Iwe Unoda Kushanda Kwako Utachiona Here? Ko Zvakadini neRadioiodine (RAI)?
Papillary microcarcinoma ndiyo imwe yemapirisa epirusi yekenza yakanyanya kuduku. Aya madiki kanzira - microcarcinomas - inoumba hafu yezvinokonzera utachiona zvose muUnited States neEurope mumakore makumi matatu adarika.
Nzira Duku Dzakadini Papillary Microcarcinoma?
Ko chiduku chiduku sei? Mirayiridzo inotaura kuti kenza yemapapa ndeye "microcarcinoma" kana iri duku pane .4 masentimita (1 cm) muhukuru.
Kubata uye Kuziva
Chiitiko che microcarcinoma chiri kuwedzera, kunyanya nemhaka yekuona zviri nani. Izvi zvidiki zviduku, zvisingabvumirwi zvinowanzoonekwa panguva dzekuwedzera uye X-rays yemusoro nemitsipa.
Treatment Controversies
Papillary microcarcinoma inoonekwa seine ngozi shoma yekufa. Zvisinei, zvakajairika kuti zvidzoke zvakare, kana kuti zvipfuurire, saka chirwere chinowanzokurudzirwa.
Vatsvakurudzi vari muEuropean Congress of Endocrinology (ECE) vakataura nezvekutsvakurudza kwenguva refu kwekutsvaga kwakatarisa mhinduro dzeMayo Clinic nevarwere vane papillary thyroid microcarcinoma. Icho chidzidzo chakawana kuti:
- Pakati pevanenge mazana mapfumbamwe nevarwere vakange vane zvirwere zvakabviswa, hapana kana kupararira kwekenza mumakore makumi maviri ekutevera
- Makore makumi maviri uye makore makumi mana ekudzoka kwemakumbo ehutachiona aiva 6% uye 9%.
- Pakati pevanhu vose vanoverengera, varwere vashoma chete (0.3%) vakafa nepapillary thyroid microcarcinoma
- Kuponeswa nekufa kwehuwandu hweboka rekudzidza hazvina kusiyanisa zvakanyanya kubva kune vanhu vanoona
Vatsvakurudzi vakagumisa kuti zvavakawana zvinotsigira zvinotevera:
- Papillary thyroid microcarcinoma ine chirevo chakanakisisa kana chiremera chekutanga chakabviswa zvachose panguva yekuvhiyiwa.
- Vanopfuura 99% varwere vane papillary thyroid microcarcinoma havana ngozi yekupararira kure kwekenza kana yekufa kwekenza yekameti.
- Postoperative radioiodine zvakasara zvakasara hazvina kukonzera njodzi yekudzoka kana kufa kubva pamuviri wemapirisi yekirori kwemakore makumi mana.
IAmerican Thyroid Association mirayiridzo inoratidza kuti utachiona hupi hupi hupi hupi hupi hupi hunoonekwa musati wambovhiyiwa, uye nokuda kwezviremera zvinenge zvisingagadziriswi kana kuti zvisingabatsiri, kubatsira kubvumira kuti bundu racho rakabviswa zvachose.
IEurope Thyroid Association (ETA) uye British Thyroid Association (BTA), zvisinei, inorayira utachiona hwetachiona uye lobectomy pamwe chete nevarwere vasina ngozi kune avo vasina nhoroondo yehuwandu hwemhepo. Uye iyo American Association of Clinical Endocrinologists inoratidza kuti lobectomy (kubviswa kwehafu yenguruve yekirori) pamwe isthmectomy (kubvisa chinangwa chinosangana nelobes) chinokurudzirwa kune varwere vaduku vanokanganisa miccarcinoma varwere.
Kunyanya kukakavadzana ndeyekuti iodine inokonzerwa nehutachiona (RAI) - inonziwo radioiodine - kurapwa inodawo mushure mokuvhiyiwa kuti ipe zvakanakisisa zvingaguma. Kunyange zvazvo chidzidzo cheMayo chikawana pasina rubatsiro, zvinowanzobvumiranwa kuti zvinokurudzirwa kune varwere vane pwere yakanyanya pangozi yemascarcarcinoma, kureva, avo varikudzoka, vane zvirwere zvakawanda, lymph nodes , uye / kana imwe humwe uchapupu hwekupararira .
Chidzidzo che2009 chakabudiswa mupepanhau Chitupiti chakange chiine mitezo inoshamisa iyo yakapesana neChidzidzo cheMayo Clinic. Ongororo ya2009 yakawana kuti 43 muzana yemapirary microcarcinoma varwere vakadzidza vakanga vapararira kenza yavo kumakirini emakirini mumakore matatu ekuvhiya uye kuti nzira dzisinganyanyi kurwisa dzisingasanganisi iodine inokonzerwa neyodine inogona kunge isina kukodzera.
Nyaya yegore ra2012 mu Journal of Oncology , zvisinei, yakawana kuti kurapwa kwe radioiodine hakusi kudiwa uye hakusi kuwedzera mitsva / kufanirwa kwepilyria microcarcinoma inowanzo-uye yakangobatsira chete kune vane huwandu hwehutachiona hwemakumbo makuru, apo RAI yakaderedza kudzokorora kwamazinga.
Migumisiro yevarwere
Ruzhinji rwevarwere vane utachiona husina kukwana huri kupera hunoda utachiona hwemishonga inoshandiswa mushonga. Saka zvingava zvine musoro, kana iwe uchizovhiyiwa, uye unoda mishonga pashure pacho, kuti ukurukure zvinobudirira uye urombo hwehutachiona hwehutachiona hwehutano hwakakwana pamwe nechiremba wako.
Sezvo uri RAI, unofanira kutaura nezvezvinobatsirika kana iwe uine chero njodzi dzinokonzera, kusanganisira mhuri yepamusoro, kusvibiswa kwemazuva, kanhi yekare yekenza, kana zvimwe zvinetso. Uye edzai kuti chiremba wenyu anoziva mitsva yemazuva ano kuitira kuti iye aone kukosha kwezvinhu zvinokonzera njodzi, uye aite zvakanakisisa zvinogona kuitika maererano neRP postoperative.
> Sources:
> Arora, N et. al. "Papillary thyroid carcinoma uye microcarcinoma: pane chido chekusiyanisa zviviri here? Thyroid 2009; 19: 473-77 PDF
> Carballo, Marilee et. al. "Kubata Kana Kusapindira: Basa reAdjuvant Radioiodine Utachiona muHerry Cancer Patients," Journal of Oncology . Svondo 2012, Online
> Hay, Ian et. al. "Haisi utachiona hwehutachiona kana radioiodine yakasara yakagadziriswa yakagadziriswa kwenguva yakareba muhutano muna 900 varwere vane mapiritsi ehutachiona microcarcinoma yakabatwa muna 1945 kusvika muna 2004," Endocrine Abstracts , (2008) 16 P685 Online
> Noguchi, S. et. al. "Papillary microcarcinoma." World Journal of Surgery , Bhuku 32, Nyaya 5, mapeji 747-53. May 2008, Abstract
> Pearce, E. uye Braverman, L. "Papillary Thyroid Microcarcinoma Migumisiro uye Inobatsira Kurapa," Journal of Clinical Endocrinology & Metabolism , July 02, 2013 Online
> Roti, Elio (2008) Utachiona papillary microcarcinoma: unotsanangura uye meta-analysis study. European Journal of Endocrinology, (2008) 159 659-673