So woate wo thyroid ntini mu kokoram a ɛntaa nsi yi ho asɛm? (Hürthle Cell Carcinoma) – Momma yɛnkasa nkɔ akyiri!

So woate nka pɛn sɛ akisikuru bi wɔ wo kɔn anim, wɔ wo kɔn mu dompe ase pɛɛ? Anaasɛ wote nka sɛ nneɛma te sɛ wo nne a ɛsakra, ɛyɛ den sɛ wobɛmene, anaa ahome a ɛyɛ tiaa? Ɛwom sɛ ebia yɛremfa yɛn adwene nsi saa nneɛma yi so kɛse de, nanso ebetumi ayɛ kokoram bi a wɔntaa nhu nanso ɛtaa ba ho sɛnkyerɛnne . Ɛnnɛ yɛrebɛka kokoram bi a ɛntaa nsi nanso ɛhaw adwene a ɛba yɛn thyroid ntini mu 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 na enyin ntɛmntɛm a ɛba thyroid ntini no mu . Wunim, thyroid yɛ ntini ketewaa bi a ɛte sɛ ntontom wɔ yɛn kɔn anim. Nnuru a ɛma nipadua no yɛ adwuma no boa ma yɛhwɛ yɛn nipadua no dwumadi ahorow pii a ɛho hia so, titiriw nipadua mu nneɛma a ɛsakra no.

Enti, sɛ Hürthle Cell Carcinoma yi ba a, nneɛma te sɛ thyroid nodules betumi ayɛ. Sɛ saa ntini yi nyin a, ebetumi ama ayɛ den ama yɛn sɛ yɛbɛkasa anaasɛ yɛbɛhome mpo. Sɛ wɔansa kokoram yi yiye a, ebetumi atrɛw akɔ nipadua no afã afoforo te sɛ ntini a ɛma mogya tu, ahurututu, ne nnompe . Nnuruyɛfo taa sa kokoram yi denam oprehyɛn a wɔyɛ de yi thyroid ntini no nyinaa anaa ne fã bi so.

Ɔkwan bɛn so na saa tebea yi ka me nipadua?

Susuw ho hwɛ, ebia nnipa binom renhu nsakrae biara wɔ wɔn nipadua mu wɔ mfiase no sɛ wɔwɔ Hürthle Cell Carcinoma mpo a. Ɛtɔ mmere bi a, wohu no wɔ akwanhyia mu bere a wɔreyɛ yare foforo ho nhwehwɛmu no.

Nanso sɛ sɛnkyerɛnne ahorow no fi ase da adi a, ebetumi adi kan ada adi sɛ akuru nketenkete wɔ kɔn no anim, baabi a thyroid gland no wɔ. Bere a saa akisikuru yi nyin no, etumi mia yɛn esophagus no so, na ɛma ɛyɛ den sɛ yɛbɛmene aduan, ne yɛn trachea no so, na ɛma ɛyɛ den sɛ yɛbɛhome. Afei nso, sɛ saa akisikuru yi mia yɛn nne nhama so a, ebia nsakrae bɛba yɛn nne mu. Ebia ɛbɛyɛ te sɛ nea wo nne yɛ dede bere a woanya atiridii no .

So Hürthle Nkwammoaa mu Akisikuru Yɛ Kokoram Bere nyinaa?

Asɛm bi a ɛho hia ni. Hürthle nkwammoaa mu akisikuru betumi ayɛ nea ɛnyɛ kokoram anaasɛ kokoram . Nea ɛyɛ nwonwa no, sɛnkyerɛnne ahorow abien no nyinaa betumi ayɛ pɛ koraa. Enti, ɛtɔ mmere bi a, ɛyɛ den ma nnuruyɛfo sɛ wobehu no yiye sɛ ebia akisikuru bi yɛ kokoram anaasɛ ɛnte saa denam hwɛ a wɔbɛhwɛ kɛkɛ so. Sɛ wɔbɛka no yiye a, ɛsɛ sɛ wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ nkwammoaa a efi akisikuru no mu .

Hena na ɛda adi sɛ obenya saa yare yi?

Nokwarem no, obiara betumi anya Hürthle Cell Carcinoma. Mmom,Ɛtaa ba nnipa a wɔadi boro mfe 55. Wɔka nso sɛ mmea na wɔtaa nya saa yare yi sen mmarima.

So eyi yɛ tebea a abu so?

Dabi, eyi nyɛ tebea a ɛtaa ba . Sɛ wɔkyekyem pɛpɛɛpɛ a, wɔbɔ amanneɛ sɛ nnipa 100,000 biara mu bɛyɛ 14 nya thyroid kokoram afe biara. Wɔ saa thyroid kokoram yi nyinaa mu no, wohu Hürthle Cell Carcinoma yi wɔ ɔha biara mu kakraa bi pɛ mu, bɛyɛ 3% . Ɛno kyerɛ sɛ ɛho yɛ na kakra.

Dɛn ne Hürthle Cell Carcinoma ho sɛnkyerɛnne ahorow?

Mpɛn pii no, nnipa a wɔwɔ saa tebea yi nhu yare no ho sɛnkyerɛnne kosi sɛ kokoram no bɛyɛ kɛse araa ma ɛbɛka nipadua no afã afoforo . Sɛ nhwɛso no, nne mu nsakrae ba bere a akisikuru no mia ɛnne nhama no so no. Nsɛnkyerɛnne afoforo betumi ayɛ:

• Ɛyɛ den sɛ wobɛhome anaasɛ wobɛmene (dysphagia) . Ebia ɛbɛyɛ te sɛ nea biribi akɔhyɛ wo menewam.
• Sɛ wote nka sɛ wo menewa asiw.
• Kurukuruwa bi a ɛyɛ yaw wɔ kɔn no anim, wɔ Adam apɔw-mu-teɛteɛ no ase.
• Ntini a ɛma mogya tu a ahonhon.
• Ɔbrɛ a wɔte nka bere nyinaa (Ɔbrɛ).
• Sɛ obi bɛyɛ teateaa a wunni adwene anaa ntease biara .

Dɛn na ɛde kokoram yi ba?

Aduruyɛ mu nhwehwɛmufo nnya nhuu nea ɛde tebea yi ba ankasa . Nanso, wɔahu nneɛma bi a ɛde asiane ba a ɛma asiane a ɛwɔ hɔ sɛ obi benya yare no yɛ kɛse. Eyinom bi ne:

• Having a family history of thyroid cancer : Eyi kyerɛ sɛ sɛ wo maame, wo papa, anaa wo nuanom anya thyroid kokoram a.
• Iodine a enni nipadua mu bere tenten : Iodine yɛ ade titiriw a yɛn nipadua hia na ama yɛatumi ayɛ thyroid hormone. Yenya fi nnuan a yedi mu.
• Mframa a wɔde ma : Nnuruyɛfo pii gye di sɛ X-ray anaa mframa a wɔde sa nneɛma te sɛ kokoram nso ma asiane a ɛwɔ hɔ sɛ obi benya Hürthle Cell Carcinoma no yɛ kɛse.

Ɔkwan bɛn so na nnuruyɛfo hu yare yi?

Nnuruyɛfo hu saa tebea yi denam wo mu nhwehwɛmu a wodi kan bisa, wo yare no ho sɛnkyerɛnne, w’ayaresa ho abakɔsɛm, ne w’abusua aduruyɛ ho abakɔsɛm so. Afei ebia wɔbɛyɛ sɔhwɛ ahorow te sɛ:

• Mogya mu nhwehwɛmu : Thyroid ntini a ɛte apɔw ma protein bi a wɔfrɛ no thyroglobulin. Nnuruyɛfo bɛhwɛ sɛnea thyroglobulin yi dodow te wɔ wo mogya mu. Sɛ saa dodow yi dɔɔso a, ebetumi ayɛ Hürthle Cell Carcinoma ho sɛnkyerɛnne.
• Thyroid a wɔde fa nipadua no mu ho nhwehwɛmu: Wɔde nhwehwɛmu yi di dwuma de hwɛ sɛ kokoram nkwammoaa wɔ wo thyroid ntini mu anaa. Wɔ sɔhwɛ yi mu no, wɔde radioactive iodine kakraa bi gu wo mogya mu. Saa iodine yi boaboa ano wɔ kokoram ntini a ɛwɔ wo thyroid ntini mu no mu. Afei, wɔyɛ positron emission tomography scan (PET scan) de hwehwɛ mmeae a kokoram nkwammoaa no wɔ.
• Laryngoscopy : Saa nhwehwɛmu yi ma nnuruyɛfo tumi hwehwɛ wo nne nhama mu.
• Fine needle aspiration (FNA) : Wɔ saa adeyɛ yi mu no, oduruyɛfo de ade ketewaa bi a ɛyɛ tratraa yiye yi ntini bi fi wo thyroid ntini mu. Afei wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ ntini no mu hwɛ sɛ ebia kokoram ho sɛnkyerɛnne bi wɔ hɔ anaa. Ɛtɔ mmere bi a wɔfrɛ eyi sɛ ade a wɔde twitwiw nipadua no mu .
• Lobectomy : Ɛtɔ mmere bi a, nea efi FNA nhwehwɛmu no mu ba no nnɔɔso mma nnuruyɛfo sɛ wobedu asɛm pɔtee bi ho. Sɛ ɛba saa a, wɔbɛyɛ oprehyɛn de ayi thyroid gland no fã a wosusuw sɛ ɛyɛ kokoram no na wɔahwehwɛ mu.
• CT scan : Sɛ nhwehwɛmu ahorow kyerɛ sɛ wowɔ Hürthle Cell Carcinoma a, nnuruyɛfo bɛyɛ mfoninitwa nhwehwɛmu afoforo te sɛ CT scan de ahwɛ sɛ kokoram no atrɛw akɔ mmeae afoforo anaa.

So Hürthle Cell Carcinoma no fã bi wɔ hɔ?

Yiw, koraa. Nnuruyɛfo de kokoram ho nhyehyɛe ahorow yi di dwuma de yɛ kokoram ayaresa ho nhyehyɛe. Wɔde TNM staging nhyehyɛe no di dwuma de kyekyɛ Hürthle Cell Carcinoma mu. (T gyina hɔ ma Tumor. N gyina hɔ ma Lymph Node Involvement. M gyina hɔ ma Metastasis.) Kokoram yi fã bi wɔ hɔ fi I (baako) kosi IV (anan).

Nnuruyɛfo nso susuw mfe a ɔyarefo no adi ho bere a wɔrekyerɛ akwan horow yi. Wɔkyekyɛ nnipa a wohu sɛ wɔwɔ yare no bere a wɔadi mfe 55 anaa nea ennu saa, a akisikuru no kɛse mfa ho, sɛ ɛka ntini a ɛma mogya tu, na sɛ ɛntrɛw nkɔ mmeae a ɛwɔ akyirikyiri a, wɔkyekyɛ wɔn mu sɛ ɔfã I (baako). Nanso, sɛ akisikuru no atrɛw akɔ ntini a ɛwɔ akyirikyiri anaa akwaa afoforo mu a, wɔkyekyɛ nnipa a wɔadi mfe 55 anaa nea ennu saa mu sɛ ɔfã II (abien).

Sɛ yɛbɛka no tiawa a:

Tumor kɛse (T - Tumor) .

Eyi ma wuhu sɛnea kokoram no kɛse te ne sɛ ebia atrɛw akɔ akyiri sen thyroid ntini no anaa. Eyi gu ahorow fi akisikuru nketewa (e.g., nea ennu sɛntimita 2 - `TI`) kosi akisikuru akɛse (`TIVa`, `TIVb`) a atrɛw akɔ ntini a ɛbɛn wɔ kɔn, ahurututu, anaa aduan mu.

Nkɛntɛnso a ɛwɔ ntini a ɛma mogya tu (N - Lymph Node) so .

Eyi hwɛ sɛ ebia kokoram no atrɛw akɔ ntini a ɛbɛn hɔ (`N0` - ɛnyɛ nea ɛtrɛw, `NI` - atrɛw). Sɛ atrɛw a, ɛsan nso hwɛ sɛ ɛwɔ kɔn no mfinimfini (`NIa`) anaasɛ ɛwɔ nkyɛnkyɛn (`NIb`).

Kokoram a ɛtrɛw (M - Metastasis) .

Eyi kyerɛ wo sɛ ebia kokoram no atrɛw akɔ akyiri sen thyroid ntini ne ntini a ɛbɛn hɔ no akɔ nipadua no akwaa a ɛwɔ akyirikyiri (sɛ nhwɛso no, ahurututu, nnompe) . (`M0` - akyirikyiri ntrɛwmu biara nni hɔ, `MI` - akyirikyiri ntrɛwmu).

Oduruyɛfo no de saa ``(TNM)`` nsɛm yi di dwuma de kyerɛ wo kokoram no fã a etwa to (Stage I, II, III, anaa IV). Eyi ho hia yiye ma ayaresa ho nhyehyɛe.

Ɔkwan bɛn so na nnuruyɛfo sa eyi?

Ayaresa titiriw a wɔtaa de sa tebea yi ne oprehyɛn . Ɛdenam wo tebea so no, nnuruyɛfo a wɔyɛ oprehyɛn betumi ayi wo thyroid ntini no nyinaa anaa ne fã bi afi hɔ. Ebia wobeyi ntini a ɛwɔ baabi a kokoram no atrɛw no nso afi hɔ. Saa thyroid oprehyɛn yi betumi ayi kokoram no afi hɔ koraa.

Sɛ wɔyɛ oprehyɛn wie a, ebia wɔbɛma wo nnuru a ɛbɛma wo thyroid ntini no anyɛ hormone ahorow na ama hokwan a ɛwɔ hɔ sɛ kokoram no bɛsan aba no so atew . Nea ɛka ho no, ayaresa afoforo wɔ hɔ, te sɛ:

• Hormone therapy : Eyi sɛe kokoram nkwammoaa anaasɛ ɛmma wontumi nnyin.
• Radioactive iodine therapy : Saa ayaresa yi sɛe thyroid kokoram nkwammoaa.

So wobetumi asa Hürthle Cell Carcinoma koraa?

Yiw, eyi yɛ tebea a wotumi sa . Oprehyɛn a wɔbɛyɛ de ayi thyroid ntini no nyinaa anaa ne fã bi beyi kokoram no afi hɔ. Nanso, sɛ wɔyɛ wo oprehyɛn yi a, ebehia sɛ wonom nnuru wo nkwa nna nyinaa na ama woanya thyroid hormone a ɛdɔɔso ama wo nipadua.

Wobɛyɛ dɛn atumi atew asiane a ɛwɔ hɔ sɛ wubenya yare yi so?

Ɔkwan pɔtee biara nni hɔ a wobɛfa so atew asiane a ɛwɔ hɔ sɛ wubenya saa tebea yi so. Nnipa binom nya saa tebea yi efisɛ wɔn abusua no anya thyroid kokoram wɔ abakɔsɛm mu. Sɛ wowɔ saa tebea yi a, ɛbɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa afa sɛnkyerɛnne ahorow a ebetumi ayɛ Hürthle Cell Carcinoma ho sɛnkyerɛnne ahorow ho.

Nnipa dodow ahe na wotumi tra ase wɔ saa yare yi mu?

Nhwehwɛmu bi a wɔyɛe nnansa yi kyerɛe sɛ nnipa a wɔwɔ saa tebea yi mu 95% da so te ase wɔ mfe anum akyi wɔ bere a wɔahu sɛ wɔwɔ saa yare yi akyi . Na nhwehwɛmu koro no ara kyerɛe sɛ 93% da so te ase mfe du akyi . Ɛno ma awerɛhyem ankasa, ɛnte saa?

Mɛyɛ dɛn ahwɛ me ho? / Dɛn na ɛba wɔ ayaresa akyi?

Ebia ebehia sɛ wonom nnuru a wɔde besi thyroid hormone ananmu wo nkwa nna nyinaa . Afei nso, ɛtɔ mmere bi a Hürthle Cell Carcinoma betumi asan aba bio. Enti, bisa wo duruyɛfo no sɛnkyerɛnne ahorow a ebetumi akyerɛ sɛ ɔyare no asan aba bio .

Hürthle Cell Carcinoma yɛ kokoram a ɛntaa nsi wɔ thyroid mu. Sɛ wowɔ sɛnkyerɛnne ahorow a, ebia ebehia sɛ wo duruyɛfo yɛ thyroid oprehyɛn de si so dua sɛ wowɔ yare no. Mpɛn pii no, oprehyɛn a wɔbɛyɛ de ahu tebea no besiesie ɔhaw no . Nanso, oprehyɛn nkutoo rentumi nsiesie ɔhaw ahorow a Hürthle Cell Carcinoma de ba no nyinaa.

Ɛho behia sɛ nnipa a wɔayɛ wɔn thyroid oprehyɛn no nom nnuru a ɛma hormone wɔ wɔn nkwa nna nyinaa mu. Afei nso, saa kokoram yi betumi asan aba bere a wɔasa no yare awie no. Sɛ wowɔ saa tebea yi a, yɛsrɛ sɛ kae sɛ wo nnuruyɛfo wɔ hɔ bere nyinaa sɛ wɔbɛboa wo na wɔaboa wo , titiriw sɛ yare no san ba a.

Nneɛma a ɛho hia paa a ɛsɛ sɛ yɛkae wɔ asɛm yi mu

Okay, enti momma yɛnbɔ nneɛma a ɛho hia paa a ɛsɛ sɛ wokae fi nea yɛaka ho asɛm no mu no bi mua:

• Hürthle Cell Carcinoma yɛ kokoram a ɛntaa nsi, nanso ɛyɛ den kakra .
• Ɛho hia sɛ wohwehwɛ aduruyɛfo afotu sɛ wowɔ sɛnkyerɛnne ahorow te sɛ kɔn mu akisikuru, nne a ɛsakra, anaa ɛyɛ den sɛ wobɛmene ade a.
• Ɛsɛ sɛ wɔyɛ nipadua mu nhwehwɛmu na ama wɔahu no yiye sɛ ebia eyi yɛ kokoram anaasɛ ɛnte saa.
• Ayaresa titiriw ne oprehyɛn a wɔde yi thyroid ntini no fi hɔ .
• Sɛ woyɛ oprehyɛn wie a, ebia ɛsɛ sɛ wonom nnuru a ɛma thyroid hormone wo nkwa nna nyinaa .
• Hokwan wɔ hɔ sɛ kokoram no bɛsan aba bio, enti ɛsɛ sɛ wuhu ɛno nso .
• W’aduruyɛfo kuw no ayɛ krado bere nyinaa sɛ wɔbɛboa wo.

Mewɔ anidaso sɛ saa nsɛm yi bɛboa wo. Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo a, yɛsrɛ wo ntwentwɛn wo nan ase sɛ wo ne wo duruyɛfo bɛkasa.

` Hürthle Cell Carcinoma, Thyroid Kokoram, Kɔn mu Akisikuru, Thyroid Oprehyɛn, Kokoram Nsɛnkyerɛnne, Kokoram Ayaresa, Hürthle Cell Carcinoma