Aia kekahi puʻupuʻu ma ka ʻāʻī? Hiki paha he maʻi ʻaʻai thyroid? E aʻo kākou e pili ana i ka Hürthle Cell Carcinoma

Ke manaʻo nei 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 kēia mau lā? He mea maʻamau paha kēia. Eia nō naʻe, i nā hihia kakaikahi, hiki iā lākou ke lilo i hōʻailona o ka pilikia thyroid. I kēia lā ke kamaʻilio nei mākou e pili ana i kekahi maʻi kanesa kakaikahi akā koʻikoʻi loa. ʻO ia ka Hürthle cell carcinoma.

He aha ka Hürthle Cell Carcinoma?

I ka ʻōlelo maʻalahi, he ʻano maʻi ʻaʻai laha ʻole kēia e ulu ana i loko o ke kelepa thyroid. E noʻonoʻo iā ia he kelepa liʻiliʻi e like me ke ʻano o ka pulelehua ma ke alo o ko kākou ʻāʻī. ʻO kēia ka mea a kākou e kapa nei he kelepa thyroid . Nui nā hana koʻikoʻi i loko o ko kākou kino, ʻoiai ka metabolism, e kāohi ʻia e nā hormones i hana ʻia e kēia kelepa.

ʻO ka Hürthle cell carcinoma kahi ʻano maʻi kanesa ikaika e ulu ana i loko o ka thyroid gland. Hiki i nā puʻupuʻu ke hoʻopilikia i ka ʻōlelo ʻana a me ka hanu ʻana. Inā ʻaʻole mālama pono ʻia, hiki i ke kanesa ke laha i nā ʻāpana ʻē aʻe o ke kino, e like me nā lymph nodes, nā māmā, a me nā iwi . ʻO ka lāʻau lapaʻau nui no kēia, ʻo ia ke ʻoki ʻana e wehe i ka ʻāpana a pau o ka thyroid gland.

Pehea ka hopena o kēia kūlana i ke kino?

I nā hihia he nui, hiki i kēia maʻi kanesa ke ulu i loko o ke kino me ka ʻole o ka hōʻike ʻana i nā hōʻailona i nā pae mua. No kekahi poʻe, ʻike ʻia ia ma ka hanana, i ka wā o nā hoʻokolohua no kekahi maʻi ʻē aʻe.

Akā i ka wā e hoʻomaka ai nā hōʻailona e ʻike ʻia, e ʻike mua paha ʻoe i kahi puʻupuʻu ma ke alo o kou ʻāʻī. I ka ulu ʻana o kēia mau puʻupuʻu, hiki iā lākou ke hoʻomaka e kaomi ma luna o kou esophagus. Hiki i kēia ke paʻakikī ke ale . Eia kekahi, inā kaomi kēia mau puʻupuʻu ma luna o kou trachea/windpipe, hiki ke pilikia i ka hanu ʻana . I kekahi manawa, hiki i kēia mau puʻupuʻu ke hoʻopilikia i kāu mau kaula leo a hoʻololi i kou leo .

ʻOiai hiki ke ulu kēia ʻano maʻi i kēlā me kēia makahiki, ʻoi aku ka maʻamau i nā poʻe ma luna o 55 mau makahiki a me nā wahine . Eia naʻe, ʻaʻole ia he maʻi kanesa maʻamau. Loaʻa ia i kahi poʻe liʻiliʻi, ma kahi o 3% o nā poʻe āpau e loaʻa i ka maʻi kanesa thyroid.

He aha nā hōʻailona nui o kēia maʻi?

ʻOiai ʻaʻohe paha he mau hōʻailona nui i ka wā mua, hiki ke ʻike ʻia nā hōʻailona ma lalo nei i ka holomua ʻana o ke kanesa. Inā ʻike ʻoe i kekahi o kēia mau mea, he mea nui loa ia e ʻike koke i ke kauka.

No ke aha e ulu ai kēia ʻano maʻi kanesa? He aha nā kumu pilikia?

ʻAʻole ʻike ʻia ke kumu maoli o kēia, akā ua ʻike nā kānaka noiʻi i kekahi mau kumu e hoʻonui ai i ka pilikia o ka loaʻa ʻana o kēia maʻi kanesa.

• Moʻolelo ʻohana: Inā ua loaʻa i kou makuahine, makuakāne, a i ʻole nā ​​​​hoahānau ka maʻi kanesa thyroid, hiki paha iā ʻoe ke pilikia.
• Ka nele o ka iodine: Pono ko mākou kino i ka mineral iodine e hana i nā hormones thyroid. Loaʻa iā mākou mai nā meaʻai a mākou e ʻai ai. Hiki i ka nele o ka iodine i ka wā lōʻihi ke lilo i mea pilikia.
• Ka ʻike ʻia ʻana i ka radiation: Manaʻo nā kauka ʻo ka ʻike ʻia ʻana i ka radiation, e like me nā X-ray a i ʻole ka radiation therapy no ka maʻi kanesa, hoʻonui pū i ka pilikia.

Pehea e ʻike pololei ai ke kauka i kēia maʻi? (Diagnosis)

Ke ʻike ʻoe i ke kauka, e nānā ʻo ia iā ʻoe, e nīnau e pili ana i kāu mau hōʻailona, ​​a e nīnau e pili ana i kekahi mōʻaukala ʻohana o ka maʻi. A laila, e hana paha lākou i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona.

• Nā hoʻāʻo koko: Hoʻopuka kahi kelepa thyroid olakino i kahi protein i kapa ʻia ʻo thyroglobulin. I kēia maʻi kanesa, hiki ke hoʻokiʻekiʻe ʻia ka pae o kēia protein i loko o ke koko.
• ʻO ke kiʻi ʻana i ka lawe ʻana o ka thyroid: Nānā kēia i nā hunaola kanesa i loko o ke kelepa thyroid. Hoʻokomo ʻia kahi liʻiliʻi o ka iodine radioactive i loko o ke kino, a hoʻohana ʻia kahi kiʻi PET e ʻike i nā wahi o nā hunaola kanesa.
• Laryngoscopy: Hana ʻia kēia hoʻāʻo e ʻike inā ua hoʻopilikia ʻia kāu mau kaula leo.
• ʻO ka hoʻāʻo ʻana i ka nila maikaʻi loa (FNA): ʻO kēia ka hoʻāʻo maʻamau. Me ka hoʻohana ʻana i kahi nila lahilahi loa, lawe ʻia kahi laʻana liʻiliʻi o nā cell mai ka puʻupuʻu. A laila nānā ʻia ma lalo o kahi microscope e ʻike inā he mau cell kanesa.
• ʻIke ʻoki kino (Lobectomy): I kekahi manawa, ʻaʻole hiki i kahi biopsy wale nō ke hōʻoia i ka hōʻike. I ia mau hihia, e hana ke kauka i ke ʻoki kino e wehe i ka ʻāpana o ke kelepa thyroid e loaʻa ana ka puʻupuʻu a hoʻouna aku no ka hoʻokolokolo ʻana.
• CT scan: Inā hōʻoia ʻia ka maʻi kanesa, hana ʻia nā hoʻokolohua ʻē aʻe, e like me ka CT scan, e ʻike inā ua pālahalaha aku i nā ʻāpana ʻē aʻe o ke kino.

Pehea e hoʻokaʻawale ʻia ai nā pae o ke kanesa?

Hoʻolālā ʻia ka mālama ʻana no kekahi maʻi kanesa ma muli o kona pae. No kēia, hoʻohana nā kauka i kahi ʻōnaehana i kapa ʻia ʻo ka ʻōnaehana pae TNM.

• T (Puʻupuʻu): Ka nui o ka puʻupuʻu.
• N (Node): Inā ua pālahalaha ke kanesa i nā nodes.
• M (Metastasis): Inā paha ua pālahalaha aku i nā ʻōpū mamao o ke kino.

I loko o kēia ʻano maʻi kanesa, he kuleana ko ka makahiki o ka mea maʻi i ka hoʻoholo ʻana i ke kahua. No ka laʻana, inā loaʻa i kahi kanaka ma lalo o 55 mau makahiki ka maʻi, ua manaʻo ʻia he kahua mua (Stage I a i ʻole II), me ka nānā ʻole i ka nui o ka puʻupuʻu a inā paha ua pālahalaha aku i nā lymph nodes.

He aha nā lāʻau lapaʻau no kēia?

ʻO ke ʻoki kino ka lāʻau lapaʻau nui a maikaʻi loa no kēia maʻi . Ma muli o kou kūlana, e wehe ke kauka ʻoki kino i ka ʻāpana a pau o ka thyroid. E wehe pū lākou i nā nodules kahi i laha ai ke kanesa. I ka hapanui o nā hihia, hiki i kēia ʻoki kino ke wehe loa i ke kanesa.

Ma hope o ke ʻoki ʻana, hāʻawi ʻia nā lāʻau ʻē aʻe e pale ai i ka hoʻi hou ʻana mai o ke kanesa.

• Ka lāʻau lapaʻau hormone:Ma hope o ke ʻoki ʻana, ʻoiai ʻaʻole i laila ke kelepa thyroid, pono e lawe ʻia nā hormones āna e hana ai ma ke ʻano he pila no ke koena o kou ola. Hoʻomalu pū kēia i ka ulu ʻana o nā hunaola kanesa.
• Lapaʻau iodine radioactive: Hāʻawi ʻia kēia lāʻau lapaʻau e luku i nā hunaola kanesa e koe paha ma hope o ke ʻoki ʻana.

Hiki ke ho'ōla ʻia kēia maʻi? Pehea ke ʻano o ke ola ma hope o ka mālama ʻana?

ʻAe, he maʻi hiki ke ho'ōla piha ʻia kēia i ka hapa nui o nā hihia. Kiʻekiʻe loa ka manawa e ho'ōla ai, ʻoiai ma hope o ka wehe ʻia ʻana o ke kanesa ma o ke ʻoki ʻana. Ua hōʻike ʻia kahi noiʻi hou nei he 95% o ka poʻe i ʻike ʻia me kēia maʻi e ola mau ana ma hope o 5 mau makahiki a me 93% ma hope o 10 mau makahiki.

Ma hope o ka mālama ʻana, hiki iā ʻoe ke ola i kahi ola maʻamau. Eia nō naʻe, no ka mea ua wehe ʻia kou kelepa thyroid, pono ʻoe e lawe i ka lāʻau lapaʻau pani hormone thyroid no ke koena o kou ola.

Eia kekahi, ʻoiai hiki i kēia maʻi kanesa ke hoʻi hou i kekahi manawa, he mea nui e hele no nā hahai ʻana e like me ke kauoha a ke kauka. Inā ʻike ʻoe i kekahi mau hōʻailona, ​​​​e like me ka puʻupuʻu ma kou ʻāʻī a i ʻole ka loli o kou leo, pono ʻoe e hoʻomaopopo i kāu kauka.