Apo chiremba wako anowana chirwere chekenza chirwere chepachirwere, iyo inofanirwa kurapa kurairwa ndeyekuti iwe uvhiwe kuti ubvise chirungu. Kakawanda, hobe (hafu) ye thyroid yako inobviswa chirwere, uye pane dzimwe nguva, utachiona hwakazara hunobudiswa chirwere. Varwere vakawanda vane kunyange utachiona hwehutachiona hunoda hutachiona hupenyu hwose, uye munhu wose ane utachiona hwehutachiona hunoenderana nehutachiona hwemaprojoni mushure mekuvhiyiwa.
Iye zvino, kune zvimwe zviduku, zvishoma-ngozi, zvishoma nezvishoma zvinokura mapepa emhando yekenza yekodhi , nyanzvi dziri kutanga kutaurira nzira itsva: kushanda kuongorora.
Vatsvakurudzo vanoparidza mumagazini ino JAMA-Otolaryngology-Head & Neck Surgery vakaratidza kuti kuongororwa-kunonziwo kurindira kurindira-idzi microcarcinomas inogona kunge iri nzira yakanakisisa kune varwere pane kuvhiyiwa, chero bedzi kuongororwa kunobatanidza teknolojia yekufungidzira mitatu yakadaro se ultrasound.
IAmerican Thyroid Association yakatsigirawo kushandiswa kwekushongedzwa kwakaitwa sechimwe chetsika yekenza yekenza yakasarudzwa muvarwere vakasarudzwa vane kenza yekenza yakaderera.
Mumwe munyori wekutungamirira weJAMA, R. Michael Tuttle, MD, weChirangaridzo Sloan Kettering Cancer Center, New York City, akaudza Medscape kuti:
Vakawanda havadi kuvhiyiwa kwemakore, uye zvichida havasati vamboita. Tiri kutamira kure nepfungwa dzokuti kana uchangobva kuongororwa nekenza yekenza iwe unofanira kukurumidza uye kuita chirwere. Iye zvino, zvinowedzera nzira yekuendesa, uye chaizvoizvo kune maboka evarwere muUnited States kuti izvi zvinofanira kuve zvakagamuchirwa. Kune varwere muUnited States vasingatsvaki kuvhiyiwa kwechinguva chiduku, kanhi yekenza yekodhi.
Vatsvakurudzi vakacherechedza boka revarwere vakange vane zviduku-zvisingasviki 1.5 mm muhukuru-matumbo echitachiona. Kwenguva yemakore, chiremera chemaitiro chakakonzerwa nhatu-dimensionally ne ultrasound mwedzi mitanhatu kusvika pagore. Vatsvakurudzi vakawana kuti mushure memakore mashanu, chete 12 muzana yevarwere vakaona tumumire yavo ichikura kusvika 3 mm kana kupfuura muhukuru.
Hapana nzvimbo yekupararira kana yakanyanya kurega yekenza yakagadzirwa mune varwere vakadzidza panguva yekushanda kwekushanda.
Dr Tuttle akati katatu-dimensional ultrasound chiyero chechiremera chemuviri ndiro pfungwa itsva uye inokosha inoita kuti kuongororwa kushingaira kunakidze uye kunoshanda. Kuita ultrasound mwedzi mitanhatu yese mumakore maviri ekutanga ekuongorora kunoita kuti nyanzvi dzigadzire huwandu hwekukura. Kana chiyero ichocho chichikurumidza, zvino chirwere chinokurudzirwa. Asi, maererano naDkt. Tuttle, sezvo huwandu hwemararamiro avakadzidza hauna kukura kana kukura zvishoma nezvishoma, vatsvakurudzi vanokurudzira kuti vanachiremba vanopa kuongororwa kushanda sechisarudzo kune vanoderedza ngozi.
Sezvo Dr. Tuttle akaudza Medscape kuti:
Kumhanyira kuvhiya kunogona kuva chinhu chakanaka kune mumwe murwere, asi hapana kukurumidza kana vachida kutarisa. Vanhu vazhinji vanokoshesa utachiona hwavo uye havadi kuva nehomoni yehutori yehupenyu, saka kana vane sarudzo yekutarisa, vanoona iyo sechinhu chinokosha.
Shoko Rinobva
Ramba uchifunga kuti kushanda kwakarongeka kwekenza yako yekenza yekenza inoda vadzidzisi vane ruzivo, vane unyanzvi, uye vakasiyana-siyana vezvechiremba. Iwe unoda kuti nhengo dzechikwata chako dzive neruzivo mune iyi nzira isiri itsva yekenza yekameti.
Nyanzvi dzinonyeverawo kuti migumisiro yacho inogona kunge isingakoshi kune varwere avo vari kugamuchira kune vamwe kunze kwezvipatara zvinowanikwa nekenza yakawanda yekenza yepamusoro, kana vatarisi vezvehutano vanoziva nezvekenza yepamusoro yekuongorora chirwere uye kurapwa, vane ruzivo rwekushanda kwezvirongwa zvekuongorora. Mharidzo yekutora kumusha: kushandiswa kwekushanda kunogona kuva chinhu chinogadzirisa uye chakachengeteka kwauri, asi kana bedzi pawakaitwa mumaoko emaongorori.
Chimwe chirevo chinokosha chekuchengeta mupfungwa: chinhu chikuru chekucherechedza zvakasimba ndechekutevera kutevedza nekuongorora. Kana ukasarudza nzira iyi, iva nechokwadi chokuti iwe unogara uine matatu-dimensional ultrasound, uye tevera nevadzidzisi vako vekenza yekenza.
Nguva dzose kuongororwa kunokosha kuti uongorore, uye unokwanisa kuona chero kuchinja kunoshanduka kune chirwere chako chekenza chichange chichida kupindira kwechiremba uye kurapwa munguva yemberi.
Pakupedzisira, vatsvakurudzi vanoratidza kuti avo vanonyanya kutsvaga ndeavo vanorwara mushure memakore makumi mashanu. Kana uri pasi pemakore makumi mashanu, tsvina yako ichawedzera kukura, saka kurapwa kucharamba kuchikurudzirwa kakawanda kana iwe uine chirwere chekenza papillary microcarcinoma .
> Sources:
> Leboulleux, S. et al. "Papillary thyroid microcarcinoma uye inoshandiswa kuongorora." The Lancet Diabetes & Endocrinology, Volume 4, Nyaya 12, 976 - 977. December 2016.
> Tuttle, M MD and. al. "Nhoroondo Yemazuva Ano uye Mumarara Mubhuku Kinetics yePapillary Thyroid Cancers Panguva Yokutsvaga Kwazvo." JAMA Otolaryngol Head Neck Surg. Yakabudiswa paIndaneti August 31, 2017. http://jamanetwork.com/journals/jamaotolaryngology/article-abstract/2650803