ʻO Papillary Carcinoma o ka thyroid

Anter

• Nā ʻōuli o ka carcinoma papillary o ka thyroid
• He aha nā kumu o ka papillary carcinoma o ka thyroid?
• Ke hoʻāʻo nei a me ka hōʻoia ʻana i ka maʻi ʻaʻai papillary thyroid
• Nā hoʻāʻo koko
• Kukuna ultrasound
• ʻImi thyroid
• ʻO Biopsy
• Ke kū nei i ka maʻi ʻaʻai papillary thyroid
• ʻO ka poʻe ma lalo o ka makahiki 45
• ʻO ka poʻe ma luna o 45 mau makahiki
• ʻO ka mālama ʻana no ka carcinoma papillary o ka thyroid
• ʻOki kino
• Lapaʻau hoʻomākala
• Pāhawewe kūwaho
• Pāhawewe kūloko
• ʻO Chemotherapy
• ʻO ka hoʻōla hormonone thyroid
• Pahuhopu kau ʻia
• He aha ke kuanaʻike no ka maʻi ʻaʻai papillary thyroid?

He aha ka carcinoma papillary o ka thyroid?

ʻO ke kinona thyroid ke ʻano o ka butterfly a noho ma luna o kou iwi iwi i waenakonu o kou ʻāʻī. ʻO kāna hana e hūnā i nā hormoni e hoʻoponopono i kāu metabolism a me kou ulu ʻana.

ʻO nā puʻupuʻu maʻamau ʻole ma kou ʻāʻī hiki ke lilo i hōʻailona o kahi pilikia thyroid. ʻO ka hapa nui o ka manawa, e benign a maikaʻi ʻole ka puʻupuʻu. Hiki iā ia ke kūkulu maʻalahi o nā keaka thyroid nui i hana i kahi nui o nā kiko. I kekahi manawa ʻo ka puʻupuʻu he papillary carcinoma o ka thyroid.

ʻElima ʻano o ka maʻi ʻaʻai thyroid. ʻO ka carcinoma papillary o ka thyroid ka ʻano maʻamau. Kūleʻa kēia maʻi ʻaʻai i nā mākua ma mua o ka makahiki 45.

ʻO ka carcinoma Papillary o ka thyroid kahi maʻi ʻaʻa ulu lohi e ulu maʻamau i hoʻokahi lobe o ka gland thyroid. Ke loaʻa i kāna mau kau mua o kēia maʻi maʻi he helu ola kiʻekiʻe.

Nā ʻōuli o ka carcinoma papillary o ka thyroid

ʻO ka maʻi maʻi papillary o ka thyroid he asymptomat, ʻo ia hoʻi ʻaʻohe ona hōʻailona. ʻIke paha ʻoe i kahi puʻupuʻu ma kāu thyroid akā ʻo ka hapa nui o nā nodule ma ka thyroid ʻaʻole maʻi maʻi maʻi. Akā inā ʻoe e ʻike i kahi puʻupuʻu, pono ʻoe e ʻike i kāu kauka. Hiki iā lākou ke hāʻawi iā ʻoe i kahi hōʻike a kauoha i nā hoʻokolohua diagnostic inā pono.

He aha nā kumu o ka papillary carcinoma o ka thyroid?

ʻAʻole i ʻike ʻia ke kumu kūpono o ka carcinoma papillary o ka thyroid. Loaʻa paha i kahi hoʻololi kūʻē e pili ana akā pono ka noiʻi hou aʻe e hōʻoia i kēia kuhiakau.

ʻO kahi kumu pilikia no ka maʻi ka hōʻike ʻana i ke poʻo, ka ʻāʻī, a i ʻole ka umauma i ka pāhawewe. Ua hana pinepine ʻia kēia ma mua o nā 1960 i ka wā he lapaʻau maʻamau ka radiation no nā ʻano e like me ka huehue a me nā tonsils i hoʻāla ʻia. Hoʻohana mau ʻia ka kukuna i kekahi manawa e mālama i kekahi mau maʻi maʻi maʻi.

ʻO ka poʻe i kū i nā pōpilikia nuklea a i noho paha ma waena o 200 mile o kahi pōpilikia nukelea e makaʻu nui ana. Pono paha lākou e lawe i ka potassium iodide e hoʻemi i ko lākou makaʻu o ka ulu ʻana i ka maʻi ʻaʻai.

Ke hoʻāʻo nei a me ka hōʻoia ʻana i ka maʻi ʻaʻai papillary thyroid

Hiki i kāu kauka ke hōʻoia i ka carcinoma papillary o ka thyroid me ka hoʻohana ʻana i nā ʻano hoʻokolohua. E wehe kahi hōʻike hoʻokolohua i kahi ʻōhū o ka gland thyroid a me nā mea kokoke. E kauoha paha kāu kauka i kahi moʻo o ka nila kuʻina maikaʻi. He biopsy kēia e hōʻiliʻili ai kāu kauka i kaʻiʻo mai ka puʻupuʻu i kāu thyroid. Nānā ʻia kēia kinona ma lalo o kahi microscope no nā hunaola maʻi ʻaʻai.

Nā hoʻāʻo koko

Hiki i kāu kauka ke kauoha i nā hoʻāʻo ʻana i ke koko e nānā i nā kiʻekiʻe o ka thyroid-stimulate hormone (TSH). ʻO TSH ka hōmona a ka pituitary gland e hana ai, kahi e hoʻoulu ai i ka hoʻokuʻu ʻia o ka hormone thyroid. ʻO TSH ke kumu nui a liʻiliʻi paha ke kumu e hopohopo ai. Hōʻike paha ia i kahi ʻano o nā maʻi thyroid, akā ʻaʻole kikoʻī ia i kekahi ʻano, e like me ka maʻi ʻaʻai.

Kukuna ultrasound

E hana kahi mea loea i kahi ultrasound o kāu kelu thyroid. E ʻae kēia hoʻokolohua kiʻi i kāu kauka e ʻike i ka nui a me ke kinona o kāu thyroid. E hiki nō hoʻi iā lākou ke ʻike i nā nodule a hoʻoholo inā he lehulehu paʻa a i ʻole piha i ka wai. ʻO nā nodule piha i ka wai ʻaʻole maʻamau ka maʻi ʻaʻai, ʻoiai ʻo nā mea paʻa paʻa ka manawa nui e lilo i maʻi kino.

ʻImi thyroid

E makemake paha kāu kauka e hana i kahi scanaki thyroid. No kēia kaʻina hana, e moni ʻoe i kahi liʻiliʻi o ka waihoʻoluʻu radioactive e lawe ai i kāu mau kaola thyroid. Ke nānā nei i ka wahi nodule ma ka scan, e ʻike ai kāu kauka inā he "wela" a "anuanu." Lawe nā nodule wela i ka nui o ke kala ma mua o ka puni o ka thyroid a ʻaʻole maʻamau ka maʻi ʻaʻai. ʻAʻole lawe nā nodule anuanu e like me ka nui o nā kala e like me nā mea āpau a ʻoi aku paha ke ʻano malignant.

ʻO Biopsy

Hana kahi kauka i kahi biopsy e kiʻi i kahi ʻāpana o nā meaola mai kāu thyroid. Hiki ke kuhi definitive ma hope o ka nānā ʻana o ke kiko ma lalo o kahi microscope. E ʻae pū kēia i kahi kuhi o ke ʻano o ka maʻi ʻaʻai thyroid e kū nei.

E hana kāu kauka i ka biopsy e hana ana i kahi hana i kapa ʻia ka ʻiʻina no ka nila maikaʻi. A i ʻole hana lākou i ke kahakaha inā pono lākou i kahi hōʻailona nui aʻe. I ka wā o ke kāpili ʻana, e lawe pinepine kāu kauka i kahi nui o ka thyroid a hemo paha i ka gland holoʻokoʻa inā pono.

E kamaʻilio me kāu kauka ma mua o kahi biopsy a i ʻole nā ​​hoʻokolohua ʻē aʻe inā he hopohopo a nīnau paha kāu. Pono kāu kauka e wehewehe iā ʻoe i ka mea, inā loaʻa, nā lāʻau āu e pono ai ma hope o ke kahakaha ʻana.

Ke kū nei i ka maʻi ʻaʻai papillary thyroid

Ma hope o kāu hōʻoia ʻana, kau ke kauka i ka maʻi ʻaʻai. ʻO ke kau ʻana ka manawa i hoʻohana ʻia no ka hoʻokaʻawale ʻana o nā kauka i ke koʻikoʻi o kahi maʻi a me ka mālama e pono ai.

ʻOkoʻa ka hoʻonohonoho ʻana no ka maʻi ʻaʻai thyroid ma mua o nā maʻi ʻē aʻe. Aia nā pae 1 a i ka 4, i ke ʻano o ka piʻi piʻi i ka paʻakikī. Lawe pū ke kau ʻana i ka makahiki o ke kanaka a me ka subtype o kā lākou maʻi ʻaʻai thyroid. ʻO ka hoʻonohonoho ʻana no ka maʻi ʻaʻai papillary thyroid penei:

ʻO ka poʻe ma lalo o ka makahiki 45

• pae 1: ʻO ka nui o ka tumo, aia i loko o ka thyroid, a ua pāhola paha i nā kiko kokoke a me nā lymph node. ʻAʻole i pālahalaha ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino.
• pae 2: ʻO ka nui o ka tumo a ua pāhola ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino e like me nā akemāmā a iwi paha. Ua palahalaha paha ia i nā lymph nodes.

ʻAʻohe pae 3 a pae 4 paha no ka poʻe ma lalo o 45 me ka maʻi ʻaʻai papillary thyroid.

ʻO ka poʻe ma luna o 45 mau makahiki

• pae 1: Aia ka tumo ma lalo o 2 mau kenimika (cm) a loaʻa wale ka maʻi ʻaʻai ma ka thyroid.
• pae 2: ʻOi aku ka nui o ka tumo ma mua o 2 cm akā ʻoi aku ka liʻiliʻi ma mua o 4 cm a aia wale nō i ka thyroid.
• pae 3: ʻOi aku ka tumo ma mua o 4 cm a ua ulu iki ma waho o ka thyroid, akā ʻaʻole i pālahalaha ʻia i nā lymph node a i ʻole nā ​​mea ʻē aʻe. A i ʻole, he nui ka tumo a ua ulu iki paha ma waho o ka thyroid a pāhola i nā lymph node a puni ka thyroid i ka ʻāʻī. ʻAʻole ia i pālahalaha i nā lymph node a i ʻole nā ​​mea ʻē aʻe.
• pae 4: ʻO ka tumo kekahi nui a ua pālahalaha ʻia i nā ʻāpana ʻē aʻe o ke kino e like me nā akemāmā a me nā iwi. Ua palahalaha paha ia i nā lymph nodes.

ʻO ka mālama ʻana no ka carcinoma papillary o ka thyroid

Wahi a ka Mayo Clinic, ʻo ka hana maʻamau no ka maʻi ʻaʻai papillary thyroid me:

• ʻoki kino
• radiation therapy, me radioactive iodine therapy (NCI)
• chemotherapy
• ka hoʻōla hormonone thyroid
• hoʻomālama mākaukau

Inā ʻaʻole i metastasized a pāhola paha ka papillary thyroid cancer, ʻo ke keʻoki ʻana a me ka iodine radioaktif nā lāʻau lapaʻau maikaʻi loa.

ʻOki kino

Inā loaʻa iā ʻoe kahi ʻōkuhi maʻi ʻaʻai thyroid, loaʻa iā ʻoe kahi ʻāpana a i ʻole a pau paha o kāu gland thyroid i hoʻoneʻe ʻia. E hana kēia kāu kauka i ka ʻoki ʻana i kou ʻāʻī ke loaʻa ʻoe i ka sedation. Inā hoʻoneʻe kāu kauka i kāu thyroid āpau, pono ʻoe e lawe i nā homone thyroid āpau no ke koena o kou ola e mālama i ka hypothyroidism.

Lapaʻau hoʻomākala

Aia ʻelua ʻano ʻokoʻa o ka radiation radiation: kūwaho a me loko. Pili ka pāhawewe kūwaho i kahi mīkini ma waho o ke kino e hoʻouna ana i ka radiation i ke kino. ʻO radiation radiation, radiood iodine (radioiodine) therapy, hele mai i loko o ka wai a i ʻole ʻano pila.

Pāhawewe kūwaho

ʻO ka radiation radiation kūwaho kahi lāʻau e kuhikuhi i nā kaola X-ray i kahi o ka maʻi ʻaʻai. ʻOi aku ka maʻamau o kēia lapaʻau ʻana no nā ʻano ʻē aʻe, ʻoi loa o ka maʻi kō thyroid. Hoʻohana pinepine ʻia inā pālahalaha ka maʻi ʻaʻai papillary thyroid mai ka thyroid a i ʻole ke kiʻekiʻe loa ka makaʻu o ke ʻoki.

Hiki i ka radiation radiation waho ke hāʻawi i ka lāʻau palliative ke hiki ʻole ke hoʻōla. Kōkua nā pale pale i ka mālama ʻana i nā ʻōuli, akā ʻaʻole e pili i ka maʻi ʻaʻai.

Pāhawewe kūloko

No ka hana ʻana i ka hōmona thyroid, e lawe nā hunaola i ka iodine i ke kahe o ke koko a hoʻohana iā ia e hana i ka hormone. ʻAʻohe ʻāpana ʻē aʻe o kou kino e hoʻopili i ka iodine i kēia ala. Ke komo ke kolamu thyroid i ka iodine radioactive, make ia i nā hunaola.

Hoʻohui ka radiood iodine therapy i ka ʻai ʻana o ka mea radioactive I-131. Hiki iā ʻoe ke loaʻa i kēia hoʻōla ma kahi hoʻonohonoho maʻi no ka mea ʻo ka lāʻau I-131 e hele mai i loko o kahi wai a i ʻole capsule. E hala ka hapa nui o ka radioactive o ka lāʻau mai kou kino i loko o hoʻokahi pule.

ʻO Chemotherapy

Hoʻopau nā lāʻau Chemotherapy i nā hunaola maʻi ʻaʻai mai ka hoʻokaʻawale ʻana. E loaʻa iā ʻoe kēia lāʻau lapaʻau ma o ka hoʻopili ʻana.

Aia nā ʻano like ʻole o nā lāʻau chemotherapy i pahuhopu i nā kikoʻī o nā hunaola maʻi ʻaʻai. Kōkua kāu kauka iā ʻoe e hoʻoholo i ka lāʻau pono no ʻoe.

ʻO ka hoʻōla hormonone thyroid

ʻO ka Hormone therapy kahi lapaʻau maʻi ʻaʻai e hoʻoneʻe i nā homone a i ʻole ālai i kā lākou hana a kū i ka ulu ʻana o nā hunaola maʻi ʻaʻai. Hiki i kāu kauka ke kauoha i nā lāʻau e hōʻoki i kou kino mai ka hana ʻana i nā homone stimulate. ʻO kēia nā hormoni e hoʻokumu i ka maʻi ʻaʻai i loko o ka thyroid.

ʻO kekahi poʻe me kahi thyroid i hoʻoneʻe hapa ʻia e lawe i nā paukū pani hone no ka mea ʻaʻole hiki i kā lākou thyroid ke hana i nā hormona thyroid.

Pahuhopu kau ʻia

ʻImi nā lāʻau lapaʻau i māka ʻia i kekahi ʻano kikoʻī i nā hunaola maʻi ʻaʻai, e like me ka mutation a i ʻole ka protein, a hoʻopili iā lākou iho i kēlā mau hunaola. Ke hoʻopili ʻia, make paha kēia mau lāʻau i nā hunaola a kōkua paha i nā hoʻoponopono ʻē aʻe, e like me chemotherapy, ʻoi aku ka maikaʻi o ka hana.

Ua ʻae ʻia nā lāʻau lapaʻau hoʻomākaukau ʻia no ka maʻi ʻaʻai thyroid me vandetanib (Caprelsa), cabozantinib (COMETRIQ), a me sorafenib (Nexavar).

He aha ke kuanaʻike no ka maʻi ʻaʻai papillary thyroid?

ʻOi aku ka nānā no ka maʻi ʻaʻai papillary thyroid inā ʻike mua ʻia ʻoe. ʻO ka ʻike mua ke kī i ka mālama ʻana i ka maʻi. E ʻike koke i kāu kauka inā ʻike ʻoe i kekahi mau puʻupuʻu a puni ka ʻāina o kou thyroid.