Kodi pali chotupa pakhosi? Kodi ndi khansa ya chithokomiro? Tiyeni tiphunzire za Hürthle Cell Carcinoma

Kodi mukumva chotupa pakhosi panu? Kapena mwaona kusintha kwa mawu anu kapena kuvutika kumeza posachedwapa? Izi zitha kukhala zachilendo. Komabe, nthawi zina, zimathanso kukhala chizindikiro cha vuto la chithokomiro. Lero tikulankhula za khansa imodzi yosowa koma yofunika kwambiri. Imeneyi ndi khansa ya Hürthle cell.

Kodi khansa ya Hürthle Cell ndi chiyani?

Mwachidule, iyi ndi khansa yosowa yomwe imayamba mu chithokomiro. Taganizirani ngati chithokomiro chaching'ono chooneka ngati gulugufe chomwe chili kutsogolo kwa khosi lathu. Ichi ndi chomwe timachitcha chithokomiro . Ntchito zambiri zofunika m'thupi lathu, makamaka kagayidwe kachakudya, zimayendetsedwa ndi mahomoni opangidwa ndi chithokomirochi.

Khansa ya Hürthle cell ndi khansa yoopsa yomwe imayamba mu chithokomiro. Zotupazo zimatha kuyambitsa mavuto polankhula ndi kupuma. Ngati sizikuchiritsidwa bwino, khansayo imatha kufalikira ku ziwalo zina za thupi, monga ma lymph nodes, mapapo, ndi mafupa . Chithandizo chachikulu cha izi ndi opaleshoni yochotsa chithokomiro chonse kapena gawo lake.

Kodi vutoli limakhudza bwanji thupi?

Nthawi zambiri, khansa iyi imatha kukula m'thupi popanda kusonyeza zizindikiro zilizonse kumayambiriro. Kwa anthu ena, imapezeka mwangozi, panthawi yoyezetsa matenda ena.

Koma zizindikiro zikayamba kuonekera, mungayambe mwaona chotupa kutsogolo kwa khosi lanu. Pamene chotupachi chikukulirakulira, chingayambe kukanikizira pa mmero wanu. Izi zingapangitse kuti zikhale zovuta kumeza . Komanso, ngati chotupachi chikukanikiza pa trachea/windpipe yanu, zingayambitse kupuma movutikira . Nthawi zina, chotupachi chingakhudze ma vocal cord anu ndikupangitsa mawu anu kusintha .

Ngakhale kuti vutoli limatha kuchitika pa msinkhu uliwonse, limapezeka kwambiri mwa anthu azaka zopitirira 55 komanso mwa akazi . Komabe, si khansa yofala kwambiri. Imapezeka mwa anthu ochepa, pafupifupi 3% ya anthu onse omwe ali ndi khansa ya chithokomiro.

Kodi zizindikiro zazikulu za matendawa ndi ziti?

Ngakhale poyamba sipangakhale zizindikiro zazikulu, zizindikiro zotsatirazi zingawonekere khansa ikayamba kukula. Ngati mukukumana ndi chilichonse mwa izi, ndikofunikira kwambiri kupita kwa dokotala mwachangu.

N’chifukwa chiyani khansa yamtunduwu imayamba? Kodi zinthu zoopsa zake ndi ziti?

Choyambitsa chenicheni cha izi sichinadziwikebe, koma ofufuza apeza zinthu zingapo zomwe zimawonjezera chiopsezo chotenga khansa iyi.

• Mbiri ya banja: Ngati amayi anu, abambo anu, kapena abale anu adadwala khansa ya chithokomiro, inunso mungakhale pachiwopsezo.
• Kusowa kwa ayodini: Thupi lathu limafunikira ayodini kuti lipange mahomoni a chithokomiro. Timaipeza kuchokera muzakudya zomwe timadya. Kusowa ayodini kwa nthawi yayitali kungakhale chifukwa choopsa.
• Kukhudzidwa ndi kuwala kwa dzuwa: Madokotala amakhulupirira kuti kukhudzidwa ndi kuwala kwa dzuwa, monga X-ray kapena chithandizo cha khansa, kumawonjezeranso chiopsezo.

Kodi dokotala amazindikira bwanji matendawa molondola? (Kuzindikira)

Mukapita kwa dokotala, adzakuyesani, adzakufunsani za zizindikiro zanu, ndikufunsani za mbiri ya matenda aliwonse a m'banja lanu. Kenako, angachite mayeso ena kuti atsimikizire matendawa.

• Kuyezetsa magazi: Chithokomiro chathanzi chimapanga puloteni yotchedwa thyroglobulin. Pa vuto la khansa ili, kuchuluka kwa puloteni iyi m'magazi kumatha kukwera.
• Kujambula kwa chithokomiro: Kujambula kumeneku kumayesa maselo a khansa mu chithokomiro. Kuikamo ayodini wochuluka wa radioactive m'thupi, ndipo PET scan imagwiritsidwa ntchito kuzindikira malo omwe maselo a khansa ali.
• Laryngoscopy: Kuyezetsa uku kumachitika kuti muwone ngati mawu anu akhudzidwa.
• Kutulutsa Needle Aspiration (FNA): Iyi ndi njira yodziwika kwambiri yoyezera. Pogwiritsa ntchito singano yopyapyala kwambiri, chitsanzo chaching'ono cha maselo chimatengedwa kuchokera pa chotupacho. Kenako chimawunikidwa pogwiritsa ntchito maikulosikopu kuti muwone ngati pali maselo a khansa.
• Kuzindikira matenda ochitidwa opaleshoni (Lobectomy): Nthawi zina, biopsy yokha singathe kutsimikizira matendawa. Pazochitika zotere, dokotalayo adzachita opaleshoni yochotsa gawo la chithokomiro lomwe lili ndi chotupacho ndikutumiza kuti akachione.
• Kujambula kwa CT: Ngati khansa yatsimikizika, mayeso ena, monga CT scan, amachitidwa kuti awone ngati yafalikira mbali zina za thupi.

Kodi magawo a khansa amagawidwa bwanji?

Chithandizo cha khansa iliyonse chimakonzedwa kutengera siteji yake. Pachifukwa ichi, madokotala amagwiritsa ntchito njira yotchedwa TNM staging system.

• T (Chotupa): Kukula kwa chotupa.
• N (Node): Ngati khansa yafalikira ku ma node.
• M (Metastasis): Kaya yafalikira ku ziwalo zakutali m'thupi.

Mu mtundu uwu wa khansa, zaka za wodwalayo zimathandizanso kudziwa siteji. Mwachitsanzo, ngati munthu wosakwana zaka 55 atenga matendawa, amaonedwa kuti ndi siteji yoyambirira (Gawo Loyamba kapena Lachiwiri), mosasamala kanthu kuti chotupacho ndi chachikulu bwanji kapena ngati chafalikira ku ma lymph nodes.

Kodi mankhwala ochizira izi ndi otani?

Chithandizo chachikulu komanso chothandiza kwambiri cha matendawa ndi opaleshoni . Kutengera ndi vuto lanu, dokotalayo adzachotsa chithokomiro chonse kapena gawo lake. Adzachotsanso tinthu tating'onoting'ono tomwe khansa yafalikira. Nthawi zambiri, opaleshoniyi imatha kuchotsa khansa yonse.

Pambuyo pa opaleshoni, mankhwala ena amaperekedwa kuti aletse khansa kuti isabwererenso.

• Chithandizo cha mahomoni:Pambuyo pa opaleshoni, popeza chithokomiro sichilinso, mahomoni omwe chimatulutsa ayenera kumwedwa m'njira ya mapiritsi kwa moyo wanu wonse. Izi zimawongoleranso kukula kwa maselo a khansa.
• Chithandizo cha ayodini chogwiritsa ntchito poizoni: Chithandizochi chimaperekedwa kuti chiwononge maselo aliwonse a khansa omwe angakhalepo pambuyo pa opaleshoni.

Kodi matendawa angachiritsidwe? Kodi moyo umakhala bwanji munthu akalandira chithandizo?

Inde, vutoli nthawi zambiri limachiritsidwa. Mwayi wochira ndi waukulu kwambiri, makamaka khansa ikachotsedwa ndi opaleshoni. Kafukufuku waposachedwapa wasonyeza kuti 95% ya anthu omwe apezeka ndi matendawa amakhalabe ndi moyo patatha zaka 5 ndipo 93% patatha zaka 10.

Mukalandira chithandizo, mutha kukhala moyo wabwinobwino. Komabe, chifukwa chakuti chithokomiro chanu chachotsedwa, muyenera kumwa mankhwala olowa m'malo mwa mahomoni a chithokomiro kwa moyo wanu wonse.

Komanso, popeza khansa iyi nthawi zina imatha kubwereranso, ndikofunikira kupita kuchipatala monga momwe dokotala wanenera. Ngati mukukumana ndi zizindikiro zilizonse, monga chotupa pakhosi panu kapena kusintha kwa mawu anu, muyenera kudziwitsa dokotala wanu.