Ua lohe anei ʻoe e pili ana i kēia maʻi kanesa laha ʻole o kou kelepa thyroid? (Hürthle Cell Carcinoma) - E kamaʻilio kākou me nā kikoʻī!

Ua ʻike anei ʻoe i kahi puʻupuʻu ma ke alo o kou ʻāʻī, ma lalo pono o kou iwi ʻāʻī? A i ʻole ke manaʻo nei ʻoe i nā mea e like me ka loli o kou leo, ka paʻakikī i ka moni ʻana, a i ʻole ka pōkole o ka hanu? ʻOiai ʻaʻole paha mākou e nānā nui i kēia mau mea, hiki iā lākou ke lilo i mau hōʻailona o kahi ʻano maʻi kanesa kakaʻikahi akā ʻoi aku ka maʻamau . I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi kanesa kakaʻikahi akā hopohopo e ulu ana i loko o kā mākou kelepa thyroid. ʻO ia ʻo Hürthle Cell Carcinoma.

He aha ka Hürthle Cell Carcinoma?

I ka ʻōlelo maʻalahi, he ʻano maʻi kanesa kakaikahi kēia a ulu wikiwiki hoʻi e ulu ana i loko o ke kelepa thyroid . ʻIke ʻoe, he kelepa liʻiliʻi ke ʻano o ka thyroid, e like me ka pepeke ma ke alo o ko kākou ʻāʻī. Kōkua nā hormones āna e hoʻokuʻu ai i ka hoʻomalu ʻana i nā hana koʻikoʻi he nui i loko o ko kākou kino, ʻoiai ka metabolism.

No laila, ke ulu kēia Hürthle Cell Carcinoma, hiki ke hana ʻia nā mea e like me nā nodules thyroid. Ke ulu kēia mau nodules, hiki iā lākou ke paʻakikī iā mākou ke ʻōlelo a hanu paha. Inā ʻaʻole mālama pono ʻia, hiki i kēia maʻi kanesa ke laha i nā ʻāpana ʻē aʻe o ke kino, e like me nā lymph nodes, nā māmā, a me nā iwi . Hoʻōla pinepine nā kauka i kēia maʻi kanesa ma ka hana ʻana i ke ʻoki kino e wehe i ka ʻāpana a pau o ka thyroid gland.

Pehea ka hopena o kēia maʻi i koʻu kino?

E noʻonoʻo wale, ʻaʻole paha e ʻike kekahi poʻe i kekahi loli i ko lākou kino i nā wā mua ʻoiai inā he Hürthle Cell Carcinoma ko lākou. I kekahi manawa ʻike ʻia ia ma ke ʻano ulia i ka wā o nā hoʻokolohua no kekahi maʻi ʻē aʻe.

Akā i ka wā e hoʻomaka ai nā hōʻailona e ʻike ʻia, hiki ke ʻike mua ʻia lākou ma ke ʻano he mau puʻupuʻu liʻiliʻi ma ke alo o ka ʻāʻī, kahi o ke kelepa thyroid. I ka ulu ʻana o kēia mau puʻupuʻu, hiki iā lākou ke kaomi ma luna o ko kākou esophagus, e paʻakikī ai ke ale i ka meaʻai, a ma luna o ko kākou trachea, e paʻakikī ai ka hanu. Eia kekahi, inā kaomi kēia mau puʻupuʻu ma luna o ko kākou mau kaula leo, aia paha kahi loli i ko kākou leo. Manaʻo paha e like me ka palahalaha o kou leo ​​​​ke loaʻa iā ʻoe ke anu .

He maʻi kanesa mau anei nā ʻōpū cell Hürthle?

Eia kahi mea nui. Hiki i nā ʻōpū cell Hürthle ke ʻano ʻaʻole hiki ke lilo i kanesa a i ʻole kanesa . ʻO ka mea kupanaha, hiki ke like loa nā hōʻailona o nā ʻano ʻelua. No laila, i kekahi manawa he paʻakikī i nā kauka ke ʻike pono inā he kanesa kahi ʻōpū a i ʻole ma ka nānā wale ʻana iā ia. I mea e maopopo ai, pono lākou e nānā i nā cell mai ka ʻōpū ma lalo o kahi microscope .

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi?

ʻOiaʻiʻo, hiki i kekahi ke loaʻa i ka Hürthle Cell Carcinoma. Eia naʻe,ʻOi aku ka maʻamau o ia ma waena o ka poʻe ma luna o 55 mau makahiki. Ua ʻōlelo ʻia hoʻi he ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā wāhine ma mua o nā kāne.

He kūlana maʻamau anei kēia?

ʻAʻole, ʻaʻole kēia he kūlana maʻamau loa . Ma ka awelika, ma kahi o 14 mau kānaka no 100,000 i hōʻike ʻia e loaʻa i ka maʻi kanesa thyroid i kēlā me kēia makahiki. Ma waena o kēia mau maʻi kanesa thyroid āpau, loaʻa kēia Hürthle Cell Carcinoma i kahi pakeneka liʻiliʻi loa, ma kahi o 3% . ʻO ia hoʻi, he mea kakaikahi iki ia.

He aha nā hōʻailona o ka Hürthle Cell Carcinoma?

I ka manawa pinepine, ʻaʻole ʻike ka poʻe me kēia maʻi i nā hōʻailona a hiki i ka ulu ʻana o ke kanesa i ka nui e hoʻopilikia i nā ʻāpana ʻē aʻe o ke kino . No ka laʻana, loaʻa kahi loli i ka leo ke kaomi ka puʻupuʻu i nā kaula leo. Hiki i nā hōʻailona ʻē aʻe ke komo pū me:

• Paʻakikī i ka hanu ʻana a i ʻole ke ale ʻana (dysphagia) . Manaʻo paha ʻoe ua paʻa kekahi mea i loko o kou puʻu.
• Manaʻo e like me ke ālai ʻia ʻana o kou puʻu.
• He puʻu ʻeha ma ke alo o ka ʻāʻī, ma lalo o ka ʻāpala o ʻAdamu.
• Nā ʻōpū lymph pehu.
• Luhi mau ka manaʻo (Fatigue).
• Ka wiwi ʻana me ka manaʻo ʻole a me ke kumu ʻole .

He aha ke kumu o kēia maʻi kanesa?

ʻAʻole i hiki i nā kānaka noiʻi lapaʻau ke loaʻa kahi kumu paʻa no kēia maʻi. Eia nō naʻe, ua ʻike lākou i kekahi mau mea pilikia e hoʻonui ai i ka pilikia o ka loaʻa ʻana o ka maʻi. ʻO kēia mau mea:

• Loaʻa kahi moʻolelo ʻohana o ka maʻi kanesa thyroid : ʻO ia hoʻi inā ua loaʻa i kou makuahine, makuakāne, a i ʻole nā ​​​​hoahānau ka maʻi kanesa thyroid.
• Ka nele o ka iodine i ka wā lōʻihi : He mineral koʻikoʻi ka iodine e pono ai ko mākou kino e hana i nā hormones thyroid. Loaʻa iā mākou mai nā meaʻai a mākou e ʻai ai.
• Ka ʻike ʻia ʻana i ka radiation : Manaʻo ka nui o nā kauka ʻo ka ʻike ʻia ʻana i nā X-ray a i ʻole ka radiation therapy no nā mea e like me ke kanesa e hoʻonui pū i ka pilikia o ka hoʻomohala ʻana i ka Hürthle Cell Carcinoma.

Pehea e ʻike ai nā kauka i kēia maʻi?

Hoʻoponopono nā kauka i kēia maʻi ma ka nānā mua ʻana iā ʻoe, e nīnau e pili ana i kāu mau hōʻailona, ​​​​kou mōʻaukala olakino, a me kou mōʻaukala olakino ʻohana. A laila hiki iā lākou ke hana i nā hoʻokolohua e like me:

• Nā hoʻāʻo koko : Hoʻopuka kahi kelepa thyroid olakino i kahi protein i kapa ʻia ʻo thyroglobulin. E nānā nā kauka i ka pae o kēia thyroglobulin i loko o kou koko. Inā kiʻekiʻe kēia pae, he hōʻailona paha ia o ka Hürthle Cell Carcinoma.
• ʻO ke kiʻi ʻana i ka lawe ʻana o ka thyroidHoʻohana ʻia kēia hoʻāʻo e nānā i nā hunaola kanesa i loko o kou kelepa thyroid. Ma kēia hoʻāʻo, ua hoʻokomo ʻia kahi liʻiliʻi o ka iodine radioactive i loko o kou koko. Hōʻiliʻili kēia iodine i loko o ka ʻiʻo kanesa i loko o kou kelepa thyroid. A laila, hana ʻia kahi positron emission tomography scan (PET scan) e ʻike i nā wahi o nā hunaola kanesa.
• Laryngoscopy : ʻAe kēia hoʻāʻo i nā kauka e nānā i kāu mau kaula leo.
• ʻO ka ʻomi ʻana i ka nila maikaʻi (FNA) : Ma kēia kaʻina hana, hoʻohana ke kauka i kahi nila lahilahi a liʻiliʻi e wehe i kahi hāpana o ka ʻiʻo mai kou kelepa thyroid. A laila e nānā ʻia ka ʻiʻo ma lalo o kahi microscope e nānā i nā hōʻailona o ka maʻi kanesa. I kekahi manawa ua kapa ʻia kēia he biopsy nila .
• Lobectomy : I kekahi manawa, ʻaʻole lawa nā hopena o ka hoʻāʻo FNA no nā kauka e hiki ai i kahi hopena paʻa. I kēlā hihia, e hana lākou i ke ʻoki ʻana e wehe i ka ʻāpana o ka ʻōpū thyroid a lākou e manaʻo ai he maʻi kanesa a nānā iā ia.
• CT scan : Inā hōʻoia nā hoʻokolohua he Hürthle Cell Carcinoma kou, e hana nā kauka i nā hoʻokolohua kiʻi ʻē aʻe, e like me ka CT scan, e ʻike ai inā ua pālahalaha ke kanesa i nā wahi ʻē aʻe.

Aia kekahi mau pae o ka Hürthle Cell Carcinoma?

ʻAe, ʻoiaʻiʻo nō. Hoʻohana nā kauka i kēia mau ʻōnaehana hoʻonohonoho maʻi kanesa e hoʻolālā i ka mālama ʻana no ke kanesa. Hoʻohana lākou i ka ʻōnaehana hoʻonohonoho TNM e hoʻokaʻawale iā Hürthle Cell Carcinoma. (ʻO T ke kū nei no Tumor. ʻO N ke kū nei no Lymph Node Involvement. ʻO M ke kū nei no Metastasis.) Aia nā pae o kēia kanesa mai I (hoʻokahi) a i IV (ʻehā).

Noʻonoʻo pū nā kauka i ka makahiki o ka mea maʻi i ka hoʻoholo ʻana i kēia mau pae. ʻO ka poʻe i ʻike ʻia me ka maʻi i ka makahiki 55 a ʻoi aʻe paha, me ka nānā ʻole i ka nui o ka puʻupuʻu, inā ua hoʻopilikia ia i nā lymph nodes, a inā ʻaʻole i pālahalaha i nā wahi mamao, ua hoʻokaʻawale ʻia ʻo ia he pae I (hoʻokahi). Eia nō naʻe, inā ua pālahalaha ka puʻupuʻu i nā lymph nodes mamao a i ʻole nā ​​​​​​ʻōpū ʻē aʻe, ua hoʻokaʻawale ʻia ka poʻe 55 a ʻoi aʻe paha he pae II (ʻelua).

I ka ʻōlelo maʻalahi:

Ka nui o ka puʻupuʻu (T - Puʻupuʻu)

Hōʻike kēia iā ʻoe i ka nui o ke kanesa a inā ua pālahalaha ma ʻō aku o ke kelepa thyroid. ʻOkoʻa kēia mai nā puʻupuʻu liʻiliʻi (e.g., emi ma mua o 2 kenimika - `TI`) a i nā puʻupuʻu nui (`TIVa`, `TIVb`) i pālahalaha i nā ʻiʻo kokoke i ka ʻāʻī, trachea, a i ʻole esophagus.

Hopena ma nā lymph nodes (N - Lymph Node)

Nānā kēia inā ua pālahalaha ke kanesa i nā lymph node kokoke (`N0` - ʻaʻole i pālahalaha, `NI` - pālahalaha). Inā ua pālahalaha, nānā pū ia inā aia ma waenakonu o ka ʻāʻī (`NIa`) a i ʻole ma nā ʻaoʻao (`NIb`).

Ka laha ʻana o ke kanesa (M - Metastasis)

Hōʻike kēia iā ʻoe inā ua pālahalaha ke kanesa ma ʻō aku o ke kelepa thyroid a me nā lymph node kokoke i nā ʻōpū mamao o ke kino (e.g. māmā, iwi) . (`M0` - ʻaʻohe laha mamao, `MI` - laha mamao).

Hoʻohana ke kauka i kēia ʻike "(TNM)" e hoʻoholo ai i ke kahua hope loa o kou maʻi ʻaʻai (Kahua I, II, III, a i ʻole IV). He mea nui loa kēia no ka hoʻolālā ʻana i ka mālama ʻana.

Pehea lā e mālama ai nā kauka i kēia?

ʻO ke ʻoki kino ka lāʻau lapaʻau nui a maʻamau no kēia ʻano . Ma muli o kou ʻano, hiki i nā kauka lapaʻau ke wehe i kahi āpau a i ʻole kekahi hapa o kou kelepa thyroid. Hiki iā lākou ke wehe i nā lymph node kahi i laha ai ke kanesa. Hiki i kēia ʻoki kino thyroid ke wehe loa i ke kanesa.

Ma hope o ke ʻoki ʻana, hiki ke hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau e hoʻōki i kāu kelepa thyroid mai ka hana ʻana i nā hormones e hōʻemi i ka manawa e hoʻi hou mai ai ke kanesa . Eia kekahi, aia kekahi mau lāʻau lapaʻau ʻē aʻe, e like me:

• Hoʻōla hormone : Hoʻopau kēia i nā hunaola kanesa a hoʻōki paha iā lākou mai ka ulu ʻana.
• Lapaʻau iodine radioactive : Hoʻopau kēia lāʻau i nā hunaola kanesa thyroid.

Hiki ke ho'ōla loa ʻia ka Hürthle Cell Carcinoma?

ʻAe, he maʻi hiki ke ho'ōla ʻia kēia . ʻO ke ʻoki ʻana e wehe i ka ʻāpana a pau o ke kelepa thyroid e hoʻopau i ke kanesa. Eia nō naʻe, inā loaʻa iā ʻoe kēia ʻoki ʻana, pono ʻoe e lawe i ka lāʻau lapaʻau no ke koena o kou ola e hana i nā hormones thyroid lawa no kou kino.

Pehea e hiki ai iā ʻoe ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i kēia maʻi?

ʻAʻohe ala kikoʻī e hōʻemi ai i kou pilikia o ka loaʻa ʻana o kēia maʻi. Loaʻa i kekahi poʻe kēia maʻi no ka mea he moʻolelo ko ko lākou ʻohana no ka maʻi ʻaʻai thyroid. Inā loaʻa iā ʻoe kēia maʻi, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i nā hōʻailona e hiki ke lilo i mau hōʻailona o Hürthle Cell Carcinoma.

He aha ka nui o ke ola no kēia maʻi?

Ua hōʻike ʻia kahi noiʻi hou nei he 95% o ka poʻe me kēia maʻi e ola mau ana i ʻelima mau makahiki ma hope o ka hōʻoia ʻana . A ua hōʻike ʻia ka noiʻi like he 93% e ola mau ana i nā makahiki he ʻumi ma hope . He mea hōʻoluʻolu maoli kēlā, ʻeā?

Pehea wau e mālama ai iaʻu iho? / He aha ka mea e hana ʻia ma hope o ka mālama ʻana?

Ma muli o kāu lāʻau lapaʻau, pono paha ʻoe e lawe i ka lāʻau lapaʻau hoʻololi hormone thyroid no ke koena o kou ola . Eia kekahi, hiki i ka Hürthle Cell Carcinoma ke hoʻi hou mai i kekahi manawa. No laila, e nīnau i kāu kauka he aha nā hōʻailona e hōʻike ana i ka hoʻi hou ʻana .

He ʻano maʻi ʻaʻai thyroid kakaʻikahi ka Hürthle Cell Carcinoma. Inā loaʻa iā ʻoe nā hōʻailona, ​​pono paha kāu kauka e hana i ke ʻoki thyroid e hōʻoia i loaʻa iā ʻoe ke ʻano. I ka hapanui o nā hihia, e hoʻoponopono ke ʻoki e ʻike i ke ʻano i ka pilikia . Eia nō naʻe, ʻaʻole e hoʻoponopono ke ʻoki wale nō i nā pilikia āpau i hoʻokumu ʻia e ka Hürthle Cell Carcinoma.

Pono ka poʻe i hana ʻia ke ʻoki thyroid e lawe i nā lāʻau lapaʻau hormone no ke koena o ko lākou ola. Eia kekahi, hiki i kēia maʻi kanesa ke hoʻi hou mai ma hope o ka mālama ʻana. Inā loaʻa iā ʻoe kēia maʻi, e hoʻomanaʻo e loaʻa mau ana kāu mau kauka e kōkua a kākoʻo iā ʻoe , ʻoiai inā hoʻi hou ka maʻi.

ʻO nā mea nui e hoʻomanaʻo ma kēia ʻatikala

ʻAe, e hōʻuluʻulu kākou i kekahi o nā mea nui e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

• He ʻano kakaikahi ka Hürthle Cell Carcinoma, akā he ʻano ʻoi aku ka ikaika o ka maʻi thyroid .
• He mea nui e ʻimi i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hōʻailona e like me nā puʻupuʻu ʻāʻī, nā loli o ka leo, a i ʻole ka paʻakikī i ke ale ʻana.
• Pono kahi biopsy e ʻike pono ai inā he maʻi kanesa kēia a ʻaʻole paha.
• ʻO ka lāʻau lapaʻau nui , ʻo ia ka wehe ʻana i ka ʻōpū thyroid .
• Ma hope o ke ʻoki ʻana, pono paha ʻoe e lawe i nā pila hormone thyroid no ke koena o kou ola .
• Aia kahi manawa e hoʻi hou mai ai ke kanesa, no laila pono ʻoe e makaʻala i kēlā .
• Ua mākaukau mau kāu hui lapaʻau e kākoʻo iā ʻoe.

Manaʻolana wau he mea kōkua kēia ʻike iā ʻoe. Inā he mau nīnau a hopohopo paha kāu, mai kānalua e kamaʻilio me kāu kauka.

ʻO ka Hürthle Cell Carcinoma, Kanesa Thyroid, Nā Puʻupuʻu ʻĀʻī, Ke ʻoki ʻana i ka Thyroid, Nā Hōʻailona Kanesa, Lapaʻau Kanesa, Hürthle Cell Carcinoma