Koj puas xav tias koj muaj ib lub qog hauv koj lub caj dab? Cia peb tham txog Follicular Thyroid Cancer!

Koj puas tau muaj ib lub pob hauv koj lub caj dab? Los yog koj puas tau pom tias koj lub suab hloov pauv lossis nyuaj nqos? Qee zaum cov no yog cov khoom ib txwm muaj, tab sis qee zaum lawv tuaj yeem yog ib qho cim qhia txog teeb meem nrog koj lub qog thyroid. Yog vim li cas hnub no peb xav tias peb yuav tham txog qhov no hu ua mob qog nqaij hlav thyroid follicular. Tsis txhob ntshai, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no.

Yog li ntawd, cov thyroid no yog dab tsi?

Zoo, ua ntej cia peb saib seb lub qog thyroid yog dab tsi. Hais yooj yim xwb, nws yog ib lub cev me me zoo li npauj npaim nyob rau pem hauv ntej ntawm koj lub caj dab. Yog hais kom meej, nws zoo li nyob hauv qab koj lub qhov ntswg. Nws yog ib feem ntawm peb lub cev endocrine system . Nws txoj haujlwm tseem ceeb yog tsim cov tshuaj hormones . Cov tshuaj hormones no tswj ntau yam tseem ceeb hauv peb lub cev. Piv txwv li, cov tshuaj hormones thyroid no yog qhov tseem ceeb rau peb lub cev metabolism , uas yog tig cov khoom noj uas peb noj mus ua lub zog, thiab rau tej yam xws li tswj cov calcium hauv cov ntshav.

Yog li, mob qog noj ntshav hauv thyroid tshwm sim thaum cov hlwb hauv cov qog thyroid, rau qee qhov laj thawj , pib loj hlob tsis zoo thiab tsis tuaj yeem tswj tau .

Muaj pes tsawg hom mob qog nqaij hlav thyroid?

Yog, muaj plaub hom mob qog nqaij hlav thyroid tseem ceeb. Cov kws kho mob paub qhov txawv thiab txheeb xyuas cov no los ntawm kev tshuaj xyuas cov hlwb qog nqaij hlav hauv qab lub tshuab microscope.

Lawv yog:

• Mob qog nqaij hlav follicular: Hnub no peb tab tom tham txog hom no.
• Mob qog nqaij hlav Papillary: Qhov no yog hom mob uas feem ntau pom.
• Mob qog nqaij hlav hauv lub hlwb.
• Kab mob qog nqaij hlav anaplastic: Qhov no loj dua me ntsis, tab sis tsis tshua muaj.

Cov mob qog noj ntshav no raug cais ntxiv ua:

• Cov mob qog nqaij hlav uas sib txawv zoo: Cov hlwb no zoo ib yam li cov hlwb thyroid ib txwm muaj qee yam. Qhov no ua rau lawv yooj yim kho thiab feem ntau kho tau tag nrho. Ob hom follicular thiab papillary poob rau hauv pawg no.
• Cov qog nqaij hlav uas tsis sib txawv: Cov qe ntshav no txawv ntawm cov qe ntshav ib txwm, ua rau lawv nyuaj kho dua. Cov qog nqaij hlav anaplastic yog ib hom ntawm cov no.

Qhov txawv ntawm mob qog nqaij hlav follicular thiab papillary yog dab tsi?

Ob hom no pib hauv cov hlwb follicular ntawm cov qog thyroid, yog li muaj ntau yam zoo sib xws ntawm ob hom no. Txawm li cas los xij, papillary carcinoma yuav kis mus rau cov qog ntshav ntau dua li follicular carcinoma. Papillary carcinoma kuj tseem muaj ntau dua li follicular carcinoma.

Qhov txawv ntawm mob qog nqaij hlav follicular thiab medullary yog dab tsi?

Mob qog nqaij hlav medullary thyroid yog ib hom qog neuroendocrine.Cov qog nqaij hlav neuroendocrine. Cov no tshwm sim los ntawm cov C- cell hauv cov qog thyroid. Cov C-cell no tsim cov tshuaj hormones hu ua calcitonin . Cov tshuaj hormones no tswj cov calcium hauv peb cov ntshav. Cov qog nqaij hlav medullary muaj zog dua li cov qog nqaij hlav follicular, uas txhais tau tias lawv tuaj yeem kis tau sai. Lawv kuj tseem yuav cuam tshuam nrog keeb kwm tsev neeg ntawm tus kab mob.

Leej twg thiaj muaj mob qog nqaij hlav thyroid follicular?

Nws yeej tshwm sim tau rau txhua tus neeg. Txawm li cas los xij, nws feem ntau tshwm sim rau cov poj niam laus dua . Qhov no txhais tau tias cov poj niam hnub nyoog ntawm 40-60 xyoo muaj feem yuav mob ntau dua.

Qhov no feem ntau tshwm sim li cas?

Mob qog nqaij hlav thyroid follicular muaj li ntawm 10% txog 15% ntawm tag nrho cov mob qog nqaij hlav thyroid. Cov neeg feem coob muaj mob qog nqaij hlav thyroid papillary (uas muaj li ntawm 70% txog 80%).

Mob qog nqaij hlav follicular thyroid cuam tshuam li cas rau kuv?

Qee zaum, mob qog nqaij hlav follicular thyroid tuaj yeem ua rau muaj pob hauv koj lub caj dab lossis mob. Tab sis yog tias nws raug kuaj pom thaum ntxov , nws tuaj yeem kho tau thiab kho tau tag nrho. Yog tias tsis kho, mob qog nqaij hlav no tuaj yeem kis mus rau lwm qhov ntawm lub cev. Thaum nws kis mus, nws yuav nyuaj me ntsis rau kev kho.

Cov tsos mob ntawm tus mob qog nqaij hlav follicular thyroid yog dab tsi?

Nco ntsoov, qee zaum tej zaum yuav tsis muaj tsos mob li. Txawm li cas los xij, yog tias koj muaj ib lossis ntau yam ntawm cov tsos mob hauv qab no, nws yog ib lub tswv yim zoo kom mus ntsib kws kho mob:

• Ib lub pob los yog o ntawm caj dab ( thyroid nodule). Qhov no yog cov tsos mob feem ntau.
• Mob pob ntseg, lossis mob hauv lub puab tsaig lossis caj dab.
• Qaug zog lossis hloov pauv hauv lub suab ( dysphonia ).
• Cov qog ntshav hauv caj dab o.
• Ua pa nyuaj los yog nqos ( dysphagia ).

Tsis txhob ntshai mob qog noj ntshav tsuas yog vim koj muaj cov tsos mob no xwb. Txawm li cas los xij, nws yog ib qho kev txawj ntse kom nrhiav kev pab kho mob.

Dab tsi yog cov ua rau muaj mob qog nqaij hlav follicular thyroid?

Cov kws kho mob tsis paub meej tias vim li cas cov hlwb thyroid loj hlob tsis zoo. Txawm li cas los xij, muaj qee yam ua rau muaj kev pheej hmoo . Piv txwv li, kev raug hluav taws xob tej zaum yuav yog ib qho ua rau. Qhov no txhais tau tias yog tias koj tau kho hluav taws xob rau koj lub caj dab rau lwm yam kab mob, lossis yog tias koj ua haujlwm hauv txoj haujlwm uas muaj cov khoom siv hluav taws xob, koj muaj kev pheej hmoo ntau dua. Cov neeg uas nyob hauv thaj chaw uas tsis muaj iodine kuj tau hais tias muaj kev pheej hmoo ntau dua ntawm kev mob qog noj ntshav no.

Tus mob cancer no puas kis tau?

Tsis yog, mob qog nqaij hlav thyroid follicular tsis yog ib yam kab mob sib kis tau . Koj tsis tuaj yeem kis rau lwm tus.

Yuav siv sijhawm ntev npaum li cas rau mob qog nqaij hlav thyroid follicular kom kis tau?

Qhov no nyuaj hais kom meej. Qee zaum mob qog noj ntshav tuaj yeem kis tau sai, qee zaum nws tuaj yeem siv sijhawm ntau xyoo. Txawm nws kis mus rau lwm qhov lossis tsis kis mus rau lwm qhov, thiab sai npaum li cas, nws txawv ntawm ib tus neeg mus rau ib tus neeg. Yog vim li ntawd peb thiaj hais tias nws yog ib qho tseem ceeb kom kuaj mob sai li sai tau thiab pib kho.

Cov kws kho mob kuaj mob li cas?

Thaum koj mus ntsib kws kho mob, tej zaum yuav pom ib lub qog hauv koj lub caj dab thaum lub sijhawm kuaj lub cev. Qee zaum, tej zaum yuav pom ib lub qog thaum lub sijhawm kuaj duab vim lwm yam laj thawj.

Yog tias tus kws kho mob xav tias muaj pob, lawv yuav ua cov kev kuaj xws li:

• Kev kuaj CT
• MRI
• Ultrasound scan - Qhov no yog qhov feem ntau siv los kuaj xyuas cov qog hauv caj dab.
• X-ray - Qhov no yuav tsis qhia meej meej txog cov qog hauv cov thyroid, tab sis kev thaij duab X-ray hauv siab tuaj yeem ua tau los saib seb tus mob qog noj ntshav puas tau kis mus rau lub ntsws.

Yuav ua li cas thiaj kuaj tau kom paub tseeb?

Tsis yog txhua lub qog hauv caj dab yog mob qog noj ntshav. Muaj ntau lub yog mob tsis muaj teeb meem . Yog li, yog tias koj tus kws kho mob xav tias koj muaj mob qog noj ntshav, nws yuav pom zoo kom siv koob me me los rho cov qog (FNAB). Qhov no suav nrog kev siv koob me me los rho cov qog me me thiab coj mus kuaj hauv lub tshuab microscope los ntawm tus kws kho mob hlwb . Qhov no yog tib txoj kev los qhia meej tias puas muaj cov qog noj ntshav.

Yuav kho tus mob qog nqaij hlav thyroid follicular li cas?

Feem ntau, kev kho mob tseem ceeb rau mob qog nqaij hlav thyroid follicular yog phais .

Qhov ua tau nrog kev phais yog:

• Tshem tawm tsuas yog ib feem ntawm lub qog thyroid uas muaj lub qog ( lobectomy ).
• Tshem tawm tag nrho cov qog thyroid ( tag nrho cov thyroidectomy ).
• Yog tias tus mob qog noj ntshav tau kis mus rau cov qog ntshav hauv lub cev, cov qog ntshav ntawd kuj yuav raug tshem tawm thiab.

Puas muaj lwm yam kev kho mob ntxiv rau kev phais?

Yog, nyob ntawm seb tus mob qog noj ntshav theem twg, uas yog, tus mob qog noj ntshav tau kis mus deb npaum li cas, thiab seb nws puas tau kis mus rau lwm yam kabmob, tej zaum yuav pom zoo kom kho ntxiv tom qab phais.

Lawv yog:

• Kev kho mob siv radioiodine (RAI): Qhov no yog kev kho mob uas siv ntau rau mob qog nqaij hlav follicular. Vim tias cov qe ntshav hauv thyroid nqus tau iodine, cov radioactive iodine raug muab los tua cov qe ntshav uas tseem tshuav.
• Kev kho mob thyroid hormones:Tom qab cov qog thyroid raug tshem tawm tag lawm, lub cev yuav tsum tau muab cov tshuaj hormones thyroid rau sab nraud. Tsis tas li ntawd, kev muab cov tshuaj hormones no pab tswj kev loj hlob ntawm cov hlwb qog noj ntshav.
• Kev Kho Mob Hluav Taws Xob Sab Nraud: Hauv qee kis tshwj xeeb, tshwj xeeb tshaj yog tias mob qog noj ntshav tau kis mus rau cov nqaij nyob ib puag ncig hauv caj dab, kev kho mob no yuav raug muab.
• Kev kho mob qog nqaij hlav: Qhov no tsis yog kev kho mob uas siv ntau rau mob qog nqaij hlav hauv cov qog nqaij hlav follicular. Nws yog muab rau cov mob qog nqaij hlav uas tau kis mus rau ntau qhov chaw thiab tsis teb rau lwm yam kev kho mob.
• Kev kho mob tsom mus rau: Cov no yog cov tshuaj tshiab uas tsom mus rau cov molecules tshwj xeeb hauv cov hlwb qog noj ntshav, ua rau muaj kev puas tsuaj tsawg dua rau cov hlwb ib txwm muaj.

Puas muaj tej yam tshwm sim ntawm kev kho mob?

Kev kho mob qog noj ntshav tuaj yeem ua rau muaj ntau yam kev phiv. Cov no txawv ntawm ib tus neeg mus rau ib tus neeg. Ib txhia neeg yuav muaj:

• Mob raws plab
• Kev ntshaw noj mov
• Kev qaug zog
• Plaub hau poob - Qhov no feem ntau tshwm sim thaum lub sijhawm kho mob chemotherapy.
• Xeev siab thiab ntuav
• Nyuaj hais lus thiab nqos (tshwj xeeb tshaj yog tom qab phais)
• Nyuaj siab xav txog lossis nco qab tej yam ( chemo brain)
• Tsis muaj zog

Qhov tseem ceeb tshaj plaws yog qhia rau koj tus kws kho mob yog tias koj muaj tej yam tshwm sim tsis zoo. Tam sim no muaj ntau txoj hauv kev los tswj ntau yam kev tshwm sim tsis zoo.

Kev kho mob qog nqaij hlav thyroid follicular yuav siv sijhawm ntev npaum li cas?

Koj tus kws kho mob yuav tshuaj xyuas koj txoj kev teb rau kev kho mob tas li. Yog tias tus mob qog noj ntshav tsis nyob hauv koj lub cev lawm, koj yuav tsis tas yuav kho mob ntxiv lawm. Txawm li cas los xij, yog tias koj lub qog thyroid tau raug tshem tawm, koj yuav tsum noj tshuaj hloov cov tshuaj thyroid hormone rau tas koj lub neej. Qhov no yog qhov tseem ceeb rau kev noj qab haus huv. Koj tus kws kho mob kuj tseem yuav saib xyuas koj kom paub txog kev rov qab mob qog noj ntshav (kev saib xyuas tom qab).

Puas muaj ib txoj kev los txo qhov kev pheej hmoo ntawm kev mob qog noj ntshav no?

Peb yeej ua tsis tau dab tsi los tiv thaiv mob qog nqaij hlav follicular thyroid. Txawm li cas los xij, yog tias ib tug neeg hauv koj tsev neeg tau muaj mob qog nqaij hlav, lossis yog tias koj muaj lwm yam ua rau muaj kev pheej hmoo, nws yog ib lub tswv yim zoo los tham nrog koj tus kws kho mob txog qhov ntawd. Nws tuaj yeem qhia koj yog tias muaj dab tsi koj yuav tsum ua tshwj xeeb.

Yog tias kuv muaj mob qog nqaij hlav thyroid follicular, yuav ua li cas?

Ua ntej, tsis txhob ntshai. Tham nrog koj tus kws kho mob kom zoo zoo thiab nug lawv seb koj tus mob qog noj ntshav nyob rau theem twg, pom zoo kom kho dab tsi, thiab koj tuaj yeem cia siab dab tsi ntawm lawv. Koj pab neeg kho mob kuj tseem yuav pab koj tswj hwm txhua yam kev phiv uas yuav tshwm sim thaum kho mob. Tom qab ntawd koj tuaj yeem ua koj cov dej num txhua hnub.

Puas kho tau mob qog nqaij hlav follicular thyroid?

Yog, mob qog nqaij hlav thyroid follicular feem ntau kho tau! Tshwj xeeb tshaj yog tias nws raug ntes thaum ntxov.Qhov feem pua ​​ntawm kev rov zoo yog siab heev. Yog li ntawd,

• Yog tias koj muaj cov tsos mob ntawm mob qog noj ntshav thyroid,
• Los yog koj muaj tej yam uas ua rau koj muaj mob qog nqaij hlav thyroid,

Mus ntsib kws kho mob yam tsis ncua sijhawm.

Kuv yuav saib xyuas kuv tus kheej li cas?

Txawm tias tom qab kev kho mob tiav lawm, koj tus kws kho mob yuav pom zoo kom muaj kev saib xyuas tom qab , xws li kev kuaj ntshav los xyuas koj cov tshuaj hormones thyroid thiab kev ntsuas scans los xyuas seb puas rov qab muaj dua.

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

Mob qog nqaij hlav thyroid follicular yog ib yam mob uas feem ntau kho tau . Yog li ntawd, tsis txhob ntshai, ceev faj.

• Yog tias koj muaj ib lub pob hauv koj lub caj dab, o, hloov koj lub suab, nyuaj nqos, lossis ua pa nyuaj, nrhiav kev pab kho mob tam sim ntawd .
• Cov kws kho mob ua ntau yam kev kuaj mob los kuaj mob no.
• Kev kho mob tseem ceeb yog phais, thiab yog tias tsim nyog, kev kho mob radioactive iodine thiab kev kho mob hormone kuj tseem muaj.
• Yog kuaj pom thaum ntxov, ces yuav muaj feem rov zoo dua.

Yog koj muaj lus nug ntxiv txog qhov no, tsis txhob yig nug koj tus kws kho mob. Lawv zoo siab pab koj. Nyob kom noj qab nyob zoo!

Mob qog noj ntshav hauv lub thyroid, mob qog noj ntshav hauv cov qog thyroid, qog thyroid, qog caj dab, cov tsos mob ntawm mob qog noj ntshav, kev kho mob qog noj ntshav, kev phais mob thyroid