Umdlavuza we-thyroid we-Papillary yiyona ndlela ixhaphake kakhulu kwi-oncology yale nxalenye. Ukubunjwa kwe-tumor kuvela kwiiseli ezivelisa i-hormone ye-thyroid, ikhula ngokukhawuleza kwaye isininzi se-metastasis senza i-lymphogenically. Kwiimeko ezininzi, ukugxekwa komdlavuza we-thyroid kuyaphuma, kodwa ngamanye amaxesha isisu sinokuba ngumsindo.
Izizathu kunye neempawu zomdlavuza we-thyroid
I-Papilloma ibizwa ngokuba yi-papilla, ene-tubercles ezininzi okanye i-protrusions. Ukubunjwa kwepillae kuthathwa njengecala leklinikhi, ekubeni isabelo esikhulu sokuba kwenzeka ukuba ezi zifundo ziya kuqala ukwandisa ubukhulu kwaye zisasazeka. Iimbangela zokuvela kwazo zingabonakala ziziza zofuzo okanye zichazwe kwiimitha-mlilo zomsakazo (umzekelo, unyango lwe-radiation).
Izibonakaliso zomdlavuza we-thyroid zinyango zimbalwa:
- utshintsho lwezwi;
- ukwanda kwenzeni ye-thyroid;
- ukuphulwa kwenkqubo yokugwinya;
- ukwakheka kwe-node encinci kwi-thyroid gland;
- ukuziva kakubi xa iphefumula.
Ngokuqhelekileyo, impawu zalo mfo zibonakaliswa xa i-tumor ikhula ngaphaya kwe-capsule ye-thyroid gland. I-Metastasis isoloko ichaphazela i-lymph nodes, kodwa inokulimaza imiphunga okanye izicubu zethambo. Iimetastases ezikude azibonakali ngomhlaza we-thyroid.
Ukuxilongwa komhlaza we-thyroid
Ukuxilongwa kwesi sifo kuyinkqubo enzima. Into yokuba i-tumor iqala ngokuvela kwimvelaphi ye-goitre (ukwanda kwindalo ye-thyroid gland), kwaye ikhule i-capsule, iguqulwe njenge-neoplasm engenayo.
Ukufumanisa umdlavuza we-thyroid wepilisi kwisigaba sokuqala, kufuneka wenze:
- Ultrasound;
- biopsy ;
- i-tomography shchitovidki,
- ukuhlolwa kwegazi ukuchonga izinga lamahomoni.
Ngoncedo lwe-tomography okanye i-ultrasound, ungayifumana ubukho kunye nemeko yee-nodes, ubukhulu be-gland kunye nesimo seethambo ezijikelezayo. Ukuhlolwa kwegazi kuyadingeka ukuqinisekisa ukuba i-thyroid yegland igcinwe ukukwazi ukuvelisa i-hormone, kwaye i-biopsy iya kunika yonke ingcaciso malunga nokunyaniseka kwenkqubo.
Unyango lomhlaza we-thyroid
Ukugxekwa komhlaza wamapilisi kuyamkeleka, kwaye izinga lokusinda kwezigulane lifikelela kwi-90%, kuba umntu unokukhetha enye yezindlela ezininzi zokunyanga le nkunkuma (umbane, ugqirha okanye i-chemotherapeutic) okanye udibanise.
Umdlavuza we-thyroid we-papillary awunasoloko ukhangeleka unyango lwe-radiation, kodwa kumanyathelo okuqala olo hlobo luya kusebenza kakuhle. I-Chemotherapy isetyenziswe rhoqo nje ngeendlela ezongezelelweyo zokonyango, kodwa ngoncedo lwayo lunokuthintela ukubunjwa kweemetastases nokubuyela kwesifo.
Kwiimeko ezininzi, i-tumor kwi-thyroid gland iyasuswa. Unjalo unyango lomdlavuza we-thyroid owenziwe ngamaphepha omzimba owenziwa xa ubukhulu besakhiwo se-tumor singadluli
Ngokukhawuleza emva kokuhlinzwa, isigulane sinokuyibona imisebenzi yakhe yangaphambili, kodwa umonakalo kwimisipha ephindaphindiweyo kunye nokuvuvukala kweentambo zamagama kunokubangela ukuba utshintsho lwezwi oluqinileyo. Ngexesha lotyando, unokususa isthmus kunye nesiqingatha se-gland. Ngenxa yalokhu, isigulane emva kokuphinda ngokupheleleyo kufuneka ukuba kuqeshwe unyango lwexesha lonke kunye neemviwo eziqhelekileyo.