Ðe ƒunukpeƒetetedɔ aɖe le wò kɔ mea? Na míasrɔ̃ nu tso lãkusi me dɔdzẽ ƒomevi aɖe si me afɔku le ŋua? (Anaplastic Thyroid Dɔdzẽ - ATC) .

Ðe nèse ƒu aɖe le wò kɔ ƒe ŋgɔgbe kpɔa? Alo ɖe ame aɖe si nènya se le eɖokui me kpɔa? Ɣeaɖewoɣi la, àte ŋu aŋe aɖaba aƒu nusiawo dzi. Ke hã, egbea míele nu ƒom tso lãkusi me dɔdzẽ ƒomevi aɖe si nu sẽ vie wu, gake mebɔ kura o ŋu. Woyɔa esia be `(Anaplastic Thyroid Cancer)` alo `(ATC)`. Esia aɖi nya sesẽ vie, gake mina míana wòanɔ bɔbɔe, enyoa?

Nukae Nye Anaplastic Thyroid Cancer (ATC)?

Kpuie ko la, `(Anaplastic Thyroid Cancer)` alo `(ATC)` nye kansa ƒomevi si kaka kabakaba ŋutɔ, si wɔa adã, si dzɔna le míaƒe lãkusi me. Ènyaa, `(thyroid)` gland nye gland sue aɖe si le abe kpakpaluʋui ene si le wò kɔ ƒe ŋgɔgbe, le ŋutigbalẽa te tututu. Enye míaƒe ŋutilã ƒe akpa vevi aɖe ŋutɔ le `(endocrine system)`, si nye ɖoɖo si wɔa lãmetsiŋusẽwo. Lãmetsiŋusẽ siwo `(thyroid)` sia wɔna kpena ɖe ame ŋu be wòaɖu dɔ vevi geɖewo dzi le ŋutilãa me.

Wogayɔa `(ATC)` sia be `(undifferentiated thyroid cancer)`. Nusitae nye be kansa lãmenugbagbevi siawo ƒe dzedzeme kple nuwɔna mele abe lãkusi me lãmenugbagbevi siwo le lãmesẽ me ene o. Woto vovo kura eye wo kpɔkpɔ va sesẽ. Le kansa sia ƒe sesẽ kple eƒe ablaɖeɖe ta la, Amerikatɔwo ƒe Dɔdzẽ Ŋuti Kɔmiti (AJCC) si wɔa nyametsotsowo le kansa ŋu bua `(ATC)` sia ɣesiaɣi be enye `(Afɔɖeɖe IV)` ƒe kansa. Esia fia be ate ŋu ayi ŋgɔ ŋutɔ ne wokpɔ dɔlélea le eŋu.

Amekae ate ŋu axɔ ``(ATC)`` kansa sia wu?

Wokpɔa Anaplastic Thyroid Cancer zi geɖe le amesiwo xɔ wu ƒe 60. Wokpɔe hã be nyɔnuwo ate ŋu axɔ kansa sia wu ŋutsuwo.

Aleke gbegbee nɔnɔme sia bɔe?

Le nyateƒe me la , Anaplastic Thyroid Cancer nye kansa ƒomevi aɖe si mebɔ kura o . Exɔa thyroid kansawo katã ƒe 2% lɔƒo. Bu eŋu kpɔ ko, le dukɔ abe Amerika ene gɔ̃ hã me la, ame ɖeka alo eve koe wokpɔna le ame miliɔn ɖeka me be dɔléle sia le eŋu ƒe sia ƒe. Eyata, esia menye dɔléle si dzea ame geɖe dzi o.

Aleke gbegbee `(ATC)` le tsitsim kabakabae?

Esiae nye kuxi gãtɔ kekeake si le kansa sia ŋu. Anaplastic Thyroid Cancer nye kansa ƒomevi aɖe si le dzidzim ɖe edzi kabakaba ŋutɔ, si nu sẽ ŋutɔ . Ɣeaɖewoɣi la, ate ŋu atsi kabakaba le kwasiɖa ʋɛ aɖewo me eye wòakaka ɖe ŋutilã ƒe akpa bubuwo.

Bu eŋu kpɔ, le amesiwo ŋu ``(ATC)`` sia le ƒe 50% lɔƒo me la, kaka woakpɔ dɔlélea la, kansa la kaka ɖe ŋutilã ƒe akpa didiwo eye ``ekaka ɖe teƒe bubuwo`` . Zi geɖe la, kansa la kakana alea ɖe ŋutinuwo abe ``(aklã)``, ``(ƒuwo)``, kple ``(ahɔhɔ̃) me.

Nukae nye `(Anaplastic Thyroid Cancer)` ƒe dzesiwo?

Zi geɖe la, nɔnɔme si nye ``Anaplastic Thyroid Cancer`` dzena gbã.Dɔdzẽ alo ƒunukpeƒetetedɔ si dzɔna le kɔ ƒe ŋgɔgbe, le lãkusi si te ɖe lãkusi ŋu.

``(ATC)`` ƒe dɔdzẽ siawo tsina kabakaba ŋutɔ, eyata dɔnɔa, eƒe ƒometɔwo, kple xɔlɔ̃wo ateŋu akpɔ wo bɔbɔe. Ne èka asi dɔdzẽ sia ŋu la, àte ŋu asesẽ vie eye wòase veve .

Ne dɔdzẽ sia le tsitsim la, edzea tete ɖe kɔa ƒe akpa bubuwo (abe yaƒoƒomɔ̃, nuɖuɖutome ene). Dzesi siawo tɔgbe ate ŋu ado mo ɖa:

• Nu mimi sesẽ (dysphagia) .
• Yagbɔgbɔ sesẽ (gbɔgbɔtsixetsixe) .
• Gbe ƒe ɖiɖi alo tɔtrɔ
• Kɔdzidede si nɔa anyi ɖaa
• Gbe ƒe ka ƒe lãmetutudɔ

Ame siwo ƒe kansa kaka (kaka) ɖe ŋutilã ƒe akpa bubuwo ate ŋu akpɔ dzesi bubuwo kpe ɖe dzesi siawo ŋu. Le kpɔɖeŋu me:

• Ƒu ƒe vevesese
• Ƒunukpeƒewo ƒe vuvu (ƒunukpeƒewo) .
• Ŋutilã ƒe gbɔdzɔgbɔdzɔ
• Lãmetsiŋusẽ ƒe kuxiwo (e.g., taɖuame, alɔ̃madɔmadɔ) .

Nukae hea `(Anaplastic Thyroid Cancer)` vɛ?

Ne míagblɔe tututu la, dzɔdzɔmeŋutinunyalawo menya nusi tututu hea Anaplastic Thyroid Cancer (ATC) vɛ haɖe o. Gake le go aɖewo me la, amesiwo ŋu lãkusi me kansa ƒomevi bubuwo le (abe papillary alo follicular thyroid cancer ene) ate ŋu axɔ ATC le ɣeyiɣi aɖe megbe.

Azɔ hã, le dɔnɔ siwo ŋu ``ATC'' le ƒe 80% lɔƒo me la, kansa sia dzɔna kple ``goiter'' (thyroid gland si lolo) si nɔ anyi ɣeyiɣi didi aɖe . Ate ŋu adzɔ be lãkusi me dɔdzẽ ƒomevi bubu aɖe li si womekpɔ kpɔ o.

Aleke wokpɔa dɔléle sia `(Anaplastic Thyroid Cancer)` dzea sii?

Zi geɖe la, ɖɔktawo wɔa fine needle aspiration (FNA) alo needle biopsy tsɔ dea dzesi anaplastic thyroid cancer (ATC). Esia bia be nàtsɔ aŋe si le sue ŋutɔ aɖe lãmenugbagbevi sue aɖe ŋutɔ, si woyɔna be biopsy, tso ƒu si le wò kɔ me la me . Emegbe dɔléleŋutinunyala aɖe léa ŋku ɖe lãmenugbagbeviwo ƒe kpɔɖeŋua ŋu le nusuekpɔmɔ̃ me be yeakpɔe ɖa be kansa lãmenugbagbeviwo le eme hã, eye ne ele nenema la, lãmenugbagbeviwo ƒe dɔdzẽ ƒomevi ka ƒomevie wònye hã.

Ɣeaɖewoɣi la, ɖɔkta ateŋu aɖo aɖaŋu hã be woawɔ ``core biopsy'', si wowɔna kple aŋe si lolo vie.

Ne wonya ɖo kpe ATC dzi ko la, wò atikewɔlawo ƒe ƒuƒoƒoa aɖe gbe be woawɔ dodokpɔ bubu geɖe atsɔ ada wò lãmesẽ bliboa akpɔ eye woakpɔe ɖa be kansa la kaka hã. Esiawo ate ŋu anye ʋudodokpɔ kple nɔnɔmetatawo dodokpɔ, abe:

• ``CT (kɔmpiuta dzi tomography) ƒe fotoɖeɖe''.
• ``Magnetic resonance imaging (MRI) ƒe fotoɖeɖe''.
• ``F-fluorodeoxyglucose positron ƒe dodo ƒe tomography (FDG-PET) ƒe fotoɖeɖe''.

Le kansa sia ƒe adãwɔwɔ ta la, wobua amesiwo katã ŋu Anaplastic Thyroid Cancer le be wonye Stage IV dɔnɔwo. Gake hatsotso sue etɔ̃e li:

• Afɔɖeɖe IVA : (ATC) dzena le lãkusi me ko. Dɔnɔ siwo ŋu wokpɔ dɔlélea le la dometɔ siwo ade 10% dzena le hatsotso sia me.
• Stage IVB : (ATC) Abe alesi wòle le thyroid gland gome ene la, kansa la kaka ɖe kɔ me (zi geɖe la, eɖoa ʋukawo me) gake mekaka ɖe teƒe didiwo le ŋutilãa me o. Dɔnɔ siwo ade 40% dzena le hatsotso sia me.
• Stage IVC : (ATC) Tsɔ kpe ɖe thyroid gland ŋu la, kansa la kaka ɖe teƒe didi bubuwo le ŋutilãa me (e.g., ƒuwo, lãkusiwo, ahɔhɔ̃). Dɔnɔ siwo ade 50% ye le afɔɖeɖe sia me.

Aleke wodaa Anaplastic Thyroid Cancer?

Ne míagblɔe tututu la, `(Anaplastic Thyroid Cancer - ATC)` nye kansa si dada sesẽ ŋutɔ . Nusitae nye be ewɔa adã ŋutɔ eye ate ŋu akaka kabakaba, le kɔ me kple ŋutilã ƒe akpa siwo le didiƒe (abe lãkusi, ƒu, kple ahɔhɔ̃ ene) siaa.

Eyata ele vevie ŋutɔ be woadze atikewɔwɔ gɔme kaba eye woadi atikewɔwɔ tso ɖɔkta siwo si nuteƒekpɔkpɔ le le `(ATC)` dada me gbɔ.

Ne wole ATC dam la, ɖɔktawo ƒe ƒuƒoƒo si me tɔwo wɔa dɔ vovovowo la wɔa dɔ ɖekae. Zi geɖe la, eŋutinunyala bibi siwo gbɔna la nɔa ƒuƒoƒo sia me:

• Dɔlékuiwutikeŋutinunyalawo
• Atikewɔwɔ me kansaŋutinunyalawo
• Kansaŋutinunyala siwo zãa keklẽŋusẽ
• Amekolawo

Zi geɖe la, atikewɔwɔ na `(ATC)` nyea nu siawo ƒe ƒuƒoƒo:

• Amekoko
• Kekeli ƒe atikewɔwɔ
• Atikewo zazã
• Palliative care (beléle be woaɖe dzesiwo dzi akpɔtɔ) .

Amekoko na `(ATC)`

Ne ATC le ŋuwò la, anɔ eme be wò atikewɔlawo ƒe ƒuƒoƒoa aɖo aɖaŋu be nàwɔ dɔ na wò atsɔ aɖe dɔdzẽa ɖa. Gake ne lãmesẽkuxi bubuwo le ŋuwò la, amekoko ate ŋu anye afɔku.

Amekokomɔnu si wozãna wu le ATC dada me enye amekoko si me woɖea eƒe lolome dzi kpɔtɔna . Esia bia be woaɖe kansa ƒe dɔdzẽa ƒe akpa gãtɔ ɖa alesi nàte ŋui, vevietɔ ne èle agbagba dzem be yeakpɔ wò lãkusi (wò gbeɖiɖiɖaka ƒe akpa aɖe) ta esime nèle akpa ɖesiaɖe si ate ŋu anye afɔku na wò yaƒoƒomɔ̃a ɖem ɖa.

Gake nublanuitɔe la, le go geɖe me la, amekoko mate ŋu adzɔ o elabena dɔdzẽa lolo ale gbegbe, afisi wòle, kple alesi wòkakae.

Gake ele vevie hã be míanya esia: Woka nya ta hã tso dɔnɔ siwo tsi agbe ƒe geɖe le keklẽŋusẽ kple atikewɔmɔnu (ATC) siwo wotsɔ tsaka sesẽe megbe togbɔ be womate ŋu awɔ dɔ na wo o hã ŋu.

Kekeli ƒe atikewɔwɔ na `(ATC)`

Kekeli ƒe atikewɔwɔ nye atikewɔwɔ si zãa ŋusẽ ƒe keklẽ sesẽwo (kekeli) tsɔ wua kansa lãmenugbagbeviwo alo xea mɔ na wo be woagatsi o.

Ne ATC le ŋuwò la, anɔ eme be wò atikewɔlawo aɖo aɖaŋu na wò be nàzã keklẽŋusẽdɔdamɔnu tɔxɛ aɖe si woyɔna be External Beam Radiation Therapy (EBRT). Esia bia be woatsɔ X-ray-wo aɖo teƒe siwo hiã be woawɔ atike na wo pɛpɛpɛ ŋutɔ (zi geɖe la, dɔdzẽa ŋutɔ alo kansa si kaka ɖe ƒuwo alo ŋutinu bubuwo me).

Atikewɔwɔ na `(ATC)`

Atikewɔmɔnu nye kansadɔdamɔnu ƒomevi aɖe si gblẽa kansadɔlékuiwo eye wòxea mɔ na wo be woagadzi ɖe edzi o.

Ne ATC le ŋuwò la, wò atikewɔlawo ate ŋu aɖo aɖaŋu be nàzã atikewɔmɔnu bubu le amekoko alo keklẽŋusẽdɔdamɔnu si nàtsɔ awu kansadɔlékui ɖesiaɖe si susɔ megbe. Atikewo zazã, vevietɔ na ATC, ate ŋu ana keklẽŋusẽdɔdamɔnu nawɔ dɔ nyuie wu. Esia fia be ate ŋu ana kansa la nase veve ɖe keklẽŋusẽ nu wu, alo ana keklẽŋusẽdɔdamɔnua nawɔ dɔ nyuie wu.

Atike yeye siwo wotsɔ daa dɔlékuiwutike siwo ŋugbe wodo le kansa sesẽ bubuwo dada me la li fifia na lãkusi me dɔdzẽ sesẽwo. Togbɔ be atike siawo mate ŋu ada kansa sesẽ siwo kaka ɖe ŋutilã bliboa me keŋkeŋ o hã la, woate ŋu ana kansa la ƒe tsitsi nagbɔdzɔ alo aɖu edzi gɔ̃ hã vaseɖe afi aɖe.

Atike siwo wozãna na lãkusi me dɔdzẽ dometɔ aɖewoe nye:

• Taxanes (e.g., paclitaxel alo docetaxel) .
• Anthracyclines (le kpɔɖeŋu me, doxorubicin) .
• Platinum ƒe nɔnɔmetata siwo sɔ kple wo nɔewo (e.g. cisplatin alo carboplatin) .

Dɔlélenutsitsidɔ na (ATC) .

Beléle si naa ame ƒe dzi dzea eme nye atikewɔwɔ ƒomevi aɖe si ɖea vevesese, dzesiwo, kple nuteɖeamedzi siwo dɔléle sesẽwo hena vɛ dzi kpɔtɔna.

Ne `(ATC)` le ŋuwò la, wò atikewɔlawo ate ŋu aɖo aɖaŋu na wò be nàzã atike siawo siwo naa ame ƒe dzi dzea eme be wòakpe ɖe ŋuwò nàkpɔ `(ATC)` ƒe dzesiwo kple atikewɔwɔ ƒe nugbegblẽ le ame ŋu gbɔ.

Beléle na ame ƒe dziɖeɖi (ATC) ate ŋu anye:

• Tracheostomy (si wotsɔa mɔ̃ aɖe dea ŋɔti me be wòakpe ɖe ame ŋu wòagbɔ ya) .
• Tube dede dɔgboa me hena nuɖuɖu (gastrostomy tube alo G-tube) .
• Vevesesenutsitikewo nana

Ðɔktawo naa beléle si naa ame ƒe dzi dzea eme le ɣeyiɣi ma ke si me wole kansa dam. Beléle na ame ƒe dziɖeɖi mefia be kansa dada makpɔ dzidzedze o.

Ðe woate ŋu ada Anaplastic Thyroid Cancer keŋkeŋa?

Nublanuitɔe la, abe thyroid cancer ƒomevi bubu aɖewo ene la, womate ŋu ada anaplastic thyroid cancer keŋkeŋ to amekoko me o. Lãmetsiŋusẽ ɖeɖeɖa, si ɖea lãkusi bliboa ɖa gɔ̃ hã menaa dɔnɔ siwo ŋu ATC le ƒe agbenɔƒe didi o.

Ðe woate ŋu axe mɔ ɖe Anaplastic Thyroid Cancer nua?

Nublanuitɔe la, zi geɖe la, mɔ aɖeke meli si dzi woato axe mɔ ɖe Anaplastic Thyroid Cancer (ATC) nu o .

Gake ne wokpɔe be ʋumenugbagbeviɣidɔ alo lãkusi si me kansa mele o (si me dɔlékui aɖeke mele o) le ŋuwò la, ele vevie be ɖɔkta nado wò lãkusi ƒe lãmesẽ kpɔ edziedzi. Ɣeaɖewoɣi la, ATC ate ŋu atso lãkusi me kansa ƒomevi bubuwo alo tso lãkusi me dɔdzẽ gbɔ.

Ne `(Anaplastic Thyroid Cancer)` le ŋunye la, nukae wòle be makpɔ mɔ na?

Abe ame ɖesiaɖe ene la, Anaplastic Thyroid Cancer (ATC) ƒe dɔléle ɖesiaɖe to vovo. Eye nenema kee nye alesi wowɔa nui le atikewɔwɔ me hã. Ne míebu ATC ƒe nɔnɔme ŋu la, esesẽ be woagblɔ etsɔme ɖi pɛpɛpɛ .

Gake dzɔdzɔmeŋutinunyalawo le atike yeyewo dim gbesiagbe be woatsɔ ada lãkusi me dɔdzẽ si de ŋgɔ wu, si me (ATC) hã le. Togbɔ be atikewɔwɔ ate ŋu asesẽ hã la, ele vevie be woagaɖe asi le mɔkpɔkpɔ ŋu ne wokpɔ dɔlélea zi gbãtɔ o .

Ele vevie be nàwɔ dɔ kple ɖɔktawo ƒe ƒuƒoƒo aɖe si bi ɖe Anaplastic Thyroid Cancer me. Ne mète ŋu yi kɔdzi gã aɖe si me ɖɔkta bibiwo le le ATC me o la, bia tso ɖɔkta siwo le mia gbɔ si be woawɔ dɔ kple eŋutinunyala bibiwo le dɔwɔƒe bibi mawo be woawɔ wò atikewɔwɔ ƒe ɖoɖoa.

Ele vevie hã be woase afɔku kple viɖe siwo le atikewɔwɔmɔnu vovovowo me gɔme. Ele be nàƒo nu na ɖokuiwò, eye nàxɔ kpekpeɖeŋu tso ƒometɔwo kple xɔlɔ̃wo gbɔ.

Nukae nye agbetsitsi ƒe agbɔsɔsɔme na `(Anaplastic Thyroid Cancer)`?

Ɣeyiɣi si Anaplastic Thyroid Cancer (ATC) nɔa agbe le mama dedie nue nye ɣleti atɔ̃ va ɖo ade le dɔlélea kpɔkpɔ vɔ megbe. Ame siwo ŋu ATC le dometɔ siwo mede 20% o tsi agbe ƒe ɖeka le dɔlélea kpɔkpɔ vɔ megbe .

Togbɔ be akɔntabubu siawo ateŋu anye nusi dzi ŋɔ vie hã la, ele vevie be míaɖo ŋku edzi be ame aɖewo li siwo nɔ agbe ƒe geɖe le `(Anaplastic Thyroid Cancer)` ƒe atikewɔwɔ vɔ megbe.

Nukae nye Anaplastic Thyroid Cancer ƒe ŋgɔdonya?

Le anaplastic thyroid cancer ƒe adãwɔwɔ kple atikewɔmɔnu nyuiwo ƒe anyimanɔmanɔ ta la, zi geɖe la, dɔlélea ƒe ŋgɔdonya medea ŋgɔ o .

Ame akpa gãtɔ siwo ŋu ATC le kuna le ƒe ɖeka me, le esi dɔdzẽa xe mɔ na yaƒoƒomɔ̃a alo kuxi siwo kansa ƒe kaka ɖe lãkusi me (aklã me dɔlékuiwo ƒe kaka) hena vɛ ta.

Ke hã, zi geɖe la, dɔnɔ siwo ŋu ``(ATC)`` le siwo ŋu nu siawo le ate ŋu akpɔ nukpɔsusu nyuitɔ vie:

• Esi womexɔ ƒe 60 haɖe o.
• Dɔdzẽa le lãkusia ƒe akpa ɖeka ko (a akpa ɖeka ƒe dɔdzẽ).
• Kansa ƒe dɔdzẽ ƒe lolome mede sentimeta 5 o.
• Kansa la mekaka ɖe ʋukawo alo teƒe didiwo o.

Aleke mawɔ akpɔ ɖokuinye dzi ne Anaplastic Thyroid Cancer le ŋunye?

Ne anaplastic thyroid cancer le ŋuwò la, mɔ nyuitɔ si dzi nàto akpɔ ɖokuiwò dzie nye be nàse wò ŋgɔdonya gɔme nyuie. Bia wò ɖɔkta nusi nàte ŋu akpɔ mɔ na le wò nɔnɔme tɔxɛa nu.

Esiawo menye dzeɖoɖo bɔbɔe na wò alo wò ɖɔkta o, gake wole vevie ŋutɔ. Wò ɖɔkta ate ŋu akpe ɖe ŋuwò nàse nusi le dzɔdzɔm ɖe wò ŋutilã dzi kple nusi ate ŋu adzɔ le etsɔme gɔme. Woate ŋu akpe ɖe ŋuwò hã be nàbu wò tiatiawɔblɔɖe ŋu eye woaɖo aɖaŋu le dɔwɔnu siwo ate ŋu akpe ɖe ŋuwò ŋu.

Ne Anaplastic Thyroid Cancer le ŋunye la, ɖe wòle be mabu beléle na dɔnɔdzikpɔƒe ŋua?

Ame tsitsiwo dzi kpɔkpɔ nye beléle si kpena ɖe amesiwo ŋu dɔléle sesẽ siwo xea mɔ na woƒe agbe le ŋu be woanɔ woƒe ŋkeke mamlɛawo me kple akɔfafa, bubudedeameŋu, dziɖuɖu, kple agbenɔnɔ ƒe nyonyome.

Ne amewo le avu wɔm kple dɔléle sesẽ aɖe la, zi geɖe la, woƒe ɣeyiɣi kple ŋusẽ nɔa atikewɔwɔ ŋu. Ne wole ame tsitsiwo dzi kpɔkpɔ ŋu bum la, susu ma trɔna le dɔlélea ŋu eye wòtrɔna ɖe alesi wodi be yewoazã yewoƒe ɣeyiɣie ŋu. Ame geɖe ɖonɛ be yewoadi dɔnɔdzikpɔƒe ƒe beléle ne yewoƒo nu tso eŋu na yewoƒe ɖɔkta, yewoƒe ƒometɔwo, kple yewoƒe lɔlɔ̃tɔ bubuwo vɔ. Ne èle ame tsitsiwo dzi kpɔkpɔ ŋu bum la, bia wò ɖɔkta be wòakpe ɖe ŋuwò nàdi nyatakakawo kple dɔwɔnuwo.

Ne wokpɔ kansa le ŋuwò, eɖanye ƒomevi ka kee wòɖanye o, ate ŋu awɔ nuku na ame. Esi wònye be mɔkpɔkpɔ dziŋɔ le anaplastic thyroid cancer ŋu ​​ta la, ate ŋu ado vɔvɔ̃ na ame vevietɔ. Togbɔ be anaplastic thyroid cancer (ATC) dada ate ŋu asesẽ hã la, ele vevie be màgaɖe asi le mɔkpɔkpɔ ŋu ne wokpɔe zi gbãtɔ o. Ne èle avu wɔm kple dɔléle aɖe si ate ŋu awu ame ƒe susu la, ƒo nu kple wò lãmesẽnyawo gbɔ kpɔha. Woate ŋu akpe ɖe ŋuwò nàkpɔ nunɔamesi siwo akpe ɖe ŋuwò nàzɔ mɔ dzi.

Nu vevitɔ kekeake siwo dzi wòle be míaɖo ŋkui tso nusiwo me míedzro me (Take-Home Message) .

Enyo, eyata fifia susu aɖe le asiwò le `(Anaplastic Thyroid Cancer - ATC)` si ŋu míeƒo nu tsoe ŋu. Togbɔ be nyati sia nye nya vevi aɖe vie hã la, ele vevie ŋutɔ be nànya.

Nusi le vevie wue nye be ne dzesiwo abe ƒu yeye si le tsitsim kabakaba le kɔ me, nu mimi sesẽ, gbɔgbɔ sesẽ, alo wò gbe ƒe tɔtrɔ ene le ŋuwò la, ele be nàkpɔ ɖɔkta godoo.

• ATC nye lãkusi me dɔdzẽ ƒomevi si mebɔ o, gake ewɔa adã ŋutɔ, si kakana kabakaba .
• Zi geɖe la , edzea nyɔnu siwo xɔ wu ƒe 60 dzi .
• Dzesiawo ate ŋu adze kaba. Wo dometɔ vevitɔwoe nye kɔ me ƒu, vevesese, nu mimi sesẽ, kple gbɔgbɔ sesẽ .
• Atikewɔwɔ sesẽ, gake wowɔa atikewɔwɔ to atikewɔwɔmɔnu vovovowo (amekoko, keklẽŋusẽ, atikewɔmɔnu, beléle si naa ame ƒe dzi dzea eme) tsɔtsɔ ƒo ƒui me.
• Ele vevie ŋutɔ be woakpɔ dɔlélea kaba eye woadi atike tso atikewɔlawo ƒe ƒuƒoƒo bibi aɖe gbɔ .
• Le nɔnɔme sesẽ sia tɔgbe me la , susu ƒe ŋusẽ kple ƒometɔwo kple xɔlɔ̃wo ƒe kpekpeɖeŋu xɔ asi ŋutɔ.

Míele mɔ kpɔm be nyatakaka siawo akpe ɖe ŋuwò. Ne nyabiase bubu aɖewo gale asiwò ku ɖe esia ŋu la, taflatse yi ɖɔkta gbɔ. Nɔ lãmesẽ me!

` Anaplastic thyroid cancer, thyroid cancer, kɔ me dɔdzẽ, kansa ƒe dzesiwo, kansa dada, ATC, thyroid gland