Cancer enkawlna an zawh hnuah mi tam tak chuan ‘A lo let leh ang em?’ tih hlauhna an nei thin. A tam hle mai. Colorectal cancer i nei tawh a, enkawl zawhah a lo let leh a nih chuan i doctor chuan ' recurrent colorectal cancer' a ti ang. Hei hi ngaihthlak tur phurrit lian tak a ni thei tih chu a dik a ni. Mahse, lungngai suh. Engkim hi chiang tak leh awlsam takin sawi ila.
Cancer lo awm leh theihna kawng hrang hrang a awm.
Cancer lo kir leh tur chungchang sawi dawn chuan a thlen theih dan kawng hrang hrang a awm. I doctor hian he thu hi a sawifiah dawnin heng thumalte hi a hmang mai thei a, chuvangin hengte hi tlem tal hriatthiam a pawimawh.
A awlsam zawngin sawi ila, he classification hi cancer awmna hmun atanga thlir a ni.
| Recurrence Type a ni | A awmzia mai mai |
|---|---|
| Local Recurrence a awm leh thin | Chumi awmzia chu cancer chu a hmaa cancer awmna hmunah chiah , chu chu colon emaw rectum emaw-ah a lo kir leh tihna a ni. |
| Regional Recurrence a awm leh ta | Heta thil thleng chu cancer hi a hmaa cancer awmna hmun hnaih ber lymph node -ah a lo kir leh thin a ni. |
| Hmun hla tak atanga lo lang leh thin | Hei hi taksa hmun hla tak , entirnan, thin, lung emaw, thluak emawa cancer a lo let leh huna an vuah a ni. Doctor chuan hei hi "Metastatic" a ti thei bawk. |
A chang chuan hei hi cancer lo awm lehna nge cancer zual zel tih hriat a harsa thin. Hei hi hun kal zelah tihfel a ni ang. A tlangpuiin kum khat tal enkawl hnua cancer lo lang leh tur chungchang kan sawi thin. Mahse, hun rei lote hnuah, thla engemaw zat hnuah a lo kir leh a nih chuan, a enkawlna hmasa khan cancer cell te chu a ti bo vek lo tihna a ni fo.
Hei hi eng symptoms nge ni?
Vawi tam tak chu, colon cancer symptom lo lang leh chu cancer i neih tirh laia i symptoms ang kha a ni thei. Chutih laia i rilru hahna chu i hre reng mai thei.
Hengte hi a tlangpuiin a lan chhuah dan chu a ni:
- Pum na emaw, na emaw (Belly pain) .
- Constipation emaw riltam emaw
- Chhan awm lovin taksa rihna tihtlem
- A tlangpui aia chau zawka inhriatna (Tiredness) .
- Chaw ei chakna hloh
Cancer a darhna hmun azirin a lan chhuah dan dang pawh a awm thei a, chungte chu:
- Pelvic emaw hnungzang emaw natna
- Thâwk lak harsatna
Mahse hei pawh hi hriat reng a pawimawh. A châng chuan, cancer chu a lan chhuah lohvin a lo kir leh thei . Chuvangin cancer enkawl hnuah doctor-in schedule a siam angin clinic (follow-up visit) kal chhunzawm zel a pawimawh hle.
Engtin nge natna hi a lo let leh tawh tih chiang taka i hriat theih ang?
He natna hi a hma thei ang bera hriatchhuah hian dam theihna chance nasa takin a tipung a ni . A tam zawkah chuan i doctor chuan i enkawlna hnua follow- up visit-naah hei hi a hmuchhuak ang. Heng test te hi thla 3-6 danah tih thin a ni tlangpui.
Heng clinic-ah hian doctor chuan hetiang hi a ti thei a:
- Physical Exam: Taksa enfiahna kimchang pek i ni ang.
- Symptoms chungchang zawh: I harsatna thar i neih apiang chu i doctor nen sawiho rawh. A te pawh nise, thup suh.
- Thisen Test: Hei hian CEA (Carcinoembryonic Antigen) tih protein level chu a bik takin a enfiah thin. Engtik lai pawhin ni lo mah se, mi thenkhatah chuan cancer a lo let leh chuan CEA level a sang chho thin.
- Endoscopy: Tube te tak te, flexible tak, camera dahna, intestine lian chhunga luhtir a, a chhung lam enfiah dan.
- Colonoscopy: Hei hi endoscopy ang chi test a ni a, mahse cancer lo kir leh tawh zawng aiin tumor thar zawn nan a tha zawk.
- Biopsy test hmanga enfiah: 1.1.Cancer vei rinhlelhna a awm chuan hei hi finfiah dan tha ber a ni. Hetah hian tumor rinhlelh atang hian tissue te tak te tak te chu lakchhuah a ni a, microscope hmangin cancer cell a awm leh awm loh enfiah a ni.
- Imaging Test (CT, MRI ang chi): I doctor chuan cancer hi taksa peng dangah a darh em tih leh eng chen nge a darh tih hriat nan CT scan (Computed Tomography) ang chi test neih a rawt thei ang.
Eng enkawlna nge awm?
I tan enkawlna tur ruahmanna a rawt hmain i doctor chuan thil engemaw zat a ngaihtuah ang.
- Cancer a lo lan tirh atang khan eng chen nge a lo awm tawh?
- Khawiah nge cancer hi a lo awm leh tawh? (Tualchhung, Regional emaw Distant emaw?)
- Cancer hi a darh tawh em?
- I hriselna pum pui chu engtin nge a awm?
Heng zawng zawng hian i tana enkawl dan tur tha ber a hril ang.
A bik takin, cancer cell te hi a hmaa chemotherapy damdawi hman tawhte lakah ‘resistant’ an lo ni tawh mai thei tih hre reng ang che. Chuvangin tun ṭumah hian doctor chuan chemotherapy damdawi chi dang a thlang mai thei.
Vanneihthlak takin tunlai hian enkawl dan tur tam tak a awm a.
- Surgery: A theih chuan a enkawlna ber chu surgery hmanga tumor lo lang leh chu lakchhuah a ni.
- Chemotherapy: Damdawi chi hrang hrang combination pek theih a ni. A châng chuan a chaknate chu a danglam thei a, a châng chuan ruihhlo chu rei lo tê chawlhsan a, chumi hnuah ṭan leh a ni thei bawk.
- Radiation: Tun hmaa radiation treatment i la lo a nih chuan tun ṭumah hian surgery leh chemotherapy bakah radiation treatment pek i ni thei bawk.
- Targeted Therapy: Hengte hi damdawi chi thar zawk an ni. Cancer cell te chu direct-in an target a, an lo thang lian thei lo. An side effects hi chemotherapy pangngai nen a danglam hle. Mahse, heng damdawi te hian cancer chi hrang hrang tan hna a thawk lo.
Take-Home Thuchah a ni
- Cancer enkawlna hnuah , i doctor-in a tih angin follow-up visit-ah kal ngei ang che. Chu chu recurrence hriat hmasak dan tha ber a ni.
- I taksaa inthlak danglamna thar emaw, symptom thar emaw (ril na, rihna tlahniam, hah lutuk) chu ngaihthah suh la, doctor hnenah hrilh nghal rawh.
- Cancer a lo lang leh chuan engkim a tawp tawh tihna a ni lo. Tunlai hian enkawlna changkang leh hlawhtling tak tak a awm nual a.Awle. Thil \ha ngaihtuah pawh a pawimawh hle.
- Hetiang hunah hian hlauhna, lungkhamna leh lungngaihna te hi thil pangngai tak a ni. I chhungte emaw, i ṭhian rintlak tak emaw, i doctor emaw nen pawh zalen takin sawi rawh. Emotional support hmuh pawh hi enkawlnaah hian a tel ve a ni.
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