Doctor-in hnute cancer i nei tih a hrilh che chuan ‘chemotherapy’ tih thumal i hriat leh hunah hlauhna leh mangang tak tak i nei thin. "Chemo" kan tih hian kan rilruah thlalak harsa deuh kan nei thin. Mahse he enkawlna dan hi kan hriat chian chuan he zinkawng hmachhawn turin chakna nasa tak i nei ang. Chuvangin vawiinah hian chemotherapy chu eng nge a nih, eng nge thleng thin, engtin nge kan hmachhawn ang tih i sawi dawn nia.
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A awlsam zawngin, chemotherapy chu eng nge ni?
Chemotherapy hi cancer cell tihhlumna atana hman thin damdawi chi khat chak tak a ni. Damdawi bik ang mai a ni a, i taksa chhung thuk takah a lut a, cancer cells te chu a zawng chhuak a, a that thin. I doctor chuan he enkawlna hi enkawlna dang, surgery, radiation therapy, leh hormone therapy te nen a hmang dun thei a ni.
Breast cancer enkawlna kawngah hian chemotherapy hian thil tum lian tak pathum a nei a, chungte chu:
- Surgery hnua cancer lo kir leh tur venna: Surgery hmanga cancer lakchhuah a nih hnuah, he enkawlna hi taksaa cancer cell awm thei, mitin hmuh theih loh zawng zawng tihchhiat a, cancer lo awm leh tur venna atan pek thin a ni. Hei hi damdawi lam chuan ‘Adjuvant Therapy’ an ti a.
- Surgery hmaa tumor hi tihtlem: A chang chuan cancer a lian a nih chuan a tihtlem nan surgery hmain chemotherapy pek thin a ni. Hei hian operation neih laiin tumor chu lakchhuah vek a awlsam phah hle. Hei hi ‘Neo-adjuvant therapy’ an ti a.
- Kan taksa peng danga cancer cells darh tawhte tihchhiat: Chu cancer chu hnute atanga taksa peng dang, thin, lung emaw ruh emaw-ah a darh (metastasized) a nih chuan, chu cell te chu tihchhiat nan chemotherapy pawh hman a ni.
Nang leh i doctor chuan engtikah nge chemotherapy i tan a tha ber ang, eng damdawi nge i hman ang tih leh i enkawl hun tur chu in rel dun ang. Chuvangin zawhna i neih chuan zawt ngei ang che.
Engtin nge chemotherapy hi pek thin?
Chemotherapy hi kawng lian pahnihin pek theih a ni. Pakhat chu pills ei hian a ni . A dang, kan rama tih tam ber chu saline (intravenous emaw IV) ang chi vein hmanga taksaah inject a ni .
A châng chuan, i kut a vein hmuh leh enkawlna i neih apianga cannula dah luh harsat loh nân, i doctor chuan i rilru chunglam vun hnuaiah hmanraw te tak te (central port) surgery hmanga dah a rawt thei a ni. Hei hian damdawi i pe thei ang a, chuta tang chuan awlsam takin thisen i la thei bawk ang. I enkawlna a zawh veleh lakchhuah a ni ang.
Enkawlna hi ‘cycle’-ah pek thin a ni.A nih loh leh cycle hrang hrangah. Chumi awmzia chu damdawi chu ni engemaw zat i pe a, chutah chuan ni engemaw zat emaw, kar engemaw zat emaw chu i taksa chu chawlh hahdamna pe turin i chawlhsan tihna a ni. Tichuan cycle dang chu tan leh rawh. He enkawlna ruahmanna hi mi zawng zawng tan a danglam vek. Cancer i neih chi hrang hrangah a innghat.
Breast cancer damdawi hman tam ber
Doctor-te chuan heng damdawi pakhat chauh ni lovin, engemaw zat chu ‘combination’-in an pe fo thin. A rah tha ber chhuah theihna tura duan ‘recipe’ bik ang mai a ni. An tan hming tawi te an hmang thin. I doctor chuan heng hmingte hian a ko che a nih chuan tunah chuan a chungchang tlem tal i hre thei tawh ang.
| Drug class/compound hming | Damdawi awm (entirnan) . |
|---|---|
| Anthracyclines te pawh a awm | A rilru a hah lutuk chuan a rilru a buai em em a |
| Taxanes te hi an ni | Docetaxel, Paclitaxel (Taxol) te chu a awm a. |
| AC compound a ni | Adriamycin (Doxorubicin) leh Cyclophosphamide hmanga siam a ni |
| CMF compound a ni | Cyclophosphamide, Methotrexate, leh Fluorouracil (5-FU) te hi a tha hle a ni. |
A pawimawh ber chu i oncologist chuan i tana tha ber damdawi emaw, damdawi inkawp emaw a thlang ang a, result tha ber a pe ang che.
Enkawl laia side effect lo awm thei te
Chemotherapy hian cancer cell a tihlum hian kan taksaa cell hrisel thenkhat, rang taka inthen darh (entir nan, sam cell, kan ka chhunga cell, leh thisen cell) te pawh a nghawng thei bawk. Chuvang chuan side effect a awm thin. Mahse, heng side effect tam zawk hi chu hun eng emaw chen atan a ni tih hre reng ang che. Tin, tunah chuan an control theihna tur damdawi tha tak tak a awm tawh bawk.
Heng side effects te hian mi zawng zawng hi a nghawng inang vek lo. Mi thenkhat chuan an tawng tam thei a, thenkhat chuan an tawng tlem zawk mai thei. I rilru hahna eng pawh doctor hnenah hrilh a pawimawh hle.
| Side effect a awm thei | A awlsam zawngin... |
|---|---|
| Nausea leh luak chhuak | Hei hi enkawl hma leh enkawl hnua damdawi pek hmangin a tam zawk chu control theih a ni. |
| Sam tlakchhamna | Mi tam takin an hlauh ber a ni a, mahse enkawlna a zawh chuan sam chu a lo sei leh ang. |
| Kawngkhar natna | Ka chhunga sen, hliam te te. Tothbrush nêm tak hman a pawimawh a, ei tur chi hrang hrang ni lo ei a pawimawh. |
| Chau | I chau hle mai thei, hahdamna pangngai nen a danglam hle. Chawlhna tam tak neih a pawimawh. |
| Hri kai theihna a tipung | Thisen var (white blood cells) a tlahniam chuan natna kai theihna a sang chho zel a ni. Mipui tamna hmun pumpelh leh kut sil hi a pawimawh hle. |
| Neuropathy natna a ni | Kut zungtang leh ke ruh zungbun a na a, a kang a, a na bawk. Hemi chungchang hi i doctor hnenah i hrilh ngei ang. |
| Thlasik chawlhsan / menopause | Menstrual cycle hi a mumal lo thei a, hun eng emaw chen/a tawp thlengin a tawp thei bawk. Fa neih i tum a nih chuan enkawl tan hmain doctor nen sawiho hmasa phawt ang che. |
Engtin nge chemo atan i inbuatsaih thin?
Enkawl tan hmain i taksa chu a chak thei ang bera vawn reng a pawimawh hle.
- Chawlh tha rawh.
- Chaw tha tak tak ei rawh. I ei leh inah thei, thlai, legumes, leh whole grains tam tak telh la.
- Tui a tam thei ang ber in thin ang che.
- Ha enkawltu hnenah hmu rawh. I ha leh i hmuiah natna hrik a awm leh awm loh enfiah la, enkawl tan hmain enkawl hmasa phawt ang che.
- Stress tihziaawm rawh. I duhzawng thil ti la, ngaihtuahna seng la, i rintlak tak nen inbiakna nei rawh.
- I doctor-in thisen test a pek che chu la la, i thinlung, i thin leh i kal (kidney) te a thawk tha em tih enfiah rawh.
Engtin nge emergency kan hriat theih ang?
Hei hi a pawimawh hle a ni. Chemotherapy pek lai hian i taksa immune system a chak loh avangin a bik takin i hriat tur symptom thenkhat a awm. Heng zinga pakhat tal i neih chuan doctor hnenah hrilh nghal rawh.
- Khawsik hi 100.4°F (38°C) aia sang a nih chuan.
- Shock nena khawsik i neih chuan. (Doctor i thlen theih loh chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh. )
- Ka chhunga hliam thar emaw, var emaw, lei hring emaw.
- Kawngkhar a vawt, a kang a, a hrual bawk.
- Zun laiin kang, zun a ngai fo, zun chhungah thisen a awm.
- Nausea, luak chhuak, pum na, ni hnih emaw ni thum aia rei riltam emaw.
- Thisen chhuak chu stool ah a awm.
Enkawlna a zawh hnuah pawh i doctor chuan a check reng ang che (follow-up). Kum 5 hmasa berah thla 4-6 danah vawi khat tal doctor i hmu tlangpui ang.
Take-Home Thuchah a ni
- Chemotherapy hi hnute cancer enkawlna chak tak leh tangkai tak a ni. A tul lovah hlau suh.
- Side effect a awm thei a, mahse a tam zawk hi chu rei lo te chhung chauh a ni. Tin, an control theihna tur leh an rilru hahna tihziaawmna tur damdawi leh hmanraw tha tak tak a awm bawk.
- I rilru hahna eng pawh, a tlem ber pawh ni se, i doctor emaw, nurse emaw hrilh hreh ngai suh.
- He zinkawngah hian nangmah chauh i ni lo. I medical team, chhungte leh i thiante chu tanpui turin an awm vek a ni.
- Emergency a nih chuan a symptoms te chu fimkhur rawh. Heng chhinchhiahnate hi i hmuh veleh damdawi lam thurawn zawng rawh.
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