I doctor-in metastatic breast cancer i nei tih a hrilh che a, chu chu i taksa hmun dangah a darh tawh tihna a ni a, a buaithlak thei a, a buaithlak thei bawk. Vawi khata lakluh vek tur a tam hle. Mahse, lungngai suh. Dam theih a nih loh laiin, natna kal zel dan tur control thei tur leh nunphung tha tak vawng reng thei tur enkawlna tha tak tak a awm nual. Tin, enkawlna hmasawn tak tak a awm avangin tunah chuan miten he natna hi a hma aia rei zawkin an nung thei ta a ni. Chuvangin, i duh ang anga i enkawlna leh nun i enkawl theih nan, natna chungchang leh i beisei tur te tlem han zir ila.
Engtin nge he cancer hi midangte nen a danglam?
Cancer hmasa ber i neih chuan enkawlna tum ber chu cancer chu tihdam vek a, a lo kir leh tawh loh nan a ni.
Mahse, stage IV hnute cancer enkawlna tum chu a danglam deuh hlek a ni. Hetah hian natna lo thanglian zel hi a rei thei ang bera control kan tum a, a side effect leh natna a tlem thei ang bera awm kan tum a ni.
Medical science hmasawnna avang hian mithiamte chuan ni khat chu he cancer hi zunthlum ang chi, hun rei tak chhunga awm, a nih loh leh "chronic" anga enkawl a nih an beisei. Tichuan doctor-te chuan kum tam tak chhung, kum sawm tam tak chhung pawh an thunun thei tawh ang.
Engtin nge i tana tha tur enkawlna i thlan?
Doctor chuan damdawi a pek hmain thil engemaw zat a ngaihtuah hmasa ang.
- Taksa chhunga khawiah nge cancer hi a darh tawh
- Cancer cell i neih chi hrang hrang
- I symptoms te chu
- Tun hma pawhin hnute cancer vangin eng enkawlna nge i lo dawn tawh?
- I hriselna tlangpui leh i kum
- I mimal duhzawng
Heng zawng zawng hi i ngaihtuah hnuah chauh i tan a tha ber tur enkawlna ruahmanna chu a insiam chhuak thin.
A pawimawh ber chu, hei hi i thutlukna a ni. I doctor chuan i tana tha tur option a pe ang che. Thil tih theih tinte chungchâng i theih ang tâwkin zir la, a nghawng ṭha lote chu hre chiang la, thu tlûkna dik siam rawh.
Tin, palliative care team atanga tanpuina dawn chungchangah i doctor nen sawiho rawh . An hna ber chu i enkawlna inrem taka puih te, eng ang enkawlna nge i mamawh tih thutlukna siam tura puih te, leh a side effects te enkawl tura puih te hi a ni.
Enkawlna ber berte chu engte nge ni?
Heng enkawlnate hi a mah chauh emaw, a ruala hman emaw a ni. Eng nge an nih i han thlir teh ang.
| Enkawl dan tur | A awlsam zawngin... |
|---|---|
| Hormone hmanga enkawlna a ni | I cancer hi hormone estrogen emaw progesterone emaw hmanga fuel a nih chuan heng damdawi te hian cancer cells te hormone supply a tikhawlo a, tumor chu a ti tlem a ni. |
| Anti-HER2 Targeted Treatment hmanga enkawl a ni | Cancer cell thenkhatah chuan HER2 an tih protein a tam lutuk a, chu chuan a darh chak hle. He protein target tu damdawi hian cancer thanna a control thei a ni. |
| Chemotherapy hmanga enkawl a ni | Heng damdawi te hian cancer cell chauh ni lovin, rang taka inthen darh thei cell eng pawh a that vek a ni. Hei hi a thatna pakhat chu tumor te hi a tlahniam nghal vat thei a ni. Mahse, side effect tam tak a awm a, chu chu sam tlakchham, luak chhuak, luak chhuak, leh hah lutuk te hi a ni. Hei hi cycle hrang hranga pek a ni. Cycle tin zawhah taksa chu chawlh hahdamna pek a ni. |
| Radiation leh Surgery hmanga tih a ni | Heng hmanrua te hi cancer hmun bik, thin, ruh, thluak te enkawlna atan hman a ni. |
| Immunotherapy hmanga enkawl a ni | Hei hian taksain cancer dona atana a taksa hriselna (immune system) a tichak a, hna a thawk a ni. Tunah hian cancer chi hrang hrang ‘Triple Negative’ thenkhat tan chemotherapy nen hman dun a ni. |
I thlamuanna pawh a pawimawh hle. Cancer enkawlna avanga natna lan chhuah dan, harsatna leh nghawng tha lo awm thei te enkawl dan tur damdawi a awm bawk. Chumi chungchang pawh chu i doctor nen sawiho rawh. ‘Clinical trials’ atan i tling thei bawk.A nih loh leh research-based trial-ah pawh i tel thei bawk. Tuna kan hman standard treatment zawng zawng hi heng trial chi hrang hrangah hian test hmasa ber a ni.
Engtin nge enkawlna a hlawhtlin leh hlawhtlin loh i hriat theih ang?
Thla engemaw zat danah X-ray leh scan dang i nei ang. Chûngte chuan cancer chu a lo lian tawh em, a lo tlem tawh em, a awm reng em tih an enfiah ang. Taksa exam pawh i nei dawn a ni. Symptom thar i neih apiang chu doctor hnenah hrilh rawh.
I doctor chuan ‘tumor marker’ tih thil pakhat zawng turin thisen test turin a ti mai thei. Cancer thenkhat chuan heng marker te hi thisenah an chhuah tir thin. Heng marker te hi a sang a nih chuan cancer hi a lo thang lian emaw, a darh zel emaw tihna a ni thei.
A chang chuan scan-ah hian cancer hi a lang lo thei bawk. Doctor chuan ‘natna finfiahna a awm lo’ a ti ang . Chu chu thu lawmawm tak a ni a, mahse cancer chu a bo vek tihna erawh a ni lo. I taksaah cell te chu a la inher chhuak thei a nih avangin enkawl chhunzawm zel i la ngai a ni.
Enkawlna atang hian chawlh ka la thei ang em?
Ni e, i ti thei. Chawlh hahdam i mamawh mai thei a, a bik takin a side effects avanga harsatna i neih tam chuan.
Inneihna emaw, piancham lian tak emaw ang chi hun bîk i nei ang tih han ngaihtuah teh. Hetianga chawlh hahdamna hian chutiang hun bîk chu hlim taka hmang tûrin a ṭanpui ang che. Hemi chungchang hi i doctor nen inbia la, thutlukna siam rawh.
Engtin nge taksa leh rilru hrisel taka kan awm theih ang?
Cancer natna vei lai hian taksa leh rilru lamah pawh hrisel taka awm a pawimawh. Mi zawng zawng hi kan danglam vek laiin, mi tam zawk tanpui thei thil inang thenkhat a awm. Chûngte chuan a ṭanpui thei che em tih en rawh.
- Chaw ei tha la, active takin awm rawh: Exercise light tak ti rawh. Yoga ang chi thilte hian i hahna a tihziaawm thei a, i rilru hahna a tihziaawm thei a, i mut that theih nan a pui thei bawk.
- Hmangaihte hnen a\angin \anpuina dawng rawh: I \hiante leh chhungte hi i hun harsa ber lai pawhin i chakna bulpui ber an ni. Chaw ei dun te, movie en dun te, etc. hian nun hi cancer chauh a ni lo tih hriat nawn tir thei che a ni.
- Support dawng rawh: Nangmah ang metastatic breast cancer vei te nen support group-ah tel ve rawh. Mi dangte nêna inbiakna chuan mahni chauha awm lo tûrin a ṭanpui thei che a ni. Professional counselor nena inbiakna hian i rilru put hmang i thunun thei bawk.
- Thlarau lam chakna vawng reng rawh: Sakhaw hruaitu i rintlak, thlarau lam thurawn petu nena inbiakna neih leh i rinna nena inzawm tlat chu i tan chakna petu a ni thei.
- Tunah hian nung rawh:Mindfulness meditation ang chi thilte hian thawk chhuah thûk takin i hahdam theih nan a pui thei che a ni. Ni khatah minute tlemte hmang la, i thawk danah chauh ngaihtuah rawh.
- Nun nuam ti rawh: Hlimna thlen thei thilte ti turin hun hmang rawh. Thlalak siam rawh. I hla duh ber nen zai rawh. Ni chhuak mawi tak chu en rawh. I hmaiah nuihza siam thei thil eng pawh hi tih tlak a ni.
Take-Home Thuchah a ni
- ‘Metastatic breast cancer’ tih hian kan taksa peng dangah a darh tawh tihna a ni. Dam kim thei lo mah se, enkawlna hmangin rei tak a thunun thei a ni.
- Enkawlna tum ber chu natna kal zel dan thunun a, nunphung tha tak pek che hi a ni.
- I tan a tha thei tur enkawlna kawng tam tak a awm thei. I doctor nen chuan pakhat zel chungchâng chu zalen takin sawipui la, an ṭhatna leh ṭhat lohna te pawh sawi tel bawk ang che.
- I rilru hriselna hi i taksa hriselna ang bawkin a pawimawh a ni. Chhungte, thiante leh professional counselor te hnen atangin tanpuina dil hreh suh.
- I doctor hnenah inenkawlna chungchanga i ngaihdan, i duh dan te hrilh fo thin ang che. I zinkawng chu nangmah chauhva i paltlang a ngai lo.
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