E mōhio ana koe ki te Medullary Thyroid Cancer (MTC), he momo matepukupuku tairoi?

Kua rongo pea koe i te repe tairoiti āhua pūrerehua kei mua o tō kaki. I ētahi wā ka taea e koe te rongo i tētahi puku iti i roto i tēnei repe. Tērā pea ka kitea e te tākuta i a koe e tirotiro ana i a koe. Ahakoa kāore tēnei puku i te mea morearea, i ētahi wā onge, ka taea e ia te tohu i te mate pukupuku. I tēnei rā, ka kōrero tātou mō tētahi momo mate pukupuku motuhake, engari he onge, e puta ana i roto i te repe tairoiti.

He aha te matepukupuku tairoi waenga-waenga (MTC)?

I te whakarapopototanga, ko te Matepukupuku Tairoiti Medullary (MTC) he matepukupuku e tupu ana i roto i tō repe tairoiti. Ko te wāhanga o roto o tēnei repe e kiia ana ko te 'medulla' . He momo pūtau motuhake kei roto i tēnei medulla, e kiia ana ko ngā 'pūtau C parafollicular' . Ka whakaputahia e ēnei pūtau C te homoni 'calcitonin' . Nō reira, ina tīmata te tipu o ēnei pūtau C me te kore e taea te whakahaere, ka puta te MTC. Whakaarohia he rite ki ngā tipu kāore e hiahiatia ana i roto i te māra e horapa ana ki ngā wāhi katoa me te kore e taea te whakahaere.

He mea noa te maha o ngā pātai me ngā mataku ina rongo koe mō te mate pukupuku, inā koa he momo onge. Engari kia maumahara, kei a koe tō tīma hauora i tēnei haerenga. He maha ngā huarahi rerekē hei rongoā i te MTC.

He pēhea te noa o te mate pukupuku tairoi waenga (MTC)?

Inaianei pea kei te whakaaro koe, "Āe, he mate tēnei e pāngia ana e te katoa?" Kaua e manukanuka. He tino noa te mate pukupuku tairoi. Heoi, ko te momo e kōrerohia ana e tātou , ko te mate pukupuku tairoi medullary (MTC) , he tino onge . Ahakoa i roto i tētahi whenua pērā i te Hononga o Amerika, 4% ki te 10% noa iho o ngā mate pukupuku tairoi katoa kua pūrongohia kua tautuhia he MTC. Ko te tikanga he tata ki te 1,000 noa iho ngā tāngata e tautuhia ana he MTC i reira i ia tau. Nō reira, i Sri Lanka, tera pea he iti iho tēnei tau.

He aha ngā tohu o te matepukupuku tairoi waenga (MTC)?

Āe, he aha ngā tohu o te MTC? Kāore e rite ngā tohu o te katoa. Heoi, kei reira ētahi tohu e kitea whānuitia ana:

• Ka kitea he puku (nodule) i te tihi o tō repe tairoi . Koinei te tohu matua e puta ana i roto i te 75% ki te 95% o te tangata ina tautuhia he mate. Ka rite ki te puku iti, ā, ka kitea i ētahi wā ina titiro koe ki mua o tō kaki.
• Ngā kōpuku lymph pupuhi i te kaki . Ka kitea anō hoki tēnei i roto i te 70% o te hunga i te wā i kitea ai te mate. Ka taea te rongo i ēnei hei puku iti i ia taha o te kaki.

Heoi, he tino onge, mēnā ka nui te pona tairoi, ka puta pea ēnei tohu:

• Ngā huringa o te reo, te pāorooro.
• Te uaua ki te horomi i te kai.
• Te uaua ki te manawa.

Ko te mea nui, tera pea ētahi tāngata e pāngia ana e te MTC engari kāore e whakaatu i ngā tohu mō te wā roa. Nā te mea he mate pukupuku te pukupuku.He tino iti. Nō reira, ki te kite koe i tētahi mea rerekē i tō kaki, he mea tino nui kia aro atu koe ki taua mea.

He aha i puta ai te mate pukupuku tairoi waenga (MTC)?

Nā, me titiro tātou ki te take i puta ai tēnei MTC. He maha ngā take mō tēnei. Ko te nuinga, e rua ngā huarahi e puta ai te MTC.

MTC Tūpono

Tata ki te 75% (tata ki te toru i roto i te whā) o ngā tūroro MTC ka pāngia e te mate i ngā wā katoa . Ko te tikanga tēnei kāore anō kia pāngia tētahi o ō rātou whānau e te MTC i mua. Ka puta tēnei i waho o tētahi hītori whānau. Kāore anō kia kitea e ngā kaipūtaiao te tino take o tēnei MTC i ngā wā katoa. Heoi, i waenga i te 40% me te 50% o te hunga e pāngia ana e te MTC i tēnei ara, he whakarerekētanga ira kei roto i tētahi ira e kiia nei ko te ``(RET)`` . Ehara tēnei i te mea i whānau mai me rātou, engari he āhuatanga ira rerekē ka puta ake i muri mai i te ao.

MTC mai i te whakatupuranga ki te whakatupuranga

I tētahi atu ringa, tata ki te 25% o ngā tūroro MTC (tata ki te kotahi i roto i te whā) ka pāngia pea e te mate tuku iho e kiia nei ko te 'Multiple Endocrine Neoplasia type 2' (MEN2) . He maha ngā momo momo o te 'MEN2':

• `(MEN2A)`: He tino nui te mōrearea o te hunga whai mate pēnei ki te whakawhanake i te MTC (tata ki te 90%) .
• `(MEN2B)`: Ko ētahi o ngā mate `(MEN2B)` he mea tuku iho. Heoi, i te nuinga o ngā wā kāore e pērā. Ko te hunga whai `(MEN2B)` he 100% te tūponotanga ka pāngia rātou e te MTC i te wā taitamariki tonu .

Tērā tētahi atu momo o tēnei `(MEN2B)`, e kiia nei ko te `Familial Medullary Thyroid Cancer (FMTC) . He whakarerekētanga ira `(RET)` tō te hunga whai `(FMTC)`, engari ko te MTC anake ka puta mai i a rātou (kaua ko ētahi atu momo matepukupuku).

Whakaarohia, ki te kitea tētahi o tō whānau kei a ia tēnei whakarerekētanga ira "(RET)", tera pea ka taea e koe te karo i tētahi mōrearea nui mā te tango i te repe tairoi mā te pokanga ārai i mua i te whanaketanga o te mate pukupuku.

Me pēhea te tautuhi i te mate pukupuku tairoi waenga (MTC)?

He maha ngā wā ka puta tuatahi mai te MTC hei puku i roto i te repe tairoiti. Tērā pea ka pā atu koe ki a ia anō, ka kitea rānei e tō tākuta ina pā atu koe ki tō kaki i te wā e tirotirohia ana. I ētahi wā, ka kitea noatia te puku i te wā e whakamātautauhia ana te whakaahua mō tētahi atu take.

Mena kei te whakapae tō tākuta kei a koe te MTC, ka tonoa pea e rātou ēnei whakamātautau:

• Ngā whakamātautau whakaahua: Ka āwhina ēnei ki te kite mārama i te pūmua tairoiti. Hei tauira , he whakamātautau oro-matawai tairoiti , he matawai CT , me/ranei he MRI.Ka taea e koe te mahi i ngā whakamātautau pēnei. Pērā i te tango whakaahua ki te kāmera, ka taea e ēnei mīhini te kite mārama i ngā mea o roto i te tinana.
• Te tango ngira pai (te tango ngira): Tērā pea ka tūtohu tō tākuta kia tangohia he tauira iti o te kiko (te tango ngira pai) mai i tō pūmua tairoi. Ko te tikanga o tēnei he whakamahi i tētahi ngira pai rawa atu. He rite ki te wero ngira iti. Kātahi ka tirohia tēnei tauira kiko i raro i te karuārai hei tirotiro mēnā he pūtau matepukupuku kei roto.
• Ngā whakamātautau toto: Kei roto pea i ēnei ngā whakamātautau e ine ana i ngā taumata o ngā matū i roto i tō toto e kiia nei ko te calcitonin me te carcinoembryonic antigen (CEA) . He nui ake ēnei taumata i roto i te hunga whai MTC.

Tērā pea ka tūtohu tō tākuta kia whakamātauria he whakamātautau ira hei tirotiro mēnā he mate ira tōu e kiia nei ko te "MEN2". Mēnā koinā, ka tūtohu pea rātou kia whakamātauria he whakamātautau ira mō ētahi atu whanaunga toto, nā te mea ka āwhina tēnei ki te whakatau mēnā kei te mōrearea rātou.

He aha ngā maimoatanga mō te mate pukupuku tairoi waenga (MTC)?

Āe, kia tirohia tātou he aha ngā maimoatanga e wātea ana mō te MTC.

Ko te maimoatanga matua mō te MTC ko te pokanga hei tango i tō repe tairoiti katoa (tairoiti katoa) . Ahakoa te āhua nei he pokanga nui tēnei, koinei te huarahi pai rawa atu hei whakaora i tēnei mate pukupuku.

• Te tango i ngā kōpū lymph: Mena kua horapa (metastasized) te mate pukupuku tairoi ki ngā kōpū lymph i tō kaki, tera pea ka tangohia anō hoki e te taote pokanga.
• Te rongoā homoni: Whai muri i te pokanga, me tango e koe ngā rongoā whakakapinga homoni tairoi mō te toenga o tō oranga. Nā te mea he mea nui ngā homoni e hangaia ana e te repe tairoi mō te tinana, me hoatu ki waho hei pire.

Haunga te pokanga, ka tūtohu pea tō tākuta i ētahi atu maimoatanga, tae atu ki:

• Te rongoā irahiko: He tikanga whakangaro i ngā pūtau matepukupuku mā te whakamahi i ngā hihi pūngao nui.
• Te rongoā matū: He tikanga whakamahi rongoā hei patu i ngā pūtau matepukupuku.
• Ngā rongoā kua arotahihia: I ētahi wā o te MTC, ka whakamahia ngā rongoā motuhake e arotahi ana ki ngā huringa o te DNA anake. Ko ētahi tauira ko te vandetanib me te cabozantinib .

I muri i te maimoatanga mō te MTC, ka tirotirohia e tō tākuta ō taumata CEA me Calcitonin mā te whakamātautau toto. Mā tēnei ka āwhina i a rātou ki te mōhio ki te whai huatanga o te maimoatanga me te mea kua hoki mai anō te mate pukupuku.

He mate pukupuku te MTC, ā, he kaha ake tōna pānga i ērā atu momo mate pukupuku tairoi. Heoi, ki te kitea i mua i te horapa ki ngā kōpū lymph i te kaki, ki ētahi atu wāhanga rānei o te tinana, he māmā ake te rongoā, te whakaora, me te whakahaere.

He aha te āhua o te mate pukupuku tairoi waenga (MTC) mō te tangata e pāngia ana e te mate pukupuku tairoi waenga?

Ko te matapae, te tirohanga rānei, mō te tangata whai MTC, e whakawhirinaki ana ki ētahi āhuatanga.

• Te wāhanga o te matepukupuku (arā, te whānui o te horapa o te matepukupuku).
• Mena kua horapa te mate pukupuku (metastasized) ki ētahi atu wāhanga o te tinana.
• E hia te nui o te puku matepukupuku i tangohia i te wā o te pokanga.
• Tō tau me tō hauora whānui.

Ko te matapae mō te MTC kāore i te pai pērā i te mate pukupuku tairoi papillary me te mate pukupuku tairoi follicular . Heoi, ki te kitea wawetia e kōrua ko tō tākuta te MTC, ka taea te whakaora katoa mā te pokanga . Ahakoa ka tōmuri te tātaritanga, ka horapa haere (ka kino haere) te MTC me te āta haere .

Tērā pea he iti ake te tūponotanga o te ora mō ēnei tāngata:

• Ngā tāngata neke atu i te 65 tau te pakeke.
• Ngā tāngata kei roto i ngā wāhanga whakamua o te mate pukupuku.
• Te hunga kāore i taea te tango katoa i ō rātou mate pukupuku i te wā o te pokanga.

He aha te roanga o te oranga o te mate pukupuku tairoi waenga (MTC)?

Mō te ōrau oranga o te tangata whai MTC, e whakaatu ana ngā rangahau o nāianei ko te ōrau oranga e rima tau mō ngā wāhanga tuatahi, tuarua, me te tuatoru o te MTC he tata ki te 93%. Heoi, mō te wāhanga tuawhā, ka heke tēnei ōrau ki te 28%.

Heoi, ko te mea nui i konei, nā te mea he iti noa ngā kēhi hou o te MTC e pūrongohia ana i ia tau, kāore pea ēnei reiti oranga e tino tika. Mā tō rōpū hauora koe e hoatu he whakaaro pai ake mō ngā mea hei tumanako atu.

He aha te rerekētanga i waenga i te mate pukupuku tairoi papillary me te mate pukupuku tairoi medullary?

Inaianei kei te whakaaro pea koe, 'He aha te rerekētanga i waenga i tēnei MTC me ērā atu momo matepukupuku tairoi?'

Ko te mate pukupuku tairoi papillary te momo mate pukupuku tairoi tino noa . E 80% o ngā mate pukupuku tairoi e kitea ana i tēnei mate. Heoi, he onge te mate pukupuku tairoi medullary (MTC) .

Ko te rerekētanga matua kei roto i ngā pūtau e tīmata mai ai ēnei momo matepukupuku e rua.

• Ka tīmata te mate pukupuku tairoi papillary i roto i ngā pūtau follicular i roto i tō repe tairoi e whakaputa ana i te thyroglobulin, he pūmua.
• Ka whakawhanakehia te MTC mai i ngā pūtau C i roto i te repe tairoi e whakaputa ana i te calcitonin, he homoni.

Ko tētahi atu mea, he maha ngā wā e hono ana te mate pukupuku tairoi papillary ki te pānga ki te irahiko, engari kāore he hononga mārama ki te MTC.

Hei whakamutunga, kia mahara ki tēnei.

He mea tino whakamataku te rongonga kei a koe te mate pukupuku, ahakoa te momo. E mōhio ana tātou katoa ki tēnā. Engari mō te mate pukupuku tairoi waenga (MTC) , kia mahara he pai te urupare ki te maimoatanga mēnā ka kitea wawe .

Ahakoa kāore i te mōhiotia te tino pūtake o te nuinga o ngā mate MTC, he hononga kaha kei waenganui i ētahi āhuatanga tuku iho. Nō reira, mēnā kua kitea koe, tētahi mema rānei o te whānau tata (whānau tuatahi - mātua, tuākana, teina, tamariki) kua pangia e te MTC, he mea tino nui kia whakamātauria he whakamātautau ira. He tino āwhina tēnei māu me tō whānau.

Mena he pātai āu mō tō tūponotanga ki te whakawhanake i te MTC, kaua e wehi ki te kōrero ki tō tākuta. Kei reira tonu rātou hei āwhina i a koe, hei whakautu hoki i ō pātai. Ko te mea nui ko te noho mōhio, kia noho mōhio, me te mahi i ngā mahi e tika ana.

` Te matepukupuku tairoi waenga-waenga, MTC, repe tairoi, ngā tohumate matepukupuku, whakamātautau ira, MEN2, pokanga tairoi