Ka maʻi ʻaʻai thyroid - carulloma medullary

ʻO ka maʻi maʻi o ka thyroid ka maʻi ʻaʻai o ka pona thyroid e hoʻomaka i nā hunaola e hoʻokuʻu i kahi hōmona i kapa ʻia ʻo calcitonin. Kapa ʻia kēia mau hunaola nā ʻāpana "C". Aia ka gland thyroid ma loko o ka mua o kou ʻāʻī lalo.

ʻAʻole i ʻike ʻia ke kumu o ka carcinoma medullary o ka thyroid (MTC). Kākaʻikahi loa ka MTC. Hiki iā ia ke hana i nā keiki a me nā mākua.

ʻAʻole like me nā ʻano ʻano like ʻole o ka maʻi ʻaʻai thyroid, ʻoi aku ka liʻiliʻi o ka hopena o ka MTC e ka radiation radiation i ka ʻāʻī i hāʻawi ʻia e mālama i nā maʻi ʻē aʻe i ka wā kamaliʻi.

ʻElua ʻano o ka MTC:

• Sporadic MTC, ʻaʻole holo i loko o nā ʻohana. ʻO ka hapa nui o nā MTC he sporadic. Hoʻololi kēia palapala i nā mākua.
• Hereditary MTC, e holo nei i loko o nā ʻohana.

Ua piʻi aʻe kou makaʻu no kēia ʻano maʻi ʻaʻai inā loaʻa iā ʻoe:

• He moʻolelo ʻohana o ka MTC
• ʻO kahi moʻolelo ʻohana o neoplasia endocrine (MEN)
• ʻO ka mua o ka pheochromocytoma, nā neuromas mucosal, hyperparathyroidism a i ʻole nā ​​tumors endocrine pancreatic

ʻO nā ʻano ʻē aʻe o ka maʻi ʻaʻai thyroid me:

• ʻO ka carcinoma Anaplastic o ka thyroid
• ʻO ka tumo Follicular o ka thyroid
• Papillary carcinoma o ka thyroid
• ʻO ka lymphoma thyroid

Hoʻomaka pinepine ka MTC ma ke ʻano he puʻupuʻu liʻiliʻi (nodule) i ka pākana thyroid. Aia pū kekahi pūhā lymph paha ma ka ʻāʻī. A ʻo kahi hopena, hoʻopili ʻia nā ʻōuli:

• Pehu o ka ʻāʻī
• Hoarseness
• Nā pilikia hanu ma muli o ka piʻina o nā alaloa
• Cough
• Cough me ke koko
• ʻO ka maʻi pākē ma muli o ke kiʻekiʻe o ka helu helu kiʻekiʻe

E hana kāu mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino.

Hiki ke hoʻohana ʻia nā hoʻokolohua e kuhikuhi ai i ka MTC.

• Hōʻike koko Calcitonin
• Hōʻaʻo koko CEA
• Ke hoʻāʻo genetic
• ʻO ka biopsy thyroid
• ʻO Ultrasound o ka thyroid a me nā lymph node o ka ʻāʻī
• Scanner PET

Pono e nānā ʻia ka poʻe me ka MTC no kekahi mau tumors ʻē aʻe, ʻo ia hoʻi nā pheochromocytoma a me nā puʻupuʻu parathyroid a me nā puʻupuʻu parathyroid.

Hoʻopili ka hana me ka ʻoki ʻana e wehe i ka gland thyroid a me nā lymph node e pili ana. No ka mea he tumole maʻamau kēia, pono e hana i ke ʻoki e ke kauka nāna i kamaʻāina i kēia ʻano maʻi ʻaʻai a ʻike me ka hana e koi ʻia.

E pili ka mālama hou ʻana i kāu pae helu helu. ʻO ka piʻi ʻana o nā pae kalona hiki ke hōʻike hou i ka ulu ʻana o ka maʻi ʻaʻai.

• ʻAʻole holo maikaʻi ʻo Chemotherapy a me radiation no kēia ʻano maʻi ʻaʻai.
• Hoʻohana ʻia ka pāhawewe i kekahi poʻe ma hope o ke kaha ʻana.
• Hoʻoemi ʻia nā ulu lāʻau tumo i ka ulu pū kekahi. Hiki i kāu mea hoʻolako ke haʻi hou aku iā ʻoe e pili ana i kēia mau mea, inā pono.

Ma kahi kokoke i nā ʻohana o nā kānaka i ʻike ʻia me nā ʻano hoʻoilina o ka MTC ke piʻi nei i ka makaʻu o kēia maʻi ʻaʻai a pono e kūkākūkā me kā lākou poʻe hāʻawi.

Hiki iā ʻoe ke hoʻomāmā i ke koʻikoʻi o ka maʻi ma ke komo ʻana i kahi hui kākoʻo maʻi ʻaʻai. ʻO ke kaʻana ʻana me nā poʻe ʻē aʻe i loaʻa nā ʻike a me nā pilikia maʻamau e hiki ke kōkua iā ʻoe e noʻonoʻo ʻole.

Noho ka hapa nui o ka poʻe me ka MTC ma kahi o 5 mau makahiki ma hope o ka ʻike ʻana, kaukaʻi ʻia i ka pae o ka maʻi ʻaʻai. ʻO ka helu ola 10 mau makahiki he 65%.

Komo pū nā pilikia:

• Hoʻolahalaha ka maʻi ʻaʻai i nā wahi ʻē aʻe o ke kino
• Lawe hewa ʻia nā ʻōnaehana Parathyroid i ka wā o ke ʻoki

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka MTC.

ʻAʻole hiki ke kāohi. Akā, ke ʻike nei i kāu mau kumu pilikia, keu hoʻi i ka mōʻaukala o kou ʻohana, e ʻae no ka ʻike mua ʻana a me ka lāʻau. No ka poʻe i loaʻa ka moʻolelo ʻohana ikaika loa o ka MTC, pono paha e koho ʻia ka koho e hemo ai ka gland thyroid. E kūkākūkā pono ʻoe i kēia koho me ke kauka i kamaʻāina loa i ka maʻi.

Thyroid - lāʻau maʻi maʻi kino; Ka maʻi ʻaʻai - thyroid (carulloma medullary); MTC; Thyroid nodule - medullary

• Ka maʻi ʻaʻai thyroid - CT scan
• Kelepaʻi thyroid

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Pūnaewele ʻo National Cancer Institute. Ka mālama ʻana i ka maʻi ʻaʻai thyroid (makua) (PDQ) - mana ʻoihana olakino. www.cancer.gov/types/thyroid/hp/thyroid-treatment-pdq. Hoʻohou i Ianuali 30, 2020. Loaʻa iā Malaki 6, 2020.

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ʻO Wells SA Jr, ʻo Asa SL, ʻo Dralle H. i hoʻoponopono ʻia i nā alakaʻi alakaʻi ʻAmelika Hui Pū ʻIa ʻAmelika no ka mālama ʻana i ka carroidoma thyroid medullary. ʻOhana. 2015; 25 (6): 567-610. PMID: 25810047 pubmed.ncbi.nlm.nih.gov/25810047/.