Utachiona hwemashoko ehutachiwana hwakajairika uye vazhinji vanonyanyisa (kwete-kenza). Asi kuziva kuti ndezvipi zvinopesana nekenza zvinogona kuva nzira inonyengera.
Ndokusaka vatsvakurudzi vakaita zviratidzo zvakasiyana-siyana zvemasomendi izvo zvinoshandiswa pamasero esero zvakagadzirwa kubva kumusana wehutachiona. Iyi miedzo inobatsira chiremba kuti asarudze kana chirwere chetachiona chinogona kunge chinopisa kana kwete, icho chinowanzokonzera kana kana munhu asingazovhiyikodzwa.
Kubata maKirasi eTroroid: Zvakanaka Nyanzvi yekupedza Nyuchi
Nzira yekubvisa majekiseni echitendero kubva mumhutu, anonzi yakanaka yeinalle aspiration biopsy kana FNA, iri nyore, yakachengeteka, uye inoitwa muhofisi yechiremba.
Munguva yeFNA, chiremba achashandisa nenyuchi kuti abvise ("aspirate") masero kubva mudule. Kuchengetedza kuti nenyuchi inopinda muduleti, chiremba achashandisa ultrasound kuti amutungamirire.
Kana kamese masero acho achida, anoongororwa pasi pekroscope nechiremba (anonzi chiremba) kuti aone kana chirwere chacho chiri chirwere chinorwarisa ( kanzera yekemikari ) kana bhenign.
Dzimwe nguva, zvisinei, migumisiro yeFNA ndeye "indeterminate" zvinoreva kuti hazvina kunyatsojeka kana hutundu hunova nekenza kana kwete.
Muchiitiko chemasidendi asingagoneki, biopsy inowanzodzokororwa. Kana ichinyatsopera nguva yechipiri, chiremba achaona yechitatu biopsy kana kazhinji kuvhiyiwa.
Kana munhu apedza chirwere ichi uye chirwere chetachiona chinowanika, utachiona hwetachiona hunoonekwa sewe hunodiwa uye hunofanira kukodzera mukurapa.
Zvisinei, kana pasina kenza yemukati inowanikwa (uye chigunun'una chinonyangadza), murwere anenge asina kurasikirwa nhengo inokosha, uye mukugadzirwa, kuva hypothyroid yeupenyu. Uyezve, chirwere chetachiona chinopesana uye chinosangana nezvengozi sekukuvadza gland yako yepathyroid uye nerve inodzora izwi rako bhokisi
Molecular Testing of Cells From Thyroid Nodules
Nechinetso chezvinofanira kuitwa apo FNA biopsy inodzoka isingagumi, vatsvakurudzi vatanga kuedza kuedza kuedza kuvandudza kuongororwa kwekuongororwa kwezviputi.
Chimwe chigadzirwa, chinonzi Afirma Thyroid FNA Analysis, inoshandiswa kuongororwa kwemakemikari iyo inotarisa maitiro emagenho maitiro mukati memuenzaniso weFNA kuti aongororwe kuti "ane utsinye" kana kuti "kushungurudza nokuda kwezvakaipa."
Kana kuongorora kuchiratidza kuti chirungu chinenge chiine simba, saka kuongorora nguva nenguva uye kuongororwa kweiyo mutsara inowanzoburudzirwa (iyo inowanzoenderana nebenign nodules). Kana hurumende ichinyunyuta nokuda kwekuvhiringidza, pane munhu anogona kuenderera mberi nekuvhiyiwa.
Kutsvakurudza kunoratidza kuti Afirma test ndiyo yakanakisisa ye "kutonga kunze" kenza, zvinoreva kuti ine zvakanyanya kunaka zvisina kufanira.
Mimwe miedzo inosanganisira Test ThyGenX uye ThyroSeq. Iko yeGyGenX test inoongorora sero seni rekuchinja kwemajini uye zviratidzo kuti zviwanikwe kune ngozi yekenza. Uyu muedzo unonyanya kukosha we "kutonga" mu "kenza, saka ane unhu hwakanaka hunofanirwa hunofanirwa mberi.
Kunyanya kucheneswa, Testro ThyroSeq yakanaka kune zvose "kutonga mukati" uye "kutonga kunze" kenza.
Izvi zvinorevei kune utachiona hwehutano hwako ndechokuti kana iwe uchitova neFNA biopsy iyo yakawana chirwere chetrosi chisingagoneki, uye chiremba wako ari kukurudzira thyroidectomy, unogona kunge uchida kuva neimwe FNA yakaitwa nachiremba anoshandisa imwe yeiyi molecule miedzo.
Pakupedzisira, kuva nemigumisiro yakajeka inogona kudzivirira chirwere chisina kufanira.
Shoko Rinobva
Kunyange zvazvo kuongororwa kwemakemikari kune maitiro anoshamisa, ekuvandudza, zvinokosha kuyeuka kuti kutsvakurudza pamusoro pavo kuchiri kuchinja.
Mune mamwe mazwi, miedzo iyi haina kukwana-vanachiremba vachiri kudikanwa kuongororisa dambudziko rega rega roga roga uye kubatanidza pamwe kuti vanganyatsobatanidza sei zvishandiso izvi mukuongorora.
> Sources:
> American Thyroid Association. (2018). Nyore Yakanaka Kupera Kupihwa kweTyroid Nodules: Nzira uye kutsanangurwa kwemigumisiro.
> Baca SC et al. Qualifiers of atypia mu cytologic kuongororwa kwemakondomu ehutachiona anosanganiswa neAirgy gene genetic expression inoratidzira zvinokonzera uye zvinokonzera zvirwere. Cancer Cytopathol . 2017 May; 125 (5): 313-22. dx.doi.org/10.1002/cncy.21827.
> Ferris et al. American Thyroid Association Zvinyorwa pamusoro pekuvhiya Kushandiswa kweMorecular Profiling yeTyroid Nodules: Iye zvino Zvakaitika Pakugadzirisa Perioperative Kuita. Thyroid . 2015 Jul 1; 25 (7): 760-68. dx.doi.org/10.1089/thy.2014.0502.
> Zhang M, Lin O. Kuongororwa kwechirwere chetachiona chekurota: Kuongororwa kwemazuva ano kuongororwa kunoitwa zvakanaka-nenyuchi dzinoda kutsva. Arch Pathol Lab Med . 2016 Dec; 140 (12): 1338-44.