Papillary carcinoma - maitiro ekuona uye kubata chirwere chetachiona munguva ipi?

Pakati pezvirwere zvehutano hwetroroid, izvo zvinova zvakajairika mumakore achangobva kupfuura, imwe yenjodzi yakanyanya papillary carcinoma. Izvi zvinotaridzika zvinotyisidzira murwere, asi chaizvoizvo, mushonga unobudirira unobata hutachiona huno, kana hunoonekwa pakutanga.

Papillary carcinoma - chii ichocho?

Papillary carcinoma inonzi neoplasm inoumba mumatumbu ehutano hwetroysi mune maitiro e cyst kana musingaenzani. Kazhinji chimwe chezvikamu zvechirongwa chinoshandiswa. Ruzhinji rwevarwere vane chirwere ichi ndechevakadzi vanopfuura makore 40-50, kunyange zvazvo chirwere chacho hachikwanisi kunyange kugamuchira vana. Kuwedzera kwechiitiko chechimiro chechirwere ichi chiri kuwedzera munyika dzakabudirira, asi kune chikonzero chokuti izvi zvinokonzerwa nekugadzirwa kwemichina inobvumira kuonekwa kwepakutanga kusina tsvina-duku.

Utachiona gland ndiro nhengo inonyanya kukosha ye endocrine system, iri pajinga mehuro pamberi, iyo inobereka mahomoni anobatanidzwa mukugadzirisa kwekufema, chiitiko chemoyo, hematopoiesis, kugadzirisa, kuchengetedza hutano hwemazuva ose nezvimwe zvakadaro. Kanzira yehutachiona inoita kuti zvirwere zve systemic zvirambe zviri mumuviri, uye kana zvichipararira kune dzimwe nhengo, inoremedza zvakanyanya kufungidzira kwekugadzirisa.

Iron-papillary carcinoma

Papillary thyroid carcinoma inoumbwa mukati memuviri unobva kune utachiona hwakanaka hunotanga kuchinja mutemo usingadzorwi. Neoplasm yakaoma, ine mahwendefa akawanda emapepa, mune chikamu cheruvara ruvara. Masero emakumbo akadaro haasi akasiyana nehutano hwakanaka, maonero ayo anotsanangurwa seanosiyana zvikuru. Papillary carcinoma inokura zvishoma nezvishoma, inogadzirisa inotanga kumera masastases. Pakutanga, chironda chacho chiri kushambadzira, kushorwa kunowoneka apo inokura mumakirini.

Papillary carcinoma - follicular variant

Uyu ndiwo mhando yakakomba yemapillary carcinoma, inofungidzirwa kuva nehasha, asi inowanikwa kazhinji. Chimiro chechirwere munyaya iyi chinosanganisira masero e-follicular ane chinhu chinonzi colloid uye mahomoni ehutachiona, ane kukura kusina kukodzera kwarinoitwa nepfundo. Muchitarisiko, iyi yakave yakagadzirwa yakakombwa ne fibrous capsule (yakaiswa papillary thyroid carcinoma). Dumbu racho rinowedzera kukura mumakirinikodhi, midziyo inopoteredza mishonga, inowanzotarisa kune dzimwe nzvimbo dziri kure.

Zvinokonzera Utachiona Kanzera

Nyanzvi dzinoziva izvo zvinotevera zvinokonzera kenza yekenza:

• kunzvimbo yezvakagadzirirwa kune mutational process in tishues;
• kushayikwa kweodhini mumuviri ;
• kutarisana nemirairo yeioni;
• chirwere chemazuva ano mumutsipa nemusoro;
• dambudziko rekushanda (basa resimbi yakaoma, kutsetseka kwakakwirira);
• kushungurudzika;
• miitiro yakaipa;
• zvimwe zvirwere zvisingarevi (zvirwere zvemadzimai ezvepabonde, mahomoni-anovimba nemavhu, mapuropa e rectum, multinodular goiter );
• kurarama mune zvisikwa zvipenyu zvisina kunaka.

Papillary thyroid cancer - zviratidzo

Kwenguva yakareba, mapirary thyroid carcinoma haagoni kuzviratidza nenzira chero ipi zvayo (kunyange kwemakore akawanda), uye pamatanho ekutanga ekurwadza kwechirwere chinotyisa munhu haazive chinhu. Chero kana humwe hukuru hwomukamhina hwasvika, kana zvichibvira kuongorora, zvinonzwisisika zvinorwadza zvinooneka:

• hoarseness of voice ;
• kukora;
• kugara uchinzwa che "bundu" mumutsipa, zvakanyanya pakuedza nekumesa mutsipa;
• compaction uye kuora murotori yeganda;
• kuwedzera mumakondomu lymph nodes kubva kurutivi rwechionda;
• kunetseka kufema.

Zviratidzo izvi hazvifungidzirwe zvakananga uye zvinogona kufanana nezviratidzo zvekutsvaira, tonsillitis. Chavo chinonyanya kukosha ndechekuti zviratidzo zvekutanga zvinoratidzwa kwenguva refu. Sezvo chirwere chichikura uye masero ekenza akapararira kumakidzani ane mimwe, zvimwe zviratidzo zvinooneka:

• nguva dzose utera;
• sweating;
• kusada kudya;
• kuyerwa kwemuviri;
• kurasikirwa kwebvudzi;
• kuora kukuru, kurwadziwa.

Papillary thyroid carcinoma - zvikamu

Zvichienderana nehukuru, kupararira kwechirwere, kuvapo kwemasastases, papillary carcinoma yehutachiona inogona kuenzanisirwa seimwe yezvikamu zvekuvandudza:

• Nhanho I - chiremara chemuviri hachipfuuri 2 cm, masero haafaniri kuparadzaniswa, masitasita haasipo;
• Chikamu chechipiri - hupamhi hwehuputi hunosvika 2-4 cm, asi hahupfuuri mberi kwemiganhu yechipfu uye hahupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hunoita kuti hugadzikane;
• Hondo yechitatu - chiremara chinopfuura 4 cm, inopfuura chikamu chetrojeni, inogadzirisa trachea uye mishonga inoswedera pedyo, kusungirirana navo, metastases inowanikwa mumakirini emakondomu;
• IV danho - iyo neoplasm inosvika zviyero zvakakura, inowedzera munzvimbo dzakapoteredza, chirwere chetrojeni chinoramba chisina kusimba, zviratidzo zvinowanikwa mune zviri pedyo uye nhengo dziri kure.

Papillary carcinoma - metastases

Kukura mapirary serous carcinoma kunogona kubudisa metastases - yechipiri malignant foci inopararira lymphogenously kana neropa ruchiyerera. Kakawanda, zvirwere zvinowanikwa muzvikamu zvakadaro uye mazinga:

• lymphonoduses;
• mapapu;
• mapfupa emapfupa embabvu;
• thoracic vertebrae;
• mafupa ehenya;
• uropi;
• chiropa;
• adrenal glands;
• matumbo.

Akashungurudza kuvapo kwemasitasitini zvinogoneka nezviratidzo zvakadaro:

• kurwadziwa mumapfupa, mumupendero;
• kugunzva nekubuda ropa;
• migraine headaches;
• kuora kwemaonero;
• kurutsa;
• jaundice;
• donhe muropa uye vamwe.

Papillary thyroid cancer - diagnosis

Utachiona gland endocrinologist inogona kuratidza palpation, asi bedzi kana yakasvika kusvika pakureba kwemasendimita 1 kana kupfuura uye haina kunyura mukati meglandi mavara. Mukuwedzera, iwe unogona kukanganisa kukura kwechirwere ichi nekunzwa lymph nodes, iyo munyaya ino inowedzera muhukuru. Kuti uwane chirwere chekenza uye uone maitiro ayo, zvinotevera zvinoshandiswa:

1. Dzidza ne iodine inonzi radioactive, iyo node dzine kupera kwebasa reglandeni dzinoonekwa.
2. Ultrasonic diagnosis - kuona maitiro akarara munzvimbo dzisingatauriki.
3. Computers uye magnetic resonance imaging - inofanirwa kuongorora kuwanda uye kupararira kwekenza.
4. Kuongorora kweropa pahomoni - kunobvumira kufungidzira kushanda kwetachiona chetachiona, kurondedzera maitiro ehomoni.
5. Nzira yakanyatsonaka yakakwana-yakanaka-sindano aspiration biopsy . Munguva iyi inotyisa-purogiramu, chidimbu chiduku chinotanhwa kuburikidza nekuputika. Uyezve, chimiro chinoshandiswa chinoshandiswa ku-cytological uye histological laboratory kudzidza kuongorora rudzi, chiitiko uye huwandu hwehutachiona. Icho cytological picture ye papillary carcinoma yejeremia gland inoratidzwa nezvinhu zvinotevera:

• ukuru hwemajeri - kubva pa1 mm kusvika kune masendimita mashoma;
• Dumbu racho rine mapazi ane vascularized connective tissue base;
• matavi ebhutu akafukidzwa ne cylindrical uye cubic epithelium;
• nucleus yesero yakazadzwa nekromatin;
• zvinogoneka kuchengetedza miviri yeasophilic uye calcified mass;
• masero emakumbo emapirary haana kushanda;
• kune kazhinji kacho mitotic kuparadzaniswa kwemasero.

Papillary thyroid carcinoma - kurapa

Sezvo rudzi urwu rwechirwere chisina kunyanya kuvhiringidzika kwehutachiona hwehutachiona, mapiritsi ehutachiona hwepachirwere chetachiona anobva pane zvakaoma zvekuita kwakadaro:

• kuporesa kupindira, kupa hutse zvakakwana kana kusarudzwa kweglandu (thyroidectomy);
• kushandiswa kweaodacid iodine mushure mekubviswa kwehutachiona hwehutachiona huripo, hunoiswa mumuviri (kazhinji mumuromo) uye kusarudza hunokonzera rufu rwemasero emukenza anoramba;
• chemotherapy - kushandiswa kwezvinodhaka zvinokonzera zvinokuvadza pamasero akabatwa, anoitwa kana zviitiko zvemasastasi kune dzimwe nhengo;
• hormone replacement therapy, zvichienderana nehutungamiri hwe thyroxine;
• kushandiswa kwemaminerari complexes nemavitamini;
• kudya kunobva pakuderera kwekudya kweIodine-ine zvokudya, shuga, munyu, vitamini A.

Papillary carcinoma is opera

Kurapa kwepapillary carcinoma nemitiro unoshanda unoitwa pasi pese anesthesia. Kana ukama hwechirwere hahupfuuri mamita masentimita, zvinokwanisika kubvisa chikamu. Mune zvimwe zviitiko, zvingave zvakakosha kubvisa zvachose gland, pedyo nemasukisi akabatwa uye lymph nodes. Kana iyo carcinoma ikakwira muchechea uye yakabata ruzivo rwemarara, inofungidzirwa isingagoneki, uye inenge ichishandiswa. Pamusoro pezvo, papillary carcinoma haisi pasi pekutapudzwa nemasipasti akazara uye munyaya yehutachiona hukuru kubva mumapfupa ekufema uye nemwoyo.

Papillary thyroid cancer - kurapwa nemishonga yevanhu

Kana mhando yakasiyana-siyana yeupillary thyroid carcinoma inoratidzwa, hapana nzira dzevanhu dzinogona kutora nzvimbo yekurapa. Chero sekuwedzera kune mvumo yechiremba, dzimwe nzira dzinogona kushandiswa. Saka, vanachiremba vanorayira tea, iyo ine kuchenesa ropa uye incoprotective zvinhu.

Prescription zvinoreva

Zvisungo:

• linden marara - 1 tafura. spoon;
• Elderberry ruvara - 1 tafura. spoon;
• shoots of a guelder-rose - 1 tafura. spoon;
• asiya gavakava - 1 tafura. spoon;
• mashizha celandine - 1 tafura. spoon.

Kugadzirira uye kushandiswa

1. Connect the herbs, mix.
2. Dururirai teaspoon yekusanganiswa negirazi yemvura inopisa, kufukidza nechifukidzo.
3. Maminitsi gumi gare gare kuoma.
4. Inwa pane isina chinhu mukati mangwanani kwehafu yeawa usati wadya.

Papillary thyroid carcinoma - prognosis

Pakati pevarwere vane mapirary thyroid carcinoma inowanikwa, kuponeswa kwemakore gumi kana kupfuura kunenge 90%, zvichienderana nekuongorora kwenguva yakareba uye kurapa kwakakodzera. Kana chirwere chacho chikaonekwa muchikamu chechipiri, makore mashanu ekupona kwehupenyu mushure mekurapa ndeye 55%, muchitatu chechitatu - 35%, uye pamutsara wechina - 15%. Kubudirira kwehuwandu hwekutsvaga, kuwedzera kune danga rechirwere uye kukwana kwekurapa, kunokonzerwa nezera remurwere, mamiriro ezvinhu ehupenyu, nekuchengetedza mararamiro akanaka.