So akisikuru bi wɔ kɔn mu? So ebetumi ayɛ thyroid kokoram? Momma yensua Hürthle Cell Carcinoma ho ade

So wote nka sɛ akisikuru bi wɔ wo kɔn mu? Anaasɛ woahu nsakrae bi wɔ wo nne mu anaasɛ ɛyɛ den sɛ wobɛmene ade nnansa yi? Ebia eyinom yɛ nea ɛfata. Nanso, wɔ nsɛm a ɛntaa nsi mu no, wobetumi ayɛ thyroid haw ho sɛnkyerɛnne nso. Ɛnnɛ yɛreka kokoram a ɛte saa a ɛntaa nsi nanso ɛho hia yiye ho asɛm. Ɛno ne Hürthle nkwammoaa mu kokoram.

Dɛn ne Hürthle Nkwammoaa mu Kokoram?

Sɛ yɛbɛka no tiawa a, eyi yɛ kokoram a ɛntaa nsi a ɛba thyroid ntini no mu. Fa no sɛ ntini ketewaa bi a ɛte sɛ ntontom wɔ yɛn kɔn anim. Eyi ne nea yɛfrɛ no thyroid gland . Yɛn nipadua mu dwumadi ahorow pii a ɛho hia, titiriw nipadua mu nneɛma a ɛsakra no, hormone ahorow a saa ntini yi yɛ no na ɛhwɛ so.

Hürthle cell carcinoma yɛ kokoram a ano yɛ den a ɛba wɔ thyroid ntini no mu. Akisikuru no betumi ama ayɛ den sɛ ɔbɛkasa na wahome. Sɛ wɔansa kokoram no yiye a, ebetumi atrɛw akɔ nipadua no afã afoforo te sɛ ntini a ɛma mogya tu, ahurututu, ne nnompe . Eyi ho ayaresa titiriw ne oprehyɛn a wɔyɛ de yi thyroid ntini no nyinaa anaa ne fã bi.

Ɔkwan bɛn so na saa tebea yi ka nipadua no?

Mpɛn pii no, kokoram yi tumi nyin wɔ nipadua no mu a ɛnna sɛnkyerɛnne biara adi wɔ ne mfiase. Wɔ nnipa binom fam no, wohu no wɔ akwanhyia mu, bere a wɔreyɛ tebea foforo ho nhwehwɛmu no.

Nanso sɛ yare no ho sɛnkyerɛnne fi ase da adi a, ebia wubedi kan ahu akisikuru bi wɔ wo kɔn anim. Bere a saa akuru yi nyin no, ebetumi afi ase amia wo menewam. Eyi betumi ama ayɛ den sɛ wɔbɛmene . Afei nso, sɛ saa akuru yi mia wo trachea/mframa afiri no so a, ebetumi ama ayɛ den sɛ wobɛhome . Ɛtɔ mmere bi a, saa akuru yi betumi aka wo nne nhama na ama wo nne asesa .

Ɛwom sɛ tebea yi betumi aba mfe biara mu de, nanso ɛtaa ba nnipa a wɔadi boro mfe 55 ne mmea so . Nanso, ɛnyɛ kokoram a abu so kɛse. Ɛba nnipa kakraa bi mu, bɛyɛ nnipa a wonya thyroid kokoram nyinaa mu 3%.

Dɛn ne yare yi ho sɛnkyerɛnne atitiriw?

Ɛwom sɛ ebia mfiase no sɛnkyerɛnne atitiriw biara nni hɔ de, nanso sɛnkyerɛnne ahorow a edidi so yi betumi ada adi bere a kokoram no kɔ so yɛ kɛse no. Sɛ wuhyia eyinom mu biara a, ɛho hia yiye sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi.

Dɛn nti na kokoram a ɛte sɛɛ nya? Dɛn ne nneɛma a ɛde asiane ba?

Wonnya nhuu nea ɛde eyi ba ankasa, nanso nhwehwɛmufo ahu nneɛma pii a ɛma asiane a ɛwɔ hɔ sɛ obi benya kokoram yi yɛ kɛse.

• Abusua abakɔsɛm: Sɛ wo maame, wo papa, anaa wo nuanom anya thyroid kokoram a, ebia wo nso wobɛkɔ asiane mu.
• Iodine a enni nipadua no mu: Yɛn nipadua hia mineral iodine no na ama ayɛ thyroid hormone ahorow. Yenya fi nnuan a yedi mu. Iodine a enni nipadua no mu bere tenten betumi ayɛ asiane.
• Mframa a wɔde ma: Nnuruyɛfo gye di sɛ mframa a wɔde ma te sɛ X-ray anaa mframa a wɔde sa kokoram no nso ma asiane no yɛ kɛse.

Ɔkwan bɛn so na oduruyɛfo tumi hu yare yi pɛpɛɛpɛ? (Nyare a Wɔahu) .

Sɛ wokɔ oduruyɛfo nkyɛn a, ɔbɛhwehwɛ wo mu, abisa wo yare no ho sɛnkyerɛnne, na wabisa abusua abakɔsɛm biara a ɛfa yare ho. Afei, ebia wɔbɛyɛ nhwehwɛmu ahorow bi de akyerɛ sɛ wɔahu yare no.

• Mogya mu nhwehwɛmu: Thyroid gland a ɛte apɔw ma protein bi a wɔfrɛ no thyroglobulin. Wɔ kokoram tebea yi mu no, protein yi dodow a ɛwɔ mogya mu no betumi akɔ soro.
• Thyroid uptake scan: Eyi hwɛ sɛ kokoram nkwammoaa wɔ thyroid ntini no mu anaa. Wɔde radioactive iodine kakraa bi gu nipadua no mu, na wɔde PET scan di dwuma de hu mmeae a kokoram nkwammoaa no wɔ.
• Laryngoscopy: Wɔyɛ nhwehwɛmu yi de hwɛ sɛ ebia wo nne nhama no aka wo anaa.
• Fine Needle Aspiration (FNA): Eyi ne sɔhwɛ a wɔtaa yɛ. Wɔde ade a ɛyɛ tratraa paa di dwuma de yi nkwammoaa ketewaa bi fi akuru no mu. Afei wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu hwɛ sɛ kokoram nkwammoaa bi wɔ hɔ anaa.
• Oprehyɛn a wɔde hu yare (Lobectomy): Ɛtɔ mmere bi a, nipadua mu nhwehwɛmu nkutoo ntumi nsi yare no so dua. Wɔ tebea horow a ɛtete saa mu no, oduruyɛfo no bɛyɛ oprehyɛn de ayi thyroid gland no fã a akuru no wom no na ɔde akɔma wɔakɔhwɛ.
• CT scan: Sɛ wohu sɛ kokoram no yɛ a, wɔyɛ nhwehwɛmu afoforo te sɛ CT scan de hwɛ sɛ atrɛw akɔ nipadua no afã afoforo anaa.

Ɔkwan bɛn so na wɔkyekyɛ kokoram fã ahorow mu?

Wɔgyina sɛnea kokoram biara kɔ so na ɛyɛ nhyehyɛe sɛ wɔbɛsa kokoram biara. Eyi nti, nnuruyɛfo de nhyehyɛe bi a wɔfrɛ no TNM staging system di dwuma.

• T (Tumor): Akisikuru no kɛse.
• N (Node): Sɛ ebia kokoram no atrɛw akɔ ntini ahorow no mu anaa.
• M (Metastasis): Sɛ́ ebia atrɛw akɔ nipadua no akwaa a ɛwɔ akyirikyiri mu anaa.

Wɔ kokoram a ɛte sɛɛ mu no, mfe a ɔyarefo no adi nso di dwuma wɔ kokoram a onya no mu. Sɛ nhwɛso no, sɛ obi a onnii mfe 55 nya yare no a, wobu no sɛ ɛyɛ ntɛm (Stage I anaa II), ɛmfa ho sɛnea akisikuru no kɛse te anaasɛ atrɛw akɔ ntini a ɛma mogya tu no mu.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Ayaresa titiriw a etu mpɔn sen biara a wɔde sa yare yi ne oprehyɛn . Ɛdenam wo tebea so no, oduruyɛfo a ɔyɛ oprehyɛn no beyi thyroid ntini no nyinaa anaa ne fã bi afi hɔ. Wɔbɛyi ntini biara a ɛwɔ baabi a kokoram no atrɛw no nso afi hɔ. Mpɛn pii no, oprehyɛn yi betumi ayi kokoram no afi hɔ koraa.

Wɔ oprehyɛn akyi no, wɔde ayaresa afoforo ma na wɔasiw kokoram no ano bio.

• Hormone ayaresa:Sɛ woyɛ oprehyɛn wie a, esiane sɛ thyroid gland no nni hɔ bio nti, ɛsɛ sɛ wonom hormone ahorow a ɛma ɛyɛ no sɛ pill wo nkwa nna nyinaa. Eyi nso hwɛ ma kokoram nkwammoaa nyin.
• Radioactive iodine therapy: Wɔde saa ayaresa yi ma de sɛe kokoram nkwammoaa biara a ebetumi aka wɔ oprehyɛn akyi.

So wobetumi asa yare yi? Asetra te dɛn wɔ ayaresa akyi?

Yiw, eyi yɛ tebea a wotumi sa koraa wɔ nsɛm dodow no ara mu. Hokwan a ɛwɔ hɔ sɛ ne ho bɛtɔ no no dɔɔso yiye, titiriw bere a wɔde oprehyɛn ayi kokoram no afi hɔ akyi. Nnansa yi nhwehwɛmu bi kyerɛe sɛ nnipa a wɔahu sɛ wɔwɔ saa yare yi mu 95% da so te ase wɔ mfe 5 akyi na 93% da so te ase wɔ mfe 10 akyi.

Sɛ wosa wo yare wie a, wubetumi abɔ bra sɛnea ɛsɛ. Nanso, esiane sɛ woyii wo thyroid gland no fii hɔ nti, ebehia sɛ wonom nnuru a wɔde si thyroid hormone ananmu wo nkwa nna nyinaa.

Afei nso, esiane sɛ ɛtɔ mmere bi a kokoram yi betumi asan aba bio nti, ɛho hia sɛ wɔkɔhwehwɛ wɔn akyi sɛnea oduruyɛfo no kyerɛ no. Sɛ wuhu sɛnkyerɛnne biara te sɛ wo kɔn mu akisikuru anaa wo nne a ɛsakra a, ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ.