He puku kei tō kaki? Me kōrero tātou mō te Papillary Thyroid Cancer (PTC)!

Kua kite koe i tētahi puku iti i roto i tō kaki? Kua kōrerotia rānei e tētahi tākuta ki a koe i te wā e tirotirohia ana koe? I ētahi wā, ko tētahi puku iti pēnei te tohu tuatahi o tētahi mate e kiia nei ko te Papillary Thyroid Cancer (PTC). Kaua e manukanuka, ka kōrerohia e mātou tēnei mea me te taipitopito, me te ngāwari hoki.

He aha te mate pukupuku tairoiti papillary (PTC)? He aha te repe tairoiti?

He whakarāpopototanga noa iho, ko te mate pukupuku tairoi papillary (PTC) he momo mate pukupuku e puta ana i roto i tō tātou repe tairoi. Ka tīmata i roto i ngā pūtau follicular o te repe tairoi. Ka whakaputahia e ēnei pūtau he pūmua e kiia nei ko te thyroglobulin . Ko te mea nui kia mōhio koe ko te PTC te momo mate pukupuku tairoi tino noa .

Nā, me titiro tātou ki te repe tairoiti . Whakaarohia, i mua o tō kaki, i raro i te kiri, he okana iti te āhua o te pūrerehua. Ko te repe tairoiti tēnā. He wāhanga tēnei o tō tātou pūnaha endocrine . Ko tana mahi matua he whakaputa me te tuku i ngā homoni e whakahaere ana i ngā mahi nui o tō tātou tinana.

Mō te PTC, he mate pukupuku puhoi te tipu . Waihoki, he maha ngā wā ka puta noa i te taha kotahi (lobe) o te repe tairoi.

He rerekē ngā momo momo o te PTC?

Ae, he maha ngā momo momo o te PTC. O ēnei, ko te momo follicular te mea tino noa. I ētahi wā ka kiia ko te mixed papillary-follicular variant. Kāore i te tino noa ngā momo momo kē atu. Heoi, ka taea e rātou te tipu me te horapa tere ake . Ko ēnei momo momo ko:

• Pou
• Pūtau roa
• Te motu motuhake
• 'Te mate urutā horapa'

I ētahi wā ka kiia hoki te 'PTC' ko te 'papillary thyroid carcinoma' .

Ko wai ka pāngia e te mate pukupuku tairoi papillary?

Ina hoki, ka taea e te PTC te whanake i roto i te tangata. Heoi, he mea noa i roto i ngā pakeke waenga-pakeke . Waihoki, he nui ake te tūponotanga o ngā wāhine ki te pāngia e tēnei mate i ngā tāne.

He tino onge te mate pukupuku tairoi i roto i ngā tamariki. Heoi, koinei te momo mate pukupuku tairoi e tino kitea ana i roto i ngā tamariki.

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He pēhea te noa o tēnei PTC?

He mate noa te mate pukupuku tairoi. Heoi, e ai ki tā mātou i kōrero ai i mua ake nei, 80% ki te 85% o ngā keehi he momo PTC. Ko te tikanga, e waru i roto i te tekau ngā tāngata e pāngia ana e te mate pukupuku tairoi he momo pēnei.

He mate kino te PTC?

He mate pukupuku kino te momo katoa. Me whiwhi maimoatanga hauora, ā, ka horapa (metastasize) ki ētahi atu wāhanga o te tinana. Heoi, he tino pai te matapae mō te PTC ki te whakataurite ki ētahi atu momo mate pukupuku tairoi.

I te nuinga o te wā, ka taea te rongoā angitu i te PTC. He tino onge hoki te mate. Nō reira, he mea nui kia kaua e mataku, me whai i ngā tohutohu hauora tika.

Kei hea te tīmatanga o te horapa o te PTC?

Ki te horapa te PTC, ko te tūponotanga ka horapa tuatahi ki ngā pona lymph i te kaki . He hanganga pīni iti ēnei pona, he wāhanga o te pūnaha lymph me te pūnaha ārai mate o te tinana.

Kia pēhea te horapa o te PTC?

Ahakoa te puhoi o te tipu o te PTC, ka horapa pea ki ngā kōpuku lymph i te kaki. I te nuinga o te wā, tata ki te 30% o te hunga whai PTC kua horapa ki ētahi atu wāhi (matepukupuku tairoi papillary metastatic) i te wā i kitea ai te mate .

He aha ngā tohu o te 'PTC'?

He maha ngā wā, ko te tohu matua o te PTC ko te putanga mai o tētahi pona kore mamae i roto i te repe tairoiti . Tērā pea kāore anō hoki ētahi atu tohu.

Heoi, he tino onge te mamae o te kaki, te kauae, te taringa rānei o ētahi tāngata. Mēnā ka nui te puku ka pēhi i te puku o te waha, i te korokoro rānei, ka uaua pea te manawa, te horomi rānei .

He mea nui: Ki te kite koe i tētahi puku hou i tō kaki, ahakoa kāore i te mamae, me toro atu koe ki te tākuta. Mā te wawe o te kitenga, ka angitu ake te maimoatanga.

He aha ngā take o te PTC?

Kāore anō kia mōhiotia e ngā kaipūtaiao te tino take o te PTC, engari kua tautuhia e rātou ētahi āhuatanga mōrearea e whakapiki ake ana i te mōrearea o te whakawhanaketanga o te mate, tae atu ki te pānga o te irahiko me ētahi āhuatanga ira .

Te pānga o te irahiko me te PTC

Ko te hunga kua pāngia e te nui o te irahiko ionizing i roto i ō rātou hītori ka nui ake te tūponotanga ka pāngia e te PTC. Ko ngā huarahi e pāngia ai tēnei irahiko ko:

• Hei rongoā i te mate pukupuku, i ētahi atu mate rānei ehara i te mate pukupuku, ka tukuna ngā maimoatanga irahiko o waho he nui te horopeta ki te kaki, inā koa i te tamarikitanga.
• Te pānga o te irahiko mai i ngā aituā o ngā tipu hiko karihi. Hei tauira, i muri i te aituā karihi o Chernobyl i te tau 1986, ka piki ake te maha o ngā tūroro PTC i ngā rohe huri noa mai i te 3-ngā wā ki te 75-ngā wā.

Ngā āhuatanga ira me te PTC

He maha ngā āhuatanga ira (tuku iho) e pā ana ki te PTC:

• Te Polyposis Adenomatous Familial (FAP / Gardner syndrome): He mate onge tēnei, he mate tuku iho. Ka puta he maha ngā polyp i roto i te koroni me te rectum o te tangata, ka taea te huri hei mate pukupuku. Ko te hunga whai FAP he nui ake te mōrearea ki te whakawhanake i ngā pukupuku i ētahi atu wāhanga o te tinana, tae atu ki te repe tairoi. Ka puta te mate i te whakarerekētanga tuku iho i roto i te ira APC.
• Te mate Werner : He mate onge hoki tēnei. E whakaatu ana i ngā tohu o te koroheketanga tere rawa (progeria). He nui ake te tūponotanga o te hunga whai mate Werner ki te pāngia e te mate pukupuku. Ko te momo tino noa ko te mate pukupuku tairoi. Neke atu i te 80 ngā whakarerekētanga rerekē i roto i te ira WRN kua kitea i roto i te hunga whai mate pēnei.
• Momo matatini Carney 1 : Ka whakanui ake hoki tēnei āhuatanga i te mōrearea o te whakawhanake i ngā momo pukupuku, tae atu ki ngā pukupuku tairoi. He maha ngā wā ka puta mai i ngā whakarerekētanga ira i roto i te ira PRKAR1A.

Heoi, me mahara ko te 5% anake o ngā tūroro PTC katoa e pā ana ki ēnei momo āhuatanga ira.

Me pēhea te tautuhi i te PTC?

I te nuinga o te wā, ka puta te PTC hei puku i roto i te repe tairoiti. Tērā pea kua pāngia e koe anō, ka kitea rānei e te tākuta i te wā e tirotirohia ana te kaki. I ētahi wā, ka kitea noa te puku i te wā e tirotirohia ana mō tētahi atu mate.

Ka taea e tō tākuta te tono i ngā whakamātautau e whai ake nei hei tautuhi i te PTC:

• Ngā whakamātautau whakaahua : Ka āwhina ēnei whakamātautau ki te tautuhi i tētahi pona tairoi. Hei tauira, ka taea te mahi i tētahi tirotiro oro tairoi , he matawai CT , me/ranei he matawai MRI .
• Te tango i te ngira pai (te tango i te ngira ): He maha ngā wā ka tangohia e te tākuta he tauira iti o te kiko (te tango i te ngira pai) mai i tō pūmua tairoi mā te whakamahi i tētahi ngira tino angiangi. Ka tirohia e te tākuta mate te kiko i raro i te karuārai hei tirotiro mēnā he pūtau matepukupuku kei reira, ā, mēnā kei reira, he aha te momo matepukupuku tairoi.

I ētahi wā, ka tukuna pea koe e tō tākuta mō te tohutohu ira kia kite ai mēnā he āhuatanga ira tōu e puta ai te PTC, me ētahi atu momo pukupuku anō hoki.

Me pēhea te rongoā mō te PTC?

Ko te maimoatanga mō te PTC e whakawhirinaki ana ki te rahi o te puku me te horapa rānei o te mate pukupuku.

Ko te pokanga te maimoatanga matua me te maimoatanga tino noa mō te PTC.I runga i te rahi me te wāhi o te puku, ka tangohia pea e tō taote pokanga tētahi wāhanga o te repe tairoiti (lobectomy) te repe katoa rānei (thyroidectomy). Mena kei roto i ngā repe tairoiti te mate pukupuku, ka tangohia pea e te taote pokanga ngā repe e pāngia ana i te wā kotahi e pokangahia ai te tairoiti, i te pokanga tuarua rānei.

He mea nui: Ki te tangohia katoatia tō repe tairoiti katoa), me tango e koe ngā pire homoni tairoiti mō te toenga o tō oranga .

Ko ētahi atu maimoatanga mō te PTC ko:

• Te rongoā radioiodine : Ka mimitihia e ngā pūtau tairoiti me ngā pūtau PTC te kohuke iodine (e kitea ana i roto i ētahi kai). Nā konei, ka whakamahia e ngā tākuta he momo iodine radioactive hei whakangaro i ngā kiko tairoiti noa e toe ana i muri i te tangohanga o te repe tairoiti, me ngā kiko tairoiti matepukupuku e toe ana.
• Whakaora irahiko : Ka patua e te irahiko ngā pūtau matepukupuku, ā, ka aukati i te tipu. I roto i te whakaora irahiko o waho, ka tukuna tika e te mīhini ngā hihi kaha ki te pukupuku. I roto i te whakaora irahiko o roto, ka whakatakotoria ngā purapura irahiko ki roto, ki te taha rānei o te pukupuku.
• Te rongoā matū : Mā ngā rongoā matū ka tukuna mā te uaua (IV) mā te waha rānei (waha) ka patua ngā pūtau matepukupuku, ā, ka mutu te tipu o te matepukupuku. Heoi, he iti noa te ōrau o te hunga e matepukupuku tairoi e hiahia ana ki te rongoā matū.

He aha ngā pānga taha me ngā raruraru o te maimoatanga PTC?

Ko tētahi pānga taha pea o te tango i te tairoiti me te rongoā radioiodine ko te hypothyroidism pumau. Nō reira, ki te whai koe i tētahi, i ngā maimoatanga e rua rānei, me tango e koe ngā pire homoni tairoiti mō te toenga o tō oranga.

He maha ngā raruraru ka puta i te wā o te pokanga tairoi:

• Te mate urutā.
• Te tangohanga, te pakaru rānei o ngā repe parathyroid , e whakahaere ana i te taumata o te konupūmā i roto i tō toto.
• Te pakaru o te io laryngeal recurrent, e rere ana i muri i te repe tairoi. Ka taea e tēnei te whakawhaititia te reo, te ngoikore hoki.

Ngā pānga taha pea o te maimoatanga iodine radioactive:

• Whakapairuaki me te ruaki.
• Sialadenitis - he pupuhi o te repe huware.
• Te thyrotoxicosis rangitahi.
• Ko te mate pūkahukahu (pulmonary fibrosis) he mate e puta ai he whara ki te kiko o te pūkahukahu.
• Te kore tamariki mō te wā poto, mō te wā tuturu rānei.
• LeukemiaHe iti noa te mōrearea ki te pāngia e te mate toto totoka, te mate pukupuku ū, te mate pukupuku tōngāmimi rānei.

Ka taea te ārai i te PTC?

He tokomaha ngā tāngata e pāngia ana e te mate pukupuku tairoi kāore he āhuatanga mōrearea motuhake. Nō reira, kāore e taea te ārai i te nuinga o ngā take o te PTC.

Ko te pānga ki te irahiko, inā koa i te wā tamarikitanga, he take mōrearea mō te PTC. Nā tēnei, kāore ngā tākuta e whakamahi i te irahiko mō ngā āhuatanga iti ake te kino. Ka pāngia hoki ngā tamariki e te irahiko mai i ngā whakamātautau whakaahua pērā i ngā hihi-X me ngā karapa CT, engari i roto i ngā horopeta iti iho. Kāore i te mārama te nui o te whakanui ake i te mōrearea o te PTC.

Mena kua pāngia tētahi o tō whānau e te mate pukupuku tairoi, me rapu tohutohu ira koe. Mā tēnei ka āwhina i a koe ki te whakatau mena he mate ira tōu e nui ake ai tō tūponotanga ki te whakawhanake i te PTC. Mena ka pērā koe, ka tūtohu pea tō tākuta i tētahi pokanga ārai mate hei tango i tō repe tairoi i mua i te whanaketanga o te mate pukupuku.

He aha te matapae mō te PTC?

I te nuinga o te wā, he tino pai te matapae mō te PTC , inā koa mēnā kei raro iho koe i te 40 tau te pakeke, ā, he iti te pukupuku. He maha ngā wā ka taea te rongoā angitu i te PTC. Ahakoa kua horapa ki ngā kōpū lymph i te kaki, he onge te kore e mate.

Ko ngā āhuatanga ka taea te whakaiti i te tere o te whakaoranga ko:

• Neke atu i te 55 tau te pakeke i te wā i kitea ai te mate.
• Kei te nui haere te pukupuku .
• Kua horapa te mate pukupuku ki ngā wāhanga tawhiti o te tinana .
• He momo 'PTC' onge, kaha hoki (hei tauira, 'tall cell variant', 'diffuse sclerosis variant', 'solid variant').

Ka taea e koe te ora i te PTC?

He tino teitei te ōrau oranga mō te PTC. Neke atu i te 90% o ngā pakeke whai PTC ka ora mō te 10 ki te 20 tau pea i muri i te maimoatanga.

Āhea ahau me toro atu ki te tākuta mō te PTC?

Mena kua tāpaetia koe kei te pāngia e te PTC, me tūtaki koe ki tō tīma hauora i ia wā, i ia wā, hei aroturuki i te ahunga whakamua o tō maimoatanga. Me whai hoki koe i ngā haerenga tirotiro roa i ia 6 ki te 12 marama, mō te iti rawa i te rima tau, hei tirotiro mēnā ka hoki anō te mate.

Mena i tangohia tō repe tairoiti, ā, i tukuna rānei he maimoatanga iodine radioactive hei wāhanga o tō maimoatanga, me tango e koe ngā pire homoni tairoiti mō te toenga o tō oranga . Ka aroturukihia e te tākuta ō taumata homoni tairoiti puta noa i tō oranga kia tika ai te horopeta o tō rongoā mōu.

Ahakoa te momo, he ohorere pea te kitenga kua pāngia koe e te mate pukupuku. Heoi, ko te rongo pai he tino pai te matapae mō te PTC. Ka mahi tahi tō tīma hauora me koe ki te whakatau i te mahere maimoatanga pai rawa atu māu.

## Ngā mea nui hei maumahara (Karere hei kawe ki te kāinga)

Āe, nā, mai i ngā mea kua kōrerotia e tātou, koinei ngā mea tino nui hei maumahara māu:

• Ko te mate pukupuku tairoi papillary (PTC) te momo mate pukupuku tairoi e tino kitea ana, ā, he pai rawa atu te matapae mō tēnei mate.
• Ko te tohu matua he puku kore mamae i te kaki. Ki te kite koe i tētahi mea pēnei, me toro atu ki te tākuta.
• Ko te pokanga te maimoatanga matua. Tērā pea ka hiahiatia hoki te rongoā ki te iodine radioactive .
• Ki te tangohia katoatia te repe tairoiti, me tango e koe ngā homoni tairoiti mō te toenga o tō oranga .
• Ko te wawe o te kitenga i tēnei mate, ko te angitu ake o te maimoatanga. Nō reira, he mea tino nui te tirotiro hauora auau me te whai i ngā tohutohu.
• Kaua e wehi. Kāore koe i te mokemoke. Kei reira ngā tākuta, te whānau, me ngā hoa hei āwhina i a koe.

Ko tāku tumanako he whai hua ēnei mōhiohio ki a koe. Mēnā he pātai āu, kaua e mangere ki te pātai atu ki tō tākuta. Kia ora tonu koe!

Matepukupuku tairoiti , matepukupuku tairoiti papillary, PTC, pona kaki, pokanga tairoiti, rongoā irahiko, rongoā homoni