Unonzwa bundu mumutsipa wako here? Kana kuti wakaona shanduko muzwi rako kana kuoma kumedza nguva pfupi yadarika? Izvi zvinogona kunge zvakajairika. Zvisinei, mune zvisingawanzoitiki, zvinogonawo kuva chiratidzo chedambudziko re thyroid. Nhasi tiri kutaura nezveimwe kenza isingawanzoitiki asi inokosha zvikuru. Ndiyo Hürthle cell carcinoma.
Chii chinonzi Hürthle Cell Carcinoma?
Zvichitaurwa zviri nyore, iyi imhando yegomarara isingawanzoitiki inokura mugland re thyroid. Funga nezvayo segland diki rakaita seshavishavi riri pamberi pemutsipa wedu. Iyi ndiyo yatinodaidza kuti gland re thyroid . Mabasa mazhinji akakosha mumuviri wedu, kunyanya metabolism, anodzorwa nemahormone anogadzirwa negland iri.
Hürthle cell carcinoma rudzi rwegomarara rinotyisa rinokura mugland re thyroid. Magomarara aya anogona kukonzera matambudziko ekutaura nekufema. Kana akasarapwa zvakanaka, gomarara rinogona kupararira kune dzimwe nhengo dzemuviri, dzakadai sema lymph nodes, mapapu, nemapfupa . Kurapa kukuru kweizvi kuvhiyiwa kubvisa gland rese kana chikamu charo.
Dambudziko iri rinokanganisa sei muviri?
Kazhinji, gomarara iri rinogona kukura mumuviri risingaratidze zviratidzo pakutanga. Kune vamwe vanhu, rinowanikwa netsaona, panguva yekuongororwa kwechimwe chirwere.
Asi kana zviratidzo zvatanga kuoneka, unogona kutanga waona bundu riri pamberi pemutsipa wako. Sezvo mapundu aya achikura, anogona kutanga kudzvanya pagurokuro rako. Izvi zvinogona kuita kuti zviome kumedza . Uyewo, kana mapundu aya akadzvanya patrachea/windpipe yako, zvinogona kukonzera kuoma kufema . Dzimwe nguva, mapundu aya anogona kukanganisa tambo dzenzwi rako uye kukonzera shanduko muzwi rako .
Chinhu chakakosha ndechekuti bundu rinokonzerwa nemasero eHürthle rinogona kuva rekenza kana kuti risiri rekenza. Dzimwe nguva kunyange chiremba haagoni kuona musiyano pakati pezviviri izvi kusvika vatora chidimbu chebundu racho vochiongorora pasi pemaikorosikopu.
Kunyangwe chirwere ichi chichigona kuitika chero pazera ripi zvaro, chinonyanya kuitika kuvanhu vane makore anopfuura 55 uye kuvakadzi . Zvisinei, hachisi chirwere chinowanzoitika. Chinoitika kuvanhu vashoma, vanenge 3% yevanhu vese vanobatwa nekenza yethyroid.
Ndezvipi zviratidzo zvikuru zvechirwere ichi?
Kunyangwe pakutanga pangave pasina zviratidzo zvikuru, zviratidzo zvinotevera zvinogona kuoneka kenza painokura. Kana ukasangana nechimwe cheizvi, zvakakosha kuti uone chiremba nekukurumidza.
| Chiratidzo | Tsananguro |
|---|---|
| Bondo riri mumutsipa | Kunzwa bundu rinorwadza pamberi pemutsipa, pasi pebhonzo remutsipa. |
| Kuoma kumedza nekufema (Dysphagia) | Kunzwa sekunge uri kudzipwa kana uchimedza chikafu kana mvura. Kutadza kufema. |
| Kuchinja kwezwi | Izwi rinova rakashoshoma kana kuti rine hunhu hwakasiyana nehwemazuva ese. |
| Gumbo rakazvimba | Kuzvimba kwema lymph nodes kumativi ese emutsipa. |
| Zvimwe zvinhu | Kuneta nguva dzose uye kudzikira kwehuremu pasina chikonzero chakajeka. |
Sei rudzi urwu rwegomarara ruchikura? Ndezvipi zvinhu zvinokonzera njodzi?
Chikonzero chaicho cheizvi hachisati chazivikanwa, asi vaongorori vakaona zvinhu zvakawanda zvinowedzera njodzi yekubatwa negomarara iri.
- Nhoroondo yemhuri: Kana amai vako, baba vako, kana vanun'una vako vakamborwara nekenza yethyroid, iwewo ungave uri panjodzi.
- Kushaikwa kweiodine: Muviri wedu unoda iodine ine mineral kuti igadzire mahormone ethyroid. Tinoiwana kubva muzvikafu zvatinodya. Kushaikwa kweiodine kwenguva refu kunogona kuva chinhu chine njodzi.
- Kubatwa nemwaranzi: Vanachiremba vanotenda kuti kubatwa nemwaranzi, senge X-rays kana kurapwa nemwaranzi yekenza, kunowedzerawo njodzi.
Chiremba anonyatsoongorora sei chirwere ichi? (Kuongororwa)
Kana ukaona chiremba, achakuongorora, achakubvunza nezvezviratidzo zvako, uye achakubvunza nezvenhoroondo yechirwere chemhuri yako. Zvadaro, vanogona kuita bvunzo kuti vaone kuti chirwere chacho chakaitika.
- Kuongororwa kweropa: Gland re thyroid rine hutano rinogadzira puroteni inonzi thyroglobulin. Muchirwere ichi chegomarara, huwandu hwepuroteni iyi muropa hunogona kukwira.
- Kuongororwa kwemasero ekenza mugland regland: Izvi zvinoongorora masero ekenza ari mugland regland. Iodine shoma inoiswa mumuviri, uye PET scan inoshandiswa kuona nzvimbo dziri mugland regland.
- Laryngoscopy: Kuongororwa uku kunoitwa kuti kuonekwe kana tambo dzenzwi rako dzakanganiswa.
- Kufema Netsono Tsvina (FNA): Iyi ndiyo nzira inonyanya kushandiswa. Uchishandisa tsono yakatetepa, sampuli diki yemasero inotorwa kubva mubundu. Yobva yaongororwa nemaikorosikopu kuti ione kana paine masero ekenza.
- Kuongororwa kwechirwere (Lobectomy): Dzimwe nguva, biopsy chete haigone kusimbisa chirwere chacho. Muzviitiko zvakadaro, chiremba achaita oparesheni yekubvisa chikamu chegland re thyroid chine bundu uye otumira kuti chinoongororwa.
- CT scan: Kana kenza ikaonekwa, dzimwe bvunzo, dzakadai seCT scan, dzinoitwa kuti dzione kana yapararira kune dzimwe nhengo dzemuviri.
Matanho egomarara anorongwa sei?
Kurapwa kwegomarara chero ripi zvaro kunorongwa zvichienderana nedanho raro. Pakuita izvi, vanachiremba vanoshandisa nzira inonzi TNM staging system.
- T (Bundu): Kukura kwebundu.
- N (Node): Kana kenza yapararira kusvika kumapfundo.
- M (Metastasis): Kana yakapararira kune nhengo dziri kure mumuviri.
Murudzi urwu rwegomarara, zera remurwere rine basa guru pakuona danho rechirwere. Semuenzaniso, kana munhu ari pasi pemakore makumi mashanu nemashanu akaonekwa nechirwere ichi, chinoonekwa sedanho rekutanga (Danho rekutanga kana rechipiri), zvisinei nekuti bundu racho rakakura sei kana kuti rapararira kusvika kuma lymph nodes.
Ndezvipi zvinorapwa izvi?
Mushonga mukuru uye unoshanda zvikuru wechirwere ichi kuvhiyiwa . Zvichienderana nemamiriro ako ezvinhu, chiremba anovhiya achabvisa gland rese kana chikamu charo. Vanobvisawo chero mapundu aripo papararira kenza. Kazhinji, kuvhiya uku kunogona kubvisa kenza zvachose.
Mushure mekuvhiyiwa, mamwe marapirwo anopiwa kudzivirira kenza kuti isadzoke.
- Kurapa kwemahormone:Mushure mekuvhiyiwa, sezvo thyroid gland isisipo, mahormone ainoburitsa anofanira kutorwa semapiritsi kweupenyu hwako hwese. Izvi zvinodzorawo kukura kwemasero ekenza.
- Kurapa ne radioactive iodine: Kurapa uku kunoitwa kuti kuparadze masero ekenza angasara mushure mekuvhiyiwa.
Chirwere ichi chinogona kurapwa here? Upenyu hwakaita sei mushure mekurapwa?
Ehe, chirwere ichi chinorapika zvachose muzviitiko zvakawanda. Mikana yekupora yakakura kwazvo, kunyanya mushure mekunge kenza yabviswa nekuvhiyiwa. Ongororo ichangobva kuitwa yakaratidza kuti 95% yevanhu vakaonekwa vaine chirwere ichi vachiri vapenyu mushure memakore mashanu uye 93% mushure memakore gumi.
Mushure mekurapwa, unogona kurarama hupenyu hwakajairika. Zvisinei, nekuda kwekuti gland rako re thyroid rakabviswa, uchafanira kutora mushonga wekutsiva mahormone e thyroid kweupenyu hwako hwese.
Uyewo, sezvo gomarara iri richigona kudzoka dzimwe nguva, zvakakosha kuti uongorore kana chiremba akakuyambira. Kana ukaona zviratidzo zvakaita sebundu pamutsipa wako kana shanduko yezwi rako, unofanira kuzivisa chiremba wako.
Mharidzo Yekuenda Nayo Kumba
- Hürthle cell carcinoma rudzi rwegomarara rethyroid risingawanzoitiki asi rinorapika.
- Kana uine zviratidzo zvakaita sebundu mumutsipa wako, shanduko yezwi rako, kana kuoma kumedza, usazviregeredza wobva waona chiremba nekukasika.
- Kurapa kukuru kweizvi kubviswa kwegland re thyroid. Kurapa kwacho kunobudirira zvikuru.
- Mushure mekuvhiyiwa, zvakakosha kunwa mapiritsi emahormone kweupenyu hwako hwese uye kugara uchiongororwa nachiremba.
- Kana chirwere ichi chikaonekwa nekukurumidza, mukana wekuti chirapwe zvinobudirira unowedzera. Saka ziva zviratidzo zvacho.
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