He puʻu paha ia ma ka ʻāʻī? He maʻi ʻaʻai thyroid paha ia? E ʻike pono kākou.

Ua manaʻo paha ʻoe i kahi mea e like me ka puʻu ma kou ʻāʻī? He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo i ka wā e hana ʻia ai kēlā. Manaʻo paha ʻoe, "He aha kēia? He maʻi kanesa anei?" Akā ʻo ka mea nui loa e pono ai mākou e hoʻomaopopo mua, ʻaʻole nā ​​puʻu āpau ma ka ʻāʻī he maʻi kanesa. Eia nō naʻe, ʻo ka ʻike ʻana i ia mau mea, ʻoiai ke kanesa thyroid, a mākou e kamaʻilio nei i kēia lā, he mea nui loa ia no kou olakino. No laila e kamaʻilio kākou e pili ana i kēia ma ke ʻano aloha a maʻalahi i kēia lā.

ʻO ka mea mua, e nānā kākou, he aha kēia kelepa thyroid?

I ka ʻōlelo maʻalahi, he ʻano liʻiliʻi ke kelepa thyroid, e like me ke ʻano o ka pepeke, aia ma ke alo o ko kākou ʻāʻī, ma nā ʻaoʻao ʻelua o ka ʻōpū hanu. He ʻāpana koʻikoʻi loa ia o ka ʻōnaehana endocrine o ko kākou kino.

E noʻonoʻo e like me kahi ʻenekini liʻiliʻi i loko o ko kākou kino. ʻO nā hormones i hoʻokuʻu ʻia e kēia gland e kāohi i nā mea he nui i loko o ko kākou kino, e like me ke ʻano o ka hoʻohana ʻana o ko kākou kino i ka ikehu, ka mahana o ke kino, ka helu o ka puʻuwai, a me ke koko. No laila, i kēia manawa hiki iā ʻoe ke hoʻomaopopo i ke koʻikoʻi o kēia ʻōkana liʻiliʻi. ʻO ka maʻi ʻaʻai thyroid ka wā e hoʻomaka ai nā cell i loko o ka thyroid gland e ulu ma ke ʻano ʻē a ma waho o ke kaohi.

He aha nā ʻano nui o ka maʻi kanesa thyroid?

ʻAʻole like ke kanesa thyroid. Ua māhele ʻia i kekahi mau ʻano nui e pili ana i ke ʻano o nā cell i hana ʻia mai ai. He mea nui loa kēia hoʻokaʻawale ʻana i ka hoʻoholo ʻana i ka lāʻau a me ke ala e hiki mai ana o ka maʻi. E nānā kākou i kēia mau ʻano nui.

He aha nā hōʻailona? Pehea ʻoe e ʻike ai i kēia?

ʻO ka pinepine ka hōʻailona mua o ke kanesa thyroid he puʻupuʻu ʻeha ʻole ma ka ʻāʻī. Ua kapa ʻia kēia ma ke ʻano lapaʻau he nodule thyroid. Akā, mai hopohopo! E like me kā mākou i ʻōlelo ai ma mua, ʻaʻohe pono e makaʻu i ka manaʻo ʻana i kahi puʻupuʻu e like me kēia. No ka mea, ʻo 9 o 10 o kēia mau puʻupuʻu ʻaʻole ia he kanesa.

Eia nō naʻe, i kekahi mau hihia, hiki ke loaʻa nā hōʻailona e like me kēia:

• Ka pehu ʻana ma ka ʻāʻī a i ʻole nā ​​​​kikowaena lymph pehu.
• Ka leo haʻalulu a i ʻole ka loli ʻana o ka leo.
• Ka paʻakikī i ka hanu ʻana a i ʻole ke ale ʻana i ka meaʻai.
• ʻEha ka ʻāʻī, i kekahi manawa e pālahalaha ana i nā pepeiao.

Inā loaʻa iā ʻoe kekahi hōʻailona e like me kēia, ʻoi aku ka maikaʻi o ka ʻike koke ʻana i ke kauka a hoʻāʻo e nānā me ka nānā ʻole ʻana.

No ke aha e ulu ai ke kanesa thyroid? He aha nā kumu pilikia?

E like me nā maʻi kanesa āpau, hoʻokumu ʻia ke kanesa thyroid e nā loli (nā mutations) i loko o ka DNA o nā cell i loko o ka gland. ʻO kēia mau loli ke kumu o ka māhele ʻana o nā cell a ulu me ke kāohi ʻole ʻia. Hiki ke hana ʻia kekahi o kēia mau loli DNA i ko mākou ola ʻana, aʻo nā mea ʻē aʻe hiki ke hoʻoilina ʻia ma o nā genes mai ko mākou mau mākua.

Aia kekahi mau kumu e hoʻonui ai i ka pilikia o ka ulu ʻana o ka maʻi kanesa thyroid:

• Kāne: ʻOi aku ka nui o nā wahine i ka loaʻa ʻana o ka maʻi ʻaʻai thyroid ma mua o nā kāne.
• Makahiki: ʻIke pinepine ʻia i nā wahine i ko lākou mau makahiki 40 a me 50 a i nā kāne i ko lākou mau makahiki 60 a me 70.
• Moʻolelo ʻohana: Inā ua loaʻa kekahi o kou ʻohana (nā mākua, nā kaikaina) i ka maʻi kanesa thyroid, hiki paha iā ʻoe ke pilikia.
• Nā kūlana hoʻoilina: Hiki i kekahi mau maʻi hoʻoilina (e.g., `(MEN2A)`, `(MEN2B)`) ke hoʻonui i ka pilikia.
• Ka ʻike ʻia ʻana i ka radiation: ʻOi aku ke kiʻekiʻe o ka pilikia, ʻoiai inā ua loaʻa iā ʻoe ka radiation therapy ma ka ʻāʻī a me ke poʻo i kou wā kamaliʻi a i ʻole ua hōʻike ʻia i nā mea radioactive mai kahi ulia nukelea.
• Ka nele o ka iodine: ʻO ka nele o ka iodine i ka meaʻai hiki ke loaʻa kekahi hopena.
• Momona: Ua ʻike ʻia ke kaumaha o ke kino keu he kumu pilikia.

Pehea e ʻike pono ai ke kauka i kēia maʻi?

Ke hele ʻoe e ʻike i ke kauka me kahi puʻu ma kou ʻāʻī, e nānā mua ʻo ia iā ʻoe, e nīnau e pili ana i kāu mau hōʻailona a me ka mōʻaukala ʻohana, a laila e paipai paha i kekahi mau hoʻokolohua e hōʻoia i ka maʻi.

• Hoʻāʻo Koko Thyroid: Nānā kēia inā hana pono kāu kelepa thyroid i nā hormones. Eia nō naʻe, i nā hihia he nui, hiki ke maʻamau nā pae hormone ʻoiai inā loaʻa ka maʻi kanesa.
• Biopsy: ʻO kēia ke ala pololei loa e hōʻoia ai i ka hōʻailona . Ma kēia, ua hoʻokomo ʻia kahi nila lahilahi loa ("(Fine-Needle Aspiration Biopsy)`) i loko o ka puʻupuʻu, lawe ʻia kahi hāpana o nā cell mai laila mai a nānā ʻia ma lalo o kahi microscope. E kōkua kēia i ka ʻike maopopo inā he maʻi kanesa nā cell a ʻaʻole paha.
• Nā Kiʻi Kiʻi: Kōkua kēia mau kiʻi e ʻike i ke ʻano a me ka nui o ka puʻupuʻu a inā ua pālahalaha ke kanesa.
• ʻO ke scan Ultrasound: ʻO kēia ke ʻano i hoʻohana pinepine ʻia, ʻeha ʻole, a maʻalahi hoʻi.
• ʻO ka Radioactive Iodine Scan: Hiki i kēia ke hāʻawi i kahi ʻike maikaʻi aʻe i ka hana o ka thyroid gland.
• ʻO ke scan CT a me ke scan PET: Hoʻohana ʻia kēia mau mea e ʻike ai inā ua pālahalaha ke kanesa i nā ʻāpana ʻē aʻe o ke kino.

Pehea e mālama ʻia ai ke kanesa?

ʻO ke ʻano o ka mālama ʻana no ke kanesa thyroid e pili ana i nā kumu he nui, me ke ʻano o ke kanesa, kona pae, kou makahiki, a me kou olakino holoʻokoʻa. E hana kāu kauka i kahi hoʻolālā lapaʻau i kūpono loa iā ʻoe.

• ʻO ke ʻoki kino: ʻO kēia ka lāʻau lapaʻau nui a maʻamau . Wehe ke kauka ʻoki i ka ʻōpū thyroid holoʻokoʻa (`(Thyroidectomy)`) a i ʻole kahi ʻāpana wale nō o ia mea i loaʻa ka maʻi kanesa (`(Lobectomy)`). Wehe pū ʻo ia i nā lymph node kokoke kahi i laha ai nā hunaola kanesa.

• Lapaʻau Radioiodine: Hāʻawi ʻia kēia lāʻau lapaʻau ma hope o ke ʻoki ʻana e pepehi i nā hunaola kanesa i koe. Lawe ʻoe i kahi pila a wai paha i loaʻa ka iodine radioactive. No ka mea, ua komo wale kēia iodine e ka ʻiʻo thyroid, hōʻino wale ka radiation i kēlā mau hunaola.

• Lapaʻau Kukui: ʻAʻole omo kekahi ʻano maʻi kanesa i ka iodine. I ia mau hihia, kuhikuhi kahi mīkini mai waho i kahi kukuna o ka kukuna i kuhikuhi ʻia i ke kanesa a luku i nā ʻāpana.

• Hoʻōla Hormone: Ma hope o ka wehe ʻia ʻana o ke kelepa thyroid ma ke ʻoki ʻana, pono e hāʻawi ʻia i ke kino nā hormones thyroid ma waho. Hana ʻia kēia ma ka hāʻawi ʻana i nā lāʻau lapaʻau hormone synthetic e like me ka levothyroxine. Pono e lawe ʻia kēia no ke ola . Kōkua pū kēia lāʻau lapaʻau i ka pale ʻana i ka hoʻi hou ʻana mai o ke kanesa.

• Lapaʻau i Kūkuhi ʻia: ʻO kēia nā lāʻau lapaʻau hou e kuhikuhi ana i nā nāwaliwali kikoʻī i nā hunaola kanesa a hoʻohana ʻia no nā maʻi kanesa huhū a holomua paha.

• Kemoterapia: ʻAʻole hoʻohana pinepine ʻia kemoterapia no ke kanesa thyroid. Hiki ke hoʻohana ʻia no nā hihia koʻikoʻi o ke kanesa i pane ʻole i nā lāʻau lapaʻau ʻē aʻe.

Hiki ke ho'ōla loa ʻia kēia?

ʻAe! ʻO kēia ka nūhou koʻikoʻi a hoʻoikaika nui hoʻi. Hiki ke ho'ōla loa ʻia ka hapa nui o nā ʻano maʻi kanesa thyroid me ka lāʻau lapaʻau. ʻOi loa inā ʻike mua ʻia ke kanesa, ma mua o ka laha ʻana i nā wahi mamao o ke kino, kiʻekiʻe loa ka manawa e ho'ōla ʻia ai.

ʻO ke ʻano maʻamau o ka maʻi kanesa, ʻo ka papillary, he ʻoi aku ka nui o ke ola ma mua o 98%. ʻO ke ʻano kēia, he kiʻekiʻe loa ka manawa e ola ai ke kanaka i ʻike ʻia me kēia maʻi no ʻelima mau makahiki a ʻoi paha, e like me ke kanaka olakino.

Eia nō naʻe, i nā ʻano kakaikahi a koʻikoʻi e like me ka anaplastic, ʻokoʻa ke kūlana. No laila, ʻo kāu kauka wale nō ke hāʻawi iā ʻoe i ka wehewehe maopopo loa e pili ana i kou kūlana a me kona prognosis. No laila, mai makaʻu e kamaʻilio ākea me ia e pili ana i kēia.

Ma hope o ka lāʻau lapaʻau, pono ʻoe e hana i nā nānā maʻamau e ʻike ai inā ua hoʻi mai ke kanesa. He mea nui loa kēia.