Papillary chithokomiro carcinoma: zimayambitsa, zizindikiro, magawo ndi peculiarities wa chithandizo

ziwerengero Medical kusonyeza kuti matenda a chithokomiro pa nthawi ino - mmodzi wa ambiri. Iwo amapezeka mu umodzi mwa anthu atatu, makamaka achikulire. The matenda owopsa imatengedwa kuti ndi khansa (carcinoma) ya chithokomiro England. matenda izi ndi zopatsa mantha aliyense wakumva mawu amenewa. Koma zoona zake n'zakuti zinthu si mantha monga izo zikuwoneka. mankhwala amakono kotero otukuka, kuti amalola kuthandauza kwa matenda pa siteji oyambirira ndi bwinobwino muchisiye izo. Tiyeni tione mwatsatanetsatane mtundu wina wa khansa, wotchedwa "carcinoma papillary chithokomiro."

maonekedwe a matenda

khansa Papillary ndi ambiri mwa mitundu ina. Chotupa chija auka kwa wathanzi limba minofu ndi visualized monga chotupa kapena chotupa zikuluzikulu m'goli. 80% milandu, odwala akhoza kwathunthu kudzachiritsidwa mtundu wa carcinoma.

Ngati ife kulankhula za mitundu ina ya khansa, ndiye anawayerekezera ndi papillary carcinoma amamuchititsa likule kwambiri. Mbali ina - ndi metastasis wa papillary chithokomiro carcinoma zambiri kufalitsa kwa mwanabele.

Monga ulamuliro, wodwala yekha 1 wagawo, mu nthawi zina, angapo a iwo. Amavutika kwambiri kwa matenda pa zaka 30-55, azimayi (koma nthawi zina matenda wapangidwa ndi amuna).

zifukwa

Palibe mu molondola sangathe kudziwa chifukwa khansa chithokomiro. Madokotala amanena kuti chifukwa nthawi zambiri ndi selo kusintha. N'chifukwa chiyani ndikudzivuta kukhala kusintha zimenezi sangathe kulingalira.

Chotupa akufotokozera pambuyo pokhala maselo mutated. Iwo anayamba kukula pang'onopang'ono zokhudza thupi la thanzi minofu.

Asayansi kuganiza carcinoma khansa papillary chithokomiro akufotokozera chifukwa:

• osakwanira kuchuluka kwa ayodini lake;
• malo;
• ionizing cheza;
• matenda chapansipansi m'thupi;
• matenda obadwa nawo;
• zizolowezi zoipa (kusuta fodya, kumwa mowa);
• pafupipafupi tizilombo toyambitsa kupuma matenda.

umboni

mtundu wa khansa akufotokozera pang'onopang'ono, kotero mu magawo oyambirira amaonekera mwangozi, osati chifukwa cha zizindikiro zilizonse. Anthu, palibe kusapeza, kupweteka iye akhale ndi moyo wabwino. Pamene chotupa akuyamba kukula, tidzapeza kupweteka khosi. Munthu akhoza kupeza yekha pa chisindikizo yachilendo.

Mu masiteji kutsogoloku carcinoma a chithokomiro papillary chimayambitsa zizindikiro zimenezi:

• kuwonjezera khomo lachiberekero lymph mfundo (nthawi zambiri dzanja limodzi, kumene kuli chotupa zilonda);
• kupweteka khosi;
• Timatha yachilendo thupi pamene Pomeza;
• Nthawi zina mawu amakhala mawu;
• kuoneka kufupika kwa mpweya;
• pamene kufinya khosi (makamaka pamene munthu wagona mbali) anamva mavuto osiyanasiyana.

siteji

Kaya zimagawidwa monga papillary carcinoma ya chithokomiro England? Gawo, zizindikiro zimene ziri kwa matenda:

1. Age zaka 45:

• Gawo I: mapangidwe kukula kulikonse. Nthawi zina maselo a khansa kufalikira kwa zimakhala pafupi ndi lymph mfundo. Metastases musati kukula ziwalo zina. Sikuti munthu kumva zizindikiro za matenda, koma nthawi zina pali hoarseness pang'ono, kupweteka pang'ono khosi.
• Gawo II: wamphamvu kukula kwa maselo a khansa. Metastases bwanji onse lymph mfundo ndi ziwalo kuti ali pafupi ndi chithokomiro England (mapapo, mafupa). Zizindikiro zokwanira umaonetseredwa, iwo sangakhoze munayiwala.

2. Age zaka 45:

• Gawo I: chotupa zosakwana masentimita 2, palibe ziwalo zina si bwanji papillary khansa chithokomiro. Zizindikiro za gawo: munthu asaone kusintha kapena zizindikiro ndi wofatsa.
• Gawo II: The chotupa ndi mmalire a chithokomiro England, koma kusamvana ndi 4 cm.
• Gawo III: kukula kuposa masentimita 4, maselo a khansa bwanji ziwalo pafupi.

Chithunzithunzi chonse

Maonekedwe a malo kapena chisindikizo - uyu ndiye woyamba, limene limayamba ndi khansa chithokomiro. Carcinoma khansa papillary chithokomiro amakhala ndi mabungwe umodzi, mu nthawi zina, angapo. Ngati mfundo ndi kwakuya, ndipo kukula kwake ndi zazing'ono, ndiye munthu sangathe kupeza nokha. Zilonda chotupa a 1 masentimita simungathe ngakhale kudziwa m'thupi yemwenso. Pokhapokha US anapeza ngati maphunziro pang'ono kapena pambuyo khansa maselo anayamba kufalitsa kwa mwanabele, ndi iwo, nawonso, kuchuluka.

Pamene pang'ono matenda mfundo amatchedwa "zobisika papillary carcinoma." Mtundu uwu wa maphunziro si owopsa kwambiri, ngakhale pa siteji ya metastasis. Chotupacho chimachititsa momasuka mu chithokomiro England, iye akhoza osamukira pa Pomeza. Koma pamene maselo a khansa kufalikira kwa zimakhala ozungulira, chotupacho zilonda amakhala lokhazikika.

Metastases kawirikawiri chidayala ziwalo zina (ena kuposa mwanabele). Zimachitika zokha mwa magawo zapamwamba za matendawa. Metastases ndi kwa nthawi yaitali katundu si kuti anamva. Nthawi zambiri, khansa papillary wokhudza lymph mfundo, kawirikawiri kufalitsa kwa ena chithokomiro Lobe.

Features selo

Khalidwe yaikulu ya chotupa chija:

• kukula - kuchokera millimeters angapo masentimita angapo;
• mu nthawi zina, pali mitosis;
• wokhazikika mu mapangidwe mwina kashiamu madipoziti kapena amamuyambitsa timabala;
• chotupa si encapsulated;
• maselo mulibe ntchito m'thupi.

kafukufuku

Poyamba, dokotala palpates mabele m'dera khosi. Palpated ndi khomo lachiberekero lymph mfundo. Ngati dokotala wapeza chinachake, mtima uli anatumizidwa ku US, chimene mudzatha kudziwa pamaso pa mabungwe, kukula ndi kapangidwe.

Cytological chithunzi cha papillary chithokomiro carcinoma - ntchito yaikulu ya kafukufukuyu. Kuti tichite zimenezi, abwino singano kukhumba biopsy, yomwe ikuchitika mosamalitsa m'manja mwa US.

Kumvetsa ngati pali metastases ku ziwalo zina, wodwalayo amatumizidwa si x-ray.

Zofunika!

Cytological papillary chithokomiro carcinoma - ichi ndi misnomer, lomwe lilibe tanthauzo. Pali mfundo za "cytology" (tanthauzo la kapangidwe ka maselo cholinga chofuna kudziwa kuti matenda) ndi "papillary carcinoma."

chithandizo

Kodi kuthandiza wodwala ndi matenda a "papillary chithokomiro carcinoma"? Chithandizo tichipeza alowererepo pa opaleshoni. Mu matenda otere ntchito chithokomiro. Pali ntchito ziwiri:

• Tsankho chithokomiro;
• okwana chithokomiro.

Kwa chiwonongeko chotheratu cha maselo a khansa ayamba mankhwala ndi ayodini nyukiliya, yomwe ikuchitika pambuyo ntchito.

tsankho chithokomiro

Opaleshoni wa mtundu uwu akusonyeza odwala ndi kukula ka chotupa chija, limene lili mu umodzi wa lobes thupi. Nkofunika kuti maselo khansa kufalikira kwina kulikonse. Childs, mu Zikatero, malo alibe upambana 1 masentimita awiri. Nthawi chithandizo - maola 2.

Wodwala safuna zingawononge chitukuko cha hypothyroidism, chifukwa mahomoni omwe apanga sasintha gawo chithokomiro. Nthawi zina muyenera m'malo mankhwala ndi mahomoni mankhwala.

okwana chithokomiro

Ndondomeko kumatanthauza kuchotsedwa kwathunthu chithokomiro England. Onse lobes excised limba, komanso Korinto kuti zikugwirizana iwo. Nthawi zina muyenera kuchotsa lymph mfundo. Izi zimachitika pa nthawi imene iwo anawonjezera kwambiri, metastases awo. Nthawi chithandizo - pa 4 h.

Pambuyo mtundu wa opaleshoni ya mtima adzakhala ndi moyo mankhwala gormonosoderzhaschie. Pajatu sakhala mu thupi zimakhala za chithokomiro England.

Nyukiliya ayodini mankhwala

mankhwala amagwiritsidwa ntchito pamene opaleshoni wapanga kale. Izo umalimbana kuwonongedwa kwa zotsala za maselo a khansa. Metastases, amene apita malire a thupi, anapita kwa mwanabele, ndi oopsa kwambiri. Kugwiritsa nyukiliya ayodini amalephera kupha maselo amenewa. kawirikawiri kukhalabe chithokomiro yomweyo pambuyo tsankho chithokomiro.

Ngakhale maselo a khansa afalitsa m'mapapo, ndi thandizo la mankhwala ndi ayodini nyukiliya kwa iwo akhoza bwinobwino inathetsedwa.

Nthawi postoperative

Chithokomiro - ndi opaleshoni zovuta, koma kuchira pambuyo pake kudya mokwanira. Ambiri odwala amene ali ndi moyo mwa ntchito zimenezi, samaona kusapeza kwambiri pambuyo ndondomeko. Munthu atha kubwerera ku zinthu bwinobwino yomweyo pambuyo kumaliseche m'chipatala.

Anthu ena amaganiza kuti pambuyo zimatenga sankadya kwathunthu, kumwa madzi. Koma izi sizili choncho. Ang'ambe thupilo sikumangotikhudza Pomeza onse olimba chakudya madzi.

zosokonezeka zotheka

Nthawi zina, opaleshoni mavuto itha:

1. Kuwonongeka kwa kobwereza mitsempha laryngeal, amene ali ndi udindo kwa mawu.
2. Hoarseness kapena kusintha izo. Nthawi zina liwulo utasinthiratu.
3. Kuwonongeka kwa zopangitsa parathyroid. Iwo zili kuseri kwa chithokomiro England, kotero angakhudzidwe pa ntchito. Koma izi zimachitika kawirikawiri kwambiri madokotala wosadziwa. Kuwononga loyang'anizana wakuswa kashiamu ndi phosphorous kagayidwe. Chifukwa cha zimenezi zimadzetsa hypoparathyroidism.

kaonedwe

Kuposa kuti munthu akhoza kuwasandutsa papillary carcinoma ya chithokomiro England? The Mapa bwino nthawi zambiri. Ngakhale maselo khansa kufalikira kwa mwanabele, wodwala moyo nthawi yaitali. Kafukufuku amasonyeza kuti pambuyo opaleshoni munthu amakhala:

• zaka zoposa 20 mu 70% milandu;
• zaka zoposa 10 85% milandu;
• pa 5 zaka 95% ya milandu.

Monga mukuonera, si loopsa papillary chithokomiro carcinoma. Mlingo kupulumuka si mkulu, ngakhale pa nthawi imene chotupa yafalikira kupitirira chithokomiro lapansi.

kupenda

Patapita kwathunthu mankhwala munthu ayenera ankakonda kukacheza ndi m'thupi yemwenso. Izi ndi zofunika kuti kuwunika thanzi akukhudzidwira. Nthawi zina khansa asabwerenso, kotero inu kulandira kufufuza zonse chaka:

• magazi (anatsimikiza dzuwa m'malo mankhwala ndi kukhalapo kwa zotupa zilonda, ndi metastases otsala);
• US a chithokomiro England ndi lymph mfundo;
• thupi aone ndi ayodini.

Papillary chithokomiro khansa - matenda oopsa, koma nthawi zambiri akhoza kwathunthu inathetsedwa. The njira waukulu wa mankhwala - ntchito, kenako m'pofunika amachita chithandizo ndi ayodini nyukiliya.