He aha te Thymoma me te Thymic Carcinoma? Me kōrero taipitopito tātou mō tēnei!

Kei te rongo koe i tētahi mea rerekē i roto i tō uma i ētahi wā, he maremare tonu, he uaua rānei ki te manawa? I te nuinga o te wā, ka puta pea ēnei i ngā take noa, kāore he kino. Heoi, he tino onge, ka taea hoki ēnei te waiho hei tohu o te mate pukupuku e pā ana ki te repe thymus . Nō reira, i tēnei rā ka kōrero tātou mō ētahi momo mate pukupuku e rua, he onge, arā, ko te Thymoma me te Thymic Carcinoma . Kaua e manukanuka, he mea nui kia mōhio koe ki tēnei.

He aha ngā Thymoma me ngā Thymic Cancer?

Ki te whakarapopototanga, ko te thymoma me te thymic carcinoma he momo matepukupuku e rua e tīmata ana i roto i tō repe thymus . Kei muri i te wheua nui i waenganui o tō uma (wheua uma) te repe thymus. I a koe e tamariki ana, ka āwhina te repe thymus ki te whakawhanake i ngā T-lymphocytes, ngā pūtau-T rānei, he momo toto ma he wāhanga nui o te pūnaha ārai mate o tō tinana e whawhai ana ki te mate. Kei roto i te repe thymus ngā momo pūtau matua e rua: ngā pūtau epithelial me ngā lymphocytes . Ka taea e tētahi o ēnei momo pūtau te tipu rerekē, ā, ka noho hei matepukupuku.

• Ko te tipu rerekē o ngā pūtau epithelial te take o te timoma me te carcinoma thymic .
• Ka taea e te tipu rerekē o ngā lymphocytes te arahi ki ngā mate pukupuku pērā i te Hodgkin lymphoma , te non-Hodgkin lymphoma rānei.

Nā te mea ka tīmata ngā thymoma me ngā carcinoma thymic i roto i ngā pūtau epithelial o te repe thymus, ka karangatia hoki ēnei e ngā tākuta he Thymic Epithelial Tumors (TETs) .

He aha te rerekētanga i waenga i te Thymoma me te Thymic Carcinoma?

Ahakoa he pukupuku epithelial thymic (TET) ēnei e rua, he maha ngā rerekētanga nui.

• Timoma: He mate pukupuku puhoi te tipu i te nuinga o te wā. Kāore e horapa ki tua atu i te repe timus.
• Te Matepukupuku Thymic: He matepukupuku tere te tipu . He nui hoki te tūponotanga ka horapa (metastasizing) ki ētahi atu wāhanga o te tinana.

Ka rerekē te maimoatanga ka tohua e tō tākuta me te matapae mate, i runga i te mea he thymoma tōu (he momo iti ake te kaha) he carcinoma thymic rānei (he momo kaha ake).

Ko wai te hunga e tino pāngia ana e ēnei āhuatanga?

Ko te Thymoma me te thymic carcinoma te mea tino noa i roto i ngā pakeke i waenga i te 40 me te 75 tau te pakeke. Kua whakaatuhia e ngā rangahau i ngā whenua pēnei i te United States he nui ake te noa o te mate i roto i ngā tāngata nō Āhia, nō ngā Moutere o te Moana-nui-a-Kiwa rānei. Heoi, he mea nui kia mahara ka taea te whanake i roto i te tangata. He maha ngā wā ka honoa te Thymoma ki ngā āhuatanga e kiia nei ko ngā autoimmune paraneoplastic syndromes . Koinei te wā ka whakaekea hētia e te pūnaha ārai mate o tō tinana ōna ake pūtau hauora. Ka taea e tēnei te whakaputa i ngā momo tohu whakararuraru. Ko ētahi o ngā syndromes e tino honoa ana ki te thymoma ko:

• Myasthenia gravis: He mate pūnaha ārai mate tēnei e pā ana ki ngā io me ngā uaua, ka ngoikore ai te uaua .
• Te korenga o ngā pūtau toto whero parakore (PRCA): He mate toto tēnei e kore ai e nui ngā pūtau toto whero e whakaputaina e tō hinu wheua, ka puta ai te anemia .
• Hypogammaglobulinemia (te mate pai rānei): He ngoikore tēnei o te pūnaha ārai mate. I konei, kāore tō tinana e whakaputa i ngā paturopi e ranea ana hei whawhai i te mate me te ārai i te mate urutā.

Hei tāpiritanga, tera pea ētahi atu mate paraneoplastic e hono ana ki te thymoma, engari he iti ake te kitea. Hei tauira:

• Polymyositis
• Lupus erythematosus
• te rumatiki
• Te mate tairoidi
• Te mate a Sjögren

He pēhea te noa o te mate timoma me te mate pukupuku timiki?

Ko te Thymoma me te thymic carcinoma ngā momo mate pukupuku e tino kitea ana i roto i te repe thymus. Heoi, i te nuinga o te wā, he tino onge ēnei mate pukupuku . Hei tauira, ahakoa i roto i tētahi whenua nui pērā i te Hononga o Amerika, tata ki te 400 noa iho ngā tāngata e kitea ana tēnei mate i ia tau.

He aha ngā tohu o te thymoma me te thymic carcinoma?

He tokomaha te hunga kāore e whakaatu i ngā tohu i ngā wāhanga tōmua.Ka tīmata te puta o ngā tohu ina kua tipu te mate pukupuku, ā, kua tīmata te pā ki ētahi atu okana o te uma. Ko ētahi o ngā tohu e pā ana ki ngā mate paraneoplastic i whakahuatia i mua ake nei.

Ngā tohu i puta mai i te mate pukupuku e pā ana ki te whekau o te uma

Ko te mamae me te uaua ki te manawa he tohu pea nō te mate thymoma, te mate thymic carcinoma rānei. Koinei ngā tohu:

• Te mamae o te uma, te kare rānei e mākū ana te uma.
• He maremare pumau e kore e memeha.
• Te poto o te manawa.
• Te uaua ki te horomi i te kai.

I ētahi wā, ka ārai, ka pēhi rānei ēnei pukupuku i te vena cava teitei, he uaua nui e kawe ana i te toto ki te ngākau. Ka taea e tēnei te puta he mate tino kino e kiia nei ko te superior vena cava syndrome . Mēnā ka puta tēnei, ka pāngia pea koe e ngā tohu pēnei i:

• Maremare
• Te uaua ki te manawa
• Ngenge
• Pōuriuri
• Ānini
• Te pupuhi o te kaki me te mata
• Te pupuhi o ngā ringa me ngā nikau
• He mārama te kitea o ngā uaua i te taha whakarunga o te tinana

Ngā āhuatanga o ngā mate paraneoplastic

Mena he thymoma tōu, tera pea ka pāngia koe e tētahi, e ētahi rānei o ngā tohu o ngā mate paraneoplastic. Hei tauira:

• Te tirohanga takirua, te kamo e takoto kau ana, te ngenge nui, me te ngoikore o ngā uaua (he tohu ēnei o te myasthenia gravis).
• Te kore toto toto (tērā pea nā te korenga o ngā pūtau toto whero parakore tēnei).
• Ngā mate pāwera auau, te korere, me te pupuhi o ngā kōpū lymph (he tohu ēnei o te hypogammaglobulinemia).

He aha ngā take o te mate thymoma (carcinoma thymic)?

Ina hoki, kāore anō kia kitea he āhuatanga mōrearea ira, i te taiao rānei mō te thymoma . Kei te haere tonu ngā rangahau hei whakatau mēnā he hononga tēnei mate ki ngā momo huaketo, ngā awe tuku iho, me ētahi atu momo mate pukupuku.

Me pēhea te tātaritanga o te thymoma (carcinoma thymic)? (Tauātanga)

Tērā pea ka kitea e tō tākuta kei a koe tēnei momo pukupuku i muri i te whakahaere i ngā whakamātautau whakaahua hei rapu i te pūtake o ō tohumate. Hei whakaū i te mate, ka tirotirohia e tō tākuta te tinana, ka pātai atu mō ō tohumate me tō hītori hauora. Kātahi ka mahia e rātou tētahi, ētahi rānei o ngā whakamātautau e whai ake nei hei ako atu mō te pukupuku:

• X-ray o te uma: Ka taea e te X-ray te whakaatu i ngā mea pēnei i ngā pukupuku i roto i te tinana. Ka taea hoki e ia te whakarato i ngā kōrero nui, pēnei i te pai o te tautuhi i ngā taha o te pukupuku. He māmā ake te tango i te pukupuku he mārama ngā taha mā te pokanga.
• Matawai CT:Ko te matawai CT o te uma te whakamātautau whakaahua e whakamahia whānuitia ana hei tātaritanga i te thymoma. I ētahi wā ka werohia pea e tō tākuta he wai motuhake (he rauemi whakawhiti) ki roto i tō uaua. Mā tēnei ka āwhina i te puta mārama o te pukupuku i runga i te matawai. I te nuinga o te wā, he nui te matawai CT hei tātaritanga i te thymoma, i te thymic carcinoma rānei.
• Matawai MRI: Ka taea e te MRI te whakaputa whakaahua tino taipitopito o te puku. Ka āwhina tēnei i te tākuta ki te wehewehe i a ia mai i ētahi atu momo tipu. Hei tauira, ka taea e te MRI te āwhina ki te whakatau mēnā he thymoma, he carcinoma thymic rānei.
• Matawai PET, matawai PET/CT rānei: I te wā o te matawai PET, ka werohia e te tākuta he huka haumaru, he irahiko ki roto i tō uaua. Ka kohia e tēnei otinga ngā pūtau e whakamahi ana i te nui o te pūngao, pērā i ngā pūtau matepukupuku. Mā tēnei ka kitea ake ngā mea pērā i ngā pukupuku i te matawai. He maha ngā wā, ka taea te mahi i te matawai PET me te matawai CT i te wā kotahi (PET/CT).
• Biopsy: Ko te huarahi anake hei whakaū i te mate ko te mahi i te biopsy. Koinei te wāhi ka tangohia e te tākuta he tauira o ngā pūtau mai i te pukupuku ka tirohia i raro i te karuārai. Mena he haumaru te mahi pera, ka tangohia e te tākuta te pukupuku katoa ka tirohia ngā pūtau. Mena kāore e taea te tango i te pukupuku katoa, ka tangohia he tauira anake hei tirotiro.

Me pēhea te whakatau i te wāhanga o te thymoma (carcinoma thymic)?

Ko te whakarōpūtanga o te mate pukupuku te whakarōpūtanga o te mate pukupuku e ai ki tōna kaha. He maha ngā āhuatanga e pā ana ki te whakatau i te kaha o te mate. Mā te mōhio ki te taumata o tō mate pukupuku ka āwhina i tō tākuta ki te whakamahere maimoatanga, ā, ka hoatu he whakaaro ki a koe mō ō tupono ki te ora. Ka whakarōpūtia te mate Thymoma me te mate pukupuku thymic mā te whakamahi i te pūnaha TNM . Ko te TNM te tikanga o te Tumor, Nodes, and Metastasis. Hei whakatau i te taumata o tō mate pukupuku, ka rapu ngā tākuta i ngā whakautu ki ngā pātai pēnei i:

• Puku (T): He puku kei reira? He aha te rahi? Kei hea?
• Ngā Pūnaha Lymph (N): Kua horapa te mate pukupuku ki ngā pūnaha lymph? Ko ēhea ngā pūnaha lymph? Kia pēhea te horapa?
• Te horapa o te mate pukupuku (M): Kua horapa te mate pukupuku ki ētahi atu wāhanga o te tinana i waho o te repe thymus? Ki ēhea wāhanga?

I runga i ngā whakautu ki ēnei pātai, ka whakarōpūhia e tō tākuta tō matepukupuku ki ngā wāhanga mai i te I (tahi) ki te IV (whā). Ko te teitei ake o te tau, ko te nui ake o te horapa o te matepukupuku. Hei tauira, he iti ake te horapa o te matepukupuku wāhanga I i te matepukupuku wāhanga IV. Tērā pea ka whakaarohia e tō tākuta ētahi atu āhuatanga, pērā i te āhua rerekē o ngā pūtau matepukupuku, hei whakatau i te kaha o tō mate.

He aha ngā maimoatanga mō te thymoma (carcinoma thymic)?

Ko te maimoatanga e whiwhi ana koe ka whakawhirinaki ki ētahi āhuatanga, tae atu ki te momo mate pukupuku kei a koe, te wāhanga o te mate pukupuku, me te mea kua kitea houtia te mate pukupuku, kua hoki mai rānei. Ko ngā kōwhiringa maimoatanga pea ko:

• Pokanga: Ka taea e te taote pokanga uma te tango i tō pukupuku mā te pokanga. Mena kua horapa te mate pukupuku ki ngā kōpū lymph, ki te repe thymus, ki te arai pukahukahu rānei, ka tangohia pea e rātou ētahi wāhanga o taua pukupuku. Ko te pokanga te maimoatanga matua mō te thymoma i te wā tōmua. Mena kāore e taea te tango haumaru i te pukupuku katoa, ka tangohia e te taote pokanga te nuinga o taua pukupuku hei whakaiti i ngā tohu i puta mai i te pukupuku.
• Whakaora irahiko: Ka taea e te tākuta matepukupuku irahiko te tuku irahiko ki te matepukupuku mā te whakamahi i te whakaora irahiko hihi o waho . Ka whakamahia e tēnei maimoatanga he mīhini hei tuku i ngā hihi-X ki te puku hei patu i ngā pūtau matepukupuku. Ka taea te whakamahi takitahi, te whakamahi tahi rānei me ētahi atu maimoatanga, pērā i te chemotherapy, te pokanga rānei.
• Te rongoā matū: Ki te kore e taea e te pokanga te tango i te pukupuku, ka hoatu pea he rongoā rongoā matū hei patu i ngā pūtau matepukupuku. Tērā pea ka tohua e te tākuta toto, e te tākuta matepukupuku rānei he rongoā matū hei whakaiti i te pukupuku i mua i te pokanga, hei rongoā rānei i te matepukupuku kua hoki mai anō.
• Whakaora arotahi: Mena he rerekētanga ira motuhake ō pūtau matepukupuku, ka tukuna pea he rongoā arotahi ki a koe. Kua hangaia ēnei maimoatanga hei arotahi ki aua rerekētanga ira motuhake, hei patu hoki i ngā pūtau matepukupuku. He kōwhiringa maimoatanga pea tēnei mō te thymoma me te thymic carcinoma mena kāore i angitu ētahi atu maimoatanga, pērā i te chemotherapy.
• Whakaora Ārai Mate: Ka whakapakari tēnei maimoatanga i tō pūnaha ārai mate hei āwhina i a ia ki te kite me te whakangaro i ngā pūtau matepukupuku. He kōwhiringa pea tēnei mō te matepukupuku thymic kāore e aro ki te chemotherapy.
• Ngā whakamātautau haumanu: He rangahau te whakamātautau haumanu e whakamātautau ana i te haumaru me te whai huatanga o ngā maimoatanga mate pukupuku hou, rerekē rānei. I runga i te momo mate pukupuku e whakamahia ana e koe, tera pea ka taea e koe te uru atu ki tētahi o ēnei kaupapa e whakamātautau ana i ngā maimoatanga mate pukupuku hou. Pātai atu ki tō tākuta mō tēnei.

Tērā pea ka tūtohu tō tākuta kia mahi tahi koe me tētahi tīma tiaki mamae hei tautoko i a koe puta noa i tō tātaritanga mate pukupuku. Kei roto i ngā tohunga tiaki mamae ngā tākuta, ngā nēhi, me ētahi atu tohunga. Ka taea e rātou te āwhina i a koe ki te whakahaere i ngā tohu o te mate pukupuku me ngā pānga taha o te maimoatanga. Ahakoa te wāhanga o tō mate pukupuku, te tūponotanga rānei ki te ora, he rauemi nui te tiaki mamae.

He aha te ōrau oranga mō te thymoma me te thymic carcinoma?

I te nuinga o te wā, he pai ake te matapae o te mate thymoma i ngā mate pukupuku thymic. Waihoki, ki te mea kei te repe thymus anake te mate pukupuku, he pai ake te tere ora i te mea kua horapa te mate pukupuku. Ko ngā tere ora e rima tau mō te mate pukupuku thymic koia ēnei (kia mahara, he tatauranga toharite ēnei):

• Mena kei roto anake i te repe thymus te mate pukupuku: 95%
• Mena kua horapa ki ngā whekau tata me ngā kōpū lymph: 78%
• Mena kua horapa ki ngā wāhanga tawhiti o te tinana (kua horapa): 38%

Heoi, kāore ēnei tatauranga e whai whakaaro ki ngā mea motuhake pēnei i tō hauora whānui, te momo matepukupuku, te wāhanga o te matepukupuku, me tō urupare ki te maimoatanga. He maha ngā āhuatanga e whakatau ana i tō tere ora. Ka taea e tō tākuta te whakamārama i ēnei ki a koe. Nō reira kaua e mataku i ēnei tau.

He aha taku e tumanako atu ai mēnā kei a au tēnei mate pukupuku?

I ētahi wā, ka ngaro katoa pea ngā tohu me ngā āhuatanga o te mate pukupuku (whakaora) , ā, kāore pea te mate pukupuku e hoki mai anō. Heoi, i ētahi wā, ka taea e ngā momo mate pukupuku e rua te hoki mai anō (hoki mai anō) . Mō te thymoma, ka roa pea te mate pukupuku e kore e hoki mai anō. Heoi anō, me haere tonu koe ki te tirotiro i ngā wā katoa kia mōhio ai koe kāore he mate pukupuku i a koe.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Kōrero ki tō tīma hauora mō ō whiringa tātaritanga me te maimoatanga. Kaua e mangere ki te pātai i ō pātai mō te mate pukupuku me tōna pānga ki tō oranga. Akene he pai ki a koe te pātai i ngā pātai pēnei i:

• He aha te wāhanga o taku matepukupuku?
• He aha ngā kōwhiringa maimoatanga kei a au?
• E āhei ana ahau ki te whai wāhi atu ki tētahi whakamātautau haumanu? E taunaki ana koe kia whai wāhi atu ahau?
• He aha te whāinga o te maimoatanga?
• He aha ngā pānga taha e tika ana kia tumanakohia e au?
• Āhea ahau me tumanako ka tīmata ngā pānga taha?
• He aha te tūponotanga ka hoki mai anō te mate pukupuku?
• He aha te pānga o taku tātaritanga me taku maimoatanga ki tōku ao?

Karere Tangohia ki te Kāinga

He maha ngā tikanga o te tautuhi i te mate thymoma, te mate pukupuku thymic rānei. Ka puhoi te tipu o ētahi pukupuku, ko ētahi he kaha ake te tipu. Ka taea te tango katoa i ētahi mā te pokanga, engari kua horapa pea ētahi i te wā e kitea ai e tō tākuta. Ko te mea nui ko te kōrero ki tō tākuta mō te pānga o tō mate pukupuku ki te putanga o tō maimoatanga.Me kōrero anō hoki mō ngā painga me ngā huakore o ia kōwhiringa maimoatanga. Kia maumahara, ehara i te mea ko koe anake. Kei reira ngā tākuta, te whānau, me ngā hoa hei āwhina i a koe ki te whakatau i tēnei āhuatanga. He mea nui kia mōhio pai koe, kia pai hoki te whakaaro. Mena he pātai āu, kaua e wehi ki te pātai ki tō tākuta. ` thymoma, thymic carcinoma, repe thymus, mate pukupuku, mamae o te uma, mare, myasthenia gravis, autoimmune, maimoatanga mate pukupuku, mate pukupuku, thymoma, thymic carcinoma, repe thymus