So wote nka sɛ akuru bi wɔ wo kɔn mu? Momma yɛnka Follicular Thyroid Cancer ho asɛm!

So woate nka sɛ akisikuru bi wɔ wo kɔn mu pɛn? Anaasɛ woahyɛ no nsow sɛ wo nne sesa anaasɛ ɛyɛ den sɛ wobɛmene? Ɛtɔ mmere bi a eyinom yɛ nneɛma a ɛfata, nanso ɛtɔ mmere bi a ebetumi ayɛ ɔhaw bi a ɛwɔ wo thyroid gland no ho sɛnkyerɛnne. Ɛno nti na ɛnnɛ yɛsusuu sɛ yɛbɛka saa adeɛ yi a wɔfrɛ no follicular thyroid cancer yi ho asɛm. Nsuro, ɛho hia paa sɛ wobɛhunu eyi.

Enti dɛn ne saa thyroid ntini yi?

Okay, di kan ma yɛnhwɛ nea thyroid gland no yɛ. Sɛ yɛbɛka no tiawa a, ɛyɛ akwaa ketewaa bi a ɛte sɛ ntontom wɔ wo kɔn anim. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛte sɛ nea ɛwɔ wo mframa afiri ase. Ɛyɛ yɛn nipadua no endocrine nhyehyɛe no fã . N’adwuma titiriw ne sɛ ɛbɛyɛ hormone ahorow . Saa nkwaadɔm yi di nneɛma pii a ɛho hia wɔ yɛn nipadua mu so. Sɛ nhwɛso no, saa thyroid hormone ahorow yi ho hia ma yɛn nipadua no mu nneɛma a ɛsakra , a ɛredan aduan a yedi no ahoɔden, ne nneɛma te sɛ calcium dodow a ɛwɔ mogya no mu a yɛbɛhwɛ so.

Enti, thyroid kokoram ba bere a nkwammoaa a ɛwɔ thyroid ntini no mu, esiane biribi nti , fi ase nyin wɔ ɔkwan a ɛnteɛ so na wontumi nni so .

Thyroid kokoram ahorow ahe na ɛwɔ hɔ?

Yiw, thyroid kokoram ahorow atitiriw anan na ɛwɔ hɔ. Nnuruyɛfo de afiri a wɔde hwɛ nneɛma nketenkete a wɔde hwɛ kokoram nkwammoaa no mu na wohu eyinom.

Wɔne:

• Follicular cancer: Ɛnnɛ yɛreka saa kokoram yi ho asɛm.
• Papillary cancer: Eyi ne nea abu so sen biara.
• Medullary kokoram.
• Anaplastic cancer: Eyi yɛ aniberesɛm kakra, nanso ɛntaa nsi koraa.

Wɔsan kyekyɛ kokoram ahorow yi mu sɛ:

• Kokoram a ɛda nsow yiye: Saa nkwammoaa yi te sɛ thyroid nkwammoaa a ɛteɛ no kodu baabi. Eyi ma ɛyɛ mmerɛw sɛ wɔbɛsa wɔn yare na mpɛn pii no wotumi sa wɔn yare koraa. Follicular ne papillary ahorow nyinaa hyɛ saa kuw yi mu.
• Kokoram a nsonsonoe nni mu: Nkwammoaa yi yɛ soronko koraa wɔ nkwammoaa a ɛteɛ no ho, na ɛma ɛyɛ den sɛ wɔbɛsa. Anaplastic carcinoma yɛ saa ahorow yi mu biako.

Nsonsonoe bɛn na ɛda follicular ne papillary kokoram ntam?

Ahorow abien no nyinaa fi ase wɔ thyroid gland no follicular cells mu, enti nsɛdi pii wɔ abien no ntam. Nanso, ɛda adi sɛ papillary carcinoma bɛtrɛw akɔ ntini a ɛma mogya tu no mu sen follicular carcinoma. Papillary carcinoma nso abu so sen follicular carcinoma.

Nsonsonoe bɛn na ɛda follicular ne medullary kokoram ntam?

Medullary thyroid kokoram yɛ ntini mu akisikuru.Ntini mu ntini mu akisikuru. Eyinom fi C- nkwammoaa a ɛwɔ thyroid ntini no mu no mu. Saa C-nkwaboaa yi yɛ hormone bi a wɔfrɛ no calcitonin . Saa hormone yi na ɛhwɛ calcium dodow a ɛwɔ yɛn mogya mu no so. Medullary tumors yɛ basabasa kakra sen follicular tumors, a ɛkyerɛ sɛ ebetumi atrɛw ntɛmntɛm. Ebia wɔde bata abusua abakɔsɛm a ɛfa yare no ho nso ho.

Hena na onya follicular thyroid kokoram?

Ebetumi ato obiara ankasa. Nanso, ɛtaa ba mmea a wɔn mfe akɔ anim so kɛse . Eyi kyerɛ sɛ mmea a wɔadi fi mfe 40-60 wɔ asiane kɛse mu.

Eyi abu so dɛn?

Follicular thyroid cancer yɛ 10% kosi 15% wɔ thyroid kokoram nyinaa mu. Nnipa dodow no ara nya papillary thyroid cancer (a ɛyɛ bɛyɛ 70% kosi 80%).

Ɔkwan bɛn so na follicular thyroid cancer ka me?

Ɛtɔ mmere bi a, follicular thyroid cancer betumi ama wo kɔn mu ayɛ kurukuruwa anaasɛ woate ɛyaw. Nanso sɛ wohu no ntɛm a , wobetumi asa no yare koraa. Sɛ wɔansa kokoram yi a, ebetumi atrɛw (atrɛw) akɔ nipadua no afã afoforo. Sɛ ɛtrɛw pɛ a, ɛbɛyɛ den kakra sɛ wɔbɛsa.

Dɛn ne follicular thyroid kokoram ho sɛnkyerɛnne?

Kae sɛ ɛtɔ mmere bi a, ebia yare no ho sɛnkyerɛnne biara nni hɔ koraa. Nanso, sɛ wowɔ sɛnkyerɛnne a edidi so yi mu biako anaa nea ɛboro saa a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn:

• Akuru anaa kɔn mu a ɛhoa ( thyroid nodule). Eyi ne sɛnkyerɛnne a ɛtaa ba.
• Aso mu yaw, anaasɛ ɛyaw wɔ anom anaa kɔn mu.
• Ɛnne a ɛyɛ den anaasɛ ɛsakra ( dysphonia ).
• Ntini a ɛho ahonhon wɔ kɔn mu.
• Ɛyɛ den sɛ wobɛhome anaasɛ wobɛmene ( dysphagia ).

Nsuro kokoram esiane sɛ wowɔ saa sɛnkyerɛnne ahorow yi ara kwa nti. Nanso, nyansa wom sɛ wobɛhwehwɛ aduruyɛ mu afotu.

Dɛn ne nneɛma a ɛde follicular thyroid kokoram ba?

Nnuruyɛfo nnim nea enti a thyroid nkwammoaa nyin wɔ ɔkwan a ɛnteɛ so no ankasa. Nanso, wɔahu nneɛma bi a ɛde asiane ba . Sɛ nhwɛso no, ebia mframa a ano yɛ den a wɔde di dwuma no yɛ ade biako a ɛde ba. Eyi kyerɛ sɛ, sɛ woadi kan de mframa a wɔde sa yare foforo akɔ wo kɔn mu, anaasɛ woyɛ adwuma a ɛfa nneɛma a ɛma mframa bɔne ho a, wowɔ asiane kɛse mu. Wɔkyerɛ nso sɛ nnipa a wɔte mmeae a iodine nni hɔ no nso wɔ asiane kɛse mu sɛ wobenya kokoram yi.

So kokoram yi tumi de ɔyare mmoawa ba?

Dabi, follicular thyroid cancer nyɛ yare a ɛde ɔyare ba . Worentumi ntrɛw mu mma obi foforo.

Bere tenten ahe na egye ansa na follicular thyroid kokoram atrɛw?

Ɛyɛ den sɛ yɛbɛka eyi ampa. Ɛtɔ da bi a kokoram tumi trɛw ntɛmntɛm, ɛtɔ da nso a ebetumi agye mfe pii. Sɛ́ ebia ɛkɔ mmeae afoforo anaasɛ ɛnte saa , ne sɛnea ɛkɔ ntɛmntɛm no, gu ahorow wɔ onipa biara mu. Ɛno nti na yɛka sɛ ɛho hia sɛ yɛhunu yareɛ no ntɛm sɛdeɛ ɛbɛyɛ yie na yɛhyɛ ayaresa ase.

Ɔkwan bɛn so na nnuruyɛfo hu eyi?

Sɛ wokɔ oduruyɛfo nkyɛn a, ebia wobehu akuru bi wɔ wo kɔn mu bere a woreyɛ wo nipadua mu nhwehwɛmu daa no. Ɛtɔ mmere bi a, wobetumi ahu akuru bi wɔ akwanhyia mu bere a wɔreyɛ mfoninitwa sɔhwɛ ahorow a wɔyɛ esiane biribi foforo nti no.

Sɛ oduruyɛfo no susuw sɛ akisikuru bi wɔ hɔ a, wobetumi ayɛ nhwehwɛmu ahorow te sɛ:

• CT scan a wɔde yɛ adwuma
• MRI
• Ultrasound scan - Eyi ne nea wɔtaa de hwɛ sɛ akisikuru wɔ kɔn mu anaa.
• X-ray - Eyi renkyerɛ thyroid nodules no pefee, nanso wobetumi ayɛ chest X-ray de ahwɛ sɛ kokoram no atrɛw akɔ ahurututu mu anaa.

Sɔhwɛ ahorow bɛn na wɔyɛ de si so dua?

Ɛnyɛ kɔn mu akisikuru nyinaa na ɛyɛ kokoram. Pii yɛ nea ɛnyɛ hu . Enti, sɛ wo duruyɛfo susuw sɛ ebia wowɔ kokoram a, ebia ɔbɛkamfo akyerɛ sɛ wɔnyɛ fine needle aspiration biopsy (FNAB). Eyi hwehwɛ sɛ wɔde ade a ɛyɛ fɛ yiye yi nkwammoaa ketewaa bi fi akuru no mu na wɔma nkwammoaa ho ɔbenfo bi de afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu . Eyi nkutoo ne ɔkwan a wobɛfa so ahu sɛ kokoram nkwammoaa wɔ hɔ anaasɛ enni hɔ.

Ɔkwan bɛn so na wɔsa follicular thyroid kokoram?

Mpɛn pii no, aduru titiriw a wɔde sa follicular thyroid kokoram ne oprehyɛn .

Nea wobetumi de oprehyɛn ayɛ ne sɛ:

• Thyroid gland no fã a ɛwɔ nodule ( lobectomy ) no nkutoo a wobeyi afi hɔ.
• Thyroid gland no nyinaa a wobeyi afi hɔ ( total thyroidectomy ).
• Sɛ kokoram no atrɛw akɔ ntini a ɛma mogya tu no mu a, wobeyi saa ntini ahorow no nso afi hɔ.

So ayaresa foforo bi wɔ hɔ a oprehyɛn nka ho?

Yiw, egyina faako a kokoram no kɔ, kyerɛ sɛ, baabi a kokoram no atrɛw akodu, ne sɛ ebia atrɛw akɔ akwaa afoforo mu no, wobetumi akamfo ayaresa foforo akyerɛ wɔ oprehyɛn akyi.

Wɔne:

• Radioiodine therapy (RAI): Eyi yɛ aduru a wɔtaa de sa kokoram a ɛwɔ akyi berɛmo mu. Esiane sɛ thyroid nkwammoaa twetwe iodine nti, wɔde radioactive iodine ma de kum kokoram nkwammoaa biara a aka.
• Thyroid hormone a wɔde sa yare:Sɛ woyi thyroid gland no fi hɔ koraa wie a, ɛsɛ sɛ wɔma nipadua no thyroid hormone ahorow wɔ akyi. Afei nso, saa hormone ahorow yi a wɔde ma no boa ma wodi kokoram nkwammoaa a ɛsan nyin no so.
• External Beam Radiation Therapy: Wɔ tebea titiriw bi mu, titiriw sɛ kokoram no atrɛw akɔ ntini a atwa ho ahyia wɔ kɔn no mu a, wobetumi de saa ayaresa yi ama.
• Nnuru a wɔde sa yare: Eyi nyɛ aduru a wɔtaa de sa follicular thyroid kokoram. Wɔde ma kokoram a atrɛw kɛse na enni ayaresa afoforo ho dwuma.
• Ayaresa a wɔde wɔn ani asi so: Eyinom yɛ nnuru foforo a ɛde n’ani si molecule pɔtee bi a ɛwɔ kokoram nkwammoaa mu so, na ɛnsɛe nkwammoaa a ɛteɛ no kɛse.

So ayaresa no mu nsunsuanso bɔne bi wɔ hɔ?

Kokoram ayaresa betumi de ɔhaw ahorow aba. Eyinom gu ahorow wɔ onipa biara mu. Ebia nnipa binom behyia:

• Ayamtuo
• Akɔnnɔ
• Ɔbrɛ
• Nwi a ɛtɔ - Eyi taa ba bere a wɔreyɛ nnuru a wɔde sa yare no.
• Akisikuru ne ɔfe
• Ɔkasa ne mene a ɛyɛ den (titiriw wɔ oprehyɛn akyi) .
• Ɛyɛ den sɛ wode w’adwene besi nneɛma so anaasɛ wobɛkae nneɛma ( chemo brain) .
• Mrɛyɛ

Ade a ɛho hia sen biara ne sɛ sɛ wunya ɔhaw biara a, wobɛka akyerɛ wo duruyɛfo. Mprempren akwan bi wɔ hɔ a wobetumi afa so adi nneɛma bɔne pii a efi mu ba no so.

Bere tenten ahe na egye follicular thyroid cancer ayaresa?

Wo duruyɛfo bɛhwɛ sɛnea woreyɛ w’ade wɔ ayaresa ho daa. Sɛ kokoram no nni wo nipadua mu bio a, worenhia ayaresa a ɛyɛ nnam. Nanso, sɛ wɔayi wo thyroid gland a, ɛho behia sɛ wonom nnuru a wɔde si thyroid hormone ananmu wo nkwa nna nyinaa. Eyi ho hia na ama woanya apɔwmuden. Wo duruyɛfo nso bɛkɔ so ahwɛ wo sɛ kokoram no asan aba bio (ɔhwɛ a wɔde di akyi).

So ɔkwan bi wɔ hɔ a wɔbɛfa so atew asiane a ɛwɔ hɔ sɛ obi benya kokoram yi so?

Kakraa bi na yebetumi ayɛ ankasa de asiw follicular thyroid kokoram ano. Nanso, sɛ obi a ɔwɔ w’abusua mu anya kokoram, anaasɛ wowɔ nneɛma afoforo a ɛde asiane ba a, ɛbɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa afa ho. Sɛ biribi wɔ hɔ a ɛsɛ sɛ woyɛ pɔtee a, obetumi aka akyerɛ wo.

Sɛ mewɔ follicular thyroid cancer a, dɛn na ɛba?

Nea edi kan no, mma wo ho nnpopo. Wo ne wo duruyɛfo nkasa yiye na bisa wɔn gyinabea a wo kokoram no wɔ, ayaresa ahorow a wɔkamfo kyerɛ, ne nea wubetumi ahwɛ kwan afi wɔn hɔ. W’aduruyɛfo kuw no nso bɛboa wo ma woadi ɔhaw biara a ebetumi aba bere a wɔreyɛ ayaresa no ho dwuma. Afei wubetumi ayɛ wo da biara da dwumadi ahorow.

So wobetumi asa follicular thyroid kokoram?

Yiw, mpɛn pii no, wobetumi asa follicular thyroid kokoram! Titiriw sɛ wɔkyere no ntɛm a.Sɛnea ebetumi aba sɛ ne ho bɛtɔ no no dɔɔso yiye. Enti,

• Sɛ wowɔ thyroid kokoram ho sɛnkyerɛnne bi a, .
• Anaasɛ sɛ wowɔ nneɛma a ebetumi ama woanya thyroid kokoram a, .

Kɔ oduruyɛfo nkyɛn a wonntwentwɛn wo nan ase.

Mɛyɛ dɛn ahwɛ me ho?

Sɛ wowie ayaresa wie mpo a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnhwɛ wo akyi , te sɛ mogya mu nhwehwɛmu de hwɛ wo thyroid hormone dodow ne scan a wɔbɛyɛ de ahwɛ sɛ ebia ɛsan ba bio anaa.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Follicular thyroid kokoram yɛ tebea a wotumi sa kɛse . Enti, mma wo ho nnyɛ wo hu, ma w’ani nna hɔ.

• Sɛ wo kɔn mu akisikuru, wo ho wosow, wo nne sesa, ɛyɛ den sɛ wobɛmene, anaasɛ ɛyɛ den sɛ wobɛhome a, hwehwɛ aduruyɛfo afotu ntɛm ara .
• Nnuruyɛfo yɛ nhwehwɛmu ahorow de hu tebea yi.
• Ayaresa titiriw ne oprehyɛn, na sɛ ɛho hia a, wɔde radioactive iodine ayaresa ne hormone ayaresa nso ma.
• Sɛ wohu ntɛm a, hokwan a ɛwɔ hɔ sɛ ne ho bɛtɔ no no yɛ kɛse koraa.

Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo. Wɔn ani gye sɛ wɔbɛboa wo. Kɔ so nya apɔwmuden!

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