Chii chinonzi Thymoma neThymic Carcinoma? Ngatikurukurei izvi zvakadzama!

Dzimwe nguva unonzwa chimwe chinhu chisinganzwisisike muchipfuva chako, kukosora kusingaperi, kana kuoma kufema here? Kazhinji, izvi zvinogona kunge zvichikonzerwa nezvikonzero zvakajairika, zvisina njodzi. Zvisinei, kashoma, izvi zvinogonawo kuva zviratidzo zvegomarara zvine chekuita ne thymus gland . Saka, nhasi tichataura nezvemhando mbiri dzakadaro, dzisingawanzoitiki dzegomarara, Thymoma neThymic Carcinoma . Usazvidya moyo, zvakakosha kuziva izvi.

Chii chinonzi Thymoma neThymic Carcinoma?

Zvichitaurwa zviri nyore, thymoma ne thymic carcinoma mhando mbiri dzegomarara dzinotanga mu thymus gland yako. Thymus gland iri kuseri kwepfupa guru riri pakati pechipfuva chako (breastbone). Paunenge uchiri mudiki, thymus gland inobatsira kugadzira T-lymphocytes, kana T-cells, rudzi rwemasero machena eropa iro riri chikamu chakakosha cheimmune system yemuviri wako inorwisa zvirwere. Thymus gland ine mhando mbiri huru dzemasero: epithelial cells uye lymphocytes . Chero rudzi urwu rwemasero runogona kukura zvisina kujairika uye kuita kenza.

• Thymoma uye thymic carcinoma zvinokonzerwa nekukura kusingawanzoitiki kwemasero epithelial.
• Kukura kusina kujairika kwema lymphocyte kunogona kukonzera kenza dzakadai seHodgkin lymphoma kana kuti non-Hodgkin lymphoma .

Nekuti thymomas ne thymic carcinomas zvinotanga mumasero e epithelial e thymus gland, vanachiremba vanozvidaidzawo kuti Thymic Epithelial Tumors (TETs) .

Ndeupi musiyano uripo pakati peThymoma neThymic Carcinoma?

Kunyangwe ese ari maviri ari thymic epithelial tumors (TETs), kune misiyano yakati wandei yakakosha.

• Thymoma: Iyi inowanzova kenza inokura zvishoma nezvishoma . Kashoma kupararira kupfuura thymus gland.
• Thymic Carcinoma: Iyi igomarara rinokura nekukurumidza . Rine mukana mukuru wekupararira (metastasizing) kune dzimwe nhengo dzemuviri.

Zvichienderana nekuti une thymoma (rudzi rusina kunyanya kurwadza) here kana kuti thymic carcinoma (rudzi rwekurwadza), marapirwo aunorayirwa nachiremba wako uye fungidziro yako zvichasiyana.

Ndiani anonyanya kukanganiswa nemamiriro aya ezvinhu?

Thymoma ne thymic carcinoma zvinonyanya kuwanikwa muvanhu vakuru vane makore ari pakati pe40 ne75. Zvidzidzo zvakaitwa munyika dzakadai seUnited States zvakaratidza kuti chirwere ichi chinowanikwa zvakanyanya muvanhu vane dzinza rekuAsia kana Pacific Islander. Zvisinei, zvakakosha kuyeuka kuti chinogona kuitika kune chero munhu. Thymoma inowanzobatanidzwa nemamiriro ezvinhu anonzi autoimmune paraneoplastic syndromes . Apa ndipo apo masoja emuviri wako anorwisa masero ayo ane hutano zvisizvo. Izvi zvinogona kukonzera zviratidzo zvakasiyana-siyana zvisingafadzi. Mamwe ematambudziko anowanzobatanidzwa ne thymoma anosanganisira:

• Myasthenia gravis: Ichi chirwere chinokonzerwa ne autoimmune chinokanganisa tsinga netsandanyama, zvichikonzera kushaya simba kwetsandanyama .
• Pure red cell aplasia (PRCA): Ichi chirwere cheropa umo muro wemapfupa ako usingagadzire masero matsvuku eropa akakwana, zvichikonzera anemia .
• Hypogammaglobulinemia (kana kuti Good syndrome): Uku kusasimba kwesimba remuviri rekudzivirira chirwere. Pano, muviri wako haugadzi ma antibodies akakwana ekurwisa zvirwere nekudzivirira hutachiona.

Pamusoro pezvo, mamwe ma paraneoplastic syndromes anogona kunge aine chekuita ne thymoma, asi haawanzoitiki. Semuenzaniso:

• Polymyositis
• Lupus erythematosus
• Arthritis ine rheumatoid
• Kutapurirana kwetsinga
• Chirwere cheSjögren

Thymoma ne thymic carcinoma zvakajairika sei?

Thymoma ne thymic carcinoma ndidzo mhando dzegomarara dzinonyanya kuwanikwa mu thymus gland. Zvisinei, kazhinji, idzi igomarara dzisingawanzoitiki . Semuenzaniso, kunyangwe munyika yakakura seUnited States, vanhu vanosvika mazana mana chete ndivo vanoonekwa vaine chirwere ichi gore rega rega.

Ndezvipi zviratidzo zve thymoma uye thymic carcinoma?

Vanhu vazhinji havaratidzi zviratidzo pakutanga.Zviratidzo zvinowanzotanga kuoneka kana kenza yakura yotanga kubata dzimwe nhengo dzemuviri muchipfuva. Zvimwe zvezviratidzo zvine chekuita neparaneoplastic syndromes zvambotaurwa.

Zviratidzo zvinokonzerwa negomarara rinokanganisa nhengo yechipfuva

Marwadzo uye kuoma kufema zvinogona kuva zviratidzo zve thymoma kana thymic carcinoma. Izvi ndizvo zviratidzo:

• Kurwadziwa pachipfuva kana kunzwa kubatwa muchipfuva.
• Kukosora kunogara kwenguva refu kusingapere.
• Kushaya mweya.
• Kuomerwa nekumedza chikafu.

Dzimwe nguva, mabundu aya anogona kuvhara kana kudzvanya superior vena cava, tsinga huru inotakura ropa kuenda kumoyo. Izvi zvinogona kukonzera chirwere chakakomba chinonzi superior vena cava syndrome . Kana izvi zvikaitika, unogona kuona zviratidzo zvakaita se:

• Kukosora
• Kuoma kufema
• Kuneta
• Dzungu
• Musoro
• Kuzvimba kwemutsipa nechiso
• Kuzvimba kwemaoko nemaoko
• Tsinga dzinonyatsooneka pamusoro pemuviri

Hunhu hwe paraneoplastic syndromes

Kana uine thymoma, unogona kuona chimwe kana kupfuura chezviratidzo zveparaneoplastic syndromes. Semuenzaniso:

• Kuona kaviri, maziso akarembera, kuneta zvakanyanya, uye kushaya simba kwetsandanyama (izvi zviratidzo zve myasthenia gravis).
• Anemia (izvi zvinogona kunge zvichikonzerwa ne aplasia yemasero matsvuku eropa).
• Kutapukirwa kwakajairika, manyoka, uye kuzvimba kwema lymph nodes (izvi zviratidzo zve hypogammaglobulinemia).

Ndezvipi zvinokonzera thymoma (thymic carcinoma)?

Kutaura zvazviri, hapana zvinhu zvine chekuita nemajini kana nharaunda zvakawanikwa zvinokonzera thymoma . Tsvagiridzo ichiri kuenderera mberi kuti ione kana chirwere ichi chakabatana nemavhairasi akasiyana-siyana, zvinokanganisa nhaka, uye mamwe marudzi ekenza.

Thymoma (thymic carcinoma) inoonekwa sei? (Kuongororwa)

Chiremba wako anogona kungoona kuti une rudzi urwu rwebundu mushure mekuongororwa kwemifananidzo kuti aone chikonzero chezviratidzo zvako. Kuti asimbise kuongororwa, chiremba wako achaita bvunzo yemuviri uye obvunza nezvezviratidzo zvako uye nhoroondo yezvekurapa. Zvadaro, vanogona kuita imwe kana kupfuura yebvunzo dzinotevera kuti vadzidze zvakawanda nezvebundu racho:

• X-ray yechipfuva: X-ray inogona kuratidza zvinhu zvakaita semabundu ari mumuviri. Inogonawo kupa ruzivo rwakakosha, senge kuti mipendero yebundu iri yakatsanangurwa sei. Bundu rine mipendero yakajeka riri nyore kubvisa nekuvhiyiwa.
• Kuongororwa kweCT:Kuongororwa kwechipfuva neCT scan ndiyo nzira inonyanya kushandiswa pakuongorora thymoma. Dzimwe nguva chiremba wako anogona kubaya mushonga wemvura (contrast medium) mutsinga yako. Izvi zvinobatsira kuti bundu rionekwe zvakajeka pakuongorora. Kazhinji, CT scan yakakwana kuti iongorore thymoma kana thymic carcinoma.
• MRI scan: MRI inogona kuburitsa mifananidzo yakadzama yebundu iri. Izvi zvinogona kubatsira chiremba kurisiyanisa nemamwe marudzi emabundu. Semuenzaniso, MRI inogona kubatsira kuona kana iri thymoma kana thymic carcinoma.
• Kuongororwa kwePET kana PET/CT: Panguva yekuongorora kwePET, chiremba anobaya shuga yakachengeteka, ine radioactive mutsinga yako. Mushonga uyu unoungana kutenderedza masero anoshandisa simba rakawanda, senge masero ekenza. Izvi zvinoita kuti zvinhu zvakaita semamota zvionekwe zvakanyanya pakuongororwa. Kazhinji, kuongororwa kwePET neCT zvinogona kuitwa panguva imwe chete (PET/CT).
• Kuongororwa kwemasero: Nzira chete yekusimbisa chirwere ndeyekuita biopsy. Apa ndipo panobva chiremba anotora sampuli yemasero kubva mubundu oaongorora pasi pemaikorosikopu. Kana zvakachengeteka kuita izvozvo, chiremba anobvisa bundu rese oongorora masero acho. Kana bundu rese risingakwanise kubviswa, sampuli imwe chete ndiyo inotorwa kuti iongororwe.

Kuongororwa kwe thymoma (thymic carcinoma) kunoonekwa sei ?

Kurongwa kwekenza muzvikamu zvichienderana nekuoma kwayo. Zvinhu zvakawanda zvinoitwa pakuona kuoma kwechirwere. Kuziva danho rekenza yako kunobatsira chiremba wako kuronga kurapwa uye kukupa pfungwa yemikana yako yekupona. Thymoma ne thymic carcinoma zvinorongwa uchishandisa TNM system . TNM inomiririra Tumor, Nodes, uye Metastasis. Kuti vaone danho rekenza yako, vanachiremba vanotsvaga mhinduro dzemibvunzo yakaita seyi:

• Bundu (T): Pane bundu here? Rakakura sei? Riri kupi?
• MaNode eLymph (MaNode - N): Ko kenza yapararira here kumanode elymph? Ndeapi manode elymph? Yapararira kusvika papi?
• Kupararira kwemasero eropa (M): Ko kenza yapararira kune dzimwe nhengo dzemuviri dziri kunze kwe thymus gland here? Kuzvikamu zvipi?

Zvichibva pamhinduro dzemibvunzo iyi, chiremba wako achaisa kenza yako muzvikamu kubva paI (imwe) kusvika kuIV (mana). Nhamba yacho yakakura, kenza yacho inopararira zvakanyanya. Semuenzaniso, kenza yedanho rekutanga inopararira zvishoma pane kenza yedanho rechina. Chiremba wako anogonawo kufunga nezvezvimwe zvinhu, zvakaita sekuti masero ekenza haana kujairika, kuti aone kuoma kwechirwere chako.

Ndeipi mishonga yekurapa thymoma (thymic carcinoma)?

Kurapwa kwaunowana kunoenderana nezvinhu zvakawanda, zvinosanganisira rudzi rwekenza yaunayo, danho rekenza, uye kana kenza ichangobva kuongororwa kana kuti yadzoka. Nzira dzekurapa dzingasanganisira:

• Kuvhiyiwa: Chiremba wechipfuva anogona kubvisa bundu rako nekuvhiyiwa. Kana kenza yapararira kusvika kuma lymph nodes, thymus gland, kana mapapu, vanogonawo kubvisa zvimwe zvikamu zvayo. Kuvhiyiwa ndiko kurapwa kukuru kwe thymoma iri padanho rekutanga. Kana bundu rese risingakwanise kubviswa zvakachengeteka, chiremba achabvisa zvakawanda sezvinobvira kuderedza zviratidzo zvinokonzerwa nebundu.
• Kurapa nemwaranzi: Chiremba wekenza yemwaranzi anogona kuendesa mwaranzi kugomarara achishandisa kurapa nemwaranzi yekunze . Kurapa uku kunoshandisa muchina kutungamira maX-rays pagomarara kuti uuraye masero egomarara. Kunogona kushandiswa kuri kwega kana pamwe chete nedzimwe nzira dzekurapa, dzakadai sechemotherapy kana kuvhiyiwa.
• Kurapa nemakemikari: Kana kuvhiyiwa kukasabvisa bundu, unogona kupihwa mishonga yekurapa masero ekenza. Chiremba weropa kana chiremba wekenza anogona kunyora mishonga yekurapa nekuderedza bundu usati wavhiyiwa kana kurapa kenza yadzoka.
• Kurapa kwakanangana: Kana masero ako egomarara aine majini akasiyana, unogona kupihwa kurapwa kwakanangana. Kurapa uku kwakagadzirirwa kunanga majini akasiyana uye kuuraya masero egomarara. Iyi ingave sarudzo yekurapa thymoma ne thymic carcinoma kana mamwe marapirwo, akadai se chemotherapy, asina kushanda.
• Kurapa nekudzivirira muviri: Kurapa uku kunosimbisa masoja emuviri wako kuti akubatsire kuziva nekuparadza masero egomarara. Izvi zvinogona kuva sarudzo yegomarara remudumbu risingapindure chemotherapy.
• Miedzo yekiriniki: Muedzo wekiriniki chidzidzo chinoedza kuchengetedzeka uye kushanda kwemishonga mitsva kana yakasiyana yekenza. Zvichienderana nerudzi rwekenza yauri, unogona kukodzera kupinda mune imwe yezvirongwa izvi zvinoedza mishonga mitsva yekenza. Bvunza chiremba wako nezveizvi.

Chiremba wako anogona kukukurudzira kuti ushande nechikwata chevanorapa varwere vekenza kuti vakutsigire panguva yese yekuongororwa kwako kwegomarara. Nyanzvi dzevanorapa varwere vekenza dzinosanganisira vanachiremba, vanamukoti, nevamwe nyanzvi. Vanogona kukubatsira kudzora zviratidzo zvegomarara uye mhedzisiro yekurapwa. Hazvina mhosva kuti gomarara rako rakamira sei kana mukana wako wekupora, kurapwa kwegomarara chinhu chakakosha.

Chiyero chekupona kwe thymoma ne thymic carcinoma chii?

Kazhinji, thymomas dzine fungidziro iri nani pane thymic carcinomas. Zvakare, kana kenza iri pa thymus gland chete, mwero wekurarama uri nani pane kana kenza yapararira. Mwero wekurarama kwemakore mashanu e thymic carcinoma ndewekuti: (yeuka, aya ndiwo avhareji yenhamba):

• Kana kenza iri mu thymus gland chete: 95%
• Kana yakapararira kune nhengo dzemuviri dziri pedyo uye lymph nodes: 78%
• Kana yakapararira kunzvimbo dziri kure dzemuviri (yakapararira): 38%

Zvisinei, nhamba idzi hadzina hanya nezvinhu zvakaita sehutano hwako hwese, rudzi rwekenza, danho rekenza, kana kuti maitiro ako pakurapwa. Huwandu hwekupona kwako hunoenderana nezvinhu zvakati wandei. Chiremba wako anogona kukutsanangurira izvi. Saka usavhunduke nenhamba idzi.

Chii chandingatarisira kana ndiine kenza iyi?

Mune zvimwe zviitiko, zviratidzo zvese zvegomarara zvinogona kupera zvachose (kuregerera) , uye gomarara rinogona kusadzoka. Zvisinei, kazhinji, mhando dzese dzegomarara dzinogona kudzoka (kudzoka) . Kana uri ne thymoma, gomarara rinogona kuramba kwenguva yakareba risingadzoke. Zvisinei, uchiri kuda kushanya nguva nenguva kuti uve nechokwadi chekuti hauna gomarara.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Taura nechikwata chako chezvekurapa nezvekuongorora chirwere chako uye nzira dzekurapa nadzo. Usazeza kubvunza chero mibvunzo yauinayo nezvegomarara uye kuti richakanganisa sei hupenyu hwako. Ungangoda kubvunza mibvunzo yakaita seiyi:

• Danho regomarara rangu nderei?
• Ndedzipi nzira dzekurapa dzandinadzo?
• Ndinokodzera here kutora chikamu mukuyedzwa kwekiriniki? Mungandikurudzira here kuti nditore chikamu?
• Chinangwa chekurapa ndechei?
• Ndezvipi zvimwe zvinhu zvandinofanira kutarisira?
• Ndinofanira kutarisira kuti migumisiro yakaipa ichatanga rini?
• Mikana yekuti kenza idzoke ndeyei?
• Kuongororwa kwangu uye kurapwa zvichachinja sei hupenyu hwangu?

Mharidzo Yekuenda Nayo Kumba

Kuongororwa kwe thymoma kana thymic carcinoma kunogona kureva zvinhu zvakasiyana-siyana. Mamwe mabundu anokura zvishoma nezvishoma, nepo mamwe achinyanya kuoma. Mamwe anogona kubviswa zvachose nekuvhiyiwa, asi mamwe anogona kunge apararira panguva iyo chiremba wako anoawana. Chinhu chakakosha ndechekutaura nachiremba wako nezvekuti kenza yako ichakanganisa sei mhedzisiro yekurapwa kwako.Uyewo, kurukurai zvakanakira nezvakaipira zvesarudzo imwe neimwe yekurapa. Yeukai, hamusi mega. Kune vanachiremba, mhuri, neshamwari vanogona kukubatsirai kugadzirisa mamiriro ezvinhu aya. Zvakakosha kuva neruzivo rwakanaka uye kuva netariro. Kana muine mibvunzo, musatya kubvunza chiremba wenyu. ` thymoma, thymic carcinoma, thymus gland, cancer, pain pachipfuva, cough, myasthenia gravis, autoimmune, cancer treatment, cancer, thymoma, thymic carcinoma, thymus gland