Maʻi ʻaʻai thyroid

ʻO ka maʻi ʻaʻai thyroid kahi maʻi ʻaʻai e hoʻomaka i ka gland thyroid. Aia ka gland thyroid ma loko o ka mua o kou ʻāʻī lalo.

Hiki i ka maʻi ʻaʻai thyroid ke hana i nā poʻe o nā makahiki.

Hoʻonui ka radiation i ka makaʻu o ka ulu ʻana i ka maʻi ʻaʻai thyroid. Hōʻike ʻia paha ka hōʻike ʻana mai:

• ʻO ka radiation radiation i ka ʻāʻī (ʻo ia hoʻi i ka wā kamaliʻi)
• Hōʻike ka uila mai nā pōʻino mea kanu nukelea

ʻO nā kumu pilikia ʻē aʻe kahi moʻolelo ʻohana o ka maʻi ʻaʻai thyroid a me ka goiter mau (hoʻonui ʻia ka thyroid).

Aia kekahi mau ʻano o ka maʻi ʻaʻai thyroid:

• ʻO ka carcinoma Anaplastic (i kapa ʻia hoʻi ʻo ka maʻi ʻaʻa nui a me ka spindle cell) ke ʻano weliweli loa o ka maʻi ʻaʻai thyroid. He kākaʻikahi wale nō, a laha koke.
• ʻOi aku ka hoʻi mai o ka follicular tumo a pāhola aku.
• ʻO ka maʻi maʻi Medullary kahi maʻi ʻaʻai o nā pūnaone hana-ʻaʻohe thyroid e hana maʻamau ai i ka momona thyroid. Kūpono kēia ʻano o ka maʻi ʻaʻai thyroid i loko o nā ʻohana.
• ʻO ka carcinoma Papillary ka ʻano maʻamau, a pili pinepine ia i nā wahine o ka hānau keiki. Hoʻolahalaha maʻalahi ia aʻo ia ka ʻano weliweli o ka maʻi ʻaʻai thyroid.

Hoʻololi nā ʻōuli i ke ʻano o ka maʻi ʻaʻai thyroid, akā hiki ke hoʻopili ʻia:

• Cough
• Pilikia i ka ale ʻana
• Ka hoʻonui ʻana o ke kelepaʻi thyroid
• Hoarseness a hoʻololi paha i ka leo
• Hū ʻāʻī
• ʻO ka puʻupuʻu thyroid (nodule)

E hana i kāu mea mālama ola i kahi hoʻokolohua kino. Hōʻike paha kēia i kahi puʻupuʻu i loko o ka thyroid, a i ʻole nā ​​pehu lymph pehu i ka ʻāʻī.

E hana ʻia paha kēia mau hoʻāʻo:

• ʻO ka hoʻāʻo ʻana o ke koko o Calcitonin e nānā ai no ka maʻi ʻaʻai thyroid medullary
• Laryngoscopy (ke nānā nei i loko o ka ʻāʻī e hoʻohana ana i ke aniani a i ʻole i ka pīpī maʻalahi i kapa ʻia he laryngoscope i hoʻonoho ʻia ma o ka waha) e nānā ai i ka hana o nā kaula leo
• ʻO ka biopsy thyroid, kahi e hoʻopili ai i ka hoʻāʻo genetika o nā hunaola i loaʻa i ka biopsy
• ʻImi thyroid
• TSH, T4 manuahi (nā hoʻokolohua koko no ka hana thyroid)
• ʻO Ultrasound o ka thyroid a me nā lymph node o ka ʻāʻī
• CT scan o ka ʻāʻī (e hoʻoholo ai i ka nui o ka nui maʻi ʻaʻai)
• Scanner PET

Pili ka mālama ʻana i ke ʻano o ka maʻi ʻaʻai thyroid. Kūpono ka mālama ʻana i ka hapanui o nā ʻano maʻi ʻaʻai thyroid inā ʻike mua ʻia.

Hana pinepine ʻia ke ʻoki. Hiki ke hemo ʻia i nā ʻāpana āpau a i ʻole ʻāpana paha o ka gland. Inā kuhi kāu mea hāʻawi ua hoʻolaha aku ka maʻi ʻaʻai i nā lymph node i ka ʻāʻī, e hemo pū ʻia kēia mau mea. Inā mau kekahi o kou gland thyroid, pono ʻoe i ka ultrasound ukali a me nā noiʻi ʻē aʻe paha e ʻike i ka ulu hou ʻana o ka maʻi ʻaʻai thyroid.

Hana ʻia ka radiation radiation me ka ʻole o ke kahakaha ʻana. Hana ʻia e:

• Lawe i ka iodine radioactive ma ka waha
• Ke kuhi nei i ka kukuna o waho (x-ray) radiation ma ka thyroid

Ma hope o ka hoʻomaʻamaʻa ʻana no ka maʻi ʻaʻai thyroid, pono ʻoe e inu i nā huaale hormone thyroid no ke koena o kou ola. ʻOi aku ke kiʻekiʻe o ke ana ma mua o ka mea e pono ai i kou kino. Kōkua kēia i ka mālama ʻana i ka maʻi ʻaʻai.Hoʻololi pū nā pila i ka hormone thyroid e pono ai i kou kino e hana maʻamau.

Inā ʻaʻole pane ka maʻi ʻaʻai i ka ʻoki ʻana a i ʻole ka radiation, a ua pālahalaha ʻia i nā ʻāpana ʻē aʻe o ke kino, hiki ke hoʻohana ʻia i ka chemotherapy a i ʻole ka hoʻomōhala hoʻomōhala. Kūpono wale kēia no kahi poʻe liʻiliʻi.

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.

Komo pū kekahi nā pilikia o ka maʻi ʻaʻai thyroid:

• ʻO ka hōʻeha i ka pahu leo ​​a me ka hoarseness ma hope o ke kahakaha ʻana o ka thyroid
• ʻO ke kiʻekiʻe o ka calcium mai ka lawe wale ʻia ʻana o nā gland parathyroid i ka wā o ke ʻoki
• Ka hohola ʻana o ka maʻi ʻaʻai i nā akemāmā, nā iwi, a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino

Kāhea i kāu mea hāʻawi inā ʻike ʻoe i kahi puʻupuʻu i kou ʻāʻī.

ʻAʻohe pale e ʻike ʻia. ʻO ka hoʻomaopopo ʻana i ka makaʻu (e like me ka radiation radiation mua i ka ʻāʻī) hiki ke ʻae i ka hōʻoia mua a me ka lāʻau.

I kekahi manawa, ʻo nā kānaka me nā mōʻaukala ʻohana a me nā hoʻololi kūpuna e pili ana i ka maʻi ʻaʻai thyroid e hoʻoneʻe ʻia i kā lākou gland thyroid e pale aku ai i ka maʻi ʻaʻai.

Tumor - thyroid; Ka maʻi ʻaʻai - thyroid; Nodule - ka maʻi ʻaʻai thyroid; Papillary thyroid carcinoma; Lāʻau carroidoma thyroid medullary; Carcinoma thyroid Anaplastic; ʻO ka maʻi ʻaʻai thyroid Follicular

• ʻO ka hemo ʻana o ka momona thyroid - hoʻokuʻu

• Nānā Endocrine
• Ka maʻi ʻaʻai thyroid - CT scan
• Ka maʻi ʻaʻai thyroid - CT scan
• Hoʻokiʻoki no ka ʻoki ʻana i ke kelala thyroid
• Kelepaʻi thyroid

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Pūnaewele ʻo National Cancer Institute. ʻO ka mālama ʻana i ka maʻi ʻaʻai thyroid (makua) (PDQ) - mana kūlohelohe olakino. www.cancer.gov/cancertopics/pdq/treatment/thyroid/HealthProfessional. Hoʻohou ʻia Mei 14, 2020. Loaʻa iā ʻAukake 3, 2020.

Smith PW, Hanks LR, Salomone LJ, Hanks JB. ʻOhana. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 36.

ʻO Thompson LDR. Nā neoplasma malignant o ka gland thyroid. I: Thompson LDR, Bishop JA, hua. ʻO ke poʻo a me ka neck pathology. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2019: chap 25.