Uzizwa uneqhubu entanyeni yakho? Noma uke waphawula ushintsho ezwini lakho noma ubunzima bokugwinya muva nje? Lokhu kungaba okuvamile. Kodwa-ke, ezimweni ezingavamile, kungaba uphawu lwenkinga ye-thyroid. Namuhla sikhuluma ngomdlavuza owodwa ongavamile kodwa obaluleke kakhulu. Lowo yi-Hürthle cell carcinoma.
Kuyini i-Hürthle Cell Carcinoma?
Kalula nje, lolu uhlobo lomdlavuza olungavamile oluvela endlaleni yegilo. Cabanga ngalo njengendlala encane emise okwebhabhathane engaphambili kwentamo yethu. Yilokhu esikubiza ngokuthi indlala yegilo . Imisebenzi eminingi ebalulekile emzimbeni wethu, ikakhulukazi i-metabolism, ilawulwa ama-hormone akhiqizwa yile ndlala.
I-Hürthle cell carcinoma uhlobo lomdlavuza olunamandla oluvela endlaleni ye-thyroid. Amathumba angabangela ubunzima bokukhuluma nokuphefumula. Uma engelashwa kahle, umdlavuza ungasakazekela kwezinye izingxenye zomzimba, njenge -lymph nodes, amaphaphu, namathambo . Ukwelashwa okuyinhloko kwalokhu ukuhlinzwa ukuze kususwe yonke noma ingxenye yendlala ye-thyroid.
Lesi simo sithinta kanjani umzimba?
Ezimweni eziningi, lo mdlavuza ungakhula emzimbeni ngaphandle kokubonisa izimpawu ezigabeni zokuqala. Kwabanye abantu, utholakala ngengozi, ngesikhathi sokuhlolwa kwesinye isimo.
Kodwa uma izimpawu ziqala ukubonakala, ungase uqale uqaphele iqhubu ngaphambili kwentamo yakho. Njengoba lezi ziqhubu zikhula, zingaqala ukucindezela umphimbo wakho. Lokhu kungenza kube nzima ukugwinya . Futhi, uma lezi ziqhubu zicindezela umphimbo wakho/umphimbo womoya, kungabangela ubunzima bokuphefumula . Ngezinye izikhathi, lezi ziqhubu zingathinta izintambo zakho zezwi futhi zibangele ushintsho ezwini lakho .
Into ebalulekile ukuthi izimila ezibangelwa amangqamuzana e-Hürthle zingaba umdlavuza noma zingabi umdlavuza. Ngezinye izikhathi ngisho nodokotela akakwazi ukubona umehluko phakathi kwalezi ezimbili kuze kube yilapho ethatha ingxenye yesimila bese esihlola ngaphansi kwe-microscope.
Nakuba lesi simo singakhula kunoma yimuphi ubudala, sivame kakhulu kubantu abaneminyaka engaphezu kwengu-55 kanye nakwabesifazane . Kodwa-ke, akuyona umdlavuza ovame kakhulu. Sivela kubantu abambalwa, cishe u-3% wabo bonke abantu abathola umdlavuza we-thyroid.
Yiziphi izimpawu eziyinhloko zalesi sifo?
Nakuba kungase kungabi nazimpawu ezinkulu ekuqaleni, lezi zimpawu ezilandelayo zingase zivele njengoba umdlavuza uqhubeka. Uma uhlangabezana nanoma yikuphi kwalokhu, kubaluleke kakhulu ukubona udokotela ngokushesha okukhulu.
| Isibonakaliso | Incazelo |
|---|---|
| Iqhubu entanyeni | Ukuzwa iqhubu elibuhlungu ngaphambili kwentamo, ngaphansi kwethambo lentamo. |
| Ubunzima bokugwinya nokuphefumula (i-Dysphagia) | Ukuzizwa sengathi uyaminza uma ugwinya ukudla noma uketshezi. Ubunzima bokuphefumula. |
| Ukushintsha izwi | Izwi liyahoshozela noma libe nekhwalithi ehlukile kunejwayelekile. |
| Iqakala elivuvukile | Ukuvuvukala kwama-lymph node ezinhlangothini zombili zentamo. |
| Ezinye izici | Ukukhathala njalo nokwehlisa isisindo ngaphandle kwesizathu esibonakalayo. |
Kungani lolu hlobo lomdlavuza luvela? Yiziphi izinto ezibangela ingozi?
Imbangela eqondile yalokhu ayaziwa okwamanje, kodwa abacwaningi bathole izici eziningana ezandisa ingozi yokuthola lo mdlavuza.
- Umlando womndeni: Uma umama wakho, ubaba, noma izingane zakini beke baba nomdlavuza we-thyroid, nawe ungase ube sengozini.
- Ukuntuleka kwe-iodine: Umzimba wethu udinga i-iodine yamaminerali ukuze ukhiqize ama-hormone e-thyroid. Siyithola ekudleni esikudlayo. Ukuntuleka kwe-iodine isikhathi eside kungaba yisici esiyingozi.
- Ukuchayeka emisebeni: Odokotela bakholelwa ukuthi ukuchayeka emisebeni, njenge-X-ray noma ukwelashwa ngemisebe yomdlavuza, nakho kwandisa ingozi.
Udokotela usithola kanjani lesi sifo ngokunembile? (Ukuxilongwa)
Uma ubona udokotela, uzokuhlola, akubuze ngezimpawu zakho, futhi akubuze nganoma yimuphi umlando womndeni wokugula. Ngemuva kwalokho, bangase benze izivivinyo ezithile ukuqinisekisa ukuxilongwa.
- Ukuhlolwa kwegazi: Indlala yegilo enempilo ikhiqiza iphrotheni ebizwa ngokuthi i-thyroglobulin. Kulesi simo somdlavuza, izinga lale phrotheni egazini lingakhuphuka.
- Ukuskena kokuthathwa kwe-thyroid: Lokhu kuhlola amangqamuzana omdlavuza endlaleni ye-thyroid. Inani elincane le-iodine enemisebe lifakwa emzimbeni, bese kusetshenziswa ukuskena kwe-PET ukuthola izindawo zamangqamuzana omdlavuza.
- I-Laryngoscopy: Lokhu kuhlolwa kwenziwa ukuze kubonakale ukuthi izintambo zakho zezwi zithintekile yini.
- Ukufuthwa Kwenaliti Encane (i-FNA): Lolu uhlobo lokuhlolwa oluvame kakhulu. Kusetshenziswa inalithi encane kakhulu, kuthathwa isampula encane yamaseli esigaxeni. Bese ihlolwa ngaphansi kwe-microscope ukuze kubonakale ukuthi akhona yini amaseli omdlavuza.
- Ukuxilongwa ngokuhlinzwa (Lobectomy): Ngezinye izikhathi, i-biopsy yodwa ayikwazi ukuqinisekisa ukuxilongwa. Ezimweni ezinjalo, udokotela uzokwenza ukuhlinzwa ukuze asuse ingxenye yendlala yegilo equkethe iqhubu bese elithumela ukuze lihlolwe.
- I-CT scan: Uma umdlavuza uqinisekiswa, kwenziwa ezinye izivivinyo, njenge-CT scan, ukuze kubonakale ukuthi ususakazekele kwezinye izingxenye zomzimba.
Izigaba zomdlavuza zihlukaniswa kanjani?
Ukwelashwa kwanoma yimuphi umdlavuza kuhlelwe ngokusekelwe esigabeni sawo. Ngenxa yalokhu, odokotela basebenzisa uhlelo olubizwa ngokuthi uhlelo lwe-TNM staging.
- T (Isimila): Usayizi wesimila.
- N (I-Node): Ukuthi umdlavuza ususakazekele yini kuma-node.
- M (Metastasis): Ukuthi ngabe isakazekele yini ezithweni ezikude emzimbeni.
Kulolu hlobo lomdlavuza, iminyaka yesiguli nayo idlala indima ekunqumeni isigaba. Isibonelo, uma umuntu ongaphansi kweminyaka engu-55 eba nesifo, kubhekwa njengesigaba sokuqala (Isigaba I noma II), kungakhathaliseki ukuthi isimila sikhulu kangakanani noma ukuthi sisakazekele kuma-lymph node.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa okuyinhloko nokuphumelela kakhulu kwalesi sifo ukuhlinzwa . Kuye ngesimo sakho, udokotela ohlinzayo uzosusa yonke noma ingxenye yendlala yegilo. Bazosusa nanoma yimaphi amaqhubu lapho umdlavuza ususakazeke khona. Ezimweni eziningi, lokhu kuhlinzwa kungawususa ngokuphelele umdlavuza.
Ngemva kokuhlinzwa, kunikezwa ezinye izindlela zokwelapha ukuvimbela umdlavuza ukuthi ungabuyi.
- Ukwelashwa ngama-hormone:Ngemva kokuhlinzwa, njengoba indlala yegilo ingasekho, amahomoni ewakhiqizayo kumele athathwe ngendlela yamaphilisi impilo yakho yonke. Lokhu kulawula nokukhula kwamangqamuzana omdlavuza.
- Ukwelashwa nge-iodine enomsebe: Lokhu kwelashwa kunikezwa ukubhubhisa noma yimaphi amangqamuzana omdlavuza angase asale ngemva kokuhlinzwa.
Ingabe lesi sifo singalapheka? Impilo injani ngemva kokwelashwa?
Yebo, lesi yisimo esingelapheka ngokuphelele ezimweni eziningi. Amathuba okululama aphezulu kakhulu, ikakhulukazi ngemva kokuba umdlavuza usususiwe ngokuhlinzwa. Ucwaningo lwamuva lubonise ukuthi abantu abangu-95% abatholakale benalesi sifo basaphila ngemva kweminyaka emihlanu kanye no-93% ngemva kweminyaka eyi-10.
Ngemva kokwelashwa, ungaphila impilo evamile. Kodwa-ke, ngenxa yokuthi indlala yakho yegilo isusiwe, kuzodingeka uthathe imithi yokushintsha amahomoni egilo impilo yakho yonke.
Futhi, njengoba lo mdlavuza ungaphinde ubuye ngezinye izikhathi, kubalulekile ukuya kodokotela ukuze uthole usizo njengoba kunqunywe udokotela. Uma uhlangabezana nanoma yiziphi izimpawu, njengeqhubu entanyeni yakho noma ushintsho ezwini lakho, kufanele wazise udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Hürthle cell carcinoma uhlobo lomdlavuza we-thyroid olungavamile kodwa olungelapheka.
- Uma unezimpawu ezifana neqhubu entanyeni yakho, ukushintsha kwezwi lakho, noma ubunzima bokugwinya, ungakushayi indiva bese ubona udokotela ngokushesha.
- Ukwelashwa okuyinhloko kwalokhu ukususwa kwendlala yegilo ngokuhlinzwa. Kuyindlela yokwelapha ephumelela kakhulu.
- Ngemva kokuhlinzwa, kubalulekile ukuthatha amaphilisi ama-hormone impilo yakho yonke kanye nokuhlolwa njalo kwezokwelapha.
- Uma lesi sifo sitholakala ngokushesha, kulapho amathuba okuba selashwe ngempumelelo khona. Ngakho-ke qaphela izimpawu.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho