Wepamusoro 7 Chirwere Chegomarara Zviratidzo

Zvemukati

• Maitiro ekuongorora chirwere checancer
• Ndeapi marudzi egomarara rekenza
• Nzira yekurapa chirwere checancer
• Sei kutevedzera mushure mekurapwa
• Gomarara rekenza rinogona kudzoka here?

Kenza yehutachiona rudzi rwechirwere icho nguva zhinji chinorapika kana kurapwa kwacho kukatangwa kare, saka zvakakosha kuti uzive zviratidzo zvinogona kuratidza kukura kwekenza, kunyanya:

1. Bundu kana bundu mumutsipa, iyo inowanzo kukura nekukurumidza;
2. Kuzvimba mugotsi nekuda kwekuwedzera kwemvura;
3. Marwadzo pamberi pehuro iyo inogona kupenya kunzeve;
4. Kuchema kana rimwe izwi rinoshanduka;
5. Kunetseka kufema, sekunge chimwe chinhu chakanamirwa pahuro;
6. Kugara uchikosora iyo isinga perekedze dzihwa kana dzihwa;
7. Zvakaoma kumedza kana kunzwa kwechinhu chakanamatira pahuro.

Kunyangwe iri mhando yegomarara ichinyanya kuwanikwa kubva pazera remakore makumi mashanu nemashanu, pese panowonekwa chero chimwe chezviratidzo izvi, chakanyanya kuwanda kuve bundu rebundu kana bundu mumutsipa, zvinokurudzirwa kuti ubvunze kune endocrinologist kana chiremba wemutsipa kana wemutsipa kuti uite Ongororo dzekuongorora, tsvaga kana paine dambudziko nehutachiona uye wotanga kurapwa kwakakodzera.

Nekudaro, izvi zviratidzo zvinogona zvakare kuratidza mamwe matambudziko asina kunyanya kukomba senge gastroesophageal reflux, hutachiona hwekufema, matambudziko ezwi rezwi, uye kunyange utachiona cysts kana maqhumu, ayo anowanzo kuve akanaka uye haaratidze chero njodzi yehutano, uye inofanirwa kuongororwa, nekuti mune mazhinji kesi, gomarara rekenza haina kukonzera zviratidzo.

Onawo zviratidzo zvinogona kuratidza zvimwe shanduko muhutachiona: Zviratidzo zvetachiona.

Maitiro ekuongorora chirwere checancer

Kuti uongorore gomarara redhiragi zvinokurudzirwa kuenda kuna endocrinologist kunoona mutsipa wemunhu uye kuona shanduko dzakadai sekuzvimba, kurwadziwa kana kuvapo kwebundu. Zvisinei, zvakakoshawo kuti uongorore ropa kuti utarise huwandu hwehomoni TSH, T3, T4, thyroglobulin uye calcitonin, iyo painoshandurwa inogona kuratidza shanduko muhutachiona.

Uye zvakare, zvinodikanwa kuti uite iyo ultrasound yeiyo thyroid gland uye yakanaka tsono aspiration (FNAP) kusimbisa kuvepo kwemasero akaipa mune iyo gland, iyo inonyatso kuona kana iri cancer.

Vanhu vanoonekwa kuti vane hutachiona hwehutachiona hune njodzi yakaderera kazhinji vane hunhu hwakajairika pakuongororwa kweropa, ndosaka zvichikosha kuti bhiopsy iitwe chero nguva chiremba paanoratidza nekudzokororwa, kana izvi zvichiratidza mhedzisiro isingagumi, kana kusvika yakaratidza kuti yebony nodule.

Dzimwe nguva, chokwadi chekuti igomarara reganda rinoitika chete mushure mekuvhiyiwa kubvisa huro iyo yakatumirwa kuongororo yekuongorora.

Ndeapi marudzi egomarara rekenza

Kune mhando dzakasiyana dzegomarara remukaka dzinosiyana zvichienderana nerudzi rwemasero anobatwa. Zvisinei, zvinowanzozivikanwa zvinosanganisira:

• Papillary carcinoma: ndiyo yakajairika kenza yekenza, inomiririra makumi masere muzana ezviitiko, inowanzo kukura zvishoma nezvishoma, iri mhando irinyore yekurapa;
• Follicular carcinoma: iri mhando isingawanzozivikanwe yekenza yehutachiona kupfuura papillary, asi zvakare ine fungidziro yakanaka, iri nyore kurapwa;
• Medullary carcinoma: hazviwanzo, zvichingobata chete 3% yematambudziko, zvichinyanya kuoma kurapa, nemukana mushoma wekurapa;
• Anaplastic carcinoma: hazviwanzoitika, zvichikanganisa 1% yezviitiko, asi zvine hukasha, zvinowanzouraya.

Papillary kana follicular kenza yehutachiona ine mwero wepamusoro wekupona, kunyangwe ichikwanisa kuita hafu kana gomarara rikaonekwa padanho repamberi, kunyanya kana paine metastases akapararira mumuviri wese. Nekudaro, pamusoro pekuziva kuti rudzii rwebundu iro munhu anaro, vanofanirwawo kuziva nhanho yaro uye kana paine metastases kana kwete, nekuti izvi zvinotarisa kuti ndeupi kurapwa wakanyanya kukodzera kune imwe neimwe kesi.

Nzira yekurapa chirwere checancer

Kurapa gomarara retachiona kunoenderana nehukuru hwebundu uye sarudzo huru dzinosanganisira kuvhiya, iodotherapy uye kurapwa kwehomoni. Mune zviitiko zvakakomba, chemotherapy uye radiation radiation inogona kuratidzwa, asi mhando dzese dzekurapa dzinogara dzichiratidzwa neye endocrinologist kana chiremba nemutsipa chiremba.

• Kuvhiya: inozivikanwa se thyroidectomy, inosanganisira kubvisa gland rese, pamusoro pekuburitsa mutsipa, kubvisa ganglia kubva mumutsipa inogona kukanganisika. Tsvaga kuti kuvhiyiwa kunoitwa sei pa: Kuvhiyiwa kweTiroid.
• Hormone kutsiva: Tevere, mishonga inofanirwa kutorwa kutsiva mahormone anogadzirwa nehutachiona, kwehupenyu, mazuva ese, pane isina chinhu mudumbu. Ziva kuti mishonga iyi ingave ipi;
• Chemo kana Radiotherapy: Zvinogona kuratidzirwa kana paine bundu repamberi;
• Tora radio iodine: Inenge mwedzi mumwe mushure mekubviswa kwetachiona, danho rechipiri rekurapa, iri kutora radio iodine, inofanira kutanga, iyo inoshanda kubvisa zvachose masero ehutachiona uye, nekudaro, zvese zvisaririra zvebundu. Dzidza zvese nezve iodotherapy.

Uyezve tarisa vhidhiyo inotevera uye dzidza kuti ndedzipi chikafu chekutora kuti uite kurapwa uku:

Chemotherapy uye radiotherapy zvinenge zvisati zvambokurudzirwa mune yegomarara yegland nekuti rudzi urwu rwebundu harupindure zvakanaka kune aya marapiro.

Sei kutevedzera mushure mekurapwa

Mushure mekurapwa kubvisa bundu retachiona, bvunzo dzinofanirwa kuitwa kuti vaongorore kana kurapwa kwacho kwabvisa zvachose maseru ane ngozi uye kuti kutsiviwa kwehomoni kwakakwanira pane zvinodiwa nemunhu.

Bvunzo dzinodiwa dzinosanganisira:

• Scintigraphy kana PCI - yakazara muviri kutsvaga: kuongorora uko munhu anotora mushonga obva apinda muchina chinogadzira mifananidzo yemuviri wese, kuti uwane matumbo maseru kana metastase mumuviri wese. Kuongorora uku kunogona kuitwa, kubva pamwedzi kusvika pamwedzi mitanhatu, mushure meiodotherapy. Kana masero akaipisisa kana metastases akawanikwa, chiremba anogona kukurudzira kutora piritsi nyowani ine radioactive kubvisa chero chisaririra chegomarara, asi imwe chete dose yeiodotherapy inowanzo kukwana.
• Neck ultrasound: Iyo inogona kuratidza kana paine shanduko mumutsipa uye kervical node;
• Kuongororwa kweropa kweTSH uye thyroglobulin mazinga, mwedzi yese mitatu, mitanhatu kana gumi nemiviri, chinangwa ndechekuti tsika dzako dzive <0.4mU / L.

Kazhinji, chiremba anongobvunza 1 kana 2 scans yemuviri wese uyezve kuteedzerwa kunoitwa chete neiyo ultrasound yemutsipa uye kuongororwa kweropa. Zvichienderana nezera, rudzi uye nhanho yebundu, uye nehutano hwakazara hune munhu, bvunzo idzi dzinogona kudzokororwa nguva nenguva kwenguva yemakore gumi, kana kupfuura, sekufunga kwachiremba.

Gomarara rekenza rinogona kudzoka here?

Hazvigoneki kuti bundu rakawanikwa pakutanga richakwanisa kupararira nemuviri, riine metastases, asi nzira yakanakisa yekuziva kana paine masero akaipa mumuviri kuita bvunzo dzinokumbirwa nachiremba, kunyanya ultrasound uye scintigraphy, uye kutora hanya sekunge unodya zvakanaka, ita maekisesaizi nguva dzese uye uine tsika dzakanaka dzekuita

Zvisinei, kana bundu racho riine hasha kana rikaonekwa padanho repamberi, pane mukana wekuti gomarara ringaonekwa mune mamwe mativi emuviri, nemastastase achiwanzoitika mumapfupa kana mapapu, semuenzaniso.