Sezvo kenza yekroid yakawanda iri kuongororwa, chigumisiro ndechokuti dzimwe chirwere cherosi-chinonzi seroidroidomi -chiri kuitwa. Kunyange zvazvo chiyero chematambudziko mushure mekuvhiyiwa kwehutano kunofungidzirwa kuti haisi duku, chidzidzo chakawana kuti mari yacho inogona kuva yakakwirira kwazvo kupfuura yakambotaurwa. Tsvakurudzo yakaratidzawo kuti mazana emapoka ari pangozi yakakura yezvinetso mumwaka mushure mekuvhiyiwa kwekirori.
Kusvika parizvino, dzakawanda zvezviongorori pamatambudziko pashure pokuvhiyiwa kwehutano zvakaitwa mune zvipatara zvakasiyana kana zvipatara, vazhinji vavo vanoita maitiro epamusoro ekuvhiya kwetroji. Mapiyona epamusoro-soro uye zvivako zvekuvhiya zvinoshandisa maitiro akawanda emakemikari ega ega pagore zvakaratidzwa kuva nehuwandu hwepabonde huripo.
Sangano re 2017 rakasiyana-siyana rinotarisa kune zvose zvepamusoro-guru uye pasi-goroji, mazvipatara, uye zvipatara. Zvigumisiro zvinotaurwa mu Journal of Clinical Endocrinology uye Metabolism , vakatarisa pavanenge vanenge 28 000 varwere vane chirwere chetachiona chekuparadzaniswa kana medullary yekenza yekenza, yakaongororwa pamusoro pemakore gumi nemaviri.
Zvitsvakurudzo Zvitsva
Vatsvakurudzi vakawana:
- Zvose zvinokwana 1,820 (6.5 muzana) varwere vakaita zvirwere zvakasiyana-siyana zvinotevera, kusanganisira fever, utachiona, hematoma, cardiopulmonary zviitiko, uye zviitiko zvepromboembolic (ropa clots)
- Zvose zvinokwana 3,427 (12,3%) zvakasangana nehutano hwehutano-zvinetso zvinosanganisira hypoparathyroidism / hypocalcemia (low calcium mazinga nokuda kwekukuvadza kwezvinyorwa zveparathyroid), uye kuora mwoyo kana kuora kumakumbo emakumbo nemakumbo ezwi
Izvo zvinokonzera maitiro kubva pakuvhiya kwetroyo zvakanyanya zvikuru mumapoka matatu:
- Varwere vakanga vari pamusoro pemakore makumi matanhatu nematanhatu, avo vaiva katatu kakawanda vanowanzova nematambudziko kupfuura avo vari pasi pemakore makumi matanhatu nematatu (Zvikamu gumi zvezana zvevakuru vakwegura zvakagadzirisa zvinetso zvakanyanya uye 19 muzana vaiva nehutano husina maturo. iyo mitengo yaiva 3 muzana uye 6 muzana, zvichienderana)
- Varwere vaiva nemamwe mamiriro ezvinhu ehutano, anozivikanwa seti comorbidities
- Varwere vane kenza yepamusoro yakakura yepamusoro, avo vaiva nehuwandu hwezvinetso pa23 muzana
Maererano nekutungamirira munyori wekudzidza, Maria Papaleontiou, MD weMichigan Medicine:
Izvozvo zvikamu gumi nembiri zvevarwere vese vane chirwere cheropia chirwere chakanangana chinoreva. Vazhinji vezviremba vedu vanovhiya vanodzokorora 1 kusvika ku3 muzana yehuwandu. Izvi zvinodarika zvataifunga. Utachiona hwehutachiona hunofungidzirwa sehutano hwakachengeteka zvachose, asi vamwe vanhu vanowanzoshungurudzika uye vanoda kunyanya kutarisirwa muhutano hwekare uye hwekupedzisira.
Izvi Zvinorevei Kune Varwere?
Munyori wepamusoro wokudzidza Megan Haymart, MD weMichigan Medicine akati:
Apo patinoshanda nevarwere kuti tibate chirwere chetachiona, tinogara tichienzanisa kubatsirwa uye njodzi. Ichi chidzidzo chinoratidza kuti kune zvimwe zvinetso kubva pakuvhiyiwa kwekenza yekenza pane zvinotarisirwa. Inopa mukana wekudzidzisa vose varwere nevatapi kuti vaderedze matambudziko uye kuvandudza zvabuda.
Uku kutsvakurudza kune zvakawanda zvinorehwa nevarwere kusvika pamikana yekuderedza zvinetso.
- Kana iwe ukawira kune rimwe remapoka matatu emagariro-anopfuura 65, mamwe mararamiro, kana chirwere chikuru-unofunga kufunga nekutsvaga uye kuvhiyiwa pane imwe nzvimbo inobata chirwere chetachiona chepamusoro, uye nechiremba anovhiya ane unyanzvi mune chirwere cheyroid. (Cherechedza kuti ruzhinji rwekuvhiya kwetroji muUnited States runoitwa nevadzidzisi vezvinyorwa vashoma.)
- Iva nechokwadi chekukurukurirana zviratidzo uye njodzi dze hypoparathyroidism uye hypocalcemia nechiremba wako, uye uzive zviratidzo mushure mekuvhiyiwa.
- Kurukurai kudiwa kwekuvhiyiwa nachiremba wako. Maererano naDkt. Haymart, "Kukurukurirana nezvekuregererwa kwekuvhiyiwa kwevaya vane chirwere chinotapira chirwere chinogona kunge chakakodzera. Kunyangwe mune varwere vane pangozi yakanyanya, njodzi yezwi rekushaya chirwere ichiri kupera simba 2 muzana uye ngozi ye hypoparathyroidism ndeye 8 muzana. Izvi zvakakwirira kupfuura zvatinoda kuona. Pane nzira dzekuita chirwere chisina kuderera kune ava varwere here? Kana kukonzera kenza kunobatsira zvakafanana asi zvipingamupinyi zvekugara kwenguva refu zvingasava zvishoma, tinoda kupa varwere nechisarudzo ichi. "
Shoko Rinobva
Maererano neNew York's Columbia-Presbyterian Hospital, imwe yenharaunda yepamusoro yezvechirwere chetachiona, chirwere chechiremba ane ruzivo-iwe unogona kuita kuti uwedzere maitiro ezvokuvhiya-wakaita zvinodarika 1 000 utachiona uye / kana chirwere chepathyroid mu kana basa rake.
Maererano neAmerican Thyroid Association:
Kazhinji, chirwere chetachiona chinonyanya kuitwa nechiremba anovhiya akagamuchira kudzidziswa kwakanyanya uye anoita chirwere cherosi nguva dzose. Izvo zvinokonzerwa nehutachiona hwehutachiona hwakaderera apo chirwere ichi chinoitwa nechiremba anovhiya anoita nhamba yakawanda yehutachiona hwegore negore. Varwere vanofanira kubvunza chiremba wavo achitaura kwaanoenda kuti ave nehutachiona kana kuti aizotumira nhengo yemhuri.
Kuti uwane chiremba mukuru, ane ruzivo rwechiroyi, unogonawo kuverenga nezvekuwana chirwere chechirwere chepamusoro .
> Sources:
> American Thyroid Association. "Kuvhiya Kwoutano." Online: http://www.thyroid.org/thyroid-surgery/
> Papaleontiou M, Hughes DT, Guo C, Banerjee M, Haymart MR. Nharaunda-Kubva kuongororwa kweMatambudziko pashure pekuvhiya kweChroid Cancer. Journal of Clinical Endocrinology & Metabolism, 2017; DOI: 10.1210 / jc.2017-00255 Online: https://academic.oup.com/jcem/article-abstract/doi/10.1210/jc.2017-00255/3778176/Population-Based-Assessment-of-Complications?redirectedFrom = fulltext