Yam koj yuav tsum paub txog Adenoid Cystic Carcinoma (ACC)!

Yog tias koj pom ib yam dab tsi txawv txawv xws li ib lub pob nyob rau hauv koj lub cev, txawm tias nws tsis mob los xij, nws yog ib qho ib txwm muaj uas yuav ntshai me ntsis lossis xav paub, puas yog? Los yog tias muaj ib yam dab tsi zoo li kev hloov pauv hauv koj lub suab lossis nyuaj nqos, peb yuav txhawj me ntsis. Thaum lub sijhawm zoo li no, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog hom mob qog noj ntshav no uas peb tab tom tham txog niaj hnub no hu ua adenoid cystic carcinoma, lossis "ACC" luv.

Adenoid cystic carcinoma (ACC) yog dab tsi? Cia peb nkag siab yooj yim!

Hais yooj yim xwb, Adenoid Cystic Carcinoma yog ib hom mob qog noj ntshav uas txawv heev, uas yog, tsis tshua muaj. Feem ntau nws tshwm sim hauv peb cov qog salivary lossis hauv thaj chaw xws li lub taub hau thiab caj dab. Txawm li cas los xij, qee zaum nws tuaj yeem tshwm sim rau lwm qhov ntawm lub cev, piv txwv li, ntawm daim tawv nqaij, cov nqaij ntawm lub mis, lub qhov ncauj tsev menyuam, lossis qog prostate.

Muaj cov qog "(ACC)" no, lawv tuaj yeem khov kho, puag ncig, thiab khoob. Lawv tuaj yeem muaj qhov zoo li qhov, zoo li "Swiss cheese" . Xav txog, cov qog nqaij hlav no coj tus cwj pwm txawv me ntsis.

Cov qog nqaij hlav ACC no feem ntau loj hlob qeeb qeeb . Qhov ntawd yog, lawv tsis loj hlob sai heev ib zaug. Txawm li cas los xij, dhau sijhawm, lawv tuaj yeem ua phem heev thiab coj tus cwj pwm tsis tau kwv yees . Qhov ntawd txhais tau tias txawm tias tus mob qog nqaij hlav raug tshem tawm nrog kev phais, nws yuav rov qab los tom qab. Qhov tseeb, ntau tus neeg uas muaj adenoid cystic carcinoma muaj kev rov tshwm sim hauv tsib txog kaum xyoo. Yog vim li cas, yog tias koj raug kuaj pom tias muaj tus kab mob no, nws yog ib qho tseem ceeb uas yuav tsum txuas ntxiv mus kuaj xyuas thiab kuaj xyuas kom saib xyuas koj tus mob.

Qhov teeb meem no feem ntau tshwm sim li cas? Kuv puas yuav tsum txhawj?

Qhov tseeb, adenoid cystic carcinoma yog ib hom mob qog noj ntshav uas tsis tshua muaj . Nws suav txog li 1% ntawm tag nrho cov mob qog noj ntshav hauv taub hau thiab caj dab. Nws cuam tshuam txog li 4.5 tus neeg ntawm 100,000 tus neeg hauv cov pej xeem feem ntau. Piv txwv li, hauv Tebchaws Meskas, muaj li 1,200 tus neeg raug kuaj pom tias muaj tus kab mob no txhua xyoo.

Feem ntau, ACC tshwm sim rau cov neeg hnub nyoog ntawm 40 thiab 60 xyoo. Cov mob no feem ntau tshwm sim rau cov poj niam. Yog li, raws li koj tuaj yeem pom, nws tsis yog ib qho uas tshwm sim ntau.

Cov tsos mob ntawm qhov no yog dab tsi? Kuv puas muaj cov no thiab?

Cov tsos mob ntawm adenoid cystic carcinoma sib txawv nyob ntawm qhov loj ntawm lub qog thiab qhov chaw nws nyob . Tej zaum koj yuav muaj cov hauv qab no:

• Ib lub pob uas tsis mob qhov twg ntawm lub cev.
• Ua pa nyuaj.
• Nyuaj nqos.
• Qaug zog.
• Cov leeg tsis muaj zog.
• Qhov ntswg txhaws.
• Ntshav ntswg.
• Mob (qee zaum).
• Kev pom kev hloov pauv.

Tiam sis nco ntsoov, vim ACC yog ib hom mob qog nqaij hlav uas loj hlob qeeb, nws tsis tas li qhia cov tsos mob . Nws tuaj yeem tshwm sim yam tsis muaj tsos mob. Yog vim li cas nws thiaj li tseem ceeb uas yuav tsum nrhiav kev pab kho mob yog tias koj pom muaj dab tsi txawv txawv.

Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?

Yog hais qhov tseeb, cov kws tshaj lij tseem tsis tau paub meej tias yog dab tsi ua rau muaj mob adenoid cystic carcinoma . Lawv xav tias tej zaum nws yuav yog los ntawm qee yam kev hloov pauv caj ces uas tshwm sim dhau sijhawm. Qhov tseem ceeb yog tias ACC tsis yog ib yam mob uas tau los ntawm noob caj ces , thiab tsis muaj cov yam ua rau muaj kev pheej hmoo rau nws. Qhov ntawd txhais tau tias koj tsis tas yuav txhawj txog "Qhov no puas yog qhov kuv tau ua uas ua rau muaj qhov no?"

Cov teeb meem uas yuav tshwm sim ntawm ACC yog dab tsi?

Adenoid cystic carcinoma muaj peev xwm kis tau (metastasize) thoob plaws lub cev tau ob txoj kev tseem ceeb. Qhov no yog ib yam uas yuav tsum txhawj xeeb txog.

1. Kev nkag mus rau hauv lub qhov ntswg: Feem ntau ntawm cov mob ACC, cov qog nqaij hlav nkag mus rau hauv cov hlab ntsha uas nyob ib puag ncig lub qog. Qhov no tshwm sim me ntsis uas nws tuaj yeem nyuaj rau cov kws kho mob kom pom nws, txawm tias nrog kev luam theej duab lossis thaum phais.

2. Kis mus rau hauv cov hlab ntsha: Cov qe ntshav qog uas tawg tawm ntawm lub qog tuaj yeem mus rau lwm qhov ntawm lub cev los ntawm koj cov hlab ntsha.

Hom mob adenoid cystic carcinoma no, uas yog theem 4 , feem ntau kis mus rau lub ntsws thiab lub siab . Tsis zoo li lwm hom mob qog noj ntshav, ACC tsis tshua kis mus rau cov qog ntshav hauv lub cev. Txawm li cas los xij, nws tuaj yeem tshwm sim hauv 5% txog 10% ntawm cov neeg mob.

Yuav kuaj mob li cas? (Kev kuaj mob)

Yog koj tus kws kho mob xav tias koj muaj mob adenoid cystic carcinoma, nws yuav ua qhov biopsy . Qhov no txhais tau tias yuav muab ib qho qauv me me ntawm koj cov ntaub so ntswg thiab xa mus rau chav kuaj mob kom kuaj. Tus kws kho mob kuj tseem yuav ua ib lossis ntau qhov kev kuaj duab, xws li:

• Kev luam theej duab CT (computed tomography scans)
• MRI (kev thaij duab sib nqus resonance)
• Kev luam theej duab PET (positron-emission tomography scans)
• Kev siv ultrasound

Vim tias ACC yog ib yam mob uas tsis tshua muaj, nws yuav siv sijhawm me ntsis los kuaj mob . Nws yuav siv sijhawm ntau zaus kuaj mob ua ntej koj tau txais kev kuaj mob thiab pib kho mob. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum ua siab ntev thiab tsis txhob ntshai.

Cov kev kho mob rau ACC yog dab tsi?

Kev kho mob rau adenoid cystic carcinoma nyob ntawm seb qhov mob qog noj ntshav nyob qhov twg thiab seb nws puas tau kis mus rau lwm qhov . Muaj ntau txoj kev kho mob tseem ceeb:

• Kev phais:Kev kho mob tseem ceeb rau adenoid cystic carcinoma yog phais. Lub hom phiaj yog tshem tawm ntau npaum li ntau tau ntawm cov qog. Qee zaum, koj tus kws phais kuj tseem yuav tsum tshem tawm cov qog ntshav lossis ib feem ntawm cov hlab ntsha.
• Kev kho mob siv hluav taws xob: Qhov no pab tua cov qog nqaij hlav uas tseem tshuav tom qab phais. Los yog, kev kho mob siv hluav taws xob tuaj yeem muab ua ib zaug xwb.
• Kev Kho Mob Siv Tshuaj: Cov tshuaj xws li cisplatin, vinorelbine, paclitaxel, thiab carboplatin yog siv los kho cov mob uas mob hnyav lossis mob kis mus rau lwm qhov (ACC).
• Kev kho mob tsom rau cov neeg mob: Cov tshuaj xws li lenvatinib thiab sunitinib thaiv cov protein uas pab kom mob qog noj ntshav loj hlob. Cov kws kho mob siv cov kev kho mob tsom rau cov neeg mob no thaum muaj mob ACC loj heev lossis kis thoob plaws.

Puas muaj ib txoj kev los tiv thaiv qhov no?

Vim tias tsis muaj cov yam ua rau muaj tus kab mob (ACC), tam sim no tsis muaj txoj hauv kev los txo koj qhov kev pheej hmoo . Tsis tas li ntawd, tsis muaj txoj hauv kev los tiv thaiv (ACC) kom tsis txhob rov tshwm sim dua. Qhov no yog qhov mob me ntsis, tab sis qhov ntawd yog txoj hauv kev tam sim no.

Yuav ua li cas rau ACC? (Outlook)

Adenoid cystic carcinoma yog ib hom mob qog nqaij hlav uas loj hlob qeeb . Vim li no, cov kws kho mob feem ntau tuaj yeem kuaj pom thaum ntxov thiab kho tau zoo. Txawm li cas los xij, raws li peb tau hais ua ntej, nws yog ib qho uas ACC rov tshwm sim tom qab ntau xyoo - nws tuaj yeem nyob rau tib qho chaw uas nws tau nyob ua ntej, lossis nws tuaj yeem nyob rau lwm qhov ntawm lub cev. Thaum nws tshwm sim, nws tuaj yeem nyuaj dua rau kev kho.

Cia peb kawm txog cov feem pua ​​​​​​ntawm kev ciaj sia.

Tus nqi tag nrho ntawm tsib xyoos uas cov neeg uas muaj adenoid cystic carcinoma muaj sia nyob yog 80.4% . Qhov no txhais tau tias 80.4% ntawm cov neeg uas muaj tus mob no tseem muaj sia nyob tom qab tsib xyoos. Tus nqi ntawm 10 xyoo uas muaj sia nyob yog 61.3% .

Nco ntsoov tias, cov feem pua ​​ntawm cov neeg uas muaj sia nyob no tsuas yog kwv yees xwb . Lawv tsis qhia meej tias koj yuav muaj sia nyob ntev npaum li cas lossis koj yuav teb li cas rau kev kho mob. Nws yog qhov zoo tshaj plaws los tham nrog koj tus kws kho mob kom paub ntau ntxiv.

Kuv yuav saib xyuas kuv tus kheej li cas? Kev noj qab haus huv ntawm lub hlwb yog qhov tseem ceeb heev!

Vim tias ACC yog ib yam mob uas tsis tshua muaj, nws yuav siv sijhawm ntev me ntsis kom paub tseeb tias koj muaj mob. Nws yeej cuam tshuam rau koj lub hlwb thiab kev noj qab haus huv ntawm lub siab . Yog li ntawd, kev tham nrog tus kws pab tswv yim lossis tus kws kho mob tuaj yeem pab koj daws cov kev xav nyuaj uas koj muaj. Muaj ntau tus neeg pom tias cov pab pawg txhawb nqa pab tau.Tej zaum koj yuav nrhiav tau kev pab kom koj tsis txhob ntxhov siab los ntawm kev kawm suab paj nruag lossis kev kos duab. Sim txo kev ntxhov siab los ntawm kev xyaum ua kom koj lub siab tus, xws li kev xav .

Thaum twg koj yuav tsum mus ntsib kws kho mob?

Yog tias koj muaj mob qog nqaij hlav adenoid cystic carcinoma, qhia rau koj tus kws kho mob tam sim ntawd yog tias koj muaj cov tsos mob tshiab lossis yog tias koj cov tsos mob hnyav zuj zus . Kev hloov pauv ntawm cov tsos mob tuaj yeem txhais tau tias koj tus mob qog nqaij hlav tau loj hlob tuaj. Yog li, tsis txhob tsis quav ntsej txog dab tsi, txawm tias yog ib qho me me xwb los xij.

Cov lus nug tseem ceeb uas yuav nug tus kws kho mob yog dab tsi?

Nov yog qee cov lus nug uas koj tuaj yeem nug koj tus kws kho mob txog ACC:

• Tus mob qog nqaij hlav nyob qhov twg?
• Kuv yuav muaj cov tsos mob dab tsi?
• Tus mob qog noj ntshav puas tau kis mus rau lwm qhov ntawm kuv lub cev?
• Puas phais tau tshem tawm qhov qog?
• Kuv puas yuav tsum tau kev kho mob hluav taws xob?
• Kuv puas mus ua haujlwm tau thaum kuv tseem tab tom kho mob qog noj ntshav?
• Kev kho mob yuav siv sijhawm ntev npaum li cas?

Tsis txhob ntshai nug cov lus nug zoo li no. Nws yog ib qho tseem ceeb heev uas yuav tsum nrog koj tus kws kho mob tham txog txhua yam uas koj xav txog.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Kev kuaj pom tias muaj adenoid cystic carcinoma yog ib qho xwm txheej uas hloov pauv lub neej. Kev kho mob thaum ntxov feem ntau ua tiav . Txawm li cas los xij, qhov tsis paub meej uas los nrog nws tuaj yeem nyuaj rau daws. Kev kawm kom nyob nrog adenoid cystic carcinoma siv sijhawm.

Qhov tseem ceeb tshaj plaws yog kom paub tias koj tsis nyob ib leeg. Xav txog kev koom nrog ib pawg neeg txhawb nqa uas koj tuaj yeem tham nrog cov neeg uas tau dhau los ntawm tib yam li koj. Koj tus kws kho mob yeej ib txwm nyob ntawd rau koj. Ntseeg lawv thiab thov cov peev txheej thiab kev pab uas koj xav tau. Los ntawm kev mus kuaj mob tsis tu ncua thiab ua raws li lawv cov lus qhia, koj tuaj yeem ua tiav nrog qhov mob no.

` Adenoid cystic carcinoma, ACC, mob qog noj ntshav, mob qog noj ntshav taub hau thiab caj dab, mob qog noj ntshav ntawm cov qog salivary, cov tsos mob ntawm mob qog noj ntshav, kev kho mob qog noj ntshav