tur a thlan theih nan a pawimawh hle.
Hnute cancer hi eng stage nge ni?
Breast cancer stages hi number 0 atanga 4 thlenga tarlan a ni ber a, a chang chuan A, B, leh C ang chi letter hmangin heng stage te hi sawifiah belh a ni.
| Dawhsan | A awmzia mai mai |
|---|---|
| Stage 0 ah a awm | Hei hi hnute cancer hmasa ber a ni. Cell pangngai lo chu hnute hnute phurhna kawng chhungah chauh a awm a ni. A chhehvel tissue-ah an darh lo. Hei hi `Ductal Carcinoma In Situ (DCIS)` an ti bawk. |
| Stage I (Stage 1) a ni. | Tunah chuan cancer hi a invasive tawh a, a chhehvela hnute hrisel takah a darh tawh tihna a ni. Mahse tumor hi a la te hle (centimetre 2 aia rei lo) a ni a, a bul hnaia lymph node-ah a darh lo a, a darh tlem hle bawk. Hetih lai hian tihdam theihna chance a sang zawk hle. |
| Stage II (Stage 2) a ni. | Cancer hi a lian deuh (centimetre 2-5 inkar) a ni thei a, a nih loh leh armpit-a lymph node hnai tlemteah a darh thei bawk. Mahse cancer hi hnute leh armpit area-ah a la inkhung tlat thung. |
| Stage III (Stage 3) a ni. | Hei hi locally advanced zawk stage a ni. Cancer hi hnute pawnah, rilru bang, vun, emaw, armpit-a lymph node-ah te a darh thei a ni. Mahse taksa peng hla tak tak, thin emaw, lung emaw thlengin a la darh lo. |
| Stage IV (Stage 4) a ni. | He stage hi Metastatic Breast Cancer an ti a . Hei hi cancer chu hnute leh a bul hnaia lymph node kaltlangin ruh, lung, thin, a nih loh leh thluak ang chi taksa peng hla tak takah a darh tawh a ni . |
Cancer grade leh test pawimawh dangte
Doctor chuan operation emaw biopsy emaw hmanga cancer cell hmuhte enfiahin grade a teh thin.
- Grade 1: Cancer cell hi cell hrisel nen an inang hle. An thang zawi zawi a.
- Grade 2: Cancer cell te hi cell hrisel te nen hian a danglam deuh hlek a. Rate hniam takah an thang lian thin.
- Grade 3: Cancer cell hi cell hrisel nen a danglam hle a, a buai hmel hle. An thang lian thei a, an darh chak thei bawk.
A pawimawh ber chu, he grade hi hriat hian i doctor-in enkawlna mamawh leh chi hrang hrang, chemotherapy ang chi, i mamawh tur a hriat theih nan nasa takin a pui ang.
Hei bakah hian doctor hian test pawimawh dang eng emaw zat a nei mek bawk.
- Hormone Receptor Status: Hnute cancer cell thenkhat chuan hormone estrogen leh progesterone te hmangin an thang lian thin.
- ER-positive (ER+) tih awmzia chu cancer hian hormone estrogen hmangin a thang lian tihna a ni.
- PR-positive (PR+) tih awmzia chu hormone progesterone hman a ni.
- Hengte hi positive a nih chuan hormone therapy hmanga cancer hi control theih a ni.
- HER2 Status: `HER2` hi cell thanna control tu protein a ni. Cancer cell thenkhat chuan he `HER2` protein (`HER2-positive`) hi an siam tam lutuk. Tichuan cancer chu a lo thang chak thei a ni. `HER2-positive` cancer tan chuan chu protein chu target tu damdawi bik (Targeted Therapy) a awm a.
TNM system chu eng nge ni?
Hei hi khawvel pum huapa pawm dan, doctor-te’n cancer stage dik taka an hriat theihna tura an hman thin a ni. A buaithlak deuh niin a lang a, mahse i cancer chungchang hi a dik hle thei a ni.
- T (Tumor): Cancer lian leh te, a chhehvel tissue-a a darh leh darh loh tehna a ni .
- N (Nodes): Cancer chu a bul hnaia lymph node -ah a darh em tih a teh a, a darh a nih chuan eng chen nge a darh tih a teh bawk.
- M (Metastasis): Hnute pawn lama taksa peng hla tak takah cancer a darh leh darh loh tehna a ni.
I cancer stage pumpui chu heng letter pakhat zel nena inzawm number (e.g. T1, N0, M0) te hi a belhkhawm atanga hriat a ni. I report-ah heng chhinchhiahnate hi i hmuh chuan i doctor hnenah hrilhfiahna zawt hlau suh.
Kum 5 chhunga damchhuahna Rate hi kan buaipui tur tak tak em?
Heng thute hian tu rilruah pawh hlauhna a thlen a ni. Hei hian stage engemaw chen cancer vei hmuhchhuah zinga mi 100 zinga kum 5 hnuah engzat nge dam ang tih a kawk a ni.
Mahse hei hi hre reng ang che: Hengte hi damlo sang tam tak data atanga statistics tlangpui chauh a ni. I mimal dinhmun chu an sawi lawk thei lo.
- Cancer hmasa (localized) tan chuan he rate hi 99% vel a ni.
- Hetiang rate hi cancer hi taksa peng hla tak takah (Distant/Stage 4) a darh chuan a hniam zawk nachungin, tunlai enkawlna tha tak tak avang hian mi tam tak chuan nunphung tha tak an nei thei a, Stage 4 cancer vei pawhin kum tam tak an nung thei a ni
Chuvangin, internet-a statistics awmte hian min ti buai suh. I ngaihtuahna chu i enkawlna ruahmanna danglam tak zawm tlat hi a ni tur a ni.Chumi chungchang chu i doctor nen zalen takin sawipui rawh.
Take-Home Thuchah a ni
- Hnute cancer ‘stage’ tih hian cancer a darh zau zia a kawk a ni. ‘grade’ tih hian cancer a nasat zia a kawk a ni.
- I cancer stage leh grade dik tak hriat hi i tana enkawl dan tur tha ber tur hriat a pawimawh hle.
- Stage 4 (Metastatic) cancer hi nun tawpna a ni lo. Tunlai enkawlna hmasawn tak tak hmang hian a dinhmun hi enkawl theih a ni a, a nunpui theih bawk.
- I report-a thil i hriatthiam loh chuan i doctor hnenah zawh nawn leh nawn hlau lo la, hreh suh. I dikna a ni.
- He zinkawng hi nangmah chauhin paltlang suh. I chhungte, i ṭhiante, leh a tul chuan ṭanpuitu pawlte ṭanpuina zawng rawh. Rilru chakna nasa tak a pe ang che.
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