Nusiwo wòle be nànya tso lãkusi me dɔdzẽ ŋu

Èse nu tso lãkusi me dɔdzẽ ŋu kpɔa? Ðewohĩ xɔ̃wò alo ƒometɔ aɖe xɔ nɔnɔme sia kpɔ. Alo ɖewohĩ èkpɔe le nyadzɔdzɔgbalẽ alo Internet dzi kpɔ. Togbɔ be enye nya si doa vɔvɔ̃ na ame vie hã la, ele vevie ŋutɔ be wòase egɔme nyuie. Egbea, míaƒo nu tso nusi thyroid cancer nye, alesi wòdzɔnae, dzesi siwo le eŋu, kple atike siwo woazã ŋu. Mègatsi dzi o, mesusu be esia ana gɔmesese gã aɖe nasu asiwò.

Nukae nye lãkusi kple lãkusi me kansa?

Kpuie ko la, lãkusi nye lãkusi sue aɖe si le abe kpakpaluʋui ene si le wò kɔ gɔme. Ele vevie ŋutɔ elabena ewɔa lãmetsi siwo kpɔa alesi wò ŋutilã zãa ŋusẽ, alo lãmenugbagbeviwo ƒe dɔwɔwɔ dzi . Lãmetsiŋusẽ siawo kpena ɖe ame ŋu hã be woaɖu ŋutilã ƒe dzoxɔxɔ , ʋu ƒe sisi, kple dzi ƒe tsotso dzi .

Eyata, lãkusi me kansa nye ne lãmenugbagbevi siwo le lãkusi me dze tsitsi gɔme le mɔ si mesɔ o nu eye womate ŋu aɖu wo dzi o. Wodae ɖe hatsotso me be enye dɔdzẽ si le lãmenugbagbeviwo me. Gake nu nyuitɔ kekeakee nye be zi geɖe la, enye kansa ƒomevi si woate ŋu ada ŋutɔ eye woate ŋu adae . Dɔyɔyɔ ƒe agbɔsɔsɔme hã sɔ gbɔ ŋutɔ.

Aleke gbegbee lãkusi me dɔdzẽ sia bɔe?

Fifia ɖewohĩ ànɔ ɖokuiwò biam be ame nenie esia gblẽa nu le ame ŋu hã. Ne èlé ŋku ɖe nyatakaka siwo le United States ŋu la, wokpɔa ame yeye siwo ade 53,000 siwo ŋu ʋumenugbagbeviɣidɔ le ƒe sia ƒe. Ema fia be menye nusi mebɔ nenema gbegbe o. Gake abe alesi míegblɔe va yi ene la, woate ŋu ada lãkusi me dɔdzẽ ƒomevi akpa gãtɔ ŋutɔ . Ke hã, ele be míaɖo ŋku edzi hã be ame siwo ade 2,000 kuna le dɔléle sia ta ƒe sia ƒe.

Nu bubue nye be nyɔnuwo ate ŋu axɔ thyroid cancer abe zi gbɔ zi etɔ̃ ene wu ŋutsuwo. Zi geɖe la, wokpɔnɛ le nyɔnu siwo xɔ ƒe 40 kple 50, kple ŋutsu siwo xɔ ƒe 60 kple 70 ŋu. Megawɔ nuku na wò o, ɣeaɖewoɣi la, ɖevi suewo gɔ̃ hã ate ŋu axɔ dɔléle sia.

Nukawoe nye lãkusi me dɔdzẽ ƒomevi veviwo?

Ðɔktawo nɔa te ɖe lãmenugbagbevi siwo ƒomevi me kansa dona tsoe dzi daa lãkusi me dɔdzẽ ɖe hatsotsowo me. Wole ƒomevi vevi geɖe:

• Papillary carcinoma : Esia ƒomevie nyea lãkusi me dɔdzẽwo katã ƒe alafa memama 80 lɔƒo . Etsina blewu ŋutɔ. Papillary carcinoma wɔa nu ɖe ​​atikewɔwɔ ŋu nyuie ŋutɔ, ne ekaka ɖe kɔ me ʋuka siwo me ʋu sina tona me gɔ̃ hã. Esia fia beDɔyɔyɔ ƒe ŋutete sɔ gbɔ ŋutɔ, eye afɔku si le eme be wòagblẽ nu le agbe ŋu hã le sue ŋutɔ.
• Dɔdzẽ si le lãkusi me: Esia ƒomevie nyea lãkusi me kansa siwo ade 15 le alafa me. Anɔ eme be wòakaka ɖe ƒuwo kple ŋutinu ememetɔwo, abe lãkusiwo ene, me wu. Ne enya kaka ko la, edada ate ŋu asesẽ wu ( metastatic cancer ).
• Medullary cancer: Esia ƒomevie nyea thyroid kansa siwo ade 2 le alafa me. Ame siwo ŋu medullary cancer le la dometɔ siwo ade akpa enelia ƒe ƒome ŋutinya me dɔlélea le wo ŋu. Esia fia be domenyiŋusẽfianu ƒe tɔtrɔ ate ŋu anye nusi gbɔ wòtso.
• Anaplastic carcinoma: Esiae nye ƒomevi si dada sesẽ wu eye wòwɔa adã wu . Etsina kabakaba ŋutɔ eye wòkakana kabakaba ɖe lãkusi siwo ƒo xlãe kple ŋutilã ƒe akpa bubuwo. Gake mebɔ kura o, eye eyae nye thyroid kansa siwo ade 2 le alafa me.

Aleke wowɔna nyaa afisi lãkusi me dɔdzẽ le?

Ðɔktawo zãa mɔnu aɖe tsɔ kpɔa afisi kansa kaka ɖo, si woyɔna be kansa ƒe afɔɖeɖewo. Zi geɖe la, ne lãkusi me kansa lãmenugbagbeviwo kaka (kaka) gbã ɖe lãkusi kple ʋuka siwo te ɖe wo ŋu me. Emegbe woate ŋu akaka ɖe ʋuka siwo le didiƒe ʋĩ, ŋutinuwo, kple ƒuwo me.

Lãmetsiŋusẽ ƒe dɔdzẽ ƒe akpa aɖewo li, tso ɖeka (I) va ɖo ene (IV). Kpuie ko la, zi alesi xexlẽmea sɔ gbɔe la, zi nenemae kansa la kakae. Ne èdi be yeanya nu geɖe tso esia ŋu la, anyo wu be nàƒo nu kple wò ɖɔkta.

Nukawoe nye nuxlɔ̃amedzesi siwo fia be dɔdzẽ le lãkusi me?

Wò alo wò ɖɔkta ate ŋu ase le ɖokuiwò me be ƒu alo tsitsi sue aɖe le yeƒe kɔ me. Míeyɔa esia be thyroid nodule. Gake ɖe mele be ƒunukpeƒetetedɔ aɖe ƒe anyinɔnɔ navɔ̃ oa? Ƒuƒoƒo siawo ƒe akpa gãtɔ menye kansa (siwo me dɔlékui aɖeke mele o) o . Le mamã dedie nu la, thyroid nodules siwo ade 3 le 20 ɖesiaɖe me nye kansa (dɔlékui vɔ̃ɖi).

Dzesi bubuwo hã ate ŋu anɔ eŋu:

• Gbɔgbɔ alo nu mimi sesẽ .
• Gbe ƒe tɔtrɔ, gbeɖiɖi ƒe ɖiɖi .
• Lãmetsiŋusẽ ƒe ʋuka siwo vuvu le kɔ me.

Dzesi kawoe dzena ne kansa la kaka?

Ɣeaɖewoɣi la, lãkusi me dɔdzẽ ate ŋu akaka (akaka) ayi ŋutilã ƒe akpa bubuwo. Ne esia dzɔ la, dzesiwo abe:

• Ðeɖiteameŋu ƒe seselelãme ɣesiaɣi.
• Nuɖuɖu mevivina o .
• Aɖuɖɔtoe kple ʋuʋudedi.
• Be woanye ame tsɛ le susu aɖeke manɔmee.

Nukawoe hea lãkusi me dɔdzẽ vɛ?

Eŋutinunyalawo meka ɖe nusita tututu lãmenugbagbevi aɖewo va zua dɔlékui vɔ̃ɖiwo eye wodzea lãkusia dzi o. Gake wokpɔe be nu aɖewo nana afɔkua dzina ɖe edzi. Le kpɔɖeŋu me, keklẽŋusẽ ƒe amedzidzedze, nuɖuɖu si me iodine mesɔ gbɔ ɖo o, kple domenyiŋusẽfianu aɖewo.

Afɔku bubu aɖewoe nye esi:

• Lãmetsiŋusẽ ƒe lolome (goiter).
• Be ƒome ŋutinya me dɔléle alo lãkusi me dɔdzẽ le ame ŋu.
• Thyroiditis nye lãkusi ƒe dɔdzẽ.
• Domenyiŋusẽfianu ƒe tɔtrɔ aɖewo gbɔe lãmenugbagbeviwo ƒe dɔlélewo tsona. Le kpɔɖeŋu me, nɔnɔmewo abe Multiple Endocrine Neoplasia ƒomevi 2A (MEN2A) alo ƒomevi 2B (MEN2B) ene.
• Iodine si mesɔ gbɔ le nuɖuɖua me o.
• Lolo akpa (Ŋutilã ƒe Agbɔsɔsɔme ƒe Dzesi si sɔ gbɔ).
• Esi wodo keklẽŋusẽdɔdamɔnu na ta kple kɔ ƒe akpa si me kansa le, vevietɔ le ɖevime ta.
• Nu siwo me keklẽŋusẽ le siwo dona tso nukliaʋawɔnuwo alo elektrikdɔwɔƒewo ƒe afɔkuwo me.

Aleke wowɔna dea dzesi thyroid kansa?

Ne thyroid nodule si lolo alo dzesi bubuwo le ŋuwò la, wò ɖɔkta ate ŋu awɔ dodokpɔ siawo dometɔ ɖeka alo esi wu nenema:

• Ʋudodokpɔ: Esiawo ate ŋu alé ŋku ɖe thyroid hormone ƒe agbɔsɔsɔ ŋu akpɔe ɖa be lãkusia le dɔ wɔm nyuie hã.
• Biopsy: Esia bia be woaɖe lãmenugbagbeviwo ƒe kpɔɖeŋu sue aɖe tso thyroid gland me to aŋe nyui aɖe zazã atsɔ alé ŋku ɖe kansa lãmenugbagbeviwo ŋu. Ɣeaɖewoɣi la, wowɔa sentinel node biopsy hã tsɔ léa ŋku ɖe eŋu be kaka ɖe ʋukawo me hã. Wozãa ultrasound hã tsɔ kpena ɖe ame ŋu be woanya afisi tututu kansa la le le ŋutilã ƒe akpa aɖewo ɖeɖeɖa sia me.
• Radioiodine scan: Esia ate ŋu anya ne kansa la le afima eye ne ekaka. Èmia atikekui sue aɖe si me iodine si me keklẽŋusẽ le si le dedie le. Wò lãkusi xɔa iodine la le gaƒoƒo ʋɛ aɖewo me. Emegbe mɔ̃ tɔxɛ aɖe dzidzea keklẽŋusẽ agbɔsɔsɔme si le lãkusia me. Ne teƒe aɖewo li siwo keklẽŋusẽa mesɔ gbɔ ɖo o la, ehiã be woagawɔ dodokpɔ bubuwo akpɔe ɖa be kansa le teƒe mawo hã.
• Nɔnɔmetata bubuwo: Radioactive iodine scans, computed tomography (CT) scans, kple positron emission tomography (PET) scans ate ŋu ade dzesi thyroid cancer eye woakpɔe ɖa be ekaka hã.

Aleke wodaa lãkusi me dɔdzẽe?

Atikewɔwɔ nɔ te ɖe dɔdzẽa ƒe lolome kple ne kansa la kaka dzi. Atikewɔwɔ ƒe mɔnu vevi geɖewo li:

• Amekoko: Esiae nye atikewɔwɔmɔnu si wozãna wu.Le dɔdzẽa ƒe lolome kple afisi wòle nu la, amekola ate ŋu aɖe lãkusi ƒe akpa aɖe (lobectomy) alo lãkusi bliboa (thyroidectomy). Woate ŋu aɖe ʋuka siwo te ɖe wo ŋu le afisi kansadɔlékuiawo kaka ɖo hã ɖa.
• Radioiodine zazã: Abe radioiodine scan ene la, esia bia be woana atikekui alo tsi si me iodine si me keklẽŋusẽ le. Gake agbɔsɔsɔme si wozãna la sɔ gbɔ wu esi wonana hena fotoɖeɖea. Iodine sia ɖea thyroid gland kple kansadɔlékui siwo le dɔ lém la dzi kpɔtɔna hegblẽa wo. Atikewɔwɔ sia le dedie ŋutɔ. Lãmetsiŋusẽ si woyɔna be thyroid gland la xɔa iodine la ƒe akpa gãtɔ, si wɔnɛ be keklẽŋusẽ sue aɖe koe nɔa ŋutilãa ƒe akpa mamlɛa ŋu.
• Kekeli ƒe dɔdamɔnu: Kekeli wua kansa lãmenugbagbeviwo eye wòxea mɔ na wo be woagatsi o. Le gotagome keklẽŋusẽdɔdamɔnu me la, mɔ̃ aɖe fiaa mɔ keklẽŋusẽ ƒe keklẽ sesẽwo yia kansa la gbɔ tẽ. Le ememe keklẽŋusẽdɔdamɔnu me la, wotsɔa nuku sue siwo me keklẽŋusẽ le dea kansa la me alo ƒoa xlãe.
• Atikewɔmɔnu: Atike siwo wozãna le ʋuka me alo to nu me la wua kansadɔlékuiwo eye woxea mɔ na kansa la ƒe tsitsi. Gake ame akpa gãtɔ siwo ŋu thyroid kansa le la mehiã atikewɔmɔnu o.
• Lãmetsiŋusẽtike: Atikewɔwɔ sia wɔa dɔ to lãmetsiŋusẽ siwo kpena ɖe kansa ŋu be wòakaka alo agbugbɔ atsi la ƒe dodo nutsitsi me.

Nukawoe nye kuxi siwo dona tso lãkusi me dɔdzẽ me?

Thyroid cancer ate ŋu akaka (akaka) ayi ŋutilã ƒe akpa bubuwo, abe aklã, lãkusi, alo ƒuwo ene. Ne wokpɔ kansa la hedae kaba la, woate ŋu aɖe afɔku si le kaka sia me dzi akpɔtɔ.

Ne woda thyroid kansa vɔ gɔ̃ hã la, ate ŋu atrɔ ava (gbugbɔgadzɔ) ɣeaɖewoɣi . Esi lãkusi me dɔdzẽ tsina vivivi ta la, ate ŋu axɔ ƒe 20 hafi wòagatrɔ ava. Lãmetsiŋusẽdɔléla siwo ade 30 le alafa me atrɔ ava.

Nu vevitɔe nye be ne wowɔ dɔ na wò alo atikewɔwɔ vɔ la, wò ŋutilã hiãa lãkusi me lãmetsiwo. Eyata ahiã be nàno thyroid lãmetsiŋusẽtikewo le wò agbemeŋkekewo katã me. Le kpɔɖeŋu me, wonaa lãmetsi siwo wowɔ abe `(levothyroxine)` ene. Esiawo va xɔna ɖe lãmetsiŋusẽ siwo ŋutilãa mewɔna le dzɔdzɔme nu o teƒe. Zi geɖe la, esiawo mehea nugbegblẽ le ame ŋu vevie o, gake ahiã be nàyi atikewɔƒewo ƒe dodokpɔ edziedzi be nàlé ŋku ɖe wò lãmesẽ ŋu.

Aleke lãkusi me dɔdzẽ kpɔa ŋusẽ ɖe fufɔfɔ dzii?

Nukutɔe la, lãkusi me dɔdzẽe nye kansa evelia si wokpɔna le fufɔɣi.(Gbãtɔ nye no me dɔdzẽ.) Aɖuɖɔtoe me dɔdzẽ siwo ade 10 le alafa me doa mo ɖa le fufɔɣi alo le ƒe gbãtɔ me le vidzidzi megbe. Eŋutinunyalawo susui be lãmetsiŋusẽ ƒe agbɔsɔsɔ si trɔna le fufɔɣi ate ŋu anye nusi gbɔ wòtso.

Ne wokpɔe be thyroid cancer le ŋuwò le fufɔɣi la, wò ɖɔkta aƒo nu tso atikewɔmɔnu siwo nàte ŋu azã ŋu na wò. Le kansa ƒomevi kple eƒe sesẽ nu la, woate ŋu ahe edada ɖe megbe vaseɖe esime wodzi vidzĩa vɔ. Ne ema mate ŋu adzɔ o la, woate ŋu awɔ dɔ na ame akpa gãtɔ dedie atsɔ aɖe kansadɔlékui la ɖa. Gake womeɖo aɖaŋu be woado keklẽŋusẽ ƒe dodokpɔwo alo ada dɔ na wo le fufɔɣi alo ne wole no nam no o.

Ɣeyiɣi didi kae wòxɔna hafi wòhayana tso lãkusi me dɔdzẽ dada me?

Ɣeyiɣi si wòxɔna hafi esia dzɔna la toa vovo tso ame ɖeka gbɔ yi bubu gbɔ. Nu geɖe kpɔa ŋusẽ ɖe esia dzi, siwo dometɔ aɖewoe nye ƒe si nèxɔ, dɔdzẽa ƒe lolome, afisi kansa la le, kple atike si ƒomevi wowɔ na wò. Ðo dze kple wò ɖɔkta tso nusi nàkpɔ mɔ na le wò atikewɔwɔ me kple le eƒe atikewɔwɔ vɔ megbe ŋu.

Ðe woate ŋu axe mɔ ɖe lãkusi me dɔdzẽ nua?

Ame geɖe xɔa thyroid kansa le susu aɖeke ta o, eyata esesẽna be woaxe mɔ ɖe enu keŋkeŋ. Gake ne ènya be yele afɔku me be yeaxɔ thyroid cancer la, afɔ aɖewo li nàte ŋu aɖe.

• Amekoko si woatsɔ axe mɔ ɖe enu (si woatsɔ axe mɔ ɖe enu): Domenyiŋusẽfianu dodokpɔ ate ŋu anya nenye be domenyiŋusẽfianu ƒe tɔtrɔ aɖe le ŋuwò si nana be dɔlélewo abe medullary thyroid cancer alo multiple endocrine neoplasia ene xɔxɔ ƒe afɔkua dzina ɖe edzi. Ne domenyiŋusẽfianu le asiwò la, àte ŋu awɔ dɔ na wò atsɔ axe mɔ ɖe enu be woaɖe lãkusia ɖa hafi kansa nadze egɔme.
• Potassium iodide: Ne èdo go keklẽŋusẽ tso nukliafɔku aɖe me (abe ƒe 2011 Fukushima afɔku si dzɔ le Japan ene) la, potassium iodide (Pima®) nono le gaƒoƒo 24 me ate ŋu aɖe afɔku si le wò thyroid cancer xɔxɔ me le wò tsitsime dzi akpɔtɔ. Potassium iodide wɔa dɔ to mɔxexe ɖe lãkusia nu be wòagaxɔ iodine si me keklẽŋusẽ le fũ o, si kpena ɖe lãkusia ŋu wònɔa lãmesẽ me.

Nukae nye alesi woate ŋu ada lãkusi me kansa?

Ame enyi le ewo ɖesiaɖe me siwo ŋu thyroid cancer le la ƒe papillary ƒomevi si míeyɔ va yi la le wo ŋu. Ne papillary thyroid cancer le teƒe ɖeka (le teƒe ɖeka) le lãkusia me la, ƒe atɔ̃ ƒe agbetsitsi ƒe agbɔsɔsɔme gogo 100 le alafa me. Ne kansa la kaka (ekaka ɖe teƒe bubuwo) la, eƒe agbɔsɔsɔ gogo 80 le alafa me. Esia fia be le mamã dedie nu la, mɔnukpɔkpɔ 80 le alafa me le amesi ŋu papillary thyroid cancer le be wòatsi agbe ƒe atɔ̃ ya teti le dɔlélea kpɔkpɔ vɔ megbe, ne wotsɔe sɔ kple amesi si dɔlélea mele o.

Ƒe atɔ̃ ƒe agbetsitsi le lãkusi me dɔdzẽ ƒomevi bubuwo ŋue nye esi:

• Follicular: Egogo 100% ne wotu ɖe gland la dzi; abe 63% ene ne ekeke ta.
• Medullary ƒe lãkusi:Ne eɖo lãkusia me la, egogo 100%; ne ekaka la, ke anɔ abe 40% ene.
• Anaplastic: Anɔ abe 31% ene ne wotu ɖe lãkusia me; abe 4% ene ne ekeke ta.

Ðe woate ŋu ada lãkusi me dɔdzẽ keŋkeŋa?

Ẽ, woate ŋu ada thyroid kansa ƒomevi akpa gãtɔ keŋkeŋ ne wodae, vevietɔ ne kansa lãmenugbagbeviwo mekaka ɖe ŋutilã ƒe akpa siwo le didiƒe o. Ne atikewɔwɔ meda kansa la keŋkeŋ o hã la, wò ɖɔkta awɔ atikewɔwɔ ƒe ɖoɖo aɖe be wòatsrɔ̃ kansa la ƒe akpa gãtɔ alesi wòate ŋui eye wòaxe mɔ nɛ be wòagatsi alo akaka o.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne lãkusi me kansa le ŋuwò la, yi ɖɔkta gbɔ enumake ne èkpɔ dzesi siawo dometɔ aɖe:

• Kpe yeye aɖe dzena le kɔa ŋu.
• Dzi ƒe tsotso ƒe dzidziɖedzi.
• Ame zua ame tsɛ alo ami le susu aɖeke manɔmee.
• Sese le eɖokui me be ɖeɖi te ye ŋu ŋutɔ.

Nya kawoe wòle be mabia nye ɖɔkta?

Ne lãkusi me dɔdzẽ le ŋuwò la, anyo be nàbia nya aɖewo abe esiawo ene wò ɖɔkta:

• Nukatae ʋumenugbagbeviɣidɔ dze dzinye?
• Lãmetsiŋusẽ ka ƒomevie le ŋunye?
• Ðe kansa la kaka ɖe nye lãkusi godoa?
• Nukae nye atike nyuitɔ kekeake na kansa sia ƒomevi?
• Afɔku kple nugbegblẽ kawoe le atikewɔwɔ me?
• Ðe mahiã be woatsɔ atike si woatsɔ aɖɔli ʋumenugbagbeviɣidɔa?
• Ðe nye ƒomea le afɔku me be woaxɔ kansa sia ƒomevia? Ne nenemae la, ɖe wòle be míado domenyiŋusẽfianu kpɔa?
• Ðe mate ŋu agaxɔ thyroid cancer akea?
• Ðe mele afɔku me be kansa ƒomevi bubuwo nadze dzinyea?
• Beléle si akplɔm ɖo kae mehiã le atikewɔwɔ vɔ megbe?
• Ðe wòle be matsi dzi ɖe kuxiwo ƒe dzesiwo ŋua?

Mlɔeba la, ele nam be magblɔ be... (Take-Home Message)

Enye nusi sɔ be vɔvɔ̃ kple dzimaɖitsitsi ne wokpɔ kansa le ŋuwò. Esia nye nyateƒe eɖanye kansa ka ƒomevie wònye o. Nya nyuiae nye be lãkusi me dɔdzẽ akpa gãtɔ wɔa nu nyuie ŋutɔ ne woda wo eye mɔnukpɔkpɔ geɖe li be woada wo. Wò ɖɔkta aɖe atike nyuitɔ kekeake siwo nàte ŋu azã na wò lãkusi me dɔdzẽ ƒomevi la me na wò.

Le atikewɔwɔ vɔ megbe la, ɖewohĩ ahiã be nàno lãmetsi siwo wowɔ le lãkusi me le wò agbemeŋkekewo katã me. Lãmetsiŋusẽ siawo le vevie na dɔ vevi geɖewo wɔwɔ le ŋutilãa me. Zi geɖe la, womehea nugbegblẽ le ame ŋu vevie o. Gake ele vevie be woado wò kpɔ edziedzi be nàlé ŋku ɖe wò lãmesẽ ŋu. Nɔ susu nyui me, wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi, eye àte ŋu anɔ te ɖe nɔnɔme sia nu dzidzedzetɔe.