Kodi mwamvapo za khansa yosowa iyi ya chithokomiro chanu? (Hürthle Cell Carcinoma) – Tiyeni tikambirane mwatsatanetsatane!

Kodi munamvapo chotupa kutsogolo kwa khosi lanu, pansi pa khosi lanu? Kapena mumamva zinthu monga kusintha kwa mawu anu, kuvutika kumeza, kapena kupuma movutikira? Ngakhale sitingasamale kwambiri zinthuzi, zitha kukhala zizindikiro za khansa yosowa koma yofala kwambiri . Lero tikambirana za khansa yosowa koma yokhudza yomwe imayamba mu gland yathu ya thyroid. Imeneyo ndi Hürthle Cell Carcinoma.

Kodi khansa ya Hürthle Cell ndi chiyani?

Mwachidule, iyi ndi khansa yosowa komanso yomwe ikukula mofulumira yomwe imayamba mu chithokomiro . Mukudziwa, chithokomiro ndi kachidutswa kakang'ono kooneka ngati gulugufe komwe kali kutsogolo kwa khosi lathu. Mahomoni omwe amatulutsa amathandiza kuwongolera ntchito zambiri zofunika m'thupi lathu, makamaka kagayidwe kachakudya.

Choncho, khansa ya Hürthle Cell ikayamba, zinthu monga timibulu ta chithokomiro zimatha kupangika. Timibuluti tikamakula, tingapangitse kuti zikhale zovuta kulankhula kapena kupuma. Ngati sitilandira chithandizo choyenera, khansa iyi imatha kufalikira ku ziwalo zina za thupi, monga ma lymph nodes, mapapo, ndi mafupa . Madokotala nthawi zambiri amachiritsa khansa iyi mwa kuchita opaleshoni kuti achotse gland yonse ya chithokomiro kapena gawo lake.

Kodi vutoli limakhudza bwanji thupi langa?

Tangoganizani, anthu ena sangazindikire kusintha kulikonse m'thupi lawo kumayambiriro kwa matendawa ngakhale atakhala ndi Hürthle Cell Carcinoma. Nthawi zina amapezeka mwangozi panthawi yoyezetsa matenda ena.

Koma zizindikiro zikayamba kuonekera, poyamba zingawoneke ngati tinthu tating'onoting'ono kutsogolo kwa khosi, komwe kuli chithokomiro. Pamene zotupazi zikukula, zimatha kukanikiza pa mmero, zomwe zimapangitsa kuti zikhale zovuta kumeza chakudya, komanso pa trachea yathu, zomwe zimapangitsa kuti zikhale zovuta kupuma. Komanso, ngati zotupazi zikanikiza pa timitsempha ta mawu, pakhoza kusintha mawu athu. Zingamveke ngati mawu anu ayamba kumveka ngati amveka ngati akutuluka thovu mukakhala ndi chimfine .

Kodi Matenda a Hürthle Cell Tumors Nthawi Zonse Ndi Khansa?

Nayi mfundo yofunika. Zotupa za maselo a Hürthle zitha kukhala zosakhala khansa kapena khansa . Chodabwitsa n'chakuti, zizindikiro za mitundu yonseyi zimatha kufanana kwambiri. Chifukwa chake, nthawi zina zimakhala zovuta kwa madokotala kudziwa ngati chotupa ndi khansa kapena ayi pongochiyang'ana. Kuti akhale otsimikiza, ayenera kufufuza maselo ochokera ku chotupacho pansi pa maikulosikopu .

Ndani amene ali ndi mwayi waukulu wopeza matendawa?

Kwenikweni, aliyense akhoza kudwala Hürthle Cell Carcinoma. Komabe,Matendawa amapezeka kwambiri pakati pa anthu azaka zopitirira 55. Akutinso akazi ndi omwe ali ndi mwayi waukulu wopeza matendawa kuposa amuna.

Kodi izi ndi zomwe zimachitika kawirikawiri?

Ayi, izi si zachilendo . Pa avareji, anthu pafupifupi 14 pa 100,000 aliwonse amanenedwa kuti ali ndi khansa ya chithokomiro chaka chilichonse. Pakati pa khansa zonsezi za chithokomiro, Hürthle Cell Carcinoma iyi imapezeka mu peresenti yochepa kwambiri, pafupifupi 3% . Izi zikutanthauza kuti ndi yosowa pang'ono.

Kodi zizindikiro za Hürthle Cell Carcinoma ndi ziti?

Kawirikawiri, anthu omwe ali ndi vutoli samakhala ndi zizindikiro mpaka khansa itakula mokwanira kuti ikhudze ziwalo zina za thupi . Mwachitsanzo, kusintha kwa mawu kumachitika pamene chotupacho chikukankhira pa zingwe za mawu. Zizindikiro zina zingaphatikizepo:

• Kuvuta kupuma kapena kumeza (dysphagia) . Zingamveke ngati chinachake chatsekeredwa pakhosi panu.
• Kumva ngati pakhosi pako patsekeka.
• Chotupa chopweteka kutsogolo kwa khosi, pansi pa apulo wa Adam.
• Kutupa kwa ma lymph nodes.
• Kumva kutopa nthawi zonse (Kutopa).
• Kuchepa thupi popanda cholinga kapena chifukwa .

Kodi n’chiyani chimayambitsa khansa imeneyi?

Ofufuza zachipatala sanapezebe chifukwa chenicheni cha vutoli. Komabe, apeza zinthu zina zomwe zimayambitsa chiopsezo chotenga matendawa. Izi zikuphatikizapo:

• Kukhala ndi mbiri ya banja lanu ya khansa ya chithokomiro : Izi zikutanthauza ngati amayi anu, abambo anu, kapena abale anu adadwalapo khansa ya chithokomiro.
• Kusowa kwa ayodini kwa nthawi yayitali : Ayodini ndi mchere wofunikira womwe thupi lathu limafunikira kuti lipange mahomoni a chithokomiro. Timaupeza kuchokera muzakudya zomwe timadya.
• Kukhudzidwa ndi kuwala kwa dzuwa : Madokotala ambiri amakhulupirira kuti kukhudzidwa ndi ma X-ray kapena chithandizo cha kuwala kwa dzuwa pa zinthu monga khansa kumawonjezeranso chiopsezo chotenga Hürthle Cell Carcinoma.

Kodi madokotala amazindikira bwanji matendawa?

Madokotala amazindikira vutoli poyamba pokufufuzani, kufunsa za zizindikiro zanu, mbiri yanu yachipatala, ndi mbiri yachipatala ya banja lanu. Kenako angachite mayeso monga:

• Kuyezetsa magazi : Chithokomiro chathanzi chimapanga puloteni yotchedwa thyroglobulin. Madokotala adzayang'ana kuchuluka kwa thyroglobulin iyi m'magazi mwanu. Ngati kuchuluka kumeneku kuli kwakukulu, kungakhale chizindikiro cha Hürthle Cell Carcinoma.
• Kujambula kwa chithokomiro: Kuyesa kumeneku kumagwiritsidwa ntchito poyesa maselo a khansa mu gland yanu ya chithokomiro. Mu kuyesa uku, ayodini wochepa wa radioactive amalowetsedwa m'magazi mwanu. Ayodini iyi imasonkhana mu minofu ya khansa mu gland yanu ya chithokomiro. Kenako, positron emission tomography scan (PET scan) imachitika kuti ipeze malo omwe maselo a khansa ali.
• Laryngoscopy : Kuyeza kumeneku kumalola madokotala kufufuza zingwe zanu zolumikizira mawu.
• Kutulutsa singano yaying'ono (FNA) : Mu njira iyi, dokotala amagwiritsa ntchito singano yaying'ono kwambiri kuti achotse chitsanzo cha minofu kuchokera ku gland yanu ya chithokomiro. Kenako minofuyo imawunikidwa pogwiritsa ntchito maikulosikopu kuti aone ngati pali zizindikiro za khansa. Izi nthawi zina zimatchedwa biopsy ya singano .
• Kuchotsa Lobectomy : Nthawi zina, zotsatira za mayeso a FNA sizikwanira kuti madokotala apeze yankho lomveka bwino. Zikatero, adzachita opaleshoni yochotsa gawo la chithokomiro lomwe akuganiza kuti ndi khansa ndipo adzalifufuza.
• Kujambula kwa CT : Ngati mayeso atsimikizira kuti muli ndi Hürthle Cell Carcinoma, madokotala adzachita mayeso ena ojambula zithunzi, monga CT scan, kuti aone ngati khansa yafalikira kumadera ena.

Kodi pali magawo a Hürthle Cell Carcinoma?

Inde, ndithudi. Madokotala amagwiritsa ntchito njira zowerengera khansa pokonzekera chithandizo cha khansa. Amagwiritsa ntchito njira yowerengera khansa ya TNM pogawa Hürthle Cell Carcinoma m'magulu. (T imayimira Tumor. N imayimira Lymph Node Involvement. M imayimira Metastasis.) Pali magawo a khansa iyi kuyambira I (imodzi) mpaka IV (anayi).

Madokotala amaganiziranso zaka za wodwalayo akamasankha magawo awa. Anthu omwe amapezeka ndi matendawa ali ndi zaka 55 kapena kuchepera, mosasamala kanthu za kukula kwa chotupacho, ngati chakhudza ma lymph node, ndipo ngati sichinafalikire kumalo akutali, amaikidwa m'gulu la siteji yoyamba (yoyamba). Komabe, ngati chotupacho chafalikira ku ma lymph node akutali kapena ziwalo zina, anthu azaka 55 kapena kuchepera amaikidwa m'gulu la siteji yachiwiri (yachiwiri).

Mwachidule:

Kukula kwa chotupa (T - Chotupa)

Izi zikusonyeza kukula kwa khansa komanso ngati yafalikira kupitirira chithokomiro. Izi zimasiyana kuyambira zotupa zazing'ono (monga zosakwana masentimita awiri - `TI`) mpaka zotupa zazikulu (`TIVa`, `TIVb`) zomwe zafalikira ku minofu yapafupi m'khosi, trachea, kapena m'mero.

Zotsatira pa ma lymph nodes (N - Lymph Node)

Izi zimayang'ana ngati khansa yafalikira ku ma lymph nodes apafupi (`N0` - osati kufalikira,`NI` - kufalikira). Ngati yafalikira, imayang'ananso ngati ili pakati pa khosi (`NIa`) kapena m'mbali (`NIb`).

Kufalikira kwa khansa (M - Metastasis)

Izi zikuwonetsani ngati khansa yafalikira kupitirira chithokomiro ndi ma lymph nodes apafupi kupita ku ziwalo zakutali m'thupi (monga mapapo, mafupa) . (`M0` - palibe kufalikira kwakutali, `MI` - kufalikira kwakutali).

Dokotala amagwiritsa ntchito chidziwitso ichi cha ``(TNM)`` kuti adziwe gawo lomaliza la khansa yanu (Gawo I, II, III, kapena IV). Izi ndizofunikira kwambiri pokonzekera chithandizo.

Kodi madokotala amachita bwanji izi?

Chithandizo chachikulu komanso chofala kwambiri cha vutoli ndi opaleshoni . Kutengera ndi vuto lanu, madokotala opaleshoni angachotse gland yonse ya chithokomiro chanu kapena gawo lake. Angachotsenso ma lymph nodes komwe khansa yafalikira. Opaleshoni ya chithokomiro iyi ingachotse khansa yonse.

Mukachita opaleshoni, mungapatsidwe mankhwala oletsa chithokomiro chanu kupanga mahomoni kuti muchepetse mwayi woti khansa ibwererenso . Kuphatikiza apo, palinso mankhwala ena, monga:

• Chithandizo cha mahomoni : Izi zimawononga maselo a khansa kapena kuwaletsa kukula.
• Chithandizo cha ayodini chogwiritsa ntchito poizoni : Chithandizochi chimawononga maselo a khansa ya chithokomiro.

Kodi khansa ya Hürthle Cell Carcinoma ingachiritsidwe kwathunthu?

Inde, vutoli ndi lochiritsika . Opaleshoni yochotsa chithokomiro chonse kapena gawo lake idzathetsa khansa. Komabe, ngati muchita opaleshoniyi, muyenera kumwa mankhwala kwa moyo wanu wonse kuti mupange mahomoni okwanira a chithokomiro m'thupi lanu.

Kodi mungachepetse bwanji chiopsezo chotenga matendawa?

Palibe njira yeniyeni yochepetsera chiopsezo chanu chotenga matendawa. Anthu ena amadwala matendawa chifukwa chakuti m'banja mwawo muli ndi mbiri ya khansa ya chithokomiro. Ngati muli ndi vutoli, ndi bwino kulankhula ndi dokotala wanu za zizindikiro zomwe zingakhale zizindikiro za Hürthle Cell Carcinoma.

Kodi kuchuluka kwa matendawa kumapitirira bwanji?

Kafukufuku waposachedwapa wasonyeza kuti 95% ya anthu omwe ali ndi vutoli amakhalabe ndi moyo zaka zisanu atapezeka ndi matendawa . Ndipo kafukufuku yemweyo wasonyeza kuti 93% akadali ndi moyo zaka khumi pambuyo pake . Zimenezo n’zolimbikitsa kwambiri, sichoncho?

Kodi ndimadzisamalira bwanji? / N’chiyani chimachitika ndikalandira chithandizo?

Kutengera ndi chithandizo chomwe mwalandira, mungafunike kumwa mankhwala olowa m'malo mwa mahomoni a chithokomiro kwa moyo wanu wonse . Komanso, Hürthle Cell Carcinoma nthawi zina imatha kubwereranso. Chifukwa chake, funsani dokotala wanu zizindikiro zomwe zingasonyeze kuti matendawa abwereranso .

Hürthle Cell Carcinoma ndi mtundu wosowa wa khansa ya chithokomiro. Ngati muli ndi zizindikiro, dokotala wanu angafunike kuchita opaleshoni ya chithokomiro kuti atsimikizire kuti muli ndi vutoli. Nthawi zambiri, opaleshoni yozindikira vutoli idzathetsa vutoli . Komabe, opaleshoni yokha sidzathetsa mavuto onse omwe amabwera chifukwa cha Hürthle Cell Carcinoma.

Anthu omwe adachitidwa opaleshoni ya chithokomiro ayenera kumwa mankhwala a mahomoni moyo wawo wonse. Komanso, khansa iyi ikhoza kubwereranso mutalandira chithandizo. Ngati muli ndi vutoli, chonde kumbukirani kuti madokotala anu nthawi zonse amakhalapo kuti akuthandizeni , makamaka ngati matendawa abwereranso.

Zinthu zofunika kwambiri kukumbukira m'nkhaniyi

Chabwino, tiyeni tifotokoze mwachidule zina mwa zinthu zofunika kwambiri zomwe muyenera kukumbukira kuchokera pa zomwe takambirana:

• Hürthle Cell Carcinoma ndi mtundu wa khansa ya chithokomiro yosowa, koma yoopsa pang'ono .
• Ndikofunikira kufunafuna upangiri kwa dokotala ngati muli ndi zizindikiro monga kutupa pakhosi, kusintha kwa mawu, kapena kuvutika kumeza.
• Kuyezetsa magazi (biopsy) kumafunika kuti munthu adziwe ngati khansa iyi ndi yolondola kapena ayi.
• Chithandizo chachikulu ndi kuchotsa chithokomiro pogwiritsa ntchito opaleshoni .
• Pambuyo pa opaleshoni, mungafunike kumwa mapiritsi a mahomoni a chithokomiro kwa moyo wanu wonse .
• Pali mwayi woti khansayo idzabwereranso, kotero muyenera kudziwa zimenezo .
• Gulu lanu lachipatala nthawi zonse limakhala lokonzeka kukuthandizani .

Ndikukhulupirira kuti izi zikuthandizani. Ngati muli ndi mafunso kapena nkhawa, chonde musazengereze kulankhula ndi dokotala wanu.

` Hürthle Cell Carcinoma, Khansa ya Chithokomiro, Zotupa za Khosi, Opaleshoni ya Chithokomiro, Zizindikiro za Khansa, Chithandizo cha Khansa, Khansa ya Hürthle Cell Carcinoma