Kodi mukumva ngati muli ndi chotupa pakhosi panu? Tiyeni tikambirane za khansa ya chithokomiro cha follicular!

Kodi munayamba mwamvapo chotupa pakhosi panu? Kapena mwawona kusintha kwa mawu anu kapena kuvutika kumeza? Nthawi zina izi ndi zinthu zachibadwa, koma nthawi zina zimatha kukhala chizindikiro cha vuto la chithokomiro chanu. Ndicho chifukwa chake lero taganiza zokambirana za chinthu chotchedwa khansa ya chithokomiro ya follicular. Musachite mantha, ndikofunikira kwambiri kudziwa izi.

Ndiye kodi chithokomiro ichi ndi chiyani?

Chabwino, choyamba tiyeni tiwone chomwe chithokomiro chili. Mwachidule, ndi chiwalo chaching'ono chooneka ngati gulugufe chomwe chili kutsogolo kwa khosi lanu. Kunena zoona, chili ngati pansi pa mphuno yanu. Ndi gawo la dongosolo la endocrine la thupi lathu. Ntchito yake yayikulu ndikupanga mahomoni . Ma mahomoni awa amalamulira zinthu zambiri zofunika m'thupi lathu. Mwachitsanzo, mahomoni a chithokomiro awa ndi ofunikira pa kagayidwe ka thupi lathu, komwe kumasintha chakudya chomwe timadya kukhala mphamvu, komanso pazinthu monga kuwongolera kuchuluka kwa calcium m'magazi.

Chifukwa chake, khansa ya chithokomiro imachitika pamene maselo a chithokomiro, pazifukwa zina , ayamba kukula modabwitsa komanso mosalamulirika .

Kodi pali mitundu ingati ya khansa ya chithokomiro?

Inde, pali mitundu inayi ikuluikulu ya khansa ya chithokomiro. Madokotala amasiyanitsa ndi kuzindikira mitundu iyi poyang'ana maselo a khansa pogwiritsa ntchito maikulosikopu.

Ali:

• Khansa ya m'mafupa: Lero tikulankhula za mtundu uwu.
• Khansa ya papillary: Iyi ndi mtundu wofala kwambiri.
• Khansa ya Medullary.
• Khansa ya Anaplastic: Iyi ndi khansa yoopsa kwambiri, koma yosowa kwambiri.

Khansa izi zimagawidwa m'magulu monga:

• Khansa zosiyana bwino: Maselo amenewa amafanana ndi maselo a chithokomiro wamba pamlingo winawake. Izi zimapangitsa kuti azichiritsidwa mosavuta ndipo nthawi zambiri amatha kuchiritsidwa kwathunthu. Mitundu yonse ya follicular ndi papillary imagwera m'gululi.
• Khansa zosasinthika: Maselo amenewa ndi osiyana kwambiri ndi maselo wamba, zomwe zimapangitsa kuti zikhale zovuta kuchiza. Khansa ya Anaplastic ndi imodzi mwa mitundu iyi.

Kodi kusiyana pakati pa khansa ya follicular ndi khansa ya papillary ndi kotani?

Mitundu yonse iwiri imayambira m'maselo a follicular a chithokomiro, kotero pali kufanana kwakukulu pakati pa ziwirizi. Komabe, papillary carcinoma imatha kufalikira ku ma lymph nodes kuposa follicular carcinoma. Papillary carcinoma nayonso ndi yofala kwambiri kuposa follicular carcinoma.

Kodi kusiyana pakati pa khansa ya follicular ndi khansa ya medullary ndi kotani?

Khansa ya chithokomiro cha Medullary ndi chotupa cha neuroendocrine.Zotupa za neuroendocrine. Izi zimachokera ku maselo a C mu gland ya chithokomiro. Maselo a C awa amapanga mahomoni otchedwa calcitonin . Homoni iyi imayang'anira kuchuluka kwa calcium m'magazi mwathu. Zotupa za Medullary zimakhala zamphamvu pang'ono kuposa zotupa za follicular, zomwe zikutanthauza kuti zimatha kufalikira mwachangu. Zingagwirizanenso ndi mbiri ya banja la matendawa.

Ndani amadwala khansa ya chithokomiro cha follicular?

Zitha kuchitika kwa aliyense. Komabe, zimachitika kwambiri mwa akazi okalamba . Izi zikutanthauza kuti akazi azaka zapakati pa 40-60 ali pachiwopsezo chachikulu.

Kodi izi ndizofala bwanji?

Khansa ya chithokomiro cha follicular imayambitsa 10% mpaka 15% ya khansa yonse ya chithokomiro. Anthu ambiri amadwala khansa ya chithokomiro cha papillary (yomwe imayambitsa pafupifupi 70% mpaka 80%).

Kodi khansa ya chithokomiro cha follicular imandikhudza bwanji?

Nthawi zina, khansa ya follicular thyroid ingayambitse chotupa pakhosi kapena kupweteka. Koma ngati yapezeka msanga , imatha kuchiritsidwa ndikuchiritsidwa kwathunthu. Ngati sichitha kuchiritsidwa, khansa iyi imatha kufalikira (metastasize) ku ziwalo zina za thupi. Ikafalikira, imakhala yovuta kuchiza.

Kodi zizindikiro za khansa ya chithokomiro cha follicular ndi ziti?

Kumbukirani, nthawi zina sipangakhale zizindikiro konse. Komabe, ngati muli ndi chimodzi kapena zingapo mwa zizindikiro zotsatirazi, ndi bwino kupita kwa dokotala:

• Chotupa kapena kutupa pakhosi (chipolopolo cha chithokomiro ). Ichi ndiye chizindikiro chofala kwambiri.
• Kupweteka m'khutu, kapena kupweteka m'nsagwada kapena pakhosi.
• Kusanza kapena kusintha kwa mawu ( dysphonia ).
• Ma lymph nodes otupa m'khosi.
• Kuvuta kupuma kapena kumeza ( dysphagia ).

Musamaope khansa chifukwa chakuti muli ndi zizindikirozi. Komabe, ndi bwino kufunsa uphungu kwa dokotala.

Kodi ndi zifukwa ziti zomwe zimayambitsa khansa ya chithokomiro cha follicular?

Madokotala sakudziwa chifukwa chake maselo a chithokomiro amakula modabwitsa. Komabe, pali zinthu zina zomwe zingachititse kuti chithokomiro chizikula molakwika. Mwachitsanzo, kupezeka kwa ma radiation kungakhale chifukwa chimodzi. Izi zikutanthauza kuti ngati mudalandirapo chithandizo cha radiation pakhosi panu chifukwa cha matenda ena, kapena ngati mumagwira ntchito yokhudzana ndi zinthu zowononga ma radiation, muli pachiwopsezo chachikulu. Anthu okhala m'madera omwe alibe ayodini nawonso akuti ali pachiwopsezo chachikulu chotenga khansa iyi.

Kodi khansa iyi ndi yopatsirana?

Ayi, khansa ya chithokomiro cha follicular si matenda opatsirana . Simungathe kufalitsa kwa wina.

Kodi zimatenga nthawi yayitali bwanji kuti khansa ya follicular thyroid ifalikire?

Izi n'zovuta kunena motsimikiza. Nthawi zina khansa imatha kufalikira mofulumira, nthawi zina zimatenga zaka zambiri. Kaya ifalikira kapena ayi, komanso momwe imafalikira mofulumira, zimasiyana malinga ndi munthu ndi munthu. Ichi ndichifukwa chake timati ndikofunikira kuzindikira matendawa mwachangu ndikuyamba kulandira chithandizo.

Kodi madokotala amazindikira bwanji izi?

Mukapita kukaonana ndi dokotala, chotupa pakhosi panu chingaonekere panthawi yowunika thupi nthawi zonse. Nthawi zina, chotupa chingaonekere mwangozi panthawi yoyezetsa zithunzi zomwe zachitika pazifukwa zina.

Ngati dokotala akukayikira kuti pali chotupa, akhoza kuchita mayeso monga:

• Kujambula kwa CT
• MRI
• Kujambula kwa Ultrasound - Iyi ndiyo njira yodziwika kwambiri yowunikira ziphuphu pakhosi.
• X-ray - Izi siziwonetsa bwino ma nodule a chithokomiro, koma X-ray ya pachifuwa ikhoza kutengedwa kuti muwone ngati khansa yafalikira mpaka m'mapapo.

Ndi mayeso ati omwe amachitidwa kuti atsimikizire?

Si zotupa zonse m'khosi zomwe ndi khansa. Zambiri sizili zoopsa . Chifukwa chake, ngati dokotala wanu akukayikira kuti muli ndi khansa, angakulangizeni kuti muyesedwe ndi singano yopyapyala (FNAB). Izi zimaphatikizapo kutenga zitsanzo zazing'ono za maselo kuchokera pa chotupacho ndi singano yopyapyala kwambiri ndikuziyang'ana pansi pa maikulosikopu ndi katswiri wa cytology . Iyi ndiyo njira yokhayo yodziwira ngati pali maselo a khansa kapena ayi.

Kodi khansa ya chithokomiro cha follicular imachiritsidwa bwanji?

Nthawi zambiri, chithandizo chachikulu cha khansa ya chithokomiro cha follicular ndi opaleshoni .

Chomwe chingachitike ndi opaleshoni ndi:

• Kuchotsa gawo lokha la chithokomiro lomwe lili ndi nodule ( lobectomy ).
• Kuchotsa chithokomiro chonse ( kuchotsedwa kwathunthu kwa chithokomiro ).
• Ngati khansa yafalikira ku ma lymph nodes, ma lymph nodes amenewo adzachotsedwanso.

Kodi pali njira zina zochiritsira kupatula opaleshoni?

Inde, kutengera ndi gawo la khansa, kutanthauza kuti khansayo yafalikira mpaka pati, komanso ngati yafalikira ku ziwalo zina, chithandizo china chingalimbikitsidwe pambuyo pa opaleshoni.

Ali:

• Chithandizo cha radioiodine (RAI): Ichi ndi chithandizo chofala cha khansa ya follicular. Chifukwa maselo a chithokomiro amamwa ayodini, ayodini wowopsa amaperekedwa kuti aphe maselo ena onse a khansa.
• Chithandizo cha mahomoni a chithokomiro:Pambuyo poti chithokomiro cha thyroid chachotsedwa kwathunthu, thupi liyenera kupatsidwa mahomoni a chithokomiro kunja. Komanso, kupereka mahomoni amenewa kumathandiza kuwongolera kukula kwa maselo a khansa.
• Chithandizo cha Kutulutsa Ma Radiation ya Kunja: Nthawi zina zapadera, makamaka ngati khansa yafalikira ku minofu yozungulira khosi, chithandizochi chingaperekedwe.
• Mankhwala a Chemotherapy: Iyi si njira yodziwika bwino yochizira khansa ya chithokomiro cha follicular. Imaperekedwa kwa khansa zomwe zafalikira kwambiri ndipo sizikuyankha mankhwala ena.
• Chithandizo Cholunjika: Izi ndi mitundu yatsopano ya mankhwala omwe amakhudza mamolekyu enaake m'maselo a khansa, zomwe zimapangitsa kuti maselo abwinobwino asawonongeke kwambiri.

Kodi pali zotsatirapo zilizonse za mankhwalawa?

Mankhwala a khansa angayambitse zotsatirapo zosiyanasiyana. Izi zimasiyana malinga ndi munthu. Anthu ena angakumane ndi izi:

• Kutsegula m'mimba
• Chilakolako cha chakudya
• Kutopa
• Kutaya tsitsi - Izi zimachitika kawirikawiri panthawi ya chemotherapy.
• Kusanza ndi kusanza
• Kuvuta kulankhula ndi kumeza (makamaka pambuyo pa opaleshoni)
• Kuvuta kuganizira kapena kukumbukira zinthu ( chemotherapy brain)
• Kufooka

Chofunika kwambiri ndi kuuza dokotala wanu ngati mukukumana ndi zotsatirapo zilizonse. Tsopano pali njira zowongolera zotsatirapo zambiri.

Kodi chithandizo cha khansa ya follicular thyroid chimatenga nthawi yayitali bwanji?

Dokotala wanu nthawi zonse amafufuza momwe mukumvera mukalandira chithandizo. Ngati khansayo siilinso m'thupi lanu, simudzafunika chithandizo chogwira ntchito. Komabe, ngati chithokomiro chanu chachotsedwa, muyenera kumwa mankhwala olowa m'malo mwa mahomoni a chithokomiro kwa moyo wanu wonse. Izi ndizofunikira kuti mukhale ndi thanzi labwino. Dokotala wanu adzapitirizabe kukuyang'anirani ngati khansayo ikubwereranso (chisamaliro chotsatira).

Kodi pali njira yochepetsera chiopsezo chotenga khansa iyi?

Palibe zambiri zomwe tingachite kuti tipewe khansa ya follicular thyroid. Komabe, ngati wina m'banja mwanu wakhala ndi khansa, kapena ngati muli ndi zinthu zina zomwe zingakuike pachiwopsezo, ndi bwino kulankhula ndi dokotala wanu za vutoli. Iye angakuuzeni ngati pali chilichonse chomwe muyenera kuchita mwachindunji.

Kodi chimachitika ndi chiyani ngati ndili ndi khansa ya chithokomiro cha follicular?

Choyamba, musachite mantha. Lankhulani ndi dokotala wanu mosamala ndipo muwafunse kuti khansa yanu ili pamlingo wotani, ndi mankhwala ati omwe akulangizidwa, komanso zomwe mungayembekezere kuchokera kwa iwo. Gulu lanu lachipatala lidzakuthandizaninso kuthana ndi mavuto aliwonse omwe angabwere panthawi ya chithandizo. Kenako mutha kuchita ntchito zanu za tsiku ndi tsiku.

Kodi khansa ya follicular thyroid ingachiritsidwe?

Inde, khansa ya chithokomiro cha follicular nthawi zambiri imatha kuchiritsidwa! Makamaka ngati yapezeka msanga.Mwayi wochira ndi waukulu kwambiri. Chifukwa chake,

• Ngati muli ndi zizindikiro zilizonse za khansa ya chithokomiro,
• Kapena ngati muli ndi zinthu zomwe zingakupangitseni kukhala ndi khansa ya chithokomiro,

Kaonaneni ndi dokotala nthawi yomweyo.

Kodi ndimadzisamalira bwanji?

Ngakhale chithandizo chitatha, dokotala wanu angakulangizeni kuti mulandire chithandizo china , monga kuyezetsa magazi kuti muwone kuchuluka kwa mahomoni a chithokomiro chanu ndi kusanthula kuti muwone ngati chikubwereranso.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Khansa ya chithokomiro cha follicular ndi matenda ochiritsika kwambiri . Choncho, musachite mantha, dziwani.

• Ngati mukumva chotupa pakhosi panu, kutupa, kusintha mawu anu, kuvutika kumeza, kapena kupuma movutikira, funsani dokotala nthawi yomweyo .
• Madokotala amachita mayeso osiyanasiyana kuti adziwe vutoli.
• Chithandizo chachikulu ndi opaleshoni, ndipo ngati pakufunika, chithandizo cha ayodini cha radioactive ndi mahomoni zimaperekedwanso.
• Ngati zapezeka msanga, mwayi wochira umakhala waukulu kwambiri.

Ngati muli ndi mafunso ena okhudza izi, musazengereze kufunsa dokotala wanu. Iwo ndi okondwa kukuthandizani. Khalani ndi thanzi labwino!

Khansa ya chithokomiro , khansa ya chithokomiro cha follicular, chithokomiro cha chithokomiro, ziphuphu pakhosi, zizindikiro za khansa, chithandizo cha khansa, opaleshoni ya chithokomiro