Ese ufite ikibyimba mu ijosi? Reka tuvuge kuri Kanseri ya Thyroid yo mu ijosi (PTC)!

Ese wigeze ubona akantu gato mu ijosi ryawe? Cyangwa hari umuganga wabikubwiye igihe wasuzumwaga? Hari igihe akantu gato nk'aka gashobora kuba ikimenyetso cya mbere cy'indwara yitwa Papillary Thyroid Cancer (PTC). Ntugahangayike, tuzabivugaho mu buryo burambuye kandi bworoshye.

Kanseri ya tiroyide yo mu bwoko bwa papillary (PTC) ni iki? Kanseri ya tiroyide ni iki?

Muri make, kanseri ya tiroyide yo mu bwoko bwa papillary (PTC) ni ubwoko bwa kanseri itera indwara ya tiroyide. Itangira mu turemangingo twa follicular twa tiroyide. Utu turemangingo dukora poroteyine yitwa thyroglobulin . Ikintu cy'ingenzi ugomba kumenya ni uko PTC ari yo kanseri ya tiroyide ikunze kugaragara cyane .

Noneho reka turebe icyo tiroyide ari cyo. Tekereza, imbere mu ijosi ryawe, munsi y'uruhu, akagingo gato kameze nk'ikinyugunyugu. Iyo ni tiroyide. Iki ni kimwe mu bigize sisitemu yacu y'imisemburo . Akazi kayo k'ingenzi ni ugukora no kurekura imisemburo igenzura imirimo myinshi y'ingenzi mu mubiri wacu.

Ku bijyanye na PTC, ubusanzwe ni kanseri ikura buhoro buhoro . Nanone, ikunze kugaragara ku ruhande rumwe (agace k'umugongo) rw'agace k'imitsi.

Ese hari ubwoko butandukanye bwa `PTC`?

Yego, hari ubwoko bwinshi bwa `PTC`. Muri ubwo bwoko, ubwoko bwa follicular ni bwo bukunze kugaragara cyane. Rimwe na rimwe bwitwa `ubwoko bwa mixed papillary-follicular`. Utundi bwoko ntabwo dukunze kugaragara cyane. Ariko, dushobora gukura no gukwirakwira vuba . Utwo duce ni:

• `Inkingi`
• `Umutumba muremure`
• `Ibyihishe`
• 'Sclerosis ikwirakwira cyane'

Hari igihe `PTC` yitwa kandi `papillary thyroid carcinoma` .

Ni nde urwara kanseri ya tiroyide yo mu bwoko bwa papillary?

Mu by’ukuri, PTC ishobora kugaragara ku muntu uwo ari we wese. Ariko, ikunze kugaragara ku bantu bakuru bari mu kigero cyo hagati . Nanone, abagore ni bo bafite amahirwe menshi yo kurwara iyi ndwara kurusha abagabo.

PTC ni indwara idakunze kugaragara ku bana. Ariko, ni yo kanseri ya tiroyide ikunze kugaragara cyane ku bana.

Iyi `PTC` ikunze kugaragara gute?

Kanseri ya tiroyide ni indwara ikunze kugaragara. Ariko, nk'uko twabivuze mbere, 80% kugeza 85% by'abandura ni abo mu bwoko bwa PTC. Ibyo bivuze ko abantu bagera ku munani mu icumi barwara kanseri ya tiroyide bafite ubwo bwoko.

Ese `PTC` ni indwara ikomeye?

Kanseri y'ubwoko ubwo aribwo bwose ni mbi cyane. Isaba kuvurwa na muganga kandi ishobora gukwirakwira mu bindi bice by'umubiri. Ariko, imiterere y'indwara ya PTC ni nziza cyane ugereranyije n'izindi kanseri ya tiroyide.

Akenshi, PTC ishobora kuvurwa neza. Nanone ni gake cyane ko itera urupfu. Kubwibyo, ni ngombwa kudatinya no gukurikiza inama z'abaganga.

Ni hehe `PTC` ikwirakwira mbere ya byose?

Iyo PTC ikwirakwira, birashoboka cyane ko ikwirakwira mbere na mbere mu tunyangingo tw’imitsi mu ijosi . Utu tunyangingo ni utwuma duto dufite ishusho nk’iy’ibishyimbo, tukaba ari igice cy’utunyangingo tw’umubiri wacu ndetse n’ubudahangarwa bw’umubiri.

`PTC` ikwirakwira he?

Nubwo PTC ikura buhoro buhoro, ishobora gukwirakwira no mu mitsi iri mu ijosi. Mu buryo bugaragara, abantu bagera kuri 30% barwaye PTC baba barakwirakwiriye no mu tundi duce (cancer ya tiroyide ya metastatic papillary) mu gihe cyo kuyisuzuma .

Ni ibihe bimenyetso bya `PTC`?

Akenshi, ikimenyetso cy'ingenzi cya PTC ni ukugaragara k'utubyimba tutagira ububabare mu mvubura ya tiroyide . Ibindi bimenyetso bishobora no kubura.

Ariko, ni gake cyane, hari abantu bashobora kugira ububabare mu ijosi, mu rwasaya, cyangwa mu gutwi . Iyo ikibyimba kibaye kinini bihagije ku buryo gishobora gukanda imiyoboro y'umwuka cyangwa umwobo, bishobora gutera ingorane zo guhumeka cyangwa kumira .

Icy'ingenzi: Niba ubonye ikibyimba gishya mu ijosi ryawe, nubwo kitakubabaza, ugomba kujya kwa muganga. Uko ubimenye kare, niko ubuvuzi bugenda neza.

Ni izihe mpamvu za `PTC`?

Abahanga mu bya siyansi ntibaramenya impamvu nyayo ya PTC, ariko bagaragaje ibintu byinshi bishobora gutuma iyi ndwara yongera ibyago byo kuyirwara, harimo imirasire n'izindi ndwara zimwe na zimwe zikomoka ku ngirabuzimafatizo .

Guhura n'imirasire na `PTC`

Abantu bagiye bahura n'imirasire myinshi ya iyoni mu mateka yabo bafite amahirwe menshi yo kurwara PTC. Uburyo iyi mirasire ishobora kugaragaramo ni ubu:

• Imirasire yo hanze ikoreshwa cyane ihabwa ku ijosi kugira ngo ivure kanseri cyangwa izindi ndwara zitari kanseri, cyane cyane mu bwana.
• Imirasire iterwa n’impanuka z’inganda zikora ingufu za kirimbuzi. Urugero, nyuma y’impanuka ya kirimbuzi ya Chernobyl mu 1986, umubare w’abarwayi ba PTC mu turere tuyikikije wiyongereye uva ku nshuro 3 ugera ku nshuro 75.

Imiterere y'uturemangingo na `PTC`

Hari indwara nyinshi zikomoka ku ngirabuzimafatizo (z’uruhererekane) zifitanye isano na PTC:

• Indwara ya Adenomatous Polyposis (FAP / Gardner syndrome): Iyi ni indwara idakunze kugaragara, ivukanwa. Itera umuntu kugira polyps nyinshi mu mara ye no mu nda ye, zishobora kuba kanseri. Abantu bafite FAP nabo bafite ibyago byinshi byo kurwara ibibyimba mu bindi bice by'umubiri, harimo na tiroyide. Iyi ndwara iterwa n'impinduka mu ngirabuzimafatizo ya APC.
• Indwara ya Werner : Iyi nayo ni indwara idakunze kugaragara. Igaragaza ibimenyetso byo gusaza vuba cyane (progeria). Abantu barwaye indwara ya Werner bafite ibyago byinshi byo kurwara kanseri. Ubwoko bukunze kugaragara cyane ni kanseri ya tiroyide. Impinduka zirenga 80 zitandukanye muri gene ya WRN zabonetse ku bantu bafite iyi ndwara.
• Carney complex type 1 : Iyi ndwara yongera ibyago byo kurwara ubwoko butandukanye bw'ibibyimba, harimo na kanseri ya tiroyide. Akenshi iterwa n'impinduka mu ngirabuzimafatizo ya PRKAR1A.

Ariko, ibuka ko 5% by'abarwayi bose ba PTC ari bo bonyine bafitanye isano n'indwara nk'izo.

Ni gute wamenya `PTC`?

Akenshi, PTC igaragara nk'ikibyimba muri tiroyide. Ushobora kuba warabyumvise ubwawe, cyangwa muganga akabibona mu gihe cyo gusuzuma ijosi. Hari igihe ikibyimba kiboneka mu buryo bw'impanuka mu gihe cyo gupima indi ndwara.

Muganga wawe ashobora gutegeka ibipimo bikurikira kugira ngo apime PTC:

• Ibizamini byo gupima : Ibi bizamini bishobora gufasha kumenya agahu ka tiroyide. Urugero, gupima thyroid ultrasound , CT scan , na/cyangwa MRI scan bishobora gukorwa.
• Gufata urushinge rworoheje (biopsy ): Muganga akunze gufata urugero ruto rw'ingingo (biopsy) mu gace kawe k'udusimba tw'imitsi akoresheje urushinge ruto cyane. Umuganga w'indwara azareba ingingo akoresheje mikorosikopi kugira ngo arebe niba hari uturemangingo twa kanseri, kandi niba ari byo, niba ari kanseri ya tiroyide.

Hari igihe, muganga wawe ashobora kukwohereza kugira ngo aguhe inama ku bijyanye n’imiterere y’umubiri kugira ngo arebe niba ufite ikibazo cy’imiterere y’umubiri gitera PTC, ndetse n’ubundi bwoko bw’ibibyimba.

Indwara ya PTC ivurwa ite?

Uburyo bwo kuvura PTC buterwa n'ingano y'ikibyimba ndetse n'uko kanseri yakwirakwiriye.

Kubaga ni bwo buryo bw'ingenzi kandi bukunze kuvura PTC.Bitewe n'ingano n'aho ikibyimba giherereye, umuganga wawe ashobora gukuraho igice cy'agahu ka tiroyide (lobectomy) cyangwa agahu ka tiroyide yose (thyroidectomy). Iyo kanseri iri mu gahu ka tiroyide, umuganga ashobora gukuraho agahu kagize ikibazo icyarimwe n'aho akorewe cyangwa mu kubagwa kwa kabiri.

Icy'ingenzi: Niba ingirabuzimafatizo yawe yose yakuweho (kubagwa burundu kwa tiroyide), uzakenera gufata ibinini bya hormone ya tiroyide ubuzima bwawe bwose .

Ubundi buryo bwo kuvura PTC ni:

• Uburyo bwo kuvura hakoreshejwe radioiodine : Uturemangingo twa tiroyide n'uturemangingo twa PTC bikurura imyunyu ngugu ya iyode (iboneka mu biribwa bimwe na bimwe). Kubera iyo mpamvu, abaganga rimwe na rimwe bakoresha ubwoko bwa iyode ikoresha radioidaide kugira ngo basenye uturemangingo twa tiroyide dusanzwe dusigaye nyuma yo gukuraho ingirabuzimafatizo ya tiroyide, ndetse n'uturemangingo twa tiroyide twa kanseri dushobora gusigara.
• Ubuvuzi bushingiye ku mirasire : Imirasire yica uturemangingo twa kanseri ikatubuza gukura. Mu buvuzi bushingiye ku mirasire yo hanze, imashini iyobora imirasire ikomeye y'ingufu kuri iki kibyimba. Mu buvuzi bushingiye ku mirasire yo imbere, imbuto zishingiye ku mirasire zishyirwa imbere cyangwa hafi yacyo.
• Ubwivumbure : Imiti ikoreshwa mu gutera imiti iterwa mu mitsi (IV) cyangwa mu kanwa (mu kanwa) yica uturemangingo twa kanseri kandi ikabuza kanseri gukura. Ariko, ni bake cyane mu bantu barwaye kanseri ya tiroyide bakeneye imiti ikoreshwa mu gutera imiti ikoreshwa mu gutera imiti.

Ni izihe ngaruka mbi n'ingorane zo kuvurwa na `PTC`?

Ingaruka mbi zishobora guterwa no kubagwa kwa tiroyide no kuvura hakoreshejwe radioiyode ni hypothyroidism ihoraho. Kubwibyo, niba ufite bumwe muri ubu buryo cyangwa byombi, uzakenera gufata ibinini bya hormone ya tiroyide ubuzima bwawe bwose.

Hari ingorane nyinshi zishobora kubaho mu gihe cyo kubaga tiroyide:

• Kwandura indwara.
• Gukuraho cyangwa kwangirika kw'uturemangingo twa parathyroid ku buryo butunguranye, bigenzura urugero rwa kalisiyumu mu maraso yawe.
• Kwangirika k'umutsi wo mu bwonko usubira inyuma, unyura inyuma y'agahu ka tiroyide. Ibi bishobora gutuma ijwi rirushaho gushoka no gucika intege.

Ingaruka mbi zishobora guterwa no kuvura iyode ikoresheje imirasire:

• Isesemi no kuruka.
• Sialadenitis - imvubura y'amacandwe.
• Indwara ya thyrotoxicosis y'igihe gito.
• Indwara ya pulmonary fibrosis ni indwara itera inkovu mu bihaha.
• Ubugumba bw'igihe gito cyangwa burundu.
• LeukemiaIngaruka nto zo kurwara kanseri y'uruhago, kanseri y'ibere, cyangwa kanseri y'uruhago.

Ese `PTC` ishobora kwirindwa?

Abantu benshi barwara kanseri ya tiroyide nta mpamvu zihariye z’ibyago baba bafite. Kubwibyo, inyinshi mu ndwara za PTC ntizishobora kwirindwa.

Guhura n'imirasire, cyane cyane mu bwana, ni ikintu kizwiho gutera PTC. Kubera iyo mpamvu, abaganga ntibagikoresha imirasire mu ndwara zidakomeye cyane. Abana kandi bahura n'imirasire ituruka ku bipimo byo gufata amashusho nka X-ray na CT scan, ariko mu rugero ruto cyane. Ntibiramenyekana neza urugero byongeraho ibyago byo kurwara PTC.

Niba hari umuntu wo mu muryango wawe warwaye kanseri ya tiroyide, ushobora gushaka inama ku bijyanye n'imiterere y'umubiri. Ibi bizagufasha kumenya niba ufite indwara y'umubiri ituma urwara PTC. Iyo ubikoze, muganga wawe ashobora kukugira inama yo kubagwa kugira ngo ukuremo ingirabuzimafatizo yawe mbere yuko kanseri itangira.

Ni iki gipimo cy'indwara ya PTC?

Muri rusange, imiterere y’indwara ya PTC ni myiza cyane , cyane cyane niba uri munsi y’imyaka 40 kandi ikibyimba ari gito. PTC ikunze kuvurwa neza. Nubwo yaba yarakwirakwiriye mu mitsi yo mu ijosi, ntabwo ikunze kwica.

Ibintu bishobora kugabanya umuvuduko wo gukira birimo:

• Kuba ufite imyaka irenga 55 mu gihe cyo gusuzuma indwara.
• Ikibyimba kirimo kwiyongera .
• Kanseri yakwirakwiriye mu bice bya kure by'umubiri .
• Kugira ubwoko budasanzwe kandi bukabije bwa 'PTC' (urugero: 'ubwoko bunini bw'uturemangingo', 'ubwoko bwa sclerosis ikwirakwira', 'ubwoko bukomeye').

Ese ushobora kurokoka `PTC`?

Igipimo cyo kubaho kwa PTC kiri hejuru cyane . Abantu bakuru barenga 90% bafite PTC bamara nibura imyaka 10 kugeza kuri 20 nyuma yo kuvurwa.

Ni ryari nkwiye kujya kwa muganga ku bijyanye na `PTC`?

Niba usanzwe urwaye PTC, uzakenera guhura n'itsinda ry'abaganga buri gihe kugira ngo bakurikirane aho ubuvuzi bwawe bugeze. Uzakenera kandi kujya kwa muganga igihe kirekire buri mezi 6 kugeza kuri 12 byibuze mu gihe cy'imyaka itanu kugira ngo barebe niba indwara yongeye kugaruka.

Niba thyroid gland yawe yarakuweho cyangwa se ugahabwa imiti ya radiyone ikoreshwa mu kuvura, uzakenera gufata ibinini bya thyroid hormone ubuzima bwawe bwose . Umuganga azakurikirana urugero rw'imisemburo ya thyroid mu buzima bwawe bwose kugira ngo arebe neza ko ingano y'imiti yawe ikubereye.

Gufatwa na kanseri, uko ubwoko bwose bwaba bumeze kose, bishobora gutera ubwoba. Ariko, inkuru nziza ni uko imiterere y’indwara ya PTC akenshi iba ari myiza cyane. Itsinda ry’abaganga rizakorana nawe kugira ngo bagufashe kugena gahunda nziza yo kuvura.

## Ibintu by'ingenzi ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Noneho rero, ukurikije ibyo twavuze, ibi ni byo bintu by'ingenzi ugomba kwibuka:

• Kanseri ya tiroyide yo mu bwoko bwa papillary (PTC) ni yo kanseri ikunze kugaragara cyane ya tiroyide kandi ifite imiterere myiza kurusha izindi.
• Ikimenyetso nyamukuru ni ikibyimba kidakomeretsa mu ijosi. Nubona ikintu nk'icyo, jya kwa muganga.
• Kubagwa ni bwo buryo bw'ingenzi bwo kuvura. Ubuvuzi bwa iyode bushobora no kuba ngombwa.
• Iyo thyroid gland ikuweho burundu, uzakenera gufata imisemburo ya tiroyide ubuzima bwawe bwose .
• Iyo iyi ndwara igaragaye kare, ni bwo ubuvuzi bugenda neza. Kubwibyo, kwisuzumisha kwa muganga buri gihe no gukurikiza inama ni ingenzi cyane.
• Witinya. Ntabwo uri wenyine. Hari abaganga, umuryango, n'inshuti zo kugufasha.

Ndizera ko aya makuru azagufasha. Niba ufite ikibazo icyo ari cyo cyose, ntutindiganye kubaza muganga wawe. Komeza ugire ubuzima bwiza!

Kanseri ya tiroyide , kanseri ya tiroyide yo mu matuza, PTC, utubyimba two mu ijosi, kubagwa kwa tiroyide, kuvurwa hakoreshejwe imirasire, kuvurwa hakoreshejwe imisemburo