Ke manaʻo nei ʻoe he puʻupuʻu kou ma kou ʻāʻī? E kamaʻilio kākou e pili ana i ke Kanesa Thyroid Follicular!

Ua ʻike anei ʻoe i kahi puʻupuʻu ma kou ʻāʻī? A i ʻole ua ʻike ʻoe i kahi loli i kou leo ​​a i ʻole ka paʻakikī i ka moni ʻana? I kekahi manawa he mau mea maʻamau kēia, akā i kekahi manawa hiki iā lākou ke lilo i hōʻailona o kahi pilikia me kou kelepa thyroid. ʻO ia ke kumu i kēia lā i manaʻo ai mākou e kamaʻilio e pili ana i kēia mea i kapa ʻia ʻo ka maʻi kanesa thyroid follicular. Mai makaʻu, he mea nui loa ka makaʻala i kēia.

No laila he aha kēia ʻano thyroid?

ʻAe, e nānā mua kākou i ke ʻano o ka ʻōpū thyroid. I ka ʻōlelo maʻalahi, he ʻano ʻōpū liʻiliʻi ia e like me ka pepeke ma ke alo o kou ʻāʻī. I ka pololei, ua like ia me lalo o kou ʻōpū hanu. He ʻāpana ia o ka ʻōnaehana endocrine o ko kākou kino. ʻO kāna hana nui ka hana ʻana i nā hormones . Hoʻomalu kēia mau hormones i nā mea nui he nui i loko o ko kākou kino. No ka laʻana, he mea nui kēia mau hormones thyroid no ka metabolism o ko kākou kino , ʻo ia hoʻi ka hoʻololi ʻana i ka meaʻai a kākou e ʻai ai i ikehu, a no nā mea e like me ka kaohi ʻana i ka pae o ka calcium i loko o ke koko.

No laila, loaʻa ka maʻi ʻaʻai thyroid i ka wā e hoʻomaka ai nā cell i loko o ke kelepa thyroid, no kekahi kumu, e ulu ma ke ʻano ʻē a me ke kāohi ʻole ʻia .

Ehia mau ʻano maʻi kanesa thyroid?

ʻAe, ʻehā mau ʻano nui o ke kanesa thyroid. Hoʻokaʻawale a ʻike nā kauka i kēia mau mea ma ka nānā ʻana i nā hunaola kanesa ma lalo o kahi microscope.

ʻo lākou:

• ʻO ke kanesa Follicular: I kēia lā ke kamaʻilio nei mākou e pili ana i kēia ʻano.
• ʻO ke kanesa papillary: ʻO kēia ke ʻano maʻamau.
• Ka maʻi ʻaʻai waena.
• ʻO ke kanesa anaplastic: He ʻano koʻikoʻi kēia, akā he mea kākaʻikahi loa.

Ua hoʻokaʻawale hou ʻia kēia mau maʻi kanesa e like me:

• Nā maʻi ʻaʻai i hoʻokaʻawale maikaʻi ʻia: Ua like kēia mau pūnaewele me nā pūnaewele thyroid maʻamau i kekahi ʻano. ʻOi aku ka maʻalahi o ka mālama ʻana iā lākou a hiki ke ho'ōla loa ʻia. Hāʻule nā ​​ʻano follicular a me papillary i loko o kēia māhele.
• Nā maʻi ʻaʻai i hoʻokaʻawale ʻole ʻia: He ʻokoʻa loa kēia mau cell mai nā cell maʻamau, e paʻakikī ai ka mālama ʻana. ʻO ka carcinoma anaplastic kekahi o kēia mau ʻano.

He aha ka ʻokoʻa ma waena o ke kanesa follicular a me ke kanesa papillary?

Hoʻomaka nā ʻano ʻelua i loko o nā pūnaewele follicular o ka thyroid gland, no laila he nui nā ʻano like ma waena o nā mea ʻelua. Eia nō naʻe, ʻoi aku ka nui o ka laha ʻana o ka papillary carcinoma i nā lymph nodes ma mua o ka follicular carcinoma. ʻOi aku ka maʻamau o ka papillary carcinoma ma mua o ka follicular carcinoma.

He aha ka ʻokoʻa ma waena o ke kanesa follicular a me ke kanesa medullary?

ʻO ka maʻi kanesa thyroid medullary he maʻi neuroendocrine.Nā puʻupuʻu neuroendocrine. Kū mai kēia mau mea mai nā pūnaewele C- i loko o ke kelepa thyroid. Hoʻopuka kēia mau pūnaewele C i kahi hormone i kapa ʻia ʻo calcitonin . Hoʻomalu kēia hormone i ka pae o ka calcium i loko o ko kākou koko. ʻOi aku ka ikaika o nā puʻupuʻu medullary ma mua o nā puʻupuʻu follicular, ʻo ia hoʻi hiki iā lākou ke laha koke. Hiki ke pili pū ʻia me ka mōʻaukala ʻohana o ka maʻi.

ʻO wai ka mea e loaʻa ana i ka maʻi ʻaʻai thyroid follicular?

Hiki iā ia ke hana i kekahi. Eia nō naʻe, ʻoi aku ka maʻamau i nā wahine ʻelemakule . ʻO ke ʻano kēia, ʻoi aku ka nui o ka pilikia o nā wahine ma waena o 40-60 mau makahiki.

Pehea ka maʻamau o kēia?

ʻO ka maʻi kanesa thyroid follicular ka helu no 10% a 15% o nā maʻi kanesa thyroid āpau. Loaʻa i ka hapa nui o ka poʻe ka maʻi kanesa thyroid papillary (ʻo ia hoʻi ma kahi o 70% a 80%).

Pehea ka hopena o ka maʻi ʻaʻai thyroid follicular iaʻu?

I kekahi manawa, hiki i ke kanesa thyroid follicular ke hana i kahi puʻupuʻu ma kou ʻāʻī a i ʻole ka ʻeha. Akā inā ʻike mua ʻia , hiki ke mālama ʻia a ho'ōla loa ʻia. Inā waiho ʻole ʻia, hiki i kēia kanesa ke laha (metastasize) i nā ʻāpana ʻē aʻe o ke kino. Ke laha, lilo ia i mea paʻakikī iki ke mālama.

He aha nā hōʻailona o ke kanesa thyroid follicular?

E hoʻomanaʻo, i kekahi manawa ʻaʻohe hōʻailona iki. Eia nō naʻe, inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​he manaʻo maikaʻi e ʻike i ke kauka:

• He puʻupuʻu a pehu paha ma ka ʻāʻī (nodule thyroid ). ʻO kēia ka hōʻailona maʻamau.
• ʻEha pepeiao, a ʻeha paha ma ka ʻāʻī a i ʻole ka ʻāʻī.
• Ka leo haʻalulu a i ʻole ka loli ʻana o ka leo ( dysphonia ).
• Nā ʻōpuʻu lymph pehu i ka ʻāʻī.
• Paʻakikī i ka hanu ʻana a i ʻole ke ale ʻana ( dysphagia ).

Mai makaʻu i ka maʻi kanesa no ka mea wale nō he mau hōʻailona kēia. Eia nō naʻe, he mea naʻauao ke ʻimi i ke aʻo lapaʻau.

He aha nā kumu o ke kanesa thyroid follicular?

ʻAʻole maopopo i nā kauka ke kumu o ka ulu ʻana o nā hunaola thyroid. Eia nō naʻe, ua ʻike ʻia kekahi mau mea pilikia . No ka laʻana, ʻo ka hōʻike ʻana i ka radiation kekahi kumu. ʻO ke ʻano kēia inā ua loaʻa iā ʻoe ka radiation therapy ma kou ʻāʻī no kekahi maʻi ʻē aʻe, a inā ʻoe e hana ana i kahi hana e pili ana i nā mea radioactive, ʻoi aku kou pilikia. ʻO ka poʻe e noho ana ma nā wahi me ka nele o ka iodine ua ʻōlelo ʻia hoʻi he ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kēia maʻi kanesa.

He maʻi laha anei kēia maʻi ʻaʻai?

ʻAʻole, ʻaʻole he maʻi lele ka maʻi kanesa thyroid follicular. ʻAʻole hiki iā ʻoe ke hoʻolaha iā ia i kekahi.

Pehea ka lōʻihi o ka laha ʻana o ke kanesa thyroid follicular?

He mea paʻakikī ke ʻōlelo maopopo i kēia. I kekahi manawa hiki i ke kanesa ke laha koke, i kekahi manawa hiki ke hala nā makahiki. Inā paha e metastasizes , a pehea ka wikiwiki, ʻokoʻa ia mai kēlā kanaka a i kēia kanaka. ʻO ia ke kumu e ʻōlelo ai mākou he mea nui e ʻike i ka maʻi i ka wā hikiwawe a hoʻomaka i ka lāʻau lapaʻau.

Pehea e ʻike ai nā kauka i kēia?

Ke hele ʻoe e ʻike i ke kauka, hiki ke ʻike ʻia kahi puʻupuʻu ma kou ʻāʻī i ka wā o ka hoʻokolokolo kino maʻamau. I kekahi manawa, hiki ke loaʻa kahi puʻupuʻu ma ka ulia pōpilikia i ka wā o nā hoʻokolohua kiʻi i hana ʻia no kekahi kumu ʻē aʻe.

Inā kānalua ke kauka i kahi puʻupuʻu, hiki iā lākou ke hana i nā hoʻokolohua e like me:

• Nānā CT
• MRI
• ʻO ke scan ultrasound - ʻO kēia ke ʻano maʻamau i hoʻohana ʻia e nānā i nā puʻupuʻu ma ka ʻāʻī.
• X-ray - ʻAʻole e hōʻike maopopo kēia i nā nodules thyroid, akā hiki ke lawe ʻia kahi X-ray umauma e ʻike ai inā ua pālahalaha ke kanesa i nā māmā.

He aha nā hoʻokolohua e hana ʻia e hōʻoia ai?

ʻAʻole nā ​​puʻupuʻu āpau ma ka ʻāʻī he maʻi kanesa. He nui nā mea maikaʻi ʻole . No laila, inā kānalua kāu kauka he maʻi kanesa paha kou, hiki iā ia ke ʻōlelo aku i kahi biopsy aspiration nila maikaʻi (FNAB). Pili kēia i ka lawe ʻana i kahi laʻana liʻiliʻi o nā cell mai ka puʻupuʻu me kahi nila maikaʻi loa a nānā ʻia ma lalo o kahi microscope e kahi cytologist . ʻO kēia wale nō ke ala e ʻike pono ai inā he mau cell kanesa.

Pehea e mālama ʻia ai ka maʻi ʻaʻai thyroid follicular?

I ka hapanui o nā hihia, ʻo ke ʻoki kino ke ʻano nui o ka lāʻau no ka maʻi ʻaʻai thyroid follicular.

ʻO ka mea hiki ke hana me ke ʻoki kino:

• Ke wehe wale nei i ka ʻāpana o ka ʻōpū thyroid e loaʻa ana ka nodule ( lobectomy ).
• Ka wehe ʻana i ka ʻōpū thyroid holoʻokoʻa ( throidectomy holoʻokoʻa ).
• Inā ua pālahalaha ke kanesa i nā lymph nodes, e wehe ʻia aku hoʻi kēlā mau lymph nodes.

Aia kekahi mau lāʻau lapaʻau ʻē aʻe ma waho aʻe o ke ʻoki kino?

ʻAe, ma muli o ke kahua o ke kanesa, ʻo ia hoʻi, pehea ka mamao o ka laha ʻana o ke kanesa, a inā ua pālahalaha aku i nā ʻōpū ʻē aʻe, hiki ke ʻōlelo ʻia e mālama hou ʻia ma hope o ke ʻoki ʻana.

ʻo lākou:

• Lapaʻau Radioiodine (RAI): He lāʻau lapaʻau maʻamau kēia no ke kanesa follicular. Ma muli o ka omo ʻana o nā hunaola thyroid i ka iodine, hāʻawi ʻia ka iodine radioactive e pepehi i nā hunaola kanesa i koe.
• Ka lāʻau lapaʻau hormone thyroid:Ma hope o ka wehe loa ʻia ʻana o ke kelepa thyroid, pono e hāʻawi ʻia i ke kino nā hormones thyroid ma waho. Eia kekahi, ʻo ka hāʻawi ʻana i kēia mau hormones e kōkua i ka kaohi ʻana i ka ulu hou ʻana o nā hunaola kanesa.
• ʻO ka Lapaʻau Radiation Beam o waho: I kekahi mau hihia kūikawā, ʻoiai inā ua pālahalaha ke kanesa i nā ʻiʻo a puni i ka ʻāʻī, hiki ke hāʻawi ʻia kēia lāʻau.
• Chemotherapy: ʻAʻole kēia he lāʻau maʻamau no ka maʻi kanesa thyroid follicular. Hāʻawi ʻia ia no nā maʻi kanesa i pālahalaha nui a ʻaʻole pane i nā lāʻau ʻē aʻe.
• ʻO ka lāʻau lapaʻau i hoʻolālā ʻia: ʻO kēia nā ʻano lāʻau lapaʻau hou e hoʻolālā ana i nā molekala kikoʻī i loko o nā pūpū kanesa, e hōʻemi ana i ka hōʻino ʻana i nā pūnaewele maʻamau.

Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?

Hiki i nā lāʻau lapaʻau maʻi kanesa ke hana i nā hopena ʻaoʻao like ʻole. ʻOkoʻa kēia mai kēlā kanaka a kēia kanaka. Hiki i kekahi poʻe ke ʻike i:

• Ka maʻi pākī
• Makemake nui
• Luhi
• ʻO ka nalowale o ka lauoho - ʻOi aku ka maʻamau o kēia i ka wā o ka chemotherapy.
• Ka luaʻi a me ka luaʻi
• Ka paʻakikī i ka ʻōlelo ʻana a me ke ale ʻana (ʻoi aku hoʻi ma hope o ke ʻoki ʻana)
• Ka paʻakikī i ka noʻonoʻo ʻana a i ʻole ka hoʻomanaʻo ʻana i nā mea ( chemo brain)
• Nāwaliwali

ʻO ka mea nui loa, ʻo ia ke haʻi aku i kāu kauka inā loaʻa iā ʻoe kekahi mau hopena ʻaoʻao. Aia i kēia manawa nā ala e kāohi ai i nā hopena ʻaoʻao he nui.

Pehea ka lōʻihi o ka mālama ʻana no ka maʻi ʻaʻai thyroid follicular?

E nānā mau kāu kauka i kou pane ʻana i ka lāʻau lapaʻau. Inā ʻaʻole i loko o kou kino ke kanesa, ʻaʻole pono ʻoe i ka lāʻau lapaʻau ikaika. Eia nō naʻe, inā ua wehe ʻia kou kelepa thyroid, pono ʻoe e lawe i ka lāʻau lapaʻau pani hormone thyroid no ke koena o kou ola. He mea nui kēia no ka noho olakino. E hoʻomau nō hoʻi kāu kauka i ka nānā ʻana iā ʻoe no kekahi hoʻi hou ʻana o ke kanesa (mālama hahai).

Aia kekahi ala e hōʻemi ai i ka pilikia o ka loaʻa ʻana o kēia maʻi kanesa?

ʻAʻohe mea hiki iā kākou ke hana e pale aku ai i ke kanesa thyroid follicular. Eia nō naʻe, inā ua loaʻa kekahi o kou ʻohana i ke kanesa, a inā he mau kumu pilikia ʻē aʻe kāu, he manaʻo maikaʻi e kamaʻilio me kāu kauka e pili ana i ia mea. Hiki iā ia ke haʻi iā ʻoe inā he mea āu e hana ai.

He aha ka mea e hana ai inā loaʻa iaʻu ka maʻi ʻaʻai thyroid follicular?

ʻO ka mea mua, mai hopohopo. E kamaʻilio pono me kāu kauka a nīnau iā lākou i ke kahua o kou maʻi ʻaʻai, he aha nā lāʻau lapaʻau i ʻōlelo ʻia, a me nā mea hiki iā ʻoe ke manaʻo mai iā lākou. E kōkua pū kāu hui lapaʻau iā ʻoe e hoʻokele i nā hopena ʻaoʻao e hiki mai ana i ka wā o ka mālama ʻana. A laila hiki iā ʻoe ke hoʻomau i kāu mau hana o kēlā me kēia lā.

Hiki ke ho'ōla ʻia ke kanesa thyroid follicular?

ʻAe, hiki ke ho'ōla pinepine ʻia ke kanesa thyroid follicular! ʻOi loa aku inā ʻike ʻia i ka wā mua.Kiʻekiʻe loa ka hiki ke hoʻōla. No laila,

• Inā loaʻa iā ʻoe kekahi mau hōʻailona o ke kanesa thyroid,
• A i ʻole inā he mau kumu pilikia kou no ka hoʻomohala ʻana i ka maʻi kanesa thyroid,

E ʻike koke i ke kauka.

Pehea wau e mālama ai iaʻu iho?

ʻOiai ma hope o ka pau ʻana o ka lāʻau lapaʻau, hiki i kāu kauka ke ʻōlelo i ka mālama ʻana , e like me nā hoʻāʻo koko e nānā i kāu pae hormone thyroid a me nā scan e nānā no ka hoʻi hou ʻana.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He maʻi hiki ke mālama nui ʻia ke kanesa thyroid follicular. No laila, mai hopohopo, e makaʻala.

• Inā loaʻa iā ʻoe kahi puʻupuʻu ma kou ʻāʻī, ka pehu ʻana, ka loli o kou leo, ka paʻakikī i ke ale ʻana, a i ʻole ka paʻakikī i ka hanu ʻana, e ʻimi koke i ke kōkua lapaʻau .
• Hana nā kauka i nā hoʻokolohua like ʻole e ʻike ai i kēia maʻi.
• ʻO ke ʻoki kino ka lāʻau lapaʻau nui, a inā pono, hāʻawi ʻia nō hoʻi ka lāʻau radioactive iodine a me ka lāʻau hormone.
• Inā ʻike ʻia i ka wā mua, ʻoi aku ka kiʻekiʻe o ka manawa e ho'ōla ai.

Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e nīnau i kāu kauka. Hauʻoli lākou e kōkua iā ʻoe. E noho olakino!

ʻO ke kanesa thyroid, ke kanesa thyroid follicular, ke kelepa thyroid, nā puʻupuʻu ʻāʻī, nā hōʻailona kanesa, ka mālama ʻana i ke kanesa, ke ʻoki ʻana i ka thyroid