I period a tawp hnu, chu chu menopause hnua thisen chhuak tlem i hmuh chuan engtin nge i ngaih? Mi thenkhat chuan, "A intan leh em tih pawh ka hre lo," tiin an ngaihtuah thin. Mahse hetiang thisen chhuahna pangngai lo, a bik takin menopause hnua awm hi ngaihthah tur a ni ngai lo. A chhan chu, uterine cancer chhinchhiahna lian tak a ni thei. Chuvangin vawiin hian uterine cancer chungchang te, a natna lan chhuah dan te, tute nge hlauhawm zawk tih te, a enkawlna tur engte nge awm tih te han sawi ila. Hlau suh, a pawimawh ber chu hei hi fimkhur hi a ni.
A awlsam zawngin, uterine cancer chu eng nge ni?
Uterine cancer hi nausen pum chhunga cancer awm thin tih hming tlanglawn tak a ni. Mahse chi hnih a awm a. I nausen pum chu in te tak te angin ngaihtuah rawh.
1. Endometrial Cancer: Hei hi a tam ber a ni. Nausen pum chhunga lining chu endometrium an ti a, chu chu wallpaper ang mai a ni . He lining hi thlasik laiin a chhuak thin. Hei hi endometrium a ni. Hei hi endometrium cell te chu a pangngai lo taka an inthen a, cancer an nih chuan cancer chi khat a ni. Hetiang chi hi uterine cancer 95% a ni. Chuvang chuan inbiaknaah hian "uterine cancer" tiin kan sawi tlangpui thin.
2. Uterine Sarcoma: Hei hi a tlem hle. Cancer a ni a, nausen pum chhunga muscular layer (myometrium) a lo awm a, chu chu nausen pum chhunga lining a ni. Hei hi thil awm lo tak a ni.
Hmeichhe reproductive system-ah hian uterus hi taksa peng pawimawh tak a ni. Naute a pai chuan naute chu nausen pum chhungah a thang lian a. Nausen pum chunglam chu taksa emaw corpus emaw an ti a. A hnuaiah hian serh (cervix) a awm a. Cervical cancer hi uterine cancer nen a danglam a ni. Chumi chungchang chu nakinah kan sawi leh ang.
He cancer natna lan chhuah dan hi engte nge ni? Engtin nge ka hriat theih ang?
Uterine cancer symptoms hi reproductive system natna dang nen a inang thei a ni. Chuvangin thil danglam tak i hriat chuan i doctor nen inbiakna neih nghal a pawimawh . Diagnosis dik tak chu enkawlna dik tak hmuh theihna awmchhun a ni.
Heng symptoms te hi a hnuaia table atang hian chiang takin i hre thei ang.
| Symptom a ni | Thu belhchian dawl zawk |
|---|---|
| Thisen chhuah dan pangngai lo | Hei hi a symptom ber leh langsar ber a ni . Menopause hma period inkara thisen chhuah te, menopause hnua spotting te a huam a ni. |
| Pum hnuai lam natna | Belly button hnuai lam, chu chu pelvic area-a natna emaw, nuam lo emaw a awm. |
| Vaginal discharge pangngai lo | Menopause hnuah chuan vaginal discharge dum emaw tui emaw a awm thin. |
| Kum 40 hnuah thisen chhuak nasa tak a chhuak | Kum 40 chunglam chuan thlasik hun rei tak, rit tak, emaw, thlasik hun a nei fo thin. |
A pawimawh ber chu, postmenopausal bleeding eng emaw zat i neih chuan thil pangngaiah ngai ngai suh. Damdawi lam thurawn zawng nghal rawh.
Engvangin nge he cancer hi a lo awm? Risk factors te chu engte nge ni?
Uterine cancer thlen chhan dik tak hi hriat chhuah a la ni lo. Thil thleng chu eng emaw chhan vangin nausen pum chhunga cell te hi an inthlak (mutation) a, thunun theih lohvin an thang lian tan thin. Chutianga cell mass lo awm chu tumor kan ti a.
Mahse, he cancer vei theihna tipungtu thil engemaw zat a awm. Chung zinga a tam zawk chu kan taksaa hormone pahnih, estrogen leh progesterone te balance nen a inzawm a ni.
Risk tipung thei thil
- Kum: Kum upat deuh deuh hian uterine cancer vei theihna a sang chho zel a. A tam zawk hi kum 50 an tlin hnua hmuhchhuah an ni.
- Obesity: Hei hi risk factor lian tak a ni. Taksa thau tissue hian hormone thenkhat chu estrogen ah a chantir thin. Thau a san chuan estrogen level a sang a, cancer vei theihna a tipung a ni.
- Diabetes: Zunthlum leh thau lutuk hi inzawmna a awm a. Zirna thenkhatah chuan zunthlum leh nausen pum cancer hi direct link a awm tih hmuhchhuah a ni bawk.
- A rilru a hah lutuk chuan a rilru a buai em em a. 1. Polycystic ovary syndrome (PCOS):PCOS vei hmeichhiate hormone inthlauhna avang pawh hian a hlauhawmna a sang thei bawk.
- Thlasik leh nau neih dan chanchin: 1.1.
- Puitling hma: Kum 12 i tlin hmaa thlasik i neih tan chuan i hlauhawmna a sang hle a, a chhan chu nausen pum hi hormone estrogen hian hun rei zawk a tawk a ni.
- Late menopause: Tin, kum 50 hnu lama menopause a awm chuan estrogen exposure hun chhung pawh a rei zawk bawk.
- Naupai ngai lo: Hmeichhia la nei ngai lote hian nau nei tawhte aiin an hlauhawmna a sang zawk.
- Chhungkaw cancer vei tawhna chanchin: Mi thenkhat chuan cancer vei theihna tur genetic risk an rochun thin. Lynch Syndrome tih hming pu genetic condition nei te hian uterine cancer leh cancer chi dang (a bik takin colon cancer) an vei theihna a sang hle.
- Enkawl dan thenkhat:
- Estrogen hormone therapy (ERT): Menopausal symptoms tan hormone progesterone tel lova estrogen chauh ei hian a hlauhawmna a tipung a ni.
- Tamoxifen hman dan: He damdawi hi hnute cancer enkawlna atana hman a ni a, nausen pum chhunga estrogen angin a thawk thei a, cancer vei theihna a tipung thei bawk.
- Pelvic area-a radiation therapy: Cancer dang avanga pelvic area-a radiation therapy i dawn chuan cell te a chhe thei a, cancer dang vei theihna a awm thei bawk.
He natna hi engtin nge doctor hian a hriat theih ang?
I natna lan chhuah dan danglam tak i neih chuan i doctor chuan i natna lan chhuah dan leh i chhungkaw natna chanchin a zawt hmasa ang che. Tichuan physical exam leh pelvic exam an nei ang.
Tichuan, a hnuaia test pakhat emaw a aia tam emaw hi tih theih a ni a, chu chu a natna hriat chian nan a ni:
- Transvaginal Ultrasound: Hei hian nausen pum leh endometrium thlalak chiang tak tak lak nan vagina chhungah scanning device bik dah a ni. Hei hian endometrium chu a thim tawk lo em tih hriat nan a pui thei a ni.
- Endometrial Biopsy: Hei hi a natna hriat chian nan test hman ber a ni. Tube te tak te, flexible tak chu cervix kaltlangin nausen pum chhungah an lut a, endometrium atang hian tissue te tak te an la chhuak a. Hei hi a hrehawm dawn em tih i ngaihtuah mai thei. Tlem chuan nuam lo deuh mah se, tih dan rang tak a ni. Chumi hnuah tissue chu lab-ah thawn a ni a, cancer cell a awm leh awm loh enfiah a ni.
- Hysteroscopy: Tube te tak te, camera leh light (hysteroscope) awmna chu vagina kaltlangin nausen pum chhungah an lut a, a chhung lam an enfiah thin. Hetih lai hian biopsy pawh lak theih a ni.
- D&C (Dilation leh Curettage): 1. A rilru a hah lutuk chuan a rilru a buai em em a.Hei hi biopsy aiin a buaithlak zawk deuh. Operating room-ah anesthesia hmanga tih a ni. Cervix chu a zau a, nausen pum chhung bang atanga tissue lakchhuah a ni a, enfiah turin an thawn a ni.
Pap test hian cervical cancer a hmu thei lo tih hre reng ang che. Cervical cancer chauh a check thin.
Cancer hmuhchhuah a nih chuan eng nge thleng leh ang?
Cancer hmuhchhuah a nih chuan doctor-te chuan cancer chi leh stage an en leh ang. Hei hi enkawl dan tur ruahmanna siam nan a pawimawh hle.
- Lampang:
- Type 1: Hengte hi an aggressive vak lo. An darh zauh zauh a.
- Type 2: Hengte hi an aggressive zawk. An darh chak thei a, nasa zawka enkawl an ngai bawk.
- Stage: Cancer hi a darh zau dan azirin stage I atanga IV thlenga then a ni.
| Cancer Stage a ni | Hrilhfiahna |
|---|---|
| Stage I a ni | Cancer hi nausen pum chhungah a innghat a ni. |
| Stage II-na a ni | Cancer hian serh chhungah a darh tawh a ni. |
| Stage III-na a ni | Cancer hi vagina, ovaries, leh/ emaw lymph node-ah te a darh tawh a ni. |
| Stage IV-na a ni | Cancer hi bladder emaw uterus atanga hla tak organ hrang hrangah a darh tawh a ni. |
Uterine cancer enkawlna tur engte nge ni?
I enkawlna tur chu cancer chi hrang hrang, a stage leh i hriselna zawng zawngah a innghat a ni.
- Surgery: Hei hi a enkawlna ber a ni. Hysterectomy a ni fo thin . Hei hian nausen pum leh serh (cervix) te chu lakchhuah vek a ngai a ni. Cancer a darh tawh em tih en turin salpingo-oophorectomy (SOO) leh lymph node dissection hmangin a zui fo thin.
- Radiation Therapy: Cancer cell tihchhiat nan high-energy rays hman a ni. Hei hi operation hnua cell la awm zawng zawng tihchhiat nan emaw, operation tih theih lohna hmunah emaw hman a ni.
- Chemotherapy: Taksa hnena cancer cell that thei damdawi chak tak pek. Hengte hi injection emaw, pill angin emaw pek theih a ni.
- Hormone Therapy: Cancer cell thanna atana hormone mamawh tikhawlo thei damdawi pek.
- Targeted Therapy: Cancer cell-a chak lohna bik target-tu leh an thanlenna titawp thei damdawi pek.
- Immunotherapy: Cancer cells do turin kan taksa ngeia immune system tichaktu.
He natna hi a dam kim thei ang em?
Awle. Hei hi chanchin tha ber a ni. Uterine cancer, a bik takin endometrial cancer hi a hma thei hle a ni . Hei hi a chhan chu a lan chhuah dan chiang tak chu thisen chhuak pangngai lo a nih vang a ni.
Cancer hi a tir lama hmuhchhuah a nih chuan, nausen pum pawnah a darh hma chuan a dam kim theihna chance a sang hle (95% aia tam), nausen pum chu surgery hmanga lakchhuah pawh nise.
Mahse natna hi hriatchhuah a nih loh a, taksa peng dangah a darh (metastasis) chuan a damna rate a tlahniam a ni. Chuvangin early detection hian nunna a chhanhim kan ti a ni .
Cancer laka inven nan eng nge ka tih theih ang?
A tam zawkah chuan uterine cancer hi a pumpelh kim thei lo. Mahse, i risk tihtlem nan thil engemaw i tih theih a awm a:
- I taksa rihna hrisel tak vawng reng rawh: Thau lutuk hi hlauhawmna lian tak a nih avangin exercise dik leh ei leh in inthlau tak hmangin i taksa rihna control rawh.
- Diabetes enkawl dan: Zunthlum i neih chuan control tha rawh.
- Hormone hman danah fimkhur rawh: Hormone therapy i ei dawn a nih chuan i doctor nen sawiho la, estrogen leh progesterone awmna enkawlna ngaihtuah rawh.
Cancer vei theihna sang tak (e.g. Lynch syndrome) i neih chuan i doctor nen inbiakna neih a pawimawh a, test dik tak neih a pawimawh bawk.
Take-Home Thuchah a ni
- Uterine cancer chhinchhiahna ber chu vaginal bleeding pangngai lo a ni . Thisen chhuah reng reng chu ngaihthah suh, a bik takin menopause hnuah.
- He cancer hi a hmaa hmuhchhuah a nih chuan a dam vek thei a ni . Chuvangin hlauthawng suh la, symptom i neih chuan doctor thurawn la nghal rawh.
- Thau lutuk leh zunthlum thunun loh hian nausen pum cancer vei theihna a tipung hle. Nunphung hrisel neih reng a pawimawh.
- Pap test hian uterine cancer a hmu thei lo. Cervical cancer test a ni.
- Enkawl dan tur chu i cancer chi leh stage a zirin a ni. I doctor chuan i tana tha ber tur treatment plan a pe ang che.
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