Papillary Carcinoma yeTiroid

Zvemukati

• Zviratidzo zvepapillary carcinoma yehutachiona
• Ndezvipi zvikonzero zvepapillary carcinoma yehutachiona?
• Kuedzwa uye kuongororwa papillary cancer cancer
• Kuongororwa kweropa
• Ultrasound
• Utachiona hwehutachiona
• Biopsy
• Kugadzira papillary thyroid kenza
• Vanhu vari pasi pemakore makumi mana nemashanu
• Vanhu vanopfuura makore makumi mana nemashanu
• Kurapa kwepapillary carcinoma yehutachiona
• Kuvhiya
• Radiation kurapa
• Radiation yekunze
• Yemukati mwaranzi
• Chemotherapy
• Utachiona hwehomoni
• Targeted kurapwa
• Ndeupi maonero eapillary thyroid cancer?

Chii chinonzi papillary carcinoma yehutachiona?

Iyo yegland gland chimiro chechimiro bhatafurayi uye inogara pamusoro pekora rako repakati pakati pemutsipa wako. Basa rayo nderekuchengetedza mahormone anodzora metabolism yako uye kukura.

Mapundu asina kujairika pamutsipa wako anogona kuve chiratidzo chedambudziko redhiyo. Kazhinji yenguva, bundu rinenge riine hunyoro uye risingakuvadze. Iyo inogona kuve iri nyore kuvaka kweakawandisa maseru ehutachiona ayo akaumba kuwanda kwetishu. Dzimwe nguva bundu iri papillary carcinoma yehutachiona.

Kune marudzi mashanu egomarara rekenza. Papillary carcinoma yehutachiona ndiyo yakajairika mhando. Gomarara iri rakajairika muvanhu vakuru vane makore anodarika makumi mana nemashanu.

Papillary carcinoma yeiyo thyroid ikenza inononoka kukura iyo inowanzo kukura mune rimwe chete lobe yeglandi gland. Kana ikabatwa mumatanho ayo ekutanga gomarara iri rine mwero wekupona wakanyanya.

Zviratidzo zvepapillary carcinoma yehutachiona

Papillary carcinoma yehutachiona inowanzo asymptomatic, zvinoreva kuti haina chero zviratidzo. Iwe unogona kunzwa bundu pane yako thyroid asi mazhinji ma nodule pane iyo thyroid haina cancer. Asi kana iwe uchinzwa bundu, iwe unofanirwa kuona chiremba wako. Vachakwanisa kukupa bvunzo uye odha bvunzo dzekuongorora kana zvichidikanwa.

Ndezvipi zvikonzero zvepapillary carcinoma yehutachiona?

Chikonzero chaicho chepapillary carcinoma yehutachiona hachizivikanwe. Panogona kuve nekuchinja kwemajini kunosanganisirwa asi kumwe kutsvagurudza kunoda kusimbisa iyi fungidziro.

Imwe njodzi inokonzera chirwere kuburitswa kwemusoro, mutsipa, kana chipfuva kune radiation. Izvi zvakaitika kakawanda pamberi pema1960s apo radiation yaive yekurapa kwakajairika kwemamiriro akaita seacne uye akapisa matoni. Radiation ichiri dzimwe nguva kushandiswa kurapa mamwe kanzira.

Vanhu vakaoneswa nenjodzi dzenyukireya kana vakagara mukati mamaira mazana maviri kubva panjodzi yenyukireya vari panjodzi huru. Ivo vangangoda kutora potassium iodide kudzikisa njodzi yavo yekuva nekenza.

Kuedzwa uye kuongororwa papillary cancer cancer

Chiremba wako anogona kuongorora papillary carcinoma yeiyo thyroid uchishandisa akasiyana bvunzo. Kuongororwa kwekiriniki kuchaburitsa chero kuzvimba kwetachiona uye zvinyama zviri padyo. Chiremba wako anogona ipapo kuraira yakanaka tsono chishuwo chetachiona. Ichi chi bhiopsy umo chiremba wako anounganidza matishu kubva kubundu riri pane yako thyroid. Nyama iyi inozoongororwa pasi pe microscope yekenza maseru.

Kuongororwa kweropa

Chiremba wako anogona kuraira kuongororwa kweropa kuti atarise huwandu hwehutachiona-hunokurudzira mahormone (TSH). TSH ndiyo hormone inoburitswa neiyi pituitary gland, iyo inomutsa kuburitswa kwehormone yegland. Kunyanyisa kana kushoma TSH chikonzero chekufunganya. Inogona kuratidza akasiyana siyana ezvirwere zvetachiona, asi haina kunangana nechero mamiriro, kusanganisira cancer.

Ultrasound

Imwe nyanzvi ichaita ultrasound yehutachiona gland yako. Iyi bvunzo yekufungidzira inobvumidza chiremba wako kuti aone saizi uye chimiro chetachiona chako. Vachakwanisa zvakare kuona chero maqhuguru uye voona kana ari mamasi akasimba kana kuzadzwa nemvura. Maqhumu akazadzwa nemvura anowanzove asiri cancer, nepo iwo akasimba aine mukana wakakura wekushata.

Utachiona hwehutachiona

Chiremba wako anogona zvakare kuda kuita utachiona scan. Kune iyi maitiro, iwe uchamedza iyo shoma radioactive dhayi iyo yako thyroid maseru achatora. Tichitarisa nzvimbo yemusoro pane scan, chiremba wako achaona kana iri "kupisa" kana "kutonhora." Mapundu anopisa anotora yakawanda yedhayi kupfuura yakakomberedza tenzhu yeturu uye kazhinji haina kenza. Cold maqhuqhumu haatore dhayi yakawandisa sezvakaita maturusi akapoterera uye anowanzo kuve akaipa.

Biopsy

Chiremba wako anoita bhiopsy kuti atore chidimbu chidiki chemucheka kubva kune yako thyroid. Kuongorora kwekupedzisira kunokwanisika mushure mekunge iyo tishu yaongororwa pasi pe microscope. Izvi zvinobvumidzawo kuongororwa kuti nderupi rudzi rwegomarara rekenza uripo.

Chiremba wako achaita biopsy achiita maitiro anonzi akanaka tsono kuda. Kana ivo vanogona kuvhiya kana vachida yakakura sampuro. Munguva yekuvhiyiwa, chiremba wako anowanzo bvisa chikamu chakakura chetachiona uye anogona kutobvisa gland rese kana zvichidikanwa.

Taura nachiremba wako pasati paita bhaopsy kana kumwe kuyedzwa kana iwe uine chero zvinonetsa kana mibvunzo. Chiremba wako anofanira kukutsanangurira kuti chii, kana chiripo, mishonga yaungangoda mushure mekuvhiyiwa.

Kugadzira papillary thyroid kenza

Mushure mekuongororwa kwako, chiremba wako anozoisa cancer. Kutepfenyura ndiro izwi rinoshandiswa maranho ekuronga kuomarara kwechirwere uye kurapwa kunodiwa.

Kuitira gomarara reganda kwakasiyana pane kumwe kanzuru. Kune matanho 1 kusvika 4, kuitira kukwira kwakasimba. Kugadzira matanho kunotora zvakare kufunga zera remunhu uye chikamu checancer yavo yegomarara. Kugara kwepapillary thyroid cancer zvinotevera:

Vanhu vari pasi pemakore makumi mana nemashanu

• danho 1: Bundu iri chero saizi, inogona kunge iri muhutachiona, uye inogona kunge yakapararira kumaturu ari pedyo uye node dzenhengo. Gomarara harina kupararira kune dzimwe nhengo dzemuviri.
• nhanho 2: Bundu iri rakakura uye gomarara rapararira kune dzimwe nhengo dzemuviri semapapu kana pfupa. Inogona kunge yakapararira kune iyo lymph node.

Iko hakuna nhanho yechitatu kana nhanho yechina yevanhu vane makore ari pasi pe45 vane gomarara repapillary thyroid.

Vanhu vanopfuura makore makumi mana nemashanu

• danho 1: Bundu iri pasi pemasentimita maviri (cm) uye gomarara rinongowanikwa muhutachiona.
• nhanho 2: Bundu rakakura kudarika 2 cm asi diki pane 4 cm uye richiri kungowanikwa muhutachiona.
• nhanho 3: Bundu rakapfuura masendimita mana uye rakura zvishoma kunze kwetachiona, asi harina kupararira kune maLymph node kana zvimwe nhengo. Kana, bundu iri chero saizi uye inogona kunge yakura zvishoma kunze kwetachiona uye ikapararira kune lymph node dzakakomberedza utachiona mumutsipa. Izvo hazvina kupararira kune mamwe ma lymph node kana zvimwe nhengo.
• nhanho 4: Bundu iri rakakura uye rakapararira kune dzimwe nhengo dzemuviri semapapu nemapfupa. Inogona kunge yakapararira kune lymph node.

Kurapa kwepapillary carcinoma yehutachiona

Sekureva kweMayo Clinic, iyo chaiyo yekurapa kwepapillary cancer cancer inosanganisira:

• kuvhiya
• radiation radiation, kusanganisira radioactive iodine therapy (NCI)
• chemotherapy
• thyroid kemikari kurapwa
• yakanangwa kurapwa

Kana iyo papillary yegomarara cancer isina metastasized kana kupararira, kuvhiya uye radioactive iodine ndiyo inoshanda kurapwa.

Kuvhiya

Kana iwe uine chirwere chegomarara chekenza, unogona kuve nechikamu kana chese chako chetachiona gland chabviswa. Chiremba wako achaita izvi nekugadzira incision mumutsipa wako kana iwe uri pasi pechirariro. Kana chiremba wako akabvisa utachiona hwese, uchafanirwa kutora mahormone ehutachiona ekuwedzera kwehupenyu hwako hwese kubata hypothyroidism.

Radiation kurapa

Kune maviri marudzi akasiyana eradio radiation: yekunze neyemukati. Radiation yekunze inosanganisira muchina kunze kwemuviri unotumira radiation kumuviri. Yemukati radiation, radioactive iodine (radioiodine) kurapa, inouya iri mvura kana fomu yepiritsi.

Radiation yekunze

Kunze kwedanda radiation ndiko kurapwa kunotungamira X-ray matanda kunzvimbo yekenza. Uku kurapa kunowanzoitika kune mamwe, mamwe mafomu ane hukasha ekenza yekenza. Inonyanya kushandiswa kana kenza yepapillary yekenza inopararira ichibva kutachiona kana kana njodzi yekuvhiya yakanyanya.

Kunze kwedanda radiation kunopawo kurapa kwekunyaradza kana mushonga usingaiti. Kurapa kwekurapa kunobatsira kubata zviratidzo, asi hakuzokanganisa kenza.

Yemukati mwaranzi

Kugadzira thyroid hormone, masero ehutachiona anotora iodine kubva muropa uye oishandisa kugadzira iyo hormone. Iko hakuna imwe chikamu chemuviri wako chinotarisa iodini nenzira iyi. Kana masero ane gomarara ane gomarara paanotora iodine ine radioactive, inouraya masero.

Radioactive ayodini kurapa kunosanganisira kushandiswa kweiyo radioactive zvinhu I-131. Iwe unogona kugamuchira iyi kurapa mune yekurapa kurongedza nekuti iyo I-131 mishonga inouya mune yemvura kana capsule. Mazhinji echikamu chine radioactive chemushonga chichave chaenda kubva mumuviri wako mukati mevhiki.

Chemotherapy

Chemotherapy zvinodhaka zvinomira maseru ekenza kubva pakupatsanuka. Iwe uchagamuchira kurapwa uku kuburikidza nejekiseni.

Kune akasiyana marudzi emakemikari madhiragi ayo anotarisa chaiwo marudzi ekenza maseru. Chiremba wako achakubatsira iwe kusarudza kuti ndeupi mushonga wakakukodzera.

Utachiona hwehomoni

Hormone kurapwa kurapa kenza inobvisa mahormone kana ichivhara maitiro avo uye inomisa maseru ekenza kubva mukukura. Chiremba wako anokwanisa kukunyorera mishonga inomisa muviri wako kuburitsa mahormone anokurudzira utachiona. Aya ndiwo mahormone anokonzera gomarara kukura mudumbu.

Vamwe vanhu vane utachiona hwakabviswa zvishoma vanotora mahormone ekutsiva mahormone nekuti avo utachiona haugone kuburitsa mahormone akakwana ehutachiona.

Targeted kurapwa

Targeted therapy mishonga inotsvaga humwe hunhu mumasero egomarara, sekuchinja kwemajini kana mapuroteni, uye vanozviisa kune iwo maseru. Paunenge wabatanidzwa, iyi mishonga inogona kuuraya maseru kana inogona kubatsira mamwe marapirwo, senge chemotherapy, shanda zvirinani.

Yakatenderwa yakanangwa kurapwa mishonga yekenza yehutachiona inosanganisira vandetanib (Caprelsa), cabozantinib (COMETRIQ), uye sorafenib (Nexavar).

Ndeupi maonero eapillary thyroid cancer?

Iko kutaridzika kwekapillary cancer kenza kwakanakisa kana iwe ukakurumidza kuongororwa. Kukurumidza kuona chinhu chakakosha pakurapa chirwere. Ona chiremba wako nekukurumidza kana ukacherekedza chero mapundu akakomberedza dunhu rehutachiona.