'O ka'ōhū'ana o ka hā'awi thyroid - he aha ia? Nā hi'ohi'ona'oko'a a me nā hō'ailona

'O ke keokeo thyroid kahi'āpana li'ili'i ma ka'ā'ī o ke kanaka. Hō'ike'ia kona'ano li'ili'i a kaumaha wale nō he mau grameli wale nō, akā, no ka hopena o nā'ano hewa'ole, hiki i kēia mau kiko ke ho'onui. Ke thyroid gland produces hormones ekolu i i ka hopena ma luna o ka hana ana o na mea he nui nā loko, a nenoai. He mea nui ka'oi aku o ka hana ma'amau i nā keiki, no ka mea, pili kēia i ko lākou ulu a me kā lākou ulu.

I ka hopena o kekahi haunaele, e ala mai kahi'ōpū o ka wākeke thyroid. He aha ia? E ho'ā'o e ho'ohālike i kēia.

Nā kumu o ka ma'i

Ho'omoe'ia nā'ano pilikino o ka lauroid thyroid i lalo o ka mana o nā kumu kūpono'ole e ho'onāuki i ka'ike'ana o nā nodes a me nā papa hana. 'O nā ma'i o kēia'ōpena he nui wale. 'O ke kumu, he ha'aha'a ka ho'ona'auao, a ma 5% wale nō o nā hihia i pilikia'ole lākou.

Ke ala mai nei ka pilikino o kāu moe kawa e like me kēia mau kumu:

• 'O ke kānana i loko o ke kino o iodine, a ma ke'ano like'ole,'o ka nui o ka waiwai;
• Nā koho predisposition;
• 'O kahi ma'i palekana hormonal i loa'a i muli o nā loli o ka makahiki, ka hānau'ana, a me ka lawe'ana i nā lā'au me nā homona;
• Ka ho'ohana'ana i nā mea'enekinogenic ai'ole me nā mea hō'ino'ino me ka hapa'ole o nā hua a me nā hua'ai;
• Ka hō'ino i nā hana'ino;
• Nā hopena e pili ana i ka hopena o ka hopena
• Ka hopena ma ke kino o nā mea'ona;
• Nā ma'i o ka pūnaewele endocrine;
• Hō'ike'ula'ula;
• Lawe i nā lā'au.

Aia kekahi mau kumu e kōkua ai i ka ulu'ana o nā ma'i o kēia kino. Hiki i kēia ke hana pinepine i nā pilikia, ka ma'i kūpono i ho'emi'ia, ka lawa'ole o ka hana kino.

Nā'ano o ka ma'i koko

Hiki ke hana i nā'ano'ano like'ole o ke kālai'ia'ana o kēia kola:

• Ho'oulu pinepine'ia ka'ōhū'ana o Papillary a ua'ike'ia e ka lohi iki. Ma hope o kekahi manawa, e ulu mai i loko o ka capsule o ke kookoo, e pili ana i nā kī'aha koko a me nā hui wai lymph, a ma laila e ho'omaka ai ka metastasize.
• 'O ka'ōpū ma'amau (B-cell) o ka lauroid thyroid. 'O kēia'ano o ke kanesa e hui pū'ia ma waena o nā kī'aha koko, a'o nā lymph nodes e noho mau'ole'ia. Kahi o ka metastases ka mea i loko o ke ake, a me ke kino.
• Hā'awi'ia ka medullary (C-cell) carcinoma. Ke ulu nei'o ia i ke kūlana ha'aha'a a me nā metastasi ma o nā lymph nodes.

'O ka'ōpū nui o ka thyroid: he aha ia?

'O ke'ano o nā mea like'ole ke'ano he adenoma (ke kino pūnoho) a adenocarcinoma paha (kahi ma'i'ino). He mea pa'akikī loa ka'ike'ana o kekahi i kekahi, no laila, i ka wā e ninaninau'ia ai ka mea ma'i, hana ke kauka i ka hō'ailona mua me ka hō'ike'ole i ke'ano o kēia ma'i. Me ke kūlana ha'aha'a a maika'i'ole,'ike'ia kahi capsule, kahi hiki'ole ke ho'ohaki'ia nā pū o ke adenoma. Akā'o ka adenocarcinoma e haki a ulu i nā mea a puni.

Follicular hikoko o ka thyroid gland (adenoma) ia lŘlŘ ka hapanui i loko o nā wāhine. 'O nā kānaka mai kēia ma'i ma'i e ho'olu'u i'ekolu manawa emi.

No ka mea'elua mau māhele o kēia kola -'o ka'ākau a me ka hema, a laila, e like me nā helupilihelu, ho'okahi wale nō o lākou e pili ana, a'o kēia ka'ao'ao kūpono. He mea weliweli loa ia he adenoma o ka momona, a lilo pinepine i kahi kino.

'O ka'ōpū ma'amau o ka loloa'ākau o ka lauroid thyroid (adenoma), inā he nui, e ho'opuka i kahi ma'i hō'olu'olu ma ka'ā'ī. Eia hou, ua lilo i mea pa'akikī ke ho'one'e.

Nā Pūnaewele Huaka'i

'O ka'ōpū ma'amau o ka lauroid thyroid - he aha ka mea a he aha kona'ano hi'ona? 'O ke'ano o kēia hana he'ano ho'ohālike a he oval paha me nā palena maika'i loa. I loko o kona kumu, he nui ka nui o nā follicles, i ho'opili'ia i loko o ka mea pili. 'A'ole hiki ke ho'okomo'ia i kēlā me kēia moku a me nā kino.

'O ka pilikia nui o kēia'ano pilikino he hiki i ka adenoma ke lilo i adenocarcinoma,'o ia ho'i, e lilo i neoplasm hō'ino. No laila, inā he kānalua kekahi o ka'ōpū follicular o ke kālohelohe thyroid o kahi'ano maika'i, pono e mālama mau'ia ma ka endocrinologist, a, inā pono, e koho i ka ho'oponopono pololei.

Nā hō'ailona o ka'ano follicular o ka tumora

Inā he'u'uku ke koko hākeke pākeke,'a'ole ia e keakea i ke kanaka ma kekahi'ano. Me ka nui o ka leo, ho'opō'ino'ia e palpation. 'O ka nui nui o ka'ōpū e ho'omaka ana e ho'okomo i ka pēpili ma nā mea e pili ana, kahi e ho'onā ai ka mea ma'i i kona leo, e lilo i mea ho'olele a me ke'ano. 'A'ole hiki i kahi kanaka ke'ono a me ka hanu, a ma loko o ka pu'u ka mana'o o kahi mea ho'opuka. Ke'ō'ō'ia nā a'alolo,'ike'ia ka ma'i'eha. Inā ho'oikaika'ia nā kī'aha koko o ka'ōpiopio, hiki ke ho'ohaunaele i ke kahe o ke koko.

Ho'okomo pū'ia ka adenocarcinoma me ka hopena o nā metastases. Eia kekahi, ke hō'oia nei o kahi palapala kolohe e hō'ike'ia e nā hō'ailona:

• Ho'onui'ia ka luhi;
• Ka hilahila;
• Ke'olu'olu;
• Nā palupū na'au;
• Makahiki;
• Ka hanu o ka hanu;
• 'O ka pohō kaumaha.

Hiki paha i ka mea ho'omanawanui ke hana i ka'ino'ole i ka wela. 'O nā hō'ailona ko'iko'i he arrhythmia a me ka dystrophic myocardial.

Nā diagnostics

Inā nui ka pu'upu'u ma'amau, a laila hiki iā'oe ke ho'opau iā'oe iho. Ke'ike'ia kahi'ele'ele thyroid i loa'a e ke ultrasound. No ka ho'oholo'ana i ka'ano a me ke'ano o kēia ma'i, e kau i kahi lā'au'onila maika'i.

Nā'ano hana ola

Inā follicularʻeho i 'akomi i thyroid lapaʻau i hoakaka ia, hoʻomālama ma kaʻanuʻu a me kona IIeEeAIEUAA. I kekahi mau kumu, he helehelena'āpana o nā pūnaewele o ka ho'ona'auao a ua hana'ia kāna māhele, ma nā mea'ē a'e - ua ho'opau loa'ia kēia kiko.

'O ka ho'oma'ama'a ma'amau o ka'ōpū o ka thyroid gland includes:

• Ho'opiha a ho'opau paha i ke kino;
• Ka ho'ohana'ana i nā iodine radioact e kāohi ai i ka metastases a me ka ho'iho'i'ana o ke koko;
• Ho'oponopono Hormonal;
• Ka nānā 'ana i ka mea ma'i.

'O ka hana ma'amau

Inā'ike'ia ka mea ma'i ma ka "karoid thyroid",'o ka hana wale nō ke ala e ho'opakele ai iā ia i kēia'ano ma'i.

Ke ho'ohālike'ia kahi hapa o ka'ōpū, ho'ohana'ia ka hemithyroidectomy,'o ia ho'i, ua wehe'ia. No ka ho'okō'ana, pono'oe i kahi hō'ailona kūpono i loa'a mai ka'ōpili honua. Ma hope o ka hana'ana i kēia hana, hiki ke ho'omohala i ka hypothyroidism, kahi e pono ai ke pani hou i ka lā'au me nā hormones.

Ho'ohana iki'ia kou thyoidectomy i ka wā e ho'opili'ia ai ke kino. Ma hope o ka ho'okō'ana o ka ma'i koko e kū'ole. Eia hou, e koho i ka ma'i o ka iodine me ka ho'opau hou'ana o ka hormone.

'A'ohe mea ma'amau loa o ka huli'ana o ka lauroid thyroid. Inā hopena ka ma'i i ka hopena o ka hana hou, hiki i ka hopena ma muli o ka'ili.

Hana'ia me nā iodine kamela

Thyroid hiki wale mai radioactive iodine 131, akā, ia meaʻawahia i na pathogenic keena. Akā,'a'ole i hō'ike'ia kēia lā'au'a'ai i nā hihia a pau, akā i ka manawa wale nō:

• Ke ulu nui nei ka ulu;
• Loa'a nā kinakoki me ka komo'ana i loko o nā lymph nodes;
• Ke ulu wikiwiki nei ka ho'ona'auao;
• Ho'omaopopo'ia ka mea ma'i ma ka hō'eha kino.

He kūpono ka mālama'ana no ka mea'elemakule. Ma hope o ka hana, pono e lawelawe'ia kēia lā'au lapa'au i loko o ka malama mua.

'O Hormonal therapy

Inā ho'ohemo'oko'a loa'ia ke kalaunu o ka thyroid a i'ole kekahi hapa, ua kauoha'ia ka mea ma'i i kahi ho'olālā ho'ololi o ke ola a me ka ho'ohana'ana i kahi hanana hormonal. Ho'omaopopo ka'ōpiu follicular i ka hormone hāmorō i hana'ia e ka popaitary gland, no laila, ua ho'onohonoho'ia ka mea ma'i e like me kahi hormone keu,'o ka lilo o ia mea e ho'ēmi ai i ka hopena o ka ho'omau hou'ana o nā pūnaeho pathogenic.

Ka wānana

Inā'ike'ia he'ano follicular o ka lauroid thyroid, no ka mea,'a'ole maika'i ka lapa'au no kāna hana'ana. Inā'a'ole i'oi aku ka nui o ka ho'ona'auao ma mua o ho'okahi kenetimita, e holomua ka wanana i ka hapalua o nā hihia. I ka loa'a'ole o nā metastases, e pili ana i ka 20% o ke ola i 80% o nā hihia ma hope o ka ho'oponopono'ana.

Inā he'u'uku ka'ōpiopio, hiki ke'ikepili maika'i i 95% o nā hihia i hō'ike'ia. Inā nui ka nui, hiki ke ho'ōla piha i 50% o nā ma'i.

Ka Hopena

No laila, ua ha'i aku nei mākou e pili ana i kēlā ma'i, e like me ke'ano o ka'ōpū o ka wāoneone thyroid. 'O ka mea āu e'ike nei. He mea'ino kūpono paha kēia, a hiki i ke kino a me ka ma'i. Ho'omaha'ia nā pilikino ma kahi ala. Me ka hō'ailona kūpono, he maika'i loa ka'ōkuhi.