Chemotherapy hmanga hnute cancer enkawlna... he thu hi kan sawi dawn em ni?

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.

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.

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.

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.