Follicular chithokomiro chotupa - ndichiyani? mbali chipatala ndi zizindikiro

Mabele England - chiwalo yaing'ono imene ili mu khosi la munthu. Iwo amakhala ndi miyeso kakang'ono ndipo zimalemera magalamu ochepa, koma chifukwa cha mmene zinthu zosiyanasiyana chowawa, Chiwerengerochi achuluke. Mabele England umabala mahomoni atatu kuti zimakhudza ntchito ziwalo zambiri ndipo kachitidwe. Ndi kofunika kwambiri kuti moyenerera logwirira ntchito ana, monga zingamvekere kukula ndi chitukuko.

Mu nkhani ya chisokonezo chilichonse kumachitika follicular chithokomiro chotupa. Ndi chiyani icho? Tiyeni kuyesetsa kumvetsa izi.

Zimayambitsa matenda

Chithokomiro kudwala aumbike mchikakamizo cha zinthu zoipa zambiri zimene zimachititsa kuti maonekedwe a zigawo zosiyanasiyana ndi formations. Matenda a thupi sizachilendo. Kwenikweni mapangidwe ndi mtima wabwino, ndi zochepa 5% milandu ali zilonda khalidwe.

Chithokomiro kudwala limapezeka pa zifukwa zotsatirazi:

• chosowa ayodini kapena, Tikawonetsetsa kuchuluka kwake owonjezera;
• kutengera za kumtundu;
• mahomoni vutoli lomwe likutuluka chifukwa kusintha obwera ndi ukalamba, pobereka, mankhwala ndi mahomoni;
• ntchito chakudya carcinogenic kapena zina zoipa ndi kupanda zipatso ndi masamba;
• nkhanza zizolowezi;
• chokhwima zotsatira zachilengedwe;
• mmene thupi la poizoni;
• matenda a dongosolo endocrine;
• cheza kukhudzana;
• phwando la mankhwala.

Pali zifukwa zina zambiri zimene zimachititsa kuti chitukuko cha matenda a thupi. Izi zikhoza kukhala pafupipafupi nkhawa, chitetezo chokwanira yafupika, osakwanira thupi ntchito.

Mitundu ya zotupa chithokomiro

Chotupa chija cha thupi ndi mitundu ingapo:

• zotupa Papillary ndi zachilendo ndipo amakhala ndi kukula pang'onopang'ono. Patapita nthawi, ilo limakula mu thupi la kapisozi pa anakhudzidwa Mitsempha ndi mwanabele kudzera amene wayamba metastasize.
• Follicular (B maselo) chithokomiro chotupa ndi zachilendo. Mtundu wa khansa metastasize kudzera ziwiya magazi, ndipo lymph mfundo sizisintha. Kutanthauzira kwa metastasis mu chiwindi, m'mapapo ndi dongosolo chigoba.
• Medullary (C-selo) carcinoma tinatengera. Iwo kukula pang'onopang'ono zolimbitsa ndi kufalikira kudzera mwanabele.

Follicular chithokomiro chotupa: ndichiyani?

Maphunziro akhoza kukhala follicular adenoma mtundu (chosaopsa chotupa) kapena adenocarcinoma (zilonda chotupa). Iwo kovuta kusiyanitsa ndi mzake, choncho panthawi ya Kuphunzira dokotala mtima amapanga matenda kuyambirira popanda kutchula chikhalidwe cha matenda. Pamene mtima wabwino ndi zilonda mapangidwe amapezeka kapisozi zomwe maselo adenoma sangathe kusiya. Koma adenocarcinoma akuswa ndi umasanduka minofu ozungulira.

zotupa Follicular ya chithokomiro England (adenoma) limapezeka makamaka akazi. Amuna kudwala ngati amakhudza 3 zina zochepa.

Chifukwa thupi liri ndi magawo awiri - lamanzere ndi lamanja, ndiye, malingana ndi kuwerengera, nthawi zambiri zimakhudza mmodzi cabe, ndipo kawirikawiri ndi kumanja. Yoopsa kwambiri adenoma kwa Korinto, amene zambiri zimachitika mu khalidwe loopsa.

Follicular chotupa wa Lobe lamanja la chithokomiro England (adenoma), ngati waukulu, azisangalala kusapeza m'dera khosi. Komanso, izo zimakhala zovuta kumeza.

mbali yachipatala

Follicular chithokomiro chotupa - ndichiyani nanga zinthu matenda? mapangidwe Izi amakhala ndi kuzungulira kapena chowulungika mu mawonekedwe ndi malire mwangwiro kumatanthauza. Pakati pake penipeni ndi ambiri follicles, unazunguliridwa mu kapisozi minofu connective. mapangidwe ichi sadathe kumera mu ziwiya zina ndi zimakhala.

Kuopsa chachikulu cha matenda kwagona kuti adenoma angakhale adenocarcinoma, ndiyo kukhala ndi chotupa chija. Choncho, ngati pali kukayikitsa follicular chithokomiro chotupa chosaopsa mawonekedwe, ayenera nthawi zonse akuoneni m'thupi yemwenso, amene, ngati n'koyenera, kusankha mankhwala zolondola.

Zizindikiro follicular chotupa mtundu

Ngati chithokomiro England ndi ang'ono, ndi mu zosatheka nkhawa munthu. Ndi wambirimbiri ndi zimadziŵika mwa palpation. Large chotupa kukula akuyamba kuchita khama kukakamiza zimakhala ozungulira, nchifukwa chake wodwala amasintha mawu ake wokhala mawu ndi husky. Munthu amene ali ndi vuto kumeza ndi kupuma, ndi mu mmero pali kumverera kwa chinthu chatsopano. Pamene kufinya misempha limapezeka ululu. Ngati ziwiya magazi zagonjetsedwa kwa thupi kuthamanga, pali osauka makope.

Adenocarcinoma akhozanso kukopeka ndi zikamera wa metastases. Komanso, pamaso pa mawonekedwe zilonda zizindikiro zotsatirazi zikusonyezera:

• kutopa;
• kusinza;
• irritability;
• palpitations mtima;
• mphwayi;
• kufupika kwa mpweya;
• modabwitsa kuwonda.

The moleza mtima komanso kuyankha bwino kutentha. The matenda ambiri arrhythmia ndi m'mnyewa wamtima.

diagnostics

Ngati limba pathological waukulu, ndiye mungapeze iwo okha. Small chithokomiro wapezeka ndi ultrasonography. Kudziwa mtundu ndi chikhalidwe cha matenda, akuchita akuchipatala chabwino singano biopsy.

Njira zochizira

Ngati follicular chotupa anali wapezeka chithokomiro mankhwala zotchulidwa poganizira sitepe ndi kutanthauzira kwake. Nthawi zina, zimatulutsa tsankho excision maselo ndi mapangidwe cholowa mu zina - kwathunthu kuchotsa limba.

Classic mankhwala a mtundu chithokomiro follicular zikuphatikizapo:

• kuchotsa zonse kapena tsankho wa limba;
• ntchito ayodini nyukiliya kuteteza metastasis ndi zisadzachitikenso chotupa ndi;
• timadzi mankhwala;
• postoperative kuwunika odwala.

chithandizo opaleshoni

Ngati wodwalayo ndi anapezeka monga "zotupa follicular ya chithokomiro England", ntchito adzakhala njira yokhayo kumupulumutsa ku matenda.

Ndi kugonjetsedwa kwa mmodzi limba ntchito hemithyroidectomy gawo, mwachitsanzo kuchotsa izo. Pakuti ake kukhazikitsa amafuna kuwerenga okhwima analandira pa cytologic biopsy. Pambuyo opaleshoni pali mwayi kukhala hypothyroidism chimene chimafuna timadzi m'malo mankhwala.

Chithokomiro sikawirikawiri ntchito pamene thupi anavutikira kwathunthu. Iye akamaliza chotupa zisadzachitikenso pafupifupi sanalembedwepo. Komanso, mankhwala ayodini Kwalamulidwa ndi moyo wonse timadzi m'malo mankhwala.

Resection ya chithokomiro England ali anagwiritsanso kawirikawiri. Mu chotupa kobwereza likhoza mavuto mobwerezabwereza ntchito zingabuke chifukwa cha chilonda chifukwa.

radioiodine chithandizo

Chithokomiro zitha kuchitira nyukiliya ayodini 131, koma ndi poizoni kuti maselo amenewa tizilombo. Koma mankhwala akusonyeza m'zochitika zonse, koma kumene:

• chotupa ikukula kwambiri kwambiri;
• metastases uka ndi malowedwe a mwanabele;
• maphunziro ikukula mofulumira chakwanira;
• wodwala matenda ndi mtima kuwukira.

Zinthu zimenezi chofunika okalamba. Pambuyo pa opaleshoni, mankhwala ndi mankhwala iyenera kuchitikira mwa mwezi woyamba.

timadzi mankhwala

Ngati chithokomiro chachotsedwa kwathunthu kapena pang'ono, wodwalayo Kwalamulidwa moyo m'malo mankhwala ntchito m'thupi zovuta. Follicular chotupa kuyankha chithokomiro zolimbikitsa timadzi opangidwa ndi pituitary England, kotero wodwala zambiri kutumikiridwa exogenous timadzi wambiri omwe amachepetsa chiopsezo kachiwiri kuchuluka kwa maselo tizilombo.

kaonedwe

Ngati matenda follicular chithokomiro chotupa kuti madokotala ananena zawo mawu a mankhwala ake sadzakhala yabwino kwambiri. Ngati kuchuluka kwa maphunziro si upambana centimeter mmodzi, Mapa adzachitadi theka la milandu. Popeza metastasis 80% milandu ndi yothetseratu pafupi zaka makumi awiri a moyo pambuyo kuchizira matenda.

Ngati chotupa ndi ochepa, ndi madokotala ananena zawo zabwino akupezeka 95% ya malipoti. Ngati miyeso yake lalikulu kwambiri, mankhwala wathunthu n'zotheka 50% odwala.

Pomaliza

Choncho, tinakambirana za matenda monga follicular chithokomiro chotupa. Kodi izo, inu tsopano mukudziwa. Izi ndi lalikulu kwambiri limba kuwonongeka, amene akhoza kukhala mwina chosaopsa kapena zilonda. Kudwala anachiritsa yekha expeditious njira. Ndi mankhwala yake, kuti madokotala ananena zawo ndi zabwino ndithu.