Wakambonzwa here nezvegomarara iri risingawanzoitiki regland rako re thyroid? (Hürthle Cell Carcinoma) – Ngatikurukurei zvakadzama!

Wakambonzwa bundu pamberi pemutsipa wako here, pasi pebhonzo rako? Kana kuti unonzwa zvinhu zvakaita sekuchinja kwezwi rako, kuoma kumedza, kana kushaya mweya? Kunyangwe tingasanyanya kutarisisa zvinhu izvi, zvinogona kuva zviratidzo zverudzi rwekenza rusingawanzoonekwi asi rwakajairika. Nhasi tichataura nezvekenza isingawanzoonekwi asi ine chekuita nekenza inokura mugland redu re thyroid. Ndiyo Hürthle Cell Carcinoma.

Chii chinonzi Hürthle Cell Carcinoma?

Zvichitaurwa zviri nyore, iyi imhando yegomarara isingawanzoitiki uye iri kukura nekukurumidza inokura mugland regland . Unoziva, gland diki, rakaita seshavishavi riri pamberi pemutsipa wedu. Mahormone ainoburitsa anobatsira kudzora mabasa mazhinji akakosha mumuviri wedu, kunyanya metabolism.

Saka, kana Hürthle Cell Carcinoma iyi ikatanga, zvinhu zvakaita semapundu ethyroid zvinogona kuumbwa. Kana mapundu aya akakura, anogona kutiomera kutaura kana kutofema. Kana akasarapwa zvakanaka, kenza iyi inogona kupararira kune dzimwe nhengo dzemuviri, dzakadai sema lymph nodes, mapapu, nemapfupa . Vanachiremba vanowanzo rapa kenza iyi nekuvhiya kubvisa gland rese kana chikamu chayo.

Dambudziko iri rinokanganisa sei muviri wangu?

Fungai, vamwe vanhu vangasaona shanduko mumuviri wavo pakutanga kunyangwe vaine Hürthle Cell Carcinoma. Dzimwe nguva inowanikwa netsaona panguva yekuongororwa kwechimwe chirwere.

Asi kana zviratidzo zvatanga kuoneka, zvinogona kutanga kuoneka semapundu madiki pamberi pemutsipa, uko kune thyroid gland. Sezvo mabundu aya achikura, anogona kudzvanya pagurokuro redu, zvichiita kuti zviomere kumedza chikafu, uye patrachea yedu, zvichiita kuti zviomere kufema. Uyewo, kana mabundu aya akadzvanya patambo dzedu dzenzwi, panogona kuchinja inzwi redu. Zvinogona kunzwa sekunge inzwi rako rava kutsvuka kana uine dzihwa .

Hürthle Cell Tumors Inogara Iri Cancer Here?

Heino pfungwa inokosha. Matumbu emasero eHürthle anogona kunge asiri ekenza kana kuti ekenza . Zvinoshamisa kuti zviratidzo zvemarudzi ese ari maviri zvinogona kunge zvakafanana. Nokudaro, dzimwe nguva zvinoomera vanachiremba kuti vazive zvechokwadi kana bundu riri rekenza kana kuti kwete nekungoritarisa chete. Kuti vave nechokwadi, vanofanira kuongorora masero kubva mubundu iri vachishandisa maikorosikopu .

Ndiani ane mukana mukuru wekuwana chirwere ichi?

Kutaura zvazviri, chero munhu anogona kuwana Hürthle Cell Carcinoma. Zvisinei,Inonyanya kuitika kuvanhu vane makore anopfuura makumi mashanu nemashanu. Zvinonziwo vakadzi ndivo vane mukana wekuwana chirwere ichi kupfuura varume.

Izvi zvinowanzoitika here?

Kwete, ichi hachisi chirwere chinowanzoitika . Paavhareji, vanhu vanosvika gumi nevana pavanhu 100,000 vanonzi vanorwara negomarara rethyroid gore rega rega. Pakati pegomarara iri rese rethyroid, Hürthle Cell Carcinoma iyi inowanikwa muchikamu chidiki chete, chinosvika 3% . Izvi zvinoreva kuti haiwanzoitiki.

Ndezvipi zviratidzo zveHürthle Cell Carcinoma?

Kazhinji, vanhu vane chirwere ichi havaoni zviratidzo kusvika kenza yakura zvakakwana kuti ibate dzimwe nhengo dzemuviri . Semuenzaniso, shanduko yezwi inoitika kana bundu rikadzvanya tambo dzezwi. Zvimwe zviratidzo zvinogona kusanganisira:

• Kutadza kufema kana kumedza (dysphagia) . Zvinganzwa sekunge pane chinhu chakanamira pahuro pako.
• Kunzwa kunge pahuro pako pakavharwa.
• Bundu rinorwadza riri pamberi pemutsipa, pasi peapuro raAdam.
• Manodhi elymph akazvimba.
• Kunzwa kuneta nguva dzese (Kuneta).
• Kuonda pasina chinangwa kana chikonzero .

Chii chinokonzera gomarara iri?

Vaongorori vezvekurapa havasati vawana chikonzero chaicho chechirwere ichi. Zvisinei, vakaona zvimwe zvinhu zvinokonzera njodzi yekubata chirwere ichi. Izvi zvinosanganisira:

• Kuva nenhoroondo yemhuri yekenza yethyroid : Izvi zvinoreva kana amai vako, baba vako, kana vanun'una vako vakambova nekenza yethyroid.
• Kushaikwa kweiyodini kwenguva refu : Iyodini imineral inokosha inodiwa nemuviri wedu kuti igadzire mahormone ethyroid. Tinoiwana kubva muzvikafu zvatinodya.
• Kusangana nemwaranzi : Vanachiremba vazhinji vanotenda kuti kusangana neX-ray kana kurapwa nemwaranzi kwezvinhu zvakaita sekenza kunowedzerawo njodzi yekubatwa neHürthle Cell Carcinoma.

Vanachiremba vanoongorora sei chirwere ichi?

Vanachiremba vanoongorora chirwere ichi nekutanga vakuongorore, vachikubvunza nezvezviratidzo zvako, nhoroondo yako yezveutano, uye nhoroondo yezveutano hwemhuri yako. Vanogona kuzoedza zvakaita seizvi:

• Kuongororwa kweropa : Gland re thyroid rine hutano rinogadzira puroteni inonzi thyroglobulin. Vanachiremba vachaongorora huwandu hwe thyroglobulin iyi muropa rako. Kana huwandu uhwu hwakakwira, zvinogona kuva chiratidzo cheHürthle Cell Carcinoma.
• Kuongororwa kwehuremu hwe thyroid: Bvunzo iyi inoshandiswa kutarisa masero ekenza mugland rako re thyroid. Mubvunzo iyi, huwandu hushoma hwe iodine inonyungudika inopinzwa muropa rako. Iodine iyi inoungana munyama yekenza mugland rako re thyroid. Zvadaro, positron emission tomography scan (PET scan) inoitirwa kuti ione nzvimbo dziri masero ekenza.
• Laryngoscopy : Kuongororwa uku kunobvumira vanachiremba kuongorora tambo dzenzwi rako.
• Kusveta netsono diki (FNA) : Mukuita uku, chiremba anoshandisa tsono diki diki kubvisa sampuli yenyama kubva mugland rako re thyroid. Nyama yacho inozoongororwa nemaikorosikopu kuti ione kana paine zviratidzo zvegomarara. Izvi dzimwe nguva zvinonzi biopsy yetsono .
• Kuvhiyiwa kweLobectomy : Dzimwe nguva, mhedzisiro yekuongororwa kweFNA haina kukwana kuti vanachiremba vasvike pamhedziso chaiyo. Kana zvakadaro, vanovhiya kubvisa chikamu chegland yethyroid chavanofunga kuti chine kenza vochiongorora.
• CT scan : Kana bvunzo dzikaonekwa kuti une Hürthle Cell Carcinoma, vanachiremba vachaita dzimwe bvunzo dzemifananidzo, dzakadai seCT scan, kuti vaone kana kenza yapararira kune dzimwe nzvimbo.

Pane matanho eHürthle Cell Carcinoma here?

Ehe, zvechokwadi. Vanachiremba vanoshandisa nzira idzi dzekurapa kenza kuronga kurapwa kwekenza. Vanoshandisa nzira yeTNM staging kuti vagadzire Hürthle Cell Carcinoma muzvikamu. (T inomiririra Tumor. N inomiririra Lymph Node Involvement. M inomiririra Metastasis.) Kune matanho ekenza iyi kubva paI (imwe) kusvika kuIV (mana).

Vanachiremba vanofungawo nezvezera remurwere pavanoona matanho aya. Vanhu vanoonekwa vaine chirwere ichi pazera remakore 55 zvichidzika, zvisinei nehukuru hwebundu, kana rakabata ma lymph nodes, uye kana risina kupararira kunzvimbo dziri kure, vanoiswa muchikamu chekutanga (chekutanga). Zvisinei, kana bundu racho rapararira kuma lymph nodes ari kure kana kune dzimwe nhengo dzemuviri, vanhu vane makore 55 zvichidzika vanoiswa muchikamu chechipiri (chechipiri).

Zvichitaurwa zviri nyore:

Saizi yebundu (T - Bundu)

Izvi zvinokuudza kuti kenza yakakura sei uye kana yakapararira kupfuura thyroid gland. Izvi zvinosiyana kubva kumabundu madiki (semuenzaniso, ari pasi pe2 centimeters - `TI`) kusvika kumabundu makuru (`TIVa`, `TIVb`) akapararira kune nyama dziri pedyo mumutsipa, trachea, kana esophagus.

Mhedzisiro pamasero emudumbu (N - Lymph Node)

Izvi zvinotarisa kana kenza yapararira kusvika kuma lymph nodes ari pedyo (`N0` - kwete kupararira,`NI` - kupararira). Kana yapararira, zvinotarisawo kana iri pakati pemutsipa (`NIa`) kana kuti pamativi (`NIb`).

Kupararira kwegomarara (M - Metastasis)

Izvi zvinokuudza kana kenza yakapararira kupfuura thyroid gland uye lymph nodes dziri pedyo kuenda kunhengo dziri kure mumuviri (semuenzaniso mapapu, mapfupa) . (`M0` - hapana kupararira kuri kure, `MI` - kupararira kuri kure).

Chiremba anoshandisa ruzivo urwu rwekuti "(TNM)" kuti aone danho rekupedzisira regomarara rako (Danho I, II, III, kana IV). Izvi zvakakosha zvikuru pakuronga kurapwa.

Vanachiremba vanorapa sei izvi?

Kurapa kukuru uye kunonyanya kushandiswa kwechirwere ichi kuvhiyiwa . Zvichienderana nemamiriro ako ezvinhu, vanachiremba vanogona kubvisa gland rako rese kana chikamu charo. Vanogonawo kubvisa ma lymph nodes apo kenza yapararira. Kuvhiyiwa uku kunogona kubvisa kenza zvachose.

Mushure mekuvhiyiwa, unogona kupihwa mushonga unomisa thyroid gland yako kugadzira mahormone kuderedza mukana wekuti kenza idzoke . Pamusoro pezvo, kune mamwe marapirwo akadai se:

• Kurapa nehomoni : Izvi zvinoparadza masero ekenza kana kuti zvinoamisa kukura.
• Kurapa ne radioactive iodine : Kurapa uku kunoparadza masero ekenza yethyroid.

Hürthle Cell Carcinoma inogona kurapwa zvachose here?

Ehe, chirwere ichi chinorapika . Kuvhiyiwa kubvisa gland rese kana chikamu charo kuchabvisa gomarara. Zvisinei, kana ukavhiyiwa uku, uchafanira kutora mishonga kweupenyu hwako hwese kuti ugadzire mahormone egland anokwana muviri wako.

Ungaderedza sei njodzi yekubatwa nechirwere ichi?

Hapana nzira chaiyo yekuderedza njodzi yako yekuva nechirwere ichi. Vamwe vanhu vanova nechirwere ichi nekuti mhuri yavo ine nhoroondo yekenza yethyroid. Kana uine chirwere ichi, zvakanaka kutaura nachiremba wako nezvezviratidzo zvinogona kuva zviratidzo zveHürthle Cell Carcinoma.

Chiyero chekupona kwechirwere ichi ndechei?

Ongororo yakaitwa munguva pfupi yapfuura yakaratidza kuti 95% yevanhu vane chirwere ichi vachiri vapenyu makore mashanu mushure mekuonekwa vaine chirwere ichi . Uye ongororo imwe cheteyo yakaratidza kuti 93% vachiri vapenyu makore gumi gare gare . Izvozvo zvinonyaradza zvechokwadi, handiti?

Ndinozvitarisira sei? / Chii chinoitika mushure mekurapwa?

Zvichienderana nekurapwa kwako, ungangoda kutora mushonga wekutsiva thyroid hormone kweupenyu hwako hwese . Zvakare, Hürthle Cell Carcinoma inogona kudzoka dzimwe nguva. Saka, bvunza chiremba wako kuti zviratidzo zvipi zvingaratidza kudzoka kwechirwere ichi .

Hürthle Cell Carcinoma rudzi rwegomarara re thyroid risingawanzoitiki. Kana uine zviratidzo, chiremba wako angangoda kuvhiyiwa thyroid kuti asimbise kuti une chirwere ichi. Kazhinji, kuvhiyiwa kwekuongorora chirwere ichi kuchagadzirisa dambudziko racho . Zvisinei, kuvhiyiwa chete hakugadzirise matambudziko ese anokonzerwa neHürthle Cell Carcinoma.

Vanhu vakambovhiyiwa thyroid vanofanira kutora mishonga yemahormone kweupenyu hwavo hwese. Zvakare, kenza iyi inogona kudzoka mushure mekurapwa. Kana uine chirwere ichi, ndapota yeuka kuti vanachiremba vako vanogara varipo kuti vakubatsire uye vakutsigire , kunyanya kana chirwere chacho chikadzoka.

Zvinhu zvinonyanya kukosha zvekurangarira munyaya ino

Zvakanaka, ngatipfupisei zvimwe zvezvinhu zvakakosha zvaunofanira kuyeuka kubva pane zvatataura nezvazvo:

• Hürthle Cell Carcinoma rudzi rwekenza yethyroid isingawanzoitiki, asi ine simba zvishoma .
• Zvakakosha kutsvaga rubatsiro rwechiremba kana uine zviratidzo zvakaita semapundu emutsipa, shanduko yezwi, kana kuoma kumedza.
• Kuongororwa kweropa kunodiwa kuti uzive zvechokwadi kana iri kenza kana kuti kwete.
• Kurapa kukuru kubviswa kwegland re thyroid .
• Mushure mekuvhiyiwa, ungangofanira kunwa mapiritsi ehormone yethyroid kweupenyu hwako hwese .
• Pane mukana wekuti kenza ichadzoka, saka unofanira kuziva izvozvo zvakare .
• Chikwata chako chezvekurapa chakagadzirira kukutsigira nguva dzose .

Ndinovimba ruzivo urwu ruchakubatsira. Kana muine mibvunzo kana zvinokunetsai, ndapota musazeza kutaura nachiremba wenyu.

` Hürthle Cell Carcinoma, Kenza yeGyroid, Mabundu emutsipa, Kuvhiyiwa kweGyroid, Zviratidzo zveKenza, Kurapwa kweKenza, Hürthle Cell Carcinoma