Breast cancer vangin operation i nei tawh em? A nih loh leh i hriat mi pakhatin he thil tawn hi a tawk em? Ni engemaw zat, operation hnu kar tlemteah pawh ni se, i kutphah atanga i kutphah atanga hrui khauh tak a rawn tlan thla tih i hre tan em? I kut i chawi sang tum hian he natna leh tightness hi a na zual em? Hei hi mi tam takin an tawn fo thin a ni. Lungngai suh. Hei hi operation avanga side effect pangngai a ni thei. Damdawi lam hawi chuan he natna hi Axillary Web Syndrome (AWS) kan ti a. Mahse common parlance-ah chuan ‘Cording’ an ti. Vawiin hian awlsam takin sawi ila.
Hetiang thil a thlen chhan hi han en hmasa ila.
Hei hi hrethiam tur chuan kan taksaa lymph system chungchangah hian ngaihtuahna tlem i neih a ngai a ni. A awlsam zawngin sawi ila, hei hi kan taksa invenna peng pawimawh tak a ni. Thisen kalna kawng network ang bawkin kan taksa pum puiah hian lymph vessel leh lymph node an tih gland te tak te network a awm a. Hengte hi Sinhala tawngin ‘kuddati’ kan ti bawk.
He system hnathawh ber pakhat chu taksa atanga tui tam lutuk paih chhuah a, natna hrik, bacteria leh cell chhia ang chi thil te filter chhuah hi a ni. Kan taksaah ‘bawlhhlawh sawngbawl dan’ ang mai a ni.
A chang chuan hnute cancer cell te hi heng lymph node, a nih loh leh lymph node ah te hian a darh thei bawk. Chuvangin i enkawltu doctor-te chuan chutiang chuan cancer chu a darh tawh em tih hriat an duh ang. Chu thu chu i tâna enkawlna ruahmanna ṭha ber siam nân an hmang ang.
Cording awm chhan bik chu eng nge ni?
Cording hi hnute cancer enfiah nan armpit atanga lymph node (lumps) lakchhuahna surgery-a side effect awm fo a ni.
I doctor chuan operation chi hnih zinga pakhat chu i tan a rawt thei ang:
1. Sentinel Lymph Node Biopsy (SLNB): Hei hian cancer hnaih ber node pawimawh ber pakhat emaw pahnih emaw chauh lakchhuah leh enfiah a huam a ni.
2. Axillary Lymph Node Dissection (ALND): Hetah hian node tam tak lakchhuah a ni.
Cancer enkawl mek tam tak chuan heng operation pakhat emaw, pahnih emaw an neih a ngai a ni. Doctor-in tissue a lak chhuah tam poh leh cording a awm theihna a sang zawk. Mahse, tissue pakhat chauh lakchhuah pawh ni se, he natna hi a awm thei tih hre reng ang che.
Hetiang hi a ni: Armpit atanga pimple lakchhuah a nih chuan a nena inzawm lymphatic vessels nalh tak tak te chu a chhe vek a ni. He chhiatna hian chu bêlte chu hun kal zelah a tikhauh a, thread hring ang maiin a awm ta a ni. Kan kut atanga hrual ang maia kan hriat thin vessels tightened te kha an ni.
Cording tih hian eng symptoms nge a neih? Engtin chiah nge a awm?
Heng symptoms te hi operation hnu ni engemaw zat emaw kar hnih atanga kar thum chhungin a lang tan tlangpui. Mahse, a tlem hle a, thla tam tak hnua a bul tanna hmunah hian case hmuh tur a awm lo.
Hetiang natna hi i nei nia i rinhlelh chuan heng symptoms te hi lo thlir reng ang che.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Kut chawi sang laiin na | I hriat hmasak ber chu i kut chu i lu chungah chawi sang i tum hian i armpit a na a ni. |
| Tightness leh pulling a awm | Surgery an tihna hmun atang chuan hrui emaw, hrui emaw khauh tak a rawn chhuak ang maiin a lang a, elbow thlengin, a kutphah thlengin a rawn chhuak thei bawk. Mi thenkhat chuan hetiang hian an rilruah an inhnukdawk tih pawh an hre thei bawk. |
| Pawn lam hawi leh khawih a nih | Kar tlemte chhungin heng ‘cord’ te hi a nghet zual sauh sauh a, vun hnuaiah hmuh theihin a inher chhuak thin. I kut hmanga i khawih hian i hre thei. |
| Inkalpawhna khap | Hetianga tightness leh natna hian kut chu shoulder level aia sang zawka chawi sang emaw, elbow fully extend emaw a ti harsa hle. Hei hian nitin hna thawh a harsat phah thei hial a ni. |
Hei hi harsatna lian tak a ni thei a, a bik takin a ruala radiation therapy i neih chuan, chu enkawlna chuan i kut chu i lu chungah i chawi sang a ngai a ni.
Lungngai suh! Hemi atan hian enkawlna tha tak tak a awm.
He thu i hriat hian hlauthawng tih hi thil pangngai tak a ni. Mahse thu lawmawm tak chu he natna hi physical therapy hmangin hlawhtling takin enkawl theih a ni.A tlangpuiin enkawlna tlemte emaw thla engemaw zat emaw chhungin a natna lan chhuah dan chu a bo vek tawh mai.
I tih tur chu i doctor nen inbia la, physical therapist, nurse emaw, cording condition chungchanga tawnhriat nei doctor dang emaw hnenah referral dil rawh.
I enkawlna ruahmannaah hian heng zinga pakhat emaw, a aia tam emaw pawh a tel thei.
| Enkawl dan tur | A sawifiahna awlsam tak |
|---|---|
| Stretching exercise tih te hi a ni | Hei hi dam lehna kawngkhar a ni. I physical therapist chuan heng hrui khauh tak takte hi tihzauh nan exercise bik a zirtir ang che. Hengte hi in lama tih chhunzawm zel a pawimawh. |
| Natna tihdamna damdawi | Exercise i tih laiin hrehawmna emaw, natna emaw engemaw chen i nei thei a, chuvangin i doctor chuan enkawl emaw exercise emaw hmain painkiller ei turin a fuih thei che a ni. |
| Tui hleuh | Swimming hi kut chet lehna tur leh natna leh hrehawmna tihziaawmna tha tak a ni. |
| Laser hmanga enkawl a ni | Therapist chuan hmanraw te tak te hmangin heng tissue khauh tak takte hi low-level laser beams te chu a direct thei a ni. Hei hian tissue khauh tawhte chu a tizau hle. |
| Kut hmanga enkawlna | Therapist chuan he tissue hi zawi zawiin a massage thei a, zawi zawiin a kut chunglam atang hian a hnuai lamah a hruai thei bawk. Hetih lai hian hrui pakhat a tliak chuan ‘click’ ri i hre mai thei. Lungngai suh, hei hian a tlangpuiin natna a thlen lo.Chutiang chuan i kut chu zalen zawkin i che thei ang. |
Hmun khata hrui a thlah chuan chu lai hmuna natna chu a tlahniam thei a, i kut hmun dangah chuan i tight leh na zual thei bawk. Hei hian cording a chhe zual tihna a ni lo. Chu hmunte chu a la tight tihna a ni. Chu lai hmuna cord chu a lo chhuah chuan a natna chu a reh mai ang.
Take-Home Thuchah a ni
- Cording hi hnute cancer surgery-a side effect awm fo a ni. I sualna a ni lo.
- A lan chhuah dan ber chu natna, tightness, leh armpit atanga arm hnuai lam pan thei stringy tissue hmuh theih/hriatna te hi a ni .
- Hetiang dinhmun hi hlau suh, i doctor nen inbia ang che. Physics therapist \ha tak hnenah a refer ang che.
- Dam chakna atan chuan in lama physical therapist-in a zirtir stretching exercise te chu tih reng a pawimawh a, engmah boredom awm lovin .
- I symptoms te chu a bo vek tawh a nih pawhin, i hnute cancer enkawlna zinkawng chhung zawnga i kekawrte chu a tha zawnga awm theih nan heng exercise te hi chhunzawm zel ang che.
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