Ðe nèsena le ɖokuiwò me be ƒu aɖe le yeƒe kɔ mea? Mina míaƒo nu tso Follicular Thyroid Cancer ŋu!

Ðe nèse ƒu aɖe le wò kɔ me kpɔa? Alo ɖe nède dzesii be wò gbe trɔ alo nu mimi sesẽa? Ɣeaɖewoɣi la, nusiawo nyea nusiwo sɔ, gake ɣeaɖewoɣi la, woate ŋu anye ʋumenugbagbeviɣidɔ ƒe dzesi. Esia tae egbea míesusu be míaƒo nu tso nu sia si woyɔna be follicular thyroid cancer ŋu. Mègatsi dzi o, ele vevie be nànya esia.

Eyata nukae nye lãkusi sia?

Enyo, gbã la, mina míalé ŋku ɖe nusi nye thyroid gland ŋu. Kpuie ko la, enye ŋutinu sue aɖe si le abe kpakpaluʋui ene le wò kɔ ƒe ŋgɔgbe. Ne míagblɔe tututu la, ele abe wò yaƒoƒomɔ̃ te ene. Enye míaƒe ŋutilã ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ ƒe akpa aɖe . Eƒe dɔ vevitɔe nye be wòawɔ lãmetsiŋusẽwo . Lãmetsiŋusẽ siawo kpɔa ŋusẽ ɖe nu vevi geɖe siwo le míaƒe ŋutilã me dzi. Le kpɔɖeŋu me, thyroid lãmetsi siawo le vevie na míaƒe ŋutilã ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ , si le nuɖuɖu siwo míeɖuna trɔm wòzu ŋusẽ, kple na nuwo abe calcium ƒe agbɔsɔsɔ si le ʋua me dzi ɖuɖu ene.

Eyata, lãkusi me kansa dzɔna ne lãmenugbagbevi siwo le lãkusi me, le susu aɖewo ta , dze tsitsi gɔme le mɔ si mesɔ o nu eye womate ŋu aɖu wo dzi o .

Lãmetsiŋusẽ ƒe dɔdzẽ ƒomevi nenie li?

Ẽ, lãkusi me dɔdzẽ ƒomevi vevi enee li. Ðɔktawo dea vovototo esiawo me hedea dzesi wo to kansa lãmenugbagbeviwo me dzodzro le nusuekpɔmɔ̃ me.

Woawoe nye:

• Follicular cancer: Egbea míele nu ƒom tso esia ƒomevi ŋu.
• Papillary cancer: Esiae nye esi bɔ wu.
• Kansa si le lãkusi me.
• Anaplastic cancer: Esia nu sẽ vie wu, gake ƒã ŋutɔ.

Wogade kansa siawo hatsotsowo me be:

• Kansa siwo to vovo nyuie: Lãmenugbagbevi siawo ɖi thyroid lãmenugbagbevi siwo sɔ vaseɖe afi aɖe. Esia wɔnɛ be wo dada nɔa bɔbɔe eye zi geɖe la, woate ŋu ada wo keŋkeŋ. Follicular kple papillary ƒomeviwo siaa dzena le hatsotso sia me.
• Kansa siwo womede vovototo wo dome o: Lãmenugbagbevi siawo to vovo kura tso lãmenugbagbevi siwo sɔ gbɔ, si wɔe be wo dada sesẽna ɖe edzi. Anaplastic carcinoma nye ƒomevi siawo dometɔ ɖeka.

Vovototo kae le follicular kple papillary cancer dome?

Wo ame evea siaa dzea egɔme tso lãmenugbagbevi siwo le lãkusi me, eyata nu geɖe ɖi wo nɔewo le wo ame evea dome. Gake anɔ eme be papillary carcinoma kaka ɖe ʋukawo me wu follicular carcinoma. Papillary carcinoma hã bɔ wu follicular carcinoma.

Vovototo kae le follicular kple medullary cancer dome?

Medullary thyroid cancer nye ahɔhɔ̃mekawo ƒe dɔdzẽ.Ahɔhɔ̃mekawo ƒe dɔdzẽwo. Esiawo dona tso C- lãmenugbagbevi siwo le lãkusi me. C-lãmenugbagbevi siawo wɔa lãmetsi aɖe si woyɔna be calcitonin . Lãmetsi sia kpɔa calcium ƒe agbɔsɔsɔ si le míaƒe ʋu me dzi. Medullary tumors wɔa adã vie wu follicular tumors, si fia be woate ŋu akaka kabakaba. Woate ŋu atsɔ wo asɔ kple dɔlélea ƒe ŋutinya si le ƒomea me hã.

Amekae xɔa follicular thyroid cancer?

Ate ŋu adzɔ ɖe amesiame dzi ŋutɔŋutɔ. Gake ebɔ ɖe nyɔnu tsitsiwo me wu . Esia fia be nyɔnu siwo xɔ tso ƒe 40-60 la le afɔku gã aɖe me.

Aleke gbegbee esia bɔe?

Follicular thyroid cancer nye 10% va ɖo 15% le thyroid cancer katã me. Ame akpa gãtɔ xɔa papillary thyroid cancer (si ade 70% va ɖo 80%).

Aleke lãkusi me dɔdzẽ kpɔa ŋusẽ ɖe dzinyee?

Ɣeaɖewoɣi la, follicular thyroid cancer ate ŋu ana wò kɔ naƒu alo nàse veve. Gake ne wokpɔe kaba , woate ŋu adae ahadae keŋkeŋ. Ne womewɔ atike na kansa sia o la, ate ŋu akaka (akaka) ayi ŋutilã ƒe akpa bubuwo. Ne enya kaka ko la, edada sesẽna vie.

Nukae nye follicular thyroid cancer ƒe dzesiwo?

Ðo ŋku edzi be ɣeaɖewoɣi la, ɖewohĩ dzesi aɖeke manɔ eŋu kura o. Gake ne dzesi siwo gbɔna dometɔ ɖeka alo esi wu nenema le ŋuwò la, anyo be nàkpɔ ɖɔkta:

• Kpe alo ʋuʋudedi le kɔ me ( thyroid nodule). Esiae nye dzesi si bɔ wu.
• To ƒe vevesese, alo vevesese le aɖu alo kɔ me.
• Gbe ƒe ɖiɖi alo tɔtrɔ ( dysphonia ).
• Lãmetsiŋusẽ ƒe ʋuka siwo vuvu le kɔ me.
• Gbɔgbɔ alo nu mimi sesẽ ( dysphagia ).

Mègavɔ̃ na kansa le esi dzesi siawo le ŋuwò ta ko o. Ke hã, nunya le eme be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.

Nukawoe hea follicular thyroid cancer vɛ?

Ðɔktawo menya nusita tututu lãkusi me lãmenugbagbeviwo tsina le mɔ si mesɔ o nu o. Gake wode dzesi afɔku aɖewo. Le kpɔɖeŋu me, keklẽŋusẽ ƒe keklẽ ate ŋu anye nusiwo gbɔ wòtsona dometɔ ɖeka. Esia fia be ne wozã keklẽŋusẽdɔdamɔnu na wò va yi ɖe wò kɔ ta le dɔléle bubu ta, alo ne èle dɔ wɔm le dɔ si me keklẽŋusẽnu siwo me keklẽŋusẽ le me la, ke èle afɔku gã aɖe me. Wogblɔ be amesiwo le nuto siwo me iodine mesɔ gbɔ ɖo o hã ate ŋu axɔ kansa sia.

Ðe kansa sia xɔa ame mea?

Ao, follicular thyroid cancer menye dɔléle si xɔa ame me o . Màte ŋu akakae na ame bubu o.

Ɣeyiɣi didi kae wòxɔna hafi lãkusi me dɔdzẽ kaka?

Nya sia gbɔgblɔ kple kakaɖedzi sesẽ. Ɣeaɖewoɣi la, kansa ate ŋu akaka kabakaba, ɣeaɖewoɣi la, ate ŋu axɔ ƒe geɖe. Ne eɖoa teƒe bubuwo alo mekakana o , kple alesi wòkakana kabakabae, toa vovo tso ame ɖeka gbɔ yi bubu gbɔ. Esia tae míegblɔ be ele vevie be woakpɔ dɔlélea kaba ale si woate ŋui eye woadze edada gɔme.

Aleke ɖɔktawo dea dzesi esiae?

Ne èyi ɖɔkta gbɔ la, woate ŋu ade dzesi ƒuƒu aɖe le wò kɔ me le ŋutilãmedɔdada si wowɔna edziedzi me. Ɣeaɖewoɣi la, woate ŋu akpɔ ƒunukpeƒetetedɔ aɖe le vo me le nɔnɔmetatawo dodokpɔ siwo wowɔ le susu bubu aɖe ta me.

Ne ɖɔktaa susu be ƒu aɖe le eŋu la, woate ŋu awɔ dodokpɔwo abe:

• CT-dɔdamɔnu
• MRI
• Ultrasound scan - Esiae nye esi wozãna wu tsɔ léa ŋku ɖe ƒunukpeƒetetedɔ le kɔ ŋu.
• X-ray - Esia maɖe thyroid nodules afia nyuie o, gake woateŋu awɔ akɔta ƒe X-ray akpɔe ɖa be kansa la kaka ɖe lãkusi me hã.

Dodokpɔ kawoe wowɔna tsɔ ɖoa ​​kpe edzi?

Menye ƒuƒu siwo katã le kɔ me ye nye kansa o. Wo dometɔ geɖe nye esiwo me dɔlékui aɖeke mele o . Eyata ne wò ɖɔkta susui be kansa ate ŋu anɔ ŋuwò la, ate ŋu aɖo aɖaŋu be nàwɔ fine needle aspiration biopsy (FNAB). Esia bia be woatsɔ aŋe si le sue ŋutɔ aɖe lãmenugbagbeviwo ƒe kpɔɖeŋu sue aɖe tso ƒuƒoƒoa me eye woana lãmenugbagbeviwo ŋuti nunyala nadoe kpɔ le nusuekpɔmɔ̃ me . Esia koe nye mɔ si dzi woato anyae kple kakaɖedzi ne kansa lãmenugbagbeviwo li alo womeli o.

Aleke wodaa dɔdzẽ si le lãkusi me le lãkusi me?

Zi geɖe la, atike vevitɔ si wozãna na lãkusi me dɔdzẽe nye amekoko .

Nusi woate ŋu awɔ kple amekokoe nye:

• Lãmetsiŋusẽ ƒe akpa si me nodule ( lobectomy ) le la ɖeɖeɖa.
• Lãmetsiŋusẽ ƒe lãkusi bliboa ɖeɖe ɖa ( total thyroidectomy ).
• Ne kansa la kaka ɖe ʋukawo me la, woaɖe ʋuka mawo hã ɖa.

Ðe atikewɔwɔ bubu aɖewo li tsɔ kpe ɖe amekoko ŋua?

Ẽ, le afisi kansa la le, si fia afisi kansa la kaka ɖo, kple nenye be ekaka ɖe ŋutinu bubuwo me nu la, woate ŋu akafu atikewɔwɔ bubuwo le amekoko vɔ megbe.

Woawoe nye:

• Radioiodine therapy (RAI): Esia nye dɔdamɔnu si bɔ ɖe dɔdzẽ si le lãkusi me. Esi wònye be thyroid lãmenugbagbeviwo xɔa iodine ta la, wonaa radioactive iodine be wòawu kansa lãmenugbagbevi ɖesiaɖe si susɔ.
• Thyroid hormone ƒe atikewɔwɔ:Ne woɖe thyroid gland la ɖa keŋkeŋ vɔ la, ehiã be woana thyroid hormones ŋutilãa le gota. Azɔ hã, lãmetsi siawo nana kpena ɖe ame ŋu be woaɖu kansadɔlékuiwo ƒe tsitsi ake dzi.
• External Beam Radiation Therapy: Le go tɔxɛ aɖewo me, vevietɔ ne kansa la kaka ɖe kɔ ƒe lãkusi siwo ƒo xlãe me la, woate ŋu awɔ atike sia.
• Atikewɔmɔnu: Esia menye atike si bɔ na lãkusi me dɔdzẽ o. Wonae na kansa siwo kaka ɖe teƒe geɖe eye womele dɔ wɔm na atike bubuwo o.
• Atikewɔwɔ si woɖo taɖodzinu na: Esiawo nye atike yeye siwo tɔa ŋku molecule tɔxɛ siwo le kansa lãmenugbagbeviwo me, si megblẽa nu le lãmenugbagbevi siwo sɔ ŋu boo o.

Ðe atikewɔwɔa ƒe nugbegblẽ aɖewo lia?

Kansa dada ate ŋu ahe nugbegblẽ le ame ŋu vovovowo vɛ. Esiawo toa vovo tso ame ɖeka gbɔ yi bubu gbɔ. Ame aɖewo ate ŋu akpɔe be:

• Dɔmetɔtrɔ
• Nudzroame
• Ɖeɖiteameŋu
• Taɖa ƒe vuvu - Esia bɔ wu le atikewɔɣi.
• Aɖuɖɔtoe kple ʋuʋudedi
• Nuƒoƒo kple nu mimi sesẽ (vevietɔ le amekoko megbe) .
• Nuwo ƒe susu tsɔtsɔ ɖo nu ŋu alo ŋkuɖoɖo wo dzi sesẽ ( chemo brain) .
• Gbɔdzɔgbɔdzɔ

Nu vevitɔe nye be nàgblɔe na wò ɖɔkta ne èkpɔ eƒe nugbegblẽ le ame ŋu. Mɔ siwo dzi woato aɖu eƒe nugbegblẽ le ame ŋu geɖe dzi fifia.

Ɣeyiɣi didi kae wòxɔna le lãkusi me dɔdzẽ dada me?

Wò ɖɔkta alé ŋku ɖe alesi nèle nu wɔm ɖe atikewɔwɔ ŋui ŋu edziedzi. Ne kansa megale wò ŋutilã me o la, màhiã be woawɔ atike na wò vevie o. Gake ne woɖe wò thyroid gland ɖa la, ahiã be nàno atike siwo wotsɔ ɖɔa li thyroid hormone le wò agbemeŋkekewo katã me. Esia le vevie be nànɔ lãmesẽ me. Wò ɖɔkta ayi edzi anɔ ŋku lém ɖe ŋuwò hã be kansa la nagadzɔ ake hã (beléle si woatsɔ akplɔe ɖo).

Ðe mɔ aɖe li si dzi woato aɖe kansa sia xɔxɔ ƒe afɔkua dzi akpɔtɔa?

Le nyateƒe me la, nu boo aɖeke meli míate ŋu awɔ atsɔ axe mɔ ɖe dɔdzẽ si le lãkusi me nu o. Gake ne kansa dze wò ƒomea me tɔ aɖe dzi kpɔ, alo ne afɔku bubuwo le ŋuwò la, anyo be nàƒo nu tso eŋu na wò ɖɔkta. Ate ŋu agblɔ na wò ne nane li si wòle be nàwɔ koŋ.

Nukae dzɔna ne follicular thyroid cancer le ŋunye?

Gbã la, mègatsi dzodzodzoe o. Ƒo nu kple wò ɖɔkta nyuie eye nàbia wo be afisi wò kansa le, atike siwo wokafu, kple nusiwo nàte ŋu akpɔ mɔ na tso wo gbɔ hã. Wò atikewɔlawo hã akpe ɖe ŋuwò nàkpɔ nugbegblẽ ɖesiaɖe si ate ŋu ado mo ɖa le atikewɔwɔ me gbɔ. Emegbe àte ŋu ayi wò gbesiagbedɔwo dzi.

Ðe woate ŋu ada lãkusi me dɔdzẽ si le lãkusi mea?

Ẽ, zi geɖe la, woate ŋu ada dɔdzẽ si le lãkusi me! Vevietɔ ne wolée kaba.Alesi wòate ŋu adzɔe be wòahaya la lolo ŋutɔ. Eya ta,

• Ne lãkusi me dɔdzẽ ƒe dzesi aɖewo le ŋuwò la, .
• Alo ne nusiwo ate ŋu ana nàxɔ thyroid kansa la, .

Kpɔ ɖɔkta gbɔ kaba.

Aleke malé be na ɖokuinye?

Ne wowu atikewɔwɔa nu vɔ gɔ̃ hã la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàlé be na wò , abe ʋudodokpɔ be nàlé ŋku ɖe wò lãkusi me lãmetsiŋusẽ ƒe agbɔsɔsɔ ŋu kple scan wɔwɔ be wòagadzɔ ake hã.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Follicular thyroid cancer nye dɔléle si woate ŋu ada le akpa gãtɔ me . Eyata, mègatsi dzodzodzoe o, nɔ ŋudzɔ.

• Ne èkpɔ be ƒu aɖe le wò kɔ me, wò vuvu, wò gbe trɔ, wò nu mimi sesẽ, alo gbɔgbɔ sesẽ na wò la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake .
• Ðɔktawo wɔa dodokpɔ vovovowo tsɔ dea dzesi dɔléle sia.
• Dɔdamɔnu vevitɔe nye amekoko, eye ne ehiã la, wowɔa iodine si me keklẽŋusẽ le kple lãmetsiŋusẽtike hã.
• Ne wokpɔe kaba la, mɔnukpɔkpɔ si li be wòahaya la lolo wu sã.

Ne nya bubu aɖewo gale asiwò ku ɖe esia ŋu la, mègahe ɖe megbe le wò ɖɔkta biabia me o. Edzɔa dzi na wo be yewoakpe ɖe ŋuwò. Nɔ lãmesẽ me!

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