Vawiin hian thupui pawimawh tak, hmeichhe tam takin sawi hreh deuh deuh, mahse kan hriat chian a ngai vek kan sawi dawn a ni. Chu chu Vaginal Cancer an tih natna a ni. He hming i hriat hian i hlauthawng mai thei. Mahse, hlau suh. Hei hi cancer chi khat hmuh tur awm lo tak a ni. Mahse hei hi hriat chian hi i hriselna atan a pawimawh hle. Chuvangin vawiin hian he thu hi awlsam takin, kan thianpa nen kan inbia ang maiin, chipchiar takin kan sawi dawn a ni.
A awlsam zawngin, vaginal cancer chu eng nge ni?
Vaginal cancer hi i vagina line tu cell, cell chhungril layer-a lo awm thin a ni. I hriat angin, vagina hi tube ang chi organ a ni a, uterus hnuai lam, cervix atanga i pawn lam genital, vulva thlengin a inzar pharh a ni.
Hetah hian hriatthiam tur pawimawh tak a awm. A châng chuan hmun danga cancer inṭan, serh cancer emaw, uterine cancer emaw ang chite chu vagina-ah a darh thei bawk. Mahse tuna kan sawi tak vaginal cancer hi vagina cell atanga intan cancer a ni. Hei hi chutiang cancer dangte darh zel aiin a tlem zawk hle.
He cancer chi hrang hrang hi engte nge ni?
Vaginal cancer hi chi hrang hrang a awm a. Chungte chu cancer intanna cell chi hrang hrang a zirin an thliar hrang a ni. A chi hrang hrang hi han thlir ila.
| Cancer chi hrang hrang | A sawifiahna awlsam tak |
|---|---|
| Squamous cell cancer natna a ni | Hei hi a tam ber chi a ni. Vaginal cancer zinga 90% vel a ni. Vagina line tu squamous cells atang hian a intan thin. |
| Adenocarcinoma natna a ni | Vagina chhunga gland cells atanga tan a ni. Kum 50 chunglam ah a lo awm tlangpui a, mahse, a danglam bik a awm. Kum 50 hnuai lam ah pawh clear cell adenocarcinoma an tih chi hi a lo awm thei a, a bik takin an nuin an pum chhunga an awm laiin damdawi Diethylstilbestrol (DES) an ei a nih chuan a lo awm thei bawk. |
| Melanoma natna a ni | Kan vunah pianna chhinchhiahna siamtu cell ang bawkin, vagina (melanocytes)-a rawng petu cell-ah a intan a ni. Hei hi cancer chi khat, a tlem hle a ni. |
| Sarcoma a ni | Hei pawh hi a tlem hle bawk. Vagina bang siamtu connective tissue leh muscle tissue atanga lo piang chhuak a ni. A chi hrang hrang a awm bawk. Rhabdomyosarcoma hi naupang tê têah a tam ber. Leiomyosarcoma hi kum 50 chunglam ah a tam ber. |
He natna hi engtiang chiahin nge a hluar?
A hmaa ka sawi tawh ang khan hei hi natna hmuh tur awm lo tak a ni. Hmeichhia 100,000 zinga pakhat vel chauhvin he natna hi an vei tih hmuhchhuah a ni. Gynecological cancer zawng zawng zingah hian vaginal cancer hi a tlem hle a, 1% leh 2% inkar a ni. Chuvangin hei hi a tul lova hlauh a ngai lo, mahse awareness hi a pawimawh ber a ni.
Tute nge he natna vei theihna sang zawk?
Natna dang ang bawkin he cancer lo awm chhan tur hian risk factor thenkhat a awm a. Eng nge an nih i han thlir teh ang.
- Kum 60 chunglam: Kum upat deuh deuh hian he cancer vei theihna hi a sang chho zel a. A chi tlangpui, ``Squamous cell carcinoma,'' hi kum 60 vel a ni tlangpui a, mahse, chu aia naupang zawkah chuan a chang chuan a lo awm thei a ni.
- Human Papillomavirus (HPV) infection: HPV hi mipat hmeichhiatna atanga kai theih hrik a ni. Cervical cancer bakah vaginal cancer vei theihna tur risk factor lian tak a ni. Mipat hmeichhiatna hmanpui tam tak neih leh HPV laka vaccine lak loh hian hri kai theihna a tipung a ni.
- Vaginal Intraepithelial Neoplasia (VAIN) condition: `(VAIN)` tih awmzia chu vagina lining-ah hian cell pangngai lo awm mahse cancer cell an la ni lo tihna a ni. Hei hi cancer hmaa awm ang mai a ni. Mi thenkhat chuan he natna hi cancer angin an nei a, thenkhat erawh chuan an nei lo. `(HPV)` vei te hian `(VAIN).` an vei tam zawk
- Cervical cancer emaw cervical dysplasia emaw neih: Tun hmaa cervical cancer enkawl tawh i nih chuan vaginal cancer vei theihna a awm. Tin, serh chhungah cell pangngai lo (cervical dysplasia) a awm theihna a awm bawk.
- Diethylstilbestrol (DES) exposure: ``DES'' hi synthetic hormone a ni a, kum 1940 leh 1971 inkar khan naupai laiin harsatna awm lo tura pek a ni a, i nu hian naupai laiin he damdawi hi a ei a nih chuan ``Adenocarcinoma'' i vei theihna a sang hle.
- Meizial zuk: Mak ti suh, meizuk hian vaginal cancer vei theihna a tipung a, a let hnih in a tipung a ni.
Hei hi eng symptoms nge ni?
A tir lamah chuan he cancer hian natna lan chhuahna a nei lo fo thin. I doctor-in Pap smear ang chi, routine check-up-a cell pangngai lo a hmuh chuan chauh i hre thei ang. Chuvang chuan gynecological exam mumal tak neih a pawimawh hle.
Mahse symptoms a lo lang a nih chuan hetiang hi a ni thei:
A pawimawh ber chu heng symptoms te hi cancer ang chi thil pawi tak avanga lo awm a ni lo va, thil awlsam dang vang a ni fo thin. Mahse hetiang thil i hmuh chuan ngaihthah ngai suh. Doctor pan vat rawh.
| Symptoms fimkhur tur | |
|---|---|
| 🩸 a ni | Sex hman zawh hnua thisen chhuah dan pangngai lo (thlasik nena inzawm lo). |
| 🩸 a ni | Menopause hnua thisen chhuak (thlasik a tawp vek hnuah). |
| 💧 | Vaginal discharge tui, thisen chhuak , emaw rimchhia nei. |
| 😣 | Mipat hmeichhiatna hman laia natna. |
| bawk | Vagina-ah lump emaw tumor emaw a awm tih hriat. |
| 🚽 tih a ni | Zun laiin natna, zun chhuah ngai fo, chaw ei kham, emaw bawlhhlawh dum. |
| 😖 | Pelvic area-a natna awm reng. |
Engtin nge natna hi kan hriat theih ang?
Doctor i hmuh chuan i natna lan chhuah dan chu ngun takin a ngaithla hmasa ang a, chutah chuan cancer emaw precancerous cells emaw enfiah turin test eng emaw zat a nei ang.
Test lian ber ber te
- Pelvic exam: Doctor chuan i vagina leh cervix chu a enfiah ang a, a danglamna emaw, lumps emaw a awm leh awm loh a enfiah ang.
- Pap smear: Hei hi i serh leh i serh atanga cell sample tlemte lak a, microscope hmanga en a, cell pangngai lo a awm leh awm loh en a ni.
- Colposcopy: He test hi Pap smear-a thil danglam a awm chuan tih thin a ni. Hetah hian vagina leh cervix chu uluk takin light leh magnifying device bik (colposcope) hmangin an enfiah thin.
- Biopsy: Hei chauh hi cancer a nih leh nih loh 100% a chiang thei tur a ni. Colposcopy an tih lai hian rinhlelh awmna hmun atanga tissue te tak te lakchhuah a ni a, lab-ah cancer cell awm leh awm loh enfiah turin an thawn a ni.
Cancer stage tihfel
Biopsy-in cancer a nih thu a finfiah chuan a dawt leh tur chu eng chen nge a darh tawh tih hriat a ni. Hei hi staging kan ti a. Chumi atan chuan scan chi hrang hrang hman a ni.
- CT scan, MRI scan, PET scan: Heng scan te hian tumor lian leh te, lymph node-ah a darh tawh em tih te, taksa peng dangah a darh tawh em tih te a enfiah thei a ni.
- Cystoscopy: Cancer chu bladder-ah a darh tawh em tih enfiahna a ni.
- Proctoscopy: Cancer chu rectum-ah a darh tawh em tih enfiahna a ni.
Engtin nge enkawl a nih?
Enkawl dan tur ruahmanna hi thil tam takah a innghat a, chung zingah chuan cancer chi hrang hrang, a stage, i kum leh i hriselna tlangpui te pawh a tel. Fa neih i tum a nih chuan i doctor nen pawh he thu hi sawipui i duh mai thei.
- Surgery: Surgery hi cancer leh a chhehvela tissue hrisel tlemte lakchhuah nan (`Wide local excision`), vagina thenkhat emaw, a pum emaw lakchhuah nan (`Vaginectomy`), a chang chuan nausen pum leh lymph node te lakchhuah nan (`Hysterectomy`) tih theih a ni. Natna a lo kir leh chuan, pelvis chhunga taksa peng engemaw zat lakchhuah nan, `Pelvic exenteration` ang chi operation lian zawk neih a ngai mai thei.
- Radiation hmanga enkawlna: 1.1.Hei hian cancer cell tihchhiat nan high-energy rays (X-ray ang chi) hman a huam a ni. Hei hi taksa pawn lama machine hmanga (`External radiation`) emaw, vagina chhunga radioactive material dah (`Internal radiation`) hmanga tih theih a ni.
- Chemotherapy: Cancer cell tihhlumna tur damdawi pek. Hei hi vaginal cancer tan chauh hman a ni lo. A thatna tihpun nan radiation therapy nen an pe fo thin.
Engtin nge a risk tihziaawm theih ang?
He cancer hi 100% a ven theih dan awm lo mahse, i hlauhawmna tihtlem nan thil engemaw zat i tih theih a awm.
- Gynecological exam leh Pap test neih fo thin ang che. Hengte hi eng chen nge i neih tur tih hi i doctor nen sawiho rawh.
- HPV vaccine hi la rawh. HPV vaccine chungchang hi doctor zawt rawh. Hei hian serh cancer bakah vaginal cancer vei theihna nasa takin a tihziaawm thei a ni.
- Meizial zuk loh vek tur a ni. Meizial zuk hian cancer zawng zawng a vei theihna a tipung a ni.
A tawp berah chuan, vaginal cancer i vei tih hmuhchhuah a nih chuan khawvel tawp a ni lo tih hre reng ang che. I doctor nen zalen takin inbiakna nei la, cancer chi hrang hrang, a darh zau zia leh i enkawl dan tur te chiang takin sawi rawh. A hmaa hmuhchhuah a nih chuan hlawhtling taka enkawl i nih a rinawm a, i dam kim a, nun pangngai i hmang thei bawk. He zin chhung hian i chhungte, i thiante leh counselor hnen atangin rilru lama puihna dil a pawimawh bawk.
Take-Home Thuchah a ni
- Vaginal cancer hi natna awm lo tak a ni a, mahse fimkhur a pawimawh hle.
- Sex hman zawh emaw, menopause hnu emawa thisen chhuah dan pangngai lo, emaw, tui rimchhia lo chhuak ang chi symptoms i neih chuan doctor pan nghal rawh.
- Pap test neih fo hian natna hi a tir atanga hriatchhuahna kawngah nasa takin a pui a ni.
- HPV vaccine lak hian he cancer leh cancer chi dang engemaw zat lakah hian a veng thei a ni.
- Meizial zuk hian vaginal cancer vei theihna a tipung a, chuvangin meizuk loh tur a ni.
- Cancer dang ang bawkin he cancer hi a tir atanga hmuhchhuah a nih chuan enkawl leh tihdam theihna chance a sang hle.
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