Gomarara redundira

Gomarara redundira igomarara rinotangira mugonyeti. Iyo yegland gland inowanikwa mukati mepamberi pemutsipa wezasi.

Kenza yehutachiona inogona kuitika muvanhu vezera ripi zvaro.

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

• Radiation kurapa kumutsipa (kunyanya muhudiki)
• Radiation kuratidzwa kubva kune nyukiliya chirimwa njodzi

Zvimwe zvinokonzeresa nhoroondo yemhuri yekenza yehutachiona uye isingaperi goiter (yakawedzera thyroid).

Kune akatiwandei marudzi ekenza yetachiona.

• Anaplastic carcinoma (inonziwo hofori yegonyeti uye yesimbi) ndiyo inotyisa kenza yetachiona. Kashoma, uye inopararira nekukurumidza.
• Follicular bundu rinowanzo dzoka uye richipararira.
• Medullary carcinoma igomarara reasina-utachiona-anogadzira maseru ayo anowanzo kuve ari mune yegland gland. Iyi fomu yegomarara yekenza inowanzoitika mumhuri.
• Papillary carcinoma ndiyo mhando yakajairika, uye inowanzo bata vakadzi vezera rekubereka. Inopararira zvishoma nezvishoma uye ndiyo mhando ine ngozi kwazvo yegomarara rekenza.

Zviratidzo zvinosiyana zvichienderana nerudzi rwekenza yekenza, asi zvinogona kusanganisira:

• Kukosora
• Zvakaoma kumedza
• Kuwedzera kwetachiona gland
• Hoarseness kana kuchinja izwi
• Neck kuzvimba
• Thyroid bundu (nodule)

Mutapi wako wezvehutano achaita bvunzo dzepanyama. Izvi zvinogona kuburitsa bundu muhutachiona, kana kuzvimba lymph node mumutsipa.

Iyi bvunzo inotevera inogona kuitwa:

• Calcitonin yeropa bvunzo kutarisa medullary cancer kenza
• Laryngoscopy (kutarisa mukati mehuro uchishandisa girazi kana inochinja chubhu inonzi laryngoscope yakaiswa kuburikidza nemuromo) kuongorora tambo yezwi basa
• Thyroid biopsy, iyo inogona kusanganisira kuongororwa kwemageneti emasero akawanikwa mu biopsy
• Utachiona hwehutachiona
• TSH, yemahara T4 (kuongororwa kweropa kwehutachiona basa)
• Ultrasound yehutachiona uye lymph nodes yemutsipa
• CT scan yemutsipa (kuti uone huwandu hwegomarara)
• PET scan

Kurapa kunoenderana nerudzi rwegomarara rekenza. Kurapa kwakawanda kenza yemhando yekenza inoshanda kana ikakurumidza kuongororwa.

Kuvhiya kunowanzoitwa. Yese kana chikamu chetachiona chetachiona chinogona kubviswa. Kana mupi wako achifungidzira kuti gomarara rapararira kuma lymph node mumutsipa, izvi zvichabviswa. Kana imwe yegland yako yakasara, iwe uchada kuteedzera-up ultrasound uye pamwe zvimwe zvidzidzo kuti uone chero kudzokazve kwekenza yehutachiona.

Radiation kurapa kunogona kuitwa pamwe kana pasina kuvhiyiwa. Inogona kuitwa ne:

• Kutora iodine ine radioactive nemuromo
• Kuvavarira kunze kwedanda (x-ray) radiation pahutachiona

Mushure mekurapwa kwegomarara rekenza, unofanirwa kutora mapiritsi ehutachiona kwehupenyu hwako hwese Muyero wacho unowanzo kuve wakakwirira zvishoma pane izvo zvinoda muviri wako. Izvi zvinobatsira kuti cancer isadzoke.Iwo mapiritsi anotsiva iyo thyroid hormone iyo muviri wako unoda kushanda zvakajairika.

Kana gomarara risingapindure pakuvhiyiwa kana nemwaranzi, uye rapararira kune dzimwe nhengo dzemuviri, chemotherapy kana yakanangwa kurapwa inogona kushandiswa. Izvi zvinongoshanda chete kune vashoma vanhu.

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

Zvinetso zvecancer yekenza zvinogona kusanganisira:

• Kukuvadza kuzwi bhokisi uye hoarseness mushure mekuvhiyiwa kwetachiona
• Low calcium level kubva netsaona kubviswa kweparathyroid gland panguva yekuvhiyiwa
• Kupararira kwekenza kumapapu, mapfupa, kana zvimwe zvikamu zvemuviri

Fonera mupiki wako kana iwe ukaona bundu mumutsipa wako.

Iko hakuna kunozivikanwa kudzivirira. Kuziviswa kwenjodzi (senge yapfuura maradhi ekurapa kumutsipa) kunogona kutendera kuongororwa kwekutanga uye kurapwa.

Dzimwe nguva, vanhu vane nhoroondo dzemhuri uye magene ekuchinja ane chekuita nekenza yehutachiona vanozobviswa gland ravo rekudzivirira gomarara.

Tumor - utachiona; Cancer - utachiona; Nodule - gomarara retachiona; Papillary thyroid carcinoma; Medullary thyroid carcinoma; Anaplastic utachiona carcinoma; Follicular cancer yekenza

• Kubvisa gland - kubuda

• Endocrine masero
• Kenza yeTiroid - CT scan
• Kenza yeTiroid - CT scan
• Incision yekuvhiya gland yegland
• Gland yeganda

Haugen BR, Alexander Erik K, Bhaibheri KC, et al. 2015 American Thyroid Association Management Guidelines kune vanhu vakuru vane chirwere chetachiona uye kusiyanisa kenza yehutachiona: IAmerican Thyroid Association Guidelines Task Force pamatombo ehutachiona uye inoparadzanisa kenza yehutachiona. Utachiona. 2016; 26 (1): 1-133. PMID: 26462967 pubmed.ncbi.nlm.nih.gov/26462967/.

Jonklaas J, Cooper DS. Utachiona. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 213.

National Cancer Institute webhusaiti. Kurapa kenza yehutachiona (munhu mukuru) (PDQ) - hutano hwechinguvana. www.cancer.gov/cancertopics/pdq/treatment/thyroid/HealthProfessional. Yakagadziridzwa Chivabvu 14, 2020. Yakasvika Nyamavhuvhu 3, 2020.

Smith PW, Hanks LR, Salomone LJ, Hanks JB. Utachiona. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chitsuwa 36.

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