Chirwere chetachiona chinokanganisa utachiona, gland rinenge rakagadzirwa nehove riri pamberi pomutsipa. Utachiona hunobudisa mahomoni anokosha anodzora mararamiro edu emagetsi. Utachiona hutapukirwa nezvirwere zvakadai se hyperthyroidism , hypothyroidism , uye kunyange kenza.
Kune mavara mana emukenza wekemapa: papillary, follicular, medullary, uye amaplastic.
Mhando yekenza yekotori inoratidzirwa nemasero ayo anotanga kubva uye nekuonekwa kwavo. Rudzi rumwe norumwe rwakasiyana nehutano hwakasiyana-siyana, huwandu, uye hupenyu hwehutano.
Kuongororwa kwechirwere chetachiona kunogadzirwa nechaopsy, uchishandisa nzira yakanaka yekutsvaira tsono mune dzimwe nguva. Kana imwe yamuenzaniso wehutachiona yakakonzerwa kuburikidza nechaopsy, inozoongororwa pasi microscope nechirwere chechirwere (chiremba anonyanya kuzivikanwa nezvirwere nokuongorora ropa, mishonga, uye sampuli yemvura).
Papillary Thyroid Cancer
Ichi ndicho chinonyanyozivikanwa chekenza yekerosi, kuverenga kwemakore anenge 80-90% ematambudziko ose. Papillary thyroid yekenza inoporesa zvikuru, uye muzviitiko zvizhinji, inoporesa. Kunyange zvazvo chirwere chepuropiya cheproid chinowanzopararira kumuromo wechiremera chemukati chechirwere pedyo nejeri mumutsipa, hazviwanzopararira (metastasize) kune nhengo dziri kure. Kana ikasangana nemasitasvi, mapfupa nemapapu ndiyo inowanikwa nzvimbo iyo kenza ichapararira.
Papillary thyroid cancer inobatanidzwa zvikuru nekuisa mahara. Inowanzowanzoonekwa kuvanhu vakuru vane makore 30-50.
Follicular Thyroid Cancer
Chirwere chetachiona chemhando yechirwere ndiyo yechipiri inowanzozivikanwa yerudzi rwekenza yepamusoro, iyo inotarisirwa kusvika 15% yezviongorori. Inowanzoonekwa nekuvapo kwechingwa chiduku, chinorwadza mumutsipa.
Chirwere ichi chinowanzoitika kune vakadzi kupfuura varume. Vanhu vazhinji vanoonekwa kuti vane chirwere ichi chekenza yepasi pezera remakore makumi mana.
Metastasis inowanzoitika kanowanikwa mukenza yemapurisa yepillicular kupfuura yekenza yemapirary, zvikurukuru nekuda kwekudzivirira kwemasimba, zvichiita kuti chirwere chipararire kuburikidza neropa. Mapfupa nemapapu zvinokwanisika nzvimbo dzemasastasis, sezvinoita papillary yekenza yekenza. Zera rinokuvadza zvakanyanya kufungidzira kwomunhu ane follicular cancer yekenza; varwere vaduku vanowanzofambira zvakanaka kupfuura varwere vakura.
Kusiyana nepapillary carcinoma, kenza yepollicular haisi yakasimba zvakasimba nehuwandu hwemhepo.
Medullary Thyroid Cancer
Inofungidzirwa kuti medullary chirwere chetachiona inokonzera 3% yekenza yehutano kuongororwa, zvichiita kuti ive yechitatu inowanzozivikanwa. Icho hachina kukonzerwa nekubuda kwemazuva uye kunobva mumasero ehutachiona inobudisa hormone calcitonin, inonzi C masero. Vakadzi vanoongororwa kakawanda kupfuura varume, uye vazhinji vanoonekwa kuti vane makore 40-60.
Anaplastic Thyroid Cancer
Iro rudzi rwechirwere chetachiona ndiro ratire uye rinokonzera anenge 1 kusvika ku5 muzana yekenza yehutachiona inoongorora. Icho chinotyisa uye chinopararira nokukurumidza. Anaplastic chirwere chetachiona kazhinji chinokanganisa vanhu vanopfuura makumi matanhatu.
Zvirwere zvinoshandiswa hazvina kukwana sezvo chirwere chacho hachina kupindura zvakanaka kurapwa, zvichiita kuti chirevo chacho chisakanganise kune varwere vane chirwere chinorapa chetachiona.
Staging Thyroid Cancer
Kana imwe nyanzvi ichinyanya kuratidza rudzi rwekenza yekenza, danho rinotevera mukugadzirisa chirwere ndechekugadzirisa chirwere chacho. Munguva yekuita basa, inotarirwa kana kenza yakapararira, uye kana zvakadaro, kure zvakadini. Zvirongwa zvehutano hwekenza yehutano zvinotsigira zvakanyanya pamhando yemhando yekenza yekenza uye shanho.
> Kwakabva:
> "Kanzira yekroidi chii?" 2/24/14, American Cancer Society