Kenza yehutachiona - papillary carcinoma

Papillary carcinoma yehutachiona ndiyo kenza yakajairika yeglandi yegland. Iyo thyroid gland iri mukati mekunze kwemutsipa wezasi.

Inenge 85% yecancer yegomarara inowanwa muUnited States ndiyo papillary carcinoma mhando. Inowanzoitika kune vakadzi kupfuura varume. Zvinogona kuitika muhudiki, asi zvinowanzoonekwa kune vakuru vari pakati pemakore makumi maviri nemakumi matanhatu.

Chikonzero chegomarara iri hachizivikanwe. Kuremara kwemajini kana nhoroondo yemhuri yechirwere ichi inogona kunge iri njodzi.

Radiation inowedzera njodzi yekuva nekenza yehutachiona. Kujekesa kunogona kuitika kubva ku:

• Yakakwira-dhizaini yekunze radiation kurapwa kumutsipa, kunyanya panguva yehucheche, yaishandiswa kurapa gomarara rehucheche kana mamwe mamiriro asina hunhu ehudiki
• Radiation kuratidzwa kubva kune nyukiliya chirimwa njodzi

Radiation inopihwa kuburikidza nevevheni (kuburikidza neIV) panguva yekurapwa kwekurapa uye kurapwa hakuwedzeri njodzi yekuva nekenza yehutachiona.

Gomarara redundira rinowanzo tanga sebundu diki (nodule) mune yegland gland.

Nepo mamwe mapundu madiki angave ari cancer, mazhinji (90%) matinji enhumbu haana njodzi uye haana gomarara.

Kazhinji yenguva, hapana zvimwe zviratidzo.

Kana iwe uine bundu pane yako utachiona, wako wekuchengetedza hutano anogona kuraira inotevera bvunzo:

• Kuongororwa kweropa.
• Ultrasound yehutachiona gland uye mutsipa nharaunda.
• CT scan yemutsipa kana MRI kuti uone kukura kweiyo bundu.
• Laryngoscopy kuongorora tambo yezwi kufamba.
• Yakanaka tsono yekutsvagisa biopsy (FNAB) kuona kana bundu iri rine cancer. FNAB inogona kuitwa kana iyo ultrasound ichiratidza kuti bundu iri pasi pe1 sentimita.

Genetic kuyedza kunogona kuitwa pane biopsy sampuli kuti uone kuti ndeapi mageneti ekuchinja (shanduko) angave aripo. Kuziva izvi kunogona kubatsira kutungamira kurapa kurudziro.

Utachiona hwehutachiona hunoedza kazhinji kune vanhu vane kenza yehutachiona.

Kurapa kenza yehutachiona kunogona kusanganisira:

• Kuvhiya
• Radioactive iodine kurapa
• Utachiona hwekudzvinyirira kurapa (utachiona hwehomoni kutsiva kurapa)
  
• Kunze kwedanda radiation radiation (EBRT)
  

Kuvhiya kunoitwa kubvisa yakawanda yekenza sezvinobvira. Iyo yakakura bundu, iyo yakawanda yeiyo gland gland inofanira kubviswa. Kazhinji, iyo yose gland inotorwa kunze.

Mushure mekuvhiyiwa, unogona kugamuchira radioiodine therapy, iyo inowanzo kutorwa nemuromo. Chinhu ichi chinouraya chero tosi yakasara yetachiona. Inobatsirawo kujekesa zvifananidzo zvekurapa, saka vanachiremba vanogona kuona kana paine gomarara rasara kumashure kana richidzoka gare gare.

Kuenderera mberi manejimendi yekenza yako kunoenderana nezvinhu zvakawanda senge:

• Kukura kwechero bundu riripo
• Nzvimbo yebundu
• Kukura kwehuwandu hwebundu
• Zviratidzo zvaungave uine
• Zvaunoda iwe pachako

Kana kuvhiya kusiri iko kusarudza, kwekunze radiation kurapwa kunogona kubatsira.

Mushure mekuvhiyiwa kana radioiodine therapy, uchafanirwa kutora mushonga unonzi levothyroxine kweupenyu hwako hwese. Izvi zvinotsiva hormone iyo thyroid yaiwanzo gadzira.

Wako mupi angangoita iwe kuti utore kuongororwa kweropa mwedzi yakati wandei kuti utarise hutachiona hwehomoni Mimwe bvunzo dzekutevera dzinogona kuitwa mushure mekurapwa kwechirwere chegomarara dzinosanganisira:

• Ultrasound yehutachiona
• Chiyero chekufungidzira chinonzi radioactive iodine (I-131) inotora scan
• Dzokorora FNAB

Unogona kudzikisira kushushikana kwehurwere nekujoinha boka rekutsigira gomarara. Kugovana nevamwe vane zvakajairika zviitiko uye matambudziko zvinogona kukubatsira kuti usazonzwa kusurukirwa.

Iyo yekupona mwero wepapillary thyroid kenza yakanaka kwazvo. Vanopfuura makumi mapfumbamwe muzana evakuru vane gomarara iri vanorarama makore gumi kusvika makumi maviri. Kufungidzira kuri nani kune vanhu vari vadiki pane makumi mana uye kune avo vane mamota mashoma.

Zvinhu zvinotevera zvinogona kudzora mwero wekupona:

• Vakura kupfuura makore makumi mashanu nemashanu ekuberekwa
• Kenza yakapararira kumativi ari kure emuviri
• Gomarara rakapararira kuzvinyama zvakapfava
• Bundu rakakura

Matambudziko anosanganisira:

• Kubviswa netsaona kwezvipenga zveparathyroid, zvinobatsira kudzora mwero wecalcium
• Kukuvadza kune tsinga inodzora tambo dzenzwi
• Kupararira kwekenza kune lymph node (zvisingawanzoitika)
• Kupararira kwekenza kune mamwe masayiti (metastasis)

Fonera mupiki wako kana iwe uine bundu muhuro mako.

Papillary carcinoma yehutachiona; Gomarara repapillary thyroid; Papillary thyroid carcinoma

• Endocrine masero
• Kenza yeTiroid - CT scan
• Kenza yeTiroid - CT scan
• Kuwedzera kwehutachiona - scintiscan
• Gland yeganda

Haddad RI, Nasr C, Bischoff L. NCCN Nongedzo Dzinonzwisisika: Thyroid Carcinoma, Shanduro 2.2018. J Natl Compr Cancer Netw. 2018; 16 (12): 1429-1440. PMID: 30545990 pubmed.ncbi.nlm.nih.gov/30545990/.

Haugen BR, Alexander Erik K, Bhaibheri KC, et al. 2015 American Thyroid Association Management Guidelines yeVakuru Varwere vane Thyroid Nodules uye Akasiyana Thyroid Cancer: IAmerican Thyroid Association Guidelines Task Force paTyroid Nodules uye Yakasiyana Thyroid Cancer. Utachiona. 2016; 26 (1): 1-133. PMID: 26462967 pubmed.ncbi.nlm.nih.gov/26462967/.

Kwon D, Lee S. Inopisa kenza yehutachiona. Mune: Myers EN, Snyderman CH, eds. Inoshanda Otolaryngology Musoro uye Neck Kuvhiya. 3rd ed. Philadelphia, PA: Elsevier; 2018: chits. 82.

National Cancer Institute webhusaiti. Kurapa kenza yehutachiona (munhu mukuru) (PDQ) - hutano hwechinguvana. www.cancer.gov/cancertopics/pdq/treatment/thyroid/HealthProfessional. Yakagadziridzwa Ndira 30, 2020. Yakasvika muna Kukadzi 1, 2020.

Thompson LDR. Malignant neoplasms yetachiona. Mune: Thompson LDR, Bhishopi JA, eds. Musoro uye Neck Pathology. 3rd ed. Philadelphia, PA: Elsevier; 2019: chitsiko 25.

Tuttle RM uye Alzahrani AS. Risk stratification mukakiyanisa kenza yehutachiona: kubva pakuonekwa kusvika kwekupedzisira kuteedzera. J Clin Endocrinol Metab. 2019; 104 (9): 4087-4100. PMID: 30874735 pubed.ncbi.nlm.nih.gov/30874735/.