I hnuteah lump ang chi thil i hmuh hian engtin nge i ngaih? A tam zawkah chuan, "Aw, ka kum lamah chuan chutiang chuan ka na lo, lump mai mai a ni mai thei," tiin kan ngaihtuah thin. A bik takin i naupang a nih chuan , cancer chungchang pawh i ngaihtuah lo mai thei. Mahse vawiinah hian nu naupang kum 31 mi Natoya Pascacio chanchin hi kan zavaia min zirtirtu leh kan thinlunga chakna nasa tak thlentu thawnthu a ni.
He Natoya hi tu nge ni? Eng thil nge a chungah thleng?
Natoya hi fa pahnih nei nu single chak tak a ni. Kum 31 mi lek a nih laiin hnute cancer chi khat, hmuh tur awm lo leh nasa tak a vei tih hmuhchhuah a ni. Chu chu `Triple-Negative Breast Cancer` tih a ni. A tlangpuiin hnute cancer chungchang sawi dawnin hmeichhia kum 50 chunglam chu an hlauhawm ber a ni. Mahse, he `Triple-Negative` chi hi hmeichhe naupang kum 40 hnuai lam zingah a tam hle.
He thawnthua mak tih ber chu hei hi a ni. Natoya hian a naute a hnute a pek laiin a hnuteah lump a awm tih a hre hmasa ber a. A chhungte zingah tumah cancer vei tawh an awm loh avangin doctor-te pawhin a tirah chuan, "Lungkham tur a awm lo, i kum a lo na zual dawn lo, test a ngai tawh lo," an ti thin.
Ngaihtuah teh, doctor-te’n chutianga an sawi chuan mi pangngaiin engtin nge a tih ang? "Aw... chuti a nih chuan thil dik lo a awm lo," a dik em? Mahse Natoya chuan chutiang chu a ti lo. A thinlung chuan, "Ni lo, hetah hian thil dik lo a awm a ni," a ti a. Doctor-te thurawn kalh zawngin a kal a, harsatna nasa tak nen mammogram a nei a . Chu test atang chuan cancer a vei tih a hre chiang hle. A thinlung chu a ring tlat a, a nunna chu chhandam a ni ta a ni.
Triple-Negative Breast Cancer hi eng nge ni?
Hei hi a awlsam zawngin han sawi ila. Cancer cells hi in chhunga rukruin a luhchilh ang maiin han ngaihtuah teh. He rukru hian a chhunga luh theih nan kawngkhar leh kawngkhar ang chi hmun a mamawh a ni. Chutiang bawkin hnute cancer cell tam tak chuan ``receptors'' an tih 'kawngkhar' bik pathum an hmang a, chu chu an lo thang lian a, chu chu an lo thang lian a, an darh zel tihna a ni.
Anni chu:
- Estrogen receptor te hi a ni
- Progesterone receptor te hi a awm a
- Mihring Epidermal Growth Factor Receptor 2 (HER2) a ni a, a chhuahna tur hmun leh a hmanna tur a awm lo.
Tuna cancer damdawi kan pek tam tak hi rukru luh theihna tur ‘kawngkhar’ khar ang maiin an che a, chu chu heng receptor te hnathawh hi an titawp tihna a ni. Tichuan cancer cell te chu an thang lian thei lo.
Mahse, he `Triple-Negative` chi hrang hrang specialty chu cancer cell-te hian 'kawngkhar' pathum tarlan zinga pakhat mah an nei lo. Chuvangin "triple-negative" an ti a ni. Heng ‘kawngkhar’ te hi a awm loh avangin heng damdawi hman tlanglawn tak takte tan hian he cancer hi thunun a harsa hle. Hemi avang hian he cancer chi hi a lo thang chak hle a, a darh chak hle a , enkawl dan pawh a tlem hle.
| Cancer chi hrang hrang | Cancer cell chhunga ‘gate’ (receptors) te hi | Enkawlna kawng hrang hrang |
|---|---|---|
| Hormone Receptor-Positive Cancer awm thei te hi a ni | Estrogen leh/ emaw progesterone hmanga siam a ni | Hormone therapy ang chi targeted treatment-ah pawh a chhang tha hle. |
| HER2 (HER2-Positive) nei cancer te tan chuan . | HER2 | HER2 hian targeted therapy a dawng tha hle. |
| Triple-Negative Cancer a ni a, a rilru a hah hle | A chunga receiver pathum zingah hian pakhat mah an awm lo. | Enkawlna kawng hrang hrang a tlem a, a bik takin chemotherapy a ni. |
Natoya enkawlna kawng harsa tak chu
Chutiang cancer na tak enkawl chu thil awlsam a ni lo. Natoya chuan ngaihtuah phak loh khawpa harsa enkawlna tam tak a hmachhawn a ngai a ni.
- Intravenous chemotherapy : Hei hi cancer enkawlna chi khat chak tak a ni. Taksa pumpuia cancer cell awmte tihlum turin pek a ni.
- Lumpectomy: Hei hi cancer natna zung leh a chhehvela tissue hrisel tlemte chauh surgery hmanga lakchhuah a ni a, hnute pumpui lakchhuah loh a ni.
- Radiation Therapy: Surgery hnuah high-energy rays hmangin cancer cell la awm zawng zawng chu tihchhiat vek a ni. Natoya hian hei hi round 25 zet a nei tawh a ni.
- Oral Chemotherapy : Intravenous treatment bakah hian oral chemotherapy a hman a ngai bawk.
Nun harsatna hi cancer aiin a lian zawk
Natoya hian a nunah harsatna lian tak tak dang a nei a, heng enkawlnate hrehawmna tuar chhuah aia nasa zawk pawh a nei bawk. Ngaihtuah teh, cancer a vei tih hriat a nih hma ni 12-ah a pasal a ṭhen a ngai a ni. Nu pakhata fa pahnih nei tan chuan amah chauhva hetiang natna hlauhawm tak hmachhawn hi engtiang chiahin nge a harsat?
Chu mai a ni lo, heng zawng zawng hi khawvelin hripui a tuar lai tak a ni. I chhuak thei lo, mi i hmu thei lo. Mahse Natoya chuan a beidawng lo. A chakna ber chu a sakhaw leh a fate pahnih a ni. Chu bâkah, a ṭhiante, a awmna khawtlâng mite, leh a `therapist` (psychological counselor) te chu a tan chakna nasa tak an ni.
Natoya hi cancer natnain a nun a thunun phal lo mi a ni. Natna chu a do a, a natna chu a tuar a, mahse chu zawng zawng karah chuan hmeichhe chak tak angin a rawn chhuak ta a ni.
Take-Home Thuchah a ni
- I taksa thu ngaithla rawh: Hei hi Natoya chanchin atanga kan zir tur lian ber a ni. I taksaah danglamna danglam tak i hmuh chuan, a bik takin i hnuteah lump i hmu a nih chuan ngaihthah suh la, "Hei hi thil mai mai a ni," ti rawh.
- Kum hi thil pawimawh tak a ni lo: Naupan lai hian hnute cancer i vei dawn lo tihna a ni lo tih ngaihtuah suh. Rare type thenkhat chu naupang zawkah a lo awm thei a, chuvangin i taksa hi enkawl reng ang che.
- Hlau lovin damdawi lam thurawn zawng rawh: Rinhlelhna i neih chuan doctor pan nghal rawh. I rinhlelhna a fiah hma loh chuan zawhna zawt rawh. A tul chuan second opinion lak hlau ngai suh.
- Nangmah chauh i ni lo: Natna i neih laiin chhungte, ṭhiante, leh a tul chuan counselor hnen aṭanga ṭanpuina zawng hi a pawimawh hle. Hei hi i tan chakna petu ropui tak a ni ang.
- Beiseina bansan suh: Natoya angin harsatna chu positivity leh chakna nen hmachhawn rawh. Nunnaah eng ang hun harsa pawh lo thleng se, beiseina vawng reng ang che.
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