Vatsvakurudzi Verengai Lobectomy kana kuti Total Thyroidectomy yePapillary Cancer
Muna 2017, American Cancer Society inofungidzira kuti inenge 56,870 mitsva yekenza yekroid ichaonekwa: 42,470 vakadzi, uye 14,400 mune varume.
Kurapa kwakakwana kwekenza yekenza ndeyekuvhiya kubvisa kenza. Kazhinji, nyanzvi dzinokurudzira kuti chirwere chacho chibvise utachiona hwose. Kubviswa kwakakwana kwehutano hwetachiona kunozivikanwa sehutachiona hwetachiona .
Kubva muna 2017, mirayiridzo yeAmerican Thyroid Association yekenza yepurogiramu inokurudzira kuti murwere awane utachiona hwehutachiwana hwemarudzi ose ekenza yekemikari . Chimwe chete chinoshandiswa pamakumbo emakemikari maduku kudarika 1 cm muupamhi.
MuUnited States, inenge 80 kubva muzana yemakemikari ose ehutachiona ane kenza yemapillary, iyo inonziwo papillary carcinoma kana papillary adenocarcinoma. Kanza yepapillary inowanzoonekwa mune rumwe rutivi rwetachiona-inozivikanwa se-lobe-uye rudzi urwu rwekenza yekameti kazhinji inokura zvishoma nezvishoma. Papirary cancer inogonawo kupararira kune lymph nodes mumutsipa. Kunyange kana yakapararira kune lymph nodes, nhamba dzinoratidza kuti kenza yemapapa inoporesa zvikuru, uye haigoni kuuraya.
Zvitsvakurudzo zvekutsvakurudza zvakagadziriswa muna 2016 Clinical Congress yeAmerican College of Surgeons yakaratidza kuti vazhinji varwere vepachirwere chepachirwere vane chirwere chepachirwere vaizobatsirwa nechirwere chinodhura chisingadhuri, chisingaiti, uye chinonyatsoshanda chinorapwa chetachiona chinonzi lobectomy, maererano nehutachiona hwetachiona.
Mune lobectomy, inongova yakagadziriswa chete inobviswa.
Kunyanya, vatsvakurudzi vanobva kuTulane University School of Medicine muNew Orleans uye naJohn Hopkins School of Medicine muBaltimore vakatsunga kuti pamapirisa mazhinji epachirwere chetachiona, utachiona hwehutori hwakawanda hunodhura uye hunokonzera kuderedzwa kwehupenyu hunoenzaniswa nelobectomy.
Mutungamiri wekutsvaga wekudzidza Zaid Al-Qurayshi, MD, MPH, weYunivhesiti yeAhio Hospital, akati:
Zvatinowana zviri kuratidza kuti kubva pakuona kwezvematongerwo enyika, kuita chibvumirano panzvimbo yehutachiona hwehutachiona hwevatachiona avo vane bhaopsy vanopokana nemapillary thyroid carcinoma inosanganiswa nemari yakaderera uye inobudirira zviri nani. Zvakakosha kucherechedza, kutsvaga uku hakurevi kuti lobectomy inongodhura-inoshandiswa imwe nzira; tinoshandisa zano rekuti "mari-inobatsira" kana ichienzaniswa nedzimwe nzira kana inodhura zvakawanda, kana imwe chete, asi inobatanidza nekubudirira kwakanakisisa.
Imwe yedzidzo yakafananidza kuponesa kwekenza yehutano nekudzoka kwehuwandu kune varwere vaiva nehutachiona hwehutachiona pamwe nelobectomy. Chidzidzo chegore gumi chakaitwa neChirangaridzo Sloan Kettering Cancer Center muNew York. Muchidzidzo ichocho, vanotsvakurudza vakaongorora varwere vane kenza yekemikari pasi pe4 cm muhukuru hwakanga husina kupararira kunze kwelobe. Vatsvakurudzi vakawana hapana kusiyana kwakasiyana mumakore gumi ekupukunyuka kana kuwedzerwa kwechirwere chetachiona kudzoka mumapoka maviri. Iyi tsvakurudzo yakaratidza kuti nekufamba kwenguva, maererano nehupenyu hwekenza yehutano nekudengenyeka kwehutachiona, lobectomy yaive yakakosha sehutachiona hwehutachiwana hwemakemikari ediki ehutachiona.
Lobectomy Mhinduro
Maererano nevatsvakurudzi, kune boka rinotarirwa nevanorwara nekenza yemapillry, lobectomy iri nani pane chirotero chetachiona chezvikonzero zviverengeka, kusanganisira:
- Lobectomy chirurudzo chepfupi kupfuura thyroidectomy yako yose, uye inowanzoitwa pamusana pekuda kwenguva .
- Lobectomy ine njodzi yepamusoro yezvinetso zvekuvhiya kana zvichienzaniswa nehutachiona hwekurota.
- Kuperazve mushure mekunyora kwechirwere kunomiririra nekuenzaniswa nehutachiona hwetachiona
- Mushure mokunge uine lobectomy, iwe unogona kunge usingadi utachiona hwehutori (kana iwe uchidaro, muzinga unogona kunge wakadzika). Kana uine utachiona hwehutachiwana, iwe unoda hutachiona hwemazuva ose huchiendesa mishonga.
- Lobectomy varwere vanorondedzera unhu huri nani hwehupenyu mushure mekuvhiyiwa kana uchienzaniswa nehutachiona hwetachiona.
Uri Mudiwa we Lobectomy Here?
Kutsvakurudza kwakaratidza kuti lobectomy inogona kubudirira kana mapiritsi epurosi yekirori inosangana nematatu anokosha:
- Ipapillary kemapirini yekenza isango I kana II chete
- Chirwere chacho chiri mune rimwe chete rerube rerosiyo
- Dumbu racho rine masendimita 4 kana kupfuura muhukuru
Kana une chirwere chemapirisa chetachiona chinokodzera izvi, ungada kukurukura lobectomy nehuwandu hwehutachiona hwehutachiona pamwe nemushonga wako wechiroyi.
Zvimwe Mamwe Mashoko Evarwere
Nyaya yevashandi vezveroroid inounza pfungwa inokosha. Kunyangwe ne lobectomy, zvinetso zvinowanzoitika kana chiremba wako ane chirwere chiduku chekuita kurapwa kwetroyo. Zvakakosha kudzidza zvakawanda sezvaunogona uye kusarudza chiremba anovhiya ane ruzivo rwakakura mukuvhiya kwetroji .
> Sources:
> Nixon, IJ et al. Utachiona lobectomy pakurapa kwakanyatsosiyaniswa nekunyengedzera kweprathyroid. Surgery. 2011. Gumiguru 14, 2011
> Noureldine, S. naKandil, E. "Kubviswa kwelobe panzvimbo yehutachiwana hwepamusoro kunogona kubatsira varwere vepachirwere cheproid." American College of Surgeons: 2016 Clinical Congress Proceedings.